Post on 05-Feb-2023
Px Code Procedure Description Procedure Category - Rev Code Unit Price
23200001 HC HIGH RISK OB CARE PER DAY INCREMENTAL NURSING CHARGE RATE - OB [0232] ( 1,227.00)
26000001HC IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR IV THERAPY - GENERAL CLASSIFICATION [0260] ( 399.00)
26000002HC IV INFUSION HYDRATION EACH ADDITIONAL HOUR IV THERAPY - GENERAL CLASSIFICATION [0260] ( 129.00)
26000003HC IV INFUSION THERAPY/PROPH /DX 1ST TO 1 HR IV THERAPY - GENERAL CLASSIFICATION [0260] ( 493.00)
26000004HC IV INFUSION THERAPY PROPH/DX EA HOUR IV THERAPY - GENERAL CLASSIFICATION [0260] ( 234.00)
26000005HC IV INFUSION THER PROPH ADDL SEQ TO 1 HR IV THERAPY - GENERAL CLASSIFICATION [0260] ( 259.00)
26000006HC IV NFS THERAPY PROPHY/DX CONCURRENT NFS IV THERAPY - GENERAL CLASSIFICATION [0260] ( 212.00)
26000007HC THERAPEUTIC PROPHY/DX INJECTION SUBQ/IM IV THERAPY - GENERAL CLASSIFICATION [0260] ( 218.00)
26000008HC THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG IV THERAPY - GENERAL CLASSIFICATION [0260] ( 388.00)
26000009HC THERAPEUTIC INJECTION IV PUSH EACH NEW DRUG IV THERAPY - GENERAL CLASSIFICATION [0260] ( 208.00)
26000010HC THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG FAC IV THERAPY - GENERAL CLASSIFICATION [0260] ( 179.00)
26000011HC UNLISTED THER./PROPHYLACTIC/DIAG. INJ. IV THERAPY - GENERAL CLASSIFICATION [0260] ( 189.00)
26000012HC INFUS 8>HRS REQUIR A PUMP(MEDICARE ONLY) IV THERAPY - GENERAL CLASSIFICATION [0260] ( 370.00)
27000002 HC KIT TRACH SUCTION 6FR PK/10 KC36626MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 14.00)
27000004 HC KIT TRACH SUCTION 8FR PKG KC36826MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 14.00)
27000006HC BOTTLE CHEST TUBE WATERSEAL 84726100
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 29.00)
27000007 HC HEIMLICK CHEST DRAIN VALVE 373460MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 88.00)
27000008 HC BAG URIMETER DRAINAGE 153204MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 16.00)
27000009 HC PLEUR EVAC INFANT A 8020 08LMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 80.00)
27000010HC ADAPTOR UNIVERSAL CATH ACCESS PORT 9779
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 18.00)
27000011HC KIT URINARY COLLECT W/ 3.5 CATH 4193507
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 54.00)
27000012HC KIT URINARY COLLECT W/CATH 5FR 4195007
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 54.00)
27000013HC KIT URINARY COLLECT W/CATH 8FR 4198007
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 54.00)
27000014 HC FLOTRAC TRANSDUCER CO MHD85MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 183.00)
27000015 HC BAG IC URINE METER 350CC 153314AMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 29.00)
27000016 HC NEONATAL INLINE SUCTION CATH 5FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)
27000017HC TEMPERATURE MANAGEMENT SYSTEM KIT
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 695.00)
27000018 HC DEFIBRILLATOR PAD PHILLIPS M3713AMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 63.00)
27000019 HC DRESSING POWDER ARGLAES5 GMMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 29.00)
27000020 HC DRESSING POWDER ARGLAES2GMMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 16.00)
27000021 HC GELDRESSINGSILVASORB 1.5OZ TUBEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 42.00)
27000023 HC CAPD OUTLET PORT CLAMP 5C4527MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 12.00)
27000024 HC CAPD SOL SET/CONNECT BAXTR 5C4160MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 15.00)
27000025 HC TED SEQUENTIAL SLEEVE KNEE 5329MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 63.00)
27000026HC TED SEQUENTIAL SLEEVE KNEE LARGE 5489
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 89.00)
27000027 HC SCD EXPRESS SLEEVE XLARGE 9790MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 251.00)
27000028 HC T-PUMP (KPAD) WARM/COOL PADMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 10.00)
27000029 HC BINDER ABDOMINAL WIDTH 9INMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 33.00)
27000030 HC BINDER ABDOMINAL WIDTH 12INMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 40.00)
27000031HC BREAST PUMP DISP SINGLE HARMONY 67186
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 49.00)
27000034 HC HEART HUGGERMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 195.00)
27000035 HC HEATING PAD MEDIHEAT 9X13MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 12.00)
27000036 HC HOSE TED THIGH LENGTHMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 12.00)
27000037 HC HOSE TED THIGH LENGTH W/BELTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 14.00)
27000038 HC BLANKET HYPOTHERMIA DISPMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 63.00)
27000039 HC BRUSH PLAKVAC ORAL SUCTION 2200MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 14.00)
27000040 HC SHEEPSKINMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 31.00)
27000042 HC BLANKET FULL BODY WARMERMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 12.00)
27000043 HC KIT INOTROPEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 61.00)
27000044 HC PACK POSITIONING SMALLMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 126.00)
27000045 HC PACK POSITIONING MEDIUMMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 126.00)
27000046 HC KIT CRANIAL ACCESS INS 5HNDMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 639.00)
27000047 HC SURGI BRA SMALLMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 72.00)
27000048 HC SURGI BRA MEDIUMMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 83.00)
27000049 HC SURGI BRA LARGEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 75.00)
27000050 HC SURGI BRA X LARGEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 78.00)
27000051 HC SURGI BRA 2XMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 80.00)
27000052 HC SURGI BRA 3XMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 80.00)
27000053 HC BOOT WAFFLE AIR BOOT 304FWMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 75.00)
27000054 HC MASK LMA SIZE 4 UNIQUE (FEMALE)MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 49.00)
27000055 HC MASK LMA SIZE 5 UNIQUE (MALE)MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 68.00)
27000057 HC PLEUR EVAC A 8600 ADULT DRY FLOWMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 204.00)
27000058 HC CO2 DETECTOR ADULTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 31.00)
27000059 HC CO2 DETECTOR PEDIMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 23.00)
27000060HC BREAST PUMP DISP DBL SYMPH/LACTINA 67340
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 70.00)
27000062 HC ELECTRODES TENS/NMES 2X2MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 23.00)
27000063HC KIT IJ DRESSING SECUREMENT #SV44ANC
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 29.00)
27000064 HC STYLET GOLDEN RODMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 23.00)
27000065 HC SHIELD NIPPLE LARGE(27MM)#87074MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 14.00)
27000066 HC SHIELD NIPPLE XLG(30MM) #87075MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 14.00)
27000067HC DEFIB/CARDIOVRSION PACNG ELCTRODESP211M1
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 80.00)
27000068 HC KIT PLEURX 1000ML 50 7510MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 139.00)
27000069 HC KIT PLEURX 500ML 50 7500MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 126.00)
27000070 HC PLEURX DRAINAGE BTL 1000ML 50 7210MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 200.00)
27000071 HC PLEURX DRAINAGE BTL 500ML 50 7505MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 173.00)
27000072 HC MASK LMA 1.0MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 49.00)
27000073 HC MASK LMA 1.5MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 49.00)
27000074 HC MASK LMA 2.0MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 49.00)
27000075 HC MASK LMA 2.5MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 49.00)
27000076 HC MASK LMA 3.0MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 49.00)
27000077 HC PILLOW ABDUCTION DISP M60031MMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 49.00)
27000078 HC BODY ALIGNER POSITIONER FOAMMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 18.00)
27000079 HC BOOT BUNNY (FOOT DROP)M3013MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 52.00)
27000080 HC BOOTCAST EZ WALKER OPEN TOE XSXLMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 26.00)
27000081 HC CERVICAL HEAD HALTERMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 33.00)
27000082 HC PILLOW CERVICAL (ROUND) #9221 00MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 21.00)
27000083HC IMMOBILIZER SHOULDER ABD SUPPORT LG
MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 117.00)
27000086 HC TONGS PMT (MRI ER TRACT) MLGMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 1,819.00)
27000087 HC PILLOW(CARTER) ARM ELEVATIONMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 70.00)
27000088 HC BINDER 4 PANEL ABDOMINAL 60-74MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 47.00)
27000089 HC ADHESIVE SPRAY 7730MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 33.00)
27000090 HC SYSTEM NIGHTTIME DRAINAGE 27060MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)
27000091 HC IRRIGATION SLEEVE 1/34 BOX 401912MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 33.00)
27000092 HC IRRIGATION SLEEVE 2 3/4 BX 401914MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 33.00)
27000093HC POUCH FECAL DRAINABLE 2 3/4 BX 413314
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 26.00)
27000094 HC POUCH 4 BX 401515MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 24.00)
27000095 HC SKIN BOND CEMENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 143.00)
27000096 HC WAFER 4 BX 401906MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 31.00)
27000097 HC POUCH ACTIVE LIFE BX 022771MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 36.00)
27000098 HC POUCH UROSTOMY 2 3/4 #401546 BXMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 31.00)
27000099 HC WAFER 2 1/4 NEW IMAGE #14203 BXMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 23.00)
27000100HC IRRIGATOR COLOSTOMY STOMA CONE 401989
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 29.00)
27000101 HC TUBE ENDOTRACH ATTACH.9789 EAMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 18.00)
27000102HC WAFER MOLDABLE CONVEX MED BX 404593
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 92.00)
27000103HC WAFER MOLDABLE CONVEX LARGE 404594 BX
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 9.00)
27000104 HC SYSTEM FECAL MANAGEMENT 411100MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 393.00)
27000105HC EAKIN WOUND POUCH MGR 1.8X1.2 839220 EA
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 14.00)
27000106HC EAKIN WOUND POUCH MGR 4.3X3.0 839221 EA
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 21.00)
27000107 HC SUPPORT SHOULDER MCF R/LMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 124.00)
27000108 HC SPLINT WRIST MEDIUM R/LMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 21.00)
27000109 HC SPLINT WRIST LARGE R/LMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 21.00)
27000110 HC BOOT CRADLE (FOAM)50644515MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 47.00)
27000111 HC ROLL CERVICAL MCKENZIEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 26.00)
27000112HC SPLINT LYNX WHFO LEFT MEDIUM C7906 03 02
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 115.00)
27000113HC SPLINT LYNX WHFO RIGHT MEDC7906 03 01
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 115.00)
27000114HC SPLINT LYNX WHFO LEFT LARGE C7906 04 02
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 119.00)
27000115HC SPLINT LYNX WHFO RIGHT LARGE C7906 04 01
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 119.00)
27000117 HC CHEST TUBE CLAMPMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 70.00)
27000119 HC KIT BAPTIST HEALTH CVC 57964MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)
27000120HC TUBING ADAPTER PIN UNIVERSAL #11075 48
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 31.00)
27000121 HC TUBE COLON/RECTALMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 29.00)
27000122HC TUBING PALL FLTR BLOOD TRAN 40MIC SQ40S
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 18.00)
27000123 HC TUBING SUCTION CONNECTINGMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 36.00)
27000124 HC TUBE DOBHOFF FEEDING 8 FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 40.00)
27000125 HC TUBE ENTRIFLEX FEEDING 8FR 472MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 16.00)
27000127 HC TUBE SALEM SUMP (SILICONE)MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)
27000129 HC TUBE TRACH SHILEY CUFF/FEN 4 10MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 143.00)
27000130 HC TUBE TRACH SHILEY NEONATAL 00 1MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 56.00)
27000131 HC TUBE TRACH SHILEY PED/OBT 003.5MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 83.00)
27000132 HC TUBING BLOOD PUMP SET 11664MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 23.00)
27000133 HC TUBING PRIMARY PUMP SET #11943 12MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 23.00)
27000134 HC TUBING NITRO PUMP SET #2427 78MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 29.00)
27000136 HC BAG BILEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 14.00)
27000137 HC TUBE TRACH (PORTEX) DBL CUFF EAMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 106.00)
27000138 HC VENT TRACHEA STOMA # 8/55MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 126.00)
27000139 HC VENT TRACHEA STOMA # 8/27MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 159.00)
27000140 HC VENT TRACHEA STOMA # 12/55MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 126.00)
27000141 HC VENT TRACHEA STOMA # 10/55MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 126.00)
27000142 HC VENT TRACHEA STOMA #10/27MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 159.00)
27000143 HC VELCO TRACHEA TIEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 14.00)
27000144 HC BAG GRAVITY FEEDINGMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 18.00)
27000145 HC ORAL ET TUBE ATTACHMENT 9789MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 18.00)
27000146HC TUBE CORPAK ENTERNAL FEEDING TUBE 5FR
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 99.00)
27000147 HC TUBE SILICONE FEEDING 5FR 4165019MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 33.00)
27000148HC TUBE SILICONE FEEDING 6.5FR 40CM FTS6.5S
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 31.00)
27000149HC TUBE SILICONE FEEDING 8FR 40CM 4168019
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 31.00)
27000150 HC FLEXIFLO MAGNA PORT Y PORT CONNMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 12.00)
27000151 HC TUBE SILICONE FEEDING 3.5FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 36.00)
27000152 HC TUBE TRACH SHILEY 6 PERCMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 103.00)
27000153 HC TUBE TRACH SHILEY 8 PERCMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 108.00)
27000154 HC TUBE TRACH SHILEY XLTCP 5 8MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 159.00)
27000155 HC TUBE TRACH SHILEY XLTUP 5 8MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 150.00)
27000156 HC TUBE TRACH SHILEY XLTCD 5 8MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 150.00)
27000157 HC TUBE TRACH SHILEY XLTUD 5 8MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 150.00)
27000158HC TRACH INNER CANNULA DISPOSABLE XLT 4 8
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 12.00)
27000159HC TUBING IV GEMSTAR CLEAR 13737 01 96 FTR
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 23.00)
27000160HC TUBING EPIDURAL GEMSTAR YELLOW 13261 01
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 33.00)
27000161 HC TUBING BLADDER IRRIGATION 51582492MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 62.00)
27000162 HC CARDIAC OUTPUT INJECTATE CO SETMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)
27000163 HC FEMOSTOP 11163MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 164.00)
27000165HC KIT MONITOR TRANSPAC II 42588 05 NEONATE
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 29.00)
27000166HC BALLOON CATH AORTIC DATASCOPE 8FR
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,949.00)
27000167 HC BALLOON CATH AORTIC DATASCOPE 9.5MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,949.00)
27000168 HC ELECTRODE/DEFIB ZOLL STATMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 72.00)
27000169 HC ELECTRODE R2 PADMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 34.00)
27000170 HC ELECTRODE QUIK PACEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 101.00)
27000171HC ABETHERA DISPOSABLE CANISTER (370620)
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 23.00)
27000172 HC ABTHERA DRESSING (370605)MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 854.00)
27000173 HC EXTERNAL PACEMAKER CABLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 28.00)
27000174 HC CURAGEL 8X8 EACHMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 21.00)
27000175 HC IODOFORM GAUZE UTERINE PACKMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 16.00)
27000176 HC TELFA 3X8 50/BOXMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 21.00)
27000177 HC EYE PADS BOXMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 16.00)
27000178 HC KCI KIT VAC CANNISTER M6275071MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 78.00)
27000179 HC KIT SIMPULSE WOUND CAREMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 85.00)
27000180 HC SUREPREP SKIN SPRAY MSC1528MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 23.00)
27000181 HC SIMPULSE TRACK TIPSMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 41.00)
27000182 HC SIMPULSE WOUND TUNNELING TIPMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 36.00)
27000183HC SETOPRESS HIGH COMPRESSION BANDAGE
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 21.00)
27000184 HC WOUND CLEANSER SAF CLENS 159700MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 18.00)
27000185 HC KALTOSTAT ROPE BX 168117MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 108.00)
27000186 HC KALTOSTAT 4X8 EA 168214MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 40.00)
27000188 HC DUODERM SIGNAL 4X4 BX 403326MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)
27000189 HC KCI VAC TRAC PAD M8275057MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 85.00)
27000191 HC AQUACEL AG RIBBON BOX 403712MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 153.00)
27000192 HC KCI VAC AG SMALL M8275098/10MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 112.00)
27000193 HC KCI VAC AG LARGE M6275099/10MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 126.00)
27000194HC MEPILEX SACRUM 7.2X7.2 W/BORDER 282000EA
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 18.00)
27000195 HC ELECTRODES MULTIFUNCTION R2 DEFIBMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 68.00)
27000197 HC PULSE OX PROBE NEO NATALMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 31.00)
27000198HC INTRODUCER MICRO EZ 5FR 10CM 0228950
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 112.00)
27000199HC INTRODUCER MICRO EZ 6FR 10CM 0228960
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 155.00)
27000200 HC SYVEK SVP 3X3CM 400 12 06MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 139.00)
27000202 HC WAFER FLAT MOLDABLE 1 3/4 BX 411802MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 40.00)
27000203 HC WAFER FLAT MOLDABLE 2 1/4 BX 411804MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 40.00)
27000204 HC WAFER FLAT MOLDABLE 2 3/4 BX 411806MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 136.00)
27000205 HC POUCH 1 3/4 BX 411360MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 33.00)
27000206 HC POUCH 2 3/4 BX 411362MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 31.00)
27000207 HC POUCH HIGHOUTPUT 2 1/4 BX 401558MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)
27000208 HC POUCH HIGHOUTPUT 2 3/4 BX 401559MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)
27000209HC POUCH PRECUT 1PC DRAINABLE BX 175779
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)
27000210HC POUCH 1PC PRECUT DRAIN 1 1/4BX 175781
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)
27000211HC POUCH UROSTOMY CONVEX 1 #175792 BX
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 59.00)
27000212HC POUCH UROSTOMY CONVEX 1 1/4 #175796 BX
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 59.00)
27000213 HC POUCH NEW IMAGE 2 1/4 BX 18193MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 36.00)
27000214 HC IRRIGATION SLEEVE 2 1/4 BX 18153MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)
27000215 HC WAFER STOMAHESIVE 4X4 BX 021712MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 18.00)
27000216HC POUCH 1PC PRECUT DRAIN 1 1/4EA 125356
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 18.00)
27000218 HC AV IMPULSE LG PVA/ALP2MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 117.00)
27000219 HC AV IMPULSE REG PVA/ALP1MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 110.00)
27000220 HC SCD KNEE XL ALP2XL 30MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 80.00)
27000221 HC SCD KNEE LG ALP2 24MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 63.00)
27000222 HC SCD KNEE MED ALP1 18MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 36.00)
27000224 HC CHEST DRAIN PORTABLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 164.00)
27000225HC ACCUDRAIN 700ML DRAINAGE BAG INS8700
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 83.00)
27000228 HC PLEUR EVAC SINGLE A 700008LFMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 1,208.00)
27000231 HC CYSTO IRRIGATION SETMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 23.00)
27000232HC URI DRAINAGE BAG BARD #154002/153509
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 12.00)
27000234 HC MEPILEX BORDER 6X6 EA 295400MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 17.00)
27000235HC CAPD MINI EXT LIFE TRANS. SET CAP 5C4482
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 115.00)
27000246 HC SCD EXPRESS SLEEVE MED KNEE 9529MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 63.00)
27000247HC SCD EXPRESS SLEEVE LARGE KNEE 9789
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 89.00)
27000250 HC HEEL/ELBOW PROTECTORSMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 29.00)
27000252 HC BAG CRANIAL DRAIN REPLMNTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 72.00)
27000264 HC PILLOW CERVICAL TENSION #922200MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 13.00)
27000265 HC POST OP SHOE (F/M) SMLXLMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 17.00)
27000270HC SUPPORT ARTERIAL HAND/WRIST 18686 010
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 17.00)
27000272 HC CPM PATIENT KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)
27000274 HC HEEL BOOTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 126.00)
27000276HC FLEXISEAL FECAL COLLECTOR EA 650078
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 16.00)
27000277HC EAKIN COHESIVE SEALSSMALLBOX 839002
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 157.00)
27000278 HC POUCH UROSTOMY 2 1/4 #401545 BXMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 31.00)
27000279 HC POUCH URO 1PC CUT TO FIT 8450 BXMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 83.00)
27000280 HC POUCH HIGHOUTPUT 1 3/4 401557BXMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)
27000283HC EAKIN WOUND POUCH 9.7X6.3VERT. 839225 EA
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 45.00)
27000284HC EAKIN WOUND POUCH MGR 6.9X4.3 EA 839222
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 29.00)
27000285 HC EAKIN WOUND POUCH 9.7X6.3 839223 EAMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 45.00)
27000288 HC OASIS 7X20 CM FENMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 314.00)
27000289 HC CONT. EMPTY EVAC 1000CC GLASSMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 26.00)
27000290HC TRAY CHEST TUBE INSERTION DISPOSABLE
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 75.00)
27000293 HC TUBE SALEM SUMP (PLASTIC)MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 14.00)
27000295HC TUBE TRACH SHILEY CUFFEDNON FENESTRATE
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 159.00)
27000296HC TUBING LIPID/FAT EMUL PUMP SET #11003
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 26.00)
27000298 HC TUBING BLOOD WARMER TUBING L 70MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 31.00)
27000301 HC PCA TUBING SPIKE & Y SETMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 28.00)
27000305 HC BLOOD TUBING Y TYPE (NONPUMP)MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 14.00)
27000306HC TRAY CTAGLIA BLUE RHINO PERC TRACH INTRO
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 693.00)
27000312HC KIT MONITOR TRANSPAC #42620 08 ADULT
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 39.00)
27000314HC BIOPATCH CENTRAL LINE DRESSING 3150
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 14.00)
27000315 HC SYVEK NT PATCH #NT6 400 09 05MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 171.00)
27000316HC INTRA ABDOMINAL PRESSURE MONITOR ABV3331
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 206.00)
27000317 HC KCI DRESSING VAC SMALL M6275051/10MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 108.00)
27000318 HC KCI DRESSING VAC MED M6275052/10MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 101.00)
27000319 HC KCI DRESSING VAC LARGE M6275053/10MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 122.00)
27000320 HC KCI VAC 10X15 SOFT FOAM DRESSINGMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 23.00)
27000321 HC DERMABOND SKIN ADHESIVEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 43.00)
27000322HC ALOE VESTA 2IN1 ANTIFUNGAL OINT.325105
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 14.00)
27000323 HC BANDAGE HONEYCOMB ELASTICMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 19.00)
27000327 HC KCI VAC AG MEDIUM M6275096/10MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 106.00)
27000329HC TUBE BIVONA ADJ HYPERFLEX TRACH 68I.O.D
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 624.00)
27000331HC FECAL MANAGEMENT SYSTEM BAGS EA 441101
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 12.00)
27000336 HC PACER CABLESMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 61.00)
27000337 HC MAMMOTONE PROBEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 1,339.00)
27000338 HC ENSITE NAVX ELECTRODE KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 2,317.00)
27000339 HC T FASTENERMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 110.00)
27000340HC ANGIOGUARD RX EMBO PROTECTION SYSTEM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 4,270.00)
27000342 HC CYTOLOGY BRUSHMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 294.00)
27000343 HC RADIAL JAW BIOPSY FORCEPSMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 233.00)
27000345HC ENDO AAA PRESSUERE SENSOR W/DELIVERY
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 5,856.00)
27000346 HC GASTROGRAFIN PER BOTTLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 96.00)
27000347 HC VIPER SLIDE LUBRICANTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 157.00)
27000349 HC VIPER TRACK RADIOPAQUE TAPEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 75.00)
27000351 HC BALLOON DILATATION ACCESSORIESMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 173.00)
27000352 HC CCL CAUTERYMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 61.00)
27000354 HC MAGNET EXCHANGE DEVICEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 134.00)
27000355 HC ADMINISTRATION SET/SOLUTIONMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 19.00)
27000356 HC STERILE CONNECT TUBINGMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)
27000361 HC AQUACEL AG 4X4MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 15.00)
27000362 HC AV IMPULSE FOOTWRAPS PAIRMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 112.00)
27000366 HC AIRWAY NASALMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 12.00)
27000369 HC POUCH UROSTOMY 2PC 1 3/4 BX 401544MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 31.00)
27000379 HC IODOFORM GAUZE 2IN X 5YDSMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 12.00)
27000380 HC IRRIJET IRRIGATION SYSTEMMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 18.00)
27000385HC EAKIN COHESIVE SEAL SM. 839002 4/SHEET
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 31.00)
27000386 HC POUCH 2 1/4 BX 411361MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 31.00)
27000389HC BAG IC URINARY DRAINAGE 2000CC 154114A
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 14.00)
27000390 HC SCROTAL SUPPORT SMLXLMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 13.00)
27000393 HC BOOT BUCK'S TRACTION (UNIV)811100MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 36.00)
27000407 HC STOMAHESIVE POWDER 025510MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 7.00)
27000417 HC MONITORING EXTENSION SET (6)MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 5.00)
27000431 HC CPM SOFTGOODSMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 28.00)
27000432 HC STYLET DISP 14 FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 7.00)
27000435 HC IV BLOOD SETMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 5.00)
27000437 HC CHEST DRAINAGE UNIT 3S110081LFMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 288.00)
27000438HC PICC PLUS FIXED POST CRESENT VPP D F P
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 10.00)
27000450 HC 840 VENT FILTERMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 26.00)
27000458 HC ACTICOAT 7 4X5MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 47.00)
27000463 HC AEROSOL KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 31.00)
27000486 HC BAER HUGGER WARMING BLANKETMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 23.00)
27000489 HC BALL PEDICLE SCREW ELECTRODEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 257.00)
27000493 HC BANDAGE PROFORE MULTILAYEREDMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 31.00)
27000505 HC BLANKET WARMER CHEST ACCESS 305MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 16.00)
27000507 HC BLOOD TUBINGMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 17.00)
27000513 HC BRONCHOSCOPY CYTOLOGY BRUSHMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 23.00)
27000514HC BRONCHOSCOPY MICROBIOLOGY BRUSH
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 33.00)
27000516 HC CARE CUBEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 52.00)
27000517 HC CAST FIBERGLASS 4 ROLLMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 13.00)
27000518 HC CAST FIBERGLASS 5 ROLLMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 13.00)
27000519 HC CAST LONG ARM LG.MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 158.00)
27000520 HC CAST LONG ARM SM.MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 98.00)
27000521 HC CAST LONG LEG LG.MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 220.00)
27000522 HC CAST LONG LEG SM.MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 98.00)
27000523 HC CAST SHORT ARM LG.MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 126.00)
27000524 HC CAST SHORT ARM SM.MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 79.00)
27000525 HC CAST SHORT LEG LG.MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 133.00)
27000526 HC CAST SHORT LEG SM.MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 59.00)
27000528 HC CAUTERY VALLEY LAB TEFLONMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 16.00)
27000529 HC CAUTERY TIP 0012MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 27.00)
27000531 HC CHEST TUBE BOTTLEWATERSEALMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 48.00)
27000533 HC CIRCULAIR MED NEB DEVICEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 25.00)
27000534 HC CIRCUMCISM TRAYMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)
27000535 HC CIRU VENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 49.00)
27000536 HC CLAVICLE STRAPMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 36.00)
27000537 HC CLIP APPLIER ER 320MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 127.00)
27000538 HC CLIP APPLIER ER 420MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 223.00)
27000541 HC CO2 TUBING WITH FILTERMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 24.00)
27000542 HC COMFORT CIRCUITMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 61.00)
27000549HC COOLING CAP LARGE >37CM (OLYMPIC 60022)
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 803.00)
27000550HC COOLING CAP MEDIUM 3237CM(OLYMPIC60021)
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 803.00)
27000551HC COOLING CAP SMALL <32CM (OLYMPIC 60020)
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 803.00)
27000553 HC CRYO/CUFF KNEEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 191.00)
27000567HC DISINFECTED PHAENICIA SERICATA LARVAE
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 298.00)
27000568 HC DISP HUMIDITY CHAMBERMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 20.00)
27000570 HC DISP. INF. HYPER INF. BAGMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 29.00)
27000571 HC DISP. INFANT HEATED WIRE CIRCUITMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 27.00)
27000573 HC DISPOSABLE GRASPER TIP #3622MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 70.00)
27000576 HC DRAIN RESERVOIRMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 14.00)
27000577 HC DRAIN EVACUATORMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 34.00)
27000578 HC DRESSING WOUND 3.5X13MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 41.00)
27000587 HC END TIDAL CO2 DETECTORMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 18.00)
27000606 HC ENDO TUBE HOLDERMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 23.00)
27000624 HC EXTENSION VALVEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 13.00)
27000625 HC FAN SPRAY TIPSPLASH SHIELDMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 28.00)
27000626 HC FECAL MANAGEMENT SYSTEM 441100MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 402.00)
27000630 HC FINGER SPLINTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 12.00)
27000631 HC FLUTTER VALVEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 100.00)
27000636 HC FORCEPS BRONCHMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 132.00)
27000637 HC GEL E DONUTS (3 GEL PILLOW)MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 20.00)
27000651 HC HOLDING CHAMBERMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 16.00)
27000656HC HYDROGEL ELECTRODES (OLYMPIC 62050)
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 14.00)
27000657 HC HYPOTHERMIA CAPMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 117.00)
27000662 HC ENDO TUBE HOLDERMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 20.00)
27000666 HC INHIBITORY CASTING 1MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)
27000667 HC INHIBITORY CASTING 2MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 80.00)
27000668 HC INHIBITORY CASTING 3MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 112.00)
27000669 HC INSERTA PINMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 14.00)
27000670 HC INSUFFLATOR TUBING SETMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 13.00)
27000671 HC INTERCEEDMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 510.00)
27000672HC INTERLOCK VORTX DIAMOND COIL DETACHA
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 951.00)
27000676 HC IVPB TUBINGMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 16.00)
27000682HC KIT CUSTOM MERIT(INFLAT DEVICE)K0500007
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 106.00)
27000683HC KIT OLM CAMINO IC PRESS MONITOR 1104B
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 1,525.00)
27000689 HC LEVEEN INFLATION SYRING 10CCMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 146.00)
27000690 HC LG VOL MED NEB DEVICEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)
27000691 HC LIFE PORT INFUSION SET #3006MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)
27000697 HC MDI HOLDING CHAMBERMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)
27000700 HC MEGOFLO MACROBORE INFSN SET 3030MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 13.00)
27000702 HC MEPILEX LITE 10CM X 10MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 7.00)
27000712 HC NITRONOXMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 25.00)
27000714 HC OCUTOME PROBE DISP.MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 380.00)
27000716 HC OSCILLATOR CIRCUITMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 366.00)
27000718 HC OXIMIZERMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)
27000721 HC OXYHOOD DISP.MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 33.00)
27000723 HC PAP DEVICEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)
27000725 HC PEAK FLOW SUPPLYMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 20.00)
27000726 HC PEEP VALVEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 16.00)
27000727 HC PERCUSSIVE NEBMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 181.00)
27000728 HC PERCUTANEOUS BIOPSY NEEDLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 34.00)
27000730 HC PLAKVAC ORAL SUCTION BRUSHMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 14.00)
27000731 HC PLASTIC TRAYMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 54.00)
27000735 HC POLAR PAD HIPMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 66.00)
27000739 HC PORTA WARM MATTRESSMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 45.00)
27000743 HC PROMOGRAN WOUND DRESSING 123CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 65.00)
27000746 HC PULMONARY EXERCISE O DEVICEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 85.00)
27000747 HC PULMONARY EXERCISE T DEVICEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)
27000749 HC PULSE OX PROBE ADULT/NEONATEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 42.00)
27000751 HC PUNCH BIOPSY DISPOSABLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 147.00)
27000755 HC RELOAD TCR55 681536MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 121.00)
27000757 HC RETRIEVAL DEVICEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 183.00)
27000761 HC SECONDARY I.V. TUBINGMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 14.00)
27000766 HC SHOE POSTOP FEMALE SMLGMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 21.00)
27000767 HC SHOE POSTOP MALE SMXLMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 21.00)
27000769 HC SILVERLON 4X4 REGULARMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 36.00)
27000773 HC SKIN GRAFT CARRIERMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 68.00)
27000774 HC SLING ARM STATT SMLXLMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 18.00)
27000775 HC SLIT KNIFEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 48.00)
27000776 HC SPECIMEN RETRIVEL BAGMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 204.00)
27000780 HC SPLINT AP ARM LG.MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 83.00)
27000781 HC SPLINT AP ARM SM.MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 60.00)
27000782 HC SPLINT AP LEG LG.MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 112.00)
27000783 HC SPLINT AP LEG SM.MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 68.00)
27000793 HC STAPLE PROXIMATE TX60GMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 221.00)
27000801 HC STAPLER ECR60BMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 349.00)
27000806 HC STAPLER LINEAR 60MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 221.00)
27000809 HC STAPLER RELOAD 75MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 180.00)
27000823 HC STOPCOCK 3 WAY LARGE BOREMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 4.00)
27000830HC SUCTION CANNISTER 12 LITERS 65651120
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 46.00)
27000833 HC SURCLENSMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 16.00)
27000834 HC SURGICREAM 11/4 OZ.MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)
27000840 HC SUTURE PER PACKMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 22.00)
27000842 HC SUTURE REMOVAL KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 25.00)
27000844HC TEMPERATURE SENSOR SET (OLYMPIC 60040)
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 584.00)
27000847 HC TOURNIQUET CUFF 34 19946075NMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 23.00)
27000855 HC TRANSBRONCHIAL BIOPSY NEEDLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 99.00)
27000857 HC TREPHINE BLADEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 44.00)
27000868 HC TUBIGRIP SIZE DMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 74.00)
27000869 HC TUBIGRIP SIZE EMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 83.00)
27000870 HC TUBIGRIP SIZE FMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 90.00)
27000871 HC TUBIGRIP SIZE GMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 104.00)
27000877HC UNNA BOOT MEDICATED BANDAGE 4 X 10YD
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 19.00)
27000881 HC VACUUM EXTRACTOR TUBING & CUPMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 80.00)
27000884 HC VEST DISPMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 732.00)
27000889 HC ANORECTAL PROBEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 122.00)
27000890 HC BANDING KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 191.00)
27000891 HC BASKETMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 525.00)
27000892 HC BREEZE INFLATION DEVICEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 193.00)
27000894 HC COLON DECOMPRESSION SETMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 206.00)
27000895 HC DILATOR OVER THE SCOPE DISPOSABLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 3,732.00)
27000896 HC ESOPHAGEAL OVERTUBEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 305.00)
27000897 HC FEEDING TUBE ADAPTERSMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 12.00)
27000898 HC GASTRIC OVERTUBEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 366.00)
27000899 HC GOLD PROBE WITH NEEDLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 793.00)
27000900 HC GOLD PROBE WITHOUT NEEDLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 415.00)
27000901 HC INDIGO INKMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 47.00)
27000902 HC MICROVASIVE BALL TIP 4578MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 188.00)
27000903 HC MICROVASIVE LOCKING DEV 4547MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 242.00)
27000904 HC MICROVASIVE NEEDLE KNIFE 4584MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 462.00)
27000905 HC MICROVASIVE R E SPHINC 4550MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 706.00)
27000906 HC MICROVASIVE RAPID REFILL 6600MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 608.00)
27000907 HC SNARE ASSEMBLY DISPOSABLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 171.00)
27000908 HC SPLINTS VIMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 320.00)
27000909 HC SUCTION POLYPTRAPMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 19.00)
27000910 HC TUBE SHEATHMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 366.00)
27200053 HC MEPILEX 4X4 EA 294190MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 9.00)
27200054 HC MEPILEX BORDER 3X3 EA 295200MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 7.00)
27200055 HC MEPILEX BORDER 4X4 EA 295300MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 10.00)
27200081HC TRAY THORA/PARACENTESIS 6FR PIG1260T
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 153.00)
27200109 HC TRAY PICC TRIPLE LUMANMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 552.00)
27200147 HC TRAY PICC LINE SINGLE LUMENMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 430.00)
27200200 HC PROFORE COMPRESSION SYSTEMMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 31.00)
27200242 HC AQUACEL AG 6X6MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 56.00)
27200496 HC BIOPSY FORCEPMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 915.00)
27200499 HC JEJUNAL FEEDING TUBEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 136.00)
27200813 HC ERCP CANNULAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 558.00)
27200860 HC HOT BIOPSY FORCEPMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 727.00)
27200914 HC MICROVASIVE JAG TAIL 5690MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 732.00)
27200918 HC NEEDLE KNIFE (DISP)MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 267.00)
27200934 HC PEG KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 219.00)
27200935 HC PEG TRAYMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 587.00)
27200952HC ROTATABLE RETRIEVAL BASKET 00711141
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 183.00)
27400064 HC PASSE MUIR TRACH VALVEMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 231.00)
27400083 HC PAVLIK INFANT HARNESSMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 112.00)
27800164HC PERCULEX URINARY DIVERSION STENT SET
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 454.00)
27800165 HC CARRIER SKIN GRAFT ALLMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 39.00)
27800166 HC ZENITH FLEX AAA BIFURCATEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 15,854.00)
27800167 HC CAUTERY TEFLON EXTENSIONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 5,784.00)
27000341 HC ADULT AMBU BAGMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 15.00)
27000911HC ADULT END TIDAL CO2 DETECTOR MEDFLIGHT
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 31.00)
27000912 HC ADULT POCKET MASK MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 30.00)
27000913 HC ADULT QUIK COMBO PADS MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 74.00)
27000914HC ARROW EMERGENCY INFUSION DEVICE 8.5 FREN MEDFLIGHT
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 65.00)
27000915 HC ASHERMAN CHEST SEAL MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 28.00)
27000916 HC BURN SHEET MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 13.00)
27000917 HC COMBITUBE LARGE MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 109.00)
27000918 HC COMBITUBE SMALL MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 109.00)
27000919HC DISPOSABLE ADULT PULSEOX PROBE MEDFLIGHT
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 21.00)
27000920HC DISPOSABLE PEDIATRIC PULSEOX PROBE MEDFLIGHT
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 17.00)
27000921HC ENDOTRACHEAL TUBE EXCHANGER MEDFLIGHT
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 12.00)
27000922 HC ENDOTROL TUBE 6.0 MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 29.00)
27000923 HC ENDOTROL TUBE 7.0 MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 29.00)
27000924 HC EZ INTRA OSSEOUS NEEDLE MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 276.00)
27000925 HC GOLDEN ROD MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 23.00)
27000926 HC HEIMLICK CHEST DRAIN MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 89.00)
27000927HC HIGH PRESSURE FILTER SET TUBING MEDFLIGHT
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 193.00)
27000928 HC INTRA OSSEOUS NEEDLE MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 23.00)
27000929 HC OB KIT MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 56.00)
27000930 HC PEDIATRIC AMBU BAG MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 24.00)
27000931HC PEDIATRIC END TIDAL CO2 DETECTOR MEDFLIGHT
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 31.00)
27000932HC PEDIATRIC QUIK COMBO PADS MEDFLIGHT
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 74.00)
27000933 HC PEEP VALVE MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 14.00)
27000934 HC PERTRACH KIT MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 244.00)
27000935HC PRESSURE INFUSER BAG 1000 ML MEDFLIGHT
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 50.00)
27000936HC PRESSURE INFUSER BAG 500 ML MEDFLIGHT
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 27.00)
27000937 HC SHILEY #6.0 MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 150.00)
27000938 HC SKIN STAPLER MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 117.00)
27000939HC THERMAL ANGEL INFUSION TUBING SET MEDFLIGHT
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 240.00)
27000940 HC THORA KLEX MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 52.00)
27000941 HC THORACIC CATHETERS MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 19.00)
27000942HC TRANSDUCER PRESSURE TUBING MEDFLIGHT
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 202.00)
27000943 HC TRAUMA PAD/DRESSING MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 45.00)
27000944 HC TROCAR CATHETERS MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 26.00)
27000335 HC RX ACCUNET EMBO. PROTECT SYSMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 7,563.00)
27400007 HC IMMOBILIZER SHOULDER (ELAST)#9008MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 29.00)
27100003 HC NITRIC OXYIDE GASMEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271] ( 793.00)
27100004 HC OXYGEN USE DAILYMEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271] ( 265.00)
27200002 HC CATHETER TRAUMA 35CM INS8420MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 388.00)
27200003 HC NEEDLE HUBER 19GMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 19.00)
27200004 HC NEEDLE HUBER 20GMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 21.00)
27200005 HC NEONATAL PICC INSERTION TRAYMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 191.00)
27200007 HC KIT CATHETER SUCTION 14FR EA 4894TMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 12.00)
27200008 HC YANKAUER SUCTION TIP K80MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 7.00)
27200010HC CATHETER COUDE/RED RUBBER 16FR 0102L16
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 29.00)
27200011 HC CATHETER 3 WAY IRRIG/5CC BALLOONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 23.00)
27200012 HC CATHETER 3 WAY IRRIG/30CC BALLOONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 21.00)
27200013 HC CATHETER COUNCIL W/5CC BALLOONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 31.00)
27200014HC BRUSH CYSTOLOGY SINGLE LUMEN 1601
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 26.00)
27200015HC BRUSH CYSTOLOGY DOUBLE LUMEN 4310
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 54.00)
27200017HC CATHETER SIMPLASTIC HEMATURIA 24/30CC
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 118.00)
27200024HC CATHETER URINARY DRAINAGE 3.5FR 4193505
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 29.00)
27200025HC CATHETER URINARY DRAINAGE 5.0 4195005
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 29.00)
27200026HC CATHETER URINARY DRAINAGE 8.0 4198005
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 29.00)
27200027HC CATH NEONATAL INLINE SUCTION 6FR #196
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 33.00)
27200028HC CATH NEONATAL INLINE SUCTION 8FR #198
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 33.00)
27200029HC CATHETER IC FOLEY TEMP 16FR/5CC 129416
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 52.00)
27200030 HC TRAY IC CRITICORE FOLEY 16FR 901216MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 80.00)
27200031 HC TRAY IC FOLEY 16FR/5CC 900016AMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 31.00)
27200032 HC TRAY IC FOLEY 18FR/5CC 900018AMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 31.00)
27200033HC TRAY IC URINE METER 16FR/5CC 903016A
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 42.00)
27200034 HC TRAY IC ADD A FOLEY 899100AMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 16.00)
27200035 HC CATHETER IC FOLEY 12FR/5CC 0165SI12MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 8.00)
27200036 HC CATHETER IC FOLEY 18FR/5CC 0165SI18MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 19.00)
27200037 HC CATHETER IC FOLEY 20FR/5CC 0165SI20MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 19.00)
27200038 HC CATHETER IC FOLEY 22FR/5CC 0165SI22MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 19.00)
27200039HC CATHETER IC FOLEY 22FR/30CC 0166SI22
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 21.00)
27200040HC CATHETER IC FOLEY SIL 14FR/5CC 1758SI14
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 26.00)
27200041HC CATHETER IC FOLEY SIL 16FR/5CC 1758SI16
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 26.00)
27200042HC CATHETER IC FOLEY SIL 18FR/5CC 1758SI18
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 26.00)
27200043HC CATHETER IC FOLEY 3WAY 20FR/5CC 0119SI20
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 36.00)
27200044HC CATHETER IC RED LATEX COUDE 14F 0102SI14
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 40.00)
27200045HC CATHETER IC COUDE FOLEY 12FR5CC 0168SI12
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 33.00)
27200046HC CATHETER IC COUDE FOLEY 14FR5CC 0168DI14
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 33.00)
27200047HC CATHETER IC COUDE FOLEY 16FR5CC 0168SI16
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 33.00)
27200048HC CATHETER IC COUDE FOLEY 18FR5CC 0168SI18
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 33.00)
27200049HC CATHETER IC COUDE FOLEY 20FR5CC 0168DI20
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 33.00)
27200050HC CATHETER IC RED LATEX FOLEY 22F 0196SI22
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 45.00)
27200051HC CATHETER SUCTION 12FR 21513511(RESP DEPT
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 21.00)
27200052 HC CATHETER BALCATHMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 103.00)
27200059 HC CAPD LOCKING CAP BAXTER 5C4169MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 18.00)
27200065 HC NEEDLE BIOPSY (KIDNEY)MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 70.00)
27200066 HC NEEDLE BONE MARROW JAMSHIDI DISPMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 38.00)
27200067 HC NEEDLE SPINAL DISP 6 INMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 33.00)
27200068 HC DRAIN TUBE ATTACH HORIZONAL 9781MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 14.00)
27200069HC PURACOL + COLLAGEN DSG 2X2 MSC8622EPZ
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 23.00)
27200070 HC TRAY BONE MARROW DISPMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 99.00)
27200071HC TRAY LUMBAR PUNCTURE ADULT 22G 4306CS
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 29.00)
27200072HC TRAY LUMBAR PUNCTURE ADULT 20G 4301CS
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 26.00)
27200073HC TRAY LUMBAR PUNCTURE INF/CHILD22G 4302CS
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 36.00)
27200079HC KIT LUMBAR PUNCTURE W/22G 1 NEEDLE
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 28.00)
27200080HC NEEDLE PICC INTROSYTE N 26G 19 384021
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 47.00)
27200082 HC TUBE TRACH 4 10 UNCUFF FEN DISPMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 85.00)
27200083HC DRAIN TUBE ATTACHMENT VERTICAL 9782
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 14.00)
27200084HC TUBE TRACH 4 10 CUFF LOW PRESS DISP
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 89.00)
27200085 HC TUBE TRACH 4 10 UNCUFF DISPMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 85.00)
27200086 HC NEEDLE PAJUNK SPINAL 22G X 3 1/2MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 29.00)
27200088HC SET PERCUT CATH INTRO 8.5 AK09803LFSP
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 208.00)
27200090 HC SET ARROW RADIAL CATH RA 04020MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 18.00)
27200103 HC SET MICROPUNCTURE INTRODUCERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 70.00)
27200107 HC BIOPATCH 3152 (DIALYSIS ONLY)MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 14.00)
27200110 HC SUTURE DEXON S NDL CE 10 3-0MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 9.00)
27200111 HC SUTURE DEXON S NDL T 2-0MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 3.00)
27200112 HC SUTURE ETHILON NDL CTX 2-0MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 29.00)
27200113 HC SUTURE ETHILON NDL KS 2-0MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 2.00)
27200114 HC SUTURE ETHILON W/NEEDLE 2-0MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 3.00)
27200115 HC SUTURE PROLENE NEEDLE BB 4-0MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 9.00)
27200116 HC SUTURE PROLENE NEEDLE C-1 5-0MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 12.00)
27200117 HC SUTURE PROLENE NEEDLE RB 1 4-0MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 9.00)
27200119 HC SUTURE SILK W/O NEEDLE 3-0MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 3.00)
27200120 HC SUTURE SILK W/O NEEDLE 4-0MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 3.00)
27200121 HC SUTURE SILK W/NEEDLE 2-03-04-0MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 21.00)
27200122HC KCI VAC 10X7.5CM SOFT FOAM DRESSING
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 18.00)
27200123HC AQUACEL AG WOUND DRESSING 2X2EA 403706
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 14.00)
27200124HC OPTILOCK NON ADHES DSG 4X4 MSC6444EPZ
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 14.00)
27200125 HC TRAY DEBRIDEMENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 21.00)
27200126HC AQUACEL AG WOUND DRESSING 4X4.7EA 403765
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 26.00)
27200127HC AQUACEL AG WOUND DRESSING 4X4.7BX 403765
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 253.00)
27200128HC AQUACEL AG WOUND DRESSING 2X2BX 403706
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 141.00)
27200129 HC MEPITEL 4X8 EACH 291090MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 23.00)
27200130HC KCI VAC PULL APART DRESSING M67275081/5
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 252.00)
27200131 HC KCI DRESSING ABDOMINAL M625080/5MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 825.00)
27200132 HC KCI DRESSING VAC X LARGE M6275065/5MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 190.00)
27200133HC MELGISORB AG ALGINATE 4X4 SPC255100Z
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 14.00)
27200134 HC MEPILEX 6X6 294390 EAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 18.00)
27200143HC INTRODUCER RADSTICK 5FR 10CM 0669050
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 75.00)
27200144HC INTRODUCER RADSTICK 6FR 10CM 0669060
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 75.00)
27200145HC INTRODUCER MICRO EZ 5FR 7CM 0928950
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 94.00)
27200146HC INTRODUCER MICRO EZ 6FR 7CM 0928960
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 108.00)
27200148 HC PICC NEEDLE GUIDE 900013B01MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 38.00)
27200150 HC PURACOL + AG DSG 2X2 MSC8722EPZMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 26.00)
27200152HC OPTILOCK NONADHES DSG 6.5X10 MSC64610EP
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 23.00)
27200153 HC MEPILEX LITE 8X20 SCP28459OZMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 39.00)
27200154HC HM2 IMPELLA 5.0 IV SOLUTION SET 3100078
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 38.00)
27200155HC HM2 IMPELLA 5.0 COMBITRAN TRANSDUCER1892
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 110.00)
27200157 HC SCREW IN TEMP PACERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 732.00)
27200158 HC BRK NEEDLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 552.00)
27200168 HC FOLEY CATHETER TRAY W/16FR CATHMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 16.00)
27200169 HC FOLEY CATH W/5CC BALLOONMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 17.00)
27200174 HC CRITCORE FOLEY TRAYMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 68.00)
27200176 HC HUBER NEEDLE 22GA X 3/4 INCHMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 14.00)
27200180 HC PACEL BIPOLAR PACING CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 224.00)
27200194 HC INFUSAPORT ACCESSMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 21.00)
27200198 HC OR SET SURFIT 1 3/4IN 2 3/4INMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 75.00)
27200203 HC EPIDURAL TRAYMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 53.00)
27200206 HC TRAY SPINALMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 36.00)
27200207 HC NEEDLETUOHY EPIDURALMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 55.00)
27200225 HC MAXXIM ARTLINE KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 692.00)
27200227HC QUICK FLASH RADIAL ARTERY CATH SET 04220
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 23.00)
27200228 HC RADIAL CATH SET ARROW RA 04020MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 26.00)
27200230 HC DUAL LUMEN CENTRAL ACCESSMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 529.00)
27200231 HC SURGIFOAM 100MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 130.00)
27200232 HC SURGIFOAM 12 X 7MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 9.00)
27200233 HC KIT INCISION DRAINAGEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 14.00)
27200240 HC SURGICEL 2 X 3MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 80.00)
27200241 HC SURGICEL 4 X 8MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 145.00)
27200246HC AQUACEL AG SURG 14 INCH DRESSING 412012
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 117.00)
27200247 HC DRESSING MAXORB EXTRA AG 4X8MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 23.00)
27200250 HC PULSE OX D25 ADULTMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 22.00)
27200256 HC JAMSHIDI BIOPSY NEEDLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 59.00)
27200258 HC 20G X 14CM LOCALIZATION WIRESMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 39.00)
27200260 HC 20G X 9 CM LOCALIZATION WIRESMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 49.00)
27200270 HC LEAD LOCKING DEVICEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 938.00)
27200271 HC LLD ACCESSORIESMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 220.00)
27200273 HC TEMNO II BIOPSY NEEDLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 75.00)
27200275 HC BRAUN VISTA IV SOLUTION SETMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 38.00)
27200278 HC NAVISTAR REFERENCE PATCHMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 488.00)
27200282 HC BS EASY CORE BIOPSY SYSTEMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 464.00)
27200285 HC STERILE ULTRASOUND PROBE COVERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 26.00)
27200290 HC TRANSEPATAL NEEDLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 561.00)
27200297 HC OUTBACK LTD CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 4,952.00)
27200301 HC ENCORE INDEFLATORMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 92.00)
27200308 HC FEEDING TUBE/W STYLET 12FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 18.00)
27200313 HC TR BAND WITH INFLATORMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 96.00)
27200314 HC OPTITORQUE CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 85.00)
27200317 HC XRAY SPINAL NEEDLE SPECIAL SIZEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 25.00)
27200322 HC CATHETER TRAYMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 17.00)
27200323 HC HYSTER TRAYMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 141.00)
27200328 HC DIAGNOSTIC CATHETERSMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 40.00)
27200329 HC GLIDECATHSMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 141.00)
27200330 HC SINGLE SHOT EPIDURAL TRAYMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 45.00)
27200331 HC MEDRAD SYRINGEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 12.00)
27200333 HC D STAT DRYMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 122.00)
27200334 HC ONYX LIQUID EMBOLIC SYSTEMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 4,757.00)
27200336 HC NANOKNIFE PROBEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 4,868.00)
27200338 HC MINI ENSNAREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,548.00)
27200343 HC ELECTRODE NEEDLE ABLATION LEVEENMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 4,490.00)
27200348 HC VASCULAR SIZING CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 732.00)
27200350 HC BALLOON/POLAR CATH BALLOON SETMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,586.00)
27200351 HC BALLOON/POLAR CATH INFLATION UNITMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,317.00)
27200356 HC VERTEBROPLASTY KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 2,001.00)
27200357 HC BASIC BIOPSY TRAYMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 56.00)
27200358 HC BIOPSY LIVER ACCESS SET RPTS 100MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 756.00)
27200359HC JAMSHIDI BM BIOPSY & ASPIRATION TRAY
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 169.00)
27200360 HC LEVEEN NEEDLE ELECTRODESMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 3,149.00)
27200361 HC BIOPSY GUNMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 70.00)
27200362 HC BIOPSY GUIDEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 26.00)
27200366 HC SAFEGUARD PRESSURE DRESSINGMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 146.00)
27200370 HC BIPOLAR NANOKNIFE PROBEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 8,528.00)
27200371 HC BIOPSY GRIDSMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 13.00)
27200378 HC ACKERMAN BX SETMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 720.00)
27200382 HC GASTROSTOMY TUBEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 101.00)
27200383 HC GASTROJEJUNAL TUBEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 511.00)
27200384 HC GORE EVG 24FR SHEATHMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 732.00)
27200385 HC NEEDLE LOC NEEDLESMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 49.00)
27200386 HC KYPHON BONE FILLER DEVICEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 267.00)
27200387 HC BARD CORE BIOPSY PROBEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 49.00)
27200388HC KYPHON EXPRESS INTRODUCER SYSTEM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 2,646.00)
27200389 HC NEEDLE LOC GUIDEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 17.00)
27200390 HC KYPHON ADVANCED OSTEO SYSTEMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 976.00)
27200392 HC STEREO CORE BIOPSY PROBE 11GMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 500.00)
27200394 HC STEREO CORE BIOPSY GUIDEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 17.00)
27200412 HC STABILIT FIRST FRACTURE KIT # 1435MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 8,772.00)
27200413 HC STABILIT SECOND FRACTURE KIT # 1436MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 4,514.00)
27200414 HC ULTRASOUND 11G PROBEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 451.00)
27200415 HC VACUUM SETMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 42.00)
27200416 HC BIOPSY PROBE 8G STEREOMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 545.00)
27200417 HC BIOPSY PROBE AND TUBING 11GMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 483.00)
27200418 HC BIOPSY PROBE 8G ULTRASOUNDMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 514.00)
27200419 HC GRIDMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 12.00)
27200420 HC APERTUREMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 38.00)
27200423 HC STANDARD ENSNAREMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 769.00)
27200432 HC RENAL DILATOR SET/BALLOONMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 493.00)
27200436 HC SNARE SETSMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 671.00)
27200437 HC DRAINAGE INTRODUCER SYSTEMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 197.00)
27200439 HC REINFORCE DILATOR 4 FILTER SYSTEMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 220.00)
27200449 HC ATHRECTOMY SETMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 2,440.00)
27200451 HC VALVULOPLASTY SETMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 1,830.00)
27200456 HC PERICARDIALCENTESIS TRAYMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 343.00)
27200462 HC NEEDLE VERTEBROPLASTYMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 96.00)
27200464 HC MICROCATHETER/EXCELSIORMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 1,213.00)
27200470 HC TRETOLAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 1,464.00)
27200472 HC SHEATH ARROW FLEXMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 220.00)
27200474 HC SHEATH PEEL AWAYMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 94.00)
27200476 HC PNEUMOTHORAX SETMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 225.00)
27200477 HC CAUTERY PENMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 18.00)
27200478 HC GELFOAMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 22.00)
27200479HC THROMBIN D STAT FLOWABLE HEMOSTAT
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 244.00)
27200480 HC CATHETER SIZING PIGTAILMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 359.00)
27200483 HC KYPHOPLASTY INFLATABLE BONE TAMPMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 2,682.00)
27200484 HC KYPHOPLASTY INTRODUCER SYSTEMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 8,474.00)
27200502 HC HEMOSTASE HPH PRODUCTMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 291.00)
27200509 HC ABLATION ELECTRODEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 1,281.00)
27200531 HC TRAY PORT ACCESS SNU04PABMEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 33.00)
27200546HC DRESSING KCI VERSAFOAM SMALL M6275033/10
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 24.00)
27200557 HC TRACH CARE KIT MINIMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 5.00)
27200559 HC EZ HUBER SAFETY INFUSION SET 19X1MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 18.00)
27200643 HC 30 VICRYL PLUS H27 VCP416HMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 5.00)
27200647 HC ACCESS SHEATH/RING TRANSJUG. IHEP.MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 1,037.00)
27200650 HC ACTICOAT 7 DAY 2X2 UTD20341ZMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 16.00)
27200654 HC ALEXIS RETRACTOR LARGE 1893030NMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 182.00)
27200656 HC ALEXIS RETRACTOR XLARGE 18983040NMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 190.00)
27200685 HC BALL TIP PROBE NIMSPINEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 347.00)
27200686 HC BALLOON CATH. INFLATION UNITPOLARMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,317.00)
27200689 HC BARD MAX CORE DIPS. BIOPSY INSTR.MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 70.00)
27200691HC BARD TRUGUIDE COAXIAL BIOPSY NEEDLE
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 26.00)
27200695 HC BIOPSY NEEDLE TRUCUT (DISP)MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 63.00)
27200699HC BIOVAC DIRECT SUCTION DEVICE 00711513
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 244.00)
27200712 HC CATH 26 GAXSOCM NEEDLE 1.9FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 155.00)
27200713HC CATH FOLEY SILICONE W/3CC BALLOON 8FR.
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 16.00)
27200714HC CATH INLINE ENDOTRACH SUCTION 2V22106
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 26.00)
27200716HC CATHERTER INLINE TRACH SUCTION 221036
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 29.00)
27200717 HC CATHETER FOLEY TEMP SENSINGMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 31.00)
27200718 HC CATHETER FRONT RUNNER XP CTOMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 2,672.00)
27200721 HC CATHETER SILICONE 5CCMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 21.00)
27200723 HC CATHETER FOLEY COUDE 2WAY 5CCMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 21.00)
27200727 HC CCL BIOPSY FORCEPMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 915.00)
27200728 HC CCL CPS KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 3,782.00)
27200729 HC CCL DIAGNOSTIC CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 21.00)
27200730 HC CHITOSEAL CLOSURE DEVICEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 122.00)
27200734 HC CLO SUR P.A.D.MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 94.00)
27200736HC COBAN 2 LAYER COMP SYS >3 & <5 PER YD
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 29.00)
27200753 HC CVC DRESSING CHANGE KIT 57964MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 38.00)
27200754 HC CVC DRESSING KIT 5796MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 38.00)
27200760 HC DISP HOT BIOPSY FORCEPSMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 183.00)
27200763 HC DISPOSABLE SNAREMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 106.00)
27200765 HC DRAIN BLAKE 7 OR 10 MM FLATMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 49.00)
27200766 HC DRAIN BLAKE 7 10 OE 15MM ROUNDMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 61.00)
27200773HC EEG ELECTRODE NEEDLE (LOW IMPEDANCE)
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 72.00)
27200809 HC ENTRIFLEX FEEDING TUBE SL 12FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 29.00)
27200819HC ETHICON STAPLER SKIN ROTATING 35 REG
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 49.00)
27200820HC ETHICON STAPLER SKIN ROTATING 35 WIDE
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 49.00)
27200830 HC FOLEY CATH COUDE TIP/30CC BALLOONMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 23.00)
27200831 HC FOLEY CATH COUDE TIP/5CC BALLOONMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 21.00)
27200840 HC GASTROSTOMY KIT 18 FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 299.00)
27200845 HC GRASPING DEVICE TALON BX 00711175MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 330.00)
27200865 HC INTERDRY AG 24MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 21.00)
27200866 HC INTERDRY AG 36MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 33.00)
27200867 HC INTERDRY AG ROLLMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 56.00)
27200873 HC LIGACLIP LARGE #MCL20MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 153.00)
27200874 HC LIGACLIP MEDIUM MS20MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 123.00)
27200875 HC LIGACLIP SMALL #MCS20MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 150.00)
27200896 HC MEGADYNE CAUTERY NEEDLE TIP 0013MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 8.00)
27200897 HC MEGADYNE CAUTERY TIP 0012MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 6.00)
27200903 HC MEPILEX AG 4X4MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 23.00)
27200904 HC MEPILEX AG 4X8MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 40.00)
27200905 HC MEPILEX AG 6X6MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 54.00)
27200906 HC MEPILEX BORDER LITE 1.6X2MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 5.00)
27200907 HC MEPILEX HEEL DRESSING 13CMX20CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 21.00)
27200909HC MEPILEX LITE BORDER DRESSING 5X12.5
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 36.00)
27200910 HC MEPILEX SACRAL 18CM X 18MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 16.00)
27200923 HC NEEDLE SPINAL 22GX5.5 XN14022MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 18.00)
27200928 HC NPPV MASK; FULL FACEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 59.00)
27200931 HC OSTEOFORCE HIGH PRESSURE INJ SETMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 267.00)
27200940 HC PORCINE GRAFTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 260.00)
27200942HC PROMOGRAN MATRIX DRESSING 4.34X4.34
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 21.00)
27200943 HC PROMOGRAN WOUND DRESSING 28CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 26.00)
27200960HC RUMI TIP LAVENDER 5.1MM X 6CM UML516
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 103.00)
27200964 HC SCLEROTHERAPY NEEDLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 101.00)
27200965 HC SENSATION SNARE 30MM (6265)MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 75.00)
27200968HC SILVERLON NEGATIVE PRESSURE DRESSING 4X5
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 45.00)
27200969 HC SILVERLON 4X4 PAD DRESSINGMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 40.00)
27200971 HC SILVERLON PACKING STRIP 1X12MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 21.00)
27200972 HC SKIN STAPLER 35W PXW35MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 16.00)
27201023 HC SURGICEL 2X14MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 134.00)
27201041 HC SUTURE 20 SILK 30MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 5.00)
27201057 HC SUTURE 30 SILK C013DMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 15.00)
27201070 HC SUTURE 50 CHROMIC 687GMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 14.00)
27201073 HC SUTURE 50 PLAIN GUTMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 13.00)
27201074 HC SUTURE 50 POLYSORBMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 35.00)
27201082 HC SUTURE 60 PLAIN GUTMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 34.00)
27201102 HC SUTURE ETHIBOND 1 X834HMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 22.00)
27201109 HC SUTURE ETHILON 40 P3MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 8.00)
27201120 HC SUTURE MONOCRYL 20MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 5.00)
27201125 HC SUTURE MONOCRYL 40 PS 1MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 9.00)
27201130 HC SUTURE MONOCRYL PLUS 30 PS1MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 12.00)
27201136 HC SUTURE NYLON 10 0MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 37.00)
27201141 HC SUTURE NYLON 6 0MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 29.00)
27201142 HC SUTURE O POLYSORB (CL801MG)MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 61.00)
27201160 HC SUTURE PROLENE 20 8685HMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 5.00)
27201218 HC SUTURE VICRYL 30 J774DMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 19.00)
27201222 HC SUTURE VICRYL 40 J422HMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 5.00)
27201230 HC SUTURE VICRYL 80MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 30.00)
27201231 HC SUTURE VICRYL ENDOLOOPMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 74.00)
27201247HC TRAY CATHETER FOLEY W/16FR CATH. 898316
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 16.00)
27201248 HC TRAY CRITICORE FOLEY 900216MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 68.00)
27201249HC TRAY URIMETER W/16FR FOLEY CATH 902816
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 33.00)
27201251 HC TROCAR DILATING TIP D5LT 5MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 44.00)
27201258 HC URICATH(PEDIATRIC)8FR 4198005MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 47.00)
27201267 HC 4576 STANDARD CANNULAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 14.00)
27201269 HC 4578 BALL TIP CANNULAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 159.00)
27201277 HC CANNULA (MICRP) (3570)MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 176.00)
27201279HC CANNULAS(MICRO)#30853086308730893570
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 100.00)
27201287 HC ENCORE INFLATION DEVICEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 183.00)
27201288 HC FEEDING TUBESMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 37.00)
27201289 HC FLEXIBLE ERBE PROBE STRAIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 486.00)
27201291 HC GLIDEWIRES 400 CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 732.00)
27201292 HC HEMOSTASIS CLIPPING DEVICEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 366.00)
27201297 HC PEG BUTTONSMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 218.00)
27201300 HC PH PROBE DISPOSABLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 146.00)
27201303 HC PROBE GOLDEN 7FR #6015MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 793.00)
27201306 HC ROTH NET LARGEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 220.00)
27201307 HC ROTH NET STANDARDMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 183.00)
27201316 HC SUTURE PROLENE NEEDLE SH 30MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 9.00)
27201320 HC HEMOSTATIC POWDER 3GM - ARISTAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 518.00)
27201321HC CATHETER IA BALLOON FIBEROPTIC 8F 30CC
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,271.00)
27201322HC CATHETER IA BALLOON FIBEROPTIC 8F 40CC
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,271.00)
27201326 HC LARYNGOSCOPE BLADEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 12.00)
27201327 HC MEPILEX 4X4 AGMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 18.00)
27201334HC VACUUM DELIVERY SYSTEM KIWI PRO CUP
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 80.00)
27800498 HC RESOLUTION CLIP (2260&2261)MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 322.00)
27200305 HC TURBO TANDEM ARTHROECTOMYMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 6,832.00)
27200500HC SILVERHAWK PERIPHERAL CATH KIT ALL SIZES
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 6,088.00)
27200393HC DIAMOND COATED CLASSIC CROWN 1.25MM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 6,820.00)
27200396HC DIAMOND COATED CLASSIC CROWN 1.50MM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 6,820.00)
27200398HC DIAMOND COATED 2.00MM SOLID CROWN 70GRIT
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 6,820.00)
27200400HC DIAMOND COATED 2.25MM SOLID CROWN 70GRIT
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 6,820.00)
27200402HC DIAMOND COATED 1.50MM SOLID CROWN 30GRIT
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 6,820.00)
27200404HC DIAMOND COATED 1.75MM SOLID CROWN 30GRIT
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 6,820.00)
27200450 HC CCL RCA ATHERECT CATHMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,600.00)
27200235 HC SLEEK PTA BALLOON 40MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 776.00)
27200236 HC SLEEK PTA BALLOON 80MM120MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 877.00)
27200237 HC SLEEK PTA BALLOON 150MM220MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 877.00)
27200238 HC SAVVY LONG PTA DILATION CATH 120CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 776.00)
27200239 HC SAVVY LONG PTA DILATION CATH 150CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 955.00)
27200298 HC EV3 PERIPHEREAL BALLOONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 877.00)
27200324HC AVIATOR PLUS PTA DILATATION CATHETER
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 810.00)
27200341HC CATHETER BALLOON DIL.UT DIAMO.BLUE
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 354.00)
27200367 HC STERLING BALLOONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 549.00)
27200373 HC CUTRACK BALLOON CATH. ALL SIZESMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,586.00)
27200379 HC CUTTING BALLOONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,952.00)
27200391 HC GUIDANT AGIL TRAC BALLONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 671.00)
27200425 HC ULTRATHIN SDS BALLOONSMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 317.00)
27200438 HC BALLOON CATHETER LONGMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 697.00)
27200445 HC CCL PTCA BALLOONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 610.00)
27200455HC CCL PTCA BALLOON BOSTON SCIENTIFIC
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 427.00)
27200465 HC CATHETER BALLOON DIL CORDIS SAVVYMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 732.00)
27200466HC CATHETER BALLOON DIL BARD CONQUEST
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 622.00)
27200467 HC CATHETER BALLOON DIL Z-MEDMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 549.00)
27200481 HC GORE TRILOBE BALLOONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,230.00)
27200492 HC CUTTING BALLOON PERIPHERALMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,952.00)
27201323HC CHARGER BALLOON CATHETER 150-200MM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 354.00)
27201324HC CHARGER BALLOON CATHETER 20-120MM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 267.00)
27201328HC MUSTANG BALLOON CATHETER 120-200MM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 500.00)
27201329HC MUSTANG BALLOON CATHETER 20-100MM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 404.00)
27201333 HC TREK BALLOONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 366.00)
27200581 HC DILITATION BALLOONSMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 732.00)
27200327 HC NEPHROMAX BALLOONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 744.00)
27200586 HC BALLOONS(MICROVASIVE)MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,129.00)
27200612 HC BALLOON HURRICANE RXMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 671.00)
27200613 HC MICROVASIVE TAPERED CATH 4577MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 188.00)
27200614 HC MICROVASIVE XL CATH 4582MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 211.00)
27200061 HC KIT SUBDURAL TUNNELING PRESSUREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,337.00)
27200062HC KIT PARENCHYMAL PRESSURE MONITOR NL950P
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,438.00)
27200063 HC SET VENTRICULAR CATH (SM) INS4000MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 466.00)
27200064HC SYSTEM EXTERNAL CSF DRAINAGE INS 8400
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 722.00)
27200075 HC KIT PNEUMOTHORAX DISP AK01500MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 176.00)
27200159HC ARROW AK01600 PERCUTANEOUS DRAINAGE KIT
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 132.00)
27200161 HC CATHETER THORACIC W/O TROCARMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 21.00)
27200162 HC CATHETER THORACIC W/TROCAR ADULTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 21.00)
27200179HC TROCAR CATH KIT (DR DELOACH)20&28FR
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 20.00)
27200193 HC SET VENTRICULAR CATH (35MM) INS8220MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 258.00)
27200369 HC REENTRY NEPH. CATHETER SET 24 FR.MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 190.00)
27200424 HC ABSCESS DRAINAGE CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 373.00)
27200428 HC BILIARY DRAINAGE CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 392.00)
27200431 HC NEPHROSTOMY CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 392.00)
27200473 HC CATHETER DRAINAGE THALQUICKMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 265.00)
27200562 HC HEMOVAC EVACUATOR 100MLMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 53.00)
27200606 HC THORATIC CATH. 24FR.MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 20.00)
27200615 HC PLEURX DRAINAGE CATHETER KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,008.00)
27200616HC KIT VENTRICULAR TUNNELING PRESSURE
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,330.00)
27200259 HC EP DIAGNOSTIC; 20 OR >MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,281.00)
27200507 HC CATH EP 20 OR MORE ELECMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,660.00)
27200277 HC EP DIAG/ABLAT; 3DMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,904.00)
27200321 HC SAFIRE BLU DUO ABLATION CATHMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,050.00)
27200056 HC KIT QUIN 2LUMEN CATH SUBCL 415001MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 195.00)
27200057HC KIT QUIN 2LUMEN CATH W/CU EXT 817009
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 200.00)
27200058 HC KIT QUIN 2LUMEN CATH TRAY 668007MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 258.00)
27200060 HC CATH TENCKHOFF STRAIGHT QUINTONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 112.00)
27200202HC CATHETER HEMODIALYSIS/PERITONEAL LONG TERM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 126.00)
27200021HC CATH UMBICIAL SILICONE SGL 3.5 4173505
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 33.00)
27200022HC CATH UMBICIAL SILICONE SGL 5.0 4175005
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 33.00)
27200023HC CATH UMBICIAL SILICONE DUAL LUM 4273505
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 70.00)
27200076 HC TRAY UMBILICAL CATH INSERT 4070007MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 108.00)
27200077 HC TRAY INTRO./SHEATH PICC 1.9FR NICUMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 200.00)
27200078 HC TRAY INTRO/SHEATH PICC 2.8FR NICUMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 146.00)
27200087HC BALLOON WEDGE PRESS. CATH 2 LUMEN
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 70.00)
27200091HC CATH SWANGANZ THERMODILUTION 131F7
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 78.00)
27200092HC CATH SWANGANZ THERMODILUTION 831HF75
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 110.00)
27200093 HC CATH UMBILICAL ARGYLE 3.5/5FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 23.00)
27200094 HC CATH UMBILICAL 2 LUMEN GESCO 3.5 FMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 65.00)
27200095 HC CATH UMBILICAL 2 LUMEN GESCO 5FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 61.00)
27200096 HC CATH UMBILICAL 1 LUMEN GESCO 3.5FMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 38.00)
27200097 HC CATH UMBILICAL 1 LUMEN GESCO 5FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 38.00)
27200098 HC CATH PERQCATH 5FR. PICC 4135100MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 220.00)
27200099 HC SET MULTILUMEN CVC ARROW AK45703MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 166.00)
27200102HC CATH. ARROW CENTRAL VENOUS KIT 16FR 6
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 186.00)
27200104HC SET MULTI LUMEN LARGE BORE CVC AK22123SK
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 218.00)
27200105HC SWAN GANZ SVO2/CCO THRMODIL 8FR 5251613
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 354.00)
27200108 HC TRAY PICC DUAL LUMENMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 465.00)
27200223 HC ARROW DOUBLE LUMEN 8FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 146.00)
27200444 HC CCL FLOW DIRECTED CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 103.00)
27200460 HC CATHETER PICC LINE DOUBLE LUMENMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 209.00)
27200461 HC CATHETER PICC LINE SINGLE LUMENMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 204.00)
27200485 HC PICC LINE DOUBLE LUMENMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 209.00)
27200491 HC TRIPLE LUMEN CATHETER 16CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 162.00)
27200494 HC TRIPLE LUMEN 16CM CVC SETMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 162.00)
27200525 HC DUAL LUMEN PICC LINE NAVILYSTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 240.00)
27200567 HC CATHETER HICKMAN KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 290.00)
27200574 HC HICKMAN #12 CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 756.00)
27200619 HC SWAN GANZ 7.5 FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 460.00)
27200185 HC QUIN CATH.11 X 13.5 CURVED 817009MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 186.00)
27200186 HC QUIN CATH 11.5 X 19.5 CURVED 668011MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 284.00)
27200364 HC RAULERSON CATHETER SHORT TERMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 157.00)
27200490 HC QUINTON CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 247.00)
27200279 HC FLOW WIRE/PRESSURE WIREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,452.00)
27200363 HC EAGLE EYE CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,891.00)
27200441 HC CCL ULTRASOUND CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,415.00)
27200482 HC PIONEER CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 7,796.00)
27200265 HC CONCENTRIC CORKSCREW DEVICEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 7,320.00)
27200266 HC ANGIOJET CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,649.00)
27200303 HC FETCH ASPIRATION CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 781.00)
27200332 HC THROMBECTOMY MECHANICAL DEVICEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,828.00)
27200344HC CATH.THROMBECTOMYANGIOJET RHEOLYTIC
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,257.00)
27200353 HC PRONTO CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,209.00)
27200458 HC CATHETER PRONTO EXTRACTIONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,209.00)
27200292 HC INTRACARDIAC ECHO CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 6,100.00)
27200320HC RP INTRACARDIAC CATH ASCENT SOUNDSTAR
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,050.00)
27200219 HC INTROFLEX PERC. SHEATH INT. KIT 9FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 260.00)
27200293 HC AGILIS STEERABLE INTRODUCERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,438.00)
27200587 HC 0.38 GUIDEWIRE #5662MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 659.00)
27200611 HC JAGTOME RX39 #M00573080MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 729.00)
27200106HC GUIDEWIRE AVAHF TRIPLE LUMEN 9F M3LFHK1
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 289.00)
27200182 HC BENTSON GUIDEWIREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 45.00)
27200184 HC IMPELLA GUIDEWIREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,220.00)
27200316 HC ASAHI MIRACLEBROS WIREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,647.00)
27200354 HC INFUSION WIRESMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 720.00)
27200355 HC SPECIALTY WIRESMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 415.00)
27200406 HC VIPERWIRE ADVANCE .014 TIPMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 366.00)
27200408 HC ASAHI TREASURE 12 300CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 366.00)
27200410 HC ASAHI ASTATO 30 300CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 366.00)
27200434 HC SPECIALTY GUIDEWIREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 568.00)
27200440 HC REGULAR GUIDEWIREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 47.00)
27200442 HC CCL DIAGNOSTIC GUIDEWIREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 78.00)
27200443 HC CCL THERAPUTIC GUIDEWIREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 144.00)
27200488 HC GUIDEWIRE REGULARMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 61.00)
27200489 HC GUIDEWIRE SPECIALTYMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 415.00)
27200583 HC CBDE GUIDE WIRE 0035MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 99.00)
27200585HC PEG KIT PULL W/GUIDEWIERE 20F M00566721
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 363.00)
27200622 HC GUIDEWIRE HP .035 JAGWIRMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 338.00)
27200280 HC LIBERATOR LOCKING STYLETMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 990.00)
27200318 HC RETRIEVAL SETCOOKMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 706.00)
27200319 HC IVC RETRIEVAL SETBARDMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,452.00)
27200326 HC SPIDER PROTECTION DEVICEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,172.00)
27200352 HC FILTER WIREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,160.00)
27200264 HC LASER CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,355.00)
27200267 HC LASER CATHETER .9 TO 1.7MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,355.00)
27200268 HC LASER CATHETER 2.0 TO 2.5MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,721.00)
27200177 HC ATTAIN DEFLECTABLE SHEATHMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,464.00)
27200283 HC MEDTRONIC ATTAIN SHEATHMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 488.00)
27200295 HC CATHETER MICRO GUIDEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 610.00)
27200296 HC CATHETER QUICK CROSSMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 317.00)
27200300 HC SHUTTLE SHEATHMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 427.00)
27200309HC QUICK CROSS GUIDE CATH SELECT ALL SIZES
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 408.00)
27200310HC QUICK CROSS GUIDE CATH EXTREME ALL SIZES
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 408.00)
27200340 HC GUIDING CATHETERCORDISMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 451.00)
27200375 HC MINNIE SUPPORT CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 282.00)
27200429 HC INFUSION CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 736.00)
27200453 HC GUIDE CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 104.00)
27200463 HC CATHETER GUIDINGMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 427.00)
27201325 HC GUIDELINERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 924.00)
27200281 HC PERFECTA DISSECTION SHEATHMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,976.00)
27200447 HC CCL INTRODUCER SPECIALMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 171.00)
27200487HC EP INTRACARD FIX-CURVE GUIDING INTROD/SHEATH
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 126.00)
27200287 HC SAFE SHEATH WORLEY OR LVIMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 769.00)
27200288 HC DAIG ABLATION SHEATHMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 460.00)
27200349 HC TRANSEPTAL SHEATH NMTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 282.00)
27200609 HC HYDRATOME RX44 #M00583040MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 998.00)
27200089HC SET PERCUT CATH INTRO HEMOQUIT 4FR8FR
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 36.00)
27200100HC CATHETER PINNACLE INTROSHEATH 4567FR
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 19.00)
27200284 HC INTRODUCER SHEATHNONPEEL AWAYMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 171.00)
27200289 HC ATTAIN LDS SHEATHMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,220.00)
27200311 HC GLIDESHEATH INTRODUCER W/WIREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 92.00)
27200312HC GLIDESHEATH INTRODUCER W/WIRE W/NEEDLE
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 103.00)
27200377 HC MICROPUNCTURE KIT 5 FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 78.00)
27200421 HC INTRODUCERS/MICROPUNCTUREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 89.00)
27200454 HC CCL MICRO PUNCTURE KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 68.00)
27200469 HC ACCESS ACCUSTICK NITINOLMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 183.00)
27200475HC SHEATH CHECK FLO INTRODUCER FOR AAA
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 542.00)
27200493 HC PINNACLE SHEATHMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 38.00)
27200511HC COOK INTRODUCER ANSEL RBANL 145 CM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 136.00)
27200512HC COOK INTRODUCER RAABE RBRAABE90CM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 155.00)
27200513HC LARGE VALVE CHECK FLO INTRODUCERS 1618
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 258.00)
27200634 HC MICROVASIVE CANN SPH 4505MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 706.00)
27200505 HC PROBE/NEEDLE CRYOMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 10,979.00)
27200522HC CATHETER SUPRAPUBIC / CYSTOSCOPIC
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 72.00)
27200315 HC BALLOON OCCLUSIONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 500.00)
27200510 HC CODA OCCULSION CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 882.00)
27200269 HC LASER SHEATHMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 5,790.00)
27200263 HC EP DIAG/ABLAT;OTHER THAN 3DMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,562.00)
27200638 HC 20 FR PEG KIT REF 6672MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 228.00)
27200837 HC FORCEPS ALLIGATOR JAW HOTFD210UMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 37.00)
27400005HC COLLAR CERVICAL NON ADJ FOAM COLLAR
MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 20.00)
27400004HC COLLAR CERVICAL SEMI RIGIDTHERMO FOAM 2 PCS
MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 69.00)
27400096 HC SIO FLEX PELVIC/SACR PRE OTSMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 116.00)
27400097 HC LUMBAR ORTHOTIC FLEXIBLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 65.00)
27400070HC BRACE HALO ASSEMBLEY PMT (MRI CAP)
MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 4,878.00)
27400006 HC KNEE ORTHOTIC IMMOBILIZER CANVASMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 51.00)
27400079 HC ANKLE/FOOT ORTHOTIC STATIC PREFABMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 93.00)
27400098 HC FOOT INSERT REMOVABLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 91.00)
27400067 HC HEEL LIFTSMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 89.00)
27400074 HC IMMOBILIZER A/C PREFAB CANVASMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 94.00)
27400002 HC EO WITH JOINT PREFABRICATEDMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 1,291.00)
27400086 HC RIGID EO WITHOUT JOINTSMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 190.00)
27400076 HC WHFO NO JOINT PREFABRICATEDMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 444.00)
27400087 HC WHFO RIGID WITHOUT JOINTSMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 357.00)
27400088 HC WHO W/O JOINTS CFMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 702.00)
27400065 HC WHO WRIST EXTENSION COCKUPMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 106.00)
27400089 HC FLEX GLOVE W/ELASTIC FINGERMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 345.00)
27400066HC OT HO PREFAB METACARPAL FX ORTHOSIS
MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 189.00)
27400090 HC HFO W/O JOINTS PFMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 155.00)
27400003 HC FO TIP/DIP WITH JOINT/SPRINGMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 98.00)
27400091 HC HFO NONTORSION JOINT PREFABMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 92.00)
27400075 HC WHFO NONTORSION JOINT PREFABMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 219.00)
27400092 HC SEWHO AIRPLAN DESIGN ABDU POSMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 2,289.00)
27400009 HC SPLINT FOREARM/WRIST PADDED R/LMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 18.00)
27400068HC ANKLE CONTROL ORTHOTIC RIGID PREFAB
MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 63.00)
27400008 HC WALKER BOOT W/WO JOINTSMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 147.00)
27400033HC DRIVER PNEUMATIC VAD REPLACE ONLY
MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 159,120.00)
27400078HC HM II SYSTEM CONTROLLER REPLACE ONLY
MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 22,473.00)
27400011 HC HM DISPLAY MODULE REPLACE ONLYMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 9,504.00)
27400051HC MONITOR TO PWR MODULE CABLE REPLACE ONLY
MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 690.00)
27400038HC THOR TLC II 7'ELE LD VAD 2001 REPLACE ONLY
MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 626.00)
27400040HC THOR TLCII 7'PNEU LD VAD 20010 REPLACE ONLY
MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 696.00)
27400042HC THOR TLCII 5'PNEU LD VAD 20010 REPLACE ONLY
MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 530.00)
27400044HC THOR TLC II 5'ELE LD VAD 2001 REPLACE ONLY
MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 583.00)
27400012 HC HM POWER BASE 26439 REPLACE ONLYMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 26,520.00)
27400013HC HM EMERGENCY POWER PACK REPLACE ONLY
MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 2,886.00)
27400027HC HM EMERGENCY POWER CABLE REPLACE ONLY
MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 414.00)
27400028 HC HM HAND PUMP REPLACE ONLYMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 530.00)
27400032 HC THORATEC HAND PUMP REPLACE ONLYMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 169.00)
27400036HC THORATEC BATTERY/POW PK REPLACE ONLY
MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 6,365.00)
27400014 HC HM 11 BATTERY REPLACE ONLYMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 3,055.00)
27400047HC HM II BATTERY CLIPS FOR MBL REPLACE ONLY
MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 3,734.00)
27400024HC HMII HOLSTER SM 14V BTTRY 104224 REPLACE ONLY
MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 1,341.00)
27400056HC HMII HOLSTER MED 14V BTTRY 104225 REPLACE ONLY
MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 1,341.00)
27400057HC HMII HOLSTER LG 14V BTTRY 104226 REPLACE ONLY
MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 1,341.00)
27400025HC HM STABILIZATION BELT LXL 100760 REPLACE ONLY
MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 340.00)
27400029HC BINDER/BELT VADELIA VAD REPLACE ONLY
MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 520.00)
27400030HC ABIOMED VENTRICLE HOLDER KIT REPLACE ONLY
MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 849.00)
27400059HC HMII MOBELT SM/MD 14V BTTRY REPLACE ONLY
MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 838.00)
27400060HC HMII MODULAR LG 14V BTTRY REPLACE ONLY
MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 838.00)
27400015HC HEARTMATE VENT FILTER (EA)REPLACE ONLY
MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 58.00)
27400021 HC HM SHOWER BAG REPLACE ONLYMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 1,528.00)
27400100 HC HM TLC II MOBILITY CART 200100000095MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 1,061.00)
27400031 HC THORATEC BATTERY REPLACE ONLYMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 2,122.00)
27400037 HC THORATEC PWR ADPT REPLACE ONLYMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 636.00)
27400017HC HM II SYST CONT BATTERY MODULE#1264
MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 901.00)
27400034 HC TLC2 SET UP PLUGSMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 43.00)
27400035 HC TLC2 EXTERNAL POWER SUPPLYMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 2,271.00)
27400050HC HM II POWER MODULE TO DC INPUT CABLE
MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 764.00)
27400053HC HM II PWR MODULE PM INPUT CABLE 1340
MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 26,477.00)
27400054 HC HM II UNIVERSAL BATTERY CHARGERMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 24,441.00)
27400055 HC HM II POWER MODULE/UBC AC CORDMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 73.00)
27400061HC HM II POWER MODULE CABLE 14V 103426
MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 2,016.00)
27800093HC TEMPORARY BALLOON PACING ELECTRODE
MEDICAL/SURGICAL SUPPLIES AND DEVICES - PACEMAKER [0275] ( 266.00)
27600001 HC LEN INTRAOCULAR NEW TECHNOLOGYMEDICAL/SURGICAL SUPPLIES AND DEVICES - INTRAOCULAR LENS [0276] ( 312.00)
27600003HC ANTERIOR CHAMBER INTRAOCULAR LENS
MEDICAL/SURGICAL SUPPLIES AND DEVICES - INTRAOCULAR LENS [0276] ( 312.00)
27600002HC POSTERIOR CHAMBER INTRAOCULAR LENS
MEDICAL/SURGICAL SUPPLIES AND DEVICES - INTRAOCULAR LENS [0276] ( 310.00)
27800012HC IMPELLA LD OR 5.0 CIRCULATORY SUPP SYS
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 58,240.00)
27800026 HC IMPELLAMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 51,570.00)
27800057 HC STENT BIFURCATED GRAFTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 21,736.00)
27800058 HC STENT TUBE GRAFTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 20,696.00)
27800067 HC MR EYE FLIPPER DETACHABLE COILMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 138.00)
27800081 HC VORTX COILS W PUSHERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,112.00)
27800083 HC STENT INTRACOILMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,496.00)
27800087 HC AMPLATZER PLUG IIMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,664.00)
27800092 HC AIGIS ICD ENVELOPEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,862.00)
27800112 HC KYPHON MIXER/CEMENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 260.00)
27800113 HC AMPLATZER VASCULAR PLUGMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,664.00)
27800122 HC OCCLUDING SPRING EMBOLIMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 138.00)
27800123 HC IVALON PER BOTTLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 396.00)
27800130 HC STENT NEUROFORM HEADMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 7,904.00)
27800131HC STENT MEDTRONIC ANEURX BIFURCATED
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 15,704.00)
27800132 HC STENT MEDTRONIC ANEURX ILIACMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 6,448.00)
27800133 HC STENT MEDTRONIC ANEURX CUFFMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 5,564.00)
27800141 HC GORE EVG TAG ENDOGRAFTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 29,500.00)
27800147 HC GDC COILMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,678.00)
27800149 HC GDC MATRIX COILMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,980.00)
27800517 HC STENT COLONIC/DUODENAL METALMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,110.00)
27800074HC CATH.DIALYSISVAXCEL CHRONIC DIA.CAT
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 748.00)
27800001 HC QUATTRO CATHETER KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,752.00)
27800002 HC ICY CATHETER KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,532.00)
27800003 HC COOL LINE CATHETER KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 890.00)
27800155 HC FISH SP DEVICE NAVILYSTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 406.00)
27800156 HC CATHETER PICC LINE TRIPLE LUMENMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 270.00)
27800091 HC EKOSONIC US INFUSION CATHMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 5,190.00)
27800070 HC ANGIO SEAL CLOSURE DEVICEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 640.00)
27800072HC ARTERIAL VAS. CLOSURE DEVICE PERCLOSE
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 530.00)
27800148 HC VASCULAR CLOSURE DEVICEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 396.00)
27800172 HC ADHESION BARRIERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 500.00)
27800085 HC WALLGRAFTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 4,056.00)
27800126 HC STENT VASCULARMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,080.00)
27800120HC OCULAR IMPLANT AQUEOUS DRAIN ASSIST DEVICE
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,528.00)
27800065HC OCULAR DEVICE INTRAOP DETACHED RETINA
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 98.00)
27800073HC PORT/RESERVVENOUSVAXCEL IMPLANT V.
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,050.00)
27800125 HC P.A.S. PORT INFUSIONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 956.00)
27800372 HC INFUSAPORT T PORTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 562.00)
27800063HC RETINAL TAMPONADE DEVICE SILICONE OIL
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 830.00)
27800059 HC VIABAHN STENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 4,430.00)
27800061 HC ION DES STENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,276.00)
27800069HC THORACIC STENT GRAFTCOOK COAT/COVER/DEL
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 23,712.00)
27800076HC STENTBILIARYWALLSTENT ENDOPROSTHE
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,872.00)
27800079 HC JOMED CORONARY GRAFT STENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 4,982.00)
27800106 HC VIABIL STENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 4,742.00)
27800134 HC STENT GORE ILIAC LONGMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 6,698.00)
27800135 HC STENT GORE AORTAMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 14,518.00)
27800136 HC STENT GORE ILIAC SHORTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 4,658.00)
27800137 HC TALENT STENT PROXIMAL MAINMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 25,792.00)
27800138 HC TALENT STENT DISTAL MAINMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 24,960.00)
27800139 HC TALENT STENT PROXIMAL EXTENSIONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 11,440.00)
27800140 HC TALENT STENT DISTAL EXTENSIONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 11,440.00)
27800150 HC STENT VIATORR VIAHAHNMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 5,222.00)
27800157 HC PROMUS DRUG COATED STENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,276.00)
27800550 HC XIENCE PRIME DRUG ELUTING STENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,120.00)
27800006 HC SCIMED WALLSTENT SHORTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,131.00)
27800007 HC SCIMED WALLSTENT MEDIUMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,063.00)
27800008 HC SCIMED WALLSTENT LONGMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,558.00)
27800009 HC ZILVER STENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,536.00)
27800015 HC LIFESTENT 20MM80MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,704.00)
27800016 HC LIFESTENT 100MM120MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,536.00)
27800018 HC LIFESTENT 170MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 4,888.00)
27800019HC STENTBIL.WALLSTENT TIPS20/40/60MM SYS
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,328.00)
27800020 HC STENT W SYS PALMAZ/CORINTHIANMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,184.00)
27800042 HC SCIMED EXPRESS 2 STENT (ALL SIZES)MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,872.00)
27800047 HC SENTINOL STENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,288.00)
27800049 HC PROTEGE STENT150MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,952.00)
27800050 HC PROTEGE STENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,500.00)
27800051 HC GENESIS STENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,350.00)
27800052 HC PALMAZ BLUE STENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,434.00)
27800054 HC EV3 BILIARY STENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,080.00)
27800089 HC LIFESTENT 150MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 4,056.00)
27800094 HC EXPRESS BILIARY STENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,328.00)
27800095 HC CORDIS SMART CTRL 610FR 3060MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,122.00)
27800097 HC CORDIS SMART CTRL 610FR 80100MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,546.00)
27800102 HC RING CAPSULAR TENSIONMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 414.00)
27800104 HC CORDIS SMART STENT LONG 120-150MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,192.00)
27800105 HC CORDIS SMART CTRL 1214FR 3060MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,702.00)
27800146 HC VERIFLEX BARE METAL STENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,654.00)
27800151HC GUIDANTVISION COBALT CHROMIUM STENT
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,446.00)
27800158 HC PRECISE STENT CORDISMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 4,576.00)
27800159HC INTEGRITY BARE METAL STENT MEDTRONIC
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,446.00)
27800495 HC POLYFLEX ESOPHAGEAL STENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,848.00)
27800496 HC RAPID EXCHANGE BILIARY STENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 230.00)
27800516 HC STENT BILIARY METAL WALLMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,110.00)
27800114 HC TISSUE MARKER IMPLANTABLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 130.00)
27800056 HC OPTEASE VENA CAVA FILTERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,028.00)
27800082 HC GREENFIELD FILTERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,494.00)
27800124 HC IVC FILTERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,902.00)
27800011 HC PANCREATIC STENTSMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 186.00)
27800023HC STENT NONCORONARY TEMPORARY W/O DELIVERY SYSTEM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 296.00)
27800039HC MICROVASIVE ULTRAFLEX ESOPH STENT #1312
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,110.00)
27800434 HC BILIARY STENT 4310043120MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,110.00)
27800490 HC MICROVASIVE BILIARY STENT 45554574MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 260.00)
27800117HC I125 EA. BRACHYTHERAPY RADIOISOTOPE
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 97.00)
27800118HC P103 EA. BRACHYTHERAPY RADIOISOTOPE
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 97.00)
27800111 HC OCULAR IMPLANTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,370.00)
27800044 HC RITA CHEMOEMBOLIZATION BEADSMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,694.00)
30000437 HC ROUTINE VENIPUNCTURE LABORATORY - GENERAL CLASSIFICATION [0300] ( 31.00)
30000969 HC BASIC METABOLIC PANELIONIZED CA LABORATORY - CHEMISTRY [0301] ( 534.00)
30000637HC BASIC METABOLIC PANEL(CALCIUM TOTAL) LABORATORY - CHEMISTRY [0301] ( 582.00)
30000137 HC ELECTROLYTES PANEL LABORATORY - CHEMISTRY [0301] ( 424.00)
30000638 HC COMPREHENSIVE METABOLIC PANEL LABORATORY - CHEMISTRY [0301] ( 1,334.00)
30000058 HC LIPID PROFILE LABORATORY - CHEMISTRY [0301] ( 600.00)
30000053HC LIVER PROFILE (HEPATIC FUNCTION PANEL) LABORATORY - CHEMISTRY [0301] ( 661.00)
30000573HC RL SYNTHETIC CANNABINOID METABOLITE SCN LABORATORY - CHEMISTRY [0301] ( 131.00)
30001031HC RL ETHANOL URINE QUALITATIVE MEDICAL LABORATORY - CHEMISTRY [0301] ( 96.00)
30000369 HC THC CONFIRMATION (MARIJUANA) LABORATORY - CHEMISTRY [0301] ( 220.00)
30001004HC URINE TRICYCLIC ANTIDEPRESSANT CONFIRM LABORATORY - CHEMISTRY [0301] ( 76.00)
30000056 HC RL AMIKACINQUANT LABORATORY - CHEMISTRY [0301] ( 266.00)
30000057 HC RL AMIKACIN TROUGHQUANT LABORATORY - CHEMISTRY [0301] ( 266.00)
30000017 HC AMITRIPTYLENE QUANT LABORATORY - CHEMISTRY [0301] ( 30.00)
30000047 HC RL SERUM BENZODIAZEPINS LABORATORY - CHEMISTRY [0301] ( 161.00)
30000096 HC CLONAZEPAM LABORATORY - CHEMISTRY [0301] ( 132.00)
30000123 HC DIAZEPAM LABORATORY - CHEMISTRY [0301] ( 151.00)
30000657 HC RL ALPRAZOLAMXANAX LABORATORY - CHEMISTRY [0301] ( 199.00)
30001005HC BENZODIAZEPINE CONFIRMATION/QUANTITATION LABORATORY - CHEMISTRY [0301] ( 115.00)
30000370 HC TEGRETOLTOTAL LABORATORY - CHEMISTRY [0301] ( 76.00)
30000794 HC CARBAMAZEPINE TOTAL LABORATORY - CHEMISTRY [0301] ( 76.00)
30000215 HC RL CARBAMAZEPINE FREE LABORATORY - CHEMISTRY [0301] ( 58.00)
30000126 HC CYCLOSPORIN A LABORATORY - CHEMISTRY [0301] ( 624.00)
30000134 HC RL DESIPRAMINE LABORATORY - CHEMISTRY [0301] ( 29.00)
30000814 HC RL DESIPRAMINE BY HPLC LABORATORY - CHEMISTRY [0301] ( 110.00)
30000132 HC DIGOXIN LABORATORY - CHEMISTRY [0301] ( 164.00)
30000827 HC RL DIGOXIN UNBOUND LABORATORY - CHEMISTRY [0301] ( 164.00)
30000130 HC DEPAKENE LABORATORY - CHEMISTRY [0301] ( 71.00)
30000162 HC RL VALPROIC ACID FREE LABORATORY - CHEMISTRY [0301] ( 71.00)
30000773 HC VALPROIC ACID TOTAL LABORATORY - CHEMISTRY [0301] ( 71.00)
30000155 HC RL DOXEPINQUANT LABORATORY - CHEMISTRY [0301] ( 26.00)
30000419 HC RL ZARONTINQUANT LABORATORY - CHEMISTRY [0301] ( 85.00)
30000177 HC GENTAMYCIN TROUGHQUANT LABORATORY - CHEMISTRY [0301] ( 204.00)
30000178 HC GENTAMYCIN PEAKQUANT LABORATORY - CHEMISTRY [0301] ( 204.00)
30000239 HC RL IMIPRAMINEQUANT LABORATORY - CHEMISTRY [0301] ( 29.00)
30000339 HC LIDOCAINEQUANT LABORATORY - CHEMISTRY [0301] ( 210.00)
30000267 HC LITHIUMQUANT LABORATORY - CHEMISTRY [0301] ( 82.00)
30000283 HC RL NORTRIPTYLINE TESTQUANT LABORATORY - CHEMISTRY [0301] ( 23.00)
30000043 HC PHENOBARBITALQUANT LABORATORY - CHEMISTRY [0301] ( 60.00)
30000787 HC RL PRIMIDONE METABOLITEQUANT LABORATORY - CHEMISTRY [0301] ( 60.00)
30000133 HC DILANTIN LEVEL LABORATORY - CHEMISTRY [0301] ( 93.00)
30000769 HC RL DILANTIN TOTALQUANT LABORATORY - CHEMISTRY [0301] ( 93.00)
30000161 HC DILANTIN FREEQUANT LABORATORY - CHEMISTRY [0301] ( 96.00)
30000426 HC RL PRIMIDONEQUANT LABORATORY - CHEMISTRY [0301] ( 106.00)
30000767 HC RL PROCAINAMIDE(PRONESTYL)QUANT LABORATORY - CHEMISTRY [0301] ( 127.00)
30000742 HC RAPAMUNEQUANT LABORATORY - CHEMISTRY [0301] ( 81.00)
30000344 HC SALICYLATES SERUMQUANT LABORATORY - CHEMISTRY [0301] ( 182.00)
30000428 HC FK506 (TACROLIMUS) LABORATORY - CHEMISTRY [0301] ( 172.00)
30000371 HC THEOPHYLLINEQUANT LABORATORY - CHEMISTRY [0301] ( 94.00)
30000372 HC THEOPHYLLINE PEAK LABORATORY - CHEMISTRY [0301] ( 94.00)
30000373 HC THEOPHYLLINE THROUGHQUANT LABORATORY - CHEMISTRY [0301] ( 94.00)
30000179 HC TOBRAMYCIN PEAKQUANT LABORATORY - CHEMISTRY [0301] ( 162.00)
30000180 HC TOBRAMYCIN TROUGHQUANT LABORATORY - CHEMISTRY [0301] ( 162.00)
30000187 HC RL TOPIRAMATE LEVEL(TOPOMAX) LABORATORY - CHEMISTRY [0301] ( 81.00)
30000405 HC VANCOMYCIN PEAKQUANT LABORATORY - CHEMISTRY [0301] ( 362.00)
30000406 HC VANCOMYCIN TROUGHQUANT LABORATORY - CHEMISTRY [0301] ( 362.00)
30000008 HC RL AMOXAPINE LABORATORY - CHEMISTRY [0301] ( 92.00)
30000015 HC RL AMIODARONE LABORATORY - CHEMISTRY [0301] ( 92.00)
30000069 HC RL BROMIDE LABORATORY - CHEMISTRY [0301] ( 92.00)
30000135 HC RL DIGITOXIN LABORATORY - CHEMISTRY [0301] ( 92.00)
30000169 HC RL FLECANIDE LABORATORY - CHEMISTRY [0301] ( 92.00)
30000170 HC RL FLUOROCYTOSINE LABORATORY - CHEMISTRY [0301] ( 118.00)
30000271 HC RL MEXILETINE LABORATORY - CHEMISTRY [0301] ( 92.00)
30000282 HC RL NORPACE LABORATORY - CHEMISTRY [0301] ( 92.00)
30000375 HC RL TRAZADONE LABORATORY - CHEMISTRY [0301] ( 80.00)
30000381 HC RL SULFONOMIDES LABORATORY - CHEMISTRY [0301] ( 92.00)
30000413 HC RL VORICONAZOLE LABORATORY - CHEMISTRY [0301] ( 92.00)
30000427 HC RL CLOZARIL LABORATORY - CHEMISTRY [0301] ( 92.00)
30000501HC TENOFOVIR (VIREAD) QUANT NOT SPECIFIED LABORATORY - CHEMISTRY [0301] ( 92.00)
30000585 HC RL CLOMIPRAMINE LABORATORY - CHEMISTRY [0301] ( 92.00)
30000639 HC RL GABAPENTIN LABORATORY - CHEMISTRY [0301] ( 82.00)
30000656 HC RL EPOXIDE METABOLITE LABORATORY - CHEMISTRY [0301] ( 92.00)
30000662 HC RL RITALIN LABORATORY - CHEMISTRY [0301] ( 92.00)
30000668 HC RL LAMOTRIGINE LABORATORY - CHEMISTRY [0301] ( 72.00)
30000676 HC RL WARFARIN LABORATORY - CHEMISTRY [0301] ( 92.00)
30000684 HC RL FELBAMATE LABORATORY - CHEMISTRY [0301] ( 92.00)
30000750 HC RL TRILEPTAL (OXCARBAZEPINE METAB) LABORATORY - CHEMISTRY [0301] ( 92.00)
30000760 HC RL ZONISAMIDE LABORATORY - CHEMISTRY [0301] ( 75.00)
30000761 HC RL KEPPRA (LEVETIRACETAM) LABORATORY - CHEMISTRY [0301] ( 132.00)
30000797 HC RL MYCOPHENOLIC ACID (MPA) LABORATORY - CHEMISTRY [0301] ( 154.00)
30000808 HC RL TIGABINE (GABITRIL) LABORATORY - CHEMISTRY [0301] ( 88.00)
30000880HC ITRACONAZOLE ANTIFUNGAL SERUM BY HPLC LABORATORY - CHEMISTRY [0301] ( 92.00)
30001012 HC RL LEFLUNOMIDE (ARAVA) LABORATORY - CHEMISTRY [0301] ( 92.00)
30001041 HC RL ITRACONAZOLE LABORATORY - CHEMISTRY [0301] ( 92.00)
30000363 HC UA (WITH CS IF INDICATED) LABORATORY - UROLOGY [0307] ( 70.00)
30000402 HC URINE DIPAUTO W/MICRO LABORATORY - UROLOGY [0307] ( 70.00)
30000048 HC URINE DIPNON AUTO W/O MICRO LABORATORY - UROLOGY [0307] ( 37.00)
30000331 HC REDUCING SUBSTANCES LABORATORY - UROLOGY [0307] ( 37.00)
30000289 HC OCCULT BLOOD URINEAUTOMATED LABORATORY - UROLOGY [0307] ( 53.00)
30000302 HC NEONATAL URINEAUTOMATED LABORATORY - UROLOGY [0307] ( 53.00)
30000353 HC SPECIFIC GRAVITY URINEAUTOMATED LABORATORY - UROLOGY [0307] ( 53.00)
30000364 HC SUGAR QUAL URINEAUTOMATED LABORATORY - UROLOGY [0307] ( 53.00)
30000577 HC URINALYSIS W/MICRO (IF INDICATED) LABORATORY - UROLOGY [0307] ( 53.00)
30000159 HC FAT QUALITATIVE URINE LABORATORY - UROLOGY [0307] ( 67.00)
30000247 HC HANSEL STAIN (URINE FOR EOSINOPHI LABORATORY - UROLOGY [0307] ( 67.00)
30000812 HC CRYSTALS URINE LABORATORY - UROLOGY [0307] ( 67.00)
30000934 HC URINE MICROSCOPIC ONLY LABORATORY - UROLOGY [0307] ( 67.00)
30000403 HC PREGNANCY TESTTUBE (VISUAL) LABORATORY - UROLOGY [0307] ( 86.00)
30000055 HC ACETAMINOPHENQUANT LABORATORY - CHEMISTRY [0301] ( 330.00)
30000001 HC ACETONE QUALITATIVE LABORATORY - CHEMISTRY [0301] ( 66.00)
30000871 HC RL ACETONE SERUMQUANT LABORATORY - CHEMISTRY [0301] ( 109.00)
30000988HC RL NS ACYLCARNITINES;QUANT.EA SPECIMEN LABORATORY - CHEMISTRY [0301] ( 230.00)
30000002 HC RL ACTH QUANT LABORATORY - CHEMISTRY [0301] ( 302.00)
30000010 HC ALBUMIN SERUM PLASMA WH BLD LABORATORY - CHEMISTRY [0301] ( 70.00)
30000887 HC RL OLIGOCLONAL BAND PFALB SERUM LABORATORY - CHEMISTRY [0301] ( 70.00)
30000894HC RL IMMUNOGLOBULIN GCSF INDEXALBSERUM LABORATORY - CHEMISTRY [0301] ( 70.00)
30000888 HC RL OLIGOCLONAL BAND PFALB CSF LABORATORY - CHEMISTRY [0301] ( 76.00)
30000895HC RL IMMUNOGLOBULIN G CSF INDEXALB CSF LABORATORY - CHEMISTRY [0301] ( 76.00)
30000272 HC MICRO ALBUMINQUANT LABORATORY - CHEMISTRY [0301] ( 80.00)
30000016 HC ALCOHOL BLOOD LABORATORY - CHEMISTRY [0301] ( 324.00)
30000358 HC URINE ALCOHOL MEDICAL LABORATORY - CHEMISTRY [0301] ( 208.00)
30000012 HC RL ALDOLASEQUANT LABORATORY - CHEMISTRY [0301] ( 99.00)
30000013 HC RL ALDOSTERONE LABORATORY - CHEMISTRY [0301] ( 214.00)
30000045 HC RL URINE ALDOSTERONEQUANT LABORATORY - CHEMISTRY [0301] ( 214.00)
30000009 HC RL ALPHA1 ANTITRYPSIN TOTAL LABORATORY - CHEMISTRY [0301] ( 80.00)
30000005 HC RL ALPHA FETO PROTEIN SERUM LABORATORY - CHEMISTRY [0301] ( 101.00)
30000011 HC RL ALPHA 1 FETO PROTEIN (MAT LABORATORY - CHEMISTRY [0301] ( 101.00)
30000826 HC RL TRISCREEN PROFILE LABORATORY - CHEMISTRY [0301] ( 101.00)
30000615 HC RL ALUMINUMQUANT LABORATORY - CHEMISTRY [0301] ( 118.00)
30000121 HC RL CYSTINE URINE (AMINO ACID QUANT) LABORATORY - CHEMISTRY [0301] ( 101.00)
30000129 HC RL DELTA AMINOLEVULINIC ACID LABORATORY - CHEMISTRY [0301] ( 99.00)
30000019 HC RL AMINO ACIDS QUAN 6 OR MORE LABORATORY - CHEMISTRY [0301] ( 108.00)
30000990HC RL NS AMINO ACIDS6 OR MOREQUANTEA SPE LABORATORY - CHEMISTRY [0301] ( 108.00)
30000022 HC AMMONIA BLOODQUANT LABORATORY - CHEMISTRY [0301] ( 199.00)
30000020 HC AMPHETAMINES URINEQUANT LABORATORY - CHEMISTRY [0301] ( 280.00)
30000881 HC AMPHETAMINE CONFIRMATION LABORATORY - CHEMISTRY [0301] ( 109.00)
30000023 HC AMYLASE LABORATORY - CHEMISTRY [0301] ( 135.00)
30000024 HC AMYLASE URINE LABORATORY - CHEMISTRY [0301] ( 135.00)
30000025 HC AMYLASE URINE 2 HR. LABORATORY - CHEMISTRY [0301] ( 135.00)
30000680 HC RL AMYLASE ISOENZYMES LABORATORY - CHEMISTRY [0301] ( 135.00)
30000621 HC RL ANDROSTANEDIOL GLUCURONIDE LABORATORY - CHEMISTRY [0301] ( 173.00)
30000623 HC RL ANDROSTENEDIONE LABORATORY - CHEMISTRY [0301] ( 175.00)
30000029 HC RL ANGIOTENSIN CONVERTING ENZSER LABORATORY - CHEMISTRY [0301] ( 147.00)
30000758 HC RL ANGIOTENSIN CONVERTING ENZCSF LABORATORY - CHEMISTRY [0301] ( 147.00)
30000634 HC RL APOLIPOPROTEIN B100 LABORATORY - CHEMISTRY [0301] ( 93.00)
30000641 HC RL ARSENIC URINE LABORATORY - CHEMISTRY [0301] ( 108.00)
30000642 HC RL ARSENIC BLOOD LABORATORY - CHEMISTRY [0301] ( 108.00)
30000643 HC RL ARSENIC HAIR LABORATORY - CHEMISTRY [0301] ( 108.00)
30000644 HC RL ARSENIC NAILS LABORATORY - CHEMISTRY [0301] ( 108.00)
30000674 HC RL VITAMIN C LEVELSERUM LABORATORY - CHEMISTRY [0301] ( 59.00)
30000044 HC RL SERUM BARBITSNOT SPEC ELSEWH LABORATORY - CHEMISTRY [0301] ( 228.00)
30000645 HC RL MEPHOBARBITAL LABORATORY - CHEMISTRY [0301] ( 161.00)
30000932 HC BARBITURATE CONFIRMATION LABORATORY - CHEMISTRY [0301] ( 67.00)
30000607 HC RL BETA2MICROGLOBULIN LABORATORY - CHEMISTRY [0301] ( 97.00)
30000733 HC RL BETA 2 MICROGLOBULINURINE LABORATORY - CHEMISTRY [0301] ( 97.00)
30000752 HC RL BILE ACIDS TOTAL LABORATORY - CHEMISTRY [0301] ( 103.00)
30000037 HC NEONATAL BILIRUBIN LABORATORY - CHEMISTRY [0301] ( 114.00)
30000049 HC BILIRUBIN TOTAL LABORATORY - CHEMISTRY [0301] ( 114.00)
30000050 HC BILIRUBIN DIRECT LABORATORY - CHEMISTRY [0301] ( 88.00)
30000983 HC RL NS BIOTIDINASE LABORATORY - CHEMISTRY [0301] ( 101.00)
30000766 HC GASTRIC OCCULT BLOOD LABORATORY - CHEMISTRY [0301] ( 35.00)
30000288 HC OCCULT BLOOD FECES 1-3 TESTS LABORATORY - CHEMISTRY [0301] ( 46.00)
30000420 HC 25HYDROXY VITAMIN D3 LABORATORY - CHEMISTRY [0301] ( 237.00)
30000970 HC RL VITAMIN D2/D3 LABORATORY - CHEMISTRY [0301] ( 237.00)
30000078 HC RL CALCITONIN LABORATORY - CHEMISTRY [0301] ( 139.00)
30000077 HC CALCIUM SERUM(TOTAL) LABORATORY - CHEMISTRY [0301] ( 83.00)
30000250 HC IONIZED CALCIUM LABORATORY - CHEMISTRY [0301] ( 294.00)
30000079 HC CALCIUM QUANTITATIVE URINE LABORATORY - CHEMISTRY [0301] ( 79.00)
30000310 HC RANDOM UR CALCIUM LABORATORY - CHEMISTRY [0301] ( 79.00)
30000256 HC RL KIDNEY STONE ANALYSIS LABORATORY - CHEMISTRY [0301] ( 112.00)
30000081 HC CO2 CONTENT LABORATORY - CHEMISTRY [0301] ( 56.00)
30000083 HC CARCINOEMBRYONIC ANTIGEN LABORATORY - CHEMISTRY [0301] ( 95.00)
30000989HC RL NS CARNITINE(TOTAL&FREE)QUANTEA SPE LABORATORY - CHEMISTRY [0301] ( 109.00)
30000084 HC RL CAROTENE LABORATORY - CHEMISTRY [0301] ( 55.00)
30000082 HC RL CATECHOLAMINES; FRACTIONURINE LABORATORY - CHEMISTRY [0301] ( 151.00)
30000308HC RL CATECHOLAMINES; FRACTION PLASMA LABORATORY - CHEMISTRY [0301] ( 151.00)
30000092 HC RL CERULOPLASMIN LABORATORY - CHEMISTRY [0301] ( 64.00)
30000690 HC RL IGFBINDING PROTEIN 3 LABORATORY - CHEMISTRY [0301] ( 164.00)
30000091 HC CHLORIDE SERUM LABORATORY - CHEMISTRY [0301] ( 28.00)
30000070 HC URINE CHLORIDE24 HR LABORATORY - CHEMISTRY [0301] ( 30.00)
30000093 HC CHOLINESTERASESERUM LABORATORY - CHEMISTRY [0301] ( 48.00)
30000768HC RL SULFONYLUREA HYPOGLYCEMICS URINE LABORATORY - CHEMISTRY [0301] ( 108.00)
30000157 HC CAFFEINE LABORATORY - CHEMISTRY [0301] ( 350.00)
30000193 HC RL ENCAINIDE LABORATORY - CHEMISTRY [0301] ( 108.00)
30000257 HC RL IODINE SERUM LABORATORY - CHEMISTRY [0301] ( 108.00)
30000275 HC METHAQUALONE URINE LABORATORY - CHEMISTRY [0301] ( 108.00)
30000503HC TENOFOVIR (VIREAD) QUANT CHROMATOGRAPHY LABORATORY - CHEMISTRY [0301] ( 108.00)
30000556 HC DOXYLAMINE SERUM LABORATORY - CHEMISTRY [0301] ( 108.00)
30000557 HC DOXYLAMINE URINE LABORATORY - CHEMISTRY [0301] ( 108.00)
30000971 HC TPMT ENZYME ACTIVITY HPLC LABORATORY - CHEMISTRY [0301] ( 108.00)
30000431 HC RL CHROMIUM LABORATORY - CHEMISTRY [0301] ( 90.00)
30000094 HC RL CITRATE LABORATORY - CHEMISTRY [0301] ( 166.00)
30000933 HC COCAINE CONFIRMATION LABORATORY - CHEMISTRY [0301] ( 81.00)
30000530 HC RL QU C-TELOPEPTIDE SERUM LABORATORY - CHEMISTRY [0301] ( 50.00)
30000105 HC RL COPPER SERUM LABORATORY - CHEMISTRY [0301] ( 75.00)
30000106 HC RL HEAVY METALS URINE COPPER LABORATORY - CHEMISTRY [0301] ( 75.00)
30000102 HC RL URINE FREE CORTISOL LABORATORY - CHEMISTRY [0301] ( 100.00)
30000072 HC BASAL CORTISOL LABORATORY - CHEMISTRY [0301] ( 201.00)
30000074 HC CORTISOL AM LABORATORY - CHEMISTRY [0301] ( 201.00)
30000075 HC CORTISOL PM LABORATORY - CHEMISTRY [0301] ( 201.00)
30000107 HC CORTISOL PLASMA LABORATORY - CHEMISTRY [0301] ( 201.00)
30000918 HC CANNABINOID CONFIRMATION LABORATORY - CHEMISTRY [0301] ( 129.00)
30000110 HC CK CPK; TOTAL LABORATORY - CHEMISTRY [0301] ( 121.00)
30000120 HC CKCPK; ISOENZYMES LABORATORY - CHEMISTRY [0301] ( 70.00)
30000109 HC CKCPK; MB FRACTION ONLY LABORATORY - CHEMISTRY [0301] ( 60.00)
30000111 HC CREATININE SERUM LABORATORY - CHEMISTRY [0301] ( 83.00)
30000112 HC CREATININE URINE24HR LABORATORY - CHEMISTRY [0301] ( 75.00)
30000118 HC CREATININE URINE RANDOM LABORATORY - CHEMISTRY [0301] ( 75.00)
30000389 HC RL QU URINE CREATININE LABORATORY - CHEMISTRY [0301] ( 200.00)
30000124 HC CREATININE CLEARANCE 2 HOURS LABORATORY - CHEMISTRY [0301] ( 145.00)
30000125 HC CREATININE CLEARANCE 12 HOURS LABORATORY - CHEMISTRY [0301] ( 161.00)
30000127 HC CREATININE CLEARANCE 6 HOURS LABORATORY - CHEMISTRY [0301] ( 151.00)
30000142 HC CREATININE CLEARANCE 24 HOURS LABORATORY - CHEMISTRY [0301] ( 180.00)
30000145 HC CREATININE CLEARANCE 4 HOURS LABORATORY - CHEMISTRY [0301] ( 148.00)
30000113HC RL CRYOGLOBULINQUAL OR SEMIQUANT LABORATORY - CHEMISTRY [0301] ( 61.00)
30000181 HC RL CYANIDE LABORATORY - CHEMISTRY [0301] ( 103.00)
30000414 HC VITAMIN B12 LABORATORY - CHEMISTRY [0301] ( 286.00)
30000716 HC RL DHEA SERUM LABORATORY - CHEMISTRY [0301] ( 131.00)
30000136 HC RL DHEA SULFATE LABORATORY - CHEMISTRY [0301] ( 115.00)
30000103 HC RL 125 DIHYDROXY VITAMIN D LABORATORY - CHEMISTRY [0301] ( 205.00)
30000822 HC RL QU TPMT ENZYME ACTIVITY LABORATORY - CHEMISTRY [0301] ( 295.00)
30001033HC RL TPMT ENZYME ACTIVITY PERIPHERAL RBC LABORATORY - CHEMISTRY [0301] ( 102.00)
30000138 HC RL ERYTHROPOIETIN LABORATORY - CHEMISTRY [0301] ( 112.00)
30000144 HC ESTRADIOL LABORATORY - CHEMISTRY [0301] ( 166.00)
30000661 HC RL ESTRONE LABORATORY - CHEMISTRY [0301] ( 151.00)
30000160 HC RL QUALITATIVE FECAL FAT LABORATORY - CHEMISTRY [0301] ( 31.00)
30000165 HC FERRITIN LABORATORY - CHEMISTRY [0301] ( 95.00)
30000722 HC FETAL FIBRONECTIN LABORATORY - CHEMISTRY [0301] ( 416.00)
30000171 HC FOLIC ACID FOLATESSERUM LABORATORY - CHEMISTRY [0301] ( 260.00)
30000712 HC RL RBC FOLATE LABORATORY - CHEMISTRY [0301] ( 94.00)
30000587 HC RL FRUCTOSE SEMEN LABORATORY - CHEMISTRY [0301] ( 94.00)
30000985HC RL NS GAL1PHOS URIDYL TRANS QUANT(GALT LABORATORY - CHEMISTRY [0301] ( 127.00)
30000242 HC RL IMMUNOGLOBULIN GAMMA QUANTEA LABORATORY - CHEMISTRY [0301] ( 107.00)
30000535 HC CELIAC PLUS TOTAL IGA LABORATORY - CHEMISTRY [0301] ( 107.00)
30000616 HC IMMUNOGLOBULIN G LABORATORY - CHEMISTRY [0301] ( 23.00)
30000617 HC IMMUNOGLOBULIN A LABORATORY - CHEMISTRY [0301] ( 23.00)
30000817 HC RL MOTOR SENS NEURPOATHY PANIGG LABORATORY - CHEMISTRY [0301] ( 107.00)
30000818 HC RL MOTOR SENS NEURPOATH PANIGM LABORATORY - CHEMISTRY [0301] ( 107.00)
30000885 HC RL OLIGOCLONAL BAND PFIGGSERUM LABORATORY - CHEMISTRY [0301] ( 107.00)
30000886 HC RL OLIGOCLONAL BAND PFIGG CSF LABORATORY - CHEMISTRY [0301] ( 107.00)
30000892 HC RL IMMUNOGLOBULIN CSF QN LABORATORY - CHEMISTRY [0301] ( 107.00)
30000893HC RL IMMUNOGLOBULIN GCSF INDEXIMMUNOGLOB LABORATORY - CHEMISTRY [0301] ( 107.00)
30000904 HC RL MOTOR SENS NEUROPATHY PANIGA LABORATORY - CHEMISTRY [0301] ( 107.00)
30000240 HC RL IMMUNOGLOBULIN E LABORATORY - CHEMISTRY [0301] ( 95.00)
30000977HC RL ALLERGENS PED. MARCH PROFILE IGE LABORATORY - CHEMISTRY [0301] ( 95.00)
30000979HC RL ALLERGENSRESP. DISEASEREGION 6IGE LABORATORY - CHEMISTRY [0301] ( 95.00)
30000981HC RL ALLERGENS FOODS COMMON ADULT IGE LABORATORY - CHEMISTRY [0301] ( 95.00)
30000251 HC RL IGG SUBCLASS 1 LABORATORY - CHEMISTRY [0301] ( 47.00)
30000252 HC RL IGG SUBCLASS 2 LABORATORY - CHEMISTRY [0301] ( 47.00)
30000253 HC RL IGG SUBCLASS 3 LABORATORY - CHEMISTRY [0301] ( 47.00)
30000254 HC RL IGG SUBCLASS 4 LABORATORY - CHEMISTRY [0301] ( 47.00)
30000034 HC ARTERIAL BLOOD GAS ABG LABORATORY - CHEMISTRY [0301] ( 330.00)
30000196 HC RL GASTRIN LABORATORY - CHEMISTRY [0301] ( 105.00)
30000365 HC SUGAR QUANTITATIVE SPINAL FLUID LABORATORY - CHEMISTRY [0301] ( 73.00)
30000366 HC SUGAR QUANTITATIVE URINE 24 HR LABORATORY - CHEMISTRY [0301] ( 73.00)
30000922 HC GLUCOSE FLUID LABORATORY - CHEMISTRY [0301] ( 73.00)
30000186 HC GLUCOSE; QUAN BLOOD LABORATORY - CHEMISTRY [0301] ( 98.00)
30000203 HC GLUCOSE 1HOUR POST PRADIAL LABORATORY - CHEMISTRY [0301] ( 98.00)
30000204 HC GLUCOSE BLOODFASTING LABORATORY - CHEMISTRY [0301] ( 98.00)
30000205 HC GLUCOSE 2HOUR POST PRANDIAL LABORATORY - CHEMISTRY [0301] ( 98.00)
30000449 HC GLUCOSE REAGENT STRIP/BLOOD LABORATORY - CHEMISTRY [0301] ( 42.00)
30000210 HC GLUCOSE2 HOUR POSTGLUCOLA LABORATORY - CHEMISTRY [0301] ( 29.00)
30000195 HC GLUCOSE TOLERANCE TEST LABORATORY - CHEMISTRY [0301] ( 68.00)
30000754 HC RL G6PD QUANTITATIVE LABORATORY - CHEMISTRY [0301] ( 51.00)
30000188 HC GGPT LABORATORY - CHEMISTRY [0301] ( 122.00)
30000603 HC RL QU FRUCTOSAMINE LABORATORY - CHEMISTRY [0301] ( 37.00)
30000172 HC FOLLICULAR STIMULATING HORMONE LABORATORY - CHEMISTRY [0301] ( 111.00)
30000268 HC LUTEINIZING HORMONE LABORATORY - CHEMISTRY [0301] ( 111.00)
30000214 HC RL GROWTH HORMONE LABORATORY - CHEMISTRY [0301] ( 100.00)
30000216 HC HAPTOGLOBINQUANT LABORATORY - CHEMISTRY [0301] ( 75.00)
30000612 HC RL HEAVY METALS BLOOD LABORATORY - CHEMISTRY [0301] ( 112.00)
30001051 HC RL THALLIUM LABORATORY - CHEMISTRY [0301] ( 131.00)
30000923 HC RL ACID HGB ELECTROPHORESIS LABORATORY - CHEMISTRY [0301] ( 77.00)
30000924 HC RL ALKALINE HGB ELECTROPHORESIS LABORATORY - CHEMISTRY [0301] ( 77.00)
30000003HC RL HEMOGLOBIN FRAC/QUANT/CHROM (A2) LABORATORY - CHEMISTRY [0301] ( 187.00)
30000620 HC RL HEMOBLOBIN EVALUATION LABORATORY - CHEMISTRY [0301] ( 187.00)
30000992HC RL NS HGB FRACTIONATION & QUANT CHROM LABORATORY - CHEMISTRY [0301] ( 187.00)
30000052 HC RL FETAL HEMOGLOBIN QUAL LABORATORY - CHEMISTRY [0301] ( 34.00)
30000278 HC METHEMOGLOBINQUANT LABORATORY - CHEMISTRY [0301] ( 34.00)
30000223 HC HEMOGLOBIN PLASMA LABORATORY - CHEMISTRY [0301] ( 83.00)
30000553 HC HEMOGLOBIN URINE LABORATORY - CHEMISTRY [0301] ( 21.00)
30000227 HC HEMOSIDERIN URINEQUAL LABORATORY - CHEMISTRY [0301] ( 19.00)
30000605 HC RL HISTAMINE URINE LABORATORY - CHEMISTRY [0301] ( 145.00)
30000709 HC RL HISTAMINE WHOLE BLOOD LABORATORY - CHEMISTRY [0301] ( 145.00)
30000324 HC RL HOMOCYSTEINE PLASMAQUANT LABORATORY - CHEMISTRY [0301] ( 87.00)
30000218 HC RL HOMOVANILLIC ACIDHVA LABORATORY - CHEMISTRY [0301] ( 76.00)
30000128 HC RL 17HYDROXYCORTICOSTEROIDS LABORATORY - CHEMISTRY [0301] ( 92.00)
30000236 HC RL 5HIAA 24HOUR QUANTITATIVE URINE LABORATORY - CHEMISTRY [0301] ( 68.00)
30000295 HC RL 17HYDROXYPROGESTERONE LABORATORY - CHEMISTRY [0301] ( 141.00)
30000984HC RL NS 17ALPHA HYDROXYPROGESTERONE(CAH) LABORATORY - CHEMISTRY [0301] ( 141.00)
30000238 HC RL HYDROXYPROLINE TOTAL LABORATORY - CHEMISTRY [0301] ( 127.00)
30000038 HC RL ANTIHISTONE ANTIBODY LABORATORY - CHEMISTRY [0301] ( 85.00)
30000041HC RL ANTIGLOMERULAR BASEMENT MEMBRANE LABORATORY - CHEMISTRY [0301] ( 85.00)
30000348HC RL ANTIMYELIN ASSOCIATED GLYCOPROTEIN LABORATORY - CHEMISTRY [0301] ( 85.00)
30000417 HC RL GLIADIN PEPTIDE ANTIBODY IGA LABORATORY - CHEMISTRY [0301] ( 85.00)
30000460HC NEURONAL NUCLEAR AB SER IGG (HU YO RI) LABORATORY - CHEMISTRY [0301] ( 85.00)
30000468HC NEURONAL NUCLEAR ANTIBODY ANTIHU IGG LABORATORY - CHEMISTRY [0301] ( 85.00)
30000511 HC CENTROMERE ANTIBODY IGG LABORATORY - CHEMISTRY [0301] ( 85.00)
30000531 HC TYSABRI ANTIBODIES (NATALIZUMAB) LABORATORY - CHEMISTRY [0301] ( 85.00)
30000564 HC RNA POLYMERASE III ANTIBODY IGG LABORATORY - CHEMISTRY [0301] ( 85.00)
30000565 HC FIBRILLARIN (U3RNP) LABORATORY - CHEMISTRY [0301] ( 85.00)
30000566 HC TH/TO ANTIBODY LABORATORY - CHEMISTRY [0301] ( 85.00)
30000579 HC RL GM1 IGG ANTIBODIES LABORATORY - CHEMISTRY [0301] ( 85.00)
30000580 HC RL ASIALOGM1 IGG ANTIBODIES LABORATORY - CHEMISTRY [0301] ( 85.00)
30000606 HC RL ENDOMYSIAL ANTIBODY IGA LABORATORY - CHEMISTRY [0301] ( 85.00)
30000649 HC RL GM1 IGM ANTIBODIES LABORATORY - CHEMISTRY [0301] ( 85.00)
30000650 HC RL ASIALOGM1 IGM ANTIBODIES LABORATORY - CHEMISTRY [0301] ( 85.00)
30000672 HC RL GLUTAMIC ACID DECARBOXYLASE LABORATORY - CHEMISTRY [0301] ( 85.00)
30000681 HC RL GLIADIN ANTIBODY IGA LABORATORY - CHEMISTRY [0301] ( 85.00)
30000682 HC RL GLIADIN ANTIBODY IGG LABORATORY - CHEMISTRY [0301] ( 85.00)
30000744 HC RL ANTIPM1 IGG W/REFLEX ANA LABORATORY - CHEMISTRY [0301] ( 85.00)
30000798 HC RL TISSUE TRANSGLUTAMINASE AB IGA LABORATORY - CHEMISTRY [0301] ( 85.00)
30000799 HC RL TISSUE TRANSGLUTAMINASE AB IGG LABORATORY - CHEMISTRY [0301] ( 85.00)
30000815HC RL MOTOR SENS NEUROPATHY PANASIALO GM1 LABORATORY - CHEMISTRY [0301] ( 85.00)
30000821HC RL MOTOR SENS NEUROPATHY PANMAG IGM IFA LABORATORY - CHEMISTRY [0301] ( 85.00)
30000830 HC RL SERINE PROTEASE 3 ANTIBODY LABORATORY - CHEMISTRY [0301] ( 85.00)
30000905HC RL MOTOR SENS NEUROPATHY PANSGPG IGM LABORATORY - CHEMISTRY [0301] ( 85.00)
30001032HC RL SIGNAL RECOGNITION PARTICLE (SRP) AB LABORATORY - IMMUNOLOGY [0302] ( 93.00)
30001049 HC RL ANTI PHOSPHOLIPID AB IGG LABORATORY - CHEMISTRY [0301] ( 85.00)
30001050 HC RL ANTI PHOSPHOLIPID AB IGM LABORATORY - CHEMISTRY [0301] ( 85.00)
30000552 HC TRYPSINLIKEIMMUNOREACTIVITY LABORATORY - CHEMISTRY [0301] ( 83.00)
30000671HC RL ACETYLCHOLINE RECEPTOR BLOCKING LABORATORY - CHEMISTRY [0301] ( 83.00)
30000710 HC RL ACETYLCHOLINE RECEPTOR PANEL LABORATORY - CHEMISTRY [0301] ( 83.00)
30000810 HC RL IGFBINDING PROTEIN 2 LABORATORY - CHEMISTRY [0301] ( 83.00)
30000811HC RL EATONLAMBERT AB IMMUNOASSAY RIA LABORATORY - CHEMISTRY [0301] ( 83.00)
30000870HC RL ACETYLCHOLINE RECEPTOR MODULATING AB LABORATORY - CHEMISTRY [0301] ( 83.00)
30000993 HC 21HYDROXYLASE ANTIBODY LABORATORY - CHEMISTRY [0301] ( 83.00)
30001001HC RL PITUITARY GLYCOPROTEIN ALPHA SUBUNIT LABORATORY - CHEMISTRY [0301] ( 83.00)
30001022HC RL VOLTAGE GATED POTASSIUM ANTIBODY LABORATORY - CHEMISTRY [0301] ( 306.00)
30000054 HC RL ANTI GM1 ANTIBODY LABORATORY - CHEMISTRY [0301] ( 180.00)
30000076 HC RL CHYMOPAPAIN SCREEN LABORATORY - CHEMISTRY [0301] ( 180.00)
30000185 HC RL TUMOR NECROSIS FACTOR LABORATORY - CHEMISTRY [0301] ( 180.00)
30000532HC PHOSPHATIDYLCHOLINE ANTIBODIES IGG LABORATORY - CHEMISTRY [0301] ( 180.00)
30000533HC PHOSPHATIDYLCHOLINE ANTIBODIES IGM LABORATORY - CHEMISTRY [0301] ( 180.00)
30000534HC PHOSPHATIDYLCHOLINE ANTIBODIES IGA LABORATORY - CHEMISTRY [0301] ( 180.00)
30000561 HC GM COLONY STIMULATING FACTOR LABORATORY - CHEMISTRY [0301] ( 180.00)
30000581 HC RL GQ1B ANTIBODY LABORATORY - CHEMISTRY [0301] ( 180.00)
30000664 HC RL INHIBIN B SERUM LABORATORY - CHEMISTRY [0301] ( 180.00)
30000673 HC RL TSH RECEPTOR ANTIBODY LABORATORY - CHEMISTRY [0301] ( 180.00)
30000729 HC RL INTERLEUKIN 6 LABORATORY - CHEMISTRY [0301] ( 180.00)
30000809 HC RL EATONLAMBERT AB IMMUNOASSAY LABORATORY - CHEMISTRY [0301] ( 180.00)
30000972 HC RL CELIAC PLUS GLIADIN AB IGA LABORATORY - CHEMISTRY [0301] ( 180.00)
30000973 HC RL CELIAC PLUS GLIADIN AB IGG LABORATORY - CHEMISTRY [0301] ( 180.00)
30000974 HC CELIAC PLUS IGA RECOMBINANT AG LABORATORY - CHEMISTRY [0301] ( 180.00)
30000991 HC RL NS IRT FOR CF LABORATORY - CHEMISTRY [0301] ( 180.00)
30001036 HC RL INTERLELUKIN 2 RECEPTOR BY MAFD LABORATORY - CHEMISTRY [0301] ( 180.00)
30000245 HC RL INSULINTOTAL LABORATORY - CHEMISTRY [0301] ( 86.00)
30000248 HC IRON SERUM LABORATORY - CHEMISTRY [0301] ( 118.00)
30000249 HC IRON BINDING CAPACITY LABORATORY - CHEMISTRY [0301] ( 106.00)
30000255 HC RL 17KETOSTEROIDSTOTAL LABORATORY - CHEMISTRY [0301] ( 125.00)
30000260 HC LACTIC ACID LABORATORY - CHEMISTRY [0301] ( 260.00)
30000261 HC LACTIC DEHYDROGENASE LDH LABORATORY - CHEMISTRY [0301] ( 86.00)
30000263 HC RL LDH ISOENZYMES LABORATORY - CHEMISTRY [0301] ( 77.00)
30000646 HC RL HEAVY METALS URINE LEAD LABORATORY - CHEMISTRY [0301] ( 73.00)
30000647 HC RL HEAVY METALS LEAD WHOLE BLOOD LABORATORY - CHEMISTRY [0301] ( 73.00)
30000748 HC RL LEAD FINGERSTICK OR CAPILLARY LABORATORY - CHEMISTRY [0301] ( 73.00)
30000266 HC LIPASE LABORATORY - CHEMISTRY [0301] ( 229.00)
30000772 HC RL LIPOPROTEIN A LABORATORY - CHEMISTRY [0301] ( 229.00)
30000558 HC LDL SUBCLASSES LABORATORY - CHEMISTRY [0301] ( 141.00)
30000237 HC HIGH DENSITY LIPOPROTEIN LABORATORY - CHEMISTRY [0301] ( 49.00)
30000582 HC MEASURED LDL LABORATORY - CHEMISTRY [0301] ( 57.00)
30000590 HC URINE MAGNESIUM24 HR LABORATORY - CHEMISTRY [0301] ( 234.00)
30000764 HC RL MANGANESE SERUM LABORATORY - CHEMISTRY [0301] ( 142.00)
30000765 HC RL MANGANESE WHOLE BLOOD LABORATORY - CHEMISTRY [0301] ( 142.00)
30000502HC TENOFOVIR (VIREAD) QUANT EACH SPECIMEN LABORATORY - CHEMISTRY [0301] ( 108.00)
30000611 HC RL MERCURY BLOOD QUANT LABORATORY - CHEMISTRY [0301] ( 98.00)
30000648 HC RL HEAVY METALS URINE MERCURY LABORATORY - CHEMISTRY [0301] ( 98.00)
30000277 HC RL METANEPHRINE URINE LABORATORY - CHEMISTRY [0301] ( 90.00)
30000691 HC RL METHANEPHERINE PLASMA LABORATORY - CHEMISTRY [0301] ( 90.00)
30000737 HC METHADONE LABORATORY - CHEMISTRY [0301] ( 111.00)
30001006 HC METHADONE CONFIRMATION LABORATORY - CHEMISTRY [0301] ( 93.00)
30000286 HC RL CELONTIN LABORATORY - CHEMISTRY [0301] ( 374.00)
30000018 HC RL MUCOPOLYSACCHARIDES SCREEN LABORATORY - CHEMISTRY [0301] ( 100.00)
30000063 HC RL MYELIN BASIC PROTEIN CSF LABORATORY - CHEMISTRY [0301] ( 112.00)
30000884 HC RL OLIGOCLONAL BAND PFMYELIN BSC LABORATORY - CHEMISTRY [0301] ( 112.00)
30000273 HC RL MYOGLOBIN (SERUM) LABORATORY - CHEMISTRY [0301] ( 42.00)
30000281 HC MYOGLOBIN URINE LABORATORY - CHEMISTRY [0301] ( 86.00)
30000747 HC BNATRIURETIC PEPTIDE(BNP) LABORATORY - CHEMISTRY [0301] ( 232.00)
30000741HC RL BENCE JONES NEPHELOMETRYKAPPA/LAMBDA LABORATORY - CHEMISTRY [0301] ( 96.00)
30000807 HC RL RETINOL BINDING PROTEIN LABORATORY - CHEMISTRY [0301] ( 96.00)
30001002HC RL KAPPA/LAMBDA FREE LIGHT CHAINS QUANT LABORATORY - CHEMISTRY [0301] ( 96.00)
30000463HC MOLECULAR DNA PHENOTYPE RBC ISOLATION LABORATORY - CHEMISTRY [0301] ( 115.00)
30000512HC DPD DIHYDROPYRIMIDINE DEHYDRO ISOLATION LABORATORY - CHEMISTRY [0301] ( 60.00)
30000525 HC PML/RARA BY PCRISOLATION LABORATORY - CHEMISTRY [0301] ( 51.00)
30000757 HC RL HCV ULTRAQUALITATIVE EACH LABORATORY - CHEMISTRY [0301] ( 649.00)
30000779 HC FACTOR V LEIDEN ISOLATIONEA LABORATORY - CHEMISTRY [0301] ( 69.00)
30000889 HC PROTHROMBIN GENE ASSAYISOEA LABORATORY - CHEMISTRY [0301] ( 69.00)
30000906 HC RL RAPID GROWER ID BY PCR MOLEA LABORATORY - CHEMISTRY [0301] ( 32.00)
30000911 HC RL NOCARDIA ID BY PCR MOLECEA LABORATORY - CHEMISTRY [0301] ( 25.00)
30000994 HC RL TB PCR ISOLATION OR EXTRACTION LABORATORY - CHEMISTRY [0301] ( 61.00)
30000418HC RL CYSTIC FIBROSIS MUTATION 32ISOLATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 51.00)
30000443 HC RL JAK2 MUTATION ISOLATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 19.00)
30000474 HC MPL515 NUCLEIC ACID EXTRACTION LABORATORY - GENERAL CLASSIFICATION [0300] ( 51.00)
30000479 HC TUBEROUS SCLEROSIS N.A. ISOLATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 51.00)
30000492 HC IGVH MUTATION CLL ISOLATION EA. N.A. LABORATORY - GENERAL CLASSIFICATION [0300] ( 51.00)
30000507 HC JAK2 EXON 12 BY PCR ISOLATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 81.00)
30000521 HC MGMT GENE MUTATION ISOLATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 79.00)
30000536 HC CELIAC PLUS NUCLEIC ACID ISOLATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 51.00)
30000541 HC TCELL GENE REARRANGE ISOLATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 33.00)
30000792HC RL MTHFR MUTATION DETECTION ISOLATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 21.00)
30000796 HC RL FRAGILE X DNA PCRISOLATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 52.00)
30000802 HC RL HEMOCHROMATOSIS MUT DET ISOEA LABORATORY - GENERAL CLASSIFICATION [0300] ( 94.00)
30000874 HC RL FRAGILE X DNA SOUTH BLOTISEA LABORATORY - GENERAL CLASSIFICATION [0300] ( 52.00)
30000900 HC RL BCR/ABL BY PCR QUANT ISOLATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 30.00)
30000937HC TPMT GENETICS ISOLATION OF NUCLEIC ACID LABORATORY - GENERAL CLASSIFICATION [0300] ( 21.00)
30001015 HC RL CMV DRUG RESISTANCE ISOLATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 57.00)
30001043 HC RL ABL KINASE MUT. ISOLATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 7.00)
30000514HC DPD DIHYDROPYRIMIDINE DEHYDRO DIGESTION LABORATORY - GENERAL CLASSIFICATION [0300] ( 60.00)
30000875HC RL FRAGILE X DNA SOUTHERN BLOTDIEA LABORATORY - GENERAL CLASSIFICATION [0300] ( 52.00)
30000907HC RL RAPID GROWER ID BY PCR ENZYMAEACH LABORATORY - GENERAL CLASSIFICATION [0300] ( 32.00)
30000912HC RL NOCARDIA ID BY PCR ENZYMATIC DIGEST LABORATORY - GENERAL CLASSIFICATION [0300] ( 25.00)
30000493HC IGVH MUTATION CLL SEPARATION ELECT. LABORATORY - GENERAL CLASSIFICATION [0300] ( 51.00)
30000515HC DPD DIHYDROPYRIMIDINE DEHYDRO SEP. LABORATORY - GENERAL CLASSIFICATION [0300] ( 60.00)
30000876HC RL FRAGILE X DNA SOUTH BLOTGEL SEEA LABORATORY - GENERAL CLASSIFICATION [0300] ( 52.00)
30000908 HC RL RAPID GROWER ID BY PCR GEL ELEA LABORATORY - GENERAL CLASSIFICATION [0300] ( 32.00)
30000913 HC RL NOCARDIA ID BY PCR GEL ELECEA LABORATORY - GENERAL CLASSIFICATION [0300] ( 25.00)
30001016HC RL CMV DRUG RESISTANCE SEPARATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 57.00)
30000441HC RL JAK2 MUTATION NUCLEIC ACID PROBE LABORATORY - GENERAL CLASSIFICATION [0300] ( 19.00)
30000447HC MTHFR MUTATION DETECTION NA PROBES LABORATORY - GENERAL CLASSIFICATION [0300] ( 19.00)
30000480 HC TUBEROUS SCLEROSIS N.A. PROBE LABORATORY - GENERAL CLASSIFICATION [0300] ( 51.00)
30000522 HC MGMT GENE MUTATION N.A. PROBE LABORATORY - GENERAL CLASSIFICATION [0300] ( 79.00)
30000528 HC PML/RARA BY PCR N.A. PROBE EACH LABORATORY - GENERAL CLASSIFICATION [0300] ( 51.00)
30000539 HC CELIAC PLUS NUCLEIC ACID PROBES LABORATORY - GENERAL CLASSIFICATION [0300] ( 51.00)
30000782 HC FACTOR V LEIDEN NUCLEIC AC PROB LABORATORY - GENERAL CLASSIFICATION [0300] ( 34.00)
30000804HC RL HEMOCHROMATOSIS MUT DET NUC ACID PRO LABORATORY - GENERAL CLASSIFICATION [0300] ( 24.00)
30000891HC PROTHROMBIN GENE ASSAYNUC ACD PROBE LABORATORY - GENERAL CLASSIFICATION [0300] ( 34.00)
30000903 HC RL BCR/ABL BY PCR QUANT NA PROBE LABORATORY - GENERAL CLASSIFICATION [0300] ( 30.00)
30000939 HC TPMT GENETICS NUCLEIC ACID PROBES LABORATORY - GENERAL CLASSIFICATION [0300] ( 51.00)
30000995 HC RL TB PCR NUCLEIC ACID PRODE LABORATORY - GENERAL CLASSIFICATION [0300] ( 61.00)
30000877 HC RL FRAGILE X DNA SOUT BLOTTREA LABORATORY - GENERAL CLASSIFICATION [0300] ( 52.00)
30000224 HC RL HLA DR TYPING LABORATORY - GENERAL CLASSIFICATION [0300] ( 1,463.00)
30000442 HC RL JAK2 MUTATION AMPLIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)
30000481HC TUBEROUS SCLEROSIS N.A. AMPLIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)
30000508 HC JAK2 EXON 12 BY PCR AMPLIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 81.00)
30000513HC DPD DIHYDROPYRIMIDINE DEHYDRO AMP. LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)
30000523 HC MGMT GENE MUTATION AMPLIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 79.00)
30000546HC BCELL GENE REARRANGE AMPLIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)
30000780 HC FACTOR V LEIDEN AMPLIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)
30000803HC RL HEMOCHROMATOSIS MUT DET AMPLIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 94.00)
30000872 HC RL FRAGILE X DNA PCRAMPLIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)
30000890HC PROTHROMBIN GENE ASSAYAMPLIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)
30000902HC RL BCR/ABL BY PCR QUANT AMPLIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)
30000909HC RL RAPID GROWER ID PCR NUCLEIC ACIDEA LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)
30000938HC TPMT GENETICS AMPLIFICATION FOR DNA LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)
30000996 HC RL TB PCR AMPLIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)
30001017HC RL CMV DRUG RESISTANCE AMPLIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)
30000421 HC RL CYSTIC FIBROSIS MUTATION 32 AMP LABORATORY - GENERAL CLASSIFICATION [0300] ( 61.00)
30000446HC MTHFR MUTATION DETECTION MOLE DIAG. LABORATORY - GENERAL CLASSIFICATION [0300] ( 19.00)
30000465HC MOLECULAR DNA PHENO RBC AMP. MULTIPLEX LABORATORY - GENERAL CLASSIFICATION [0300] ( 115.00)
30000475 HC MPL515 NUCLEIC ACID ISOLATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 61.00)
30000482 HC TUBEROUS SCLEROSIS AMP. MULTIPLEX LABORATORY - GENERAL CLASSIFICATION [0300] ( 61.00)
30000496 HC IGVH MUTATION CLL AMPLIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 61.00)
30000537 HC CELIAC PLUS DQA1 AMPLIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 58.00)
30000538 HC CELIAC PLUS DQ1B AMPLIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 49.00)
30000542HC TCELL GENE REARRANGE AMPLIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 61.00)
30001044 HC RL ABL KINASE MUT. AMPLIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 58.00)
30000422HC RL CYSTIC FIBROSIS MUTAT 32 MUTIPLEX AMP LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)
30000476 HC MPL515 AMPLIFICATION EACH N.A. LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)
30000483HC TUBEROUS SCLEROSIS AMP. MULTIPLEX ADD. LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)
30000527 HC PML/RARA BY PCR AMPLIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)
30000543HC TCELL GENE REARRANGE AMP. EACH ADD. NA LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)
30001035HC RL CELIAC GENETICS NUC ACID AMPL EA AD LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)
30001037HC RL CELIAC PLUS DQB1 AMPL EACH ADD N.A. LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)
30001045 HC RL ABL KINASE MUT. AMP. EACH ADD. LABORATORY - GENERAL CLASSIFICATION [0300] ( 29.00)
30000494 HC IGVH MUTATION CLL REVERSE TRANS. LABORATORY - GENERAL CLASSIFICATION [0300] ( 94.00)
30000526HC PML/RARA BY PCR REVERSE TRANSCRIPTION LABORATORY - GENERAL CLASSIFICATION [0300] ( 94.00)
30000901HC RL BCR/ABL BY PCR QUANT REV TRANSCRIPT LABORATORY - GENERAL CLASSIFICATION [0300] ( 94.00)
30001046 HC RL ABL KINASE MUT. REV TRANSCRIPT LABORATORY - GENERAL CLASSIFICATION [0300] ( 25.00)
30000444 HC RL JAK2 MUTATION IDENTIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)
30000477 HC MPL515 MUTATION IDENTIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)
30000484 HC TUBEROUS SCLEROSIS MUTATION ID LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)
30000495 HC IGVH MUTATION CLL MUTATION ID LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)
30000510 HC JAK2 EXON 12 BY PCR MUTATION ID LABORATORY - GENERAL CLASSIFICATION [0300] ( 81.00)
30001018HC RL CMV DRUG RESISTANCE SEQUENCING LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)
30001047 HC RL ABL KINASE MUTATION ID LABORATORY - GENERAL CLASSIFICATION [0300] ( 29.00)
30000524 HC MGMT GENE MUTATION CELL LYSIS LABORATORY - GENERAL CLASSIFICATION [0300] ( 79.00)
30001034 HC RL TPMT GENETICS CELL LYSIS LABORATORY - GENERAL CLASSIFICATION [0300] ( 24.00)
30000438 HC RL APOE AMPLIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 30.00)
30000464HC MOLECULAR DNA PHENO RBC AMP. EACH NA. LABORATORY - GENERAL CLASSIFICATION [0300] ( 233.00)
30000424HC RL CYSTIC FIBROSIS MUTATION 32 ELECTRO LABORATORY - GENERAL CLASSIFICATION [0300] ( 30.00)
30000466 HC MOLECULAR DNA PHENO RBC SEP & ID LABORATORY - GENERAL CLASSIFICATION [0300] ( 174.00)
30000486HC TUBEROUS SCLEROSIS SEP. & ID BY ELECTRO LABORATORY - GENERAL CLASSIFICATION [0300] ( 30.00)
30000491 HC IGVH MUTATION CLL SEPARATION & ID LABORATORY - GENERAL CLASSIFICATION [0300] ( 30.00)
30000544HC TCELL GENE REARRANGE SEPARATION & ID LABORATORY - GENERAL CLASSIFICATION [0300] ( 33.00)
30000547HC BCELL GENE REARRANGE SEPARATION & ID LABORATORY - GENERAL CLASSIFICATION [0300] ( 34.00)
30000873HC RL FRAGILE X DNA PCRCAPILLARY ELECT LABORATORY - GENERAL CLASSIFICATION [0300] ( 52.00)
30001019HC RL CMV DRUG RESISTANCE ELECTROPHORESIS LABORATORY - GENERAL CLASSIFICATION [0300] ( 57.00)
30000425HC RL CYSTIC FIBROSIS MUTAT 32 INTERP/RPT LABORATORY - GENERAL CLASSIFICATION [0300] ( 51.00)
30000439 HC RL APOE INTERP & REPORT LABORATORY - GENERAL CLASSIFICATION [0300] ( 23.00)
30000445 HC RL JAK2 MUTATION INTERP & REPORT LABORATORY - GENERAL CLASSIFICATION [0300] ( 19.00)
30000448HC MTHFR MUTATION DETECTION INTRP & RPT LABORATORY - GENERAL CLASSIFICATION [0300] ( 19.00)
30000467HC MOLECULAR DNA PHENO RBC INTERP & RPT LABORATORY - GENERAL CLASSIFICATION [0300] ( 58.00)
30000478 HC MPL515 INTERP & REPORT LABORATORY - GENERAL CLASSIFICATION [0300] ( 51.00)
30000487HC TUBEROUS SCLEROSIS INTERP & REPORT LABORATORY - GENERAL CLASSIFICATION [0300] ( 51.00)
30000497 HC IGVH MUTATION CLL INTERP & RPT LABORATORY - GENERAL CLASSIFICATION [0300] ( 51.00)
30000509 HC JAK2 EXON 12 BY PCR INTERP & RPT LABORATORY - GENERAL CLASSIFICATION [0300] ( 81.00)
30000516HC DPD DIHYDROPYRIMIDINE DEHYDRO INTRP LABORATORY - GENERAL CLASSIFICATION [0300] ( 60.00)
30000529 HC PML/RARA BY PCR INTERP & RPT LABORATORY - GENERAL CLASSIFICATION [0300] ( 51.00)
30000540 HC CELIAC PLUS INTERP AND REPORT LABORATORY - GENERAL CLASSIFICATION [0300] ( 51.00)
30000545 HC TCELL GENE REARRANGE INTERP & RPT LABORATORY - GENERAL CLASSIFICATION [0300] ( 33.00)
30000548 HC BCELL GENE REARRANGE INTERP & RPT LABORATORY - GENERAL CLASSIFICATION [0300] ( 34.00)
30000759HC RL BCR/ABL BY PCR QUANT INTRP & REPORT LABORATORY - GENERAL CLASSIFICATION [0300] ( 51.00)
30000781 HC FACTOR V LEIDEN INTERP & REPORT LABORATORY - GENERAL CLASSIFICATION [0300] ( 69.00)
30000805HC RL HEMOCHROMATOSIS MUT DET INTERP & RPT LABORATORY - GENERAL CLASSIFICATION [0300] ( 94.00)
30000910 HC RL RAPID GROWER ID BY PCR I&R LABORATORY - GENERAL CLASSIFICATION [0300] ( 32.00)
30000914HC RL NOCARDIA ID BY PCR INTERP & REPORT LABORATORY - GENERAL CLASSIFICATION [0300] ( 25.00)
30000940 HC TPMT GENETICS INTERP & RPT LABORATORY - GENERAL CLASSIFICATION [0300] ( 51.00)
30000997 HC RL TB PCR INTERP AND REPORT LABORATORY - GENERAL CLASSIFICATION [0300] ( 61.00)
30001020 HC RL CMV DRUG RESISTANCE INTERP. LABORATORY - GENERAL CLASSIFICATION [0300] ( 57.00)
30001048 HC RL ABL KINASE MUT. INTERP & RPT LABORATORY - GENERAL CLASSIFICATION [0300] ( 7.00)
30000423 HC RL CYSTIC FIBROSIS MUTATION 32 OLA LABORATORY - GENERAL CLASSIFICATION [0300] ( 30.00)
30000485HC TUBEROUS SCLEROSIS MUTATION ID BY OLA LABORATORY - GENERAL CLASSIFICATION [0300] ( 30.00)
30000683 HC RL 5'NULCEOTIDASE LABORATORY - CHEMISTRY [0301] ( 86.00)
30000806 HC RL OLIGOCLONAL BANDING LABORATORY - CHEMISTRY [0301] ( 220.00)
30000883 HC RL OLIGOCLONAL BAND PFIMMUNE LABORATORY - CHEMISTRY [0301] ( 220.00)
30000771 HC RL QU ORGANIC ACIDS URINE LABORATORY - CHEMISTRY [0301] ( 200.00)
30000274 HC RL METHYLMALONIC ACID URINEQUANT LABORATORY - CHEMISTRY [0301] ( 114.00)
30000610 HC RL METHYLMALONIC ACID SERUMQUNT LABORATORY - CHEMISTRY [0301] ( 114.00)
30000836 HC OPIATE CONFIRMATION/QUANTITATION LABORATORY - CHEMISTRY [0301] ( 103.00)
30001008 HC PROPOXYPHENE CONFIRMATION LABORATORY - CHEMISTRY [0301] ( 123.00)
30000290 HC OSMOLARITY PLASMA OR SERUM LABORATORY - CHEMISTRY [0301] ( 100.00)
30000291 HC OSMOLARITY URINE LABORATORY - CHEMISTRY [0301] ( 100.00)
30000677 HC RL OSTEOCALCIN LABORATORY - CHEMISTRY [0301] ( 155.00)
30000292 HC RL OXALATE LABORATORY - CHEMISTRY [0301] ( 110.00)
30000329 HC PARATHYROID HORMONE (INTACT) LABORATORY - CHEMISTRY [0301] ( 301.00)
30000299 HC PH BODY FLUID EXCEPT BLOOD LABORATORY - CHEMISTRY [0301] ( 51.00)
30001007 HC RL PHENCYCLIDINE CONFIRMATION LABORATORY - CHEMISTRY [0301] ( 73.00)
30000301 HC RL PHENATHIAZINE SCREEN URINE LABORATORY - CHEMISTRY [0301] ( 214.00)
30000378 HC RL THORAZINE LABORATORY - CHEMISTRY [0301] ( 113.00)
30000554 HC PROMETHAZINE SERUM LABORATORY - CHEMISTRY [0301] ( 108.00)
30000555 HC PROMETHAZINE URINE LABORATORY - CHEMISTRY [0301] ( 108.00)
30000007 HC RL ACID PHOSPHATASETOTAL LABORATORY - CHEMISTRY [0301] ( 88.00)
30000298 HC RL PROSTATIC ACID PHOSPHATASE/RIA LABORATORY - CHEMISTRY [0301] ( 94.00)
30000014 HC ALKALINE PHOSPHATASE LABORATORY - CHEMISTRY [0301] ( 81.00)
30000006HC ALKALINE PHOSPHATASE FRACTIONATED LABORATORY - CHEMISTRY [0301] ( 104.00)
30000305 HC PHOSPHORUS LABORATORY - CHEMISTRY [0301] ( 99.00)
30000304 HC PHOSPHATES URINE 24HR. LABORATORY - CHEMISTRY [0301] ( 104.00)
30000311 HC RL PORPHOBILINOGEN URINEQUANT LABORATORY - CHEMISTRY [0301] ( 116.00)
30000316 HC RL QUANT/FRACT PORPHYRIN URINE LABORATORY - CHEMISTRY [0301] ( 70.00)
30000312 HC POTASSIUM K SERUM PLAS WH BLD LABORATORY - CHEMISTRY [0301] ( 120.00)
30000313 HC POTASSIUM K URINE RANDOM LABORATORY - CHEMISTRY [0301] ( 62.00)
30000314 HC POTASSIUM URINE 24HR. LABORATORY - CHEMISTRY [0301] ( 62.00)
30000315 HC PREALBUMIN LABORATORY - CHEMISTRY [0301] ( 182.00)
30001052 HC RL PREGNENOLONE SERUM OR PLASMA LABORATORY - CHEMISTRY [0301] ( 192.00)
30000666 HC RL 17HYDROXYPREGNENOLONE LABORATORY - CHEMISTRY [0301] ( 203.00)
30000319 HC PROGESTERONE LABORATORY - CHEMISTRY [0301] ( 127.00)
30000498 HC PROCALCITONIN LABORATORY - CHEMISTRY [0301] ( 293.00)
30000297 HC PROLACTIN LABORATORY - CHEMISTRY [0301] ( 101.00)
30000300 HC PROSTATE SPECIFIC ANTIGENTOTAL LABORATORY - CHEMISTRY [0301] ( 122.00)
30000788 HC RL PSA TOTAL(PERCENT FREE) LABORATORY - CHEMISTRY [0301] ( 122.00)
30000609 HC RL PSA PERCENT FREE LABORATORY - CHEMISTRY [0301] ( 115.00)
30000321 HC PROTEIN TOT SERUM PLAS WH BLD LABORATORY - CHEMISTRY [0301] ( 53.00)
30000320 HC PROTEIN RANDOM URINE LABORATORY - CHEMISTRY [0301] ( 84.00)
30000323 HC PROTEIN TOTAL 24HOUR URINE LABORATORY - CHEMISTRY [0301] ( 84.00)
30000325 HC 12 HR URINE PROTEIN LABORATORY - CHEMISTRY [0301] ( 84.00)
30000388 HC URINE PROTEIN QUANTITATIVE LABORATORY - CHEMISTRY [0301] ( 84.00)
30000813HC RL BENCE JONES PROTEINTOTAL PROTEIN LABORATORY - CHEMISTRY [0301] ( 84.00)
30000322 HC TOTAL PROTEIN FLUID LABORATORY - CHEMISTRY [0301] ( 73.00)
30000816HC RL MOTOR SENS NEUROPATHY PANTTL PROTEIN LABORATORY - CHEMISTRY [0301] ( 33.00)
30000139 HC ELECTROPHORESIS SERUM PROTEIN LABORATORY - CHEMISTRY [0301] ( 103.00)
30000819HC RL MOTOR SENS NEUROPATH PANELECTROPHORE LABORATORY - CHEMISTRY [0301] ( 103.00)
30000046 HC BENCE JONES PROTEIN URINE LABORATORY - CHEMISTRY [0301] ( 103.00)
30000140 HC ELECTROPHORESIS URINE PROTEIN LABORATORY - CHEMISTRY [0301] ( 103.00)
30000141HC RL ELECTROPHORESIS SPINAL FLD PROTE LABORATORY - CHEMISTRY [0301] ( 103.00)
30000570HC RL NEURONAL NUCLEAR AB WESTERN BLOT LABORATORY - CHEMISTRY [0301] ( 113.00)
30000166 HC RL PORPHYRINSRBC;QUANT LABORATORY - CHEMISTRY [0301] ( 86.00)
30000430 HC RL ZINC PROTOPORPHYRIN LABORATORY - CHEMISTRY [0301] ( 86.00)
30000791 HC RL PROINSULIN LABORATORY - CHEMISTRY [0301] ( 106.00)
30000391 HC RL VITAMIN B6 LABORATORY - CHEMISTRY [0301] ( 167.00)
30000326 HC RL QU PYRUVIC ACID PYRUVATE LABORATORY - CHEMISTRY [0301] ( 35.00)
30000332 HC RL PYRUVATE KINASE LABORATORY - CHEMISTRY [0301] ( 46.00)
30000259 HC RL RENIN IVC BELOW RENAL VEIN LABORATORY - CHEMISTRY [0301] ( 131.00)
30000336 HC RL RENINRENAL VEIN LABORATORY - CHEMISTRY [0301] ( 131.00)
30000337 HC RL RENIN (RANDOM) LABORATORY - CHEMISTRY [0301] ( 131.00)
30000393 HC RL SEROTONIN BLOOD LABORATORY - CHEMISTRY [0301] ( 185.00)
30000622 HC RL SEX HORMONE BINDING GLOBULIN LABORATORY - CHEMISTRY [0301] ( 131.00)
30000350 HC SODIUM NA SERUM PLASMA WH BLD LABORATORY - CHEMISTRY [0301] ( 83.00)
30000351 HC SODIUMNA URINE RANDOM LABORATORY - CHEMISTRY [0301] ( 66.00)
30000352 HC SODIUM URINE 24HR LABORATORY - CHEMISTRY [0301] ( 66.00)
30000354 HC RL INSULINLIKE GROWTH FACTOR 1 LABORATORY - CHEMISTRY [0301] ( 119.00)
30000035 HC RL ARYLSULFATASE LABORATORY - CHEMISTRY [0301] ( 73.00)
30000559 HC ADENOSINE DEAMINASE LABORATORY - CHEMISTRY [0301] ( 73.00)
30000654 HC RL PORPHYRIN SERUM LABORATORY - CHEMISTRY [0301] ( 73.00)
30000659 HC RL VITAMIN B1(THIAMINE) PLASMA LABORATORY - CHEMISTRY [0301] ( 133.00)
30000882 HC RL VITAMIN B1 WB LABORATORY - CHEMISTRY [0301] ( 133.00)
30000379 HC RL THIOCYANATE LABORATORY - CHEMISTRY [0301] ( 86.00)
30000380 HC RL URINE THIOCYANATE LABORATORY - CHEMISTRY [0301] ( 60.00)
30000376 HC RL THYROGLOBULIN LABORATORY - CHEMISTRY [0301] ( 83.00)
30000368 HC T4 LABORATORY - CHEMISTRY [0301] ( 102.00)
30000711 HC T4 WITH T7 LABORATORY - CHEMISTRY [0301] ( 102.00)
30000987HC RL NS TOTAL THYROXINE(T4)REQUIRG ELUTION LABORATORY - CHEMISTRY [0301] ( 63.00)
30000163 HC FREE THYROXINE LABORATORY - CHEMISTRY [0301] ( 129.00)
30000175 HC RL FREE T4 BY EQUILIBRIUM DIALYSIS LABORATORY - CHEMISTRY [0301] ( 129.00)
30000377 HC RL THYROXIN BINDING GLOBULIN TBG LABORATORY - CHEMISTRY [0301] ( 77.00)
30000374 HC THYROID STIMULATING HORMONE LABORATORY - CHEMISTRY [0301] ( 240.00)
30000986HC RL NS THYROID STIMULATING HORMONE(TSH) LABORATORY - CHEMISTRY [0301] ( 240.00)
30000670HC RL THYROID STIMULATING IMMUNOGLOB LABORATORY - CHEMISTRY [0301] ( 264.00)
30000655 HC RL VITAMIN E LEVEL LABORATORY - CHEMISTRY [0301] ( 81.00)
30000382 HC TRANSAMINASE SGOT LABORATORY - CHEMISTRY [0301] ( 92.00)
30000387 HC TRANSAMINASE SGPT LABORATORY - CHEMISTRY [0301] ( 83.00)
30000383 HC TRANSFERRIN LABORATORY - CHEMISTRY [0301] ( 97.00)
30000384 HC TRIGLYCERIDES LABORATORY - CHEMISTRY [0301] ( 79.00)
30000367 HC T3 OR T4 (UPTAKE/BIND RATIO) LABORATORY - CHEMISTRY [0301] ( 79.00)
30000174 HC FREE T3 LABORATORY - CHEMISTRY [0301] ( 127.00)
30000770 HC RL REVERSE T3 LABORATORY - CHEMISTRY [0301] ( 82.00)
30000592 HC TROPONINQUANT LABORATORY - CHEMISTRY [0301] ( 196.00)
30000399 HC BLOOD UREA NITROGENBUN QUANT LABORATORY - CHEMISTRY [0301] ( 68.00)
30000398 HC UREA URINE LABORATORY - CHEMISTRY [0301] ( 68.00)
30000400 HC URIC ACID LABORATORY - CHEMISTRY [0301] ( 71.00)
30000401 HC URIC ACID 24HOUR URINE LABORATORY - CHEMISTRY [0301] ( 34.00)
30000392HC RL VASOACTIVE INTESTINAL POLYPEPTIDE LABORATORY - CHEMISTRY [0301] ( 211.00)
30000705 HC RL ANTIDIURETIC HORMONE LABORATORY - CHEMISTRY [0301] ( 176.00)
30000653 HC RL VITAMIN A LEVEL LABORATORY - CHEMISTRY [0301] ( 72.00)
30000342 HC RL HEAVY METALS URINE ZINC LABORATORY - CHEMISTRY [0301] ( 59.00)
30000066 HC CPEPTIDE INSULIN LEVEL LABORATORY - CHEMISTRY [0301] ( 108.00)
30000211 HC PREGNANCY TEST SERUM HCGQUANT LABORATORY - CHEMISTRY [0301] ( 182.00)
30000751HC RL BETA HCGSERUM QNTUMOR MARKER LABORATORY - CHEMISTRY [0301] ( 182.00)
30000317 HC SERUM PREGNANCY TEST QUALITATIVE LABORATORY - CHEMISTRY [0301] ( 134.00)
30000593 HC IONIZED MAGNESIUM LABORATORY - CHEMISTRY [0301] ( 234.00)
30000059 HC RL BLEEDING TIME TEMPLATE LABORATORY - HEMATOLOGY [0305] ( 74.00)
30000131 HC MANUAL DIFFERENTIAL LABORATORY - HEMATOLOGY [0305] ( 60.00)
30000220 HC HEMATOCRIT LABORATORY - HEMATOLOGY [0305] ( 70.00)
30000222 HC HEMOGLOBIN LABORATORY - HEMATOLOGY [0305] ( 57.00)
30000100 HC CBC WITH AUTO DIFF(INC PLAT) LABORATORY - HEMATOLOGY [0305] ( 122.00)
30000244 HC INDICES LABORATORY - HEMATOLOGY [0305] ( 95.00)
30000825 HC CBC WITHOUT DIFF(INC PLAT) LABORATORY - HEMATOLOGY [0305] ( 95.00)
30000334 HC RED BLOOD CELL COUNT RBC LABORATORY - HEMATOLOGY [0305] ( 30.00)
30000335 HC RETICULOCYTES COUNTAUTO LABORATORY - HEMATOLOGY [0305] ( 69.00)
30000416 HC WHITE BLOOD CELL COUNTWBCAUTO LABORATORY - HEMATOLOGY [0305] ( 26.00)
30000068 HC BONE MARROW SMEAR INTERPRET LABORATORY - HEMATOLOGY [0305] ( 509.00)
30000154HC FAHC RL FACTOR 2 ASSAYCTOR 2 ASSAY LABORATORY - HEMATOLOGY [0305] ( 33.00)
30000149 HC FACTOR 5 ASSAY LABORATORY - HEMATOLOGY [0305] ( 41.00)
30000153 HC RL FACTOR 7 ASSAY LABORATORY - HEMATOLOGY [0305] ( 42.00)
30000147 HC FACTOR 8 ASSAY LABORATORY - HEMATOLOGY [0305] ( 43.00)
30000390 HC RL VON WILLEBRAND FACTOR ASSAY LABORATORY - HEMATOLOGY [0305] ( 128.00)
30000702 HC RL VW ANTIGEN LABORATORY - HEMATOLOGY [0305] ( 128.00)
30000801 HC RL VON WILLEBRAND MULTIMERIC LABORATORY - HEMATOLOGY [0305] ( 128.00)
30000148 HC FACTOR 9 ASSAY LABORATORY - HEMATOLOGY [0305] ( 43.00)
30000727 HC RL FACTOR 9 INHIBITOR LABORATORY - HEMATOLOGY [0305] ( 125.00)
30000150 HC RL FACTOR 10 ASSAY LABORATORY - HEMATOLOGY [0305] ( 42.00)
30000151 HC RL FACTOR 11 ASSAY LABORATORY - HEMATOLOGY [0305] ( 42.00)
30000152 HC RL FACTOR 12 ASSAY LABORATORY - HEMATOLOGY [0305] ( 44.00)
30000156 HC RL FACTOR 13 ASSAY LABORATORY - HEMATOLOGY [0305] ( 31.00)
30000173 HC FUNCTIONAL AT III LABORATORY - HEMATOLOGY [0305] ( 162.00)
30000258
HC DRVVT FOR DETECTION OF LUPUS ANTICOAGULANTHC LUPUS ANTICOAGULANT LABORATORY - HEMATOLOGY [0305] ( 44.00)
30000724 HC LUPUS ANTICOAGULANT CONFIRM. LABORATORY - HEMATOLOGY [0305] ( 71.00)
30000328 HC PROTEIN C;ACTIVITY LABORATORY - HEMATOLOGY [0305] ( 83.00)
30000327 HC PROTEIN S FREE LABORATORY - HEMATOLOGY [0305] ( 92.00)
30000600 HC RL APC RESISTANCE LABORATORY - HEMATOLOGY [0305] ( 92.00)
30000728 HC RL FACTOR 8 INHIBITOR LABORATORY - HEMATOLOGY [0305] ( 77.00)
30000832 HC RL BETHESDA QUANTITATIVE FACTOR IX LABORATORY - HEMATOLOGY [0305] ( 77.00)
30001009HC RL FACTOR 8 ACTIVITY BETHESDA QUANT LABORATORY - HEMATOLOGY [0305] ( 77.00)
30000146 HC RL EUGLOBULIN CLOT LYSIS LABORATORY - HEMATOLOGY [0305] ( 50.00)
30000168 HC FIB DEGRE. PROD;AGGL;SEMIQUAN LABORATORY - HEMATOLOGY [0305] ( 105.00)
30000743HC FIBRIN MONOMER PARACOAGULATION TEST LABORATORY - HEMATOLOGY [0305] ( 161.00)
30000721 HC QUANTITATIVE DDIMER LABORATORY - HEMATOLOGY [0305] ( 142.00)
30000167 HC FIBRINOGEN ACTIVITY LABORATORY - HEMATOLOGY [0305] ( 129.00)
30000488 HC FIBRINOGEN PANEL (ARUP) LABORATORY - HEMATOLOGY [0305] ( 129.00)
30000489 HC FIBRINOGEN PANEL ANTIGEN LABORATORY - HEMATOLOGY [0305] ( 129.00)
30000462 HC RL ADAMTS13 ACTIVITY LABORATORY - HEMATOLOGY [0305] ( 148.00)
30000453 HC PLASMINOGEN ACTIVATOR INHIBITOR1 LABORATORY - HEMATOLOGY [0305] ( 130.00)
30000309 HC RL PLASMINOGEN LABORATORY - HEMATOLOGY [0305] ( 97.00)
30000828HC RL HEINZ BODY STAIN DIRECT COMPONENT LABORATORY - HEMATOLOGY [0305] ( 71.00)
30000221 HC RL HEINZ BODY STAIN INDUCED LABORATORY - HEMATOLOGY [0305] ( 99.00)
30000051 HC FETALDEX LABORATORY - HEMATOLOGY [0305] ( 99.00)
30000164 HC FETALDEX LABORATORY - HEMATOLOGY [0305] ( 99.00)
30000588 HC TRAUMA FETAL BLEED LABORATORY - HEMATOLOGY [0305] ( 99.00)
30000217 HC RL HEPARIN ASSAY LABORATORY - HEMATOLOGY [0305] ( 80.00)
30000551 HC LYSOZYME SERUM OR BODY FLUID LABORATORY - HEMATOLOGY [0305] ( 116.00)
30000176 HC RL FRAGILITY OSMOTIC LABORATORY - HEMATOLOGY [0305] ( 99.00)
30000306HC RL PLATELET AGGREGATIONEACH AGENT LABORATORY - HEMATOLOGY [0305] ( 254.00)
30000755HC PLATELET FUNCTION STUDYEACH AGENT LABORATORY - HEMATOLOGY [0305] ( 254.00)
30000980 HC RL ASPRIN PLATELET FUNCTION LABORATORY - HEMATOLOGY [0305] ( 254.00)
30000318 HC PROTHROMBIN TIME LABORATORY - HEMATOLOGY [0305] ( 83.00)
30000746 HC MIXING STUDIES FOR PT INHIBITORS LABORATORY - HEMATOLOGY [0305] ( 24.00)
30000340 HC RL REPTILASE TIME LABORATORY - HEMATOLOGY [0305] ( 59.00)
30000412 HC WESTERGREN SEDIMENTATION RATE LABORATORY - HEMATOLOGY [0305] ( 36.00)
30000073 HC SEDIMENTATION RATE AUTOMATED LABORATORY - HEMATOLOGY [0305] ( 34.00)
30000346 HC SICKLE CELL PREPARATION LABORATORY - HEMATOLOGY [0305] ( 40.00)
30000929 HC HGB SOLUBILITY SICKLING OF RBC LABORATORY - HEMATOLOGY [0305] ( 40.00)
30000961 HC RL HEMOGLOBIN S REDUCTION TEST LABORATORY - HEMATOLOGY [0305] ( 71.00)
30000436 HC THROMBIN TIME LABORATORY - HEMATOLOGY [0305] ( 30.00)
30000296 HC PARTIAL THROMBOPLA TIME PTT LABORATORY - HEMATOLOGY [0305] ( 102.00)
30000745 HC MIXING STUDIES FOR APTT INHIBITORS LABORATORY - HEMATOLOGY [0305] ( 34.00)
30000408 HC RL VISCOSITY SERUM LABORATORY - HEMATOLOGY [0305] ( 61.00)
30000499HC HYPERSEN. PNEUMONITIS ALLERGEN IGE EA. LABORATORY - IMMUNOLOGY [0302] ( 28.00)
30000703 HC RL RASTIGE SPECIFIC ALLERGEN LABORATORY - IMMUNOLOGY [0302] ( 28.00)
30000720HC RL IGE SPECIFIC ALLERGENEACH INDIVIDUAL LABORATORY - IMMUNOLOGY [0302] ( 28.00)
30000975 HC RL ALLERGENS FOODS COMMON ADULT LABORATORY - IMMUNOLOGY [0302] ( 28.00)
30000976 HC RL ALLERGENS PED. MARCH PROFILE LABORATORY - IMMUNOLOGY [0302] ( 28.00)
30000978HC RL ALLERGENS RESP. DISEASE REGION 6 LABORATORY - IMMUNOLOGY [0302] ( 28.00)
30000229 HC HEPARIN ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 353.00)
30000563HC RL HEPARIN THROMBOCYTOPENIA ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 353.00)
30000574 HC RL PLATELET ANTIBODIES INDIRECT LABORATORY - IMMUNOLOGY [0302] ( 327.00)
30000575HC RL DRUG DEPENDENT PLATELET ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 353.00)
30000942 HC RL PLT CROSSMATCH OBI LABORATORY - IMMUNOLOGY [0302] ( 171.00)
30000280 HC RL PLATELET ASSOCIATED ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 88.00)
30000678HC RL PLATELET ASSOCIATED AB DIRECTIGG LABORATORY - IMMUNOLOGY [0302] ( 88.00)
30000679HC RL PLATELET ASSOCIATED AB DIRECT IGM LABORATORY - IMMUNOLOGY [0302] ( 88.00)
30000027 HC ANTINUCLEAR ANTIBODIES LABORATORY - IMMUNOLOGY [0302] ( 136.00)
30000567 HC ANA IGG BY IFA TITER LABORATORY - IMMUNOLOGY [0302] ( 67.00)
30000028 HC ANTISTREPTOLYSIN O TITER LABORATORY - IMMUNOLOGY [0302] ( 44.00)
30000108 HC CREACTIVE PROTEIN CRP LABORATORY - IMMUNOLOGY [0302] ( 110.00)
30000713 HC RL CPRHIGH SENSITIVITY LABORATORY - IMMUNOLOGY [0302] ( 99.00)
30000454 HC BETA2 GLYCOPROTEIN IGM LABORATORY - IMMUNOLOGY [0302] ( 146.00)
30000469 HC BETA2 GLYCOPROTEIN 1 ANTIBODY IGM LABORATORY - IMMUNOLOGY [0302] ( 146.00)
30000693 HC RL CARDIOLIPIN ANTIBODY IGG LABORATORY - IMMUNOLOGY [0302] ( 146.00)
30000694 HC RL CARDIOLIPIN ANTIBODY IGM LABORATORY - IMMUNOLOGY [0302] ( 146.00)
30000090 HC COLD AGGLUTININ SCREEN LABORATORY - IMMUNOLOGY [0302] ( 126.00)
30000097 HC COLD AGGLUTININTITER LABORATORY - IMMUNOLOGY [0302] ( 63.00)
30000080HC RL C1 ESTERASE INHIBITOR(NONFUNCTION LABORATORY - IMMUNOLOGY [0302] ( 132.00)
30000098 HC COMPLEMENT LEVEL SERUM C4 LABORATORY - IMMUNOLOGY [0302] ( 30.00)
30000099 HC COMPLEMENT LEVEL SERUM C3 LABORATORY - IMMUNOLOGY [0302] ( 30.00)
30000197 HC RL C2 COMPLEMENT LABORATORY - IMMUNOLOGY [0302] ( 173.00)
30000071HC RL C1 ESTERASE INHIBITOR (FUNCTIONAL) LABORATORY - IMMUNOLOGY [0302] ( 173.00)
30000101 HC RL COMPLEMENTTOTAL HEMOLYTIC LABORATORY - IMMUNOLOGY [0302] ( 292.00)
30000651 HC RL ANTIDNA SINGLE STRAND LABORATORY - IMMUNOLOGY [0302] ( 73.00)
30000031 HC ENA SCREEN LABORATORY - IMMUNOLOGY [0302] ( 107.00)
30000517 HC RL ANTI CHROMATIN ANTIBODY IGG LABORATORY - CHEMISTRY [0301] ( 85.00)
30000604 HC RL RIBOSOMAL P PROTEIN ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 107.00)
30000033 HC RL ANTISTRIATED MUSCLE ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 72.00)
30000213 HC RL RETICULIN ANTIBODY IGA LABORATORY - IMMUNOLOGY [0302] ( 72.00)
30000303 HC ANTINEUTROPHIL CYTOPLASMIC AB LABORATORY - IMMUNOLOGY [0302] ( 72.00)
30000356 HC RL PURKINJE CELL AB LABORATORY - IMMUNOLOGY [0302] ( 72.00)
30000357 HC RL PURKINJE CELL ANTIBODY CSF LABORATORY - IMMUNOLOGY [0302] ( 72.00)
30000456 HC NEURONAL NUCLEAR ANTIBODY SERUM LABORATORY - IMMUNOLOGY [0302] ( 72.00)
30000457 HC PURKINJE CELL ANTIBODY SERUM LABORATORY - IMMUNOLOGY [0302] ( 72.00)
30000470 HC NEURONAL NUCLEAR ANTIBODY CSF LABORATORY - IMMUNOLOGY [0302] ( 72.00)
30000584 HC RL PARIETAL CELL ANTIBODY IGG LABORATORY - IMMUNOLOGY [0302] ( 72.00)
30000790 HC RL INFLAM BOWEL DIS FLUOR AB SCN LABORATORY - IMMUNOLOGY [0302] ( 72.00)
30000941 HC RL AR NMO AUTOANTIBODIES IGG CSF LABORATORY - IMMUNOLOGY [0302] ( 335.00)
30001003 HC RL NMO AUTOANTIBODY IGG SERUM LABORATORY - IMMUNOLOGY [0302] ( 72.00)
30000355 HC RL NEURONAL NUCLEAR TITER LABORATORY - IMMUNOLOGY [0302] ( 73.00)
30000458HC NEURONAL NUCLEAR ANTIBODY SER TITER LABORATORY - IMMUNOLOGY [0302] ( 73.00)
30000459 HC RL PURKINJE CELL ANTIBODY TITER LABORATORY - IMMUNOLOGY [0302] ( 73.00)
30000571 HC RL NEURONAL NUCLEAR AB TITER CSF LABORATORY - IMMUNOLOGY [0302] ( 73.00)
30000831 HC RL ANTISMOOTH MUSCLE AB IGG TITER LABORATORY - IMMUNOLOGY [0302] ( 73.00)
30000925 HC RL ENDOMYSIAL ANTIBODY TITER IGA LABORATORY - IMMUNOLOGY [0302] ( 73.00)
30000931 HC RL STRIATED MUSCLE ANTIBODY TITER LABORATORY - IMMUNOLOGY [0302] ( 73.00)
30001010 HC RL RETICULIN ANTIBODY IGA TITER LABORATORY - IMMUNOLOGY [0302] ( 73.00)
30000067 HC RL CANCER ANTIGEN 153(2729) LABORATORY - IMMUNOLOGY [0302] ( 125.00)
30000586 HC RL CA 27.29 LABORATORY - IMMUNOLOGY [0302] ( 125.00)
30000088 HC RL CARBOHYDRATE ANTIG 199QUANT LABORATORY - IMMUNOLOGY [0302] ( 104.00)
30000089 HC RL CARBOHYDRATE ANTIGEN 125QUANT LABORATORY - IMMUNOLOGY [0302] ( 104.00)
30000230 HC HETEROPHILE AB SCREEN LABORATORY - IMMUNOLOGY [0302] ( 71.00)
30000793 HC RL QU CHROMOGRANIN A LABORATORY - IMMUNOLOGY [0302] ( 115.00)
30000030 HC ASPERGILLUS PRECIPITINS LABORATORY - IMMUNOLOGY [0302] ( 84.00)
30000042 HC RL TEICHOIC ACID ANTIBODIES LABORATORY - IMMUNOLOGY [0302] ( 84.00)
30000233 HC FUNGAL PRECIPITATION SERIES LABORATORY - IMMUNOLOGY [0302] ( 84.00)
30000294HC RL HYPERSENSITIVITY PNEUMONITIS PNL LABORATORY - IMMUNOLOGY [0302] ( 68.00)
30000500HC HYPERSEN. PNEUMONITIS GELL QUANT EACH LABORATORY - IMMUNOLOGY [0302] ( 68.00)
30000060 HC RL C1Q BINDING ASSAY LABORATORY - IMMUNOLOGY [0302] ( 146.00)
30000330 HC RL RAJI CELL ASSAY LABORATORY - IMMUNOLOGY [0302] ( 146.00)
30000763HC RL IMMUNOFIXATION ELECTROPHOR IGD & IGE LABORATORY - IMMUNOLOGY [0302] ( 133.00)
30000820 HC RL MOTOR SENS NEUROPATHY PANIFE LABORATORY - IMMUNOLOGY [0302] ( 133.00)
30001021 HC RL BETA 2 TRANSFERRIN SERUM LABORATORY - IMMUNOLOGY [0302] ( 133.00)
30000740HC RL BENCE JONES PROTIMMUNOFIXATION ELECT LABORATORY - IMMUNOLOGY [0302] ( 147.00)
30001053 HC RL BETA 2 TRANSFERRIN FLUID LABORATORY - IMMUNOLOGY [0302] ( 240.00)
30000660 HC RL INSULIN ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 128.00)
30000040 HC RL ANTIINTRINSIC FACTOR ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 90.00)
30000039 HC RL ANTIPANCREATIC ISLET CELL ANTIBO LABORATORY - IMMUNOLOGY [0302] ( 103.00)
30000269 HC RL LEUKOCYTE PHAGOCYTOSIS LABORATORY - IMMUNOLOGY [0302] ( 48.00)
30000359 HC FLOW AB CD 45 LABORATORY - IMMUNOLOGY [0302] ( 95.00)
30000361 HC FLOW AB T CELL RECEPTOR LABORATORY - IMMUNOLOGY [0302] ( 95.00)
30000433 HC NK CELLS TOTAL COUNT LABORATORY - IMMUNOLOGY [0302] ( 144.00)
30000434 HC FLOW ABCD3 LABORATORY - IMMUNOLOGY [0302] ( 201.00)
30000435 HC FLOW ABCD5 LABORATORY - IMMUNOLOGY [0302] ( 201.00)
30000360 HC FLOW AB CD4 CD8 LABORATORY - IMMUNOLOGY [0302] ( 209.00)
30001038 HC FLOW AB CD4 LABORATORY - IMMUNOLOGY [0302] ( 123.00)
30000032 HC RL ANTI THR LABORATORY - IMMUNOLOGY [0302] ( 87.00)
30000116 HC RL THYROID ANTIBODIES LABORATORY - IMMUNOLOGY [0302] ( 87.00)
30000158 HC RL LIVERKIDNEY MICROSOME ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 87.00)
30000589 HC RL ANTIMICROSOMAL ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 87.00)
30000115 HC CRYPTOCOCCAL ANTIGEN LABORATORY - IMMUNOLOGY [0302] ( 161.00)
30000338 HC RHEUMATOID ARTHRITIS QL LABORATORY - IMMUNOLOGY [0302] ( 59.00)
30000407 HC RL QUANTIFERON TB GOL IN TUBE LABORATORY - IMMUNOLOGY [0302] ( 266.00)
30200007HC SKIN TEST TUBERCULOSIS INTRADERMAL LABORATORY - IMMUNOLOGY [0302] ( 27.00)
30000409 HC VDRL ROUTINEQUAL LABORATORY - IMMUNOLOGY [0302] ( 67.00)
30000410 HC VDRL SPINAL FLUIDQUAL LABORATORY - IMMUNOLOGY [0302] ( 67.00)
30000026 HC RL ADENOVIRUS ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 77.00)
30000774 HC RL FUNGAL SEROLOGYASPERGILLUS LABORATORY - IMMUNOLOGY [0302] ( 90.00)
30000738HC RL BORTENELAA SPECIES ANTIBODY IGG LABORATORY - IMMUNOLOGY [0302] ( 68.00)
30000739HC RL BORTENELAA SPECIES ANTIBODY IGM LABORATORY - IMMUNOLOGY [0302] ( 68.00)
30000856HC RL CAT SCRATCH FEVER ANTIBODY (IGG) LABORATORY - IMMUNOLOGY [0302] ( 68.00)
30000857HC RL CAT SCRATCH FEVER ANTIBODY (IGM) LABORATORY - IMMUNOLOGY [0302] ( 68.00)
30000775 HC RL FUNGAL SEROLOGYBLASTOMYCES LABORATORY - IMMUNOLOGY [0302] ( 68.00)
30000667HC RL LYME ANTIBODY IGG(WESTERN BLOT) LABORATORY - IMMUNOLOGY [0302] ( 93.00)
30000715HC RL LYME ANTIBODY IGM(WESTERN BLOT) LABORATORY - IMMUNOLOGY [0302] ( 93.00)
30000270 HC RL LYME ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 206.00)
30000717 HC RL LYME ANTIBODY CSF LABORATORY - IMMUNOLOGY [0302] ( 206.00)
30000064 HC RL CANDIDA ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 72.00)
30000594 HC RL CHLAMYDIA TRACHOMATISIGG LABORATORY - IMMUNOLOGY [0302] ( 61.00)
30000596 HC RL CHLAMYDIA PNEUMONIAEIGG LABORATORY - IMMUNOLOGY [0302] ( 61.00)
30000598 HC RL CHLAMYDIA PSITTACIIGG LABORATORY - IMMUNOLOGY [0302] ( 61.00)
30000595 HC RL CHLAMYDIA TRACHOMATISIGM LABORATORY - IMMUNOLOGY [0302] ( 70.00)
30000597 HC RL CHLAMYDIA PNEUMONIAEIGM LABORATORY - IMMUNOLOGY [0302] ( 70.00)
30000599 HC RL CHLAMYDIA PSITTACIIGM LABORATORY - IMMUNOLOGY [0302] ( 70.00)
30000692 HC RL COCCIDIODES ANTIBODYCF LABORATORY - IMMUNOLOGY [0302] ( 60.00)
30000776 HC RL FUNGAL SEROLOGYCOCCIDIOIDS LABORATORY - IMMUNOLOGY [0302] ( 60.00)
30000628 HC RL Q FEVER ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 63.00)
30000117 HC RL CMV IGG LABORATORY - IMMUNOLOGY [0302] ( 114.00)
30000943 HC RL CMV ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 114.00)
30000284 HC RL CMVIGM LABORATORY - IMMUNOLOGY [0302] ( 87.00)
30000879 HC RL ENCEPHALLITIS AB ST LOUIS IGG LABORATORY - IMMUNOLOGY [0302] ( 69.00)
30000004 HC RL ARBOVIRUS AB IGG WEE LABORATORY - IMMUNOLOGY [0302] ( 69.00)
30000199 HC RL ENTEROVIRUS ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 68.00)
30000209 HC RL POLIOVIRUS ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 68.00)
30000635 HC RL COXSACKIE A VIRUS ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 68.00)
30000685 HC RL ECHOVIRUS AB TYPE 6 LABORATORY - IMMUNOLOGY [0302] ( 68.00)
30000686 HC RL ECHOVIRUS AB TYPE 7 LABORATORY - IMMUNOLOGY [0302] ( 68.00)
30000687 HC RL ECHOVIRUS AB TYPE 9 LABORATORY - IMMUNOLOGY [0302] ( 68.00)
30000688 HC RL ECHOVIRUS AB TYPE 11 LABORATORY - IMMUNOLOGY [0302] ( 68.00)
30000689 HC RL ECHOVIRUS AB TYPE 30 LABORATORY - IMMUNOLOGY [0302] ( 68.00)
30000695 HC RL COXSACKIE B1 ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 68.00)
30000696 HC RL COXSACKIE B3 ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 68.00)
30000697 HC RL COXSACKIE B4 ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 68.00)
30000698 HC RL COXSACKIE B5 ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 68.00)
30000699 HC RL COXSACKIE B6 ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 68.00)
30000198 HC RL EHRLICHIA ANTIBODY IGG LABORATORY - IMMUNOLOGY [0302] ( 79.00)
30000714 HC RL EHRLICHIA ANTIBODY IGM LABORATORY - IMMUNOLOGY [0302] ( 79.00)
30000833 HC RL EHRLICHIA ANTIBODY IFA IGG LABORATORY - IMMUNOLOGY [0302] ( 79.00)
30000834 HC RL EHRLICHIA ANTIBODY IFA IGM LABORATORY - IMMUNOLOGY [0302] ( 79.00)
30000789 HC RL INFLAM BOWEL DIS SEMIQUAN IMM LABORATORY - IMMUNOLOGY [0302] ( 74.00)
30000675 HC RL GIARDIA ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 88.00)
30000520 HC H PYLORI ANTIBODY IGM LABORATORY - IMMUNOLOGY [0302] ( 87.00)
30000618 HC RL HELICOBACTER PYLORI ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 87.00)
30000669 HC RL H. PYLORI ANTIBODY IGG&IGA LABORATORY - IMMUNOLOGY [0302] ( 87.00)
30000626 HC RL ECHINOCOCCUS ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 78.00)
30000630 HC RL TOXOCARA ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 78.00)
30000736 HC RL STRONGYLOIDES ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 78.00)
30000347 HC RL WESTERN BLOT LABORATORY - IMMUNOLOGY [0302] ( 104.00)
30000624HC RL HIV2 ANTIBODY CONFIRMATION BY IFA LABORATORY - IMMUNOLOGY [0302] ( 104.00)
30000665 HC RL HTLV I&II CONFIRMATION LABORATORY - IMMUNOLOGY [0302] ( 104.00)
30000234 HC RL HEPATITIS DELTA ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 94.00)
30000471 HC HSV TYPE 1 & 2 ANTIBODY IGG (CSF) LABORATORY - IMMUNOLOGY [0302] ( 86.00)
30000472 HC HSV TYPE 1 & 2 ANTIBODY IGM (CSF) LABORATORY - IMMUNOLOGY [0302] ( 86.00)
30000718 HC RL HERPES I GLYCOPROTEIN SPECIGG LABORATORY - IMMUNOLOGY [0302] ( 63.00)
30000719 HC RL HERPES II GLYCOPROTEIN SPECIGG LABORATORY - IMMUNOLOGY [0302] ( 104.00)
30000663 HC RL HISTOPLASMA ANTIBODIES(CF) LABORATORY - IMMUNOLOGY [0302] ( 75.00)
30000777 HC RL FUNGAL SEROLOGYHISTO M LABORATORY - IMMUNOLOGY [0302] ( 75.00)
30000778 HC FUNGAL SEROLOGYHISTO Y LABORATORY - IMMUNOLOGY [0302] ( 75.00)
30000613 HC HIV 1&2 LABORATORY - IMMUNOLOGY [0302] ( 82.00)
30000228 HC HEPATITUS B CORE ANTIBODYTOT LABORATORY - IMMUNOLOGY [0302] ( 109.00)
30000190 HC HEPATITIS B CORE AB (IGM) LABORATORY - IMMUNOLOGY [0302] ( 71.00)
30000226 HC HEPATITUS B ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 64.00)
30000192 HC RL HEPATITIS BE ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 70.00)
30000021 HC HEPATITIS A ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 139.00)
30000200 HC RL INFLUENZA A ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 81.00)
30000783 HC RL INFLUENZA B LABORATORY - IMMUNOLOGY [0302] ( 81.00)
30000262 HC RL LEGIONELLA ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 80.00)
30000440 HC LEISHMANIA ANTIBODY IGG LABORATORY - IMMUNOLOGY [0302] ( 74.00)
30000265 HC RL LEPTOSPIRA AGGLUTINATION LABORATORY - IMMUNOLOGY [0302] ( 79.00)
30000627 HC RL LCM ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 77.00)
30000202 HC RL MUMPS ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 68.00)
30000640 HC RL MUMPS ANTIBODY IGM LABORATORY - IMMUNOLOGY [0302] ( 68.00)
30000206 HC RL MYCOPLASMA ANTIBODY IGG LABORATORY - IMMUNOLOGY [0302] ( 73.00)
30000786 HC RL MYCOPLASMA AB IGM LABORATORY - IMMUNOLOGY [0302] ( 73.00)
30000208 HC RL PARVOVIRUS B19 ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 80.00)
30000700 HC RL PARVOVIRUS ANTIBODY IGG LABORATORY - IMMUNOLOGY [0302] ( 80.00)
30000701 HC RL PARVOVIRUS ANTIBODY IGM LABORATORY - IMMUNOLOGY [0302] ( 80.00)
30000241HC RL AMEBIASIS(E.HISTOLYTICA)ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 74.00)
30000549 HC TRYPANOSOMA CRUZI ANTIBODY IGG LABORATORY - IMMUNOLOGY [0302] ( 74.00)
30000550 HC TRYPANOSOMA CRUZI ANTIBODY IGM LABORATORY - IMMUNOLOGY [0302] ( 74.00)
30000629 HC RL RSV ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 77.00)
30000194 HC ROCKY MTN SPOTTED FEVER AB IGG LABORATORY - IMMUNOLOGY [0302] ( 101.00)
30000636 HC RL TYPHUS FEVER ANTIBODIES LABORATORY - IMMUNOLOGY [0302] ( 101.00)
30000725HC ROCKY MOUNTAIN SPOTTED FEVER AB IGM LABORATORY - IMMUNOLOGY [0302] ( 101.00)
30000287 HC RL NEONATAL RUBELLA IGM ACUTE LABORATORY - IMMUNOLOGY [0302] ( 90.00)
30000341 HC RL RUBELLA HI LABORATORY - IMMUNOLOGY [0302] ( 90.00)
30000201 HC RL MEASLES ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 68.00)
30000784 HC RL MEASLES IGG LABORATORY - IMMUNOLOGY [0302] ( 68.00)
30000785 HC RL MEASLES IGM LABORATORY - IMMUNOLOGY [0302] ( 68.00)
30000386 HC RL TOXOPLASMA ANTIBODY IGG LABORATORY - IMMUNOLOGY [0302] ( 93.00)
30000285 HC RL TOXPLASMOSIS AB IGM LABORATORY - IMMUNOLOGY [0302] ( 193.00)
30000734HC RL FLUOR. TREPONEMAL PALLIDUM AB SERUM LABORATORY - IMMUNOLOGY [0302] ( 64.00)
30000631 HC RL TRICHINELLA ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 75.00)
30000385 HC RL VARICELLA ZOSTER (VZ) ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 77.00)
30000591 HC RL VARICELLA ZOSTERIGM ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 77.00)
30000898 HC RL WEST NILE VIRUS IGM LABORATORY - IMMUNOLOGY [0302] ( 80.00)
30000897 HC RL WEST NILE VIRUS IGG LABORATORY - IMMUNOLOGY [0302] ( 107.00)
30000207 HC RL PARAINFLUENZA AB LABORATORY - IMMUNOLOGY [0302] ( 77.00)
30000452 HC RL DENGUE FEVER ANTIBODY IGM LABORATORY - IMMUNOLOGY [0302] ( 77.00)
30000625 HC RL DENGUE FEVER ANTIBODY IGG LABORATORY - IMMUNOLOGY [0302] ( 77.00)
30000708 HC RL HTLV I&II ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 77.00)
30000855 HC RL HANTAVIRUS ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 116.00)
30000935 HC HEPATITIS E IGG LABORATORY - IMMUNOLOGY [0302] ( 77.00)
30000936 HC HEPATITIS E IGM LABORATORY - IMMUNOLOGY [0302] ( 77.00)
30000219 HC HEPATITIS C AB LABORATORY - IMMUNOLOGY [0302] ( 197.00)
30000231 HC RL CYTOTOXICITY CROSSMATCH W/TITR LABORATORY - IMMUNOLOGY [0302] ( 312.00)
30000930 HC RL CYTOTOXICITY XMATCH W/O TITR LABORATORY - IMMUNOLOGY [0302] ( 548.00)
30000232 HC RL CYTOTOXIC ANTIBODY SCREEN LABORATORY - IMMUNOLOGY [0302] ( 186.00)
30000235 HC RL HLA B27 ANTIGEN LABORATORY - IMMUNOLOGY [0302] ( 183.00)
30000225 HC RL HLA A B OR C TYPING LABORATORY - IMMUNOLOGY [0302] ( 345.00)
30001013 HC RL GM-CSF SERUM LABORATORY - IMMUNOLOGY [0302] ( 115.00)
30000944 HC ANTIBODY ELUTION (RBC) LABORATORY - IMMUNOLOGY [0302] ( 161.00)
30000104 HC COOMBS (DIRECT) LABORATORY - IMMUNOLOGY [0302] ( 51.00)
30000945 HC ANTIGLOBULIN; POLY DIRECT LABORATORY - IMMUNOLOGY [0302] ( 51.00)
30000946 HC ANTIGLOBULIN; IGG DIRECT LABORATORY - IMMUNOLOGY [0302] ( 84.00)
30000947 HC ANTIGLOBULIN; CONT DIRECT LABORATORY - IMMUNOLOGY [0302] ( 71.00)
30000948 HC AB ID(RBC) SEL CELLSQUAL;EA LABORATORY - IMMUNOLOGY [0302] ( 232.00)
30000949 HC ANTIBODY TITER (RBC AB)INDIR LABORATORY - IMMUNOLOGY [0302] ( 232.00)
30000964HC AUTOLOGOUS/DIRECTED NOT TRANSFUSED LABORATORY - GENERAL CLASSIFICATION [0300] ( 243.00)
30000950 HC BLOOD TYPING ABO LABORATORY - GENERAL CLASSIFICATION [0300] ( 189.00)
30000951 HC BLOOD TYPING RH LABORATORY - GENERAL CLASSIFICATION [0300] ( 73.00)
30000952 HC AG SCREEN W/REAGENTPER UNIT LABORATORY - GENERAL CLASSIFICATION [0300] ( 387.00)
30000953 HC ANTIGEN TYPE PATIENT LABORATORY - GENERAL CLASSIFICATION [0300] ( 387.00)
30000963 HC RL HIGH INCIDENCE AG TYPE ARC LABORATORY - GENERAL CLASSIFICATION [0300] ( 387.00)
30000999 HC RL RH PHENOTYPING COMPLETE LABORATORY - GENERAL CLASSIFICATION [0300] ( 47.00)
30000954 HC COMPATIBILITY TEST IS; EA UNIT LABORATORY - GENERAL CLASSIFICATION [0300] ( 152.00)
30001000 HC RL DILUTION OF SERUM LABORATORY - GENERAL CLASSIFICATION [0300] ( 232.00)
30000569 HC ELECTRONIC CROSSMATCH LABORATORY - GENERAL CLASSIFICATION [0300] ( 232.00)
30000955 HC RL FREEZING RED CELLS ARC;EA LABORATORY - IMMUNOLOGY [0302] ( 256.00)
30000965 HC RL DEGLYCEROLIZING ARC LABORATORY - IMMUNOLOGY [0302] ( 235.00)
30000956 HC RL IRRADIATION ARC; EACH LABORATORY - IMMUNOLOGY [0302] ( 122.00)
30000957 HC RL IRRAD; ADD FOR NIGHT ARC LABORATORY - IMMUNOLOGY [0302] ( 122.00)
30000962 HC RL IRRAD;ADD FOR NIGHT ACH LABORATORY - IMMUNOLOGY [0302] ( 122.00)
30000958 HC POOLING OFBLD PRODUCTS LABORATORY - GENERAL CLASSIFICATION [0300] ( 269.00)
30000966 HC RL RETICULOCYTE SEPARATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 135.00)
30000959 HC ANTIBODY ABSORPTION LABORATORY - IMMUNOLOGY [0302] ( 170.00)
30000960 HC RL TYPE AB SURCHARGE ARC LABORATORY - OTHER LABORATORY [0309] ( 125.00)
30000731HC RL CONCENTRATION FOR INFECTIOUS AGENTS
LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 41.00)
30000293 HC PEDIATRIC BLOOD CULTUREAEROLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 305.00)
30000841 HC BLOOD CULTURE AEROLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 305.00)
30000842 HC FECES CULTURE SALM SHIGAEROBLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 137.00)
30000862 HC FECES CULTURE CAMPY YER VIBRIOLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 41.00)
30000967 HC FECES CULTURE FOR E. COLI 0157LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 41.00)
30000114 HC CULTURE (MISC SOURCE) LABORATORY - GENERAL CLASSIFICATION [0300] ( 305.00)
30000843HC UPPER RESPIRATORY CULTURE (THROAT/NOSE) LABORATORY - GENERAL CLASSIFICATION [0300] ( 305.00)
30000982 HC QUANTITATIVE BACTERIAL CULTURELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 164.00)
30000184 HC ANA CULTURELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 164.00)
30000730 HC ORGANISM IDENTIFICATIONANAEROBICLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 115.00)
30000837 HC ORGANISM IDENTIFICATIONAEROBLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 115.00)
30000062 HC ACANTHAMOEBA CULTURE SCREENLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 64.00)
30000189 HC GC SCREENLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 64.00)
30000212 HC MATERNAL GROUP B STREP SCREENLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 64.00)
30000264 HC LEGIONELLA SCREENLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 64.00)
30000800 HC RL BARTONELLA CULTURE SCREENLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 64.00)
30000899 HC MULTIDRUG RESISTANT ORG CULT SCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 64.00)
30001014 HC RL BORRELIA BURGDORFERI CULTURELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 64.00)
30000840 HC CULTUREBACT W/ISOL URINELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 187.00)
30000845 HC FUNGUS CULTURE (SKIN/NAILS ONLY)LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 51.00)
30000183 HC FUNGUS SMEARS AND CULTURESLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 157.00)
30000844 HC FUNGUS CULTURE (BLOOD ONLY)LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 156.00)
30000849 HC YEAST IDENTIFICATIONLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 99.00)
30000861 HC MOLD IDENTIFICATIONLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 119.00)
30000968 HC REFERRED MOLD IDENTIFICATIONLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 119.00)
30000246HC RL UREAPLASMA/MYCOPLASMA CULTURE
LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 130.00)
30000095 HC RL CHLAMYDIA CULTURELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 156.00)
30000850 HC AFB IDENTIFICATION (CONVENTIONAL)LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 111.00)
30000927HC RL CULTURE TYPING IMMUNOFLUORESCENCE
LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 37.00)
30000998 HC MYCOBACTERIAL IDENTIFICATIONLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 75.00)
30000362 HC CANDIDA ALBICANS PNA FISHLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 162.00)
30000404 HC CANDIDA GLABRATA PNA FISHLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 162.00)
30000851 HC M. GORDONAENAPLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 162.00)
30000859 HC M. TUBERCULOSIS COMPLEXNAPLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 162.00)
30000860 HC M. INTRACELLAVIUM COMPLENAPLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 162.00)
30000915 HC ARTHROPOD EXAMLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 26.00)
30000916 HC PARASITES MICROSCOPIC EXAMLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 26.00)
30000307 HC PINWORM SCOTCH TAPE EXAMLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 26.00)
30000839 HC MIC (ANAEROBIC)EACH DRUGLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 29.00)
30000867HC DISK DIFF FOR RAP GROW MYCOBACTERIUM
LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 42.00)
30000182 HC RL FUNGUS SENSITIVITY 1 DRUGLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 94.00)
30000838 HC RL QU MIC (AEROBIC)LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 50.00)
30000864 HC YEAST SENSITIVITYLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 94.00)
30000866HC MIC FOR RAPID GROWING MYCOBACTERIUM
LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 94.00)
30000868 HC RL AMPHOTERICIN B SUSCEPTIBILITYLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 49.00)
30000865HC RL MACRO BROTH DILUTION (EACH AGENT)
LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 32.00)
30000869 HC RL MOLD SUSCEPTIBILITY OTHERLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 32.00)
30000852 HC AFB SUSCEPTIBILITYLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 34.00)
30000345 HC RL SERUM INHIBITIONLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 69.00)
30000276 HC MALARIA SMEARLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 73.00)
30000917 HC STAIN FOR COCCIDIALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 73.00)
30000863 HC OVA & PARASITE EXAMTRICHROMELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 90.00)
30000243 HC INDIA INK PREP (CSF)LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 56.00)
30000848 HC FUNGUS (WET PREP) SMEARLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 56.00)
30000411 HC RL VIRAL CULTURETISSUELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 156.00)
30000926HC RL HSV CUL C TYPTS CULTADD'L STUDIES
LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 124.00)
30000087 HC RL CHLAMYDIA DIRECT FALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 58.00)
30000349 HC RL CMV ANTIGEN DFALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 58.00)
30000726 HC RL HERPES ANTIGENHSV IIDFALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 58.00)
30000632 HC RL HERPES ANTIGENHSV IDFALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 58.00)
30000847HC RL FLUORESCENT ANTIBODY STAIN(LEGIONELLA
LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 58.00)
30000505 HC PNEUMOCYSTIS JIROVECI BY DFALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 58.00)
30000633 HC RL VARICELLA ZOSTER ANTIGENLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 58.00)
30000919HC RL ASPERGILLUS GALACTOMANNAN AG BY EIA
LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 90.00)
30000823 HC CLOSTRIDIUM DIFFICILE TOXINLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 58.00)
30000749 HC CRYPTOSPORIDIUM AG EIALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 58.00)
30000191 HC GIARDIA AG EIALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 58.00)
30000036 HC HEPATITUS B SURFACE AG EIALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 271.00)
30000658 HC RL HEPATITIS BE ANTIGENLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 69.00)
30000576 HC HIV 1 & 2LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 330.00)
30000707 HC INFLUENZA A/BAGEIALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 58.00)
30000333 HC RESP SYNCYTIAL AGEIALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 107.00)
30000343 HC ROTAVIRUS AG EIALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 58.00)
30000846 HC STREP A AG EIALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 98.00)
30000415 HC RL FUNGITELL BD GLUCANLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 151.00)
30000451 HC CLOSTRIDIUM DIFFICILE ANTIGENLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 151.00)
30000824 HC RL BLASTOMYCCES ANTIGENLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 151.00)
30000854 HC RL LEGIONELLA ANTIGEN(URINE)EIALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 151.00)
30000652 HC RL LYME DIS DNA AMP PROBELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 182.00)
30000858 HC CHYLMD TRAC DNA DIR PROBELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 123.00)
30000461 HC CHLAMYDIA TRACHOMATIS BY APTIMALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 182.00)
30000706 HC RL VI CMV PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 117.00)
30000723 HC RL HEPATITIS B DNA QUANTLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 250.00)
30000429 HC RL HEPATITIS C RNA AMP PROBELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 209.00)
30000583 HC RL HEPATITIS C RNA QUANTLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 256.00)
30000756 HC RL AR HCV QUANT NAATLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 122.00)
30000920 HC HSV1 BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 182.00)
30000921 HC HSV2 BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 182.00)
30000562 HC HERPESVIRUS 6 (HHV6) QUANT. PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 285.00)
30000602 HC RL HIV1 DNA QUANTLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 441.00)
30000490 HC AFB M. TUBERCULOSIS DNA BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 213.00)
30000732 HC RL MTB AMPLIFIED PROBELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 213.00)
30000795 HC RL MYCOBACTERIAL TB DIRECT PROBELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 213.00)
30000122 HC DNA PROBE GC SCREENLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 119.00)
30000601 HC RL HPV DNA AMP PROBELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 189.00)
30000753 HC RL HUMAN PAPILLOMAVIRUS HIGHLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 189.00)
30001040 HC S. AUREUS PCR (NAAT) S. AUREUSLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 156.00)
30001039 HC S. AUREUS PCR (NAAT) MRSALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 156.00)
30000896 HC HISTO PROBE IDLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 208.00)
30000455 HC MUMPS VIRUS RNA QUALTITATIVE PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)
30000473 HC TROPHERYMA WHIPPLEI DNA BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)
30000504 HC PNEUMOCYSTIS JIROVECI BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)
30000506 HC JC VIRUS BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)
30000518HC ROCKY MOUNTAIN SPOTTED FEVER BY PCR
LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)
30000560 HC TOXOPLASMA GONDII BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)
30000572 HC RL NOROVIRUS GROUP 1 & 2 BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)
30000735 HC RL ENTEROVIRUS PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)
30000829 HC PARVOVIRUS B19 BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)
30000835 HC RL EHRLICHIA ANTIBODY DNA PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)
30000853 HC RL VI VZV PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 117.00)
30000928 HC WEST NILE VIRUS RNA BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)
30001027 HC RL RSV RNA BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)
30001028HC RL PARAINFLUENZA (TYPE 12&3) RNA BY PCR
LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)
30001029 HC RL RHINOVIRUS RNA BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)
30001030 HC RL METAPNEUMOVIRUS RNA BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)
30000519 HC J C POLYOMA VIRUS DNA QNT BY RTPCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 321.00)
30000878HC EPSTEIN BARR VIRUS QUANTITATIVE BY PCR
LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 321.00)
30001042HC RL PARVOVIRUS B19 BY PCR QUANTITATIVE
LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 321.00)
30000619HC RL GC/CHLAMYDIA BY AMPLIFIED DETECTION
LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)
30001011HC RL BORDETELLA PERTUSSIS PARAPERTUSPCR
LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)
30000065 HC RL CANDIDA ANTIGEN W/OPTICLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 78.00)
30000450 HC RL STREP PNEUMONIAE ANTIGEN URINELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 78.00)
30000614 HC RL HIV GENOTYPE PLUSLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 1,333.00)
30000608 HC RL HEPATITIS C GENOTYPE BY NUCLLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 992.00)
30001023HC RL CHARCOT MARIE TOOTH TISSUE CULT. LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 397.00)
30001024 HC RL CHARCOT MARIE TOOTH DNA PROBE LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 130.00)
30001025HC RL CHARCOT MARIE TOOTH CELL ANALYSIS LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 166.00)
30001026HC RL CHARCOT MARIE TOOTH INTRP & RPT LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 99.00)
30000085 HC SPINAL FLUID COUNT LABORATORY - GENERAL CLASSIFICATION [0300] ( 119.00)
30000086 HC BODY FLUID COUNT LABORATORY - GENERAL CLASSIFICATION [0300] ( 119.00)
30000119 HC CRYSTALS BODY FLUIDS LABORATORY - GENERAL CLASSIFICATION [0300] ( 102.00)
30000143 HC EOSINOPHIL COUNT LABORATORY - GENERAL CLASSIFICATION [0300] ( 58.00)
30000762 HC RL SEMEN COUNTPOST VASECTOMY LABORATORY - GENERAL CLASSIFICATION [0300] ( 111.00)
30000061HC RL SEMEN ANALYSISCOMPLT KRUGER CRITERIA LABORATORY - GENERAL CLASSIFICATION [0300] ( 113.00)
30000432HC RL REFER TO OTHER LAB HANDLING CHARG LABORATORY - GENERAL CLASSIFICATION [0300] ( 31.00)
30000704 HC PSASCREENING LABORATORY - CHEMISTRY [0301] ( 246.00)
30100057HC RL MIDAZOLAM SERUM OR PLASMA (VERSED) LABORATORY - CHEMISTRY [0301] ( 121.00)
30100026 HC QUINIDINE LEVELQUANT LABORATORY - CHEMISTRY [0301] ( 99.00)
30100024 HC METHATREXATE LABORATORY - CHEMISTRY [0301] ( 92.00)
30100038HC RL LACOSAMIDE(VIMPAT)SERUM OR PLASMA LABORATORY - CHEMISTRY [0301] ( 92.00)
30100041 HC RISPERIDONE LABORATORY - CHEMISTRY [0301] ( 92.00)
30100071 HC RL QU POSCACONAZOLE LABORATORY - CHEMISTRY [0301] ( 194.00)
30100148 HC RL BACLOFEN QUANTITATION LABORATORY - CHEMISTRY [0301] ( 92.00)
30100204 HC RL STREPTOMYCIN PEAK LABORATORY - CHEMISTRY [0301] ( 92.00)
30100205 HC RL STREPTOMYCIN TROUGH LABORATORY - CHEMISTRY [0301] ( 92.00)
30100042HC ALDOSTERONE SUPRESSION EVAL (W/RENIN) LABORATORY - CHEMISTRY [0301] ( 650.00)
30100189HC RL BENCE JONES PROTEINMICROALBUMIN LABORATORY - CHEMISTRY [0301] ( 80.00)
30100004 HC URINE ALCOHOL LABORATORY - CHEMISTRY [0301] ( 78.00)
30100043 HC ALDOSTERONE LABORATORY - CHEMISTRY [0301] ( 214.00)
30100195 HC RL ALPHA1ANTITRYPSIN PHENOTYPE LABORATORY - CHEMISTRY [0301] ( 99.00)
30100021 HC RL APOLIPOPROTEIN EACH LABORATORY - CHEMISTRY [0301] ( 93.00)
30100255HC RL HEAVY METALSURINE ARSENICFRACTION LABORATORY - CHEMISTRY [0301] ( 108.00)
30100263HC RL CARBOHYDRATE DEFICIENT TRANSFERRIN LABORATORY - CHEMISTRY [0301] ( 114.00)
30100163 HC RL BICARBONATE URINE LABORATORY - CHEMISTRY [0301] ( 56.00)
30100188 HC RL CARBOXYHEMOGLOBINQUANT LABORATORY - CHEMISTRY [0301] ( 127.00)
30100172 HC RL IBD SGI ICAM LABORATORY - CHEMISTRY [0301] ( 164.00)
30100173 HC RL IBD SGI VCAM LABORATORY - CHEMISTRY [0301] ( 164.00)
30100174 HC RL IBD SGI SAA LABORATORY - CHEMISTRY [0301] ( 164.00)
30100219 HC RL IMMUNO(CYLEX) ASSAY LABORATORY - CHEMISTRY [0301] ( 164.00)
30100013 HC CHOLESTEROL TOTAL LABORATORY - CHEMISTRY [0301] ( 64.00)
30100200 HC RL MITOTANE LYSODREN LABORATORY - CHEMISTRY [0301] ( 108.00)
30100233 HC RL PRO PREDICT 6MP (6TGN) LABORATORY - CHEMISTRY [0301] ( 108.00)
30100234 HC RL PRO PREDICT 6MP (6MMP) LABORATORY - CHEMISTRY [0301] ( 108.00)
30100139 HC RL KETAMINE LABORATORY - CHEMISTRY [0301] ( 108.00)
30100227 HC RL DIURETIC SURVEY URINE LABORATORY - CHEMISTRY [0301] ( 108.00)
30100185 HC RL NTELOPEPTIDE CROSSLINKED URINE LABORATORY - CHEMISTRY [0301] ( 112.00)
30100218HC RL NTELOPEPTIDE CROSSLINKED SERUM LABORATORY - CHEMISTRY [0301] ( 112.00)
30100070HC RL HALLUCINOGENS PROFILE URINE (GC/MS) LABORATORY - CHEMISTRY [0301] ( 129.00)
30100083 HC RL PREGABALIN LABORATORY - CHEMISTRY [0301] ( 129.00)
30100011 HC CREATININE LABORATORY - CHEMISTRY [0301] ( 83.00)
30100012 HC CREATININE LABORATORY - CHEMISTRY [0301] ( 83.00)
30100039 HC CYSTATIN C LABORATORY - CHEMISTRY [0301] ( 77.00)
30100015 HC RL COMPOUND S (11 DEOXY CORTISOL) LABORATORY - CHEMISTRY [0301] ( 152.00)
30100197 HC RL DIHYDROTESTOSTERONE LABORATORY - CHEMISTRY [0301] ( 148.00)
30100061 HC RL CHYLOMICRON SCREEN BODY FLUID LABORATORY - CHEMISTRY [0301] ( 186.00)
30100225 HC RL ESTROGENS SERUM FRACTIONATED LABORATORY - CHEMISTRY [0301] ( 156.00)
30100249 HC RL ETHYLENE GLYCOL (ANTIFREEZE) LABORATORY - CHEMISTRY [0301] ( 89.00)
30100018 HC RL FECAL FAT QUANT 72 HOUR LABORATORY - CHEMISTRY [0301] ( 76.00)
30100231 HC RL FECAL FAT QUANT 48 HOUR LABORATORY - CHEMISTRY [0301] ( 76.00)
30100232 HC RL FECAL FAT QUANT 24 HOUR LABORATORY - CHEMISTRY [0301] ( 76.00)
30100238 HC RL FECAL FAT QUANT LABORATORY - CHEMISTRY [0301] ( 76.00)
30100182 HC RL FREE FATTY ACIDS LABORATORY - CHEMISTRY [0301] ( 70.00)
30100059HC RL VERY LONG CHAIN/BRANCHED FATTY ACIDS LABORATORY - CHEMISTRY [0301] ( 108.00)
30100220HC RL GALACTOSE1PHOSPH URIDYL TRANSFERASE LABORATORY - CHEMISTRY [0301] ( 111.00)
30100022 HC IMMUNOGLOBULIN M LABORATORY - CHEMISTRY [0301] ( 23.00)
30100034 HC CELIAC SERO TOTAL IGA LABORATORY - CHEMISTRY [0301] ( 107.00)
30100210 HC RL IMMUNOGLOBULIN D LABORATORY - CHEMISTRY [0301] ( 107.00)
30100229 HC RL CELIAC DISEASE REFLEXIVE PANEL LABORATORY - CHEMISTRY [0301] ( 107.00)
30100183 HC 02 SATURATION LABORATORY - CHEMISTRY [0301] ( 46.00)
30100019 HC RL GASTRIC ANALYSISFREE/TOTAL LABORATORY - CHEMISTRY [0301] ( 27.00)
30100020 HC GLUCOSEONE HOUR POST GLUCOLA LABORATORY - CHEMISTRY [0301] ( 29.00)
30100046 HC GTT 3 SPECIMENS LABORATORY - CHEMISTRY [0301] ( 68.00)
30100090 HC GTT EA. ADDL BEYOND 3 SPECIMENS LABORATORY - CHEMISTRY [0301] ( 21.00)
30100007 HC GLUCOSE;BLD BY MONITOR DEVICE LABORATORY - CHEMISTRY [0301] ( 64.00)
30100033 HC RL HELIOBACTER PYLORI BREATH TEST LABORATORY - CHEMISTRY [0301] ( 320.00)
30100036 HC COBALT LABORATORY - CHEMISTRY [0301] ( 131.00)
30100028 HC GLYCOHEMOGLOBIN (HGB A1C) LABORATORY - CHEMISTRY [0301] ( 182.00)
30100008HC RL MITOCHONDRIAL M2 ANTIBODY IGG ELISA LABORATORY - CHEMISTRY [0301] ( 85.00)
30100037 HC RL GLIADIN PEPTIDE ANTIBODY IGG LABORATORY - CHEMISTRY [0301] ( 85.00)
30100047 HC RL TRYPTASE URINE LABORATORY - CHEMISTRY [0301] ( 85.00)
30100150 HC RL MYOSITIS AB1 PANEL MI2 LABORATORY - CHEMISTRY [0301] ( 69.00)
30100151 HC RL MYOSITIS AB1 PANEL PL12 LABORATORY - CHEMISTRY [0301] ( 85.00)
30100152 HC RL MYOSITIS AB1 PANEL PL7 LABORATORY - CHEMISTRY [0301] ( 69.00)
30100153 HC RL MYOSITIS AB1 PANEL EJ LABORATORY - CHEMISTRY [0301] ( 69.00)
30100154 HC RL MYOSITIS AB1 PANEL OJ LABORATORY - CHEMISTRY [0301] ( 69.00)
30100159 HC RL MYOSITIS AB1 PANEL SRP LABORATORY - CHEMISTRY [0301] ( 85.00)
30100160 HC RL MYOSITIS AB1 PANEL KU LABORATORY - CHEMISTRY [0301] ( 85.00)
30100161 HC RL MYOSITIS AB1 PANEL U2 SNRNP LABORATORY - CHEMISTRY [0301] ( 85.00)
30100215HC RL CYCLIC CITRULLINATED PEPTIDE AB IGG LABORATORY - CHEMISTRY [0301] ( 85.00)
30100228 HC RL FACTIN(SMOOTH MUSCLE) AB IGG LABORATORY - CHEMISTRY [0301] ( 85.00)
30100243 HC RL GANGLIOSIDE ABASIALO GM1 LABORATORY - CHEMISTRY [0301] ( 85.00)
30100244 HC RL GANGLIOSIDE ABGM1 LABORATORY - CHEMISTRY [0301] ( 85.00)
30100245 HC RL GANGLIOSIDE ABGM2 LABORATORY - CHEMISTRY [0301] ( 85.00)
30100246 HC RL GANGLIOSIDE ABGD1A LABORATORY - CHEMISTRY [0301] ( 85.00)
30100247 HC RL GANGLIOSIDE ABGD1B LABORATORY - CHEMISTRY [0301] ( 85.00)
30100248 HC RL GANGLIOSIDE ABGQ1B LABORATORY - CHEMISTRY [0301] ( 85.00)
30100259 HC RL MPO/PR3 (ANCA) ANTIBODIES LABORATORY - CHEMISTRY [0301] ( 85.00)
30100005HC RL ACETYLCHOLINE RECEPTOR BINDING AB LABORATORY - CHEMISTRY [0301] ( 83.00)
30100067 HC RL AMYLOID BETA PROTEIN LABORATORY - CHEMISTRY [0301] ( 83.00)
30100119 HC RL ACHR ANTIBODY TEST LABORATORY - CHEMISTRY [0301] ( 83.00)
30100141 HC RL PARANEOPLASTIC AB PN ACH LABORATORY - CHEMISTRY [0301] ( 100.00)
30100142 HC RL PARANEOPLASTIC AB PN ACHR LABORATORY - CHEMISTRY [0301] ( 100.00)
30100143 HC RL PARANEOPLASTIC AB PN VGKC LABORATORY - CHEMISTRY [0301] ( 100.00)
30100144 HC RL PARANEOPLASTIC AB PN N TYPE CA LABORATORY - CHEMISTRY [0301] ( 100.00)
30100145HC RL PARANEOPLASTIC AB PN P/Q TYPE CA LABORATORY - CHEMISTRY [0301] ( 100.00)
30100147HC RL CORTICOTROPIN RELEASING HORMONE LABORATORY - CHEMISTRY [0301] ( 83.00)
30100191HC RL PARATHYROID HORMONERELATED PEPTIDE LABORATORY - CHEMISTRY [0301] ( 83.00)
30100202HC RL MYASTHENIA GRAVIS PNACHR BINDING AB LABORATORY - CHEMISTRY [0301] ( 83.00)
30100203HC RL MYASTHENIA GRAVIS PNACHR BLOCKING AB LABORATORY - CHEMISTRY [0301] ( 83.00)
30100213 HC RL MUSK ANTIBODY TEST LABORATORY - CHEMISTRY [0301] ( 83.00)
30100230HC RL VOLTAGE GATED CALCIUM CHANNEL AB LABORATORY - CHEMISTRY [0301] ( 232.00)
30100250 HC PANCREASTATIN LABORATORY - CHEMISTRY [0301] ( 83.00)
30100084 HC RL CROHN'S PROGNOSTIC PNL ANTI 12 LABORATORY - CHEMISTRY [0301] ( 180.00)
30100091 HC RL SERUM INFLIXIMAB ANTITNF LABORATORY - CHEMISTRY [0301] ( 180.00)
30100110 HC RL PANCREATIC ELASTASE FECAL LABORATORY - CHEMISTRY [0301] ( 180.00)
30100133 HC RL INTERLEUKIN 5 LABORATORY - CHEMISTRY [0301] ( 180.00)
30100140HC RL FIBROBLAST GROWTH FACTOR 23 (FGF23) LABORATORY - CHEMISTRY [0301] ( 180.00)
30100146 HC RL PARANEOPLASTIC AB PN STRIATED LABORATORY - CHEMISTRY [0301] ( 96.00)
30100149HC RL VASCULAR ENDOTHELIAL GROWTH FACTOR LABORATORY - CHEMISTRY [0301] ( 180.00)
30100164 HC RL IBD SGI ASCA IGA LABORATORY - CHEMISTRY [0301] ( 180.00)
30100165 HC RL IBD SGI ASCA IGG LABORATORY - CHEMISTRY [0301] ( 180.00)
30100166 HC RL IBD SGI ANCA IGG LABORATORY - CHEMISTRY [0301] ( 180.00)
30100167 HC RL IBD SGI ANTI OMPC LABORATORY - CHEMISTRY [0301] ( 180.00)
30100168 HC RL IBD SGI ANTI CBIR1 LABORATORY - CHEMISTRY [0301] ( 180.00)
30100169 HC RL IBD SGI FLA2 LABORATORY - CHEMISTRY [0301] ( 180.00)
30100170 HC RL IBD SGI FLAX LABORATORY - CHEMISTRY [0301] ( 180.00)
30100171 HC RL IBD SGI VEGF LABORATORY - CHEMISTRY [0301] ( 180.00)
30100184 HC RL TAU/AB42 CSF ANALYSIS LABORATORY - CHEMISTRY [0301] ( 180.00)
30100199 HC RL TRYPTASE LABORATORY - CHEMISTRY [0301] ( 180.00)
30100207 HC RL PARANEOPLASTIC PROFILE LABORATORY - CHEMISTRY [0301] ( 180.00)
30100258 HC RL PANCREATIC ELASTASE FECAL LABORATORY - CHEMISTRY [0301] ( 180.00)
30100262HC RL HUMAN ANTICHIMARIC ANTIBODY HACA LABORATORY - CHEMISTRY [0301] ( 180.00)
30100226 HC RL LACTOFERRIN FECAL(QUAL) LABORATORY - CHEMISTRY [0301] ( 98.00)
30100190HC FETAL LUNG MATURITY(LAMELLAR BODY COUNT) LABORATORY - CHEMISTRY [0301] ( 84.00)
30100023 HC MAGNESIUM SERUM LABORATORY - CHEMISTRY [0301] ( 234.00)
30100187HC RL SULFONYLUREA HYPOGLYCEMICS SERPLASMA LABORATORY - CHEMISTRY [0301] ( 108.00)
30100069HC RL HALLUCINOGENS PROFILE URINE (MS/MS) LABORATORY - CHEMISTRY [0301] ( 108.00)
30100073 HC RL URINARY BILE ACID PROFILE FABMS LABORATORY - CHEMISTRY [0301] ( 108.00)
30100194 HC RL CARNITINE TOTAL LABORATORY - CHEMISTRY [0301] ( 108.00)
30100201 HC RL MYELOPEROXIDASE ANTIBODY LABORATORY - CHEMISTRY [0301] ( 146.00)
30100261HC PROBRAIN NATRIURETIC PEPTIDE(PRO BNP) LABORATORY - CHEMISTRY [0301] ( 232.00)
30100025 HC RL NICOTENE LABORATORY - CHEMISTRY [0301] ( 189.00)
30100196 HC RL NICOTINE URINE LABORATORY - CHEMISTRY [0301] ( 184.00)
30100044 HC RL AML1/ETO T(8:21) ISOLATION LABORATORY - CHEMISTRY [0301] ( 25.00)
30100045 HC RL CBFB MYH11 BY PCR ISOLATION LABORATORY - CHEMISTRY [0301] ( 25.00)
30100079 HC RL BACTERIAL PCR ISOLATION LABORATORY - CHEMISTRY [0301] ( 48.00)
30100048HC RL HEMIPLEGIC MIGRAINE EVAL ISOLATION LABORATORY - CHEMISTRY [0301] ( 51.00)
30100053 HC RL ALPHA1 ANTITRYPSIN ISOLATION LABORATORY - CHEMISTRY [0301] ( 30.00)
30100062 HC RL CADASIL EVALUATION ISOLATION LABORATORY - CHEMISTRY [0301] ( 62.00)
30100075 HC RL FRIEDREICH ATAXIA DNA ISOLATION LABORATORY - CHEMISTRY [0301] ( 189.00)
30100085HC RL CROHN'S PROGNOSTIC PNL ISOLATION LABORATORY - CHEMISTRY [0301] ( 51.00)
30100092 HC RL HLA B5701 GENOTYPING ISOLATION LABORATORY - CHEMISTRY [0301] ( 36.00)
30100096HC RL 5 FLUOROURACIL SENSITIVITY ISOLATION LABORATORY - CHEMISTRY [0301] ( 29.00)
30100101HC MYOTONIC DYSTROPHY TYPE 2 DNAISOLATION LABORATORY - CHEMISTRY [0301] ( 270.00)
30100111HC RL FLT3 NPM1 MUTATION ANALISOLATION LABORATORY - CHEMISTRY [0301] ( 51.00)
30100124HC RL PLATELET ANTIGEN4 GENOTYPE ISOLATION LABORATORY - CHEMISTRY [0301] ( 29.00)
30100128HC RL MITOCHONDRIAL DNA GENOME ISOLATION LABORATORY - CHEMISTRY [0301] ( 32.00)
30100134 HC RL CEBPA MUTATION ISOLATION LABORATORY - CHEMISTRY [0301] ( 66.00)
30100155HC RL NPM1 MUTATION ANALYSIS ISOLATION LABORATORY - CHEMISTRY [0301] ( 34.00)
30100251 HC RL CELIAC GENETICS ISOLATION LABORATORY - CHEMISTRY [0301] ( 51.00)
30100076HC RL FRIEDREICH ATAXIA DNA SEPARATION LABORATORY - CHEMISTRY [0301] ( 189.00)
30100081 HC RL BACTERIAL PCR SEPARATION LABORATORY - CHEMISTRY [0301] ( 48.00)
30100112HC RL FLT3 NPM1 MUTATION ANALSEPARATION LABORATORY - CHEMISTRY [0301] ( 51.00)
30100136 HC RL CEBPA MUTATION SEPARATION LABORATORY - CHEMISTRY [0301] ( 66.00)
30100257HC RL TB PCR ELECTROPHORESIS SEPARATION LABORATORY - CHEMISTRY [0301] ( 61.00)
30100055HC RL ALPHA1 ANTITRYPSIN NUC ACID PROBES LABORATORY - CHEMISTRY [0301] ( 30.00)
30100087HC RL CROHN'S PROGNOSTIC PNL N.A. PROBE LABORATORY - CHEMISTRY [0301] ( 7.00)
30100094HC RL HLA B5701 GENOTYPING NUCLEIC ACID PRB LABORATORY - CHEMISTRY [0301] ( 36.00)
30100107 HC RL AML1/ETO T(8:21) EA. NUCLEIC ACID LABORATORY - CHEMISTRY [0301] ( 25.00)
30100122HC RL CBFB MYH11 BY PCR N.A. PROBE EACH LABORATORY - CHEMISTRY [0301] ( 25.00)
30100126HC RL PLATELET ANTIGEN4 GENOTYPE NA PROBES LABORATORY - CHEMISTRY [0301] ( 29.00)
30100180 HC RL IBD SGI NUCLEIC ACID PROBE LABORATORY - CHEMISTRY [0301] ( 51.00)
30100236 HC RL APOE NUCLEIC ACID PROBE LABORATORY - CHEMISTRY [0301] ( 23.00)
30100253HC RL CELIAC GENETICSNUCLEIC ACID PROBEEA LABORATORY - CHEMISTRY [0301] ( 51.00)
30100049HC RL HEMIPLEGIC MIGRAINE EVAL ISOLATION LABORATORY - CHEMISTRY [0301] ( 105.00)
30100054HC RL ALPHA1 ANTITRYPSIN AMPLIFICATION LABORATORY - CHEMISTRY [0301] ( 105.00)
30100063 HC RL CADASIL EVALATION AMPLIFICATION LABORATORY - CHEMISTRY [0301] ( 105.00)
30100077HC RL FRIEDREICH ATAXIA DNA AMPLIFICATION LABORATORY - CHEMISTRY [0301] ( 189.00)
30100080 HC RL BACTERIAL PCR AMPLIFICATION LABORATORY - CHEMISTRY [0301] ( 105.00)
30100086HC RL CROHN'S PROGNOSTIC PNL AMPLIFICATION LABORATORY - CHEMISTRY [0301] ( 29.00)
30100093HC RL HLA B5701 GENOTYPING AMPLIFICATION LABORATORY - CHEMISTRY [0301] ( 105.00)
30100102HC MYOTONIC DYSTROPHY TYPE 2 DNAAMPLIFI. LABORATORY - CHEMISTRY [0301] ( 270.00)
30100113 HC RL FLT3 NPM1 MUTATION ANALAMPL LABORATORY - CHEMISTRY [0301] ( 105.00)
30100125HC RL PLATELET ANTIGEN4 GENOTYPE AMPLIF. LABORATORY - CHEMISTRY [0301] ( 105.00)
30100129HC RL MITOCHONDRIAL DNA GENOME AMPLIF LABORATORY - CHEMISTRY [0301] ( 105.00)
30100135 HC RL CEBPA MUTATION AMPLIFICATION LABORATORY - CHEMISTRY [0301] ( 105.00)
30100156HC RL NPM1 MUTATION ANALYSIS AMPLIFICATION LABORATORY - CHEMISTRY [0301] ( 105.00)
30100176 HC RL IBD SGI ATG16L1 PCR LABORATORY - CHEMISTRY [0301] ( 105.00)
30100177 HC RL IBD SGI ECM1 PCR LABORATORY - CHEMISTRY [0301] ( 105.00)
30100178 HC RL IBD SGI NKX23 PCR LABORATORY - CHEMISTRY [0301] ( 105.00)
30100179 HC RL IBD SGI STAT3 PCR LABORATORY - CHEMISTRY [0301] ( 105.00)
30100097HC RL 5 FLUOROURACIL SENSITIV AMPLIFICATION LABORATORY - CHEMISTRY [0301] ( 60.00)
30100114HC RL FLT3 NPM1 MUTATION ANALAMP MULTIPLX LABORATORY - CHEMISTRY [0301] ( 60.00)
30100252HC RL CELIAC GENETICS NUCLEIC ACID AMPL. LABORATORY - CHEMISTRY [0301] ( 58.00)
30100098HC RL 5 FLUOROURACIL SENSITIVITY AMPADD. LABORATORY - CHEMISTRY [0301] ( 105.00)
30100106 HC RL AML1/ETO T(8:21) AMPLIFICATION LABORATORY - CHEMISTRY [0301] ( 105.00)
30100115HC RL FLT3 NPM1 MUTAT ANAL AMP MULTI EA ADD LABORATORY - CHEMISTRY [0301] ( 105.00)
30100121 HC RL CBFB MYH11 BY PCR AMPLIFICATION LABORATORY - CHEMISTRY [0301] ( 105.00)
30100105HC RL AML1/ETO T(8:21) REVERSE TRANSCRIPT. LABORATORY - CHEMISTRY [0301] ( 94.00)
30100120HC RL CBFB MYH11 BY PCR REVER TRANSCRIPT LABORATORY - CHEMISTRY [0301] ( 94.00)
30100130HC RL MITOCHONDRIAL DNA GENOME MUTATION LABORATORY - CHEMISTRY [0301] ( 105.00)
30100050HC RL HEMIPLEGIC MIGRAINE EVAL MUTATION ID LABORATORY - CHEMISTRY [0301] ( 105.00)
30100064 HC RL CADASIL EVALUATION MUTATION ID LABORATORY - CHEMISTRY [0301] ( 105.00)
30100116 HC RL FLT3 NPM1 MUTATION ANALID LABORATORY - CHEMISTRY [0301] ( 105.00)
30100131HC RL MITOCHONDRIAL DNA GENOME IDENTIFY LABORATORY - CHEMISTRY [0301] ( 105.00)
30100137 HC RL CEBPA MUTATION SEQUENCING LABORATORY - CHEMISTRY [0301] ( 105.00)
30100157HC RL NPM1 MUTATION ANALYSIS INDENTIFY LABORATORY - CHEMISTRY [0301] ( 105.00)
30100175 HC RL IBD SGI CELL LYSIS LABORATORY - CHEMISTRY [0301] ( 25.00)
30100051HC RL HEMIPLEGIC MIGRAINE EVAL SEP & ID LABORATORY - CHEMISTRY [0301] ( 30.00)
30100065HC RL CADASIL EVALUATION SEPARATION & ID LABORATORY - CHEMISTRY [0301] ( 62.00)
30100103HC MYOTONIC DYSTROPHY TYPE 2 DNAIDENT. LABORATORY - CHEMISTRY [0301] ( 270.00)
30100040 HC MGMT GENE MUTATION INTERP & RPT LABORATORY - CHEMISTRY [0301] ( 79.00)
30100052HC RL HEMIPLEGIC MIGRAINE EVAL INTRP & RPT LABORATORY - CHEMISTRY [0301] ( 51.00)
30100056 HC RL ALPHA1 ANTITRYPSIN INTRP & RPT LABORATORY - CHEMISTRY [0301] ( 30.00)
30100066 HC RL CADASIL EVALUATION INTERP & RPT LABORATORY - CHEMISTRY [0301] ( 62.00)
30100074HC RL URINARY BILE ACID PROFILE INTRP&RPT LABORATORY - CHEMISTRY [0301] ( 459.00)
30100078HC RL FRIEDREICH ATAXIA DNA INTRP & RPT LABORATORY - CHEMISTRY [0301] ( 189.00)
30100082 HC RL BACTERIAL PCR INTRP & RPT LABORATORY - CHEMISTRY [0301] ( 48.00)
30100088HC RL CROHN'S PROGNOSTIC PNL INTRP & RPT LABORATORY - CHEMISTRY [0301] ( 7.00)
30100095HC RL HLA B5701 GENOTYPING INTERP & RPT LABORATORY - CHEMISTRY [0301] ( 36.00)
30100100HC RL 5 FLUOROURACIL SENSITIVIE INTRP & RPT LABORATORY - CHEMISTRY [0301] ( 29.00)
30100104HC MYOTONIC DYSTROPHY TYPE 2 DNA INTRP/RPT LABORATORY - CHEMISTRY [0301] ( 270.00)
30100108 HC RL AML1/ETO T(8:21) INTERP & RPT LABORATORY - CHEMISTRY [0301] ( 25.00)
30100117HC RL FLT3 NPM1 MUTATION ANALINTERP&RPT LABORATORY - CHEMISTRY [0301] ( 51.00)
30100123 HC RL CBFB MYH11 BY PCR INTRP & RPT LABORATORY - CHEMISTRY [0301] ( 25.00)
30100127HC RL PLATELET ANTIGEN4 GENOTYPE INT & RPT LABORATORY - CHEMISTRY [0301] ( 29.00)
30100132HC RL MITOCHONDRIAL DNA GENOME INTRP & RPT LABORATORY - CHEMISTRY [0301] ( 32.00)
30100138 HC RL CEBPA MUTATION INTERP & RPT LABORATORY - CHEMISTRY [0301] ( 66.00)
30100158HC RL NPM1 MUTATION ANALYSIS INTERP & RPT LABORATORY - CHEMISTRY [0301] ( 34.00)
30100181 HC RL IBD SGI INTRP & RPT LABORATORY - CHEMISTRY [0301] ( 51.00)
30100237 HC RL TAU/AB42 CSF ANALYSISI & R LABORATORY - CHEMISTRY [0301] ( 287.00)
30100240 HC RL LEMS AB TEST; I & R LABORATORY - CHEMISTRY [0301] ( 556.00)
30100256 HC RL CELIAC GENETICS INTERP & RPT LABORATORY - CHEMISTRY [0301] ( 51.00)
30100099HC RL 5 FLUOROURACIL SENSITIVITY EXTENSION LABORATORY - CHEMISTRY [0301] ( 30.00)
30100208 HC RL VAP CHOLESTEROL LABORATORY - CHEMISTRY [0301] ( 220.00)
30100072 HC RL CALPROTECTIN FECAL LABORATORY - CHEMISTRY [0301] ( 98.00)
30100211 HC RL PROLIXIN(FLUPHENAZINE) LABORATORY - CHEMISTRY [0301] ( 103.00)
30100241 HC RL PLACENTAL ALPHA MICROGLOBULIN1 LABORATORY - CHEMISTRY [0301] ( 270.00)
30100060 HC RL AMPHIPHYSIN ANTIBODY LABORATORY - CHEMISTRY [0301] ( 113.00)
30100118HC RL 1433 ANTIGENWESTERN BLOT W/INTERP LABORATORY - CHEMISTRY [0301] ( 151.00)
30100162HC RL 1433 PRION PROTEIN AG WEST BLOTCJD LABORATORY - CHEMISTRY [0301] ( 151.00)
30100214 HC RL EATONLAMBERT AB WESTERN BLOT LABORATORY - CHEMISTRY [0301] ( 151.00)
30100206 HC RL VITAMIN B2 LABORATORY - CHEMISTRY [0301] ( 105.00)
30100192 HC RL SELENIUM SERUM LABORATORY - CHEMISTRY [0301] ( 133.00)
30100222HC TESTOSTERONE FREE&TOTALSHBGMALE LABORATORY - CHEMISTRY [0301] ( 131.00)
30100224HC RL TESTOSTERONE SHBGFEMALE OR CHILD LABORATORY - CHEMISTRY [0301] ( 131.00)
30100239 HC RL SOMATOSTATIN LABORATORY - CHEMISTRY [0301] ( 119.00)
30100089 HC RL HEMOGLOBIN SERUM LABORATORY - CHEMISTRY [0301] ( 73.00)
30100217 HC RL URINE SULFATE24 HOUR LABORATORY - CHEMISTRY [0301] ( 150.00)
30100029 HC RL TESTOSTERONE (MALES ONLY) LABORATORY - CHEMISTRY [0301] ( 148.00)
30100030 HC TESTOSTERONE FREE&TOTALMALE LABORATORY - CHEMISTRY [0301] ( 148.00)
30100221 HC RL TESTOSTERONE FEMALE OR CHILD LABORATORY - CHEMISTRY [0301] ( 148.00)
30100223HC RL TESTOSTERONEFREE&TOTALFEMALECHILD LABORATORY - CHEMISTRY [0301] ( 148.00)
30100109 HC RL CHRONIC URTICARIA INDX TSH LABORATORY - CHEMISTRY [0301] ( 240.00)
30100031 HC TOTAL T3 LABORATORY - CHEMISTRY [0301] ( 188.00)
30100058 HC RL TYROSINE PLASMA LABORATORY - CHEMISTRY [0301] ( 90.00)
30100035HC RL VANILLYLMANDELIC ACID URINE (VMA) LABORATORY - CHEMISTRY [0301] ( 81.00)
30100216 HC RL NIACIN VITAMIN B3 LABORATORY - CHEMISTRY [0301] ( 64.00)
30100235 HC SERUM VOLATILES ASSAY LABORATORY - CHEMISTRY [0301] ( 80.00)
30100209 HC RL PHENOLPTHALEINE FECAL LABORATORY - CHEMISTRY [0301] ( 100.00)
30100264 HC RL ALPHA2 ANTIPLASMIN ASSAY LABORATORY - HEMATOLOGY [0305] ( 100.00)
30100254HC RL HLA MATCHED APHERESIS SURCHARGE LABORATORY - GENERAL CLASSIFICATION [0300] ( 348.00)
30100010 HC HEPATITIS B SURFACE ANT (MATERNAL)LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 271.00)
30100193 HC RL GONORRHEA BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 238.00)
30100001 HC DRUG SCREEN A (URINE) LABORATORY - CHEMISTRY [0301] ( 112.00)
30100265 HC DRUG SCREEN B (URINE) LABORATORY - CHEMISTRY [0301] ( 256.00)
30100266 HC DRUG SCREEN B LABORATORY - CHEMISTRY [0301] ( 210.00)
30100267 HC BARBITURATES URINE LABORATORY - CHEMISTRY [0301] ( 209.00)
30100268 HC COCAINE METABOLITES URINE LABORATORY - CHEMISTRY [0301] ( 280.00)
30100270HC RL TRICYCLIC ANTIDEPRESSANTSERUMQUANT LABORATORY - CHEMISTRY [0301] ( 452.00)
30100271HC RL HALLUCINOGENS PROFILE URINE (GC/MS) LABORATORY - CHEMISTRY [0301] ( 86.00)
30100272 HC MEDICAL DRUG SCREEN 10 LABORATORY - CHEMISTRY [0301] ( 321.00)
30100273 HC RL HAIRSTAT 5 DRUG SCREEN LABORATORY - CHEMISTRY [0301] ( 270.00)
30100274 HC RL FLUNITRAZEPAM (ROHYPNOL) LABORATORY - CHEMISTRY [0301] ( 276.00)
30100275 HC DRUGS OF ABUSE 9 W/CONFIRMATION LABORATORY - CHEMISTRY [0301] ( 96.00)
30100276 HC RL DRUG SCREEN FLUID LABORATORY - CHEMISTRY [0301] ( 96.00)
30100277 HC RL MECONIUM SCREEN LABORATORY - CHEMISTRY [0301] ( 286.00)
30100278 HC ER TOXICOLOGY URINE LABORATORY - CHEMISTRY [0301] ( 790.00)
30100279 HC RAPID DRUG SCREEN LABORATORY - CHEMISTRY [0301] ( 452.00)
30200145HC RL FIBRONECTIN AGGREGATES IGA ELISA LABORATORY - CHEMISTRY [0301] ( 85.00)
30200016 HC CELIAC SERO ANTI GLIADIN IGA LABORATORY - CHEMISTRY [0301] ( 180.00)
30200017 HC CELIAC SERO ANTI GLIADIN IGG LABORATORY - CHEMISTRY [0301] ( 180.00)
30200018 HC CELIAC SERO ANTI HUTTG IGA LABORATORY - CHEMISTRY [0301] ( 180.00)
30200031 HC RL THROMBINANTITHROMBIN COMPLEX LABORATORY - CHEMISTRY [0301] ( 180.00)
30200122 HC IBD SERO7 ANTI ASCA IGA LABORATORY - CHEMISTRY [0301] ( 180.00)
30200123 HC IBD SERO7 ANTI ASCA IGG LABORATORY - CHEMISTRY [0301] ( 180.00)
30200124 HC IBD SERO7 ANTI OMPC IGA LABORATORY - CHEMISTRY [0301] ( 180.00)
30200146 HC IBD SERO7 ANTI ANCA IGG LABORATORY - CHEMISTRY [0301] ( 180.00)
30200147 HC IBD SERO7ANTI CBIR1 LABORATORY - CHEMISTRY [0301] ( 180.00)
30200039HC RL SUPEROXIDE DISMUTASE SPECIFIC IGE LABORATORY - IMMUNOLOGY [0302] ( 28.00)
30200046 HC RL DONOR SPECIFIC ANTIGEN LABORATORY - IMMUNOLOGY [0302] ( 500.00)
30200073 HC RL SEROTONIN RELEASE PNL LOVENOX LABORATORY - IMMUNOLOGY [0302] ( 353.00)
30200164HC RL SEROTONIN RELEASE PNLUNFRACT.HEPARIN LABORATORY - IMMUNOLOGY [0302] ( 353.00)
30200072 HC RL IBD SGI CRP LABORATORY - IMMUNOLOGY [0302] ( 110.00)
30200129HC RL PHOSPHATIDYLSERINE AB(IGG IGA IGM) LABORATORY - IMMUNOLOGY [0302] ( 86.00)
30200112HC RL ENCEPHALITIS ABCSFINFLUENZA A AB LABORATORY - IMMUNOLOGY [0302] ( 53.00)
30200141HC RL ENCEPHALITIS ABCSFINFLUENZA B AB LABORATORY - IMMUNOLOGY [0302] ( 53.00)
30200009 HC ANTIDNA LABORATORY - IMMUNOLOGY [0302] ( 82.00)
30200048HC RL NMETHYLDASPARTATE RECEPTOR AB IGG LABORATORY - IMMUNOLOGY [0302] ( 136.00)
30200127HC RL MYASTHENIA GRAVIS PNSTMR SCREEN LABORATORY - IMMUNOLOGY [0302] ( 72.00)
30200059 HC RL PARANEOPLASTIC AB PN AGNA1 LABORATORY - IMMUNOLOGY [0302] ( 73.00)
30200060HC RL PARANEOPLASTIC AB PN AMPHIPHYSIN LABORATORY - IMMUNOLOGY [0302] ( 73.00)
30200061 HC RL PARANEOPLASTIC AB PN ANNA1 LABORATORY - IMMUNOLOGY [0302] ( 73.00)
30200062 HC RL PARANEOPLASTIC AB PN ANNA2 LABORATORY - IMMUNOLOGY [0302] ( 73.00)
30200063 HC RL PARANEOPLASTIC AB PN ANNA3 LABORATORY - IMMUNOLOGY [0302] ( 73.00)
30200064 HC RL PARANEOPLASTIC AB PN CRMP5 LABORATORY - IMMUNOLOGY [0302] ( 73.00)
30200065 HC RL PARANEOPLASTIC AB PN PCA1 LABORATORY - IMMUNOLOGY [0302] ( 73.00)
30200066 HC RL PARANEOPLASTIC AB PN PCA2 LABORATORY - IMMUNOLOGY [0302] ( 73.00)
30200067 HC RL PARANEOPLASTIC AB PN PCATR LABORATORY - IMMUNOLOGY [0302] ( 73.00)
30200128 HC RL MYASTHENIA GRAVIS PNSTMR TITER LABORATORY - IMMUNOLOGY [0302] ( 73.00)
30200002 HC RL HEPATITIS B ANTIBODY QUANT LABORATORY - IMMUNOLOGY [0302] ( 89.00)
30200003 HC RL PNEUMOCOCCAL ANTIBODIES IGG LABORATORY - IMMUNOLOGY [0302] ( 421.00)
30200070 HC RL 1433 PRION PROTEIN AG QUANT(CJD) LABORATORY - IMMUNOLOGY [0302] ( 89.00)
30200081 HC RL 1433 ANTIGEN IMA QUANT. LABORATORY - IMMUNOLOGY [0302] ( 89.00)
30200126 HC RL TETANUS ANTIBODY IGG LABORATORY - IMMUNOLOGY [0302] ( 89.00)
30200144 HC RL DIPTHERIA ANTIBODY IGG LABORATORY - IMMUNOLOGY [0302] ( 89.00)
30200013HC RL IMMUNOFIXATION ELECTROPHORESIS SERUM LABORATORY - IMMUNOLOGY [0302] ( 133.00)
30200125 HC IMMUNOFIXATION ELECTROPHORESIS LABORATORY - IMMUNOLOGY [0302] ( 133.00)
30200157 HC RL IMMUNOFIX ELECTROPHOTHER SPEC LABORATORY - IMMUNOLOGY [0302] ( 147.00)
30200022 HC NEUTROPHIL OXIDATIVE BURST ASSAY LABORATORY - IMMUNOLOGY [0302] ( 568.00)
30200028 HC RL CHRONIC URTICARIA LABORATORY - IMMUNOLOGY [0302] ( 568.00)
30200043HC RL CHRONIC URTICARIA INDX STIMULATION LABORATORY - IMMUNOLOGY [0302] ( 568.00)
30200069 HC RL INTERFERON BETA NEUTRALIZING AB LABORATORY - IMMUNOLOGY [0302] ( 244.00)
30200130HC RL IMMUNO(CYLEX) LYMPH. TRANSFORM LABORATORY - IMMUNOLOGY [0302] ( 237.00)
30200074 HC B CELLS TOTAL COUNT LABORATORY - IMMUNOLOGY [0302] ( 144.00)
30200075 HC FLOW ABCD20 LABORATORY - IMMUNOLOGY [0302] ( 144.00)
30200033HC RL PAROX NOCTURN HGB GLYCOPHONIN LABORATORY - IMMUNOLOGY [0302] ( 95.00)
30200034 HC RL PAROX NOCTURN HGB CD 59 LABORATORY - IMMUNOLOGY [0302] ( 95.00)
30200040HC RL LEUKOCYTE ADHESION DEFICIENT PNLCD11B LABORATORY - IMMUNOLOGY [0302] ( 95.00)
30200041HC RL LEUKOCYTE ADHESION DEFICIENT PNLCD15 LABORATORY - IMMUNOLOGY [0302] ( 95.00)
30200042HC RL LEUKOCYTE ADHESION DEFICIENT PNLCD18 LABORATORY - IMMUNOLOGY [0302] ( 95.00)
30200049 HC RL PAROX NOCTURN HGB CD 14 LABORATORY - IMMUNOLOGY [0302] ( 95.00)
30200050 HC RL PAROX NOCTURN HGB CD 15 LABORATORY - IMMUNOLOGY [0302] ( 95.00)
30200051 HC RL PAROX NOCTURN HGB CD 24 LABORATORY - IMMUNOLOGY [0302] ( 95.00)
30200052 HC RL PAROX NOCTURN HGB CD 33 LABORATORY - IMMUNOLOGY [0302] ( 95.00)
30200053 HC RL PAROX NOCTURN HGB FLAER LABORATORY - IMMUNOLOGY [0302] ( 95.00)
30200004 HC RL THYROID PEROXIDASE ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 87.00)
30200044HC RL CHRONIC URTICARIA INDX PERIOX.ABS LABORATORY - IMMUNOLOGY [0302] ( 87.00)
30200021 HC BACTERIAL ANTIGEN PANEL BY LA LABORATORY - IMMUNOLOGY [0302] ( 161.00)
30200155 HC RL RHEUMATOID FACTOR IGG LABORATORY - IMMUNOLOGY [0302] ( 59.00)
30200156 HC RL RHEUMATOID FACTOR IGA LABORATORY - IMMUNOLOGY [0302] ( 59.00)
30200152 HC RHEUMATOID ARTHRITIS QN LABORATORY - IMMUNOLOGY [0302] ( 47.00)
30200154 HC RL RHEUMATOID FACTOR IGM LABORATORY - IMMUNOLOGY [0302] ( 47.00)
30200071 HC RL TSPOT TB LABORATORY - IMMUNOLOGY [0302] ( 323.00)
30200008 HC SKIN TEST CANDIDA LABORATORY - IMMUNOLOGY [0302] ( 57.00)
30200083 HC RL ENCEPH ABADENOVIRUS AB LABORATORY - IMMUNOLOGY [0302] ( 77.00)
30200100HC RL ENCEPHALITIS ABCSFADENOVIRUS AB(CF) LABORATORY - IMMUNOLOGY [0302] ( 77.00)
30200035HC RL BLASTOMYCES ANTIBODY BY COMP FIXATION LABORATORY - IMMUNOLOGY [0302] ( 68.00)
30200019 HC BORDETELLA PERTUSSIS ANTIBODY IGG LABORATORY - IMMUNOLOGY [0302] ( 75.00)
30200023HC RL BORDETELLA PERTUSSIS ANTIBODIES IGA LABORATORY - IMMUNOLOGY [0302] ( 75.00)
30200024HC RL BORDETELLA PERTUSSIS ANTIBODIES IGM LABORATORY - IMMUNOLOGY [0302] ( 75.00)
30200006HC RL BRUCELLA ANTIBODY BACTERIAL AGGLUT. LABORATORY - IMMUNOLOGY [0302] ( 47.00)
30200029 HC RL BRUCELLA ANTIBODY IGG LABORATORY - IMMUNOLOGY [0302] ( 47.00)
30200030 HC RL BRUCELLA ANTIBODY IGM LABORATORY - IMMUNOLOGY [0302] ( 47.00)
30200054 HC RL CAMPYLOBACTER JEJUNI AB IGG LABORATORY - IMMUNOLOGY [0302] ( 79.00)
30200085 HC RL ENCEPH ABCMV IGG LABORATORY - IMMUNOLOGY [0302] ( 114.00)
30200104 HC RL ENCEPHALITIS ABCSF CMV IGGIFA LABORATORY - IMMUNOLOGY [0302] ( 114.00)
30200105 HC RL ENCEPH ABCMV IGM LABORATORY - IMMUNOLOGY [0302] ( 87.00)
30200148 HC RL AR TORCH IGM CMV IGM LABORATORY - IMMUNOLOGY [0302] ( 15.00)
30200093 HC RL ENCEPH ABLA CROSSE AB IGG LABORATORY - IMMUNOLOGY [0302] ( 69.00)
30200101HC RL ENCEPHALIT ABCSFLACROSSE ABIGGIFA LABORATORY - IMMUNOLOGY [0302] ( 69.00)
30200133 HC RL ENCEPH ABLA CROSSE AB IGM LABORATORY - IMMUNOLOGY [0302] ( 69.00)
30200136HC RL ENCEPHALITIS ABCSFLACROSSE AB IGM LABORATORY - IMMUNOLOGY [0302] ( 69.00)
30200094 HC RL ENCEPH ABEQUINE ENCEPH AB IGG LABORATORY - IMMUNOLOGY [0302] ( 69.00)
30200106HC RL ENCEPHALIT ABCSFEAST. EQUINE ABIGG LABORATORY - IMMUNOLOGY [0302] ( 69.00)
30200134 HC RL ENCEPH ABEASTERN EQUINE AB IGM LABORATORY - IMMUNOLOGY [0302] ( 69.00)
30200137HC RL ENCEPHALITIS ABCSFEAST.EQUIN ABIGM LABORATORY - IMMUNOLOGY [0302] ( 69.00)
30200095 HC RL ENCEPH ABST.LOUIS ENCEPH AB IGG LABORATORY - IMMUNOLOGY [0302] ( 69.00)
30200116HC RL ENCEPHALITIS ABCSFST.LOUIS AB IGG LABORATORY - IMMUNOLOGY [0302] ( 69.00)
30200138 HC RL ENCEPHALITIS ABCSFST.LOUIS A LABORATORY - IMMUNOLOGY [0302] ( 69.00)
30200165 HC RL ENCEPHALLITIS AB ST LOUIS IGM LABORATORY - IMMUNOLOGY [0302] ( 69.00)
30200096HC RL ENCEPH ABWSTRN EQUINE ENCEPH AB IGG LABORATORY - IMMUNOLOGY [0302] ( 69.00)
30200118HC RL ENCEPHALIT ABCSFWESTERN EQUINE IGG LABORATORY - IMMUNOLOGY [0302] ( 69.00)
30200135HC RL ENCEPH ABWESTERN EQUINE ENCEPH IGM LABORATORY - IMMUNOLOGY [0302] ( 69.00)
30200139HC RL ENCEPHALITIS ABCSFWEST.EQUIN ABIGM LABORATORY - IMMUNOLOGY [0302] ( 69.00)
30200080 HC RL COXSACKIE B2 ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 68.00)
30200084 HC RL ENCEPH ABCOXSACKIE B AB LABORATORY - IMMUNOLOGY [0302] ( 68.00)
30200086 HC RL ENCEPH ABECHOVIRUS AB LABORATORY - IMMUNOLOGY [0302] ( 68.00)
30200092 HC RL ENCEPH ABCOXSACKIE A AB LABORATORY - IMMUNOLOGY [0302] ( 68.00)
30200102HC RL ENCEPHALIT ABCSFCOXSACKIETYPE A AB LABORATORY - IMMUNOLOGY [0302] ( 68.00)
30200103HC RL ENCEPHALIT ABCSFCOXSACKIETYPE B AB LABORATORY - IMMUNOLOGY [0302] ( 68.00)
30200107 HC RL ENCEPHALITIS ABCSFECHOVIRUS AB LABORATORY - IMMUNOLOGY [0302] ( 68.00)
30200079 HC EBV AB TO EARLY D ANTIGEN IGG LABORATORY - IMMUNOLOGY [0302] ( 69.00)
30200078 HC EBV AB TO NUCLEAR ANTIGEN IGG LABORATORY - IMMUNOLOGY [0302] ( 80.00)
30200076 HC EBV AB TO VIRAL CAPSID ANTIGEN IGG LABORATORY - IMMUNOLOGY [0302] ( 95.00)
30200077 HC EBV AB TO VIRAL CAPSID ANTIGEN IGM LABORATORY - IMMUNOLOGY [0302] ( 95.00)
30200037HC RL ANAPLASMA PHAGOCYTOPHILA (HGE) IGG LABORATORY - IMMUNOLOGY [0302] ( 79.00)
30200038HC RL ANAPLASMA PHAGOCYTOPHILA (HGE) IGM LABORATORY - IMMUNOLOGY [0302] ( 79.00)
30200015 HC RL FRANC. TULARENSIS AB IGG LABORATORY - IMMUNOLOGY [0302] ( 54.00)
30200047 HC RL FRANC. TULARENSIS AB IGM LABORATORY - IMMUNOLOGY [0302] ( 54.00)
30200082 HC RL SACCHAROMYCES CEREVISIAE IGG LABORATORY - IMMUNOLOGY [0302] ( 74.00)
30200131 HC RL SACCHAROMYCES CEREVISIAE IGA LABORATORY - IMMUNOLOGY [0302] ( 74.00)
30200032 HC RL H. PYLORI ANTIBODY IGA LABORATORY - IMMUNOLOGY [0302] ( 87.00)
30200036 HC ASCARIS SEROLOGY LABORATORY - IMMUNOLOGY [0302] ( 78.00)
30200012 HC RL HERPES SIMPLEX VIRUS I & II AB IGG LABORATORY - IMMUNOLOGY [0302] ( 86.00)
30200014 HC RL HERPES SIMPLEX VIRUS I & II AB IGM LABORATORY - IMMUNOLOGY [0302] ( 86.00)
30200087 HC RL ENCEPH ABHSV AB LABORATORY - IMMUNOLOGY [0302] ( 86.00)
30200149 HC RL AR TORCH IGMHSV 1/2 IGM LABORATORY - IMMUNOLOGY [0302] ( 15.00)
30200098 HC RL ENCEPHALITIS ABHSV TYPE 1 LABORATORY - IMMUNOLOGY [0302] ( 63.00)
30200108HC RL ENCEPHALIT ABCSFHSV TYPE 1 ABACIF LABORATORY - IMMUNOLOGY [0302] ( 63.00)
30200110HC RL ENCEPHALITIS ABCSFHSV TYPE 1 IGM LABORATORY - IMMUNOLOGY [0302] ( 63.00)
30200099 HC RL ENCEPHALITIS ABHSV TYPE 2 LABORATORY - IMMUNOLOGY [0302] ( 104.00)
30200109HC RL ENCEPHALIT ABCSFHSV TYPE 2 ABACIF LABORATORY - IMMUNOLOGY [0302] ( 104.00)
30200111HC RL ENCEPHALITIS ABCSFHSV TYPE 2 IGM LABORATORY - IMMUNOLOGY [0302] ( 104.00)
30200001 HC RL HEPATITIS A ANTIBODY TOTAL LABORATORY - IMMUNOLOGY [0302] ( 139.00)
30200088 HC RL INFLUENZA A & B ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 81.00)
30200089 HC RL ENCEPH ABLCM AB IGG LABORATORY - IMMUNOLOGY [0302] ( 77.00)
30200113 HC RL ENCEPHILITIS ABCSFLCM AB IGG LABORATORY - IMMUNOLOGY [0302] ( 77.00)
30200132 HC RL ENCEPH ABLCM AB IGM LABORATORY - IMMUNOLOGY [0302] ( 77.00)
30200140 HC RL ENCEPHALITIS ABCSFLCM ABIGM LABORATORY - IMMUNOLOGY [0302] ( 77.00)
30200090 HC RL ENCEPH ABMUMPS AB IGG LABORATORY - IMMUNOLOGY [0302] ( 68.00)
30200115 HC RL ENCEPHALITIS ABCSFMUMPS AB IGG LABORATORY - IMMUNOLOGY [0302] ( 68.00)
30200143 HC RL ENCEPHALITIS ABCSFMUMPS ABIGM LABORATORY - IMMUNOLOGY [0302] ( 68.00)
30200020 HC MALARIA ANTIBODY IGG LABORATORY - IMMUNOLOGY [0302] ( 79.00)
30200119 HC RL BABESIA MICROTI ANTIBODY IGG LABORATORY - IMMUNOLOGY [0302] ( 74.00)
30200120 HC RL BABESIA MICROTI ANTIBODY IGM LABORATORY - IMMUNOLOGY [0302] ( 74.00)
30200055HC RL RICKETTSIA AB PNL SPOTTED FEVER IGG LABORATORY - IMMUNOLOGY [0302] ( 101.00)
30200056HC RL RICKETTSIA AB PNL SPOTTED FEVER IGM LABORATORY - IMMUNOLOGY [0302] ( 101.00)
30200057HC RL RICKETTSIA AB PNL TYPHUS FEVER IGG LABORATORY - IMMUNOLOGY [0302] ( 101.00)
30200058HC RL RICKETTSIA AB PNL TYPHUS FEVER IGM LABORATORY - IMMUNOLOGY [0302] ( 101.00)
30200150 HC RL AR TORCH IGM RUBELLA IGM LABORATORY - IMMUNOLOGY [0302] ( 15.00)
30200097 HC RL ENCEPH ABMEASLES AB IGG LABORATORY - IMMUNOLOGY [0302] ( 68.00)
30200114HC RL ENCEPHALITIS ABCSFMEASLES AB IGG LABORATORY - IMMUNOLOGY [0302] ( 68.00)
30200142HC RL ENCEPHALITIS ABCSFMEASLES ABIGM LABORATORY - IMMUNOLOGY [0302] ( 68.00)
30200151 HC RL AR TORCH IGM TOXOPLASA IGM LABORATORY - IMMUNOLOGY [0302] ( 15.00)
30200011HC RL FLUORESCENT TREPONEMAL ANTIBODIES LABORATORY - IMMUNOLOGY [0302] ( 78.00)
30200153 HC RL TREPONEMAL PALLIDUM AB CSF LABORATORY - IMMUNOLOGY [0302] ( 64.00)
30200091 HC RL ENCEPH ABVARICELLA ZOSTER AB LABORATORY - IMMUNOLOGY [0302] ( 77.00)
30200117HC RL ENCEPHALIT ABCSFVARICELLA ZOSTER AB LABORATORY - IMMUNOLOGY [0302] ( 77.00)
30200005HC RL HERPESVIRUS 6 (HHV6) ANTIBODY IGG LABORATORY - IMMUNOLOGY [0302] ( 77.00)
30200025 HC RL SIN NOMBRE VIRUS IGG LABORATORY - IMMUNOLOGY [0302] ( 77.00)
30200026 HC RL SIN NOMBRE VIRUS IGM LABORATORY - IMMUNOLOGY [0302] ( 77.00)
30200027HC RL HERPESVIRUS 6 (HHV6) ANTIBODY IGM LABORATORY - IMMUNOLOGY [0302] ( 77.00)
30200068 HC RL HERPESVIRUS 8 IGG ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 77.00)
30200163 HC RL HTLV ANITBODY CSF LABORATORY - IMMUNOLOGY [0302] ( 77.00)
30200045HC RL CHRONIC URTICARIA INDX THYROGLOB ABS LABORATORY - IMMUNOLOGY [0302] ( 96.00)
30200121 HC RL THYROGLOBULIN ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 96.00)
30200010 HC RL HEPATITIS C CONFIRMRIBA LABORATORY - IMMUNOLOGY [0302] ( 300.00)
30200158 HC ANTIBODY SCREEN RBC AB LABORATORY - IMMUNOLOGY [0302] ( 170.00)
30200159 HC ANTIBODY ID (RBC) PANEL LABORATORY - IMMUNOLOGY [0302] ( 387.00)
30200160 HC ANTIGLOBULIN C3BC3D DIR LABORATORY - IMMUNOLOGY [0302] ( 55.00)
30200161 HC COMPATIBILITY TEST AHG;EA UNIT LABORATORY - GENERAL CLASSIFICATION [0300] ( 155.00)
30200162 HC ANTIBODY NEUTRALIZATION LABORATORY - IMMUNOLOGY [0302] ( 126.00)
30500014 HC SPUN HEMATOCRIT LABORATORY - HEMATOLOGY [0305] ( 57.00)
30500004 HC PLATELET COUNTAUTO LABORATORY - HEMATOLOGY [0305] ( 62.00)
30500015 HC RL VW MULTIMERICFACTOR 8 ACTIVITY LABORATORY - HEMATOLOGY [0305] ( 121.00)
30500017HC RL VW MULTIMERICRISTOCETIN COFACTOR LABORATORY - HEMATOLOGY [0305] ( 128.00)
30500016HC RL VW MULTIMERICVW FACTOR ANTIGEN LABORATORY - HEMATOLOGY [0305] ( 128.00)
30500005 HC RL ADAMTS 13 INHIBITOR LABORATORY - HEMATOLOGY [0305] ( 77.00)
30500001 HC ACT ACTIVATED COAGULATION TI LABORATORY - HEMATOLOGY [0305] ( 61.00)
30500009 HC ACTIVATED COAGULATION TIME LABORATORY - HEMATOLOGY [0305] ( 61.00)
30500020 HC RL TEG ANALYSISACTIVATED LABORATORY - HEMATOLOGY [0305] ( 61.00)
30500021 HC RL TEG ANALYSISFIBRINOGEN ACTIVITY LABORATORY - HEMATOLOGY [0305] ( 129.00)
30500023HC RL TEG ANALYSISFIBRINOLYSIN INTERP&RPT LABORATORY - HEMATOLOGY [0305] ( 71.00)
30500025 HC FETAL BLD SCREENING TEST LABORATORY - HEMATOLOGY [0305] ( 99.00)
30500013HC RL HEPARIN ANTIXA FONDAPARINUX(ARIXTRA) LABORATORY - HEMATOLOGY [0305] ( 80.00)
30500003HC RL LEUKOCYTE ALKALINE PHOSPHATASE LABORATORY - HEMATOLOGY [0305] ( 66.00)
30500018 HC PLATELET INHIBITION ADP AGONIST LABORATORY - HEMATOLOGY [0305] ( 254.00)
30500019 HC PLATELET INHIBITION TRAP AGONIST LABORATORY - HEMATOLOGY [0305] ( 254.00)
30500022HC RL TEG ANALYSISPLT AGGREGATION EA AGENT LABORATORY - HEMATOLOGY [0305] ( 254.00)
30500024 HC RL TEG ANAL C PLT MAPPINGPLT AGG LABORATORY - HEMATOLOGY [0305] ( 254.00)
30500007 HC REFLEXIVE PROFILE ABNORMAL PT LABORATORY - HEMATOLOGY [0305] ( 83.00)
30500011 HC RL RUSSELL VIPER VENOM LABORATORY - HEMATOLOGY [0305] ( 44.00)
30500002 HC SEDIMENTATION RATE NONAUTOMATED LABORATORY - HEMATOLOGY [0305] ( 36.00)
30500008 HC REFLEXIVE PROFILE THROMBIN TIME LABORATORY - HEMATOLOGY [0305] ( 30.00)
30500006 HC REFLEXIVE PROFILE ABNORMAL APTT LABORATORY - HEMATOLOGY [0305] ( 102.00)
30500010 HC RL LUPUS ANTICOAGULANT PANEL LABORATORY - HEMATOLOGY [0305] ( 102.00)
30500012 HC RL BETA2 GLYCOPROTEIN IGG LABORATORY - IMMUNOLOGY [0302] ( 146.00)
30600043 HC MRSA SCREENLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 64.00)
30600002 HC ACID FAST BACILLUS SMEAR & CULLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 153.00)
30600006 HC RL OVA & PARASITES EXAMCONCLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 52.00)
30600009HC RL ANTIMICROBIAL SUSCEPTIBILITYMIC INDV
LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 29.00)
30600040 HC RL SYNERGYMIC 96 WELL PLATELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 94.00)
30600041 HC RL SYNERGYMLC 96 WELL PLATELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 49.00)
30600004 HC GRAM STAINLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 77.00)
30600001 HC AFB SMEARLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 70.00)
30600005 HC FUNGUS SMEARLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 70.00)
30600038 HC FUNGUS (DRY) SMEARLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 70.00)
30600007 HC KOH PREPLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 29.00)
30600003 HC RL CLOSTRIDIUM DIFFICILE CULTURELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 119.00)
30600030 HC RL CMV CULTURETISSUE CULTURELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 156.00)
30600033 HC RL HSV CULTURE TISSUE CULTURELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 156.00)
30600034 HC RL HSV CULTURE IP STAINLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 124.00)
30600031 HC RL CMV CULTURESHELL VIALLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 95.00)
30600025 HC RL RESP VIRUSES DFALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 58.00)
30600032 HC RL VARICELLA ZOSTER VIRUS DFALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 58.00)
30600042 HC RL ENTAMOEBA HISTOLYTICA ANTIGENLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 58.00)
30600023 HC RL HPYLORI STOOL EIALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 64.00)
30600008 HC RL HEPATITIS DELTA ANTIGENLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 98.00)
30600021 HC RL HISTOPLASMA ANTIGENLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 58.00)
30600046 HC RL SHIGA TOXIN TESTLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 86.00)
30600013HC RL VAGINITIS PANEL CANDIDA ALBICANS PROBE
LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 123.00)
30600022 HC RL CHLAMYDIA TRACHOMATIS BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 182.00)
30600012 HC RL C. DIFF TOXIN B BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 145.00)
30600020 HC TOXIGENIC C. DIFFICILE BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 145.00)
30600024 HC RL CMV DNA QUANTITATIVE BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 254.00)
30600039 HC RL ENTEROVIRUS DETECTION BY RTPCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 215.00)
30600010HC INFLUENZA VIRUS MULT TYPES1ST TWO TYPES
LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 347.00)
30600011HC INFLUENZA VIRUS MULT TYPESEA ADDL TYPE
LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 116.00)
30600014HC RL VAGINITIS PANEL GARDNERELLA PROBE
LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 120.00)
30600045 HC HEP C QNT PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 256.00)
30600019 HC RL HIV1 RNA PCR QUALITATIVE TMALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 209.00)
30600044 HC HIV RNA QUANT PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 441.00)
30600035 HC RL CSF AFB BY AMPLIFIED DETECTIONLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 213.00)
30600015HC RL VAGINITIS PANEL TRICHOMONAS PROBE
LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 182.00)
30600016 HC RL HERPESVIRUS 8 DNA QUALITATIVELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)
30600017HC RL PARECHOVIRUS DETECTION BY RTPCR
LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)
30600018 HC RL ADENOVIRUS DNA QUAL PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)
30600028 HC RL BK VIRUS BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)
30600029 HC BORDETELLA PERTUSSIS BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)
30600036 HC RL EPSTEIN BARR VIRUS BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)
30600027 HC RL BK VIRUS PCR QUANTLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 321.00)
30600026 HC RL HIV1 VIRTUAL PHENOTYPELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 537.00)
30600037HC RL HIV1 GENOTYPE ANALYSIS NUCLEIC ACID
LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 1,333.00)
30700002 HC ROUTINE URINE (AUTO) W/O MICROSC LABORATORY - UROLOGY [0307] ( 53.00)
30700001 HC RL MELANIN URINE LABORATORY - UROLOGY [0307] ( 52.00)
30700004 HC RL QU ACYLCARNITINE QUANTITATIVE LABORATORY - CHEMISTRY [0301] ( 182.00)
30700003 HC RL STRYCHNINE LABORATORY - CHEMISTRY [0301] ( 166.00)
30900001 HC SPLITTING OFBLOOD PRODS;EA LABORATORY - OTHER LABORATORY [0309] ( 182.00)
31000021HC RL CYTOPATHOLOGY FILTER METHOD ONLY INTP LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 180.00)
31000013HC RL CYTOLOGY SELECT CELLULR ENH TECH INTP LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 512.00)
31000039HC PAROXY.NOCTURN HGBWBC IST MARKER LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 281.00)
31000040 HC RL PNHCD59 EACH ADDITIONAL LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 172.00)
31000038HC RL CHROMOSOME ANALYSIS TISSUE BIOPSY LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 510.00)
31000036HC RL CHROM ANALYTISSUE BONE MARROW BLD LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 467.00)
31000029 HC RAPID CHROMOSOME ANALYSIS LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 915.00)
31000001HC RL CHROMOSOME ANALYSIS 1520 CELL COUNT LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 646.00)
31000027HC EOSINOPHILIA PANEL BY FISH DNA PROBE LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 130.00)
31000028HC EOSINOPHILIA PANEL BY FISHHYBRIDIZATION LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 212.00)
31000009 HC GROSS ONLY EXAMINATIONLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 71.00)
31000010 HC GROSS & MICROSCOPIC BASIC EXAMLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 173.00)
31000011 HC GROSS & MICROSCOPIC SMALL DIAGNOLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 354.00)
31000014 HC GROSS & MICROSCOPIC DIAGNOSTIC ELABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 515.00)
31000018 HC BONE MARROW BIOPSY INTERP.LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 515.00)
31000022 HC GROSS & MICROSCOPICBREASTLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 515.00)
31000015 HC GROSS & MICRO LG OR ORGAN EXAMLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 681.00)
31000023 HC GROSS & MICROSCOPICBREAST/COLONLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 681.00)
31000016 HC GROSS & MICRO COMPLEX DIAG. EXAMLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 962.00)
31000005 HC BONE DECAL GROSS & MICROSCOPICLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 130.00)
31000012 HC SPECIAL STAINS MICROORGANISMSLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 225.00)
31000002 HC RL PASLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 177.00)
31000004 HC RL SUDAN BLACK (SUDAN B)LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 177.00)
31000017 HC SPECIAL STAINS ROUTINE (EACH)LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 177.00)
31000003 HC RL PEROXIDASE (PEROX)LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 509.00)
31000006 HC RL CONSULT DURING SURGERY (NO FS)LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 113.00)
31000007 HC FROZEN SECTION 1SPECLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 279.00)
31000008 HC FROZEN SECTION (EACH ADDITIONALLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 104.00)
31000037 HC RL CYTOLOGY EXAM;INITIAL SITELABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 509.00)
31000020HC IMMUNOCYTOCHEMISTRY 1ST ANTIBODY
LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 243.00)
31000019HC RL IMMUNOFLORESCENCE PER SPECIMEN
LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 243.00)
31000035 HC ACIS IMAGE ANALYSISLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 314.00)
31000034HC RL ISH SINGLE ANTIBODY STAIN W/ INTRP
LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 381.00)
31000024 HC RL MDS PANEL BY FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 539.00)
31000025HC RL PLASMA CELL DYSCRASIA PANEL BY FISH
LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 539.00)
31000026 HC RL PML/RARA BY FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 539.00)
31000030 HC CLL FISH PANELLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 387.00)
31000031 HC BCL1 BY FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 539.00)
31000032 HC MLL T(11Q23)LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 539.00)
31000033 HC BCL2 BY FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 539.00)
31000041 HC RL BCR/ABL BY FISH QUALITATIVELABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 539.00)
31100007HC CYTOPATHOLOGY FLUIDS WSHGS OR BRSHGS LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 162.00)
31100005 HC RL CYTOLOGY CONCENTRATION TECH LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 180.00)
31100006 HC RL CYTOL CX OR VAG\PHYS INTERP. LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 101.00)
31100008
HC RL CYTOPATHOLOGYSMEARSOTHERSCREEN&INT LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 121.00)
31100004 HC RL CYTOLOGY EXTENDED STUDY LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 181.00)
31100002HC FINE NEEDLE ASP IMMEDIATE STUDY 1ST EVAL LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 120.00)
31100003 HC EVAL. OF FINE NEEDLE ASP. INTERP. LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 279.00)
31100001HC CYTOPATH C/V AUTO FLUID (LIQ BASE PAP) LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 108.00)
31100015HC CYTO FINE NEEDLE ASPIRATE IMMED EA ADDL LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 44.00)
31100009 HC DNA PARAFFIN BLOCK LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 235.00)
31100019 HC MISCELLANEOUS FLOW CYTOMETRY LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 387.00)
31100020 HC RL PNHCD55 LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 281.00)
31100021 HC RL PNHCD59 LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 281.00)
31100022 HC RL ZAP 70 PANEL FLOW FIRST MARKER LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 291.00)
31100024 HC FLOW CYTOMETRY FIRST MARKER LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 281.00)
31100016HC RL ZAP 70 PANEL FLOW EA. ADD. MARKER LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 172.00)
31100025 HC FLOW CYTOMETRY EACH ADD. MARKER LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 172.00)
31100017 HC RL ZAP 70 PANEL FLOW INTERP & RPT LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 217.00)
31100023HC RL CHROMOSOME ANALTISSUE CULTURE LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 397.00)
31100018HC RL CHROMOSOME ANALYSISRAPID ANALYSIS LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 915.00)
31100010 HC RL CHROMOSOME ANALYSIS 1520 CELLS LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 646.00)
31100011 HC RL FIP1L1 PDGFRA FISH DNA PROBE LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 130.00)
31100013 HC RL PDGFRB FISH DNA PROBE LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 130.00)
31100012 HC RL FIP1L1 PDGFRA FISH HYBRIDIZATION LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 212.00)
31100014 HC RL PDGFRB FISH HYBRIDIZATION LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 212.00)
31200004HC RL KAPPA ANTIBODY STAIN BY IHC 1ST ANTIBODY
LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 243.00)
31200005HC RL LAMBDA ANTIBODY STAIN BY IHC 1ST ANTIBODY
LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 243.00)
31200003 HC RL ANTIENTEROCYTE ANTIBODY LABORATORY PATHOLOGICAL - HISTOLOGY [0312] ( 243.00)
31200001 HC CELIAC SERO ANTI EMA IGA LABORATORY PATHOLOGICAL - HISTOLOGY [0312] ( 184.00)
31200002 HC CELIAC PLUS ANTI ENDOMYSIAL IGA LABORATORY PATHOLOGICAL - HISTOLOGY [0312] ( 184.00)
31200010 HC RL IBD SGI PANCA IGG LABORATORY PATHOLOGICAL - HISTOLOGY [0312] ( 184.00)
31200011 HC RL IBD SGI DNASE IGG LABORATORY PATHOLOGICAL - HISTOLOGY [0312] ( 184.00)
31200012 HC IBD SERO7 DNASE SENSITIVITY LABORATORY PATHOLOGICAL - HISTOLOGY [0312] ( 184.00)
31200013 HC RL CELIA PLUS PANEL LABORATORY PATHOLOGICAL - HISTOLOGY [0312] ( 184.00)
31200014 HC IBD SERO7 PANCA IGG LABORATORY PATHOLOGICAL - HISTOLOGY [0312] ( 184.00)
31200006 HC RL CBFB MYH11 BY FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 539.00)
31200007 HC RL MYC/IGHT(8:14) BY FISH MYCLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 539.00)
31200008 HC RL AML1/ ETO BY FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 539.00)
31200009 HC RL MYC/IGHT(8:14) BY FISH IGHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 539.00)
32000091 HC CISTERNOGRAMRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,002.00)
32000030 HC EYE FOREIGN BODY PLAIN FILMSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 164.00)
32000113 HC MANDIBLE 3V OR LESSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 164.00)
32000036 HC MANDIBLE 4 VIEWRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 387.00)
32000054 HC MASTOID <3V PER SIDERADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 164.00)
32000055 HC MASTOID MIN 3V PER SIDERADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 300.00)
32000033 HC FACIAL BONES; <3VRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 164.00)
32000034 HC FACIAL BONE MIN 3VRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 297.00)
32000035 HC NASAL BONE MIN 3VRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 297.00)
32000081 HC SKULL OPTIC FORAMINARADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 164.00)
32000038 HC ORBIT 4 VIEWSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 387.00)
32000062 HC PARANASAL SINUSES< 3VRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 252.00)
32000063 HC PARANASAL SINUSES MIN 3 VIEWSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 297.00)
32000082 HC SELLA TURCICARADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 164.00)
32000079 HC SKULL; < 4VIEWSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 375.00)
32000080 HC SKULL MIN 4 VIEWSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 389.00)
32000114HC TMJ JOINT UNILAT OPEN & CLOSED MOUTH
RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 164.00)
32000037HC TMJ JOINT BILAT OPEN & CLOSED MOUTH
RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 246.00)
32000039 HC PANELIPSERADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 164.00)
32000217 HC NECK SOFT TISSUERADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 164.00)
32000072 HC XRAY PHARYNGEAL & SPEECHRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 291.00)
32000171 HC SIALOGRAMRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 380.00)
32400003 HC CHEST 2V AP/PA & LAT RADIOLOGY - DIAGNOSTIC - CHEST X-RAY [0324] ( 473.00)
32000053 HC CHEST AP LAT W/BOTH OBLIQUESRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 478.00)
32000073 HC BRONCHOGRAPHY UNILAT S&IRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 456.00)
32000074 HC BRONCHOGRAPHY BILAT S&IRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 469.00)
32000220 HC RIBS UNILATERAL RIGHT(MINIMUM 2VS)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 297.00)
32000221 HC RIBS UNILATERAL LEFT(MININUM 2VS)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 297.00)
32000120 HC RIBS UNILAT LT WITH PA CHEST MIN 3VRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 313.00)
32000070 HC RIBS BILATERAL (MINIMUM 3V)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 338.00)
32000121 HC RIBS;BILAT W/PA CHEST MIN 4 VRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 345.00)
32000083 HC STERNUM 2 VIEWSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 297.00)
32000071 HC STERNO CLAVICULAR JOINTS 3VRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 313.00)
32000075HC SPINE ENTIRE; SURVEY STUDY A/P & LAT
RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 287.00)
32000023 HC SPINE 1 VIEW SPECIFY LEVELRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 281.00)
32000024 HC CERVICAL 2 OR 3 VIEWSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 344.00)
32000025 HC CERVICAL SPINE 4-5 VIEWS ROUTINERADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 364.00)
32000026 HC CERV COMP;INCLUD OBL FLEX EXTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 390.00)
32000089 HC SCOLIOSIS SERIESRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 261.00)
32000086 HC THORACIC SPINE 2VRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 278.00)
32000087 HC THORACIC SPINE 3VRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 354.00)
32000088 HC THORACIC SPINE 4VRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 366.00)
32000085 HC THORACOLUMBAR SPINE 2VRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 278.00)
32000076HC SPINE SCOLIOSIS STUDY; SUPINE/ERECT
RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 175.00)
32000050 HC LUMBAR SPINE 2-3 VIEWSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 397.00)
32000051 HC LUMBAR MIN 4VRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 461.00)
32000052HC LUMBAR SPINE COMPLETE W/BENDING MIN 6VWS
RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 478.00)
32000049HC LUMBAR SPINE BENDING ONLY 2-3 VIEWS
RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 318.00)
32000058 HC PELVIS; 1 OR 2 VIEWSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 324.00)
32000059 HC PELVIS MIN 3VRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 339.00)
32000060 HC SACROILLIAC JOINTS (3V OR LESS)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 328.00)
32000077 HC SACROILIAC JOINTS 3 OR MORE VRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 335.00)
32000061 HC SACRUM AND COCCYX MIN 2VRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 314.00)
32000170 HC CERVICAL MYELOGRAMRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,002.00)
32000168 HC THORACIC MYELOGRAMRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,002.00)
32000169 HC LUMBAR MYELOGRAMRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,002.00)
32000163 HC MYELOGRAM 2 OR MORE REGIONSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,181.00)
32000028 HC XRAY DISCOGRAM CERV/THORRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 5,461.00)
32000112 HC PERQ VERTE/SACROPLSTY FLUORRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,653.00)
32000010 HC DISCOGRAM LUMBARRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 5,461.00)
32000224 HC CLAVICLE COMPLETE RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 254.00)
32000225 HC CLAVICLE COMPLETE LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 254.00)
32000228 HC SCAPULA COMPLETE RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 296.00)
32000229 HC SCAPULA COMPLETE LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 296.00)
32000230 HC SHOULDER 1V RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 222.00)
32000231 HC SHOULDER 1V LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 222.00)
32000232 HC SHOULDER COMPLETE MIN 2V RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 296.00)
32000233 HC SHOULDER COMPLETE MIN 2V LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 296.00)
32000197 HC AC JOINTS BILATERALRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 277.00)
32000236 HC HUMERUS MIN 2V RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 277.00)
32000237 HC HUMERUS MIN 2V LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 277.00)
32000240 HC ELBOW 2V RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 235.00)
32000241 HC ELBOW 2V LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 235.00)
32000244 HC ELBOW 3V RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 253.00)
32000245 HC ELBOW 3V LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 253.00)
32000246 HC FOREARM 2V RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 284.00)
32000247 HC FOREARM 2V LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 284.00)
32000250 HC UPPER EXT(INFANT) 2V RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 301.00)
32000251 HC UPPER EXT(INFANT) 2V LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 301.00)
32000252 HC WRIST 2V RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 194.00)
32000253 HC WRIST 2V LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 194.00)
32000256 HC WRIST 3V RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 243.00)
32000257 HC WRIST 3V LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 243.00)
32000258 HC HAND 2V RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 230.00)
32000259 HC HAND 2V LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 230.00)
32000262 HC HAND 3V RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 265.00)
32000263 HC HAND 3V LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 265.00)
32000266 HC FINGER(S) RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 226.00)
32000267 HC FINGER(S) LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 226.00)
32000270 HC HIP 1V RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 210.00)
32000271 HC HIP 1V LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 210.00)
32000272 HC HIP 2V RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 313.00)
32000273 HC HIP 2V LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 313.00)
32000199 HC PELVIS W 2V OF EA HIP (5V)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 365.00)
32000276 HC HIP IN OR RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 287.00)
32000277 HC HIP IN OR LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 287.00)
32000115 HC PELVIS & HIPS INFANT/CHILD 2+VIEWSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 174.00)
32000278 HC FEMUR 2V RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 303.00)
32000279 HC FEMUR 2V LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 303.00)
32000282 HC KNEE 1-2 VIEWS RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 333.00)
32000283 HC KNEE 1-2 VIEWS LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 333.00)
32000284 HC KNEE 3 VIEW RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 352.00)
32000285 HC KNEE 3 VIEW LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 352.00)
32000286 HC KNEE 4+VIEW LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 358.00)
32000287 HC KNEE 4+VIEW RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 358.00)
32000206 HC KNEE (AP STANDING) BILATERALRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 352.00)
32000288 HC TIBIA/FIB 2V RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 338.00)
32000289 HC TIBIA/FIB 2V LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 338.00)
32000292 HC LOWER EXT 2V RT(INFANT)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 319.00)
32000293 HC LOWER EXT 2V LT (INFANT)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 319.00)
32000294 HC ANKLE 2V RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 364.00)
32000295 HC ANKLE 2V LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 364.00)
32000296 HC ANKLE MIN 3V RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 395.00)
32000297 HC ANKLE MIN 3V LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 395.00)
32000300 HC FOOT 2V RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 232.00)
32000301 HC FOOT 2V LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 232.00)
32000304 HC FOOT MIN 3V RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 406.00)
32000305 HC FOOT MIN 3V LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 406.00)
32000308 HC HEEL MIN 2V RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 214.00)
32000309 HC HEEL MIN 2V LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 214.00)
32000313 HC TOE(S) RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 231.00)
32000365 HC TOE(S) LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 231.00)
32000014 HC ABDOMEN 1 VIEWRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 334.00)
32000015 HC ABDAP & OBLIQUE & CONE VIEWSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 432.00)
32000158 HC ABDAP & ERECT OR/& DECUB VIEWSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 442.00)
32000016 HC ABDOMEN ACUTE ABDOMEN SERIESRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 582.00)
32000125HC PERITONEOGRAM AFTER INJ AIR OR CONTRAST
RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 874.00)
32000131HC ESOPHAGUS UPPER/CERVICAL/PHARYNX
RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 400.00)
32000029 HC ESOPHAGRAM COMPLETERADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 400.00)
32000032 HC SWALLOWING FUNCTION VIDEORADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 371.00)
32000117HC FB REMOVAL ESOP W BALLOON CATHETER
RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 740.00)
32000041 HC GI SERIES W/O PRE KUBRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 371.00)
32000045 HC GI SERIES W PRE KUBRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 601.00)
32000043HC GI & SM BOWEL W MULTIPLE SERIAL FILMS
RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 783.00)
32000046 HC UGI AIR W/O KUBRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 605.00)
32000044 HC GI (AIR CONTRAST/OTHER) W PRE KUBRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 806.00)
32000047 HC UGI AIR W SM BOWEL FOLLOW THRURADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,006.00)
32000048 HC SMALL BOWEL SERIES W/MULT FILMSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 621.00)
32000017 HC ENTEROCLYSIS W TUBE PLACE DIRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 624.00)
32000018 HC BARIUM ENEMA ROUTINERADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 688.00)
32000019 HC BARIUM ENEMA WITH AIR CONTRASTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 722.00)
32000124 HC THERAPEUTIC ENEMARADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 662.00)
32000040HC GALL BLADDER ORAL CHOLECYSTOGRAM
RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 371.00)
32000042 HC GALL BLADDER ADDL PROCEDURERADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 386.00)
32000020 HC CHOLANGIOGRAM SURGERY/ORRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 382.00)
32000031 HC CHOLANGIOGRAPHY ADDL SET ORRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 348.00)
32000021 HC CHOLANGIOGRAM VIA EXIST CATHRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 439.00)
32000140 HC PTC (S&I)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 795.00)
32000118HC BILIARY STONE EXTRACTPERC T-TUBE/BASKET
RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 740.00)
32000218 HC ERCP IN DEPARTMENTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 795.00)
32000095 HC ERCP (RETRO PANCREATOGRAM)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 795.00)
32000007 HC GI TUBE(LONG)PLACEFLUORO & FILMSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 303.00)
32000167 HC PERC PLACEMENT/FEEDING TUBERADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 795.00)
32000141HC BIL DUCT DIL TRANSHEPATIC PERC W/WO
RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,271.00)
32000064 HC IV PYELOGRAM ROUTINERADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 859.00)
32000066 HC IV PYELOGRAM RAPID SEQUENCERADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 592.00)
32000065 HC IV PYELOGRAM WITH TOMOGRAPHYRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 970.00)
32000067 HC RETROGRADE PYELOGRAM W/WO KUBRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 592.00)
32000318HC UROGRAPHY ANTEGRADE RS&I BILATERAL
RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 979.00)
32000319 HC UROGRAPHY ANTEGRADE RS&I RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 652.00)
32000320 HC UROGRAPHY ANTEGRADE RS&I LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 652.00)
32000068 HC CYSTOGRAM RS&I MIN 3VRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 592.00)
32000156 HC CORPORA CAVERNOSOGRAPHYRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 592.00)
32000174 HC URETHROGRAM RETROGRADERADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 592.00)
32000173 HC CYSTOURETHROGRAM (VOIDING)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 592.00)
32000012HC CATH RENAL PELVIS DRG&/NJX PRQ RS&I LT
RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,960.00)
32000322HC CATH RENAL PELVIS DRG&/NJX PRQ RS&I BILAT
RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 2,941.00)
32000364HC CATH RENAL PELVIS DRG&/NJX PRQ RS&I RT
RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,960.00)
32000323HC INTRO URETERAL CATH/STENT PRQ RS&I RT
RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,960.00)
32000324HC INTRO URETERAL CATH/STENT PRQ RS&I LT
RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,960.00)
32000325HC INTRO URETERAL CATH/STENT PRQ RS&I BIL
RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 2,941.00)
32000326HC DILATION URETER(S) OR URETHRA RAD S&I RT
RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,960.00)
32000327HC DILATION URETER(S) OR URETHRA RAD S&I LT
RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,960.00)
32000328HC DILATION URETER(S) OR URETHRA RAD S&I BIL
RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 2,941.00)
32000093 HC PELVIMETRYRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 364.00)
32000172 HC HYSTEROSALPINGOGRAMRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 976.00)
32000157 HC FALLOPIAN TUBE RECANNULAZATIONRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 795.00)
32000084 HC PERINEOGRAM SEX DETERMRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 592.00)
32000154 HC VISCERAL ANGIO SELECT (W/WO FLUSH) RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 8,926.00)
32000105 HC SHUNT ANGIO EXISTING ACCESSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,635.00)
32000132 HC LYMPHANGIOGRAM ARM/LEG UNILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 795.00)
32000133 HC LYMPHANGIOGRAM ARM/LEG BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,461.00)
32000134 HC LYMPHANGIOGRAM ABD/PELVIS UNILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,461.00)
32000151 HC LYMPHANGIO PELVIC/ABD BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 3,049.00)
32000078 HC SHUNTOGRAM PREV NONVASCRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 795.00)
32000329 HC VENOGRAM EXTREMITY UNIL RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,057.00)
32000330 HC VENOGRAM EXTREMITY UNIL LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,057.00)
32000027 HC VENO EXTREM BILAT S&IRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,216.00)
32000152HC INFERIOR VENA CAVA W SERIALOGRAPHS
RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 3,344.00)
32000155 HC SUPERIOR VENA CAVA W FILMSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,306.00)
32000335 HC VENOGRAM RENAL RT SELECTIVERADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 3,344.00)
32000336 HC VENOGRAM RENAL LT SELECTIVERADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 3,344.00)
32000123 HC VENOGRAM RENAL BILAT SELECTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 3,845.00)
32000136 HC VENOGRAM ADENAL LT SELECTIVERADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 3,344.00)
32000135 HC VENOGRAM ADENAL BILAT SELECTIVERADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 7,658.00)
32000337 HC VENOGRAM JUGULAR CATH LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 3,049.00)
32000338 HC VENOGRAM JUGULAR CATH RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 3,049.00)
32000166 HC VENOGRAM SUPERIOR SAGITTAL SINUSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,306.00)
32000009 HC VENOGRAM EPIDURALRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 3,049.00)
32000177 HC PORTOGRAPHY W HEMODYNAMIC EVALRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 3,344.00)
32000178HC PORTOGRAPHY W/O HEMODYNAMIC EVAL
RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 3,105.00)
32000150 HC HEPATIC VENO W HEMODYNAMIC EVALRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 3,845.00)
32000149HC HEPATIC VENOGRAM W/O HEMODYNAMIC
RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 3,344.00)
32000153HC VENOUS SAMPLING VIA CATHW/WO ANGIO
RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 7,658.00)
32000176 HC TRANSCATH EMBOLIZ;ANY METHODRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 2,413.00)
32000006HC TRANSCATHTHERAPYINFUSION ANY METHOD
RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 2,413.00)
32000183 HC EXISTING CATH ANGIOGR FOR F/U RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 1,765.00)
32000092HC THROMBOLYTIC CATH EXCHANGE W CONTRAST
RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 3,137.00)
32000138HC MECHANICAL RMVL PERICATHETER OBSTR MATRL RS&I
RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 676.00)
32000139HC MECHANICAL RMVL INTRALUMINAL OBSTR MATRL RS&I
RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 542.00)
32000146 HC IVC FILTER PLACEMENT PERCRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,336.00)
32000004 HC IV ULTRASOUND RS&I INITIAL VESSELRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 729.00)
32000005HC IV ULTRASOUND RS&I EACH NON-CORONARY VESSEL
RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 565.00)
32000002HC ENDOVASCULAR REPAIR INFRARENAL AAA S & I
RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 2,276.00)
32000003HC PROX OR DISTAL EXTENSION FOR AAA S & I
RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 2,276.00)
32000111 HC ENDO REPAIR ILIAC ARTERYRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 496.00)
32000179 HC ENDO T ANEURYSM INVOLV LSC(PROC)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 927.00)
32000180HC ENDO T ANEURYSM NOT INVOLV LSC (PRO
RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 794.00)
32000181 HC ENDO T ANEURYSM PROX EXT (PROC)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 530.00)
32000182 HC ENDO THORACIC REVISION (PROC)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 465.00)
32000104 HC TRANSCATH IV STENT RS&IRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,145.00)
32000145 HC TRANSCATHETER RETRIVAL PERCRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,256.00)
32000342 HC TRANSLUM PTAPERIPH;INITIALRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 3,615.00)
32000346 HC PTA EA ADD'L PERIPHERAL ARTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,334.00)
32000349 HC PTA RENAL/VISCERAL ARTERY RIGHTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 3,615.00)
32000350 HC PTA RENAL/VISCERAL ARTERY LEFTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 3,615.00)
32000355 HC PTA EA ADD'L VISCERAL ARTERY RIGHTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,334.00)
32000356 HC PTA EA ADD'L VISCERAL ARTERY LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,334.00)
32000175 HC TRANSCATHETER BIOPSY S&IRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,306.00)
32000102 HC PTA VENOUSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 4,056.00)
32000142 HC BILIARY DRAINAGE PERC EXTERNALRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,271.00)
32000143 HC BILIARY DRAINAGEPERC INT/EXTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,271.00)
32000144 HC DRAINAGE CATHETER CHANGE PERCRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 740.00)
32000119 HC DRAINAGE ABSCESS PERC CT GUID CT SCAN - OTHER CT SCAN [0359] ( 829.00)
32000022 HC FLUORO GUIDANCE UP TO 1 HOURRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 475.00)
32000057 HC C ARM FLUORO MORE THAN 1 HRRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 476.00)
32000116HC FOREIGN BODY CHILD NOSE TO RECTUM 1V
RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 219.00)
32000147 HC FISTULA/ABSCESSOGRAM STUDYRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 542.00)
32000126 HC SURGICAL SPECIMEN XRAYRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 951.00)
32000215 HC LOWER EXT TOMOGRAMRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 338.00)
32000103 HC UNLISTED FLUORO PROCEDURERADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 428.00)
32000164 HC UNLISTED RADIOGRAPHIC PROCEDURERADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 619.00)
32000162 HC CVC/PICC FLUORO GUIDANCE (+)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 462.00)
32000148 HC FLUOROGUIDE NDLE LOC(BXASPIR)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 271.00)
32000056 HC FLUORO GUIDE TX SPINETHER INJRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 286.00)
32000127 HC STEREOTACT GUIDE FOR BRST BXRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,193.00)
32000129 HC BREAST EA LESIONRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 255.00)
32000128 HC XRAY MAMMARY DUCTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 380.00)
32000130 HC XRAY MAMMARY DUCT MULTIPLERADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 513.00)
32000090HC MANUAL APPLIC STRESS BY MD JOINT XRAY
RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 123.00)
32000096 HC BONE AGE STUDYRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 209.00)
32000214 HC BONE LENGTH STUDYRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 264.00)
32000160 HC OSSEOUS SURVEY LIMITEDRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 360.00)
32000159HC OSSEOUS SURVEY AXIAL & APPENDICULAR
RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 574.00)
32000161 HC OSSEOUS SURVEY INFANTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 283.00)
32000184HC JOINT SURVEY 1 VIEW 2 OR MORE JOINTS
RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 198.00)
32000109 HC BONE DENSITYDXA AXIAL SKELETONRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 397.00)
32000110HC BONE DENSITYDXA APPENDICULAR SKELETON
RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 196.00)
32000108HC BONE DENSITYDXA VERTEBRAL FRACTURE
RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 394.00)
44400004 HC SWALLOW EVAL WITH VIDEOSPEECH THERAPY - LANGUAGE PATHOLOGY - EVALUATION OR REEVALUATION [0444] ( 357.00)
44400002 HC FEES SWALLOW EVALUATIONSPEECH THERAPY - LANGUAGE PATHOLOGY - EVALUATION OR REEVALUATION [0444] ( 301.00)
32000219HC CA SCRN BARIUM ENEMA(NONMEDICARE)
RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 469.00)
32000165 HC CLOSURE DEVICE PLACEMENTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 70.00)
32200008 HC TMJ ARTHROGRAM RIGHT RADIOLOGY - DIAGNOSTIC - ARTHROGRAPHY [0322] ( 569.00)
32200009 HC TMJ ARTHROGRAM LEFT RADIOLOGY - DIAGNOSTIC - ARTHROGRAPHY [0322] ( 569.00)
32200010 HC ARTHROGRAMTMJBILAT;S&I RADIOLOGY - DIAGNOSTIC - ARTHROGRAPHY [0322] ( 853.00)
32200011 HC SHOULDER ARTHROGRAM RT RADIOLOGY - DIAGNOSTIC - ARTHROGRAPHY [0322] ( 766.00)
32200012 HC SHOULDER ARTHROGRAM LT RADIOLOGY - DIAGNOSTIC - ARTHROGRAPHY [0322] ( 766.00)
32200013 HC ELBOW ARTHROGRAM RT RADIOLOGY - DIAGNOSTIC - ARTHROGRAPHY [0322] ( 569.00)
32200014 HC ELBOW ARTHROGRAM LT RADIOLOGY - DIAGNOSTIC - ARTHROGRAPHY [0322] ( 569.00)
32200015 HC WRIST ARTHROGRAM RT RADIOLOGY - DIAGNOSTIC - ARTHROGRAPHY [0322] ( 569.00)
32200016 HC WRIST ARTHROGRAM LT RADIOLOGY - DIAGNOSTIC - ARTHROGRAPHY [0322] ( 569.00)
32200017 HC HIP ARTHROGRAM RT RADIOLOGY - DIAGNOSTIC - ARTHROGRAPHY [0322] ( 676.00)
32200018 HC HIP ARTHROGRAM LT RADIOLOGY - DIAGNOSTIC - ARTHROGRAPHY [0322] ( 676.00)
32200021 HC KNEE ARTHROGRAM RT RADIOLOGY - DIAGNOSTIC - ARTHROGRAPHY [0322] ( 569.00)
32200022 HC KNEE ARTHROGRAM LT RADIOLOGY - DIAGNOSTIC - ARTHROGRAPHY [0322] ( 569.00)
32200023 HC ANKLE ARTHROGRAM RT RADIOLOGY - DIAGNOSTIC - ARTHROGRAPHY [0322] ( 569.00)
32200024 HC ANKLE ARTHROGRAM LT RADIOLOGY - DIAGNOSTIC - ARTHROGRAPHY [0322] ( 569.00)
32300012 HC THORACIC AO W/O SERIALOGRAPHY RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 3,344.00)
32300026 HC AORTOGRAPHY THORACIC RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 7,658.00)
32300023 HC AORTOGRAPHY ABDOMINAL RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 3,344.00)
32300004HC ANGIO ABD W BILAT LOW EXTRO(STEPETC) RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 3,344.00)
32300001HC ANGIOGRAPHY CERVICOCEREBRAL ARCH RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 3,453.00)
32300002 HC RETROGRADE BRACHIAL ARTERIOGRAM RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 3,344.00)
32300014 HC CAROTID EXTERNAL SELECTIVE LT RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 3,453.00)
32300028 HC CAROTID EXTERNAL SELECTIVE RT RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 3,453.00)
32300015HC CAROTID EXTERNAL SELECTIVE BILATERAL RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 3,453.00)
32300031 HC CAROTID CEREBRAL UNILATERAL S&I LT RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 2,596.00)
32300032 HC CAROTID CEREBRAL UNILATERAL S&I RT RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 2,596.00)
32300020 HC CAROTIDCEREBRALBILATERALANGIO RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 3,508.00)
32300035 HC ANGIO CERV CAROTID LT RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 4,322.00)
32300036 HC ANGIO CERV CAROTID RT RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 3,375.00)
32300019 HC ANGIO CERV CAROTID BILATERAL RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 2,596.00)
32300011HC VERTEBRAL CERV OR INTRACRAN ANGIO RT RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 2,823.00)
32300047HC VERTEBRAL CERV OR INTRACRAN ANGIO LT RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 2,823.00)
32300005 HC ANGIO SPINAL SELECTIVE RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 8,926.00)
32300037 HC ANGIO EXTREM UNILAT RT S&I RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 3,344.00)
32300038 HC ANGIO EXTREM UNILAT LT S&I RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 3,344.00)
32300024 HC ANGIO EXTREM BILAT S&I RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 3,845.00)
32300006 HC ANGIO ADRENAL LT SELECTIVE RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 3,344.00)
32300008 HC ANGIO ADRENAL RT SELECTIVE RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 3,344.00)
32300018 HC ANGIO ADRENAL BILAT SELECTIVE RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 3,845.00)
32300003HC ANGIO PELVIC SELECTIVE OR SUPRASELECT RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 7,658.00)
32300045 HC PULMONARY ANGIO SELECTIVE RIGHT RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 3,344.00)
32300046 HC PULMONARY ANGIO SELECTIVE LEFT RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 3,344.00)
32300021 HC PULMONARY BILATERAL (SELECTIVE) RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 3,845.00)
32300013 HC PULMONARY ANGIO NONSELECT RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 3,049.00)
32300007 HC ANGIO INTERNAL MAMMARY RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 3,049.00)
32300025HC ANGIOGRAPHY SELECTIVEEACH ADD'L VESSEL RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 3,105.00)
32400002 HC CHEST 1 VIEW RADIOLOGY - DIAGNOSTIC - CHEST X-RAY [0324] ( 468.00)
32400004 HC CHEST 3VAPLATW/APICAL LORDOTIC RADIOLOGY - DIAGNOSTIC - CHEST X-RAY [0324] ( 478.00)
32400005 HC CHEST COMPLETE (MINIMUM 4V) RADIOLOGY - DIAGNOSTIC - CHEST X-RAY [0324] ( 484.00)
32400006 HC CHEST COMPLETE MIN 4V W/FLUORO RADIOLOGY - DIAGNOSTIC - CHEST X-RAY [0324] ( 489.00)
32400001HC CHEST SPECIAL VIEW(EG DECUBS) DEPT RADIOLOGY - DIAGNOSTIC - CHEST X-RAY [0324] ( 255.00)
33100003HC CHEMO TX ADMN SUBQ/IM NONHORMONAL ANTINEO
RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - CHEMOTHERAPY ADMINISTRATION - INJECTED [0331] ( 182.00)
33100004HC CHEMO TX ADMN SUBQ/IM HORMONAL ANTINEO
RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - CHEMOTHERAPY ADMINISTRATION - INJECTED [0331] ( 94.00)
33100001HC CHEMO TX ADMN IV PUSH TQ 1/1ST SBST/DRUG
RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - CHEMOTHERAPY ADMINISTRATION - INJECTED [0331] ( 239.00)
33100002HC CHEMO TX ADMN IV PUSH TQ EA SBST/DRUG
RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - CHEMOTHERAPY ADMINISTRATION - INJECTED [0331] ( 137.00)
33100006 HC CHEMO TX ADMIN INTRAART PUSH TQ
RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - CHEMOTHERAPY ADMINISTRATION - INJECTED [0331] ( 353.00)
33100005HC CHEMO.INJECTION W LUMBAR PUNCTURE INC.
RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - CHEMOTHERAPY ADMINISTRATION - INJECTED [0331] ( 362.00)
33300043HC US INTERSTITIAL RADIOELEMENT APPLICATION
RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 728.00)
33300004 HC TP/SAFS MINRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 573.00)
33300005 HC TP/SAFS INTERMRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 842.00)
33300006 HC TP/SAFS COMPLEXRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 905.00)
33300040 HC 3-D RADIOTHERAPY PLANRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 2,898.00)
33300003 HC DOSIMETRY CALCULATIONSRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 352.00)
33300041 HC IMRT PLANNINGRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 4,834.00)
33300009 HC DOS/ISO COMPLEXRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 616.00)
33300010 HC TPPPARTICLASHEMI TOTALRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 572.00)
33300014 HC DOS (EGTLDMICRODOS)RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 309.00)
33300015 HC TDD & CONSTR SIMPLERADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 588.00)
33300016 HC TDD & CONSTR INTERMRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 215.00)
33300017 HC TDD & CONSTR COMPLEXRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 726.00)
33300018 HC CONT MED RAD PHYS CONSULRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 416.00)
33300001HC MULTILEAF COLLIMATOR PER IMRT PLAN
RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 726.00)
33300019 HC SP MED RAD PHYS CONSULRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 285.00)
33300039 HC UNLIS PROCMED RAD PHYSDOSTRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 215.00)
33300025HC RADIATION TRTMT ORTHO VOLTAGE PER DAY
RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 210.00)
33300026 HC RADIATION TRMT SIMPLE >=1MEVRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 411.00)
33300028 HC RADIATION TRTMTSIMPLE 11-19 MEVRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 207.00)
33300030 HC RADIATION TRMT INTERMED >=1MEVRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 454.00)
33300034 HC RADIATION TRMT COMPLEX >=1MEVRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 621.00)
33300035 HC RADIATION TRTMTCOMPLEX 6-10 MEVRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 632.00)
33300036 HC RADIATION TRTMTCOMPLEX 11-19 MEVRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 645.00)
33300020 HC LOCAL/VERIF 1 PORTRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 164.00)
33300042 HC IMRT TRTMT DELIVERYRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 2,188.00)
33300045 HC IGRT TREATMENT DELIVERYRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 799.00)
33300038 HC SPECIAL TRMTRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 1,702.00)
33300021 HC HYPERTHERMIA EXTER SUPERFICIALRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 375.00)
33300022 HC HYPERTHERMIAEXTERNAL DEEPRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 1,355.00)
33300023 HC HYPERTHER GEN INTERS PROBE =/<5RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 908.00)
33300024 HC HYPERTHERM GEN INTERS PROBE >5RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 908.00)
33300046HC HPERTHERM GEN INTRACAVITY PROBE(S)
RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 908.00)
33300002 HC TOSITUMOMAB IV 450 MGRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 4,928.00)
33500002HC CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG
RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - CHEMOTHERAPY ADMINISTRATION - IV [0335] ( 392.00)
33500003HC CHEMOTHERAPY ADMN IV INFUSION TQ EA HR
RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - CHEMOTHERAPY ADMINISTRATION - IV [0335] ( 163.00)
33500005HC CHEMOTX ADMN TQ INIT PROLNG CHEMOTX NFUS PMP
RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - CHEMOTHERAPY ADMINISTRATION - IV [0335] ( 392.00)
33500004HC CHEMOTX ADMN IV NFS TQ EA SEQL NFS TO 1 HR
RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - CHEMOTHERAPY ADMINISTRATION - IV [0335] ( 163.00)
33500001HC CHEMOTX ADMN PRTL CAVITY PORT/CATH
RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - CHEMOTHERAPY ADMINISTRATION - INJECTED [0331] ( 341.00)
34000001 HC IV INJ RA DRUG DX STUDY NUCLEAR MEDICINE - THERAPEUTIC PROCEDURES [0342] ( 373.00)
34000003 HC FDG DX PSD UT 45 MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 1,044.00)
34100005 HC THYROID UPTAKE (SINGLE) NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 401.00)
34100042 HC THYROID UPTAKE (MULTIPLE) NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 748.00)
34100030HC THYROID STIMULATION SUPPRESS/DISCHG NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 634.00)
34100024 HC THYROID UPTAKE (SINGLE) AND SCAN NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,083.00)
34100040 HC THYROID UPTAKE (MULTIPLE) AND SCAN NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,488.00)
34100006 HC THYROID SCAN NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 828.00)
34100007 HC THYROID CA WHOLE BODY NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,965.00)
34100072 HC THYROID CA METS UPTAKE NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 905.00)
34100013 HC PARATHYROID IMAGING NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 905.00)
34100073 HC NP 59 ADRENAL SCAN NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,578.00)
34100068HC BONE MARROW IMAGING LIMITED STUDY NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 653.00)
34100067HC BONE MARROW IMAGING MULTIPLE STUDY NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 905.00)
34100011 HC BONE MARROW IMAGING WHOLE BODY NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,155.00)
34100061 HC PLASMA VOLUME I 125 SINGLE STUDY NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 2,159.00)
34100009 HC CR 51 RED CELL VOLUME (MASS) NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 905.00)
34100010 HC CR 51 RED CELL SURVIVAL NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 905.00)
34100045 HC LYMPHANGIOSCAN NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,309.00)
34100050 HC SPECT (LIVER) NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 2,159.00)
34100002HC LIVER IMAGING (SPECT) WITH VASCULAR FLOW NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 994.00)
34100025 HC LIVER & SPLEEN STATIC ONLY NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 653.00)
34100029 HC HEPATOBILIARY SCAN NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,975.00)
34100078HC HEPATOBILLIARY IMAGING INCL GALLBLADDER NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,489.00)
34100079HC HEPATOBIL IMAGE INC GALLBLADDER W/DRUG NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 2,496.00)
34100003 HC GASTROESOPHAGEAL REFLUX STUDY NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 709.00)
34100023 HC GASTRIC EMPTYING SCAN NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 2,299.00)
34100066 HC C-14 UREA BREATH TEST NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 104.00)
34100014HC SCHILLING I W/O INTRINSIC FACTOR*1612 NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 402.00)
34100015HC SCHILLINGS II W INTRINSIC FACTOR*1612 NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 443.00)
34100012 HC B-12 ABSORPTION COMBINED NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 653.00)
34100027 HC GI BLEEDING SCAN NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 905.00)
34100034 HC MECKELS SCAN NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 653.00)
34100056 HC SHUNT PATENCY TEST NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 905.00)
34100018 HC BONE SCAN (LIMITED) SINGLE AREA NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 770.00)
34100017 HC BONE SCAN (WHOLE BODY) NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 2,496.00)
34100016 HC BONE SCAN (3 PHASE) NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 2,113.00)
34100058 HC BONE SPECT NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 947.00)
34100047 HC DYNAMIC CARDIAC FLOW SHUNT NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 905.00)
34100062 HC VASCULAR FLOW IMAGING NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 653.00)
34100052HC MYOCARD SPECT/SGL WM/EF IF PERFORMED NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,526.00)
34100053HC MYOCARD SPECT/MULT WM/EF IF PERFORMED NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 3,994.00)
34100054HC MYOCARD PERF/SGL/PLAN WM/EF IF PERFORMED NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,510.00)
34100055HC MYOCARD PERF/MUL/PLAN WM/EF IF PERFORMED NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 2,318.00)
34100051HC VENOUS THROMBOSIS IMAGINGACUTEPEPTIDE NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,244.00)
34100071HC RADIOISOTOPE VENOGRAM (UNILATERAL) NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 2,159.00)
34100043 HC RADIOISOTOPE VENOGRAM (BILATERAL) NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 980.00)
34100033 HC MYOCARDIAL SPECT PLANAR NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 2,159.00)
34100069 HC MUGA BLD POOL SNGL W/STRESS NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,510.00)
34100046 HC MUGA BID POOL MULTI W/STRESS NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,661.00)
34100048 HC FIRST PASS CARDIAC NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,510.00)
34100026 HC LUNG PERFUSION SCAN NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 653.00)
34100075HC PULMONARY VENT & PERFUSION IMAGING NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 2,094.00)
34100041HC LUNG PERFUSION WITH XENON VENTILATION NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 2,472.00)
34100031HC XENON VENTILATION SCAN(MULTIPLE PROJECTI NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,308.00)
34100032 HC LUNG PERFUSION SCAN QUANTITATIVE NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 803.00)
34100076HC QUANT DIFF PULMONARY PERFUSION INC IMAGE NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 430.00)
34100077HC QUANT DIFF PULM PERF & VENT INC IMAGE NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 792.00)
34100028 HC UNLISTED RESP PROCEDURE NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 945.00)
34100020 HC BRAIN MIN 4V W VASCULAR FLOW NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,459.00)
34100019 HC BRAIN SPECT NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 2,255.00)
34100001 HC BRAIN IMAGING VASC FLOW ONLY NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 653.00)
34100057 HC CSF SHUNT EVALUATION NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 905.00)
34100021 HC CISTERNOGRAM W/SPECT NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,244.00)
34100022 HC CSF LEAKAGE LOCALIZATION NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,244.00)
34100060 HC RENAL IMAGING NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 653.00)
34100038 HC KIDNEY MORPH W VASCULAR FLOW NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 743.00)
34100037HC KIDNEY MORPH W VASCULAR F&F W/O PHARM NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 905.00)
34100035 HC KIDNEY W VASC F&F W PHARM NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 962.00)
34100070 HC KIDNEY W F&F MULT W/WO PHAR NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,249.00)
34100049 HC SPECT (RENAL) NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 905.00)
34100039 HC URETERAL REFULX STUDY NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 653.00)
34100036 HC TESTICULAR W VASC FLOW NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 653.00)
34100065 HC RP DISTRIBUTION; LIMITED AREA NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 905.00)
34100044 HC RP LOC TUMOR MULTIPLE NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,015.00)
34100074 HC RP LOC TUMOR WHOLEBODY NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,125.00)
34100064 HC RP LOC TUMOR SPECT NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,804.00)
34100059 HC RP TUMOR LOC WHOLE BODY 2+DAYS NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 3,279.00)
34100004 HC RP LOC INFLAM LIMITED NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,244.00)
34100008 HC RP LOC INFLAMMATORY WHOLE BODY NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,368.00)
34100063 HC RP LOC INFLAMMATORY SPECT NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,505.00)
34200012 HC INSTIT RADIOELE APPLIC COMPLEX NUCLEAR MEDICINE - THERAPEUTIC PROCEDURES [0342] ( 2,267.00)
34200002 HC RP THERAPY ORAL ADMINISTRATION NUCLEAR MEDICINE - THERAPEUTIC PROCEDURES [0342] ( 1,064.00)
34200001 HC RP THERAPY IV ADMISTRATION NUCLEAR MEDICINE - THERAPEUTIC PROCEDURES [0342] ( 1,170.00)
34200003 HC RP INTRACAVITARY ADMIN NUCLEAR MEDICINE - THERAPEUTIC PROCEDURES [0342] ( 4,115.00)
34200004 HC RP THERAPY BY IV INFUSION NUCLEAR MEDICINE - THERAPEUTIC PROCEDURES [0342] ( 1,170.00)
34300040 HC C14 UREA CAPSULE PER CAPSULENUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 348.00)
34300010 HC INDIUM 111 ONCOSCINT PSD UT 6MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 3,244.00)
34300013 HC TC 99M MIRALUMA PSDNUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 183.00)
34300031 HC TC 99M CARDIOLITE PSDNUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 183.00)
34300017 HC TC 99M MYOVIEW PSDNUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 189.00)
34300006 HC TC 99M MDP PSD UT 30MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 55.00)
34300034 HC TC 99M ACUTECT PSD UT 20MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 1,044.00)
34300027 HC THALLIUM PER MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 43.00)
34300032 HC IN 111 PROSTASCINT PSD UT 10 MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 4,930.00)
34300012 HC I131 MIBG PER 0.5 MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 2,968.00)
34300008 HC TC 99M HEPATOLITE PSD UP 15MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 58.00)
34300018 HC TC99M PERTECHNETATE PER MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 2.00)
34300028 HC I123 DIAGNOSTIC PER 100 UCI UT 999NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 296.00)
34300019 HC CERETEC DX PSD UT 25 MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 2,720.00)
34300037 HC CERETEC LABELED DX PSD UT 25 MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 3,624.00)
34300001 HC I131 DIAGNOSTIC CAPS 4MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 172.00)
34300029 HC I131 SODIUM IOD CAP DX PER MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 172.00)
34300035 HC TC 99M NEOTECT PSD UT 35 MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 1,871.00)
34300020 HC TC 99M CHOLETEC PSD UT 15 MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 72.00)
34300003 HC TC 99M PYP PSD UT 25 MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 115.00)
34300022 HC TC 99M DTPA PSD UT 25 MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 257.00)
34300023 HC TC 99M MAA PSD UT 10 MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 451.00)
34300021 HC TC 99M SULFUR COL PSD UT 20MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 243.00)
34300042HC TC 99M SULFUR COL FILTERED PSD UT 20MCI
NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 181.00)
34300015 HC IN 111 ZEVALIN DX PSD UT 5 MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 5,240.00)
34300009 HC I131 BEXXAR DX PSDNUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 5,218.00)
34300038HC INDIUM 111 WBC OXYQUINOLINE PER 0.5 MCI
NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 3,612.00)
34300033 HC IN 111 DTPA PER 0.5 MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 3,376.00)
34300014 HC TC 99M GLUCEPTATE PSD UT 25MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 58.00)
34300004 HC TC 99M DMSA PSD UT 10 MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 339.00)
34300039 HC CR51 SOD CHROMATE PSDUT 250UCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 72.00)
34300036 HC RB92 PSD UT 60 MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 579.00)
34300026 HC GALLIUM 67 PER MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 400.00)
34300011 HC TC 99M NEUROLITE PSD UT 25 MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 2,479.00)
34300030 HC XE133 PER 10 MCI VIALNUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 200.00)
34300007 HC CO57 RUBRATOPE PSD 500 UCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 279.00)
34300041 HC TC99M LABELED RBC PSD UT 30MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 301.00)
34300024 HC TC 99M HDP PSD UT 30 MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 94.00)
34300025 HC TC 99M MAG3 PSD UT 15 MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 587.00)
34300016 HC IN111 IN OCTREOSCAN PSD UT 6 MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 7,090.00)
34300002 HC I123 MIBG DX PSD UT 15 MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 6,947.00)
34300005 HC INPNT STAY RADIOLABELED ITEMNUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 1.00)
34400006 HC I131 SODIUM IOD CAP TX PER MCINUCLEAR MEDICINE - THERAPEUTIC RADIOPHARMACEUTICALS [0344] ( 40.00)
34400005 HC YTTRIUM 90 ZEVALIN TX PSD UT 40MCINUCLEAR MEDICINE - THERAPEUTIC RADIOPHARMACEUTICALS [0344] ( 93,462.00)
34400001 HC I131 BEXXAR THERAPEUTICNUCLEAR MEDICINE - THERAPEUTIC RADIOPHARMACEUTICALS [0344] ( 45,216.00)
34400003 HC P32 SODIUM PHOSPHATE PER MCINUCLEAR MEDICINE - THERAPEUTIC RADIOPHARMACEUTICALS [0344] ( 483.00)
34400002 HC STRONTIUM 89 TX PER MCINUCLEAR MEDICINE - THERAPEUTIC RADIOPHARMACEUTICALS [0344] ( 1,759.00)
35000003HC CT ANGIO NECK W/WO CONT W POST PROCESS CT SCAN - HEAD SCAN [0351] ( 2,333.00)
35000008 HC CT CHEST W/O CONTRAST CT SCAN - BODY SCAN [0352] ( 2,257.00)
35000009 HC CHEST W CONTRAST CT SCAN - BODY SCAN [0352] ( 2,778.00)
35200022 HC CHEST W/WO CONTRAST CT SCAN - BODY SCAN [0352] ( 2,933.00)
35000004HC CT ANGIO CHEST W/WO CONT W POST PROCESS CT SCAN - BODY SCAN [0352] ( 2,311.00)
35000001 HC CT T-SPINE W&W/O CT SCAN - BODY SCAN [0352] ( 2,371.00)
35000013HC CT ANGIO PELVIS W/WO CONT/W POST PROCESS CT SCAN - BODY SCAN [0352] ( 2,048.00)
35000021 HC CT ANGIO UPR EXTRM W/O&W/DYE LT CT SCAN - BODY SCAN [0352] ( 2,271.00)
35000022 HC CT ANGIO UPR EXTRM W/O&W/DYE RT CT SCAN - BODY SCAN [0352] ( 2,271.00)
35000023 HC CT ANGIO UPR EXTRM W/O & W/DYE BIL CT SCAN - BODY SCAN [0352] ( 3,407.00)
35000024 HC CT ANGIO LWR EXT W/WO CONT LT CT SCAN - BODY SCAN [0352] ( 2,166.00)
35000020 HC CTA ABD & PELVIS CT SCAN - BODY SCAN [0352] ( 3,831.00)
35000005HC CT ANGIO ABDOMEN W/WO CONT & POST PR CT SCAN - BODY SCAN [0352] ( 2,264.00)
35000012HC CT HEART W/O EVAL CORONARY CALCIUM CT SCAN - GENERAL CLASSIFICATION [0350] ( 140.00)
35000011HC CT ANGIO ABD AO/BILAT RO W/WO CONT & PP CT SCAN - BODY SCAN [0352] ( 2,547.00)
35000010 HC CT 3D RECON CT SCAN - GENERAL CLASSIFICATION [0350] ( 364.00)
35000002 HC CT LTD OR LOCALIZED FU STUDY CT SCAN - GENERAL CLASSIFICATION [0350] ( 620.00)
35000016 HC CT PROCEDURE UNLISTED CT SCAN - GENERAL CLASSIFICATION [0350] ( 1,427.00)
35000018HC HEAD STEREOTACTIC LOC CT GUIDANCE CT SCAN - GENERAL CLASSIFICATION [0350] ( 1,500.00)
35000015 HC CT SCAN FOR NDL PLACEMENT CT SCAN - GENERAL CLASSIFICATION [0350] ( 1,440.00)
35000014 HC CT GUIDANCE TISSUE ABLATION CT SCAN - GENERAL CLASSIFICATION [0350] ( 575.00)
35000019 HC CT GUIDANCE FOR RADIATION THERAPY CT SCAN - GENERAL CLASSIFICATION [0350] ( 729.00)
35000017 HC CT BONE DENSITY AXIAL SKELETON CT SCAN - BODY SCAN [0352] ( 520.00)
35100005 HC HEAD WO CONTRAST CT SCAN - HEAD SCAN [0351] ( 2,677.00)
35100003 HC HEAD W CONTRAST CT SCAN - HEAD SCAN [0351] ( 2,995.00)
35100006 HC HEAD W & W/O CONTRAST CT SCAN - HEAD SCAN [0351] ( 3,696.00)
35100009 HC ORBITSELLAP FOSSA OR OMI EAR W/O CT SCAN - HEAD SCAN [0351] ( 3,729.00)
35100010 HC CT ORBITS SELL PF EAR W/ CT SCAN - HEAD SCAN [0351] ( 3,840.00)
35100004 HC CT ORBIT/EAR/FOS SA W&W/O CT SCAN - HEAD SCAN [0351] ( 3,950.00)
35100008 HC CT MAXILLOFACIAL/SINUSES W/O CT SCAN - HEAD SCAN [0351] ( 2,998.00)
35100011 HC CT FACIAL BONES/SINUSES W CONTAST CT SCAN - HEAD SCAN [0351] ( 3,206.00)
35100012HC CT FACIAL BONES/SINUSES W/WO CONTRAST CT SCAN - HEAD SCAN [0351] ( 3,414.00)
35100001 HC NECK W/O CONTRAST CT SCAN - HEAD SCAN [0351] ( 1,546.00)
35100007 HC NECK W CONTRAST CT SCAN - HEAD SCAN [0351] ( 2,000.00)
35100013 HC NECK W/WO CONTRAST CT SCAN - HEAD SCAN [0351] ( 2,248.00)
35100002 HC CTA HEAD W&WO CONTRA CT SCAN - HEAD SCAN [0351] ( 2,333.00)
35200013 HC CERVICAL SPINE W/O CONTRAST CT SCAN - BODY SCAN [0352] ( 2,086.00)
35200011 HC CERVICAL SPINE W CONTRAST CT SCAN - BODY SCAN [0352] ( 2,229.00)
35200009 HC CERV SPINE W & WO CONTRAST CT SCAN - BODY SCAN [0352] ( 2,371.00)
35200014 HC THORACIC SPINE W/O CONTRAST CT SCAN - BODY SCAN [0352] ( 2,086.00)
35200012 HC THORACIC SPINE W CONTRAST CT SCAN - BODY SCAN [0352] ( 2,229.00)
35200015 HC LUMBAR SPINE W/O CONTRAST CT SCAN - BODY SCAN [0352] ( 2,086.00)
35200023 HC SPINE LUMBAR W CONTRAST CT SCAN - BODY SCAN [0352] ( 2,229.00)
35200024 HC SPINE LUMBAR W/WO CONTRAST CT SCAN - BODY SCAN [0352] ( 2,371.00)
35200007 HC CT PELVIS W/O CONTRAST MATERIAL CT SCAN - BODY SCAN [0352] ( 1,824.00)
35200008 HC PELVIS W CONTRAST CT SCAN - BODY SCAN [0352] ( 2,048.00)
35200004 HC PELVIS W/WO CONTRAST CT SCAN - BODY SCAN [0352] ( 2,271.00)
35200025HC CT UPPER EXTREMITY W/O CONTRAST MATERIAL LT CT SCAN - BODY SCAN [0352] ( 1,707.00)
35200028HC CT UPPER EXTREMITY W/O CONTRAST MATERIAL RT CT SCAN - BODY SCAN [0352] ( 1,707.00)
35200037HC CT UPPER EXTREMITY W/O CONTRAST MATERIAL BILAT CT SCAN - BODY SCAN [0352] ( 2,560.00)
35200038HC EXTERMITYUPPERBILATERALW CONTRAST CT SCAN - BODY SCAN [0352] ( 2,678.00)
35200039 HC EXTREMITY UPPER RIGHT W CONTRAST CT SCAN - BODY SCAN [0352] ( 1,786.00)
35200040 HC EXTREMITY UPPER LEFT W CONTRAST CT SCAN - BODY SCAN [0352] ( 1,786.00)
35200041HC EXTREMITYUPPERBILATERAL W/WO CONTRAST CT SCAN - BODY SCAN [0352] ( 2,796.00)
35200042HC EXTREMITY UPPER RIGHT W/WO CONTRAST CT SCAN - BODY SCAN [0352] ( 1,864.00)
35200043HC EXTREMITY UPPER LEFT W/WO CONTRAST CT SCAN - BODY SCAN [0352] ( 1,864.00)
35200045HC CT LOWER EXTREMITY W/O CONTRAST LT CT SCAN - BODY SCAN [0352] ( 1,434.00)
35200046HC CT LOWER EXTREMITY W/O CONTRAST RT CT SCAN - BODY SCAN [0352] ( 1,434.00)
35200057HC CT LOWER EXTREMITY W/O CONTRAST BILATERAL CT SCAN - BODY SCAN [0352] ( 2,151.00)
35200058HC CT LOWER EXTREMITY W/CONTRAST BILATERAL CT SCAN - BODY SCAN [0352] ( 2,343.00)
35200059 HC CT LOWER EXTREMITY W/CONTRAST RT CT SCAN - BODY SCAN [0352] ( 1,562.00)
35200060 HC CT LOWER EXTREMITY W/CONTRAST LT CT SCAN - BODY SCAN [0352] ( 1,562.00)
35200061HC CT LWR EXTREMITY W/WO CONTRAST BIL CT SCAN - BODY SCAN [0352] ( 2,534.00)
35200062HC CT LWR EXTREMITY W/WO CONTRAST RT CT SCAN - BODY SCAN [0352] ( 1,690.00)
35200063HC CT LWR EXTREMITY W/WO CONTRAST LT CT SCAN - BODY SCAN [0352] ( 1,690.00)
35200064 HC CT ANGIO LWR EXT W/WO CONT RT CT SCAN - BODY SCAN [0352] ( 2,166.00)
35200005 HC ABDOMEN W/O CONTRAST CT SCAN - BODY SCAN [0352] ( 2,305.00)
35200006 HC ABDOMEN W CONTRAST CT SCAN - BODY SCAN [0352] ( 2,377.00)
35200021 HC ABDOMEN W/WO CONTRAST CT SCAN - BODY SCAN [0352] ( 2,449.00)
35200001 HC ABD & PELVIS W/O CT SCAN - BODY SCAN [0352] ( 2,488.00)
35200002 HC ABD & PELVIS W CONTRAST CT SCAN - BODY SCAN [0352] ( 2,560.00)
35200003 HC ABD & PELVIS W/WO CT SCAN - BODY SCAN [0352] ( 2,632.00)
35900001 HC CT 3D RECON ON INDEP WORK STATION CT SCAN - OTHER CT SCAN [0359] ( 480.00)
36000447HC FNA BX W/O IMAGING GUIDANCE 1ST LESION
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 558.00)
36000981 HC FINE NEEDLE ASP W/IMAGING GUIDEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 699.00)
36000250 HC I&D ABSCESS SIMPLE/SINGLEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 460.00)
36000251 HC I&D ABSCESS COMPLICATED/MULTIOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 653.00)
36000200HC DBRDMT W/RMVL FM FX&/DISLC SKN&SUBQ TISS
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,057.00)
36000032HC DBRDMT W/RMVL FM FX&/DISLC SKN SUBQ T/M/F MUSC
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,322.00)
36000031 HC DBRDMT FX&/DISLC SUBQ T/M/FBONEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,174.00)
36000201HC DEBRID SUBQ TISSUE FIRST 20 SQ CM OR <
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 441.00)
36000569HC DEBRID MUSCLE/FASCIA 1ST 20SQCM OR <
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 664.00)
36000041HC DEBRIDE BONE MUSCLE &/FASCIA 20 SQ CM/<
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,293.00)
36000576HC DBRDMT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM<
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 432.00)
36000580 HC DEBRID BONE EA ADDL 20SQ CM OR <OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,245.00)
36000042HC PARING/CUTTING BENIGN HYPERKERATOTIC SNG
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 367.00)
36000497HC BX SKIN;SUBCU TISS &/OR MUC.MEMB; SGL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 558.00)
36000045HC BX SKIN;SUBCU TISS &/OR MUC.MEMB; EA ADD'L
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 292.00)
36000207 HC EXCISION NAIL MATRIX PERM REMOVALOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 830.00)
36000537 HC BLEPHAROPLASTY LOWER EYELIDOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,729.00)
36000538 HC BLEPHAROPLASTY UPPER EYELIDOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,729.00)
36000245 HC INITIAL TX 1ST DEGREE BURN LOCAL TXOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 367.00)
36000246HC DRS&/DBRDMT PRTL THKNS BURNS INIT/SBSQ SM
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 380.00)
36000247HC DRS&/DBRDMT PRTL THKNS BURNS INIT/SBSQ MED
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 427.00)
36000992HC BIOPSY MUSCLE PERCUTANEOUS NEEDLE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,388.00)
36001021 HC BONE BIOPSY NEEDLE/TROCAROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,420.00)
36001022 HC BIOPSY BONE TROCAR/NEEDLE DEEPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,906.00)
36001090HC INJECTION SINUS TRACT THERAPEUTIC SEPARATE PROC
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,078.00)
36001091 HC INJECTION SINUS TRACT DIAGNOSTICOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 385.00)
36000007HC INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 294.00)
36000723 HC TRIG PT INJ(S) 3 > MUSCLE(S)OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 294.00)
36000174HC ARTHROCENTESIS ASPIR&/INJECTION SMALL JT/BURSA
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 438.00)
36000448HC ARTHROCENTESIS ASPIR&/INJECTION INTERM JT/BURSA
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 438.00)
36000453HC ARTHROCENTESIS ASPIR&/INJECTION MAJOR JT/BURSA
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 438.00)
36000953 HC BONE CYST ASPIRATION/INJECTIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,057.00)
36000983HC ABLATION BONE TUMOR RF PERCUTANEOUS CT GUIDANCE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,321.00)
36000424 HC SOFT TISSUE MASS BIOPSY OR EXCOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,540.00)
36000087HC EXCISION TUMOR SUBCU FACE/SCALP <2CM
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,322.00)
36000088HC EXCISION TUMOR SUBCU FACE/SCALP 2CM OR >
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,586.00)
36000089HC EXCISION TUMOR FACE/SCALP SUBFASCIA <2CM
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,322.00)
36000090HC EXCISION TUMOR FACE/SCALP SUBFA 2CM OR >
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,174.00)
36000590HC I&D DEEP ABSCESS SOFT TIS NECK/THORAX
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,305.00)
36000115HC EXCISION TUMOR BACK/FLANK SUBFAS <5CM
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,174.00)
36000972HC VERTEBROPLASTYPERCTSP PER VERTEBRA
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,094.00)
36000971HC VERTEBROPLASTYPERCLSP PER VERTEBRA
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,094.00)
36000973HC VERTEBROPLASTYPERCEA ADD'L VERTEBRA
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,094.00)
36001072 HC KYPHOPLASTY THORACICOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 12,869.00)
36001073 HC KYPHOPLASTY LUMBAROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 12,869.00)
36001074 HC KYPHOPLASTY EACH ADDITIONAL LEVELOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 12,869.00)
36001134 HC SHOULDER ARTHROGRAM INJECTIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 395.00)
36001133 HC ELBOW ARTHROGRAM INJECTIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 416.00)
36000607 HC I&D FOREARM AND/OR WRIST DEEP ABSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,475.00)
36001132 HC WRIST ARTHROGRAM INJECTIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 391.00)
36000915HC INJ HIP ARTHROGRAPHY W/O ANESTHESIA
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 286.00)
36001137 HC INJ HIP ARTHROGRAPHY W/ANESTHESIAOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 336.00)
36000982HC INJECT SI JOINT ARTHRGRPHY&/ANES/STEROID W/IMAGE
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 439.00)
36001136 HC KNEE ARTHROGRAM INJECTIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 374.00)
36000162HC EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASCIAL <5CM
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,262.00)
36001135 HC INJECTION ANKLE ARTHROGRAPHYOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 499.00)
36000344HC APPLY LONG LEG SPLINT THIGH ANKLE/TOES
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 227.00)
36000357HC CONTROL NASAL HEMORRH ANT COMPLEX
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 499.00)
36000423 HC UNLISTED PROCEDURE NOSEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 348.00)
36000040HC NASAL ENDOSCOPY DIAGNOSTIC UNI/BI SPX
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 292.00)
36000487HC NASAL/SINUS ENDO DX MAXILLARY SINUSOSCOPY
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 731.00)
36000359HC INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,828.00)
36000427HC TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 490.00)
36001014 HC LARYNGOSCOPY FLEXIBLE DIAGSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 237.00)
36000005HC TRACHEOSTOMY EMERGENCY PROC TRANSTRACHEAL
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,407.00)
36000001HC TRACHEOSTOMY EMERGENCY CRICOTHYROID MEMBRANE
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,581.00)
36000551HC BRNCHSC INCL FLUOR GID DX W/CELL WASHG SPX
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,117.00)
36000561HC BRONCHOSCOPY BRNCHL/ENDOBRNCL BX 1+ SITES
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,557.00)
36000548HC BRONCHOSCOPY W/TRANSBRNCL LUNG BX 1 LOBE
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 4,463.00)
36000546 HC BRONCHOSCOPY STENT EA ADDLSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,174.00)
36000547HC BRNCHSC W/NJX CONTRAST SGMTL BRONCHOG
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,074.00)
36000406HC CATHETER ASPIRATION NASOTRACHEAL SPX
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 203.00)
36000020 HC THORACOTOMY W/CARDIAC MASSAGEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,140.00)
36001069 HC BIOPSY PLEURA PERCSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,630.00)
36000991HC BIOPSY LUNG/MEDIASTINUM PERC NEEDLE
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,630.00)
36000450HC THORACENTESIS PUNCTURE PLEURAL CAVITY ASPIRATION
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 892.00)
36000039HC THORACENTESIS W/INSERT TUBE WATER SEAL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,069.00)
36000440HC INSERTION INDWELLING TUNNELED PLEURAL CATHETER
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,452.00)
36000783 HC CHEST TUBE INSERTIONSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,779.00)
36000830HC REMOVE INDWELL TUNNEL PLEURAL CATH W CUF
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 643.00)
36001126 HC TREAT LUNG LINING CHEMICALLYSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,125.00)
36000950HC ABLATIONLUNG TUMORPERC RADIO FREQ
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 6,552.00)
36000956HC UNLISTED PROCEDURE LUNGS AND PLEURA
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,583.00)
36000013 HC PERICARDIOCENTESIS INITIALOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,765.00)
36000019 HC PERICARDIOCENTESIS SUBSEQUENTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,765.00)
36001113HC INSERT/REPLACE P PACER WITH ATRIAL LEAD
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 16,262.00)
36001114HC INSERT/REPLACE P PACER W VENTRICULAR LD
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 16,262.00)
36001116HC INSERT/REPLACE PPM WITH ATR & VENT LDS
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 15,516.00)
36000874HC INSERT/REPLACE TEMTRANSVEN S ELECTRODE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 7,510.00)
36000875HC INSERT/REPLACE TEMTRANSVEN D ELECTRODE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 7,510.00)
36001101HC UPGRADE PPACER SYSTEM SINGLE TO DUAL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 16,262.00)
36001143HC REPOS PREVIOUSLY IMPLANTED TRANS PACEMAKERCING
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,971.00)
36000827HC INST SNG ELECTRODE PERM PAC/CARDIO DEFIB
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 7,510.00)
36000828HC INST 2 ELECTRODE PERM PAC/CARDIO DEFIB
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 7,510.00)
36001102HC REPAIR SINGLE LEADS TO SINGLE CHAMBER
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 6,219.00)
36001103 HC REPAIR 2 LEADS TO DUAL CHAMBEROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 6,219.00)
36000841HC INS PACE PULS GEN ONLY W/EXIST MULT LEAD
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 18,966.00)
36001146 HC RELOCATION POCKET PACEMAKEROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,950.00)
36001027 HC RELOCATE POCKET FOR DEFIBOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,950.00)
36000038HC INSJ ELTRD CAR VEN SYS ATTCH PM/CVDFB PLS GEN
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 18,015.00)
36001120HC INS LV LEAD AT TIME OF INS W PPM OR ICD
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 18,015.00)
36000833HC RPSG PREV IMPLTED CAR VEN SYS L VENTR ELTRD
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,286.00)
36000845 HC REMOVE & REPLACE PM GEN SINGLEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 10,567.00)
36000846HC REMOVE & REPLACE PM GEN DUAL LEAD
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 11,581.00)
36000847HC REMOVE & REPLACE PM GEN MULTI LEAD
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 18,966.00)
36000848 HC INSERT PULSE GEN W/DUAL LEADSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 49,479.00)
36000849 HC INSERT PULSE GEN W/MULTI LEADSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 49,479.00)
36001104 HC REMOVAL OF PULSE GENERATOROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 7,510.00)
36000932HC REMOVAL OF TRANS PACEMAKER ELECTRODE SIN
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,958.00)
36000933HC REMOVAL OF TRANSVEN PACEMAKER ELECT DUAL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,958.00)
36000843HC INS PACE CARDIODEFIB GEN W/EXIS SNG LEAD
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 38,878.00)
36001028 HC REMVL PAC CVDFB PLS GEN ONLYOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,423.00)
36001087HC TRANSVENOUS LEAD REMOVAL S OR D ICD
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,423.00)
36000844HC INS/REP PACE CARDIODEFIB W/TRANS LEAD
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 63,574.00)
36000850HC REMOVE & REPLACE CVD GEN SINGLE LEAD
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 38,878.00)
36000851HC REMOVE & REPLACE CVD GEN DUAL LEAD
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 38,878.00)
36000852HC REMOVE & REPLACE CVD GEN MULTI LEAD
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 38,878.00)
36001125HC NDSC ABLATION & RCNSTJ ATRIA LIMITED W/O BYPASS
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,019.00)
36000936 HC IMPLANT PAT ACT CARDIAC RECORDEROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 9,017.00)
36000937HC RMVL IMPLANTABLE PT ACTIVATED CAR EVENT RECORDER
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,922.00)
36000542HC REPAIR PATENT DUCTUS ARTERIOSUS LIGATION
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,905.00)
36001093 HC ENDO T ANEURYSM INVOLVING LSCOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,716.00)
36001095 HC ENDO T ANEURYSM NOT INVOLVING LSCOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,333.00)
36001111 HC ENDO THORACIC REVISIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,299.00)
36001106 HC ENDO THORACIC EACH ADD'LOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,299.00)
36000026HC INSERTION INTRA AORTIC BALLOON ASSIST DEV PRQ
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,064.00)
36000460 HC INSERT VAD EC SGL VOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 17,856.00)
36000995HC THROMBECTPERC CAROTID/SUBCLAVNECK
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,969.00)
36000997 HC THROMBECTPERCLT UPEXT VIA ARMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,601.00)
36000998HC THROMBECTPERCLTRAD/ULNAR VIA ARM
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,491.00)
36001000 HC THROMBECT PERC LT ILIAC/FEM POPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,491.00)
36001001 HC THROMBECT PERC LT POP/TIBIOOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,491.00)
36001002HC THROMBECTVEINPERCVC/ILIAC/FEM/POP
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,491.00)
36001003 HC THROMBECTVEINPERCSUBCLAV (NECK)OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,491.00)
36001004HC THROMBECTVEINPERCSUBCLAVVIA ARM
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,491.00)
36000858 HC ENDO REPAIR IR AAA EXTN PROS INTVOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,834.00)
36000859 HC ENDO REPAIR IR AAA EXTN PROS ADD'LOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,979.00)
36000861HC E C RPR AAA W/MDLR BFRC PROSTH 2 LIMBS
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 18,754.00)
36000935 HC E C RPR AAA W/UNIBDY BFRC PROSTHOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 11,558.00)
36000941HC E C RPR AAA AORTO UNIILIAC/AORTO UNIFEM PROSTH
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 6,132.00)
36000926 HC PTA RENAL/VISCERAL ARTERY PROCOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,148.00)
36001038 HC PTA AORTAPERC PROCOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 8,724.00)
36001040HC PTA BRACHIOCEPHALIC ARTERIES PROC
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 7,499.00)
36000919 HC PTA AV FISTULA OR GRAFT; VENOUSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 7,499.00)
36100071HC SELECT CATH PLACE VEN SYS 1ST ORD FAM RT
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,088.00)
36100073HC SELECT CATH PLACE VEN SYS 2ND ORD FAM RT
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,134.00)
36000877HC INTRO NDL/CATH AV SHUNT IST ACCESS W/ RAD EVAL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,205.00)
36100097 HC THORAC SELCATH PL ART 3RD LTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,640.00)
36000443 HC UMBILICAL VEIN CATH INSERTIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 387.00)
36000470HC EXCHNG TRANSFUSION BLOOD OTHER/THAN NEW BORN
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,210.00)
36001016HC INJ SCLEROSANT SINGLE INCOMPETENT VEIN
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 537.00)
36001017HC INJ SCLEROSANT MULTIPLE INCOMPETENT VEIN
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 537.00)
36001078HC PORTAL VEIN CATHETERIZATIONPERCUTANEOUS
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 832.00)
36000366 HC INSJ NON TUNNELED CVC AGE < 5 YROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,373.00)
36000367 HC INSJ NON TUNNELED CVC AGE 5 YR/>OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,790.00)
36001148HC INSERT TUNNELED CVC W/O PORT YR RT
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,238.00)
36001149 HC INSERT TUNNELED CVC W/O PORT YR LTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,238.00)
36000408HC INSJ TUNNELED CTR VAD W/SUBQ PORT UNDER 5 YR
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,402.00)
36001050HC INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR/>
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,586.00)
36001051 HC INSJ TUNNELED CTR VAD W/SUBQ PUMPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,256.00)
36001052HC INSJ TUN VAD REQ 2 CATH 2 SITS W/O SUBQ PORT/PMP
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,402.00)
36001053HC INSJ TUN VAD REQ 2 CATH 2 SITS W/SUBQ PORT
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,256.00)
36001054HC INSJ PICC <5 YR W/O PORT OR PUMP W/O IMAGING GUIDANCE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,681.00)
36000567HC INSJ PICC >5 YR W/O PORT OR PUMP W/O IMAGING GUIDANCE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,418.00)
36000543HC INSJ PRPH CTR VAD W/SUBQ PORT UNDER 5 YR
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,333.00)
36000562HC INSJ PRPH CTR VAD W/SUBQ PORT AGE 5 YR/>
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,805.00)
36000826HC CVC/PICC REPAIRTUN/NON TUNWO PORT/PUMP
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 915.00)
36001071HC CVC/PICC REPAIR TUN/NON TUNW PORT/PUMP
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,681.00)
36001055HC RPLCMT CATH CTR VAD SUBQ PORT/PMP
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,833.00)
36001056HC CVC COMP REPLACE N TUN W/O P/PSAME SITE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,243.00)
36001057HC CVC COMP REPLACE TUN W/O P/PSAME SITE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,833.00)
36001058HC CVC COMP REPLACE TUN W PORT SAME SITE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,402.00)
36001059HC REPLACE COMPLETE PICC W/O PORT/PUMP SAME SITE W/GUIDANCE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,243.00)
36001060HC PICC COMP REPLACE W PORT SAME SITE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,833.00)
36000190 HC RMVL TUN CVC W/O SUBQ PORT/PMPSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 697.00)
36001061HC RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,243.00)
36001075 HC DRAW BLOOD OFF VENOUS DEVICESPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 201.00)
36000451HC DECLOT W/THROMBO AGENT IMPLANT DEVICE/CATH
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 321.00)
36001062HC MCHNL RMVL PRICATH OBSTR CV DEV VIA VEN ACCESS
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,833.00)
36001063HC MCHNL RMVL INTRAL OBSTR CV DEV THRU DEV LUMEN
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,243.00)
36001064HC RPSG PREVIOUSLY PLACED CVC UNDER FLUOR GDN
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,243.00)
36000947HC CNTRST NJX RAD EVAL CTR VAD FLUOR IMG&REPRT
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 279.00)
36000400 HC ARTERIAL CATH SAMPLE/MON/TRANOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,478.00)
36001152 HC PERC AVF THROMBECT - GRAFT LTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 6,932.00)
36001153 HC PERC AVF THROMBECT - GRAFT RTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 6,932.00)
36000938 HC TIPS ALL INCLUSIVE (PRIMARY)OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,605.00)
36001026 HC TIPS REVISION (ALL INCLUSIVE)OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 12,958.00)
36000876HC PRIM PRQ TRLUML MCHNL THRMBC 1ST VSL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 9,130.00)
36001145HC SEC PRQ TRANSLUMINAL THROMBECTOMY NONCORONARY
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,601.00)
36001041HC IVC FILTER PLACEMENT INTRAVASCULAR
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 6,529.00)
36001089 HC REDO ENDOVAS VENA CAVA FILTEROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,480.00)
36001092 HC REMOVE ENDOVAS VENA CAVA FILTEROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,067.00)
36001109 HC TRANSCATHETER BIOPSY PROCOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,256.00)
36001076HC INFUSION THROMBOLYSIS NON CORONARY
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,508.00)
36001036 HC INFUSION NON THROMBOLYSIS PROCOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,939.00)
36001037 HC TRANSCATH RETRIVAL PERC PROC FBOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,520.00)
36000855 HC EMBOLIZATION (NON NEURO)OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 7,820.00)
36000929 HC TRANSCATH IV STENT PERCUTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 15,546.00)
36000930 HC TRANSCATH IV STENT/PERC ADD'LOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 10,917.00)
36001067 HC IV STENT PLACE OPEN INIT VESSELOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 8,958.00)
36000862HC INTRA VASCULAR STENT OPEN ADD'L VESSE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 11,941.00)
36000921HC THROMBO THERAPY ART CATH EXCHANGE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 561.00)
36000916 HC EMBOLIZATION UTERINE FIBROIDOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 14,098.00)
36000872HC PERC PLCMNT CCA STENT W EMBOL PROTECT
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 12,631.00)
36000873HC PERC PLCMNT CCA STENT WO EMBOL PROTECT
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 12,166.00)
36000888 HC ILIAC PTA INITIALOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 8,549.00)
36000889 HC ILIAC STENT INITIALOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 19,760.00)
36000890 HC ILIAC PTA EA ADDLOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 7,402.00)
36000891 HC ILIAC STENT EA ADDLOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 7,772.00)
36000893 HC FEM/POP PTAOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 7,402.00)
36000894 HC FEM/POP ATHERECTOMYOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 12,958.00)
36000895 HC FEM/POP STENTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 12,958.00)
36000896 HC FEM/POP STENT & ATHERECTOMYOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 30,548.00)
36000966HC REVSC OPN/PRQ TIB/PERO W/ANGIOPLASTY UNI
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 16,120.00)
36000898HC REVSC OPN/PRQ TIB/PERO W/ATHRC/ANGIOP SM VSL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 20,239.00)
36000902 HC TIB/PERONEAL STENT INITIALOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 20,800.00)
36000899HC TIB/PERONEAL STENT & ATHERECTOMY INITIAL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 22,746.00)
36000903 HC TIB/PER REVAS EA ADD VESSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 11,606.00)
36000901 HC TIB/PERONEAL ATHERECTOMY EA ADDLOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 17,638.00)
36000964 HC TIB/PERONEAL STENT EA ADDLOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 13,000.00)
36000965HC TIB/PERONEAL STENT & ATHERECTOMY EA ADDL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 14,040.00)
36000838HC IV US NON C VSL DX EVAL&/THER IVNTJ 1ST VSL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,989.00)
36000839HC IV US NON C VSL DX EVAL&/THER IVNTJ EA VSL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,714.00)
36000881HC BX/EXC LYMPH NODE NEEDLE SUPERFICIAL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,420.00)
36001045HC INJECTION PROCEDURE LYMPHANGIOGRAPHY
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 387.00)
36001081 HC INJECTION SIALOGRAMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 159.00)
36000029HC ESOPHAGOSCOPY FLEX TRANSORAL BRUSH/WASH
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 951.00)
36000444HC ESOPHAGOSCOPY FLEX TRANSORAL LIGATION
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,419.00)
36000456HC EGD FLEX TRANSORAL DIAGNOSTIC BRUSH/WASH
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,572.00)
36000560HC EGD FLEX TRANSORAL BIOPSY SINGLE/MULTI
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,600.00)
36000471HC EGD FLEX TRANSORALW/TRANSMURAL DRAIN CYST
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 4,926.00)
36000472HC EGD FLEX TRANSORAL INJECTION VARICES
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,664.00)
36000473HC EGD FLEX TRANSORAL LIGATION VARICES
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,569.00)
36000475HC EGD FLEX TRANSORAL DILATE STRICTURE
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,563.00)
36000474HC EGD FLEX TRANSORAL PLACE GASTRO TUBE
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,721.00)
36000554HC EGD FLEX TRANSORAL REMOVE FOREIGN BODY
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,664.00)
36000429HC EGD FLEX TRANSORAL GUIDEWIRE INSERTION
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,392.00)
36000476HC EGD FLEX TRANSORAL RMVL TUMOR POLYP LESION HOT BX
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,872.00)
36000516HC EGD FLEX TRANSORAL SNARE TUMOR POLYP LESION
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,872.00)
36000477HC EGD FLEX TRANSORAL CONTROL BLEEDING
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,934.00)
36000478HC UPR GI NDSC TNDSC STENT PLMT W/PREDILAT
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,650.00)
36000479HC UPR GI NDSC ABLTJ LES X RMVL FORCEPS/CAUT/SNARE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,416.00)
36000035HC ERCP DIAG W/SPECIMEN COLLECT BRUSH/WASH
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,768.00)
36000091 HC ERCP W/BIOPSY SINGLE/MULTIPLEGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,815.00)
36000430HC ERCP W/SPHINCTEROTOMY/PAPILLOTOMY
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 3,554.00)
36000431HC ERCP W/RMVCALCULI BILIARY&/PANCREATIC DUCTS
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,815.00)
36000432HC ERCP W/INSJ TUBE/STENT BILE/PANCREATIC DUCT
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,578.00)
36000028HC ERCP W/RTRGR RMVL FB&/CHNG TUBE/STENT
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,813.00)
36000488HC ERCP W/BALO DILAT AMPULLA BILIARY&/PNCRTC DUX
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,311.00)
36000119HC DILAT ESOPH BALLOON 30 MM DIAM/> ACHALASIA
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 884.00)
36000003HC NASO/ORO GASTRIC TUBE PLMT REQ PHYS&FLUOR GDN
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 593.00)
36000442HC GASTRIC INTUBAT&ASPIRA W/PHYS SKILL/LAVAGE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 248.00)
36000493HC GASTRIC INTUBAT DX W/ASPIRATION SINGLE SPECIMEN
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 248.00)
36000494HC GASTRIC INTUBATION DX & ASPIRATJ MULTIPLE SPECS
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 166.00)
36000495HC DUODENAL INTUBAT W/IMAG GUIDED SINGLE SPECIMEN
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,335.00)
36000496HC DUODENAL INTUBAT W/IMAG GUIDED MULTIPLE SPECIMEN
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 951.00)
36000521HC CHANGE GASTROSTOMY TUBE PERCUTANEOUS W/O GUIDE
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 259.00)
36001077 HC REPOSITION GI FEEDING TUBEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 951.00)
36000490 HC ENDOSCOPY UPPER SMALL INTESTINEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,563.00)
36000491HC ENDOSCOPY UPPER SMALL INTESTINE W/BIOPSY
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,328.00)
36000492HC ENTEROSCOPY > 2ND PRTN W/CONTROL BLEEDING
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,770.00)
36000517HC ILEOSCOPY STOMA DX W/WO COLLJ SPEC BR/WA SPX
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,160.00)
36000518HC COLONOSCOPY STOMA DX W/WO COLLJ SPEC SPX
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,050.00)
36000519HC COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,102.00)
36000480 HC COLONOSCOPY STOMA W/RMVL F BGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,102.00)
36000520HC COLONOSCOPY STOMA CONTROL BLEEDING
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,102.00)
36000482HC COLSC STOMA W/RMVL TUMOR POLYP LESION HOT BX FORCEP
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,102.00)
36000522HC COLONOSCOPY STOMA ABLATION LESION
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,416.00)
36000481HC COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,102.00)
36000454HC INTRO LONG GI TUBE SEPARATE PROCEDURE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 712.00)
36000949HC CLOSURE INTESTINAL CUTANEOUS FISTULA
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,029.00)
36000023HC UNLISTED PROCEDURE SMALL INTESTINE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,014.00)
36000437HC APPENDEC INDICATED PURPOSE OTH MAJOR PX X SPX
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,072.00)
36000550HC PROCTOSGMDSC RGD DX W/WO COLLJ SPEC BR/WA SPX
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 760.00)
36000559HC PROCTOSGMDSC RIGID W/BX SINGLE/MULTIPLE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,864.00)
36000036HC SIGMOIDOSCOPY FLX DX W/WO COLLJ SPECIMENS
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 699.00)
36000097HC SIGMOIDOSCOPY FLX W/BIOPSY SINGLE/MULTIPLE
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,242.00)
36000109HC SIGMOIDOSCOPY FLX W/RMVL FOREIGN BODY
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,242.00)
36000100HC SGMDSC FLX W/RMVL TUMOR POLYP LESION HOT BX FORCEP
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,242.00)
36000124HC SIGMOIDOSCOPY FLX CONTROL BLEEDING
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,242.00)
36000127HC SGMDSC FLX DIRED SBMCSL NJX ANY SBST
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,242.00)
36000484HC SGMDSC FLX DCMPRN VOLVULUS ANY METHOD
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,242.00)
36000103HC SGMDSC FLX RMVL TUM POLYP/OTH LES SNARE TQ
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,987.00)
36000106 HC SIGMOIDOSCOPY FLX ABLTJ LESIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,590.00)
36000489HC SIGMOIDOSCOPY FLX DILAT BALO 1/MORE STRIXS
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,242.00)
36000116HC COLONOSCOPY FLX DX W/WO SPECIMENS
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,768.00)
36000030 HC COLONSCOPY FLEXIBLE W/REMOVAL FBGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,820.00)
36000062HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,820.00)
36000061HC COLONSCOPY FLEXIBLE W/SBMCSL INJ ANY SUBSTANCE
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,820.00)
36000024HC COLONSCOPY FLEX W/CONTROL BLEED ANY METHOD
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,820.00)
36000434HC COLSC FLX PROX SPLENIC FLXR ABLTJ LES
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,820.00)
36000034HC COLSC FLEX W/RMVL TUMOR POLYP LESION HOT BX FORCEP
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,820.00)
36000485HC COLSC FLEXIBLE W/RMVL TUMOR POLYP LESION SNARE TECH
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,820.00)
36000033HC COLONSCOPY FLEXIBLE W/BALLOON DILATION
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,820.00)
36000486HC COLSC FLX PROX SPLENIC FLXR TNDSC STENT PLMT
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,689.00)
36000436HC ANOSCOPY DX W/WO COLLJ SPEC BR/WA SPX
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 166.00)
36000990 HC BIOPSY LIVER NEEDLE PERCUTANEOUSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,270.00)
36000976HC HEPATOTOMY PRQ DRG ABSCESS/CYST 1/2 STAGES
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 820.00)
36001107 HC BIOPSY LIVER WEDGEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,299.00)
36000942 HC ABLT 1/> LVR TUM PRQ RFOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 7,665.00)
36001032HC CHOLECYSTOSTOMY PRQ W/IMAGING & CATH PLMT
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,270.00)
36001029 HC PTC INJECTIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 520.00)
36000918HC CHOLANGIOGRAM INJ THRU EXISTING CATH
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 310.00)
36001033HC INTRO PRQ TRANSHEPATC STENT BILIARY DRG
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,334.00)
36001034HC CHANGE PRQ BILIARY DRAINAGE CATHETER
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,822.00)
36000943 HC PTC TUBE REVISE/REINSERTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,822.00)
36000912HC BILIARY ENDOSCOPY VIS T TUBE BIOPSY
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,619.00)
36001030HC BILENDOSCPYDUCTDILATWO STNT VIA T TU
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,270.00)
36001031HC BILIARY NDSC PRQ T TUBE DILAT STRIX W/STENT
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 6,552.00)
36000870HC BILIARY DUCT STONE XTRJ PRQ VIA BASKET/SNARE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,270.00)
36000871 HC UNLISTED PROCEDURE BILIARY TRACTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,270.00)
36000944 HC BIOPSY PANCREAS PERCOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,270.00)
36000945HC DRAIN EXTPANCREAS PSEUDOCYST PERC
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,731.00)
36000446HC EXPLORATORY LAPAROTOMY CELIOTOMY W/WO BIOPSY SPX
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 8,008.00)
36000678HC DRAIN PERITONEAL ABCESS OR CYST PERC
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,376.00)
36000680HC DRAIN SUBDIAPHRAGMATIC ABSCESS PERC
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,376.00)
36000682HC DRAINAGE OF RETROPERITONEAL ABS PERC
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,376.00)
36000552HC ABDOM PARACENTESIS DX/THER W/O IMAG GUIDE
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,284.00)
36000999HC ABDOM PARACENTESIS DX/THER W IMAGING GUIDE
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,411.00)
36000946 HC BIOPSY ABD/RETROPERI MASS PERCOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,420.00)
36001023HC LAPS SURG W/ASPIR CAVITY/CYST SINGLE/MULTIPLE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,487.00)
36001006HC INJECT AIR OR CONTRASTPERITONEAL CAVITY
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 298.00)
36000940HC INS INTRAPERITONEAL CATHETER W/IMG GID
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,603.00)
36000922HC EXCHNG ABSC/CST DRG CATH RAD GID SPX
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,067.00)
36001147 HC ABSC CYST CONSTRAST INJOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,154.00)
36000882HC INJECTION OF PERITONEAL/VENOUS SHUNT
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 363.00)
36000452HC INSERT GASTROSTOMY TUBE PERCUTANEOUS
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,121.00)
36001127 HC PLACE DUOD/JEJ TUBE PERCOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,356.00)
36001128 HC PLACE CECOSTOMY TUBE PERCOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,735.00)
36001129 HC CHANGE G TUBE TO G J TUBEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,549.00)
36000883HC REPLACE GASTROSTOMY/CECOSTOMY TUBE PERC
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 697.00)
36000684 HC REPLACE DUOD/JEJ TUBE PERCOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 864.00)
36000685 HC REPLACE G J TUBE PERC W/FLUROSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,347.00)
36001130 HC FIX G/COLON TUBE W/DEVICEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 697.00)
36000910 HC XRAY FLUORO EXAM OF G/COLON TUBEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 303.00)
36000455HC RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,691.00)
36000458HC RPR UMBILICAL HRNA 5 YRS/> REDUCIBLE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,691.00)
36000687HC DRAINAGE OF PERIRENAL OR RENAL ABS PERC
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,376.00)
36000869HC NEPHROSTOMY/NEPHROTOMY W/DRAINAGE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,299.00)
36000989 HC RENAL BIOPSY PRQ TROCAR/NEEDLEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,586.00)
36000968 HC URETER STENT; CHANGE; PERCOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,945.00)
36000939 HC REMOVE URETER STENT PERCUTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,960.00)
36001131 HC CHANGE STENT VIA TRANSURETHOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,945.00)
36000969 HC URETER STENT; REMOVE; PERCOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,725.00)
36000970 HC URETER STENT; CHANGE EXT/INTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,822.00)
36000967 HC NEPH TUBE REMOVAL W/FLORO LTSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 759.00)
36000867HC ASPIR&/NJX RNL CYST/PELVIS NEEDLE PRQ
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,085.00)
36001024 HC PERC DR OR INJ OF RENAL PELVISOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,960.00)
36000868HC INTRO URETER CATH/STNT RENAL PELVIS DRG&/NJX PRQ
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,945.00)
36000923 HC NEPHROSTOMY DILATION PERCOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,945.00)
36000924HC CHANGE NEPHROSTOMY/PYELOSTOMY TUBE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,613.00)
36000962HC PERC RF ABLATE 1+ RENAL TUMOR RADIO FR
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 8,120.00)
36000907HC ABLATION RENAL TUMOR UNILATERAL PERQ CRYOTHERAPY
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 8,120.00)
36001083 HC INJECTION URETHROGRAMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 387.00)
36000917HC MANOMETRY URETEROSTOMY/INDW CATH
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 807.00)
36001154HC CHGE URTR TUBE/STNT VIA ILEAL CON RT
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,822.00)
36001155HC CHGE URTR TUBE/STNT VIA ILEAL CON LT
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,822.00)
36001156HC CHGE URTR TUBE/STNT VIA ILEAL CON BI
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,733.00)
36001025 HC INJ FOR VISUALIZATION OF ILEAL CONDOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 643.00)
36001015 HC CYSTO W/INSERT URETERAL STENTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,381.00)
36000382HC ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,292.00)
36001068 HC CYSTO/VCG INJECTION PROCEDUREOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 643.00)
36001086HC NJX&PLMT CHAIN CONTRAST&/URETHROCSTOGRAPY
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 643.00)
36001088HC INJ CYSTOURETHROGRAM RETROGRADE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 643.00)
36000404HC INSJ TEMP NDWELLG BLADDER CATHETER SIMPLE
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 246.00)
36000189 HC CHANGE CYSTOSTOMY TUBE SIMPLEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 490.00)
36001018HC CHANGE CYSTOSTOMY TUBE COMPLICATED
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,016.00)
36000468HC MEAS POST VOIDING RESIDUAL URINE&/BLDR CAP
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 260.00)
36000407HC CYST W INS OF INDWELLING URETER STENT
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,842.00)
36000955HC UNLISTED PROCEDURE URINARY SYSTEM
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,704.00)
36000409HC CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,645.00)
36000449HC CIRCUMCISION SURGICAL NEONATE <=28 DAYS
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,056.00)
36000459 HC CIRCUMCISION SURGICAL >28 DAYSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,056.00)
36001046 HC INJ FOR CORPORA CAVERNOSOGRAPHYOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 372.00)
36000426HC PROSTATE NEEDLE BIOPSY ANY APPROACH
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,054.00)
36000810 HC COLPOCENTESISOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,081.00)
36000015 HC D & C DX&/THER NONOBSTETRICALOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,314.00)
36000457 HC REMOVAL INTRAUTERINE DEVICE IUDOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 282.00)
36001082 HC INJECTION HYSTEROSALPINGOGRAMRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 643.00)
36001047 HC FALLOPIAN TUBE CATHETER INTROOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,360.00)
36000441HC SALPINGECTOMY COMPLETE/PARTIAL UNI/BI SPX
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 6,619.00)
36000438HC SALPINGO OOPHORECTOMY COMPL/PRTL UNI/BI SPX
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 6,619.00)
36000439 HC OOPHORECTOMY PARTIAL/TOTAL UNI/BIOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 6,618.00)
36000021 HC AMNIOCENTESIS DIAGNOSICOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 714.00)
36000544HC AMNIOCENTESISS THER AMNIOTIC FLUID RDCTJ US GID
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 758.00)
36000445 HC HYSTEROTOMY ABDOMINALOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,039.00)
36000557HC INSERTION CERVICAL DILATOR SEPARATE PROCEDURE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 374.00)
36000464HC CERCLAGE CERVIX PREGNANCY VAGINAL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,319.00)
36000558HC EXTERNAL CEPHALIC VERSION W/WO TOCOLYSIS
LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 3,444.00)
36000017HC TX INCOMPLETE ABORTION ANY TRIMESTER SURGICAL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,463.00)
36000483HC REMOVAL CERCLAGE SUTURE UNDER ANESTHESIA
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,310.00)
36000857 HC BIOPSY THYROID PERCUTANEOUSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 612.00)
36000996HC ASPIRATION AND/OR INJECTION THYROID CYST
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 826.00)
36000856HC UNLISTED PROCEDURE; ENDOCRINE SYSTEM
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,758.00)
36000469HC VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/O NJX
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 936.00)
36001007HC CISTERNAL/LATERAL C1 C2 PUNCTURE W/O INJ SPX
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,439.00)
36000911HC CISTERNAL/LATERAL C1 C2 PUNCTURE W/INJECTION
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,356.00)
36000063HC PUNCTURE SHUNT TUBE/RESERVOIR ASPIRATION/INJ PX
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 922.00)
36000954 HC DRAINAGE BRAIN ABSCESSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,014.00)
36001110HC EMBOLIZATIONINTRA ART/INJ/BALLOON NEURO
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,680.00)
36000909 HC INTRACRANIAL ANGIOPLASTY W/STENTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 13,000.00)
36000977 HC SPINE DISC ASPIRATIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,057.00)
36001070 HC BIOPSY SPINAL CORD PERCOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,420.00)
36000386HC SPINAL PUNCTURE LUMBAR DIAGNOSTIC
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,385.00)
36001066HC LUMBAR PUNCTURE DRAIN SPINAL FLUID
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 699.00)
36000025HC INJECTION EPIDURAL BLOOD/CLOT PATCH
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 969.00)
36001005 HC LUMBAR INJECTION SUBARACHNOIDOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 951.00)
36001080HC INJ NEUROLYTIC; EPIDURAL CERV/THORACIC
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,439.00)
36001079 HC MYELOGRAM INJ LUMBAR NOT C1-C2OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 657.00)
36000860 HC INJ DISCOGRAM LUMBAR EACHOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 695.00)
36000980HC INJECTION PROC CERVICAL OR THORACIC DISCOGRAMEACH
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 476.00)
36000425HC NJX DX/THER SBST EPIDURAL/SUBRACH CERV/THORACIC
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,011.00)
36000541HC NJX DX/THER SBST EPIDURAL/SUBARACH LUMBAR/SACRAL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,260.00)
36000914 HC INTERCOSTAL NERVE BLOCK SINGLEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 688.00)
36000913 HC INTERCOSTAL NERVE BLOCK MULTIPLEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 838.00)
36001065HC NERVE BLOCK ILIOING/ILIOHYPOGASTRIC
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 688.00)
36000818 HC INJ ANESTH OTHR PERIPHERAL NRVOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 976.00)
36000540HC NJX ANES&/STRD W/IMG TFRML EDRL CRV/THRC 1 LVL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,280.00)
36000904 HC CER/T TRANSFORAM EPIDRLINJADD'LOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 438.00)
36000905 HC LUMBAR TRANSFORAMEPIDRLINJSNGLOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,280.00)
36000906 HC LUMBAR TRANSFORAMEPIDRLINJADD'LOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 438.00)
36000168HC NJX DX/THER AGT PVRT FACET JT CRV/THRC 1 LEVEL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,147.00)
36000169HC NJX DX/THER AGT PVRT FACET JT CRV/THRC 2ND LEVEL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 401.00)
36000170HC NJX DX/THER AGT PVRT FACET JT CRV/THRC 3+ LEVEL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 401.00)
36000171HC NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,147.00)
36000172HC NJX DX/THER AGT PVRT FACET JT LMBR/SAC 2ND LEVEL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 401.00)
36000173HC NJX DX/THER AGT PVRT FACET JT LMBR/SAC 3+ LEVEL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 401.00)
36000984HC INJX ANES CELIAC PLEXUS W/WO RADIOLOGIC MONITRNG
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 951.00)
36001138HC DESTROY CERV/THOR FACET JNT SINGLE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,652.00)
36001139HC DESTROY CERV/THORACIC FACET INJ ADDL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 838.00)
36001140 HC DESTROY LUMB/SAC FACET JNT SINGLEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,652.00)
36001141 HC DESTROY LUMBAR/SAC FACET INJ ADDLOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 838.00)
36000390HC RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 548.00)
36000467HC EXCISION/TRANSPOSITION PTERYGIUM W/O GRAFT
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,862.00)
36000462HC EXCISION/TRANSPOSITION PTERYGIUM W/GRAFG
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,609.00)
36001191HC SELECTIVE LASER TRABECULOPLASTY - SELECTA
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 823.00)
36000466HC ORBITOTOMY BONE FLAP/WINDOW LATERAL RMVL FB
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,525.00)
36000463 HC ORBITAL IMPLANT REMOVAL/REVISIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,052.00)
36000549 HC SUBCONJUNCTIVAL INJECTIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 204.00)
36000465HC DILATION LACRIMAL PUNCTUM W/WO IRRGATION
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 548.00)
36000027HC OPHTH XM&EVAL ANES W/WO MANJ GLOBE LMTD
OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 1,733.00)
36000553HC NASOPHARYNGOSCOPY W/ENDOSCOPE SPX
SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 209.00)
48000001HC INSERTION FLOW DIRECTED CATHETER FOR MONITORING CARDIOLOGY - CARDIAC CATH LAB [0481] ( 2,714.00)
36000863HC NONINVASIVE EAR/PULSE OXIMETRY SINGLE DETER
PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460] ( 67.00)
36000864HC NONINVASIVE EAR/PULSE OXIMETRY MULTIPLE DETER
PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460] ( 153.00)
36000974HC PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE
OTHER THERAPEUTIC SERVICES - GENERAL CLASSIFICATION [0940] ( 135.00)
36001181 HC O.R. PROC LEVEL 1OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,046.00)
36001182 HC O.R. PROC LEVEL 2OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,882.00)
36001183 HC O.R. PROC LEVEL 3OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,737.00)
36001184 HC O.R. PROC LEVEL 4OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,636.00)
36001185 HC O.R. PROC LEVEL 5OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 6,587.00)
36001186 HC O.R. PROC LEVEL 6OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 7,601.00)
36001187 HC O.R. PROC LEVEL 7OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 8,700.00)
36001188 HC O.R. PROC LEVEL 8OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 9,904.00)
36001189 HC O.R. PROC LEVEL 9OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 11,247.00)
36001190 HC O.R. PROC LEVEL 10OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 12,760.00)
36000951HC TCAT PLMT XTRC VRT STENT S&I PRQ/OPEN 1ST VSL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 6,306.00)
36000865HC PERQ SAC AGMNTJ UNI W/WO BALO/MCHNL DEV 1/> NDL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 10,066.00)
36001043 HC LUMBAR FACET INJ. PROC. EA. LEVELOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,004.00)
36001048HC NJX DX/THER PARAVER FCT JT W/US LUMB/SAC LVL 2
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,004.00)
36001049HC NJX PARAVERTBRL FCT JT W/US LUMB/SAC 3RD&> LVL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,004.00)
36001012HC NJX ANES/STEROID TFRML EDRL W/US LUM/SAC 1 LVL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 863.00)
36001013HC NJX ANES/STEROID TFRML EDRL W/US LUM/SAC EA ADDL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 227.00)
36000884 HC RENAL ARTERY ATHERECTOMYOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 14,037.00)
36000885HC VISCERAL ARTERY ATHERECTOMY EA VESSEL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 14,037.00)
36000886HC TRLUML PERIPH ATHRC W/RS&I ABDOM AORTA
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 14,037.00)
36000960HC TRLUML PERIPH ATHRC W/RS&I BRCHIOCPHL EA VSL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 14,037.00)
36000892 HC ILIAC ATHERECTOMY EAOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 28,765.00)
36100023 HC PUNCT ASP BRST RT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 683.00)
36100034 HC PUNCT ASP BRST LT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 683.00)
36100025 HC PUNCT ASP BRST CYST EA ADDL LT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 382.00)
36100037 HC PUNCT ASP BRST CYST EA ADDL RT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 382.00)
36100026 HC MAMMARY DUCT INJ SINGLE BILATERAL OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 479.00)
36100038 HC MAMMARY DUCT INJ LT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 319.00)
36100039 HC MAMMARY DUCT INJ RT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 319.00)
36100024 HC PERC NDL CORE BRST BX W GUIDE LT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 592.00)
36100040 HC PERC NDL CORE BRST BX W GUIDE RT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 592.00)
36100042HC PERC NDL CORE BX RT CANCELED PRIOR ANES OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 592.00)
36100043HC PREC NDL CORE BX LT CANCELED PRIOR ANES OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 592.00)
36100044HC PERC NDL CORE BX RT CANCELED AFTER ANES OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 592.00)
36100045HC PERC NDL CORE BX LT CANCELED AFTER ANES OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 592.00)
36100012HC BPSY BRST; PERC AUTO VAC ASST/ROTATING LT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 2,562.00)
36100046HC BPSY BRST; PERC AUTO VAC ASST/ROTATING RT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 2,562.00)
36100047HC BPSY BRST; PERC AUTO VAC ASST/ROTATING BIL OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 3,884.00)
36100015 HC PL NDL LOCALIZ WIRE INIT LT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 760.00)
36100049 HC PL NDL LOCALIZ WIRE INIT RT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 760.00)
36100051 HC PL NDL LOCALIZ WIRE INIT BIL OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 760.00)
36100027 HC PL NDL LOCALIZ WIRE EA ADD LT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 180.00)
36100052 HC PL NDL LOCALIZ WIRE EA ADD BIL OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 180.00)
36100053 HC PL NDL LOCALIZ WIRE EA ADD RT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 180.00)
36100014HC BREAST CLIP IMAGE PLACEMENT BX/ASP LT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 405.00)
36100056HC BREAST CLIP IMAGE PLACEMENT BX/ASP BIL OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 498.00)
36100057HC BREAST CLIP IMAGE PLACEMENT BX/ASP RT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 405.00)
36100001HC INTRODUCTION NEEDLE/INTRACATHETER VEIN RT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 33.00)
36100058HC INTRODUCTION NEEDLE/INTRACATHETER VEIN LT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 33.00)
36100018HC INJECT PERC ANEURYSM EXTREMITY (THROMBIN OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,486.00)
36100059 HC VENO CONTRAST/INJ PROC RT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 399.00)
36100060 HC VENO CONTRAST/INJ PROC BILAT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 599.00)
36100062 HC VENO CONTRAST/INJ PROC LT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 399.00)
36100029 HC SVC/IVC CATH INTRO OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 494.00)
36100070HC SELECT CATH PLACE VEN SYS 1ST ORD FAM BILAT
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,632.00)
36100072HC SELECT CATH PLACE VEN SYS 1ST ORD FAM LT
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,088.00)
36100075 HC PULMON SEL CATH PLACE BIL OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,636.00)
36100141 HC PULMON SEL CATH PLACE RT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,091.00)
36100021HC SELECT CATH SEGMENTAL ART PULM RT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,102.00)
36100078 HC SELECT CATH SEGMENTAL ART PULM LT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,102.00)
36100079HC SELECT CATH SEGMENTAL ART PULM BILAT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,654.00)
36100028HC BRACHIAL ART RETROGRADE INTRO NEEDLE OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,064.00)
36100080 HC EXTREMITY ART INTRO NEEDLE/CAT RT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,478.00)
36100081 HC EXTREMITY ART INTRO NEEDLE/CAT LT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,478.00)
36100017HC DIALYSIS SHUNT W FLUORO 2ND ACCESS OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,951.00)
36100030 HC AORTA INTRO OF CATHETER OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,478.00)
36100084 HC THORAC SELCATH PL ART 1ST RT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 3,120.00)
36100085 HC THORAC SELCATH PL ART 1ST LT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 3,120.00)
36100090 HC THORAC SELCATH PL ART 2ND LT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 3,380.00)
36100091 HC THORAC SELCATH PL ART 2ND RT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 3,380.00)
36100096 HC THORAC SELCATH PL ART 3RD RTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,640.00)
36100101 HC CA;ART;EA ADD 2ND/3RD RT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 520.00)
36100102 HC CA;ART;EA ADD 2ND/3RD LT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 520.00)
36100108HC CATH PLACE ABD/PELV/LOW EXT ART 1ST ORDER LT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,610.00)
36100109HC CATH PLACE ABD/PELV/LOW EXT ART 1ST ORDER RT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,610.00)
36100010 HC ABD/PELVIS/LOW EXT ART 2ND RTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,691.00)
36100114 HC ABD/PELVIS/LOW EXT ART 2ND LTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,691.00)
36100013 HC ABD/PELVIS/LOW EXT ART 3RD RTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,775.00)
36100120 HC ABD/PELVIS/LOW EXT ART 3RD LTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,775.00)
36100022HC CATH PLACEMENT ABD-ADD'L 2ND OR 3RD RT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 451.00)
36100125HC CATH PLACEMENT ABD-ADD'L 2ND OR 3RD LT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 451.00)
36100128 HC INS CATH REN ART 1ST UNILAT LT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 3,344.00)
36100129 HC INS CATH REN ART 1ST UNILAT RT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 3,344.00)
36100133 HC INS CATH REN ART 1ST BILAT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 5,015.00)
36100135 HC INS CATH REN ART 2ND + UNILAT LT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 7,658.00)
36100136 HC INS CATH REN ART 2ND + UNILAT RT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 7,658.00)
36100033 HC INS CATH REN ART 2ND + BILAT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 5,015.00)
36100007 HC DIAGNOSTIC BONE MARROW ASP OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 2,420.00)
36100019 HC DIAGNOSTIC BONE MARROW BIOPSY OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,586.00)
36100031HC SENTINEL NODE INJ RADIOACTIVE TRACER OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 510.00)
36000689HC BLDR IRRIGATION SMPL LAVAGE&/INSTLJ OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 450.00)
36000383HC INSJ NON NDWELLG BLADDER CATHETER
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 352.00)
36000807HC INSJ TEMP NDWELLG BLADDER CATHETER COMP OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 417.00)
72000012 HC FETAL NON STRESS TESTLABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 1,000.00)
36000578HC DEBRIDEMENT OPEN WOUND 20 SQ CM/< OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 411.00)
36000577HC DEBRIDEMENT OPEN WOUND EACH ADDITIONAL 20 SQ CM OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 527.00)
36100008HC BONE MARROW ASP SAME ACCESS AFTER BX OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,716.00)
37000001 HC GENERAL ANESTHESIA BASE ANESTHESIA - GENERAL CLASSIFICATION [0370] ( 707.00)
37000003 HC MAC BASE ANESTHESIA - GENERAL CLASSIFICATION [0370] ( 530.00)
39000007 HC WHOLE BLOOD
ADMINISTRATION PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390] ( 502.00)
39000008 HC SPLIT BLOOD PRODUCT
ADMINISTRATION PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390] ( 174.00)
39000001 HC CRYOPRECIPITATE
ADMINISTRATION PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390] ( 157.00)
39000006 HC RED CELLS LEUKODEPLETED
ADMINISTRATION PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390] ( 530.00)
39000015 HC AUTOLOGOUS LKD RED CELLS
ADMINISTRATION PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390] ( 530.00)
39000018 HC RED CELL LEUKODEPLETED
ADMINISTRATION PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390] ( 530.00)
39000002 HC FRESH FROZEN PLASMA
ADMINISTRATION PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390] ( 234.00)
39000003 HC RED CELLS
ADMINISTRATION PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390] ( 391.00)
39000004 HC RED CELLS AUTOLOGOUS
ADMINISTRATION PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390] ( 515.00)
39000013 HC SHORT DRAW PLATELET PHERESIS
ADMINISTRATION PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390] ( 1,731.00)
39000009 HC PLATELETS LKD PHERESIS
ADMINISTRATION PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390] ( 1,731.00)
39000010HC PLATELETS PHERESIS LEUKOCYTE RED IRRA
ADMINISTRATION PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390] ( 1,731.00)
39000005 HC RED CELLS DEGLYCEROLIZED
ADMINISTRATION PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390] ( 796.00)
39000011HC RED BLOOD CELLS LEUKOCYTE RED IRRA
ADMINISTRATION PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390] ( 796.00)
39000012 HC CRYO POOR PLASMA
ADMINISTRATION PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390] ( 209.00)
39000016 HC LEUKODEPLETED RED CELLS DEGLYC
ADMINISTRATION PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390] ( 424.00)
39000014 HC 24 HOUR PLASMA
ADMINISTRATION PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390] ( 109.00)
39000017 HC PLASMA 24H
ADMINISTRATION PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390] ( 109.00)
39100002 HC BLOOD TRANSFUSION ADMIN DAILY
ADMINISTRATION PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - ADMINISTRATION (E.G. TRANS [0391] ( 1,062.00)
36000365HC PUSH TRANSFUSION BLOOD 2 YR/UNDER
ADMINISTRATION PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - ADMINISTRATION (E.G. TRANS [0391] ( 1,062.00)
39100001 HC TRANSFUSION INTRAUTERINE FETAL
ADMINISTRATION PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - ADMINISTRATION (E.G. TRANS [0391] ( 3,348.00)
40100003 HC COMPUTER DX MAMMOGRAM ADD ONOTHER IMAGING SERVICES - DIAGNOSTIC MAMMOGRAPHY [0401] ( 35.00)
40100007 HC MAMMOGRAM ONE BREAST LTOTHER IMAGING SERVICES - DIAGNOSTIC MAMMOGRAPHY [0401] ( 228.00)
40100008 HC MAMMOGRAM ONE BREAST RTOTHER IMAGING SERVICES - DIAGNOSTIC MAMMOGRAPHY [0401] ( 228.00)
40100009 HC MAMMOGRAM ONE BREAST SD LTOTHER IMAGING SERVICES - DIAGNOSTIC MAMMOGRAPHY [0401] ( 228.00)
40100010 HC MAMMOGRAM ONE BREAST SD RTOTHER IMAGING SERVICES - DIAGNOSTIC MAMMOGRAPHY [0401] ( 228.00)
40100011 HC MAMMOGRAM BOTH BREASTSOTHER IMAGING SERVICES - DIAGNOSTIC MAMMOGRAPHY [0401] ( 401.00)
40100012 HC MAMMOGRAM BOTH BREASTS SDOTHER IMAGING SERVICES - DIAGNOSTIC MAMMOGRAPHY [0401] ( 401.00)
40100004 HC DX MAMMO W/CAD IF PERFORMED BILATOTHER IMAGING SERVICES - DIAGNOSTIC MAMMOGRAPHY [0401] ( 752.00)
40100005HC DX MAMMO W/CAD IF PERFORMED UNILAT LT
OTHER IMAGING SERVICES - DIAGNOSTIC MAMMOGRAPHY [0401] ( 430.00)
40100006HC DX MAMMO W/CAD IF PERFORMED UNILAT RT
OTHER IMAGING SERVICES - DIAGNOSTIC MAMMOGRAPHY [0401] ( 430.00)
40200012 HC NEONATAL HEAD ECHO OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 445.00)
40200009 HC US HEAD/THYROID &/OR NECK OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 583.00)
40200008 HC US CHEST OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 477.00)
40200030 HC US EXAM BREAST(S) OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 411.00)
40200014 HC ABDOMINAL US COMPLETE OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 1,442.00)
40200007 HC ABDOMINAL US LIMITED OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 659.00)
40200021HC RETROPERITONEAL ECHOGRAPHYCOMPLETE OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 936.00)
40200010HC ULTRASOUND RETROPERITONEAL LIMITED OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 853.00)
40200019 HC RENAL TRANSPLANT (WITH DOPPLER) OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 1,579.00)
40200016 HC SPINAL CANAL/CONTENTS OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 371.00)
40200035 HC PREG<14 WKS FET/MAT EVAL 1 GEST OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 371.00)
40200036HC PREG<14 WKS FET/MAT EVAL ADD'L GEST OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 243.00)
40200023 HC PREG>14 WKS FET/MAT EVAL 1 GEST OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 371.00)
40200024HC PREG>14 WKS FET/MAT EVAL ADD'L GEST OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 243.00)
40200037 HC PREG COMPLETE 1 GESTATION OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 542.00)
40200038 HC PREG COMPLETE EA ADD'L GESTATION OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 301.00)
40200025 HC PREG LIMITED 1 OR MORE FETUSES OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 487.00)
40200031 HC PREG FOLLOW UP/RE EVAL PER FETUS OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 301.00)
40200039 HC TRANSVAGINAL OBSTETRICAL OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 601.00)
40200002 HC FETAL BIOPHYSICAL PROFILE OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 390.00)
40200013HC BIOPHYSICAL PROFILE WO NON STRESS TEST OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 371.00)
40200020 HC TRANSVAGINAL NON OBSTETRICAL OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 632.00)
40200027HC PELVIC ULTRASOUND NON OBSTETRICAL OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 648.00)
40200022 HC US EXAM PELVIC LIMITED OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 452.00)
40200018 HC SCROTUM ULTRASOUND OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 669.00)
40200001 HC PROSTATE ULTRASOUND OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 371.00)
40200044 HC EXTREMITY LIMITED RT OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 384.00)
40200045 HC EXTREMITY LIMITED LT OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 384.00)
40200017HC HIP INFANT W PHYSICIAN MANIPULATION OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 409.00)
40200040HC HIP INFANT WO PHYSICIAN MANIPULATION OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 371.00)
40200011HC US GUIDANCE FOR PERICARDIOCENTESIS OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 463.00)
40200005 HC U/S GUIDE; ENDOMYOCARDIAL BX OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 2,260.00)
40200006HC ART PSEUDOANEURYSM COMPRESS REPAIR OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 463.00)
40200015 HC VASCULAR ACCESS US GUIDANCE(M59) OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 463.00)
40200034 HC US GUIDE VISC. TISSUE ABLAT.(59) OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 463.00)
40200004 HC US GUIDE NEEDLE;BXASP OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 463.00)
40200028 HC AMNIOCENTESIS BY US GUIDANCE OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 463.00)
40200041 HC US FOLLOW UP OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 243.00)
40200029 HC INTRAOPERATIVE ULTRASOUND OR OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 606.00)
40200042 HC UNLISTED ULTRASOUND OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 371.00)
40200026HC VEIN MAPPING FOR HEMODIALYSIS ACCESS OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 922.00)
40200032 HC US AAA SCREENING OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 261.00)
40300002 HC COMP SCREEN MAMMOGRAM ADD ONOTHER IMAGING SERVICES - SCREENING MAMMOGRAPHY [0403] ( 78.00)
40300001 HC MAMMOGRAM SCREENING BIL (2V EA)OTHER IMAGING SERVICES - SCREENING MAMMOGRAPHY [0403] ( 289.00)
40300003HC SCRN MAMMO W/CAD IF PERFORMED BILAT
OTHER IMAGING SERVICES - SCREENING MAMMOGRAPHY [0403] ( 282.00)
40400001HC PETMYOCARDVIABILITY AFTER NON CONSPEC
OTHER IMAGING SERVICES - POSITRON EMISSION TOMOGRAPHY [0404] ( 3,640.00)
40400002HC MYOCARDIAL PET PERF SNG STRESS OR REST
OTHER IMAGING SERVICES - POSITRON EMISSION TOMOGRAPHY [0404] ( 3,640.00)
40400003HC MYOCARDIAL PET MULTI STRESS OR REST
OTHER IMAGING SERVICES - POSITRON EMISSION TOMOGRAPHY [0404] ( 4,004.00)
40400004 HC BRAIN PET METABOLIC EVALOTHER IMAGING SERVICES - POSITRON EMISSION TOMOGRAPHY [0404] ( 3,905.00)
40400005 HC PET IMAGE LTD AREAOTHER IMAGING SERVICES - POSITRON EMISSION TOMOGRAPHY [0404] ( 3,099.00)
40400006 HC PET IMAGE SKULL THIGHOTHER IMAGING SERVICES - POSITRON EMISSION TOMOGRAPHY [0404] ( 3,409.00)
40400007 HC PET IMAGE FULL BODYOTHER IMAGING SERVICES - POSITRON EMISSION TOMOGRAPHY [0404] ( 3,750.00)
36000368HC ARTERIAL PUNCTURE WITHDRAWAL BLOOD DX
RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410] ( 194.00)
36000397 HC CARDIOPULMONARY RESUSCITATIONRESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410] ( 935.00)
41000001HC VENTILATION ASSIST & MGMT INPATIENT 1ST DAY
RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410] ( 2,908.00)
41000003HC VENTILATION ASSIST & MGMT INPATIENT EA SBSQ DAY
RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410] ( 2,236.00)
41000009HC SPMTRY W/VC EXPIRATORY FLO +MXML VOL VNTJ
PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460] ( 238.00)
41000010HC VITAL CAPACITY TOTAL SEPARATE PROCEDURE
PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460] ( 168.00)
46000017HC INHALATION TREAT INITAL OR SUBSEQUENT
RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410] ( 310.00)
41000007HC CONTINUOUS INHALATION TREATMENT 1ST HR
RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410] ( 181.00)
41000008HC CONTINUOUS INHALATION TREATMENT EA ADDL HR
RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410] ( 129.00)
41000002HC CPAP VENTILATION CPAP INITIATION&MGMT
RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410] ( 659.00)
41000011HC DEMO&/EVAL OF PT UTILIZ AERSL GEN/NEB/INHLR/IPPB
RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410] ( 335.00)
41000005HC MANJ CH WALL FACILITATE LNG FUNCJ 1 DEMO&/EVAL
RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410] ( 246.00)
41000004HC MANJ CHEST WALL FACILITATE LUNG FUNCTION SUBSQ
RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410] ( 137.00)
41000006HC NONINVASIVE EAR/PULSE OXIMETRY OVERNIGHT MONITOR
PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460] ( 383.00)
42000005HC APPLICATION SURFACE NEUROSTIMULATOR PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 102.00)
42000012 HC PHYSICAL THERAPY EVALUATIONPHYSICAL THERAPY - EVALUATION OR RE-EVALUATION [0424] ( 219.00)
42000014 HC PHYSICAL THERAPY RE-EVALUATIONPHYSICAL THERAPY - EVALUATION OR RE-EVALUATION [0424] ( 129.00)
42000002 HC TRACTION MECHANICAL PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 82.00)
43000015 HC VASOPNEUMATIC DEVICE APPLICATIONOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 60.00)
43000016 HC PARAFFIN BATHOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 46.00)
43000005 HC FLUIDO THERAPY/WHIRLPOOLOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 105.00)
42000009 HC INFRARED THERAPY PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 104.00)
42000007 HC ULTRAVIOLET PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 51.00)
43000003 HC ELECTRIC STIM MANUAL EA 15 MINOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 111.00)
43000018 HC IONTOPHORESIS EA 15 MINOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 93.00)
43000017 HC ULTRASOUND EA 15 MINOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 86.00)
42000006 HC HUBBARD TANK EA 15 MIN PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 233.00)
43000008 HC THERAP PROC EA 15 MIN EXEROCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 182.00)
43000023HC NEUROMUSCULAR RE-EDUCATION EA 15 MIN
OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 102.00)
42000004HC AQUATIC THERAPY W/THER EXERC EA 15 MIN PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 93.00)
42000013 HC GAIT TRAINING W/STAIRS EA 15 MIN PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 113.00)
43000024 HC MASSAGE EA 15 MINOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 83.00)
43000006HC MANUAL THERAPY 1/> REGIONS EA 15 MIN
OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 99.00)
43000012HC THERAPEUTIC PROC GROUP 2/> INDIVIDUALS
OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 94.00)
43000011HC THER ACTV DIR PT CONTACT BY PROVIDER EA 15 MIN
OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 125.00)
43000025HC SELF CARE/HOME MANG TRAINING EA 15 MIN
OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 104.00)
43000002 HC WHEELCHAIR MANAGEMENT EA 15 MINOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 104.00)
42000001HC WORK HARDEN/ CONDITIONING INITIAL 2 HRS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 238.00)
42000011HC WORK HARDEN/ CONDITIONING EA ADD HR PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 120.00)
43000001HC RMVL DEVITAL TISS NSLCTV DBRDMT W/O ANES 1 SESS
OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 303.00)
43000013HC NEG PRESS WOUND THER I <OR=50 SQCM
OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 166.00)
43000014 HC NEG PRESS WOUND THER II >50 SQCMOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 558.00)
43000021HC PHYSICAL PERFORM/TEST W/REPORT EA 15 MIN
OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 113.00)
43000020HC ORTHOTIC FITTING & TRAINING EA 15 MIN INITIAL OT
OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 98.00)
42000003HC PROSTHETIC TRAINING EA 15 MIN INITIAL PT PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 62.00)
43000027HC ORTHOTIC/PROSTHETIC USE CHECKOUT EA 15 MIN
OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 69.00)
42000008HC ELECTRICAL STIM UNATTEND/WOUND CARE PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 56.00)
42000010HC ELECTRICAL STIM UNATTENDED/NON WOUND PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 48.00)
43000004 HC OCCUPATIONAL THERAPY EVALUATIONOCCUPATIONAL THERAPY - EVALUATION OR REEVALUATION [0434] ( 225.00)
43000022HC OCCUPATIONAL THERAPY RE-EVALUATION
OCCUPATIONAL THERAPY - EVALUATION OR REEVALUATION [0434] ( 108.00)
43000019 HC DEVELOP COGNITIVE SKILLS EA 15 MINOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 94.00)
43000010HC COMMUNITY RE-INTEGRATION TRAINING EA 15 MIN
OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 94.00)
44400001HC EVAL SPEECH LANG VOICE & AUDITORY PROC
SPEECH THERAPY - LANGUAGE PATHOLOGY - EVALUATION OR REEVALUATION [0444] ( 458.00)
44000002HC TX SPEECH LANG VOICE & AUDITORY PROC
SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 404.00)
44000005HC TX SPEECH LANG VOICE & AUDITORY GROUP
SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 146.00)
44000006 HC SWALLOW TX AND/OR ORAL FUNCTIONSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 250.00)
44000007HC EVAL&/FITG VOICE PROSTC DEV SUPLMNT ORAL SPEECH
SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 146.00)
44400006HC EVAL FOR RX OF ALT COMMUNICATION DEVICE 1ST HR
SPEECH THERAPY - LANGUAGE PATHOLOGY - EVALUATION OR REEVALUATION [0444] ( 297.00)
44400005HC EVAL FOR RX OF ALT COMM DEVICE EA ADD'L 30 MIN
SPEECH THERAPY - LANGUAGE PATHOLOGY - EVALUATION OR REEVALUATION [0444] ( 78.00)
44000001 HC MODIFICATION OF A&A DEVICESPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 177.00)
44000004 HC EVAL ORAL & PHARYNEGEAL SWALLOWSPEECH THERAPY - LANGUAGE PATHOLOGY - EVALUATION OR REEVALUATION [0444] ( 332.00)
44000003HC SPEECH COGNITIVE PERFORMANCE TESTING
SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 621.00)
44400003 HC ASSESSMENT OF APHASIA/PER HRSPEECH THERAPY - LANGUAGE PATHOLOGY - EVALUATION OR REEVALUATION [0444] ( 666.00)
36000252 HC I&D PILONIDAL CYST SIMPLEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 621.00)
36000253HC INCISION & REMOVAL FB SUBQ TISS SIMPLE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 768.00)
36000254HC INCISION & REMOVAL FB SUBQ TISS COMPL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,626.00)
36000197 HC I&D CPLX POSTOP WND INFOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,912.00)
36000198HC DEBR EXTENSV ECZEMA/INFECT SKN UP 10% BS
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 482.00)
36000199 HC DEBR EXZ/INF SKIN; EA ADDTL 10%OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 367.00)
36000202 HC REM SKN TAGS ANY AREA UP&W/15OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 385.00)
36000203HC REMOVAL SK TGS ANY AREA EA ADD'L 10
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 367.00)
36000499 HC EXC BENIGN LES MRGN T/A/L 0.5 CM/<OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 832.00)
36000500 HC EXC BENIGN LES MRGN T/A/L 0.6-1.0 CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,102.00)
36000501 HC EXC BENIGN LES MRGN T/A/L 1.1- 2.0 CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,373.00)
36000502 HC EXC BENIGN LES MRGN T/A/L 2.1- 3.0 CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,643.00)
36000179 HC EXC BENIGN LES MRGN T/A/L 3.0-4.0 CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,914.00)
36000002 HC EXC BENIGN LES MRGN T/A/L > 4.0 CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,184.00)
36000503HC EXC BENIGN LES MRGN S/N/H/F/G 0.5 CM/<
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,420.00)
36000504HC EXC BENIGN LES MRGN S/N/H/F/G 0.6-1.0CM
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,456.00)
36000505HC EXC BENIGN LES MRGN S/N/H/F/G 1.1-2.0CM
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,768.00)
36000506HC EXC BENIGN LES MRGN S/N/H/F/G 2.1-3.0CM
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,080.00)
36000507HC EXC BENIGN LES MRGN S/N/H/F/G 3.1-4.0CM
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,392.00)
36000508HC EXC BENIGN LES MRGN S/N/H/F/G > 4.0CM
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,704.00)
36000509HC EXC BENIGN LES MRGN F/E/E/N/L/M 0.5CM/<
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 832.00)
36000510HC EXC BENIGN LES MRGN F/E/E/N/L/M 0.6-1.0CM
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,206.00)
36000511HC EXC BENIGN LES MRGN F/E/E/N/L/M 1.1-2.0CM
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,581.00)
36000512HC EXC BENIGN LES MRGN F/E/E/N/L/M 2.1-3.0CM
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,955.00)
36000513HC EXC BENIGN LES MRGN F/E/E/N/L/M 3.1-4.0CM
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,330.00)
36000514HC EXC BENIGN LES MRGN F/E/E/N/L/M > 4.0CM
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,704.00)
36000204HC TRIM NONDYSTROPHIC NAILS ANY NUMBER
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 165.00)
36000205 HC DEBRIDEMENT NAIL(S) ANY METHOD 1-5OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 182.00)
36000046 HC DEBRIDE NAIL(S) ANY METHOD 6+OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 192.00)
36000206HC AVULSION NAIL PLATE PART/COMP SIMPLE 1
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 189.00)
36000570HC AVULSION NAIL PLATE PART/COMP EA ADDL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 166.00)
36000399 HC EVAC SUBUNGUAL HEMATOMAOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 166.00)
36000132 HC REMOVE NAIL BED/FINGER TIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,265.00)
36000208 HC REPAIR NAIL BEDOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 504.00)
36000209 HC WEDGE EXC SKIN NAIL FOLDSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 367.00)
36000571 HC REMOVAL IMPLANT CONTRACEPT CAPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 830.00)
36000210 HC SMPL RPR S/N/A/G/TR/E 2.5CM/< EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 504.00)
36000211 HC SMPL RPR S/N/A/G/TR/E 2.6-7.5CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 523.00)
36000212 HC SMPL RPR S/N/A/G/TR/E 7.6-12.5CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 532.00)
36000144 HC SMPL RPR S/N/A/G/TR/E 12.6-20.0CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 542.00)
36000146 HC SMPL RPR S/N/A/G/TR/E 20.1-30.0CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 551.00)
36000148 HC SMPL RPR S/N/A/G/TR/E >30.0CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 560.00)
36000213 HC SMPL RPR F/E/E/N/L/M 2.5CM/<SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 504.00)
36000214 HC SMPL RPR F/E/E/N/L/M 2.6CM-5.0CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 514.00)
36000215 HC SMPL RPR F/E/E/N/L/M 5.1CM-7.5CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 523.00)
36000216 HC SMPL RPR F/E/E/N/L/M 7.6CM-12.5CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 532.00)
36000524 HC SMPL RPR F/E/E/N/L/M 12.6CM-20.0CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 542.00)
36000525 HC SMPL RPR F/E/E/N/L/M 20.1CM-30.0CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 551.00)
36000526 HC SMPL RPR F/E/E/N/L/M >30.0CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 560.00)
36000217 HC TX SUPERFICIAL WND DEHISC SMPLOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 802.00)
36000218 HC TX SUPERFICIAL WND DEHIS W/PACKOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 482.00)
36000219 HC INTMD WND RPR S/A/T/EXT 2.5 CM/<OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 520.00)
36000220 HC INTMD WND RPR S/A/T/EXT 2.6-7.5 CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 538.00)
36000221 HC INTMD WND RPR S/A/T/EXT 7.6-12.5 CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 546.00)
36000222 HC INTMD WND RPR S/A/T/EXT 12.6-20.0CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 555.00)
36000223 HC INTMD WND RPR S/A/T/EXT 20.1-30.0 CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 564.00)
36000224 HC INTMD WND RPR S/A/T/EXT > 30.0 CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,725.00)
36000225 HC INTMD WND RPR N-HF/GENIT 2.5CM/<OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 520.00)
36000226 HC INTMD WND RPR N-HF/GENIT 2.6-7.5 CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 538.00)
36000227 HC INTMD WND RPR N-HF/GENIT 7.6-12.5CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 546.00)
36000527 HC INTMD WND RPR N-HF/GENIT 12.6-20 CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 555.00)
36000528HC INTMD WND RPR N-HF/GENIT 20.1-30.0 CM
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 564.00)
36000529 HC INTMD WND RPR N-HF/GENIT >30.0 CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,816.00)
36000228 HC INTMD WND RPR FACE/MM 2.5 CM/<OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 520.00)
36000229 HC INTMD WND RPR FACE/MM 2.6-5.0 CM/>OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 529.00)
36000230 HC INTMD WND RPR FACE/MM 5.1-7.5 CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 538.00)
36000231 HC INTMD WND RPR FACE/MM 7.6-12.5 CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 546.00)
36000530 HC INTMD WND RPR FACE/MM 12.6-20.0CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 555.00)
36000531 HC INTMD WND RPR FACE/MM 20.1-30.0CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 564.00)
36000532 HC INTMD WND RPR FACE/MM > 30.0 CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 572.00)
36000232 HC COMPLEX RPR TRUNK 1.1 CM-2.5 CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,725.00)
36000233 HC COMPLEX RPR TRUNK 2.6 CM-7.5 CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,881.00)
36000234HC COMPLEX RPR TRUNK EACH ADDITIONAL 5 CM/<
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 776.00)
36000235HC COMPLEX RPR SCALP/ARM/LEG 1.1 CM-2.5 CM
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,020.00)
36000236HC COMPLEX RPR SCALP/ARM/LEG 2.6 CM-7.5 CM
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,176.00)
36000237HC COMPLEX RPR SCALP/ARM/LEG EA ADDL 5 CM/<
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 776.00)
36000238HC COMPLEX RPR F/C/C/M/N/AX/G/H/F 1.1 CM-2.5 CM
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,020.00)
36000239HC COMPLEX RPR F/C/C/M/N/AX/G/H/F 2.6 CM-7.5 CM
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,176.00)
36000240HC COMPLEX RPR F/C/C/M/N/AX/G/H/F EA ADDL .5 CM/<
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 776.00)
36000241 HC COMPLEX RPR E/N/E/L 1.0 CM/<OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 955.00)
36000242 HC COMPLEX RPR E/N/E/L 1.1-2.5 CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,020.00)
36000243 HC COMPLEX RPR E/N/E/L 2.6-7.5 CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,176.00)
36000244 HC COMPLEX RPR E/N/E/L EA ADDL 5 CM/<OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 776.00)
36000066HC SECONDARY CLOSURE WOUND/DEHSN EXTSV/COMPLIC
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,572.00)
36000805HC ADJ TIS TRANS/REARRANGE E/N/E/L 10 SQ CM/<
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,969.00)
36000248HC DRS&/DBRDMT PRTL THKNS BURNS INIT/SBSQ LGE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 546.00)
36000249 HC ESCHAROTOMY FIRST INCISIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 482.00)
36000572 HC ESCHAROTOMY ADD'L INCISIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 281.00)
36000498HC CHEMICAL CAUTERIZATION GRANULATION TISSUE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 380.00)
36000255 HC I&D SOFT TISSUE ABSCESS SUBFASCOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,402.00)
36000718 HC WOUND EXPLORATION NECKOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 951.00)
36000719 HC WOUND EXPLORATION CHESTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,696.00)
36000720 HC WOUND EXPLORATION TRUNKOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,511.00)
36000721 HC EXPL P WND EXTREMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,670.00)
36000256HC REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,420.00)
36000257HC RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,608.00)
36000258HC INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 294.00)
36000722 HC INJ TENDON ORIGIN/INSERTIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 294.00)
36000724 HC ASPIRATION/INJECTION GANGLION CYSTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 293.00)
36000821HC CRUTCHFIELD OR GARDNER WELLS TONGS
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,634.00)
36000725HC REM IMPLANT SUPFCL(BURIED WIREPINROD)
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,350.00)
36000259 HC CL TXT OF NASAL BONE FX WO MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 460.00)
36000581HC CLOSE TX NASAL BONE FX W/O STABILIZATION
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,892.00)
36000260 HC CL TX OF NASAL BONE FX W STABILIZOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,948.00)
36000726HC CLD TX NASAL SEPTAL FX W/WO STABILIZATIN
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,948.00)
36000582HC CL TX NASOMAXILLARY COMPLEX FRACTURE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,792.00)
36000583HC CL TX FX OF ORBIT W/O BLOWOUT W/O MANIP
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,199.00)
36000584HC CL TX FX ORBIT W/O BLOWOUT WITH MANIP
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,892.00)
36000585 HC CL TX PALATAL OR MAXILLARY FXOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,437.00)
36000586HC CL TX CRANIFACIAL SEP W/INTERDENTAL WIRE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,624.00)
36000587HC CL TX MANDIB/ MAXIL ALVEOLAR RIDGE FX
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,792.00)
36000727 HC CLD TX MANDIBLE W/O MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 736.00)
36000728 HC CLD TX MANDIBLE W/MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,814.00)
36000588HC CL TX MANDIBULAR FX W/ INTERDENTAL FIX
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,066.00)
36000261 HC CL TX TMJ DISLOCATION INT /SUBOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 356.00)
36000589HC CL TX TEMPOROMANDIBULAR DISLOCAL COMPL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,892.00)
36000729 HC INTRADENTAL WIRING OTHER THAN FXOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,892.00)
36000591HC I&D ABS NECK/THORAX W/PART RIB OSTECTOMY
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,475.00)
36000262HC CLOSED TX RIB FRACTURE UNCOMPLICATED EACH
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 380.00)
36000730 HC CLOSED TREATMENT STERNUM FROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 380.00)
36000592HC I&D OPEN DEEP ABS CERVICAL/THORACIC
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,003.00)
36000593 HC I&D OPEN DEEP ABS LUMBAR/SACRALOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,977.00)
36000731 HC CL TX VERTEBRAL PROCESS FX(S)OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 380.00)
36000594HC CL TX VERTEB BODY FX W/O MANIP INCL CAST
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 834.00)
36000595HC CL TX VERTEB FX DISLOC REQ CAST BY MANIP
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,148.00)
36000263HC I&D SHOULDER DEEP ABSCESS/HEMATOMA
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,698.00)
36000596 HC I&D SHOULDER AREA; INFECTED BURSAOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,698.00)
36000264HC REMOVAL FOREIGN BODY SHOULDER SUBCUTANEOUS
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,159.00)
36000265 HC CL TX CLAVICULAR FX WO MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 528.00)
36000266 HC CL TX CLAVICULAR FX W MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,148.00)
36000597HC CL TX STERNOCLAVICULAR DISL W/O MANIP
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,328.00)
36000598HC CL TX STERNOCLAVICULAR DISLOCAL W/MANIP
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 571.00)
36000599HC CL TX ACROMIOCLAVICULAR DISLOC W/O MANIP
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 336.00)
36000600HC CL TX ACROMIOCLAVICULAR DISLOC; W/MANIP
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 571.00)
36000267 HC CL TX SCAPULAR FX WO MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 380.00)
36000268 HC CL TX SCAPULAR FX W MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,328.00)
36000269 HC CL TX PROX HUMERAL FX WO MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 449.00)
36000270 HC CL TX PROX HUMERAL FX W MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,148.00)
36000271 HC CL TX GR TUBEROSITY FX WO MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 376.00)
36000272 HC CL TX GR TUBEROSITY FX W MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,148.00)
36000273 HC CL SHLDR DISL W MANI WO ANOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 425.00)
36000274 HC CL TX SHLDR DISLOC & FX GT W MANOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,328.00)
36000601HC CL TX SHLDR DIS W/SURG/ANA NECK FX W/MAN
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,328.00)
36000602 HC I&D UPPER ARM/ELBOW AREA DEEP ABSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,057.00)
36000603HC I&D UPPER ARM OR ELBOW AREA; BURSA
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,057.00)
36000275 HC RMVL FB UPPER ARM/ELBOW SUBCOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,420.00)
36000276 HC REMOVAL FB UPPER ARM/ELBOW DEEPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,174.00)
36000277HC CL TX HUMERAL SHAFT FRACTURE W/O MANIPULATION
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 478.00)
36000278HC CL TX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,328.00)
36000279HC CL TX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/WO MANJ
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 505.00)
36000280HC CL TX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MANJ
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,328.00)
36000281HC CL TX HUMERAL EPICONDY FX MEDIAL/LAT W/O MANJ
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 420.00)
36000282HC CL TX HUMERAL EPICONDY FX MEDIAL/LAT W/MANJ
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,328.00)
36000604HC CL TX HUM CONDY FX MEDIAL/LAT W/O MANIP
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 448.00)
36000605HC CL TX HUM COND FX MEDIAL/LAT W/MANIP
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,328.00)
36000283 HC CL TX ELBOW DISLOCATION W/O ANESOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 494.00)
36000606HC CL TX MONTEGGIA FX DISLOC ELBOW W/MANIP
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,148.00)
36000284HC CL TX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MANJ
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 450.00)
36000285HC CL TX RADIAL HEAD/NECK FX W/O MANIPULATION
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 450.00)
36000286HC CL TX RADIAL HEAD/NECK FX W/MANIPULATION
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,328.00)
36000287HC CL TX ULNAR FRACTURE PROXIMAL END W/O MANJ
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 385.00)
36000288HC CL TX ULNAR FRACTURE PROXIMAL END W MANJ
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,328.00)
36000608 HC I&D FOREARM AND/OR WRIST; BURSAOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,475.00)
36000609HC EXPLORE W/REMOVE DEEP FB FOREARM/WRIST
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,475.00)
36000289HC CL TXRADIAL SHAFT FRACTURE W/O MANIPULATION
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 450.00)
36000290HC CL TX RADIAL SHAFT FRACTURE W/MANIPULATION
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,328.00)
36000610HC CL TX RAD SHAFT FX (GALEAZZI FX/DISLOC)
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,328.00)
36000291HC CL TX ULNAR SHAFT FRACTURE W/O MANIPULATION
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 450.00)
36000292HC CL TX ULNAR SHAFT FRACTURE W/MANIPULATION
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 668.00)
36000293HC CL TX RADIAL&ULNAR SHAFT FRACTURES W/O MANJ
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 450.00)
36000294HC CL TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,328.00)
36000732 HC CL TX RADIAL & ULNAR FX W/O MAOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 452.00)
36000733 HC CL TX FRAC RADIUS/ULNA W MANOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,328.00)
36000734 HC CL TX NAVICULAR FX W/O MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 450.00)
36000735 HC CL TX NAVICULAR FX W/MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,328.00)
36000295HC CL TX CARPAL BONE FX W/O MANJ EACH BONE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 450.00)
36000296HC CL TX CARPAL BONE FX W/MANJ EACH BONE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,328.00)
36000611 HC CL TX OF ULNAR STYLOID FRACTUREOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 450.00)
36000297HC CL TX RDCRPL/INTERCARPL DISLC 1/> BONES W/MANJ
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 606.00)
36000298HC CL TX DISTAL RADIOULNAR DISLOCATION W/MANJ
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 589.00)
36000299HC CL TX TRANS SCAPHOPRILUNAR TYP FX DISLC W/MANJ
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 697.00)
36000612HC CL TX LUNATE DISLOCATION W/ MANIPULATION
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,148.00)
36000300 HC DRAIN FINGER ABSC SIMPLEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 415.00)
36000301HC DRAINAGE FINGER ABSCESS COMPLICATED
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,472.00)
36000613HC DRAIN TENDON SHEATH DIGIT AND/OR PALM EA
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,750.00)
36000614HC DRAINAGE OF PALMAR BURSA; SINGLE BURSA
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,927.00)
36000615HC DRAINAGE OF PALMAR BURSA; MULTIPLE BURSA
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,750.00)
36000616HC ARTHR W/EXPL DRAIN/REM FB CMC JOINT
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,927.00)
36000617HC ARTHR W/EXPL DRAIN/REM FB MCPHL JOINT EA
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,750.00)
36000618HC ARTHR W/EXPL DRAIN/REM FB INPHL JOINT EA
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,927.00)
36000736 HC FINGER FLEXOR TENDON REPAIROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,234.00)
36000737HC REP EXTENSR TENDN HAND W/O GRFT EA TENDO
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,194.00)
36000738 HC FINGER TENDON REPAIR EA WO GRFOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,194.00)
36000619HC CL TX DISTAL EXTENSOR TENDON FINGER
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,194.00)
36000302HC CL TX METACARPAL FX W/O MANI EACH BONE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 450.00)
36000303HC CL TX METACARPAL FX W/MANI EACH BONE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 430.00)
36000620HC CL TX MCP FX W/MANIP W/EXT FIX EA BONE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,562.00)
36000304HC CL TX CARPO/METACARPAL DISLC THUMB W/MANJ
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 506.00)
36000305HC CL TX CARPO/METACARPAL FX DISLC THUMB W/MANJ
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,328.00)
36000306HC CL TX CARPO/METACARPL DISLC THMB MANJ EA W/O ANES
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 452.00)
36000307HC CL TX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 446.00)
36000308HC CL TX PHLNGL FX PROX/MIDDLE PX/F/T W/O MANJ EA
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 340.00)
36000309HC CL TX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 446.00)
36000310HC CL TX ARTICULAR FX INVG MTCARPHLNGL/IPHAL JT W/O
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 340.00)
36000311HC CL TX ARTICULAR FX INVG MTCARPHLNGL/IPHAL JT W/
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,328.00)
36000312HC CL TX DSTL PHLNGL FX FNGR/THMB W/O MANJ EA
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 340.00)
36000313HC CL TX DSTL PHLNGL FX FNGR/THMB W/MANJ EA
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 401.00)
36000314 HC CL TX IPHAL JT DISLC W/MANJ W/O ANESOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 376.00)
36000717HC CL TX INTRPHGL JNT DIS SNGL W/MAN W/ANES
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,285.00)
36000621HC I&D PELVIS OR HIP JOINT AREA DEEP ABS
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,696.00)
36000622HC I&D PELVIS/HIP JOINT AREA INFECTED BURSA
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,696.00)
36000739 HC FB REMOV HIP/PELV SQOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,586.00)
36000740 HC FB REMOV HIP/PELV DEEPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,696.00)
36000623HC CL TX PELVIC FX DISLOC SUBLUX W/O MANIP
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 240.00)
36000624 HC CL TX OF COCCYGEAL FRACTUREOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 340.00)
36000625HC CL TX ACETABUL (HIP SOCKET) FX W/O MANIP
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 780.00)
36000626HC CL TX ACETA FX W/MANIP W OR WO SKEL TRAC
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,461.00)
36000627HC CL TX FEM FX PROXIMAL END NECK W/O MANIP
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 698.00)
36000628HC CL TX FEM FX PROX W/MANIP W/WO SKEL TRAC
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,132.00)
36000629HC CL TX INTER/PERI/SUBTROCHANTERIC FEM FX W/O MAN
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,328.00)
36000630HC CL TX INTR/PERI/SBTRCHNTC FEMORAL FX W/MAN
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,430.00)
36000631HC CL TX GREATER TROCHANTERIC FX WO MANIP
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 572.00)
36000741 HC CL TX TRAUMA HIP DICLOC WO ANEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 279.00)
36000742 HC CL TX SPONTA HIP DISLOC W/O ANOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 450.00)
36000743HC CL TX POST HIP ARTHROPLAS DISLOC W/O ANE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 592.00)
36000776 HC CL TX THIGH FX W/O MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,105.00)
36000632HC CL TX FEM FX PROXIMAL END HEAD W/MANIP
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,596.00)
36000633HC I&D DEEP ABS/BURSA/HEM THIGH/KNEE REGION
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,305.00)
36000064HC REMOVAL FOREIGN BODY DEEP THIGH/KNEE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,608.00)
36000315HC CL TX FEMORAL SHAFT FX W/O MANIPULATION
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 714.00)
36000634HC CL TX SUP/TRAN FEM FX W/WO EXT WO MANIP
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 739.00)
36000316HC CL TX FEM SHFT FX W/MANJ W/WO SKIN/SKELETAL TRACJ
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,148.00)
36000635HC CL TX SUP/TRAN FEM FX W/MANIP W/WO TRAC
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,328.00)
36000317HC CL TX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 732.00)
36000318HC CL TX FEM FX DSTL END MEDIAL/LAT CONDYLE W/MANJ
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,328.00)
36000636HC CL TX DIS FEM EPIPHYSEAL SEP WO MANIP
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 705.00)
36000637HC CL TX DISTAL FEM SEP W/MANIP W/WO TRAC
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,328.00)
36000319HC CL TX PATELLAR FRACTURE W/O MANIPULATION
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 433.00)
36000320HC CL TX TIBIAL FX PROXIMAL W/O MANIPULATION
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 410.00)
36000638HC CL TX TIBIAL FX PROX W/WO MANIP W/TRAC
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,750.00)
36000639HC CL TX SPINE &/OR TUB FX KNEE W/WO MANIP
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 655.00)
36000321HC CL TX KNEE DISLOCATION W/O ANESTHESIA
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 693.00)
36000322HC CL TX PATELLAR DISLOCATION W/O ANESTHESIA
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 491.00)
36000022 HC I&D LEG/ANKLE ABSCESS/HEMATOMAOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,305.00)
36000640 HC I&D LEG OR ANKLE; INFECTED BURSAOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,633.00)
36000744 HC CL TX TIB SHFT FX WO MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 468.00)
36000745 HC CL TX TIB SHFT FX W MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,148.00)
36000746 HC CL TX MEDIAL ANKLE FX WO MANOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 447.00)
36000747 HC CL TX MEDIAL ANKLE FX W MANOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,148.00)
36000777 HC CL TX POST ANKLE FX W/O MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,288.00)
36000778 HC CL FX POST ANKLE FX W MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,994.00)
36000748 HC CL TX PROX FIB/SHAFT FX WO MANOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 408.00)
36000749 HC CL TX PROX FIB/SHAFT FX W MANOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,148.00)
36000750 HC CL TX DSTL FIB FX WO MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 421.00)
36000751 HC CL TX DISTL FIB FX W MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 569.00)
36000752 HC CL TX BIMALLEOLAR FX W/O MANOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 441.00)
36000753 HC CL TX BIMALLEOLAR FX W MANOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,328.00)
36000754 HC CL TX TRIMALLEOLAR FX W/O MANOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 423.00)
36000755 HC CL TX TRIMALLEOLAR FX W MANOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,328.00)
36000641 HC CL TX FX DIS TIB W/WO ANES WO MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 447.00)
36000642 HC CL TX FX DIS TIB W/WO ANES W/TRACOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,148.00)
36000756HC CLSD TX PROX TIB/FIB DISLOC W/O ANEST
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 518.00)
36000643HC CL TX PROX TIBIOFIB JOINT DISLO REQ ANES
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,750.00)
36000323HC CL TX ANKLE DISLOCATION W/O ANESTHESIA
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 547.00)
36000644HC CL TX ANK DIS REQ ANES W/WO PER SKEL FIX
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,733.00)
36000324 HC UNLISTED PROCEDURE LEG/ANKLEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 450.00)
36000533 HC I&D BURSA FOOTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,472.00)
36000645HC I&D FASCIA W/WO TEN SHEATH INV FT MULTI
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,475.00)
36000325 HC REM FB FOOT SUBCUTANEOUSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,057.00)
36000646 HC REM FB FOOT DEEPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,906.00)
36000647 HC REM FB FOOT COMPLICATEDOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,002.00)
36000757HC REPAIR FLEX TENDON FOOT W/O GRAFT EACH
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,696.00)
36000758HC REPAIR EXTEN TENDON FOOT W/O GRAFT EACH
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,696.00)
36000759 HC CL TX CALCANEAL FX WO MAOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 380.00)
36000760 HC CL TX CALCANEAL FX W MAOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,148.00)
36000761 HC CL TX TALUS FX WO MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 450.00)
36000762 HC CL TX TALUS FX W MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,328.00)
36000763 HC CL TX TARSAL BONE FX W/O MANOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 450.00)
36000764 HC CL TX TARSAL BONE FX W MANOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,328.00)
36000765 HC CL TX METATARSAL FX WO MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 450.00)
36000766 HC CL TX METATARSAL FX W MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 450.00)
36000767 HC CL TX FX GT PHALANX(S) WO MANIOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 380.00)
36000768 HC CL TX FX GT PHALANX(S) W MANIOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 380.00)
36000769 HC CL TX FX PHALNX/PHALANG WO MANOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 380.00)
36000770 HC CL TX FX PHALANX/PHALANG W MANOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 380.00)
36000648 HC CL TX SESAMOID FRACTUREOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 450.00)
36000771 HC CL TX TARSAL BONE DISLOC WO ANOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 450.00)
36000649HC CL TX OF TALOTARSAL JOINT DISLOC WO ANES
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 450.00)
36000650HC CL TX TARSOMETATARS JOINT DISLOC WO ANES
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 450.00)
36000772 HC CL TX MTP JNT DISLOC WO ANESTHOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 340.00)
36000773 HC CL TX IP JOINT DISL WO ANESTHOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 380.00)
36000326 HC APPLY CAST SHOULDER SPICAOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 361.00)
36000774 HC APPLY PLASTER VALPEAU CASTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 361.00)
36000327HC APPLY CAST SHOULDER HAND LONG ARM
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 361.00)
36000328HC APPLY CAST ELBOW FINGER SHORT ARM
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 361.00)
36000329HC APPLY CAST HAND&LOWER FOREARM GAUNTLET
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 361.00)
36000330HC APPLY LONG ARM SPLINT SHOULDER HAND
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 361.00)
36000331HC APPLY SHORT ARM SPLINT FOREARM HAND STATIC
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 361.00)
36000332 HC APPLY SHORT ARM SPLINT DYNAMICOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 361.00)
36000333 HC APPLY FINGER SPLINT STATICOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 361.00)
36000334 HC APPLY FINGER SPLINT DYNAMICOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 361.00)
36000335 HC STRAPPING THORAXOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 361.00)
36000336 HC STRAPPING SHOULDEROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 361.00)
36000337 HC STRAPPING ELBOW/WRISTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 361.00)
36000338 HC STRAPPING HAND/FINGEROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 361.00)
36000339 HC APPLY LONG LEG CAST THIGH TOEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 361.00)
36000340HC APPLY SHORT LEG CAST BELOW KNEE TOE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 361.00)
36000341HC APPLY SHORT LEG CAST WALKING/AMBULATORY
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 361.00)
36000342HC APPLY PATELLAR TENDON BEARING CAST
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 361.00)
36000343HC ADDING WALKER PREVIOUSLY APPLIED CAST
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 361.00)
36000775HC APPLY CLUBFOOT CAST MOLDING/LONG/SHORT LEG
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 361.00)
36000345 HC APPLY SHORT LEG SPLINT CALF FOOTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 227.00)
36000346 HC STRAPPING HIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 227.00)
36000347 HC STRAPPING KNEEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 227.00)
36000348 HC STRAP ANKLE OR FOOTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 227.00)
36000349 HC STRAPPING OF TOESOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 227.00)
36000350 HC STRAPPING UNNA BOOTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 227.00)
36000065HC APPLY MULTILAY COMPRES LEG (BELOW KNEE)
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 166.00)
36000412HC APPLY MULTILAYER COMPRESS THIGH/LEG
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 234.00)
36000413HC APPLY MULTILAYER COMPRESS UPPER ARM
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 171.00)
36000414HC APPLY MULTILAYER COMPRESS ARM & HAND
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 166.00)
36000351 HC DENIS BROWNE SPLINT STRAPPINGOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 194.00)
36000535HC REMOVE/BIVALVE GAUNTLET BOOT/BODY CAST
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 234.00)
36000536HC REMOVAL/BIVALVING FULL ARM/FULL LEG CAST
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 234.00)
36000555 HC REMOVE/BIVALVE SHLD/HIP SPICAOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 288.00)
36000556 HC REMOVE/BIVALVE TURNBUCKLE JACKETOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 226.00)
36000352 HC WINDOWING OF CASTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 227.00)
36000353HC WEDGING OF CAST NOT CLUBFOOT CAST
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 234.00)
36000354HC UNLISTED PROCEDURE CASTING OR STRAPPING
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 227.00)
36000579HC DRAIN ABSC/HEMATOMA; NASAL; INT APPROACH
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 349.00)
36000651HC DRAINAGE ABSCESS / HEMATOMA NASAL SEPTUM
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 826.00)
36000355 HC REM FB INTRANASALOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 348.00)
36000356 HC CONTROL NASAL HEMORRH ANT SIMPLEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 459.00)
36000358HC CTRL NSL HEMRRG PST NASAL PACKS&/CAUTERY 1ST
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 308.00)
36000779HC POSTERIOR NASAL PACKING SUBSQUENT
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 322.00)
36000806HC NASAL ENDO W/CONTROL NASAL HEMMORRHAGE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,393.00)
36000360HC LARYNGOSCOPY INDIRECT W/REMOVAL FB
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 242.00)
36000790HC LARYNGOSCOPIC EXAM EXCLUDING NEWBORNS
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,393.00)
36000780 HC LARYNGOSCOPY FLEX W REM OF FBSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 703.00)
36000781HC TRACHEOBRONCHOSCOPY THRU EST TRACH INCSN
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,099.00)
36000782 HC BRONCHOSCOPY W/REMOVAL OF FBSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,567.00)
36000784HC THORACOTOMY MAJOR CTRL TRAUM LUNG TEAR
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,116.00)
36000786HC REPAIR BLOOD VESSEL UPPER EXTREMITY
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,888.00)
36000787 HC REPAIR BLOOD VESSEL HAND/FINGEROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,865.00)
36000788HC REPAIR BLOOD VESSEL INTRA ABDOMINAL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,299.00)
36000789HC REPAIR BLOOD VESSEL LOWER EXTREMITY
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,658.00)
36000361HC VNPNXR <3 YEARS PHYS SKILL FEMORAL/JUGULAR VEIN
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 77.00)
36000362HC VNPNXR <3 YEARS PHYS SKILL SCALP VEIN
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 77.00)
36000363HC VNPNXR <3 YEARS PHYS SKILL OTHER VEIN
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 77.00)
36000364 HC VNPNXR 3 YEARS/> PHYS SKILLOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 77.00)
36000710HC COLLECTION CAPILLARY BLOOD SPECIMEN
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 32.00)
36000711HC VENIPUNCTURE CUTDOWN; 1YR OR YOUNGER
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,120.00)
36000712HC VENIPUNCTURE CUTDOWN; 1YR OR OLDER
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,120.00)
36000401 HC ARTER CATH SAMP/MON/TRA CUTDOWOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 166.00)
36000369 HC PLACE NEEDLE INTRAOSSEOUS INFUOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 344.00)
36000713HC THROMBOLYSIS CEREBRAL; INTRAVEN INFUSION
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,418.00)
36000652HC DRAIN LYMPH ABS / LYMPHADENITIS SIMPLE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,970.00)
36000653HC DRAIN LYMPH ABS / LYMPHADENITIS EXTENS
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,305.00)
36000370HC RPR LIP FULL THICKNESS VERMILION ONLY
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 951.00)
36000371 HC RPR LIP FT; UP TO VERTICAL HEIGHTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,045.00)
36000791HC RPR LIP FULL THKNS >ONE-HALF VERT HEIGHT/COMPLEX
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,149.00)
36000654HC DRAIN ABS/HEM/VESTIBULE OF MOUTH SIMPLE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,029.00)
36000655HC DRAIN ABS/HEM/VESTIBULE OF MOUTH COMPL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,199.00)
36000372HC RMVL EMBEDDED FB VESTIBULE MOUTH SMPL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,335.00)
36000373HC RMVL EMBEDDED FB VESTIBULE MOUTH COMP
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,199.00)
36000374HC CLOSURE LACERATION VESTIBULE MOUTH 2.5 CM/<
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 372.00)
36000375HC CLOSURE LACERATION VESTIBULE MOUTH > 2.5 CM/CPLX
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,199.00)
36000376HC RPR LAC 2.5 CM/< MOUTH&/ANT TWOTHIRDS TONGUE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 226.00)
36000377HC RPR LAC 2.5 CM/< PST ONETHIRD TONGUE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 372.00)
36000378HC RPR LAC TONGUE FLOOR MOUTH > 2.6 CM/CPLX
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,199.00)
36000379 HC DR ABSC CYST HEMATOM DENTOALVEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 399.00)
36000656HC REM FB FROM DENTOALVEOLAR STRUCTURE BONE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,892.00)
36000657HC DRAINAGE OF ABSCESS OF PALATE UVULA
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 372.00)
36000658HC DRAINAGE OF ABSCESS; PAROTID SIMPLE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,892.00)
36000659HC DRAINAGE OF ABSCESS PAROTID COMPLICATED
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,625.00)
36000660HC DRAIN ABS SUBMAXIL/SUBLINGUAL INTRAORAL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 826.00)
36000661HC DRAINAGE ABSCESS SUBMAXILLARY EXTERNAL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 539.00)
36000380 HC I&D ABSCESS PERITONSILLAROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 597.00)
36000662HC I&D ABSCESS; RETROPHARYNGEAL; INTERNAL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,948.00)
36000663HC I&D ABSCESS; RETROPHARYNGEAL; EXTERNAL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,066.00)
36000381 HC REMOVE FOREIGN BODY PHARYNXOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 348.00)
36000403HC CONTROL OROPHARYNGEAL HEMORRH; SIMPLE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 826.00)
36000574HC POST TONSIL BLEED CONTROL COMPLEX
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 616.00)
36000792HC ESOPHAGOSCOPY FLEX TRANSORAL BALLOON <30MM
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,419.00)
36000793HC DILATION ESOPHAGUS OVER GUIDEWIRE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,328.00)
36000794HC DILATION ESOPHAGUS BALLOON RETROGRADE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 884.00)
36000664 HC I&D OF APPENDICEAL ABSCESS; OPENOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,113.00)
36000665HC I&D OF APPENDICEAL ABSCESS; PERCUTANEOUS
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,376.00)
36000796 HC I&D SUBMUCOSAL ABSCESS RECTUMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,735.00)
36000666HC I&D DEEP SUPRALEVATOR PELVIRECTAL ABSC
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,158.00)
36000667 HC I&D PERIRECTAL OR ISCHIAL ABSCESSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,735.00)
36000669 HC I&D SUPERF ABSCESS PERI/ISCHEALOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,735.00)
36000797 HC I & D PERIANAL ABSCESSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,275.00)
36000671 HC I&D ISCHIORECTAL ABSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,735.00)
36000798 HC INCISE THROMBOS HEMORRHOID EXTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 486.00)
36000799HC HEMORRHOIDECTOMY INTERNAL BY RUBBER BAND
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,275.00)
36000800HC EXCISION EXTRNL THROMBOTIC HEMORRHOID
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,735.00)
36000801 HC INJ SCLEROSING SOLUTION HEMORROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,275.00)
36000802 HC ANOSCOPY;REMOVE FOREIGN BODYOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 951.00)
36000673 HC DESTROY INTERNAL HEMORRHOIDSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,681.00)
36000675 HC HEMORRHOIDOPEXY BY STAPLINGOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,696.00)
36000677HC DRAIN PERITONEAL ABSCESS OR CYST OPEN
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,297.00)
36000679HC DRAIN SUBDIAPHRAGMATIC ABSCESS OPEN
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,478.00)
36000681HC DRAINAGE OF RETROPERITONEAL ABSCES OPEN
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,587.00)
36000683 HC DRAIN EXTRAPERITONEAL LYMPHOCELEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,068.00)
36000822 HC PERITONEAL LAVAGEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 812.00)
36000686HC DRAINAGE OF PERIRENAL OR RENAL ABS OPEN
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,945.00)
36000688HC DRAIN PERIVESICAL/PREVESICAL SPACE ABS
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,305.00)
36000714 HC ASPIRATION OFBLADDER; BY NEEDLEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 643.00)
36000715HC ASPIRATION OFBLADDER; TROCAR/INTRACATH
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 961.00)
36000690HC DRAINAGE OF DEEP PERIURETHRAL ABSCESS
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 6,654.00)
36000691HC DRAINAGE OF SKENE'S GLAND ABS OR CYST
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,348.00)
36000692HC DR PERIN URINARY EXTRAVAS; UNCOMPLICATED
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,348.00)
36000693HC DR PERIN URINARY EXTRAVAS; COMPLICATED
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,582.00)
36000694HC INCISION AND DRAINAGE OF PENIS DEEP
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,305.00)
36000575HC IRR CORPORA CAVERNOSA FOR PRIAPISM
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 232.00)
36000808 HC I&D EPIDIDYMIS TESTIS/SCROTALOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,645.00)
36000695 HC DRAINAGE OF SCROTAL WALL ABSCESSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,472.00)
36000384 HC I&D VULVA/PERINEAL ABSCESSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 597.00)
36000809 HC I&D BARTHOLINS GLAND ABSCESSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 494.00)
36000696HC I&D VAGINAL HEMATOMA OB/POSTPARTUM
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,586.00)
36000697 HC I&D VAGINAL HEMATOMA NOT OBOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,305.00)
36000811 HC INSERTION PESSARY DEVICEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 248.00)
36000385HC COLPORRHAPHY SUTURE INJURY VAGINA
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,448.00)
36000698HC ANT COLPORRHAPHY CYSTOLE W/WO URTHROCELE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,105.00)
36000699HC POST COLPORRHAPHY RECTOCELE W/WO PERIN
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,105.00)
36000700HC COMBINED ANTEROPOSTERIOR COLPORRHAPHY
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,105.00)
36000701HC COMB ANT/POST COLPORRHAPHY W ENTEROCELE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 6,908.00)
36000702HC PEREYRA PROC INC ANT COLPORRHAPHY
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 6,391.00)
36000703HC DRAINAGE OF OVARIAN CYST(S) VAGINAL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,314.00)
36000704HC DRAINAGE OF OVARIAN CYST(S) ABDOMINAL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,039.00)
36000705HC DRAIN OVARIAN ABS VAGINAL APPROACH OPEN
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,039.00)
36000706HC DRAIN OVARIAN ABS ABDOMINAL APPROACH
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,586.00)
36000707HC DR PELV ABSC TRANSVAG/TRANSRECT PERC
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,129.00)
72000001 HC CURETTAGE POSTPARTUMLABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 2,835.00)
72000002 HC VAGINAL DELIVERY ONLYLABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 3,444.00)
72000003HC DELIVERY PLACENTA SEPARATE PROCEDURE
LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 3,444.00)
72000004 HC CESAREAN DELIVERY LABOR ROOM/DELIVERY - DELIVERY ROOM [0722] ( 9,779.00)
36000708HC I&D OF THYROGLOSSAL DUCT CYST INFECTED
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,456.00)
36000812HC TWIST DRILL SUBDURAL/VENTRIC PUNCTURE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,681.00)
36000813HC TWIST DRILL VENTRIC CATH/PRESSURE RECORD
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,821.00)
36000814HC TWIST DRILL EVAC/DRAIN SUBDURAL HEMATOMA
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,964.00)
36000815HC BURRHOLE EVAC/DRAIN EXTRADURAL HEMATOMA
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,882.00)
36000816HC BURRHOLE ASPIRATE HEMAT/CYST INTRACEREBR
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,964.00)
36000817HC BURRHOLE CATHEEG ELECTPRESSURE RECORD
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,821.00)
36000709 HC EXPL ORBIT TRANSCRANIAL; W REM FBOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 6,765.00)
36000716HC INJ ANES TRIGEMINAL NERVE ANY DIV/BRANCH
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 688.00)
36000387HC REMOVAL FB EYE CONJUNCTIVAL SUPERFICIAL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 548.00)
36000388HC RMVL FB XTRNL EYE EMBED SCJNCL/SCLERAL NONPERFOR
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 548.00)
36000389HC RMVL FB XTRNL EYE CORNEAL W/O SLIT LAMP
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 548.00)
36000391HC BLEPHAROTOMY DRAINAGE ABSCESS EYELID
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 581.00)
36000392HC REMOVAL EMBEDDED FOREIGN BODY EYELID
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 581.00)
36000393HC DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA SIMPLE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,029.00)
36000394HC DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA CMPLX
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,305.00)
36000395HC RMVL FB XTRNL AUDITORY CANAL W/O ANES
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 240.00)
36000396HC REMOVE IMPACTED EAR WAX W/INSTRUMENT UNI
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 217.00)
36000819 HC TEMPORARY TRANSCUTANEOUS PACINOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 935.00)
36000398HC CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 1,191.00)
36000820 HC CARDIOVERSION ELECTIVE INTERNALOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,140.00)
45000001 HC EMERGENCY DEPT VISIT LEVEL 1 EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 570.00)
45000008 HC WIM VISIT LEVEL 1 EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 253.00)
45000002 HC EMERGENCY DEPT VISIT LEVEL 2 EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 825.00)
45000009 HC WIM VISIT LEVEL 2 EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 413.00)
45000003 HC EMERGENCY DEPT VISIT LEVEL 3 EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 1,025.00)
45000010 HC WIM VISIT LEVEL 3 EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 581.00)
45000004 HC EMERGENCY DEPT VISIT LEVEL 4 EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 1,250.00)
45000011 HC WIM VISIT LEVEL 4 EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 1,088.00)
45000005 HC EMERGENCY DEPT VISIT LEVEL 5 EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 1,535.00)
45000012 HC WIM VISIT LEVEL 5 EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 1,336.00)
45000006 HC CRITICAL CARE INITAL 30-74 MIN EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 2,000.00)
36000825 HC CRITICAL CARE EACH ADDTL 30 MIN EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 907.00)
45000013 HC PCP ENROLLMENT FEE PROFESSIONAL FEES - GENERAL CLASSIFICATION [0960] ( 16.00)
46000004HC BRNCDILAT RSPSE SPMTRY PRE&POSTBRNCDILAT ADMN
PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460] ( 393.00)
46000013HC BRNCSPSM PROVOCATION EVAL MLT SPMTRY W/ADMN AGT
PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460] ( 541.00)
46000014HC MAX BREATHING CAPACITY MAXIMAL VOLUNTARY VENTJ
PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460] ( 173.00)
46000003HC EXPIRED GAS COLLECTION QUANT 1 PROCEDURE SPX
PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460] ( 241.00)
46000016 HC RESPIRATORY FLOW VOLUME LOOPPULMONARY FUNCTION - GENERAL CLASSIFICATION [0460] ( 255.00)
46000008HC INTRAPULMONARY SURFACTANT ADMINISTRATION
PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460] ( 335.00)
46000007 HC PULMONARY STRESS TESTING SIMPLEPULMONARY FUNCTION - GENERAL CLASSIFICATION [0460] ( 344.00)
46000015 HC CARDIOPULMONARY EXERCISE TESTINGPULMONARY FUNCTION - GENERAL CLASSIFICATION [0460] ( 486.00)
46000010HC O2 UPTK EXP GAS ALYS W/CO2 OUTPUT % O2 XTRC
PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460] ( 344.00)
46000002HC PLETHYSMOGRAPHY LUNG VOLUMES W/WO AIRWAY RESIST
PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460] ( 255.00)
46000006HC GAS DILUT/WASHOUT LUNG VOL W/WO DISTRIB VENT&VOL
PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460] ( 202.00)
46000009HC UNLISTED PULMONARY SERVICE/PROCEDURE
PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460] ( 181.00)
47100014HC CALORIC VESTIBULAR TEST EA IRRIGATION W/RECORD AUDIOLOGY - DIAGNOSTIC [0471] ( 588.00)
47100010HC OPTKINETIC NYSTAG BIDIR/FOVEAL/PERIPH STIM W/REC AUDIOLOGY - DIAGNOSTIC [0471] ( 588.00)
47100011HC OSCILLATING TRACKING TEST W/RECORDING AUDIOLOGY - DIAGNOSTIC [0471] ( 588.00)
47100013HC COMPUTERIZED DYNAMIC POSTUROGRAPY AUDIOLOGY - DIAGNOSTIC [0471] ( 588.00)
47100003 HC PURE TONE AUDIOMETRY AIR ONLY AUDIOLOGY - DIAGNOSTIC [0471] ( 154.00)
47100006 HC PURE TONE AUDIOMETRY AIR & BONE AUDIOLOGY - DIAGNOSTIC [0471] ( 166.00)
47100007 HC SPEECH AUDIOMETRY THRESHOLD AUDIOLOGY - DIAGNOSTIC [0471] ( 154.00)
47100008HC SPEECH AUDIOMETRY THRESHOLD SPEECH RECOGNIJ AUDIOLOGY - DIAGNOSTIC [0471] ( 154.00)
47100005HC COMPRE AUDIOMETRY THRESHOLD EVAL SP RECOGNIJ AUDIOLOGY - DIAGNOSTIC [0471] ( 305.00)
47100009 HC TYMPANOMETRY AUDIOLOGY - DIAGNOSTIC [0471] ( 154.00)
47100004 HC ACOUSTIC REFLEX THRESHOLD AUDIOLOGY - DIAGNOSTIC [0471] ( 305.00)
47100012HC AUDITORY EVOKED POTENTIALS COMPREHENSIVE AUDIOLOGY - DIAGNOSTIC [0471] ( 650.00)
47100002HC AUDITORY EVOKED POTENTIALS LIMITED AUDIOLOGY - DIAGNOSTIC [0471] ( 321.00)
47100001HC DISTORT PRODUCT EVOKED OTOACOUSTIC EMISNS LIMITD AUDIOLOGY - DIAGNOSTIC [0471] ( 624.00)
48000031 HC CARDIOASSIST EXTERNAL CPS CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 12,269.00)
48000014HC THROMBOLYSIS CORONARY; INTRAVEN INFUSION CARDIOLOGY - CARDIAC CATH LAB [0481] ( 356.00)
48000041 HC MICROVOLT T-WAVE ASSESS CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 484.00)
48000052 HC MICROVOLT T-WAVE ASSESS CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 484.00)
48000042 HC PRGRMG DEV EVAL PM OR LDLS PM CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 67.00)
48000053 HC PM DEVICE PROG EVAL SNGLE CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 67.00)
48000043 HC PM DEVICE PROG EVAL DUAL CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 67.00)
48000054 HC PM DEVICE PROG EVAL DUAL CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 67.00)
48000044 HC PM DEVICE PROG EVAL MULTI CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 67.00)
48000055 HC PM DEVICE PROG EVAL MULTI CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 67.00)
48000045 HC ICD DEVICE PROG EVAL 1 SNGL CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 67.00)
48000056 HC ICD DEVICE PROG EVAL 1 SNGL CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 67.00)
48000046 HC ICD DEVICE PROG EVAL DUAL CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 67.00)
48000057 HC ICD DEVICE PROG EVAL DUAL CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 67.00)
48000047 HC ICD DEVICE PROG EVAL MULTI CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 67.00)
48000058 HC ICD DEVICE PROG EVAL MULTI CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 67.00)
48000048 HC ICM DEVICE EVAL PER PT ENCOUNTER CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 42.00)
48000059 HC ICM DEVICE EVAL PER PT ENCOUNTER CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 42.00)
48000061HC PM PHONE R-STRIP DEVICE EVAL = <90 DAYS EKG/ECG (ELECTROCARDIOGRAM) - TELEMETRY [0732] ( 67.00)
48000049 HC PM/ICD REMOTE TECH SERV =<90 DAYS CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 67.00)
48000060 HC PM/ICD REMOTE TECH SERV =<90 DAYS CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 67.00)
48000062 HC ICM/ILR REMOTE TECH SERV =<30 DAYS CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 67.00)
48000021HC TTE CONGENITAL W/O CONTRAST COMPLETE CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 1,040.00)
48000003HC TTE CONGENITAL W/O CONTRAST FOLLOW UP CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 913.00)
48000007 HC TTE W/DOPPLER COMPLETE CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 2,154.00)
48000038HC ECHO MMODE REAL TIME W/O CONTRAST CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 1,248.00)
48000040 HC ECHOF/U OR LIMITED STUDY W/O CONT CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 913.00)
48000020HC TRANSESOPHAGEAL ECHO W/O CONTRAST CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 2,099.00)
48000013HC ECHO TRANSESOPHAG MONTR CARDIAC PUMP FUNCTJ CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 1,924.00)
48000015 HC DOPPLER ECHO W/SPECT DISPLAY CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 1,040.00)
48000017 HC CARD DOPPLER F/U OR LIMITED CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 913.00)
48000010 HC ECHO COLOR FLOW CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 913.00)
48000018HC STRESS ECHO TREADMILL W/O CONTRAST CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 913.00)
48000009 HC STRESS TTE COMPLETE CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 1,168.00)
48000004 HC INTRAVASCULAR DOPPLER CARDIOLOGY - CARDIAC CATH LAB [0481] ( 963.00)
48000005 HC INTRAVASCULAR DOPPLER ADD/VESSEL CARDIOLOGY - CARDIAC CATH LAB [0481] ( 343.00)
48000032 HC BUNDLE OF HIS RECORDING CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 5,374.00)
48000033 HC INTRAATRIAL RECORDING CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 5,374.00)
48000034 HC RIGHT VENTRICULAR RECORDING CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 5,374.00)
48000023 HC MAPPING OF TACHYCARDIA SITE (S) CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 5,269.00)
48000035 HC INTRAATRIAL PACING CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 5,269.00)
48000036 HC INTRAVENTRICULAR PACING CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 5,269.00)
48000006HC EP EVALUATION W/O INDUCTION OF ARRHYTHIM CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 6,158.00)
48000024 HC BASELINE EP W INDUCTION OF ARRHY CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 9,484.00)
48000025 HC PRO/STIM/PACE AFTER IV DRUG INF CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 6,774.00)
48000026 HC FOLLOWUP EP CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 6,023.00)
48000011 HC EVAL. HEART DEVICE LEAD TEST CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 2,279.00)
48000012 HC EP EVALUATION GENERATOR TEST CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 2,663.00)
48000027HC EP EVALUATION OF CARDIO VERTER DEF CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 3,121.00)
48000028 HC ANL CV/DEFIB W/O REPRO;SGL CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 338.00)
48100074 HC PERC TRANS CORONARY THROMB LC CARDIOLOGY - CARDIAC CATH LAB [0481] ( 4,601.00)
48100075 HC PERC TRANS CORONARY THROMB RC CARDIOLOGY - CARDIAC CATH LAB [0481] ( 4,601.00)
48100076 HC PERC TRANS CORONARY THROMB LAD CARDIOLOGY - CARDIAC CATH LAB [0481] ( 4,601.00)
48100010HC THROMBOLYSIS INTRACORANARY INFUSION CARDIOLOGY - CARDIAC CATH LAB [0481] ( 3,443.00)
48100073 HC INTRACORONARY ULTRASOUND CARDIOLOGY - CARDIAC CATH LAB [0481] ( 3,052.00)
48100029 HC IV US CORONARY V EA ADDTL CARDIOLOGY - CARDIAC CATH LAB [0481] ( 2,504.00)
48100080HC INTRACOR. STENT SINGLE VES.LT. CIRCUM CARDIOLOGY - CARDIAC CATH LAB [0481] ( 16,173.00)
48100081HC INTRACOR. STENT SINGLE VES.LT.ANT.DEC. CARDIOLOGY - CARDIAC CATH LAB [0481] ( 16,173.00)
48100082 HC INTRACOR. STENT SINGLE VES.RT.COR. CARDIOLOGY - CARDIAC CATH LAB [0481] ( 16,173.00)
48100083 HC INTRACOR. STENT ADD'L VES.RT.COR. CARDIOLOGY - CARDIAC CATH LAB [0481] ( 13,564.00)
48100084HC INTRACOR. STENT ADD'L VES.LT.CIRCUM. CARDIOLOGY - CARDIAC CATH LAB [0481] ( 13,564.00)
48100085HC INTRACOR. STENT ADD'L VES.LT.ANT.DEC. CARDIOLOGY - CARDIAC CATH LAB [0481] ( 13,564.00)
48100086 HC PTCA SINGLE VESSELRT. CORONARY CARDIOLOGY - CARDIAC CATH LAB [0481] ( 16,173.00)
48100087 HC PTCA SINGLE VESSEL LT. CIRCUMFLEX CARDIOLOGY - CARDIAC CATH LAB [0481] ( 16,173.00)
48100088HC PTCA SINGLE VESSELLT.ANT.DESCENDING CARDIOLOGY - CARDIAC CATH LAB [0481] ( 16,173.00)
48100089 HC PTCA ADD'L VESSEL RT. CORONARY CARDIOLOGY - CARDIAC CATH LAB [0481] ( 9,257.00)
48100090 HC PTCA ADD'L VESSEL LT. CIRCUMFLEX CARDIOLOGY - CARDIAC CATH LAB [0481] ( 9,257.00)
48100091HC PTCA ADD'L VESSELLT.ANT.DESCENDING CARDIOLOGY - CARDIAC CATH LAB [0481] ( 9,257.00)
48100092HC ATHREC. LASERCDAROTOBLADERRT.COR. CARDIOLOGY - CARDIAC CATH LAB [0481] ( 18,321.00)
48100093HC ATHREC. LASERCDAROTOBLADERLT.CIR. CARDIOLOGY - CARDIAC CATH LAB [0481] ( 18,321.00)
48100094HC ATHREC. LASERCDAROTOBLALT.ANT.DEC. CARDIOLOGY - CARDIAC CATH LAB [0481] ( 18,321.00)
48100095HC ATHERECTOMY ADD'L VESSELRT CORONARY CARDIOLOGY - CARDIAC CATH LAB [0481] ( 11,764.00)
48100096 HC ATHERECTOMY ADD'L VESSELLT CIRC. CARDIOLOGY - CARDIAC CATH LAB [0481] ( 11,764.00)
48100097 HC ATHERECTOMY ADD'L VESSELLAD CARDIOLOGY - CARDIAC CATH LAB [0481] ( 11,764.00)
48100034 HC RIGHT HEART CATH CARDIOLOGY - CARDIAC CATH LAB [0481] ( 8,069.00)
48100035 HC LH W OR W/O LV CARDIOLOGY - CARDIAC CATH LAB [0481] ( 8,620.00)
48100036 HC R&L W OR W/O LV CARDIOLOGY - CARDIAC CATH LAB [0481] ( 9,170.00)
48100037 HC COR W/O LH CARDIOLOGY - CARDIAC CATH LAB [0481] ( 9,317.00)
48100038 HC COR WO LH/IMA &/OR VBG CARDIOLOGY - CARDIAC CATH LAB [0481] ( 9,571.00)
48100039 HC RH W COR CARDIOLOGY - CARDIAC CATH LAB [0481] ( 11,336.00)
48100040 HC RH/COR IMA &/OR VGB /WO LH CARDIOLOGY - CARDIAC CATH LAB [0481] ( 11,648.00)
48100041 HC LH W OR WO LV/COR CARDIOLOGY - CARDIAC CATH LAB [0481] ( 11,648.00)
48100042 HC LH W COR/IMA &/OR VBG W/WO LV CARDIOLOGY - CARDIAC CATH LAB [0481] ( 11,648.00)
48100043 HC R&L W OR W/O LV/COR CARDIOLOGY - CARDIAC CATH LAB [0481] ( 11,648.00)
48100044 HC R&L W/WO LV/COR/IMA &/OR VBG CARDIOLOGY - CARDIAC CATH LAB [0481] ( 11,908.00)
48100045 HC TRANSSEPTAL PUNCTURE CARDIOLOGY - CARDIAC CATH LAB [0481] ( 5,994.00)
48100046HC PHARM AGENT ADMINISTRATION W HEMO CARDIOLOGY - CARDIAC CATH LAB [0481] ( 298.00)
48100065 HC ENDOMYOCARDIAL BIOPSY CARDIOLOGY - CARDIAC CATH LAB [0481] ( 3,585.00)
48100033 HC CH RIGHT HEART CATH CARDIOLOGY - CARDIAC CATH LAB [0481] ( 5,009.00)
48100047 HC CH RT HRT & RETRO LEFT HRT CARDIOLOGY - CARDIAC CATH LAB [0481] ( 5,510.00)
48100048 HC CH RT HRT & TRANSSEPTAL LT HRT CARDIOLOGY - CARDIAC CATH LAB [0481] ( 6,060.00)
48100049HC CH RT HRT & TRANSSEPTAL LT EXIT SEPTAL CARDIOLOGY - CARDIAC CATH LAB [0481] ( 6,666.00)
48100050 HC INJ CH CATH SEL CORONARY CARDIOLOGY - CARDIAC CATH LAB [0481] ( 437.00)
48100051HC INJ CH CATH SEL AORTOCORON VENOUS/BYPASS CARDIOLOGY - CARDIAC CATH LAB [0481] ( 444.00)
48100052 HC INJ CH CATH SEL LT VENT/ATRIAL CARDIOLOGY - CARDIAC CATH LAB [0481] ( 337.00)
48100053 HC INJ CATH SEL RT VENT/ATRIAL CARDIOLOGY - CARDIAC CATH LAB [0481] ( 337.00)
48100054 HC INJ CATH SEL SUPRAVALVULAR CARDIOLOGY - CARDIAC CATH LAB [0481] ( 380.00)
48100055 HC INJ CATH SEL PULMONARY CARDIOLOGY - CARDIAC CATH LAB [0481] ( 344.00)
48100056 HC CLOSURE OF ATRIAL DEFECT CARDIOLOGY - CARDIAC CATH LAB [0481] ( 19,284.00)
48100004 HC CLOSURE VENTRICULAR DEFECT CARDIOLOGY - CARDIAC CATH LAB [0481] ( 19,284.00)
48100063 HC 3DIMENSIONAL MAPPING CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 11,090.00)
48100067 HC EP W/ IND;LA PACE & RECORDING CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 5,990.00)
48100068 HC EP W/ IND;LV PACE & RECORDING CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 5,990.00)
48100069 HC ABLATION OF AV NODE FUNCTION CARDIOLOGY - CARDIAC CATH LAB [0481] ( 11,649.00)
48100070HC ABLATION OF ARRHYTHMOGENIC FOCUS CARDIOLOGY - CARDIAC CATH LAB [0481] ( 14,236.00)
48100071 HC ABLATION FOR TREATMENT OF VTACH CARDIOLOGY - CARDIAC CATH LAB [0481] ( 17,170.00)
48100072 HC HUT W/WO PHARMACY INTERVENT CARDIOLOGY - STRESS TEST [0482] ( 933.00)
48100030 HC INTRACARDIAC ECHO CARDIOLOGY - STRESS TEST [0482] ( 8,786.00)
48100031 HC RENAL ANGIOGRAPHYNON SELECTIVE CARDIOLOGY - CARDIAC CATH LAB [0481] ( 1,288.00)
48100032 HC ILIAC ANGIO W CARD CATH RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 1,288.00)
48100057 HC PLACEMENT OF DES LAD CARDIOLOGY - CARDIAC CATH LAB [0481] ( 17,581.00)
48100060 HC PLACEMENT OF DES ADD'L VESSEL LAD CARDIOLOGY - CARDIAC CATH LAB [0481] ( 17,581.00)
48200001 HC STRESS TEST TRACING ONLY CARDIOLOGY - STRESS TEST [0482] ( 677.00)
48300002HC TTE W/CONTRAST CONGENITAL COMPLETE CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 1,559.00)
48300003HC TTE W/CONTRAST CONGENITAL FOLLOW UP CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 1,004.00)
48300001HC ECHO MMODE REAL TIME W/O CONTRAST CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 990.00)
48300005HC 2D TTE W/CONTRAST COMPLETE W/O DOP CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 1,552.00)
48300006HC 2D TTE W/CONTRAST FOL UP LIMITED STUDY CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 990.00)
48300007HC TRANSESOPHAGEAL ECHO W/CONTRAST CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 2,233.00)
48300008HC TEE CONGENITAL CARDIAC ANOMALIES W/CONT CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 1,414.00)
48300009 HC TEE MONITORING W/CONTRAST CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 1,175.00)
48300010 HC STRESS ECHO TREADMILL W/CONTRAST CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 2,933.00)
48300004HC TTE W/DOPPLER COMPLETE W/CONTRAST CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 2,260.00)
48300011 HC STRESS TTE COMPLETE W/CONTRAST CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 2,704.00)
51000005 HC CLINIC VISIT NEW PATIENT LEVEL 1SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 135.00)
51000006 HC CLINIC VISIT NEW PATIENT LEVEL 2SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 177.00)
51000007 HC CLINIC VISIT NEW PATIENT LEVEL 3SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 218.00)
51000008 HC CLINIC VISIT NEW PATIENT LEVEL 4SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 260.00)
51000009 HC CLINIC VISIT NEW PATIENT LEVEL 5SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 302.00)
51000002 HC CLINIC VISIT EST LEVEL ISPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 114.00)
51000010 HC CLINIC VISIT EST LEVEL IISPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 156.00)
51000001 HC CLINIC VISIT EST LEVEL IIISPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 198.00)
51000003 HC CLINIC VISIT EST LEVEL IVSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 239.00)
51000004 HC CLINIC VISIT EST LEVEL VSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 281.00)
51000011HC DEMONSTRATION USE HOME INR MONITORING CLINIC - GENERAL CLASSIFICATION [0510] ( 277.00)
54000001 HC MILES BEYOND APPROPRIATE FACIL AMBULANCE - AIR AMBULANCE [0545] ( 88.00)
54000002 HC SERVICE FEE HELICOPTER AMBULANCE - AIR AMBULANCE [0545] ( 6,053.00)
54000003 HC ROTARY WING PER STATUE MILE AMBULANCE - AIR AMBULANCE [0545] ( 88.00)
61000004 HC MRI TMJ(S)MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 2,307.00)
61000046HC MRI ORBIT FACE NECK W & W/O CONTRAST
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,216.00)
61000006 HC MRA HEAD W/O CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - HEAD AND NECK [0615] ( 2,307.00)
61000038 HC MRA HEAD WITH CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - HEAD AND NECK [0615] ( 2,757.00)
61000039 HC MRA HEAD W AND W/O CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - HEAD AND NECK [0615] ( 3,216.00)
61000007 HC MRA NECK W/O CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - HEAD AND NECK [0615] ( 2,307.00)
61000040 HC MRA NECK WITH CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - HEAD AND NECK [0615] ( 2,757.00)
61000041 HC MRA NECK W AND W/O CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - HEAD AND NECK [0615] ( 3,216.00)
61000025 HC MRI FUNCTIONAL BRAINMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - BRAIN/BRAINSTEM [0611] ( 3,380.00)
61000026HC MRI FUNCT BRAIN W DR NEURO TESTING
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - BRAIN/BRAINSTEM [0611] ( 3,380.00)
61000027 HC MRI BRAIN OPEN W/CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - BRAIN/BRAINSTEM [0611] ( 4,116.00)
61000001 HC MRI CHEST W/O CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 2,389.00)
61000044 HC MRI CHEST WITH CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 2,546.00)
61000045 HC MRI CHEST W AND W/O CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 2,703.00)
61000003 HC MRI PELVIS W/O CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 2,486.00)
61000037 HC MRI PELVIS WITH CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 2,882.00)
61000047 HC MRI PELVIS W AND W/O CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,277.00)
61000199HC MRI UPPER EXTR OTH THAN JT W/O CONTR RT
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 2,843.00)
61000200HC MRI UPPER EXTR OTH THAN JT W/O CONTR LT
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 2,843.00)
61000207HC MRI UPPER EXTREMITY OTH THAN JT W/CONTR RT
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 2,888.00)
61000208HC MRI UPPER EXTREMITY OTH THAN JT W/CONTR LT
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 2,888.00)
61000216HC MRI UPPER EXTREM OTHER THAN JT W/WO CONT LT
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 2,932.00)
61000218HC MRI UPPER EXTREM OTHER THAN JT W/WO CONT RT
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 2,932.00)
61000224HC MRI ANY JT UPPER EXTREM W/O CONTRAST LT
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 2,843.00)
61000226HC MRI ANY JT UPPER EXTREM W/O CONTRAST RT
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 2,843.00)
61000234HC MRI ANY JT UPPER EXTREM W/CONTRAST LT
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 2,888.00)
61000236HC MRI ANY JT UPPER EXTREM W/CONTRAST RT
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 2,888.00)
61000244HC MRI ANY JT UPPER EXTREM W/WO CONTR LT
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 2,932.00)
61000246HC MRI ANY JT UPPER EXTREM W/WO CONTR RT
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 2,932.00)
61000253HC MRI LOWER EXTREM OTH/THN JT W/O CONTR RT
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 2,419.00)
61000254HC MRI LOWER EXTREM OTH/THN JT W/O CONTR LT
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 2,419.00)
61000259HC MRI LOWER EXTREM OTH/THN JT W/CONTRAST RT
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 2,603.00)
61000260HC MRI LOWER EXTREM OTH/THN JT W/CONTRAST LT
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 2,603.00)
61000265HC MRI LOWER EXTREM OTH/THN JT W/WO CONTR RT
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,621.00)
61000266HC MRI LOWER EXTREM OTH/THN JT W/WO CONTR LT
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,621.00)
61000271HC MRI ANY JT LOWER EXTREM W/O CONTRAST RT
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 2,419.00)
61000272HC MRI ANY JT LOWER EXTREM W/O CONTRAST LT
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 2,419.00)
61000273HC MRI ANY JT LOWER EXTREM W/O CONTRAST BILATERAL
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,629.00)
61000280HC MRI ANY JT LOWER EXTREM W/CONTRAST RT
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 2,603.00)
61000281HC MRI ANY JT LOWER EXTREM W/CONTRAST LT
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 2,603.00)
61000282HC MRI ANY JT LOWER EXTREM W/CONTRAST BILATERAL
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,904.00)
61000289HC MRI ANY JT LOWER EXTREM W/WO CONTRAST RT
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,279.00)
61000290HC MRI ANY JT LOWER EXTREM W/WO CONTRAST LT
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,279.00)
61000291HC MRI ANY JT LOWER EXTREM W/WO CONTRAST BILAT
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,919.00)
61000002 HC MRI ABDOMEN W/O CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 2,766.00)
61000042 HC MRI ABDOMEN WITH CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,030.00)
61000033 HC MRI ABDOMEN W AND W/O CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,292.00)
61000029 HC CARDIAC VELOCITY FLOW MAPPINGMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 109.00)
61000030HC MAGNETIC RESONANCE SPECTROSCOPY
MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610] ( 1,663.00)
61000028 HC UNLISTED MRI PROCEDUREMAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610] ( 1,486.00)
61000023 HC MRI GUIDANCE NEEDLE PLCMT RAD S&IMAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610] ( 1,738.00)
61000005 HC MRI BONE MARROW BLOOD SUPPLYMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 1,908.00)
61000024 HC CAD MRI BREASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610] ( 35.00)
61000011 HC MRA ABDOMEN W CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER [0618] ( 1,892.00)
61000012 HC MRA ABDOMEN W/O CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER [0618] ( 1,327.00)
61000015 HC MRA ABD. W/WO CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER [0618] ( 2,340.00)
61000016 HC MRI BREAST W/CONTRAST LTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,169.00)
61000017 HC MRI BREAST W/CONTRAST RTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,169.00)
61000019 HC MRI BREAST W/O CONTRAST LTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,169.00)
61000020 HC MRI BREAST W/O CONTRAST RTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,169.00)
61000021 HC MRI BREAST W/WO CONTRAST LTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,169.00)
61000022 HC MRI BREAST W/WO CONTRAST RTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,169.00)
61000018 HC MRI BREAST W/CONTRAST BILATERALMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,169.00)
61000195 HC MRI BREAST BILATERAL W/O CONTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,169.00)
61000036HC MRI BREAST BILATERAL W AND W/O CONTRAST
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,169.00)
61000008 HC MRA CHEST W CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER [0618] ( 1,892.00)
61000013 HC MRA CHEST W/O CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER [0618] ( 1,327.00)
61000014 HC MRA CHEST W/WO CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER [0618] ( 3,379.00)
61000175 HC MRA LOW EXT W/CONT BILMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER [0618] ( 3,786.00)
61000184 HC MRA BIL LOWER LEGS WITH CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER [0618] ( 3,786.00)
61000193 HC MRA BIL FEET WITH CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER [0618] ( 3,786.00)
61000174HC MRA W/O CONTRAST LOWER EXTREMITY RT
MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610] ( 1,327.00)
61000183HC MRA W/O CONTRAST LOWER EXTREMITY LT
MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610] ( 1,327.00)
61000185HC MRA W/WO CONTRAST LOWER EXTREMITY RT
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER [0618] ( 2,340.00)
61000194HC MRA W/WO CONTRAST LOWER EXTREMITY LT
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER [0618] ( 2,340.00)
61000010 HC MRA PELVIS W CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER [0618] ( 1,345.00)
61000009 HC MRA PELVIS W/O CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER [0618] ( 1,327.00)
61000196 HC MRA SPINAL CANAL W CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER [0618] ( 1,720.00)
61000197 HC MRA SPINAL CANAL W/O CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER [0618] ( 1,696.00)
61000198 HC MRA SPINAL CANAL W/WO CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER [0618] ( 1,743.00)
61000154HC MRA WITH CONTRAST UPPER EXTREMITY RT
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER [0618] ( 1,696.00)
61000160HC MRA WITH CONTRAST UPPER EXTREMITY LT
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER [0618] ( 1,696.00)
61000153HC MRA W/O CONTRAST UPPER EXTREMITY RT
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER [0618] ( 1,327.00)
61000159HC MRA W/O CONTRAST UPPER EXTREMITY LT
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER [0618] ( 1,327.00)
61000155HC MRA W/WO CONTRAST UPPER EXTREMITY RT
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER [0618] ( 1,867.00)
61000161HC MRA W/WO CONTRAST UPPER EXTREMITY LT
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER [0618] ( 1,867.00)
61100003HC MRI ORBITFACE AND/OR NECK W/O CONTRAST
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 2,307.00)
61100001 HC MRI BRAIN W/O CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - BRAIN/BRAINSTEM [0611] ( 3,380.00)
61100002 HC MRI BRAIN CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - BRAIN/BRAINSTEM [0611] ( 4,116.00)
61100004 HC MRI BRAIN W&WO CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - BRAIN/BRAINSTEM [0611] ( 4,852.00)
61200001 HC MRI C SPINE W/O CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - SPINAL CORD/SPINE) [0612] ( 2,700.00)
61200002 HC MRI C SPINE W/CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - SPINAL CORD/SPINE) [0612] ( 3,127.00)
61200003 HC MRI THORACIC SPINE W/O CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - SPINAL CORD/SPINE) [0612] ( 2,721.00)
61200004 HC MRI THORACIC SPINE W/CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - SPINAL CORD/SPINE) [0612] ( 3,148.00)
61200005 HC MRI LUMBAR SPINE W/O CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - SPINAL CORD/SPINE) [0612] ( 3,084.00)
61200006 HC MRI LUMBAR SPINE W/CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - SPINAL CORD/SPINE) [0612] ( 3,318.00)
61200007 HC MRI CERVICAL SPINE W&WO CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - SPINAL CORD/SPINE) [0612] ( 4,388.00)
61200008 HC MRI THORACIC SPINE W&WO CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - SPINAL CORD/SPINE) [0612] ( 4,388.00)
61200009 HC MRI LUMBAR SPINE W&WO CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - SPINAL CORD/SPINE) [0612] ( 4,388.00)
61400003HC MRI ORBIT FACE AND/OR NECK W CONTRAST
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 2,757.00)
61400001HC MRI CARDIAC MORPHOLOGY WO CONTRAST
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 2,125.00)
61400002HC MRI CARDIAC MORPHOLOGY W/WO CONTRAST
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 2,570.00)
63600011 HC RABIES VACCINE INTRAMUSCULARPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 461.00)
63600018 HC CONTRAST GADOLINIUM 10 MLPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 99.00)
63600019 HC CONTRAST GADOLINIUM 15 MLPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 109.00)
63600020 HC CONTRAST GADOLINIUM 20 MLPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 140.00)
63600021HC NJGADOXETATE DISODIUMPER 10MLEOVIST
PHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 301.00)
63600049 HC ADENOSCAN DX 30MGPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 154.00)
63600024 HC CELESTONE 5MLPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 76.00)
63600046 HC DOBUTAMINE PER 250MGPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 102.00)
63600025HC INJECTION REGADENOSONLEXISCAN.4MG
PHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 493.00)
63600050 HC RH IMMUNE GLOBULIN PHARMACY - GENERAL CLASSIFICATION [0250] ( 191.00)
63600047 HC INJECTION SINCALIDE 5 MICROGRAMSPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 137.00)
63600001 HC APLIGRAF ACTIVE TISSUE; PER SQ CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 62.00)
63600004HC DISCARD APLIGRAF ACTIVE TISSUE PER SQ CM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 64.00)
63600002 HC OASIS; PER SQ CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 18.00)
63600005 HC DISCARD OASIS PER SQ CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 18.00)
63600014HC OASIS 3X3.5 FENESTRATED 10.5 UNITS EA
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 191.00)
63600023 HC DERMAGRAFT PER SQ CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 83.00)
63600052HC GRAFT JACKET TISSUE MATRIX PER SQ CM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 218.00)
63600053HC DISCARD GRAFT JACKET TIS MATRIX PER SQ CM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 218.00)
63600015HC OASIS ULTRA TRILAY WOUND MATX PER SQ CM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 23.00)
63600048 HC IONIC-HO(UP TO 149MG/ML) 50MLPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 26.00)
63600022 HC CYSTO CONRAY250MLPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 40.00)
63600040 HC IONIC-HO (300349MG/ML) 300MLPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 109.00)
63600041 HC IONIC-HO (350399MG/ML) 240MLPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 71.00)
63600033 HC NON-IONIC CONTRAST(100199MG) 20MLPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 43.00)
63600030 HC NON-IONIC CONTRAST(200299MG)20MLPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 43.00)
63600034 HC NON-IONIC CONTRAST (200299MG)50MLPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 49.00)
63600035 HC NON-IONIC CONTRAST(200299MG)20MLPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 127.00)
63600037 HC NON-IONIC CONTRAST(200299)50MLPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 21.00)
63600039 HC NON-IONIC CONTRAST(200299MG)50MLPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 49.00)
63600045 HC LO CONTRAST(200299MG/ML)VISI100MLPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 127.00)
63600008 HC NON-IONIC CONTRAST(300399MG)50MLPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 124.00)
63600009 HC NON-IONIC CONTRAST(300399MG)100MLPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 243.00)
63600010 HC NON-IONIC CONTRAST(300399MG)150MLPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 355.00)
63600017 HC NON-IONIC CONTRAST(300399MG)50MLPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 23.00)
63600026 HC NON-IONIC CONTRAST(300399MG)50MLPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 125.00)
63600027 HC NON-IONIC LO (300399MG/ML) 50MLPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 63.00)
63600028 HC NON-IONIC LO(300399MG/M)10ML SINOGPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 113.00)
63600029 HC CONTRAST MEDIA(300399MG)50CCPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 125.00)
63600031 HC LO CONTRAST (300399 MG/ML) VISI75 MLPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 49.00)
63600032 HC LO CONTRAST(300399MG/ML)OMNI50MLPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 25.00)
63600036 HC LO CONTRAST (300399MG/ML)VISI150MLPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 193.00)
63600038 HC LO CONTRAST(300399MG/ML)OMNI100MLPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 47.00)
63600042 HC LO CONTRAST(300399MG/ML)OMNI50MLPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 25.00)
63600043 HC LO CONTRAST (300399MG/ML)VISI50MLPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 58.00)
63600044 HC LO CONTRAST (300399MG/ML)VISI100MLPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 245.00)
68200002 HC LR TRAUMA LVL 2 LESS THAN 30 MIN TRAUMA RESPONSE - LEVEL II TRAUMA [0682] ( 4,185.00)
68200001HC LR TRAUMA LVL 2 CRIT. CARE 30 MIN OR MORE TRAUMA RESPONSE - LEVEL II TRAUMA [0682] ( 4,185.00)
71000003 HC 0-30 MIN RECOVER CHARGE RECOVERY ROOM - GENERAL CLASSIFICATION [0710] ( 431.00)
71000004 HC 31-60 MIN RECOVER CHARGE RECOVERY ROOM - GENERAL CLASSIFICATION [0710] ( 865.00)
71000005 HC 61-90 MIN RECOVER CHARGE RECOVERY ROOM - GENERAL CLASSIFICATION [0710] ( 1,294.00)
71000006 HC 91-120 MIN RECOVER CHARGE RECOVERY ROOM - GENERAL CLASSIFICATION [0710] ( 1,724.00)
71000007 HC 121-150 MIN RECOVER CHARGE RECOVERY ROOM - GENERAL CLASSIFICATION [0710] ( 2,156.00)
71000008 HC 151-180 MIN RECOVER CHARGE RECOVERY ROOM - GENERAL CLASSIFICATION [0710] ( 2,588.00)
71000009 HC 181-210 MIN RECOVER CHARGE RECOVERY ROOM - GENERAL CLASSIFICATION [0710] ( 3,019.00)
71000010 HC 211-240 MIN RECOVER CHARGE RECOVERY ROOM - GENERAL CLASSIFICATION [0710] ( 3,451.00)
72000007HC LIG/TRNSXJ FLP TUBE ABDL/VAG POSTPARTUM SPX
LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 6,566.00)
72000010HC LIG/TRNSXJ FALOPIAN TUBE CESAREAN DEL/ABDML SURG
LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 4,196.00)
72000008 HC FETAL CONTRACTION STRESS TESTLABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 1,000.00)
72000014HC POSTPARTUM CARE ONLY SEPARATE PROCEDURE
LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 735.00)
72000005HC STOT/TOT HYSTERECTOMY AFTER CESAREN DELIVERY
LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 8,008.00)
72000011 HC FETAL MONITORINGLABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 1,388.00)
71000002 HC OB RECOVERYLABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 683.00)
72000015 HC LABOR & DELIVERY O.R. PROC LEVEL 1LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 3,046.00)
72000016 HC LABOR & DELIVERY O.R. PROC LEVEL 2LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 3,882.00)
72000017 HC LABOR & DELIVERY O.R. PROC LEVEL 3LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 4,737.00)
72000018 HC LABOR & DELIVERY O.R. PROC LEVEL 4LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 5,636.00)
72000019 HC LABOR & DELIVERY O.R. PROC LEVEL 5LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 6,587.00)
72000020 HC LABOR & DELIVERY O.R. PROC LEVEL 6LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 7,601.00)
72000021 HC LABOR & DELIVERY O.R. PROC LEVEL 7LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 8,699.00)
72000022 HC LABOR & DELIVERY O.R. PROC LEVEL 8LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 9,904.00)
72000023 HC LABOR & DELIVERY O.R. PROC LEVEL 9LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 11,246.00)
72000024 HC LABOR & DELIVERY O.R. PROC LEVEL 10LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 12,760.00)
72000025 HC HIGH RISK LDRLABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 10,670.00)
72000026 HC HIGH RISK LDR W/INDUCTIONLABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 11,472.00)
72000028HC LABOR/DELIVERY/RECOVERY W/INDUCTION
LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 10,607.00)
72000029 HC LDR INDUCTION WITHOUT EPIDURALLABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 8,923.00)
72000030 HC LDR WITHOUT EPIDURALLABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 7,749.00)
72000031HC LUMBAR EPIDURAL INF/INTERMITTENT BOLUS
LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 1,279.00)
72000032 HC REPAIR OF CERVICAL LACERATIONSLABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 3,201.00)
72000033 HC TRIAL INDUCTION/LABORLABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 4,136.00)
72000034 HC UTERINE REPAIRLABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 5,181.00)
72000035 HC AMNIO INFUSION (VAGINAL)LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 1,388.00)
72000036 HC LABOR/DELIVERY/RECOVERYLABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 9,589.00)
72000037HC TREAT FETAL DEMISE<22 WKS NONSURGICAL
LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 4,183.00)
73000002HC EKG ROUTINE EKG W/LEAST 12 LDS TRCG ONLY W/O I&R
EKG/ECG (ELECTROCARDIOGRAM) - GENERAL CLASSIFICATION [0730] ( 255.00)
73000001 HC 13 LEAD EKG TRACING ONLYEKG/ECG (ELECTROCARDIOGRAM) - GENERAL CLASSIFICATION [0730] ( 80.00)
73100001 HC XTRNL ECG < 48 HR RECORDINGEKG/ECG (ELECTROCARDIOGRAM) - HOLTER MONITOR [0731] ( 353.00)
73100002HC XTRNL ECG SCANNING ANALYSIS REPORT
EKG/ECG (ELECTROCARDIOGRAM) - HOLTER MONITOR [0731] ( 356.00)
73100003 HC REMOTE PT 30 DAY ECG REV/REPORTEKG/ECG (ELECTROCARDIOGRAM) - HOLTER MONITOR [0731] ( 356.00)
74000015HC ELECTROENCEPHALOGRAM EXTND MNTR 4160 MIN
EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740] ( 2,312.00)
74000004HC ELECTROENCEPHALOGRAM EXTND MNTR > 1 HR
EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740] ( 2,312.00)
74000011HC ELECTROENCEPHALOGRAM W/REC AWAKE&DROWSY
EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740] ( 1,250.00)
74000002HC ELECTROENCEPHALOGRAM W/REC AWAKE&ASLEEP
EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740] ( 1,250.00)
74000012HC ELECTROENCEPHALOGRAM REC COMA/SLEEP ONLY
EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740] ( 1,250.00)
74000009HC ELECTROENCEPHALOGRAM CERE DEATH EVAL ONLY
EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740] ( 1,352.00)
74000008 HC ELECTROCORTICOGRAM SURGERY SPXEEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740] ( 1,691.00)
74000005HC LOCALIZE CEREBRAL SEIZURE CABLE/RADIO EEG/VIDEO
EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740] ( 2,312.00)
74000013HC LOCALIZE CEREBRAL SEIZURE CPTR PORTABLE EEG
EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740] ( 2,312.00)
74000003 HC EEG NONINTRACRANIAL SURGERYEEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740] ( 1,560.00)
74000010HC WADA ACTIVATION TEST HEMISPHERIC FUNCTION W/EEG
EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740] ( 2,312.00)
74000006HC FUNCJAL CORT&SUBCORT MAPG ELTRDS 1 HR PHYS ATTN
EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740] ( 1,007.00)
74000014HC FUNCJAL CORT&SUBCORT MAPG ELTRDS EA HR PHYS ATTN
EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740] ( 596.00)
75000001HC ERCP W/DSTRJ LITHOTRIPSY CALCULI ANY METHOD
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 7,709.00)
75000003HC ESOPHAGEAL MOTILITY STUDY W/INTERP&RPT
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 732.00)
75000004HC ESOPHAGEAL MOTILITY STD W/I&R STIM/PERFUSION
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 458.00)
75000007HC GASTROESOPHAG REFLX TEST W/CATH PH ELTRD PLCMT
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,924.00)
75000005HC GASTROESOPHAG REFLX TEST W/INTRLUML IMPED ELTRD
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 426.00)
75000002HC ANOSCOPY W/THERMAL ENERGY TO ANAL CANAL
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 4,947.00)
36000410HC I&D HEMATOMA SEROMA/FLUID COLLECTION
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,118.00)
36000043HC PARING/CUTTING BENIGN LESION 2-4 LESION
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 376.00)
36000044HC PARING/CUTTING BENIGN LESION 5+ LESION
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 386.00)
36000523HC EXCISION HIDRADENITIS AXILLARY SMPL/INTRM RPR
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,608.00)
36000092HC EXCISION MAL LES TRUNK/ARM/LEG 2.1-3.0 CM/>
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,566.00)
36000120 HC EXCISION MAL LES F/E/E/N/L 1.1-2.0 CMSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,678.00)
36000134 HC BIOPSY NAIL UNIT SEP PROCEDURESPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 830.00)
36000139 HC INJECTION INTRALESIONAL /<7 LESIONSSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 166.00)
36000141 HC INJECTION INTRALESIONAL >7 LESIONSSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 189.00)
36000070HC ADJ TIS TRNS/REARGMT F/C/C/M/N/A/G/H/F 10SQCM/<
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,711.00)
36000067HC ADJ TIS TRNSFR/REARGMT ANY AREA 30.1-60 SQ CM
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,572.00)
36000068HC ADJ TIS TRNSFR/REARGMT DEFEC EA ADDL 30 SQCM/<
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,860.00)
36000175HC PREP SITE TRUNK/ARM/LEG 1ST 100 SQ CM/1PCT
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,725.00)
36000176 HC PREP SITE T/A/L ADDL 100 SQ CM/1PCTSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 726.00)
36000177HC PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 726.00)
36000178HC PREP SITE F/S/N/H/F/G/M/D GT ADDL 100 SQ CM/1PCT
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 557.00)
36000048HC PINCH GRAFT 1/MLT C> SM ULCER TIP/OTH AREA 2CM
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 726.00)
36000055HC FTH/GFT FREE W/DIRECT CLOSURE N/E/E/L 20 SQ CM/<
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,877.00)
36000415HC APP SKN SUB GRFT T/A/L AREA/<100SCM /<1ST 25 SCM
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,725.00)
36000416HC APP SKN SUB GRFT T/A/L AREA/<100SCM EA ADL 25SCM
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 166.00)
36000417HC APP SKN SUB GRFT T/A/L AREA/>100SCM 1ST 100SCM
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,696.00)
36000418HC APP SKN SUB GRFT T/A/L AREA/>100SCM ADL 100SCM
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 372.00)
36000419HC SUB GRFT F/S/N/H/F/G/M/D /<100SCM /<1ST 25 SCM
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,725.00)
36000420HC SUB GRFT F/S/N/H/F/G/M/D /<100SCM EA ADL 25SCM
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 166.00)
36000421HC SUB GRFT F/S/N/H/F/G/M/D />100SCM 1ST 100SCM
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,696.00)
36000422HC SUB GRFT F/S/N/H/F/G/M/D />100SCM ADL 100SCM
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 372.00)
36000193HC DESTRUCTION BENIGN LESIONS UP TO 14
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 185.00)
36000010 HC BIOPSY BONE OPEN SUPERFICIALSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,618.00)
36000047 HC TISSUE GRAFT OTHERSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 4,470.00)
36000194HC EXC BEN TUMOR/CYST MAXILLA/ZYGOMA
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 7,790.00)
36000008HC TENOTOMY PERCUTANEOUS TOE SINGLE TENDON
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,207.00)
36000009HC TENOTOMY PERCUTANEOUS TOE MULTIPLE TENDON
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,528.00)
36000014HC TX OPN TENDON FLEXOR FOOT SINGLE/MULT TENDON SPX
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,207.00)
36000016HC TENOTOMY OPEN EXTENSOR FOOT/TOE EACH TENDON
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,477.00)
36000534HC AMPUTATION TOE METATARSOPHALANGEAL JOINT
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,477.00)
36000192HC AMPUTATION TOE INTERPHALANGEAL JOINT
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,477.00)
36000539 HC APPLY RIGID TOTAL CONTACT LEG CASTSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 361.00)
36000461HC THERAPEUTIC APHERESIS PLASMA PHERESIS
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,758.00)
76100001HC COLLECT BLOOD FROM CENTRAL OR PICC LINE
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 249.00)
36000018HC HRHC NTRNL & XTRNL 2/> COLUMN/GROUP W/FISSURECT
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,009.00)
36000515HC RMVL DEVITAL TISS NSLCTV DBRDMT W/O ANES 1 SESS
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 303.00)
76200001 HC OBS ADMIT DATE PER HOURSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - OBSERVATION ROOM (A) [0762] ( 49.00)
76200002 HC OBS DIRECT ADMIT (MEDICARE ONLY)SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - OBSERVATION ROOM (A) [0762] ( 648.00)
77000001HC PREVENTIVE BREASTFEEDING COUNSEL 15MIN
PREVENTIVE CARE SERVICES - GENERAL CLASSIFICATION [0770] ( 36.00)
77000002HC PREVENTIVE BREASTFEEDING COUNSEL 30MIN
PREVENTIVE CARE SERVICES - GENERAL CLASSIFICATION [0770] ( 75.00)
77000003HC PREVENTIVE BREASTFEEDING COUNSEL 45MIN
PREVENTIVE CARE SERVICES - GENERAL CLASSIFICATION [0770] ( 111.00)
77000004HC PREVENTIVE BREASTFEEDING COUNSEL 60MIN
PREVENTIVE CARE SERVICES - GENERAL CLASSIFICATION [0770] ( 148.00)
77100004HC IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE
PREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION [0771] ( 82.00)
77100007HC STATE FUNDED VACCINE ADMINISTRATION 1ST
PREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION [0771] ( 82.00)
77100005HC IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE
PREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION [0771] ( 49.00)
77100008HC STATE FUNDED VACCINE ADMINISTRATION ADDL
PREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION [0771] ( 49.00)
77100003 HC INFLUENZA VACCINE ADMINPREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION [0771] ( 74.00)
77100002 HC PNEUMONIA VACCINE ADMINPREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION [0771] ( 74.00)
77100006 HC ADMINISTRATION HEPATITIS B VACCINEPREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION [0771] ( 74.00)
77100001HC H1N1 INFLUENZA A IMMUNIZATION ADMIN
PREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION [0771] ( 61.00)
79000001 HC LITHOTRIPSY XTRCORP SHOCK WAVEEXTRA-CORPOREAL SHOCK WAVE THERAPY (FORMERLY LITHOTRIPSY) - GENERAL CLASSIFICATION [0790] ( 6,336.00)
81100001HC DONOR NEPHRECTOMY OPEN LIVING DONOR
ACQUISITION OF BODY COMPONENTS - LIVING DONOR [0811] ( 96,704.00)
81200001HC DONOR NEPHRECTOMY CADAVER DONOR UNI/BILATERAL
ACQUISITION OF BODY COMPONENTS - CADAVER DONOR [0812] ( 71,684.00)
81900001 HC AMNOITIC MEMBRANEACQUISITION OF BODY COMPONENTS - OTHER DONOR [0819] ( 1,565.00)
82100001 HC HEMODIALYSIS ONE EVALUATIONHEMODIALYSIS - OUTPATIENT OR HOME - OTHER OP HEMODIALYSIS [0829] ( 1,796.00)
82900001 HC EMERG DIALYSIS ESRD PTHEMODIALYSIS - OUTPATIENT OR HOME - OTHER OP HEMODIALYSIS [0829] ( 1,077.00)
83000001HC DIALYSIS OTHER/THAN HEMODIALYSIS 1 PHYS EVAL
PERITONEAL DIALYSIS - OUTPATIENT OR HOME - GENERAL CLASSIFICATION [0830] ( 930.00)
90000002HC INTERACTIVE PSYCH DX INTERVIEW EXAM W/PLAY
BEHAVIORAL HEALTH TREATMENTS/SERVICES - GENERAL CLASSIFICATION [0900] ( 525.00)
90000001HC INTERPJ/EXPLNAJ RESULTS PSYCHIATRIC EXAM FAMILY
BEHAVIORAL HEALTH TREATMENTS/SERVICES - GENERAL CLASSIFICATION [0900] ( 256.00)
90000003HC UNLISTED PSYCHIATRIC SERVICE/PROCEDURE
BEHAVIORAL HEALTH TREATMENTS/SERVICES - GENERAL CLASSIFICATION [0900] ( 275.00)
90100001 HC ELECTROCONVULSIVE THERAPYBEHAVIORAL HEALTH TREATMENTS/SERVICES - ELECTROSHOCK TREATMENT [0901] ( 996.00)
90400001 HC ACTIVITY THERAPYBEHAVIORAL HEALTH TREATMENTS/SERVICES - ACTIVITY THERAPY [0904] ( 267.00)
98500003HC INDIV PSYCTX INPT/PRTL HOSP/RESDNTL 20-30 MIN
BEHAVIORAL HEALTH TREATMENTS/SERVICES - INDIVIDUAL THERAPY [0914] ( 260.00)
98500004HC INDIV PSYCTX INPT/PRTL HOSP/RESDNTL 45-50 MIN
BEHAVIORAL HEALTH TREATMENTS/SERVICES - INDIVIDUAL THERAPY [0914] ( 349.00)
91400004HC INDIV PSYCTX INPT/PRTL HOSP/RESDNTL 7580 MIN
BEHAVIORAL HEALTH TREATMENTS/SERVICES - INDIVIDUAL THERAPY [0914] ( 660.00)
91400001HC INDIV PSYCTX IA INPT/PRTL HOSP/RESDNTL 2030 MIN
BEHAVIORAL HEALTH TREATMENTS/SERVICES - INDIVIDUAL THERAPY [0914] ( 260.00)
91400002HC INDIV PSYCTX IA INPT/PRTL HOSP/RESDNTL 4550 MIN
BEHAVIORAL HEALTH TREATMENTS/SERVICES - INDIVIDUAL THERAPY [0914] ( 349.00)
91400003HC INDIV PSYCTX IA INPT/PRTL HOSP/RESDNTL 7580 MIN
BEHAVIORAL HEALTH TREATMENTS/SERVICES - INDIVIDUAL THERAPY [0914] ( 451.00)
91400005HC H&B INTERVENTION EA 15 MIN INDIVIDUAL
BEHAVIORAL HEALTH TREATMENTS/SERVICES - INDIVIDUAL THERAPY [0914] ( 125.00)
91500001 HC INTERACTIVE GROUP PSYCHOTHERAPYBEHAVIORAL HEALTH TREATMENTS/SERVICES - GROUP THERAPY [0915] ( 298.00)
98500005HC FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT
BEHAVIORAL HEALTH TREATMENTS/SERVICES - FAMILY THERAPY [0916] ( 354.00)
98500006HC FAMILY PSYCHOTHERAPY W/PATIENT PRESENT
BEHAVIORAL HEALTH TREATMENTS/SERVICES - FAMILY THERAPY [0916] ( 544.00)
98500007HC MULTIPLE FAMILY GROUP PSYCHOTHERAPY
BEHAVIORAL HEALTH TREATMENTS/SERVICES - FAMILY THERAPY [0916] ( 298.00)
91800001HC PSYCHOLOGICAL TESTING ADMN BY TECH PR HR
BEHAVIORAL HEALTH TREATMENTS/SERVICES - TESTING [0918] ( 255.00)
98500010 HC NEUROPSYCHOLOGICAL STATUS EXAMBEHAVIORAL HEALTH TREATMENTS/SERVICES - TESTING [0918] ( 492.00)
91800002 HC H&B ASSESSMENT EA 15 MIN INITIALBEHAVIORAL HEALTH TREATMENTS/SERVICES - TESTING [0918] ( 125.00)
91800003HC H&B ASSESSMENT EA 15 MIN SUBSEQUENT
BEHAVIORAL HEALTH TREATMENTS/SERVICES - TESTING [0918] ( 125.00)
92000006HC OPHTH XM&EVAL ANES W/WO MANJ GLOBE COMPL
OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 2,036.00)
92000007HC SENSORMOTOR XM W/MLT MEAS OCULAR DEVIJ W/I&R SPX
OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 208.00)
92000010HC VISUAL FIELD XM UNI/BI W/INTERP INTERMED EXAM
OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 234.00)
92000011HC VISUAL FIELD XM UNI/BI W/INTERP EXTENDED EXAM
OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 259.00)
92000009HC FUNDUS PHOTOGRAPHY W/INTERPRETATION & REPORT
OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 208.00)
92000002HC NINVAS PHYSIOLOGIC STD XTR VEINS COMPL BI STD
OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 398.00)
92000001HC MLT SLEEP LATENCY/MAINT OF WAKEFULNESS TSTG
OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 2,312.00)
92000004HC POLYSOMNOGRAPHY SLEEP STAGING 4/> ADDL PARAM
OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 3,599.00)
92000003HC POLYSM SLEEP STAGING 4/> ADDL PARAM W/CPAP TX
OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 3,993.00)
92000008 HC TENSILON TESTOTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 248.00)
92000005HC INTRAOP NEUROPHYSIOLOGY TSTG PR HR
OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 848.00)
92000014HC TSTG ANS FUNCJ CARDIOVAGAL INNERVAJ PARASYMP
OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 596.00)
92000013HC SHORT LATENCY SOMATOSENS EP STD UPR LIMBS
OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 781.00)
92000012HC SHORT LATENCY SOMATOSENS EP STD LWR LIMBS
OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 781.00)
92000017HC CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ UPR LIMBS
OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 1,503.00)
92000018HC CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ LWR LIMBS
OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 1,503.00)
92100020HC INTERROGATION VAD IN PRSON W/PHYSICIAN ANALYSIS CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 251.00)
92100001HC DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY
OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921] ( 1,194.00)
92100013 HC VERTEBRAL ARTERY UNI/LIMITEDOTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921] ( 565.00)
92100005HC TRANSCRANIAL DOPPLER HEAD COMPLETE
OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 1,194.00)
92100014 HC TRANSCRANIAL DOPPLER HEAD LIMITEDOTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 565.00)
92100002HC NONINVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL
OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 427.00)
92100003HC NONINVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVLS
OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 734.00)
92100008HC ART.DOP.LEGBILAT.W PRESS/TREADMILL
OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 471.00)
92100009 HC ART.DOP.LEG BILAT/IMAGINGOTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 707.00)
92100010 HC ART DOP. LEGUNI/LIMITED IMAOTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 565.00)
92100015 HC ART.DOP.ARM COMPLETEBILAT.IMAGINGOTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 707.00)
92100007 HC ARTERIAL DOP.ARMLTD/UNILAT IMAGINGOTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 565.00)
92100011HC DUPSCAN XTR VEINS COMP BILATERAL STUDY
OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921] ( 1,202.00)
92100021HC DUPSCAN XTR VEINS UNILATERAL/LIMITED STUDY RT
OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921] ( 802.00)
92100022HC DUPSCAN XTR VEINS UNILATERAL/LIMITED STUDY LT
OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921] ( 802.00)
92100004 HC VASC(DUP ABD/PELVIC ORG COMP)OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921] ( 889.00)
92100017 HC VASC.(DUP ABD/PELVIC ORG LTD)OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921] ( 577.00)
92100016 HC DUPAO/IVC/ILIACSGRAFTCOMPOTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921] ( 644.00)
92100018 HC DUPAO/IVC/ILIACSGRAFTLTDOTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921] ( 565.00)
92100006HC PENILE DUPLEX DOPPLER US COMPLETE
OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921] ( 644.00)
92100019 HC DOPPLERDIALYSIS SHUNT EVALUATIONOTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921] ( 643.00)
92200003HC NDL EMG 1 XTR W/WO RELATED PARASPINAL AREAS
OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922] ( 239.00)
92200004HC NDL EMG 2 XTR W/WO RELATED PARASPINAL AREAS
OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922] ( 417.00)
92200005HC NDL EMG 3 XTR W/WO RELATED PARASPINAL AREAS
OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922] ( 596.00)
92200006HC NDL EMG 4 XTR W/WO RELATED PARASPINAL AREAS
OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922] ( 774.00)
92200010HC NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE UNI
OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922] ( 596.00)
92200011HC NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE BI
OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922] ( 820.00)
92200007HC NEEDLE EMG THRC PARASPI MUSC EXCLUDING T1/T12
OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922] ( 274.00)
92200009HC NRV CNDJ AMPLT&LATNCY EA NRV MOTR W/O FWAVE STD
OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922] ( 231.00)
92200001HC NRV CNDJ AMPLT&LATENCY EA NRV MOTOR W/FWAVE STD
OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922] ( 231.00)
92200002HC NRV CNDJ AMPLITUDE & LATENCY EACH NERVE SENSORY
OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922] ( 231.00)
92200008HC VISUAL EP TSTG CNS CHECKERBOARD/FLASH
OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922] ( 596.00)
92200012HC NEUROMUSCULAR JUNCT TSTG EA NRV ANY 1 METH
OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922] ( 239.00)
94000001HC REFILL&MAINTENANCE PUMP DRUG DLVR SPINAL/BRAIN
OTHER THERAPEUTIC SERVICES - GENERAL CLASSIFICATION [0940] ( 315.00)
94000002HC IRRIGAJ IMPLNTD VENOUS ACCESS DRUG DELIVERY SYST
OTHER THERAPEUTIC SERVICES - GENERAL CLASSIFICATION [0940] ( 80.00)
94200008HC MEDICAL NUTRITION ASSMT&IVNTJ INDIV EACH 15 MIN
OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942] ( 67.00)
94200009HC MEDICAL NUTRITION RE-ASSMT&IVNTJ INDIV EA 15 MIN
OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942] ( 52.00)
94200010HC MEDICAL NUTRITION THERAPY GRP2/> INDIV EA 30 MIN
OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942] ( 27.00)
94200004HC SYMPTOMATIC SMOKE/TOBACCO COUNSEL 4-10MIN
OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942] ( 113.00)
94200005HC SYMPTOMATIC SMOKE/TOBACCO COUNSEL>10MIN
OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942] ( 196.00)
94200006HC DIABETES OP SELFMANG TRAIN INDIV PER 30 MIN
OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942] ( 108.00)
94200001 HC DIABETES GRP TRAIN PER 30 MINSOTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942] ( 32.00)
94200007HC MENTAL HEALTH EDUC TRAINING 45 MIN OR MORE
OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942] ( 764.00)
94200011 HC MNT REASSESSMENT 15 MIN CHG IN DXOTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942] ( 57.00)
94200012HC MNT REASSESSMENT GROUP 30 MIN CHG IN DX
OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942] ( 27.00)
94200002HC ASYMPTOMATIC SMOKE/TOBACCO COUNSL4-10MIN
OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942] ( 114.00)
94200003HC ASYMPTOMATIC SMOKE/TOBACCO COUNSEL>10MIN
OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942] ( 196.00)
94200015HC MODERATE COMPLEXITY LACTATION CONSULT
OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942] ( 162.00)
94200016 HC LACTATION CLASSOTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942] ( 162.00)
94200017 HC DIABETES IP/OBS TRAIN PER 30 MINSSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 152.00)
94200018 HC DIABETES IP/OBS TRAIN PER 60 MINSSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 152.00)
94300001HC OUTPATIENT CARDIAC REHAB W/O CONT EKG MONITOR
OTHER THERAPEUTIC SERVICES - CARDIAC REHABILITATION [0943] ( 185.00)
94300002HC OUTPATIENT CARDIAC REHAB W/CONT EKG MONITORING
OTHER THERAPEUTIC SERVICES - CARDIAC REHABILITATION [0943] ( 249.00)
96100002 HC DIAGNOSTIC INTERVIEW(1HR) PROFESSIONAL FEES - PSYCHIATRIC [0961] ( 363.00)
96100003HC PSYCH TESTING BY PSYCH/PHYS PLANEY PROFESSIONAL FEES - PSYCHIATRIC [0961] ( 363.00)
96100001HC NEUROPSYCHOLOGICAL TESTING PER HR PROFESSIONAL FEES - PSYCHIATRIC [0961] ( 363.00)
98500001 HC INDV THERAPY(20 30MIN)BEHAVIORAL HEALTH TREATMENTS/SERVICES - INDIVIDUAL THERAPY [0914] ( 163.00)
98500002 HC INDV THERAPY(45 50MIN)BEHAVIORAL HEALTH TREATMENTS/SERVICES - INDIVIDUAL THERAPY [0914] ( 242.00)
98500008 HC GROUP PSYCHOTHERAPY PROFESSIONAL FEES - EKG [0985] ( 163.00)
98500009 HC INTERP EKG PROFESSIONAL FEES - EKG [0985] ( 25.00)
98500011 HC H&B FAMILY INTER EA 15 MIN PROFESSIONAL FEES - EKG [0985] ( 249.00)
98500012 HC H&B FAM INTERV W/O PT 15 MIN PROFESSIONAL FEES - EKG [0985] ( 209.00)
99000001 HC ADJUST LAP BAND VIA PORTPATIENT CONVENIENCE ITEMS - GENERAL CLASSIFICATION [0990] ( 951.00)
99000003HC ASTIGMATISM CORRECTING INTRAOCULAR LENS
PATIENT CONVENIENCE ITEMS - GENERAL CLASSIFICATION [0990] ( 1,015.00)
99000002HC PRESSBYOPIA CORRECTING INTRAOCULAR LENS
PATIENT CONVENIENCE ITEMS - GENERAL CLASSIFICATION [0990] ( 2,256.00)
36000795HC ESOPG/GSTR TAMP W/BALO SENGSTAKEN TYPE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,051.00)
11000001 HC R&B - PRIVATE - GENROOM & BOARD - PRIVATE (MEDICAL OR GENERAL) - GENERAL CLASSIFICATION [0110] ( 1,162.00)
11100001 HC R&B - PRIVATE - MED/SURG/GYNROOM & BOARD - PRIVATE (MEDICAL OR GENERAL) - MEDICAL/SURGICAL/GYN [0111] ( 1,130.00)
11300001 HC R&B - PRIVATE - PEDIROOM & BOARD - PRIVATE (MEDICAL OR GENERAL) - PEDIATRIC [0113] ( 1,130.00)
12000001 HC R&B - SEMIPRIVATE - GENROOM & BOARD - SEMI-PRIVATE TWO BED (MEDICAL OR GENERAL) - GENERAL CLASSIFICATION [0120] ( 1,108.00)
12300001 HC R&B - SEMIPRIVATE - PEDIROOM & BOARD - SEMI-PRIVATE TWO BED (MEDICAL OR GENERAL) - PEDIATRIC [0123] ( 1,076.00)
12400001 HC R&B - SEMIPRIVATE - PSYCHROOM & BOARD - SEMI-PRIVATE TWO BED (MEDICAL OR GENERAL) - PSYCHIATRIC [0124] ( 1,795.00)
12600001 HC R&B - SEMIPRIVATE - DETOXROOM & BOARD - SEMI-PRIVATE TWO BED (MEDICAL OR GENERAL) - DETOXIFICATION [0126] ( 1,942.00)
12800001 HC R&B - SEMIPRIVATE - REHABROOM & BOARD - SEMI-PRIVATE TWO BED (MEDICAL OR GENERAL) - REHABILITATION [0128] ( 1,369.00)
17100001 HC NEWBORN-LEVEL I NURSERY - NEWBORN - LEVEL I [0171] ( 1,076.00)
17200001 HC NEWBORN-LEVEL II NURSERY - NEWBORN - LEVEL II [0172] ( 1,200.00)
17300001 HC NICU STEPDOWN NURSERY - NEWBORN - LEVEL III [0173] ( 2,060.00)
17400001 HC NEWBORN-NICU NURSERY - NEWBORN - LEVEL IV [0174] ( 2,974.00)
20000001 HC ICU - GENERAL INTENSIVE CARE - GENERAL CLASSIFICATION [0200] ( 2,741.00)
20400001 HC ICU/ PSYCH INTENSIVE CARE - PSYCHIATRIC [0204] ( 2,331.00)
20600001 HC ICU/ INTERMEDIATE INTENSIVE CARE - INTERMEDIATE ICU [0206] ( 1,768.00)
21000001 HC CCU - GENERAL CORONARY CARE - GENERAL CLASSIFICATION [0210] ( 2,741.00)
21400001 HC CCU/ INTERMEDIATE CORONARY CARE - INTERMEDIATE CCU [0214] ( 1,768.00)
21900001 HC CCU/ OTHER-CVICU CORONARY CARE - OTHER CORONARY CARE [0219] ( 3,267.00)
30010535 HC LACTOTYPE AMPLIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 132.00)
30010536 HC RL HEP A VIRUS ULTRAQUAL BY PCR LABORATORY - GENERAL CLASSIFICATION [0300] ( 268.00)
30010537 HC LACTOTYPE NUCLEIC ACID EXTRACT LABORATORY - GENERAL CLASSIFICATION [0300] ( 33.00)
30010538 HC LACTOTYPE INTRP & RPT LABORATORY - GENERAL CLASSIFICATION [0300] ( 33.00)
30010539HC RL RECOMBX MATA AUTOANTIBODY TEST LABORATORY - GENERAL CLASSIFICATION [0300] ( 33.00)
30010540HC RL RECOMBX MATA AUTOANTIBODY TEST LABORATORY - CHEMISTRY [0301] ( 151.00)
30010541 HC HUMAN EPIDIDYMIS PROTEIN 4 (HE4) LABORATORY - IMMUNOLOGY [0302] ( 208.00)
30010542 HC RL YERSINIA ANTIBODY IGA LABORATORY - IMMUNOLOGY [0302] ( 79.00)
30010543 HC RL YERSINIA ANTIBODY IGG LABORATORY - IMMUNOLOGY [0302] ( 79.00)
30010544 HC RL NP TISSUE EXAM BY PATHOLOGYLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 515.00)
30010545 HC RL NP SPECIAL STAINSLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 177.00)
30010546HC RL NP IMMUNOHISTOCHEMISTRY 1ST ANTIBODY
LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 243.00)
30010547 HC RL NP IMMUNO FLOURESCENT STUDYLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 243.00)
30010548 HC RL NP ELECTRON MICROSCOPY LABORATORY PATHOLOGICAL - HISTOLOGY [0312] ( 2,057.00)
30010549HC RL AML DIAGNOSTIC PNL MORPHOMETRIC ANAL.
LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 539.00)
30010550HC RL IGH B CELL REARRANGEMENT BY FISH
LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 539.00)
32000367 HC RIBS UNILAT RT WITH PA CHEST MIN 3VRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 313.00)
46000018HC CAR SEAT/BED TEST INFANT TO 12MTHS 60 MINUTES
PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460] ( 97.00)
46000019 HC CAR SEAT/BED TEST - FULL 60 MINUTESPULMONARY FUNCTION - GENERAL CLASSIFICATION [0460] ( 97.00)
46000020HC CAR SEAT/BED TEST INFANT TO 12MTHS EA ADDL 30 MIN
PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460] ( 74.00)
46000021HC CAR SEAT/BED TEST - EACH ADD FULL 30 M
PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460] ( 74.00)
35200065 HC CT ANGIO W/3D IMAGE CT SCAN - GENERAL CLASSIFICATION [0350] ( 551.00)
27201338 HC ALCON ACRYPAK FOLDERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 16.00)
27201340 HC ALCON OPHTHALMIC KNIFEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 497.00)
27201348 HC VITRECTOMY KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 109.00)
27201358 HC PHACO NEEDLE AND SLEEVE 19GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 80.00)
27201371 HC LASER PROBE STRAIGHT 25 GAUGEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 317.00)
27201373 HC LASER PROBE DIRECTIONAL 25 GAUMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 437.00)
27201375 HC PROBE IRIDEX LASER 25 GAU STRAIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 400.00)
27201381 HC KNIFE 4.1 IMPLANTMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 26.00)
27201382 HC SUTURE PLAIN 6-0 G-1MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 14.00)
11200001 HC R&B-PRIVATE-OBROOM & BOARD - PRIVATE (MEDICAL OR GENERAL) - OB [0112] ( 1,130.00)
12200001 HC R&B-SEMIPRAVATE-OBROOM & BOARD - SEMI-PRIVATE TWO BED (MEDICAL OR GENERAL) - OB [0122] ( 1,076.00)
46000011 HC INO PER HOURPULMONARY FUNCTION - GENERAL CLASSIFICATION [0460] ( 803.00)
45000014 HC CL TX SHLDR DISL W/MANIP W/ANESTH EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 2,282.00)
30010551 HC BUFFY SMEAR DIFFERENTIAL LABORATORY - HEMATOLOGY [0305] ( 25.00)
27201390 HC SPYPUMP TUBEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 70.00)
27201391 HC SPYBITE FORCEPMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 1,209.00)
27201392 HC SPYSCOPE WITH BIOPSY CHANNELMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 1,853.00)
27201396 HC STAPLE GUN PRI PRW35MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 47.00)
27800562 HC AMPLATZER VASCULAR PLUGMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,664.00)
27800564HC XIENCE EPEDITION DRUG ELUTING STENT
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,950.00)
29000001 HC BREAST PUMP MANUALDURABLE MEDICAL EQUIPMENT (OTHER THAN RENAL) - GENERAL CLASSIFICATION [0290] ( 67.00)
29100002HC BREAST PUMP HOSPITAL GRADE RENT/MONTH
DURABLE MEDICAL EQUIPMENT (OTHER THAN RENAL) - RENTAL [0291] ( 88.00)
29200003 HC BREAST PUMP ELECTRICDURABLE MEDICAL EQUIPMENT (OTHER THAN RENAL) - PURCHASE OF NEW DME [0292] ( 445.00)
36001213HC ERCP W/INSERT NASOBIL/NASOPAN DRAIN TUBE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,161.00)
36001214HC ERCP W/ABLATION OF TUMOR/POLYP/LESION
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,647.00)
36001215 HC ERCP W/ PRESSURE MEASURE ODDIGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,815.00)
36001217HC THORACENTESIS-ASPIR W IMAGE GUIDANCE
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,277.00)
36001235 HC LYSE CHEST FIBRIN INIT DAYSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 742.00)
36001282 HC ENDOSCOPIC PANCREATOSCOPYGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,815.00)
36001283HC DEBRID MUSC/FASIA EA ADDL 20SQ CM OR <
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 582.00)
36001284HC PUNCT ASP ABCESS HEMATOMA BULLA/CYST
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 415.00)
36001285 HC I&D PILONIDAL CYST COMPLICATEDOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,951.00)
41000013 HC AEROSOL PENTAMIDEN FOR P. CARINIIRESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410] ( 309.00)
45000016 HC CL TX KNEE DISL/W ANESTHESIA EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 1,733.00)
45000018HC THORACENTESIS ASPIRATION W/O IMG GUIDANC
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,108.00)
45000019 HC ABD PARACENTESIS W/IMAGING EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 2,411.00)
45000020 HC CL TX SHLDR DISL W MANIP; W ANESTH EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 1,733.00)
90000004 HC PSYCH DIAGNOSTIC EVALUATIONBEHAVIORAL HEALTH TREATMENTS/SERVICES - GENERAL CLASSIFICATION [0900] ( 148.00)
90000005 HC EMP PSYCH DIAGNOSTIC EVALUATIONBEHAVIORAL HEALTH TREATMENTS/SERVICES - GENERAL CLASSIFICATION [0900] ( 148.00)
90000006 HC PUB PSYCH DIAGNOSTIC EVALUATIONBEHAVIORAL HEALTH TREATMENTS/SERVICES - GENERAL CLASSIFICATION [0900] ( 148.00)
90000007HC EMP FAMILY THERAPY W/O PATIENT 50 MIN
BEHAVIORAL HEALTH TREATMENTS/SERVICES - GENERAL CLASSIFICATION [0900] ( 388.00)
90000011 HC PDISC PSYCH DIAGNOSTIC EVALUATIONBEHAVIORAL HEALTH TREATMENTS/SERVICES - GENERAL CLASSIFICATION [0900] ( 148.00)
91400006 HC EMP PSYCHTHERP 30MIN W/PTBEHAVIORAL HEALTH TREATMENTS/SERVICES - INDIVIDUAL THERAPY [0914] ( 223.00)
91400007 HC PUB PSYCHTHERP 30MIN W/PTBEHAVIORAL HEALTH TREATMENTS/SERVICES - INDIVIDUAL THERAPY [0914] ( 148.00)
91400008 HC EMP PSYCHTHERP 45MIN W/PTBEHAVIORAL HEALTH TREATMENTS/SERVICES - INDIVIDUAL THERAPY [0914] ( 211.00)
91400010 HC EMP PSYCHTHERP 60MIN W/PTBEHAVIORAL HEALTH TREATMENTS/SERVICES - INDIVIDUAL THERAPY [0914] ( 211.00)
91400011 HC PUB PSYCHTHERP 60MIN W/PTBEHAVIORAL HEALTH TREATMENTS/SERVICES - INDIVIDUAL THERAPY [0914] ( 211.00)
91400012 HC PDISC PSYCHTHERP 30MIN W/PTBEHAVIORAL HEALTH TREATMENTS/SERVICES - INDIVIDUAL THERAPY [0914] ( 223.00)
91400013 HC PDISC PSYCHTHERP 45MIN W/PTBEHAVIORAL HEALTH TREATMENTS/SERVICES - INDIVIDUAL THERAPY [0914] ( 148.00)
91400014 HC PDISC PSYCHTHERP 60MIN W/PTBEHAVIORAL HEALTH TREATMENTS/SERVICES - INDIVIDUAL THERAPY [0914] ( 211.00)
91400015HC PDISC FAMILY THERAPY W/O PATIENT 50 MIN
BEHAVIORAL HEALTH TREATMENTS/SERVICES - INDIVIDUAL THERAPY [0914] ( 388.00)
91400016HC PDISC FAMILY THERAPY W/PATIENT 50 MIN
BEHAVIORAL HEALTH TREATMENTS/SERVICES - INDIVIDUAL THERAPY [0914] ( 388.00)
92200013HC NERVE CONDUCTION STUDIES; 1-2 STUDIES
OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922] ( 228.00)
92200014HC NERVE CONDUCTION STUDIES; 3-4 STUDIES
OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922] ( 260.00)
92200015HC NERVE CONDUCTION STUDIES; 5-6 STUDIES
OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922] ( 324.00)
92200016HC NERVE CONDUCTION STUDIES; 7-8 STUDIES
OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922] ( 652.00)
92200017HC NERVE CONDUCTION STUDIES; 9-10 STUDIES
OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922] ( 903.00)
92200018HC NERVE CONDUCTION STUDIES; 11-12 STUDIES
OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922] ( 993.00)
92200019HC NERVE CONDUCTION STUDIES; 13 OR MORE
OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922] ( 1,084.00)
96100004HC PSYC THER 60MIN W/PT AND/OR FAM MEM PROFESSIONAL FEES - PSYCHIATRIC [0961] ( 288.00)
42000015 HC MOBILITY CURRENT STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)
42000016 HC MOBILITY GOAL STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)
42000017 HC MOBILITY D/C STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)
42000018 HC BODY POS CURRENT STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)
42000019 HC BODY POS GOAL STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)
42000020 HC BODY POS D/C STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)
42000021 HC CARRY CURRENT STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)
42000022 HC CARRY GOAL STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)
42000023 HC CARRY D/C STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)
42000024 HC SELF CARE CURRENT STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)
42000025 HC SELF CARE GOAL STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)
42000026 HC SELF CARE D/C STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)
42000027 HC OTHER PT/OT CURRENT STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)
42000028 HC OTHER PT/OT GOAL STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)
42000029 HC OTHER PT/OT D/C STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)
42000030 HC SUB PT/OT CURRENT STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)
42000031 HC SUB PT/OT GOAL STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)
42000032 HC SUB PT/OT D/C STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)
42000033 HC ATTEN CURRENT STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)
42000034 HC ATTEN GOAL STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)
42000035 HC ATTEN D/C STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)
42000036 HC MEMORY CURRENT STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)
42000037 HC MEMORY GOAL STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)
42000038 HC MEMORY D/C STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)
44400007 HC SWALLOW CURRENT STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)
44400008 HC SWALLOW GOAL STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)
44400009 HC SWALLOW D/C STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)
44400010 HC MOTOR SPEECH CURRENT STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)
44400011 HC MOTOR SPEECH GOAL STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)
44400012 HC MOTOR SPEECH D/C STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)
44400013 HC LANG COMP CURRENT STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)
44400014 HC LANG COMP GOAL STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)
44400015 HC LANG COMP D/C STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)
44400016 HC LANG EXPRESS CURRENT STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)
44400017 HC LANG EXPRESS GOAL STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)
44400018 HC LANG EXPRESS D/C STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)
44400019 HC VOICE CURRENT STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)
44400020 HC VOICE GOAL STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)
44400021 HC VOICE D/C STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)
44400022 HC SPEECH LANG CURRENT STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)
44400023 HC SPEECH LANG GOAL STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)
44400024 HC SPEECH LANG D/C STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)
27000945 HC LNCS ADTX SPO2 ADHESIVE SENSORMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 29.00)
27201394 HC SUTURE PLAIN PSMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 12.00)
27201395HC 4.0MM T-BAR RD/110MM W X 50MM L 395.687
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 974.00)
27201397 HC DRESS GEL IODOSORB 10 GRAMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 91.00)
27201401 HC SAFE-T-CENTESIS CATH TRAYMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 152.00)
27201402 HC PLEURX DRAINAGE KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 139.00)
27201403 HC VISISHEATHMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 549.00)
27201404 HC MANUAL RETRACTION KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 352.00)
27201405 HC ARTIC FRONT 23MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 10,557.00)
27201406 HC ARTIC FRONT 28MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 10,557.00)
27201407HC FREEZER MAX 3 CARDIAC CRYOABLATION
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 4,457.00)
27201408HC FREEZER MAX 5 CARDIAC CRYOABLATION
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 4,457.00)
27201409 HC FLEX CATH 12 FRENCHMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,581.00)
27201411 HC ACHIEVE CABLE DISPOSABLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 528.00)
27201412 HC COAXIAL UMBILICAL DISPOSABLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 328.00)
27201413 HC ELECTRICAL UMBILICAL DISPOSABLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 493.00)
27201415 HC ACHIEVE CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,229.00)
27201400 HC MEPILEX AG 4X4 DRESSINGMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 14.00)
30001054HC RL DEXAMETHASONE SERUM OR PLASMA LABORATORY - CHEMISTRY [0301] ( 92.00)
30001055 HC RL QUAD SCREEN ALPHA FETO PROTEIN LABORATORY - CHEMISTRY [0301] ( 101.00)
30001056 HC RL QUAD SCREEN ESTRIOL LABORATORY - CHEMISTRY [0301] ( 140.00)
30001058 HC RL HLA B SEQUENCE ISOLATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 66.00)
30001059 HC RL HLA B SEQUENCE AMPLIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 66.00)
30001060 HC RL HLA B SEQUENCE SEQUENCING LABORATORY - GENERAL CLASSIFICATION [0300] ( 66.00)
30001061 HC RL HLA BA SEQUENCE SEP. & IDENT. LABORATORY - GENERAL CLASSIFICATION [0300] ( 66.00)
30001062 HC RL HLA B SEQUENCE INTERP & RPT LABORATORY - GENERAL CLASSIFICATION [0300] ( 66.00)
30001063 HC RL BUPRENORPHINE & METABS. QUANT LABORATORY - CHEMISTRY [0301] ( 97.00)
30001064 HC RL QUAD SCREEN HCG LABORATORY - CHEMISTRY [0301] ( 182.00)
30001065 HC RL HEPARIN COFACTOR II LABORATORY - HEMATOLOGY [0305] ( 68.00)
30001066 HC ALLERGEN EGG WHITE LABORATORY - IMMUNOLOGY [0302] ( 28.00)
30001067 HC ALLERGEN MILK COW LABORATORY - IMMUNOLOGY [0302] ( 28.00)
30001068 HC ALLERGEN WHEAT LABORATORY - IMMUNOLOGY [0302] ( 28.00)
30001069 HC ALLERGEN SOYBEAN LABORATORY - IMMUNOLOGY [0302] ( 28.00)
30001070 HC ALLERGEN SHRIMP LABORATORY - IMMUNOLOGY [0302] ( 28.00)
30001071 HC ALLERGEN WALNUT TREE LABORATORY - IMMUNOLOGY [0302] ( 28.00)
30001072 HC ALLERGEN CODFISH LABORATORY - IMMUNOLOGY [0302] ( 28.00)
30001073 HC ALLERGEN SCALLOP LABORATORY - IMMUNOLOGY [0302] ( 28.00)
30001074 HC ALLERGEN HAZELNUT LABORATORY - IMMUNOLOGY [0302] ( 28.00)
30001075 HC ALLERGEN GLUTEN LABORATORY - IMMUNOLOGY [0302] ( 28.00)
30001076 HC ALLERGEN SESAME SEED LABORATORY - IMMUNOLOGY [0302] ( 28.00)
30001077 HC M1-2 AUTOANTIBODIES LABORATORY - IMMUNOLOGY [0302] ( 107.00)
30001078 HC RL QUAD SCREEN INHIBIN A LABORATORY - IMMUNOLOGY [0302] ( 67.00)
30001079 HC RL SALMONELLA TYPHI H TYPE A AB LABORATORY - IMMUNOLOGY [0302] ( 69.00)
30001080 HC RL SALMONELLA TYPHI H TYPE B AB LABORATORY - IMMUNOLOGY [0302] ( 69.00)
30001081 HC RL SALMONELLA TYPHI H TYPE D AB LABORATORY - IMMUNOLOGY [0302] ( 69.00)
30001082 HC RL SALMONELLA TYPHI O TYPE D AB LABORATORY - IMMUNOLOGY [0302] ( 69.00)
30001083 HC RL SALMONELLA TYPHI O TYPE VI AB LABORATORY - IMMUNOLOGY [0302] ( 69.00)
30001084 HC SHIGA TOXIN CONCENTRATIONLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 41.00)
30001085 HC FUNGAL SENSITIVITY MLCLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 49.00)
30001086 HC FUNGAL SENSITIVITY MDMLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 32.00)
30001087 HC SHIGA TOXIN 1LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 86.00)
30001089HC RL FISH MORPHOMETRIC ANALYSIS MAN. PROBE
LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 539.00)
30001090HC RL GENOMIC MICROARRAY MOLECULAR PROBE LABORATORY - GENERAL CLASSIFICATION [0300] ( 180.00)
30001091 HC ALLERGEN PEANUT LABORATORY - IMMUNOLOGY [0302] ( 28.00)
30001092 HC RESP POTASSUM LABORATORY - CHEMISTRY [0301] ( 120.00)
30001093 HC RESP SODIUM LABORATORY - CHEMISTRY [0301] ( 83.00)
30001094 HC RESP CARBOXYHEMOGLOBIN-QUANT LABORATORY - CHEMISTRY [0301] ( 127.00)
30001095 HC LACTOTYPE TEST LABORATORY - CHEMISTRY [0301] ( 102.00)
30001096HC CROHN'S PROGNOSTIC MUTATION DETECT. LABORATORY - CHEMISTRY [0301] ( 188.00)
30001097 HC TPMT GENETICS LABORATORY - CHEMISTRY [0301] ( 188.00)
30001098 HC IDB SGI DIAGNOSTIC OTHER LABORATORY - CHEMISTRY [0301] ( 66.00)
30001099HC IBD SGI DIAGNOSTIC CHEMILUMINESCENT LABORATORY - CHEMISTRY [0301] ( 164.00)
30001100HC RL CROHN'S PROGNOSTIC AB SPEC. MARKER LABORATORY - CHEMISTRY [0301] ( 180.00)
30001101 HC CROHN'S PROGNOSTIC QUANTITATIVE LABORATORY - CHEMISTRY [0301] ( 180.00)
30001102 HC IBD SGI DIAGNOSTIC QUANTITATIVE LABORATORY - CHEMISTRY [0301] ( 180.00)
30001103 HC IBD SGI DIAGNOSTIC QUANTITATIVE NOS LABORATORY - CHEMISTRY [0301] ( 180.00)
30001104 HC FECAL MAGNESIUM LABORATORY - CHEMISTRY [0301] ( 234.00)
30001105 HC FECAL SODIUM LABORATORY - CHEMISTRY [0301] ( 26.00)
30001106 HC FECAL POTASSIUM LABORATORY - CHEMISTRY [0301] ( 100.00)
30001107 HC FECAL OSMOLALTY LABORATORY - CHEMISTRY [0301] ( 100.00)
30001108 HC IBD SGI DIAGNOSTIC CRP LABORATORY - IMMUNOLOGY [0302] ( 110.00)
30001109 HC CYCLIC CITRULLINATED PEPTIDE IGG LABORATORY - IMMUNOLOGY [0302] ( 62.00)
30001110HC CROHN'S PROGNOSTIC INDIRECT METHOD LABORATORY PATHOLOGICAL - HISTOLOGY [0312] ( 184.00)
30001111 HC IBD SGI DIAGNOSTIC INDIRECT METHOD LABORATORY PATHOLOGICAL - HISTOLOGY [0312] ( 184.00)
30001112 HC RL QU CYSTIC FIBROSIS SCREEN LABORATORY - CHEMISTRY [0301] ( 1,113.00)
30001113 HC HEM MUTATION PCR LABORATORY - CHEMISTRY [0301] ( 128.00)
30001114 HC MTHFR MUTATION PCR LABORATORY - CHEMISTRY [0301] ( 86.00)
30001115 HC CELIAC GENETICS LABORATORY - CHEMISTRY [0301] ( 437.00)
30100280 HC RESP GASES BLOOD PH ONLY LABORATORY - CHEMISTRY [0301] ( 47.00)
30100281 HC RESP GASES BLOOD ANY COMBINATION LABORATORY - CHEMISTRY [0301] ( 420.00)
30100282 HC RESP GLUCOSE; QUAN BLOOD LABORATORY - CHEMISTRY [0301] ( 98.00)
30100283 HC RESP PH-BODY FLUID EXCEPT BLOOD LABORATORY - CHEMISTRY [0301] ( 51.00)
30200166 HC RESP CANDIDA SKIN TEST LABORATORY - IMMUNOLOGY [0302] ( 57.00)
30200167 HC RESP TB SKIN TEST LABORATORY - IMMUNOLOGY [0302] ( 27.00)
30500026 HC RESP HEMATOCRIT LABORATORY - HEMATOLOGY [0305] ( 70.00)
34000004 HC THYROID IMAGING W/BLOOD FLOW NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 520.00)
34000005HC THYROID UPTAKE SING/MULTI MEASUREMENT NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 373.00)
34000006 HC THYROID IMAGING (INCL VAS FLOW) NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 409.00)
34000007HC PARATHYROID PLANAR IMAGING(W SUBSTRACT) NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 905.00)
34000008HC PARATHYROID PLANAR IMAGING W SPECT NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,014.00)
34000009HC PARATHYROID PLANAR W SPECT & CT LOCALIZE NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,139.00)
36001192HC ANGIOGRAPHY CERVICO CEREBRAL ARCH
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,136.00)
36001193 HC INSERTION BLADDER CATH COMPLEXOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 417.00)
36001194HC RETRIEVAL OF INTRAVASCULAR FOREIGN BODY
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,344.00)
36001201HC PLACE CATH CAROTID/INOM INTRACRANIAL-LT
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,232.00)
36001202HC PLACE CATH CAROTID INOM/INTRACRANIAL-RT
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,232.00)
36001203 HC PLACE CATH INT. CAROTID - LTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 9,926.00)
36001204 HC PLACE CATH INT. CAROTID - RTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 9,926.00)
36001205HC PLACE CATH SUBCLAVE/INOM ARTERY - LT
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,051.00)
36001206HC PLACE CATH SUBCLAVE /INOM ARTERY - RT
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,051.00)
36001207 HC PLACE CATH VERT ARTERY - LTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 7,227.00)
36001208 HC PLACE CATH VERT ARTERY - RTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 7,227.00)
36001209HC PLACE CATH EXTERNAL CAROTID ARTERY - LT
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,378.00)
36001210HC PLACE CATH EXTERNAL CAROTID ARTERY - RT
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,378.00)
36001211HC PLACE CATH INTRACRANIAL ARTERY - LT
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,548.00)
36001212HC PLACE CATH INTRACRANIAL ARTERY - RT
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,548.00)
36001216HC PARACENT ANT EYE W/REMOVAL OF VITREOUS
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,609.00)
36001226HC TRANSCATH THROMBO INF EITHER NEXT DAY
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,521.00)
36001227HC TRANSCATH THROMBO INF EITHER STOP/REMOVE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,521.00)
36001228HC EXTRACRANIAL CAROTID/INOMINATE BILAT
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,704.00)
36001239HC TRANSCATH THROMBO INF ART INITIAL S&I
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,256.00)
36001240HC TRANSCATH THROMBO INF VEN INITIAL S&I
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,614.00)
36001259HC PLACE CATH CAR/INOM INTRACRAN BILAT
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 7,848.00)
36001260 HC PLACE CATH INT. CARTOID - BILATOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 14,888.00)
36001261HC PLACE CATH SUBCLAVE/INOM ART- BI-LAT
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 7,576.00)
36001262 HC PLACE CATH VERT. ARTERY - BI-LATOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 10,840.00)
36001263 HC PLACE CATH EXT CAROTID ART - BI-LATOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,568.00)
36001264HC PLACE CATH INTRACRANIAL ART. - BI-LAT
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 8,323.00)
36001268HC PLACE CATH CAROTID INOM ART EXTRACRAN LT
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,136.00)
36001269HC PLACE CATH CAROTID INOM ART EXTRACRAN RT
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,136.00)
48100098HC PTCA SINGLE MAJOR ARTERY OR BRANCH CARDIOLOGY - CARDIAC CATH LAB [0481] ( 8,198.00)
48100099 HC PTCA EACH ADD'L BRANCH CARDIOLOGY - CARDIAC CATH LAB [0481] ( 6,315.00)
48100100HC COR. ARTERECTOMY W/PTCA SINGLE MAJOR ART CARDIOLOGY - CARDIAC CATH LAB [0481] ( 12,451.00)
48100101HC COR. ATHERECTOMY W/PTCA EACH ADD'L BRANC CARDIOLOGY - CARDIAC CATH LAB [0481] ( 9,025.00)
48100102 HC STENT W/PTCA SINGLE COR. ARTERY CARDIOLOGY - CARDIAC CATH LAB [0481] ( 12,451.00)
48100103HC STENT W/PTCA EACH ADD'L COR. BRANCH CARDIOLOGY - CARDIAC CATH LAB [0481] ( 4,565.00)
48100104HC COR. ATHERECTOMY W/STENT AND PTCA SMCA CARDIOLOGY - CARDIAC CATH LAB [0481] ( 17,198.00)
48100105HC COR. ATHERECTOMY W/STENT AND PTCA ADD'L CARDIOLOGY - CARDIAC CATH LAB [0481] ( 6,629.00)
48100106 HC REVASC BYP GRAFT 1ST VESL CARDIOLOGY - CARDIAC CATH LAB [0481] ( 12,451.00)
48100107 HC REVASC BYP GRAFT EACH ADD'L CARDIOLOGY - CARDIAC CATH LAB [0481] ( 4,565.00)
48100108HC REVASC ACUTE MI ANY VESSEL W/THROMB CARDIOLOGY - CARDIAC CATH LAB [0481] ( 12,451.00)
48100109HC REVASC CTO ANY BRANCH STENT ATHER PTCA CARDIOLOGY - CARDIAC CATH LAB [0481] ( 12,451.00)
48100110HC REVASC CTO ADD'L BRCH STENT ATHER PTCA CARDIOLOGY - CARDIAC CATH LAB [0481] ( 4,565.00)
48100111 HC EP & ABLATE SVT ARRHYT CARDIOLOGY - CARDIAC CATH LAB [0481] ( 17,449.00)
48100112 HC EP & ABLATE VENTRIC TACHY CARDIOLOGY - CARDIAC CATH LAB [0481] ( 17,800.00)
48100113 HC ABLATE ARRHYTMIA - ADD ON CARDIOLOGY - CARDIAC CATH LAB [0481] ( 10,284.00)
48100114 HC TX ATRIAL FIB PUL VEIN ISOL CARDIOLOGY - CARDIAC CATH LAB [0481] ( 17,449.00)
48100115 HC TX ATRIAL FIB ADD'L CARDIOLOGY - CARDIAC CATH LAB [0481] ( 8,995.00)
48100117HC PLACE DES STENT W/PTCA SINGLE VESSEL CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 15,819.00)
48100118HC PLACE DES STENT W/PTCA ADD'L VESSEL CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 15,819.00)
48100119 HC ATHERECTOMY W/DES SINGLE VESSEL CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 15,819.00)
48100120HC ATHERECTOMY W/DES/PTCA EACH ADD'L VESSEL CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 15,819.00)
48100121HC BYPASS GRAFT DES ATHER PTCA SINGLE CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 15,819.00)
48100122HC BYPASS GRAFT / DES/ ATHER/ PTCA ADD'L CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 15,819.00)
48100123HC REVAS AMI/DES/ATHER/PTCA THROMB SINGLE CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 15,819.00)
48100124HC REVAS CTO DES/ATHER/PTCA SINGLE VESSEL CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 15,819.00)
48100125 HC REVAS CTO DES/ATHER/PTCA ADD'L CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 15,819.00)
30001088 HC SHIGA TOXIN 2LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 86.00)
94100001 HC TR INITIAL ASSESS.OTHER THERAPEUTIC SERVICES - RECREATIONAL THERAPY [0941] ( 86.00)
94100002 HC TR EVALUATION IOTHER THERAPEUTIC SERVICES - RECREATIONAL THERAPY [0941] ( 120.00)
94100003 HC TR EVALUATION IIOTHER THERAPEUTIC SERVICES - RECREATIONAL THERAPY [0941] ( 178.00)
94100004 HC TR INDIV HC TREATMENT 1 (15 MIN)OTHER THERAPEUTIC SERVICES - RECREATIONAL THERAPY [0941] ( 120.00)
94100005 HC TR INDIV HC TREATMENT 2 (30 MIN)OTHER THERAPEUTIC SERVICES - RECREATIONAL THERAPY [0941] ( 178.00)
94100006 HC TR INDIV HC TREATMENT 3 (45 MIN)OTHER THERAPEUTIC SERVICES - RECREATIONAL THERAPY [0941] ( 264.00)
94100007 HC TR INDIV HC TREATMENT 4 (60 MIN)OTHER THERAPEUTIC SERVICES - RECREATIONAL THERAPY [0941] ( 376.00)
94100008 HC TR GROUP HC TREATMENT 1 (15 MIN)OTHER THERAPEUTIC SERVICES - RECREATIONAL THERAPY [0941] ( 60.00)
94100009 HC TR GROUP HC TREATMENT 2 (30 MIN)OTHER THERAPEUTIC SERVICES - RECREATIONAL THERAPY [0941] ( 86.00)
94100010 HC TR GROUP HC TREATMENT 3 (45 MIN)OTHER THERAPEUTIC SERVICES - RECREATIONAL THERAPY [0941] ( 145.00)
94100011 HC TR GROUP HC TREATMENT 4 (60 MIN)OTHER THERAPEUTIC SERVICES - RECREATIONAL THERAPY [0941] ( 234.00)
94100012 HC TR GROUP HC TREATMENT 5 (75 MIN)OTHER THERAPEUTIC SERVICES - RECREATIONAL THERAPY [0941] ( 326.00)
94100013 HC TR GROUP HC TREATMENT 6 (90 MIN)OTHER THERAPEUTIC SERVICES - RECREATIONAL THERAPY [0941] ( 376.00)
94100014 HC TR CRT GROUP 1 (45 MIN)OTHER THERAPEUTIC SERVICES - RECREATIONAL THERAPY [0941] ( 86.00)
94100015 HC TR CRT GROUP 2 (60 MIN)OTHER THERAPEUTIC SERVICES - RECREATIONAL THERAPY [0941] ( 145.00)
94100016 HC TR CRT GROUP 3 (90 MIN)OTHER THERAPEUTIC SERVICES - RECREATIONAL THERAPY [0941] ( 208.00)
36001286 HC ANGIO CERVICOCEREBRAL ARCHOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,389.00)
30001116 HC BCR/ABL BY PCR INTERP. LABORATORY - GENERAL CLASSIFICATION [0300] ( 67.00)
30001117 HC RL NORDOXEPIN-QUANT LABORATORY - CHEMISTRY [0301] ( 92.00)
30001118 HC RL PROTRIPTYLINE-QUANT LABORATORY - CHEMISTRY [0301] ( 92.00)
30001119 HC RL NORCLOMIPRAMINE-QUANT LABORATORY - CHEMISTRY [0301] ( 92.00)
30001120 HC RL FLUOXETIN-PROZAC LABORATORY - CHEMISTRY [0301] ( 92.00)
30001121 HC BCR/ABL BY PCR TRANSLOCATION LABORATORY - CHEMISTRY [0301] ( 280.00)
30001122 HC BCR/ABL BY PCR BREAK POINT LABORATORY - CHEMISTRY [0301] ( 246.00)
30001123 HC RL PROTHROMBIN GENE ASSAY (FII) LABORATORY - CHEMISTRY [0301] ( 102.00)
30001124 HC PML/RARA BY PCR LABORATORY - CHEMISTRY [0301] ( 353.00)
30001125 HC RL HLA-DR GENOTYPING HLAT2 LABORATORY - CHEMISTRY [0301] ( 375.00)
30001126 HC RL HLA-DR GENOTYPING ODQA1 LABORATORY - CHEMISTRY [0301] ( 239.00)
30001127 HC APOE GENOTYPE ANALYSIS LABORATORY - CHEMISTRY [0301] ( 188.00)
30001128 HC RL ALPHA-1 ANTITRYPSIN LABORATORY - CHEMISTRY [0301] ( 80.00)
30001129HC RL ACETYLCHOLINE RECEPT. MODULATING AB LABORATORY - CHEMISTRY [0301] ( 85.00)
30001130 HC RL ACETYLCHOLINE BLOCKING AB LABORATORY - CHEMISTRY [0301] ( 85.00)
30001134 HC RL MAGNESIUM RED BLOOD CELL LABORATORY - CHEMISTRY [0301] ( 234.00)
30001135 HC RL RENIN IVC ABOVE RENAL VEIN LABORATORY - CHEMISTRY [0301] ( 131.00)
30001136 HC FACTOR V LEIDEN LABORATORY - CHEMISTRY [0301] ( 127.00)
30001137 HC RL AUTO SALVAGE BLD WASHED LABORATORY - GENERAL CLASSIFICATION [0300] ( 509.00)
30001138HC RL HSV CULT C TYP-TS CULT-CYTOPATH EFFCT
LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 156.00)
30001139 HC CHLAMYDIA DNA AMPLIFICATIONLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 182.00)
30001140 HC GC DNA AMPLIFICATIONLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 238.00)
30001141 HC RL ACTH 1ST ANTIBODYLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 243.00)
30100284 HC RENAL FUNCTION PANEL LABORATORY - CHEMISTRY [0301] ( 157.00)
30100285 HC RL QUAD SCREEN PROFILE LABORATORY - CHEMISTRY [0301] ( 140.00)
30600047 HC RL NOCARIDA SUSC-DISK DIFFUSIONLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 42.00)
30600048 HC RL NOCARIDA SUSC-MICLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 94.00)
31000042HC CHROMOSOME ANALYSIS INTERP & REPORT LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 99.00)
39000019 HC AUTOLOGOUS FFP PHERESIS
ADMINISTRATION PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390] ( 431.00)
39000020 HC PLATELET CONCENTRATE
ADMINISTRATION PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390] ( 254.00)
39000021 HC PLATELETS EACH UNIT
ADMINISTRATION PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390] ( 207.00)
39000022 HC WASHING BLOOD PRODUCT
ADMINISTRATION PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390] ( 701.00)
39000023 HC AUTOLOGOUS LKD RED CELLS WASHED
ADMINISTRATION PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390] ( 701.00)
39000024 HC RED CELLS WASHED
ADMINISTRATION PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390] ( 701.00)
39000025 HC PLATELETS PHERESIS
ADMINISTRATION PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390] ( 1,731.00)
39000026 HC AUTOLOGOUS PLATELET PHERESIS
ADMINISTRATION PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390] ( 1,731.00)
39000027 HC DIRECTED LEUKOPOOR PLT-PHERESIS
ADMINISTRATION PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390] ( 1,731.00)
39000028 HC AUTOLOGOUS LKD PLATELET PHERESIS
ADMINISTRATION PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390] ( 1,731.00)
39000029 HC RED BLOOD CELLS IRRADIATED
ADMINISTRATION PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390] ( 486.00)
39000030 HC GRANULOCYTES PHERESIS
ADMINISTRATION PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390] ( 2,904.00)
39000031 HC AUTOLOGOUS LKD RED CELLS DEGLYC
ADMINISTRATION PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390] ( 478.00)
39000032 HC AUTOLOGOUS PLASMA 24H
ADMINISTRATION PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390] ( 109.00)
30001142 HC RL TBCPCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 213.00)
30001144 HC RL COCCIDIODES AGLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 151.00)
30001146 HC AML/ETO LABORATORY - CHEMISTRY [0301] ( 188.00)
30001147 HC C KIT MUTATE LABORATORY - CHEMISTRY [0301] ( 283.00)
30001148 HC IGVH MUTATE LABORATORY - CHEMISTRY [0301] ( 501.00)
30001149 HC FLT3 NPM1 Mutate LABORATORY - CHEMISTRY [0301] ( 237.00)
30001150 HC JAK2 EXON 12 LABORATORY - CHEMISTRY [0301] ( 249.00)
30001151 HC NPMI Mutation LABORATORY - CHEMISTRY [0301] ( 309.00)
30001152 HC MPL515 MUTATION LABORATORY - CHEMISTRY [0301] ( 283.00)
30001153 HC Adiponectin LABORATORY - CHEMISTRY [0301] ( 180.00)
30001154 HC HLA B 5701 LABORATORY - CHEMISTRY [0301] ( 179.00)
30001155 HC HER2/NEULABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 539.00)
30001156 HC RL PARAINFLUENZA ANTIBODY LABORATORY - GENERAL CLASSIFICATION [0300] ( 520.00)
30001157 HC COLLAGEN AB LABORATORY - CHEMISTRY [0301] ( 180.00)
30001158 HC LIVER CYTOSOL AB LABORATORY - IMMUNOLOGY [0302] ( 87.00)
30001159 HC CYTOGENOMIC LABORATORY - CHEMISTRY [0301] ( 2,080.00)
30001160 HC RL CYSTICERCOSIS LABORATORY - IMMUNOLOGY [0302] ( 78.00)
30100286 HC Neurokinin LABORATORY - CHEMISTRY [0301] ( 83.00)
30001161 HC JAK2GP LABORATORY - CHEMISTRY [0301] ( 180.00)
27000946 HC LNCS ADTX SPO2 ADHESIVE SENSORMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 29.00)
27000947 HC CAPD IMPERSOL ADMIN SETB6530-01MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 75.00)
27000948HC IMMOBILIZER SHOULDER ABD SUPPORT MED
MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 103.00)
27000949 HC TUBE FEEDING INFANT/PREMATUREMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 33.00)
27000950 HC STYLET KIT 6082/6057MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 99.00)
27000951 HC POUCH 1PC PRECUT DRAIN 1EA 125354MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 193.00)
27201416 HC MEDICAL MAGOTS 250-500MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 195.00)
27201417 HC DRESSING GEL IODOSORB 10 GRAMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 29.00)
27201418 HC STIMUPLEX NEEDLE ALL SIZESMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 143.00)
27201419 HC SET THORACENTESIS SUBCLMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 21.00)
27201420 HC JUGGERKNOT DISPOSABLE KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 899.00)
27201421HC CUP CERVICAL V-CARE LARGE #133405102
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 164.00)
27201422HC SUTURE TAK DISPOSABLE KIT AR-1934DS-2
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 538.00)
27201423 HC RUSCH TIEMAN CATH. #221800MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 14.00)
27201424 HC ENDOPATH TROCAR 5MM 2B5LTMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 110.00)
27800566HC SUTURE ANCHORBIO-SUTURE TAK AR-1934BF
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 700.00)
27800567 HC VPATCH 8CMX8CM 31202MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,120.00)
27800568 HC CENTRIFX 10.5CMX16CM 31396MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 312.00)
30010552 HC RL ESTRIOL SERUM LABORATORY - CHEMISTRY [0301] ( 140.00)
30010553 HC RL CORTISOL SALIVA LABORATORY - CHEMISTRY [0301] ( 201.00)
30010554 HC OCCULT BLOOD STOOL-CONSEC SPEC LABORATORY - CHEMISTRY [0301] ( 35.00)
30010555 HC STREP A ASSAY W/OPTICLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 79.00)
31000043HC RL CHROMOSOME ANALYSIS-20-25 CELLS LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 646.00)
31100026HC RL CYTOGENETIC CHROMOSOME ANALYSIS LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 646.00)
36001287 HC LARYNGOSCOPE W/VC INJOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,328.00)
36001288 HC HYSTERECTOMYOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 8,008.00)
36001289 HC BLADDER REPAIROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,672.00)
36001290HC TREAT FETAL DEMISE <22WKS SURGICAL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,463.00)
36001291 HC ANGIO CERVICOCEREBRAL ARCHOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,389.00)
40400011 HC PET/CT-LIMITED STUDYOTHER IMAGING SERVICES - POSITRON EMISSION TOMOGRAPHY [0404] ( 3,409.00)
63600077 HC MS WOUND MAT 3CMX3.5CM PER SQ CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 16.00)
63600078HC MS WOUND MAT 3CMX3.5CM PER SQ CM DISC
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 16.00)
81200002 HC HEART ACQUISITIONACQUISITION OF BODY COMPONENTS - CADAVER DONOR [0812] ( 101,807.00)
92000019HC SEP ANY/ALL PERIPH NV UPPER & LWR LIMBS
OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 445.00)
92000020 HC TC MOTOR - UPPER & LOWER LIMBSOTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 1,007.00)
92000021 HC IONM IN OPERATING ROOM 15 MINOTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 218.00)
92200020 HC EMG EACH EXTREMITY - LIMITEDOTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922] ( 203.00)
92200021 HC EMG EACH EXTREMITY - COMPLETEOTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922] ( 278.00)
44000009HC SP DEVELOPMENTAL TESTING EXTENDED
SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 666.00)
47100015 HC AIR COND. AUDIO EVAL. AUDIOLOGY - DIAGNOSTIC [0471] ( 58.00)
44000008 HC SP DEVELOPMENTAL TESTING LIMITEDSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 666.00)
36000878 HC SCRN COLONOSCOPY PT NOT HI RISKGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,768.00)
30500027 HC VAD PT PROTHROMBIN TIME LABORATORY - HEMATOLOGY [0305] ( 83.00)
30500028 HC HEART PT PROTHROMBIN TIME LABORATORY - HEMATOLOGY [0305] ( 83.00)
42000039HC ELECTRIC STIM-UNATTENDED/NON-WOUND PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 146.00)
30500029 HC ACT ACTIVATED COAGULATION TIME LABORATORY - HEMATOLOGY [0305] ( 61.00)
76100002 HC ACNE SURGERY MILIA CYSTSSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 415.00)
27201425 HC ADDWIREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 238.00)
27000952 HC ATRAC-TAIN CREAM 5 OZMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 14.00)
63600081 HC DISCARD DERMAGRAFT PMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 86.00)
45000021 HC I&D PILONIDAL CYST COMPLI EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 1,951.00)
27201426 HC MEPITEL 7.5 X 10MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 12.00)
27800569 HC MESH COMPOSIX 7 X 9MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,284.00)
27800570 HC MESH MARLEXMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 350.00)
27800571 HC MESH PROCEED 4X6 (PCDN1)MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 884.00)
27800572 HC MESH PROCEED 6X8 (PCDG1)MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,602.00)
36001292 HC OPENING OF CHESTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,632.00)
27800556 HC PHYSIOMESH 15X20 - PHY1520VMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 21,736.00)
27800557 HC PHYSIOMESH 20X25 - PHY2025VMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 20,696.00)
27800558 HC PHYSIOMESH 25X35 - PHY2535VMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 15,704.00)
36100076 HC PULMON SEL CATH PLACE LT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,091.00)
63600082 HC DISCARD OASIS ULTRAMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 23.00)
35200066 HC CT HRT W/3D IMAGE CT SCAN - GENERAL CLASSIFICATION [0350] ( 442.00)
27000954 HC BLADE ANGLED KERATIME 2.75MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 65.00)
27000955 HC KNIFE 2.75 ANGLED SAFETYMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)
27000956 HC KNIFE ALCON ANGLED SLIT 3.2MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 33.00)
27000957 HC SPHEREMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)
27000958 HC CAUTERY 25 GAUGE DISPOSABLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 99.00)
27000959 HC PACK EENT IMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 18.00)
27000960 HC PACK VITRECTOMY 25 GMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 1,168.00)
27000961 HC INTUBATION SET CANALICULUSMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 216.00)
27000962 HC BLADE BEAVER 552055215700MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 29.00)
27000963 HC BLADE BEAVER 7513MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 26.00)
27000964 HC CAUTERY ERASER 18GMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 23.00)
27000965 HC KNIFE V LANCE OPTHALMICMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)
27000966 HC BLADE MVR 23GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 54.00)
27000967 HC SCISSORS DISPOSABLE 25 GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 439.00)
27000968 HC PACK PLASTICSMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 134.00)
27000969 HC LITE PIPE 20G GRIESHABERMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 54.00)
27000970 HC LITE PIPES SPECIAL GRIESHABERMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 65.00)
27000971 HC SKIN CLOSURE DERMABONDMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 61.00)
27000972 HC PROBE ESOPHAGEAL TEMP ADULTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 26.00)
27000973 HC CAUTERY HAND CONTROL VALLEY LABMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 16.00)
27000974 HC CAUTERY PAD V-LAB PEDMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 14.00)
27000975 HC SHEET SLIDES (3M)MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)
27000976 HC CAUTERY RICHARDS SUCTIONMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 22.00)
27000977 HC CAUTERY ACCUTEMPMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 18.00)
27000978 HC PULSAVAC TUBING HAND CONTROLMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 98.00)
27000979 HC BLADE BEAVER 6600MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 33.00)
27000980 HC SPHERE HYDROXYAPATITEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 1,586.00)
27000981 HC CAUTERY TEFLON EXTENSIONMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 14.00)
27000983 HC KNIFE MICROFEATHER 745MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 26.00)
27000984 HC CAUTERY ERASER 23GMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 63.00)
27000985 HC TUBING FRAG 1531021HPMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 155.00)
27000986 HC MA30BA CARTRIDGEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 23.00)
27000987 HC COLORADO TIP - LONGMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 122.00)
27000988 HC TUBING BLOOD WARMERMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 31.00)
27000989 HC RESERVOIR ZIMMERMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 12.00)
27000992 HC TUBE ENDOTRACHEAL ADULTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 45.00)
27000993 HC TUBING ONLY SERIES 20000 20111MVMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 139.00)
27000994HC TUBING PAC 30DG KEL .9ABS W/TIP 7408-29
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 176.00)
27000995HC PACK PROBE ANT VIT W/21G INFUS CANNULA
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 327.00)
27000996HC TUBING PACK 30DG MAXVAC 1.1ABS 7407-87
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 176.00)
27000997 HC TUBING LIPOSUCTIONMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 23.00)
27000998 HC PROBE LASER COHERENT STRT.MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 317.00)
27000999 HC CAUTERY TIP COLORADO NEEDLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 101.00)
27001000 HC PUNCHVAC. DONOR BARRON 8.0MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 162.00)
27001003 HC DISP. INFLATION DEVICEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 122.00)
27001004 HC KNIFE V-LANCE 19GMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 49.00)
27001005 HC KNIFE CLEAR-CUT SIDEPORTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 33.00)
27001006 HC SURGIBRAMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 68.00)
27001008 HC SURGIBRA XXXLGMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 92.00)
27201427 HC TROCAR 25 GA PLUGSMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 61.00)
27201428 HC CUTTER VIT HIGH SPEED 23GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 233.00)
27201429 HC PROBE LASER 25 GAUMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 340.00)
27201430 HC VISION BLUEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 99.00)
27201431 HC NEEDLE 20 G. SOFT-TIP GRIESHABERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 47.00)
27201432 HC ENDO ILLIUMINATOR 25 GAUMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 146.00)
27201433 HC G PROBEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 464.00)
27201434 HC BSS PLUS 500MLMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 122.00)
27201435 HC FORCEP 23 GAUMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 317.00)
27201436 HC FORCEP DISPOSABLE 25 GAUMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 317.00)
27201437 HC CANNULA 25 GAUGE SOFT-TIPMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 89.00)
27201438 HC PROBE LASER 25 GAUGEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 446.00)
27201439 HC CANNULA SOFT TIP SHORT 25GMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 89.00)
27201440 HC LASIK FLAP ROLLERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 26.00)
27201441 HC GOLD LID LOADS 1.0-1.6 GM.MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 451.00)
27201442 HC VITRECTOMY PACK 23 GAUMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 1,316.00)
27201443 HC TREPHINE WECK ALLMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 96.00)
27201444 HC NEEDLE EXTRUSION 23GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 59.00)
27201445 HC LIGHTED LASER PROBE 20 GAUMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 455.00)
27201446 HC CBM MICROKERATOME BLADE 19333MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 143.00)
27201447 HC INFUSION SYRINGE W/ STOPCOCKMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 38.00)
27201448HC SCRAPER DIAMOND DUSTED MEMBRANE 25 GA
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 291.00)
27201449 HC STRIP SCLERAL 20 31 32 42MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 33.00)
27201450 HC CONFORMER WITH HOLESMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 49.00)
27201451 HC TUBES JONESMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 38.00)
27201452 HC SUTURE 0.2 METRIC 30 CM 10-0MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 70.00)
27201453 HC SUTURE VICRYL 8-0 TG-140-8MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 33.00)
27201454 HC SUTURE VICRYL 10-0MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 42.00)
27201456 HC SUTURE VICRYL 6-0 S-14MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 21.00)
27201457 HC SUTURE 6-0 MILD CHROMIC HE-1MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 42.00)
27201458 HC SUTURE 5-0 DEXON SS-2MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 45.00)
27201459 HC CANNULA 25 GAU TROCARMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 305.00)
27201460 HC PIPE LIGHT 25 GAUMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 159.00)
27201461 HC LASER LIGHTED 20 GAUMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 227.00)
27201462 HC SUTURE SUPRAMID 3-0MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 30.00)
27201464 HC SLEEVE SILICONE 270MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 18.00)
27201465 HC PROBE OCUTOME 1006MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 404.00)
27201467 HC SUTURE MICROTECH 10-0MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 49.00)
27201468 HC SUTURE PROLENE BV1MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 65.00)
27201472 HC SHIELD COLLAGEN CORNEAL 12 HOURMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 54.00)
27201473 HC CANNULA DIAMOND DUSTED 23 GAUMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 146.00)
27201474 HC LENS VITRECTOMY 30 DEGREEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 61.00)
27201475 HC VITRECTOMY PACK 20GMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 990.00)
27201476 HC SCLERAL BUCKLE PACKMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 146.00)
27201477 HC TUBOPLAST PERICARDIUMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 622.00)
27201478 HC IRR CYSTOME 25GMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 14.00)
27201479 HC SUPRA FOIL 0.6MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 14.00)
27201480 HC RETRACTOR FLEXIBLES IRISMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 216.00)
27201481 HC LASER PROBE DIRECTIONAL 25 GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 388.00)
27201482 HC LENS BIOM DISPOSABLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 159.00)
27201483 HC CANNULA SYSTEM 1272-ED206MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 488.00)
27201484 HC CANNULA INFUSION 6 MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 61.00)
27201485 HC DRAIN DAVOLMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 17.00)
27201486 HC PERFLUORON 5CCMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 938.00)
27201487 HC SUTURE SILK 6-0 TG-140-8MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 26.00)
27201488 HC STAPLE SIGNET 35 R & WMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 88.00)
27201491 HC KCI DRESSING VAC MED M6275052/10MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 101.00)
27201492 HC TIP .9MM 30 RND TAPER ABSMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 207.00)
27201493 HC TIP 1.1MM 30 RND FLARED ABSMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 176.00)
27201494 HC SLEEVE INFUSION 1.1MM TIPLESSMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 420.00)
27201495 HC PROBE LASER COHERENT CVD.MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 366.00)
27201496 HC SUTURE SILK 4-0 PC-5MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 31.00)
27201497 HC SUTURE ETHILON 5-0 S-24MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 21.00)
27201498 HC TREPHINE VACUUM RADIAL BARRONMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 166.00)
27201499 HC SUTURE ETHILON 10-0 CS-175-8MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 31.00)
27201500 HC SUTURE CHROMIC 5-0 S-14MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 21.00)
27201501 HC SUTURE VICRYL 5-0 S-24MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 21.00)
27201502 HC SUTURE PROLENE 4-0 RB-1MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 29.00)
27201503 HC SUTURE SURGIGUT 6-0 #G1794MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 42.00)
27201504HC CANNULA 19G. TRI-PORT SUBENON(DR. BERRY)
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 12.00)
27201505 HC CANNULA SELF-RETAINING 20 GAU ACMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 92.00)
27201506 HC SUTURE PLAIN 6-0 TG 140-8MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 31.00)
27201507 HC SUTURE SILK 6-0 18 IN G-1MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 18.00)
27201508 HC SUTURE SILK 6-0 P-3MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 9.00)
27201509 HC SUTURE VICRYL 4-0 P-3MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 9.00)
27201510 HC SUTURE NYLON 6-0 P-1MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 21.00)
27201511 HC SUTURE NYLON 6-0 P-3MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 8.00)
27201512 HC SUTURE PROLENE 6-0 P-3MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 10.00)
27201513 HC SUTURE CHROMIC 4-0 M-1MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 16.00)
27201514 HC SUTURE ETHILON 10-0 CS-140-6 4MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 38.00)
27201515 HC SUTURE ETHILON 10-0 CS-175-8MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 47.00)
27201516 HC SUTURE NYLON 5-0 PDS P-3MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 10.00)
27201517 HC SUTURE ETHILON 5-0 S-24MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 31.00)
27201518 HC SUTURE ETHILON 8-0 TG-175-8MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 38.00)
27201519 HC SUTURE ETHILON 9-0 TG-140-8MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 26.00)
27201520 HC SUTURE PLAIN FAST ABS. 6-0 PC-1MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 12.00)
27201521 HC SUTURE PROLENE 10-0 STC-6MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 29.00)
27201522 HC SUTURE PROLENE 10-0 TG-140-8MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 52.00)
27201523 HC SUTURE PROLENE 4-0 P-3MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 9.00)
27201524 HC SUTURE PROLENE 5-0 P-3MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 9.00)
27201525 HC SUTURE PROLENE 6-0 P-1MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 10.00)
27201526 HC SUTURE SILK 2-0 SHMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 9.00)
27201527 HC SUTURE SILK 4-0 C-1MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 9.00)
27201528 HC SUTURE SILK 5-0 P-3MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 8.00)
27201529 HC SUTURE SILK 6-0 P-1MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 9.00)
27201530 HC SUTURE SILK 8-0 C-3MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 47.00)
27201531 HC SUTURE VICRYL 5-0 S-14MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 36.00)
27201532 HC SUTURE VICRYL 6-0 P-1 DYEDMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 16.00)
27201533 HC SUTURE VICRYL 6-0 S-14MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 36.00)
27201534 HC SUTURE VICRYL 7-0 TG-140-8MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 31.00)
27201535 HC SUTURE VICRYL 9-0 BV-100-3MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 38.00)
27201536 HC SUTURE 5-0 WHITE MERSLENEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 23.00)
27201538 HC SUTURE VICRYL 6-0 S-29MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 23.00)
27201539 HC STAPLER SKINMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 16.00)
27201540 HC CATH FOLEY TRAY W/URIMETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 35.00)
27201541 HC FORCEPS DORC DISP MICROMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 294.00)
27201542 HC SUTURE VICRYL 5-0 P-1MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 9.00)
27201543HC SCRAPER DIAMOND DUSTED MEMBRANE #2004
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 256.00)
27201544HC PAK ACCURUS VISCUS FLUID INJ 8065-740254
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 150.00)
27201545 HC SUTURE MERSILINE 5-0 S-28MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 26.00)
27201547 HC SUTURE GORTEX CV-S THX-36MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 33.00)
27201548 HC SUTURE PROLENE 3-0 SH W/PLEDGETTMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 15.00)
27800575 HC BAND SCLERAL BUCKLE-54050MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 34.00)
27800576 HC CRAWFORD LACRIMAL INTUBATION SETMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 140.00)
27800577HC ORBITAL FLOOR IMPLANT (BARRIER)8305
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27800578 HC PLATE AHMED FLEXIBLE FP7MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,238.00)
27800579 HC GRAFT ALLODERM 4X7 IMPLANTABLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,672.00)
27800580 HC SCLERA PIECE QUARTERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 200.00)
27800582 HC BAND SCLERAL 40240MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 20.00)
27800583 HC SCREWS (ALL) LIEBINGERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 96.00)
27800584 HC SCREWS (EMERGENCY) LIEB.MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 70.00)
27800585HC PLATE FLOOR ORBITAL COMPLEX LARGE 1.2MM .3MM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,675.00)
36001293HC REMOVE LENS MATERIAL; EXTRACAP 1+ STGS (YAG)
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36001294 HC O.R. PROC LEVEL 1 INCREMENTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 35.00)
36001295 HC O.R. PROC LEVEL 2 INCREMENTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 48.00)
36001296 HC O.R. PROC LEVEL 3 INCREMENTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 58.00)
36001297 HC O.R. PROC LEVEL 4 INCREMENTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 69.00)
36001298 HC O.R. PROC LEVEL 5 INCREMENTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 79.00)
36001299 HC O.R. PROC LEVEL 6 INCREMENTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 89.00)
36001300 HC O.R. PROC LEVEL 7 INCREMENTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 99.00)
36001301 HC O.R. PROC LEVEL 8 INCREMENTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 109.00)
36001302 HC O.R. PROC LEVEL 9 INCREMENTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 120.00)
36001303 HC O.R. PROC LEVEL 10 INCREMENTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 128.00)
37000002 HC GENERAL INCREMENTS ANESTHESIA - GENERAL CLASSIFICATION [0370] ( 22.00)
37000004 HC MAC INCREMENTS ANESTHESIA - GENERAL CLASSIFICATION [0370] ( 19.00)
72000038HC LABOR & DELIVERY O.R. PROC LEVEL 1 INCREMENT
LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 36.00)
72000039HC LABOR & DELIVERY O.R. PROC LEVEL 2 INCREMENT
LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 48.00)
72000040HC LABOR & DELIVERY O.R. PROC LEVEL 3 INCREMENT
LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 58.00)
72000041HC LABOR & DELIVERY O.R. PROC LEVEL 4 INCREMENT
LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 68.00)
72000042HC LABOR & DELIVERY O.R. PROC LEVEL 5 INCREMENT
LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 79.00)
72000043HC LABOR & DELIVERY O.R. PROC LEVEL 6 INCREMENT
LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 90.00)
72000044HC LABOR & DELIVERY O.R. PROC LEVEL 7 INCREMENT
LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 98.00)
72000045HC LABOR & DELIVERY O.R. PROC LEVEL 8 INCREMENT
LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 109.00)
72000046HC LABOR & DELIVERY O.R. PROC LEVEL 9 INCREMENT
LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 120.00)
72000047HC LABOR & DELIVERY O.R. PROC LEVEL 10 INCREMENT
LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 128.00)
36001304HC UMBILICAL ARTERY CATHETERIZATION NEWBORN
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 828.00)
36001305HC INS PM PULSE GEN ONLY W/EXIST SNG LEAD
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 10,567.00)
36001306HC INS PM PULSE GEN ONLY W/EXIST DUAL LDS
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 11,581.00)
27201398HC AQUACEL AG SURG 10 INCH DRESSING 412011
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 92.00)
27201549 HC BIOPSY NEEDLE (BARD)MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 66.00)
27201550 HC HUBER NEEDLE 19-20GA W/TUBINGMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 20.00)
36001307 HC DISCISSION 2ND CATARACT YAG LASEROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,081.00)
36001310 HC IRIDOTOMY/IRIDECTOMY BY LASEROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 607.00)
27201559 HC ORSOS SUPPLIES 272 REVMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 63.00)
36001225 HC TRACHEOSTOMY PLANNEDSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,668.00)
36001224 HC DX BRONCHOSCOPE/BRUSHSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,644.00)
36001229 HC DX BRONCHOSCOPE/LAVAGESPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,882.00)
36001230HC INJ PROC PYELO/NEPHRO THR TUB/INDWELL CATH
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 857.00)
91500002 HC GROUP THERAPY NOT MULTI-FAMILY
BEHAVIORAL HEALTH TREATMENTS/SERVICES - INTENSIVE OUTPATIENT SERVICES - CHEMICAL DEPENDENCY [0906] ( 321.00)
91600001 HC FAMILY THERAPY WO PT 50 MINBEHAVIORAL HEALTH TREATMENTS/SERVICES - FAMILY THERAPY [0916] ( 388.00)
91600002 HC FAMILY THERAPY W PT 50 MINBEHAVIORAL HEALTH TREATMENTS/SERVICES - FAMILY THERAPY [0916] ( 388.00)
91600003 HC MULTI-FAMILY GROUP THERAPYBEHAVIORAL HEALTH TREATMENTS/SERVICES - FAMILY THERAPY [0916] ( 321.00)
91600004HC INTERV HLTH/BEHAV EA 15 MINS FAM W/PT
BEHAVIORAL HEALTH TREATMENTS/SERVICES - FAMILY THERAPY [0916] ( 125.00)
91600005HC INTERV HLTH/BEHAV EA 15 MINS FAM NO PT
BEHAVIORAL HEALTH TREATMENTS/SERVICES - FAMILY THERAPY [0916] ( 54.00)
91800004HC NEUROBEHAVIORAL STATUS EXAM 1ST HOUR
BEHAVIORAL HEALTH TREATMENTS/SERVICES - TESTING [0918] ( 289.00)
91800005 HC NEUROPSYCH TST BY PSYCH/PHYSBEHAVIORAL HEALTH TREATMENTS/SERVICES - TESTING [0918] ( 289.00)
91800006 HC PSYCHO TESTING BY PSYCH/PHYSBEHAVIORAL HEALTH TREATMENTS/SERVICES - TESTING [0918] ( 289.00)
36001313 HC UNLISTED PROC SKIN MM & SQ TISSSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 382.00)
27800100 HC JUGGERKNOT 2.9 SUTURE ANCHORMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 822.00)
27800101 HC BIPLATE AHMED FLEXIBLE FX1MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,528.00)
27201556 HC ENDOPATH TROCAR 5MM 2CB5LTMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 61.00)
27001010 HC ENDO TRACH TUBE - HI-LOMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 14.00)
27201557 HC PROBE OCUTOME 1006MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 404.00)
27201558 HC SUTURE ETHILON 10-0 CS-B-6MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 63.00)
30010556 HC RL PROTRIPTYLINE-QUANT LABORATORY - CHEMISTRY [0301] ( 30.00)
30010557 HC BCR/ABL BY PCR TRANSLOCATION LABORATORY - CHEMISTRY [0301] ( 280.00)
30010558 HC BCR/ABL BY PCR BREAK POINT LABORATORY - CHEMISTRY [0301] ( 246.00)
30010559 HC IGVH MUTATION BY PCR CLL LABORATORY - CHEMISTRY [0301] ( 501.00)
30010560 HC JAK2 V617F MUTATION ANALYSIS LABORATORY - CHEMISTRY [0301] ( 180.00)
30010561 HC AML/ETO BY PCR LABORATORY - CHEMISTRY [0301] ( 270.00)
30010562HC ACIS IMMUNOCHEMISTRY EA ADD ANTIBODY
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30010563 HC RL LYMPHOMA T CELL TCR LABORATORY - CHEMISTRY [0301] ( 343.00)
30010564 HC RL HLA-B 5701 LABORATORY - CHEMISTRY [0301] ( 179.00)
30010565 HC CELIAC HLA DQA1 LABORATORY - CHEMISTRY [0301] ( 437.00)
30010566 HC CELIAC HLA DQB1 LABORATORY - CHEMISTRY [0301] ( 437.00)
30010567 HC RL CELIAC HLA DQA1 LABORATORY - CHEMISTRY [0301] ( 437.00)
30010568 HC RL CELIAC HLA DQB1 LABORATORY - CHEMISTRY [0301] ( 437.00)
30010569 HC RL BILE ACIDS LABORATORY - CHEMISTRY [0301] ( 103.00)
30010570 HC RL CELIAC TOTAL IGA LABORATORY - CHEMISTRY [0301] ( 107.00)
30010571HC RL MYASTHENIA GRAVIS PN-ACHR MODULAT AB LABORATORY - CHEMISTRY [0301] ( 83.00)
30010572HC RL ANTI HUMAN TRANSGLUTAMINASE IGA LABORATORY - CHEMISTRY [0301] ( 180.00)
30010573HC RL ANTI HUMAN TRANSGLUTAMINASE IGA LABORATORY - CHEMISTRY [0301] ( 180.00)
30010574 HC RL SPOROTHRIX ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 74.00)
30010575 HC RL CYSTICERCOSIS ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 78.00)
30010576HC RL STREPTOCOCCUS PNEUMONIAE ANTIGEN
LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 78.00)
30010577 HC RL CELIAC ANTI ENDOMYSIAL IGA LABORATORY PATHOLOGICAL - HISTOLOGY [0312] ( 184.00)
30010578 HC RL MULTIPLE MYELOMA PANELLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 539.00)
92200022HC NCV MOTOR/SENSE ELECTROD ARRAY EA LIMB
OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922] ( 260.00)
27201560 HC SUTURE PROLENE 10-0 BV-100-4MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 63.00)
27201561 HC SUTURE PROLENE 10-0 CIF-4MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 63.00)
27201562 HC SUTURE CHROMIC 7-0 TG-175-8MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 45.00)
27201563 HC TISSEEL FIBRIN SEALANTMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 291.00)
27001011 HC BLADE BEAVER 7513MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 26.00)
27001012 HC CANNULA SUB RETINAL #5035MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 36.00)
27001013 HC CANNULA SUB RETINAL #5021MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 26.00)
27001014 HC PLUGS LACON SCLERAL 8064-807550MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 56.00)
27201564 HC SUB RETINAL ST. NEEDLE #5178MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 29.00)
27800103 HC BUCKLE MERIDIONAL 103 106MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 40.00)
27201565 HC TUBING VGFIMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 244.00)
27201566 HC TIC 25 GAUGE DISPOSABLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 263.00)
27001015 HC PHOTON LITE PIPE 23 GAUGEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 122.00)
27201567 HC PLACE CATH INT. CAROTID - BILMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 3,050.00)
43000026HC IP THERAPEUTIC PROCEDURES EA 15 MIN EXERCISES
OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 182.00)
43000028HC IP SELF CARE/HOME MANG TRAINING EA 15 MIN
OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 104.00)
43000029HC IP THER ACTV DIR PT CONTACT BY PROVIDER EA 15 MIN
OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 125.00)
27800593 HC FLUENCY STENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 4,390.00)
36001314 HC ROBOTIC SURGICAL SYSTEMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 0.01)
27201568 HC SPINE STAR RF ABLATION PROBEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 7,496.00)
27201569 HC PROGEL PLURAL SEALANTMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 1,994.00)
36001315 HC RF BONE ABLATION W/O CT GUIDANCEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,475.00)
36001316 HC TX EXT RETINOPATHY PRETERM INFANTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,586.00)
27201570 HC ASAHI TORNUS SUPPORT CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,866.00)
27201571 HC ASAHI CORSAIR MICROCATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,900.00)
27001016 HC TOPI-FOAMMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 21.00)
31200015 HC RL CIRCULATING TUMOR CELL COUNT LABORATORY PATHOLOGICAL - HISTOLOGY [0312] ( 902.00)
31000044 HC RL MEN2 RET GENE MUTATION LABORATORY - CHEMISTRY [0301] ( 826.00)
31000045 HC RL PDGFRB BY FISH PROBE LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 232.00)
31000046 HC RL PDGFRB BY FISH HYBRID LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 212.00)
31000047 HC RL FIP1L1-PDGFRA BY FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 146.00)
31000048 HC RL RBC DNA GENOTYPING LABORATORY - CHEMISTRY [0301] ( 418.00)
31000049 HC RL PLATELET GENOTYPING LABORATORY - CHEMISTRY [0301] ( 418.00)
31000050 HC RL RH DNA GENOTYPING LABORATORY - CHEMISTRY [0301] ( 488.00)
31000051 HC RL PATHOLOGY CONSULT LIMITEDLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 208.00)
31000052 HC RL AMYLOID PROTEIN ID SAMPLE PREPLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 272.00)
31000053HC RL MY AMYLOID PROTEIN ID SPECIAL STAIN
LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 160.00)
30001163HC RL AMYLOID PROTEIN ID EACH SPECIMEN LABORATORY - CHEMISTRY [0301] ( 108.00)
36001317HC EGD FLEX TRANSORAL W/SUBMUCOSAL INJ
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,664.00)
36001318 HC PERQ SACRAL AUGMT BILAT INJ(S)OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 10,066.00)
27201572 HC BIOSEAL HEMOSTASIS POWDER 750MGMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 55.00)
36001319 HC INSERT CATH PLEURA W/O IMAGESPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,355.00)
36001320 HC INSERT CATH PLEURA W/ IMAGESPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,881.00)
27400103HC HM II HOLSTER VEST PC S/M/L REPLACEMENT ONLY
MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 403.00)
27400104HC HEARTMATE II BATTERY HOLSTER REPLACEMENT ONLY
MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 927.00)
27400105HC HEARTMATE II SHOWER BAG PC REPLACEMENT ONLY
MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 459.00)
30010579HC RL LACTOSTAT DRUG PANEL BREAST MILK LABORATORY - CHEMISTRY [0301] ( 17.00)
30100287 HC RL INTERFERON - GAMMA LABORATORY - CHEMISTRY [0301] ( 180.00)
27201574 HC DELIVERY NEEDLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 98.00)
27201575 HC PACKING NASAL MERCELMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 18.00)
31000054 HC RL MYOTONIA EVAL PATH LVL 2 LABORATORY - CHEMISTRY [0301] ( 188.00)
31000055 HC RL MYOTONIA EVAL PATH LVL 7 LABORATORY - CHEMISTRY [0301] ( 1,617.00)
31000056 HC RL MYOTONIA EVAL OTHER UNLISTED LABORATORY - CHEMISTRY [0301] ( 1,410.00)
30600049 HC HEP B SURF ANT CONFIRMLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 62.00)
30200168HC RL HRT MONOSODIUM GLUTAMATE (MSG) LABORATORY - IMMUNOLOGY [0302] ( 568.00)
30200169 HC RL PARAINFLUENZA IGG LABORATORY - IMMUNOLOGY [0302] ( 77.00)
30200171 HC RL MY PARANEOPLASTIC PANEL CSF LABORATORY - IMMUNOLOGY [0302] ( 184.00)
30200170 HC RL PARAINFLUENZA IGM LABORATORY - IMMUNOLOGY [0302] ( 77.00)
61000292 HC HANDS W & W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,397.00)
61000293 HC HANDS W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,332.00)
61000294 HC HANDS WITH CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,265.00)
61000295 HC KNEES W & W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,919.00)
61000296 HC KNEES W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,629.00)
61000297 HC KNEES WITH CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,904.00)
61000298 HC SHOULDER W & W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,397.00)
61000299HC MRI ANY JT UPPER EXTREM W/O CONTRAST BIL
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,265.00)
61000300 HC SHOULDER WITH CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,332.00)
61000301 HC ANKLES W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,629.00)
61000303 HC ANKLES W & W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,919.00)
61000304 HC BIOMET KNEE W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,629.00)
61000306 HC BRACHIAL PLEXUS W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,265.00)
61000307 HC BRACHIAL PLEXUS WITH CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,332.00)
61000308 HC CLAVICLES W & W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,397.00)
61000309 HC CLAVICLES W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,265.00)
61000310 HC CLAVICLES WITH CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,332.00)
61000311 HC ELBOW W & W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,397.00)
61000312 HC ELBOW W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,265.00)
61000313 HC ELBOW WITH CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,332.00)
61000314 HC FEET W & W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 5,431.00)
61000315 HC FEET W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,629.00)
61000316 HC FEET WITH CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,904.00)
61000317 HC FINGERS W & W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,919.00)
61000318 HC FINGERS W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,265.00)
61000319 HC FINGERS WITH CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,904.00)
61000320 HC FOREARM W & W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,397.00)
61000321 HC FOREARM W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,265.00)
61000322 HC FOREARM WITH CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,332.00)
61000323 HC HUMERI W & W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,397.00)
61000324 HC HUMERI W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,265.00)
61000325 HC HUMERI WITH CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,332.00)
61000326 HC LEG/CALF W & W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 5,431.00)
61000327 HC LEG/CALF W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,629.00)
61000328 HC LEG/CALF WITH CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,904.00)
61000329HC STERNOCLAVICULAR JNTS W & W/O CONTR. BILAT
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,397.00)
61000330HC STERNOCLAVICULAR JNTS W/O CONTR. BILAT
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,265.00)
61000331HC STERNOCLAVICULAR JNTS WITH CONTR. BILAT
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,332.00)
61000332 HC THIGHS W & W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 5,431.00)
61000333 HC THIGHS W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,904.00)
61000334 HC THIGH WITH CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,629.00)
61000335 HC TOES W & W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,919.00)
61000336 HC TOES W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,629.00)
61000337 HC TOES WITH CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,904.00)
61000338 HC WRIST W & W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,397.00)
61000339 HC WRIST W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,265.00)
61000340 HC WRIST WITH CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,332.00)
32000668 HC ANKLE 2V PORT BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 546.00)
32000669 HC ANKLE 3V PORT BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 592.00)
32000670 HC ELBOW 2V PORT BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 353.00)
32000671 HC FEET 2V PORT. BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 348.00)
32000672 HC FEET 3V PORT BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 608.00)
32000673 HC FEMURA 2V PORT. BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 453.00)
32000674 HC FINGER 2V PORT BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 338.00)
32000675 HC FOREARM 2V PORT BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 426.00)
32000676 HC HAND 2V PORT BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 344.00)
32000677 HC HAND 3V PORT BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 397.00)
32000678 HC HEEL 2V PORT. BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 321.00)
32000679 HC HIP 1V PORT. BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 315.00)
32000680 HC HIP 2V PORT. BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 470.00)
32000681 HC HUMERUS 2V PORT BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 415.00)
32000682 HC KNEE 1-2V PORT. BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 499.00)
32000683 HC KNEE 1-2V ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 499.00)
32000684 HC LOWER EXT. (INFANT) 2V PORT. BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 479.00)
32000685 HC PATELLA 2V PORT. BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 499.00)
32000686 HC SHOULDER 2V TRAUMA BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 444.00)
32000687 HC TIB/FIB 2V PORT. BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 506.00)
32000688 HC UPPER EXT. (INFANT) 2V BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 451.00)
32000689 HC CLAVICLE ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 381.00)
32000690 HC FOREARM 2V ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 426.00)
32000691 HC HUMERUS 2V ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 415.00)
32000692 HC WRIST 2V PORT BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 292.00)
32000693 HC WRIST 3V PORT BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 365.00)
32000694 HC ANKLE 1V PORT BILAT (M52)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 546.00)
32000695 HC ANKLE 1V ROUTINE BILAT (M52)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 546.00)
32000696 HC ANKLE 2V ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 546.00)
32000697 HC ANKLE 3V ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 592.00)
32000698 HC CLAVICLE PORT. BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 381.00)
32000699 HC ELBOW 1V PORT. BILAT (M52)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 353.00)
32000700 HC ELBOW 1V ROUTINE BILAT (M52)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 353.00)
32000701 HC ELBOW 2V ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 353.00)
32000702 HC ELBOW 3V PORT BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 379.00)
32000703 HC ELBOW 3V ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 379.00)
32000704 HC FEET 1V PORT. BILAT (M52)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 348.00)
32000705 HC FEET 1V ROUTINE BILAT (M52)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 348.00)
32000706 HC FEET 2V ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 348.00)
32000707 HC FEET 3V ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 608.00)
32000708 HC FEMURA 2V ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 453.00)
32000709 HC FINGER 2V ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 338.00)
32000710 HC FOREARM 1V PORT. BILAT (M52)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 426.00)
32000711 HC FOREARM 1V ROUTINE BILAT (M52)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 426.00)
32000712 HC HAND 1V PORT. BILAT (M52)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 344.00)
32000713 HC HAND 1V ROUTINE BILAT (M52)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 344.00)
32000714 HC HAND 2V ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 344.00)
32000715 HC HAND 3V ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 397.00)
32000716 HC HEEL 2V ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 321.00)
32000717 HC HIP 1V ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 315.00)
32000718 HC HIP 2V ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 470.00)
32000719 HC HIP IN OR BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 430.00)
32000720 HC HUMERUS 1V PORT. BILAT (M52)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 415.00)
32000721 HC HUMERUS 1V ROUTINE BILAT (M52)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 415.00)
32000722 HC KNEE TRAUMA 3V ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 527.00)
32000723 HC LOWER EXT. (INFANT) 2V BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 479.00)
32000724 HC PATELLA 2V ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 499.00)
32000725 HC SCAPULA PORTABLE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 444.00)
32000726 HC SCAPULA ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 444.00)
32000727 HC SHOULDER 1V ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 332.00)
32000728 HC SHOULDER 1V PORT BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 332.00)
32000729 HC SHOULDER 3V ROUTINE/BURSITIS BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 444.00)
32000730 HC TIB/FIB 2V ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 506.00)
32000731 HC TOES ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 346.00)
32000732 HC TOES PORT. BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 346.00)
32000733 HC WRIST 1V ROUTINE BILAT (M52)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 292.00)
32000734 HC WRIST 1V PORT. BILAT (M52)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 292.00)
32000735 HC WRIST 2V ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 292.00)
32000736 HC WRIST 3V ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 365.00)
35000025 HC KNEE W/O CONTR. BILAT (BIOMET) CT SCAN - BODY SCAN [0352] ( 2,151.00)
35000026HC EXT. UPPER ANGIO W & W/O CONTR W PP BILAT CT SCAN - BODY SCAN [0352] ( 3,407.00)
35000027HC EXT. LOWER ANGIO W & W/O CONTR W PP BILAT CT SCAN - BODY SCAN [0352] ( 3,250.00)
35000028 HC ANKLES W/O CONTR. BILAT CT SCAN - BODY SCAN [0352] ( 2,151.00)
35000029 HC ELBOW W/O CONTR. BILAT CT SCAN - BODY SCAN [0352] ( 2,560.00)
35000030 HC FEET W/O CONTR. BILAT CT SCAN - BODY SCAN [0352] ( 2,151.00)
35000031 HC FEMUR W/O CONTR. BILAT CT SCAN - BODY SCAN [0352] ( 2,151.00)
35000032 HC FOREARM W/O CONTR. BILAT CT SCAN - BODY SCAN [0352] ( 2,560.00)
35000033 HC HAND W/O CONTR. BILAT CT SCAN - BODY SCAN [0352] ( 2,560.00)
35000034 HC HEELS W/O CONTR. BILAT CT SCAN - BODY SCAN [0352] ( 2,151.00)
35000035 HC HUMERI W/O CONTR. BILAT CT SCAN - BODY SCAN [0352] ( 2,560.00)
35000036 HC TIB/FIB W/O CONTR. BILAT CT SCAN - BODY SCAN [0352] ( 2,151.00)
35000037 HC WRIST W/O CONTR. BILAT CT SCAN - BODY SCAN [0352] ( 2,560.00)
61000302 HC ANKLES WITH CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,904.00)
61000305HC BRACHIAL PLEXUS W & W/O CONTR. BILAT
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,397.00)
27800598 HC IMPLANT MEDPOR TITANMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 680.00)
43000060HC SPEECH COGNITIVE PERFORMANCE TESTING
OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 621.00)
42000041 HC ELECTRIC STIM MANUAL EA 15 MIN PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 111.00)
42000052 HC ULTRASOUND EA 15 MIN PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 86.00)
42000060HC IP THERAPEUTIC PROCEDURES EA 15 MIN EXERCISES PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 182.00)
42000047HC THERAPEUTIC PROC GROUP 2/> INDIVIDUALS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 94.00)
42000062HC IP THER ACTV DIR PT CONTACT BY PROVIDER EA 15 MIN PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 125.00)
42000061HC IP SELF CARE/HOME MANG TRAINING EA 15 MIN PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 104.00)
43000061 HC WORK HARDENING IOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 238.00)
43000062 HC WORK HARDENING IIOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 120.00)
42000063HC DEBRIDEMENT OPEN WOUND 20 SQ CM/< PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 411.00)
43000054HC DEBRIDEMENT OPEN WOUND 20 SQ CM/<
OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 411.00)
42000064HC DEBRIDEMENT OPEN WOUND EACH ADDITIONAL 20 SQ CM PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 527.00)
43000055HC DEBRIDEMENT OPEN WOUND EACH ADDITIONAL 20 SQ CM
OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 527.00)
42000048HC NEG PRESS WOUND THER I <OR=50 SQCM PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 166.00)
42000049 HC NEG PRESS WOUND THER II >50 SQCM PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 558.00)
42000058HC ORTHOTIC FITTING & TRAINING EA 15 MIN INITIAL PT PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 98.00)
43000036 HC MOBILITY CURRENT STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)
43000037 HC MOBILITY GOAL STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)
43000038 HC MOBILITY D/C STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)
43000039 HC BODY POS CURRENT STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)
43000040 HC BODY POS GOAL STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)
43000041 HC BODY POS D/C STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)
43000042 HC CARRY CURRENT STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)
43000043 HC CARRY GOAL STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)
43000044 HC CARRY D/C STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)
43000045 HC SELF CARE CURRENT STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)
43000046 HC SELF CARE GOAL STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)
43000047 HC SELF CARE D/C STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)
43000048 HC OTHER PT/OT CURRENT STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)
43000049 HC OTHER PT/OT GOAL STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)
43000050 HC OTHER PT/OT D/C STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)
43000051 HC SUB PT/OT CURRENT STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)
43000052 HC SUB PT/OT GOAL STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)
43000053 HC SUB PT/OT D/C STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)
43000030 HC ATTEN CURRENT STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)
44000010 HC ATTEN CURRENT STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)
43000031 HC ATTEN GOAL STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)
44000011 HC ATTEN GOAL STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)
43000032 HC ATTEN D/C STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)
44000012 HC ATTEN D/C STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)
43000033 HC MEMORY CURRENT STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)
44000013 HC MEMORY CURRENT STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)
43000034 HC MEMORY GOAL STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)
44000014 HC MEMORY GOAL STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)
43000035 HC MEMORY D/C STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)
44000015 HC MEMORY D/C STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)
36001321 HC INTRAVITREAL INJECTION PHARMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,389.00)
42000050 HC VASOPNEUMATIC DEVICE APPLICATION PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 60.00)
42000051 HC PARAFFIN BATH PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 46.00)
42000042 HC FLUIDO THERAPY/WHIRLPOOL PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 105.00)
42000053 HC IONTOPHORESIS EA 15 MIN PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 93.00)
42000044HC THERAPEUTIC PROCEDURES EA 15 MIN EXERCISES PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 182.00)
42000054HC NEUROMUSCULAR RE-EDUCATION EA 15 MIN PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 102.00)
42000055 HC MASSAGE EA 15 MIN PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 83.00)
42000046HC THER ACTV DIR PT CONTACT BY PROVIDER EA 15 MIN PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 125.00)
42000056HC SELF CARE/HOME MANG TRAINING EA 15 MIN PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 104.00)
42000045HC COMMUNITY RE-INTEGRATION TRAINING EA 15 MIN PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 94.00)
42000040 HC WHEELCHAIR MANAGEMENT EA 15 MIN PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 104.00)
42000059HC PHYSICAL PERFORM/TEST W/REPORT EA 15 MIN PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 113.00)
42000057HC ORTHOTIC/PROSTHETIC USE CHECKOUT EA 15 MIN PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 69.00)
42000043HC MANUAL THERAPY 1/> REGIONS EA 15 MIN PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 99.00)
34300043 HC 153-SM QUADRAMET UP TO 150 MCINUCLEAR MEDICINE - THERAPEUTIC RADIOPHARMACEUTICALS [0344] ( 16,927.00)
36001322 HC UNNA BOOT BILATERALOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 339.00)
76100003 HC APPLY MULTLAY COMPRS LWR LEG BILSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 250.00)
36100142HC CATH PL ABD/PELV/LOW EXT ART 1ST OR BILAT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 2,415.00)
36001096 HC REMOVAL TUNNELED IP CATHOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,134.00)
27201583 HC SUTURE CHROMIC CT 3-0 922HMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 7.00)
27201601 HC SUTURE PROLENE CT-1 0 8424HMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 5.00)
27201603 HC SUTURE PROLENE SH 3-0 8522HMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 16.00)
30100260 HC RL RUFINAMIDE BANZEL LABORATORY - CHEMISTRY [0301] ( 92.00)
31100027HC RL ARRAY CGH MOLECULAR KAROTYPING LABORATORY - CHEMISTRY [0301] ( 525.00)
30100288 HC RL MANNOSE BINDING LECTIN LABORATORY - CHEMISTRY [0301] ( 108.00)
30100289 HC RL PSEUDOCHOLINESTERASE LABORATORY - CHEMISTRY [0301] ( 48.00)
30100290HC RL PSEUDOCHOLINESTERASE DIBUCAINE INHIB. LABORATORY - CHEMISTRY [0301] ( 63.00)
30200172 HC RL RABIES ANTIBODY IGG LABORATORY - IMMUNOLOGY [0302] ( 77.00)
36001323 HC BRONCHOSCOPY W/TUMOR EXCISESPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,242.00)
43000064HC APPLICATION SURFACE NEUROSTIMULATOR
OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 102.00)
43000065HC AQUATIC THERAPY W/THER EXERC EA 15 MIN
OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 93.00)
42000065HC RMVL DEVITAL TISS NSLCTV DBRDMT W/O ANES 1 SESS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 303.00)
43000066HC PROSTHETIC TRAINING EA 15 MIN INITIAL OT
OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 62.00)
43000063HC ELECTRICAL STIM UNATTENDED/NON WOUND
OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 48.00)
36001097 HC BRONCHOSCOPY/NEEDLE BX EACHSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,569.00)
46000022 HC HAST W/REPORTPULMONARY FUNCTION - GENERAL CLASSIFICATION [0460] ( 420.00)
46000023 HC HAST W/OXYGEN TITRATEPULMONARY FUNCTION - GENERAL CLASSIFICATION [0460] ( 598.00)
46000024 HC C0 DIFFUSE CAPACITYPULMONARY FUNCTION - GENERAL CLASSIFICATION [0460] ( 100.00)
46000025 HC EXHALED NITRIC OXIDE MEASPULMONARY FUNCTION - GENERAL CLASSIFICATION [0460] ( 92.00)
36001098HC NEG PRESS WOUND TX <=50 SQ CM W/DME
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 166.00)
36001099HC NEG PRESS WOUND TX >50 SQ CM W/DME
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 558.00)
27201619HC CATH BALLOON TAMPONADE POSTPARTUM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 573.00)
30100291 HC RL ALCOHOL METHYL LABORATORY - CHEMISTRY [0301] ( 72.00)
30100292 HC RL CELIAC DISEASE ANTIGEN SCREEN LABORATORY - CHEMISTRY [0301] ( 85.00)
30100293 HC RL B CELL REARRANGEMENT BY PCR LABORATORY - CHEMISTRY [0301] ( 337.00)
30100294 HC RL ALPHA 1 ANTITRYPSIN S/Z MUTATION LABORATORY - CHEMISTRY [0301] ( 86.00)
30100295 HC RL LORAZEPAM LABORATORY - CHEMISTRY [0301] ( 88.00)
30100296 HC RL PANCREATITIS IDOPATHIC GENE SEQ LABORATORY - CHEMISTRY [0301] ( 1,533.00)
30100297HC RL PANCREATITIS IDOPATHIC MOLE PATH LABORATORY - CHEMISTRY [0301] ( 865.00)
30100298HC RL PANCREATITIS IDOPATHIC GENE SEQ. MISC. LABORATORY - CHEMISTRY [0301] ( 892.00)
76209999 HC CONDITION CODE 44 OBSSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - OBSERVATION ROOM (A) [0762] ( 37.00)
27201623 HC MICROCATHETER MARKSMANMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,283.00)
30100299 HC RL ALPHA THALASSEMIA 7 DELETIONS LABORATORY - CHEMISTRY [0301] ( 317.00)
75000008 HC SCRN COLONOSCOPY ON HI RISK PTGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,768.00)
36001324 HC EBUS DURING BRONCHOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,303.00)
30200173 HC RL GABA AMINO BUTYRIC ACID LABORATORY - IMMUNOLOGY [0302] ( 72.00)
30100300 HC RL FRAGILE X (FMR1) DIAGNOSTIC LABORATORY - CHEMISTRY [0301] ( 92.00)
30100301 HC RL UGT1A1 GENE ANALYSIS LABORATORY - CHEMISTRY [0301] ( 238.00)
27201624 HC ANGIOVACMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 30,498.00)
36001325HC UNLISTED PROCEDURE ABD PERITONEUM
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,662.00)
27001017 HC COLD WRAP THERAPY ALLMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 49.00)
71000011 HC 241 - 270 MIN RECOVER CHARGE RECOVERY ROOM - GENERAL CLASSIFICATION [0710] ( 3,883.00)
71000012 HC 271 - 300 MIN RECOVER CHARGE RECOVERY ROOM - GENERAL CLASSIFICATION [0710] ( 4,314.00)
19100001HC SUBACUTE-LEVEL I RECOUP CARE SEMI-PRIVATE SUBACUTE CARE - LEVEL I [0191] ( 1,076.00)
75000009 HC DILATE ESOPH UNGUIDED SND/BOUGGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,247.00)
91400017 HC EMP PSYCHTHERP 60MIN W/PTBEHAVIORAL HEALTH TREATMENTS/SERVICES - INDIVIDUAL THERAPY [0914] ( 211.00)
91400018 HC PUB PSYCHTHERP 60MIN W/PTBEHAVIORAL HEALTH TREATMENTS/SERVICES - INDIVIDUAL THERAPY [0914] ( 211.00)
91400019 HC PDISC PSYCHTHERP 60MIN W/PTBEHAVIORAL HEALTH TREATMENTS/SERVICES - INDIVIDUAL THERAPY [0914] ( 211.00)
90000012HC EMP PSYCH DIAGNOSTIC EVALUATION NEW
BEHAVIORAL HEALTH TREATMENTS/SERVICES - GENERAL CLASSIFICATION [0900] ( 148.00)
90000013HC PUB PSYCH DIAGNOSTIC EVALUATION NEW
BEHAVIORAL HEALTH TREATMENTS/SERVICES - GENERAL CLASSIFICATION [0900] ( 148.00)
90000014HC PDISC PSYCH DIAGNOSTIC EVALUATION NEW
BEHAVIORAL HEALTH TREATMENTS/SERVICES - GENERAL CLASSIFICATION [0900] ( 148.00)
36001326 HC CL TX POSTOP HIP DISLOC W ANESTHOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,733.00)
76100011HC APP LC SKIN SUB >100 SQCM EA ADD 100 SQCM HEAD HAND FEET
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 810.00)
36001341 HC PERQ DEV BREAST ADD MR GUIDE OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 272.00)
36001342 HC OPEN/PERQ PLACE STENT 1STOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 10,701.00)
36001343 HC OPEN/PERQ PLACE STENT EA ADDOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,923.00)
36001344 HC OPEN/PERQ PLACE STENT SAMEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 10,701.00)
36001345 HC OPEN/PERQ PLACE STENT EA ADDOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,923.00)
36001346 HC VASC EMBOLIZE/OCCLUDE VENOUSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 10,701.00)
36001347 HC VASC EMBOLIZE/OCCLUDE ARTERYOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 16,640.00)
36001348 HC VASC EMBOLIZE/OCCLUDE ORGANOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 16,640.00)
36001349 HC VASC EMBOLIZE/OCCLUDE BLEEDOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 16,640.00)
36001350 HC IMAGE CATH FLUID COLXN VISCOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,872.00)
36001351 HC IMAGE CATH FLUID PERI/RETROOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,872.00)
44400025 HC EVALUATION OF SPEECH FLUENCYSPEECH THERAPY - LANGUAGE PATHOLOGY - EVALUATION OR REEVALUATION [0444] ( 245.00)
44400026 HC EVALUATE SPEECH PRODUCTIONSPEECH THERAPY - LANGUAGE PATHOLOGY - EVALUATION OR REEVALUATION [0444] ( 198.00)
44400027 HC SPEECH SOUND LANG COMPREHENSPEECH THERAPY - LANGUAGE PATHOLOGY - EVALUATION OR REEVALUATION [0444] ( 434.00)
75000010HC ESOPHAGOSCOPY RIGID TRANSORAL BRUSH/WASH
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,563.00)
75000011HC ESOPHAGOSCOPY RIGID TRANSORAL W/SUBMUC INJ
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,328.00)
75000012HC ESOPHAGOSCOPY RIGID TRANSORAL BIOPSY SINGLE/MULTI
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,328.00)
75000013HC ESOPHAGOSCOPY RIGID TRANSORAL REM FOREIGN BODY
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,328.00)
75000014HC ESOPHAGOSCOPY RIGID TRANSORAL BALLOON DIL<30
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 4,926.00)
75000015HC ESOPHAGOSCOPY RIGID TRANSORAL GUIDEWIRE INSERT
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 4,926.00)
75000016HC ESOPHAGOSCOPY FLEX TRANSNASAL BRUSH/WASH
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 951.00)
75000017HC ESOPHAGOSCOPY FLEX TRANSNASAL BIOPSY SINGLE/MULTI
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,174.00)
75000018HC ESOPHAGOSCOPY FLEX TRANSORAL ENDO MUC RESECT
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,328.00)
75000019HC ESOPHAGOSCOPY FLEX TRANSORAL STENT PLACE
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 4,053.00)
75000020HC ESOPHAGOSCOPY FLEX TRANSORAL RETRO BALLN
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,450.00)
75000021HC ESOPHAGOSCOPY FLEX TRANSORAL DILATE BALLN >30
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,328.00)
75000022HC ESOPHAGOSCOPY FLEX TRANSORAL LESION ABLATE
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 4,926.00)
75000023HC EGD FLEX TRANSORAL BALLOON DIL ESOPH >30
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,328.00)
75000024HC EGD FLEX TRANSORAL US TRANSMURAL INJ/MARK
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,872.00)
75000025HC EGD FLEX TRANSORAL ENDO MUCOSAL RESECTION
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,872.00)
75000026HC EGD FLEX TRANSORAL ENDO STENT PLACE
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 4,053.00)
75000027HC EGD FLEX TRANSORAL LESION ABLATION
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,328.00)
75000028 HC ERCP DUCT STENT PLACEMENTGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 4,053.00)
75000029 HC ERCP REMOVE FORGN BODY DUCTGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,815.00)
75000030 HC ERCP STENT EXCHANGE W/DILATEGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 4,053.00)
75000031 HC ERCP EA DUCT/AMPULLA DILATEGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,815.00)
75000032 HC ERCP LESION ABLATE W/DILATEGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,815.00)
76100004HC APP LC SKIN SUB <100 SQCM 1ST 25 SQCM TRNK ARM LEG
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 810.00)
76100005HC APP LC SKIN SUB <100 SQCM EA ADD 25 SQCM TRNK ARM LEG
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 810.00)
76100006HC APP LC SKIN SUB >100 SQCM 1ST 100 SQCM TRNK ARM LEG
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,711.00)
76100007HC APP LC SKIN SUB >100 SQCM EA ADD 100 SQCM TRNK ARM LEG
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,711.00)
76100008HC APP LC SKIN SUB <100 SQCM 1ST 25 SQCM HEAD HAND FEET
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 810.00)
76100009HC APP LC SKIN SUB <100 SQCM EA ADD 25 SQCM HEAD HAND FEET
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 810.00)
76100010HC APP LC SKIN SUB >100 SQCM 1ST 100 SQCM HEAD HAND FEET
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 810.00)
36001327 HC GUIDE CATHET FLUID DRAINAGEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,057.00)
36001328 HC BX BREAST 1ST LESION STRTCTC OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,669.00)
36001329 HC BX BREAST ADD LESION STRTCTC OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,085.00)
36001330 HC BX BREAST 1ST LESION US IMAG OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,669.00)
36001331 HC BX BREAST ADD LESION US IMAG OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,085.00)
36001332 HC BX BREAST 1ST LESION MR IMAG OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,669.00)
36001333 HC BX BREAST ADD LESION MR IMAG OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,085.00)
36001334 HC PERQ DEVICE BREAST 1ST IMAG OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 643.00)
36001335 HC PERQ DEVICE BREAST EA IMAG OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 272.00)
36001336 HC PERQ DEV BREAST 1ST STRTCTC OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 643.00)
36001337 HC PERQ DEV BREAST ADD STRTCTC OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 272.00)
36001338 HC PERQ DEV BREAST 1ST US IMAG OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 643.00)
36001339 HC PERQ DEV BREAST ADD US IMAG OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 272.00)
36001340 HC PERQ DEV BREAST 1ST MR GUIDE OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 643.00)
27201625 HC ENDOSERTERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 517.50)
44000016 HC BEHAVRAL QUALIT ANALYS VOICESPEECH THERAPY - LANGUAGE PATHOLOGY - EVALUATION OR REEVALUATION [0444] ( 192.00)
30600050 HC HSV TYPE 1 BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 223.00)
30600051 HC HSV TYPE 2 BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 223.00)
41000014 HC MECHANICAL CHEST WALL OSCILLRESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410] ( 335.00)
36001100HC AMPUTATE FING/TH SGL; W LOC ADV FLAP
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,750.00)
31200016HC ACIS IMMUNOCHEMISTRY EA ADDL ANTIBODY LABORATORY PATHOLOGICAL - HISTOLOGY [0312] ( 151.00)
31200017HC IMMUNOCYTOCHEMISTRY EA ADDL ANTIBODY LABORATORY PATHOLOGICAL - HISTOLOGY [0312] ( 170.00)
31200018 HC RL ACTH EA ADDL ANTIBODY LABORATORY PATHOLOGICAL - HISTOLOGY [0312] ( 81.00)
31200019HC RL KAPPA ANTIBODY STAIN BY IHC EA ADDL ANTIBODY LABORATORY PATHOLOGICAL - HISTOLOGY [0312] ( 170.00)
31200020HC RL LAMBDA ANTIBODY STAIN BY IHC EA ADDL ANTIBODY LABORATORY PATHOLOGICAL - HISTOLOGY [0312] ( 170.00)
31200021HC RL NP IMMUNOHISTOCHEMISTRY EA ADDL ANTIBODY LABORATORY PATHOLOGICAL - HISTOLOGY [0312] ( 69.00)
30100302HC RL PORPHOBILINOGEN DEAMINASE (PBGS) LABORATORY - CHEMISTRY [0301] ( 102.00)
30600052 HC RL H1N1 INFLUENZA BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 238.00)
36001352 HC ABD/PELVIS/LOW EXT ART 2ND BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,537.00)
36001353 HC ABD/PELVIS/LOW EXT ART 3RD BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,663.00)
27400106 HC HM II PC SYSTEM CONTROLLERMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 20,625.00)
27400107 HC HM PC 11V LI-ION BACKUP BATTERYMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 1,312.00)
27400108 HC HM PC WEARABLE ACCESSORIES KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 446.00)
27400109 HC HM PC CONSOLIDATED BAG LEFTMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 853.00)
27400110 HC HM PC CONSOLIDATED BAG RIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 853.00)
27400111 HC HM PC HOLSTER VEST SMALLMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 1,037.00)
27400112 HC HM PC HOLSTER VEST MEDIUMMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 1,037.00)
27400113 HC HM PC HOLSTER VEST LARGEMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 1,037.00)
27400114 HC HM PC BATTERY HOLSTERMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 518.00)
27400115 HC HM PC SHOWER BAGMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 591.00)
27800609 HC LENS SILICONE AMO Z9002MEDICAL/SURGICAL SUPPLIES AND DEVICES - INTRAOCULAR LENS [0276] ( 270.00)
36001354HC EMBOLIZATION EXTRACRANIAL HEAD OR NECK
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 14,040.00)
27800610 HC MESH DELTA .5MM 70-05145MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 4,021.00)
45000022 HC TX CL ELBOW DISLOC W ANESTH EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 1,733.00)
61000182 HC MRA W/O CONTRAST LOWER EXT BILMAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610] ( 2,658.00)
76100012 HC ENDOVENOUS RF 1ST VEINSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 4,956.00)
76100013 HC ENDOVENOUS RF VEIN ADD-ONSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,013.00)
76100014 HC LASER ABLTN EXT VEIN 1ST VEINSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 4,956.00)
76100015 HC LASER ABLTN EXTR VEIN 2ND & >SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,013.00)
76100016 HC STAB PHLEB VEINS XTR 10-20OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,013.00)
76100017 HC PHLEB VEINS - EXTREM 20+OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,313.00)
76100018 HC UNLISTED VASC PROCEDUREOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,350.00)
36001355 HC INJ SCIATIC NERVE SINGLEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 838.00)
36001356 HC ILIAC REVASC W/STENT BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 29,640.00)
27201626 HC ENSEAL NSLG2C35AMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 1,163.00)
27800612 HC SLING HALO OBTRYX 68505002MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,708.00)
71000013 HC 301-330 MIN RECOVER CHARGE RECOVERY ROOM - GENERAL CLASSIFICATION [0710] ( 4,744.00)
71000014 HC 331-360 MIN RECOVER CHARGE RECOVERY ROOM - GENERAL CLASSIFICATION [0710] ( 5,176.00)
71000015 HC 361-390 MIN RECOVER CHARGE RECOVERY ROOM - GENERAL CLASSIFICATION [0710] ( 5,608.00)
71000016 HC 391-420 MIN RECOVER CHARGE RECOVERY ROOM - GENERAL CLASSIFICATION [0710] ( 6,039.00)
36001357HC THORACENTESIS ASPIR W IMAGE GUIDANCE BIL
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,916.00)
36001358 HC INSERT CATH PLEURA W/O IMAGE BILSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,032.00)
36001359 HC VENOUS MECH THROMBECTOMYOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 9,130.00)
36001360 HC INSERT CATH PLEUA W/IMAGE BILSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,823.00)
36001361HC THORACENTESIS ASPIRATION W/O IMG GUIDAN BIL
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,661.00)
36001362 HC LYSE CHEST FIBRIN SUBQ DAYSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 618.00)
35200067 HC PERQ VERTE/SACROPLSTY CT CT SCAN - BODY SCAN [0352] ( 1,957.00)
31000057 HC CYTOLOGY EXAM EA ADDL SITELABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 120.00)
27201630 HC MELGISORB AG DRESSING 1X18MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 18.00)
36001363HC LIGATE FALLOP TUBE ABD OR VAG UNI/BIL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,039.00)
30100303 HC RL VENLAFAXINE (EFFEXOR) LABORATORY - CHEMISTRY [0301] ( 60.00)
30100304 HC RL CHLORIDE FECAL LABORATORY - CHEMISTRY [0301] ( 67.00)
30100305HC RL GRANULOCYTE STIMULATING FACTOR LABORATORY - CHEMISTRY [0301] ( 180.00)
30100306 HC GENERAL HEALTH PANEL LABORATORY - CHEMISTRY [0301] ( 130.00)
30100307 HC RL PARATHYROID HORMONE INTACT LABORATORY - CHEMISTRY [0301] ( 301.00)
30100308 HC RL PARATHYROID HORMONE CALCIUM LABORATORY - CHEMISTRY [0301] ( 83.00)
30100309 HC RL HLA B SEQUENCE LABORATORY - CHEMISTRY [0301] ( 302.00)
30500030 HC RL PROTEIN C FUNCTIONAL LABORATORY - HEMATOLOGY [0305] ( 83.00)
30500031 HC RL PROTEIN S FUNCTIONAL LABORATORY - HEMATOLOGY [0305] ( 92.00)
30600053 HC RL RESPIRATORY VIRUS PANELLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 1,685.00)
76100019 HC OFFICE CONSULTATION LEVEL 1SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 104.00)
76100020 HC OFFICE CONSULTATION LEVEL 2SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 146.00)
76100021 HC OFFICE CONSULTATION LEVEL 3SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 187.00)
76100022 HC OFFICE CONSULTATION LEVEL 4SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 229.00)
76100023 HC OFFICE CONSULTATION LEVEL 5SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 270.00)
30600054HC RL HIV1 INTEGRASE INHIBITOR RESISTANCE
LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 613.00)
27201632 HC TUBE GASTROSTOMY FEEDING 20FMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 24.00)
30200174 HC RL HIV 1 ANTIBODY BY MULTISPOT LABORATORY - IMMUNOLOGY [0302] ( 53.00)
30200175 HC RL HIV 2 ANTIBODY BY MULTISPOT LABORATORY - IMMUNOLOGY [0302] ( 81.00)
30600055 HC RL HIV PHENOSENSE GT SUSCEPTIBILTYLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 537.00)
30600056 HC RL HIV PHENOSENSE GT GENOTYPELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 1,333.00)
30600057 HC RL HIV PHENOSENSE GT DRUGS 1-10LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 794.00)
30600058HC RL HIV PHENOSENSE GT EACH ADD DRUG
LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 101.00)
30100310 HC RL ENDOTHELIAL GROWTH FACTOR D LABORATORY - CHEMISTRY [0301] ( 180.00)
27201639 HC DRESSING VAC BLACK FOAM VERFLOMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 257.00)
27201640 HC CASSETTE VAC VERALINKMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 123.00)
36001364 HC CYSTOURETHROSCOPYOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 374.00)
45000025 HC CL TX MCP DISLOC W MANIP & ANESTH EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 1,328.00)
75000033 HC ESOPH EGD DILATION <30 MMGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,612.00)
36001365HC UNLISTED PROCEDURE HEMIC OR LYMPHATIC
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,275.00)
36001366 HC PERC BILIARY DRAINAGE EXTERNALOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,270.00)
36001367 HC BILIARY ENDO PERQ DX W/SPECIOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,537.00)
36001368 HC VENOUS M-THROMBECTOMY ADD-ONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,601.00)
32000368 HC DILATE FOR STRICTURE/OBSTRRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 740.00)
36001369 HC FEMORAL N BLOCK SGLOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 688.00)
36001370HC CHANGE NEPHROSTOMY/PYELOSTOMY TUBE BIL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 6,920.00)
27201642HC CAREFUSION BLOOD PLATELET SET 1 PORT
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 15.00)
27201643HC CAREFUSION NITROGLYCERINE INFUSION SET
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 12.00)
36001371 HC EVASC RPR ILIAC ART BIFUROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,647.00)
36001372 HC PLC PROSTH AA REP; INIT VESSELOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,404.00)
36001373 HC ENDOVASC EXTEN PROSTH ADDLOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,615.00)
27201644 HC LINE ADULT L6.5 CAPNOLINEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 14.50)
30100311HC RL MOLECULAR PATHOLOGY PROC LEVEL 4 LABORATORY - CHEMISTRY [0301] ( 249.00)
30200176 HC RL RABIES ANTIBODY SCREEN LABORATORY - IMMUNOLOGY [0302] ( 88.00)
30200177 HC ANCA ANTIGEN TITER LABORATORY - IMMUNOLOGY [0302] ( 73.00)
30200178 HC VDRL ANTIGEN TITER LABORATORY - IMMUNOLOGY [0302] ( 27.00)
30200179 HC DNA ANTIGEN TITER LABORATORY - IMMUNOLOGY [0302] ( 73.00)
30200180 HC CRYPTOCOCCAL ANTIGEN TITER LABORATORY - IMMUNOLOGY [0302] ( 55.00)
30500032HC RL HEXAGONAL PHOSPHOLIPID NEUTRAL LABORATORY - HEMATOLOGY [0305] ( 86.00)
30500033 HC RL ANTITHROMBIN ANTIGEN LABORATORY - HEMATOLOGY [0305] ( 64.00)
30600059 HC MTB RIFAMPIN RESISTANCE BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)
34100080 HC SPLEEN IMAGING ONLY NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 684.00)
71000017 HC EXTENDED RECOVERY PER HOUR RECOVERY ROOM - GENERAL CLASSIFICATION [0710] ( 37.00)
45000026 HC CL TX TRAUMA HIP DISLOC W ANESTH EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 2,047.00)
36001374 HC ABLATE PULM TUMORS + EXTNSNOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 8,120.00)
30100312 HC RL N METHYLHISTIMINE URINE LABORATORY - CHEMISTRY [0301] ( 108.00)
30200181 HC RL PROSTAGLANDIN D2 LABORATORY - IMMUNOLOGY [0302] ( 130.00)
30200182 HC RL N MENINGITIDIS TETRAVALENT ABS LABORATORY - IMMUNOLOGY [0302] ( 60.00)
36001375 HC INJ ANESTH PUDENDAL NERVEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 838.00)
36001376 HC BIOPSY SALIVARY GLAND NEEDLESPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,388.00)
36001019 HC PRIM ART M-THROMBECT ADD-ONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,601.00)
36001377 HC SCLEROTHERAPY THERAPYPATIENT CONVENIENCE ITEMS - OTHER PATIENT CONVENIENCE ITEMS [0999] ( 300.00)
30100313 HC RL ABL KINASE MUTATION ANALYSIS LABORATORY - CHEMISTRY [0301] ( 188.00)
30100314 HC RL PHENYLALANINE LABORATORY - CHEMISTRY [0301] ( 83.00)
30600060HC RL HIV-1 DRUG RESISTANCE PROT REGION
LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 1,333.00)
30600061HC RL HIV-1 DRUG RESISTANCE OTHER REGION
LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 613.00)
31000058 HC ARCHIVE TISSUE MOLEC ANALLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 61.00)
33300047 HC RESPIRATOR MOTION MGMT SIMULRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 396.00)
30100315 HC RL STRYCHNINE URINE LABORATORY - CHEMISTRY [0301] ( 108.00)
30100316 HC RL ADALIMUMAB ANTIBODY HUMIRA LABORATORY - CHEMISTRY [0301] ( 92.00)
30100317 HC RL CHEMILUMINESCENT ASSAY HUMIRA LABORATORY - CHEMISTRY [0301] ( 164.00)
30200183 HC INFLUENZA A/B ANTIGEN EIALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 107.00)
36001378 HC NEPH TUBE REMOVED W/FLORO RTSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 759.00)
36001379 HC NEPH TUBE REMOVED W/FLORO BILSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,139.00)
27001020 HC DONOR BREAST MILK PER OZMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 10.00)
45000027 HC CL TX IP JOINT DISL; W ANESTH EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 1,733.00)
36001380 HC PULMONARY ARTERY EMBOL W CPBOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,926.00)
30100318 HC RL BETA GLOBIN GENE SEQUENCING LABORATORY - CHEMISTRY [0301] ( 605.00)
27001021HC SILVASORB ANTIMICROBIAL WOUND GEL .25OZ
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 12.00)
30010580 HC RL DAT NEG WORKUP TYPE LABORATORY - GENERAL CLASSIFICATION [0300] ( 189.00)
30010581 HC RL DAT NEG WORKUP ABO LABORATORY - GENERAL CLASSIFICATION [0300] ( 73.00)
30100319 HC RL PERAMPANEL SERUM LABORATORY - CHEMISTRY [0301] ( 108.00)
30200184 HC RL DAT NEG WORKUP DIREC COOMBS LABORATORY - IMMUNOLOGY [0302] ( 71.00)
30200185 HC RL DAT NEG WORKUP AB ELUTION LABORATORY - IMMUNOLOGY [0302] ( 232.00)
30200186 HC RL DAT NEG WORKUP AB ID LABORATORY - IMMUNOLOGY [0302] ( 243.00)
30200187 HC RL NEG WORKUP AB SCREEN LABORATORY - IMMUNOLOGY [0302] ( 248.00)
30010582 HC CATH FOR SPECIMEN COLLECT SGL PT LABORATORY - GENERAL CLASSIFICATION [0300] ( 89.00)
30200188 HC RL C BURNETII IGG PHASE I LABORATORY - IMMUNOLOGY [0302] ( 63.00)
30200189 HC RL C BURNETII IGG PHASE II LABORATORY - IMMUNOLOGY [0302] ( 63.00)
30200190 HC RL C BURNETII IGM PHASE I LABORATORY - IMMUNOLOGY [0302] ( 63.00)
30200191 HC RL C BURNETII IGM PHASE II LABORATORY - IMMUNOLOGY [0302] ( 63.00)
27201648 HC WAND SERFAS 50S 279351250MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 313.00)
27201649 HC WAND SERFAS 90S 279351400MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 361.00)
36001381 HC BRONCHOSCOPY W/MARKERSSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 8,734.00)
36001382 HC NAVIGATIONAL BRONCHOSCOPYSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,711.00)
31000059HC RL IMMUNOFLUORESCENT STUDY INDIRECT
LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 184.00)
31000060HC RL MICROSLIDE CONSULT W/SLIDE PREP
LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 59.00)
27201653 HC LARIAT SUTURE DELIVERY DEVICEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 11,385.00)
27201654 HC SURECUT SUTURE CUTTERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 920.00)
27201655 HC SOFTTIP GUIDE CANNULAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 690.00)
27201656 HC TENSURE SUTURE TIGHTENERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 460.00)
27800626 HC ENDOCATH OCCULSION BALLOONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,300.00)
27800627 HC FINDRWIRZ GUIDEWIREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,200.00)
36001383 HC LAA CLOSURE W/IMPLANTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 19,547.00)
27201657 HC VAPOTHERM CIRCUITMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 214.00)
27201658 HC MOUTHPIECE AEROBIKA OPEP DEVICEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 101.00)
30100320 HC RL VITAMIN K1 LABORATORY - CHEMISTRY [0301] ( 57.00)
30100321HC RL CHROMOSOME ANALY HIGH RESOLUTION LABORATORY - CHEMISTRY [0301] ( 179.00)
30100322 HC RL EVEROLIMUS BY MASS SPEC LABORATORY - CHEMISTRY [0301] ( 82.00)
30600062 HC RL HEPATITIS B GENOTYPELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 992.00)
31100028 HC RL RBC BAND 3 PROTEIN REDUCTION LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 281.00)
30100323 HC RL DSRCT BY RT PCR LABORATORY - CHEMISTRY [0301] ( 188.00)
30600063 HC RL HERPES VIRUS 8 DNA BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 321.00)
31100029 HC RL FLOW CYTOMETRY FIRST MARKER LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 281.00)
31100030HC RL FLOW CYTOMETRY EACH ADD MARKER LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 172.00)
27201660 HC SUTURE STRATAFIX MONO 36CM X 36CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 46.00)
72000048HC MYOMECTOMY ABDOM METHOD 1-4 MYOMAS
LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 7,517.00)
72000049HC MYOMECTOMY ABDOM COMPLEX 5+ MYOMAS
LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 8,734.00)
72000050HC ENDOMETRIAL BX WO CERVICAL DILATION
LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 289.00)
36001384 HC DRAIN/INJ MAJOR JNT/BURSA BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 656.00)
75000034 HC EGD TUBE/CATH INSERTIONGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,392.00)
36001385 HC CYSTOURETHROSCOPYOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,009.00)
27001022 HC SPLINT 24" SUPER SMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 29.00)
27201673 HC CATHETER IC FOLEY 30CC 18FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 18.00)
72000051 HC CORDOCENTESIS (INTRAUTERINE)LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 391.00)
36001386 HC INJ ANESTH LUMB/THOR (SYMPATHETIC)OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 838.00)
34300044 HC TC99 TILMANOCEPT DIAG 0.5MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 743.00)
36001387 HC ESOPHAGOSCOPY W/US NEEDLE BXSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,419.00)
30600064 HC BC ID BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 177.00)
36001388 HC UNLISTED PROCEDURE PANCREASGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,122.00)
27800673 HC GUIDEWIRE AGILITY .010 195CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 778.00)
27800674 HC GUIDEWIRE AGILITY .014 205CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 778.00)
27800675 HC GUIDEWIRE AGILITY .014 350CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 987.00)
27800676 HC GUIDEWIRE AGILITY .016 175CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 778.00)
27800677 HC GUIDEWIRE AGILITY .016 205CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 778.00)
27800678 HC GUIDEWIRE NEUROSCOUT 14MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 984.00)
27800679 HC CATHETER MICRO PROWLER 10 150CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,696.00)
27800680HC CATHETER MICRO PROWLER 10 150CM DUAL
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,736.00)
27800681 HC CATHETER MICRO PROWLER 14 150CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,696.00)
27800682HC CATHETER MICRO PROWLER 14 150CM DUAL
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,696.00)
27800683HC CATHETER MICRO PROWLER PLUS 20CM 150CM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,696.00)
27800684HC CATHETER MICRO PRE SHAPE PROWLER 10
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,736.00)
27800685HC CATHETER MICRO PRE SHAPE PROWLER 14
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,736.00)
27800686HC CATHETER MICRO PRE SHAPE PROWLER PLUS 20
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,736.00)
27800687HC CATHETER MICRO PROWLER SELECT LPES
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,785.00)
27800688HC CATHETER MICRO PROWLER SELECT LPES 90DEG
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,822.00)
27800689HC TRUFILL NBCA ONE VIAL EMBOLIC SYSTEM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 6,336.00)
27800690HC TRUFILL NBCA TWO VIAL EMBOLIC SYSTEM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 11,072.00)
27201686 HC COIL EMBOL OG CMPLX FILL COILMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,551.00)
27201687 HC COIL EMBOL OG TDL CMPLX FILL COILMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,551.00)
27201688HC COIL EMBOL OG TDL CMPLX FRAME COIL
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,551.00)
27201689 HC COIL EMBOL OG HELICAL XTRSOFT COILMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,714.00)
27201690 HC COIL EMBOL OG CMPLX XTRASOFT COILMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,551.00)
27201691 HC TRUFILL DCS SYRINGE IIIMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 649.00)
30600065 HC M KANSAS II PROBE IDENTIFICATIONLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 162.00)
27800691 HC AXIUM HELIX NYLON COILMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,800.00)
27800692 HC AXIUM 3D PGLA COILMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,100.00)
27800693 HC AXIUM HELIX PGLA COILMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,800.00)
27800694 HC BARE AXIUM 3D COILMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,700.00)
27800695 HC BARE AXIUM HELIX COILMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,450.00)
27800696 HC BARE AXIUM PRIME 3D COILMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,700.00)
27800697 HC BARE AXIUM PRIME HELIX COILMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,450.00)
27800698 HC CONCERTO HELIX COIL NYLONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,190.00)
27800699 HC GUIDEWIRE MIRAGEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 740.00)
27800700 HC GUIDEWIRE XPEDIONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 434.00)
27800701 HC GUIDEWIRE XCELERATORMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 650.00)
27800702 HC GUIDEWIRE AVIGOMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 758.00)
27800703 HC BALLOON HYPERFORMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,400.00)
27800704 HC BALLOON HYPERGLIDEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,400.00)
27800705 HC MICROCATHETER MARATHON .010MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,250.00)
27800706 HC MICROCATHETER ECHELONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,200.00)
27800707 HC MICROCATHETER REBARMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 570.00)
27800708 HC MICROCATHETER APOLLOMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,390.00)
27800709 HC RETRIEVAL DEVICE ALLIGATORMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 4,752.00)
27800710 HC CATHETER NAVIEN 5FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,590.00)
27800711 HC CATHETER NAVIEN 6FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,300.00)
27800712 HC CATHETER GUIDE CELLOMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,012.00)
27800713 HC CATHETER SOLITAIREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 13,998.00)
27201692 HC BONE BIOPSY SYSTEM ON CONTROLMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 863.00)
27201693 HC SURGICEL 4 X 4MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 281.00)
30100324 HC DIGOXIN FREE LABORATORY - CHEMISTRY [0301] ( 49.00)
30100325 HC DRUG SCREEN NON TLC DEVICES LABORATORY - CHEMISTRY [0301] ( 40.00)
30100326 HC DRUG SCREEN CLASS LIST A LABORATORY - CHEMISTRY [0301] ( 128.00)
30100327 HC DRUG SCREEN PRSMPTV 1 CLASS LABORATORY - CHEMISTRY [0301] ( 129.00)
30100328 HC DRUG SCREEN ONE/MULT CLASS LABORATORY - CHEMISTRY [0301] ( 129.00)
30100329 HC DRUG SCREEN ONE/MULT CLASS LABORATORY - CHEMISTRY [0301] ( 129.00)
30100330 HC ALCOHOLS LABORATORY - CHEMISTRY [0301] ( 202.00)
30100331 HC ALCOHOL BIOMARKERS 1 OR 2 LABORATORY - CHEMISTRY [0301] ( 202.00)
30100332 HC ALCOHOL BIOMARKERS 3 OR MORE LABORATORY - CHEMISTRY [0301] ( 404.00)
30100333 HC ALKALOIDS NOS LABORATORY - CHEMISTRY [0301] ( 148.00)
30100334 HC ANALGESICS NON-OPIOID 1 OR 2 LABORATORY - CHEMISTRY [0301] ( 142.00)
30100335 HC ANALGESICS NON-OPIOID 3-5 LABORATORY - CHEMISTRY [0301] ( 150.00)
30100336 HC ANALGESICS NON-OPIOID 6 OR MORE LABORATORY - CHEMISTRY [0301] ( 158.00)
30100337HC ANTIDEPRESSANTS TRICYCLIC AND OTHER CYCLICALS 1 OR 2 LABORATORY - CHEMISTRY [0301] ( 80.00)
30100338HC ANTIDEPRESSANTS TRICYCLIC AND OTHER CYCLICALS 3-5 LABORATORY - CHEMISTRY [0301] ( 80.00)
30100339HC ANTIDEPRESSANTS TRICYCLIC AND OTHER CYCLICALS 6 OR MORE LABORATORY - CHEMISTRY [0301] ( 80.00)
30100340HC ANTIEPILEPTICS NOT OTHERWISE SPECIFIED 1-3 LABORATORY - CHEMISTRY [0301] ( 93.00)
30100341HC ANTIEPILEPTICS NOT OTHERWISE SPECIFIED 4-6 LABORATORY - CHEMISTRY [0301] ( 98.00)
30100342HC ANTIEPILEPTICS NOT OTHERWISE SPECIFIED 7 OR MORE LABORATORY - CHEMISTRY [0301] ( 103.00)
30100343HC ANTIPSYCHOTICS NOT OTHERWISE SPECIFIED 1-3 LABORATORY - CHEMISTRY [0301] ( 60.00)
30100344HC ANTIPSYCHOTICS NOT OTHERWISE SPECIFIED 4-6 LABORATORY - CHEMISTRY [0301] ( 63.00)
30100345HC ANTIPSYCHOTICS NOT OTHERWISE SPECIFIED 7 OR MORE LABORATORY - CHEMISTRY [0301] ( 67.00)
30100346 HC BARBITURATES LABORATORY - CHEMISTRY [0301] ( 88.00)
30100347 HC BENZODIAZEPINES 1-12 LABORATORY - CHEMISTRY [0301] ( 94.00)
30100348 HC BENZODIAZEPINES 13 OR MORE LABORATORY - CHEMISTRY [0301] ( 99.00)
30100349 HC COCAINE LABORATORY - CHEMISTRY [0301] ( 73.00)
30100350 HC FENTANYL LABORATORY - CHEMISTRY [0301] ( 75.00)
30100351 HC KETAMINE AND NORKETAMINE LABORATORY - CHEMISTRY [0301] ( 71.00)
30100352 HC METHADONE LABORATORY - CHEMISTRY [0301] ( 75.00)
30100353 HC OPIATES 1 OR MORE LABORATORY - CHEMISTRY [0301] ( 105.00)
30100354 HC OPIOIDS AND OPIATE ANALOGS 1 OR 2 LABORATORY - CHEMISTRY [0301] ( 75.00)
30100355 HC OPIOIDS AND OPIATE ANALOGS 3 OR 4 LABORATORY - CHEMISTRY [0301] ( 79.00)
30100356HC OPIOIDS AND OPIATE ANALOGS 5 OR MORE LABORATORY - CHEMISTRY [0301] ( 83.00)
30100357 HC PREGABALIN LABORATORY - CHEMISTRY [0301] ( 71.00)
30100358 HC PROPOXYPHENE LABORATORY - CHEMISTRY [0301] ( 71.00)
30100359 HC TAPENTADOL LABORATORY - CHEMISTRY [0301] ( 83.00)
30100360 HC MEPROBAMATE LABORATORY - CHEMISTRY [0301] ( 77.00)
30600066 HC HPV LOW-RISK TYPESLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 164.00)
30600067 HC HPV HIGH-RISK TYPESLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 164.00)
30600068 HC HPV TYPES 16 & 18 ONLYLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 164.00)
31000061 HC IMMUNOHISTO ANTIBODY SLIDELABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 243.00)
32000001 HC FRACTURE ASSESSMENT VIA DXARADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 111.00)
33300048 HC TELETHX ISODOSE PLAN SIMPLERADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 580.00)
33300049 HC TELETHX ISODOSE PLAN CPLXRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 343.00)
33300050 HC BRACHYTX ISODOSE PLAN SIMPLERADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 580.00)
33300051 HC BRACHYTX ISODOSE INTERMEDRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 401.00)
33300052 HC BRACHYTX ISODOSE COMPLEXRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 590.00)
33300053HC RADIATION TREATMENT DELIVERY SIMPLE
RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 188.00)
33300054HC RADIATION TREATMENT DELIVERY INTERMED
RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 188.00)
33300055 HC RADIATION TREATMENT DELIVERY CPLXRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 362.00)
33300056 HC NTSTY MODUL RAD TX DLVR SMPLRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 977.00)
33300057 HC NTSTY MODUL RAD TX DLVR CPLXRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 1,171.00)
33300058 HC GUIDANCE FOR RADIATION TREATMENTRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 768.00)
36001400 HC PERQ CERVICOTHORACIC INJECTIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,696.00)
36001401 HC PERQ LUMBOSACRAL INJECTIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,696.00)
36001402HC PERQ CERVICOTHORACIC OR LUMBOSACRAL INJ EA ADD
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,613.00)
36001403HC PERQ VERTEBRAL AUGMENTATION THORACIC
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 11,854.00)
36001404HC PERQ VERTEBRAL AUGMENTATION LUMBAR
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 11,854.00)
36001405HC PERQ VERTEBRAL AUGMENTATION THORACIC/LUMBAR EA ADD
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 11,854.00)
36001406 HC PERQ SACRAL AUGMT UNILAT INJOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 10,066.00)
36001407 HC PERQ SACRAL AUGMT BILAT INJOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,879.00)
40200046 HC US BREAST COMPLETE LT OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 189.00)
40200047 HC US BREAST COMPLETE RT OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 189.00)
40200048 HC US BREAST COMPLETE BIL OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 284.00)
40200049 HC US BREAST LIMITED LT OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 172.00)
40200050 HC US BREAST LIMITED RT OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 172.00)
40200051 HC US BREAST LIMITED BIL OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 258.00)
75000035HC COLONOSCOPY VIA STOMA W/ABLATION OF TUMOR POLYP OR LESION
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,102.00)
75000036HC COLONOSCOPY VIA STOMA W/DIRECTED SUBMUCOSAL INJ ANY SUBSTANCE
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,102.00)
75000037HC COLONOSCOPY VIA STOMA W/TRANSENDO US GUIDED FNA/BX
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,102.00)
75000038HC COLONOSCOPY VIA STOMA W/DECOMPRESS INCLUDE PLACE OF TUBE
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,102.00)
75000039HC SIGMOIDOSCOPY FLEXIBLE W/ABLATION OF TUMOR POLYP OR LESION
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,242.00)
75000040HC SIGMOIDOSCOPY FLEX W/BAND LIGATION
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,242.00)
75000041HC COLONOSCOPY FLEXIBLE W/ABLATION OF TUMOR POLYP OR LESION
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,820.00)
75000042HC COLONOSCOPY FLEXIBLE W/ENDOSCOPIC STENT PLACEMENT
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 4,053.00)
75000043 HC UNLISTED PROCEDURE COLONGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,481.00)
75000044HC ANOSCOPY DX W/HRA CHEM AGENT ENHANCE
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 262.00)
32000369 HC DXA BONE DENSITY STUDYRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 178.00)
27800730 HC INTRODUCER SHEATH FTPRNT 1.4 FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 58.00)
27800731 HC CATHETER POLY OD KIT 1.4FR PICCMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 182.00)
30100361 HC RL ANTI DEPRESSANTS SEROTONERGIC LABORATORY - CHEMISTRY [0301] ( 80.00)
30100362 HC RL CANNABINOIDS CONFIRM LABORATORY - CHEMISTRY [0301] ( 73.00)
30100363 HC RL METHYLPHENIDATE RITALIN LABORATORY - CHEMISTRY [0301] ( 71.00)
30100364 HC RL ANTIPSYCHOTICS NOS 1-3 LABORATORY - CHEMISTRY [0301] ( 60.00)
30100365 HC RL ANABOLIC STEROIDS 1 OR 2 LABORATORY - CHEMISTRY [0301] ( 138.00)
30100366 HC RL ANABOLIC STEROIDS 3 OR MORE LABORATORY - CHEMISTRY [0301] ( 138.00)
30100367 HC RL VALPROIC ACID FREE LABORATORY - CHEMISTRY [0301] ( 50.00)
36001408HC CLOSE RECTOVAGINAL FISTULA VAGINAL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,039.00)
27800739 HC CATHETER CONTACT FORCE ABLATIONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 5,000.00)
36001409 HC INSJ SUBQ IMPLTBL DFB ELCTRDOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 7,510.00)
36001410 HC RMVL OF SUBQ DEFIBRILLATOROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,762.00)
36001411 HC REPOS PREV IMPLTBL SUBQ DFBOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,762.00)
27800740 HC EMBOLIC DEVICE PIPELINEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 26,000.00)
32000370HC DRAINAGE CATHETER CHANGE PERC BIL
RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,111.00)
36001412 HC BRONCHOSCOPY/LUNG BX ADDLSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,174.00)
36001413 HC UNLISTED PROCEDURE LIVEROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,122.00)
36001414HC MYELOGRAPHY LUMBAR INJECTION CERVICAL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,152.00)
36001415HC MYELOGRAPHY LUMBAR INJECTION THORACIC
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,152.00)
36001416HC MYELOGRAPHY LUMBAR INJECTION LUMBOSACRAL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,152.00)
32200025 HC SHOULDER ARTHROGRAM BIL RADIOLOGY - DIAGNOSTIC - ARTHROGRAPHY [0322] ( 1,149.00)
36001417 HC CHEST TUBE INSERTION BILSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,669.00)
35000038HC MYELOGRAPHY LUMBAR INJECTION 2 OR MORE REGIONS
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,152.00)
45000028 HC NERVE BLOCK INJ PLANTAR DIGIT EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 383.00)
30600069HC CULTURE PATHOGENIC ORGANISM SCREEN ONLY
LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 64.00)
30100368HC RL MOLECULAR PATHOLOGY PROC LEVEL 1 LABORATORY - CHEMISTRY [0301] ( 102.00)
30100369HC RL MOLECULAR PATHOLOGY PROC LEVEL 2 LABORATORY - CHEMISTRY [0301] ( 188.00)
30100370HC RL MOLECULAR PATHOLOGY PROC UNLISTED LABORATORY - CHEMISTRY [0301] ( 194.00)
27800753 HC LACRICATH 2MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 612.00)
27800754 HC LACRICATH BILATERAL 2MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,110.00)
27800755 HC LACRICATH 3MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 620.00)
27800756 HC LACRICATH BILATERAL 3MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,110.00)
27800757 HC LACRICATH 5MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 812.00)
61400004HC MRI 3D RECON ON INDEP WORK STATION
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 480.00)
36001418 HC BRONCHOSCOPY DILATE/FX REPRSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,242.00)
36001419 HC BRONCHOSCOPY DILATE W/STENTSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 8,734.00)
36001420HC BRONCHOSCOPY BRONCH STENTS INITIAL
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 8,734.00)
36001421 HC BRONCHOSCOPY REVISE STENTSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 8,734.00)
27001027 HC THERMAL ANGEL WARMER MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 416.00)
27001028 HC SPRAY LIDOCAINE TOPICAL 4%MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 23.00)
36001422 HC BRONCHOSCOPY TREAT BLOCKAGESPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,242.00)
36001423 HC IV OCT FOR PROC INIT VESSELOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,694.00)
36001424 HC IV OCT FOR PROC ADDL VESSELOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,694.00)
27201710HC CATHETER OPTICAL COHERENCE TOMOGRAPHY
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 1,840.00)
45000029HC UNLISTED MUSCULOSKELETAL SYSTEM OP EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 2,475.00)
36001425HC SHOULDER ARTHROGRAM INJECTION BIL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 593.00)
30100371 HC RL GASTRIC PARIETAL ANTIBODY LABORATORY - CHEMISTRY [0301] ( 85.00)
30100372HC RL IMMUNOASSAY ANALYTE QUANTITATIVE NOS LABORATORY - CHEMISTRY [0301] ( 180.00)
30100373 HC RL FUNGITELL B-D GLUCAN LABORATORY - CHEMISTRY [0301] ( 73.00)
30100374 HC RL AMIODARONE LABORATORY - CHEMISTRY [0301] ( 108.00)
30100375 HC RL EGFR ONKOMATCH PANEL LABORATORY - CHEMISTRY [0301] ( 468.00)
30100376 HC RL FIBROSURE ALT LABORATORY - CHEMISTRY [0301] ( 83.00)
30100377 HC RL FIBROSURE ALPHA 2 MACRO LABORATORY - CHEMISTRY [0301] ( 107.00)
30100378 HC RL FIBROSURE APOLIPOPROTEIN LABORATORY - CHEMISTRY [0301] ( 93.00)
30100379 HC RL FIBROSURE T BILI LABORATORY - CHEMISTRY [0301] ( 114.00)
30100380 HC RL FIBROSURE GGPT LABORATORY - CHEMISTRY [0301] ( 122.00)
30100381 HC RL FIBROSURE HAPTOGLOBIN LABORATORY - CHEMISTRY [0301] ( 75.00)
30200192 HC RL DIPHTHERIA AB IGG LABORATORY - IMMUNOLOGY [0302] ( 79.00)
30200193 HC RL F TULARENSIS AB LABORATORY - IMMUNOLOGY [0302] ( 48.00)
30200194 HC RL ENDOMYSIAL AB SCREEN LABORATORY - IMMUNOLOGY [0302] ( 72.00)
30200195 HC RL P-ANCA ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 85.00)
30200196 HC RL C-ANCA ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 85.00)
30600070HC RL MYCOBACTERIUM SPECIES AMPLIFIED PROBE
LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 213.00)
30600071 HC RL FUNGAL PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)
31000062 HC RL MICRODISSECTION MANUALLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 323.00)
31000063 HC RL AUTOMATED HER2 FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 627.00)
31000064 HC RL IHC2 ANTIBODIES STAINLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 243.00)
31000065 HC RL FISH MANUAL MULTIPLEX TCLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 374.00)
31100031HC RL PAROXY NOCTURN HGBWBC 9-15 MARKERS LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 278.00)
27201742 HC TROCAR VALVED ENTRY 25GA 6MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 180.00)
27001029 HC FILTER LIPOMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 296.00)
27001030 HC LINER CANNISTER LIPOMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 16.00)
27001031 HC LUBRICANT OPTHALMICMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 49.00)
27001032 HC PATTIES SURG 1/2 X 3MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 46.00)
27001033 HC TRANSFER SET ASEPTIC FLUIDMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 33.00)
27001034 HC TRAY PREP SKIN SCRUBMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 10.00)
27201711 HC BLADE GUARDED DEPTH .35MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 24.00)
27201712 HC BLADE ULTRACLEAN 50EA/CSMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 14.00)
27201713 HC CANNULA 4.0MM 20GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 52.00)
27201714 HC CHANDELIER 25GMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 230.00)
27201715 HC DILATOR DISP PUNCTUM/PLG INSRTMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 20.00)
27201716 HC DRILL BIT J NOTCHMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 118.00)
27201717 HC LENS FLAT VITRECTMY DISPMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 44.00)
27201718 HC PACK TOTAL PLUS 23GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 1,018.00)
27201719 HC PACK TOTAL PLUS 2500 PROBEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 830.00)
27201720 HC PACK TOTAL PLUS 25GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 1,018.00)
27201721 HC PARTS KIT SMALL 23GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 198.00)
27201722 HC PARTS KIT SMALL 25GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 99.00)
27201723 HC PROBE FLEX TIP LASER 23GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 330.00)
27201724 HC PROBE FLEX TIP LASER 25GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 330.00)
27201725 HC PROBE FLEXBL CURVD LASER 23GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 380.00)
27201726 HC PROBE FLEXTIP CURVD LASER 25GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 380.00)
27201727 HC PROBE FLEXTIP ST LASER 25GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 380.00)
27201728 HC PROBE LASER NN LGHT CRVD 20GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 332.00)
27201729 HC PROBE LIGHT 23GMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 225.00)
27201730 HC PROBE LIGHT 25GMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 225.00)
27201731 HC PROBE STRAIGHT LASER 23GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 348.00)
27201732 HC PROBE VITRCTMY ULTRAVIT 23GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 380.00)
27201733 HC PROBE VITRECTOMY ULTRAVIT 25GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 380.00)
27201734 HC SCISSOR CURVED 23GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 330.00)
27201735 HC SCREW CRS PIN SLF DRLL 1.2MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 157.00)
27201736 HC SUTURE VCRL 6-0 TG 100-8 18"MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 23.00)
27201737 HC TIP PACK OZIL INFINITI .9MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 180.00)
27201738 HC TROCAR ENTRY SYSTEM 23GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 250.00)
27201739 HC TROCAR VALVED ENTRY 23GA 4MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 170.00)
27201740 HC TROCAR VALVED ENTRY 23GA 6MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 170.00)
27201741 HC TROCAR VALVED ENTRY 25GA 4MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 180.00)
30200197 HC RL Q FEVER IGG PHASE 1 TITER LABORATORY - IMMUNOLOGY [0302] ( 63.00)
30200198 HC RL Q FEVER IGG PHASE 2 TITER LABORATORY - IMMUNOLOGY [0302] ( 63.00)
30200199 HC RL Q FEVER IGM PHASE 1 TITER LABORATORY - IMMUNOLOGY [0302] ( 63.00)
30200200 HC RL Q FEVER IGM PHASE 2 TITER LABORATORY - IMMUNOLOGY [0302] ( 63.00)
30200201 HC RL HSV1 IGM TITER LABORATORY - IMMUNOLOGY [0302] ( 63.00)
30200202 HC RL HSV2 IGM TITER LABORATORY - IMMUNOLOGY [0302] ( 104.00)
30200203 HC RL RPR TITER LABORATORY - IMMUNOLOGY [0302] ( 27.00)
30200204 HC RL ATYPICAL P-ANCA TITER LABORATORY - IMMUNOLOGY [0302] ( 85.00)
30200205 HC RL ANCA SCREEN LABORATORY - IMMUNOLOGY [0302] ( 85.00)
30200206 HC RL MYELOPEROXIDASE ANTIBODY (MPO) LABORATORY - IMMUNOLOGY [0302] ( 85.00)
30200207 HC RL PROTEINASE 3 ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 85.00)
30500034 HC RL DRVVT CONFIRMATION LABORATORY - HEMATOLOGY [0305] ( 107.00)
30500035 HC RL DRVVT 1:1 DILUTION LABORATORY - HEMATOLOGY [0305] ( 44.00)
30010583HC RL RBC CHEM PRETREATMENT PER CELL LABORATORY - GENERAL CLASSIFICATION [0300] ( 67.00)
33500006 HC CHEMO IA INFUSION UP TO 1 HR
RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - CHEMOTHERAPY ADMINISTRATION - IV [0335] ( 374.00)
33500007 HC CHEMO IA INFUSE EACH ADDL HR
RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - CHEMOTHERAPY ADMINISTRATION - IV [0335] ( 131.00)
27201743 HC TUBING SYRNG MCRBR 0.2 MICRNMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 60.00)
27800774HC IN PACT ADMIRAL DRUG COATED BALLOON <100MM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,980.00)
27800775HC IN PACT ADMIRAL DRUG COATED BALLOON >100MM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,280.00)
27201744 HC GOLD LID LOADS 0.8 - 1.4 GMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 662.00)
27201745 HC GOLD LID LOADS PLATINUMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 1,090.00)
27201746 HC SPHERE EYE 18MM STERILIZEDMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 60.00)
27201747 HC NEEDLE STRAIGHT & SLEEVE 1CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 143.00)
27201748 HC SUTURE 1PBT GS-21 18"MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 78.00)
27201749 HC SUTURE 2-0 GS-21 18"MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 78.00)
27201750 HC SUTURE 3-0 NYLON FS-1-30#MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 5.00)
27201751 HC SUTURE 4.0 RB-1 27" CHROMICMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 7.00)
27201752 HC SUTURE 4-0 18" PLAIN GUT G-3MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 35.00)
27201753 HC SUTURE 4-0 C-1 MILDMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 28.00)
27201754 HC SUTURE 5-0 MONOCRYL P-1MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 9.00)
27800776 HC SCREW 1.4X5MM CRS PN SLF TPNGMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 148.00)
27201755 HC SUTURE 6-0 CHROMIC GUTMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 281.00)
27201756 HC SUTURE CV-2 42" GORETEXMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 60.00)
27201757 HC SUTURE ETHICON GUT SZ 4-0 27 IMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 7.00)
27201758 HC SUTURE GUT 6-0 18"MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 35.00)
27201759 HC SUTURE PDS PLUS 2/0 27INMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 5.00)
27201760 HC SUTURE PLAIN 5/0 18" PC-1MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 14.00)
99000004 HC OVERNIGHT RECOVERYPATIENT CONVENIENCE ITEMS - GENERAL CLASSIFICATION [0990] ( 1,040.00)
30100382 HC RL ASSAY OF CADMIUM LABORATORY - CHEMISTRY [0301] ( 138.00)
27201761 HC SUTURE STRTFX 3-0 FS 30CMX30CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 46.00)
27201762 HC SUTURE VCRYL + 2/0 27" UNDYEDMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 5.00)
27201763 HC SUTURE VCRYL + 4/0 27" UNDYEDMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 7.00)
27201764 HC SUTURE VCRYL + 5/0 18" UNDYEDMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 9.00)
27201765 HC SUTURE VCRYL 2/0 27" UNDYEDMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 5.00)
27201766 HC SUTURE VCRYL 3/0 27" UNDYD PS2MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 7.00)
27201767 HC SUTURE 0 NUROL CT-1 CR/8 18"MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 23.00)
27201768 HC SUTURE 2-0 ETH PS-2 36/BXMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 7.00)
36001426 HC INSERT VAD ARTERY ACCESSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 17,856.00)
27201769 HC SUTURE 3-0 MERSILENE FS-1 18"MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 5.00)
27201770 HC SUTURE 3-0 PDS CLEAR FS-1 27"MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 7.00)
27201771 HC SUTURE 3-0 PS-2 MONOCRYLMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 9.00)
27201772 HC SUTURE 3-0 RB-1 27" CHROMICMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 7.00)
27201773 HC SUTURE 4-0 MONOCRYL PS2MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 21.00)
27201774 HC SUTURE 5-0 PROLENE PC-3 18"MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 12.00)
27201775 HC SUTURE 5-0 PROLENE PS-2 18"MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 9.00)
27201776 HC SUTURE 7-0 P-1 18" PROLENEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 9.00)
27800779 HC BALLOON OCCLUSION SCEPTOR CMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,800.00)
27800780 HC BALLOON OCCLUSION SCEPTOR XCMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,400.00)
27201777 HC SUTURE 7-0 P-2 18" CHROMICMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 48.00)
27201778 HC SUTURE P-3 8"4-0 CHROMICMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 12.00)
27201779 HC SUTURE PDS 4-0 18"MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 9.00)
27201780 HC SUTURE PROLENE PS-2 18"MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 9.00)
27201781 HC SUTURE 3-0 CHROMIC3DZ/BXMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 18.00)
27201782 HC SUTURE 3-0 SILK SH 30"MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 5.00)
75000045HC LAPAROSCOPY CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 5,381.00)
27800781 HC LVIS COIL ASSIST STENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 6,175.00)
36001427 HC DRAIN/INJ MAJOR JOINT/BURSA W/USOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 520.00)
45000030 HC CYSTO W DIL OF URETHRAL STRICTURE EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 1,960.00)
30100383 HC RL OXCARBAZEPINE METABOLITE LABORATORY - CHEMISTRY [0301] ( 56.00)
30100384 HC RL HADHA COMMON MUTATION LABORATORY - CHEMISTRY [0301] ( 364.00)
30100385HC RL BRAF GENE ANALYSIS V600E VARIANT LABORATORY - CHEMISTRY [0301] ( 256.00)
30200208 HC RL LISTERIA ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 77.00)
30200209 HC RL AQUAPORIN 4 RECEPTOR IGG CSF LABORATORY - IMMUNOLOGY [0302] ( 72.00)
31000066 HC IMMUNOCYTOCHEMISTRY EA ADD STAINLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 114.00)
31000067HC RL FISH PROBE INITIAL STAIN PROCEDURE
LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 539.00)
31000068HC RL FISH PROBE EA ADD STAIN PROCEDURE
LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 208.00)
45000031 HC FORESKIN MANIPULATION EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 358.00)
27201783HC CABLE MICROVASCULAR PLUG DETACHMENT
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 334.00)
27201784 HC ABLATION INSTRUMENT SPINESTARMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 6,613.00)
27800783 HC WIRELESS PRESSURE SENSORMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 100,467.00)
27800784 HC LC CHEMOEMBOLIZATION BEADSMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 5,300.00)
27800785 HC PLUG MICROVASCULARMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,590.00)
27800786 HC KIT STABILIT COMPLETE FRACTUREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 4,300.00)
27800787HC KIT STABILIT MX VERTEBRAL AUGUMENTATION
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,000.00)
27800788 HC MICROCATHETER HEADWAY 27MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,920.00)
27800789 HC MICROCATHETER HEADWAY 21MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,660.00)
27800790 HC MICROCATHETER HEADWAY SHAPED 17MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,680.00)
27800791HC MICROCATHETER HEADWAY STRAIGHT 17
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,560.00)
48300012 HC IMPL PRESSURE SENSOR W/ANGIO CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 58,585.00)
27201787 HC OSCILLATING BLADE 2296-3-105MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 85.00)
27201788 HC ROUND DIAMOND BURR 1608-6-91MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 212.00)
27201789 HC RING CAPSULAR TENSIONMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 458.00)
27201790 HC VLOC ABSRBL WOUND CLSR GUNMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 71.00)
27800792 HC IMPLANT ORBITALMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 26.00)
27800793 HC IMPLANT RIGHT ORBITAL FLOR MTBMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,460.00)
27800794 HC TUBE SET MINI MONOKA S1-1500UMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 116.00)
27800795 HC CAPSULAR TENSION SEGMENT MR-6DMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 390.00)
27800796 HC MEMBRANE BLUE MBB.055USAMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 230.00)
27800797 HC COIL TARGET 360 SOFT DETACHABLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,750.00)
61400005 HC MRI 3D RECONMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 364.00)
30100386 HC SALICYLATE LABORATORY - CHEMISTRY [0301] ( 142.00)
30100387 HC ACETAMINOPHEN LABORATORY - CHEMISTRY [0301] ( 142.00)
30100388 HC RL AMITRIPTYLINE LABORATORY - CHEMISTRY [0301] ( 80.00)
30100389 HC RL DOXEPIN LABORATORY - CHEMISTRY [0301] ( 80.00)
30100390 HC RL IMIPRAMINE LABORATORY - CHEMISTRY [0301] ( 80.00)
30100391 HC RL NORTRIPTYLINE LABORATORY - CHEMISTRY [0301] ( 80.00)
27201791 HC SYSTEM INZONE DETACHMENT 2.0MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 443.00)
27201792 HC MICROCATHETER EXCELSIOR SL-10MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 2,043.00)
27201793 HC GUIDER SOFT TIPMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 616.00)
27800799HC BALLOON TRANSFORM COMPLIANT OCCLUSION
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,811.00)
27800800 HC BALLOON CATHETER GATEWAY PTAMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,021.00)
27800801 HC RETRIEVER TREVO XP PROVUEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 14,090.00)
27800802 HC CATHETER FLOWGATE BALLOON GUIDEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,247.00)
27800803 HC STENT SYSTEM NEUROFORMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 12,022.00)
27800804 HC STENT SYSTEM WINGSPANMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 12,190.00)
27800805 HC CATHETER DISTAL ACCESS DACMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,058.00)
27800806HC GUIDEWIRE SYNCRO 2 STANDARD PRESHAPED 300CM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,316.00)
27800807HC GUIDEWIRE SYNCRO 2 STANDARD 300CM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,260.00)
27800808HC GUIDEWIRE SYNCRO 2 SOFT PRESHAPED 300CM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,250.00)
27800809 HC GUIDEWIRE SYNCHRO 2 SOFT 200CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,006.00)
27800810HC GUIDEWIRE SYNCHRO 2 SOFT PRESHAPED 200CM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,062.00)
27800811 HC GUIDEWIRE SYNCHRO 2 SOFT 300CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,250.00)
27201796 HC PACK PERFSN PMP AFFNTY CC SNKMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 2,513.00)
27201797 HC TUBING PRFSN PMP THK3/32 L72MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 73.00)
27201798 HC TUBING PERF BIO MDCS 3/8" ADLTMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 721.00)
27201799 HC CANULA PERFSN CIO MEDSC L76.2CMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 721.00)
27201800 HC CANNULA PRFSN BIOMDCS L76.2CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 721.00)
27201801 HC SET BLOOD PUMP VNTRC ASST DVCMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 28,980.00)
27201802 HC OXYGENATOR PERFUSN QUADROX IDMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 2,565.00)
75000046HC SM INT ENDO W ILEUM DX W/WO SPECI BRUSH/WASH
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,328.00)
36001428HC VENOUS SELECTIVE ORGAN BLOOD SAMPLING
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 520.00)
36001429HC RPR 1ST INGUN HRNA AGE 5 YRS/>INCAR/STRANG
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,691.00)
36001430HC RPR UMBILICAL HRNA 5 YRS/> INCAR/STRANG
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,691.00)
36001431 HC FETAL FLUID DRAINAGE W USOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 430.00)
36001432HC EPISIOTOMY OR VAGINAL REPAIR BY OTHER THAN ATTEND
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,463.00)
36001433HC CERCLAGE CERVIX PREGNANT ABDOMINAL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,319.00)
36001434HC HYSTERORRHAPHY OF RUPTURED UTERUS
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,319.00)
36001435HC CESAREAN DELIV AFTER ATTEMP VAG DELIV
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 9,779.00)
36001436HC TREAT FETAL DEMISE 2ND TRIMESTER SURGICAL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,463.00)
36001437 HC ABORTION BY 1+ SUPPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,463.00)
36001438 HC ABORTION BY 1+ SUPP W D&COPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,463.00)
72000052 HC FETAL SCALP BLOOD SAMPLINGLABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 424.00)
72000053 HC FETAL MONITORING DURING LABORLABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 364.00)
72000054 HC VAG DELIVERY AFTER CEASARIANLABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 3,444.00)
72000055 HC FETAL INVAS PX W/USLABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 245.00)
72000056 HC NIPPLE STIMULATION STRESS TESTLABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 384.00)
72000057 HC EPIDURAL INTRATHECAL CARELABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 156.00)
72000058 HC NEWBORN CARELABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 2,549.00)
75000047 HC COLONOSCOPY W/DECOMPRESSIONGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,820.00)
27201803 HC TUBE 15FR 60CM TRACHEALMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 118.00)
27201805 HC DRILL BIT 1.9MM X 58MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 385.00)
27201806 HC SUTURE GORETEX 8-0 CV-8MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 62.00)
27201807 HC EXTENDABLE PICK 25GMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 124.00)
27201808 HC MEPILEX AG 4X12MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 68.00)
30100392 HC ALBUMIN OTHER SOURCE QUAN LABORATORY - CHEMISTRY [0301] ( 76.00)
30100393 HC PROTEIN TOTAL FLUID LABORATORY - CHEMISTRY [0301] ( 73.00)
30100394HC RL THYROTROPIN BINDING IMMUNOGLOBULIN LABORATORY - CHEMISTRY [0301] ( 83.00)
30100395 HC RL PROPHYRINS TOTAL PLASMA LABORATORY - CHEMISTRY [0301] ( 108.00)
30100396 HC RL ORGANIC ACIDS URINE LABORATORY - CHEMISTRY [0301] ( 114.00)
30100397 HC RL IODINE LABORATORY - CHEMISTRY [0301] ( 108.00)
30100398 HC RL PENTA SCREEN AFP LABORATORY - CHEMISTRY [0301] ( 101.00)
30100399 HC RL PENTA SCREEN ESTRIOL LABORATORY - CHEMISTRY [0301] ( 140.00)
30100400 HC RL PENTA SCREEN HCG LABORATORY - CHEMISTRY [0301] ( 182.00)
30100401 HC RL PENTA SCREEN ITA HCG LABORATORY - CHEMISTRY [0301] ( 164.00)
30200210 HC RL GLUTAMIC ACID DECARBOXYLASE 65 LABORATORY - IMMUNOLOGY [0302] ( 103.00)
30200211 HC RL BACTERIUM ANTIBODY NOS LABORATORY - IMMUNOLOGY [0302] ( 77.00)
30200212 HC RL PM-SCI ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 134.00)
30200213 HC RL PENTA SCREEN INHIB A LABORATORY - IMMUNOLOGY [0302] ( 67.00)
27201809 HC TROCAR EXCEL BLADELESS 5MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 54.00)
75000048HC SM INTESTINE ENDO W REM T/P/L W SNARE
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,770.00)
30100402 HC RL K-RAS GENE MUTATION LABORATORY - CHEMISTRY [0301] ( 936.00)
30100403 HC RL VGKC AUTO ANTIBODY LABORATORY - CHEMISTRY [0301] ( 83.00)
30100404 HC RL NMDA RECEPTOR AUTO ANTIBODY LABORATORY - CHEMISTRY [0301] ( 530.00)
31000069 HC RL HPV FISH PROBE FIRST STAINLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 381.00)
31000070 HC RL HPV FISH PROBE EA ADD STAINLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 125.00)
30200214 HC RL ISLET CELL AB TITER LABORATORY - IMMUNOLOGY [0302] ( 103.00)
30200215 HC RL LEPTOSPIRA AB TITER LABORATORY - IMMUNOLOGY [0302] ( 79.00)
30200216 HC RL R TYPHI IGG TITER LABORATORY - IMMUNOLOGY [0302] ( 101.00)
30200217 HC RL R TYPHI IGM TITER LABORATORY - IMMUNOLOGY [0302] ( 101.00)
36001439HC CHANGE PRQ BILIARY DRAINAGE CATHETER BIL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,733.00)
63600084HC EPIFIX 2CM X 2CM ALLOGRAFT PER SQ CM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 554.00)
63600085HC EPIFIX 2CM X 3CM ALLOGRAFT PER SQ CM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 414.00)
63600086HC EPIFIX 2CM X 4CM ALLOGRAFT PER SQ CM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 337.00)
63600087HC EPIFIX 18MM DISK ALLOGRAFT PER SQ CM
PHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 517.00)
36001440HC INTRO PRQ TRANSHEPATIC STENT BILIARY DRG BIL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 8,001.00)
27201818HC SNARE CAPTIVATOR MEDIUM HEXAGONAL 6234
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 30.00)
36001441HC DRAIN/INJ MAJOR JOINT/BURSA W/US BIL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 780.00)
36001442HC NONSELECT CATH RT HEART/MAIN PULMON ART
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,047.00)
36001443HC LUMBAR TRANSFORAM EPIDRL INJ ADDL BIL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 656.00)
36001444HC NJX DX/THER AGT PVRT FACET JT CRV/THRC 3+ LEVEL BIL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 601.00)
36001445HC NJX DX/THER AGT PVRT FACET JT LMBR/SAC 3+ LEVEL BIL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 601.00)
36001446 HC EVASC RPR ILIAC ART BIFR S&IOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 10,244.00)
36001447 HC PTA RENAL/VISCERAL ARTERY PROC BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 10,182.00)
36001448 HC ILIAC PTA INITIAL BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 12,823.00)
36001449 HC PERC DR OR INJ OF PELVIS BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,941.00)
36001450HC INTRO URETER CATH/STNT RENAL PELVIS BIL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,418.00)
36001451
HC INJ PROC PYELOGRAPHY/NEPHROSTOGRAM INDWELL CATH BIL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,285.00)
36001452 HC NEPHROSTOMY DILATION PERC BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,418.00)
27800844 HC HEMOSPLIT CATHETER LONG TERMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 748.00)
30200218 HC RL C4 BINDING PROTEIN LABORATORY - IMMUNOLOGY [0302] ( 84.00)
30200219 HC RL C3 NEPHRITIC FACTOR LABORATORY - IMMUNOLOGY [0302] ( 132.00)
30200220 HC RL LYME DNA PCR LABORATORY - IMMUNOLOGY [0302] ( 289.00)
62400008 HC HM III SYSTEM CONTROLLERMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 21,450.00)
62400009 HC HM III SEALED OUTFLOW GRAFTMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 18,720.00)
62400010 HC HM III MODULAR CABLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 19,306.00)
62400011 HC HM III TUNNELERMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 8,386.00)
36001491HC NJX DX/THER AGT PVRT FACET JT LMBR/SAC 2ND LEVEL BIL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 601.00)
36001453 HC ABLATE BONE TUMOR(S) PERQOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 10,066.00)
36001454HC NONSELECT CATH TRANSLUMBAR AORTA
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,487.00)
36001455 HC PERQ ABLTJ LVR CRYOABLATIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,619.00)
36001456 HC INSERT TUN IP CATH W/PORTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,187.00)
36001457 HC TRANSCATH RENAL SYMP DENERV UNIOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 9,130.00)
36001458HC TRANSCATH RENAL SYMP DENERV BILAT
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 9,130.00)
36001459HC ABLATION BONE TUMOR RF PERCUTANEOUS CT GUID BIL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 7,980.00)
36001460HC INJ SI JOINT ARTHRGRPHY&/ANES/STEROID W/IMAGE BIL
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 657.00)
36001461HC PTA BRACHIOCEPHALIC ARTERIES PROC BIL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 14,999.00)
36001462 HC PTA AV FISTULA OR GRAFT VENOUS BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 14,999.00)
36001463HC SELECT CATH PLACE VEN SYS 2ND ORD FAM BIL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,700.00)
36001464HC PRIM PRQ TRLUML MCHNL THRMBC 1ST VSL BIL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 13,695.00)
36001465 HC VENOUS MECH THROMBECTOMY BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 13,695.00)
36001466HC VENOUS M-THROMBECTOMY ADD-ON BIL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 6,900.00)
36001467 HC ILIAC PTA EA ADDL BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 11,102.00)
36001468 HC ILIAC STENT EA ADDL BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 11,657.00)
36001469 HC FEM/POP PTA BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 11,102.00)
36001470 HC FEM/POP ATHERECTOMY BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 19,438.00)
36001471 HC FEM/POP STENT BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 19,438.00)
36001472HC REVSC OPN/PRQ TIB/PERO W/ATHRC/ANGIOP SM VSL BIL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 30,360.00)
36001473 HC TIB/PERONEAL STENT INITIAL BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 31,200.00)
36001474HC TIB/PERONEAL STENT & ATHERECTOMY INITIAL BIL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 34,118.00)
36001475 HC TIB/PER REVAS EA ADD VESS BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 17,410.00)
36001476HC TIB/PERONEAL ATHERECTOMY EA ADDL BIL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 26,458.00)
36001477 HC TIB/PERONEAL STENT EA ADDL BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 19,500.00)
36001478HC TIB/PERONEAL STENT & ATHERECTOMY EA ADDL BIL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 21,060.00)
36001479 HC OPEN/PERQ PLACE STENT 1ST BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 16,050.00)
36001480 HC OPEN/PERQ PLACE STENT EA ADD BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,884.00)
36001481 HC OPEN/PERQ PLACE STENT SAME BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 16,050.00)
36001482 HC OPEN/PERQ PLACE STENT EA ADD BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,884.00)
36001483 HC URETER STENT CHANGE PERC BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,418.00)
36001484 HC REMOVE URETER STENT PERCUT BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,941.00)
36001485 HC URETER STENT CHANGE EXT/INT BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,733.00)
36001486HC NJX ANES&/STRD W/IMG TFRML EDRL CRV/THRC 1 LVL BIL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,920.00)
36001487HC LUMBAR TRANSFORAM EPIDRL INJ SNGL BIL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,920.00)
36001488HC NJX DX/THER AGT PVRT FACET JT CRV/THRC 1 LEVEL BIL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,721.00)
36001489HC NJX DX/THER AGT PVRT FACET JT CRV/THRC 2ND LEVEL BIL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 601.00)
36001490HC NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL BIL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,721.00)
75000049 HC SCREENING COLONOSCOPYGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,768.00)
75000050 HC FECAL MICROBIOTA PREP INSTILGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 248.00)
75000051HC GI TRACT CAPSULE ENDOSCOPY ESOPHAGUS THROUGH ILEUM
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,598.00)
75000052 HC GI TRACT CAPSULE ENDOSCOPY COLONGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,598.00)
36001492HC MG LIVER HEMORRHAGE COMPLEX SUTURE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,688.00)
40200052 HC LIVER ELASTOGRAPHY OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 253.00)
32000371 HC EPIDUROGRAMRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,002.00)
62400012HC HM III MOBILE POWER UNIT W/AC POWER CABLE
MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 31,200.00)
36100137HC SENTINEL NODE INJ RADIOACTIVE TRACER BIL OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 764.00)
27800848 HC PROBE STRYKER RF MULTILESIONMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 2,000.00)
30100405 HC RL MEN2 (RET) DNA SEQUENCING LABORATORY - CHEMISTRY [0301] ( 1,617.00)
40200053 HC US ELASTOGRAPHY OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 253.00)
27400121 HC HM II 14V LI-ION BATTERYMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 1,641.00)
27001037HC CANISTER WITH TUBING AND FILTER MAX
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 851.00)
27001038 HC AEROCHAMBERMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 12.00)
27001039 HC INFANT AMBU BAGMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 22.00)
27001040 HC CIRCUIT INVASIVE VISIONMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 12.00)
27001041 HC SENSOR ADLT NEONTL OXIMX 3-4KGMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 21.00)
27201821 HC SEPARATOR 5MAXMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 6,877.00)
27201822 HC TUBING MAX ASPIRATIONMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 851.00)
27800853 HC SHEATH NEURON MAX LONGMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 990.00)
27800854 HC CATHETER 3MAX REPEFUSIONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,380.00)
27800855 HC CATHETER 5MAX ACE REPEFUSIONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 4,980.00)
36001493HC CREATE SHUNT VENTRIC-ATR JUGUL AURICL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,960.00)
36001494 HC NEUROENDOSCOPY ADD-ONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,613.00)
27201829 HC SUTURE 3-0 VICRYL SH CR/8 VCP864DMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 24.00)
30100406 HC RL LACTOSTAT 12 LABORATORY - CHEMISTRY [0301] ( 260.00)
30100407 HC RL HYPOGLYCEMIC PANEL LABORATORY - CHEMISTRY [0301] ( 72.00)
30200221 HC RL PHOSPHOLIPASE A2 RECEPTOR AB LABORATORY - IMMUNOLOGY [0302] ( 515.00)
31000071 HC PROSTATE BIOPSYLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 515.00)
30100408HC RL HUNTINGTON DISEASE MUTATION ANALYSIS LABORATORY - CHEMISTRY [0301] ( 188.00)
30100409HC RL MYELIN ASSOCIATED GLYCOPROTEIN IGM LABORATORY - CHEMISTRY [0301] ( 180.00)
30100410 HC RL QU INTERLEUKIN 2 RECEPTOR LABORATORY - CHEMISTRY [0301] ( 125.00)
30600072 HC RL TOXOPLASMA GONDII BY PCR QUANTLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 321.00)
36001495 HC BRONCHOSCOPY/NEEDLE BX ADDLSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,174.00)
76100024 HC INJ GREATER OCCIPITAL NERVESPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 688.00)
27201837 HC TRAY MAMMOTONE SPECIMEN 8GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 14.00)
27201838HC CHAMBER MAMMOTONE REPLACEMENT TISSUE
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 141.00)
27800870 HC CATHETER SET FALLOPIAN TUBEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 304.00)
27800871 HC BALLOON CATHETER MENCINIMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 346.00)
31000072HC RL MORPHOMETRIC ANALYSIS FISH INITIAL PROBE
LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 627.00)
31000073HC RL MORPHOMETRIC ANALYSIS FISH EA ADDL PROBE
LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 58.00)
30100412HC RL PROCOLLAGEN TYPE I N TERMINAL PEPTIDE LABORATORY - CHEMISTRY [0301] ( 83.00)
27201841 HC QUICK CONNECT SPO2 ADULTMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 17.00)
27201842 HC NIBP CUFF SINGLE LUMEN SMLMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 40.00)
27201843 HC IV SET EXTENSION MRIDIUMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 36.00)
27201844 HC INJECTOR KIT MEDRAD SPECTRISMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 32.00)
27201849 HC STYLET SATIN SLIP 10FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 6.00)
27800873 HC BRACHYTX NON STR YTTRIUM 90MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 31,165.00)
45000032 HC CL TX MTP JNT DISLOC W ANESTH EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 1,733.00)
27800874HC CATH DRUG COATED NON LASER 0.35 60MM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,800.00)
27800875HC CATH DRUG COATED NON LASER 0.35 120MM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,100.00)
27800876HC CATH DRUG COATED NON LASER 0.35 150MM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,400.00)
27800877HC PLATE FLOOR ORBITAL BASIC MEDIUM 1.2MM .4MM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,570.00)
27800878HC PLATE FLOOR ORBITAL ISOLATED SMALL 1.2MM .3MM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,501.00)
30600073 HC TRICHOMONAS RAPID TESTLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 107.00)
31100032HC RL CHROMOSOME ANAL TISSURE CULTURE LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 515.00)
31100033HC RL CHROMOSOME ANAL FIRST KARYOTYPE LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 861.00)
31100034HC RL CHROMOSOME ANAL EACH ADDL KARYOTYPE LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 135.00)
27800879 HC SCREW CRS PIN SLF TAP 1.2MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 142.00)
27800880HC SCREW CRS PIN SLF TAP 1.4 EMERGENCY
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 148.00)
27800881HC PLATE UPPERFACE 24 HOLE STRAIGHT MALLEABLE
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,121.00)
27800882HC PLATE UPPERFACE 18 HOLE STRAIGHT MALLEABLE
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,054.00)
27800883HC PLATE UPPERFACE 2X2 HOLE 3D MALLEABLE
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 482.00)
27800884HC PLATE UPPERFACE 2X6 HOLE 3D MALLEABLE
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 867.00)
27800885HC PLATE UPPERFACE 10 HOLE CURVED CONDENSED MALLEA
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 467.00)
27800886HC PLATE UPPERFACE 7 HOLE DOUBLE Y MALLEABLE
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 414.00)
27800887 HC PLATE UPPERFACE 8 HOLE STRAIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 528.00)
27800888 HC PLATE UPPERFACE 24 HOLE STRAIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 966.00)
27800889 HC PLATE UPPERFACE 10 HOLE CURVEDMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 464.00)
27800890HC PLATE UPPERFACE 8 HOLE L 90 DEGREE LEFT
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 358.00)
27800891HC PLATE UPPERFACE 8 HOLE L 90 DEGREE RIGHT
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 358.00)
27800892 HC PLATE UPPERFACE 7 HOLE TMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 366.00)
27800893 HC PLATE UPPERFACE 7 DOUBLE YMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 372.00)
27800894 HC PLATE UPPERFACE 2X2 HOLE 3DMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 449.00)
27800895 HC PLATE UPPERFACE 2X6 HOLE 3DMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 807.00)
27800896 HC PLATE UPPERFACE 4 HOLE ORBITALMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 228.00)
27201858HC DRILL BITS 4 6 & 12MM STOP STRYKER END
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 258.00)
36001498HC LARYNGOSCOPY FLEX/RIGID W STROBOSCOPY
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 853.00)
30100413 HC REDUCING SUBSTANCES FECES LABORATORY - CHEMISTRY [0301] ( 29.00)
30200222 HC RL JO1 ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 107.00)
30200223 HC RL SCLERODERMA ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 107.00)
30200224 HC RL SMITH ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 107.00)
30200225 HC RL RIBONUCLEIC PROTEIN ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 107.00)
30200226 HC RL SJOGREN SSA ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 107.00)
30200227 HC RL SJOGREN SSB ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 107.00)
27201859 HC DETACHER COVIDIEN INSTANTMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 112.00)
27201860 HC DRILL DFINE VERTECOR BONEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 483.00)
27201861 HC TISSEEL FIBRIN SEALANT 4MLMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 522.00)
27201862HC DUPLOCATH APPLICATION CATHETER 35 MIS
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 128.00)
27800900 HC INTRODUCER DFINE OSTEOMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 480.00)
61800001 HC MRA LOW EXTREM W CONT LTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER [0618] ( 1,893.00)
61800002 HC MRA LOW EXTREM W CONT RTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER [0618] ( 1,893.00)
27201866 HC PACK PINPOINTMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 288.00)
27201867HC SCOPE DISP RIGID INTRO PACK PINPOINT
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 230.00)
27201868 HC INSUFFLATOR TUBING PINPOINTMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 58.00)
36001499 HC TT NDL WIRE/DILATOR/STENT FOR O2 TXSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,328.00)
27001052 HC FROG BEAN BAGMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 28.00)
27001053 HC POSITIONER SNUGGLE SMALLMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 76.00)
27001054 HC POSITIONER SNUGGLE MEDIUMMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 80.00)
27001055 HC POSITIONER SNUGGLE LARGEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 85.00)
27001056 HC POSITIONER ZAKYMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 202.00)
27800910 HC STENT ENTERPRISEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 12,858.00)
92200023HC NEEDLE EMG ANAL/URETHRAL SPHINCTER
OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922] ( 401.00)
92200024 HC MUSCLE TEST LARYNXOTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922] ( 178.00)
92200025 HC MUSCLE TEST HEMIDIAPHRAGMOTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922] ( 178.00)
27201870 HC EVICEL FIBRIN 2MLMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 491.00)
31000074 HC RL HISTOCHEMICAL STAIN GROUP IIILABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 552.00)
31000075HC RL MORPHOMETRIC ANALYSIS EACH PROBE
LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 344.00)
30200228 HC RL HELMINTH ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 122.00)
30100414 HC RL TESTOSTERONE FREE LABORATORY - CHEMISTRY [0301] ( 86.00)
76100025 HC BRONCHIAL VALVE INIT INSERTSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 8,734.00)
76100026 HC BRONCHIAL VALVE ADDL INSERTSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,979.00)
76100027 HC BRONCHIAL VALVE REMOV INITSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 4,232.00)
76100028 HC BRONCHIAL VALVE REMOV ADDLSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,979.00)
75000053 HC COLONOSCOPY W/RESECTIONGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,481.00)
36001500 HC LARYNGOSCOPY FLEX WITH BXSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,363.00)
36001501 HC LARYNGOSCOPY FLEX W REM LESIONSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 4,698.00)
36001502 HC BRONCH W/BALLOON OCCLUSIONSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 8,734.00)
36001503 HC DIAG BRONCHOSCOPE/CATHETERSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,979.00)
36001504 HC BRONCHOSCOPY CLEAR AIRWAYSSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,979.00)
36001505 HC BRONCHOSCOPY RECLEAR AIRWAYSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,979.00)
36001506 HC THORACOSCOPY DIAGNOSTICSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 5,767.00)
36001507 HC THORACOSCOPY WBX SACSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 5,767.00)
36001508 HC THORACOSCOPY W/BX MED SPACESPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 5,767.00)
36001509 HC THORACOSCOPY W/BX INFILTRATESPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 5,767.00)
36001510 HC THORACOSCOPY W/BX NODULESPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 5,767.00)
36001511 HC THORACOSCOPY W/BX PLEURASPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 5,767.00)
36001512HC ABLATION LUNG TUMOR PERC RADIO FREQ BIL
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 15,364.00)
36001513 HC ESOPHAGOSCOP ULTRASOUND EXAMSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,997.00)
36001514 HC THORACOSCOPY W/PLEURODESISSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 7,624.00)
36001515 HC THORACOSCOPY W/PLEURODESIS BILSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 15,248.00)
36001516 HC THORACOSCOPY REMOVE CORTEXSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,137.00)
36001517 HC THORACOSCOPY REMOVE CORTEX BILSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 6,272.00)
36001518 HC THORACOSCOPY REM TOTL CORTEXSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 20,986.00)
36001519 HC THORACOSCOPY REM TOTL CORTEX BILSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 41,972.00)
36001520 HC THORACOSCOPY REMOV FB/FIBRINSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,027.00)
36001521 HC THORACOSCOPY CONTRL BLEEDINGSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 985.00)
36001522 HC THORACOSCOPY CONTRL BLEEDING BILSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,970.00)
36001523 HC THORACOSCOPY RESECT BULLAESPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 13,906.00)
36001524 HC THORACOSCOPY RESECT BULLAE BILSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 27,812.00)
36001525 HC THORACOSCOPY W/MEDIAST EXCSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 4,437.00)
36001526 HC THORACOSCOPY W/LOBECTOMYSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 11,682.00)
36001527 HC THORACOSCOPY W/ TH NRV EXCSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 12,352.00)
36001528 HC THORACOSCOPY W/ TH NRV EXC BILSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 24,705.00)
36001529 HC THORACOSCOPY W/WEDGE RESECTSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 6,557.00)
36001530 HC THORACOSCOPY W/W RESECT ADDLSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,926.00)
36001531 HC THORACOSCOPY REMOVE SEGMENTSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,816.00)
36001532 HC THORACOSCOPY W/THYMUS RESECTSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 11,306.00)
36001533 HC THORACOSCOPY LYMPH NODE EXCSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 6,496.00)
36001534 HC TOTAL LUNG LAVAGE (UNILATERAL)SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,482.00)
36001535 HC TOTAL LUNG LAVAGE (BILATERAL)SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,964.00)
27201874 HC ELECTRODE PED PNG DEFIB 3X4MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 68.00)
27800913 HC GUIDEWIRE MAXXWIREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 220.00)
27800914 HC STENT AEROMINI TRACHEOBRONCHIALMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 4,600.00)
27800915 HC STENT AERO TRACHEOBRONCHIALMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,900.00)
36001536HC UNLISTED PROCDURE PELVIS OR HIP JOINT
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 352.00)
27201875 HC STENT SIZING DEVICE AEROSIZERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 250.00)
27201876 HC NEEDLE ASPIRATION VIZISHOT L70MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 267.00)
27201877 HC NEEDLE ASPIRATION 22GMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 224.00)
27800916 HC BALLOON DILATION PULMONARYMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 510.00)
45000033 HC INJ ANESTH FACIAL NERVE EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 275.00)
30100415HC RL IMMUNOGLOBULIN A CRYOPRECIPITATE LABORATORY - CHEMISTRY [0301] ( 23.00)
30100416HC RL IMMUNOGLOBULIN G CRYOPRECIPITATE LABORATORY - CHEMISTRY [0301] ( 23.00)
30100417HC RL IMMUNOGLOBULIN M CRYOPRECIPITATE LABORATORY - CHEMISTRY [0301] ( 23.00)
31000076HC RL MOLECULAR PATH PROCEDURE LEVEL 6
LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 341.00)
31000077HC RL UNLISTED MOLECULAR PATH PROCEDURE
LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 341.00)
31000078 HC RL PTEN GENE ANALYSISLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 686.00)
31000079HC RL MOLECULAR PATH PROCEDURE LEVEL 7
LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 525.00)
31000080HC RL MOLECULAR PATH PROCEDURE LEVEL 5
LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 341.00)
32000372 HC RENAL STONE EXTRACTIONRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 8,187.00)
32000373 HC PERC NEPHROSTOLITHOTOMY TO 2 CMRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 13,867.00)
32000374 HC DILATE NEPHROSTOMY TRACT PERCRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 2,945.00)
61800003HC MRA W/WO CONTRAST LOWER EXTREMITY BIL
MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER [0618] ( 4,680.00)
27201878 HC INFLA DEV B/G60 ENDO-AN6012MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 81.00)
31000081 HC RL MLC MUTATION T(11;14) + 11LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 208.00)
31000082 HC RL BRCA1 BRCA2 SEQUENCE ANALYSISLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 2,494.00)
31000083 HC RL BRCA1 BRCA2 DELETION VARIANTSLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 666.00)
30200229 HC RL TETANUS ANTITOXOID LABORATORY - IMMUNOLOGY [0302] ( 49.00)
30100418 HC RL ESLICARBAZEPINE LABORATORY - CHEMISTRY [0301] ( 66.00)
45000036HC DRAIN EXTERNAL AUDITORY CANAL ABSCESS EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 1,029.00)
45000037HC REMOVE IMPACTED EAR WAX W/INSTRUMENT BIL EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 435.00)
32000408 HC XRAY EXAM ENTIRE SPI 1 VWRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 127.00)
32000409 HC XRAY EXAM ENTIRE SPI 2/3 VWRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 209.00)
32000410 HC XRAY EXAM ENTIRE SPI 4/5 VWRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 399.00)
32000411 HC XRAY EXAM ENTIRE SPI 6/> VWRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 399.00)
32000412 HC XRAY EXAM HIP UNI 1 VIEWRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 127.00)
32000413 HC XRAY EXAM HIP UNI 2-3 VIEWSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 127.00)
32000414 HC XRAY EXAM HIP UNI 4/> VIEWSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 209.00)
32000415 HC XRAY EXAM HIPS BI 2 VIEWSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 209.00)
32000416 HC XRAY EXAM HIPS BI 3-4 VIEWSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 209.00)
32000417 HC XRAY EXAM HIPS BI 5/> VIEWSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 399.00)
32000418 HC XRAY EXAM OF FEMUR 1RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 127.00)
32000419 HC XRAY EXAM OF FEMUR 2/>RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 127.00)
32000420 HC XRAY EXAM OF FEMUR 2/> BILRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 253.00)
32000421 HC MRI FETAL SNGL/1ST GESTATIONRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 569.00)
32000422 HC MRI FETAL EA ADDL GESTATIONRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 569.00)
34100082HC GASTRIC EMPTYING IMAG STUDY W/SMALL BOWEL TRANSIT NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 692.00)
34100083HC GASTRIC EMPTYING IMAG STUDY W/SMALL BOWEL AND COLON TRANSIT NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 918.00)
34200014HC HDR RDNCL SKN SURF BRACHYTX LESION DIAMETER UP TO 2.0CM NUCLEAR MEDICINE - THERAPEUTIC PROCEDURES [0342] ( 405.00)
34200015HC HDR RDNCL SKN SURF BRACHYTX LESION DIAMETER OVER 2.0CM NUCLEAR MEDICINE - THERAPEUTIC PROCEDURES [0342] ( 405.00)
34200016HC HDR RDNCL NTRSTL/ICAV BRCHTX 1 CHANNEL NUCLEAR MEDICINE - THERAPEUTIC PROCEDURES [0342] ( 1,448.00)
34200017HC HDR RDNCL NTRSTL/ICAV BRCHTX 2-12 CHANNELS NUCLEAR MEDICINE - THERAPEUTIC PROCEDURES [0342] ( 1,448.00)
34200018HC HDR RDNCL NTRSTL/ICAV BRCHTX OVER 12 CHANNELS NUCLEAR MEDICINE - THERAPEUTIC PROCEDURES [0342] ( 1,448.00)
34200019 HC UNLISTED CLINICAL BRACHYTHERAPY NUCLEAR MEDICINE - THERAPEUTIC PROCEDURES [0342] ( 230.00)
45000034HC REMOVE IMPACTED EAR WAX IRRIG/LAVAGE UNI OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 104.00)
45000035HC REMOVE IMPACTED EAR WAX IRRIG/LAVAGE BIL OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 208.00)
76100029 HC BRONCH EBUS SAMPLNG 1/2 NODESPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 4,143.00)
76100030 HC BRONCH EBUS SAMPLNG 3/> NODESPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 4,143.00)
76100031 HC BRONCH EBUS IVNTJ PERPH LESSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 4,143.00)
76100034HC PLMT URETERAL STENT PRQ PRE EXISTING NEPHROSTOMY TRACT
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 4,666.00)
76100035HC PLMT URETERAL STENT PRQ PRE EXISTING NEPHROSTOMY TRACT BIL
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 9,333.00)
76100036HC PLMT URETERAL STENT PRQ NEW ACCESS W/O NEPHROSTOMY CATH
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 4,666.00)
76100037HC PLMT URETERAL STENT PRQ NEW ACCESS W/O NEPHROSTOMY CATH BIL
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 9,333.00)
76100038HC PLMT URETERAL STENT PRQ NEW ACCESS W/NEPHROSTOMY CATH
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 4,666.00)
76100039HC PLMT URETERAL STENT PRQ NEW ACCESS W/NEPHROSTOMY CATH BIL
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 9,333.00)
76100040 HC EVASC PRLNG ADMN RX AGNT 1STSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,939.00)
76100041 HC EVASC PRLNG ADMN RX AGNT ADDSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,939.00)
76100042HC PLMT BILIARY DRAINAGE CATH INTERNAL-EXTERNAL
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 4,528.00)
76100043 HC CONVERSION EXT BIL DRG CATHSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 4,528.00)
76100044 HC EXCHANGE BILIARY DRG CATHSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 4,528.00)
76100045 HC REMOVAL BILIARY DRG CATHSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,005.00)
76100046 HC REMOVAL DUCT GLBLDR CALCULISPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 4,569.00)
76100047HC NJX PX NFROSGRM &/URTRGRM NEW ACCESS
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,091.00)
76100048HC NJX PX NFROSGRM &/URTRGRM NEW ACCESS BIL
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,182.00)
76100049HC NJX PX NFROSGRM &/URTRGRM EXISTING ACCESS
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,091.00)
76100050HC NJX PX NFROSGRM &/URTRGRM EXISTING ACCESS BIL
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,182.00)
76100051 HC PLMT NEPHROSTOMY CATHETERSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,134.00)
76100052 HC PLMT NEPHROSTOMY CATHETER BILSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 6,267.00)
76100053 HC PLMT NEPHROURETERAL CATHETEROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,134.00)
76100054 HC PLMT NEPHROURETERAL CATHETER BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 6,267.00)
76100055 HC CONVERT NEPHROSTOMY CATHETERSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,045.00)
76100056HC CONVERT NEPHROSTOMY CATHETER BIL
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 4,567.00)
76100057 HC EXCHANGE NEPHROSTOMY CATHSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,045.00)
76100058 HC EXCHANGE NEPHROSTOMY CATH BILSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 4,567.00)
76100059 HC ENDOLUMINAL BX URTR RNL PLVSSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,812.00)
76100060 HC ENDOLUMINAL BX URTR RNL PLVS BILSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,623.00)
76100061 HC URETERAL EMBOLIZATION/OCCLSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,812.00)
76100062 HC URETERAL EMBOLIZATION/OCCL BILSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,623.00)
76100063 HC BALLOON DILATE URTRL STRIXSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,812.00)
76100064 HC BALLOON DILATE URTRL STRIX BILSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,623.00)
76100065 HC PERQ ART M-THROMBECT &/NFS BILSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 12,673.00)
76100066 HC PERQ ART M-THROMBECT &/NFSSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 6,337.00)
76100067 HC PVB THORACIC SINGLE INJ SITESPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,092.00)
76100068 HC PVB THORACIC SINGLE INJ SITE BILSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,185.00)
76100069 HC PVB THORACIC 2 OR MORE INJ SITESPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,185.00)
76100070 HC PVB THORACIC 2 OR MORE INJ SITE BILSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 4,370.00)
76100071 HC PVB THORACIC CONT INFUSIONSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,092.00)
76100072 HC PVB THORACIC CONT INFUSION BILSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,185.00)
92000022 HC ART PRESSURE WAVEFORM ANALYSOTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 57.00)
30100419 HC RL ENCAINIDE LABORATORY - CHEMISTRY [0301] ( 118.00)
30100420 HC RL IODINE SERUM LABORATORY - CHEMISTRY [0301] ( 205.00)
30100421 HC METHAQUALONE URINE LABORATORY - CHEMISTRY [0301] ( 243.00)
30100422 HC RL HPLC FOR 6-THIOGUANINE (6 TGN) LABORATORY - CHEMISTRY [0301] ( 243.00)
30100423HC RL HPLC FOR 6 METHYLMERCAPTOPURINE (6MMPN) LABORATORY - CHEMISTRY [0301] ( 251.00)
30100424 HC RL STRYCHNINE URINE LABORATORY - CHEMISTRY [0301] ( 114.00)
30100425 HC RL PORPHYRINS PLASMA LABORATORY - CHEMISTRY [0301] ( 126.00)
30100426 HC RL KETAMINE LABORATORY - CHEMISTRY [0301] ( 126.00)
30100427 HC RL AMIODARONE LABORATORY - CHEMISTRY [0301] ( 131.00)
30100428 HC RAPID DRUG SCREEN LABORATORY - CHEMISTRY [0301] ( 452.00)
30100429 HC RL MECONIUM SCREEN LABORATORY - CHEMISTRY [0301] ( 286.00)
30100430 HC DRUG SCREEN A URINE LABORATORY - CHEMISTRY [0301] ( 112.00)
30100431 HC DRUG SCREEN B URINE LABORATORY - CHEMISTRY [0301] ( 256.00)
30100432 HC MEDICAL DRUG SCREEN 10 LABORATORY - CHEMISTRY [0301] ( 321.00)
30100433 HC RL DRUG SCREEN FLUID LABORATORY - CHEMISTRY [0301] ( 96.00)
31000084HC RL PANCA INDIRECT IMMUNO FLOR IGG SPECIFIC
LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 387.00)
31000085HC RL ANTI ENDOMYSIAL IGA ANITBODY (EMA)
LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 387.00)
31000086 HC RL HPLC FOR 6 METHYL THIOGUANINELABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 102.00)
31000087HC RL IMMUNOFLORESCENCE PER SPECIMEN EA ADD
LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 147.00)
36001537 HC RENAL ENDO THRU ESTAB N/P OSTOMYOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 6,654.00)
45000451HC ED IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 384.00)
45000452HC ED IV INFUSION HYDRATION EACH ADDITIONAL HOUR EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 114.00)
45000453HC ED IV INFUSION THERAPY/PROPH /DX 1ST TO 1 HR EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 448.00)
45000454HC ED IV INFUSION THERAPY PROPH/DX EA HOUR EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 170.00)
45000455HC ED IV INFUSION THER PROPH ADDL SEQ TO 1 HR EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 245.00)
45000456HC ED IV NFS THERAPY PROPHY/DX CONCURRENT NFS EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 160.00)
45000457HC ED THERAPEUTIC PROPHY/DX INJECTION SUBQ/IM EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 166.00)
45000458HC ED THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 364.00)
45000459HC ED THERAPEUTIC INJECTION IV PUSH EACH NEW DRUG EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 148.00)
45000460HC ED THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG FAC EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 141.00)
45000461HC ED UNLISTED THER./PROPHYLACTIC/DIAG. INJ. EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 194.00)
27801014 HC STENT SYNERGY DESMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,400.00)
30200230 HC RL IMMUKNOW LABORATORY - IMMUNOLOGY [0302] ( 212.00)
27201879 HC BRUSH W/STOP NEEDLE TIPPED CYTMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 144.00)
27201880 HC MARKER FIDUCIAL L7MM OD4MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 363.00)
27201881 HC FORCEP BPSY SPRTRX STRL DISPMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 166.00)
27201882 HC BRUSH CYTLGY SPRTRX L120CM L2MMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 53.00)
27201883 HC BRUSH CYTLGY TRPL NEEDLE 10MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 106.00)
27201884 HC BRUSH CYTLGY L15MM L1115 MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 265.00)
27201885 HC NEEDLE ENDSCP ASPRTNG FLXB SHFMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 211.00)
76100073HC INJECTION FOR CHOLANGIOGRAM EXISTING ACCESS
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 5,227.00)
76100074HC INJECTION FOR CHOLANGIOGRAM NEW ACCESS
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 4,064.00)
76100075HC PLMT BILIARY DRAINAGE CATH EXTERNAL
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 4,064.00)
76100076 HC INTRVASC US NONCORONARY 1STSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,969.00)
76100077 HC INTRVASC US NONCORONARY ADDLSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,969.00)
76100078 HC INJ ANESTH SUPRASCAPULAR NERVESPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,092.00)
27801016HC INTRODUCER ACC SET MICROPUNCTURE PEDAL
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 81.00)
30100434 HC RL ANTI RETINAL AUTO ANTIBODY IHC LABORATORY - CHEMISTRY [0301] ( 338.00)
30100435 HC RL ANTI RETINAL AUTO ANTIBODY WB LABORATORY - CHEMISTRY [0301] ( 541.00)
27201886HC PROBE KIT OSTEOCOOL RF ABLATION SINGLE
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 7,360.00)
27201887HC PROBE KIT OSTEOCOOL RF ABLATION DUAL
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 10,120.00)
27201888HC BONE ACCESS KIT OSTEOCOOL RF ABLATION
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 920.00)
27201889HC CEMENT GUN AND BONE FILLER KYPHON CDS2A
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 794.00)
27201890 HC CEMENT CARTRIDGE KYPHON CC02AMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 207.00)
27201891HC BONE CEMENT XPEDE WITH MIXER KYPHON CX01B
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 610.00)
27201892 HC SYRINGE INFLATION KYPHON A08EMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 236.00)
27201893 HC SURGICEL 2 X 4MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 239.00)
30100436 HC RL SANDOSTATIN LABORATORY - CHEMISTRY [0301] ( 208.00)
30100437 HC RL SUBSTANCE P LABORATORY - CHEMISTRY [0301] ( 182.00)
30200231 HC RL IMMUNOASSAY TUMOR OTHER LABORATORY - IMMUNOLOGY [0302] ( 159.00)
30100438 HC RL DRUG ABUSE PANEL 9 SERUM LABORATORY - CHEMISTRY [0301] ( 81.00)
75000054 HC FLEX SIGM CANCER SCREENINGGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 919.00)
34000010 HC INTRA-ARTERIAL RPHARM RX NUCLEAR MEDICINE - GENERAL CLASSIFICATION [0340] ( 467.00)
76100079 HC ENDOLUMINAL BX BILIARY TREESPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 4,569.00)
76100080 HC SIJ ANESTH/STEROID INJSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,092.00)
30200232 HC RL CHROMATIN ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 57.00)
30100439HC RL MY GALACTOSE 1 PHOSPHATE ERYTHROCYTES LABORATORY - CHEMISTRY [0301] ( 344.00)
30100440 HC RL CLOZAPINE LABORATORY - CHEMISTRY [0301] ( 86.00)
27201898 HC KIT IVAS SYSTEM STRYKERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 2,415.00)
27201899 HC MIXER AUTOPLEX W/VHV STRYKERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 1,702.00)
27201900 HC DRILL HAND STRYKERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 153.00)
27201901HC CANNULA VERTEPORT CEMENT STRYKER
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 139.00)
27201902 HC CANNULA ACCESS STRYKERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 140.00)
27201903 HC KIT IVAS BIOPSY STRYKERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 201.00)
27201904 HC CURETTE STRYKERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 1,254.00)
27201905 HC NEEDLE CURVED STRYKERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 978.00)
27801023 HC COIL AXIUM PRIME 3D 7X30 OR SMALLERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,700.00)
27801024 HC COIL AXIUM PRIME BARE HELIXMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,350.00)
76100081 HC BRONCHOPL EXC STENOS & ANASTOMSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,028.00)
76100082HC PERQ PLMT BILE DUCT STENT EXISTING ACCESS
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 7,688.00)
76100083HC PERQ PLMT BILE DUCT STENT NEW ACCESS W/PLACE SEP DRAIN CATH
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 7,688.00)
76100084 HC IMAGE CATH FLUID TRNS/VGNLSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,759.00)
76100085 HC BRONCH THERMOPLSTY 1 LOBESPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 5,724.00)
76100086 HC BRONCH THERMOPLSTY 2/> LOBESSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 5,724.00)
76100087HC CATHETERIZATION WITH BRONCHIAL BRUSH BX
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 700.00)
76100088 HC MANOMETRY NEPH/PYELO INDW CATHSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,045.00)
27201908 HC PACEMAKER SNGL CHAMBER EXT TEMPMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 6,210.00)
27201909HC PULSE GENERATOR KIT DUAL CHAMBER EXT
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 15,525.00)
27801025 HC LEAD CRTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,004.00)
27801026 HC LEAD CRT QUADMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 4,032.00)
27801027 HC LEAD CRT STARFIXMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,338.00)
27801028 HC ICD LEADMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 6,186.00)
27801029 HC ICD CRTD COREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 31,682.00)
27801030 HC ICD CRTD PREMIUMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 35,002.00)
27801031 HC ICD CRTD PREMIUM PLUSMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 35,716.00)
27801032 HC ICD CRTD VALUEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 29,222.00)
27801033 HC ICD DUAL COREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 23,508.00)
27801034 HC ICD DUAL MRI XTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 30,582.00)
27801035 HC ICD DUAL MRI TMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 29,022.00)
27801036 HC ICD DUAL PREMIUMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 24,008.00)
27801037 HC ICD DUAL PREMIUM PLUSMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 25,446.00)
27801038 HC ICD DUAL VALUEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 21,948.00)
27801039 HC ICD SINGLE COREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 20,418.00)
27801040 HC ICD SINGLE MRIMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 27,034.00)
27801041 HC ICD SINGLE PREMIUMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 20,918.00)
27801042 HC ICD SINGLE PREMIUM PLUSMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 22,172.00)
27801043 HC ICD SINGLE VALUEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 18,860.00)
27801044 HC LOOP RECORDER COREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 7,448.00)
27801045 HC LOOP RECORDER PREMIUMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 9,690.00)
27801046 HC PPM LEADMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 820.00)
27801047 HC PPM CRTP COREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 12,192.00)
27801048 HC PPM CRTP PREMIUMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 13,216.00)
27801049 HC PPM CRTP VALUEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 11,782.00)
27801050 HC PPM DUAL COREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 5,072.00)
27801051 HC PPM DUAL MRIMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 8,840.00)
27801052 HC PPM DUAL PREMIUMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 6,524.00)
27801053 HC PPM DUAL VALUEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 4,386.00)
27801054 HC PPM SINGLE COREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,786.00)
27801055 HC PPM SINGLE MRIMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 6,824.00)
27801056 HC PPM SINGLE PREMIUMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 5,158.00)
27201910 HC PACK TOTAL PLUS 20GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 1,187.00)
40200054 HC UMBILICAL ARTERY ECHO OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 172.00)
27001059HC KCI CANISTER WND VAC VAC INFOVAC TUBE CLAMP 500ML
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 71.00)
27201911HC KCI DRSG WND VAC GRANUFOAM PAD LG 3.2X15X26CM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 122.00)
30100441 HC RL SUFONYLUREAS QUALITATIVE LABORATORY - CHEMISTRY [0301] ( 140.00)
27201913 HC MAXORB AG 4IN X 4.75INMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 14.00)
36001538HC TRACHEOBRONCHIAL CATH ASP W/ FIBERSCOPE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,086.00)
76100089 HC PHARYNGOSTOMYSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,288.00)
75000055 HC ENDOSCOPIC US EXAM ESOPHGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,031.00)
75000056 HC EGD US FINE NEEDLE BX/ASP LIMITEDGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,031.00)
75000057HC EGD US FINE NEEDLE BX/ASP COMPLETE
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,031.00)
75000058 HC EGD OPTICAL ENDOMICROSCOPYGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 4,926.00)
75000059 HC EGD W/THRML TXMNT GERDGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 3,697.00)
75000060 HC EGD US EXAM DUODENUM/JEJUNUMGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,031.00)
30600074HC RL AMPLIFIED PROBE(S) TECHNIQUE DNA PCR
LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 338.00)
27801076 HC ASAHI CHIKAI GUIDEWIRE .014MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 990.00)
27801077 HC ASAHI CHIKAI GUIDEWIRE .008 .010 .019MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,098.00)
76100090 HC DILATE BILIARY DUCT/AMPULLASPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 656.00)
27001060HC POSITIONING AID PRONE + URETHANE CVR FM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 283.00)
27001061 HC POSITIONING AID INF FREDDY TFROGMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 164.00)
27001062HC POSITIONING BUMPER B3 BETTER BENDY SM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 87.00)
75000062 HC COLONOSCOPY W/ENDOSCOPE USGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,405.00)
45000462 HC OPEN TX DISTAL PHALANG FRACT EA EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 2,716.00)
76100091 HC MEDIASTINOSCPY W/MEDSTNL BXSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 5,886.00)
76100092 HC MEDIASTINOSCPY W/LMPH NOD BXSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 5,886.00)
27201914 HC EVICEL FIBRIN 5MLMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 1,130.00)
30600075 HC CANDIDA SPECIES DNA PROBELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 87.00)
30600076 HC MYCOPLASMA GENITALIUM DNA PROBELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 87.00)
30600077 HC MYCOPLASMA HOMINIS DNA PROBELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 87.00)
30600078HC UREAPLASMA UREALYTICUM DNA PROBE
LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 87.00)
30600079 HC HANSEL STAIN (URINE EOSINOHILS)LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 95.00)
36001539HC INJ NEUROLYTIC EPIDURAL LUMB/CAUDAL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,535.00)
75000063HC COLONOSCOPY THROUGH STOMA W/RESECTION
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,405.00)
36001540HC DESTR W NEUROLYT TRIGEM NRV INF ALV BR
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,535.00)
75000064HC COLONOSCOPY STOMA W/ENDOSCOPIC STENT PLCMT
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 6,746.00)
75000065HC COLONOSCOPY STOMA W/BALOON DILATION
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,405.00)
75000066HC COLONOSCOPY STOMA W/ENDOSCOPIC US
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,405.00)
36001541HC INJECT SPINE W/CATH CERVICAL THORACIC
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,535.00)
36001542HC INJECT SPINE W/CATH LUMBAR SACRAL (CAUDAL)
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,535.00)
36001543 HC TAP BLOCK UNIL BY INJECTIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,092.00)
36001544 HC TAP BLOCK BIL BY INJECTIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,184.00)
36001545 HC ECMO/ECLS INSJ PRPH CANNULA PRQOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 11,875.00)
76100093HC PERQ PLMT BILE DUCT STENT NEW ACCESS
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 7,688.00)
76100094HC TRANSCATH THROMBO INF ART INITIAL S&I BIL
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 14,171.00)
76100095HC TRANSCATH THROMBO INF VEN INITIAL S&I BIL
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,203.00)
36100143 HC PERC NDL CORE BRST BX WO GUID OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,759.00)
36100144 HC PERC NDL CORE BRST BX WO GUID BIL OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 3,517.00)
36001546 HC NEUROL AG DESTR SH PLEXUSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,535.00)
76100096 HC INJ HYPOGAS PLXSSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,535.00)
37000005 HC HOSP MANAGE CONT DRUG ADMIN ANESTHESIA - GENERAL CLASSIFICATION [0370] ( 260.00)
27801080 HC SHEATH CLASSIC 6FMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 86.00)
75000067 HC COLONOSCOPY SUBMUCOUS NJXGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,405.00)
75000068 HC SIGMOIDOSCOPY W/ULTRASOUNDGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,405.00)
75000069 HC SIGMOIDOSCOPY W/US GUIDE BXGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 3,101.00)
36001547 HC UNLISTED PROCEDURE STOMACHOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,392.00)
75000070 HC SIGMOIDOSCOPY W/PLCMT STENTGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 6,746.00)
75000071 HC SIGMOIDOSCOPY W/RESECTIONGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,405.00)
75000072 HC COLONOSCOPY W/ENDOSCOPIC FNBGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 3,101.00)
75000073 HC COLONOSCOPY W/BAND LIGATIONGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,405.00)
75000074 HC ESOPHAGOSCOPY FLEX REMOVE FBGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,031.00)
75000075 HC ESOPHAGOSCOPY LESION REMOVALGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 3,697.00)
75000076 HC ESOPHAGOSCOPY SNARE LES REMVGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,031.00)
27801081HC PRIMATRIX 2 CM X 2 CM 607-005-220 PER SQ CM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 266.00)
27801082HC PRIMATRIX 3 CM X 3 CM MESHED 607-005-330 PER SQ CM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 167.00)
27801083HC PRIMATRIX 4 CM X 4 CM SOLID 607-001-440 PER SQ CM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 125.00)
27801084HC PRIMATRIX 4 CM X 4 CM FENESTRATED 607-004-440 PER SQ CM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 125.00)
27801085HC PRIMATRIX 4 CM X 4 CM MESHED 2:1 607-005-440 PER SQ CM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 138.00)
27801086HC PRIMATRIX 5 CM X 5 CM MESHED 2:1 607-005-550 PER SQ CM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 128.00)
27801087HC PRIMATRIX 6 CM X 6 CM SOLID 607-001-660 PER SQ CM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 111.00)
27801088HC PRIMATRIX 6 CM X 6 CM FENESTRATED 607-004-660 PER SQ CM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 111.00)
27801089HC PRIMATRIX 6 CM X 6 CM MESHED 2:1 607-005-660 PER SQ CM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 122.00)
92100023 HC DUPLEX FLOW PENILE FUP/LIMITOTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921] ( 287.00)
92100024 HC PENILE PLETHYSMOGRAPHYOTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921] ( 242.00)
36001548 HC LIGATION MAJOR ARTERY EXTREMITYOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,496.00)
72000059 HC IUPC APPLICATIONLABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 1,388.00)
72000060 HC BAKRI BALLOON PROCEDURELABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 1,388.00)
36001549 HC APPLY HALO CRANIALOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,831.00)
36001550 HC ECMO/ECLS INITIATION VENOUSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,786.00)
36001551 HC ECMO/ECLS INITIATION ARTERYOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,786.00)
36001552 HC ECMO/ECLS DAILY MGMT VENOUSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,843.00)
36001553 HC ECMO/ECLS DAILY MGMT ARTERYOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,843.00)
36001554 HC ECMO/ECLS INSJ PRPH CANNULA OPENOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 7,408.00)
36001555HC ECMO/ECLS INSJ CTR CANNULA STERNO/THORA
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 7,408.00)
36001556 HC ECMO/ECLS REPOS PERPH CNULA PRQOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,843.00)
36001557 HC ECMO/ECLS REPOS PERPH CNULA OPENOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,843.00)
36001558HC ECMO/ECLS REPOS CTR CNULA STERNA/THORA
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,843.00)
36001559 HC ECMO/ECLS RMVL PRPH CANNULA PRQOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,843.00)
36001560HC REM IAB ASSIST DEVICE PERCUTANEOUS
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,843.00)
36001561HC INS IAB ASSIST DEVICE THRU FEM ART OPEN
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,843.00)
36001562HC REM IAB ASSIST DEVICE REPAIR FEM ART W W/O GRAFT
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,843.00)
36001563 HC INSERT VAD EC BIVOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,843.00)
36001564 HC REM VAD EC SGL VOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,843.00)
36001565 HC REM VAD EC BIVOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,843.00)
36001566 HC ECMO/ECLS RMVL PRPH CANNULA OPENOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,843.00)
36001567HC ECMO/ECLS RMVL CTR CANNULA STERNO/THORA
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,843.00)
36001568 HC REMOVE VAD DIFFERENT SESSIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,843.00)
36001569 HC REPOSITION VAD DIFF SESSIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,843.00)
30100442 HC RL GENOMIC SEQUENCE ANALYSIS LABORATORY - CHEMISTRY [0301] ( 1,035.00)
30600080 HC RL ZIKA VIRUS RNA PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 400.00)
27801090 HC ENVELOPE CORMATRIX CANGAROOMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 1,900.00)
76100097HC NEG PRESS WOUND TX <=50 SQ CM NON DME
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 421.00)
76100098HC NEG PRESS WOUND TX >50 SQ CM NON DME
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 421.00)
36001570HC ASP VITREOUS SUBRETIN OR CHOROID FLUID
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,259.00)
48000065 HC PB VALVULOPLASTY AORTIC VALVE CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 8,573.00)
30500036 HC HEMOGLOBIN S REDUCTION TEST LABORATORY - HEMATOLOGY [0305] ( 33.00)
31000088 HC RL KIT D816 MUTATION ANALYSISLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 477.00)
30100443 HC RL DRUG SCREEN DRUG CLASS LIST B LABORATORY - CHEMISTRY [0301] ( 68.00)
36001571HC REPLACE AORTIC VALVE PERQ FEM APRCH
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 8,609.00)
36001572HC REPLACE AORTIC VALVE OPEN FEM APRCH
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 8,609.00)
36001573HC REPLACE AORTIC VALVE OPEN AXILLARY APRCH
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 8,609.00)
36001574HC REPLACE AORTIC VALVE OPEN ILIAC APRCH
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 8,609.00)
36001575HC REPLACE AORTIC VALVE TRANSAORTIC APRCH
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 8,609.00)
36001576HC TRANSCATH TRANSAPICAL REPLACE AORTIC VALVE
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 8,609.00)
36001577HC REPLACE AORTIC VALVE W/BYP PRQ ART/VENOUS APRCH
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,151.00)
36001578HC REPLACE AORTIC VALVE W/BYP OPEN ART/VENOUS APRCH
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,151.00)
36001579HC REPLACE AORTIC VALVE W/BYP CNTRL ART/VENOUS APRCH
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,151.00)
30200233 HC RL ALLERGEN SPECIFIC IGG LABORATORY - IMMUNOLOGY [0302] ( 16.00)
45000463HC UNLISTED PROCEDURE HUMERUS OR ELBOW EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 321.00)
32200026 HC HIP ARTHROGRAM BIL RADIOLOGY - DIAGNOSTIC - ARTHROGRAPHY [0322] ( 1,034.00)
30100444 HC RL ANTIEPILEPTICS NOS LABORATORY - CHEMISTRY [0301] ( 89.00)
30600081HC RL CULTURE TYPING NUCLEIC ACID SEQUENCE
LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 285.00)
30600082 HC RL CULTURE TYPING ADDED METHODLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 92.00)
30600083 HC RL ACTINOMYCETES SENSITIVITYLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 198.00)
36001580HC INJ HIP ARTHROGRAPHY W/O ANESTHESIA BIL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,589.00)
36001581HC INTERCOSTAL NERVE BLOCK MULTIPLE BIL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,650.00)
36001582 HC INJ ANESTH OTHR PERIPHERAL NRV BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,548.00)
36001583HC CER/T TRANSFORAM EPIDRLINJADD'L BIL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 599.00)
36001584HC INJ ANESTH LUMB/THOR (SYMPATHETIC) BIL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,650.00)
36001585HC DESTROY CERV/THOR FACET JNT SINGLE BIL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 6,111.00)
36001586HC DESTROY CERV/THORACIC FACET INJ ADDL BIL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,635.00)
36001587HC DESTROY LUMB/SAC FACET JNT SINGLE BIL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 6,111.00)
36001588HC DESTROY LUMBAR/SAC FACET INJ ADDL BIL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,583.00)
61800004 HC MRA PELVIS W & WO CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER [0618] ( 1,352.00)
30200234 HC RL BARTONELLA SPECIES IGG TITER LABORATORY - IMMUNOLOGY [0302] ( 25.00)
30200235 HC RL BARTONELLA SPECIES IGM TITER LABORATORY - IMMUNOLOGY [0302] ( 25.00)
30200236 HC RL BARTONELLA HENSELAE IGG TITER LABORATORY - IMMUNOLOGY [0302] ( 25.00)
30200237 HC RL BARTONELLA HENSELAE IGM TITER LABORATORY - IMMUNOLOGY [0302] ( 25.00)
40300004 HC SCREEN BREAST TOMOSYNTHESIS BILOTHER IMAGING SERVICES - SCREENING MAMMOGRAPHY [0403] ( 46.00)
40100013 HC BREAST TOMOSYNTHESIS UNI LTOTHER IMAGING SERVICES - DIAGNOSTIC MAMMOGRAPHY [0401] ( 46.00)
40100014 HC BREAST TOMOSYNTHESIS UNI RTOTHER IMAGING SERVICES - DIAGNOSTIC MAMMOGRAPHY [0401] ( 46.00)
40100015 HC BREAST TOMOSYNTHESIS BILOTHER IMAGING SERVICES - DIAGNOSTIC MAMMOGRAPHY [0401] ( 46.00)
30100445 HC RL GAMMA HYDROXYBUTYRIC ACID LABORATORY - CHEMISTRY [0301] ( 172.00)
31100035HC RL CML/ALL BCR/ABL BY FISH DNA PROBE LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 135.00)
31100036HC RL CML/ALL BCR/ABL BY FISH HYBRIDIZATION LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 135.00)
31000089 HC RL VKORC1 GENE ANALYSISLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 208.00)
31000090 HC RL CYP2C9 GENE ANALYSISLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 208.00)
30100446HC FECAL OCCULT BLOOD BY IMMUNOASSAY LABORATORY - CHEMISTRY [0301] ( 36.00)
30600084HC RL INFECTIOUS AGENT BY AMPLIFIED PROBE
LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 87.00)
30600085 HC RL LEGIONALL PNEUMONPHILIA BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 87.00)
30600086 HC RL C. PNEUMONIAE DIRECT PROBELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 87.00)
30600087 HC RL M. PNEUMONIAE AMPLIFIED PROBELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 87.00)
30600088HC RL RESPIRATORY VIRUS AMPLIFIED PROBE
LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 527.00)
30600089 HC RL S. AUREUS AMPLIFIED PROBELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 87.00)
30600090 HC RL GROUP A STREP AMPLIFIED PROBELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 87.00)
30100447 HC OCCULT BLOOD BY IMMUNOASSAY LABORATORY - CHEMISTRY [0301] ( 25.00)
11600001 HC R&B - PRIVATE - DETOXROOM & BOARD - PRIVATE (MEDICAL OR GENERAL) - DETOXIFICATION [0116] ( 1,996.00)
76100099HC PERQ DEV SOFT TISS 1ST LESION W/IMAGE
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 989.00)
76100100HC PERQ DEV SOFT TISS ADD LESION W/IMAGE
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 989.00)
30100448 HC RL IBUPROFEN LABORATORY - CHEMISTRY [0301] ( 58.00)
30600091 HC RL NOROVIRUS STOOLLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 102.00)
30100449 HC RAPID DRUG SCREEN LABORATORY - CHEMISTRY [0301] ( 452.00)
30200238 HC RL BETA2 GLYCOPROTEIN IGA LABORATORY - IMMUNOLOGY [0302] ( 81.00)
30600092 HC RL NOROVIRUS EIALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 102.00)
30100450 HC RL ORGANIC ACIDS PLASMA LABORATORY - CHEMISTRY [0301] ( 133.00)
30100451 HC RL CRYOFIBRINOGEN LABORATORY - CHEMISTRY [0301] ( 51.00)
40200055 HC DX OPHTHAL B-SCAN US OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 213.00)
92200026 HC NDL EMG SINGLE FIBEROTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922] ( 233.00)
27001064 HC DROP FOOT BOOTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 41.00)
48000066 HC PERQ CLSR TCAT L ATR APNDGE CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 19,547.00)
36001589 HC VALVULOPLASTY AORTIC VALVE SIMPLEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,843.00)
36001590HC VALVULOPLASTY AORTIC VALVE COMPLEX
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,686.00)
76100101 HC ENDOVENOUS MCHNCHEM 1ST VEINSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 4,332.00)
76100102 HC ENDOVENOUS MCHNCHEM ADD-ONSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 4,332.00)
76100103 HC ENDOVENOUS MCHNCHEM ADD-ON BILSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 8,663.00)
36001591 HC INTRO CATH DIALYSIS CIRCUITOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,255.00)
36001592HC INTRO CATH DIALYSIS CIRCUIT W/BALLN ANGIOPLASTY
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 8,854.00)
36001593HC INTRO CATH DIALYSIS CIRCUIT W/INTRAVAS STENT
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 17,893.00)
36001594 HC THRMBC/NFS DIALYSIS CIRCUITOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 8,854.00)
36001595HC THRMBC/NFS DIALYSIS CIRCUIT W/BALLN ANGIOPLASTY
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 17,893.00)
36001596HC THRMBC/NFS DIALYSIS CIRCUIT W/INTRAVAS STENT
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 27,121.00)
36001597 HC BALO ANGIOP CTR DIALYSIS SEGOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,148.00)
36001598 HC STENT PLMT CTR DIALYSIS SEGOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,148.00)
36001599 HC DIALYSIS CIRCUIT EMBOLJOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,148.00)
48100126 HC TRLUML BALO ANGIOP 1ST ART CARDIOLOGY - CARDIAC CATH LAB [0481] ( 8,854.00)
48100127 HC TRLUML BALO ANGIOP 1ST ART BIL CARDIOLOGY - CARDIAC CATH LAB [0481] ( 17,706.00)
48100128 HC TRLUML BALO ANGIOP ADDL ART CARDIOLOGY - CARDIAC CATH LAB [0481] ( 8,854.00)
48100129 HC TRLUML BALO ANGIOP ADDL ART BIL CARDIOLOGY - CARDIAC CATH LAB [0481] ( 17,706.00)
48100130 HC TRLUML BALO ANGIOP 1ST VEIN CARDIOLOGY - CARDIAC CATH LAB [0481] ( 8,854.00)
48100131 HC TRLUML BALO ANGIOP 1ST VEIN BIL CARDIOLOGY - CARDIAC CATH LAB [0481] ( 17,706.00)
48100132 HC TRLUML BALO ANGIOP ADDL VEIN CARDIOLOGY - CARDIAC CATH LAB [0481] ( 8,854.00)
48100133 HC TRLUML BALO ANGIOP ADDL VEIN BIL CARDIOLOGY - CARDIAC CATH LAB [0481] ( 17,706.00)
75000077 HC LAPS ESOPHGL SPHNCTR AGMNTJGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 12,788.00)
75000078 HC RMVL ESOPHGL SPHNCTR DEVGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 7,704.00)
76100104HC NJX INTERLAMINAR CRV/THRC W/O IMAG GUID
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 931.00)
76100105HC NJX INTERLAMINAR CRV/THRC W/IMAG GUID
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 931.00)
76100106HC NJX INTERLAMINAR LMBR/SAC W/O IMAG GUID
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 931.00)
76100107HC NJX INTERLAMINAR LMBR/SAC W/IMAG GUID
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 931.00)
76100108HC NJX INTERLAMINAR CRV/THRC W/O IMAG GUID
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,172.00)
76100109HC NJX INTERLAMINAR CRV/THRC W/IMAG GUID
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,172.00)
76100110HC NJX INTERLAMINAR LMBR/SAC W/O IMAG GUID
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,172.00)
76100111HC NJX INTERLAMINAR LMBR/SAC W/IMAG GUID
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,172.00)
36001600 HC NDSC DCMPRN 1 NTRSPC LUMBAROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 9,580.00)
36001601 HC NDSC DCMPRN 1 NTRSPC LUMBAR BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 19,161.00)
30100452 HC RAPID DRUG SCREEN LABORATORY - CHEMISTRY [0301] ( 452.00)
30100453 HC RL LACTOSTAT LABORATORY - CHEMISTRY [0301] ( 260.00)
30100454 HC RL DRUG ABUSE PANEL 9 SERUM LABORATORY - CHEMISTRY [0301] ( 81.00)
30100455 HC RL DRUG SCREEN CLASS LIST B LABORATORY - CHEMISTRY [0301] ( 144.00)
48100134 HC PERQ TRANSCATH CLS MITRAL CARDIOLOGY - CARDIAC CATH LAB [0481] ( 27,121.00)
48100135 HC PERQ TRANSCATH CLS AORTIC CARDIOLOGY - CARDIAC CATH LAB [0481] ( 27,121.00)
48100136 HC PERQ TRANSCATH CLOSURE EACH CARDIOLOGY - CARDIAC CATH LAB [0481] ( 27,121.00)
42400001 HC PT EVAL LOW COMPLEXPHYSICAL THERAPY - EVALUATION OR RE-EVALUATION [0424] ( 219.00)
42400002 HC PT EVAL MOD COMPLEXPHYSICAL THERAPY - EVALUATION OR RE-EVALUATION [0424] ( 219.00)
42400003 HC PT EVAL HIGH COMPLEXPHYSICAL THERAPY - EVALUATION OR RE-EVALUATION [0424] ( 219.00)
42400004 HC PT RE-EVAL EST PLAN CAREPHYSICAL THERAPY - EVALUATION OR RE-EVALUATION [0424] ( 129.00)
43400001 HC OT EVAL LOW COMPLEXOCCUPATIONAL THERAPY - EVALUATION OR REEVALUATION [0434] ( 225.00)
43400002 HC OT EVAL MOD COMPLEXOCCUPATIONAL THERAPY - EVALUATION OR REEVALUATION [0434] ( 225.00)
43400003 HC OT EVAL HIGH COMPLEXOCCUPATIONAL THERAPY - EVALUATION OR REEVALUATION [0434] ( 225.00)
43400004 HC OT RE-EVAL EST PLAN CAREOCCUPATIONAL THERAPY - EVALUATION OR REEVALUATION [0434] ( 108.00)
37000006HC MOD SED SAME PHYS/QHP <5 YRS INITIAL 15 MIN ANESTHESIA - GENERAL CLASSIFICATION [0370] ( 265.00)
37000007HC MOD SED SAME PHYS/QHP 5/>YRS INITIAL 15 MIN ANESTHESIA - GENERAL CLASSIFICATION [0370] ( 265.00)
37000008HC MOD SED SAME PHYS/QHP EA ADDL 15 MIN ANESTHESIA - GENERAL CLASSIFICATION [0370] ( 265.00)
37000009HC MOD SED OTH PHYS/QHP <5 YRS INITIAL 15 MIN ANESTHESIA - GENERAL CLASSIFICATION [0370] ( 265.00)
37000010HC MOD SED OTH PHYS/QHP 5/>YRS INITIAL 15 MIN ANESTHESIA - GENERAL CLASSIFICATION [0370] ( 265.00)
37000011HC MOD SED OTHER PHYS/QHP EA ADDL 15 MIN ANESTHESIA - GENERAL CLASSIFICATION [0370] ( 265.00)
37000012 HC MOD SEDAT ENDO SERVICE >5YRS ANESTHESIA - GENERAL CLASSIFICATION [0370] ( 265.00)
30010604 HC AG SCREEN W/PATIENT SERUM LABORATORY - GENERAL CLASSIFICATION [0300] ( 57.00)
30010605 HC RL AG SCREENED PER UNIT LABORATORY - GENERAL CLASSIFICATION [0300] ( 387.00)
30100456HC RL CALRETICULIN GENE MUTATION (CALR) LABORATORY - CHEMISTRY [0301] ( 260.00)
76100112 HC INJ ANESTH STELLATE GANGLIONSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,173.00)
27201920HC TRAY MAMMOTOME RVLV SPECIMEN CRVSN
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 14.00)
27201921HC CANISTER REPL VAC MAMMOTOME REVOLVE SYS 800CC
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 19.00)
27201922HC PREVENA INCISION MANAGEMENT SYSTEM 90CM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 1,196.00)
27201923HC PREVENA INCISION MANAGEMENT SYSTEM 13CM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 911.00)
30100457 HC RL AMPHETAMINE VERIFICATION SERUM LABORATORY - CHEMISTRY [0301] ( 50.00)
30100458 HC RL METHYLENEDIOXYAMPHETAMINES LABORATORY - CHEMISTRY [0301] ( 50.00)
75000079HC ANOSCOPY W REM MULTI TUMORS POLYPS LESIONS
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 3,978.00)
31000091HC GROSS & MICROSCOPIC RADICAL PROSTATECTOMY
LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 681.00)
31000092HC GROSS & MICROSCOPIC LUNG RESECTION
LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 681.00)
31000093HC GROSS & MICROSCOPIC BARRETT'S ESOPHAGUS
LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 515.00)
76100113 HC UNLISTED CARDIAC SURGERYSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,255.00)
27201926 HC VALVE IN CARTRIDGE 9MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 6,900.00)
27201927 HC VALVE IN CARTRIDGE 7MM 6MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 5,300.00)
27201928 HC CATH DEPLOYMENT AND LOADERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 2,000.00)
27201929 HC AIRWAY SIZING KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 690.00)
30100459 HC RL CEPBA LABORATORY - CHEMISTRY [0301] ( 380.00)
30100460 HC RL CORTISOL FREE LABORATORY - CHEMISTRY [0301] ( 69.00)
27801094 HC EDGE ENDOBRONCHIAL KIT CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,439.00)
27201930 HC EDGE BRONCHOSCOPE ADAPTERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 161.00)
48100137 HC AS BALLOON TRANSVENOUS CARDIOLOGY - CARDIAC CATH LAB [0481] ( 6,482.00)
40200056 HC FETAL MIDL CEREBRAL ARTERY ECHO OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 207.00)
40100016 HC BX BREAST 1ST LESION US IMAG BILOTHER IMAGING SERVICES - DIAGNOSTIC MAMMOGRAPHY [0401] ( 3,338.00)
45000464 HC I&D ABSC/CYST TONGUE FOM LINGUAL EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 812.00)
27801096 HC BRONCHIAL TRACHEAL STENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 900.00)
27801097 HC Y STENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,800.00)
30100461 HC RL QU THIOPURINE METABOLITES LABORATORY - CHEMISTRY [0301] ( 102.00)
30200239 HC RL RICE (F9) IGE LABORATORY - IMMUNOLOGY [0302] ( 8.00)
27201931 HC GENCUT CORE BIOPSY SYSTEMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 805.00)
30100462 HC RL ALK PHOS ISOENZYMES LABORATORY - CHEMISTRY [0301] ( 45.00)
46000099HC INHALATION TREAT INITIAL OR SUBSEQUENT (OP)
RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410] ( 310.00)
40200057 HC US ABDL AORTA SCREEN AAA OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 207.00)
27801098 HC STENT REBELMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,000.00)
27801099 HC STENT TAXUS LIBERTEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,000.00)
27801100 HC STENT MULTI LINK VISIONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 950.00)
32200027 HC KNEE ARTHROGRAM BIL RADIOLOGY - DIAGNOSTIC - ARTHROGRAPHY [0322] ( 1,138.00)
11400001 HC R&B PRIVATE PSYCHROOM & BOARD - PRIVATE (MEDICAL OR GENERAL) - PSYCHIATRIC [0114] ( 1,849.00)
30100463 HC RL ANTI MULLERIAN HORMONE LABORATORY - CHEMISTRY [0301] ( 106.00)
30200240HC RL LYMPHOCYTE AG/MITOGEN PROLIFERATION PANE LABORATORY - IMMUNOLOGY [0302] ( 624.00)
45000465 HC TREAT TOE FRACTURE EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 4,475.00)
48000067 HC PRGRMG DEV EVAL IMPLTBL SYS CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 64.00)
31100037 HC RL PNHCD59 PHYSICIAN INTERP LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 62.00)
31000094HC RL DDIT3 GENE REARRANGEMENT BY FISH
LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 487.00)
30200241 HC RL ZIKA VIRUS IGM ANTIBODY CAPTURE LABORATORY - IMMUNOLOGY [0302] ( 68.00)
27801101 HC STENT INNOVA UP TO 120MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,082.00)
27801102 HC STENT INNOVA UP TO 150MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,410.00)
27801103 HC STENT INNOVA UP TO 200MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,916.00)
27801104 HC STENT UNI PLUSMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,776.00)
27801105 HC STENT UNI PLUS HALOMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,812.00)
27801106 HC CATHETER COYOTEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 378.00)
27801107 HC CATHETER EQUALIZERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 494.00)
27201932HC MEPILEX BORDER SACRUM 9.2 X 9.2 282455
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 22.00)
27201933 HC MEPILEX BORDER HEEL 283250MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 22.00)
27001065HC UTILITY POSITIONER WITHOUT COVERS 1401007
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 87.00)
27001066HC TORTOSIE TURNING AND POSITIONING SYSTEM 1400800
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 380.00)
27001067HC TORTOSIE TURNING AND POSITIONING SYSTEM BARIATRIC 1400801
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 449.00)
76100114 HC LARGSC W/LASER DSTRJ LESSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 4,463.00)
27201934 HC SURGICEL 1 X 2MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 121.00)
63600101 HC NEOX FLO 25MG (PER 1 MG)PHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 33.00)
63600102 HC NEOX FLO 50MG (PER 1 MG)PHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 25.00)
63600103 HC NEOX FLO 100MG (PER 1 MG)PHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 24.00)
63600104 HC NEOX FLO 150MG (PER 1 MG)PHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 24.00)
27400204 HC HEARTWARE CONTROLLER KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 26,813.00)
48000068 HC WCD DEVICE INTERROGATE CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 64.00)
27801108 HC ENDURANT BIFURCATED STENT GRAFTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 17,955.00)
27801109 HC ENDURANT STENT GRAFT LIMBMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 11,520.00)
27801110 HC RELIANT BALLOONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 801.00)
27801111 HC SENTRANT SHEATH 12FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 195.00)
27801112 HC SENTRANT SHEATH 16FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 260.00)
27801113 HC SUPER SHEATH 11CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 15.00)
27801114 HC SUPER SHEATH 25CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 29.00)
27801115 HC GUIDEWIRE MAGIC TORQUEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 152.00)
27801116 HC SUPPORT CATHETER RUBICONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 200.00)
27801117 HC GUIDEWIRE STARTER JFCMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 25.00)
32000375 HC XRAY EXAM OF FEMUR 1 VIEW BILRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 254.00)
27001068 HC NASAL ALAR PROBE MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 46.00)
27801118 HC STARTER WIRE STRAIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 22.00)
27201937 HC ENSITE PROTECTION ELECTRODE KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 2,185.00)
27801119 HC ADVISOR FL BIDIRECT MAPPING CATHMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,700.00)
30600093 HC RL ANAEROBIC BACTERIA MIC PANELLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 203.00)
30100464 HC RL AMYLASE FLUID LABORATORY - CHEMISTRY [0301] ( 10.00)
30100465 HC RL LIPASE FLUID LABORATORY - CHEMISTRY [0301] ( 10.00)
30100466 HC RL CEA FLUID LABORATORY - CHEMISTRY [0301] ( 135.00)
30100467 HC RL EGFR T790M MUTATION DETECTION LABORATORY - CHEMISTRY [0301] ( 536.00)
30100468 HC RL C3 PROACTIVATOR LABORATORY - CHEMISTRY [0301] ( 48.00)
31000095 HC RL BCL6 BY FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 130.00)
30600094 HC RL HIV ANTIGEN ANTIBODY W/ REFLEXLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 62.00)
30100469 HC RL MECONIM 7 PANEL LABORATORY - CHEMISTRY [0301] ( 483.00)
30100470 HC RL MECONIUM 9 PANEL LABORATORY - CHEMISTRY [0301] ( 82.00)
31000096 HC RL BCL2 BY FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 260.00)
31000097 HC RL MYC BA BY FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 260.00)
30100471 HC RL MYD88 NGS LABORATORY - CHEMISTRY [0301] ( 415.00)
27001069 HC ADULT AMBU BAG MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 15.00)
27001070 HC PEDIATRIC AMBU BAGMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 15.00)
45000466 HC UNLISTED PROCEDURE ANUS EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 1,260.00)
27801120HC OCCLUSION BALLOON SPECTRANETICS BRIDGE
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,700.00)
27801121 HC STENT SUPERA PERIPHERALMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,390.00)
27801122 HC ACCESS SYSTEM WATCHMANMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,000.00)
27801123 HC CLOSURE DEVICE WATCHMAN LAAMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 34,000.00)
27201938 HC PREP KIT SPECTRANETICS BRIDGEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 610.00)
27801124 HC CATHETER INFINITI 4FR 5FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 15.00)
27801125 HC GLIDESHEATH ACCESS KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 159.00)
27801126 HC VENA CAVA FILTER DENALIMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,800.00)
27801127 HC CATHETER EXPEL APD DRAINAGEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 112.00)
27801128 HC GUIDEWIRE STARTER NEWTONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 24.00)
27201939 HC CATHETER BERN 5FMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 18.00)
27201940 HC CATHETER CHG2.5MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 17.00)
27201941 HC CATHETER CONTRALATERAL 2MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 18.00)
27201942 HC CATHETER CONTRALATERAL FLUSHMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 18.00)
27201943 HC CATHETER MIK 5FMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 17.00)
27201944 HC CATHETER PIGTAIL 5FMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 18.00)
27801129 HC KIT CATH MAHURKAR HI FLOMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 144.00)
27801130 HC KIT CATH MAHURKAR CURVED QUINTONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 134.00)
27801131 HC KIT CATH MAHURKAR DIALYSISMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 144.00)
27801132 HC KIT CATH MAHURKAR QUINTONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 144.00)
27801133 HC KIT CATH MAHURKAR CURVED DIALYSISMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 134.00)
27801134HC KIT CATH PALINDROME PRECISION DIALYSIS
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 500.00)
27801135HC KIT CATH PALINDROME PRECISION CURVED DIALYSIS
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 500.00)
30200242HC RL HU YO AND RI ANTIBODIES WITH REFLEX LABORATORY - IMMUNOLOGY [0302] ( 334.00)
48100138 HC PB VALVULOPLASTY MITRAL VALVE CARDIOLOGY - CARDIAC CATH LAB [0481] ( 17,900.00)
27201945 HC TRACH CARE WET PAK MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 23.00)
27801136 HC STENT EPIC ILIAC SELF EXPANDINGMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,035.00)
27201946 HC KCI VAC VERAFLO DRESSING MEDMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 265.00)
27801137 HC CARDIOFORM SEPTAL OCCLUDER GOREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 14,350.00)
27801138 POWERGLIDE PRO 18MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 202.00)
27801139 POWERGLIDE PRO 20MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 202.00)
27801140 HC STENT VIABAHN VBX BALLOON EXPMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 6,434.00)
31000098 HC RL CHRONIC EPSINOPHILIC LEUKEMIALABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 192.00)
27801141 HC ANSEL FLEXOR SHEATH STRAIGHT 45CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 84.00)
27801142 HC ANSEL FLEXOR SHEATH STRAIGHT 70CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 121.00)
27801143 HC FLEXOR CHECK FLO INTRO SETMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 108.00)
27801144 HC GUIDING CATHETER CORDISMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 72.00)
27801145 HC GUIDEWIRE BENTSON 150CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 18.00)
27801146 HC GUIDEWIRE BENTSON 260CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 23.00)
27201947 HC CATHETER H1 MIKMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 18.00)
27801147 HC GUIDEWIRE COMET PRESSUREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,250.00)
36001602 HC STENT PLACEMT ANTE CAROTIDOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 11,022.00)
36001603 HC ENDOVASC ILIAC REPR W/GRAFTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 6,037.00)
30100472 HC RL RIFUNAMIDE LABORATORY - CHEMISTRY [0301] ( 119.00)
27801149 HC SAPIEN 3 DELIVERY SYSTEMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 65,000.00)
27801150 HC TISSUE VALVE EVOLUTRMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 60,000.00)
27801151 HC TISSUE VALVE EVOLUTPROMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 60,000.00)
27801152 HC GUIDEWIRE CONFIDAMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,950.00)
27801153 HC INTRO SHEATH PERFORMER CHECK FLOMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 180.00)
27201948 HC LOADING SYSTEM LS ENVEORMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 897.00)
27201949 HC LOADING SYSTEM LS MDT2MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 897.00)
27201950 HC DELIVERY SYSTEM ENVEORMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 4,853.00)
45000467 HC MASTOTOMY W EXPL DEEP EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 2,270.00)
30100473 HC RAPID DRUG SCREEN CONFIRMATION LABORATORY - CHEMISTRY [0301] ( 452.00)
75000080 HC REMOVE FECAL IMPACT OR FBGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,611.00)
36001604HC PERC IMPL NS ELECTRODE ARRAY EPIDURAL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 10,546.00)
31000099 HC MELANOMA GROSS AND MICROSCOPICLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 515.00)
36100145 HC UNLISTED PROCEDURE BREAST OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 4,587.00)
30600095 HC RL BABESIA MICROTI DNALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 275.00)
76100115 HC INJ GREATER OCCIPITAL NERVE BILSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,377.00)
30600096 HC RL CMV ANTIVIRAL RESISTANCELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 754.00)
27801156 HC COIL AXIUM PRIME 3D 8X15 OR LARGERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,990.00)
27801157 HC VALIANT CAPTIVIA STENT GRAFTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 31,490.00)
92000023 HC TCD VASOREACTIVITY STUDYOTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 415.00)
92000024 HC TCD EMBOLI DETECT W/O INJOTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 207.00)
48000069 HC PRGRMG DEV EVAL SCRMS IP CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 64.00)
36001605 HC PERQ TRANSCATH SEPTAL REDUXNOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 11,042.00)
27801158 HC STENT DYNAMIC YMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 7,170.00)
27801159 HC GUIDEWIRE ZIPWIRE ANGLED .035MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 46.00)
27801160 HC CATH JETSTREAM ATHERECTOMYMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 6,400.00)
27801161 HC CATH FLEXIMA BILIARYMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 114.00)
27801163 HC STENT STERLING OTW HYBRIDMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 330.00)
27801162 HC GLIDEWIRE ADVANTAGE GUIDEWIREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 360.00)
75000081HC ILEOSCOPY THRU STOMA W BX SGL/MULTI
GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,284.00)
76100116 HC DRAIN/INJ INTER JOINT/BURSA W/USSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 931.00)
30100475 HC RL HALOPERIDOL LABORATORY - CHEMISTRY [0301] ( 36.00)
30100476HC RL SUCCINYLACETONE QUANTITATIVE URINE LABORATORY - CHEMISTRY [0301] ( 207.00)
30100477 HC VANCOMYCIN RANDOM LABORATORY - CHEMISTRY [0301] ( 362.00)
30100478 HC RL AMIKACIN RANDOM LABORATORY - CHEMISTRY [0301] ( 266.00)
30100479 HC TOBRAMYCIN RANDOM LABORATORY - CHEMISTRY [0301] ( 162.00)
30100480 HC GENTAMYCIN RANDOM LABORATORY - CHEMISTRY [0301] ( 204.00)
27201951 HC INTERLOCK COILMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 738.00)
48300014 HC ECHO TRANSESOPHAGEAL (TEE) CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 2,415.00)
30100481 HC MICROALBUMIN URINE SEMIQUAN LABORATORY - CHEMISTRY [0301] ( 12.00)
30500037 HC WBC W AUTO DIFF LABORATORY - HEMATOLOGY [0305] ( 19.00)
30600097 HC DIR NA PROBE MULTI ORGANISMSLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 114.00)
30100482 HC ACUTE HEPATITIS PANEL LABORATORY - CHEMISTRY [0301] ( 136.00)
30600098 HC BACT CULTURE URINE QUAN COUNTLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 23.00)
30500038 HC PERIPHERAL BLD SMEAR LABORATORY - HEMATOLOGY [0305] ( 50.00)
27801164 HC STENT WALLFLEXMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,300.00)
30100483 HC RL CLARITEST NIPT LABORATORY - CHEMISTRY [0301] ( 1,518.00)
30100484HC RL ONKOSIGHT NGS MPN PANEL SEQUENCING LABORATORY - CHEMISTRY [0301] ( 941.00)
30100485HC RL ONKOSIGHT NGS MYELOID DISORDER SEQUENCING LABORATORY - CHEMISTRY [0301] ( 425.00)
30100486HC RL ONKOSIGHT NGS AML PANEL SEQUENCING LABORATORY - CHEMISTRY [0301] ( 941.00)
30100487 HC RL LYMPHOMA - B-CELL IGH BY PCR LABORATORY - CHEMISTRY [0301] ( 489.00)
30100488HC RL CLL PROGNOSIS IGVH MUTATION ANALYSIS BY PCR LABORATORY - CHEMISTRY [0301] ( 727.00)
30100489HC RL ONKOSIGHT NGS MDS PANEL SEQUENCING LABORATORY - CHEMISTRY [0301] ( 941.00)
30100490 HC RL RUNX1/RUNX1T1 BY FISH LABORATORY - CHEMISTRY [0301] ( 274.00)
30100491 HC RL ONKOSIGHT NGS NPM1 SEQUENCING LABORATORY - CHEMISTRY [0301] ( 425.00)
30100492 HC RL AML CEBPA MUTATIONAL ANALYSIS LABORATORY - CHEMISTRY [0301] ( 370.00)
30100493 HC RL ALLOMAP LABORATORY - CHEMISTRY [0301] ( 6,480.00)
31000100 HC RL FGFR3/IGH T(4;14) BY FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 218.00)
31000101 HC RL FISH IGH/MAF T(14;16)LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 218.00)
31000102 HC RL LYMPHOMA MANTLE CELLLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 270.00)
31000103 HC RL 1Q21 BY FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 218.00)
31000104 HC RL AML M3 (PML/RARA) BY FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 270.00)
31000105 HC RL AML M4+M5 BY FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 140.00)
31000106 HC RL AML M4EO BY FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 140.00)
31000107 HC RL BCR/ABL BY FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 270.00)
31000109 HC RL FOLLICULAR BCL2/IGH BY FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 270.00)
31000110 HC RL XL RARA (17Q21) BY FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 270.00)
31000111 HC RL LYMPHOMA BURKITT BY FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 270.00)
31000112HC RL CHRONIC EOSINOPHILIC LEUKEMIA BY FISH
LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 203.00)
31000113 HC RL B-CELL IGH BY FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 140.00)
31000114 HC RL LYMPHOMA ALCL ALKP 2P23LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 385.00)
31000108HC RL LYMPHOMA DIFFUSE LARGE B-CELL BCL6 BY FISH
LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 140.00)
34300045 HC IODINE I-123 IOFLUPANE =< 5 MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 5,015.00)
75000082 HC SMALL BOWEL ENDOSCOPY BR/WAGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,450.00)
75000083 HC ESOPHAGOSCOPY RIGID TRNSOGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 7,583.00)
75000084 HC ESOPH SCOPE W/SUBMUCOUS INJGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,450.00)
75000085 HC ESOPH SCOPE W/SCLEROSIS INJGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,450.00)
75000086 HC ESOPH OPTICAL ENDOMICROSCOPYGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,450.00)
75000087 HC ESOPH ENDOSCOPY DILATIONGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,450.00)
75000088 HC ESOPHAGOSCOPY CONTROL BLEEDGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,450.00)
75000089 HC EGD ESOPHAGOGASTRC FNDOPLSTYGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 7,233.00)
31100038 HC CP CERV/VAG ATL MANUAL SCRN LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 43.00)
30600099 HC GENET VIRUS ISOLATE HSVLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 97.00)
30600100 HC RESP SYNCYTIAL AG IALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 26.00)
30100494HC RL DESMOPLASTIC SMALL ROUND CELL BY RT PCR LABORATORY - CHEMISTRY [0301] ( 745.00)
30100495 HC RL EWING SARCOMA BY RT PCR LABORATORY - CHEMISTRY [0301] ( 763.00)
30500039 HC RL FACTOR XIII CLOTTING ACTIVITY LABORATORY - HEMATOLOGY [0305] ( 42.00)
72000061HC HIGH RISK LABOR/DELIVERY/RECOVERY W/O EPIDURAL
LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 8,831.00)
72000062HC HIGH RISK LABOR/DELIVERY/RECOVERY W/INDUCT W/O EPI
LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 9,788.00)
27201952 HC LLD ACCESSORY KIT 1 2 3MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 3,795.00)
27201953 HC LEAD CUTTERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 207.00)
27801165 HC INTRO VASC MICROPUNC 5.0FR 10CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 65.00)
27801166 HC GUIDEWIRE FIGHTERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 48.00)
75000090 HC SMALL BOWEL ENDOSCOPYGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 4,608.00)
31000115 HC RL LIGHT MICROSCOPYLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 208.00)
30100496 HC RL DRUG ABUSE SCREEN BREAST MILK LABORATORY - CHEMISTRY [0301] ( 92.00)
30100497 HC RL CADASIL LABORATORY - CHEMISTRY [0301] ( 2,974.00)
36001606HC UNLISTED PROCEDURE TONGUE FLOOR MOUTH
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 326.00)
36001607 HC COLPOSCOPY OF VULVAOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 280.00)
31000116 RL AML1/ETOT(821) FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 270.00)
31000117 RL MDS FISH PANEL - 5QLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 387.00)
31000118 RL MDS FISH PANEL - 7QLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 133.00)
31000119 RL MDS FISH PANEL - 8QLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 133.00)
31000120 RL MDS FISH PANEL - 20QLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 133.00)
31000121 RL CLL ATM FISH PROBELABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 133.00)
31000122 RL CLL +12 FISH PROBELABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 133.00)
31000123 RL CLL D13S FISH PROBELABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 133.00)
31000124 RL MULTIPLE MYELOMA FISH PANEL P53LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 387.00)
31000125RL MULTIPLE MYELOMA RB1 FOR 13Q14 BY FISH
LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 192.00)
31000126 RL P53 BY FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 387.00)
31000127 RL M2 (AML/ETO) BY FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 229.00)
30100500 RL CLARITEST NIPT RESULT SUMMARY LABORATORY - CHEMISTRY [0301] ( 844.00)
30100501RL CLARITEST NIPT MICRODELETION COMMENTS LABORATORY - CHEMISTRY [0301] ( 844.00)
32000376 HC HUMERUS 1V RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 277.00)
32000377 HC HUMERUS 1V LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 277.00)
63600112 HC INJECTION OCTREOTIDE DEPOT IM 1MGPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 230.00)
48100139 HC EXERCISE W/HEMODYNAMIC MEAS CARDIOLOGY - CARDIAC CATH LAB [0481] ( 850.00)
63600113HC IIV4 VACC PRESRV FREE 0.5 ML DOS FOR IM USE
PHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 26.00)
30100502HC RL ONKOSIGHT NGS FLT3 GENE SEQUENCING LABORATORY - CHEMISTRY [0301] ( 213.00)
30100503HC RL ONKOSIGHT NGS FLT3 MOLE PATH PX LABORATORY - CHEMISTRY [0301] ( 213.00)
30100504 HC RL NOREPINEPHRINE PLASMA LABORATORY - CHEMISTRY [0301] ( 161.00)
45000468 HC CANTHOTOMY EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 3,123.00)
30100505 HC RL MOPATH PROCEDURE LEVEL 3 LABORATORY - CHEMISTRY [0301] ( 301.00)
30100506 HC RL MOPATH PROCEDURE LEVEL 4 LABORATORY - CHEMISTRY [0301] ( 370.00)
30100507 HC RL CALR BY NGS LABORATORY - CHEMISTRY [0301] ( 364.00)
30100508 HC RL MPN: MOPATH PROCEDURE LEVEL 3 LABORATORY - CHEMISTRY [0301] ( 301.00)
30100509 HC RL MPN: CARL BY NGS LABORATORY - CHEMISTRY [0301] ( 364.00)
30100510 HC RL MPN: BRAF GENE LABORATORY - CHEMISTRY [0301] ( 187.00)
30100511HC RL JAK2 GENE NEG REFLEX TO MPN PNL LABORATORY - CHEMISTRY [0301] ( 364.00)
30100512HC RL JAK2 GENE MPN: JAK2/MPL/CALR BY NGS LABORATORY - CHEMISTRY [0301] ( 364.00)
63600114HC PNEUMOCOCCAL CONJ VACCINE 13 VALENT IM
PHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 187.00)
30100513HC PTAB TUMOR AG BIOMARKER PROSTATE LABORATORY - CHEMISTRY [0301] ( 99.00)
30100514 HC OTAB TUMOR AG BIOMARKER OVARIAN LABORATORY - CHEMISTRY [0301] ( 99.00)
30100515 HC GTAB TUMOR AG BIOMARKER GASTRIC LABORATORY - CHEMISTRY [0301] ( 99.00)
30100516HC CERTAB TUMOR AG BIOMARKER CERVICAL LABORATORY - CHEMISTRY [0301] ( 99.00)
30100517HC PANTAB TUMOR AG BIOMARKER PANCREATIC LABORATORY - CHEMISTRY [0301] ( 99.00)
30100518 HC RTAB TUMOR AG BIOMARKER RENAL LABORATORY - CHEMISTRY [0301] ( 99.00)
30100519 HC CTAB TUMOR AG BIOMARKER COLON LABORATORY - CHEMISTRY [0301] ( 99.00)
30100520HC OMNITAB TUMOR AG BIOMARKER NON-SPECIFIC LABORATORY - CHEMISTRY [0301] ( 99.00)
30100521 HC BTAB TUMOR AG BIOMARKER BREAST LABORATORY - CHEMISTRY [0301] ( 99.00)
30100522 HC LTAB TUMOR AG BIOMARKER LUNG LABORATORY - CHEMISTRY [0301] ( 99.00)
21900002 HC CVICU - ECMO CORONARY CARE - OTHER CORONARY CARE [0219] ( 6,642.00)
35200068 HC LDCT FOR LUNG CA SCREEN CT SCAN - BODY SCAN [0352] ( 110.00)
27201954 HC ALLEVYN AG NON ADHESIVE 4X4MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 18.00)
27201955 HC ALLEVYN NON ADHESIVE 6X6MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 13.00)
30100523 HC RL BRCA VANTAGE COMPREHENSIVE LABORATORY - CHEMISTRY [0301] ( 2,160.00)
27201957 HC TWOPRESS 2 COMPRESSION SYSTEMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 25.00)
82900000HC HEMODIALYSIS ONE EVAL ICU ONE ON ONE CARE
HEMODIALYSIS - OUTPATIENT OR HOME - OTHER OP HEMODIALYSIS [0829] ( 1,727.00)
27201958HC ENDOFORM DERMAL TEMPLATE 2X2 FENESTRATED
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 26.00)
30600101 HC RL MUMPS VIRUS RNA QUAL RT PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 145.00)
36001609 HC ABLATE PULM TUMOR PERQ CRYBLOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 8,059.00)
36001610 HC ABLATE PULM TUMOR PERQ CRYBL BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 16,118.00)
36001611 HC EVASC RPR A-AO NDGFTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,826.00)
36001612 HC EVASC RPR A-AO NDGFT RPTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,610.00)
36001613 HC EVASC RPR A-UNILAC NDGFTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 11,113.00)
36001614 HC EVASC RPR A-UNILAC NDGFT RPTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 18,033.00)
36001615 HC EVAC RPR A-BIILIAC NDGFTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,896.00)
36001616 HC EVASC RPR A-BIILIAC RPTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 6,620.00)
36001617 HC EVASC RPR ILIO-ILIAC NDGFTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,805.00)
36001618 HC EVASC RPR ILIO-ILIAC RPTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 6,505.00)
36001619 HC PLMT XTN PROSTH EVASC RPROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,235.00)
36001620 HC DLYD PLMT XTN PROSTH 1ST VSLOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,235.00)
36001621 HC DLYD PLMT XTN PROSTH EA ADDLOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,553.00)
76100117 HC NJX NONCMPND SCLRSNT 1 VEINSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,816.00)
76100118 HC NJX NONCMPND SCLRSNT MLT VNSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,816.00)
76100119 HC ENDOVEN THER CHEM ADHES 1STSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 7,657.00)
76100120 HC ENDOVEN THER CHEM ADHES SBSQSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 7,657.00)
36001622 HC DX BONE MARROW BX & ASPIROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,420.00)
36001623 HC DX BONE MARROW BX & ASPIR BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,840.00)
32400007 HC X-RAY EXAM CHEST 1 VIEW RADIOLOGY - DIAGNOSTIC - CHEST X-RAY [0324] ( 112.00)
32400008 HC X-RAY EXAM CHEST 2 VIEWS RADIOLOGY - DIAGNOSTIC - CHEST X-RAY [0324] ( 112.00)
32400009 HC X-RAY EXAM CHEST 3 VIEWS RADIOLOGY - DIAGNOSTIC - CHEST X-RAY [0324] ( 112.00)
32400010 HC X-RAY EXAM CHEST 4+ VIEWS RADIOLOGY - DIAGNOSTIC - CHEST X-RAY [0324] ( 213.00)
32000378 HC X-RAY EXAM ABDOMEN 1 VIEWRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 112.00)
32000379 HC X-RAY EXAM ABDOMEN 2 VIEWSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 213.00)
32000380 HC X-RAY EXAM ABDOMEN 3+ VIEWSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 213.00)
32000381 HC FLUOROSCOPE EXAM EXTENSIVERADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 490.00)
46000100 HC EXERCISE TST BRNCSPSMPULMONARY FUNCTION - GENERAL CLASSIFICATION [0460] ( 189.00)
46000101HC PULMONARY STRESS TESTING (6 MIN WALK TEST)
PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460] ( 189.00)
43000067 HC THER IVNTJ W/FOCUS COG FUNCJOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 90.00)
42000067HC ORTHC/PROSTC MGMT SBSQ ENC EA 15 MIN PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 66.00)
36001630 HC TCAT DLVR ENHNCD FIXJ DEVOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,362.00)
36001631 HC PERQ ACCESS & CLSR FEM ARTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 638.00)
36001632 HC OPN FEM ART EXPOS CNDT CRTJOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 638.00)
36001633 HC OPN AX/SUBCLA ART EXPOSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 638.00)
36001634 HC TMVI PERCUTANEOUS APPROACHOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,362.00)
36001635 HC TMVI TRANSTHORACIC EXPOSUREOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,362.00)
43000068HC ORTHC/PROSTC MGMT SBSQ ENC OT EA 15 MIN
OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 66.00)
27001071HC BELMONT BUDDY LITE DISP TUBING MEDFLIGHT
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 51.00)
75000091 HC UNLISTED PROCEDURE ESOPHAGUSGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,335.00)
39000033HC PLATELETS PHERESIS PATHOGEN REDUCED EACH UNIT
ADMINISTRATION PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390] ( 687.00)
39000034 HC PATHOGEN TEST FOR PLATELETS
ADMINISTRATION PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390] ( 25.00)
45000469 HC LEV 1 HOSP TYPE B ED VISIT EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 253.00)
45000470 HC LEV 2 HOSP TYPE B ED VISIT EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 413.00)
45000471 HC LEV 3 HOSP TYPE B ED VISIT EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 581.00)
45000472 HC LEV 4 HOSP TYPE B ED VISIT EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 1,088.00)
45000473 HC LEV 5 HOSP TYPE B ED VISIT EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 1,336.00)
45000474HC REP ACQ/TRAUM AV FISTULA EXTREMITIES EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 7,658.00)
36001636 HC IMPLANT TCAT PULM VLV PERQOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,151.00)
27201959 HC CORECATH 2.75MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 3,163.00)
92100025HC DUPSCAN XTR VEINS UNILATERAL/LIMITED STUDY
OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921] ( 802.00)
40200058 HC EXTREMITY LIMITED OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 384.00)
30100524 HC CREATININE DRAIN FLUID LABORATORY - CHEMISTRY [0301] ( 75.00)
27400205 HC SO AIRPLANE W/WO JOINT CFMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 2,099.00)
27400206 HC EO ELAS W/METAL JNTS PRE OTSMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 264.00)
27400207 HC WHFO W/JOINT(S) CUSTOM FABMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 807.00)
27400208 HC WHFO W/O JOINTS PRE OTSMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 444.00)
27400209 HC WHO NONTORSION JNTS PRE CSTMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 944.00)
27400210 HC HFO NONTORSION JNTS PRE OTSMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 163.00)
27201960 HC AUTOPLEX W/O NEEDLESMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 2,300.00)
30100525 HC RL AMG BY NEPHELOMETRY LABORATORY - CHEMISTRY [0301] ( 107.00)
30100526 HC RL HA ELISA QUANTITATIVE LABORATORY - CHEMISTRY [0301] ( 91.00)
30100527 HC RL TIMP 1 CHEMILUMINESCENT LABORATORY - CHEMISTRY [0301] ( 91.00)
36100146 HC REMOVAL IMPLANT DEEP OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 4,174.00)
76100121HC THER APHERESIS PLASMA PHERESIS ICU ONE ON ONE CARE
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,758.00)
36001637 HC REPAIR TCAT MITRAL VALVE INITIALOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 21,274.00)
36001638HC REPAIR TCAT MITRAL VALVE ADDITIONAL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 7,908.00)
30200243 HC RL ISOHEMAGGLUTININ TITER LABORATORY - IMMUNOLOGY [0302] ( 122.00)
30200244 HC RL STRATIFY JCV ANTIBODY WIREFLEX LABORATORY - IMMUNOLOGY [0302] ( 1,521.00)
45000475HC UNLISTED PROCEDURE PHARYNX ADENOIDS EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 321.00)
31000128HC NP IMMUNOFLUORESCENCE PER SPECIMEN EA
LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 45.00)
27400211 HC HFO W/O JOINTS OTSMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 155.00)
27400212 HC EWHO RIGID W/O JOINT CUSTOMMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 1,243.00)
27400213 HC FO W/O JOINTS CUSTOMMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 379.00)
27400214 HC WHO WRIST HAND ORTHOSIS CUSTOMMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 1,761.00)
48100140 HC LEADLESS C PM INS/RPL VENTR CARDIOLOGY - CARDIAC CATH LAB [0481] ( 28,765.00)
31000129HC IN-SITU HYBRIDIZATION STAIN 1ST INITIAL
LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 138.00)
31000130 HC IN-SITU HYBRIDIZATION STAIN EA ADDLLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 104.00)
31000131 HC NP MICROSLIDE CONSULTATIONLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 126.00)
30600102 HC RL ADENOVIRUS BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 314.00)
30200245 HC RL CMV T CELL IMMUNITY CD4 LABORATORY - IMMUNOLOGY [0302] ( 237.00)
30200246 HC RL CMV T CELL IMMUNITY CD8 LABORATORY - IMMUNOLOGY [0302] ( 237.00)
30200247 HC RL CMV T CELL IMMUNITY VIABILITY LABORATORY - IMMUNOLOGY [0302] ( 237.00)
11400002 HC R&B - PRIVATE - PSYCH 2GROOM & BOARD - PRIVATE (MEDICAL OR GENERAL) - PSYCHIATRIC [0114] ( 1,996.00)
45000476HC CORPORA CAVERNOSA-GLANS PENIS FISTULIZ EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 3,045.00)
30100529 HC RL TSO 5 HIAA LABORATORY - CHEMISTRY [0301] ( 300.00)
30100530HC RL 5 FU DPYD GENE TOX AND CHEMO REPSONSE LABORATORY - CHEMISTRY [0301] ( 360.00)
30100531HC RL 5 FU TYMS GENE TOX AND CHEMO RESPONSE LABORATORY - CHEMISTRY [0301] ( 278.00)
30100532HC RL OXYCODONE AND METABOLITE QUANT LABORATORY - CHEMISTRY [0301] ( 77.00)
30100533 HC RL ANTI HMGCR AB EIA LABORATORY - CHEMISTRY [0301] ( 962.00)
30100534 HC RL MATA AUTOANTIBODY LABORATORY - CHEMISTRY [0301] ( 630.00)
30100535 HC RL METHEMOGLOBIN REDUCT LABORATORY - CHEMISTRY [0301] ( 355.00)
30100536 HC RL ZIC4 AUTOANTIBODY LABORATORY - CHEMISTRY [0301] ( 380.00)
31000132HC GROSS ONLY EXAMINATION WITH MICROSCOPIC EXAM
LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 31.00)
30100528 HC RL TSO PANCEASTATIN LABORATORY - CHEMISTRY [0301] ( 230.00)
94300003 HC PAD REHAB PER SESSIONOTHER THERAPEUTIC SERVICES - CARDIAC REHABILITATION [0943] ( 100.00)
27801168 HC ELATION BALLOON DILATOR MM 10 11 12MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 400.00)
30600103HC RESP VIRUS MULTIPLEX AMP PROBE TECH 3-5 TARGETS
LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 704.00)
27001072HC DISPOSABLE MASIMO PULSE OX ADULT MEDLFIGHT
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 160.00)
27001073HC DISPOSABLE MASIMO PULSE OX PEDS MEDLFIGHT
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 160.00)
30600104 HC BLASTO PROBE IDLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 208.00)
30010608 HC HEPSIN - CASH ONLY LABORATORY - GENERAL CLASSIFICATION [0300] ( 99.00)
30100537HC RL INFLIXIMAB QUANTITATION W/REFLEX LABORATORY - CHEMISTRY [0301] ( 230.00)
30100538HC RL CHROMOSOMAL MICROARRAY POSTNAL LABORATORY - CHEMISTRY [0301] ( 2,010.00)
31000133 HC RL GMS1 (SILVER STAIN)LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 90.00)
45000477HC UNLISTED PROCEDURE MALE GENITAL SYSTEM EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 412.00)
27201961HC AQUACEL AG EXTRA HYDROFIBER WOUND DRESSING 4X5 420677
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 17.00)
27201962 HC ACTICOAT FLEX 7 66800405MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 32.00)
30100539 HC ESTROGEN ASSAY LABORATORY - CHEMISTRY [0301] ( 54.00)
30200248HC RL LEGIONELLA ANTIBODY PNEUMOPHILIA AB IGM LABORATORY - IMMUNOLOGY [0302] ( 24.00)
30200249HC RL LEGIONELLA ANTIBODY PNEUMOPHILIA AB IGG LABORATORY - IMMUNOLOGY [0302] ( 52.00)
32000382 HC KNEE 4+VIEW BILRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 537.00)
30600105 HC RL SURE SWAB HSV 1 DNA PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 105.00)
30600106 HC RL SURE SWAB HSV 2 DNA PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 105.00)
30600107HC RL SURE SWAB GARDNERELLA VAGINALIS
LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 73.00)
30600108HC RL SURE SWAB TRICHOMONAS VAGINALIS
LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 73.00)
30600109 HC RL SURESWAB CANDIDIASIS PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 294.00)
30600110 HC RL SURESWAB NOS AGENTLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 73.00)
42000068HC TEAM CONF W/O PAT BY HC PRO 30+ MINS PT PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 94.00)
43000070HC TEAM CONF W/O PAT BY HC PRO 30+ MINS OT
OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 94.00)
44000017HC TEAM CONF W/O PAT BY HC PRO 30+ MINS SLP
SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 94.00)
30200250 HC RL MOG IGG1 ASSAY LABORATORY - IMMUNOLOGY [0302] ( 535.00)
30100540HC RL TRICYCLIC ANTIDEPRESSANTS ID AND QUAN LABORATORY - CHEMISTRY [0301] ( 91.00)
30200251 HC RL LATEX K82 IGE LABORATORY - IMMUNOLOGY [0302] ( 16.00)
45000478HC AMPUTATE FINGER/THUMB SGL W DIR CLOSE EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 4,950.00)
30600111 HC CARBAPENEMASESLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 48.00)
27801170 HC MITRACLIP ABBOTTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 60,000.00)
30010609HC BONE MARROW RETRIEVAL AND PROCESSING LABORATORY - GENERAL CLASSIFICATION [0300] ( 31.00)
34100084 HC LIVER IMAGE STATIC ONLY NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 2,159.00)
30100542 HC ALPHA-FETOPROTEIN L3 LABORATORY - CHEMISTRY [0301] ( 159.00)
32000383 HC PERQ LAMOT/LAM LUMBARSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 10,066.00)
31000134 HC RL MORPHOMETRIC ANALYSISLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 387.00)
30100543 HC RL MSI BY PCR IF MSI-H REFLEX LABORATORY - CHEMISTRY [0301] ( 715.00)
30100544 HC RL MLH-1 PROMOTER METHYLATION LABORATORY - CHEMISTRY [0301] ( 385.00)
48100141 HC BIOPSY WITH RHC CARDIOLOGY - CARDIAC CATH LAB [0481] ( 3,585.00)
31000135 HC RL ADDITIONAL IHC STAIN ONLY LABORATORY - CHEMISTRY [0301] ( 50.00)
30200252HC RL CNS DEMYELINATING DISEASE EVAL S LABORATORY - IMMUNOLOGY [0302] ( 810.00)
30100545 HC RL 1433 PROTEIN CSF LABORATORY - CHEMISTRY [0301] ( 155.00)
30100546 HC RL RECOMBX CV2 AUTOAB/CRMP-5 LABORATORY - CHEMISTRY [0301] ( 370.00)
30100547HC RL PAIN MGT PROFILE 4 W/CONFIRM W/O MEDMATCH LABORATORY - CHEMISTRY [0301] ( 177.00)
20000004 HC ICU ONE TO ONE INTENSIVE CARE - GENERAL CLASSIFICATION [0200] ( 5,482.00)
36001639 HC PERC ASPIRATION SPINAL CORD CYSTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,207.00)
76100122 HC PERQ LAMOT/LAM CRV/THRCSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 10,066.00)
30200253 HC DEOXYRIBONUCLEASE ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 33.00)
30100548 HC RL BETA MELANOCYTE STIM LABORATORY - CHEMISTRY [0301] ( 195.00)
30100549 HC RL MMP-P LABORATORY - CHEMISTRY [0301] ( 155.00)
30100550 HC RL ALPHA MELANOCYTE STIM LABORATORY - CHEMISTRY [0301] ( 175.00)
30200254 HC RL ANA IFA WITH REFLEX LABORATORY - IMMUNOLOGY [0302] ( 14.00)
30100552 HC RL LEPTIN LABORATORY - CHEMISTRY [0301] ( 83.00)
30100553 HC RL TGFB1 LABORATORY - CHEMISTRY [0301] ( 80.00)
30100554 HC RL HLA-B51 LABORATORY - CHEMISTRY [0301] ( 90.00)
30100551 HC RL OPA1 DNA LABORATORY - CHEMISTRY [0301] ( 1,860.00)
31000136 HC KAPPA IN-SITU HYBRIDIDIZATIONLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 260.00)
31000137 HC LAMBDA IN-SITU HYBRIDIZATIONLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 260.00)
76100123 HC INS MARK THOR FOR RT PERQSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,131.00)
36100147HC DESTR W NEUROLYT TRIGEM NRV W/RAD GUIDE OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 2,892.00)
27400218 HC HM III MODULAR CABLE BTTMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 19,306.00)
27400219 HC HM III SYSTEM CONTROLLER BTTMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 21,450.00)
27400220HC HM III MOBILE POWER UNIT W/AC POWER CABLE BTT
MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 31,200.00)
30600112 HC STPCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 98.00)
31000138 HC RL DNASE SENSITIVITY (IBD)LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 120.00)
36001640 HC INJ ANESTH AXILLARY NERVEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,207.00)
36001641 HC INJ ANESTH AXILLARY NERVE BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,810.00)
94000004 HC PHOTOTHERAPY DAILYOTHER THERAPEUTIC SERVICES - GENERAL CLASSIFICATION [0940] ( 100.00)
94000005 HC HYPOTHERMIA ILL NEONATEOTHER THERAPEUTIC SERVICES - GENERAL CLASSIFICATION [0940] ( 216.00)
30200255 HC RL CASPR2-IGG CBA CSF LABORATORY - IMMUNOLOGY [0302] ( 250.00)
30200256 HC RL LGI1-IGG CBA CSF LABORATORY - IMMUNOLOGY [0302] ( 250.00)
30100555 HC RL VGKC COMPLEX AB IPA CSF LABORATORY - CHEMISTRY [0301] ( 232.00)
30600113 HC RL VIRAL CULTURE CSFLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 165.00)
30100556 HC RL INTEFERON ALPHA LABORATORY - CHEMISTRY [0301] ( 183.00)
30600114 HC RL HIV-2 DNA/RNA QUAL PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 296.00)
30600115 HC RL FUNPCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 460.00)
30600116 HC RL BCTPCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 286.00)
30600117 HC RL NTMPCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 316.00)
30100557 HC RL PANCREATIC ELASTASE 1 LABORATORY - CHEMISTRY [0301] ( 160.00)
11200002 HC R&B PRIVATE OB ONE ON ONE CAREROOM & BOARD - PRIVATE (MEDICAL OR GENERAL) - OB [0112] ( 2,260.00)
17300002HC NEWBORN NICU STEPDOWN ONE ON ONE CARE NURSERY - NEWBORN - LEVEL III [0173] ( 4,120.00)
17400002 HC NEWBORN NICU ONE ON ONE CARE NURSERY - NEWBORN - LEVEL IV [0174] ( 5,948.00)
76100124HC EXCISION OF LINGUAL FRENUM (FRENECTOMY)
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,044.00)
76100125 HC PAL & UACSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,100.00)
76100126 HC PARTIAL EXCHANGE TRANSFUSE NBSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 673.00)
30200257 HC RL CRP (PJI ARUP) LABORATORY - IMMUNOLOGY [0302] ( 18.00)
30100558 HC RL SPECTROPHOTOMETRY (PJI ARUP) LABORATORY - CHEMISTRY [0301] ( 18.00)
30100559 HC RL IMMUNOASSAY NON-AB (PJI ARUP) LABORATORY - CHEMISTRY [0301] ( 18.00)
30600118 HC RL GASTRO PATH PANEL (GPP) PCR 15LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 566.00)
92200027 HC MUSC TST DONE W/N TST NONEXTOTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922] ( 75.00)
42000069HC CANALITH REPOSITIONING PROC PT PER DAY PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 129.00)
43000071HC CANALITH REPOSITIONING PROC OT PER DAY
OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 129.00)
46000102 HC PULMONARY COMPLIANCEPULMONARY FUNCTION - GENERAL CLASSIFICATION [0460] ( 245.00)
76100127 HC NJX SCLRSNT SPIDER VEINSSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 303.00)
45000479HC PERC SKTL FIX D PHALANG FX FINGER/THUMB EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 4,750.00)
76100128 HC SCLEROTX FLUID COLLECTIONSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,029.00)
30600119 HC RL HIV-1 DNA QUALITATIVE PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 236.00)
30200258 HC RL RABIES VACCINE END POINT TITER LABORATORY - IMMUNOLOGY [0302] ( 102.00)
36001642HC DESTR W NEUROLYTIC; OTHER PERIPH NRV
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,207.00)
30100560 HC RL QU IGF 2 LABORATORY - CHEMISTRY [0301] ( 120.00)
30100561 HC RL AR PHOSPHATIDYLETHANOL LABORATORY - CHEMISTRY [0301] ( 107.00)
30100562 HC RL MY GALACTITOL QNT URINE LABORATORY - CHEMISTRY [0301] ( 205.00)
30100563 HC RL MY AUTO RETINOPATHY PANEL LABORATORY - CHEMISTRY [0301] ( 685.00)
31000139 HC RL QU BLADDER CANCER FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 460.00)
30600120 HC RL MY ACANTHAMOEBA SP PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 247.00)
30600121 HC RL QU H. PYLORI CUL W/REFLEX 1LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 74.00)
30600122 HC RL QU H. PYLORI CUL W/REFLEX 2LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 74.00)
30100564HC RL QU SENSORY-METER NEUROPATHY ANTIBODY PANEL LABORATORY - CHEMISTRY [0301] ( 93.00)
30100565 HC RL QU C3A DES ARG FRAGMENT LABORATORY - CHEMISTRY [0301] ( 102.00)
30200259 HC RL QU C4A LEVEL BY RIA LABORATORY - IMMUNOLOGY [0302] ( 80.00)
36001643 HC AMPUTATE FOOT TRANSMETATARSALOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,750.00)
27801172HC THERASKIN 2.5CM X 2.5CM 100TSXS (PER SQ CM)
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 309.00)
27801173HC THERASKIN 2.5CM X 5.1CM 101TSS (PER SQ CM)
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 162.00)
27801174HC THERASKIN 5.1CM X 7.6CM 102TSL Per SQ CM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 67.00)
36001644 HC REPAIR DETACHED RETINAOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 6,479.00)
27201964 HC ACTICOAT 7 FLEX ROPEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 47.00)
27201965HC DRESSING WOUND ALLEVYN LIFE HYDROCELLULAR SILICONE GEL FOAM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 14.00)
27201966HC DRSG WND CARE V.A.C. VERAFLO CLEANSE LF ST DISP MD
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 265.00)
27201967HC DRSG WND GRANUFOAM VAC 5X5INAG LG
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 176.00)
27201968HC DRSG WND INFO V.A.C. GRANUFOAMNEG PRESS SM 3.2X7.5X10CM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 83.00)
27201969HC DRSG WND NEG PRESS V.A.C. GRANUFOAM AG LF SM 3.2X7.5X10CM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 116.00)
27201970HC DRSG WND NEG PRESS V.A.C. GRANUFOAM POLYURET 26X15X1.6CM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 104.00)
27201971 HC DRSG WND PRISMA MATRX 19.1INMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 54.00)
27201972
HC DRSG WND V.A.C. 10X7.5X1CMGRANUFOAM POLYURET DRP PAD WHT
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 25.00)
27201973HC DRSG WND V.A.C. GRANUFOAM AG LF ST MD 5.0CA 3.2X12.5X18CM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 164.00)
27201974HC DRSG WND V.A.C. GRANUFOAM POLYURET DRP PAD MD 3.3X12.5X18CM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 104.00)
27201975HC DRSG WND V.A.C. GRANUFOAM POLYURET DRP PAD XL 60X30X1.5CM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 260.00)
27201976HC DRSG WND V.A.C. WHITEFOAM LF POLYVNYL ALC FM WET 15X10CM
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 32.00)
27201977HC KIT DEV FECAL MGMT FLEXI-SEALLF SIL INCLUDES 3 FILT BAG
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 338.00)
27201978HC POUCH WND EAKIN FLX CUT TO FITTAP CLS REMOTE DRN 4.3X3.0IN
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 29.00)
27201979 HC VAC DRAPEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 17.00)
27001074CASSET WND THER UNIT V.A.C.VERALINK PLSTC LF ST DISP
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 127.00)
36001645 HC LEADLESS C PM REMOVE VENTROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,476.00)
30100566 HC IMMUNOGLOBULIN PANEL(IGG IGA IGM) LABORATORY - CHEMISTRY [0301] ( 69.00)
30200260 HC RL QU TOXOCARA AB ELISA FLUID LABORATORY - IMMUNOLOGY [0302] ( 66.00)
30100567 HC RL QU DPD GENE MUTATION ANALYSIS LABORATORY - CHEMISTRY [0301] ( 360.00)
30100568 HC RL MY GADOLINIUM 24H URINE LABORATORY - CHEMISTRY [0301] ( 248.00)
30100569 HC RL GP CLL TP53 SEQUENCING LABORATORY - CHEMISTRY [0301] ( 499.00)
30100570 HC RL QU GQ1B ANTIBODY LABORATORY - CHEMISTRY [0301] ( 117.00)
30100571HC RL QU FLUNITRAZEPAM METABOLITES URINE LABORATORY - CHEMISTRY [0301] ( 176.00)
30100572 HC RL QU METHADONE GC/MS LABORATORY - CHEMISTRY [0301] ( 65.00)
30100573HC RL QU FLUNITRAZEPAM METABOLITES QUANT LABORATORY - CHEMISTRY [0301] ( 109.00)
30100574 HC RL QU HSP-70 ANTIBODY LABORATORY - CHEMISTRY [0301] ( 146.00)
30100575HC RL QU MYCOBACTERIUM TB COMPLEXPCR NONRESP LABORATORY - CHEMISTRY [0301] ( 172.00)
30600123HC RL QU HISTOPLASMA GALACTOMANNAN AGUR
LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 61.00)
30100576HC RL QU ERYTHROCYTE PROTOPORPHYRIN LABORATORY - CHEMISTRY [0301] ( 43.00)
30600124 HC RL QU CYCLOSPORA EXAMLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 33.00)
30600125 HC RL QU ISOSPORA EXAMLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 33.00)
30100577 HC RL QU ALCOHOL SCREEN FLUID LABORATORY - CHEMISTRY [0301] ( 84.00)
12400002 HC R&B - SEMIPRIVATE - PSYCH 2GROOM & BOARD - SEMI-PRIVATE TWO BED (MEDICAL OR GENERAL) - PSYCHIATRIC [0124] ( 1,942.00)
27201683 HC AQUA SHIELD WATER BOTTLE SYSTEMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 22.00)
27201684 HC TORRENT IRRIGATION TUBINGMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 24.00)
27201685 HC TORRENT SCOPE CONNECTORMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 24.00)
34100081 HC RED CELL SEQUESTRATION NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 905.00)
36001389 HC SGL NBI BRACHIAL PLEXUSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 951.00)
36001390 HC STENT PLACEMT RETRO CAROTIDOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,344.00)
36001391HC TCAT PLMT XTRC VRT STENT S&I PRQ/OPEN EA ADL VSL
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 11,309.00)
36001392 HC ENDOVASC TEMP B VESSEL OCCLOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 14,040.00)
36001393 HC INTRACRANIAL ANGIOPLASTYOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 12,503.00)
36001394 HC DILATE IC VASOSPASM INITOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 11,309.00)
36001395HC DILATE IC VASOSPASM ADD-ON SAME VASC TERRITORY
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 8,189.00)
36001396HC DILATE IC VASOSPASM ADD-ON DIFFERENT VASC TERRITORY
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 11,309.00)
36001397HC DESTR W NEUROLYTIC; INTERCOSTAL NRV
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,529.00)
36001398 HC INS/REP SUBQ DEFIBRILLATOROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 34,189.00)
36001399 HC ELECTROPHYSIOLOGY EVALUATIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,702.00)
40400009HC PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH
OTHER IMAGING SERVICES - POSITRON EMISSION TOMOGRAPHY [0404] ( 4,054.00)
45000015 HC MEDICAID SCREENINGEMERGENCY ROOM - EMTALA EMERGENCY MEDICAL SCREENING [0451] ( 46.00)