Charge - York General

Charge # Description Charge Amount

10000003 EKG-SPC $277.25

10000004 REMOVAL IMPACTED CERUMEN RT $51.00

10000005 REMOVAL IMPACTED CERUMEN LT $51.00

10000006 REMOVAL IMPACTED CERUMEN BILAT $102.00

10000007 IMPLANTABLE LOOP RECORDER EVALUATION $29.00

10000008 ANKLE/BRACHIAL INDEX $62.25

10000009 BLADDER SCANNER $44.00

10000010 FINE NEEDLE ASPIRATION $82.25

10000011 THORACENTESTS $271.50

10000012 LUMBAR PUNCTURE $72.25

10000013 ENDOCERVICAL CURRETAGE FACILITY $64.75

10000014 BLADDER FULGURATION $163.25

10000015 EMG-NEEDLE ELECTROMYOGRAPHY 1 LIMB $190.75

10000016 EMG-NEEDLE ELECTROMYOGRAPHY 2 LIMBS $263.25



10000026 TANGENTIAL BIOPSY-SINGLE $155.00

10000027 TANGENTIAL BIOPSY-EACH ADD'L/SEPERATE $83.75

10000028 PUNCH BIOPSY-SINGLE $195.00

10000029 PUNCH BIOPSY-EACH ADD'L/SEPERATE $95.75

10000030 IINCISIONAL BIOPSY-SINGLE $236.25

10000031 IINCISIONAL BIOPSY-EACH ADD'L/SEPERATE $113.00

10000034 ENT MICROSCOPE EQUIPMENT $58.75

10000035 PACER CHECK-SPC $50.50

10000036 SPECIALTY CLINIC $50.50

10000037 CRYOTHERAPY $167.00

10000038 HEMORRHOIDECTOMY, INTERNAL-BAND LIGATION $438.50

10000040 URETHRAL DILATATION $244.00

10000042 SPINAL TAP $129.50

10000045 ESOPHAGEAL DILATION $362.25

10000046 PROCTOSCOPY $178.50

10000049 VEIN INJECTION $75.00

10000051 BONE MARROW $141.75

10000052 ENDOMETRIAL BIOPSY FACILITY $244.75

10000053 SUPRA PUBIC CATH INSERTIO $458.50

10000054 HYSTEROSCOPY $69.00

10000055 FLEX SIGMOIDOSCOPY $201.00

10000056 SINUSCOPE $103.50

10000057 LEEP FACILITY $261.25

10000060 FLEX CYSTOSCOPY $579.00

10000061 GASTROSTOMY TUBE CHANGE $178.50

10000065 COLPOSCOPE OF CERVIX FACILITY $112.50

10000069 ENDOCERVICAL BX FACILITY $244.75

10000070 COLPOSCOPE OF VAGINA W/BIOPSY FACILITY $244.75

10000073 POSITIONAL NYSTAGMUS TEST;4 POSITIONS $230.50

10000074 BASIC AUDIOMETRICS $187.75

10000075 PURE TONE AIR $64.75

10000076 PURE TONE AIR & BONE $101.50

10000077 SPEECH THRESHOLDS $48.25

10000078 SPEECH THRESH & DISCRIM $78.00

10000079 TYMPANDMETRY $76.00

10000080 REFLEX DECAY $48.25

10000081 MINOR PROCEDURE $164.50

10000082 BMT-BI MYRINGTOMY TUBES $163.25

10000083 LARYNGOSCOPY FLEXIBLE $103.50

10000084 SINGLE MYRINGTOMY TUBES $116.75

10000091 SINUS IRRIGATION / ASPIRATION $46.25

10000136 ORIGINATION FEE $35.25

10000605 PULSE OXIMETER $85.50

10000607 SNAP VAC APPLICATION <=50CM $113.50

10000608 SNAP VAC APPLICATION >=50CM $113.50

100010 BLOOD ADMIN 0-2HR $748.00

10001000 NEW PT LEVEL 1 $175.75

10001001 NEW PT LEVEL 2 $251.50

10001002 NEW PT LEVEL 3 $326.75

10001003 NEW PT LEVEL 4 $385.00

10001004 NEW PT LEVEL 5 $450.75

10001005 EST PT LEVEL 1 $155.50

10001006 EST PT LEVEL 2 $231.25

10001007 EST PT LEVEL 3 $308.50

10001008 EST PT LEVEL 4 $385.00

10001009 EST PT LEVEL 5 $441.75

10001014 DEBRDMNT SUB&TISSUE $385.00

10001019 WOUND CARE GEL 5ML CMPD $26.00

100011 BLOOD ADMIN 2-4HR $1,034.75

100012 BLOOD ADMIN 4-6HR $1,221.75

100013 BLOOD ADMIN OVER 6 HR $1,230.25

1000187 RESUSCITATION SUPPLY PACK $151.75

10001999 APPL SKIN GRAFT-TRUNK-ARM-LEG-UP TO 100 $202.00

10002000 SELECTIVE DEBRIDEMENT <=20MC $112.00

10002001 EACH ADDL 20 SQ CM $45.25

10002002 NON-SELECTIVE DEBRIDEMENT $104.00

10002003 VAC APPLICATION <=50CM $113.00

10002004 VAC APPLICATION >=50CM $114.50

10002005 DEBRDMNT SUB & TISSUE 1ST 20 SQ CM $121.00

10002006 EACH ADDL 20 SQ CM $46.75

10002007 DEBRDMNT SUB/TISS/MUSCLE 1ST 20 SQ CM $146.25

10002008 EACH ADDL 20 SQ CM $53.25

10002009 DEBRDMNT SUB/TISS/MUS/BONE 1ST 20 SQ CM $175.75

10002010 EACH ADDL 20 SQ CM $63.75

10002011 APPL SKIN GRAFT-TRUNK-ARM-LEG-UP TO 100 $202.00

10002012 APPL SKIN GRAFT-TRUNK-ARM-LEG-ADDL 25 $68.00

10002013 APPL SKIN GRAFT-TRUNK-ARM-LEG-100 CHILD $197.50

10002014 APPL SKIN GRFT-TRNK-ARM-LEG ADD 100 CHLD $58.25

10002015 APPL SKIN GRAFT-OTHER UP TO 100 SQ CM $196.25

10002016 APPL SKIN GRAFT-OTHER EACH ADDL 25 SQ CM $49.25

10002017 APPL SKIN GRAFT-OTHER 1ST 100 SQ CM CHLD $285.00

10002018 APPL SKIN GRAFT-OTHER ADDL 100 CM CHLD $41.00

10002019 APP MULTI LAYER WOUND COMPLEX $114.50

10002020 BURN DRSG/DEBRIDE SM <5% TBSA $123.50

10002021 BURN DRSG/DEBRIDE MED 5-10% TBSA $144.75

10002022 BURN DRSG/DEBRIDE LG >10% TBSA $149.75

10002023 CHEMICAL CAUTERY $115.50

10002024 EXCISION LESION 1.1-2CM $161.25

10002025 HYPERKERATOSIS TRIM 1 LESION $109.75

10002026 HYPERKERATOSIS TRIM 2-4 LESIONS $113.00

10002027 HYPERKERATOSIS TRIM >4 LESIONS $115.50

10002028 I&D ABSCESS SIMPLE/SINGLE $135.50

10002029 I&D ABSCESS COMPLEX/MULTIPLE $159.75

10002030 I&D COMPLEX POSTOP WOUND INFECTION $165.75

10002031 I & REM FB SQ TISSUES SIMPLE $135.50

10002032 I & REM FB SQ TISSUES COMPLEX $167.75

10002033 NAIL TRIMMING (ANY NUMBER) $105.00

10002034 SKIN TAG REMOVAL UP TO 15 $129.00

10002035 TX SUPERFICIAL WND DEHSCNCE SIMPLE $169.25

10002036 TX SUPERFICIAL WND DEHSCNCE W/PACKAGING $151.25

10002037 DEBRIDE NAIL 1-5 $135.50

10002038 NERVE CONDUCTION STUDY 1-2 $245.50




10002042 NERVE CONDUCTION STUDY 9-10 $1,228.00

10002043 NERVE CONDUCTION STUDY 11-12 $1,474.00

10002044 NERVE CONDUCTION STUDY 13 + $1,596.50

10002045 PACEMAKER EVAL SINGLE $33.25

10002046 PACEMAKER EVAL DUAL $38.00

10002047 PACEMAKER EVAL MULTI $44.25

10002048 PACEMAKER INTERROGATION $31.75

10002049 ICD EVAL SINGLE $39.25

10002050 ICD EVAL DUAL $44.25

10002051 ICD EVAL MULT $51.75

10002052 ICD INTERROGATION $38.00

10002053 BURN CARE INITIAL $122.25

10002054 BURN DRSG/DEBRIDE SM $363.25

10002055 BURN DRSG/DEBRIDE MED $455.25

10002056 BURN DRSG/DEBRIDE LG $588.50

10002057 DEBRIDE NAIL 1-5 $166.50

10002058 DEBRIDE NAIL 6-10 $177.50

10002059 APPL MULTI LAYER COMPRESS ARM/WRIST/FING $114.50

10002060 SURG PREP EXCISION-FACE SCALP GENITALIA $121.00

10002061 TENOTOMY, TOE, SINGLE $365.00

10002062 TENOTOMY, TOE, MULTIPLE $498.00

10002063 REMOVAL OF NAIL PLATE $87.25

10002064 SURG PREP EXCISION-TRUNK ARM LEGS $100.50

1000267 CIRCUMCISION SUPPLY PACK $94.75

1000300 INFANT HEARING SCREEN $120.50

1000310 BILICHECK $44.00

10004998 PULMONARY DIAGNOSTIC TESTING $40.50

10004999 PROBLEM FOCUSED EST $14.50

10005000 PROBLEM FOCUSED NEW $91.00

10005001 EXP PROBLEM FOCUSED NEW $154.75

10005002 DETAILED NEW $223.75

10005003 COMP NEW $341.75

10005004 COMP NEW PATIENT NEW $430.50

10005005 PROBLEM FOCUSED EST $91.00

10005006 EXP PROBLEM FOCUSED EST $151.50

10005007 DETAILED EST $225.00

10005008 COMP EST $302.75

10005009 WELL PT 12-17 EP FOR CAID NEW $241.25

10005010 WELL PT 18-39 EP FOR CAID18 NEW $241.25

10005011 WELL PT 40-64 NEW $283.25

10005012 WELL PT 65+ NEW $307.25

10005013 WELL PT 12-17 EP FOR CAID EST $196.75

10005014 WELL PT 18-39 EP FOR CAID18 EST $203.50

10005015 WELL PT 40-64 EST $219.75

10005016 WELL PT 65+ EST $248.75

10005017 COLPO OF CERVIX $225.00

10005018 COLPO W CERV BIOPSY & ECC $317.00

10005019 COLPO W CERV BIOPSY $298.50

10005020 COLPO OF CERVIX WITH ECC $283.25

10005021 COLPO OF VAGINA $248.75

10005022 COLPO OF VAGINA W BIOPSY $324.50

10005023 COLPO OF VULVA $239.00

10005024 COLPO OF VULVA WITH BIOPSY $309.25

10005025 ENDOMETRIAL BIOPSY AT COLPOSCOPY $233.50

10005026 CERVICAL BIOPSY $267.00

10005027 ENDOCERVICAL CURETTAGE $259.50

10005028 ENDOMETRIAL BIOPSY $233.50

10005029 LEEP PROCEDURE $567.75

10005030 PESSARY INSERTION $92.75

10005031 VAGINAL BIOPSY $205.50

10005032 VULVAR BIOPSY $227.00

10005033 VULVAR BIOPSY EACH ADD'L $102.75

10005034 UROFLOWMETRY - SIMPLE $118.00

10005035 CMG - SIMPLE $529.00

10005036 BARTHOLINS GLAND ABSCESS I&D $284.50

10005037 BARTHOLINS GLAND MARSUPIALIZATION $432.50

10005038 IUD INSERTION $191.25

10005039 IUD REMOVAL $221.75

10005040 NEXPLANON INSERTION $287.75

10005041 NEXPLANON REMOVAL & NEW INSERTION $594.75

10005042 NEXPLANON REMOVAL $326.50

10005043 US/VAGINAL/GYN PHYSICIAN $259.50

10005044 US/VAGINAL/GYN FACILITY $389.25

10005045 OB US/ABD 14 WEEKS PHYSICIAN $312.50

10005046 OB US/ABD 14 WEEKS FACILITY $469.00

10005047 OB US/ABD 14 WEEKS EA ADD'L PHYSICIAN $204.50

10005048 OB US/ABD 14 WEEKS EA ADD'L FACILITY $306.75

10005049 OB US/ABD LIMITED (AFI PLACENTA) PHY $212.00

10005050 OB US/ABD LIMITED (AFI PLACENTA) FAC $318.00

10005051 OB US/ABD FOLLOW UP PHYSICIAN $237.00

10005052 OB US/ABD FOLLOW UP FACILITY $355.25

10005053 OB US/TRANSVAGINAL PHYSICIAN $231.50

10005054 OB US/TRANSVAGINAL FACILITY $347.00

10005057 0-3 ANTEPARTUM VISITS/EACH $151.50

10005058 4-6 ANTEPARTUM VISITS/EACH $153.50

10005059 7+ ANTEPARTUM VISITS/EACH $153.50

10005061 POSTPARTUM VISIT $376.50

10005063 BARTHOLINS GLAND ABSCESS I&D FACILITY $112.50

10005064 BARTHOLINS GLAND MARSUPIALIZATION FACILI $112.50

10005065 FACILITY $270.50

10005066 COLPO OF VAGINA FACILITY $112.50

10005067 COLPO OF VULVA FACILITY $112.50

10005068 COLPO OF VULVA WITH BIOPSY FACILITY $244.75

10005069 COLPO W CERV BIOPSY FACILITY $244.75

10005070 COLPO W CERV BIOPSY & ECC FACILITY $324.50

10005071 ENDOMETRIAL BIOPSY AT COLPOSCOPY FACILIT $244.75

10005072 IUD INSERTION FACILITY $164.50

10005073 IUD REMOVAL FACILITY $164.50

10005074 NEXPLANON INSERTION FACILITY $164.50

10005075 NEXPLANON REMOVAL FACILITY $164.50

10005076 NEXPLANON REMOVAL & NEW INSERTION FACILI $164.50

10005077 VAGINAL BIOPSY FACILITY $244.75

10005078 VULVAR BIOPSY FACILITY $244.75

10005079 VULVAR BIOPSY EACH ADD'L FACILITY $129.75

10005080 INSERT NON INDWELLING BLADDER CATH $72.00

10005083 US/VAGINAL/GYN LIMITED PHYSICIAN $105.00

10005084 US/VAGINAL/GYN LIMITED FACILITY $160.00

100051 COLL BL SPEC FR COMPLETELY IMPL VEN ACCE $173.00

100053 COLL BL SPEC FR ESTAB CENTRAL/PERIPH VEN $173.00

100055 DECLOT BY THROMBOLYTIC AGENT IMPL VASC $328.75

100057 ROOM RENT 0-15 MINS $101.50

1000571 AMBU BAG ONLY $83.00

100058 ROOM RENT 15-30 MINUTES $164.50

100060 ROOM RENT 30 MIN-2HR $244.75

100062 ROOM RENT-2 TO 4 HRS $406.50

100064 ROOM RENT 4-6 HOURS $495.00

100066 ROOM RENT 6-8 HOURS $635.00

100068 APPLY ON-BODY INJECTOR $31.00

100069 PROLONGED INFUSION (>8HR) VIA PUMP $269.75

100071 CHEMO-SQ/IM/NON HORMONAL $44.50

100072 CHEMO-IVP/SINGLE-INITIAL DRUG $302.75

100073 CHEMO-INF 1ST HOUR $361.75

100074 CHEMO-INF ADDL HR (1-8) $98.50

100075 BLADDER INSTALLATION $394.25

100076 THERAPEUTIC INJ SQ/IM $31.00

100077 NON CHEMO BLADDER INSTALLATION $362.25

100078 THERAPEUTIC INJ IV/SINGLE-INITIAL DRUG $231.25

100079 IV INF THERAPY 1ST HR/HYDRATION $315.50

100080 IV INF THERAPY ADDL HR/HYDRATION $91.75

100083 THERAPEUTIC INJ IV/EACH ADDL DRUG $159.00

100084 IV INF THERAPY 1ST HR/THERAPY-PROPHY-DX $328.75

100085 IV INF THERAPY ADDL HR/THERAPY PROPHY DX $92.75

100086 ADDL SEQUENTIAL INFUSIONS 1 HR $183.75

100087 CONCURRENT INFUSIONS $183.75

100088 THERAPEUTIC PHLEBOTOMY $185.00

100089 CHEMO-SQ/IM/HORMONAL $44.50

100090 CHEMO-IVP/EACH ADDL DRUG $244.75

100091 CHEMO-INF W/SEQ MEDS $269.75

100093 THERAPEUTIC INJ IV/EA ADDL SAME DRUG $159.00

100094 IRRIG IMPLANTED VENOUS ACCESS DEVICE $165.75

100095 REFILL/MAINT OF IMPLANTABLE PUMP $215.50

100096 ADMIN RABIES VACCINE $36.00

1000990 UMBILICAL IV SUPPLY KIT $161.75


100110 BLOOD ADMIN 0-2HR $748.00

100111 BLOOD ADMIN 2-4HR $1,034.75

100112 BLOOD ADMIN 4-6HR $1,221.75

100113 BLOOD ADMIN OVER 6 HR $1,230.25

100150 SURGICAL 0-8 HOURS $1,034.75

100152 SURGICAL OVER 8 HOURS $1,229.25


100160 CATARACT SURG 0-8 HRS $400.75

100162 ROOM RENT-2 TO 4 HRS $406.50

100164 ROOM RENT 4-6 HOURS $495.00

100165 YAG CATARACT SURG 0-8HRS $349.00

100166 ROOM RENT 6-8 HOURS $635.00

100250 PPD TESTING $31.00

100251 COLL BL SPEC FR COMPLETELY IMP VEN ACCES $173.00

100253 COLL BL SPEC FR ESTAB CENTRAL/PERIPH VEN $173.00

100255 DECLOT BY THROMBOLYTIC AGENT IMPLANT VAS $328.75

100268 APPLY ON-BODY INJECTOR $31.00

100270 PROLONGED INFUSION (>8HRS) VIA PUMP $269.75

100271 CHEMO-SQ/IM/HORMONAL $44.50

100272 CHEMO-IVP/EACH ADDL DRUG $244.75

100273 CHEMO-INF 1ST HOUR $361.75

100274 CHEMO-INF W/SEQ MEDS $269.75

100275 CHEMO-BLADDER INSTALLATION $394.25

100276 THERAPEUTIC INJ SQ/IM $31.00

100277 NON CHEMO BLADDER INSTALLATION $362.25

100278 THERAPEUTIC INJ IV/SINGLE-INITIAL DRUG $231.25

100279 IV INF THERAPY 1ST HR/HYDRATION $315.50

100280 IV INF THERAPY ADDL HR/HYDRATION $91.75

100282 IM INJ/ANTIBIOTIC $31.00

100283 THERAPEUTIC INJ IV/EACH ADDL DRUG $159.00

100284 IV INF THERAPY 1ST HR/THERAPY-PROPHY-DX $328.75

100285 IV INF THERAPY ADDL HR/THERAPY-PROPHY-DX $92.75

100286 ADDL SEQUENTIAL INFUSIONS 1 HR $183.75

100287 CONCURRENT INFUSIONS $183.75

100288 CHEMO-SQ/IM/NON HORMONAL $44.50

100289 THERAPEUTIC PHLEBOTOMY $185.00

100290 CHEMO-IVP/SINGLE-INITIAL DRUG $302.75

100292 CHEMO-INF ADDL HR (1-8) $98.50

100293 THERAPEUTIC INJ IV/EA ADDL SAME DRUG $159.00

100294 IRRIG IMPLANTED VENOUS ACCESS DEVICE $165.75

100295 REFILLING/MAINT OF IMPLANTABLE PUMP $215.50

100296 ADMIN RABIES VACCINE $36.00

100300 CHEMOTHERAPY PROCEDURE $111.50

100600 NURSE PICC PLACEMENT $1,442.00

100601 NURSE PICC PLACEMENT $1,442.00

100610 NURSE MIDLINE PLACEMENT $1,030.00

100611 NURSE MIDLINE PLACEMENT $1,030.00

1010100 FEEDING TUBE 8FR X 15 0036410 $17.25

101060 ROOM RENT 30 MIN-2HR $244.75

101250 PPD TESTING $31.00

101282 IM INJ/ANTIBIOTIC $31.00

105000 INITIAL HOSPITAL CARE LEVEL I $143.50

105001 INITIAL HOSPITAL CARE LEVEL II $195.00

105002 INITIAL HOSPITAL CARE LEVEL III $290.00

105003 SUBSEQUENT HOSPITAL CARE LEVEL I $56.00

105004 SUBSEQUENT HOSPITAL CARE LEVEL II $104.25

105005 SUBSEQUENT HOSPITAL CARE LEVEL III $149.50



11000060 ROOM RENT 30MIN-2HR $244.75

11000062 ROOM RENT-2 TO 4 HRS $406.50

1200013 RECOVERY ROOM/INIT 30 MIN $554.00

1200020 RECOVERY ROOM ADDL/MINUTE $17.25

1400003 STERIS 20/SPC $31.25

1400054 LEGAL BLOOD ETOH COLLECTI $99.25

1400300 ER US ABDOMEN LIMITED $333.00

1400301 ER US RETROPERITONEAL LIMITED $333.00

1400302 ER US PREGNANT UTERUS $210.00

1400303 ER US PREGNANT UTERUS TRANSVAGINAL $210.00

1400304 ER US TRANSVAGINAL $333.00

1400305 ER US PELVIC $210.00

1400306 ER US GUIDANCE NEEDLE PLACEMENT $477.50

1400307 ER US GUIDANCE VASCULAR ACCESS $455.00

1400308 ER US CHEST LIMITED $210.00

1400309 ER US PARACENTESIS $333.00

1400310 ER US THORACENTESIS $333.00

1400311 ER US ECHOCARDIOGRAPHY $241.25

1400312 ER US GUIDANCE PERICARDIOCENTESIS $210.00

1400400 EMERGENCY RM-LEV1 $196.00




1400404 EMERGENCY RM-LEV5 $1,091.00

1400405 EMERGENCY RM-LEV6 $1,470.25

1400498 ER PHYSICIAN CHARGE $79.50





1400506 MANIP OF ANKLE W/ ANESTHESIA $341.00

1400507 REPAIR 2.6 TO 7.5 CM $319.75

1400508 GASTROSTOMY TUBE CHANGE $175.50

1400509 FORN BDY REM/EYE W/SLIT $113.00

1400510 FOREIGN BDY REMOVE/EYELID $213.00

1400511 FORN BDY REM/EYE W/O SLIT $85.00

1400512 REPAIR FACE - 2.5CM OR LESS $302.75

1400513 DRAINAGE FOREARM BURSA $961.25

1400514 REPAIR 2.5 CM OR LESS $292.00

1400515 STRAPPING OF KNEE $79.50

1400516 FOREIGN BODY REMOVAL/FOOT $382.25

1400517 URETHRA CATHETER/SIMPLE $67.00

1400518 ECG INTERPRETATION/REPORT $26.00

1400519 FINGER DISLOCAT-W ANESTH $605.25

1400520 APPLY LOWER LEG SPLINT $134.00

1400521 FOREIGN BODY REMOVAL/EYE $84.00

1400522 FOREIGN BODY REMOVAL/NOSE $126.50

1400523 APPLY FOREARM SPLINT $105.25

1400524 APPLY SHORT ARM CAST $146.25

1400525 PUNCTURE DRAIN OF LESION $164.75

1400526 TREAT RADIUS FRACTURE $803.25

1400527 DRAINAGE-SKIN ABSCESS $155.50

1400528 REPAIR-FACE 2.6-5 CM $346.50

1400530 APPLY FINGER SPLINT-DYNAM $81.00

1400532 INJECT SACROILIAC JOINT $175.50

1400533 APPLY SHORT ARM SPLINT $106.75

1400534 TRIM SKIN LESIONS 2 TO 4 $53.00

1400535 FINGER DISLOCAT-W/O ANEST $455.50

1400536 INJ-TENDON-LIGAMENT-CYST $100.75

1400537 APPLY FINGER SPLINT/STATI $89.50

1400538 TREAT ELBOW DIS W/ MANIPUL $246.00

1400539 TREAT RADIUS FX-W/O MANIP $404.25

1400540 REMOVAL/REVISION OF CAST $79.50

1400541 DEBRIDE SKIN-PARTIAL $68.25

1400542 CARDIOVERSION ELECTRIC $306.50

1400543 SPINAL FLUID TAP/DIAGNOST $151.75

1400544 REPAIR-LAYER WNO/2.6-7.5 $319.75

1400545 DRAIN EAR LESION-EXTERNAL $175.50

1400546 STRAPPING OF SHOULDER $93.00

1400547 DRAIN CHEST $194.75

1400548 INSERT CHEST TUBE $527.00

1400549 STRAPPING OF ELBOW $72.25

1400550 REMOVAL OF NAIL BED $248.50

1400551 FORN BODY REM/SUBCUTANEOU $164.75

1400552 TREAT SHOULD DISLOC/W MAN $568.25

1400553 TREAT KNUCKLE DISLOCATION $686.00

1400554 CAST REMOVAL/REVISION $105.25

1400555 FLUID DRAINAGE HEMATOMA $204.00

1400556 REPAIR SCALP/TRUNK/EXTREMITIES < 2.5 CM $282.25

1400557 REPAIR WOUND/LESION $576.75

1400559 TREAT RADIUS/ULNA FX $992.25

1400560 TREATMENT OF BURN $97.75

1400561 CLEAR OUTER EAR CANAL $124.25

1400562 DRAIN/INJ JOINT/BURSA $118.00

1400563 REPAIR SUPERFICIAL WOUND $322.00

1400564 CONTROL NOSE BLEED $279.25

1400565 REPAIR SUPERFICIAL WOUNDS $385.50

1400566 DEBRIDE NAIL 1-5 $43.25

1400567 REMOVAL OF NAIL PLATE $139.25

1400568 TREAT ELBOW DISLOCATION $733.00

1400569 LAYER CLOSURE WOUND $386.75

1400570 TREAT CLAVICLE DISLOCATION $596.75

1400571 REMOVAL FOREIGN BODY $379.50

1400572 REMOVAL IMPACTED EAR WAX $74.75

1400573 TREAT KNEE FRACTURE $681.50

1400574 TREAT HUMERUS FRACTURE $551.50

1400575 APPLICATION LONG LEG SPLINT $103.50

1400576 TREATMENT THUMB DISLOCATION $675.00

1400577 REPAIR SUPERFICIAL WOUNDS $402.50

1400578 DEBRIDEMENT SKIN/TISSUE $139.25

1400579 STRAPPING OF ANKLE $91.00

1400580 APPLY LONG ARM SPLINT $119.50

1400581 RHYTHM ECG REPORT $23.50

1400582 LAYER CLOSURE OF WOUND(S) $361.75

1400583 REPAIR SUPERFICIAL WOUND(S) $574.25

1400584 REPAIR SUPERFICIAL WOUND(S) $382.25

1400585 NASAL OROGASTRIC W/STENT $682.75

1400586 DRAIN PILONIDAL CYST $161.50

1400587 APPLICATION OF SHOULDER CAST $265.75

1400588 EXPLORATION OF FOOT JOINT $820.75

1400589 REPAIR TONGUE LACERATION $308.25

1400590 REPAIR WOUND/LESION ADD-ON $194.75

1400591 REPAIR OF WOUND OR LESION $442.25

1400592 INSERT EMERGENCY AIRWAY $442.25

1400593 TX OF BURN(S) > 10% OF BODY $269.25

1400594 STRAPPING OF HAND OR FINGER $69.50

1400595 INITIAL TREATMENT OF BURNS $105.25

1400596 CRITICAL CARE UP TO 74 MINUTES $480.50

1400597 CRITICAL CARE EA ADDTL 30 MINUTES $240.50

1400598 INJ SINGLE OR MULTIPLE TRIGGER POINTS $100.75

1400599 DRAINAGE OF FINGER ABSCESS $369.00

1400600 REMOVAL OF ARM FOREIGN BODY $368.00

1400601 DRAIN THIGH/KNEE LESION $1,517.50

1400602 TREAT SHOULDER DISLOCATION $706.25

1400603 APPLICATION OF FOOT SPLINT $97.75

1400604 CLOSED TX OF FIBULA FX W/MANIPULATION $594.50

1400605 OPEN TX OF TIBIA FX W/WO MANIPULATION $878.50

1400606 DEBRID SKIN SUBCUTANEOUS TISSUE/MUSCLE $397.00

1400607 CLOSED TX OF ANKLE FX W/MANIPULATION $668.00

1400608 CLOSED TX OF HUMERAL FX W/MANIPULATION $716.50

1400609 CLOSED TX OF RADIAL FX W/MANIPULATION $862.00

1400610 REPAIR/ADVANCEMENT FLEXOR TENDON $1,016.50

1400611 TUBE THORACOSTOMY $282.75

1400612 EXPLORATION OF WOUND-EXTREMITY $806.00

1400613 INJ, EPI, OF BLOOD OR CLOT PATCH $127.75

1400614 CLOSED TX OF HIP DISLOCATION W/ANESTHESI $844.00

1400615 REPAIR WOUNDS SCALP/TRUNK 12.6-20 CM $526.00

1400616 CLOSED TX OF METACARPAL FX, SINGLE $379.50

1400617 REPAIR COMPLEX 1.1-2.5 CM $526.00

1400618 DECONSTRUCT BENIGN LESION UP TO 14 $157.75

1400619 INCISION/DRAINAGE PERIANAL ABSCESS SUPER $251.00

1400620 CLOSED TX OF ACROMIOCLAVICULAR W/MANIP $439.50

1400621 CLOSED TX OF ELBOW DISLOCATION W/ANESTHE $656.75

1400622 CARDIOPULMONARY RESUSCITATION $426.00

1400623 CLOSED TX OF DISTAL RADIAL FX W/O MANIP $380.00

1400624 ARTHROCENTESIS INTERMEDIATE JOINT/BURSA $85.00

1400625 REPAIR COMPLEX FACE/GENITALIA/HANDS/FEET $813.25

1400626 CLOSED TX OF HAND/FINGER DISLOC/FX W/MAN $418.50

1400627 DRAINAGE:ABSCESS, CYST, HEMATOMA-DENTOAL $256.50

1400628 TX OF PHALANGEAL FX W/MANIPULATION $360.50

1400629 TX OF PHALANGEAL FX WO/MANIPULATION $204.75

1400630 THORACENTESIS W/TUBE INSERTION $231.25

1400631 CLOSED TX OF PATELLAR DILOCATION W/O ANE $399.50

1400632 REPAIR INTERMEDIATE FACE 2.6-5 CM $336.25

1400633 INCISION/DRAINAGE VULVA/PERINEAL ABSCES $126.50

1400634 INCISION OF THROMBOSED HEMORRHOID $190.75

1400635 AMPUTATION METACARPAL SINGLE W/FLAP $703.50

1400636 CLOSED TX OF DISTAL TIBIA FX W/O MANIPUL $333.00

1400637 INCISION/DRAINAGE BARTHOLINS GLAND ABSCE $143.50

1400638 REMOVAL SKIN TAG-UP TO 15 LESIONS $93.75

1400639 TX OF SUPERFICIAL WOUND-SIMPLE CLOSURE $294.75

1400640 CLOSED TX OF CARPAL SCAPHOID FX W/O MANI $316.00

1400641 REPAIR INTERMEDIATE 2.5 CM OR LESS $276.75

1400642 CLOSED TX OF ARTICULAR FX W/MANIPULATION $360.00

1400643 APPLICATION-LONG LEG CAST $145.00

1400644 REPAIR INTERMEDIATE 2.5 OR LESS $294.25

1400645 CLOSED TX OF FEMORAL FX W/MANIPULATION $751.25

1400646 REPAIR-COMPLEX FACE/HAND/FOOT/GENITALIA $190.25

1400647 FINE NEEDLE ASPIRATION WO IMAGE GUIDANCE $163.50

1400648 OPEN TX OF DISTAL PHALANGEAL FX, EACH $539.00

1400649 CLOSED TX OF METACARPOPHALANGEAL EACH $341.50

1400650 DRAINAGE OF RETROPERITONEAL ABSCESS $1,195.50

1400651 ASPIRATION/INJECTION MAJOR JOINT/BURSA $88.75

1400652 REPAIR-SIMPLE SCALP/NECK/TRUNK 20.1-30CM $234.75

1400653 REMOVAL FOREIGN BODY-FOOT, DEEP $346.50

1400654 REVISION ADJUSTABLE GASTRIC RESTRICTIVE $1,294.50

1400655 REMOVAL FB SKIN, SUB TISSUE, MUSCLE, BON $452.00

1400656 ANOSCOPIC DIAGNOSTIC W/CONTROL BLEED $69.50

1400657 REMOVAL FB-NOSE/LAT RHINOTOMY $493.75

1400658 TX ANKLE DISLOCATION W/ANESTHESIA $515.50

1400659 REMOVAL FB MOUTH-SIMPLE $143.50

1400660 CLOSED TX OF JOINT DISLOCATION W/O ANEST $91.50

1400661 REPAIR SCALP/TRUNK/EXTREMITIES 7.6-12.5 $373.50

1400662 CLOSED TX RADIAL SHAFT FX W/O MANIPULATI $277.50

1400663 REMOVAL OF IMPLANT, SUPERFICIAL $426.00

1400664 GASTRIC INTUBATION & ASPIRATION(S) $23.50

1400665 CLOSED TX OF INTERPHALANGEAL JOINT W/AN $166.50

1400666 ER PHYSICIAN CHARGE-CRITIAL CARE $480.50

1400667 REPOSITIONING OF GASTRIC FEEDING TUBE $132.50

1400668 INSERT INDWELLING BLADDER CATH $87.00

1400669 BLADDER ASPIRATION W CATH INSERTION $264.00

1400670 INSERT NON INDWELLING BLADDER CATH $67.00

1400671 REMOVAL IMPACTED CERUMEN $55.25

1400672 INJ, ANESTH AGENT, OTHER NERVE $55.25

1400673 TX OF PHALANX/PHALANGES FX W MANIPULATIO $169.50

1400674 TX OF ULNAR FX W MANIPULATION $477.50

1400675 CHANGE BLADDER TUBE $127.75

1400676 SPINAL PUNCTURE, THERAPEUTIC $209.50

1400677 OPEN TX OF INTERPHALANGEAL JOINT DISLOCA $564.50

1400678 CONTROL NASAL HEMORRHAGE, SIMPLE $100.75

1400679 ARTHROCENTESIS, ASPIRATION-SMALL JOINT $66.25

1400680 REPAIR, INT SCALP/TRUNK/EXTRE 20.1-30 CM $590.75

1400681 ACROMIOPLASTY/ACROMIONECTOMY-PARTIAL $838.00

1400682 REPAIR INT WOUND-FACE ETC. < 2.5 CM $518.25

1400683 EXCISION OF NAIL W/AMPUTATION OF TUFT $455.00

1400684 SHAVING EPIDERMAL/DERMAL LESION 1.1-2CM $203.50

1400685 EVACUATION OF SUBUNGUAL HEMATOMA $70.00

1400686 TX SUPERFICIAL WOUND DEHISCENCE W/PACKIN $241.25

1400687 INJ CORPORA CAVERNOSA W/PHARMACOLOGIC AG $125.75

1400688 VENOUS CATH - CENTRALLY INSERTED $318.00

1400690 INTRODUCTION OF HEMOSTATIC AGENT $192.00

1400691 CHEMICAL CAUTERIZATION OF TISSUE $143.75

1400692 ANOSCOPY WWO COLL OF SPECIMEN BRUSH/WASH $161.75

1400693 BURN DRSG/DEBRIDE MED 5-10% TBSA $151.75

1400694 CLOSED TX PHALANGEAL FX W/O MANIPULATION $225.25

1400695 PLEURAL DRAINAGE W/O IMAGING GUIDANCE $694.50

1400696 CLOSED TX OF PATELLA DISLOCATION W/ANEST $602.75

1400697 CLOSED TX OF HUMERAL SHAFT FX W/MANIPULA $621.00

1400700 ER US PHY ABDOMEN LIMITED $100.75

1400701 ER US PHY RETROPERITONEAL LIMITED $100.75

1400702 ER US PHY PREGNANT UTERUS $109.75

1400703 ER US PHY PREGNANT UTERUS TRANSVAGINAL $118.50

1400704 ER US PHY PREGNANT TRANSVAGINAL $118.50

1400705 ER US PHY PELVIC $68.25

1400706 ER US PHY GUIDANCE NEEDLE PLACEMENT $118.50

1400708 ER US PHY CHEST LIMITED $93.00

1400709 ER US PHY PARACENTESIS $126.50

1400710 ER US PHY THORACENTESIS $126.50

1400711 ER US PHY ECHOCARDIOGRAPHY $100.75

1400712 ER US PHY GUIDANCE PERICARDIOCENTESIS $118.50

1400713 TREAT HIP SOCKET FRACTURE $2,094.00

1400714 TREAT BIG TOE FX $311.25

1400716 CLOSED TX NOSE FX W/O STABL $263.75

1400717 REPAIR-FACE 5.1 -7.5 cm $418.25

1400718 CLOSED TX ULNAR STYLOID FX $386.00

1400719 ALVEOLECTOMY, INCLUDING CURETTAGE OF OST $308.25

1400720 CLOSED TX OF ANKLE FX W/MANIPULATION $772.00

1400721 REMOVAL IMPACTED CERUMEN USING IRRIGATIO $18.50

1400722 CONTROL OROPHARYNGEAL HEMORRHAGE $218.00

1400723 DEBRDMNT OF SKIN AND SUBCUTANEOUS TISSUE $727.50

1400724 DEBRDMNT, OPEN WOUND 1ST 20 SQ CM OR LES $95.25

1400725 CLOSED TREAT ANKLE DISLOCATION W/O ANEST $462.75

1400726 CLOSED TREAT TALOTARSAL JOINT W/ANEST $422.25

1400727 INJ ANESTHETIC AGENT-FACIAL NERVE $153.50

1400728 BLADDER IRRIGATION-SIMPLE $99.75

1400729 CLOSED TX TIBIAL FX W/MANIPULATION $637.25

1400730 CLOSED TX DISTAL PHALANGEAL FX W/MANIP $372.00

1400731 CLOSED TX TALUS FX W/MANIP $383.00

1400732 CONTROL NOSE BLEED-SUBSEQUENT $182.25

1400734 ABDOMINAL PARACENTESIS W/O GUIDANCE $222.75

1400735 DEBRDMNT SUB/TISS/MUS/BONE 1ST 20 SQ CM $363.50

1400736 CLOSED TX OF FIBULA W/MANIPULATION $490.00

1400737 CONTROL NASAL HEMORRHAGE, COMPLEX $139.25

1400738 THORACENTESIS W/O IMAGING $160.50

1400739 REPAIR OF NAILBED $200.00

1400740 REPAIR, FACE, 12.6-20 CM $223.25

1400741 SECONDARY CLOSURE, WOUND, COMPLICATED $1,377.00

1400742 APPLICATION-SHORT LEG CAST $104.25

1400743 CLOSED TX HIP DISLOCATION WO CRNA $628.75

1400744 CLOSED TX METATARSOPHALANGEAL W/CRNA $213.00

1400745 DRAINAGE OF SCROTAL WALL ABSCESS $267.25

1400746 INCISION/DRAINAGE ABSCESS-COMPLICATED $286.75

1400747 CLOSED TX RADIAL SHAFT FX W/MANIPULATION $714.75

1400748 REPLACE G TUBE, PERCUTANEOUS W/O IMAGE $60.25

1400749 IRRIGATION OF CORPORA CAVENOSA FOR PRIAP $331.00

1400750 PUNCH BIOPSY OF SKIN $194.75

1400751 EXCISION OF SKIN, SIMPLE REPAIR $439.00

1400752 REPAIR FOREARM TENDON/MUSCLE $750.00

1500001 OPERATING ROOM/15 MIN $326.75

1500012 OR LEVEL A $1,296.25

1500035 PROCEDURE LEVEL 1 $164.50



1500039 OR LEVEL B $1,990.25


1500060 ROOM RENT 30MIN-2HR $244.75

1500260 OR US THYROID /SOFT TISSUE HEAD & NECK $440.75

1500300 OR US ABDOMINAL LIMITED $317.75

1500301 OR US RETROPERITONEAL LIMITED $317.75

1500302 OR US BREAST $401.75

1500303 OR US GUIDED PLACEMENT OF CLIP/MARKER $181.75

1500304 OR US TRANSRECTAL $370.00

1500400 DIAGNOSTIC LAPAROSCOPY $854.50

1500401 LAPAROSCOPY W/BIOPSY $944.25

1500402 LAPAROSCOPY W/ASPIRATION $944.25

1500404 LAPAROSCOPY W/REMOVAL OF ADNE $1,573.50

1500405 LAPAROSCOPY W/CAUTERY OF LESIONS/IMPL $1,514.00

1500406 TUBAL DYE INSUFFLATION $214.25

1500407 LAPAROSCOPY W/STERILIZATION $944.25

1500408 LAPAROSCOPY W/STERIL W/CLIPS $944.25

1500409 LAPAROSCOPY W/VAG HYSTER <250 $2,412.75

1500410 LAPAROSCOPY W/VAG HYSTER & BSO <250 $2,683.25

1500411 LAPAROSCOPY W/VAG HYSTER >250 $2,521.00

1500412 LAPAROSCOPY W/VAG HYSTER & BSO >250 $2,791.25

1500413 LSCH <250 GM $2,358.75

1500414 LSCH W/BSO <250 GM $2,629.00

1500415 LSCH >250 GM $2,677.75

1500416 LSCH W/BSO >250 GM $2,948.00

1500417 TLH <250 GM $2,511.25

1500418 TLH W/BSO <250 GM $3,084.25

1500419 TLH >250 GM $3,123.50

1500420 TLH W/BSO >250 GM $3,588.50

1500421 LAP TX ECTOPIC PG W/O SALPING/OOPHORECTO $1,555.25

1500423 HYSTERSCOPY DIAGNOSTIC $649.00

1500424 HYSTERSCOPY WWO D&C AND/OR WWO POLPECTOM $649.00

1500425 HYSTERSCOPY W/ENDOMETRIAL ABLATION $1,568.25

1500426 HYSTERSCOPY W/FIBROID REMOVAL $1,521.50

1500427 HYSTERSCOPY W/EMBEDDED IUD REMOVAL $848.00

1500428 HYSTERSCOPY W/LYSIS OF ADHESIONS $722.50

1500429 HYSTERSCOPY W/RESECTION OF SEPTUM $818.50

1500430 PERCUTANEOUS IMPLANT STIM ELECTRODE (PNE $2,694.00

1500431 FULL IMPLANT STIM ELECTRODE (STAGE 1) $1,652.75

1500432 REVISION/REMOVAL PERIPHERAL STIM ELECTRO $977.75

1500433 PLACEMENT OF GENERATOR/RECVR (STAGE 2) $711.75

1500434 REVISION/REMOV GENERATOR/RECVR (STAGE 2) $886.75

1500435 PROGRAMMING INTERSTIM $216.25

1500436 FLUROSCOPY $81.00

1500437 BARTHOLINS CYST, MARSUPIALIZATION $432.50

1500438 BARTHOLINS GLAND ABSCESS I&D $284.50

1500439 HYMENOTOMY $189.25

1500440 HYMENECTOMY $378.50

1500441 BURCH PROCEDURE $1,622.25

1500442 PVDR, ABD $1,892.75

1500443 TVT, SLING PX WWO CYSTOSCOPY $1,553.00

1500445 COLPORRHAPHY, POSTERIOR $1,406.00

1500446 COLPORRHAPHY, ANTER&POSTER WWO CYSTO $1,733.75

1500447 ENTEROCELE REPAIR, VAGINAL APPROACH $1,081.50

1500448 ENTEROCELE REPAIR, ABDOMINAL APPROACH $1,655.75

1500449 COLPOPEXY, ABDOMINAL $1,985.50

1500450 SSLF $1,514.00

1500451 LASER OF VAGINAL LESIONS $454.25

1500452 LASER OF VULVAR LESIONS $448.75

1500453 SUPRAPUBIC CATH INSERTION $108.25

1500454 CYSTOSCOPY $432.50

1500455 COLD KNIFE CONVE OF CERVIX $653.25

1500456 LEEP PROCEDURE $567.75

1500457 EXAM UNDER ANESTHESIA (EAU) $297.50

1500458 D&C DIAGNOSTIC (NON OB) $540.75

1500459 TAH WWO BSO $2,487.50

1500460 TAH WWO BSO W/BURCH PX $2,812.00

1500461 TVH <250 GM $1,993.25

1500462 TVH W/BSO <250 GM $2,098.00

1500463 TVH W/BSO & ENTEROCELE RPR <250 GM $2,308.00

1500464 TVH W/MMK <250 GM $2,308.00

1500465 TVH W/ENTEROCELE REPAIR <250 GM $2,098.00

1500466 TVH >250 GM $2,386.75

1500467 TVH W/BSO >250 GM $2,656.00

1500468 TVH W/BSO & ENTEROCELE RPR >250 GM $2,727.50

1500469 TVH W/MMK >250 GM $2,835.50

1500470 TVH W/ENTEROCELE REPAIR >250 GM $2,686.50

1500471 SUPRACERVICAL HYSTER WWO BSO $2,112.25

1500472 HYSTEROSALPINGOGRAM $333.25

1500473 SALPINGO-OOPHORECTOMY $1,512.00

1500474 LYSIS OF ADHESION $1,822.25

1500475 OVARIAN CYSTECTOMY $1,539.00

1500476 OOPHORACTOMY $1,189.75

1500477 ECTOPIC PG W/SALIPINGO/OOPHERECTOMY $1,604.00

1500478 ECTOPIC PG WO/SALIPINGO/OOPHERECTOMY $1,606.00

1500479 EXT CEPHALIC VERSION $378.50

1500480 CERVICAL CERCLAGE $592.75

1500481 D&C, INCOMPLETE AB $616.50

1500482 D&C, MISSED AB, 1ST TRIMESTER $735.50

1500483 D&C, MISSED AB, 2ND TRIMESTER $740.75

1500484 TUBAL LIGATION, POSTPARTUM $811.25

1500486 PP TUBAL DURING C/S $235.75

1500487 DIAGNOSTIC LAPAROSCOPY W/LYSIS OF ADHESI $1,487.00

1500488 LAP TX ECTOPIC PG W SALPING/OOPHORECTOMY $1,946.75

1500489 C/S DELIVERY ONLY $2,163.00

1500490 COLPORRHAPHY, ANTERIOR WWO CYSTO $1,397.25

1500491 DESTRUCTION VAGINAL LESION $257.50

1500492 REV/REMVOE PROSTHETIC VAG GRAFT $923.00

1500493 BIOPSY VULVA/PERINEUM $216.25

1500494 IUD REMOVAL $221.75

1500495 SALPINGECTOMY $1,410.00

1500496 REM NON-BIODEGRADABLE DRUG DELIVER IMPLA $304.00

1500606 OR US GUIDANCE NEEDLE PLACEMENT $455.50

1500607 OR US GUIDANCE VASCULAR ACCESS $434.25

1505000 CATARACT OR LEVEL $1,030.75

1505001 YAG CATARACT OR LEVEL $847.25

1505010 LITHOTRIPSY (ESWL) $6,816.25

1700008 NITROUS OXIDE SET UP $78.50

1700009 DELIVERY SERVICE $1,384.25

1700010 DELIVERY SERVICE LIMITED $354.25

1700011 LABOR SERVICE $749.25

1700160 30 MIN - 2 HRS $492.00

1700162 2 HRS - 4 HRS $655.25

1700164 4 HRS - 6 HRS $778.50

1700166 UP TO 8 HRS $1,034.75

1700168 OVER 8 HRS $1,230.25

1700302 OB US PREGNANT UTERUS $200.50

1700303 OB US PREGNANT UTERUS TRANSVAGINAL $200.50

1700304 OB US TRANSVAGINAL $317.75

1700305 OB US GUIDANCE FOR AMNIOCENTESIS $65.25

1709492 NEO PUFF $108.00

200005 HOSPICE PRIVATE ROOM CHARGE $443.00

200006 HOSPICE ACUTE ROOM CHARGE $804.00

200007 HOSPICE PRIVATE ROOM CHARGE $443.00

200008 OB ROOM CHARGE $1,226.00

200009 PRIVATE ROOM CHARGE $1,329.00

200010 SWING BED ROOM CHARGE $829.00

200011 SWING BED PRIVATE PAY ROOM CHARGE $369.00

200012 ICU ROOM CHARGE $2,228.00

200013 NURSERY ROOM CHARGE $585.00

200014 NURSERY SPECIAL CARE $1,226.00

2209476 SODIUM CHL 3% INJ 500ML $123.00

2400013 AA REGIONAL ANESTHESIA AGENT $133.25

2400014 AA ANESTHESIOLOGY $102.75

2400015 AA GENERAL ANESTHESIA AGENTS $13.75

2400016 ETC 02 MONITER $140.50

2400017 ANESTHESIA MASK $34.25

2400018 BLOOD Y TYPE W/PUMP $41.50

2400019 AIRWAY - ORAL / NASAL $32.25

2400020 YANKAUER SUCTION $50.50

2400023 AQUA K PAD $31.25

2400024 EPIDURAL TRAY $182.25

2400026 FILTER ANESTHESIA VAPORCEAN $153.00

2400030 BREATHING CIRCUIT - ADULT / PEDIATRIC $64.75

2400031 LIFESHIELD MALE ADAPTER $17.75

2400032 EPIDURAL PUMP TUBING $98.50

2400033 ESOPHAGEAL STETHOSCOPE $19.50

2400034 NDL - STIMUPLEX $168.25

2400040 ENDOTRACH INTRODUCER - COUDE TIP $21.00

2400041 GLIDESCOPE - VIDEO LARYNGOSCOPE $222.75

2400044 ECG NIBP PULSEOXIMETER $140.50

2400048 SPINAL ANES TRAY P24BK $145.75

2400055 SKIN TEMP INDICATOR $37.50

2400060 ENDO TRACHEAL TUBE $31.00

2400061 TWIN-SITE EXTENSION SET (RANGER EXT TUBE $11.50

2400062 RANGER TUBING BLOOD FLUID WARMER 4250 $39.00

2400063 SALEM SUMP $74.50

2400064 OXYGEN MASK-ADULT $12.25

2400066 PRIMARY IV SET $41.50

2400067 IV CATH NEEDLE $21.00

2400068 BLANKET BAIR HUGGER $159.75

2400105 ENDOBRONCHEAL TUBE $286.75

2400375 LMA MASK $72.25

2400458 SPINAL NDL $25.00

2600280 OXYHOOD/HOUR $27.00

2600283 OXYGEN/HOUR $27.00

2600380 OXYHOOD SET UP $85.50

2600381 O/2 SET-UP INCUBATOR/ISOL $85.50

3000051 HEP C NS5A DRUG RESISTANCE $851.50

3000052 POTASSIUM, FECAL $55.50

3000053 PAROXYSMAL NOCTURNAL HEMOGLOBINURIA $103.50

3000054 BRCA1/BRCA2 $3,066.00

3000055 ADDL HIGH RES STUDY $144.00

3000056 ADDL KARYOTYPES $104.25

3000057 COUNT 15-20 CELLS, KARYOTYPE w/ BANDING $1,077.00

3000058 TISSUE CULTURE, NON-NEOPLASTIC DISORDERS $484.75

3000059 ALPHA-1 ANTITRYPSIN GENE MUTATION $630.50

3000060 HHV6 DNA HVMPB $111.50

3000061 VZV DNA HVMPB $111.50

3000062 EBV DNA HVMPB $111.50

3000063 HSV DNA HVMPB $111.50

3000064 CMV DNA HVMPB $111.50

3000065 FECAL LACTOFERRIN $120.25

3000066 LIVER-KIDNEY MICROSOME Ab $94.75

3000067 IMMATURE PLATELET PRACTION (IMM PLT FRAC $94.75

3000068 DHR NEUTROPHIL OXIDATIVE BURST $431.75

3000069 CAROTENE $63.25

3000070 DIHYDROTESTOSTERONE $126.50

3000071 PLASMA HEMOGLOBIN $94.75

3000072 APLHA-2-MACROGLOBULIN $147.50

3000073 FUNGUS ID YEAST $31.50

3000074 FUNGUS ID MOLD $31.50

3000075 THIOPURINE METHYLTRANSFERASE (TPMT) $631.75

3000076 THYROXINE BINDING GLOBULIN $84.25

3000077 AChR GANGLIONIC NEURONAL ANTIBODY $164.50

30000779 MANNOSE BINDING LECTIN $311.50

3000078 NUERONAL VOLTAGE GATED POTASSIUM CHANNEL $615.50

3000079 STRIATED MUSCLE ANTIBODIES $164.50

3000080 ANTI-GLIAL/NEURONAL NUCLEAR ANTIBODY-1 $164.50

3000081 ANNA-2 $164.50

3000082 CRMP-5-IgG $260.25

3000083 PCA-2 $164.50

3000084 SURGICAL PATH PROSTATE NEEDLE BX TECH $705.25

3000085 IHC/ICC EACH ADDL SINGLE OR MULTIPLEX ST $96.00

3000086 IHC/ICC FIRST SINGLE OR MULTIPLEX STAIN $96.75

3000087 IHC/ICC EACH MULTIPLEX STAIN ANTIBODY $149.75

3000088 ALCOHOLS, VOLATILES SCREEN $115.50

3000089 USING COMPUTER ASSISTED TECHNOLOGY $125.00

3000090 CRYOGLOBULIN $63.75

3000091 CALCIUM URINE $46.25

3000092 CITRIC ACID URINE $46.25

3000093 CREATININE URINE $46.25

3000094 CRYOFIBRINOGEN $63.75

3000095 CHOLINESTERASE $58.75

3000096 APOLIPOPROETEIN $158.25

3000097 NEPHELOMETRY EACH ANALYTE $158.25

3000098 OXALATE URINE $46.25

3000099 URIC ACID URINE $46.25

3000100 GAD65 $158.00

3000102 ETHYLENE GLYCOL SERUM $130.00

3000103 ETHYLENE GLYCOL URINE $388.50

3000104 ANTI-NUCLEAR ANTIBODY (ANA) REFLEX IFA $146.75

3000105 IFA TITER $91.75

3000106 PANCREATIC ELASTASE FECAL $268.75

3000107 ALPHA-1-ANTITRYPSIN, FECAL $207.00

3000108 MUMPS ANTIBODY IGG-CSF $52.00

3000109 MUMPS ANTIBODY IGM-CSF $78.00

3000110 T-3 UPTAKE $115.50

3000111 B CELL TOTAL COUNT $53.75

3000112 PARATHYROID HORMONE ASSAY- RELATED PEPTI $224.00

3000113 DRUG COLL:NON-DOT YGH KIT-MISC $49.00

3000114 FACTOR V LEIDEN $278.75

3000115 VITAMIN D2,D3 (25 HYDROXY) $149.25

3000116 BILE ACIDS TOTAL $187.00

3000117 NATURAL KILLER CELLS TOTAL $53.75

3000118 ZIPRASIDONE $266.75

3000119 GTT 2 HR NON-PREGNANT NON-TRADITIONAL $157.75

3000120 T-SPOT $231.75

3000121 BANZEL $199.00

3000122 HISTAMINE $149.25

3000123 SINGLE ALLERGEN TEST $37.50

3000124 INTERLEUKIN 6 $298.50

3000125 CYTOPATHOLOGY NONGYN SMEAR WITH INTERP $34.75

3000126 CYTOPATHOLOGY NONGYN FILTER W/ INTER $48.75

3000127 CYTOPATHOLOGY NONGYN SMEAR& FILTER INTE $48.75

3000128 CYTOPATHOLOGY NONGYN CYTOSPIN W/ INTERP $48.75

3000129 CYTOPATHOLOGY CELL ENHANCEMENT TECHNIQU $60.00

3000130 FNA INTERP AND REPORT $100.50

3000131 SURGICAL PATH 1 TECH $27.75

3000132 SURGICAL PATH 11 TECH $48.75

3000133 SURGICAL PATH III TECH $72.00

3000134 MENINGITIS/ENCEPHALITIS PCR $650.00

3000135 SURGICAL PATH IV TECH $69.00

3000136 SURGICAL PATH V TECH $220.75

3000137 SURGICAL PATH VI TECH $215.50

3000138 DECALCIFICATION TECH $7.25

3000139 SPECIAL STAIN 1 TECH $66.25

3000140 SPECIAL STAIN IITECH $70.25

3000141 FROZEN TECH $33.50

3000142 ADL FROZEN TECH $12.25

3000143 IMMUNOPEROX STAIN TECH $92.25

3000144 ETHOSUXIMIDE $84.25

3000145 CIRCULATING TUMOR CELL COUNT $1,426.25

3000146 TYSABRI ANTIBODY $684.50

3000147 ANTIMULLERIAN HORMONE $147.25

3000148 IBUPROFEN $165.75

3000149 AMIKACIN $94.75

3000150 FRAGILE X FMR1 $252.50

3000151 TRIGLYCERIDES $71.25

3000152 QUANTIFICATION LIPOPROTEIN $71.25

3000153 TSH-3RD GENERATION $71.25

3000154 CALCIUM URINE 12 HOUR $75.00

3000155 FISH MEDICARE IP ONLY $986.50

3000156 ANTI ENTEROCYTE ANTIBODIES $1,362.00

3000157 NICOTINE/COTININE $130.00

3000158 METHYLATION ANALYSIS $968.50

3000159 ANTI-GMI 1 $73.50

3000160 ANTI-GDI 1 a $328.75

3000161 ANTI-ASIALO GM 1 GANGLIOSIDES $73.50

3000162 ANTI-GD1b $73.50

3000163 HLA-B27 PCR $368.50

3000164 THYROID STIM RECEPTOR ANTIBODY $141.75

3000165 PROTHROMBIN FACTOR $212.00

3000166 GASTROINTESTINAL PATHOGEN PANEL $631.75

3000167 HLA-DR4 $800.00

3000168 HGC FOR MATERNAL SCREEN $53.25

3000169 LEGIONELLA DFA $120.25

3000170 BETA 2 GLYCOPROTEIN IGG $83.00

3000171 BETA 2 GLYCOPROTEIN IGM $83.00

3000172 SPECIAL STAIN O&P $46.25

3000173 DNA PROBE $176.75

3000174 INTERPHASE IN SITUHYBRIDIZATION ANALYZE $176.75

3000175 CHLORIDE, URINE $46.25

3000176 FIRST MARKER $140.50

3000177 EACH ADDITIONAL MARKER $140.50

3000178 CYTOPATHOLOGY CELL BLOCK TC $60.00

3000179 FLOW CYTOMETRY INTERPRETATION 2-8 MARKE $140.50

3000180 MALARIA ANTIBODY IGG $260.50

3000181 MALARIA SMEAR RAPID $59.25

3000182 GTT GESTATIONAL 2 HOUR $157.75

3000183 THIOPURINE MATABOLITES (PROMETHEUS) $591.50

3000184 INFLIXIMAB $426.25

3000185 FRANCISELLA TULARENSIS ANTIBODIES $94.75

3000186 DNA DOUBLE STRAND, CRITHIDIA $109.00

3000187 VITAMIN D (25 HYDROXY) $125.50

3000188 VORICONAZOLE $237.25

3000189 PRO BNP $167.75

3000190 ADALIMUMAB ACTIVITY $389.25

3000191 ANTI-ADALIMUMAB ANTIBODY $389.25

3000192 BCR/ABL1 GENE MAJOR QUANT $495.00

3000193 IMMUNOASSAY QUANT NOS $276.25

3000194 ANTI JO AB $87.50

3000195 IMMUNOASSAY FOR OTHER ANALYTE $83.00

3000196 HIV-1 GENOTYPE SEQUENCING $1,090.25

3000197 HIV-1 INTEGREASE INHIBITOR RESISTANCE $545.25

3000198 EJ $83.00

3000199 OJ $83.00

3000200 RBC MAGNESIUM $177.75

3000201 FRUCTOSE HYDROGEN BREATH TEST $210.75

3000202 EBVDNAQ $438.00

3000203 HERPES 1 AND 2 $79.50

3000204 BB-CROSSMATCH IMMEDIATE SPIN $94.75

3000205 ANTI-NUCLEAR ANTIBODY (ANA) IFA- REFLEX $102.75

3000206 PREGNENOLONE $136.50

3000207 VARICELLA-ZOSTER BY PCR $250.50

3000208 ADENOVIRUS $72.25

3000209 ISOENZYMES $109.75

3000210 PHENOTYPE $109.75

3000211 ANTI-PHOSPHATIDYLSERINE ABS $80.00

3000212 ANTI-PHOSPHOLIPID ABS $132.50

3000213 CHLAMYDIA AB'S IGG $52.00

3000214 CHLAMYDIA AB'S IGM $69.00

3000215 COXIELLA BURNETII AB $105.00

3000216 PROPATH MICRODISSECTION $431.00

3000217 DILANTIN FREE PHENYTOIN $65.25

3000218 FACTOR II $386.25

3000219 PROPATH 1ST IHC STAIN $166.00

3000220 CULTURE AFB $179.00

3000221 CULTURE BRONCH WASHINGS $125.50

3000222 CULTURE CSF-AEROBIC $125.50

3000223 CULTURE CHLAMYDIA $175.75

3000224 CULTURE SINUS-AEROBIC $125.50

3000225 CULTURE SPUTUM-AEROBIC $125.50

3000226 CULTURE STOOL $147.25

3000227 CULTURE URINE-AEROBIC $96.00

3000228 GTT 3 SPECIMENS $157.75

3000229 GEL DIFFUSION $39.00

3000230 OTHER FLUID CONCENTRATION $147.25

3000231 PARATHYROID HORMONE ASSAY $233.75

3000232 PARVOVIRUS B-19, IGG & IGM $98.50

3000233 PERTUSSIS ANTIBODIES $108.00

3000234 PLATELET ABS DIRECT $123.00

3000235 INFLUENZA A&B AB'S $37.50

3000236 INFLUENZA A $104.50

3000237 HISTAMINE URINE $149.25

3000238 MYSOLINE (PRIMIDONE) $181.75

3000239 HUMAN PLACENTAL LACTOGEN $387.25

3000240 LDH ISOENZYMES $93.75

3000241 LYMPHOCYTE T4/T8 RATIO $153.50

3000242 WEST NILE $87.25

3000243 PNEUMOCOCCAL $23.00

3000244 RICKETTSIA RICKETTSII AB $71.25

3000246 THYROGLOBULIN $112.50

3000247 TIBC $80.50

3000248 GAD ANTIBODY $182.25

3000249 ISLET CELL ANTIBODY $77.75

3000250 CULTURE VARICELLA ZOSTER $151.75

3000251 ACTIVATED PROTEIN RESISTANCE V $250.50

3000252 Von WILLIBRAND MULTIMERIC ANALYSIS $72.25

3000253 FACTOR VIII (AHG), 1-STAGE $72.25

3000254 PATHCONSULT PROCESSING-PROPATH $182.75

3000255 FACTOR VIII, VW RISTOCETIN COFACTOR $72.25

3000256 BCID PER TARGET $51.50

3000257 GIPATH 6-11 TARGETS $631.75

3000258 EACH ADDITIONAL IDENTIFIABLE ANTIBODY $92.25

3000259 CRYPTOCOCCUS ANTIGEN, CSF $151.50

3000260 SULFATIDE IgG $522.50

3000261 SULFATIDE IgM $522.50

3000262 INTRINSIC FACTOR BLOCKING ANTIBODY $97.25

3000263 DRUG SCREEN 7 WITH ALCOHOL $41.25

3000264 ANTIDIURETIC HORMONE $92.75

3000265 LIPOPROTEIN A $83.50

3000266 COAG FACTOR II ACTIVITY $169.00

3000267 AMPHETAMINE, URINGE QNT 3-4 $57.75

3000268 MDMA, URINE QUANT $57.75

3000269 MORPHOMETRIC ISH-PROPATH $358.50

3000270 POSACONAZOLE $237.25

3000300 ISOLATION $122.00

3000301 DIGESTION $121.00

3000302 SEPARATION $120.50

3000303 AMPLIFICATION $106.25

3000304 INTERPRETATION $72.25

3000305 CALCIUM CHANNEL BINDING AB N-TYPE $164.50

3000306 P-Q TYPE $164.50

3000307 AMPHIPHYSIN $164.50

3000308 ANNA-1 $164.50

3000309 ANNA-2 $164.50

3000310 PCA-1 $164.50

3000311 PCA-TR $164.50

3000312 INTERPRETATION & REPORT $118.25

3000313 HIV CONFIRM (WESTERN BLOT) $200.50

3000314 RAPAMYCIN $244.00

3000315 CULTURE, SEROTYPING $10.00

3000316 HEPATITIS C GENOTYPE $572.50

3000317 CHROMO. IN SITU HYBRIDIZATION $170.50

3000318 ORGANISM ID BY NUCLEIC ACID SEQUENCE $661.75

3000319 ORGANISM ID BY NUCLEIC ACID PROBE $146.00

3000320 PYRUVATE KINASE $183.75

3000321 OSMOTIC FRAGILITY, RBC $275.75

3000322 VITAMIN B2 RIBOFLAVIN $401.00

3000323 VITAMIN B3 NIACIN $200.50

3000324 QUAD SCREEN $175.00

3000325 OB PANEL +HIV $113.50

3000326 PROPATH MORPH ANALYSIS IHC STAIN $176.25

3000327 PROPATH MORPHOMETRIC ANALYSIS TC $204.00

3000328 PAP SMEAR-THINPREP $46.25

3000329 IMMUNOGLOBULIN FREE LIGHT CHAINS $55.50

3000330 BCR/ABL1 GENE MAJOR BP $219.50

3000331 BCR/ABL1 GENE MINOR BP $194.50

3000332 COVID IgG $108.00

3000361 ARIPIPRAZOLE (ABILIFY) $213.00

3000362 ASSAY OF ACETAMINOPHEN $226.25

3000363 ACID FAST PROBE $92.75

3000364 ACETONE QUANTITATIVE $81.00

3000365 ACH BLOCKING AB $454.50

3000366 TZANCK SMEAR $41.00

3000367 ACHR BINDING AB $181.75

3000368 ACH MODULATING AB $483.50

3000369 ADRENOCORTICOTROPIC HORMONE $175.75

3000370 HEPATITIS ACUTE PANEL $319.50

3000371 H PYLORI BREATH $216.00

3000372 ACID FAST SMEAR $76.00

3000373 GLIADEN IGG AB $37.00

3000374 GLIADEN IGA AB $37.00

3000375 RETICULIN IGA SCREEN $37.00

3000376 RETICULIN IGA TITER $47.75

3000377 ENDOMYSIAL IGA SCREEN $37.00

3000378 ENDOMYSIAL IGA TITER $47.75

3000380 HEMOCHROMATOSIS GENETIC TESTING $263.25

3000382 ALBUMIN SERUM $48.75

3000383 TISSUE ISH 1ST PROBE PROPATH $189.00

3000384 ALCOHOL SERUM $65.75

3000385 ALCOHOL URINE $65.75

3000386 ALDOLASE $109.75

3000387 PROCALCITONIN-HHC $110.00

3000388 ALDOSTERONE SERUM $154.25

3000389 ALDOSTERONE URINE $154.25

3000390 ENTERIC PATHOGEN PCR $278.00

3000391 TREPONEMA PALLIDUM TITER $93.50

3000392 5-a-DIHYDROTESTOSTERONE $126.50

3000393 BRCA1/BRCA2 SEQUENCING $3,066.00

3000399 CULTURE MRSA SCREEN $95.75

3000400 ALKALINE PHOSPHATASE $63.25

3000403 ALPHA-1 ANTITRYPSIN $109.75

3000406 ALPHA FETOPROTEIN TM $105.75

3000407 ALUMINUM $210.00

3000409 AFP FOR MATERNAL SCREEN $53.25

3000414 ALPHA GALACTOSIDASE, LEUKOCYTES $473.25

3000418 AMMONIA $157.25

3000419 CBC HEMOGRAM $78.00

3000420 MAG ANTIBODY W/REFLEX MAG-SGPG&MAG, EIA $279.00

3000422 FETAL LUNG MATURITY $191.25

3000423 AMIODARONE LEVEL $175.75

3000424 AMYLASE BLOOD $80.50

3000425 BF PLS AMYLASE $80.50

3000426 AMYLASE URINE, RANDOM $80.50

3000427 ANDROSTENEDIONE $190.75

3000428 FIBRONECTIN $444.50

3000429 STREP A DNA AMPLIFICATION $80.00

3000430 ANCA-(INCLUDES P & C ANCA) $164.50

3000431 ANCA TITER $164.50

3000432 ANGIOTENSIN CONVERTING ENZYME $168.25

3000433 DNA SINGLE STRAND, IGG AB $80.50

3000434 DNA DOUBLE STRAND, IGG AB $80.50

3000435 EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY $80.50

3000436 HOMOGENIZATION, TISSUE $9.25

3000437 SJOGREN (ANTI-SSA AB) $80.50

3000438 SJOGREN (ANTI-SSB AB) $80.50

3000439 ZINC PROTOPORPHYRIN $29.00

3000440 ANTI-SCLERODERMA IGG $80.50

3000441 CLOZAPINE $229.50

3000442 ANTISTREPTOLYSIN TITER $121.00

3000443 AMYLASE URINE, TIMED $80.50

3000444 dsDNA AB TITER BY IFA $80.50

3000445 PROPATH EA ADDL IHC STAIN $166.75

3000446 VEDOLIZUMAB, QUANT $389.25

3000447 CHEMILUMINESCENT ASSAY $169.00

3000464 RUBELLA ANTIBODY IGM $94.75

3000465 MUMPS ANTIBODY IGM $90.50

3000466 ANTI-MEASLES IGM AB $101.50

3000467 ANTI-MEASLES IGG AB $101.50

3000468 ANTI-DNASE ANTIBODY $70.75

3000469 ANTI-ENDOMYSIAL IGG AB $101.50

3000470 ANTI-MPO ANTIBODY $238.00

3000471 UROGENITAL UREAPLASMA BY PCR $65.25

3000472 MAG IgM AB TITER $209.25

3000474 CYTOGENETICS MEDICARE IP ONLY $2,199.00

3000475 PLATELET ABS INDIRECT $506.25

3000476 PLASMINOGEN ACT INHIBITOR $487.00

3000477 ANTI-THROMBIN III (FUNCT) $178.50

3000478 ANTI-THROMBIN III (ANTIGEN) $229.50

3000479 CSF VDRL $140.00

3000480 ARSENIC $167.00

3000481 ANTI-MITOCHONDRIAL M2 IGG AB $206.50

3000482 ANTI-SMOOTH MUSCLE (ASMA) $101.50

3000483 ANTI-NUCLEAR ANTIBODY (ANA) $33.50

3000484 PARASITE SMEAR, BLOOD $39.00

3000485 TITER EACH ANTIBODY $101.50

3000487 ARSENIC QUANT BLD/UA $50.50

3000488 LEAD WHOLE BLOOD $50.50

3000490 BASIC METABOLIC PANEL $140.50

3000491 TRICHINELLA ANTIBODY $146.00

3000492 FILARIA ANTIBODY $210.50

3000493 BMP CHANGED TO CMP $168.25

3000494 BETA-2-MICRO GLOBULIN $130.00

3000495 MERCURY $50.50

3000496 BETA HYDROXYBUTYRIC ACID $98.50

3000497 BILIRUBIN NEONATAL $60.50

3000498 BILIRUBIN TOTAL $57.75

3000499 BILIRUBIN (DIRECT) $57.75

3000500 GENTAMICIN PEAK $108.00

3000501 GENTAMICIN TROUGH $108.00

3000502 BIOTINIDASE $49.25

3000503 BILIRUBIN (TOT,DIR,IND) $57.75

3000504 BLEEDING TIME $78.00

3000505 TREPONEMA PALLIDUM $104.50

3000506 CRYPTOCOCCUS ANTIGEN $165.75

3000508 BARTONELLA BY PCR $749.25

3000509 ONC BMP $140.50

3000510 ONC CREATININE $57.75

3000511 ONC HGB $43.25

3000512 TB INTERFERON AG-MONDAY'S ONLY $334.25

3000513 ONC POTASSIUM $58.75

3000514 ONC BUN $55.00

3000515 REVERSE TRANSCRIPTION BY RT-PCR $829.50

3000516 BLOOD COUNT WBC $44.50

3000517 SODIUM, FECAL $27.75

3000518 OSMOLALITY, FECAL $87.00

3000519 ANTI-SM (SMITH) $80.50

3000520 VET TRIG $57.75

3000521 VONWILLEBRAND ANTIGEN $126.50

3000522 SARS-CoV-2 $180.00

3000523 RSV RNA $150.00

3000534 BREATH ALCOHOL-INITIAL $46.00

3000535 BREATH ALCOHOL-CONFIRM $37.00

3000536 BRUCELLA AB G,A & M $261.25

3000549 CADMIUM $146.25

3000550 BUFFY COAT SMEARS $62.25

3000551 LOW MOLECULAR WEIGHT HEPARIN (ANTI-Xa) $231.75

3000552 BUN $55.00

3000553 CA 15-3 $177.75

3000555 CA-27.29 $88.50

3000556 OUTPATIENT VISIT $10.00

3000557 COLLECTION-COVID 19 SPECIMENT-ANY SOURCE $35.00

3000559 C-PEPTIDE $102.75

3000560 CRP $118.75

3000561 CA-125 $177.75

3000562 CRP-HIGHLY SENSITIVE $129.50

3000563 CA 19-9 $177.75

3000564 CALCIUM BLOOD $57.75

3000565 CRP-PLS $129.50

3000567 CALCIUM IONIZED $146.25


3000569 CALCIUM URINE RANDOM $75.00

3000570 STONE ANALYSIS $101.50

3000571 CREATININE URINE-PLS $70.75

3000572 TEGRETOL $141.00

3000574 CARBON DIOXIDE $63.25

3000576 CARBON MONOXIDE QUANT $177.25

3000577 CARNITINE TOT & FREE $148.25

3000580 CATECHOLAMINES-URINE $196.25

3000582 CATECHOLAMINE-PLASMA $196.25

3000583 BF PLS PH $62.75

3000584 BF PLS CELL COUNT w/ DIFF $99.75

3000586 CEA $161.25

3000587 CERULOPLASMIN $101.50

3000588 FECAL WBC $71.25

3000590 BF YGH DIFF $109.75

3000591 CHLAMYDIA DNA PROBE $104.00

3000592 BF YGH ANALYSIS $67.75

3000593 BNP-B TYPE NATRIURETIC PEPTIDE $251.75

3000594 BNP-PLS $129.50

3000595 BF PLS DIFF $109.75

3000601 BF PLS RBC $67.75

3000602 PHOSPHORUS 24 HR URINE $35.50

3000603 URIC ACID URINE $35.50

3000604 CHOLESTEROL-TOTAL $70.75

3000605 CHROMAGRANIN A $183.75

3000606 C-DIFF PLS $174.25

3000607 CKMB $158.25

3000608 ORGANISM IDENTIFICATION BY MALDI-TOF $191.00

3000609 CULTURE HERPES LESION/BLOOD $86.00

3000610 CITRIC ACID-URINE $83.00

3000612 ONC CA IONIZED $60.50

3000613 HOMOCYSTEINE QUANT (SR) $259.25

3000614 CLOTEST-H PYLORI $96.00

3000616 REPTILASE TIME $275.75

3000617 CLOSTRIDIUM DIFFICILE TOX $174.25

3000620 AT III ACTIVITY $156.75

3000621 PROTEIN C ACTIVITY $156.75

3000622 PROTEIN S AG FREE $156.75

3000623 D-DIMER $86.00

3000624 PLASMINOGEN ACTIVITY $156.75

3000625 PT $86.00

3000626 DRVVT $275.75

3000627 THROMBIN TIME $86.00

3000628 COLD AGGLUTININS TITER $93.75

3000629 APTT $275.75

3000631 COLLECTION-CAPILLARY $31.00

3000632 COLLECTION-VENIPUNCTURE $31.00

3000635 VET CHEM $135.50

3000636 COMPREHENSIVE METABOLIC PANEL $168.25

3000638 COMPLEMENT C-4 AG $129.50

3000639 VET LIPASE $135.50

3000640 COMPLEMENT C-3 AG $145.75

3000641 VET AMYLASE $135.50

3000642 COMPLEMENT TOTAL(CH50) $444.50

3000643 VET T4 $135.50

3000644 VET PROTIME $63.25

3000645 STREP PNEUMONIAE ANTIGEN, URINE $148.00

3000646 VET DAT $65.75

3000649 VET DRUG SCREEN $200.50

3000650 COPPER, SERUM $177.75

3000651 COPPER, URINE $177.75

3000652 VET MAGNESIUM $135.50

3000653 VET WBC $44.50

3000654 CORTISOL FREE URINE $196.25

3000655 HUNTINGTON DISEASE MUTATION PCR $447.75

3000656 CORTISOL 8AM $31.75

3000657 VET FREE T4 $90.50

3000658 CK $83.00

3000659 CK ISOENZYMES $117.75

3000661 CORTISOL URINE $31.75

3000662 VET TSH $130.50

3000663 INFLAM BOWEL DISEASE AB PANEL $109.75

3000665 FIBRINOGEN $157.75

3000666 CORTISOL RANDOM $31.75

3000667 CORTISOL 4PM $31.75

3000669 HMG CR IgG $331.00

3000670 CREATININE CLEARANCE $115.50

3000672 CREATININE-SERUM $57.75


3000675 POMPE $16.25

3000676 MPS-I $16.25

3000677 X-ALD $16.25

3000680 COLLECTION-AGGRISTAT $31.00

3000681 CREATININE CLEARANCE-PLS $115.50

3000682 CREATININE CLEAR-12 HR $115.50

3000683 COMPLEMENT TOTAL(DO NOT USE) $444.50

3000684 CRYOGLOBULIN QUANTITATIVE $121.00

3000687 CULTURE ANAEROBIC PLS $125.50

3000688 CULTURE AEROBIC PLS $125.50

3000689 CRYPTOSPORIDIUM AG $151.75

3000690 CULTURE THROAT-AEROBIC $125.50

3000694 CULTURE ANAEROBIC $125.50

3000696 CULTURE BLOOD $182.75

3000697 DIPTHERIA AB IGG $140.00

3000699 CULTURE VAG BETA STREP $80.50

3000701 CULTURE TYPING, EACH $66.25

3000702 CULTURE FUNGUS FLUID $122.00

3000703 CULTURE STOOL ADDL PATH $48.75

3000704 CULTURE FUNGUS OTHER $124.00

3000705 CULTURE EYE-AEROBIC $125.50

3000706 CULTURE GENITAL TRACT-PLS $125.50

3000707 CULTURE CATHETERS-AEROBIC $125.50

3000708 CULTURE AEROBIC OTHER $125.50

3000709 CULTURE BODY FLUIDS-AEROBIC $125.50

3000713 CULTURE HERPES TISSUE $82.25

3000714 CULTURE NASOPHARYNGEAL-AEROBIC $125.50

3000716 CULTURE WOUND-AEROBIC $125.50

3000718 CYCLOSPORINE $164.50

3000719 CULTURE PRESUMPT ID URI $86.00


3000721 CYTOMEGALOVIRUS IGG AB $196.25

3000722 CMV DNA QUANT #7610 $185.00

3000723 CYTOMEGALOVIRUS IGM AB $215.00

3000724 DHEA SERUM $253.00

3000725 DHEA-SULFATE $214.50

3000726 CULTURE FUNGUS BLOOD $88.50

3000727 CYTOMEGALOVIRUS BY PCR $361.75

3000728 ASPERGILLUS AB $60.50

3000729 HISTOPLASMA AB $60.50

3000730 COCCIDIOIDES AB GAM #7558 $60.50

3000731 BLASTOMYCES AB,COMP FIX $60.50

3000732 BK VIRUS DNA DETECTION $735.50

3000733 11-DEOXYCORTISOL $182.25

3000734 CULTURE VIRAL $219.75

3000736 DEPAKOTE/DEPAKENE TOTAL $159.00

3000737 DEXAMETHASONE LEVEL $334.25

3000738 HLA CLASS II, 1 LOCUS $163.75

3000739 HLA CLASS II, 1 ALLELE $165.00

3000742 FECAL FAT QUANTITATIVE $244.00

3000744 DIGOXIN $143.50

3000745 DRUG SCREEN IN-HOUSE $144.75

3000746 CALPROTECTIN $589.75

3000747 DRUG CONFIRMATION $69.00

3000748 DRUG TEST $48.00

3000750 DRUG SCREEN/2 OTC 352 $39.00

3000751 DRUG SCREEN/1 OTC 352 $194.75

3000752 DRUG SCREEN SINGLE TEST $154.25

3000754 DNA ENZ DIGESTION $186.25

3000755 DRUG TEST/YGH-SE7C $36.75

3000756 ELECTROLYTE PANEL $98.50

3000757 DRUG COLL:DOT YGH KIT $61.00

3000758 DRUG SCREEN-CANNABINOIDS-SYNTHETIC $286.25

3000760 TPMT PANEL $174.25

3000761 DNA INTERPRETATION $129.00

3000762 DNA ISOLATION $174.25

3000763 DNA SEPARATION $129.50

3000764 DNA EXTRACTION $272.75

3000765 EBV EARLY AG ANTIBODY $52.00

3000766 REVERSE TRANSCRIPTION $283.25

3000767 EBV NUCLEAR AG ANTIBODY $52.00

3000768 ESR (SED RATE) $50.50

3000769 EBV IGM VIRAL CAPSID AG AB $52.00

3000770 ESTRADIOL $154.25

3000771 ERYTHROPOIETIN $183.75

3000772 EOSINOPHIL-NOT BLOOD $24.50

3000773 MULTIPLEX $259.75

3000774 MUTATION ID $259.75

3000775 MUTATION ID $43.25

3000777 EBV IGG VIRAL CAPSID AG AB $52.00

3000778 CYCLIC CITRULLINATED PEPTIDE, IGG $140.00

3000779 LEPTIN $281.50

3000781 UE3 FOR MATERNAL SCREEN $53.25

3000783 DNA NUCLEIC ACID PROBE $27.75

3000785 HERPES CULTURE TYPE 2 $86.00

3000786 MUTATION SCANNING $129.50

3000788 DRUG SCREEN-ROHYPNOL $305.25

3000789 VOLTAGE GATED CALCIUM CHANNEL AB $883.25

3000790 FACTOR V $295.50

3000792 FACTOR VII ACTIVITY $207.00

3000794 ALBUMIN SERUM (IN CSF IGG RATE SYNTHESI $62.25

3000795 CYSTINE URINE $186.25

3000798 FACTOR X $386.25

3000800 BETHESDA UNITS, EACH $192.50

3000801 FATTY ACIDS, ESSENTIAL $263.00

3000802 GLUTATHIONE TOTAL $181.25

3000808 FECAL FAT QUALITATIVE $129.50

3000810 ESTROGENS FRACTIONATED $187.75

3000814 FERRITIN $124.00

3000815 C1 ESTERASE INHIB QUANT $110.25

3000816 C1 ESTERASE INHIB FUNCT $110.25

3000817 C1Q BINDING ASSAY $110.25

3000818 PHOSPHOLIPASE A2 RECEPTOR ANTIBODY EURO $440.00

3000819 PHOSPHOLIPASE A2 RECEPTOR ANTIBODY SCOPE $440.00

3000822 SEROQUEL (QUETIAPINE) $216.75

3000823 D-DIMER QUANTITATIVE $144.75

3000824 FIBRINOGEN QUANT $110.25

3000826 FOLIC ACID RBC $163.25

3000827 FOLATE $134.25

3000829 FELBATOL $172.25

3000831 PERTUSSIS PCR $291.25

3000835 IMMUNOASSAY RIA NOS $83.00

3000836 VASOACTIVE INTESTINAL PEPTIDE $154.25

3000837 GLUCAGON $108.00

3000838 CALCITONIN $123.00

3000840 FSH SERUM $141.75

3000843 FUNGAL STAIN $58.75

3000845 DRUG SCREEN-OPIATES CONFIRMATION $156.75

3000846 CRYPTOSPORIDIUM #699 $60.50

3000847 GABAPENTIN $170.50

3000848 GONORRHE DNA PROBE $104.00

3000849 GIARDIA ANTIGEN #699 $129.00

3000850 GGT GAMMAGLUTAMYL $11.00

3000852 GFR (GLOM. FILT. RATE) $57.75

3000853 GALACTOSEMIA $58.75

3000856 GALACTOSE QUANTITIVE $452.75

3000857 GALACTOSEMIA $452.75

3000858 CYSTANTIN C $130.25

3000860 GASTRIN SERUM $157.25

3000861 GLUCOSE 6 PHOSHPHATE DEHY. $87.75

3000862 GENTAMICIN RANDOM $174.25

3000863 GIARDIA ANTIGEN $117.75

3000864 GLUCOSE ADDL SPEC BEYOND 3 $52.75

3000867 HEPARIN ASSOC PLT AB'S $296.25

3000868 GTT GESTATIONAL SCREEN $52.75

3000869 GLUCOSE ADDL SPEC POST DOSE $52.75

3000870 GLUCOSE SERUM $52.75

3000871 GLOMERULAR BASE MEMB AB $197.50

3000872 CSF GLUCOSE $52.75

3000873 BF PLS GLUCOSE $52.75

3000874 HERPES TISSUE CULTURE $43.25

3000875 HERPES SHELL VIAL $43.25

3000876 HERPES IP STAIN $43.25

3000878 GRAM STAIN $58.75

3000879 GROWTH HORMONE $112.50

3000880 HEMOGLOBIN A1C-BORON AFFINITY $115.50

3000881 H INFLUENZAE AB $105.00

3000882 HCG BETA $145.75

3000883 HCG FOR MEN $145.75

3000887 MUMPS ANTIBODY IGG $90.50

3000888 DRUG SCREEN CRLSTAT $44.00

3000889 IMMUNOASSAY ANALYTE, EACH $177.75

3000891 MUMPS $130.50

3000892 MUMPS $130.50

3000893 GALACTOSE 1 PHOS URIDYL. $278.75

3000894 DRUG COLL:DOT $36.25

3000895 GAL-ALPHA-1, 3 lgE $126.25

3000896 HAPTOGLOBIN $103.50

3000901 NMR LIPOPROFILE $315.00

3000903 H-PYLORI IGG AB $136.75

3000904 HEMATOCRIT $43.25

3000905 HEMOGLOBINOPATHY SCREEN $115.50

3000906 HEMOGLOBIN A1C-YGH $85.50

3000907 CBC/AUTO DIFF $91.75

3000908 CLOBAZAM $272.00

3000909 VET HP $91.75

3000910 HEMOGLOBIN ELECTROPHORESI $96.00

3000912 PERIPHERAL SMEAR $41.50

3000913 HEMATOCRIT, NEONATAL $43.25

3000914 HEMOGLOBIN, ROUTINE $43.25

3000915 HEMOGLOBIN-CHARGE ONLY $43.25

3000916 HEMOGLOBIN A1C-PLS $85.50

3000917 HEPATITIS B CORE TOTAL AB $108.00

3000918 HEPATITIS B-IGM CORE AB $116.75

3000919 IGA $65.75

3000920 HEP B SURFACE ANTIBODY $37.00

3000921 HEPATITIS C RIBA TEST $182.25

3000922 HEP B SURFACE ANTIGEN $100.75

3000923 HEPATITIS C ANTIBODY $42.75

3000924 HEP D ANTIBODY $112.50

3000925 HEPATITIS A (TOTAL) $128.50

3000926 HEPATITIS A-IGM ANTIBODY $108.00

3000927 HOMOCYSTEINE QUANT BLOOD $259.25

3000928 HOMOCYSTEINE QUANT URINE $259.25

3000930 H-PYLORIC ENZYMES $229.50

3000931 HIV 1/2 EIA $24.25

3000932 HLA-B27 $212.00

3000933 H-PYLORI AG-STOOL $182.25

3000934 HISTOPLASMA ANTIGEN, URINE $183.75

3000935 HEP B SURFACE AG CONF $91.75

3000936 HEPATITIS BE AB $121.00

3000937 HEPATITIS BE AG $122.00

3000940 17-HYDROXYPROGRESTERONE $124.00

3000941 HEP C VIRUS RNA QUANT PCR $570.00

3000942 HEMOSIDERIN $124.00

3000944 IGE $167.00

3000947 HUMAN PAPILLOMA VIRUS HIGH RISK SCREEN $99.25

3000948 SEP BY GEL ELECTROPHORESIS $12.25

3000949 IMMUNO FIXATION SERUM $138.50

3000950 IGG $65.75

3000952 INFLUENZA B $104.50

3000955 INFLU B INHOUSE $104.50

3000956 IMMUNOCAP ALLERGEN $28.50

3000958 INHIBIN A FOR MATENRAL SCREEN $53.25

3000960 INSULIN RANDOM $54.25

3000961 INSULIN FASTING $54.25

3000962 INSULIN 60 MINUTES $54.25

3000963 IGM $65.75

3000965 IGF-I (INSULIN-LIKE GROWTH FACTOR I) $120.50

3000966 IRON TOTAL SERUM $70.75

3000969 INSULIN 120 MINUTES $54.25

3000972 KEPPRA (LEVETIRACETAM) $260.50

3000973 ISOHEMAGGLUTININS #1735 $49.25

3000974 LACTIC ACID- BLOOD $122.00

3000975 LONG CHAIN FATTY ACIDS $672.25

3000976 LDH $62.25

3000977 BF PLS LDH $62.25

3000979 HTLV I/II ANTIBODIES $77.25

3000982 LACTOSE TOL ADDL DRAW $46.75

3000983 LAMICTAL $192.50

3000986 LEAD UA QUANT $91.75

3000987 KAPPA & LAMBDA SERUM QUANT $172.25

3000988 LEAD WH BLOOD $91.75

3000989 IGF-BP3 (INSULIN LIKE GROWTH FACTOR) $120.50

3000990 LEGIONELLA AB IGM $109.25

3000991 HTLV I/II CSF ANTIBODIES $77.25

3000992 IGG SUBCLASSES (1,2,3,4) $55.00

3000993 LEGIONELLA AB IGG $109.25

3000994 CULTURE LEGIONELLA $182.25

3000995 LEUKOCYTE ALKALINE PHOSPHATASE $210.75

3000996 ISOLATION OR EXTRACTION $44.50

3000997 AMPLIFICATION NUCLEIC ACID $44.50

3000998 SEPARATION AND ID $44.50

3000999 MUTATION ID FOR HPV $27.00

3001001 PT PLS $64.75

3001002 PTT PLS $86.00

3001003 LIPASE $104.00

3001004 RUSSEL VIPER VENOM $118.25

3001006 H-PYLORI IGM AB $131.00

3001007 LYMPHOCYTE T CELL TOTAL $153.50

3001008 ZONISAMIDE LEVEL $207.00

3001012 LIPID PANEL $146.25

3001014 LYMPH TRANSFORMATION, EACH $786.25

3001015 TETANUS AB IGG $170.50

3001016 LITHIUM SERUM $86.75

3001017 HERPES SIMPLEX BY PCR $552.00

3001018 HEPATIC FUNCTION PANEL $116.75

3001020 LYME DISEASE ANTIBODY $145.75

3001021 LYME DISEASE WEST BLOT $414.25

3001022 LUTEINIZING HORMONE (LH) $123.00

3001024 MAGNESIUM $78.00

3001025 MANGANESE $310.25

3001027 TISSUE CULTURE 3000474 $398.00

3001028 OBSTETRICAL PANEL $88.50

3001030 ORGANIC ACID URINE $454.00

3001031 MCADD $80.00

3001033 LDL-DIRECT $71.75

3001034 MERCURY $212.00

3001040 METANEPHRINE URINE $191.25

3001042 METHEMOGLOBIN QUANT $132.50

3001043 METHYLMALONIC ACID $388.50

3001044 METHYLMALONIC ACID URINE $388.50

3001045 METHADONE QUANTITATIVE $214.00

3001046 METHADONE $214.00

3001047 METANEPHRINE PLASMA $305.25

3001048 MICROALBUMIN RANDOM $121.00

3001051 MICROALBUMIN 24 HOUR $121.00

3001052 MONO TEST $74.50

3001053 JAK2 GENE, QUALITATIVE $331.00

3001055 MYCOPLASMA AB IGM $75.00

3001056 MYOGLOBIN SERUM $141.75

3001058 MYCOPLASMA AB IGG $75.00

3001060 MYOGLOBIN URINE $141.75

3001061 MONO-ALERT $96.75

3001062 NEURONAL ABS (HU,RI) $515.75

3001063 NEURON SPECIFIC ENOLASE $250.50

3001064 NICOTINE (UA)/COTININE $164.50

3001066 NITROGEN TOTAL URINE $389.25

3001068 OCCULT BLD OTHER SOURCES(LAB) $55.00

3001069 PARANEOPLASTIC PANEL $228.00

3001070 OCCULT BLOOD-FECES(LAB) $39.00

3001072 OSMOLALITY BLOOD $141.75

3001073 ORGANISM ID AEROBE $81.00

3001074 OSMOLALITY URINE $141.75

3001075 ORGANISM ID ANAEROBE $120.50

3001080 OLIGCLONAL BANDS-CSF $62.25

3001081 OXALATE-URINE $161.25

3001082 MYELIN BASIC PROTEIN $62.25

3001083 IGG INDEX SERUM $62.25

3001084 IGG INDEX CSF $62.25


3001087 OXALATE-PLASMA $244.00

3001088 PTT $86.00

3001089 PATHOLOGIST REVIEW SMEAR $41.00

3001090 PARIETAL CELL ANTIBODIES $95.50

3001091 ALBUMIN CSF $62.25

3001092 PANCREASTATIN-PLS $910.25

3001093 PATERNITY SCREENING $76.50

3001094 PARASITE ID-PLS $75.00

3001097 IODINE UA 24HR $428.25

3001098 NEUROMYELITIS IgG AUTOANTIBODY $729.25

3001099 DIURETIC SCREEN, URINE $286.25

3001100 PH BLOOD $92.25

3001101 BF YGH PH $50.50

3001102 BLOOD GASES ARTERIAL $194.75

3001103 BLOOD GASES VENOUS $194.75

3001105 BLOOD GASES CAPILLARY $194.75

3001106 HERPES TYPE 1 $62.25

3001107 HERPES TYPE 2 $62.25

3001108 PHENOBARBITAL $154.25

3001109 ENTEROVIRUS BY PCR $301.75

3001110 PHENYLALANINE (PKU) $63.75

3001111 IGE FOR ALLERGY PANELS $48.75

3001114 DRUG COLL:NON-DOT $36.25

3001115 PHENYTOIN TOTAL DILANTI $153.50

3001117 DRUG COLL:NON-DOT YGH KIT $48.00

3001118 DRUG COLL:CALL IN FEE $94.75

3001124 PHOSPHORUS $49.25

3001125 PHOSPHATIDYGLYCEROL-PG $201.00

3001126 CD4 ABSOLUTE COUNT $174.25

3001127 HIV-1 RNA QUANTITATION (VIRAL LOAD) $454.00

3001128 HISTOCHEM STAIN W/FROZEN PC $53.50

3001129 IMMUNOFLUOR STUDY, FIRST Ab TC $117.00

3001130 IMMUNOFLUOR STUDY, FIRST Ab PC $117.00

3001131 IMMUNOFLUOR STUDY, ADDL Ab TC $107.00

3001132 IMMUNOFLUOR STUDY, ADDL Ab PC $107.00

3001133 SPECIAL STAIN II PC $53.50

3001134 SURG PATH IV PC $225.00

3001135 IMMUNOHISTOCHEM, FIRST Ab PC $144.25

3001142 PLATELET COUNT $70.75

3001150 PORPHYRINS URINE QUANTI $253.00

3001151 HISTOCHEM STAIN W/FROZEN TC $53.50

3001152 PORPHOBILINOGEN URINE $147.25

3001153 CYTOTOXIC AB-EACH $387.00

3001154 POTASSIUM SERUM $58.75

3001155 PORPHYRINS SERUM $93.75

3001156 POTASSIUM URINE RANDOM $62.25

3001157 POTASSIUM URINE 24 HOUR $62.25

3001158 PREALBUMIN $105.00

3001160 PREGNANCY TEST SERUM $125.50

3001161 PREGNANCY TEST URINE $105.00

3001172 PROGESTERONE $137.50

3001174 PROLACTIN SERUM $191.25

3001176 PROCAINAMIDE & NAPA $200.50

3001178 PSA-DIAGNOSTIC $151.25

3001180 PROTEIN C ACTIVITY $229.50

3001181 MOLECULAR CYTOGENETICS 3000474 $338.00

3001182 CSF PROTEIN $49.25

3001183 PROTEIN S TOTAL $182.75

3001184 PROTEIN C TOTAL $189.25

3001185 PROTEIN S ANTIGEN FREE $229.50

3001186 PROTEIN TOTAL SERUM $58.75

3001187 BF PLS PROTEIN $49.25

3001188 ELECTROPHORESIS SERUM $29.75

3001189 BF PLS ALBUMIN $31.00

3001190 Electrophoresis Urine/CSF $129.50

3001191 PROTEIN UA RANDOM $58.75

3001192 PROTEIN UA-12 HR $49.25

3001195 PROTEIN UA RANDOM PLS $58.75

3001196 PROTEIN UA 24HR PLS $49.25

3001197 PROTEIN UA 12HR PLS $49.25

3001198 PROTHROMBIN TIME $64.75

3001200 PSA TOTAL AND FREE $250.50

3001201 NTX ASSAY $136.75

3001202 CHLORIDE UA (RANDOM OR 24 HR) $49.25

3001203 SULFATE URINE $104.50

3001204 MAGNESIUM URINE RANDOM $57.75

3001205 MAGNESIUM URINE 24 HOUR $57.75

3001206 QUINIDINE SERUM $145.75

3001207 AMINO ACIDS-URINE $372.75

3001208 RAPID STREP A ANTIGEN $80.00

3001210 RENIN ACTIVITY $209.25

3001211 PROTHROMBIN GENE MUTATION $294.00

3001212 SULFONYLUREA SCREEN $348.25

3001213 REDUCING SUB $34.25

3001214 RETICULOCYTE COUNT $50.50

3001215 URINE PH $23.00

3001216 RENAL FUNCTION PANEL $147.25

3001218 RHEUMATOID FACTOR RA $71.75

3001219 CHLORIDE-BLOOD $57.75

3001220 PROTEIN UA-24 HR $58.75

3001221 ROTAVIRUS ANTIGEN DET FEC $140.50

3001222 RPR SERUM $50.50

3001224 UREA NIT URINE $115.50

3001225 RUBELLA ANTIBODY IGG $94.75

3001226 UREA CLEAR-12 HR $115.50

3001227 UREA CLEARANCE $115.50

3001228 SALICYLATE $108.00

3001229 RSV $103.50

3001230 RUBEOLA ANTIBODY IGG $75.00

3001231 PROGRAF-PLS $144.75

3001232 PROINSULIN $112.50

3001234 AMINO ACIDS-PLASMA $372.75

3001242 INTERPHASE IN SITU 3000474 $338.00

3001243 SEMEN ANALYSIS-POST VASECTOMY $27.75

3001244 SENSITIVITY PER PATHOGEN $105.00

3001250 SEROTONIN BLOOD $337.25

3001252 SEROTONIN RELEASE ASSAY $932.25

3001256 SEROTONIN UA (5-HIAA) $212.00

3001264 AST $63.25

3001265 SHIGA TOXIN SECOND CHARGE $71.25

3001266 ALT $58.75

3001267 SHIGA TOXIN $71.25

3001268 SICKLE CELL $58.75

3001269 TRICHOMONAS DNA PROBE $38.75

3001280 SODIUM BLOOD $58.75

3001282 SODIUM URINE 24 HR $58.75

3001283 SOMATOMED IN-C $219.75

3001284 SPECIFIC GRAVITY URINE $39.00

3001285 INFECTIOUS AGENT NOS $56.50

3001286 INFECTIOUS AGENT CONCENTRATION $56.50

3001287 SODIUM URINE RANDOM $58.75

3001288 SOLUABLE TRANSFERRIN RECEPTOR $131.00

3001299 ENTAMOEBA HISTOLYTICA $107.00

3001302 INTERPHASE 25-99 CELLS $132.50

3001303 MOLECULAR CYTOGENTETIC DNA PROBE $132.50


3001305 SPECIAL COAGULATION INTERPRETATION $158.25

3001306 HSV 1 GLYCOPROTEIN $112.50

3001307 AMINOLEVULINIC ACID URINE $147.25

3001308 SOLUBLE FIBRIN MONOMER $158.25

3001309 ACTIVATED PROTEIN RESISTANCE $181.75

3001310 INFLUENZA VIRUS PROBE TECHNIQUE $239.50

3001314 DRUG COLL:NON-DOT-ESCREEN $12.00

3001340 BF PLS CRYSTALS $71.25

3001341 T-3 FREE $239.50

3001342 T-3 TOTAL $98.50

3001343 TEGRETOL TOTAL CARBAMAZ $190.75

3001344 REVERSE T-3 $124.00

3001345 T-4 THYROXINE $115.50

3001346 BF PLS SPECIFIC GRAVITY $18.25

3001347 T4 NEONATAL $61.00

3001348 T-4 ASSAY FREE $108.00

3001349 TEGRETOL TOTAL & FREE $150.75

3001350 T-4 FREE BY EQUIL DIALYSIS $129.00

3001351 MUCOPOLYSACCHARIDES (MPS) URINE $245.75

3001352 OLIGOSACCHARIDE SCREEN URINE $220.75

3001354 TETANUS IgG AB $122.50

3001356 TESTOSTERONE TOTAL $22.50

3001358 THEOPHYLLINE $151.75

3001359 5-a-DIHYDROTESTOSTERONE $149.25

3001370 THYROGLOBULIN (AB) $123.00

3001372 THYROID PEROXIDASE AB $102.75

3001373 TOBRAMYCIN PEAK $82.25

3001374 TSH-THYROID STIMULATING H $130.50

3001375 TOPAMAX $161.25

3001376 TRYPTASE $161.25

3001377 THROMBIN TIME $145.75

3001378 TOBRAMYCIN TROUGH $82.25

3001379 TOBRAMYCIN RANDOM $82.25

3001385 ALCOHOL BIOMARKERS- 80 HOUR COLLECTION $259.25

3001398 TRANSFERRIN $135.50

3001399 TRANSGLUTAMINASE IgG $131.00

3001400 TISSUE TRANSGLUT IgA $40.00

3001403 TISSUE TRANSGLUT IgG $214.00

3001404 SELENIUM $134.25

3001406 HSV 2 GLYCOPROTEIN $112.50

3001408 TRIGLYCERIDES $57.75

3001409 TROPONIN I $212.00

3001410 TRILEPTAL $192.50

3001412 TSH-NEONATAL (STATE) $86.75

3001413 JC VIRUS $507.50

3001421 ACETAZOLAMIDE $259.75

3001423 UREA CLEARANCE-PLS $115.50

3001424 BUN URINE $52.00

3001425 BF PLS URIC ACID $63.25

3001426 URIC ACID $62.25

3001427 URINALYSIS (MICRO ONLY) $41.50

3001428 URINALYSIS $52.00

3001429 URINALYSIS (DIPSTICK) $39.00

3001430 VANCOMYCIN $172.25

3001431 URINE KETONES $48.25

3001432 VANCOMYCIN-PEAK (POST DOSE) $172.25

3001434 VANCOMYCIN-TROUGH (PRE-DOSE) $172.25

3001435 URINALYSIS W/REFLEX $52.00

3001437 VALPROIC ACID (DEPAKENE) $159.00

3001438 VANILLYLMANDELIC ACID UA $228.50

3001439 VITAMIN A $196.25

3001440 VARICELLA ZOSTER IGG $121.00

3001441 VARICELLA ZOSTER IGM $121.00

3001442 VITAMIN B1 $146.75

3001443 VISCOSITY SERUM $50.50

3001444 VITAMIN B-12 $136.75


3001446 WET PREPARATION $63.75

3001447 VITAMIN E $120.00

3001448 VITAMIN C $114.00

3001449 WEST NILE PANEL CSF $87.25

3001450 WEST NILE IGM $87.25

3001451 VITAMIN D (1,25 HYDROXY) $183.75

3001453 THYROID STIM IMMUNOGLOBULINS $246.75

3001455 ZINC-SERUM $115.50

3001456 ETHOTOIN $134.25

3001458 CD 4 $147.75

3001459 CD 8 $147.50

3001460 RUBEOLA IgG-STUDENT $20.50

3001461 MUMPS IgG-STUDENT $20.50

3001462 RUBELLA IgG-STUDENT $20.50

3001463 V ZOSTER IgG-STUDENT $20.50

3001464 HB sAb-STUDENT $20.50

3001467 CD 16 $93.75

3001468 CD 20 $93.75

3001469 CD 56 $93.75

3001471 MTHFR MUTATION $528.25

3001472 ANCA TITER $75.00

3001473 GLIADIN IGA ANTIBODIES $75.00

3001474 GLIADIN IGG ANTIBODIES $75.00

3001491 BASIC METABOLIC PANEL-FREQUENCY $140.50

3001498 BILIRUBIN FLUID $57.75

3001508 TRIGLYCERIDES-FLUID $124.00

3001512 ONC HEMATOCRIT $43.25

3001516 WBC/AUTO DIFF $85.50


3001550 MEASLES IGG $46.75

3001551 MEASLES IGM $46.75

3001552 MUMPS IGG $46.75

3001553 MUMPS IGM $46.75

3001554 VARICELLA-ZOSTER IGG $46.75

3001555 VARICELLA-ZOSTER IGM $46.75

3001556 LYMPHOCYTIC CHORIOMENINGITIS IGG $46.75

3001557 LYMPHOCYTIC CHORIOMENINGITIS IGM $46.75

3001558 HSV MC $46.75

3001559 HERP I/II $46.75

300156 PERIPHERA SMEAR PATHOLOGIST CONSULTATIO $65.75

3001599 NMP22 $259.25

3001602 COXSACKIE A9 VIRUS ANTIBODY $147.25

3001617 CLOSTRIDIUM DIFFICILE DNA $174.25

3001635 VET CALCIUM IONIZED $146.25

3001658 SEX HORMONE BINDING GLOBULIN- SHBG $33.00

3001672 CREATININE-DAILY $57.75

3001674 CREATININE URINE- 24 HOUR $70.75

3001717 CULTURE EAR-AEROBIC $125.50

3001720 CULTURE TISSUE $125.50

3001731 CHROMIUM $93.75

3001732 COBALT $93.75

3001750 EOSINOPHIL CATIONIC PROTEIN $285.00

3001752 EHRLICHIA $172.75

3001753 BABESIA BY PCR $142.50

3001773 MOLECULAR DIAGNOSTICS $72.25

3001835 NONINFECTIOUS AGENT ANTIBODY $82.25

3001843 FTA ANTIBODIES $65.25

3001844 OVA-1 OVARIAN CANCER ASSAY $1,836.50

3001857 FLOW INTERPRETATION & REPORT $118.25

3001858 FLOW CYTOMETRY MEDICARE IN-PATIENT $828.50

3001859 FLOW CYTOMETRY EACH ADDITIONAL MARKER $27.00

3001860 FLOW CYTOMETRY CELL SURFACE $411.75

3001861 FLOW CYTOMETRY 16 OR MORE MARKERS $27.00

3001862 ADENOVIRUS DNA DETECTION-STOOL $400.75

3001863 NORWALK VIRUS $466.25

3001879 GRAM STAIN-PLS $58.75

3001903 H-PYLORI. IGA AB $131.00

3001912 HEPATITIS B VIRAL LOAD $284.50

3001922 HBV SCREENING $100.75

3001923 SEROTONIN RELEASE ASSAY $228.50

3001934 HISTOPLASMA ANTIGEN, SERUM $330.00

3001939 NON EMPLOYEE EXPOSURE RAPID HIV-SOURCE $39.50

3001941 HEP C VIRUS QUALITATIVE PCR $237.25

3001942 STRONGYLOIDES ANTIBODY $124.00

3001943 ECHINOCOCCUS ANTIBODY $134.25

3001948 SACCHAROMYCES CEREVISIAE IGG ANTIBODY $108.00

3001949 SACCHAROMYCES CEREVISIAE IGA ANTIBODY $108.00

3001950 ANTI-NEUTROPHIL CYTOPLASMIC ANTIBODY $108.00

3001957 INHIBIN A, TUMOR MARKER, SERUM $130.00

3001958 INHIBIN B $334.25

3001960 ITRACONAZOLE LEVEL $348.25

3002001 LACOSAMIDE $335.00

3002030 QUEST HCG TOTAL, QUANT $7.00

3002031 QUEST COMP METABOLIC PANEL $5.75

3002032 QUEST COMPLETE BLOOD COUNT $5.50

3002033 QUEST PROTEIN, URINE $4.50

3002034 QUEST CREATININE, URINE $4.50

3002035 QUEST PART THROMB TIME, ACTIV $5.25

3002052 RUPTURE OF MEMBRANE ASSAY $187.75

3002278 PSA MEDICARE SCREEN $140.50

3002445 VITAMIN B 6 TOTAL $107.00

3002472 PR3 $114.50

3002473 MPO $114.50

3002610 CHRONIC URTICARIA INDEX $323.75

3002611 CHLAMYDIA PNEUMONIA PROBE $199.00

3002612 RESPIRATORY VIRUS PROBE $199.00

3002613 AMPLIFIED PROBE EACH $199.00

3002614 MYCOPLASMA PNEUMONIA PROBE $199.00

3006662 CORTISOL-SALIVA $139.00

3009988 LECITHIN-SPHINOGMYELIN RATIO $387.00

3009989 PROTEIN S ACTIVITY $147.25

3009990 DRUG COLL NON DOT YGH 10 PANEL $55.25

3009998 TRAVEL ALLOWANCE MILEAGE RATE $1.25

3009999 TRAVEL ALLOWANCE FLAT RATE $10.50

3011221 PROTEIN UA TIMED $58.75

3011222 GC SCREEN BY AMPLIFIED PROBE TECHNIQUE $43.00

3011223 SCID $61.50

3011224 INFECT AGENT DRUG GENOTYPIC BIOINFORMATI $717.50

3011225 HIV-1 REV TRANSCRIPTASE & PROTEASE REGIO $717.50

3011226 LEGIONELLA INFECTIOUS AGENT ANTIGEN $88.25

3011227 PROCALCITONIN $203.00

3011228 VIGABATRIN $614.25

3011229 RABIES ANTIBODY ENDPOINT $212.00

3011230 DIPHTHERIA CULTURE $138.50

3011231 COXSACKIE CULTURE $165.75

3011232 ADENOVIRUS DNA FLUID $276.25

3011233 HEXOSAMINIDASE A $147.25

3011234 COXSACKIE A ANTIBODIES $16.25

3011235 COXSACKIE B ANTIBODIES $53.00

3011236 HERPESVIRUS6 lgG $221.25

3011237 HERPESVIRUS6 lgM $92.25

3011238 CAMPYLOBACTER SCREEN $36.75

3011239 EACH ADD'L MARKER PNH $65.25

301124 HISTOCHEM STAIN W/FROZEN TC $110.25

3011240 CYSTIC FIBROSIS GENE MUTATION $304.50

3011241 IMMUNOCHEMISTRY FIRST SINGLE $61.50

3011242 IMMUNOCHEMISTRY EACH ADD'L $61.50

301125 HISTOCHEM STAIN W/FROZEN PC $110.25

301126 IMMUNOFLUOR STUDY, FIRST Ab TC $120.25

301127 IMMUNOFLUOR STUDY, FIRST Ab PC $120.25

301128 IMMUNOFLUOR STUDY, ADDL Ab TC $110.25

301129 IMMUNOFLUOR STUDY, ADDL Ab PC $110.25

301130 SPECIAL STAIN II PC $55.00

301131 SURG PATH IV PC $231.75

301132 IMMUNOHISTOCHEM, FIRST Ab PC $148.25

3300001 BB-ABO TYPE $50.50

3300002 BB ARC ABO TYPE $50.50

3300003 BB-ANTIBODY SCREEN $87.75

3300004 BB-DAT (COOMBS) $65.75

3300005 BB-CROSSMATCH $228.50

3300006 BB-ARC CROSSMATCH IMMEDIATE SPIN $50.25

3300007 BB-RH TYPE $52.00

3300008 BB ARC RH TYPE $52.00

3300009 BB-FETAL SCREEN $87.75

3300010 BB ARC ELUTION $169.75

3300011 BB ADSORPTION MISC $145.75

3300012 BB ARC AB SCREEN $87.75

3300013 BB ARC AB ID $146.75

3300014 BB INHIBITION OF SERUM - ARC $320.25

3300015 BB COMPATIBILITY SCREEN-ARC $91.75

3300016 BB KLEIHAUER-BETKE $143.50

3300017 BB-HLA SELECT PLATELETS L/R $1,133.00

3300018 BB-AUTOLOGOUS DONATION $174.25

3300019 BB-PRODUCT IRRADIATION $431.00

3300020 BB ARC DAT $34.75

3300022 BB PLT RANDOM NLR $147.25

3300023 BB POOLING PLT (PER UNIT) $25.00

3300024 BB PLT RANDOM INLR $169.75

3300025 BB AUTOLOGOUS UNIT $44.50

3300027 BB ARC RH PHENOTYPE $210.75

3300028 BB ARC ADSORPTION MISC. $140.50

3300029 BB ARC RETIC SEPARATION $163.25

3300030 BB PLATELET FILTER $145.75

3300031 BB BLOOD COMPONENT FILTER $26.00

3300032 BB ARC AB ID-CORD BLOOD $47.75

3300033 BB CBB CMV SCREEN $118.75

3300034 BLOOD FILTER $64.75

3300035 BB ARC PT PHENOTYPE $83.00

3300036 BB ARC CROSSMATCH $243.00

3300037 BB ARC DIFF/ AUTO ADSORPTION $224.75

3300038 BB AUTOADSORPTION $161.75

3300039 BB ARC PRE-RX RBC W/CHEMICALS $188.25

3300040 BB SERUM DILUTION $72.25

3300041 BB ARC INDIRECT TITER $143.50

3300043 BB ARC RBC REAGENT THAWING $115.50

3300044 BB PLS DAT $34.75

3300045 BB ARC AB ID/EA SELECT RGT CELL $21.00

3300046 BB ARC GEL RBC PREP $15.25

3300047 BB ARC RBC AG, NOT ABO, D $98.50

3300052 BB DIRECT DONATION-ARC $438.50

3300057 BB ARC CMV NEG CHARGE $70.75

3300058 BB ARC RED CELL AG TYPE $368.00

3300070 BB THERAP PHLEBOTOMY/UNIT $147.75

3300072 BB THAWING RARE REAGENT RBCS $126.50

3300075 BB RH PHENOTYPE/ARC $179.00

3300076 BB ARC PRESELECT SCREEN (COMPAT SCREEN) $89.50

3300077 BB ARC ENZYME PRETREATMENT $115.00

3300078 BB ARC ANTIGEN SCREENING $210.75

3300079 BB CBB SPLIT. BLD PRODUCTS $39.00

3300080 BB SPLITTING BLOOD PRODUCTS $76.00

3300090 BB FFP-THAWING $42.75

3300091 BB PCLR $351.75

3300092 BB PCLR IRR $422.75

3300093 BB PLS RBC AB ID $34.75

3300094 BB FFP $105.00

3300095 BB CRYOPRECIPITATE $150.75

3300102 BB PLT PHERESIS $916.25

3300103 BB PLT PHERESIS IRR $989.25

3300104 BB-CROSSMATCH CHARGE ONLY $228.50

3300200 HH ABO TYPE $25.00

3300201 HH Rh TYPE w/WEAK-D $25.00

3300202 HH FETAL MATERNAL HEMORRHAGE $50.00

3300203 HH KLEIHAUER-BETKE $60.00

3500001 EKG $277.25

3500002 INSUR. PHYSICAL EKG $128.00

3500011 EKG-REPEAT S/D SAME PHY $277.25

3500021 EKG/REPEAT S/D DIFF PHY $277.25

3600045 EEG AWAKE AND DROWSY $683.00

3600046 EEG-ASLEEP $657.25

3600047 EEG-AWAKE & ASLEEP $614.00

3600048 EEG UP TO 1 HOUR $3,140.25

3600049 EEG GREATER THAN 1 HOUR $3,140.25

3600050 EEG-ASLEEP-CEREBRL-DEATH $614.00

3600051 EEG-ASLEEP-ALL NIGHT $3,140.25

3703306 2D M-MODE DOPPLER/ECHO **USE THIS** $1,927.25

3703307 2D M-MODE ECHOCARDIOGRAM $1,181.00

3703308 2D LIMITED ECHOCARDIOGRAM $964.75

3703309 ECHO TEE $2,385.75

3703320 COLOR FLOW DOPPLER $366.00

3703325 CARDIAC DOPPLER $358.00

3703350 STRESS ECHOCARDIOGRAM $1,242.00

3708929 TRANSTHORACIC ECHO W/CONTRAST $215.00

3730500 PED 2D LIMITED ECHOCARDIOGRAM $230.50

3730501 PED 2D M-MODE ECHOCARDIOGRAM $964.75

3730502 PED COLOR FLOW DOPPLER $366.00

3730503 PED CARDIAC DOPPLER $358.00

3730504 PED STRESS ECHOCARDIOGRAM $1,242.00

3730505 PED 2D M-MODE DOPPLER $1,686.75

3800002 XR MANDIBLE 4V $325.75

3800004 XR MASTOIDS 3V $333.75

3800005 XR MANDIBLE 2V $238.50

3800006 XR FACIAL BONES ZYGOMA $361.75

3800008 XR NASAL BONES COMPLETE $258.50

3800010 XR SINUSES PARANASAL COMP $333.75

3800012 XR HEAD SKULL 4V MIN $390.00

3800014 XR HEAD SKULL 2V $244.75

3800015 XR HEAD SKULL BEFORE MRI 1V $244.75

3800016 XR SINUSES WATERS VIEW $240.75

3800017 XR INFANT PELVIS/HIP 2V $224.75

3800018 XR TMJ BILATERAL $259.75

3800019 XR JOINT STRESS VIEWS $224.75

3800020 XR NECK/SOFT TISSUE $240.75

3800021 XR CHEST LAT DECUB 1V $234.50

3800022 XR CHEST 1V / PORTABLE $219.75

3800023 XR CHEST HEARTHSTONE 1V $219.75

3800024 XR CHEST AP/PA & LAT 2V $276.25

3800025 XR CHEST APICAL/AP/LAT 3V $295.50

3800026 XR CHEST SPECIAL 1V $234.50

3800027 XR SPINE SCOLIOSIS 4-5 VW $584.75

3800028 XR HIPS 3-4 VW BILAT W/WO PELVIS $526.25

3800030 XR RIBS 2V $241.25

3800032 XR STERNUM 2V $260.50

3800034 XR RIBS & CHEST 4V MIN $483.50

3800036 XR STERNOCLAVICULAR JT $224.75

3800038 XR RIBS & CHEST 3V $333.75

3800040 XR SPINE SCOLIOSIS 2 VW $368.50

3800042 XR SPINE CERVICAL 3V OR LESS $289.00

3800043 XR SPINE CERVICAL 4V OR 5V $459.75

3800044 XR SPINE CERVICAL 6V OR MORE $493.00

3800046 XR SPINE THORACIC COMP $298.50

3800048 XR SPINE THORACIC 2V $294.75

3800050 XR SPINE LUMBOSACRAL 2V $328.75

3800051 FL MYELOGRAM T-SPINE $657.75

3800052 XR SPINE LUMBOSACRAL MULTI $513.25

3800054 FL MYELOGRAM/SPINE LUMBAR $700.50

3800055 FL MYELOGRAM C-SPINE $628.00

3800056 XR SPINE SACROCOCCYGEAL $257.75

3800057 XR OCCIPITAL NERVE BLOCK $614.25

3800058 XR PELVIS $224.75

3800060 XR PELVIS W/LAT HIP RT $298.50

3800061 FL ARTHROGRAM WRIST RT $536.75

3800062 XR SPINE SCOLIOSIS 1 VW $234.50

3800063 FL ARTHROGRAM ELBOW RT $523.00

3800064 XR SPINE SPEC LEV 1V $215.50

3800065 XR SHOULDER RT 1V $188.75

3800066 XR SHOULDER 2 VIEW LT $283.25

3800067 XR CLAVICLE 2V $259.75

3800068 XR SCAPULA RT $253.75

3800069 XR SHOULDER 2 VIEW RT $283.25

3800070 XR SHOULDER COMP RT $315.50

3800071 FL ARTHROGRAM SHOULDER RT $550.00

3800072 XR SHOULDER/AC JT RT $224.75

3800073 XR WRIST COMPARISON RT $183.75

3800074 XR HUMERUS RT 2V $256.00

3800075 XR ELBOW RT 2V $210.00

3800076 XR ELBOW RT 3V $224.75

3800077 XR ELBOW COMPARISON RT $201.00

3800078 XR FOREARM RT 2V $237.25

3800079 XR WRIST RT 2V $183.75

3800080 XR WRIST RT 3V $241.75

3800082 XR HAND RT 3V $244.75

3800083 XR HAND RT 2V $179.00

3800085 XR HAND COMPARISON RT 2V $179.00

3800086 XR HIP RT 2V $259.75

3800087 XR HIP RT 1V $188.75

3800088 XR HIPS 2 VW PELVIS AP/FROG $468.00

3800089 FL ARTHROGRAM HIP RT $499.00

3800090 XR HIP PINNING RT 2 VW $478.25

3800092 XR HIP PINNING RT 1 VW $449.25

3800093 XR HIP 5 VIEW BIL HIPS W/PELVIS $750.50

3800094 XR FEMUR RT 2 VW $295.50

3800096 XR KNEE RT 2V $231.25

3800097 XR KNEE RT 1V $224.00

3800098 XR KNEE RT 3V $259.75

3800100 XR KNEE RT 4V $290.25

3800102 XR TIBIA/FIBULA RT 2V $234.50

3800103 XR ANKLE RT 2V $202.25

3800104 XR ANKLE RT 3V $241.75

3800105 XR ANKLE COMPARISON RT $191.25

3800106 XR FOOT RT 3V $239.50

3800107 XR FOOT CALCANUS RT 2V $224.75

3800108 XR FOOT COMPARISON RT 2V $197.50

3800109 XR FOOT RT 2V $197.50

3800110 XR ABDOMEN 1V / KUB $243.00

3800112 XR ABDOMEN 2V $353.00

3800114 XR ABDOMEN & PA CXR 1V $417.25

3800116 FL UPPER GI TUBE PLACE STOMA $528.75

3800117 FL SHOULDER CONTRAST INJECTION $491.25

3800118 FL ESOPHAGUS ONLY $522.50

3800119 FL UPPER GI W/ESOPHAGUS $477.00

3800120 FL SM BOWEL SERIES ONLY $507.50

3800121 FL MBS W/VIDEO $478.25

3800122 FL UPPER GI WITHOUT AIR CONT $496.50

3800123 FL ELBLOW CONTRAST INJECTION $491.25

3800124 FL UPPER GI W/SMALL BOWEL $720.75

3800125 FL WRIST CONTRAST INJECTION $491.25

3800126 FL BARIUM ENEMA $603.50

3800127 FL HIP CONTRAST INJECTION $491.25

3800128 FL BARIUM ENEMA W AIR CONTR $769.25

3800129 FL BARIUM ENEMA RING $44.00

3800130 XR GALLBLADDER CHOLECYSTOGR $333.75

3800131 FL KNEE CONTRAST INJECTION $491.25

3800132 FL JOINT PAIN INJECTION $491.25

3800133 FL PICC LINE $982.50

3800135 FL FISTULAGRAM $333.75

3800139 XR UROGRAPHY $651.00

3800140 XR UROGRAPHY LOOPOGRAM $520.25

3800145 UTERINE CATHETER-ZUNI $132.50

3800148 XR CYSTOGRAPHY $384.25

3800149 XR SI JOINT 3 VIEWS $322.00

3800150 FL VOIDING CYSTOURETHROGRAPHY $507.50

3800156 XR PELVICEPHALOMETRY $333.75

3800157 FL GUIDANCE/LOCAL-NOT LUMBAR $983.50

3800159 FL GUIDANCE NEEDLE PLACEMENT $983.50

3800160 FL HYSTEROSALPINGOGRAPHY $379.50

3800161 FL PICC INSERTION $983.50

3800162 XR VENOGRAPHY UNILATERAL RT $550.00

3800164 XR VENOGRAPHY BILATERAL $731.25

3800165 FL FLUORO LIMITED $408.00

3800166 FL C-ARM (FLUOROSCOPY)<1 HR $525.25

3800167 FL C-ARM (FLUOROSCOPY)>1HR $720.25

3800168 XR BONE AGE STUDIES $135.50

3800170 XR BONE LENGTH STUDIES $209.25

3800172 XR BONE SURVEY $564.75

3800173 XR BONE SURV INFANT $460.25

3800174 BD BONE MINERAL DENSITY $423.50

3800200 NDL BIOPSY TLOK $71.50

3800210 NDL BIOPSY TLOK $71.50

3800216 BREAST BIOPSY NDL/20 X 3 1/2 $61.00

3800217 BREAST BIOPSY NDL/20 X 2 1/2 $61.00

3800220 ENEMA RING / BARIUM $12.25

3800234 XR FOOT COMPARISON LT 2V $197.50

3800260 FL HYSTEROSALPINGOGRAPHY PHY CHG $88.50

3800300 MM MAMMO BI $174.25

3800301 MM MAMMO UNI RT $134.25

3800302 MM MAMMO BI SCR $174.25

3800303 MM MAMMO UNI SCR RT $134.25

3800304 MM NDL LOCAL RT $1,165.00

3800305 MM BREAST SPEC(SURGICAL) $134.25

3800306 MM STEREOTACTIC BX 1ST LESION $2,900.00

3800307 MM STEREOTACTIC BX EACH ADD'L LESION $2,340.00

3800309 MMD 3D TOMO-UNI/BIL SCR $54.00

3800310 MMD SCR BI WITH CAD $384.25

3800311 MMD SCR UNI LT WITH CAD $318.50

3800312 MMD SCR UNI RT WITH CAD $318.50

3800313 MMD SCR CAD $66.75

3800314 MMD DIAG BI WITH CAD $430.00

3800315 MMD DIAG UNI LT WITH CAD $344.25

3800316 MMD DIAG UNI RT WITH CAD $344.25

3800317 MMD DIAG CAD $71.75

3800318 MMD 3D TOMO-UNI DX $54.00

3800319 MMD 3D TOMO-BIL DX $54.00

3800320 MMD 3D TOMO-UNI/BIL DX MEDICARE $54.00

3800476 BARIUM ENEMA SOLO-PAK w/ TIP $17.75

3800494 FL ARTHROGRAM KNEE LT $620.25

3800495 FL ARTHROGRAM KNEE RT $620.25

3800924 RADIOLOGY MICROINTRODUCER KIT $143.50

3802001 XR HAND THUMB LT $182.25

3802002 XR HAND 2ND DIGIT LT $182.25

3802003 XR HAND 3RD DIGIT LT $182.25

3802004 XR HAND 4TH DIGIT LT $182.25

3802005 XR HAND 5TH DIGIT LT $182.25

3802006 XR HAND THUMB RT $182.25

3802007 XR HAND 2ND DIGIT RT $182.25

3802008 XR HAND 3RD DIGIT RT $182.25

3802009 XR HAND 4TH DIGIT RT $182.25

3802010 XR HAND 5TH DIGIT RT $182.25

3802011 XR FOOT GREAT TOE LT $197.50

3802012 XR FOOT 2ND DIGIT LT $197.50

3802013 XR FOOT 3RD DIGIT LT $197.50

3802014 XR FOOT 4TH DIGIT LT $197.50

3802015 XR FOOT 5TH DIGIT LT $197.50

3802016 XR FOOT GREAT TOE RT $197.50

3802017 XR FOOT 2ND DIGIT RT $197.50

3802018 XR FOOT 3RD DIGIT RT $197.50

3802019 XR FOOT 4TH DIGIT RT $197.50

3802020 XR FOOT 5TH DIGIT RT $197.50

3802021 XR SHOULDER/AC JT LT $224.75

3802022 XR ANKLE LT 3V $241.75

3802023 XR ANKLE COMPARISON LT $191.25

3802024 XR ANKLE LT 2V $202.25

3802025 FL ARTHROGRAM HIP LT $499.00

3802026 FL ARTHROGRAM SHOULDER LT $550.00

3802027 FL ARTHROGRAM WRIST LT $536.75

3802028 XR FOOT CALCANUS LT 2V $224.75

3802029 XR ELBOW LT 3V $224.75

3802030 FL ARTHROGRAM ELBOW LT $523.00

3802031 XR ELBOW COMPARISON LT $201.00

3802032 XR ELBOW LT 2V $209.25

3802033 XR FOOT LT 3V $239.50

3802035 XR FOOT LT 2V $197.50

3802036 XR FOREARM LT 2V $237.25

3802037 XR HAND LT 3V $244.75

3802038 XR HAND COMPARISON LT 2V $179.00

3802039 XR HAND LT 2V $179.00

3802041 XR HIP PINNING LT 1 VW $449.25

3802042 XR HIP LT 2 VW $259.75

3802044 XR HIP LT 1 VW $188.75

3802045 XR HUMERUS LT 2V $256.00

3802046 XR KNEE LT 2V $231.25

3802047 XR KNEE LT 4V $290.25

3802048 XR KNEE LT 3V $259.75

3802049 XR KNEE LT 1V $224.00

3802050 XR SHOULDER COMP LT $315.50

3802051 XR SHOULDER LT 1V $188.75

3802052 XR WRIST LT 3V $241.75

3802053 XR WRIST COMPARISON LT $183.75

3802054 XR WRIST LT 2V $183.75

3802055 MM MAMMO UNI LT $134.25

3802056 MM MAMMO UNI SCR LT $134.25

3802057 MM NDL LOCAL LT $1,165.00

3802058 XR PELVIS W/LAT HIP LT $298.50

3802060 XR KNEE COMPLETE RT $271.50

3802061 XR KNEE COMPLETE LT $271.50

3802062 FL UPPER GI W/AIR CONTRAS $634.50

3802063 XR SCAPULA LT $253.75

3802064 TRIGEMINAL INJ RT $368.50

3802065 TRIGEMINAL INJ LT $368.50

3802066 SPG INJ RT $337.50

3802067 SPG INJ LT $337.50

3802068 FL LUMBAR PUNCTURE $983.50

3802090 XR HIP PINNING LT 2 VW $478.25

3802094 XR FEMUR LT 2 VW $295.50

3802102 XR TIBIA/FIBULA LT 2V $234.50

3802124 FL C/T EPIDURAL INJECTION $643.25

3802162 XR VENOGRAPHY UNILATERAL LT $550.00

3803003 XR ANKLE LIMITED RT $188.75

3803010 XR FOOT LIMITED RT $197.50

3803020 XR HAND LIMITED RT $179.00

3803030 XR WRIST LIMITED RT $167.00

3803036 XR FOREARM LIMITED RT $204.50

3803040 XR ELBOW LIMITED RT $209.25

3803041 XR HUMERUS LIMITED RT $207.00

3803042 XR HUMERUS LIMITED LT $207.00

3803043 XR CLAVICLE LIMITED LT $221.25

3803044 XR CLAVICLE LIMITED RT $221.25

3803094 XR FEMUR RT 1 VW $266.25

3803103 XR ANKLE LIMITED LT $188.75

3803110 XR FOOT LIMITED LT $197.50

3803120 XR HAND LIMITED LT $179.00

3803130 XR WRIST LIMITED LT $167.00

3803136 XR FOREARM LIMITED LT $204.50

3803140 XR ELBOW LIMITED LT $209.25

3803194 XR FEMUR LT 1 VW $266.25

3803195 XR CONTRAST INJECTION THRU TUBE $522.00

3809280 HYSTEROSALPINGOGRAPH CATHETER $112.75

3900000 MR 3D RECON $186.25

3900010 MR ABDOMEN WO $2,383.50

3900011 MR ABDOMEN WITH CONTRAST $2,709.50

3900012 MR ABDOMEN W&WO CONTRAST $3,036.00

3900020 MR BRAIN W/O CONTRAST $2,642.00

3900021 MR BRAIN WITH CONTRAST $2,891.00

3900022 MR BRAIN W/WO CONTRAST $3,647.00

3900023 MR BRAIN LIMITED $2,091.25

3900025 MR BREAST W WO WWO UNILATERAL $2,940.75

3900026 MR BREAST W WO WWO BILATERAL $3,593.50

3900027 MR BREAST LIMITED UNILATERAL $1,226.25

3900028 MR BREAST LIMITED BILATERAL $1,374.00

3900030 MR CERVICAL SP W/O $2,584.25

3900031 MR CERVICAL SP W/CONTRAST $2,934.00

3900032 MR CERVICAL SP W/WO CONTR $3,449.75

3900040 MR CHEST W/O CONTRAST $2,383.50

3900041 MR CHEST WITH CONTRAST $2,740.25

3900042 MR CHEST WWO CONTRAST $3,097.25

3900050 MR DORSAL SP W/O CONTRAST $2,584.25

3900051 MR DORSAL SP W/CONTRAST $2,894.75

3900052 MR DORSAL SP W/WO CONTRAS $2,981.25

3900059 MR FACE/NECK/ORBITS W $2,416.75

3900060 MR FACE/NECK/ORBITS W/O $2,383.50

3900061 MR FACE/NECK/ORBITS W/WO $2,693.25

3900070 MR HEART FOR MORPHOLOGY W/O $2,383.50

3900079 MR LOWER EXTREMITY WITH CONTRAST RT $2,435.00

3900080 MR LOWER EXTREMITY WO RT $2,284.00

3900081 MR LOWER EXTREMITY WWO RT $2,971.00

3900082 MR UPPER JOINT LIMITED WO RT $1,226.25

3900083 MR LOWER JOINT LIMITED WO RT $1,226.25

3900084 MR LOWER JOINTS W/CONTRAST RT $2,435.75

3900085 MR LOWER JOINTS WO CONTRAST RT $2,141.00

3900086 MR LOWER JOINTS W/WO CONTRAST RT $2,971.00

3900087 MR LUMBAR SP W/O $2,830.50

3900088 MR LUMBAR SP W/CONTRAST $3,178.00

3900089 MR LUMBAR SP W/WO CONTRAS $3,778.50

3900090 MR LUMBAR LIMITED $1,226.25

39001159 MR MRA BRAIN LIMIT SAME DAY AS MRI BRAIN $1,657.75

3900120 MR PELVIS $2,538.25

3900121 MR PELVIS W/WO CONTRAST $3,059.75

3900148 MR UPPER JOINTS W/WO CONTRAST RT $2,971.00

3900149 MR UPPER JOINTS W CONTRAST RT $2,435.75

3900150 MR UPPER EXTREMITY W/WO RT $2,971.00

3900151 MR UPPER JOINTS WO CONTRAST RT $2,220.50

3900152 MR MRV LIMITED $2,213.00

3900153 MR MRA BRAIN W/WO CONTRAST $3,039.00

3900154 MR MRA BRAIN W/CONTRAST $2,743.25

3900155 MR MRA BRAIN W/O CONTRAST $2,670.75

3900156 MR MRA NECK W/WO CONTRAST $2,702.25

3900157 MR MRA NECK W/CONTRAST $2,670.75

3900158 MR MRA NECK W/O CONTRAST $2,372.00

3900159 MR MRA BRAIN LIMITED $2,213.00

3900160 MRA RENAL ARTERIES W/CONTRAST $2,670.75

3900161 MRA RENAL ARTERIES W/O CONTRAST $2,370.75

3900162 MR MRCP ABDOMEN WO $2,383.50

3900163 MR UPPER EXTREMITY WO RT $2,617.25

3900164 MR UPPER EXTREMITY WITH RT $2,739.50

3900178 MR LOWER EXTREMITY LIMITED WO $1,226.25

3900179 MR LOWER EXTREMITY WITH CONTRAST LT $2,435.00

3900180 MR LOWER EXTREMITY WO LT $2,284.00

3900181 MR LOWER EXTREMITY WWO LT $2,971.00

3900182 MR UPPER JOINT LIMITED WO LT $1,226.25

3900183 MR LOWER JOINT LIMITED WO LT $1,226.25

3900184 MR LOWER JOINTS W/CONTRAST LT $2,435.75

3900185 MR LOWER JOINTS WO CONTRAST LT $2,141.00

3900186 MR LOWER JOINTS W/WO CONTRAST LT $2,971.00

3900216 OPTISTAR LE MULTIPAK $59.25

3900219 OMNISCAN 15 ML $155.50

3900220 OMNISCAN 20 ML 650 J / 287MG $204.00

3900248 MR UPPER JOINTS W/WO CONTRAST LT $2,971.00

3900249 MR UPPER JOINTS W CONTRAST LT $2,435.75

3900250 MR UPPER EXTREMITY W/WO LT $2,971.00

3900251 MR UPPER JOINTS WO CONTRAST LT $2,220.50

3900263 MR UPPER EXTREMITY WO LT $2,616.50

3900264 MR UPPER EXTREMITY WITH LT $2,739.50

3900336 MULTIHANCE 20ML $221.25

3901089 MR LUMBAR SP W/WO CONTRAST LIMITED $1,724.75

3901159 MR MRA BRAIN LIMIT SAME DAY AS MRI BRAIN $1,657.75

4000000 CT 3D RECON $186.25

4000200 CT COLONOSCOPY SCREENING $2,154.50

4000201 CT COLONOSCOPY DX W/O CONTRAST $2,263.25

4000202 CT COLONOSCOPY DX W CONTRAST $2,370.25

4000203 CT ABSCESS WITH DRAINAGE $4,678.50

4000204 CT GUIDED LUMBAR PUNCTURE $2,288.00

4000300 CT CTA HEAD $2,138.25

4000305 CT CTA NECK $2,138.25

4000350 CT ABD/PELVIS WO $3,879.00

4000351 CT ABD/PELVIS W $4,309.75

4000352 CT ABD/PELVIS WWO $5,028.50

4000400 CT AORTA/ABD $2,484.00

4000450 CT HEAD SCAN W/O CONTRAST $1,904.75

4000460 CT HEAD SCAN WITH CONTRAST M $2,150.75

4000470 CT HEAD SCAN W/WO CONTRAST M $2,400.50

4000480 CT ORBIT SCAN W/O CONTRAST M $1,745.00

4000481 CT ORBIT SCAN W/CONTRAST MED $1,951.00

4000482 CT ORBIT SCAN W/WO CONTRAST MEDIA $2,381.25

4000484 CT MASTOID CT W/O CONTR RT $1,745.00

4000485 CT PELVIS CT W/O CONTRAST $1,903.00

4000486 CT MAXILLOFACIAL WO CONTRAST $1,485.00

4000487 CT MAXILLOFACIAL W/CONTRAST $1,701.50

4000488 CT MAXILLOFACIAL W/WO CONTRA $1,870.00

4000489 CT SINUS $1,698.75

4000490 CT NECK SCAN W/O CONTRAST ME $1,595.25

4000491 CT NECK SCAN W/CONTRAST MEDI $2,265.50

4000492 CT NECK W/WO CONTRAST MEDIA $2,386.75

4000703 LOWER EXT W/CONTRAST BILATERAL $1,926.50

4001250 CT CHEST SCAN W/O CONTRAST M $2,128.75

4001251 CT LIMITED CHEST W/O $1,355.50

4001252 CT LOW DOSE LUNG SCREEN $328.75

4001260 CT CHEST SCAN W/CONTRAST MED $2,378.50

4001261 CT CHEST HI RESOLUTION $1,355.50

4001270 CT CHEST W/WO CONTRAST MEDIA $3,013.25

4001271 CT CHEST PE / ANGIO $3,625.00

4002123 CT UNLISTED PAIN INJ/NERV SYS $818.50

4002124 CT C/T SPINE ESI INJECTION $643.25

4002125 CT CERVICAL SPINE W/O CONTRA $2,254.75

4002126 CT CERVICAL SPINE W/CONTRAST $2,339.50

4002127 CT CERVICAL SPINE W/WO CONTR $2,395.00

4002128 CT THORACIC SPINE W/O CONTRA $1,890.00

4002129 CT THORACIC SPINE W/CONTRAST $2,057.75

4002130 CT THORACIC SPINE W/WO C M $2,243.75

4002131 CT LUMBAR SPINE W/O CONTRAST $1,913.00

4002132 CT LUMBAR SPINE W/CONTRAST M $2,243.75

4002133 CT LUMBAR SPINE W&W/O CONTRA $2,243.75

4002134 CT L SPINE ESI $794.75

4002135 CT L SPINE ESI ADD'L LEVELS $694.75

4002136 CT PIRIFORMIS INJ $794.75

4002192 CT LOWER ABD & PELVIC WO CON $2,055.50

4002193 CT LOWER ABD & PEL W/CONTRAS $2,414.75

4002194 CT LOWER ABD&PEL W/WO CONTRA $2,770.50

4003200 CT UPPER EXT W/O CONTRAST RT $1,713.00

4003201 CT UPPER EXT W/CONTRAST RT $1,941.00

4003202 CT UPPER EXT W/WO CONTR RT $2,198.50

4003700 CT LOWER EXT W/O CONTRAST RT $1,632.75

4003701 CT LOWER EXT W/CONTRAST RT $1,870.00

4003702 CT LOWER EXT W/WO CONTR RT $1,779.25

4004149 CT KIDNEY STONE RUN $3,879.00

4004150 CT UPPER ABD W/O CONTRAST ME $2,055.50

4004160 CT UPPER ABD W/CONTRAST MEDI $2,414.75

4004165 CT DUAL PHASE ABDOMEN $2,308.50

4004170 CT UPPER ABD W/WO CONTRAST M $2,770.50

4006360 CT PELVIMETRY $676.25

4006361 CT NEEDLE GUIDANCE $2,357.25

4006362 CT LOCALIZED $676.25

4006363 CT SI JOINT INJ $2,054.75

4006364 CT HEAD-INNER EAR W/O CONTRA $1,745.00

4006365 CT HEAD-INNER EAR W/CONTRAST $1,951.00

4006366 CT GUIDANCE-CYST ASPIRATI $758.50

4006367 CT HEAD-INNER EAR W/WO CONTR $2,381.25

4006375 CT ADDITIONAL SLICES $520.25

4006500 CT MASTOID CT W/O CONTR LT $1,745.00

4006510 CT UPPER EXT W/O CONTRAST LT $1,713.00

4006520 CT UPPER EXT W/CONTRAST LT $1,941.00

4006530 CT UPPER EXT W/WO CONTR LT $2,198.50

4006540 CT LOWER EXT W/O CONTRAST LT $1,632.75

4006550 CT LOWER EXT W/CONTRAST LT $1,870.00

4006560 CT LOWER EXT W/WO CONTR LT $1,779.25

4006571 CT ANGIOGRAPHY ABDOMEN $3,196.75

4006572 CT ANGIOGRAPHY ABDOMEN/PELVIS $3,196.75

4100001 FDG 17 mCi $760.00

4100008 WHOLE BODY EVALUATION IMAGING $5,706.25

4100009 SKULL BASE-MID THIGH EVALUATION IMAGING $5,706.25

4100010 SOLITARY PULMONARY NODULE $5,706.25

4100020 LUNG-DIAGNOSIS $5,706.25

4100021 LUNG-STAGING $5,706.25

4100022 LUNG-RESTAGING $5,706.25

4100030 COLORECTAL-DIAGNOSIS $5,706.25

4100031 COLORECTAL-STAGING $5,706.25

4100032 COLORECTAL-RESTAGING $5,706.25

4100040 MELANOMA-DIAGNOSIS $5,706.25

4100041 MELANOMA-STAGING $5,706.25

4100042 MELANOMA-RESTAGING $5,706.25

4100050 LYMPHOMA-DIAGNOSIS $5,706.25

4100051 LYMPHOMA-STAGING $5,706.25

4100052 LYMPHOMA-RESTAGING $5,706.25

4100060 HEAD AND NECK-DIAGNOSIS $5,706.25

4100061 HEAD AND NECK-STAGING $5,706.25

4100062 HEAD AND NECK-RESTAGING $5,706.25

4100070 ESOPHAGEAL-DIAGNOSIS $5,706.25

4100071 ESOPHAGEAL-STAGING $5,706.25

4100072 ESOPHAGEAL-RESTAGING $5,706.25

4100080 BREAST-STAGING OR RESTAGING $5,706.25

4100081 BREAST-MONITORING TUMOR RESPONSE $5,706.25

4100090 THYROID -RESTAGING $5,706.25

4100100 REFRACTORY SEIZURES $5,706.25

4100110 MYOCARDIAL VIABILITY -INCONCLUSIVE $5,706.25

4100111 MYOCARDIAL VIABILITY W/O REVASCULARIZATI $5,706.25

4100200 TUMOR IMAGING, METABOLIC EVALUATION $5,706.25

4100300 ALZHEIMERS DISEASE $5,706.25

4200010 US HYSTEROSONOGRAM $506.25

4200011 HYSTEROSONOGRAM CATHETERIZATION $133.25

4200038 US TRANSCRANIAL DOPPLER $398.00

4200041 US ARTERIAL SEG LOW/EXER $876.25

4200042 US ARTERIAL SEGMENTAL UPPE $606.00

4200043 US ARTERIAL SEGMENTAL LOWE $674.50

4200051 US FISTULA/DIALYSIS $785.75

4200052 US VENOUS MAPPING $1,057.25

4200096 US CLIP PLACEMENT SOFT TISSUE 2ND LESION $181.75

4200097 US CLIP PLACEMENT SOFT TISSUE 1ST LESION $181.75

4200098 ENDOCAVITY NDL GUIDE KIT w/ COVER $48.25

4200099 US ASPIRATION ABCESS CYST $323.75

4200100 US FINE NEEDLE ASPIRATION 1ST LESION $243.00

4200101 US CYST ASPIRATION-BREAST $234.50

4200102 US CYST ASPIRATION-BREAST SUB $56.50

4200103 US BREAST NEEDLE LOC ADD'L LOC $1,850.00

4200104 US BREAST NEEDLE LOC $1,720.75

4200105 US CLIP PLACEMENT BREAST $181.75

4200106 US BX SALIVARY GLAND $199.00

4200107 US BX LIVER $1,036.25

4200108 US PARACENTESIS-INITIAL $1,134.00

4200109 US PARACENTESIS-SUBSEQUENT $269.25

4200110 US BX THYROID $314.50

4200111 US HIPS-INFANT BIL $447.75

4200112 US HIPS-INFANT LIMITED $323.75

4200113 US BX PERCUT ABD/RETRO MASS $893.50

4200114 US BX SOFT TISSUE UPPER ARM $358.00

4200115 US BX LYMPH NODE CORE $1,118.00

4200116 US BX SOFT TISSUE NECK THORAX $358.00

4200117 US BX SOFT TISSUE MUSCLE $790.50

4200118 US FINE NDL ASPIRATION EACH ADD'L LESION $231.75

4200166 US ARTERIAL LOWER RT $746.50

4200178 US ANKLE ARM INDEX/EXERCISE $798.75

4200179 US ANKLE ARM INDEX $512.50

4200180 US ABDOMEN / GALLBLADDER $762.25

4200181 US GUIDANCE/AMNIOCENTESIS $282.00

4200182 US AAA SCREENING $519.75

4200184 US AORTA $519.75

4200185 US SOFT TISSUE EXTREMITY/SPINE $427.25

4200186 US SOFT TISSUE EXT RT LMTD $427.25

4200187 US BIO PROFILE WITH NONSTRES $385.00

4200188 US OB LIMITED $405.00

4200189 BIO PROFILE W/O NONSTRESS $385.00

4200190 US ABDOMEN LIMITED $523.75

4200191 US SOFT TISSUES $427.25

4200193 US CHEST $495.00

4200194 US KIDNEY $519.75

4200200 US INTRAOPERATIVE $643.50

4200202 US PELVIS $620.25

4200203 US BX PROSTATE $858.25

4200210 US NEONATAL HEAD $419.75

4200220 US CAROTID DUPLEX SCAN $1,229.25

4200221 US CAROTID DUPLEX LIMITED $648.25

4200225 US VENOUS BILATERAL LOWER EXT $1,518.25

4200226 US RETROPERITONEUM-COMPLETE $674.50

4200230 US VENOUS LEFT LEG $975.75

4200231 US VENOUS RIGHT LEG $975.75

4200238 US VENOUS BILAT UPPER EXT $1,518.25

4200239 US VENOUS RIGHT ARM $834.00

4200240 US VENOUS LEFT ARM $834.00

4200245 US PIC LINE PLACEMENT / VASCULAR ACCESS $750.25

4200250 US OB $571.25

4200251 US OB MULTI GESTATION $241.25

4200252 US OB < 14 WEEKS $405.00

4200253 US OB MULTI < 14 WEEKS $205.00

4200254 US OB FOLLOW UP $405.00

4200255 US OB TRANSVAGINAL $400.00

4200260 US THYROID /SOFT TISSUE HEAD & NECK $440.75

4200265 US TESTICLES $496.50

4200266 US ARTERIAL LOWER LT $746.50

4200267 US ARTERIAL BILAT LEGS $1,087.75

4200268 US BREAST LIMITED LT $335.00

4200269 US BREAST LIMITED RT $335.00

4200271 US ARTERIAL LT UPPER EXT $648.25

4200272 US GUIDANCE/NEEDLE $614.50

4200273 US THORACENTESIS $1,080.25

4200274 US ARTERIAL BILAT UPPER EXTREMITIES $1,087.75

4200275 US ARTERIAL RT UPPER EXT $648.25

4200276 US BREAST BX FIRST LESION $2,870.00

4200277 US BREAST BX ADD'L LESION $1,238.25

4200280 US TRANSVAGINAL GYN $477.00

4200282 US TRANSRECTAL $564.75

4200283 US GUIDANCE/NEEDLE RT $614.50

4200284 US GUIDANCE/NEEDLE LT $614.50

4200286 US SOFT TISSUE EXT LT LMTD $427.25

4200300 US OB SCREEN PHYS $121.00

4200301 US PELVIS LIMITED OR FUP $212.00

4200304 US ABDOMINAL DUPLEX LOWER $872.50

4200305 US ABDOMINAL DOPPLER LIMITED $802.25

4200306 US BREAST COMPLETE LT $401.75

4200307 US BREAST COMPLETE RT $401.75

4400050 NM TILMANOCEPT/LYMPHOSEEK $705.50

4400051 NM TC99M 1-5 MCI $45.25

4400052 NM TC99M 6-10 MCI $134.25

4400053 NM TC99M 11-30 MCI $216.25

4400054 NM ULTRA TAG $275.75

4400055 MIRALUMA $176.50

4400056 NM SULFUR COLLOID 200 uCi FILTERED $1,061.00

4400057 NM MEDRONATE-MDP 15-25 MCI $248.75

4400058 NM SULFUR COLLOID 3-6 MCI $497.50

4400059 NM OXIDRONATE-HDP 15-25 MCI $238.00

4400060 NM PENETATE-DTPA 15 MCI $134.25

4400061 NM MACROAGGRAEGATED 4 MCI $216.25

4400062 NM MAG-3 10 MCI $419.75

4400063 NM XE-133 20 MCI $164.50

4400064 NM CHOLOTEC TC99M 0-5MCI $216.25

4400065 PERSANTINE 10MGM# $216.25

4400066 DOBUTREX 20CC 250MG $209.25

4400067 NM HEPATOLITE 5-8MCI $134.25

4400071 NM SODIUM PERTECHNETATE 1-15 mCi $130.50

4400072 NM I 123UCI 400MCI $375.50

4400098 NM THYROID(PARA)-WITH SPECT $591.75

4400099 NM THYROID(PARA)-PLANAR ONLY $536.75

4400100 NM THYROID IMAGING ONLY $536.75

4400101 NM LIVER IMAGING (SPECT) $1,393.00

4400102 NM LIVER/SPLEEN-STATIC ONLY $1,011.25

4400103 NM HEP/BIL WITH EF $2,036.00

4400104 NM BONE LIMITED AREA $1,008.75

4400105 NM BONE MULTIPLE AREAS $1,554.00

4400106 NM BONE THREE PHASE STUDY $1,745.00

4400107 NM BONE TOMOGRAPHIC (SPECT)-JT $1,355.50

4400108 NM LYMPH SYSTEM IMAGING $1,380.75

4400109 NM LUNG PERFUSION $1,142.75

4400110 NM LUNG VENT MULTI $851.75

4400111 NM RENAL W/VASC FLOW & FUNC $1,308.75

4400112 NM TESTICULAR IMAGING $841.50

4400113 NM VENOUS THROMBUS IMAGE PE $895.25

4400114 NM MUGA $1,444.00

4400115 NM ACUTE GASTRO BLD LOSS IMA $1,015.50

4400116 NM GASTRIC EMPTYING $1,702.00

4400118 NM MECKELS DIVER $1,033.25

4400119 NM THYROID UPTAKE ONLY/SINGLE OR MULTI $361.75

4400120 NM BREAST IMAGING UNI $1,306.00

4400122 NM BREAST IMAGING BIL $1,306.00

4400123 NM LIVER/SPLEEN SCAN W/VASC $1,472.50

4400124 NM LIVER IMAGING W/SPECT HEMANGIOMA $1,393.00

4400125 ENEMA RETENTION TIP $37.50

4400126 NM LIVER IMAG W/VASC FLOW $1,472.50

4400127 NM RENAL W/VASC FLOW & FUNCT W/PHARM $1,306.00

4400128 NM HEP/BIL IMAGING ONLY $1,492.00

4600000 COMPOSITE RATE $587.25

4600098 ADMINISTRATION (PNEUMOCOCCAL VACCINE) $34.75

4600099 ADMINISTRATION (HEPATITIS B VACCINE) $34.75

4600171 BLOOD SECONDARY SET $13.75

4601000 ADMINISTRATION (INFLUENZA VACCINE) $34.75

4601002 ALTEPLASE 2MG INJ $446.25

4601004 ANCEF 1 GM INJ $32.25

4601010 LEVOCARNITINE 1 GM/5ML/AMP $200.25

4601022 HECTORAL 4MCG/2ML INJ $98.00

4601024 HEPATITIS B VACCINE 40MCG/2ML-4 DOSE $474.25

4601028 INFLUENZA VACCINE-SPLIT VIRUS 0.5ML $29.00

4601033 PNEUMONOCOCCAL VACCINE-ADULT $341.75

4601045 ZOFRAN 1MG $33.25

4601046 ROCEPHIN 250 MG $32.25

4601047 VANCOMYCIN 500 MG VIAL $57.00

4601048 VENOFER 100MG/5ML $314.50

4601051 ZEMPLAR 1MCG DOSE $38.25

4601055 SYRINGE 10CC $6.25

4601063 HECTORAL 2MCG/2ML INJ $48.75

4601069 VENOFER 50MG/2.5ML $187.00

4601070 ARANESP (DARBEPOETIN) 10MCG/1ml $355.75

4601071 ARANESP (DARBEPOETIN) 40MCG/1ml $693.75

4601072 ARANESP (DARBEPOETIN) 60MCG/1ml $1,040.25





4601077 ARANESP (DARBEPOETIN) 25MCG/1ML $433.75

4601080 COMPAZINE 10MG/2ML $164.25

4601082 PARSABIV 2.5 MG $14.75

4601084 PARSABIV 5 MG $10.75

4601086 PARSABIV 10 MG $10.25

4601090 SENSIPAR/CINACALCET 30MG $34.75



4602001 3 CC SYRINGE $6.25

4602003 ARANESP SYRINGE $6.25

4602004 PLUM TUBING W/CLAVE $52.75

4602005 PRIMARY IV SET $46.75


4682108 ALUMINUM $210.00


4682310 CALCIUM BLOOD $57.75


4682374 CARBON DIOXIDE $63.25

4682379 CARNITINE TOT & FREE $148.25

4682435 CHLORIDE-BLOOD $57.75

4682565 CREATININE-SERUM $57.75


4682575 CREATININE CLEARANCE $115.50

4682607 VITAMIN B-12 $136.75

4682728 FERRITIN $124.00

4682746 FOLATE $134.25

4682947 GLUCOSE SERUM $52.75

4683036 HEMOGLOBIN A1C-BORON AFFINITY $115.50

4683540 IRON TOTAL SERUM $70.75

4683735 MAGNESIUM $78.00

4683970 *PARATHYROID HORMONE ASSY $130.00

4684075 ALKALINE PHOSPHATASE $63.25

4684100 PHOSPHORUS $49.25

4684132 POTASSIUM SERUM $58.75

4684134 PREALBUMIN $105.00

4684295 SODIUM BLOOD $58.75

4684450 AST $63.25

4684460 ALT $58.75

4684466 TRANSFERRIN $135.50

4684520 BUN $55.00

4684540 BUN URINE $52.00

4685018 HEMOGLOBIN, ROUTINE $43.25

4685027 CBC HEMOGRAM $78.00

4686704 HEPATITIS B CORE TOTAL AB $108.00

4686705 HEPATITIS B-IGM CORE AB $116.75

4686706 HEP B SURFACE ANTIBODY $126.50

4686803 HEPATITIS C ANTIBODY $42.75

4687340 HEP B SURFACE ANTIGEN $100.75

4687342 INFLUENZA VACCINE FLULAVAL 2019-2020 $46.75

4800001 PSG SLEEP STUDY NOT COMPLETED $518.25

4800002 SLEEP STUDY HOME BASED $736.75

4800006 SLEEP STUDY WO TECH $3,140.25

4800007 SLEEP STUDY WITH TECH $3,140.25

4800008 PSG W/1-3 ADDL PARAMETERS $3,140.25

4800010 PSG W/4 ADDL PARAMETERS $3,404.25

4800011 PSG W/4 ADDL PARAM W CPAP $3,140.25

4800020 PSG CPAP TITRATION $3,843.25

4800030 NPT $3,140.25

4800040 MULTIPLE SLEEP LATENCY $2,429.00

4800200 PHYSICIAN INTERP MSL $534.25

4800212 PHYS INTER SLEEP STUDY $547.50

4800300 SLEEP STUDY, UNATTENDED $72.50

4800301 POLYSOM W 4 OR MORE PARAMETERS $194.50

4800302 POLYSOM W INITIATION OF CPAP $202.00

5100007 OB PACK CUSTOM 3654.4 $93.75

5100012 PACK LITHOTOMY OB 29920 $93.75

5100029 VACUUM EXTRACTOR - ULTRA CUP $82.25

5100036 PNEUMOTHORAX KIT SUPPLIES $23.00

5100061 BABY U-BAG-STERILE 7515 $8.50

5100066 BREAST PUMP KIT/UNIVERSAL 67340S $74.50

5100067 BREAST PUMP-INSTYLE 5706303 $336.75

5100069 BREAST PUMP-INSTYLE / BACK PACK $336.75

5100070 KIWI OMNICUP wTRACTION INDICATOR 60000MT $93.25

5100191 AMNIOINFUSION SUPPLY PACK $228.50

5100388 VITAL SIGN MONITOR / DAILY - NURSY $98.50

5100409 FETAL SCALP ELECTRODE $3.25

5100456 BATH SITZ HYGENIQUE KIT SZ8C $52.75

5100503 IU PRESSURE CATH $68.25

5100601 VAGINAL BIRTH SUPPLY KIT $370.00

5100602 VAGINAL APPLICATOR VAGAP100 $13.75

5100644 CESAREAN SUPP/EQUIP PACK $465.75

5100900 VAGINAL RETRACTOR $92.75

5101007 VAC EXTRACTOR/DEL FORCEPS $120.00

5109451 HEARING SCREEN SUPPLIES 040546 $136.50

5109452 CONGENITAL HEART DISEASE SCREENING (CHD) $136.50

5200100 MNT-INITAL IND X 15 MIN $42.00

5200150 MNT-RE-EVAL IND X 15 MIN $42.00

5200200 MNT-GROUP X 30 MINUTES $50.00

5200325 DIETARY CONSULT PER H $87.50

5200326 DIETARY CONS PER 1/2 $54.25

5400001 DRSG TEGADERM XS $1.00

5400002 AEROCHAMBER - w/o MASK (BLUE) $85.50

5400003 AEROCHAMBER w/MASK-PEDI 78710 $85.50

5400004 ABDOMINAL BINDER 10 - MALE / XL $92.25

5400005 ABDOMINAL BINDER PREMIUM SIZE63-74 83000 $92.25

5400006 ABDUCTION PILLOW SMALL (UNIVERSAL ) $141.00

5400007 ABDOMINAL BINDER 10 - MALE / LARGE $92.25

5400008 ABDOMINAL BINDER 12 46 - 62 82000 $92.25

5400010 ABDOMINAL BINDER 12 30 - 45 81000 $92.25

5400011 OCCULT BLOOD-FECES(NURSING) $39.00

5400012 OCCULT BLD OTHER SOURCES(NURSING) $39.00

5400013 ABDOMINAL BINDER / 3-PANEL 30 -45 $86.75

5400016 ABD PADDING 5X9 9190A $10.00

5400018 ABD PADDING 8X10 9194A $10.00

5400020 ACTIVE LIFE 1 1/4 22766 $27.75

5400021 ACTIVE-LIFE/FLEXIBLE 022771 $27.00

5400022 ACAPELLA DM W/ MOUTHPIECE - BLUE $120.50

5400025 ACTICOAT FLEX 4 x 8 $52.75

5400026 DRSG B $20.75

5400027 DRSG E $66.50

5400028 ACETIC ACID .25% 614309 $32.25

5400029 ACTICOAT BURN DRSG 4X8 SILVER 20201 $52.75

5400031 ACTICOAT ALGINATE 4 x 5 ABSORBANT 20381 $59.25

5400032 INTEGRA - DERMAL REGEN TEMPLATE / 2 X2 $2,602.00

5400033 ALGICELL - CALCIUM ALGINATE DRSG 4 x 4 $11.50

5400034 DRSG B $13.25

5400035 HIGH TIDE WALKER $156.75

5400036 THERABOND 4x4 3DAC44 $23.00

5400037 THERABOND 4x8 3DAC48 $32.25

5400038 THERABOND 16X16 3DAC1616 $147.75

5400039 GASTROSTOMY TUBE 16FR $130.00

5400040 ADAPTIC DRESSING 3X3 2012 $10.00

5400041 E T TUBE 2 UNCUFFED 43158020 $31.00

5400042 ADAPTIC DRESSING 3X8 2013 $10.00

5400043 NDL TUOHY EPIDURAL 18GX6 $33.75

5400045 AIR CAST LEFT $154.75

5400047 AIR CAST $93.75

5400048 AIR CAST $93.75

5400049 CRYO KNEE CUFF/MEDIUM $280.00

5400051 AIR SPLINT - HAND & WRIST $105.00

5400052 AIR SPLINT FOOT & ANKLE $130.00

5400053 AIR SPLINT - HALF LEG $46.25

5400055 AIR SPLINT FULL ARM $146.75

5400057 AIR SPLINT - HALF ARM $115.50

5400058 ALLEVYN SACRUM 8x6 3/4 66800898 $25.50

5400059 ALLEVYN 6x6 non adhesive/foam 2009 $25.50

5400060 ALLEVYN 5 x 5 66020044 $17.25

5400061 AIR SPLINT - FULL LEG $186.25

5400062 ALLEVYN 3 x 3 66020043 $12.25

5400063 ALGER BRUSH BURR AB0510 $23.00

5400064 ANASCOPE DISP SU35 $16.25

5400065 ALLEVYN 4 X 4 $23.00

5400066 ANTI-REFLUX VALVE 266197 $46.25

5400067 ANKLE STABILIZER-SMALL AB2900-12 $46.75

5400068 CATH POWER PICC B $307.25

5400070 CATH POWER PICC D $368.50

5400071 FILTER IVC $2,648.25

5400072 AQUACEL 4 X 4 / 177902 $22.00

5400073 AEROSOL MASK $27.00

5400076 DRSG AQUACEL AG 4 X 4.5 $44.50

5400077 ARM SLING FASHION SMALL 800102 $58.75

5400078 ARM SLING STRAP-SM 800602 $61.00

5400079 DRSG AQUACEL AG RIBBON .38 X 18' $50.50

5400080 ARTERIAL LINE RADIAL AK04018 $50.50

5400081 ARTERY SET/FEMEROL FA 04018 $62.25

5400082 DRSG AQUACEL 6 X 6 $31.50

5400083 ATHLETIC SUPPORT MED $52.00

5400085 RADIAL ARTERY CATH SET RA04020 $46.25

5400086 PICC LINE POWER PICC 5FR DUAL LUMEN 5108 $419.25

5400087 PICC REPAIR KIT 5FR $256.00

5400088 MICROINTRODUCER KIT 5 FR x 5cm $102.00

5400089 SAFETY EXCALIBUR 5fr x 15ga 4035413 $79.50

5400090 ANKLE STIRRUP AIR SMALL AB2361-00 $93.75

5400091 ANKLE STIRRUP AIR STANDARD AB2360-00 $93.75

5400092 ANKLE STIRRUP AIR PEDI AB2362-00 $93.75

5400093 GUARDIVA DISK $12.25

5400101 BLANKET BAIR HUGGER 31500 $159.75

5400109 CPAP HEAD GEAR $24.50

5400110 MASTISOL - 4 OZ $16.25

5400112 BENIFLEX FILLER & FEEDER $22.00

5400114 BILE BAG 0015850 $67.75

5400115 CPAP MASK DISPOSABLE - SMALL $46.25

5400116 BILI LIGHT / DAILY $147.25

5400117 BIOPSY INST $161.75

5400119 BIOPSY INST MONOPTY 14 x 10 $161.75

5400120 SPHENOCATH $199.25

5400121 NASAL ATOMIZATION DEVICE $19.25

5400124 PLEURX DRAINAGE KIT 1000 ML BOTTLE $128.50

5400126 BREAST PADS 2630 $16.75

5400127 PLEURX PLEURAL CATHETER KIT $1,018.50

5400128 BREAST PADS/MEDELA $16.75

5400130 NDL BIOPSY TEMNO 20 X 15 $199.75

5400131 LARYNGOSCOPE BLADE $27.00

5400134 EAR BULB SYRINGE 4172 $11.00

5400135 BUTTON KIT $362.25

5400136 BREAST TISSUE MKR GELMARK ULTCORE 005SS $164.00

5400137 SUCTION CANNISTER LINERS CRD 65651510 $29.75

5400142 FINGER TRAP-SINGLE-SMALL $74.50

5400143 FINGER TRAP-SINGLE-MEDIUM $74.50

5400144 FINGER TRAP-SINGLE-LG $74.50

5400145 FINGER TRAP-SINGLE-XLG $74.50

5400146 LAP BAND PORT NEEDLE 20 x 2 B-20302-10 $22.50

5400147 LAP BAND PORT NEEDLE 20 x 3.5 B-20301-1 $22.50

5400151 CAST SMALL $59.50

5400152 CAST CHILD-SHORT $123.00

5400153 CAST CHILD-LONG $146.25

5400154 CAST ADULT-SHORT $167.00

5400155 CAST ADULT-LONG $263.75

5400157 EAKIN FISTULA & POUCH 4.3 x 3.0 $50.50

5400158 CAST REINFORCEMENT $42.75

5400159 CAST/THUMB SPLINT $42.75

5400160 EAKIN FISTULA / WOUND POUCH $78.00

5400161 EAKIN FISTULA POUCH / OPEN TOP $78.00

5400164 NDL BIOPSY TEMO 18 X 20 $199.75

5400165 ULTRA THIN NEEDLE GUIDE 19UT 5.0 193438 $41.00

5400166 ULTRA THIN NDL GUIDE 19UT 10.0 169975 $39.50

5400167 ELBOW SLEEVE MED NE7728-73 $43.25

5400168 BIOPSY NEEDLE 20x20 MAX CORE -MONOPTY $116.75

5400169 DRAIN POUCH/WAFER COMBO 4 $26.00

5400170 CAST - WINDOWED $83.00

5400172 CAST CUSHION-ADULT $11.50

5400174 SCOTCH CAST 4 X 15 (ONESTEP) $46.75

5400175 SCOTCH CAST 4 X 30 (ONESTEP) $74.50

5400177 CARDIO/RESP MONITOR $256.50

5400178 WOUND VAC RENTAL DAILY $104.75

5400179 CARDIO-RESP MONITOR/SHORT $120.00

5400180 WAFER 4 CONVATEC USE WITH 401515 $26.00

5400181 POUCH 4 CONVATEC USE W 401906 $26.00

5400184 CATHETER CLAMP 3084DZ $16.75

5400185 CATH TUBE HOLDER 1789316 $13.00

5400190 FEMALE CATH KIT 0035380 $18.25

5400193 NEW IMAGE DRAINABLE POUCH-LOCK & ROLL $11.50

5400194 NEW IMAGE DRAINABLE POUCH -LOCK & ROLL $11.50

5400196 CATH/EMMET 22FR 30CC $69.00

5400198 CATHETER-FOLEY 3 WAY 18/5 $62.75

5400200 CATHETER-FOLEY 22 W/BAG $66.75

5400202 CATH-FOLEY 12fr/5cc / SILICONE COATED $23.00

5400203 SAMPLING SET NIV LINE ADULT 178174 $37.25

5400204 FILTER LINE SET 174620 $27.25

5400205 CATH FOLEY 16 5 ALL SILICONE 165816 $23.00

5400207 CATH-FOLEY 16FR-5CC 0165L16 $27.00

5400208 CATH 8FR STRAIGHT LATEX FREE 192501 $11.00

5400209 CATHETER GUIDE / INTRODUCER $29.75

5400211 CATH-FOLEY 18fr/30 ALL SILICONE $15.25

5400212 EASY CAP II $37.50

5400216 PACING CATHETER KIT $273.75

5400217 CATH TRAY 16FR INFECTION CONTROL 900116 $44.00

5400218 CATHETER PLUGS KC1600 $17.25

5400219 CATH TRAY 16FR METERED INFECTION 903116 $56.25

5400220 CATHETER-SUBCLAVIN $89.50

5400223 SUCTION CATH KIT 14F 37425 $12.25

5400224 SUCTION CATH 8FR 30820 $9.50

5400225 SUCTION CATHETER KIT 18fr / 37725 $12.25

5400226 CATH/EXTERNAL MALE $19.50

5400228 CATHETER-TROCAR 10 fr $89.50

5400229 UMBILICAL CATHETER 5FR 160341 $87.75

5400230 UMBILICAL CATHETER 3.5FR 160358 $87.75

5400232 CATHETER-VERSI $12.25

5400234 CAUTERY OPTHALMIC $58.75

5400242 CENTRAL VENOUS PRESS $375.00

5400243 CENTRAL VENOUS-MULTI AK14703 $375.00

5400245 CERVICAL COLLAR SM 83503S $62.75

5400246 CERVICAL COLLAR STIFF ADULT 1044-31 $164.00

5400250 CENTRAL/PICC LINE DRSG CHG KIT $31.00

5400257 ELBOW SLEEVE XLG NE7728-75 $43.25

5400261 MULTIPURP DRAIN CATH SET/8FR(PIGTAIL) $473.75

5400262 MULTIPURPOSE DRAIN PIGTAIL CATHETER 12f $225.50

5400263 CLIPPER BLADE $16.25

5400265 SPECIALTY BED $234.50

5400267 SURGICAL CLIPPER PIVOT BLADE 9660 $17.75

5400272 COLOSTOMY BAG CLAMP 8770 $20.00

5400273 COLOR WRAP $10.00

5400275 DRAIN BAG $30.25

5400276 COLOSTOMY SURFIT 1 3/4 FLANGE 413174 $3.25

5400277 IRRIG SLEEVE 1 3/4 18152 $45.25

5400278 COLLUM SPLINT-RIGHT/X-SMALL $113.00

5400279 COLOS POUCH 1 3/4 401934 $20.00

5400280 COBAN 4 STERILE 2084S $20.00

5400281 COBAN 6 STERILE 2086S $24.50

5400285 ADAPT BARRIER STRIPS $29.75

5400286 COLOS IRRIG KIT 2 7721 $225.50

5400289 POST OP POUCH $33.00

5400291 COMPRESSED AIR/HR $17.75

5400292 CONTACT LENS REMOVER $13.75

5400297 ELASTIC WRAP 6 DOUBLE 8859 $48.75

5400300 CONNECTING TUBE-STER 0041 $10.00

5400301 EMPTY E-VAC LATEX FREE $22.00

5400310 BACK BRACE $110.50

5400316 CRUTCHES ADULT TALL LF MDSV80534 $48.75

5400317 CYSTOFLO BAG 4000ML 253509A $92.75

5400318 CATH TRAY 18FR INFECTION CONTROL 900118 $44.00

5400319 SKIN ADHESIVE $74.00

5400321 DERMABOND-PRINEO $260.50

5400322 DERMABOND-DNX12 $74.00

5400330 DISPOSE-A-BAG 150102 $41.50

5400333 DOPPLER $33.50

5400334 DISP SCRUB SET $17.75

5400335 COMFEEL PLUS ULCER DRESSING 3110 $36.00

5400337 COMFEEL PLUS CLEAR 4x4 3533 $17.25

5400339 COMBITUBE 41fr / DOUBLE LUMEN AIRWAY $168.25

5400340 COMBITUBE 37fr/ SM ADULT/DBL LUMEN AIR $168.25

5400341 TEGADERM-OVAL PAD 3587/3586 $7.75

5400343 TEGADERM 3 1/2 x 8 $9.50

5400344 CHLORAPREP 3ML 260400 $7.75

5400345 DRYTEX KNEE SLV-XLG 11-0663-5 $186.25

5400348 COLOSTOMY POUCH -CLOSED END 1 3/4 $7.25

5400349 TEGASORB 4 x 4 $70.75

5400350 TEGADERM 8X12 1629 $8.50

5400352 DUO DERM 4 X 4 CGF 187660 $22.50

5400353 DUO DERM 8X8 CGF / 1876-62 $63.75

5400354 DRESSING SET $25.00

5400355 DUO DERM CGF BORDER 187971 $16.25

5400356 DUO DERM SPOT 187932 $7.25

5400358 MESALT DRESSING RIBBON 3/4' x 39' $7.25

5400359 DUO DERM 2.5 x 2.5 187970 $13.75

5400360 ELASTIC BANDAGE 2 5912 $11.00

5400362 ELASTIC BANDAGE 3 5913 $11.00

5400364 ELASTIC BANDAGE 4 5914 $11.00

5400366 ELASTIC 4 DOUBLE 8857 $44.50

5400367 DUO DERM EXTRA THIN 4x6 ( NOT REORDER) $17.75

5400368 ELASTIC BANDAGE 6 5916 $22.50

5400371 ENDO TRACHEAL TUBE $31.00

5400375 EDEMAWEAR SMALL 22 0600001 $31.50

5400376 EDEMAWEAR MEDIUM 34 0960001 $36.50

5400377 EDEMAWEAR LARGE 24 120L001 $47.75

5400379 SKIN BARRIER FLOATING FLANGE 1 1/4-1 3/4 $13.75

5400390 EVAC SAC 5524 $20.00

5400391 FACE TENT $65.25

5400392 BTL EVAC EMPTY 500ML 161403 $17.75

5400393 BTL EVAC EMPTY 1000ML S9900-10 $23.00

5400394 TUBE RECTAL $10.00

5400395 BTL EVAC EMPTY 250ML 161402 $13.75

5400399 FELT / 1/4 / ORTHOPEDIC / ADHESIVE $7.25

5400400 FLEXIFLO TUBE 12FR 474 $84.25

5400401 TUBING FEED PUMP KANGAROO 773656 $33.00

5400402 PATROL TUBING / FOR RTH / 52040 $8.50

5400404 FEED SET KANGAROO GRAVITY $12.25

5400405 FOOT ELEVATOR 4 $22.50

5400406 FLEXIFLO COMPANION PUMP SET #88 $16.25

5400407 FOLEY CATH KIT / OB DELIVERY $182.25

5400408 FLEXIFLO ENTERAL BAG #90 $12.25

5400412 DORSAL NIGHT SPLINT SM/MED NS200020 $175.75

5400427 STOMA POUCH 1 3/4 2179 $6.75

5400430 GASTRIC LAVAGE KIT ADULT 2055 $91.50

5400432 GASTRIC LAVAGE KIT PEDIATRIC 2045 $81.00

5400433 GAUZE-ROLL STERILE $20.00

5400434 LAVAGE TUBE - ADULT 32fr 2132 $39.00

5400436 MAT PATIENT STRYKER AIR $138.00

5400440 GELOCAST UNNAS BOOT 1053 $69.00

5400442 GERIFEEDER $29.75

5400447 HYFERCATOR TIP/SHARP (7-100-8BX) $7.75

5400451 PNEUMOGRAM 4-CHANNEL $1,424.00

5400453 GROSHONG DRSG CHANGE KIT $13.75

5400454 MYRINGOTOMY KNIFE $59.00

5400459 HEAT THERAPY PAD GAYMAR $72.25

5400464 PNEUMOTHORAX VENT PROCEDURE KIT TV1310 $434.25

5400467 INTRAOSSEOUS MODULE-RED $257.75

5400468 CHIBA NEEDLE 22 x 6 408268 $33.00

5400474 IPPB CIRCUIT $41.50

5400475 OPTHALMIC BURR $56.50

5400479 HOTLINE FLUID SET $74.50

5400480 ILEOSTOMY BAG $16.25

5400482 INFANT CARDIAC APNEA MONI $50.50

5400483 INJECTION CAP 4600 $17.25

5400484 INVALID RING DYND70146 $25.00

5400486 BAND NU-GAUZE AMD 1/2 $5.00

5400487 INJECTION SITE / INTER $13.75

5400491 INTUBATION MODULE-RED $186.25

5400492 IRRIGATION TRAY 750107 $25.00

5400493 IS EQUIPMENT $85.50

5400496 ISOLATION GOWN 69190 $16.25

5400499 CENTESIS CATHETER/5 FR/10CM (DRAINAGE) $56.50

5400501 IV DELIVERY MODULE-RED $140.50

5400506 ISOLETTE DAILY $58.75

5400509 KALTOSTAT 2 X 2 $17.75

5400511 KALTOSTAT 7.5 X 12 $41.50

5400512 KARAYA GUM POWDER $36.00

5400518 KARAYA PASTE $75.00

5400522 JEJUNAL TUBE - 12 FR / MIC FEEDING TUBE $240.75

5400523 JEJUNAL TUBE - 18 FR / MIC FEEDING TUBE $240.75

5400524 KARAYA DR POUCH 2 $22.00

5400527 KERLIX FLUFF 6/PKG $13.00

5400528 KERLIX FLUFF $20.00

5400530 KERLIX ROLL 4 1/2 25865 $16.25

5400532 CHIBA BIOPSY NEEDLE 20G X 20CM 20200U $56.50

5400533 TROCAR NEEDLE 18G X 15CM DNT18150 $56.50

5400534 BIOPSY NEEDLE/FRANSEEN 20G X 20CM $56.50

5400535 WOUND VEIL - DRESSING (3 X 5 YDS) $25.00

5400536 KERLIX ROLL 3 1/2 $6.25

5400537 KERLIX LITE ROLL 3 / DISCONTINUED $5.75

5400538 WOUND VEIL DRESSING 6 X 2 YDS 5955602 $31.00

5400543 METACARPAL BRACE-SMALL $155.50

5400546 KNEE TRI-PANEL 12 $237.25

5400547 KNEE TRI-PANEL 16 $340.50

5400548 KNEE IMMOBILIZER SM 1010197 $164.00

5400549 KNEE BRACE HINGED T-SCOPE KB7000-01 $294.00

5400550 KNIFE BLADE #11 $10.00

5400551 BRACE ELBOW $192.50

5400552 BRACE -WRIST/HAND PED LYNX WHFO $116.75

5400555 EPISTARIS BALLOON CATHETE $153.50

5400559 LEG ELEVATOR 4 $8.50

5400560 MEDIPORE DRESS-IT 4 x 8 2955 $8.50

5400561 DUO DERM - HEEL $63.25

5400565 MEDIPORE DRESS-IT 8X11/25 2958 $12.25

5400567 FEEDING J TUBE 16FR $234.75

5400568 LYTREN-8 PAC/OUTPATIENT $17.25

5400569 MASK-RESUS/ INFANT $36.00

5400570 MIC KEY 24FR 3.5 GASTROSTOMY NG TUBE $302.25

5400571 RESUSCITATION AMBU BAG INF 212000 $183.75

5400575 MOLE SKIN/INCH $8.50

5400577 MEDIPORE TAPE 2 X 10 2962 $11.00

5400579 MEDI PLANNER / MEDIUM SIZE $22.00

5400580 MONITOR HEART LIFE PACK $206.00

5400581 MORGAN LENS AE1695 $68.25

5400582 MONTGOMERY STRAP 8200 $15.25

5400584 NASAL TAMPONS 400402 $32.75

5400585 NASAL AIRWAY 7.0/28FR 340070 $32.25

5400586 NASAL SEPTAL BUTTON 3CM SP78100 $195.50

5400587 NO STING BARIER/FOAM $17.25

5400590 BREAST SHELL 89930 $65.25

5400595 NEBULIZER PREFILLED $55.00

5400596 NEBULIZER/HAND HELD $37.50

5400597 NEPHROSTOMY DRAINAGE KIT $412.75

5400598 NEBULIZER - ISO NEB FILTERD SYSTEM 1755 $22.50

5400599 CURITY AMD PACKING STRIP - 1/4 X 1 YD $3.75

5400600 KNEE WRAP/POST ARTHROSCO $70.75

5400601 CURITY AMD PACKING STRIP - 1/2 X 1 YD $3.75

5400602 TRACH TUBE FEN CUFFLESS 6.0 $93.00

5400604 OXYGEN MODULE-RED $89.50

5400605 PULSE OXIMETER DAILY $47.75

5400606 OXYGEN NASAL CANN W/TUB 1103 $9.50

5400608 OXYGEN MASK-ADULT 1041 $12.25

5400609 EAR CUSHION / OXYGEN $9.50

5400611 ORTHO PILLOW 63011 $118.25

5400612 OASIS WOUND MATRIX-3cm x 7cm 100037 $368.50

5400613 OXISENSOR II INFANT NELLI20 $86.75

5400614 OASIS WOUND MATRIX 7cm x 20cm not av $597.25

5400616 PANTY SHIELD $8.50

5400617 PCA TUBING 355903 $46.75

5400619 PEAK FLOW METER $121.00

5400620 PLASTI-BELL CIRCUMCISION $20.00

5400627 SOFTSHELLS - INVERTED NIPPLE $39.00

5400628 SLING PELVIC SMALL $106.50

5400630 PAVLIK HARNESS $109.25

5400631 SENSOR - SpO2 NEONATAL 0099 $88.50

5400632 SENSOR - SpO2 PEDIATRIC LNOP.Pdt 4401 $88.50

5400633 INFANT SENSOR FLEXIWRAP - $7.25

5400634 SENSOR SPO2 WRAP NEONATAL ADH-A/N $89.50

5400635 SENSOR SPO2 NEONATAL N65 OXI/A/N $88.50

5400643 PERITONEAL LAVAGE KIT $158.25

5400644 PERCU-STAY $44.00

5400645 GROSHONG PICC 3fr $454.50

5400646 PER-Q-CATH INTRO 3FR $80.00

5400647 KNEE SLEEVE - XLG / OPEN / BLACK $44.00

5400648 PETROLEUM GAUZE PACKING $25.00

5400651 PICCLINE DRSG CHG KIT $31.00

5400652 MIC-KEY 20FR /5.0 $363.50




5400668 CHEST DRAIN 571299 $146.50

5400669 POST-OP SHOE LAD/SM A152405 $86.75

5400671 PRESS PATCH EYE SHIELD $41.50

5400674 PREP MITT 52085200 $9.50

5400675 PESSARY SZ 2 W/SUPPORT $75.75

5400676 PROFORE LAYER DRSG/66020016 $52.00

5400677 PRO SPLINT FULL LEG/SMAL $16.25

5400678 PRO SPLINT FULL LEG LG $16.25

5400680 REPAIR KIT / DIALYSIS DURA FLOW CATH $224.75

5400681 QUICK WICK MAT LG 36 x 40 83630 $48.75

5400682 SEXUAL ASSUALT KIT RE1MSOPD $323.75

5400683 QUICK WICK MAT-SMALL $31.00

5400684 RANGER TUBING BLOOD FLUID WARMER 4250 $39.00

5400685 REPAIR KIT-SINGLE $277.25

5400686 REPAIR KIT-DUAL BODY 4200* $480.75

5400687 REPAIR 9.5 RED CONNECTOR/GROSHONG DUAL $46.25

5400689 QUICK COMBO ELECTRODE ADULT 000091 $146.75

5400690 RESUSCITATION AMBU BAG ADULT 611000 $37.50

5400691 QUICK COMBO PEDIATRIC $153.50

5400693 FOAM PAD-RESTON / DELETE WHEN POSSIBLE $17.25

5400694 RECTAL / VAGINAL DILATORS $306.00

5400696 EZPAP SETUP $73.50

5400698 RIB BELT 6 FEMALE $50.50

5400700 RIB BELT 8 FEMALE $89.50

5400701 HERNIA BELT - SMALL (30 -35 WAIST) $47.75

5400702 HERNIA BELT - MEDIUM (35 -41 WAIST) $47.75

5400703 RIB BELT 6 MENS UNIVERSAL 30 -46 /XLG $42.75

5400704 RIB BELT-8 MALE UNIVERSAL 30 -46/X-LG $89.50

5400705 HERNIA BELT - LARGE (41 -46 WAIST) $47.75

5400706 RUBBER BAND-STERILE $9.50

5400708 SLING PELVIC LARGE $106.50

5400710 SALEM SUMP 14FR 266122 $74.50

5400712 PROTECTIVE SHIELD-INFANT 8141 $17.75

5400714 SCALPEL 10 SAFETY 372610 $11.50

5400718 BLAKE DRAIN 15mm / ROUND FLUTTED $76.75

5400721 REPAIR 9.5 / WHITE CONNECTOR DUAL/ GROSH $46.25

5400724 ELBOW SLEEVE SMALL NE7728-72 $43.25

5400725 REPAIR - SINGLE/ORANGE CONN. GROSHONG $45.25

5400727 NIPPLE SHIELDS 67203 $15.25

5400729 ENDOTRACH TUBE HOLDER 1065 $13.00

5400731 EPIDURAL SINGLE SHOT TRAY $55.00

5400734 PAD CLAVICLE BR X-LG $66.75

5400736 SHOULDER IMMOBILIZER SM 900801 $121.00

5400738 SHOULDER IMMOBILIZER RICH $95.50

5400739 SHOULDER ABDUCTOR PILLOW $205.00

5400741 SCARLET RED/XEROFLO DRESSING $16.25

5400745 STERI STRIP 1 x 5 $13.00

5400746 SIGMOIDOSCOPE-DISP $25.00

5400749 BOLUS FEEDING SET (12 W/SINGLE PORT) $30.50

5400752 MICK-KEY BOLUS EXTENSION SET / STRAIGHT $27.75

5400757 SKIN STAPLER 5 4513DS5 $34.75

5400758 NACL IRRIGATION 500ML 613803 $25.00

5400759 SEPTAL NASAL (DOYLE)SPLINT $60.50

5400762 NACL IRRIGATION 1000ML 713809 $46.75

5400764 NACL/UROLOGICAL 3000 797208 $69.00

5400767 SORBETOL 3% $118.25

5400768 SPONGES COVER 4X4 2913 $9.50

5400771 NDL-SPINAL 18 X 3 1/2 5184 $22.50

5400772 ORTHOGLASS 3 INCH $9.75

5400773 SPLASHIELD $13.00

5400774 BUCK TRACTION -MED $55.00

5400775 FINGER SPLINTS ( ALL SIZES ) $34.25


5400777 CLAVICLE BRACE INFANT 73501 $57.75


5400779 FINGER SPLINT STAX 1 473101 $37.50

5400780 SPLINT FOREARM $66.75

5400781 SPLINT-WRIST/FOREARM FIN $83.00

5400782 SPLINT-HAND $55.00

5400784 SPLINT PLAIN JOHNSON &JOHNSON $101.50

5400785 E.T. TUBE HOLDER $27.75

5400789 PATIENT CARE KIT - MAMMOSITE $36.00

5400790 ELBOW TENNIS STRIP MUELLER HG80 $35.75

5400791 TENNIS ELBOW SPLINT $23.00

5400792 SPLINT THOMAS LEG SUPPOR $66.75

5400793 TIELLE 2 3/4 x 3 1/2 $15.25

5400794 SPLINT THOMAS LEG SUPPOR $110.25

5400796 SPLINT THOMAS W/PEARSON $154.75

5400798 SPLINT THOMAS W/PEARSON-DA $20.00

5400800 WRIST SP 10 MED/LT $62.75

5400801 SPONGES 2 X 2 STERILE 1806 $9.50

5400805 SPONGES 4 X 4 STERILE 10PK 397310 $13.00

5400808 SPONGES KERLIX 4X4 5072 $8.50

5400810 DRESSING SPONGE 4 X 4 $7.75

5400814 SPONGES/EXCILON DRAIN 7086 $7.75

5400819 SKIN STAPLE EXTRACTOR 2300PSX $33.00

5400820 STERI-STRIP 1/8X3 R1540 $8.50

5400821 STERILE TOWEL $11.00

5400822 STERI STRIP & MASTISOL $24.50

5400824 STERILE WATER IRR 250ML $10.00

5400826 STERILE WATER IRRIGATION 500ML 613903 $11.00

5400827 ELBOW SLEEVE LG NE7728-74 $43.25

5400828 SOD CHLORIDE 1000ML- IRRIGATION BAG $16.25

5400829 STERILE WATER INJ 1000ML L8500 $22.00

5400830 STERILE WATER 1000ML - IRRIGATION BAG $46.75

5400832 STERILE WATER IRR 3000ML $36.00

5400836 SOOTHIES 65004 $27.75

5400838 STOCKNETTE PER FOOT $17.25

5400839 STERILE WATER IRRIGATION 1000ML 713909 $46.75

5400841 STOCKING-THG LGTH JOBST 10 $231.25

5400842 STOMACH PUMP-DISPOS $32.25

5400843 LAVACUATOR TUBE 36FR $72.25

5400844 STOMACH TUBE GUIDE KEOFEE $19.50

5400845 STOMACH TUBE KEOFEE $128.00

5400847 FLEXIFLO 8 FR 004730101 $45.25

5400848 STOMA CONE $70.75

5400849 STOMAHESIVE PASTE 79300 $75.00

5400852 STOPCOCK 3 WAY 91019 $16.25

5400853 STOMA MEASURING DEVICE/NO REORDER $22.50

5400857 PORT A CATH KIT $23.50

5400859 CENTRAL LINE LAB DRAW KIT $5.00

5400860 SUCTION SET UP $54.00

5400862 SUREPRESS WRAP 4 650947 $46.25

5400863 SURGICEL 1/2 x 2 1955 $61.00

5400864 SURGICEL J & J 5X5 $17.75

5400870 SURGILAST SIZE 4 GL704 $27.00

5400874 SURGILAST SZ 6 GL707 $80.50

5400876 SURGILAST SZ 7 GL708 $161.75

5400877 SURGIFIX / SURGILAST FOOT ( NET ) $12.25

5400878 SUTURE PLAIN OR CHROME $27.75

5400880 SUTURE STEEL $32.25

5400881 SYRINGES - CATH TIP $8.50

5400882 EAKIN SEAL 2 / SMALL $17.25

5400887 SYRINGE 10CC-CONTROL $13.00

5400889 SYRINGE-TOOMEY -60CC $12.25

5400891 SYRINGE-TOOMEY- 70cc $17.25

5400896 TELFA DRESSING 2X3 1961 $10.00

5400897 TELEMETRY/DAILY $317.25

5400898 ISOLATION/DAILY $43.25

5400899 TELFA DRESSING 3X4 2132 $10.00

5400905 THORACENTESIS KIT AK01000 $159.75

5400907 TEMPERATURE PROBE $47.75

5400908 THUMB SPICA XSMALL/LEFT A125104 $161.25

5400910 TEGADERM DRSG SMALL 1624W $8.50

5400911 TRACHEOSTOMY MASK $27.00

5400912 TRACH HOLDER 10240 $16.75

5400913 TRACH-INNER CANNULA 6.0 $15.25

5400914 BEDSIDE BLD GLUCOSE SUPPL $33.50

5400915 TRACHEOTOMY TUBE SZ 7 JACKSON $254.50

5400917 TRACHEOTOMY TRAY $58.75

5400919 TRACH FITTING T-FITTING $20.00


5400921 TRANSPAC IV 4258505 $215.50

5400923 TRAVENOL IRRIGATION-CYSTO $20.00

5400924 COLOSTOMY BELT 7300 $15.25

5400925 AMNIOCENTESIS TRAY $135.50

5400926 NDL JAMSHIDI #13 $167.00

5400927 CATH MULTIPURPOSE PIGTAIL 10 FR $363.75

5400928 BONE MARROW BIOPSY TRAY $169.75

5400929 TRAY PMS BONE MARROW $192.50

5400930 CATH TRAY/10CC SYRINGE $58.75

5400934 TRAY CUT DOWN $66.75

5400935 TRAY EAR $33.50

5400936 TRAY EYE $52.75

5400940 TRAY IV $20.00

5400944 LUMBAR PUNC TRAY ADULT 482420 $141.00

5400947 ADHESIVE - MEDICAL TYPE A $41.50

5400948 TRAY PAP SMEAR $32.25

5400950 PARACENTESIS ABDOMINAL TRAY AK00376 $122.50

5400951 METACARPAL BRACE-MEDIUM $155.50

5400952 TRAY PELVIC EXAM $32.25

5400954 NEPHROSTOMY DRAIN BAG 600ml $41.00

5400955 LYMPHADEMA BI-LATERAL LEG PUMP $43.25

5400956 LEG SLEEVE/MEDIUM/SEQUENTIAL PUMP 7500 $714.25

5400957 LEG SLEEVE/LONG/SEQUENTIAL PUMP $436.25

5400958 TRACH-INNER CANNULA 10.0 DO NOT REORDE $15.25

5400959 ARM SLEEVE/MEDIUM/SEQUENTIAL PUMP 7500 $436.25

5400961 JAMSHIDI BONE MARROW BIOPSY/ASPIRATION $136.75


5400968 SUTURE REMOVAL TRAY V1104 $17.25

5400972 TRACH CLEANING TRAY DYND40582 $37.50

5400973 TIELLE 4 1/4 x 4 1/4 $14.25

5400974 VAG IRRIG TRAY $71.75

5400976 TUBE FEEDING SET/ISOCAL $35.50

5400977 TUBEGAUZE PER FOOT $16.25

5400978 TUBIGRIP / PER FOOT $4.50

5400980 STATLOCK IV STABALIZATION KIT IVK0100 $18.25

5400981 STATLOCK PEDIATRIC IVK0104 $18.25

5400982 Y-TYPE IRRIG SET 2C-4041 $49.25

5400983 IRRIGATION SET 4 LEA $71.25

5400985 STATLOCK / PICC VENEVPPDFP $17.25

5400986 UMBILICAL CATHETER TRAY 4070007 $149.75

5400987 ULTRA CARE SHEET $55.00

5400988 UMBILICAL CORD CLAMP-DISP $11.00

5400989 GUARDIVA DRSG CHANGE KIT $30.75

5400991 UNDERWATER SINGLE DRAINAG $82.25

5400992 URI METER 153304 $83.00

5400993 URETHRAL DRAINAGE BAG $23.00

5400994 URINARY DRAIN BAG LATEX FREE 154102 $23.00

5400995 CALCU CATCH COLLAPSABLE $16.25

5400996 CALCULLI STRAINER 4712 $16.25

5400997 URETHRAL METAL DILATOR $32.25

5400999 USA WALKER/ SMALL $103.50

5401001 UTERINE CURETTE $32.25

5401004 VAGINAL DILATOR XS $44.00

5401005 ULTRA SLING-SMALL $164.50

5401006 VAGINAL PACKS-LONG & MED $41.00

5401012 TOURNI COT SMALL TCS $12.25

5401013 TOURNI COT MEDIUM TCM $12.25

5401014 TOURNI COT LARGE TCL $12.25

5401015 TOURNI COT XLG TXL $12.25

5401016 VASECTOR CAUTERY P212100 $76.00

5401017 SIMPLY THICK - NECTAR / STARTER KIT $35.50

5401018 SIMPLY THICK - HONEY / STARTER KIT $35.50

5401020 BODY POSITIONER $59.25

5401021 GZ VASELINE 3 X 9 413605 $10.00

5401022 GZ VASELINE 3X18 414600 $10.00

5401023 GZ VASELINE 1 X 8 417601 $10.00

5401024 GZ VASELINE 3 X 36 415600 $23.00

5401025 BAG DECANTER 10-102 $16.25

5401028 GZ VASELINE 6X36 7840 $20.00

5401030 GZ VASELINE 1/2 X 72 $23.00

5401032 VENOPATH $17.25

5401037 WEBRILL BANDAGE ANY SIZE $13.00

5401039 BABY URINE BAG $10.00

5401040 SHEEP SKIN $66.75

5401041 WOUND IRRIGATION KIT 0572 $41.00

5401042 WRIST BRACE-UNIVERSAL X-LARGE $76.00

5401043 WRIST SP CANVAS X-SM $78.00

5401044 GZ XEROFORM 1X8 433301 $20.00

5401046 GZ XEROFORM 5 X 9 431605 $15.25

5401047 WRIST BRACE RT SM A120205 $46.75

5401048 WRIST BRACE LT SM A120105 $46.75

5401049 WRIST BRACE RT MED A120206 $46.75

5401050 WRIST BRACE LT MED A120106 $46.75

5401051 WRIST BRACE RT LG A120207 $46.75

5401052 WRIST BRACE LT LG A120107 $46.75

5401053 WRIST BRACE RT XLG A120208 $46.75

5401054 WRIST BRACE LT XLG A120108 $46.75

5401055 WRIST-COMFORT FORM XS/R A120204 $46.75

5401056 WRIST BRACE XS/L A120104 $46.75

5401060 PRIMATRIX - 4cm x 4cm $862.00

5401061 PRIMATRIX - 6cm x 6cm $1,940.00

5401062 PRIMATRIX - 8cm x 8cm $3,448.25

5401063 PRIMATRIX - 8cm x 12cm $5,172.00

5401064 PRIMATRIX-10cm x 12cm $5,603.00

5401306 WAFER-AUTOLOCK w/DURAHESIVE/UROSTOMY $22.00

5401310 FEED TUBE G MIC 16 4.0 $142.50

5401314 FEED TUBE JEJUNAL 18 2.0 $247.00

5401361 SUR-FIT/NATURA DRAINABLE POUCH-2 1/4 $11.50

5401453 UROSTOMY POUCH 1 3/4 w/ACCUSEAL TAP&VAL $7.75

5401454 AUTOLOCK / UROSTOMY POUCH 1 3/4 w/ACCU $13.00

5401455 UROSTOMY POUCH 64mm 2 1/2 CUFF $13.00

5401475 LUCAS CUP $76.50

5401477 MEPILEX 3 x 3 w/ BORDER $11.00

5401478 MEPILEX 4 x 4 w/ BORDER $16.75

5401479 MEPILEX LITE 4x4 $11.00

5401482 DRSG MEPILEX 6X6 $17.50

5401485 MEPILEX 4X8 HOME HEALTH 294299 $19.50

5401579 LOW TIDE WALKER $106.25

5401680 STAYFIX - SMALL / CATH SECUREMENT DEVICE $33.50

5401776 CRUTCHES-YOUTH / LATEX FREE $48.75

5401802 SUR-FIT/MOLDABLE DURHESIVE/MEDIUM/1 3/4 $21.00

5401803 PREMIER DRAINABLE POUCH 2 1/2 $21.00

5401804 SUR-FIT/MOLDABLE STOMAHESIV/MEDIUM/1 3/4 $7.75

5401908 NEW IMAGE CONVEX FLEXTEND SKIN BARRIER $29.00

5401909 NEW IMAGE CONVEX FLEXTEND SKIN BARRIER $29.00

5402028 PRISMA / PROMOGRAN WOUND DRESSING $37.50

5402030 BLAKEMORE SENGSTAKEN TUBE $641.50

5403185 SUR-FIT/NATURA DURHESIVE-57MM-1 1/2 OPEN $21.00

5403822 GELFOAM 12.7 $11.00

5407006 NATURA WAFER 57MM (125260) $13.75

5407026 CLAVICLE BRACE SM 300102 $57.75

5407027 CLAVICLE BRACE MED 300103 $57.75

5407028 CLAVICLE BRACE LG 300104 $57.75

5407029 CLAVICLE BRACE XLG 300105 $57.75

5407030 AIR CAST RIGHT $154.75

5407034 CRYO KNEE CUFF-LARGE $280.00

5407040 NDL POTOCKY $33.50

5407060 NIGHT DRAINAGE CONTAINER SET / CONVATEC $85.00

5407061 TUBING - NIGHT DRAINAGE CONTAINER $84.25

5407073 ANKLE STABILIZER-MEDIUM AB2900-14 $46.75

5407074 ANKLE STABILIZER-LARGE AB2900-16 $46.75

5407075 ANKLE ,FOOT ORTHOSIS GONIOMETER 7250 $46.75

5407076 ANKLE STABILIZER-X-LARGE AB2900-18 $46.75

5407077 ANKLE STABILIZER X-SMALL AB2900-10 $46.75

5407110 GLOVE - DERMA PRENE ULTRA 8 1/2 $13.00

5407111 GLOVE - DERMA PRENE ULTRA / SZ 8 $13.00

5407120 ARM SLING FASHION MED 800103 $58.75

5407125 ARM SLING FASHION LARGE 800104 $58.75

5407126 ARM SLING FASHION XL 800105 $58.75

5407130 ARM SLING STRAP-MED 800603 $61.00

5407133 ARM SLING STRAP $61.00

5407135 ARM SLING STRAP-LG 800604 $61.00

5407140 ARM SLING STRAP-X-LG 800605 $61.00

5407145 SURGICAL SHOE $61.00

5407155 ATHLETIC SUPPORT LRG $52.00

5407156 ATHLETIC SUPPORT SM $52.00

5407157 FLEXWARE WAFER 1 3/4 - HOLLISTER $17.25

5407158 UROSTOMY NEW IMAGE BAG 1 3/4 $13.00

5407161 GASTROSTOMY TUBE 18fr MAGNA-PORT $75.00

5407165 CRUTCHES CHILD LF G533148 $48.75

5407175 CRUTCHES ADULT MED LF MDSV80535 $48.75

5407328 DIGITAL CAP/TOE/SILOPAD $16.25

5407365 BUCK'S TX 14 $55.00

5407370 BUCKS TX BOOT-MED $55.00

5407375 BUCK TX BOOT-LARGE $55.00

5407385 BUCK TX BOOT X-LARGE $55.00

5407424 CAST BOOT-S-SMALL $112.50

5407425 CAST BOOT-MEDIUM $112.50

5407430 CAST BOOT-LARGE $112.50

5407431 CAST BOOT-X-LARGE $112.50

5407435 CAST CUSHION -CHILD $11.50

5407456 SUR-FIT WAFER 2 3/4 125266 $27.75

5407460 CATH TRAY URETHRAL STER SAMPLE 2417 $11.00

5407465 CATH TRAY 30CC SYRINGE 782102 $11.00

5407470 CATH-COUDE 14FR/5CC 0102SI14 $38.25


5407480 CATH-COUDE 16FR 30cc 0103SI16 $38.25

5407485 CATH-COUDE 18FR/5 0102SI18 $38.25



5407500 CATH-COUDE 20FR/30CC $38.25

5407505 CATH-COUDE 22FR/5CC $38.25

5407506 CATH-COUDE 22 STRAIGHT $38.25

5407510 CATH-COUDE 22FR/30CC $38.25

5407515 CATH-COUDE 24/5CC $38.25

5407520 CATH-COUDE 24/30CC $38.25

5407525 CATH-COUDE 26FR/30CC $38.25

5407530 CATH-COUDE 24-STRAIG $38.25

5407531 CATH COUDE 16FR STRAIGHT 010116 $38.25

5407532 CATH-COUDE 18FR STRA $38.25

5407533 CATH-COUDE 14FR STRA $38.25

5407534 CATH-COUDE 20FR STRAIGHT 01020 $38.25

5407535 CATH-FILIFORM 3FR $53.25

5407536 FILIFORM 6FR $179.00

5407537 NDL TUOHY SPINAL 18GX3.5 $21.25

5407538 NDL TUOHY SPINAL 20GX3.5 $21.25

5407539 NDL SPINAL QUINCKE 25GX3.5 $10.75


5407541 NDL TUOHY EPIDURAL 22GX3.5 $20.00


5407555 CATH-FOLEY 12FR/5CC / LATEX $27.00

5407560 CATH-FOLEY 14FR/5CC 0165L14 $27.00

5407565 CATH-FOLEY 16FR/30CC $27.00

5407570 CATH-FOLEY 18FR/5CC $27.00

5407571 CATH-FOLEY 18FR/5CC-WIILIAMS $49.25

5407574 CATH FOLEY 18 5 ALL SILICONE 165818 $23.00

5407575 CATH FOLEY 18FR 30ML 0166L18 $18.25

5407576 CATH FOLEY 20FR 5CC SILICONE 165820 $23.00

5407577 CATHETER SILICONE COATED 18fr/30 $23.00

5407578 CATH DOVER $22.75


5407581 CATH-FOLEY 20FR/5CC / WILLIAMS $49.25


5407586 FREEDOM NIGHT SPLINT - MEDIUM $175.75

5407587 FREEDOM NIGHT SPLINT - LARGE $175.75

5407588 CATH-FOLEY 20FR/5 CC / SILICONE COATED $22.50



5407592 DORSAL NIGHT SPLINT LG/XLG NS200021 $175.75

5407594 DORSAL PF NIGHT SPLINT MEDIUM $175.75

5407595 CATH-FOLEY 22FR/30CC SILICONE COATED $27.00

5407596 CATH-FOLEY 22FR/5CC / WILLIAMS $49.25

5407597 SPLINT NIGHT LEEDER BOOT $120.50

5407600 CATH-FOLEY 24/5CC / LATEX 0165L24 $27.00

5407602 CATH FOLEY COUDE 16 FR $71.50

5407605 CATH-FOLEY 24FR 30CC SILICONE COATED $27.00

5407610 CATH-EMMETT 25FR/30 $103.50


5407620 CATH 10 STRAIGHT LATEX FREE 492025 $27.00

5407625 CATH-FOLEY 30FR/30CC / SILICONE COATED $38.25

5407630 CATH-3 WAY 18FR/30CC $62.75

5407631 CATH-3 WAY 22FR/30CC 73022SI $62.75

5407632 CATH-3 WAY 22FR/5CC $62.75

5407635 CATH-3 WAY 24FR/30CC/WIILIAMS $38.25

5407640 CATH-STRAIGHT 14FR LATEX $11.00

5407641 ENDOMETRIAL PIPELLE $64.75

5407645 CATH 12FR STRAIGHT 0094120 $11.00

5407650 CATH 14 FR STRAIGHT 492041 $11.00

5407651 CATH-STRAIGHT 14FR / DME / BARD (CLEAR) $3.75

5407655 CATH 16 FR STRAIGHT LF 492058 $11.00

5407660 CATH - 18FR STRAIGHT $11.00

5407665 CATH - 20FR STRAIGHT $11.00

5407670 PHILIDELPHIA - MED. CERVICAL COLLAR $75.00

5407671 PHILIDELPHIA - LARGE CERVICAL COLLAR $75.00

5407675 CERV COLLAR SM LONG 106302 $62.75

5407680 CERVICAL COLLAR MED 100603 $62.75

5407685 CERV COLLAR MED LONG 100706 $58.75

5407690 CERVICAL COLLAR LG 100604 $62.75

5407695 CERV COLLAR/PLAS/MED $90.50

5407700 CERV COLLAR/PLAS-LG $90.50

5407701 CERVICAL COLLAR STIFF PEDI 1044-41 $58.75

5407702 CERVICAL COLLAR STIFF BABY 1044-80 $58.75





5407715 NDL QUINCKE 22X7 $9.50

5407716 NDL QUINCKE 22X5 $9.50

5407717 NDL QUINCKE 20X6 $9.50

5407720 STOMA WAFER 2 1/4 $102.75

5407721 IRRIGATOR SLEEVE - 2 3/4 FLANGE $11.00

5407723 SURFIT NATURA - DRAINABLE POUCH/2 1/4 $20.00

5407724 NEW IMAGE DRAINABLE POUCH 1 3/4 $20.00

5407725 IRRIG SLEEVE 2 3/4 $45.25

5407726 NEW IMAGE DRAINABLE POUCH 2 3/4 $20.00

5407728 COLLUM SPLINT-RIGHT SMALL $113.00

5407729 COLLUM SPLINT-RIGHT MEDIUM $113.00

5407730 COLLUM SPLINT-RIGHT LARGE $113.00

5407731 COLLUM SPLINT/LEFT XS $113.00

5407732 COLLUM SPLINT-LEFT SMALLL $113.00

5407733 COLLUM SPLINT-LEFT MEDIUM $113.00

5407734 COLLUM SPLINT-LEFT LARGE $113.00





5407796 FINGER SPLINT STAX 5.5 72256 $20.00



5407804 FINGER SPLINT 1 NO PAD 410310 $20.00

5407805 FINGER SPLINT 1 1/2 PADDED $20.00

5407810 FINGER SPLINT 3 PADDED 71925 $20.00

5407815 FINGER SPLINT 4 PADDED $20.00


5407825 FINGER SPLINT 1 1/2 NO PAD 71933 $20.00



5407840 FINGER SPLINT 6 PADDED 413040 $20.00

5407841 CHAIR ALARM PAD $58.00

5407842 INTUBATION MODULE-PURPLE $186.25

5407843 INTUBATION MODULE-YELLOW $186.25

5407844 INTUBATION MODULE-WHITE $186.25

5407845 FINGER SPLINT-BASEBALL/MEDIUM $34.75

5407846 INTUBATION MODULE-BLUE $186.25

5407847 INTUBATION MODULE-ORANGE $186.25

5407848 INTUBATION MODULE-GREEN $186.25

5407850 FINGER SPLINT-BASEBALL/LARGE $34.75

5407851 I V MODULE - PURPLE $140.50

5407852 I V MODULE - YELLOW $105.00

5407854 I V MODULE - BLUE $140.50

5407855 FINGER-THIMBLE 1 1/2 NO PAD $34.75

5407856 IV MODULE - ORANGE $140.50

5407857 I V MODULE - GREEN $140.50

5407860 FINGER-THIMBLE 2 1/2 PADDED $34.75

5407861 INTRAOSSEOUS MODULE-PURPLE $257.75

5407862 INTRAOSSEOUS MODULE-YELLOW $257.75

5407863 INTRAOSSEOUS MODULE-WHITE $257.75

5407864 INTRAOSSEOUS MODULE-BLUE $257.75

5407865 FINGER THIMBLE 3 PADDED 71887 $34.75

5407866 QUICK PRESSUE MONITOR 2952 $391.00

5407867 INDWELLING SLIT CATH 2956 $218.50

5407868 INTERDRY AG DRESSING 10 x 12' $140.50

5407870 KNEE SLEEVE / XXLARGE / OPEN $44.00

5407875 CATH FOLEY 22FR 5CC ALL SILICONE 165822 $34.75

5407876 CATH FOLEY 24FR 5CC ALL SILICONE $27.75

5407880 COLOSTOMY-SKIN BARRIER 3703 $16.25

5407881 FINGER-THIMBLE 1 1/2 PADDED $20.00

5407882 FINGER-THIMBLE 2 1/2 NO PAD $20.00

5407883 FINGER THIMBLE 3 NO PAD 71895 $20.00

5407884 SKIN BARRIER 3723 $16.25

5407890 BRACE ELBOW $165.75

5407908 GLOVES-DERMAPRENE ORTHO / SZ 6 1/2 $11.50

5407909 GLOVES DERMAPRENE ORTHO / SZ 7 $11.50

5407910 GLOVES DERMAPRENE ORTHO / SZ 7 1/2 $11.50

5407911 GLOVES DERMAPRENE ORTHO / SZ 8 $11.50

5407912 GLOVES DERMAPRENE ORTHO / SZ 8 1/2 $11.50

5407923 LANSINOH 10202 $13.00

5407925 KNEE SLEEVE / LARGE / OPEN / BLACK $44.00

5407946 KNEE SLEEVE / MEDIUM / OPEN / BLACK $44.00

5407950 OXYGEN MODULE-PURPLE $89.50

5407951 OXYGEN MODULE-YELLOW $89.50

5407952 OXYGEN MODULE-WHITE $89.50

5407953 OXYGEN MODULE-BLUE $89.50

5407954 OXYGEN MODULE-ORANGE $89.50

5407956 OXYGEN MODULE-GREEN $89.50

5407966 JEJUNAL FEEDING TUBE 10FR $239.00

5407975 KARAYA DRAIN 2 1/2 $22.00

5407980 KARAYA DRAIN 3 $22.00

5407985 KNEE IMMOBILIZER MED 1020197 $164.00

5407986 KNEE IMMOBILIZER 16 / SMALL $74.00

5407990 KNEE IMMOBILIZER LG 1030197 $164.00

5407992 CATH-FOLEY 18/5 / SILICONE COATED $23.00

5407995 KNEE IMMOBILIZER XLG 1040197 $164.00

5408020 TUBING OXYGEN SUPPLY 7FT $6.25

5408026 OXYGEN MASK/PED 1042 $12.25

5408055 LUMBAR PUNC TRAYCHILD 482620 $141.00

5408056 LUMBAR PUNCTURE TRAY INFANT 482720 $141.00

5408080 NDL BD QUINCKE SPINAL 20GX3.5 $4.50

5408083 SPINAL NEEDLE 25 ga X 2.0 in $10.00

5408086 NDL SPINAL 25G x 2.5 QUINCKE -3A34 $17.25

5408087 NDL SPINAL 22G x 3.5 QUINCKE -5181 $4.50

5408094 SPINAL NEEDLE 25 x 6 PENCAN $32.25

5408155 POST-OP SHOE/PEDIATR $86.75

5408156 POST-OP SHOE/INFANT $117.75

5408157 POSTOP SHOE LAD/XSM $117.75

5408160 POST-OP SHOE LAD/MED A152406 $86.75

5408165 POST-OP SHOE LAD/LG A152407 $86.75

5408169 POST-OP SHOE MEN SMALL A152305 $86.75

5408170 POST-OP SHOE MEN MEDIUM A152306 $86.75

5408175 POST-OP SHOE MEN/LG A152307 $86.75

5408176 POST-OP SHOE MEN/X-L A152308 $86.75

5408177 POST-OP SHOE MEN/XX-LG $86.75

5408210 SALEM SUMP 16FR 266130 $74.50

5408211 SALEM SUMP 10FR 264911 $74.50

5408215 SALEM SUMP 18FR 266148 $74.50

5408220 SCALPEL 11 SAFETY 372611 $11.50

5408221 SCALPEL 15 SAFETY 372615 $11.50

5408226 NDL EZIO 25MM SINGLE VC001 $183.50



5408235 SCROTAL SUPPORT X-LG $96.00

5408265 SHOULDER IMMOB X-SM $121.00

5408270 SHOULDER IMMOB MED 900802 $121.00

5408275 SHOULDER IMMOBILIZER LG 900803 $121.00

5408281 DRSG RESTORE SILVER $23.50

5408283 SHOULDER IMMOBILIZER XXL 900805 $121.00

5408284 SHOULDER IMMOBILIZER XXXL 900806 $52.00

5408285 SHOULDER IMM MEN/SM $121.00

5408295 COLOS DRAIN POUCH 2 1/4 3803 $10.50

5408300 SHOULDER IMMOBILIZER XL 900804 $121.00

5408303 TENDER WET-ACTIVE 4x5 RECTANGLE - DRS $29.75

5408305 SLING-EZ LIFT MEDIUM SLDISP10M $109.75

5408306 SLING-EZ LIFT LARGE SLDISP10L $109.75

5408307 SLING-EZ LIFT X-LARGE SLDISP20X $128.00

5408345 STERI-STRIP 1/4X3 R1541 $8.50

5408350 STERI STRIP 1/2X4 R1547 $8.50

5408450 STERILE DRAPE W FENESTRATION 917272 $8.50

5408460 SKIN BARRIER FLOATING FLANGE 2 1/4-2 3/4 $63.25

5408475 SUCTION CATH 10FR 31015 $13.00

5408480 SUCTION CATH 14 V/C T60C $9.50

5408486 SUCTION CATH 12FR 31215 $13.00

5408490 TUBIGRIP A PER FOOT $4.50

5408491 TUBIGRIP B PER FOOT $4.50

5408492 TUBIGRIP C PER FOOT $4.50

5408493 TUBIGRIP D PER FOOT $4.50

5408494 TUBIGRIP E PER FOOT $4.50

5408495 TUBIGRIP F PER FOOT $4.50

5408496 TUBIGRIP G PER FOOT $4.50

5408499 TUBIGRIP J PER FOOT $4.50

5408520 SYRINGE 20CC/CONTROL $13.00

5408530 SYRINGE 60ML CATH TIP 309620 $8.50

5408715 TELFA DRESSING 3X8 1238 $10.00

5408721 SALEM SUMP 12FR 266114 $74.50

5408738 CENTERPOINTLOC BARRIER/CONVEX-2 1/4 $11.50

5408757 CHEST TUBE 32FR - RT ANGLE $89.50

5408775 CHEST TUBE 20 8020 $89.50

5408780 CHEST TUBE 24FR 8024 $89.50

5408785 CHEST TUBE 28FR 8028 $89.50

5408786 CHEST TUBE 32FR 8032 $89.50

5408793 ULTRA SLING II-LARGE $164.50

5408829 WOUND WASH SALINE 7oz B8552 $19.50

5408838 BREATHER $86.00

5408849 WRIST SPLINT-XS $78.00

5408897 TELFA ISLAND 4 x 5 $70.75

5408898 TELFA ISLAND DRSG 4 x 8 $7.75

5408910 SLING PELVIC MEDIUM $106.50

5408934 E T TUBE 4.5 CUFFED 86445 $31.00

5408935 E T TUBE 2 UNCUFFED 43158020 $31.00

5408936 E T TUBE 2.5 UNCUFFED 7125 $31.00

5408937 E T TUBE 3 UNCUFFED 7130 $31.00

5408938 E T TUBE 3.5 UNCUFFED 86224 $31.00

5408939 E T TUBE 4 UNCUFFED $31.00

5408940 E T TUBE 4 CUFFED 86444 $31.00

5408941 E T TUBE 4.5 UNCUFFED 86226 $31.00

5408942 E T TUBE 5 CUFFED 86446 $31.00

5408943 E T TUBE 5 UNCUFFED $31.00

5408944 E T TUBE 5.5 CUFFED 86447 $31.00

5408945 E T TUBE 5.5 UNCUFFED 10411 $31.00

5408946 E T TUBE 6 CUFFED 10312 $31.00

5408947 E T TUBE 6.5 CUFFED 0313 $31.00

5408948 E T TUBE 7-CUFFED 10314 $31.00

5408949 E T TUBE 7.5 CUFFED 10315 $31.00

5408950 E T TUBE 8-CUFFED 10316 $31.00

5408951 E T TUBE 8.5-CUFFED 10317 $31.00

5408952 E T TUBE 9-CUFFED $31.00

5408954 E T TUBE 3.5 CUFFED $31.00

5408955 E T TUBE RAE ORAL 5.0 86200 $18.00

5408956 E T TUBE RAE ORAL 7.0 86204 $18.00

5408957 E T TUBE RAE ORAL 4.5 86266 $11.00

5408965 MESH PANTS- XXL - XXXL $10.50

5408966 MESH PANTS- MEDIUM $10.50

5409010 TRACH TUBE 4.0 UNCUFFED PEDI 4.0PEDI $31.00

5409015 TRACH TUBE 6 CUFFED 503060 $31.00

5409016 TRACH TUBE SZ 6 -SHILEY/UNCUFFED/NON-FEN $126.50

5409017 TRACH TUBE SZ 4 -SHILEY/UNCUFFED/NON-FEN $126.50

5409020 TRACH TUBE 8 CUFFED 503080 $31.00

5409021 TRACH TUBE 9.0 503090 $31.00

5409031 TRACH TUBE SZ 6 / PERCUTANEOUS -DUAL $104.50

5409032 TRACH TUBE SZ 8 / PERCUTANEOUS -DUAL $104.50

5409033 TRACH TUBE INTRODUCER SET $459.75

5409053 ELBOW ROM-MEDIUM DONOT USE $206.00

5409060 CATH - 22 FR STRAIGHT $11.00

5409061 MIC - GASTRO-ENTERIC TUBE 20fr $314.00

5409083 ARM SLING PEDIATRIC $58.75

5409085 ARM SLING FASHION - X SMALL 800101 $58.75

5409100 TRACH TUBE 4.0 UNCUFFED / PEDIATRIC $31.00

5409115 CPAP MASK-MED/SM-DISP $44.00

5409116 CPAP MASK-MEDIUM/DISP 312103 $44.00

5409117 CPAP MASK-FULLFACE/MED $92.75

5409118 CPAP MASK-FULL FACE/LG $92.75

5409120 PLASTER SPLINT 5 X 30 $7.25

5409125 LIMB HOLDER QUILTED 2551 $22.50

5409147 CPM PAD SET $128.00

5409153 MASK-AIR CUSHION $32.25

5409158 CATH FOLEY 12 5CC ALL SILICONE 165812 $23.00



5409164 AMNISURE ROM TEST $84.25

5409185 FOAM RUBBER 1/2 DISCO $83.00

5409199 CATH-FOLEY 8FR 3CC ALL SILICONE 165808 $83.00

5409201 NASAL AIRWAY 6.5MM/26FR 123326 $32.25

5409203 NASAL AIRWAY 7.5/30FR 247049 $32.25

5409205 NASAL AIRWAY 8.0 32fr $32.25

5409213 GASTROSTOMY BUTTON 24 1.7 $231.75

5409214 GASTROSTOMY BUTTON 24 1.2 $417.75

5409215 TELFA/ADHESIVE 2 X 3 $10.00

5409217 GASTROSTOMY BUTTON 24 2.4 0286 $231.75

5409221 METACARPAL BRACE-LARGE $155.50

5409231 THUMB SPICA XSM /RIGHT A125204 $161.25

5409232 THUMB SPICA SMALL/LT A125105 $102.00

5409233 THUMB SPICA SMALL/RT A125205 $102.00

5409236 THUMB SPICA MED LT A125106 $102.00

5409237 THUMB SPICA MED RT A125206 $102.00

5409240 THERAPEP - POSITIVE EXPIRATORY PRES.SYST $18.25

5409241 THUMB SPICA LARGE LT A125107 $102.00

5409243 THUMB SPICA LARGE RT A125207 $102.00

5409244 THUMB SPICA X-LARGE/LT A125108 $102.00

5409246 THUMB SPICA X-LARGE/RT A125208 $102.00

5409247 NERVE BLOCK TRAY $93.75

5409248 NERVE BLOCK TRAY-1249 $93.75

5409278 CHLORAPREP 10ML tinted 260725 $7.00

5409280 CHLORAPREP 10.5 ML CLEAR 260700 $7.25

5409281 COBAN 1 TAN $6.25

5409282 PHENOL APLICATOR KIT $80.50

5409302 MC WALKER-MEDIUM $263.75

5409303 MC WALKER-LARGE $263.75

5409312 DRYTEX KNEE WRAPAROUND - 11-0672-4 $114.00

5409324 CANNULA OXYGEN 02 4707F $13.75

54093477 CATH-FOLEY 20fr/30 ALL SILICONE $21.00

5409348 CATH FOLEY 16FR 30ML 0166SI16 $37.50

5409349 CATH-FOLEY 18/30 0166SI18 $37.50

5409385 MASTISOL 2/3 CC VIAL 052348 $17.25

5409391 CHEST TUBE 36FR 8036 $83.00

5409392 CHEST TUBE 40FR 8040 $83.00

5409395 BLANKET UPPER BODY 42234 $47.75

5409396 BLANKET LOWER BODY $47.75

5409397 BAIR HUGGER - UNDERBODY 545 $47.75

5409398 BAIR HUGGER - PEDIATRIC UNDERBODY $47.75

5409399 PATIENT WARMING GOWN STANDARD 81001 $39.50

5409400 PATIENT WARMING GOWN X-LARGE 9400 $51.50

5409411 STOPCOCK 3 WAY LARGE BORE 2C6201 $16.25

5409430 DUO DERM CGF / 4 X 4 1876-60 $22.50

5409431 DUO DERM 4X4 X-THIN 187955 $4.00

5409432 DUO DERM TRI/CFG BORDER 1879-73 $22.50

5409433 APLIGRAF $2,524.50

5409434 DUO DERM CGF 6X6 187659 $25.50

5409436 GROSHONG PICC 4 FR $453.50

5409437 NDL-JAMSHIDI #11 $83.00

5409438 PER-Q-CATH MICRO INTRO 4FR / SAFETY $137.50

5409439 PER-Q-CATH TRAY 2FR $454.50

5409440 PER-Q-CATH INTRO 2FR $80.00

5409441 ALLOGRAFT 4X8 $2,093.75

5409445 METACARPAL BRACE-X-LARGE $155.50

5409446 NUMBY-ELECTRODE/USING SMALL IOGEL $33.50

5409451 TEGADERM I.V. ADVANCED 4 x 4 3/4 1688 $5.00

5409453 TEGADERM 4X4 3/4 1626 $8.50

5409454 WALKER BOOT SHORT SM $69.00

5409455 WALKER BOOT SHORT MED $69.00

5409456 WALKER BOOT SHORT LG $69.00

5409457 WALKER BOOT SHORT XL $69.00

5409458 BOOT PRAFO ADULT 650SKT $228.00

5409460 TEGADERM 6x8 1628 $5.75

5409465 VAGINAL DILATOR-SM $44.00

5409466 VAGINAL DIALATOR-MED $44.00

5409467 VAGINAL DILATOR LG $44.00

5409470 WALKER BOOT TALL SM $69.00

5409471 WALKER BOOT TALL MED $69.00

5409472 WALKER BOOT TALL LG $69.00

5409474 WOUND WASH SALINE 3oz B8553 $16.25

5409475 SEROMA-CATH $105.75

5409476 RESERVOIR-SEROMA CATH $62.25

5409478 SAF-GEL 3oz $74.00

5409479 GLV STRL 7 $5.00

5409491 V A C BLACK FOAM DRSG LARGE ATS 50535 $159.75

5409492 V A C CANNISTER M6275063 $115.00

5409493 V A C BLACK FOAM DRSG MED ATS 50525 $133.25

5409494 WOUND V A C / CANNISTER $210.00

5409495 V A C BLK FOAM DRSG/SMALL/ATS & FREEDOM $105.75

5409496 V A C DRAPE $61.00

5409498 V A C ABDOMINAL DRESSING $582.50

5409499 V A C BLACK FOAM DRSG SMALL ATS 50515 $93.25

5409505 V A C CANNISTER M6275063 $115.00

5409510 SEROLA SACROILIAC BELT - SMALL $57.75

5409511 SEROLA SACROILIAC BELT - MEDIUM $57.75

5409512 SEROLA SACROILIAC BELT - LARGE $57.75

5409513 SEROLA SACROILIAC BELT - X-LARGE $57.75

5409555 PESSARY SZ 3 w/ SUPPORT $132.50

5409556 PESSARY SZ 4 S/SUPPORT $75.75


5409558 PESSARY SZ 6 w/ SUPPORT $75.75

5409559 PESSARY-GELLHORN 2 1/2 - SHORT STEM $75.75

5409560 PESSARY-GELLHORN 2 3/4 - SHORT STEM $132.50

5409561 PESSARY-GEHRUNG/SIZE 0 $132.50





5409568 CATH EXTENTION 18 $9.50

5409570 WALKER BOOT TALL XS $69.00

5409577 MEDIPORE 1 X 10 $8.50

5409579 MEDI PLANNER/RAISED LETTERS-LARGE $20.00

5409588 WRIST BRACE 8 COCK-UP RT/MED 5022=03 $57.75


5409686 RAPID INFUSER TUBING D100 $161.25

5409698 RIB BELT 6 MEN'S XXL 46 -52 $50.50

5409699 RIB BELT 8 XXL 46 - 52 $50.50

5409731 LOPEZ VALVE $13.75

5409743 WALKER BOOT TALL XL $69.00

5409744 KNEE SLEEVE / SMALL / OPEN / BLACK $44.00

5409745 STOMA IRRIGATOR DRAIN 3823 $16.25

5409753 NASAL CANULA w/MALE ADAPTER 4707* $16.75

5409759 KNEE IMMOBILIZER 16 / MEDIUM DONOTUSE $74.00

5409761 DRYTEX KNEE SLEEVE-SM 11-0663-2 $186.25

5409768 SICKLE BLADE ROUND HANDLE 130915 $37.50

5409770 RESQPOD $226.25

5409772 PRIMAPORE 2 x 3 $7.25

5409778 INFANT CATH KIT 5FR 0035630 $17.25

5409786 MIC KEY 14fr 3.0 $210.00

5409787 MIC KEY 24FR 1.7 $275.75




5409791 MIC-KEY 20FR X 3.5 $302.25


5409793 MIC KEY 24FR 2.5 $302.25

5409794 MIC KEY 18FR 2.5CM GASTROSTOMY NG TUBE $302.25

5409795 MIC KEY 24FR 2.7 $302.25

5409797 MIC KEY 24FR 4.5 $302.25


5409802 TOURNIQUET CAT $59.00

5409845 RESUSCITATION AMBU BAG PEDI 613000 $69.00

5409998 USA WALKER/ LARGE $103.50

5409999 USA WALKER/ MEDIUM $103.50

5410002 LARYNGOSCOPE GLIDE S1 $94.75




5410006 OSTOMY POUCH 5/8-1 3/4 $12.25

5410007 OSTOMY BARRIER STRIP $3.75

5410008 TRACH TUBE CUSTOM 6.0 $1.00

5410009 NDL TUOHY 20GX4.5 $19.00

5410010 WEBRIL STRL 4 2502 $3.75

5410011 PICC CATH 4FR $416.50

5410012 PICC CATH 5FR $331.25

5410013 PICC POWER GLIDE 8 FULL $154.25

5410014 PICC POWER GLIDE 10 SINGLE $117.00

5410015 PICC POWER GLIDE 8 SINGLE $117.00

5410016 PICC NDL GUIDE 21GX96 $51.00

5410017 PICC INTRODUCER 5FR $90.75

5410018 PICC INTRODUCER 4.5FR $78.75

5410019 PICC POWER GLIDE CHANGE KIT $20.75

5410020 WEBRIL STRL 6 2554 $7.75

5410021 PICC POWERGLIDE FULL 10 $146.75

5410022 TEGADERM CHG 4X6 1659 $15.50

5410023 NDL BIOPSY TEMNO 20 X 11 $128.75

5410025 WEBRIL STRL KOCH 2 $8.25

5410026 NDL BIOPSY TEMO 18 X 15 $200.75

5410029 SPLINT LEG FEMORAL TRACTION $175.00


5410031 ELECTRODE PATCH NOVII 107PT004 $70.00

5410032 CATH FOLEY CERVIX THINNING $7.25

5410033 SEPTAL NASAL BUTTON 3CM $153.00

5410034 DRSG KERRAMAX 8X9 $22.75


5410036 FIXATION DEVICE CATH STAYFIX LG $20.75

5410037 DRAIN BAG 600ML 24 INCH TUBING $17.75

5410038 NASAL TAMPON RAPID RHINO POST $114.75

5410039 GROUNDING PAD RF DGP L $23.25


5410041 FILTER LINE O2 CO2 NASAL $19.25

5410042 NDL EMG NATUS BLUE G50S $8.75

5410043 NDL EMG NATUS ORANGE F37S $8.75

5410044 MASK ETCO2 $36.00

5410045 POUCH OSTOMY CTF 1 1/8 OPEN $20.25

5410046 DEBRISOFT PAD 4X4 $22.50

5410047 CAST HEEL ADULT $13.00

5410050 DRSG SORBION SANA 5X9 $53.00

5410051 ADAPTIC TOUCH 3X4 $6.75

5410052 EXTRACTOR KATZ $93.00

5410053 DRSG HYDROFERA 2.5X2.5 $13.25

5410054 DRSG HYDROFERA 4X5 $20.00

5410057 BOUGIE INTRODUCER 15FR $12.50

5410058 MAT PATIENT TRANSFER SAGE $138.00

5410059 BOUGIE INTRODUCER 10FR PED $12.50

5410060 WALKER BOOT SHORT XS $69.00

5410063 DRSG WOUND VAC WHITE SMALL $22.50

5410064 ALLOGRAFT 4X4 $1,187.50

5410065 V A C IRR CASSETTE $84.50

5410066 V A C IRR DRSG MEDIUM $151.50

5410067 V A C IRR DRSG SMALL $128.75

5410068 ARISTA HEMOSTATIC AGENT $262.75

5410069 HEMOSTAT ARISTA FLEXITIP XLR $87.50

5410070 BLAKE DRAIN RND 7MM $21.75

5410071 CIRCUIT VAPOTHERM HIGH FLOW $130.50

5410073 NDL EVIVA STANDARD $244.50

5410074 NDL EVIVA PETITE $244.50

5410075 GUIDE NDL EVIVA NG09L $6.00

5410076 MARKER EVIVA FIRST $91.00

5410077 MARKER EVIVA SECOND $83.25

5410078 FILTER TISSUE ETEC $7.50

5410079 CANNISTER ATEC $8.50

5410080 DEBRISOFT LOLLY $22.50

5410081 WATER INJ STRL 2000ML $9.75

5410082 DRSG QUIKCLOT 4X4 $22.50

5410083 CORRECTOR INVERTED NIPPLE $14.00

5410100 BIOVANCE 1X2 $417.75

5410105 BIOVANCE 2X2 $835.50

5410108 BIOVANCE 2X3 $1,253.25

5410110 BIOVANCE 2X4 $1,311.50

5410112 BIOVANCE 3X3.5 $1,573.50

5410122 TRACH TUBE SHILEY 3.0PED $72.00



5410150 BP CUFF DISP ADULT LG LNG $7.25

5410152 BP CUFF DISP ADULT MED $6.25

5410154 BP CUFF DISP ADULT MED LNG $6.50

5410156 BP CUFF DISP ADULT SMALL $6.00

5410158 BP CUFF DISP CHILD $5.25

5410160 BP CUFF DISP CHILD $5.25

5410170 PREVENA VAC KIT $745.75

5410171 PREVENA KIT OB C SECTION $620.00

5410172 PREVENA VAC CANISTER $52.50

5410173 PREVENA CANISTER OB C SECTION $47.50

5410178 DRSG GRAFIX 2CM X 3CM $1,559.50

5410179 DRSG GRAFIX 3CM X 4CM $1,880.00

5410180 DRSG STRAVIX 2CMX4CM $2,568.50

5410181 DRSG STRAVIX 3CMX6CM $4,055.75

5411009 SNAP NPWT DRSG 14CMX11CM $95.75

5411010 SNAP NPWT CARTRIDGE $170.50

5411011 SNAP NPWT DRSG 10CMX10CM $84.00

5411012 SNAP NPWT RING COLLOID $12.00

5411013 SNAP NPWT STRAP MEDIUM $23.75

5411014 GLIDEWIRE TERUMO 180 STIFF $112.50

5411050 PINPOINT DYE KIT $394.50

5417200 BILI BLANKET $16.25

5417205 FINGER COT AMNICOT $8.50

5417210 CALCULLI STRAINER U CUP $8.25

5600007 ARM SUPPORT $27.00

5600019 CLAVE 19560101 $17.25

5600020 MICROCLAVE 12568-01 $17.25

5600025 B-FENWAL BLOOD FILTER / MICRON 170-260 $25.00

5600049 CASSETTE SITE & ADMINISTR $448.75

5600053 LIFESHIELD CONNECTOR $16.25

5600082 SOLUSET 100X60 W/ CAIR CLA $76.75

5600088 STICK GARD $12.25

5600099 INTRACATH $46.25

5600102 ADMINISTRATION SET $44.00

5600104 BARDIC TEFLON NEEDLE $44.00

5600109 HYPODERMIC NEEDLE 25GA OP $16.75

5600115 NITRO SET RATE MATE $101.50

5600120 IV CATH NEEDLE $21.00

5600122 HEPARIN LOC PLUG MALE ADT $29.75

5600126 SAFETY TUBING SALF $46.25

5600127 HICKMAN CATH REPAIR KIT $477.00

5600129 SECONDARY ADD A VIAL $15.25

5600130 TRANSFER TUBING OR SET $46.25

5600135 RATE MATE ADMIN SET $55.00

5600136 RATE MATE CHECK VALVE $69.00

5600137 VENOSET W/ REFLUX VALVE $38.25

5600139 PRIMARY IV SET 1266428 $41.50

5600142 VENTED IV PUMP SET $94.75

5600143 EXTENSION SET/BURRON $42.75

5600145 BLOOD ADM SET 66 Y-TYPE $46.25

5600146 TWIN-SITE EXTENSION SET (RANGER EXT TUBE $11.50

5600147 EXTENSION SET WITH-T $12.25

5600148 EXTENSION SET PEDIATRIC MICROBORE 4901 $11.50

5600149 EXTENSION TUBE 7 / 4438 $16.25

5600150 CADD TUBING/SPIRAL TUBE / 21-7083 $92.25

5600151 EXTENTION SETONCOLOGY 0101 $7.75

5600152 IVEX 22 MICRON FILTER SET $44.00

5600153 S A I F FILTER 1.0 $16.25

5600154 EXTENTION SET/C.R./T-CONNECTOR 1140218 $12.25

5600156 FILTER .2 MICRON - DISC $7.25

5600160 INFUSOR $156.75

5600165 TUBING DIALYSIS $15.75

5600168 PLUM BLOOD SET $55.00

5600171 BLOOD SECONDARY SET 1494928 $13.75

5600174 I V CONNECTOR 1230901 $13.00

5600178 I V START KIT $38.25

5600179 IV START KIT SUPPLIES/ OB, MEDSURG, ER $62.75

5600180 IV START KIT SUPPLIES/OPS, ONC, CR $62.75

5600507 IV START SUPPLY KIT $88.50

5600852 3 WAY STOPCOCK/EXTENSION $15.25

5602560 WINGED INFUSION SET 20 x 3/4 / $13.00

5607025 HUBER NEEDLE $46.25

5607028 NDL HUBER 20x1 POWER LOCK 0132010 $46.25

5607033 NDL HUBER 20x3/4 POWERLOCK 0132075 $46.25

5607034 NDL-POWERLOC SAFETY INFUSION SET w/Y 3 $46.25

5607038 NDL HUBER 20 x 1 LIFTLOCK $24.50

5607039 NDL HUBER 20 x 3/4 LIFTLOCK - WINGS $24.50

5607210 STOP COCK 4-WAY EXT 19116-28 $15.25

5607245 CHEMO DISPENSING PIN $11.00

5607251 MINIBORE SET $13.00

5607265 SOLUSET 100 X 15 172602 $76.75

5607266 SOLUSET PEDIATRIC 1194802 $36.00

5607275 CADD CASSETTE RESERVOIR 21700224 $134.25

5607280 CADD EXTENSION SET / VALMMM60ES $13.00

5607290 EXTENSION SET W/ T /MACR / 12094 $12.25

5607300 EXTENSION SET HIGH PRESSURE 7 1251401 $17.25

5610010 HUBER 22G .75 $26.00

5800010 CADD PUMP MONTHLY $757.75

5800020 CADD REFILL & MAINTENANCE $75.00

5800030 CADD BAGS $133.25

5800035 CADD EXT TUBING $17.25

5800040 MIRAGE SWIFT 2 - NASAL PILLOW SYSTEM $285.00

5800041 MIRAGE ACTIVA MASK - STANDARD $265.00

5800042 MIRAGE ACTIVA MASK - LARGE $265.00

5800045 MIRAGE ACTIVA MASK - SHALLOW $265.00

5800047 ULTRA MIRAGE II-NASAL/SHALLOW-w/HEADGEAR $244.75

5800048 ULTRA MIRAGE II-NASAL/SHALL-WIDE w/HEADG $244.75

5800049 SWIFT FX - NASAL PILLOW SYSTEM $285.00

5800055 DME/DOXORUBICIN 10MG INJ $104.00

5800070 MEDIVEN ULCER KIT / BEIGE / 275-IV - $126.50

6000001 CUSTOM ORTHODICS/FEET $707.00

6000002 HAND WRIST SPLINT COMFY 4003 $100.50

6000005 CARROT INFLATABLE $120.00

6000009 BLEDSOE BOOT/FIXED $241.25

6000010 STOCKING-PLUS 30-40/CALF/CLSD/SZ 4/BEIGE $179.00

6000011 LUMBAR SUPPORT SM/MED $125.50

6000012 STOCKING-COMF 30-40/CALF/OPEN/SZ 3/NATUR $179.00

6000013 STOCKING-PLUS 30-40/CALF/CLSD/SZ 3/BEIGE $179.00

6000014 STOCKING-COMF 30-40/CALF/CLSD/SZ 5/NATUR $179.00

6000015 AIR DON JOY/POPLITEA $154.75

6000017 STOCKING-COMF 30-40/THIGH/OPEN/SZ1/WHEAT $179.00

6000018 STOCKING-COMF 30-40/THIGH/OPEN/SZ2/WHEAT $179.00


6000020 STOCKING-PLUS 20-30/CALF PET/OPEN/SZ6/BE $179.00


6000022 STOCKING-COMF 20-30/CALF/CLSD/SZ7/NATURA $179.00

6000023 STOCKING-PLUS 30-40/XW CALF-SIL/OPEN/SZ7 $179.00

6000024 ANKLE BRACE STRAP/LOCK $110.25

6000025 KOMPREX - BINDE 8cm x 2 m x .5cm $63.75

6000026 BIOFREEZE - 4oz TUBE $7.75


6000028 DIGITAL CAP/SILIPOS GEL- LG/X-LG $19.50

6000029 STOCKING-COMF 30-40/PANTY/CLSD/SZ3/NATUR $163.25

6000030 ARM SLEEVE-LYMPHEDEM $145.75



6000034 STOCKING-PLUS 20-30/CALF/OPEN/SZ 6/BEIGE $179.00

6000035 STOCKING-PLUS 30-40/XW CALF/OPEN/SZ 4/BE $154.75


6000038 STOCKING-COMPRESSION/CUSTOM $111.50

6000039 ARM SLEEVE-LYMPHEDEMA/LONG/MEDI-95/SZ 5 $145.75

6000040 HAND SPLINT-AIR SOFT RESTING/LEFT-MEDIUM $205.00

6000042 HYPAFIX 2 X 10 $63.75



6000045 STOCKING-COMF 30-40/THIGH/CLSD/SZ4/NATUR $179.00



6000049 ARM SLV w/GAUNTL-LYMPH/LONG/MEDI-95/SZ 5 $145.75

6000050 STOCKING-COMF 15-20/PANTY/CLSD/SZ4/NATUR $179.00



6000054 STOCKING-COMF 15-20/PANTY/CLSD/SZ4/MOCHA $179.00

6000055 STOCKING-COMF 15-20/CALF/CLSD/SZ3/BLACK $179.00

6000056 STOCKING-COMF 15-20/CALF PET/CLSD/SZ3/BL $179.00

6000058 STOCKING-ACTIVE 12-16/CALF/CLSD/LG/BLK $33.50


6000062 COBAN 1 COLORED PACK $13.00

6000063 COMP STOCKING-PANY HOSE $299.50

6000064 COMP STOCKING-MID THIGH $157.25



6000067 STOCKING-PLUS 30-40/THIGH/OPEN/SZ1/BEIGE $179.00


6000069 STOCKING-ACTIVE 16-20/CALF/CLSD/LG/BLACK $66.75

6000070 STOCKING-ACTIVE 16-20/CALF/CLSD/LG/GREY $66.75

6000071 ANKLE FOOT ORTHOSIS $155.50

6000072 SPLINT POSTERIOR LEAF $155.50

6000073 HEEL LIFT $32.25

6000074 ADHESIVE IT STAYS $25.00

6000075 STOCKING-ACTIVE 16-20/CALF/CLSD/LG/BROWN $66.75

6000076 STOCKING-PLUS 30-40/XW CALF/OPEN/SZ 5/BE $154.75

6000077 STOCKING-PLUS 20-30/CALF XW/OPEN/SZ6/BEI $179.00

6000079 STOCKING-ACTIVE 12-16/CALF/CLSD/LG/BROWN $33.50

6000081 STOCKING-COMF 15-20/THIGH/CLSD/SZ4/WHEAT $87.25



6000085 STOCKING-ACTIVE 12-16/CALF/CLSD/XLG/BLK $33.50

6000094 STOCKING-COMF 20-30/CALF PET/CLSD/SZ3/NA $179.00

6000095 STOCKING COMPRESSION $77.50

6000098 STOCKING-PLUS 20-30/CALF XW PET/OPEN/SZ4 $179.00

6000099 STOCKING-FORTE 40-50/XW CALF/OPEN/SZ7/BE $128.00

6000101 STOCKING-FORTE 40-50/XW CALF/OPEN/SZ6/BE $128.00





6000108 ELECTRODES $52.00


6000110 KOMPREX KOMPRESSE 1 $11.50

6000112 STOCKING-ASSURE 15-20/CALF/CLSD/MED/BEIG $61.00

6000115 COLD PACK STANDARD 11X14 3545 $50.50

6000116 COLD PACK NECK CONTOUR 23 3547 $55.00

6000117 COLD PACK OVERSIZE 11X 21 3548D $93.25

6000118 STOCKING-COMF 15-20/CALF/CLSD/SZ6/WHEAT $179.00

6000119 STOCKING-COMF 15-20/THIGH/CLSD/SZ3/WHEAT $71.25

6000120 STOCKING-COMF 20-30/CALF/CLSD/SZ 7/BLACK $179.00

6000121 STOCKING-S&S 15-20/THIGH/CLSD/SZ 5/NATUR $87.25

6000122 AIRCAST ARMBAND $55.00

6000124 STOCKING-S&S 15-20/PANTY/CLSD/SZ 2/BLACK $96.75

6000125 STOCKING-S&S 15-20/CALF/CLSD/SZ 2/TOFFEE $179.00

6000126 STOCKING-S&S 15-20/CALF/CLSD/SZ 2/BLACK $179.00


6000128 LEUKOTAPE P SPORTS TAPE 6168 $41.00

6000129 TAPE-KINESIO 2 / BEIGE $36.00

6000130 MATERNITY SUPPORT $115.50

6000131 HAND SPLINT-LEFT/FUNC POS / SLOT& LOOP $112.00

6000132 HAND SPLINT-RIGHT/FUNC POS / SLOT& LOOP $112.00

6000133 ULNER NERVE SPLINT - LMB / RIGHT-LARGE $141.75

6000134 PIVOT DISK 18 $125.00

6000136 GAUNTLET WITH DORSAL FLEX $47.50



6000140 STOCKING-S&S 15-20/PANTY/CLSD/SZ 4/NATUR $96.75

6000141 STOCKING-S&S 15-20/THIGH/CLSD/SZ6/NATURA $87.25

6000143 STOCKING-S&S 15-20/THIGH/CLSD/SZ6/BLACK $87.25

6000144 BACK SUPPORT 30 - CASH BRACE $215.50

6000145 BALLERT BUILD-UPS / ADULT $265.50

6000146 STOCKING-MOTION SPORT 15-20/CALF/MED/BLK $66.75

6000147 STOCKING-MOTION SPORT 15-20/CALF/LG/BLK $66.75

6000148 SPORTS BALL $10.00

6000149 KNEE WRAP w/DEROTATION STRAP - XLARGE $95.50

6000150 CASH BRACE - 36 $401.75

6000151 CASH BRACE - 42 $401.75

6000152 ECLIPSE BRACE/MED $214.00



6000156 STOCKING-MOTION SPORT 15-20/CALF/MED/WHT $66.75

6000159 DUAL L/S ORTHOSIS-M $218.50

6000160 L/S SUPPORT 15 $308.50

6000161 L/S SUPPORT 11 $76.00

6000162 MATERNITY SUPPORT - MOMEZ X-LG $93.75

6000164 DORSAL GAUNTLET ATTACHMENT $25.75

6000165 STOCKING-MOTION SPORT 15-20/CALF/SM/BLK $66.75

6000166 STOCKING-MOTION SPORT 15-20/CALF/SM/WHT $66.75

6000168 BED WEDGE $110.25

6000169 TOE ALIGNMENT SPLINT $27.00




6000176 SACRO-LUMBO SUPPORT / UNIVERSAL $148.25

6000178 LMB FINGER HUGGER / SIZE B (2 1/2 LONG) $63.75

6000180 STOCKING S&S 30-40 /CALF / CLSD SZ 6 BLK $94.75

6000181 STOCKING-COMF 15-20/THIGH/CLSD/SZ2/BLK $84.25


6000183 STOCKING-MEDI FOR MEN 15-20/CALF/SZ4/BRN $66.75

6000184 THERABAND (FT) $17.25

6000186 STOCKING-MEDI FOR MEN 30-40/CALF/SZ4/BLK $95.50

6000187 STOCKING-MEDI FOR MEN 30-40/CALF/SZ3/KHA $95.50

6000189 STOCKING-COMF 20-30/CALF/OPEN/SZ4/EBONY $86.25

6000190 SHOULDER PULLEY $72.25

6000191 KNEE SEPARATOR / VINYL $91.25

6000192 SPLINT- FUNCTIONAL RESTING / RIGHT - S/M $131.00

6000193 SPLINT- FUNCTIONAL RESTING / RIGHT - M/L $131.00

6000194 SPLINT-WHFO RESTING HAND ORTHOSIS/RT-MED $131.00

6000195 ORTHOWEDGE $47.75

6000196 SPLINT-ANTI SPASTICITY BALL / RIGHT-MEDI $124.00

6000197 STOCKING-MEDI FOR MEN 20-30 SIZE 4 BLK $95.50

6000198 STOCKING-MEDI FOR MEN 20-30 SIZE 4 KHKI $95.50

6000220 CERVICAL TRACTION KIT $102.75

6000221 CERVICAL HOMETRAC DELUXE 921145 $875.75

6000224 DRSG AQUACEL AG 3.5 X 6 $67.25

6000225 KNEE STRAP/CHO-PAT/S $80.00

6000240 KNEE STABILIZER XXL/LT NEP779376L $215.00

6000242 KNEE STABILIZER MED/RT NEP779373R $215.00

6000245 STOCKING-S&S 15-20/THIGH PET-SI/CLSD/SZ2 $179.00

6000246 STOCKING-S&S 15-20/CALF/CLSD/SZ1/NATURAL $58.75




6000255 STOCKING-S&S 15-20/CALF/CLSD/SZ 2/SMOKE $179.00

6000256 STOCKING-S&S 8-15/CALF/CLSD/MEDIUM/NATUR $23.75

6000257 STOCKING-S&S 8-15/CALF/CLSD/MEDIUM/BLACK $23.75

6000258 STOCKING-S&S 8-15/THIGH/CLSD/SZ E/BLACK $23.75

6000259 STOCKING-S&S 8-15/THIGH/CLSD/SZ E/WHEAT $23.75

6000260 STOCKING-S&S 8-15/CALF/CLSD/LARGE/NATURA $23.75

6000261 STOCKING-S&S 8-15/CALF/CLSD/LARGE/BLACK $23.75

6000262 STOCKING-S&S 15-20/THIGH/CLSD/SZ 3/WHEAT $87.25

6000264 STOCKING-S&S 8-15/CALF/CLSD/SMALL/BLACK $23.75

6000265 STOCKING-S&S 8-15/CALF/CLSD/SMALL/NATURA $23.75

6000266 STOCKING-S&S 8-15/CALF/CLSD/XLARGE/NATUR $23.75

6000267 STOCKING-S&S 8-15/CALF/CLSD/XLARGE/BLACK $23.75



6000280 STOCKING-S&S 8-15/THIGH/CLSD/SZ B/NATURA $23.75

6000286 STOCKING-S&S 15-20/CALF/CLSD/SZ 2/WHEAT $179.00


6000291 STOCKING-S&S 8-15/CALF/CLSD/LARGE/WHEAT $23.75

6000294 STOCKING-S&S 8-15/THIGH/CLSD/SZ E/NATURA $23.75

6000295 STOCKING-S&S 8-15/THIGH/CLSD/SZ C/NATURA $23.75


6000303 STOCKING CALF C $77.50



6000310 HINGED KNEE W/POPLITEAL $240.75

6000313 STOCKING-S&S 20-30/CALF PET/CLSD/SZ1/NAT $91.25

6000317 HVO SPLINT $41.50

6000318 PALUMBO/PATELLA TRACKER/HINGE 62145 $161.25

6000319 HEMI-CANE $211.25

6000320 THUMB SUPPORT $129.50

6000325 KNEE BRACE/PLAYMAKER $315.00

6000330 BRACE KNEE EMPI ACTIVE $611.75

6000331 PALUMBO KNEE BRACE / SMALL 60179 $161.25

6000332 KNEE PATELLA SUPPORT OPEN XS NE7702-01 $25.75

6000333 KNEE PATELLA SUPPORT OPEN SM NE7702-02 $25.75

6000334 KNEE PATELLA SUPPORT OPEN MD NE7702-03 $25.75

6000335 KNEE PATELLA SUPPORT OPEN LG NE7702-04 $25.75

6000336 KNEE PATELLA SUPPORT OPEN XL NE7702-05 $25.75

6000337 KNEE SLEEVE CLOSED MED $25.75

6000338 KNEE SLEEVE CLOSED LG $25.75

6000339 KNEE SLEEVE CLOSED XL $25.75

6000355 ROCKET SOC $104.00

6000356 KNEE BRACE IROM $330.00

6000357 KNEE SUPPORT BUTTRESS / LARGE HINGED $125.50

6000360 SPLINIT HAND CUSTOM $79.25

6000375 EDEMAWEAR KUMAGAI SMALL C600001 $37.00

6000376 EDEMAWEAR KUMAGAI MEDIUM C960001 $35.50

6000405 KNEE SUPPORT-SLIP ON $31.00

6000406 PATELLAR KNEE SUPPORT $129.50

6000421 ROSIDAL BANDAGE $44.00

6000450 EXERCISE PUTTY $34.25

6000452 STOCKING COMPRESSION $80.00

6000460 AFO REPLACEMENT STRAP $27.00

6000554 SACROILIAC BELT - SM/MED (30 - 46 ) $116.75

6000555 SACROILIAC BELT -LG- XLG (47 - 60 ) $116.75

6000600 SPLINT TONE & POSITIONING $157.25


6000718 STOCKING-COMF 20-30/CALF/CLSD/SZ 5/SAND $86.25


6000720 STOCKING-ASSURE 20-30/CALF/OPEN/XXL/BEIG $179.00

6000723 ACHILLO TRAIN / ACHILLES TENDON SUPPORT $191.25

6000724 STOCKING-ASSURE 20-30/CALF/OPEN/SM/BEIGE $179.00

6000725 STOCKING-ASSURE 20-30/CALF/OPEN/MED/BEIG $179.00

6000726 STOCKING-ASSURE 20-30/CALF/OPEN/LG/BEIGE $179.00

6000727 STOCKING-ASSURE 20-30/CALF/OPEN/XLG/BEIG $179.00

6000800 SPLINT FINGER SPRING SM $44.25

6000810 SPLINT FINGER SPRING MED $44.25

6000900 TENS RENTAL/MONTH $123.00

6006030 SPLINT ARM RESTING LEFT SM MED $144.25




6007013 STOCKING-MOTION SPORT 15-20/CALF/XL/WHT $66.75


6007016 STOCKING-MOTION SPORT 15-20/CALF/XXL/WHT $66.75


6007019 STOCKING-COMF 15-20/THIGH/OPEN/SZ2/NATUR $63.25

6007020 STOCKING-PLUS 30-40/CALF/OPEN/SZ6/BEIGE $179.00

6007022 STOCKING-PLUS 30-40/CALF PET/XWIDE/OPEN $179.00

6007023 STOCKING-MOTION SPORT 15-20/CALF/XXL/BLK $66.75

6007024 STOCKING-MOTION SPORT 15-20/CALF/LG/WHT $66.75


6007026 STOCKING-MOTION SPORT 20-30/CALF/XXL/BLK $92.25

6007027 STOCKING-MOTION SPORT 15-20/CALF/XL/BLK $66.75

6007028 STOCKING-COMF 15-20/THIGH PET/OPEN/SZ4 $63.25

6007029 STOCKING-COMF 20-30/CALF PET/CLSD/SZ7/SA $179.00



6007034 STOCKING-COMF 15-20/THIGH/OPEN/SZ3/NA/PT $63.25


6007036 STOCKING-PLUS 20-30/CALF PET/CLSD/SZ4/SA $88.50

6007037 STOCKING-PLUS 20-30/CALF PET/CLSD/SZ3/SA $88.50



6007042 STOCKING-PLUS 30-40/THIGH w/SI/CLSD/SZ6 $179.00

6007043 STOCKING-PLUS 30-40/CALF PET/XWIDE/OPEN $179.00

6007044 STOCKING-COMF 30-40/CALF PET/XWIDE/OPEN $179.00


6007046 STOCKING-COMF 30-40/CALF PET/CLSD/SZ7/SA $179.00






6007080 L/S SUPPORT 30 MED $153.50

6007095 L/S SUPPORT/ DUAL / MEDIUM $126.50

6007096 L/S SUPPORT/ DUAL / LARGE $126.50

6007097 L/S SUPPORT/DUAL XLG $126.50

6007127 DON JOY $154.75



6007248 PATELLA STRAP $44.00


6009016 KOMPRESSE 0 $20.00

6009053 SULLY SHOULDER STABILIZER / SMALL $317.25

6009054 SULLY SHOULDER STABILIZER / MEDIUM $317.25

6009055 SULLY SHOULDER STABILIZER / LARGE $406.50

6009056 SPLINT FINGER SPRING LG $44.25

6009057 LUMBOSACRAL SUPPORT MALE 46-58 $94.75

6009066 DURELAST BANDAGE 6CM $44.00



6009075 HAND EXERCISER/ERGNOMIC $29.75

6009110 KNEE BRACE / HINGE 1/4 NEOPRENE $240.75

6009115 KNEE BRACE/HINGED 1/8 NEOPRENE $240.75

6009116 KNEE BRACE/HINGED 1/8 NEOPRENE $240.75

6009117 KNEE BRACE LT,XS,BLK 06060 $70.75

6009120 WRIST/THUMB WRAP - NEOPRENE SM/MED $74.50

6009121 WRIST/THUMB WRAP - NEOPRENE MED / LG $74.50

6009124 ECLIPSE BRACE/XLG $214.00

6009125 ECLIPSE BRACE/XXLG $214.00

6009134 GEL STRAP / COVERED LG/X-LG $81.00

6009210 THUMB SUPPORT MED $81.25

6009248 PALM GUARD w/FINGER SEP. PLUS 3/4 ROLL $52.00

6009456 DIGITAL CAP/SILIPOS GEL- SM/MED $19.50

6009458 TENS UNIT - COMU3T MODEL $108.00

6009768 KNEE STABILIZER LG/RT NEP779374R $215.00

6009769 KNEE STABILIZER LG/LT NEP779374L $215.00

6009770 KNEE STABILIZER XL/RT NEP779375R $215.00

6009771 KNEE STABILIZER LT/XL NEP779375L $215.00

6009772 KNEE STABILIZER SM/LT NEP779372L $215.00

6009773 KNEE STABILIZER SM/RT NEP779372R $215.00

6009774 KNEE STABILIZER XXL/RT NEP779376R $215.00

6009786 PALUMBO KNEE BRACE M/S $161.25

6009787 PALUMBO KNEE BRACE-MED 62141 $161.25

6009788 PALUMBO KNEE BRACE MED/LG $161.25

6009789 PALUMBO KNEE BRACE LGE / 62143 $161.25

6009790 PALUMBO KNEE BRACE/XLG $102.75

6009875 KNEE STABILIZER MED/LT NEP779373L $215.00

6009890 BRACE THIGH MED BLK $66.25

6009891 SPLINT ELBOW CUBITAL XR L/XL 6403 $115.50

6010319 BACK BRACE $64.50

6010330 GAUNTLET LEFT $23.75

6010350 DORSAL FEX ATTACHMENT $22.00

6010355 BRACE DORSAL HAND SM LT $153.25

6013461 SPLINT FINGER OVAL 8 SZ 12 $23.75

6013463 SPLINT FINGER OVAL 8 SZ 11 $24.00

6013470 SPLINT URIAS PRESSURE ARM LONG $89.75

6013500 THUMB SUPPORT WRAP LEFT LX $38.25

6200001 BILATERAL EXTREMITY DRAPE / CARDINAL $27.75

6200002 LAP PACK / CUSTOM $299.00

6200004 HIP PACK(MAJOR) $422.00

6200005 OB PACK\BASIC- SURGERY $96.00

6200006 GYN LITH PACK CUSTOM 3658 $188.75

6200007 BASIC SET UP $66.25

6200008 MINOR/ORTHO PACK CUSTOM 89-3655.8 $254.50

6200010 GAMMA PROBE $893.50

6200014 VASCULAR PROBE 8MHz (surgical doppler $253.00

6200018 SLEEVE-STERILE $15.25

6200019 IMPERVIOUS STOCKING-MED $16.25

6200020 DURA-FLOW CATH 28CM / DIALYSIS CATH $886.00

6200021 DURA-FLOW CATH 32CM / DIALYSIS CATH $886.00

6200022 FOGARTY SPRING CLIP 6MM $52.75

6200023 FOGARTY SPRING CLIP 12MM $52.75

6200024 FISH $128.00

6200026 SUCTION POOLE TIP 3504 $33.50

6200027 SUCTION POOLE INST 3505 $44.00

6200028 SABER WOUND DRAIN $56.50

6200029 SUCTION YANKAUER INS 0034950 $44.00

6200030 D&C SUCTION MACHINE-TUBING-CURRETTE $169.75

6200031 IMPERVIOUS STOCKINETTE-LARGE $13.75

6200032 POLYP TRAP $11.75

6200033 DENVER SPLINT-MINI $131.00

6200035 GASTROSCOPY INST CHG $212.00

6200036 GASTROSTOMY TUBE /12FR 100-12LV $175.75

6200037 GASTROSTOMY TUBE 20 FR $175.75

6200038 ARTHROSCOPIC BLADE $368.50

6200041 ARTHROS CAMERA DRAPE $39.00

6200043 ARTHROSCOPY LOWER EXTREMITY PACK 88471 $473.75

6200044 ANCHOR SET GIAS-100 $195.50

6200045 GASTROSTOMY KIT PULL PEG 20FR $510.50

6200047 GASTROSTOMY KIT w/ BROWN MUELLER T-FAST $375.00

6200049 ARTHOSCOPY INSTR CHARGE $1,351.50

6200050 CAUTERY $155.50

6200051 CAUTERY PENCIL $36.00

6200052 ANAL FISTULA PLUG - SURGISIS $1,411.25

6200055 GASTROSTOMY PUSH KIT PEG 20FR $354.75

6200056 SPONGES/RAY-TEC $17.75

6200057 SPONGE/BOZARTH $13.75

6200058 SPONGES TONSIL MED $20.00

6200059 IMPERVIOUS STOCKINETTE 12 x 48 $17.25

6200060 BETADINE PAINT STICK 41550 $16.25

6200061 ACL DISPOSABLE KIT 232300 $761.25

6200063 SABER DRAIN TUBING $52.75

6200065 DENVER SHUNT-DOUBLE $1,566.25

6200066 DENVER TUNNLER $163.25

6200068 GROSHONG CATH-SINGLE 7711804 - / 8fr $1,298.25

6200069 GROSHONG CATH-DUAL 9.5fr* $1,812.00

6200070 GROSHONG INTRO KIT 10FR $333.00

6200071 GROSHONG 8 FR CATH / INTRODUCER TRAY $517.00

6200072 CYSTO CATH/BANANO $146.25

6200073 SUPRAPUBIC CATHETER 170703 $214.00

6200074 ENDOMAT UNIT W/ TUBING $234.50

6200075 PENROSE DRAIN 3/8 $12.25

6200076 PENROSE DRAIN 5/8X1 18 $12.25

6200077 GROSHONG 9.5FR CATH - TRAY* $696.50

6200078 BLAKE DRAIN 10MM $200.50

6200079 HEMOVAC - CWS 400 W/TROCAR 1/8 $259.75

6200080 BLAKE DRAIN 10MM RND W/TROCAR $200.50

6200081 HEMOVAC WITH DRAIN $259.75

6200082 BLAKE DRAIN 19FR /FULL FLUTED w/o TROCAR $11.00

6200083 T-TUBE $94.75

6200084 FOGARTY CATH 3FR $211.25

6200085 FOGARTY IRRIG CATH 4FR $112.50

6200086 GRAFT/AORTIC 19X9.5 $1,697.50

6200087 SUCTION/FRAZIER 10FR $27.00

6200088 SUCTION/FRAZIER 12FR $27.00

6200089 BLAKE DRAIN 19fr ROUND w/ TROCAR-FLUTED $92.25

6200090 SUCTION TIP $33.50

6200091 CONTIGEN IMPLANT $852.75

6200092 CYSTO/ABLATION DRAPE $63.25

6200093 CYSTOSCOPY INSTRUMENTS $136.75

6200094 TURP INSTRUMENTS $269.75

6200096 TOURNIQUET COVER $39.00

6200098 PEDIATRIC SHEET 89241 $32.25

6200099 PREP TRAY $36.00

6200102 L HOOK CAUTERY $125.50

6200103 SUTURE $47.75

6200104 SUTURE LEVEL A $27.00

6200105 SUTURE LEVEL B $100.75

6200106 SUTURE LEVEL C $134.25

6200107 DISP E-PROBE 5MM X 45CM $142.50

6200108 PLUME AWAY $44.00

6200109 PREMIUM PLUS CEEA 25 $1,890.00

6200110 INSULSCAN WAND 9400-00 $88.50

6200111 LIGACLIPS- GREEN LT 300 $63.25

6200112 SUCTION COAGULATOR-CHISEL $33.00

6200113 DISP NEEDLES $17.25

6200114 LIGACLIPS LT400 / YELLOW $63.25

6200115 NDL-PERIURETHRAL $58.75

6200116 TRANSURETHRAL NEEDLE $108.00

6200117 GRAFT ON 5CC $1,411.50

6200118 PIN GUARD .062 $39.00

6200119 NEEDLES SPINAL $15.25

6200120 RIGIDFIX FEM 3.3MM S/T CROSS PIN/210133 $667.00

6200121 INTRAFIX TIBIAL SHEATH 30MM/254601 $239.50

6200123 PVC DRAIN WITH TROCAR 1/8 0710 $23.75

6200124 GUIDE WIRE 1.1mm x 15 $69.00

6200127 SKIN MARKER 4056130 $10.50

6200130 HICKMAN-SINGLE LUMEN 9.6* $448.75

6200131 HICKMAN 9.0 DUAL LUMEN CATHETER $425.75

6200132 GUIDEWIRE-FIXED CORE/STRIAGHT/3CM FLEX $69.00

6200133 LAP BAND APS STANDARD B2240 $6,553.75

6200134 LAP BAND APS LARGE B2245 $6,553.75

6200136 BLAKEMORE ESOPHAGEAL -NASOGASTRIC TUBES $1,019.00

6200137 WOVEN FILIFORM TIP $243.50

6200142 KLING / STERILE 2-4 $11.00

6200144 PLASTER SPLINT $44.50

6200145 PLASTER SPLINT 5 $70.75

6200147 SHOULDER SUSPENSION TRAP $183.75

6200148 SUTURE RETRIEVEL $192.50

6200149 CONCEPT TRAY $430.75

6200150 MEROGEL $163.25

6200151 STENT/QUADRA-COIL 6.0 FR $340.00

6200152 JURGAN BALL.045 $39.00

6200153 NEEDLE COUNTER / SHARP CADDY V9102 $22.00

6200154 JURGAN BALL.0.54-.062 $39.00

6200157 INDIGO CARMEN $22.00

6200160 BETAMETHASONE PF 6MG/1ML VL (CPD): 2ML $183.00

6200163 ACUFEX CANNULA KIT $81.00

6200164 OBTURATOR AND CLEAR CANNULA 8.5 x 75mm $58.75

6200165 SPONGES-PEANUT 3/8 $22.00

6200169 NITROUS & POWER SAW & DRILL $179.50

6200170 FLOW-SEAL $327.50

6200171 FLOSEAL APPLICATOR B $152.75

6200172 ZIMMER CUFF DISP $36.00

6200173 ZIMMER CUFF $33.00

6200174 DURAPREP 8630 $35.50

6200175 ZIMMER CUFF $35.50

6200176 ZIMMER CUFF $47.00

6200177 POWER PORT ./ USE 6200179 $1,083.00

6200179 SMART PORT CT 8 .0 fr $628.75

6200180 ZIMMER CUFF $44.75

6200181 ZIMMER CUFF $44.75

6200183 INTRODUCER PORT ENDEXO $136.25

6200184 ESMARK 6 LATEX FREE $30.50



6200192 FLUID COLLECTION SYSTEM $80.00

6200193 PORT 8FR ENDEXO PASV $537.50

6200195 ADVANTAGE FIT-TRANSVAGINAL SLING 850-211 $1,974.00

6200196 GORE-TEX PATCH 2X6 (5cm x 15cm $524.25

6200197 MESH PHASIX PLUG AND PATCH LG $575.75

6200198 MESH PHASIX PLUG AND PATCH MED $563.50

6200199 GORE-TEX PATCH 8 X 12 $3,983.00

6200200 GORE TEX SUTURE O / ONO5A $61.00

6200201 MANIFOLD - 4 PORT / NEPTUNE $29.50

6200202 LOOP-LOC $19.50

6200203 SMOKE-EVAC SUCTION DEVICE / NEPTUNE $370.00

6200204 STEINMAN PIN $61.00

6200205 INJECTOR NEEDLE $192.50

6200206 BRONCOSCOPE $212.00

6200207 LAP CHOLEY PAN $130.00

6200209 VIDEO SCOPE $212.00

6200211 VIDEOSCOPE G-C $212.00

6200213 FILM - PENTAX 5010A $13.75

6200214 FILM - KARL STORZ 5510C $13.75

6200215 FILM 21L $13.75

6200217 DUPLOCATH APPLICATION CATHETER 921020 $131.00

6200219 TISSEEL PROCEDURE $207.00

6200224 GUIDEWIRE $499.00

6200225 GUIDEWIRE-ZEBRA/STIFF $333.75

6200232 BIOPSY NEEDLE-TRU-CUT 2N2702X $210.00

6200233 HOT BIOPSY DISPOSABLE 5033 $250.50

6200234 BIOPSY FORCEPS/DISP / COLD $120.00

6200235 BIOPSY FORCEPS/MULTIBITE $129.50

6200236 TOURNIKOT - SMALL $13.75

6200237 FINGER TOURNIKOT-MED $13.75

6200238 FINGER TOURNIKOT-LARGE $13.75

6200239 FINGER TOURNIKOT-XL $13.75

6200241 BIOPSY FORCEPS/LG CAPACITY $48.75

6200242 PULMONARY BIOPSY FORCEP 5231 $191.25

6200243 RUTNER UNIVERSAL URETHAL $34.25

6200244 SPYBITE BIOPSY FORCEP $892.00

6200245 ELECTRODE STRAIGHT MICRO NDL $58.75

6200250 PACK TOTAL KNEE 3657 $247.25

6200251 PACK HIP (tba) $257.75

6200258 LT & RT WHISTLE TIP $78.00

6200260 CATH PIGTAIL 4FR $379.00

6200264 URETERAL STENT / SET $690.75

6200265 ACTIVE CORD $76.00

6200266 ROLLER BAR ANGLED RB 24 $261.25

6200268 UCCI CATH CONNECTOR $16.25

6200270 PHILIPS CATH FOLLOWER 8FR $56.50

6200272 FILIFORM CATHETER $34.25

6200273 ZIPWIRE-.038 ANGELED/150CM $118.75

6200274 PHILIPS CATH FOLLOWER 10FR $56.50

6200275 CUTTING LOOP ELECTRODE 28fr $183.75

6200276 CYSTOSCOPY PACK IV $92.75

6200277 ZIPWIRE-.035 STRAIGHT/150CM 208B1 $118.75

6200281 CABLE BAND INST $47.75

6200282 CYTOLOGY BRUSH $105.00

6200284 COLONOSCOPY INSTR CHG $212.00

6200285 HOT SNARE/BIOPSY $190.00

6200288 HEMORRHOID LIGATOR - McGIVNEY / BANDER $47.75

6200290 DERMATOMA & HEAD $70.75

6200292 NERVE STIMULATOR/LOCATOR $130.50

6200299 HIP PROSTHESIS $8,110.00

6200300 DRAIN - MUSHROOM $96.00

6200302 ELECTRO SURGICAL TIP CLNR $12.25

6200308 GELFOAM 100 $43.25

6200309 GELFOAM 50 $57.75

6200315 HARMONIC SCALPEL $66.25

6200326 IOBAN/X-LARGE 6617 $42.25

6200328 ORTHO DRY PACKING $94.75

6200333 ORTHOCORD/TAPER MO7/W/NDL $87.75

6200336 LAP SPONGE $41.50

6200337 LAP SPONGE 4 X 18 VAG PACK 4302407 $41.50

6200340 CARTER-THOMASON CLOSESURE SYSTEM $220.25

6200341 SEPRAFILM ADHESION BARRIER 5 x 6 $440.75

6200342 MARLEX MESH SHEET/PLUG $473.75

6200343 SURGIPRO SM $146.75

6200344 SURGIPRO 14 x 9 SPM-149 $536.00

6200345 DEXON MESH $477.00

6200346 MESH PLUG - LARGE $473.75

6200347 MESH PLUG XLG $473.75

6200349 BIONX IMPLANT 1.5mm BONE FIXATION KIT $409.00

6200366 RAZOR-STERILE $7.25

6200374 BLADE SAGITAL/HVY DTY/DUAL CUT $153.50

6200375 THOMPSON RETRACTOR $105.00

6200376 BURR FAST CUTTING $170.50

6200377 BURR EGG 5.0 $170.50

6200378 BLADE SAGITAL $153.50

6200385 SURGICEL 4X8 $151.75

6200387 STERI DRAPE 1000 (SM TOWEL DRAPE ) $10.00

6200388 STERI-U DRAPE-ADHESIVE 3M $62.25

6200390 ENDOLOOP(SURGITIE) VICRYL EL-21-L $122.50

6200398 GIA STAPLER 60 3.8 $803.50

6200399 SURG STAPLER REFILL GIA $510.00

6200400 SKIN GRAFT CARRIER/MESHER $70.75

6200407 TI-KNOT TK5 DEVICE $249.00

6200408 TK 5 QUICK LOADING UNIT $96.00

6200410 VEIN STRIPPER $109.25

6200420 RUSH ROD $210.00

6200429 BLADE AGG MED 25.0 x 9.0 mm $114.50

6200432 CRD VACUUM LINER & TUBING $34.25

6200434 MACK EAR PLUGS/BOX $18.25

6200436 XOMED EAR TUBES $78.00

6200437 SHEA PARASAL VENT TUBE $75.00

6200438 HARMONIC SCALPEL 5MM CRV HAR36 $928.25

6200439 DISSECTING HOOK 5 MM 32CM LENGTH $434.25

6200440 DISSECTING HOOK 5MM 10CM LENGTH $263.75

6200441 HARMONIC ACE 23CM $854.50

6200446 PAIN CARE 3000 / 1031NO LONGER AVAIL $590.25

6200447 PAIN CARE 4200 (4-DAY) $590.25

6200451 MONARC + SUBFACIAL HAMMOCK $1,972.50

6200452 LUKI TUBES $39.00

6200455 GIGLI SAW / 367 $63.25

6200456 WALL STENT / COLONIC (ULTRAFLEX $4,758.50

6200461 SHOULDER PACK $390.00

6200462 FLUID CONTROL/ACL 88481 $363.50

6200463 KNEE CRUTCH PADS $70.75

6200464 PERSONAL STIRRUP STRAP 52712 EACH $17.00

6200465 FLUID PACK/SHOULDER $226.25

6200466 PRP SERVICES $983.50

6200468 BALLOON DILATORS $578.00

6200469 DIGIFLATOR SYRINGE M00550601 $33.00

6200471 HYSTERSCOPE INSTRUMENT $340.50

6200472 KNIVES-COLD HALF MOON K-HM $260.50

6200473 KNIVES-COLD STRAIGHT K-SB $260.50

6200474 SUCTION-YANKAUER TIP 0034870 $33.50

6200475 BLADE SAGITTAL 13.0X1.07X90MM $110.00

6200476 PRECISION FALC CARTG 19.5X1.33X105 $739.00

6200477 BLADE SAGITTAL 13 X.89 X 90 089-090 $110.00

6200478 BLADE SAGITTAL 18x90x1.27 4118-127-90 $153.50

6200479 PACK C SECTION CUSTOM 4464 $210.75

6200480 SAGITAL BLADE 2108-152-000 / NARROW FIX $121.00

6200481 SKIN STAPLER PREMIUM COVIDIEN 059037 $65.75

6200482 SLEEVE & CABLE SET (1.6 MM) $669.75

6200483 SLEEVE & CABLE SET (2.0 MM) $669.75

6200485 PROTACK 5mm $893.50

6200486 SKIN STAPLER 35 WIDE / FIXED HEAD $91.75

6200487 CONTOUR CURVED CUTTER INSTRUMENT / THICK $835.50

6200488 TA 60 4.8 STAPLER $520.25

6200489 SKIN STAPLER / ROTATING HEAD 35 WIDE $93.25

6200490 SINUS SPACER $66.75

6200491 SAGGITAL BLADE 13 x 1.9 x 90ml $141.75

6200498 GOLD PROBE 7FR $773.25

6200505 ABDOMINAL PACK MAJOR $237.50

6200506 BANDAID 8X6 $15.25

6200507 STENT/ESOPHAGEAL 7CM (ULTRAFLEX)PROXIMAL $2,023.50

6200508 STENT/ESOPHAGEAL 10CM (ULTRAFLEX)PROXIMA $2,023.50

6200509 GUIDEWIRE/HYDRA JAGWIRE .035 x260cm/STR $465.75

6200510 STORZ PAPARELLA EAR TUBES $86.75

6200511 GUIDEWIRE JAGWIRE .035x450cm / STR $465.75

6200512 COLLAR BUTTON TUBE $63.75

6200513 RICHARDS T-TUBE EAR TUBE $172.25

6200515 ENT MICROSCOPE EQUIPMENT $109.25

6200516 REUTER BOBBIN EAR TUBE $34.75

6200524 SKIN PROBE YSI 400 SERIES $13.00

6200530 SMALL FRAGMENT INSTRUMENT $305.25

6200531 SCREWS/SM FRAGMENT SET $37.50

6200532 PLATE/FOREARM/T $206.50

6200533 PLATE/TUBULAR $122.50

6200534 PLATE/CLOVER LEAF $362.25

6200536 BONE CEMENT DEPUY - FULL DOSE (SMART SET $289.00

6200537 BOWL & SPATULA 540137000 $84.25

6200538 GROSHONG PORT 0602830/PORT A CATH $1,582.50

6200539 PORT-A-CATH INTRODUC $133.25

6200540 BONE CEMENT DEPUY - 1/2 DOSE $177.75

6200541 ROLLER BALL LOOP/ FLEX POINT ELECTRODE $304.00

6200542 ROLLER BALL BLADE / 427R-6S $304.00

6200543 RENO M $23.00

6200544 HIP DRAPE W/ POCKETS $70.75

6200545 ENDOCLOSE 173022 $163.25

6200546 IRRIGATING OCUTOME PROBE $459.75

6200547 HEAD DRAPE /EYES $13.00

6200548 EENT SPLIT DRAPE 89352 $45.25

6200550 KNEEALIGN NAVIGATOR $1,389.25

6200551 KNIFE-ANGLED 3.2MM $50.50

6200552 CEMENT GENTAMICIN $1,028.00

6200553 KNIFE - ANGLE BEVEL UP $50.50

6200554 RETRIEVAL BAG $131.50

6200555 BONE CEMENT PALACOS GENTAMINCIN $465.50

6200559 FLOURI-I-STRIP $10.00

6200561 HONAN PRESSURE REDUCER $58.75

6200563 LENS GLIDE $39.00

6200565 SUTURE ALCON 4-0 SILK $48.25

6200566 SUTURE ALCON 10-0 SILK $206.00

6200569 TRUMPET VALVE/DISP $299.00

6200570 INTRAOCULAR LENS $632.25

6200573 MAGNECTIC DRAPE $48.25

6200574 AMBI HIP PINNING SET $117.75

6200575 LAG SCREW 55-140 $654.00

6200576 COMP SCREW 19 & 28 $104.50

6200577 BONE SCREW CORTICAL 4.5 X ( AMBI SET ) $92.25

6200578 BARREL PLATE-SHORT 12-1198 / 12-1204 $1,315.50

6200579 BARREL PLATE STANDARD 12-1131/1147 $1,080.75

6200580 BANDBAG-SMALL $33.50

6200582 IOBAN-LARGE 6651 $23.50

6200583 BONE CEMENT SPEED SET DR BOZARTH 1010 $172.25

6200584 CEMENT RESTRICTOR 12-9418 $314.00

6200585 BUCK FEMORAL CEMENT RESTRICTOR / 25MM $210.00

6200586 KIRSCHNER WIRE $63.75

6200587 RELOAD-CONTOUR CURVED CUTTER $460.25

6200588 PULSE OXIMETER $136.75

6200589 BONE CEMENT-OSTEOBOND $287.25

6200590 ARTHREX SCREWS $333.00

6200591 WRIST CANNULA $288.50

6200592 WRIST JACK / EXTERNAL FIXATION DEVICE $3,257.00

6200593 PACK HIP REPLACES KC 88412 893657.06DER $347.00

6200594 MAGNA FIX INSTRUMENT SET $278.75

6200595 SCREWS-16/32 MM $291.25

6200596 SAW BLADES $72.25

6200598 BONE CEMENT GENTA STRYKER $372.75

6200599 SUCTION CAUTERY SMOKE EVA $78.00

6200600 SCREW-2.7MM CORTEX/SELF-TAP/LOC SM FRAG. $70.75

6200601 SCREW-3.5MM STARDRIVE RECESS/SELF-TAP $224.75

6200602 SCREW-3.5MM SHAFT/LOC SM FRAG. $65.25

6200603 SCREW-3.5MM CORTEX/SELF-TAP/LOC SM FRAG. $70.75

6200604 SCREW-3.5MM CANCELLOUS/FULL THREAD/LSF $61.00

6200605 SCREW-4.0MM CANCELLOUS/PART THREAD/LSF $61.00

6200606 PLATE-3.5 MM LCP/XX HOLE/XXX MM LENGTH $858.25

6200607 PLATE-3.5MM LCP/RT ANGLE/3 HEAD HOLES $782.00

6200608 PLATE-3.5MM LCP/RT ANGLE/4 HEAD HOLES $782.00

6200609 T-PLATE/3.5MM LCP/3 HEAD HOLES/OBLIQ-RT $734.50

6200610 T-PLATE/3.5MM LCP/3 HEAD HOLES/OBLIQ-LT $734.50

6200611 PLATE-ONE THIRD TUBULAR LCP w/COLLAR $286.25

6200612 PLATE-3.5MM LCP PROXIMAL HUMERUS/STNRD $2,894.25

6200613 PLATE-3.5MM LCP PROXIMAL HUMERUS/LONG $3,198.25

6200614 PLATE-3.5MM LCP / RECONSTRUCTION $1,170.00

6200615 PLATE-3.5MM LCP/CURVED/RECONSTRUCTION $1,537.25

6200616 DRILL BITS/ 2.0MM - 3.5MM DIAMETER $170.50

6200617 TAPS-SCREW 3.5 CORTEX & 4.0 CANCELLOUS $218.50

6200618 DRILL BIT $125.00

6200619 WASHER - 7 MM /LOCKING SMALL FRAGMENT $74.50

6200620 K WIRES / 150 MM / 10 PACK $46.75

6200621 NAILS-TITANIUM CTF/10MM DISTAL/STERILE $3,337.00




6200625 NAILS-TITANIUM CTF/170MM LENGTH/STERILE $2,531.75

6200626 NAILS-TITANIUM CTF/235MM LENGTH/STERILE $2,531.75

6200627 BLADE TITANIUM HELICAL 11.0 MM (GOLD) $1,124.75

6200628 END CAP TITANIUM (GREEN)/NON STERILE $285.00

6200629 SCREW-TITANIUM 5.0MM LOCKING/3.5HEX DRV $336.75

6200630 BOLT-TITANIUM 4.9MM LOCKING/3.5HEX DRV $320.25

6200631 GUIDE WIRE - 3.2 MM $203.50

6200632 DRILL BIT - CANNULATED $1,082.75

6200633 DRILL BIT-THREE FLUTED/QUICK COUPLING $527.00

6200634 REAMING ROD-3.0 MM/OFFSET & STRT BALLTIP $224.75

6200635 GUIDE ROD-3.0 MM / w/SMOOTH TIP $224.75

6200636 SCREW-1.0MM CORTEX/SELF-TAP/MOD HAND SYS $161.25




6200640 HEWSON SUTURE RETRIEVER 1579 $186.25

6200641 DRILL BIT $156.25


6200643 BUTTRESS PIN 1.8MM TITANIUM / 18MM $131.00

6200644 PLATE-1.3 MM TITANIUM/STRT /EXT-H /T /Y $406.50

6200645 DRILL BITS/.76-1.3MM/MINI QK COUP/J-LATC $220.25

6200646 PLATE-1.5 MM TITAN/STRT/EXT-H/T/Y/CONDYL $435.50

6200647 DRILL BITS/1.1-2.4MM/MINI QK COUP/J-LATC $146.25

6200648 PLATE-2.0MM TITAN/STRT/T/Y/CONDYLR/LCDCP $473.25

6200649 PLATE-2.4MM TITAN/STRT/T/Y/CONDYLR/LCDCP $542.25

6200650 DRAPE C ARM 4951 $19.50

6200651 SURGIPRO MESH - 4 x 6 MONOFILAMENT $209.25

6200652 SURGIPRO MESH 6 x 6 $338.50

6200653 SCOPE WARMER - / 2 SIDED $23.75

6200654 BUCK FEMORAL CEMENT RESTRICTOR/ 18.5MM $210.00

6200655 HOOK PLATE 3.5MM 3 HOLE $955.25

6200658 DRILL BIT-QUICK CONNECT 4.5mm x 145mm $132.50

6200660 DRAPE CAMERA 2904 $39.00

6200661 PIN GUARD .035 $39.00

6200664 CAMERA DRAPE / EZ SERT 7 x 96 $12.25

6200670 TROCAR / VERSASTEP 5mm - LONG $128.00

6200672 IRRIGATION SOLUTION WARMER - DRAPE $96.00

6200681 TROCAR-BLADELESS 5 MM CTR03 $141.00

6200682 TROCAR BLADELESS 11 MM CTR34 $169.75

6200683 TROCAR - BLADELESS 15mm $243.00

6200684 SLEEVE THREADED 150MM 5MM CFSO1 $163.25

6200685 TROCAR BLADELESS 150MM 12MM CO131 $163.25

6200686 TROCAR BLUNTPORT PLUS 5mm 12mm 179075 $157.75

6200687 TROCAR - BLUNT PORT PLUS 12mm NB12LGF $131.00

6200695 ENDOCLIP 5MM 176630 $1,126.75

6200696 RESOLUTION CLIP DEVICE 2611 $282.00

6200697 FIBER WIRE 2-0/18 BLUE $57.25

6200700 ENDOCLIP M/L 10MM $787.75

6200701 ABSORBATACK 5MM / HERNIA $1,189.50

6200702 SUB-Q STAPLER $206.50

6200704 STAT TACK OMS-TTSS $419.25

6200705 ENDO HERNIA STAPLER $633.75

6200706 GIA RELOAD 60 4.8 $228.50

6200708 ABSORBATACK SHORT / 20 $1,001.25

6200709 TROCAR SLEEVE 5MM CTS502 $41.50

6200710 FOG REDUCTION $22.00

6200711 TROCAR SLEEVE 11MM / CB11LT $41.50

6200712 TROCAR 5 x 150 BLADELESS COQ05 $91.75

6200713 LIGASURE V SEALER/DIVIDER $1,012.25

6200714 LIGASURE V -SHORT SEALER DIVIDER $929.75

6200715 STONE RETRIEVAL HELICAL BASKET (GEMINI) $560.25

6200716 LIGASURE ATLAS - LS1020 $903.75

6200717 LIGASURE LS 1037 $903.75

6200719 TROCAR 15mm BLADED VERSAPORT 179078P $137.50

6200720 STERILE SUCTION TUBING N610 $20.00

6200721 LIGASURE - CURVED / LF4318 $1,512.25

6200728 HEMORRHOID STAPLER / PPH $869.25

6200729 BURR ROUND 4.0 375940012 $179.50

6200730 ELECTRO LUBE EL101 $78.00

6200731 LIGASURE LF1637 $903.75

6200732 LIGASURE 5MM $1,042.25

6200734 RETRIEVAL BASKET $346.50

6200735 LIGASURE $952.50

6200737 RELOAD ENDO $767.50

6200739 INSORB 20 SUBCUTICLAR SKIN STAPLER 2030 $128.00

6200740 TROCAR BLADED $70.75

6200741 RELOAC ENDOSTITCH $71.00

6200743 MIXING BOWL - ( MIX EVAC 3 ) 206-15 $140.50

6200744 SHOULDER PACK / CUSTOM $244.75

6200745 GORE SMOOTHER 7.9 $406.50

6200746 SM JOINT IRRIGATION SET $281.00

6200748 PRO OSTEON IMPLANT X40 $1,392.50

6200749 VITRECTOMY ANTERIOR $219.75

6200752 CRE BALLOON DILATOR M00558330 $453.50

6200753 TAUT CHOLANGIOGRAM CATHETER 5.5 8M56 $129.00

6200754 CHOLANGIOGRAPHY CATH 6F $81.75

6200755 CHOLANGIOGRAM CATH 3-20F C1002 $202.25

6200756 CHOLANGIOGRAPHY CATH 4F $81.75

6200757 BONE WAX 2.5GM $16.75

6200758 CUTTING LOOP /RT ANGLE 26FR $206.00

6200760 SURGIGRIP $62.25

6200761 UNIVERSAL PACK $98.50

6200770 SURGINEEDLE 120mm 172015 $86.75

6200771 INSUFFLATION NEDL - LONG VERSASTEP $65.25

6200772 VERESS INSUFFLATION NEEDLE UV120 $90.50

6200775 SURGINEEDLE 150 LONG 172016 $219.75

6200776 SUTURE ASSISTANT RE-LOAD $87.75

6200777 SUTURE ASSISTANT INSTR $345.25

6200778 ENDO STITCH 10MM 173016 $487.00

6200779 ENDO STITCH SUTURE POLYSORB 2-0 48 0053 $132.50

6200780 SURGIDAC 2-0 TRIPLE STITCH DISC 7 0041 $709.50

6200781 ENDO STITCH SUTURE 7 POLYSORB 2-0 0051 $132.50

6200782 ENDO STITCH SURGIDAC 48 17044 $135.00

6200783 RETROGRADE KNIFE / ECTRA 2 4449 $141.00

6200790 ENDO CATCH GOLD 10MM 173050G $248.00

6200791 VALVE KIT $24.75

6200792 BURR EIUS $377.00

6200795 SYRINGE ADAPTER SET / CONTIGEN $12.25

6200800 SCD/COMPRESSION SLEEVE $433.75

6200805 STACKHOUSE/SMOKE E-VAC $92.75

6200810 SPEEDBAND SUPERVIEW LIGATOR $712.25

6200819 PROLENE MESH 12 x 12 ( 30cm x 30cm) $426.25

6200820 DUAL MESH PLUS 10CM X 15CM $905.00

6200826 MITEK VAPR SIDE EFFECT ELECT-STRT/225301 $364.50

6200827 VAPR S 90 ELECTRODE 225370 $483.50

6200830 DUAL MESH PLUS 18cm x 24cm $3,069.00

6200831 DUAL MESH PLUS 15CM x 19CM $2,010.25

6200832 DUAL MESH PLUS 15CM x 19CM $4,986.00

6200835 SURGICAL PATTIE $32.25

6200836 TEFLON PLEDGET $33.50

6200837 TEFLON PLEDGET-XSMALL $33.50

6200840 VIDEO EQUIPMENT $769.25

6200842 LAP CHOLE DRAPE $66.75

6200844 LAP HYSTER / PELVIC PACK 88222 $188.75

6200850 POLY GIA 75 $383.50

6200853 TUBING INSUFFLATOR HEATED $84.00

6200854 INSUFFLATOR TUBING HEATED 30407 $74.50

6200855 INSUFFLATOR TUBING $29.25

6200860 URETERAL CATH CONNECTOR 7fr - 10fr $10.00

6200861 URETERAL CONNECTOR / 050010 3fr - 6fR $10.00

6200862 URETERAL CATHETER $41.50

6200863 SURGICEL 1 X 3.5 $101.50

6200865 SCREW CONICAL EXTRACT MINI $129.00

6200866 SCREW CONICAL EXTRACT SMALL $129.00

6200867 SCREW CONICAL EXTRACT LARGE $129.00

6200871 ADVANCE CAPSULE DELIVERY DEVICE 00711144 $299.00

6200872 PILL CAM SB2 FGS0230 $964.75

6200875 PLEATMAN SAC $147.25

6200880 ENDO MINI SHEARS 5MM $533.00

6200881 SHORT SHEARS / ACE14S $771.75

6200885 ENDO SCIZ/ARTICULATI $404.50

6200886 MULTIFIRE ENDO GIA 30 3.5 RELOAD 030807 $231.75

6200887 MULTIFIRE ENDO GIA 30 2.5 RELOAD 030805 $231.75

6200900 ENDO GIA 45 2.5 UNI ROTICU 030454 $502.75

6200901 CUTTER ANGLE AGG 3.5/ENT $259.25

6200902 CUTTER AGGR-SERRATE 4.0/ENT/ 645 $210.00

6200903 CUTTER ANGLED AGGR 4.0/ENT 40 DEG $229.50

6200904 CUTTER ANGLED AGGR 4.0/ENT / 744 $221.25

6200905 SPOT / GI TRACT MARKER $76.75

6200906 TA 60 3.5 STAPLER $304.00

6200907 CUTTER AGGR SERRATED 4.0/ENT $259.25

6200908 TA 30 4.8 STAPLER $254.50

6200909 TA 90 3.5 STAPLER $262.75

6200910 ENDO GIA RELOADS 45 3.5 ROTICU 030455 $502.75

6200911 LINEAR CUTTER 45-3.5 -RELOAD STRAIGHT $666.50

6200912 TA STAPLER 30 3.5 $250.50

6200913 ENDO GIA INSTRUMENT - UNIVERSAL $230.50

6200914 CUTTER ANGLED AGG 4.0/ENT / 760 $231.25

6200915 ENDO GIA STAPLER GIA 30 -3.5 ( NON-FLEX) $572.50

6200916 RELOADS / LINEAR CUTTER 3.5 $257.75

6200917 LINEAR CUTTER 3.5/SHORT TSB35 $476.00

6200918 HUMMER / CASSETTE $224.75

6200919 BLADE AGG 40 DEGR CONVEX 4.0/ENT $229.50

6200920 ENDO GUAGE $106.25

6200921 SURGILAVE HANDPIECE $133.25

6200922 VARA PULSE TIP/9 (SPRAY $47.75

6200923 BLADE AGGR 11CM 4.0/ENT $229.50

6200924 STAPLER - PROXIMATE 60MM / TX60G $254.50

6200925 CUTTER PRECISION SHARP EDGE 4.0/ENT $229.50

6200926 BURR 3.0/ ROUND ENT $229.50

6200927 BURR ROUND UNHOODED 2.0/ENT $229.50

6200928 BLADE AGGR 4.0/ENT $259.25

6200929 CUTTER PREC ANGLE 40 DEGR 4.0/ENT $229.50

6200930 ENDOLOOP SURGITIE VICRYL EL20L $122.50

6200931 STENT 6FR 24 CM $194.50

6200932 ENDOLOOP PDS II SUTURE EZ10G $60.50

6200933 3D MAX MESH MEDIUM/LEFT 3 x5 $378.00

6200934 3D MAX MESH LARGE/LEFT 4 x 6 $449.25

6200935 3D MAX MESH XLG/LEFT 5 x 7 $443.50

6200936 3D MAX MESH MEDIUM /RIGHT 3 x 5 $378.00

6200937 3D MAX MESH LG/RIGHT 4x6 $449.25

6200938 3D MAX MESH XL/RIGHT 5 $443.50

6200939 STRUCTURAL BALLOON TROCAR 10mm $362.75

6200940 DISSECTOR BALLOON ( KIDNEY SHAPE) $483.50

6200941 ENDO GIA RELOADS 60 4.8 ROTICU 030459 $543.75

6200943 ENDO GIA RELOADS 60 3.5 ROTICUL 030458 $517.00

6200944 STENT 6FR 26CM $194.50

6200945 ENDO GIA 45 2.0 UNI ROTICU 030452 $502.75

6200947 FAS T -FIX STRAIGHT $576.50

6200948 CUTTING LOOP /RIGHT ANGLE 28FR $206.00

6200950 MINI SHEARS 5MM $533.00

6200951 VENTRALIGHT ST 4.5 CIRCLE $553.75

6200952 SURGIMESH WN - RECTANGLE 10x15cm / KUGEL $843.75

6200953 ENDO PEANUT 5MM $157.75

6200954 ENDO GIA INSTRUMENT - UNIVERSAL XL $343.00

6200956 FAS-T MENISCAL KNOT PUSHER $266.75

6200960 MESH B $380.50

6200961 PARIETEX POLYESTER MESH - 8 X 6 (2015) $1,649.25

6200965 ENDO RETRACT II 10 mm $221.25

6200966 TRAY SUTURE - ALL $58.75

6200968 ENDO PADDLE RETRACTOR $258.50

6200969 ENDO BABCOCK 10 mm 174001 $203.50

6200974 BIONX IMPLANT / K-WIRE $39.00

6200975 TRINITY BONE GRAFT 5cc $4,139.50

6200976 VENTRALIGHT ST MESH 4X6 $661.25

6200977 VENTRIO ST HERNIA PATCH 5.4X7.0 $1,384.00

6200978 VENTRALIGHT 6" $1,062.25

6200979 VENTRALIGHT ST 6X8 $969.25

6200980 VENTRALIGHT ST MESH 7X9 $1,892.00

6200981 VENTRALEX ST HERNIA PATCH 3.2" $772.50

6200982 SURGIMESH WN 14x15 T1415-8 $1,302.50

6200983 VENTRIO ST HERNIA PATCH 4.3X5.5 $1,093.75

6200985 TUBING TUR Y 065430101 $49.25

6200986 SOFT MESH 12X12 $144.25

6200987 VENTRALEX ST HERNIA PATCH 2.5" $598.75

6200988 LINEAR CUTTER 45-2.5 NON FLEX $566.00

6200989 SPIRALOK 6.5 v&b 0-C w/O NEEDLE $600.25

6200990 VALTRAC 25MM 2.0 808300 $782.50

6200992 STRATTICE 10 x 20 cm LIFECELL TISSUE $11,290.75

6200995 RELOAD 60-2.5 VASCULAR TVR55 $186.25

6200998 SAW BLADE 5627-11-500 $269.75

6201004 VISCOELASTIC / ALCON DUOVISC $135.50

6201006 PUPIL DIALTOR $299.00

6201007 MIOSTAT/VIAL $47.75

6201008 MESH F $1,004.75

6201009 MESH D $614.25

6201010 TRYPAN BLUE $92.25

6201095 ESOPHAGEAL OVERTUBE LONG $345.25

6201096 ESOPHAGEAL OVERTUBE SHORT $298.50

6201097 GRASPING DEVICE - TALON $244.75

6201098 ROTH RETRIEVAL NET $192.00

6201415 RX EPIDURAL NEEDLE-COUDE / 3.5 /15GA RW $29.00

6202000 ON Q PUMP 5/BX CB6007 $1,184.00

6202001 ON Q CATHETER SOAKER 5 5/BX PMO20A $171.00

6202002 ON Q TUNNELER 5/BX T11X8 $105.00

6202003 ON Q CATHETER SOAKER 10 5/BX PMO40A $238.75

6202004 ON Q TUNNELER 5/BX T11X12 $105.00

6202340 BREVI - XL / CATHETER $113.00

6202500 CATARACT SUPPLY PACK $772.25

6202501 LASER TURP SUPPLY PACK $4,317.00

6202600 LITHOTRIPSY SUPPLY $4,834.75

6204337 CLIP APPLIER $131.25

6205560 BAL SALT SOLUTION 500ML $128.00

6205561 BAL SALT SOLUTION 15ML $36.00

6205562 SODIUM HYALURONATE $549.25

6207030 BIPOLAR CORD E0509 $17.75

6207072 BANANA CUFF 42 $36.00

6207095 CEMENT MIXER KIT TOWER 98000 $175.00

6207096 PRESSURE PROXIMAL-BL $70.75

6207097 PRESSURE PROXIMAL-RED- NO REORDER $46.25

6207098 PRESSURE PROXIMAL-YE $46.25

6207099 CEMENT MIXER BREAKAWAY DR BOZARTH 563000 $164.00

6207100 FEMORAL PRESS NOZZLE 65 DEGR 0606514000 $38.75

6207160 GASTROSTOMY TUBE 18F/MIC / 100-18 $175.75


6207162 GASTROSTOMY 22fr $175.75

6207170 GROUNDING PAD ADULT 7179V $13.75

6207171 GROUNDING PAD CHILD 9165V $13.75

6207172 MENISCUS NOVASTITCH $870.00

6207174 MENISCUS RELOADS $738.50

6207176 MENISCUS CUTTER $219.75

6207190 HEMOVAC- CWS 400 W/O TROCAR 0043650 $259.75

6207200 BLAKE DRAIN 7MM $200.50

6207210 LECTRO VAC 10FR $30.50

6207211 LECTRO NEEDLE E1552 $10.25

6207212 EXPRESSEW III NDL 214141 $280.25

6207215 LECTROVAC 8FR E26086 $45.25

6207220 LECTRO SWITCH EDGE HOLSTER E2350H $36.00

6207221 CAUTERY-BLADE ELECTRODE 4 / COATED $23.75

6207223 LECTRO VAC 12FR 3305 $42.75

6207250 GORE SMOOTHER 9.5 $406.50

6207253 FEMORAL CANAL TIP $48.25

6207254 FEMORAL CANAL BRUSH $58.75

6207255 MULTI ORIFICE 207-59 $56.50

6207256 VARAPULSE /SHOWER TIP $47.75

6207290 PREMIUM PLUS CEEA 28 STAPLER $1,890.00

6207300 PREMIUM PLUS CEEA 31 STAPLER $1,890.00

6207330 SPONGES TONSIL LARGE $20.00

6207335 GIA RELOAD 60 3.8 $159.00

6207385 BANDBAG 36X36-LG $33.50

6207400 ELECTRODE BLADE 1 E1551X $189.25

6207401 ELECTRODE 15cc / LUMBAR RF ABALTIO $174.25

6207402 CURVED CANNULA NDL 20ga / LUMBAR RF $70.75

6207403 GROUNDING PAD / LUMBAR RF ABLATION $47.75

6207404 SIMPLICITY ELECTRODE / SI NERVE $1,049.25

6207409 STOCKING SCD THIGH BARIATRIC 9790 $433.75

6207410 STOCKING SCD KNEE LG 74023 $433.75

6207420 STOCKING SCD KNEE REG 74022 $433.75

6207430 STOCKING SCD THIGH SMALL 5345 $433.75

6207440 STOCKING SCD KAMBIA SMALL 74021 $122.00

6207450 ENDOPATH RELOAD 45MM / 2.5 $472.25

6207455 HOSE/STERILE SINGLE 36 $20.00

6207464 TROCAR 12MM CTB73 $398.00

6207468 GROSHONG ACCESS/8FR $696.50

6207480 VALTRAC 28MM 2.0 80880 $782.50

6207485 VALTRAC 31MM 2.0 80900 $782.50

6207495 FORCEP GRASPER RAT TOOTH 8.0MM $120.00

6207500 BALLOON DILATOR 8-10 5834 $578.00

6207501 BALLOON DILATOR 18-20MM 5838 $578.00

6207502 BALLOON DILATOR 15-18MM6 5837 $578.00

6207503 BALLOON DILATOR 10-12 5835 $578.00

6207505 BALLOON DILATOR 12-15 0343 $578.00

6207506 BALLOON DILATOR/ESO/PYLO 15-18 $136.75

6207507 BALLOON DILATOR COLONIC 18-20 5850 $578.00

6207508 BALLOON DILA ESOPHAGEA 5836 $136.75

6207510 MAXON 1-6419-71A $27.00

6207520 GRAFT/AORTIC 22X11 - BIFURCATION $1,697.50

6207521 VASCULAR GRAFT /BIFURCATED 16 $1,138.75



6207525 FOGARTY CATH 4FR $211.25

6207530 STAPLER RELOAD TA 30 3.5 TA3035L $163.25

6207531 TA STAPLER RELOAD 30 4.8 TA3048L $163.25

6207532 TA 90 DLU 3.5 $502.75

6207533 RELOAD 90MM TRH90 $171.50

6207535 TX STAPLER RELOAD 4.8 TA6048L $163.25

6207536 STAPLER RELOAD TA 60 3.5 TA6035L $163.25

6207540 DILATOR ACHALASIA BALLOON 3.0 $1,431.00

6207550 MESH SOFT 4X6 $84.25

6207560 SCLERO NEEDLE 25g 160cm 000199 $126.50

6207562 22mm TWISTER PLUS POLYP RETR M00561411 $173.00

6207563 26mm TWISTER PLUS POLYP RETR M00561421 $173.00

6207565 BIOSURGE UNIT $1,411.50

6207566 DUAL LUMEN AST TUBE $64.75

6207580 SCLERO NEEDLE $126.50

6207585 SNARE POLYPEC JUMBO 6131 $190.00

6207586 SNARE HOT OVAL ROTATABLE 6182 $190.00

6207587 BRONCH BIOPSY FORCEP $175.75

6207600 PENROSE 1/2 X 18 STRL XRAY DETECT $12.25

6207605 PENROSE 1/4 X 12 $12.25

6207607 PENROSE 3/4 X 18 $12.25

6207700 ACUFEX KIT BLUE LATEX FREE 012405 $81.00

6207710 ACUFEX KIT GREEN LATEX FREE 014718 $81.00

6207712 CLEAR CANNULA ORANGE 5.5 x 75mm 214108 $80.50

6207714 CLEAR CANNULA PURPLE 7.0 x 75mm 214116 $80.50

6207810 CUTTING LOOP 24FR MLE24012 $206.00

6207814 KNIFE COLLINS 24FR KE-24 $269.75

6207815 CUTTING LOOP 24FR - 4812U $205.00

6207816 GOULIAN KNIFE SET $52.00

6207830 ROLLER BALL ANGLED RE24 $304.00

6207900 ARTHROSCOPIC PUMP TUBING $299.00

6207910 TUBING ENDO STRATUS $17.25

6208000 SCREW SYNTHES $203.75

6208100 PLATE SYNTHES $1,507.25

6208300 SCREW SYNTHES $100.50

6208500 DRILL BIT SYNTHES $235.50

6209033 DENVER SPLINT-PEDI $131.00

6209034 DENVER SPLINT-SM/MED $131.00

6209035 DENVER SPLINT-LARGE $131.00

6209040 STERI DRAPE ISO 1015 $27.75

6209041 IOBAN DRAPE 17 X 23 6650 $14.25

6209042 IOBAN DRAPE 18 X 36 NO BETADINE ISO6650 $24.00

6209043 IOBAN DRAPE 36 X 36 / NO BETADINE $61.50

6209046 IOBAN 13 X 13 $10.00

6209063 CHIOU SUPRAPUBIC TUBE KIT 075920 $186.25

6209120 RESECTOR CUTTER 5.5 375-562-000 $182.75

6209126 BURR ROUND 4.5 $143.50

6209142 AGRESSIVE PLUS STRAIGHT 4.0 375-544-000 $368.50

6209143 TOM CAT CUTTER STR 5.0 375-555-000 $206.50

6209144 AGRESSIVE ANGLED 4.0 280544100 $368.50

6209145 GREAT WHITE 4.2MM $235.75

6209165 PIN GUARD .035 $39.00

6209214 CENTRAL VENOUS/7FR / ANTIMICROBIAL $299.00

6209216 CENTRAL VENOUS / 5FR/SINGLE ANTIMICROBIA $284.50

6209247 ULTRASOUND COVER - 3 x 96 $25.00

6209248 BURR MEDIUM / 5091-138 $86.00

6209257 COBLATION TONSIL WAND / PROCISE XP $423.50

6209283 CAUTERY BLADES ELECT E1551 $10.00

6209347 INSCOPE /OPTICAL DILATOR LARGE $215.50

6209348 INSCOPE /OPTICAL DILATOR MEDIUM $215.50

6209349 SLOTTED ANOSCOPE $86.00

6209435 STERI DRAPE 1010 $13.00

6209438 ALLODERM PER CM $36.00

6209446 PAIN BUSTER-PM022 $238.50

6209450 DRAPE-FLUID COLLECTION/D&C/HYSTER $63.25

6209453 BALLOON CATH 4CM/15FR $671.00



6209456 WALL STENT/ESOPAGEAL $4,758.50

6209457 ALEXIS 0 WOUND PROTECTOR SMALL $105.75

6209458 ALEXIS 0 WOUND PROTECTOR / MEDIUM $105.75

6209459 ALEXIS C-SECTION / LARGE RETRACTOR $136.25

6209460 ALEXIS C-SECTION / X- LARGE RETRACTOR $167.00

6209461 ALEXIS WOUND PROTECTOR x-small-flexibl $105.75

6209462 VAGINAL CERV RETRACTOR ELEVATOR $282.25

6209478 SAW BLADE RECIPROCATING 0277-096-325 $140.00

6209479 BLADE SAGITTAL DUAL CUT 25x90x1.35 $153.50

6209480 BLADE RECIPRO 70x12.5x.8 277-96-276 $141.75

6209481 BLADE MICRO 5.5x25x.38 2296-003-524 $118.75

6209482 LAP DISC - HAND ASSISTED LAPAROSCOPIC $1,069.00

6209483 GELPORT LAPAROSCOPIC SYSTEM $980.75

6209488 RESECTOR CUTTER 3.5 375-532-000 $368.50

6209526 PIN GUARD-GREEN $39.00

6209527 PIN GUARD .045 $39.00

6209531 CAUTERY EXTENSION SHORT TIP E1455-6 $29.75

6209532 CAUTERY EXTENSION LONG TIP E1551-6 $29.75

6209541 CONE TIP CATHETER 8 FR $94.75

6209561 PANALOCK 3.5 ANCHOR w/ PAN 210725 $390.00

6209563 PANALOK RC #2 PANACRYL 212730 $430.75

6209569 TRUMPET VALVE W/BATTERY $299.00

6209583 GUIDEWIRE/FOR WALLSTENT $498.50

6209584 GUIDEWIRE FOR COLONIC .038 / JAGWIRE $271.50

6209674 MEROCEL INSTRUMENT WIPE 400300 $10.25

6209716 ENDOANCHOR $673.25

6209744 TEAR CROSS CUT RASP - SMALL $259.75

6209745 TEAR CROSS CUT RASP - LARGE $259.75

6209754 ENTceps STA 110-005D S $436.75

6209756 MORETZ TUBES 10-56705/5 $78.00

6209779 RESECTOR CUTTER 4.0 375-542-000 $368.50

6209780 BUR-SMALL JOINT HOODED ABRASION / 3.0MM $190.75

6209781 BURR OVAL 4.0 375941012 $190.75

6209782 ROUND BUR 5.5mm 375-950-000 $190.75

6209784 AGRESSIVE PLUS STRAIGHT 3.5 375-534-000 $333.75

6209785 FOAM-LEG HOLDER KIT $71.25

6209800 OMNISPAN 0 228140 $621.50

6209810 OMNISPAN 12 228141 $621.50

6209820 OMNISPAN 27 228142 $621.50

6209830 OMNISPAN GUN 228143 $414.25

6209845 T-TUBE $94.75

6209846 BUTTON VENT TUBE $72.00

6209847 SHEEHY VENT TUBE 1026145 $74.50

6209848 MYRINGOTOMY KNIFE 1411000 $37.50

6209849 MYRINGOTOMY KNIFE 70130930 $29.00

6209870 BUR MEDIUM OVAL 5300-10-903 $87.75

6209871 BUR MEDIUM OVAL 5091-238 $87.75

6209873 URETERAL CATH-OPEN-END 5fr / 70CM $31.00

6209874 URETERAL CATH-OPEN-END 6fr / 70CM $36.00

6209875 NDL INJECT FLEX URO C0427 $223.25

6209908 MULTIFIRE ENDO GIA 30 2.5 $502.25

6209950 PACK LITHOTOMY TBA $71.00

6209955 TOTAL KNEE (REPLACES 89-3657) $258.50

6209960 TOTAL HIP PACK $244.00

6209970 URETHRAL SUPPORT SYSTEM 500HL $1,615.50

6209971 TENEX KIT $1,208.25

6210001 STOCKINETTE BIAS CUT $5.75

6210002 CAPIO SUTURE CAPTURE 831825 $807.75

6210005 ORISE GEL KIT 23G 10ML $251.25

6210006 RELOAD ENDO GIA 60 MM AVM $875.50

6210007 RELOAD ENDO 30 TRI $614.25

6210008 MESH PHASIX PLUG AND PATCH XL $575.00

6210009 MESH PHASIX MESH 4X6 $2,500.00

6210010 MESH PHASIX ST CIRCLE 8CM $1,750.00

6210011 MESH PHASIX ST OPS 11CM $2,750.00

6210012 TROCAR 8X100 $34.00

6210013 MESH PHASIX RND 4.5" $2,418.75

6210014 MESH PHASIX RND 3" $1,237.50

6210015 MESH PHASIX ST ECHO 2 4.5' $2,725.00

6210016 RADIO FREQ NDL 15CM 20G $34.00

6210018 BLADE HELICAL TITANIUM 11.0 X 120 $754.25

6210019 SCREW LOCKING TITANIUM 5.0 X 60 $266.75

6210020 NAIL FIXATION TITANIUM 11.0 $2,076.05

6210021 RADIO FREQ ELECTRODE FRDE 15 $127.50

6210024 IMPLANT DIST RAD $1,210.00

6210025 VENTRIO ST HERNIA PATCH 11.5 $786.25

6210026 MESH SOFT 6X6 $84.25

6210027 MESH PLUG XL $427.50

6210028 DRILL BIT $156.25

6210029 DRAIN BULB JACKSON PRATT $16.00

6210030 MESH PHASIX ST 8X10 $9,900.00

6210031 MESH VENTRALIGHT 12X14 $2,956.25

6210033 DRAPE IRRIGATION BASIN $94.50

6210100 DRAPE APERTURE SM $3.00

6210110 ENDO GIA RELOAD 30 2-0 $243.25

6210111 MESH PHASIX 6X8 $5,117.75

6210120 DRAPE 4X12 $15.00

6210130 CHLORAPREP TINTED 26ML $12.25

6210140 SYRINGE PERIFIX RESISTANCE $5.50

6210180 NDL KC TUOHY EPIDURAL 20GX6 $25.75

6210190 NERVE ROOT BLACK KIT KC 22GX6 $31.00

6210195 TRIM PIN $292.50

6210300 RADIO FREQ GROUNDING PAD DGPS $24.50



6210303 RADIO FREQ ELECTRODE RFDE 10 $138.00

6210310 CATH COUNCIL TIP 5CC 18 FR $56.25

6210318 RELOAD ENDO GIA 60 3.5 030458 $302.50

6210319 IMPLANT ENDOMAXX 19X70 MAXX197 $3,218.75

6210320 GUIDE WIRE - MAXX WIRE .035X260 80129406 $154.50

6230010 IMPLANT LCP DISTAL $1,380.25

6230015 IMPLANT SCREW $194.00

6230020 IMPLANT SCREW SLF TP $95.75



6230035 IMPLANT SCREW SHORT THRD $290.75

6230040 IMPLANT SCREW THRD $383.25

6230045 IMPLANT WASHER $64.75

6230050 IMPLANT WASHER $64.75

6230055 IMPLANT RAD PLATE $1,186.25

6230060 IMPLANT RAD PLATE $908.25

6230065 IMPLANT RAD PLATE $1,186.25

6230070 IMPLANT RAD PLATE $653.75

6230075 GUIDE WIRE $155.00

6230080 GUIDE WIRE $92.50

6230085 GUIDE WIRE $64.75

6230090 GUIDE WIRE $60.00










6230145 KIRSCHNER WIRE $155.50

6231600 DRILL GUIDE 2.7 323.26 $625.00

6232000 GUIDE PIN 3.2 $57.75

6232102 CABLE SYNTHES 1.7 MM 298801 $704.25

6232104 CABLE SYNTHES 1.7 MM 611105 $704.25

6232150 DRILL BIT $156.25

6240001 SAW BLADE STRYKER $82.75

6240010 COLD KNIFE HOOK 880504 $175.75

6240011 COLD KNIFE HALF MOON 880501 $175.75

6240012 ELECTRODE ROLLER BALL 880200 $148.00

6240013 ELECTRODE CUT LOOP 24FR 880314 $156.75

6240014 ELECTRODE CUT LOOP 27FR 881314 $156.75

6240016 ROLLER BALL DIMPLED 880600 $148.00

6240018 ELECTRODE COLLINGS KNIFE 880800 $148.00

6700100 DIAB MGMT/INDIVIDUAL HR $163.25

6700150 DIAB MGMT/INDIVIDUAL 30 MI $82.25

6700200 DIAB MGMT/GROUP HR $103.50

6700250 DIAB MGMT/GROUP 30 MIN $52.00

7000004 AMINOSYN 7% KIT/PERI $383.50

7000005 AMINOSYN 7% 1000 CC $354.25

7000006 AMINOSYN 3.5% M $349.75

7000007 AMINOSYN II 4.25 w/ 25% DEXT INJ w/ CA $383.50

7000009 ANIMOSYN 8.5%/DEXTROSE 50 $383.50

7000011 AMINOSYN 10% 500ML - SULFITE FREE $364.50

7000020 AQUAMEPHYTON 10 MEQ $35.50

7000021 DEXTROSE 40% 500/IN 1000 $58.75

7000022 DEXTROSE 50% 500ML $58.75

7000023 DEXTROSE 70% 500ML IN 1000 ML $58.75

7000024 CLINIMIX 25% 4.25%TPN 2000ML 011452 $491.00

7000025 DEXT 10% IN SOD CH $16.75

7000028 DEXTRAN 6% SALINE 500 ML $209.25

7000029 DEXTROSE 10% 500/IN 1000 $58.75

7000031 DEXTROSE 5% 0.45% NACL 500ML $123.00

7000037 DEXTROSE 5% 50ML MINIBAG $19.50

7000040 DEXTROSE 5% NS 0.9% 500 ML $157.25

7000042 DEXTROSE 5% LR 500ML $123.00

7000045 DEXTROSE 10% WATER 500ML $123.00

7000046 5% GLUCOSE $108.00

7000050 HYPERLIMENTATION IV $302.25

7000051 INTRALIPID PACK 10% 500CC $412.75

7000052 IONOSOL-T D/5 1000ML $123.00

7000056 LMD 10%/D5 WATER $383.50

7000062 NORMASOL M 1000 CC $121.00

7000063 NORMASOL M/5% DEXT $123.00

7000065 NORMASOL R D5/W $123.00

7000066 PLASMANATE 250 ML $92.75

7000068 PROCALAMINE 1000 CC $274.50

7000069 RINGERS INJECTION $114.50

7000076 SOD LACTATE 1/6 MOLAR 10 $118.25

7000077 NS 100 ML $19.50

7000078 SURBEX T SOLUTION DEX 5% 10 $118.25

7000081 HEPARIN 12,500USP UNITS 45%SODIUM CHLOR $157.25

7000082 SOLUSET 100X60 W/CAIR CLA $65.25

7000084 STERILE WATER INJ USP 250 $52.00

7000086 STERILE WATER INJ USP 1000 $75.00

7000148 NS 0.45% STR 500ML $123.00

7000154 LIPOSYN II 20% 500ML $383.50

7000161 MAGNESIUM SULFATE CENTRAL SUPPLY ONLY $291.25

7000162 LIPOSYN II 10% 500ML $157.25

7007010 SODIUM CHL 5% INJ 500ML $123.00

7007019 DEXTROSE 5% 500ML / GLASS (USE 34'S) $123.00

7007264 CPD/ANTICOAGULANT $70.75

71000001 STUDIO $3,488.00

71000002 STUDIO-2ND PERSON $1,409.00

71000003 ONE BEDROOM A $4,317.00

71000004 ONE BEDROOM A-2ND PERSON $1,728.00

71000005 ONE BEDROOM B $4,724.00

71000006 ONE BEDROOM B-2ND PERSON $1,885.00

71000007 TWO BEDROOM $5,010.00

71000008 TWO BEDROOM-2ND PERSON $2,003.00

71000010 MEDICAID WAIVER $2,455.00

71000011 CARE LEVEL 1 $564.00

71000012 CARE LEVEL 2 $1,128.00

71000018 RESPITE DAILY RATE WILLOW BROOK $161.00

71000020 WILLOWBROOK BATH $16.00

71000030 WILLOW BROOK TRANSPORTS $5.00

71000100 MEDICAID DBL OCCUPANCY $1,924.00

7200002 PT WORK EVALUATION $151.75

7200003 VASYLI 3/4 INSOLE / BLUE / MEDIUM $78.00

7200004 PT HOME EVALUATION/PT $92.75

7200005 PT MOIST HEAT $64.75

7200006 WEDGE - VASYLI FOREFOOT VARUS 4 DEGREE $151.75


7200008 VASYLI HEEL LIFT - SMALL / 4MM $54.00

7200009 VASYLI HEEL LIFT - MEDIUM / 4MM $54.00

7200010 PT WHIRLPOOL $126.50

7200011 VASYLI HEEL LIFT - LARGE / 4MM $54.00



7200014 PT WOUND DEBRIDEMENT-PARTIAL $155.50

7200015 PT WHIRLPOOL-STERILE $121.00





7200020 PT ULTRASOUND/15 MIN $75.00

7200021 PT DEBRIDE/WHIRLPOOL WOUND 1ST 20 SQ CM $253.00

7200022 PT DEBRIDE/WHIRLPOOL WOUND ADDL 20 SQ CM $314.50

7200023 PT WOUND VAC 50 SQ CM OR LESS $101.50

7200024 PT WOUND VAC GREATER THAN 50 SQ CM $101.50

7200025 PT THERAPEUTIC ACTIVITY/15 MIN $92.25

7200026 PT PROS TRNG/EXTREMITY-INITIAL/15 MIN $74.50

7200027 VASYLI 3/4 INSOLE / BLUE / SMALL $78.00

7200028 VASYLI 3/4 INSOLE / BLUE / LARGE $78.00

7200029 VASYLI 3/4 INSOLE / BLUE / XLARGE $78.00

7200030 VASYLI 3/4 INSOLE / GREEN / SMALL $78.00

7200031 VASYLI 3/4 INSOLE / GREEN / MEDIUM $78.00

7200032 VASYLI 3/4 INSOLE / RED / LARGE $78.00

7200033 VASYLI 3/4 INSOLE / RED / XLARGE $78.00

7200034 HEEL PAIN STABILIZERS / SMALL $81.00

7200035 HEEL PAIN STABILIZERS / LARGE $81.00

7200036 WEDGE - VASYLI REARFT VARUS 2 DEGREE $151.75

7200037 WEDGE - VASYLI REARFT VARUS 4 DEGREE $151.75

7200038 WEDGE - VASYLI FOREFOOT VALGUS 4 DEGREE $151.75

7200039 WEDGE - VASYLI FOREFOOT VALGUS 6 DEGREE $151.75


7200041 HYPAFIX 4 X 10 $50.50

7200042 HYPAFIX ROLL 2 $63.75

7200044 METATARSAL RAISE / REGULAR $54.00

7200045 ACTION PATCH $39.00

7200046 VASYLI 3/4 INSOLE / RED / MEDIUM $78.00

7200047 VASYLI 3/4 INSOLE / GREEN / LARGE $78.00

7200048 VASYLI 3/4 INSOLE / RED / SMALL $78.00

7200050 PT ORTHOTIC TRNG-INITIAL/15 MIN $92.75

7200051 VASYLI 3/4 INSOLE / BLUE / XXLARGE $78.00

7200052 VASYLI 3/4 INSOLE / GREEN/ XXLARGE $78.00

7200053 VASYLI 3/4 INSOLE / RED / XXLARGE $78.00

7200054 HEEL LIFT DM SYSTEM SMOOTH $76.75

7200055 PT MASSAGE/15 MIN $71.25

7200056 VASYLI FULL INSOLE / GREEN / MED $73.50

7200057 VASYLI FULL INSOLE / GREEN / LG $73.50

7200058 VASYLI FULL INSOLE / BLUE / MED $78.00

7200059 VASYLI FULL INSOLE / BLUE / SMALL $78.00

7200060 PT COLD PACK $41.50

7200061 PT COLD LASER TREATMENT/PER 15 MINUTES $96.00

7200062 VASYLI FULL INSOLE / GREEN / XLG 3307 $73.50

7200065 PT CANALITH REPOSITIONING PER DAY $116.75

7200070 PT PROS/ORTHO FIT-SUBSEQUENT/15 MIN $74.00

7200080 PT GAIT TRAINING/15 MIN $86.75

7200085 PT THERAPEUTIC EXER/15 MIN $93.50

7200090 PT UNNA BOOT APPLICATION $134.25

7200095 PT BRACE/SUPPORT MEASURE-SUBSEQUE/PER 15 $74.00

7200097 IONTO PATCH $39.00

7200098 PELVIC BELT/COMPRESSION -XSM/SMALL(32-36 $141.75

7200099 PELVIC BELT/COMPRESSION -MED/LARGE(37-44 $141.75

7200100 LUMBO-SACRAL/DUAL SUPPORT ORTHOSIS $141.75

7200102 KNEE BRACE-HINGED/SMALL (DRYTEX) $161.25

7200103 KNEE BRACE-HINGED/MEDIUM(DRYTEX) $161.25

7200104 KNEE BRACE-HINGED/LARGE(DRYTEX) $161.25

7200105 KNEE BRACE-HINGED/X-LARGE(DRYTEX) $161.25

7200106 KNEE BRACE-HINGED/XX-LARGE(DRYTEX) $161.25

7200107 KNEE BRACE-HINGED/X-SMALL(DRYTEX) $161.25

7200108 KNEE BRACE-HINGED/WRAP AROUND w/POPLITEA $161.25

7200112 PT EVALUATION-20 MINUTES $104.00


7200114 PT RE-EVALUATION $155.50


7200116 PT FUNCTIONAL CAPACITY EVAL $131.00

7200117 PT - PCP 0-50 PROCEDURES $131.00

7200118 PT - PCP 51+ PROCEDURES $125.00

7200119 PT WORK COMP LIABILITY EVAL $155.50

7200120 PT PARAFFIN $63.25

7200121 PT WHEELCHAIR MANAGEMENT/15 MIN $92.75

7200123 PT AQUATIC THERAPY/15 MIN $172.25

7200125 PT TRACTION-CERVICAL/PELVIC $72.25

7200130 ULNAR DEVIATION SPLINT - NEOPRENE $45.25

7200131 BACK SUPPORT - POSTURE S'PORT / MEDIUM $79.50

7200133 PT MANUAL THERAPY/15 MIN $92.25

7200134 PT SOFT TISSUE MOBILIZATION $92.25

7200135 PT MANUAL LYMPATIC DRAINAGE $86.75

7200140 PT TRACTION SET UP/INPATIENT $103.50

7200143 HAND SPICA SPLINT $96.75

7200144 TRANS Q FLEX - ELECTRODE $23.75

7200145 HEMI ARM SLING - RIGHT/BLACK (HARRIS) $47.75

7200146 SCAR PUMP A839-1 $38.75

7200147 SHOULDERS BACK - MED $169.25

7200148 FOAM TUBE 1 $10.00

7200149 FOAM TUBE RED 3/8 $10.00

7200150 SOFT TUBULAR FOAM 5/8 $9.50

7200151 TOE CAP - MEDIUM $22.00

7200152 TOE CAP - LARGE $22.00

7200155 PT COMPRESSION TREATMENT $76.75

7200156 INSOLE-MOLDED(PPT)/STNDRD/WOMENS 9-10 $80.00

7200157 INSOLE-MOLDED(PPT)/STNDRD/WOMENS 7-8 $80.00

7200158 INSOLE-MOLDED(PPT)/THINLINE/WOMENS 7-8 $80.00

7200159 INSOLE-MOLDED(PPT)/THINLINE/WOMENS 9-10 $80.00

7200160 INSOLE-MOLDED(PPT)/STANDARD/MENS 9-10 $80.00

7200161 INSOLE-MOLDED(PPT)/STANDARD/MENS 11-12 $80.00

7200162 HEEL WEDGE PAD-2 DEG/(LG ONLY)TRIM 2/FIT $27.75

7200163 HEEL WEDGE PAD-4 DEG/(LG ONLY)TRIM 2/FIT $27.75

7200164 SCAPHOID PADS/VISCOELASTIC/MEDIUM FIRM $13.75

7200165 SCAPHOID PADS/PLASTAZOTE/SOFT $22.00

7200177 VASYLI FULL INSOLE / BLUE / XLARGE $78.00

7200179 PT ELECTRICAL STIM/15 MIN $69.00

7200197 PT NEUROMUSCULAR REEDUCATING/15 MIN $100.75

7200220 BABY HUGGER-MEDIUM (SZ 8-12) $195.50

7200221 BABY HUGGER-LARGE (SZ 12-16) $195.50

7200222 BABY HUGGER-XX-LARGE (SZ 22-28) $195.50

7200223 BABY HUGGER-XLARGE (SZ 16-24) $195.50

7200224 SUPERLIFT-X LARGE $45.25

7200225 PT HOME TRACTION SET UP $63.25

7200226 SUPERLIFT-MEDIUM/LARGE $45.25

7200227 METATARSAL BAR / MEDIUM $10.00

7200228 METATARSAL BAR / LARGE $10.00

7200229 METATARSAL BAR / SMALL $10.00

7200231 BABY HUGGER-SMALL (SZ 4-8) $195.50

7200232 BABY HUGGER-XSMALL (SZ 0-4) 22000 $195.50

7200233 SYMPHY SUPPORT - REGULAR $195.50

7200234 ELBOW BRACE - HYPER CONTROL / MEDIUM $192.00

7200250 PT POSTPARTUM EXER/15 MIN $89.50

7200300 PT HOME HEALTH VISIT/ P T $222.75

7200416 CICA CARE GEL SHEET - 4 3/4 X 6 $147.25

7200417 SILICONE GEL SHEET - 3 X 4 $46.25

7200420 PT ORTH/PROS TRNG & MGMT-INITIAL/15 MIN $96.00

7200500 SPLINT HAND CUSTOM LEFT 130506 2081435 $51.50

7200550 SPLIT HAND CUSTOM B $66.25

7200759 WRIST SUPPORT - CARPALGARD LEFT/M/L $74.50

7200954 SHOULDER BACK - MEDIUM $169.25

7200999 PT - PCP 2nd ATTEMPT $113.50

7201001 PT 1ST NO SHOW FOR SCHEDULED TEST $73.75

7201002 PT 2ND NO SHOW FOR SCHEDULED TEST $145.75

7201003 PT RETURN TO DUTY NON WORK RELATED $145.75

7201004 PT JOB SITE EVALUATION/HOUR $69.75

7209001 L/S SUPPORT 38 $169.75

7209002 L/S SUPPORT 36 $80.00

7209005 L/S SUPPORT 40 $169.75

7209025 L/S SUPPORT MEN 44 $140.50

7209026 L S/D SUPPORT 46 $80.00

7209027 LUMBOSACRAL SUPPORT w/POCKET-XXL (42 -46 $92.25

7209028 LUMBOSACRAL SUPPORT w/POCKET-3XL (46 -50 $94.75

7209029 LUMBOSACRAL SUPPORT/ 8 INSERT $57.25

7209030 LUMBOSACRAL SUPPORT w/POCKET-XL(38 -42 ) $92.25

7209040 ROCKER KNIFE $45.25

7209620 ELECTRODE-DELUXE REUSABLE / ROUND 1.25 $15.25

7209625 ELECTRODE-DURA STICK PLUS / ROUND 2 $20.00

7209628 ELECTRODE-DURA STICK PLUS / 2.75 X 5 $41.00

7209629 TENS UNIT / DELUXE INTELECT $191.25

7209630 ELECTRODE-DURA STICK PLUS / 2 x 3.5 $20.00

7209637 BALL SPLINT BEIGE LT SMALL $96.75

7209748 SWEDEO LOCK ANKLE SPLINT $78.00

7500005 ST SPEECH EVALUATION $271.50

7500010 ST SPEECH THERAPY $214.00

7500011 ST COGNITIVE TX INITIAL 15 MIN $54.00

7500013 ST SENSORY INT TX PER 15 MIN $85.50

7500015 ST EVALUATION OF SPEECH FLUENCY $423.50

7500016 ST EVAL VOICE PROSTHETIC DEVICE FIT/USE $423.50

7500020 ST DYSPHAGIA TREATMENT $224.00

7500025 ST DYSPHAGIA/ORAL FUNC EVAL $253.00

7500026 ST DYSPHAGIA/MBS EVAL $437.25

7500027 ST ELECTRICAL STIMULATION $69.00

7500028 ST SWALLOWING DYSFUNCTION TREATMENT $69.00

7500030 ST SPEECH GROUP THERAPY $86.75

7500032 ST COGNITIVE TX ADD'L 15 MIN $56.00

7500034 ST EVAL PRESCRIPT SP-GEN AAC DEVICE-1 HR $314.00

7500035 ST EVALUATION OF SPEECH SOUND PRODUCTION $423.50

7500036 ST THERAPEUTIC SERVICES/SPEECH GEN DEVIC $170.50

7500040 ST EVALUATION OF SPEECH SOUND PRODUCTION $423.50

7500045 ST BEHAVIORAL AND QUALITATIVE ANALYSIS $423.50

7500046 EVAL OF AUDITORY REHABILITATION STATUS $172.00

7500055 ST COGNITIVE EVALUATION $436.50

7500197 ST NEUROMUSCLULAR RE-ED $100.75

7500300 ST SPEECH THERAPY HH VISIT $222.75

7500550 ST OFFSITE SPEECH THERAPY $69.00

7500909 SAFESTRAW BLUE AND WHITE 1520 $19.50

7500910 MOUTH MOISTURIZER $17.75

7800004 OT COLD LASER TREATMENT/PER 15 MINUTES $96.00

7800005 WEIGHTED CUP w/ LID $52.75

7800006 SOCK NOTCH $48.25

7800010 OT ACT/DAILY LIVING 15 MIN $92.75

7800011 GLOVE EDEMA FINGER OPEN 00436 $41.25

7800013 BUTTON HOOK $22.00

7800015 OT AQUATIC THERAPY/15 MIN $172.25

7800017 PEN / WEIGHTED $122.50

7800018 SOCK AID w BUILT UP HANDLES $44.50

7800019 SOCK AID ( WIDE ) $48.25

7800020 OT COGNITIVE/PERCEPTUAL/15 MIN $108.00

7800021 LEG LIFTER $10.00

7800022 REACHER HIP KIT $32.75

7800023 FLEXIBLE UTENSILS / TEASPOON - ADULT $22.00

7800024 FLEXIBLE ARM / UNIVERSAL $26.00

7800025 KNIFE-SERRATED / WEIGHTED / ADJUSTABLE $26.00

7800026 OT PROS TRNG/EXTREMITY-INITIAL/15 MIN $74.50

7800030 ROCKER KNIFE w/ SOLID HANDLE $39.00

7800031 FLEXIBLE UTENSILS / FORK - ADULT $22.00

7800032 FLEXIBLE UTENSIL / TABLESPOON $22.00

7800033 UTENSIL-OFFSET SPORK ( RIGHT ) $58.75

7800034 UTENSIL - OFFSET SPORK ( LEFT ) $58.75

7800035 OT CRYOTHERAPY $41.50

7800036 TWO-HANDLED CUP $32.25

7800039 PLASTIC HANDLE UTENSIL-YOUTH SPOON $34.75

7800040 OT DEVICE ADJUST/RE-CH/15 MN $46.75

7800042 FLEXIBLE UTENSILS / TSP-PEDIATRIC $20.00

7800043 FLEXIBLE UTENSILS/FORK-PEDIATRIC $20.00

7800044 FLEXI UTENSIL/PEDI-SPN/PLASTISOL $20.00

7800045 FLEXI UTENSIL/ADULT-SPN/PLASTISOL $20.00

7800046 DEXTROSE 5% NS 0.9% 1000 ML $123.00

7800047 UTENSIL PEDI WEIGHTED FORK 110201 $23.75

7800048 UTENSIL PEDI WEIGHTED TEASPOON 110202 $23.75

7800050 OT DEVICE TRNG-INITIAL/15 MINUTE $92.75

7800052 TWO-HANDLED SNORKEL CUP $32.25

7800057 OT WHEELCHAIR MANAGEMENT/15 MIN $92.75

7800060 OT ELECTRICAL STIM/15 MIN $69.00

7800061 FLEXION SPLINT-MCP/MED $114.50

7800062 EDEMA GLOVE-FULL LEFT/MEDIUM $114.50

7800063 EDEMA GLOVE-FULL RT/MED $114.50

7800064 EDEMA GLOVE-FULL RIGHT/LARGE $114.50

7800065 OT HOME EVAL/15 MIN $92.75

7800066 EDEMA GLOVE-FULL LEFT/LARGE $114.50

7800067 EDEMA GLOVE-FULL XSM/RIGHT (OVER WRIST) $114.50

7800068 EDEMA GLOVE-FULL XSM/LEFT (OVER WRIST) $114.50

7800069 SLEEVE w/ CAP AND STRAP 741 LONG $112.50

7800075 OT JOB SITE VISIT/15 MIN $72.25

7800080 OT KINETIC EXERCISE/15MIN $100.75

7800085 OT MOIST HEAT $71.25

7800088 OT EVALUATION-30 MINUTES $122.00



7800091 OT COMMUNITY RE-INTEGRATION/15 MIN $92.25

7800092 OT RE EVALUATION $181.75

7800095 OT PROS/ORTHO FIT-SUBSEQUENT/15 MIN $74.00

7800100 OT ORTHOTIC/SPLINT-INITIAL/15MIN $92.75

7800103 TOT COLLAR- CHILD $146.75

7800105 OT PARAFIN $63.25

7800106 SHORT EXTENSION SPLINT / LARGE-2 1/4 $41.00

7800107 UNIVERSAL HOLDER $36.00

7800110 OT ULTRASOUND/15 MIN $75.00

7800115 OT WHIRLPOOL $71.75

7800116 OT STANDARD COGNITIVE PERFORMACE TESTING $138.50

7800117 DRESSING STICK 26 LONG $23.00

7800119 FOOT FUNNEL - SHOE DONNER $35.50

7800120 PUSH / PULL HELPER $35.50

7800124 DRESSING STICK 24 LONG $23.00

7800127 NOSEY CUTOUT TUMBLER - 4 OZ $26.00

7800129 KNIFE - ROCKING T / PLASTIC HANDLE $80.50

7800134 KNIFE - ROCKING T / WOODEN HANDLE $43.25

7800135 EDEMA GLOVE-FULL / WRIST / RT/SMALL $26.00



7800139 EDEMA GLOVE-OPEN/SHOULDER/RT/SMALL $27.00

7800140 WRIST SUPPORT/BILATERAL/RED / XS (BENIK) $59.25

7800145 XERTUBE - YELLOW / VERY LIGHT RESISTANCE $23.75

7800146 XERTUBE - GREEN / LIGHT RESISTANCE $26.75

7800147 XERTUBE - RED / MEDIUM RESISTANCE $29.25

7800148 XERTUBE - BLUE / HEAVY RESISTANCE $29.75

7800159 COMPRILAN 8cm x 5yd $24.50

7800160 COMPRILAN 10cm x 5yd $24.50

7800162 ARTIFLEX- 10CM X 3YD $24.50

7800163 ARTIFLEX- 15CM X 3YD $24.50

7800164 ELASTOMULL- 1 X 4YD $24.50

7800175 SHOULDER SLING/HEMI . RIGHT MED LONG $146.75

7800178 LYNX WHFO SPLINT / LEFT - SMALL $141.75

7800179 LYNX WHFO SPLINT / RIGHT - SMALL $141.75

7800180 HOURGLASS SOCK AID $41.00

7800181 LYNX WHFO SPLINT / RIGHT - MEDIUM $141.75

7800197 OT NEUROMUSCULAR REEDUCATING/15 MIN $100.75

7800200 BATH SPONGE SHORT $17.75

7800201 BATH SPONGE-ECONOMY-LONG $17.75

7800202 BATH SPONGE-CONTOURE $17.75

7800203 BATH SPONGE/BENDABLE $17.75

7800204 BUTTON/ZIPPER AID-ECONOMICAL $17.75

7800205 ELBOW SPLINT $172.25

7800220 LOOP SELF ADHESIVE/INCH $9.50

7800240 SHOE LACES $23.00

7800241 SHOE BUTTON WHITE 9902 $9.75

7800242 SHOE BUTTON BLACK 6099 $9.75

7800250 REACHER STANDARD $7.75

7800251 REACHER/FEATHER WEIGHT - 15 $56.50

7800252 REACHER/EASI REACH II - 21 / SHORT $56.50

7800255 REACHER/EZ/SAF-T-LOK - LONG 30 $56.50

7800256 REACHER/ADAPT-A w/SUCTION CUP - LONG 32 $56.50

7800257 CARPALGARD-SMALL / RIGHT / WRIST SUPPORT $56.50

7800258 CARPALGARD-SMALL / LEFT / WRIST SUPPORT $56.50

7800259 SAFETY STRIPS / SELF ADHESIVE - VINYL $56.50

7800260 SOCK DONNER/CORD STYLE $44.00

7800261 TOILET PAPER HOLDER / PORTABLE COMMODE $56.50

7800262 REACHER/EASI REACH II - 26 / STANDARD $56.50

7800269 REACHER / PICK UP - 35.5 / LONG $56.50

7800270 EZ REACHER 30 $56.50

7800271 WALKER BASKET-SNAP ON $78.00

7800272 WALKER BASKET-VELCRO CLOSURE $78.00

7800274 ELECTRODE TENS 2 RND CLOTH 551966 $10.00

7800275 WALKER BAG - QUILTED $72.25

7800300 OT THEREPY HH VISIT $222.75

7800301 BALL SPLINT $132.50

7800310 PUTTY $44.00

7800350 GRIP SPLINT $157.25

7800400 ISOTONER GLOVE $44.00

7800401 ISOTONER GLOVE 1-PAIR $66.75

7800403 THERAPULSE TA HAND ORTHOSIS SM /LEFT $141.75

7800404 THERAPULSE TA HAND ORTHOSIS SM /RIGHT $141.75

7800405 FINGER SPLINT XS/LEF $109.75

7800436 WANCHIKS WRITER INSTR. (R) SM / WOMEN $69.00

7800438 WRITING BIRD $69.00

7800499 UNIVERSAL HOLDER-(utensils, writing tool $34.75

7800500 FINGER SPLINT EXT $72.25

7800503 FINGER SPLINT M EXTEND-IT TYPE 501 $72.25

7800504 FINGER SPLINT L EXTEND-IT TYPE 501 $72.25

7800505 EDEMA GLOVE-FULL LEFT/SMALL $33.00

7800506 TRIGGER FINGER SOLUTION PAD 562867 $27.75

7800507 WRAP FINAL FLEXION $10.25

7800546 SHOEHORN E-Z SLIDE / 18 $33.50

7800547 SHOEHORN E-Z SLIDE CA715-21 $33.50

7800548 SHOEHORN E-Z SLIDE / 12 $33.50

7800550 OT OFFSITE OCCUPATION THEREPY $71.25

7800555 SOCK AID / FLEXIBLE $63.75

7800600 SHOEHORN - PLASTIC 18 A715-3 $13.00

7800603 SHOEHORN - PLASTIC 16 1/2 A715-4 $13.00

7800605 THUMB EXTENTION KIT $52.00

7800610 THUMB HOLE COCK-UP $98.50

7800666 GIVMOHR SLING/MED $163.25

7800700 PAD FINGER TRIGGER SM $27.75

7800710 PAD FINGER TRIGGER XS $27.75

7800714 BRUSH - LONG HANDLED $37.50

7800749 HIP SOCK AID / DRESSING STICKS $90.50

7800752 ROLYAN RUBER BANDS - YELLOW DONOTUSE $26.00

7800755 ELBOW / HEEL PROTECTOR - GEL / SMALL $39.50

7800756 ROLYAN RUBBER BANDS - RED $26.00

7800757 ELBOW / HEEL PROTECTOR - GEL / MEDIUM $50.00

7800785 ROLYAN RUBBER BANDS - GREEN $26.00

7800924 LACE LOCKS $24.50

7800941 BUTLER - MEDI / STOCKING DONNER $69.75

7800942 TOILET AID-FOLDING 10 $74.00

7800943 TOILET AID-SHORT 12 $42.75

7800944 DRINK HOLDER / WHEELCHAIR OR WALKER $51.50

7800945 DRINK HOLDER / MULTI-MOUNT $51.50

7800947 CHAIR PAD / WATERPROOF / TAPESTRY PRINT $33.50

7800948 CHAIR PAD / WATERPROOF / SOLID TAN $33.50

7801135 OT MANUAL LYMPATIC DRAINAGE/15 MIN $92.25

7801140 OT MANUAL THERAPY/15 MIN $92.25

7801155 OT COMPRESSION TREATMENT $76.75

7808001 OT THERAPEUTIC ACTIVITIES $96.75

7808002 OT THERAPEUTIC EXERCISES/15 MIN $92.75

7808003 OT SENSORY INTEGRATIVE TECHNIQUES/15 MIN $94.75

7808004 APPLICATION FINGER SPLINT - DYNAMIC $120.50

7808005 APPLICATION FINGER SPLINT - STATIC $92.75

7808006 APPLICATION SHORTARM SPLINT - DYNAMIC $182.75

7808007 APPLICATION SHORTARM SPLINT - STATIC $147.25

7809100 BUTTONHOOK/PLASTIC $22.00

7809260 SOCK DONNER-SOFT $47.75

7809261 JOBST STOCKING DONNER $65.25

8000103 INHALER TX $143.75

8000110 EZPAP $77.25

8000120 CPAP/BiPAP/Vent circuit $35.50

8000122 WALLABY LIGHT DAILY $187.75

8000123 HEAD GEAR -CPAP/DISP $24.50

8000125 PULSE OXIMETER STUDY SINGLE DETERMINATIO $74.50

8000127 SPUTUM COLLECTION $77.25

8000136 NEBULIZER TX $143.75

8000137 CONTINUOUS NEBULIZER $323.75

8000140 POSTURAL DRAINAGE & PERCU $123.00

8000142 POSTURAL DRAINAGE ONLY $123.00

8000144 PALM CUP -PEDIATRIC 4045EA $17.25

8000145 NEONATAL PERCUSSOR, FLEXIBEL HANDEL $18.25

8000147 PALM CUP PERCUSSOR -MED 60MM 4060PR $34.75

8000148 IS TREATMENT $71.25

8000159 INTUBATION $126.50

8000160 NEBULIZER/ALL PURPOSE $222.25

8000225 PULSE OXIMETRY-MULTIPLE DETERMINATIONS $239.50

8000250 VENTILATOR/FIRST DAY $1,163.75

8000252 VENTILATOR/SUBS DAYS $562.50

8000254 BIPAP/CPAP-DAILY $526.25

8000303 INHALER/INSTRUCT AEROCHAM $118.75

8000336 NEBULIZER/INITIAL TX $118.75

8000340 PD & CPT INSTRUCT $106.25

8000348 IS INSTRUCTION AND/OR TREAT $71.25

8000355 CPAP SETUP $202.25

8000384 CROUPETTE/DAILY $209.25

8000385 TRACH CARE SUCTION $45.25

8000400 AEROCHAMBER PLUS w/MASK - MEDIUM $61.00

8000401 AEROCHAMBER PLUS w/ MASK - LARGE $62.75

8000402 AEROCHAMBER PLUS w/ MASK SMALL $61.00

8000536 HAND HELD NEBULIZER EQUIP $38.25

8000537 RESPIRGARD II NEBULIZER $28.00

8000560 ETC02 MONITOR PER HOUR $44.00

8000561 ETC02 MONITOR SETUP $177.75

8000625 PULSE OX/CONTINUOUS OVERNIGHT $84.25

8000700 PFT STAGE 1 $701.25

8000900 PLETHYSMOGRAPHY TOTAL BOD $218.50

8000902 VITAL CAPACITY, TOTAL $101.50

8000903 LUNG FUNCTION TEST (MBC/MV) $196.25

8000905 BREATHING CAPACITY TEST $239.50

8000906 RESIDUAL LUNG CAPACITY $340.00

8000907 THORACIC GAS VOLUME $244.75

8000908 MEASURE AIRFLOW RESISTANCE $257.25

8000909 RESPIRATORY FLOW VOL LOOP $164.00

8000910 BRONCHOSPASM EVAL B&A BRO $795.75

8000911 PFT/INDUSTRIAL $255.00

8000912 BREATHING RESPONSE TO CO2 $168.25

8000913 MONOXIDE DIFFUSING CAPACI $437.25

8000914 METHACHOLINE CHALLENGE $509.50

8000929 PEAK FLOW PROCEDURE $101.50

8000952 ARTERIAL BLOOD GAS COLLEC $92.75

800354 BIPAP/CPAP SETUP $193.75

8200044 CR PHASE 1 INIT SESSION $266.75

8200046 CR PHASE II CONT MONITOR $216.00

8200047 CR PHASE II WO MONITOR $206.00

8200048 CR PHASE IV SESS 1-7 $22.50

8200049 CR RISK REDUC PER VISIT $77.25

8200050 CR PHASE II INIT SESSION $206.00

8200052 SUPERVISED EXERCISE THERAPY $216.00

8200053 CR RISK REDUC-INIT SESS $99.00

8200055 CR HEART CHECK $33.50

8200060 CR SMOKING CESSATION CONS $46.25

8200070 CR PHASE I PER VISIT $98.50

8200082 HM HOLTER MONITOR SCANNING ADDL 24 $667.00

8200083 HM HOLTER MONITOR SCANNING $740.25

8200084 HM HOLTER MONITOR RECORDING $378.00

8200085 CR STRESS TEST $855.00

8200087 HM EPISODE MONITOR/SCAN $910.75

8200088 HM EPISODE MONITOR/RECORD $315.00

8200800 CR PULM PH II INITIAL $234.50

8200801 CR PULM II REHAB ONE ON ONE/15 MIN $54.00

8200802 CR PULM II REHAB GROUP $216.00

8200804 CR PULM II REHAB COPD $216.00

8200812 CR PULM PHASE IV 1-7 $22.50

8200815 EXTL ECG HOOKUP CARDIOKEY $360.50

8200900 MISC CARDIAC REHAB $10.25

8200909 NM CARDIOLITE 25MCI $621.50

8200910 CR N-NUCLEAR STRESS TEST $964.50

8200911 CR N-NM MYO PERF SPECT MULT $3,815.50

8200913 NM CARDIOLITE 33MCI $745.25

8200914 N-CARDIOLITE 8MCI $350.75

8200915 CR N-NM MYO PERF SPECT SING $1,551.75

8200916 N-THALLIUM 201 4.0 MCI $520.25

8200917 N-THALLIUM 201 4.5 MCI $588.50

8200918 N-THALLIUM 201 6.0 MCI $796.75

8200950 CR REHAB ROOM RENT $154.25

9000500 WEIGHT LOSS INITIAL CONSULT $75.00

9000501 WEIGHT LOSS FOLLOW UP (15 MIN OR LESS) $15.00

9000502 WEIGHT LOSS FOLLOW UP $20.00

98700011 STORAGE RENT $33.75

98700500 INDEPENDENT LIVING $700.00

98700502 ADA INDEPENDENT LIVING $528.50

98700503 INDEPENDENT LIVING WO GARAGE $640.50

98700504 ADA INDEPENDENT LIVING W GARAGE $573.00

Charge - York General

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Transcript of Charge - York General