Unit Price - Amazon AWS

Px Code Procedure Description Procedure Category - Rev Code Unit Price

23200001 HC HIGH RISK OB CARE PER DAY INCREMENTAL NURSING CHARGE RATE - OB [0232] ( 1,227.00)

26000001HC IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR IV THERAPY - GENERAL CLASSIFICATION [0260] ( 399.00)

26000002HC IV INFUSION HYDRATION EACH ADDITIONAL HOUR IV THERAPY - GENERAL CLASSIFICATION [0260] ( 129.00)

26000003HC IV INFUSION THERAPY/PROPH /DX 1ST TO 1 HR IV THERAPY - GENERAL CLASSIFICATION [0260] ( 493.00)

26000004HC IV INFUSION THERAPY PROPH/DX EA HOUR IV THERAPY - GENERAL CLASSIFICATION [0260] ( 234.00)

26000005HC IV INFUSION THER PROPH ADDL SEQ TO 1 HR IV THERAPY - GENERAL CLASSIFICATION [0260] ( 259.00)

26000006HC IV NFS THERAPY PROPHY/DX CONCURRENT NFS IV THERAPY - GENERAL CLASSIFICATION [0260] ( 212.00)

26000007HC THERAPEUTIC PROPHY/DX INJECTION SUBQ/IM IV THERAPY - GENERAL CLASSIFICATION [0260] ( 218.00)

26000008HC THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG IV THERAPY - GENERAL CLASSIFICATION [0260] ( 388.00)

26000009HC THERAPEUTIC INJECTION IV PUSH EACH NEW DRUG IV THERAPY - GENERAL CLASSIFICATION [0260] ( 208.00)

26000010HC THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG FAC IV THERAPY - GENERAL CLASSIFICATION [0260] ( 179.00)

26000011HC UNLISTED THER./PROPHYLACTIC/DIAG. INJ. IV THERAPY - GENERAL CLASSIFICATION [0260] ( 189.00)

26000012HC INFUS 8>HRS REQUIR A PUMP(MEDICARE ONLY) IV THERAPY - GENERAL CLASSIFICATION [0260] ( 370.00)

27000002 HC KIT TRACH SUCTION 6FR PK/10 KC36626MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 14.00)

27000004 HC KIT TRACH SUCTION 8FR PKG KC36826MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 14.00)

27000006HC BOTTLE CHEST TUBE WATERSEAL 84726100

MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 29.00)

27000007 HC HEIMLICK CHEST DRAIN VALVE 373460MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 88.00)

27000008 HC BAG URIMETER DRAINAGE 153204MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 16.00)

27000009 HC PLEUR EVAC INFANT A 8020 08LMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 80.00)

27000010HC ADAPTOR UNIVERSAL CATH ACCESS PORT 9779


27000011HC KIT URINARY COLLECT W/ 3.5 CATH 4193507


27000012HC KIT URINARY COLLECT W/CATH 5FR 4195007


27000013HC KIT URINARY COLLECT W/CATH 8FR 4198007


27000014 HC FLOTRAC TRANSDUCER CO MHD85MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 183.00)

27000015 HC BAG IC URINE METER 350CC 153314AMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 29.00)

27000016 HC NEONATAL INLINE SUCTION CATH 5FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)

27000017HC TEMPERATURE MANAGEMENT SYSTEM KIT


27000018 HC DEFIBRILLATOR PAD PHILLIPS M3713AMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 63.00)

27000019 HC DRESSING POWDER ARGLAES5 GMMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 29.00)

27000020 HC DRESSING POWDER ARGLAES2GMMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 16.00)

27000021 HC GELDRESSINGSILVASORB 1.5OZ TUBEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 42.00)

27000023 HC CAPD OUTLET PORT CLAMP 5C4527MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 12.00)

27000024 HC CAPD SOL SET/CONNECT BAXTR 5C4160MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 15.00)

27000025 HC TED SEQUENTIAL SLEEVE KNEE 5329MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 63.00)

27000026HC TED SEQUENTIAL SLEEVE KNEE LARGE 5489


27000027 HC SCD EXPRESS SLEEVE XLARGE 9790MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 251.00)

27000028 HC T-PUMP (KPAD) WARM/COOL PADMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 10.00)

27000029 HC BINDER ABDOMINAL WIDTH 9INMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 33.00)

27000030 HC BINDER ABDOMINAL WIDTH 12INMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 40.00)

27000031HC BREAST PUMP DISP SINGLE HARMONY 67186


27000034 HC HEART HUGGERMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 195.00)

27000035 HC HEATING PAD MEDIHEAT 9X13MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 12.00)

27000036 HC HOSE TED THIGH LENGTHMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 12.00)

27000037 HC HOSE TED THIGH LENGTH W/BELTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 14.00)

27000038 HC BLANKET HYPOTHERMIA DISPMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 63.00)

27000039 HC BRUSH PLAKVAC ORAL SUCTION 2200MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 14.00)

27000040 HC SHEEPSKINMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 31.00)

27000042 HC BLANKET FULL BODY WARMERMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 12.00)

27000043 HC KIT INOTROPEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 61.00)

27000044 HC PACK POSITIONING SMALLMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 126.00)

27000045 HC PACK POSITIONING MEDIUMMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 126.00)

27000046 HC KIT CRANIAL ACCESS INS 5HNDMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 639.00)

27000047 HC SURGI BRA SMALLMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 72.00)

27000048 HC SURGI BRA MEDIUMMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 83.00)

27000049 HC SURGI BRA LARGEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 75.00)

27000050 HC SURGI BRA X LARGEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 78.00)

27000051 HC SURGI BRA 2XMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 80.00)

27000052 HC SURGI BRA 3XMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 80.00)

27000053 HC BOOT WAFFLE AIR BOOT 304FWMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 75.00)

27000054 HC MASK LMA SIZE 4 UNIQUE (FEMALE)MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 49.00)

27000055 HC MASK LMA SIZE 5 UNIQUE (MALE)MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 68.00)

27000057 HC PLEUR EVAC A 8600 ADULT DRY FLOWMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 204.00)

27000058 HC CO2 DETECTOR ADULTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 31.00)

27000059 HC CO2 DETECTOR PEDIMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 23.00)

27000060HC BREAST PUMP DISP DBL SYMPH/LACTINA 67340


27000062 HC ELECTRODES TENS/NMES 2X2MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 23.00)

27000063HC KIT IJ DRESSING SECUREMENT #SV44ANC


27000064 HC STYLET GOLDEN RODMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 23.00)

27000065 HC SHIELD NIPPLE LARGE(27MM)#87074MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 14.00)

27000066 HC SHIELD NIPPLE XLG(30MM) #87075MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 14.00)

27000067HC DEFIB/CARDIOVRSION PACNG ELCTRODESP211M1


27000068 HC KIT PLEURX 1000ML 50 7510MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 139.00)

27000069 HC KIT PLEURX 500ML 50 7500MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 126.00)

27000070 HC PLEURX DRAINAGE BTL 1000ML 50 7210MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 200.00)

27000071 HC PLEURX DRAINAGE BTL 500ML 50 7505MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 173.00)

27000072 HC MASK LMA 1.0MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 49.00)





27000077 HC PILLOW ABDUCTION DISP M60031MMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 49.00)

27000078 HC BODY ALIGNER POSITIONER FOAMMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 18.00)

27000079 HC BOOT BUNNY (FOOT DROP)M3013MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 52.00)

27000080 HC BOOTCAST EZ WALKER OPEN TOE XSXLMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 26.00)

27000081 HC CERVICAL HEAD HALTERMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 33.00)

27000082 HC PILLOW CERVICAL (ROUND) #9221 00MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 21.00)

27000083HC IMMOBILIZER SHOULDER ABD SUPPORT LG

MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 117.00)

27000086 HC TONGS PMT (MRI ER TRACT) MLGMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 1,819.00)

27000087 HC PILLOW(CARTER) ARM ELEVATIONMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 70.00)

27000088 HC BINDER 4 PANEL ABDOMINAL 60-74MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 47.00)

27000089 HC ADHESIVE SPRAY 7730MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 33.00)

27000090 HC SYSTEM NIGHTTIME DRAINAGE 27060MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)

27000091 HC IRRIGATION SLEEVE 1/34 BOX 401912MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 33.00)

27000092 HC IRRIGATION SLEEVE 2 3/4 BX 401914MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 33.00)

27000093HC POUCH FECAL DRAINABLE 2 3/4 BX 413314


27000094 HC POUCH 4 BX 401515MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 24.00)

27000095 HC SKIN BOND CEMENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 143.00)

27000096 HC WAFER 4 BX 401906MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 31.00)

27000097 HC POUCH ACTIVE LIFE BX 022771MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 36.00)

27000098 HC POUCH UROSTOMY 2 3/4 #401546 BXMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 31.00)

27000099 HC WAFER 2 1/4 NEW IMAGE #14203 BXMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 23.00)

27000100HC IRRIGATOR COLOSTOMY STOMA CONE 401989


27000101 HC TUBE ENDOTRACH ATTACH.9789 EAMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 18.00)

27000102HC WAFER MOLDABLE CONVEX MED BX 404593


27000103HC WAFER MOLDABLE CONVEX LARGE 404594 BX


27000104 HC SYSTEM FECAL MANAGEMENT 411100MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 393.00)

27000105HC EAKIN WOUND POUCH MGR 1.8X1.2 839220 EA


27000106HC EAKIN WOUND POUCH MGR 4.3X3.0 839221 EA


27000107 HC SUPPORT SHOULDER MCF R/LMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 124.00)

27000108 HC SPLINT WRIST MEDIUM R/LMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 21.00)

27000109 HC SPLINT WRIST LARGE R/LMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 21.00)

27000110 HC BOOT CRADLE (FOAM)50644515MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 47.00)

27000111 HC ROLL CERVICAL MCKENZIEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 26.00)

27000112HC SPLINT LYNX WHFO LEFT MEDIUM C7906 03 02


27000113HC SPLINT LYNX WHFO RIGHT MEDC7906 03 01


27000114HC SPLINT LYNX WHFO LEFT LARGE C7906 04 02


27000115HC SPLINT LYNX WHFO RIGHT LARGE C7906 04 01


27000117 HC CHEST TUBE CLAMPMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 70.00)

27000119 HC KIT BAPTIST HEALTH CVC 57964MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)

27000120HC TUBING ADAPTER PIN UNIVERSAL #11075 48


27000121 HC TUBE COLON/RECTALMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 29.00)

27000122HC TUBING PALL FLTR BLOOD TRAN 40MIC SQ40S


27000123 HC TUBING SUCTION CONNECTINGMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 36.00)

27000124 HC TUBE DOBHOFF FEEDING 8 FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 40.00)

27000125 HC TUBE ENTRIFLEX FEEDING 8FR 472MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 16.00)

27000127 HC TUBE SALEM SUMP (SILICONE)MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)

27000129 HC TUBE TRACH SHILEY CUFF/FEN 4 10MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 143.00)

27000130 HC TUBE TRACH SHILEY NEONATAL 00 1MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 56.00)

27000131 HC TUBE TRACH SHILEY PED/OBT 003.5MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 83.00)

27000132 HC TUBING BLOOD PUMP SET 11664MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 23.00)

27000133 HC TUBING PRIMARY PUMP SET #11943 12MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 23.00)

27000134 HC TUBING NITRO PUMP SET #2427 78MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 29.00)

27000136 HC BAG BILEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 14.00)

27000137 HC TUBE TRACH (PORTEX) DBL CUFF EAMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 106.00)

27000138 HC VENT TRACHEA STOMA # 8/55MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 126.00)




27000142 HC VENT TRACHEA STOMA #10/27MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 159.00)

27000143 HC VELCO TRACHEA TIEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 14.00)

27000144 HC BAG GRAVITY FEEDINGMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 18.00)

27000145 HC ORAL ET TUBE ATTACHMENT 9789MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 18.00)

27000146HC TUBE CORPAK ENTERNAL FEEDING TUBE 5FR


27000147 HC TUBE SILICONE FEEDING 5FR 4165019MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 33.00)

27000148HC TUBE SILICONE FEEDING 6.5FR 40CM FTS6.5S


27000149HC TUBE SILICONE FEEDING 8FR 40CM 4168019


27000150 HC FLEXIFLO MAGNA PORT Y PORT CONNMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 12.00)

27000151 HC TUBE SILICONE FEEDING 3.5FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 36.00)

27000152 HC TUBE TRACH SHILEY 6 PERCMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 103.00)

27000153 HC TUBE TRACH SHILEY 8 PERCMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 108.00)

27000154 HC TUBE TRACH SHILEY XLTCP 5 8MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 159.00)

27000155 HC TUBE TRACH SHILEY XLTUP 5 8MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 150.00)

27000156 HC TUBE TRACH SHILEY XLTCD 5 8MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 150.00)

27000157 HC TUBE TRACH SHILEY XLTUD 5 8MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 150.00)

27000158HC TRACH INNER CANNULA DISPOSABLE XLT 4 8


27000159HC TUBING IV GEMSTAR CLEAR 13737 01 96 FTR


27000160HC TUBING EPIDURAL GEMSTAR YELLOW 13261 01


27000161 HC TUBING BLADDER IRRIGATION 51582492MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 62.00)

27000162 HC CARDIAC OUTPUT INJECTATE CO SETMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)

27000163 HC FEMOSTOP 11163MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 164.00)

27000165HC KIT MONITOR TRANSPAC II 42588 05 NEONATE


27000166HC BALLOON CATH AORTIC DATASCOPE 8FR

MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,949.00)

27000167 HC BALLOON CATH AORTIC DATASCOPE 9.5MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,949.00)

27000168 HC ELECTRODE/DEFIB ZOLL STATMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 72.00)

27000169 HC ELECTRODE R2 PADMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 34.00)

27000170 HC ELECTRODE QUIK PACEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 101.00)

27000171HC ABETHERA DISPOSABLE CANISTER (370620)


27000172 HC ABTHERA DRESSING (370605)MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 854.00)

27000173 HC EXTERNAL PACEMAKER CABLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 28.00)

27000174 HC CURAGEL 8X8 EACHMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 21.00)

27000175 HC IODOFORM GAUZE UTERINE PACKMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 16.00)

27000176 HC TELFA 3X8 50/BOXMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 21.00)

27000177 HC EYE PADS BOXMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 16.00)

27000178 HC KCI KIT VAC CANNISTER M6275071MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 78.00)

27000179 HC KIT SIMPULSE WOUND CAREMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 85.00)

27000180 HC SUREPREP SKIN SPRAY MSC1528MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 23.00)

27000181 HC SIMPULSE TRACK TIPSMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 41.00)

27000182 HC SIMPULSE WOUND TUNNELING TIPMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 36.00)

27000183HC SETOPRESS HIGH COMPRESSION BANDAGE


27000184 HC WOUND CLEANSER SAF CLENS 159700MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 18.00)

27000185 HC KALTOSTAT ROPE BX 168117MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 108.00)

27000186 HC KALTOSTAT 4X8 EA 168214MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 40.00)

27000188 HC DUODERM SIGNAL 4X4 BX 403326MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)

27000189 HC KCI VAC TRAC PAD M8275057MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 85.00)

27000191 HC AQUACEL AG RIBBON BOX 403712MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 153.00)

27000192 HC KCI VAC AG SMALL M8275098/10MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 112.00)

27000193 HC KCI VAC AG LARGE M6275099/10MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 126.00)

27000194HC MEPILEX SACRUM 7.2X7.2 W/BORDER 282000EA

MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 18.00)

27000195 HC ELECTRODES MULTIFUNCTION R2 DEFIBMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 68.00)

27000197 HC PULSE OX PROBE NEO NATALMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 31.00)

27000198HC INTRODUCER MICRO EZ 5FR 10CM 0228950




27000200 HC SYVEK SVP 3X3CM 400 12 06MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 139.00)

27000202 HC WAFER FLAT MOLDABLE 1 3/4 BX 411802MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 40.00)



27000205 HC POUCH 1 3/4 BX 411360MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 33.00)


27000207 HC POUCH HIGHOUTPUT 2 1/4 BX 401558MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)

27000208 HC POUCH HIGHOUTPUT 2 3/4 BX 401559MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)

27000209HC POUCH PRECUT 1PC DRAINABLE BX 175779


27000210HC POUCH 1PC PRECUT DRAIN 1 1/4BX 175781


27000211HC POUCH UROSTOMY CONVEX 1 #175792 BX


27000212HC POUCH UROSTOMY CONVEX 1 1/4 #175796 BX


27000213 HC POUCH NEW IMAGE 2 1/4 BX 18193MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 36.00)

27000214 HC IRRIGATION SLEEVE 2 1/4 BX 18153MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)

27000215 HC WAFER STOMAHESIVE 4X4 BX 021712MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 18.00)

27000216HC POUCH 1PC PRECUT DRAIN 1 1/4EA 125356


27000218 HC AV IMPULSE LG PVA/ALP2MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 117.00)

27000219 HC AV IMPULSE REG PVA/ALP1MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 110.00)

27000220 HC SCD KNEE XL ALP2XL 30MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 80.00)

27000221 HC SCD KNEE LG ALP2 24MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 63.00)

27000222 HC SCD KNEE MED ALP1 18MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 36.00)

27000224 HC CHEST DRAIN PORTABLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 164.00)

27000225HC ACCUDRAIN 700ML DRAINAGE BAG INS8700


27000228 HC PLEUR EVAC SINGLE A 700008LFMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 1,208.00)

27000231 HC CYSTO IRRIGATION SETMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 23.00)

27000232HC URI DRAINAGE BAG BARD #154002/153509


27000234 HC MEPILEX BORDER 6X6 EA 295400MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 17.00)

27000235HC CAPD MINI EXT LIFE TRANS. SET CAP 5C4482


27000246 HC SCD EXPRESS SLEEVE MED KNEE 9529MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 63.00)

27000247HC SCD EXPRESS SLEEVE LARGE KNEE 9789


27000250 HC HEEL/ELBOW PROTECTORSMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 29.00)

27000252 HC BAG CRANIAL DRAIN REPLMNTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 72.00)

27000264 HC PILLOW CERVICAL TENSION #922200MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 13.00)

27000265 HC POST OP SHOE (F/M) SMLXLMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 17.00)

27000270HC SUPPORT ARTERIAL HAND/WRIST 18686 010


27000272 HC CPM PATIENT KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)

27000274 HC HEEL BOOTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 126.00)

27000276HC FLEXISEAL FECAL COLLECTOR EA 650078


27000277HC EAKIN COHESIVE SEALSSMALLBOX 839002


27000278 HC POUCH UROSTOMY 2 1/4 #401545 BXMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 31.00)

27000279 HC POUCH URO 1PC CUT TO FIT 8450 BXMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 83.00)

27000280 HC POUCH HIGHOUTPUT 1 3/4 401557BXMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)

27000283HC EAKIN WOUND POUCH 9.7X6.3VERT. 839225 EA


27000284HC EAKIN WOUND POUCH MGR 6.9X4.3 EA 839222


27000285 HC EAKIN WOUND POUCH 9.7X6.3 839223 EAMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 45.00)

27000288 HC OASIS 7X20 CM FENMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 314.00)

27000289 HC CONT. EMPTY EVAC 1000CC GLASSMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 26.00)

27000290HC TRAY CHEST TUBE INSERTION DISPOSABLE


27000293 HC TUBE SALEM SUMP (PLASTIC)MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 14.00)

27000295HC TUBE TRACH SHILEY CUFFEDNON FENESTRATE


27000296HC TUBING LIPID/FAT EMUL PUMP SET #11003


27000298 HC TUBING BLOOD WARMER TUBING L 70MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 31.00)

27000301 HC PCA TUBING SPIKE & Y SETMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 28.00)

27000305 HC BLOOD TUBING Y TYPE (NONPUMP)MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 14.00)

27000306HC TRAY CTAGLIA BLUE RHINO PERC TRACH INTRO


27000312HC KIT MONITOR TRANSPAC #42620 08 ADULT


27000314HC BIOPATCH CENTRAL LINE DRESSING 3150


27000315 HC SYVEK NT PATCH #NT6 400 09 05MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 171.00)

27000316HC INTRA ABDOMINAL PRESSURE MONITOR ABV3331


27000317 HC KCI DRESSING VAC SMALL M6275051/10MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 108.00)

27000318 HC KCI DRESSING VAC MED M6275052/10MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 101.00)

27000319 HC KCI DRESSING VAC LARGE M6275053/10MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 122.00)

27000320 HC KCI VAC 10X15 SOFT FOAM DRESSINGMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 23.00)

27000321 HC DERMABOND SKIN ADHESIVEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 43.00)

27000322HC ALOE VESTA 2IN1 ANTIFUNGAL OINT.325105


27000323 HC BANDAGE HONEYCOMB ELASTICMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 19.00)

27000327 HC KCI VAC AG MEDIUM M6275096/10MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 106.00)

27000329HC TUBE BIVONA ADJ HYPERFLEX TRACH 68I.O.D


27000331HC FECAL MANAGEMENT SYSTEM BAGS EA 441101


27000336 HC PACER CABLESMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 61.00)

27000337 HC MAMMOTONE PROBEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 1,339.00)

27000338 HC ENSITE NAVX ELECTRODE KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 2,317.00)

27000339 HC T FASTENERMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 110.00)

27000340HC ANGIOGUARD RX EMBO PROTECTION SYSTEM


27000342 HC CYTOLOGY BRUSHMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 294.00)

27000343 HC RADIAL JAW BIOPSY FORCEPSMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 233.00)

27000345HC ENDO AAA PRESSUERE SENSOR W/DELIVERY

MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 5,856.00)

27000346 HC GASTROGRAFIN PER BOTTLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 96.00)

27000347 HC VIPER SLIDE LUBRICANTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 157.00)

27000349 HC VIPER TRACK RADIOPAQUE TAPEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 75.00)

27000351 HC BALLOON DILATATION ACCESSORIESMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 173.00)

27000352 HC CCL CAUTERYMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 61.00)

27000354 HC MAGNET EXCHANGE DEVICEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 134.00)

27000355 HC ADMINISTRATION SET/SOLUTIONMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 19.00)

27000356 HC STERILE CONNECT TUBINGMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)

27000361 HC AQUACEL AG 4X4MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 15.00)

27000362 HC AV IMPULSE FOOTWRAPS PAIRMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 112.00)

27000366 HC AIRWAY NASALMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 12.00)

27000369 HC POUCH UROSTOMY 2PC 1 3/4 BX 401544MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 31.00)

27000379 HC IODOFORM GAUZE 2IN X 5YDSMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 12.00)

27000380 HC IRRIJET IRRIGATION SYSTEMMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 18.00)

27000385HC EAKIN COHESIVE SEAL SM. 839002 4/SHEET



27000389HC BAG IC URINARY DRAINAGE 2000CC 154114A


27000390 HC SCROTAL SUPPORT SMLXLMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 13.00)

27000393 HC BOOT BUCK'S TRACTION (UNIV)811100MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 36.00)

27000407 HC STOMAHESIVE POWDER 025510MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 7.00)

27000417 HC MONITORING EXTENSION SET (6)MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 5.00)

27000431 HC CPM SOFTGOODSMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 28.00)

27000432 HC STYLET DISP 14 FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 7.00)

27000435 HC IV BLOOD SETMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 5.00)

27000437 HC CHEST DRAINAGE UNIT 3S110081LFMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 288.00)

27000438HC PICC PLUS FIXED POST CRESENT VPP D F P


27000450 HC 840 VENT FILTERMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 26.00)

27000458 HC ACTICOAT 7 4X5MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 47.00)

27000463 HC AEROSOL KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 31.00)

27000486 HC BAER HUGGER WARMING BLANKETMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 23.00)

27000489 HC BALL PEDICLE SCREW ELECTRODEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 257.00)

27000493 HC BANDAGE PROFORE MULTILAYEREDMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 31.00)

27000505 HC BLANKET WARMER CHEST ACCESS 305MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 16.00)

27000507 HC BLOOD TUBINGMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 17.00)

27000513 HC BRONCHOSCOPY CYTOLOGY BRUSHMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 23.00)

27000514HC BRONCHOSCOPY MICROBIOLOGY BRUSH


27000516 HC CARE CUBEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 52.00)

27000517 HC CAST FIBERGLASS 4 ROLLMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 13.00)

27000518 HC CAST FIBERGLASS 5 ROLLMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 13.00)

27000519 HC CAST LONG ARM LG.MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 158.00)

27000520 HC CAST LONG ARM SM.MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 98.00)

27000521 HC CAST LONG LEG LG.MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 220.00)

27000522 HC CAST LONG LEG SM.MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 98.00)

27000523 HC CAST SHORT ARM LG.MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 126.00)

27000524 HC CAST SHORT ARM SM.MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 79.00)

27000525 HC CAST SHORT LEG LG.MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 133.00)

27000526 HC CAST SHORT LEG SM.MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 59.00)

27000528 HC CAUTERY VALLEY LAB TEFLONMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 16.00)

27000529 HC CAUTERY TIP 0012MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 27.00)

27000531 HC CHEST TUBE BOTTLEWATERSEALMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 48.00)

27000533 HC CIRCULAIR MED NEB DEVICEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 25.00)

27000534 HC CIRCUMCISM TRAYMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)

27000535 HC CIRU VENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 49.00)

27000536 HC CLAVICLE STRAPMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 36.00)

27000537 HC CLIP APPLIER ER 320MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 127.00)

27000538 HC CLIP APPLIER ER 420MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 223.00)

27000541 HC CO2 TUBING WITH FILTERMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 24.00)

27000542 HC COMFORT CIRCUITMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 61.00)

27000549HC COOLING CAP LARGE >37CM (OLYMPIC 60022)


27000550HC COOLING CAP MEDIUM 3237CM(OLYMPIC60021)


27000551HC COOLING CAP SMALL <32CM (OLYMPIC 60020)


27000553 HC CRYO/CUFF KNEEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 191.00)

27000567HC DISINFECTED PHAENICIA SERICATA LARVAE


27000568 HC DISP HUMIDITY CHAMBERMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 20.00)

27000570 HC DISP. INF. HYPER INF. BAGMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 29.00)

27000571 HC DISP. INFANT HEATED WIRE CIRCUITMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 27.00)

27000573 HC DISPOSABLE GRASPER TIP #3622MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 70.00)

27000576 HC DRAIN RESERVOIRMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 14.00)

27000577 HC DRAIN EVACUATORMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 34.00)

27000578 HC DRESSING WOUND 3.5X13MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 41.00)

27000587 HC END TIDAL CO2 DETECTORMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 18.00)

27000606 HC ENDO TUBE HOLDERMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 23.00)

27000624 HC EXTENSION VALVEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 13.00)

27000625 HC FAN SPRAY TIPSPLASH SHIELDMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 28.00)

27000626 HC FECAL MANAGEMENT SYSTEM 441100MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 402.00)

27000630 HC FINGER SPLINTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 12.00)

27000631 HC FLUTTER VALVEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 100.00)

27000636 HC FORCEPS BRONCHMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 132.00)

27000637 HC GEL E DONUTS (3 GEL PILLOW)MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 20.00)

27000651 HC HOLDING CHAMBERMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 16.00)

27000656HC HYDROGEL ELECTRODES (OLYMPIC 62050)


27000657 HC HYPOTHERMIA CAPMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 117.00)

27000662 HC ENDO TUBE HOLDERMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 20.00)

27000666 HC INHIBITORY CASTING 1MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)



27000669 HC INSERTA PINMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 14.00)

27000670 HC INSUFFLATOR TUBING SETMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 13.00)

27000671 HC INTERCEEDMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 510.00)

27000672HC INTERLOCK VORTX DIAMOND COIL DETACHA


27000676 HC IVPB TUBINGMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 16.00)

27000682HC KIT CUSTOM MERIT(INFLAT DEVICE)K0500007


27000683HC KIT OLM CAMINO IC PRESS MONITOR 1104B

MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 1,525.00)

27000689 HC LEVEEN INFLATION SYRING 10CCMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 146.00)

27000690 HC LG VOL MED NEB DEVICEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)

27000691 HC LIFE PORT INFUSION SET #3006MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)

27000697 HC MDI HOLDING CHAMBERMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)

27000700 HC MEGOFLO MACROBORE INFSN SET 3030MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 13.00)

27000702 HC MEPILEX LITE 10CM X 10MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 7.00)

27000712 HC NITRONOXMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 25.00)

27000714 HC OCUTOME PROBE DISP.MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 380.00)

27000716 HC OSCILLATOR CIRCUITMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 366.00)

27000718 HC OXIMIZERMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)

27000721 HC OXYHOOD DISP.MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 33.00)

27000723 HC PAP DEVICEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)

27000725 HC PEAK FLOW SUPPLYMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 20.00)

27000726 HC PEEP VALVEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 16.00)

27000727 HC PERCUSSIVE NEBMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 181.00)

27000728 HC PERCUTANEOUS BIOPSY NEEDLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 34.00)

27000730 HC PLAKVAC ORAL SUCTION BRUSHMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 14.00)

27000731 HC PLASTIC TRAYMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 54.00)

27000735 HC POLAR PAD HIPMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 66.00)

27000739 HC PORTA WARM MATTRESSMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 45.00)

27000743 HC PROMOGRAN WOUND DRESSING 123CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 65.00)

27000746 HC PULMONARY EXERCISE O DEVICEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 85.00)

27000747 HC PULMONARY EXERCISE T DEVICEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)

27000749 HC PULSE OX PROBE ADULT/NEONATEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 42.00)

27000751 HC PUNCH BIOPSY DISPOSABLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 147.00)

27000755 HC RELOAD TCR55 681536MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 121.00)

27000757 HC RETRIEVAL DEVICEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 183.00)

27000761 HC SECONDARY I.V. TUBINGMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 14.00)

27000766 HC SHOE POSTOP FEMALE SMLGMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 21.00)

27000767 HC SHOE POSTOP MALE SMXLMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 21.00)

27000769 HC SILVERLON 4X4 REGULARMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 36.00)

27000773 HC SKIN GRAFT CARRIERMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 68.00)

27000774 HC SLING ARM STATT SMLXLMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 18.00)

27000775 HC SLIT KNIFEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 48.00)

27000776 HC SPECIMEN RETRIVEL BAGMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 204.00)

27000780 HC SPLINT AP ARM LG.MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 83.00)

27000781 HC SPLINT AP ARM SM.MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 60.00)

27000782 HC SPLINT AP LEG LG.MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 112.00)

27000783 HC SPLINT AP LEG SM.MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 68.00)

27000793 HC STAPLE PROXIMATE TX60GMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 221.00)

27000801 HC STAPLER ECR60BMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 349.00)

27000806 HC STAPLER LINEAR 60MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 221.00)

27000809 HC STAPLER RELOAD 75MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 180.00)

27000823 HC STOPCOCK 3 WAY LARGE BOREMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 4.00)

27000830HC SUCTION CANNISTER 12 LITERS 65651120


27000833 HC SURCLENSMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 16.00)

27000834 HC SURGICREAM 11/4 OZ.MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)

27000840 HC SUTURE PER PACKMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 22.00)

27000842 HC SUTURE REMOVAL KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 25.00)

27000844HC TEMPERATURE SENSOR SET (OLYMPIC 60040)


27000847 HC TOURNIQUET CUFF 34 19946075NMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 23.00)

27000855 HC TRANSBRONCHIAL BIOPSY NEEDLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 99.00)

27000857 HC TREPHINE BLADEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 44.00)

27000868 HC TUBIGRIP SIZE DMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 74.00)

27000869 HC TUBIGRIP SIZE EMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 83.00)

27000870 HC TUBIGRIP SIZE FMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 90.00)

27000871 HC TUBIGRIP SIZE GMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 104.00)

27000877HC UNNA BOOT MEDICATED BANDAGE 4 X 10YD


27000881 HC VACUUM EXTRACTOR TUBING & CUPMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 80.00)

27000884 HC VEST DISPMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 732.00)

27000889 HC ANORECTAL PROBEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 122.00)

27000890 HC BANDING KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 191.00)

27000891 HC BASKETMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 525.00)

27000892 HC BREEZE INFLATION DEVICEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 193.00)

27000894 HC COLON DECOMPRESSION SETMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 206.00)

27000895 HC DILATOR OVER THE SCOPE DISPOSABLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 3,732.00)

27000896 HC ESOPHAGEAL OVERTUBEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 305.00)

27000897 HC FEEDING TUBE ADAPTERSMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 12.00)

27000898 HC GASTRIC OVERTUBEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 366.00)

27000899 HC GOLD PROBE WITH NEEDLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 793.00)

27000900 HC GOLD PROBE WITHOUT NEEDLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 415.00)

27000901 HC INDIGO INKMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 47.00)

27000902 HC MICROVASIVE BALL TIP 4578MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 188.00)

27000903 HC MICROVASIVE LOCKING DEV 4547MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 242.00)

27000904 HC MICROVASIVE NEEDLE KNIFE 4584MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 462.00)

27000905 HC MICROVASIVE R E SPHINC 4550MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 706.00)

27000906 HC MICROVASIVE RAPID REFILL 6600MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 608.00)

27000907 HC SNARE ASSEMBLY DISPOSABLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 171.00)

27000908 HC SPLINTS VIMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 320.00)

27000909 HC SUCTION POLYPTRAPMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 19.00)

27000910 HC TUBE SHEATHMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 366.00)

27200053 HC MEPILEX 4X4 EA 294190MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 9.00)



27200081HC TRAY THORA/PARACENTESIS 6FR PIG1260T

MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 153.00)

27200109 HC TRAY PICC TRIPLE LUMANMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 552.00)

27200147 HC TRAY PICC LINE SINGLE LUMENMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 430.00)

27200200 HC PROFORE COMPRESSION SYSTEMMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 31.00)

27200242 HC AQUACEL AG 6X6MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 56.00)

27200496 HC BIOPSY FORCEPMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 915.00)

27200499 HC JEJUNAL FEEDING TUBEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 136.00)

27200813 HC ERCP CANNULAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 558.00)

27200860 HC HOT BIOPSY FORCEPMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 727.00)

27200914 HC MICROVASIVE JAG TAIL 5690MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 732.00)

27200918 HC NEEDLE KNIFE (DISP)MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 267.00)

27200934 HC PEG KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 219.00)

27200935 HC PEG TRAYMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 587.00)

27200952HC ROTATABLE RETRIEVAL BASKET 00711141


27400064 HC PASSE MUIR TRACH VALVEMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 231.00)

27400083 HC PAVLIK INFANT HARNESSMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 112.00)

27800164HC PERCULEX URINARY DIVERSION STENT SET


27800165 HC CARRIER SKIN GRAFT ALLMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 39.00)

27800166 HC ZENITH FLEX AAA BIFURCATEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 15,854.00)

27800167 HC CAUTERY TEFLON EXTENSIONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 5,784.00)

27000341 HC ADULT AMBU BAGMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 15.00)

27000911HC ADULT END TIDAL CO2 DETECTOR MEDFLIGHT


27000912 HC ADULT POCKET MASK MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 30.00)

27000913 HC ADULT QUIK COMBO PADS MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 74.00)

27000914HC ARROW EMERGENCY INFUSION DEVICE 8.5 FREN MEDFLIGHT


27000915 HC ASHERMAN CHEST SEAL MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 28.00)

27000916 HC BURN SHEET MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 13.00)

27000917 HC COMBITUBE LARGE MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 109.00)

27000918 HC COMBITUBE SMALL MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 109.00)

27000919HC DISPOSABLE ADULT PULSEOX PROBE MEDFLIGHT


27000920HC DISPOSABLE PEDIATRIC PULSEOX PROBE MEDFLIGHT


27000921HC ENDOTRACHEAL TUBE EXCHANGER MEDFLIGHT


27000922 HC ENDOTROL TUBE 6.0 MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 29.00)

27000923 HC ENDOTROL TUBE 7.0 MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 29.00)

27000924 HC EZ INTRA OSSEOUS NEEDLE MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 276.00)

27000925 HC GOLDEN ROD MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 23.00)

27000926 HC HEIMLICK CHEST DRAIN MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 89.00)

27000927HC HIGH PRESSURE FILTER SET TUBING MEDFLIGHT


27000928 HC INTRA OSSEOUS NEEDLE MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 23.00)

27000929 HC OB KIT MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 56.00)

27000930 HC PEDIATRIC AMBU BAG MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 24.00)

27000931HC PEDIATRIC END TIDAL CO2 DETECTOR MEDFLIGHT


27000932HC PEDIATRIC QUIK COMBO PADS MEDFLIGHT


27000933 HC PEEP VALVE MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 14.00)

27000934 HC PERTRACH KIT MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 244.00)

27000935HC PRESSURE INFUSER BAG 1000 ML MEDFLIGHT


27000936HC PRESSURE INFUSER BAG 500 ML MEDFLIGHT


27000937 HC SHILEY #6.0 MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 150.00)

27000938 HC SKIN STAPLER MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 117.00)

27000939HC THERMAL ANGEL INFUSION TUBING SET MEDFLIGHT


27000940 HC THORA KLEX MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 52.00)

27000941 HC THORACIC CATHETERS MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 19.00)

27000942HC TRANSDUCER PRESSURE TUBING MEDFLIGHT


27000943 HC TRAUMA PAD/DRESSING MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 45.00)

27000944 HC TROCAR CATHETERS MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 26.00)

27000335 HC RX ACCUNET EMBO. PROTECT SYSMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 7,563.00)

27400007 HC IMMOBILIZER SHOULDER (ELAST)#9008MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 29.00)

27100003 HC NITRIC OXYIDE GASMEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271] ( 793.00)

27100004 HC OXYGEN USE DAILYMEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271] ( 265.00)

27200002 HC CATHETER TRAUMA 35CM INS8420MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 388.00)

27200003 HC NEEDLE HUBER 19GMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 19.00)

27200004 HC NEEDLE HUBER 20GMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 21.00)

27200005 HC NEONATAL PICC INSERTION TRAYMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 191.00)

27200007 HC KIT CATHETER SUCTION 14FR EA 4894TMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 12.00)

27200008 HC YANKAUER SUCTION TIP K80MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 7.00)

27200010HC CATHETER COUDE/RED RUBBER 16FR 0102L16


27200011 HC CATHETER 3 WAY IRRIG/5CC BALLOONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 23.00)

27200012 HC CATHETER 3 WAY IRRIG/30CC BALLOONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 21.00)

27200013 HC CATHETER COUNCIL W/5CC BALLOONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 31.00)

27200014HC BRUSH CYSTOLOGY SINGLE LUMEN 1601


27200015HC BRUSH CYSTOLOGY DOUBLE LUMEN 4310


27200017HC CATHETER SIMPLASTIC HEMATURIA 24/30CC


27200024HC CATHETER URINARY DRAINAGE 3.5FR 4193505


27200025HC CATHETER URINARY DRAINAGE 5.0 4195005


27200026HC CATHETER URINARY DRAINAGE 8.0 4198005


27200027HC CATH NEONATAL INLINE SUCTION 6FR #196


27200028HC CATH NEONATAL INLINE SUCTION 8FR #198


27200029HC CATHETER IC FOLEY TEMP 16FR/5CC 129416


27200030 HC TRAY IC CRITICORE FOLEY 16FR 901216MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 80.00)

27200031 HC TRAY IC FOLEY 16FR/5CC 900016AMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 31.00)

27200032 HC TRAY IC FOLEY 18FR/5CC 900018AMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 31.00)

27200033HC TRAY IC URINE METER 16FR/5CC 903016A


27200034 HC TRAY IC ADD A FOLEY 899100AMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 16.00)

27200035 HC CATHETER IC FOLEY 12FR/5CC 0165SI12MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 8.00)




27200039HC CATHETER IC FOLEY 22FR/30CC 0166SI22


27200040HC CATHETER IC FOLEY SIL 14FR/5CC 1758SI14






27200043HC CATHETER IC FOLEY 3WAY 20FR/5CC 0119SI20


27200044HC CATHETER IC RED LATEX COUDE 14F 0102SI14


27200045HC CATHETER IC COUDE FOLEY 12FR5CC 0168SI12


27200046HC CATHETER IC COUDE FOLEY 14FR5CC 0168DI14






27200049HC CATHETER IC COUDE FOLEY 20FR5CC 0168DI20


27200050HC CATHETER IC RED LATEX FOLEY 22F 0196SI22


27200051HC CATHETER SUCTION 12FR 21513511(RESP DEPT


27200052 HC CATHETER BALCATHMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 103.00)

27200059 HC CAPD LOCKING CAP BAXTER 5C4169MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 18.00)

27200065 HC NEEDLE BIOPSY (KIDNEY)MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 70.00)

27200066 HC NEEDLE BONE MARROW JAMSHIDI DISPMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 38.00)

27200067 HC NEEDLE SPINAL DISP 6 INMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 33.00)

27200068 HC DRAIN TUBE ATTACH HORIZONAL 9781MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 14.00)

27200069HC PURACOL + COLLAGEN DSG 2X2 MSC8622EPZ


27200070 HC TRAY BONE MARROW DISPMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 99.00)

27200071HC TRAY LUMBAR PUNCTURE ADULT 22G 4306CS


27200072HC TRAY LUMBAR PUNCTURE ADULT 20G 4301CS


27200073HC TRAY LUMBAR PUNCTURE INF/CHILD22G 4302CS


27200079HC KIT LUMBAR PUNCTURE W/22G 1 NEEDLE


27200080HC NEEDLE PICC INTROSYTE N 26G 19 384021


27200082 HC TUBE TRACH 4 10 UNCUFF FEN DISPMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 85.00)

27200083HC DRAIN TUBE ATTACHMENT VERTICAL 9782


27200084HC TUBE TRACH 4 10 CUFF LOW PRESS DISP


27200085 HC TUBE TRACH 4 10 UNCUFF DISPMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 85.00)

27200086 HC NEEDLE PAJUNK SPINAL 22G X 3 1/2MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 29.00)

27200088HC SET PERCUT CATH INTRO 8.5 AK09803LFSP


27200090 HC SET ARROW RADIAL CATH RA 04020MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 18.00)

27200103 HC SET MICROPUNCTURE INTRODUCERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 70.00)

27200107 HC BIOPATCH 3152 (DIALYSIS ONLY)MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 14.00)

27200110 HC SUTURE DEXON S NDL CE 10 3-0MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 9.00)

27200111 HC SUTURE DEXON S NDL T 2-0MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 3.00)

27200112 HC SUTURE ETHILON NDL CTX 2-0MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 29.00)

27200113 HC SUTURE ETHILON NDL KS 2-0MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 2.00)

27200114 HC SUTURE ETHILON W/NEEDLE 2-0MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 3.00)

27200115 HC SUTURE PROLENE NEEDLE BB 4-0MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 9.00)

27200116 HC SUTURE PROLENE NEEDLE C-1 5-0MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 12.00)

27200117 HC SUTURE PROLENE NEEDLE RB 1 4-0MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 9.00)

27200119 HC SUTURE SILK W/O NEEDLE 3-0MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 3.00)

27200120 HC SUTURE SILK W/O NEEDLE 4-0MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 3.00)

27200121 HC SUTURE SILK W/NEEDLE 2-03-04-0MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 21.00)

27200122HC KCI VAC 10X7.5CM SOFT FOAM DRESSING


27200123HC AQUACEL AG WOUND DRESSING 2X2EA 403706


27200124HC OPTILOCK NON ADHES DSG 4X4 MSC6444EPZ


27200125 HC TRAY DEBRIDEMENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 21.00)

27200126HC AQUACEL AG WOUND DRESSING 4X4.7EA 403765


27200127HC AQUACEL AG WOUND DRESSING 4X4.7BX 403765


27200128HC AQUACEL AG WOUND DRESSING 2X2BX 403706


27200129 HC MEPITEL 4X8 EACH 291090MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 23.00)

27200130HC KCI VAC PULL APART DRESSING M67275081/5


27200131 HC KCI DRESSING ABDOMINAL M625080/5MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 825.00)

27200132 HC KCI DRESSING VAC X LARGE M6275065/5MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 190.00)

27200133HC MELGISORB AG ALGINATE 4X4 SPC255100Z


27200134 HC MEPILEX 6X6 294390 EAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 18.00)

27200143HC INTRODUCER RADSTICK 5FR 10CM 0669050


27200144HC INTRODUCER RADSTICK 6FR 10CM 0669060






27200148 HC PICC NEEDLE GUIDE 900013B01MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 38.00)

27200150 HC PURACOL + AG DSG 2X2 MSC8722EPZMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 26.00)

27200152HC OPTILOCK NONADHES DSG 6.5X10 MSC64610EP


27200153 HC MEPILEX LITE 8X20 SCP28459OZMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 39.00)

27200154HC HM2 IMPELLA 5.0 IV SOLUTION SET 3100078


27200155HC HM2 IMPELLA 5.0 COMBITRAN TRANSDUCER1892


27200157 HC SCREW IN TEMP PACERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 732.00)

27200158 HC BRK NEEDLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 552.00)

27200168 HC FOLEY CATHETER TRAY W/16FR CATHMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 16.00)

27200169 HC FOLEY CATH W/5CC BALLOONMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 17.00)

27200174 HC CRITCORE FOLEY TRAYMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 68.00)

27200176 HC HUBER NEEDLE 22GA X 3/4 INCHMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 14.00)

27200180 HC PACEL BIPOLAR PACING CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 224.00)

27200194 HC INFUSAPORT ACCESSMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 21.00)

27200198 HC OR SET SURFIT 1 3/4IN 2 3/4INMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 75.00)

27200203 HC EPIDURAL TRAYMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 53.00)

27200206 HC TRAY SPINALMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 36.00)

27200207 HC NEEDLETUOHY EPIDURALMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 55.00)

27200225 HC MAXXIM ARTLINE KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 692.00)

27200227HC QUICK FLASH RADIAL ARTERY CATH SET 04220


27200228 HC RADIAL CATH SET ARROW RA 04020MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 26.00)

27200230 HC DUAL LUMEN CENTRAL ACCESSMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 529.00)

27200231 HC SURGIFOAM 100MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 130.00)

27200232 HC SURGIFOAM 12 X 7MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 9.00)

27200233 HC KIT INCISION DRAINAGEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 14.00)

27200240 HC SURGICEL 2 X 3MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 80.00)


27200246HC AQUACEL AG SURG 14 INCH DRESSING 412012


27200247 HC DRESSING MAXORB EXTRA AG 4X8MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 23.00)

27200250 HC PULSE OX D25 ADULTMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 22.00)

27200256 HC JAMSHIDI BIOPSY NEEDLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 59.00)

27200258 HC 20G X 14CM LOCALIZATION WIRESMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 39.00)

27200260 HC 20G X 9 CM LOCALIZATION WIRESMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 49.00)

27200270 HC LEAD LOCKING DEVICEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 938.00)

27200271 HC LLD ACCESSORIESMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 220.00)

27200273 HC TEMNO II BIOPSY NEEDLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 75.00)

27200275 HC BRAUN VISTA IV SOLUTION SETMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 38.00)

27200278 HC NAVISTAR REFERENCE PATCHMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 488.00)

27200282 HC BS EASY CORE BIOPSY SYSTEMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 464.00)

27200285 HC STERILE ULTRASOUND PROBE COVERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 26.00)

27200290 HC TRANSEPATAL NEEDLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 561.00)

27200297 HC OUTBACK LTD CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 4,952.00)

27200301 HC ENCORE INDEFLATORMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 92.00)

27200308 HC FEEDING TUBE/W STYLET 12FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 18.00)

27200313 HC TR BAND WITH INFLATORMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 96.00)

27200314 HC OPTITORQUE CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 85.00)

27200317 HC XRAY SPINAL NEEDLE SPECIAL SIZEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 25.00)

27200322 HC CATHETER TRAYMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 17.00)

27200323 HC HYSTER TRAYMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 141.00)

27200328 HC DIAGNOSTIC CATHETERSMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 40.00)

27200329 HC GLIDECATHSMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 141.00)

27200330 HC SINGLE SHOT EPIDURAL TRAYMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 45.00)

27200331 HC MEDRAD SYRINGEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 12.00)

27200333 HC D STAT DRYMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 122.00)

27200334 HC ONYX LIQUID EMBOLIC SYSTEMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 4,757.00)

27200336 HC NANOKNIFE PROBEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 4,868.00)

27200338 HC MINI ENSNAREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,548.00)

27200343 HC ELECTRODE NEEDLE ABLATION LEVEENMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 4,490.00)

27200348 HC VASCULAR SIZING CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 732.00)

27200350 HC BALLOON/POLAR CATH BALLOON SETMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,586.00)

27200351 HC BALLOON/POLAR CATH INFLATION UNITMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,317.00)

27200356 HC VERTEBROPLASTY KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 2,001.00)

27200357 HC BASIC BIOPSY TRAYMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 56.00)

27200358 HC BIOPSY LIVER ACCESS SET RPTS 100MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 756.00)

27200359HC JAMSHIDI BM BIOPSY & ASPIRATION TRAY


27200360 HC LEVEEN NEEDLE ELECTRODESMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 3,149.00)

27200361 HC BIOPSY GUNMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 70.00)

27200362 HC BIOPSY GUIDEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 26.00)

27200366 HC SAFEGUARD PRESSURE DRESSINGMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 146.00)

27200370 HC BIPOLAR NANOKNIFE PROBEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 8,528.00)

27200371 HC BIOPSY GRIDSMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 13.00)

27200378 HC ACKERMAN BX SETMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 720.00)

27200382 HC GASTROSTOMY TUBEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 101.00)

27200383 HC GASTROJEJUNAL TUBEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 511.00)

27200384 HC GORE EVG 24FR SHEATHMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 732.00)

27200385 HC NEEDLE LOC NEEDLESMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 49.00)

27200386 HC KYPHON BONE FILLER DEVICEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 267.00)

27200387 HC BARD CORE BIOPSY PROBEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 49.00)

27200388HC KYPHON EXPRESS INTRODUCER SYSTEM

MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 2,646.00)

27200389 HC NEEDLE LOC GUIDEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 17.00)

27200390 HC KYPHON ADVANCED OSTEO SYSTEMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 976.00)

27200392 HC STEREO CORE BIOPSY PROBE 11GMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 500.00)

27200394 HC STEREO CORE BIOPSY GUIDEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 17.00)

27200412 HC STABILIT FIRST FRACTURE KIT # 1435MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 8,772.00)

27200413 HC STABILIT SECOND FRACTURE KIT # 1436MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 4,514.00)

27200414 HC ULTRASOUND 11G PROBEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 451.00)

27200415 HC VACUUM SETMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 42.00)

27200416 HC BIOPSY PROBE 8G STEREOMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 545.00)

27200417 HC BIOPSY PROBE AND TUBING 11GMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 483.00)

27200418 HC BIOPSY PROBE 8G ULTRASOUNDMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 514.00)

27200419 HC GRIDMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 12.00)

27200420 HC APERTUREMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 38.00)

27200423 HC STANDARD ENSNAREMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 769.00)

27200432 HC RENAL DILATOR SET/BALLOONMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 493.00)

27200436 HC SNARE SETSMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 671.00)

27200437 HC DRAINAGE INTRODUCER SYSTEMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 197.00)

27200439 HC REINFORCE DILATOR 4 FILTER SYSTEMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 220.00)

27200449 HC ATHRECTOMY SETMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 2,440.00)

27200451 HC VALVULOPLASTY SETMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 1,830.00)

27200456 HC PERICARDIALCENTESIS TRAYMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 343.00)

27200462 HC NEEDLE VERTEBROPLASTYMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 96.00)

27200464 HC MICROCATHETER/EXCELSIORMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 1,213.00)

27200470 HC TRETOLAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 1,464.00)

27200472 HC SHEATH ARROW FLEXMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 220.00)

27200474 HC SHEATH PEEL AWAYMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 94.00)

27200476 HC PNEUMOTHORAX SETMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 225.00)

27200477 HC CAUTERY PENMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 18.00)

27200478 HC GELFOAMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 22.00)

27200479HC THROMBIN D STAT FLOWABLE HEMOSTAT


27200480 HC CATHETER SIZING PIGTAILMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 359.00)

27200483 HC KYPHOPLASTY INFLATABLE BONE TAMPMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 2,682.00)

27200484 HC KYPHOPLASTY INTRODUCER SYSTEMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 8,474.00)

27200502 HC HEMOSTASE HPH PRODUCTMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 291.00)

27200509 HC ABLATION ELECTRODEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 1,281.00)

27200531 HC TRAY PORT ACCESS SNU04PABMEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 33.00)

27200546HC DRESSING KCI VERSAFOAM SMALL M6275033/10


27200557 HC TRACH CARE KIT MINIMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 5.00)

27200559 HC EZ HUBER SAFETY INFUSION SET 19X1MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 18.00)

27200643 HC 30 VICRYL PLUS H27 VCP416HMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 5.00)

27200647 HC ACCESS SHEATH/RING TRANSJUG. IHEP.MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 1,037.00)

27200650 HC ACTICOAT 7 DAY 2X2 UTD20341ZMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 16.00)

27200654 HC ALEXIS RETRACTOR LARGE 1893030NMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 182.00)

27200656 HC ALEXIS RETRACTOR XLARGE 18983040NMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 190.00)

27200685 HC BALL TIP PROBE NIMSPINEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 347.00)

27200686 HC BALLOON CATH. INFLATION UNITPOLARMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,317.00)

27200689 HC BARD MAX CORE DIPS. BIOPSY INSTR.MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 70.00)

27200691HC BARD TRUGUIDE COAXIAL BIOPSY NEEDLE


27200695 HC BIOPSY NEEDLE TRUCUT (DISP)MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 63.00)

27200699HC BIOVAC DIRECT SUCTION DEVICE 00711513


27200712 HC CATH 26 GAXSOCM NEEDLE 1.9FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 155.00)

27200713HC CATH FOLEY SILICONE W/3CC BALLOON 8FR.


27200714HC CATH INLINE ENDOTRACH SUCTION 2V22106


27200716HC CATHERTER INLINE TRACH SUCTION 221036


27200717 HC CATHETER FOLEY TEMP SENSINGMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 31.00)

27200718 HC CATHETER FRONT RUNNER XP CTOMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 2,672.00)

27200721 HC CATHETER SILICONE 5CCMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 21.00)

27200723 HC CATHETER FOLEY COUDE 2WAY 5CCMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 21.00)

27200727 HC CCL BIOPSY FORCEPMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 915.00)

27200728 HC CCL CPS KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 3,782.00)

27200729 HC CCL DIAGNOSTIC CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 21.00)

27200730 HC CHITOSEAL CLOSURE DEVICEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 122.00)

27200734 HC CLO SUR P.A.D.MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 94.00)

27200736HC COBAN 2 LAYER COMP SYS >3 & <5 PER YD


27200753 HC CVC DRESSING CHANGE KIT 57964MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 38.00)

27200754 HC CVC DRESSING KIT 5796MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 38.00)

27200760 HC DISP HOT BIOPSY FORCEPSMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 183.00)

27200763 HC DISPOSABLE SNAREMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 106.00)

27200765 HC DRAIN BLAKE 7 OR 10 MM FLATMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 49.00)

27200766 HC DRAIN BLAKE 7 10 OE 15MM ROUNDMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 61.00)

27200773HC EEG ELECTRODE NEEDLE (LOW IMPEDANCE)


27200809 HC ENTRIFLEX FEEDING TUBE SL 12FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 29.00)

27200819HC ETHICON STAPLER SKIN ROTATING 35 REG


27200820HC ETHICON STAPLER SKIN ROTATING 35 WIDE


27200830 HC FOLEY CATH COUDE TIP/30CC BALLOONMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 23.00)

27200831 HC FOLEY CATH COUDE TIP/5CC BALLOONMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 21.00)

27200840 HC GASTROSTOMY KIT 18 FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 299.00)

27200845 HC GRASPING DEVICE TALON BX 00711175MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 330.00)

27200865 HC INTERDRY AG 24MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 21.00)

27200866 HC INTERDRY AG 36MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 33.00)

27200867 HC INTERDRY AG ROLLMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 56.00)

27200873 HC LIGACLIP LARGE #MCL20MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 153.00)

27200874 HC LIGACLIP MEDIUM MS20MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 123.00)

27200875 HC LIGACLIP SMALL #MCS20MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 150.00)

27200896 HC MEGADYNE CAUTERY NEEDLE TIP 0013MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 8.00)

27200897 HC MEGADYNE CAUTERY TIP 0012MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 6.00)

27200903 HC MEPILEX AG 4X4MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 23.00)



27200906 HC MEPILEX BORDER LITE 1.6X2MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 5.00)

27200907 HC MEPILEX HEEL DRESSING 13CMX20CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 21.00)

27200909HC MEPILEX LITE BORDER DRESSING 5X12.5


27200910 HC MEPILEX SACRAL 18CM X 18MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 16.00)

27200923 HC NEEDLE SPINAL 22GX5.5 XN14022MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 18.00)

27200928 HC NPPV MASK; FULL FACEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 59.00)

27200931 HC OSTEOFORCE HIGH PRESSURE INJ SETMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 267.00)

27200940 HC PORCINE GRAFTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 260.00)

27200942HC PROMOGRAN MATRIX DRESSING 4.34X4.34


27200943 HC PROMOGRAN WOUND DRESSING 28CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 26.00)

27200960HC RUMI TIP LAVENDER 5.1MM X 6CM UML516


27200964 HC SCLEROTHERAPY NEEDLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 101.00)

27200965 HC SENSATION SNARE 30MM (6265)MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 75.00)

27200968HC SILVERLON NEGATIVE PRESSURE DRESSING 4X5


27200969 HC SILVERLON 4X4 PAD DRESSINGMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 40.00)

27200971 HC SILVERLON PACKING STRIP 1X12MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 21.00)

27200972 HC SKIN STAPLER 35W PXW35MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 16.00)

27201023 HC SURGICEL 2X14MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 134.00)

27201041 HC SUTURE 20 SILK 30MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 5.00)

27201057 HC SUTURE 30 SILK C013DMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 15.00)

27201070 HC SUTURE 50 CHROMIC 687GMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 14.00)

27201073 HC SUTURE 50 PLAIN GUTMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 13.00)

27201074 HC SUTURE 50 POLYSORBMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 35.00)

27201082 HC SUTURE 60 PLAIN GUTMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 34.00)

27201102 HC SUTURE ETHIBOND 1 X834HMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 22.00)

27201109 HC SUTURE ETHILON 40 P3MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 8.00)

27201120 HC SUTURE MONOCRYL 20MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 5.00)

27201125 HC SUTURE MONOCRYL 40 PS 1MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 9.00)

27201130 HC SUTURE MONOCRYL PLUS 30 PS1MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 12.00)

27201136 HC SUTURE NYLON 10 0MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 37.00)

27201141 HC SUTURE NYLON 6 0MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 29.00)

27201142 HC SUTURE O POLYSORB (CL801MG)MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 61.00)

27201160 HC SUTURE PROLENE 20 8685HMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 5.00)

27201218 HC SUTURE VICRYL 30 J774DMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 19.00)

27201222 HC SUTURE VICRYL 40 J422HMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 5.00)

27201230 HC SUTURE VICRYL 80MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 30.00)

27201231 HC SUTURE VICRYL ENDOLOOPMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 74.00)

27201247HC TRAY CATHETER FOLEY W/16FR CATH. 898316


27201248 HC TRAY CRITICORE FOLEY 900216MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 68.00)

27201249HC TRAY URIMETER W/16FR FOLEY CATH 902816


27201251 HC TROCAR DILATING TIP D5LT 5MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 44.00)

27201258 HC URICATH(PEDIATRIC)8FR 4198005MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 47.00)

27201267 HC 4576 STANDARD CANNULAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 14.00)

27201269 HC 4578 BALL TIP CANNULAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 159.00)

27201277 HC CANNULA (MICRP) (3570)MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 176.00)

27201279HC CANNULAS(MICRO)#30853086308730893570


27201287 HC ENCORE INFLATION DEVICEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 183.00)

27201288 HC FEEDING TUBESMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 37.00)

27201289 HC FLEXIBLE ERBE PROBE STRAIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 486.00)

27201291 HC GLIDEWIRES 400 CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 732.00)

27201292 HC HEMOSTASIS CLIPPING DEVICEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 366.00)

27201297 HC PEG BUTTONSMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 218.00)

27201300 HC PH PROBE DISPOSABLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 146.00)

27201303 HC PROBE GOLDEN 7FR #6015MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 793.00)

27201306 HC ROTH NET LARGEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 220.00)

27201307 HC ROTH NET STANDARDMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 183.00)

27201316 HC SUTURE PROLENE NEEDLE SH 30MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 9.00)

27201320 HC HEMOSTATIC POWDER 3GM - ARISTAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 518.00)

27201321HC CATHETER IA BALLOON FIBEROPTIC 8F 30CC


27201322HC CATHETER IA BALLOON FIBEROPTIC 8F 40CC


27201326 HC LARYNGOSCOPE BLADEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 12.00)

27201327 HC MEPILEX 4X4 AGMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 18.00)

27201334HC VACUUM DELIVERY SYSTEM KIWI PRO CUP


27800498 HC RESOLUTION CLIP (2260&2261)MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 322.00)

27200305 HC TURBO TANDEM ARTHROECTOMYMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 6,832.00)

27200500HC SILVERHAWK PERIPHERAL CATH KIT ALL SIZES


27200393HC DIAMOND COATED CLASSIC CROWN 1.25MM


27200396HC DIAMOND COATED CLASSIC CROWN 1.50MM


27200398HC DIAMOND COATED 2.00MM SOLID CROWN 70GRIT








27200450 HC CCL RCA ATHERECT CATHMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,600.00)

27200235 HC SLEEK PTA BALLOON 40MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 776.00)

27200236 HC SLEEK PTA BALLOON 80MM120MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 877.00)

27200237 HC SLEEK PTA BALLOON 150MM220MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 877.00)

27200238 HC SAVVY LONG PTA DILATION CATH 120CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 776.00)

27200239 HC SAVVY LONG PTA DILATION CATH 150CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 955.00)

27200298 HC EV3 PERIPHEREAL BALLOONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 877.00)

27200324HC AVIATOR PLUS PTA DILATATION CATHETER


27200341HC CATHETER BALLOON DIL.UT DIAMO.BLUE


27200367 HC STERLING BALLOONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 549.00)

27200373 HC CUTRACK BALLOON CATH. ALL SIZESMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,586.00)

27200379 HC CUTTING BALLOONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,952.00)

27200391 HC GUIDANT AGIL TRAC BALLONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 671.00)

27200425 HC ULTRATHIN SDS BALLOONSMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 317.00)

27200438 HC BALLOON CATHETER LONGMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 697.00)

27200445 HC CCL PTCA BALLOONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 610.00)

27200455HC CCL PTCA BALLOON BOSTON SCIENTIFIC


27200465 HC CATHETER BALLOON DIL CORDIS SAVVYMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 732.00)

27200466HC CATHETER BALLOON DIL BARD CONQUEST


27200467 HC CATHETER BALLOON DIL Z-MEDMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 549.00)

27200481 HC GORE TRILOBE BALLOONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,230.00)

27200492 HC CUTTING BALLOON PERIPHERALMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,952.00)

27201323HC CHARGER BALLOON CATHETER 150-200MM


27201324HC CHARGER BALLOON CATHETER 20-120MM


27201328HC MUSTANG BALLOON CATHETER 120-200MM


27201329HC MUSTANG BALLOON CATHETER 20-100MM


27201333 HC TREK BALLOONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 366.00)

27200581 HC DILITATION BALLOONSMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 732.00)

27200327 HC NEPHROMAX BALLOONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 744.00)

27200586 HC BALLOONS(MICROVASIVE)MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,129.00)

27200612 HC BALLOON HURRICANE RXMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 671.00)

27200613 HC MICROVASIVE TAPERED CATH 4577MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 188.00)

27200614 HC MICROVASIVE XL CATH 4582MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 211.00)

27200061 HC KIT SUBDURAL TUNNELING PRESSUREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,337.00)

27200062HC KIT PARENCHYMAL PRESSURE MONITOR NL950P


27200063 HC SET VENTRICULAR CATH (SM) INS4000MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 466.00)

27200064HC SYSTEM EXTERNAL CSF DRAINAGE INS 8400


27200075 HC KIT PNEUMOTHORAX DISP AK01500MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 176.00)

27200159HC ARROW AK01600 PERCUTANEOUS DRAINAGE KIT


27200161 HC CATHETER THORACIC W/O TROCARMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 21.00)

27200162 HC CATHETER THORACIC W/TROCAR ADULTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 21.00)

27200179HC TROCAR CATH KIT (DR DELOACH)20&28FR


27200193 HC SET VENTRICULAR CATH (35MM) INS8220MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 258.00)

27200369 HC REENTRY NEPH. CATHETER SET 24 FR.MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 190.00)

27200424 HC ABSCESS DRAINAGE CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 373.00)

27200428 HC BILIARY DRAINAGE CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 392.00)

27200431 HC NEPHROSTOMY CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 392.00)

27200473 HC CATHETER DRAINAGE THALQUICKMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 265.00)

27200562 HC HEMOVAC EVACUATOR 100MLMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 53.00)

27200606 HC THORATIC CATH. 24FR.MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 20.00)

27200615 HC PLEURX DRAINAGE CATHETER KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,008.00)

27200616HC KIT VENTRICULAR TUNNELING PRESSURE


27200259 HC EP DIAGNOSTIC; 20 OR >MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,281.00)

27200507 HC CATH EP 20 OR MORE ELECMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,660.00)

27200277 HC EP DIAG/ABLAT; 3DMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,904.00)

27200321 HC SAFIRE BLU DUO ABLATION CATHMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,050.00)

27200056 HC KIT QUIN 2LUMEN CATH SUBCL 415001MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 195.00)

27200057HC KIT QUIN 2LUMEN CATH W/CU EXT 817009


27200058 HC KIT QUIN 2LUMEN CATH TRAY 668007MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 258.00)

27200060 HC CATH TENCKHOFF STRAIGHT QUINTONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 112.00)

27200202HC CATHETER HEMODIALYSIS/PERITONEAL LONG TERM


27200021HC CATH UMBICIAL SILICONE SGL 3.5 4173505


27200022HC CATH UMBICIAL SILICONE SGL 5.0 4175005


27200023HC CATH UMBICIAL SILICONE DUAL LUM 4273505


27200076 HC TRAY UMBILICAL CATH INSERT 4070007MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 108.00)

27200077 HC TRAY INTRO./SHEATH PICC 1.9FR NICUMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 200.00)

27200078 HC TRAY INTRO/SHEATH PICC 2.8FR NICUMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 146.00)

27200087HC BALLOON WEDGE PRESS. CATH 2 LUMEN


27200091HC CATH SWANGANZ THERMODILUTION 131F7


27200092HC CATH SWANGANZ THERMODILUTION 831HF75


27200093 HC CATH UMBILICAL ARGYLE 3.5/5FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 23.00)

27200094 HC CATH UMBILICAL 2 LUMEN GESCO 3.5 FMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 65.00)

27200095 HC CATH UMBILICAL 2 LUMEN GESCO 5FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 61.00)

27200096 HC CATH UMBILICAL 1 LUMEN GESCO 3.5FMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 38.00)

27200097 HC CATH UMBILICAL 1 LUMEN GESCO 5FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 38.00)

27200098 HC CATH PERQCATH 5FR. PICC 4135100MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 220.00)

27200099 HC SET MULTILUMEN CVC ARROW AK45703MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 166.00)

27200102HC CATH. ARROW CENTRAL VENOUS KIT 16FR 6


27200104HC SET MULTI LUMEN LARGE BORE CVC AK22123SK


27200105HC SWAN GANZ SVO2/CCO THRMODIL 8FR 5251613


27200108 HC TRAY PICC DUAL LUMENMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 465.00)

27200223 HC ARROW DOUBLE LUMEN 8FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 146.00)

27200444 HC CCL FLOW DIRECTED CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 103.00)

27200460 HC CATHETER PICC LINE DOUBLE LUMENMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 209.00)

27200461 HC CATHETER PICC LINE SINGLE LUMENMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 204.00)

27200485 HC PICC LINE DOUBLE LUMENMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 209.00)

27200491 HC TRIPLE LUMEN CATHETER 16CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 162.00)

27200494 HC TRIPLE LUMEN 16CM CVC SETMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 162.00)

27200525 HC DUAL LUMEN PICC LINE NAVILYSTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 240.00)

27200567 HC CATHETER HICKMAN KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 290.00)

27200574 HC HICKMAN #12 CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 756.00)

27200619 HC SWAN GANZ 7.5 FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 460.00)

27200185 HC QUIN CATH.11 X 13.5 CURVED 817009MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 186.00)

27200186 HC QUIN CATH 11.5 X 19.5 CURVED 668011MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 284.00)

27200364 HC RAULERSON CATHETER SHORT TERMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 157.00)

27200490 HC QUINTON CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 247.00)

27200279 HC FLOW WIRE/PRESSURE WIREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,452.00)

27200363 HC EAGLE EYE CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,891.00)

27200441 HC CCL ULTRASOUND CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,415.00)

27200482 HC PIONEER CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 7,796.00)

27200265 HC CONCENTRIC CORKSCREW DEVICEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 7,320.00)

27200266 HC ANGIOJET CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,649.00)

27200303 HC FETCH ASPIRATION CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 781.00)

27200332 HC THROMBECTOMY MECHANICAL DEVICEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,828.00)

27200344HC CATH.THROMBECTOMYANGIOJET RHEOLYTIC


27200353 HC PRONTO CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,209.00)

27200458 HC CATHETER PRONTO EXTRACTIONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,209.00)

27200292 HC INTRACARDIAC ECHO CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 6,100.00)

27200320HC RP INTRACARDIAC CATH ASCENT SOUNDSTAR


27200219 HC INTROFLEX PERC. SHEATH INT. KIT 9FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 260.00)

27200293 HC AGILIS STEERABLE INTRODUCERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,438.00)

27200587 HC 0.38 GUIDEWIRE #5662MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 659.00)

27200611 HC JAGTOME RX39 #M00573080MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 729.00)

27200106HC GUIDEWIRE AVAHF TRIPLE LUMEN 9F M3LFHK1


27200182 HC BENTSON GUIDEWIREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 45.00)

27200184 HC IMPELLA GUIDEWIREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,220.00)

27200316 HC ASAHI MIRACLEBROS WIREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,647.00)

27200354 HC INFUSION WIRESMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 720.00)

27200355 HC SPECIALTY WIRESMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 415.00)

27200406 HC VIPERWIRE ADVANCE .014 TIPMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 366.00)

27200408 HC ASAHI TREASURE 12 300CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 366.00)

27200410 HC ASAHI ASTATO 30 300CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 366.00)

27200434 HC SPECIALTY GUIDEWIREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 568.00)

27200440 HC REGULAR GUIDEWIREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 47.00)

27200442 HC CCL DIAGNOSTIC GUIDEWIREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 78.00)

27200443 HC CCL THERAPUTIC GUIDEWIREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 144.00)

27200488 HC GUIDEWIRE REGULARMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 61.00)

27200489 HC GUIDEWIRE SPECIALTYMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 415.00)

27200583 HC CBDE GUIDE WIRE 0035MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 99.00)

27200585HC PEG KIT PULL W/GUIDEWIERE 20F M00566721


27200622 HC GUIDEWIRE HP .035 JAGWIRMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 338.00)

27200280 HC LIBERATOR LOCKING STYLETMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 990.00)

27200318 HC RETRIEVAL SETCOOKMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 706.00)

27200319 HC IVC RETRIEVAL SETBARDMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,452.00)

27200326 HC SPIDER PROTECTION DEVICEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,172.00)

27200352 HC FILTER WIREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,160.00)

27200264 HC LASER CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,355.00)

27200267 HC LASER CATHETER .9 TO 1.7MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,355.00)

27200268 HC LASER CATHETER 2.0 TO 2.5MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,721.00)

27200177 HC ATTAIN DEFLECTABLE SHEATHMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,464.00)

27200283 HC MEDTRONIC ATTAIN SHEATHMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 488.00)

27200295 HC CATHETER MICRO GUIDEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 610.00)

27200296 HC CATHETER QUICK CROSSMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 317.00)

27200300 HC SHUTTLE SHEATHMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 427.00)

27200309HC QUICK CROSS GUIDE CATH SELECT ALL SIZES


27200310HC QUICK CROSS GUIDE CATH EXTREME ALL SIZES


27200340 HC GUIDING CATHETERCORDISMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 451.00)

27200375 HC MINNIE SUPPORT CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 282.00)

27200429 HC INFUSION CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 736.00)

27200453 HC GUIDE CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 104.00)

27200463 HC CATHETER GUIDINGMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 427.00)

27201325 HC GUIDELINERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 924.00)

27200281 HC PERFECTA DISSECTION SHEATHMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,976.00)

27200447 HC CCL INTRODUCER SPECIALMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 171.00)

27200487HC EP INTRACARD FIX-CURVE GUIDING INTROD/SHEATH


27200287 HC SAFE SHEATH WORLEY OR LVIMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 769.00)

27200288 HC DAIG ABLATION SHEATHMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 460.00)

27200349 HC TRANSEPTAL SHEATH NMTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 282.00)

27200609 HC HYDRATOME RX44 #M00583040MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 998.00)

27200089HC SET PERCUT CATH INTRO HEMOQUIT 4FR8FR


27200100HC CATHETER PINNACLE INTROSHEATH 4567FR


27200284 HC INTRODUCER SHEATHNONPEEL AWAYMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 171.00)

27200289 HC ATTAIN LDS SHEATHMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,220.00)

27200311 HC GLIDESHEATH INTRODUCER W/WIREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 92.00)

27200312HC GLIDESHEATH INTRODUCER W/WIRE W/NEEDLE


27200377 HC MICROPUNCTURE KIT 5 FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 78.00)

27200421 HC INTRODUCERS/MICROPUNCTUREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 89.00)

27200454 HC CCL MICRO PUNCTURE KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 68.00)

27200469 HC ACCESS ACCUSTICK NITINOLMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 183.00)

27200475HC SHEATH CHECK FLO INTRODUCER FOR AAA


27200493 HC PINNACLE SHEATHMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 38.00)

27200511HC COOK INTRODUCER ANSEL RBANL 145 CM


27200512HC COOK INTRODUCER RAABE RBRAABE90CM


27200513HC LARGE VALVE CHECK FLO INTRODUCERS 1618


27200634 HC MICROVASIVE CANN SPH 4505MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 706.00)

27200505 HC PROBE/NEEDLE CRYOMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 10,979.00)

27200522HC CATHETER SUPRAPUBIC / CYSTOSCOPIC


27200315 HC BALLOON OCCLUSIONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 500.00)

27200510 HC CODA OCCULSION CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 882.00)

27200269 HC LASER SHEATHMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 5,790.00)

27200263 HC EP DIAG/ABLAT;OTHER THAN 3DMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,562.00)

27200638 HC 20 FR PEG KIT REF 6672MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 228.00)

27200837 HC FORCEPS ALLIGATOR JAW HOTFD210UMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 37.00)

27400005HC COLLAR CERVICAL NON ADJ FOAM COLLAR


27400004HC COLLAR CERVICAL SEMI RIGIDTHERMO FOAM 2 PCS


27400096 HC SIO FLEX PELVIC/SACR PRE OTSMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 116.00)

27400097 HC LUMBAR ORTHOTIC FLEXIBLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 65.00)

27400070HC BRACE HALO ASSEMBLEY PMT (MRI CAP)

MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 4,878.00)

27400006 HC KNEE ORTHOTIC IMMOBILIZER CANVASMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 51.00)

27400079 HC ANKLE/FOOT ORTHOTIC STATIC PREFABMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 93.00)

27400098 HC FOOT INSERT REMOVABLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 91.00)

27400067 HC HEEL LIFTSMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 89.00)

27400074 HC IMMOBILIZER A/C PREFAB CANVASMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 94.00)

27400002 HC EO WITH JOINT PREFABRICATEDMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 1,291.00)

27400086 HC RIGID EO WITHOUT JOINTSMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 190.00)

27400076 HC WHFO NO JOINT PREFABRICATEDMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 444.00)

27400087 HC WHFO RIGID WITHOUT JOINTSMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 357.00)

27400088 HC WHO W/O JOINTS CFMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 702.00)

27400065 HC WHO WRIST EXTENSION COCKUPMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 106.00)

27400089 HC FLEX GLOVE W/ELASTIC FINGERMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 345.00)

27400066HC OT HO PREFAB METACARPAL FX ORTHOSIS


27400090 HC HFO W/O JOINTS PFMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 155.00)

27400003 HC FO TIP/DIP WITH JOINT/SPRINGMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 98.00)

27400091 HC HFO NONTORSION JOINT PREFABMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 92.00)

27400075 HC WHFO NONTORSION JOINT PREFABMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 219.00)

27400092 HC SEWHO AIRPLAN DESIGN ABDU POSMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 2,289.00)

27400009 HC SPLINT FOREARM/WRIST PADDED R/LMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 18.00)

27400068HC ANKLE CONTROL ORTHOTIC RIGID PREFAB


27400008 HC WALKER BOOT W/WO JOINTSMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 147.00)

27400033HC DRIVER PNEUMATIC VAD REPLACE ONLY


27400078HC HM II SYSTEM CONTROLLER REPLACE ONLY


27400011 HC HM DISPLAY MODULE REPLACE ONLYMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 9,504.00)

27400051HC MONITOR TO PWR MODULE CABLE REPLACE ONLY


27400038HC THOR TLC II 7'ELE LD VAD 2001 REPLACE ONLY


27400040HC THOR TLCII 7'PNEU LD VAD 20010 REPLACE ONLY


27400042HC THOR TLCII 5'PNEU LD VAD 20010 REPLACE ONLY


27400044HC THOR TLC II 5'ELE LD VAD 2001 REPLACE ONLY


27400012 HC HM POWER BASE 26439 REPLACE ONLYMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 26,520.00)

27400013HC HM EMERGENCY POWER PACK REPLACE ONLY


27400027HC HM EMERGENCY POWER CABLE REPLACE ONLY


27400028 HC HM HAND PUMP REPLACE ONLYMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 530.00)

27400032 HC THORATEC HAND PUMP REPLACE ONLYMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 169.00)

27400036HC THORATEC BATTERY/POW PK REPLACE ONLY


27400014 HC HM 11 BATTERY REPLACE ONLYMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 3,055.00)

27400047HC HM II BATTERY CLIPS FOR MBL REPLACE ONLY


27400024HC HMII HOLSTER SM 14V BTTRY 104224 REPLACE ONLY


27400056HC HMII HOLSTER MED 14V BTTRY 104225 REPLACE ONLY


27400057HC HMII HOLSTER LG 14V BTTRY 104226 REPLACE ONLY


27400025HC HM STABILIZATION BELT LXL 100760 REPLACE ONLY


27400029HC BINDER/BELT VADELIA VAD REPLACE ONLY


27400030HC ABIOMED VENTRICLE HOLDER KIT REPLACE ONLY


27400059HC HMII MOBELT SM/MD 14V BTTRY REPLACE ONLY


27400060HC HMII MODULAR LG 14V BTTRY REPLACE ONLY


27400015HC HEARTMATE VENT FILTER (EA)REPLACE ONLY


27400021 HC HM SHOWER BAG REPLACE ONLYMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 1,528.00)

27400100 HC HM TLC II MOBILITY CART 200100000095MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 1,061.00)

27400031 HC THORATEC BATTERY REPLACE ONLYMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 2,122.00)

27400037 HC THORATEC PWR ADPT REPLACE ONLYMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 636.00)

27400017HC HM II SYST CONT BATTERY MODULE#1264


27400034 HC TLC2 SET UP PLUGSMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 43.00)

27400035 HC TLC2 EXTERNAL POWER SUPPLYMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 2,271.00)

27400050HC HM II POWER MODULE TO DC INPUT CABLE


27400053HC HM II PWR MODULE PM INPUT CABLE 1340


27400054 HC HM II UNIVERSAL BATTERY CHARGERMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 24,441.00)

27400055 HC HM II POWER MODULE/UBC AC CORDMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 73.00)

27400061HC HM II POWER MODULE CABLE 14V 103426


27800093HC TEMPORARY BALLOON PACING ELECTRODE

MEDICAL/SURGICAL SUPPLIES AND DEVICES - PACEMAKER [0275] ( 266.00)

27600001 HC LEN INTRAOCULAR NEW TECHNOLOGYMEDICAL/SURGICAL SUPPLIES AND DEVICES - INTRAOCULAR LENS [0276] ( 312.00)

27600003HC ANTERIOR CHAMBER INTRAOCULAR LENS

MEDICAL/SURGICAL SUPPLIES AND DEVICES - INTRAOCULAR LENS [0276] ( 312.00)

27600002HC POSTERIOR CHAMBER INTRAOCULAR LENS

MEDICAL/SURGICAL SUPPLIES AND DEVICES - INTRAOCULAR LENS [0276] ( 310.00)

27800012HC IMPELLA LD OR 5.0 CIRCULATORY SUPP SYS


27800026 HC IMPELLAMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 51,570.00)

27800057 HC STENT BIFURCATED GRAFTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 21,736.00)

27800058 HC STENT TUBE GRAFTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 20,696.00)

27800067 HC MR EYE FLIPPER DETACHABLE COILMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 138.00)

27800081 HC VORTX COILS W PUSHERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,112.00)

27800083 HC STENT INTRACOILMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,496.00)

27800087 HC AMPLATZER PLUG IIMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,664.00)

27800092 HC AIGIS ICD ENVELOPEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,862.00)

27800112 HC KYPHON MIXER/CEMENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 260.00)

27800113 HC AMPLATZER VASCULAR PLUGMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,664.00)

27800122 HC OCCLUDING SPRING EMBOLIMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 138.00)

27800123 HC IVALON PER BOTTLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 396.00)

27800130 HC STENT NEUROFORM HEADMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 7,904.00)

27800131HC STENT MEDTRONIC ANEURX BIFURCATED


27800132 HC STENT MEDTRONIC ANEURX ILIACMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 6,448.00)

27800133 HC STENT MEDTRONIC ANEURX CUFFMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 5,564.00)

27800141 HC GORE EVG TAG ENDOGRAFTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 29,500.00)

27800147 HC GDC COILMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,678.00)

27800149 HC GDC MATRIX COILMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,980.00)

27800517 HC STENT COLONIC/DUODENAL METALMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,110.00)

27800074HC CATH.DIALYSISVAXCEL CHRONIC DIA.CAT


27800001 HC QUATTRO CATHETER KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,752.00)

27800002 HC ICY CATHETER KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,532.00)

27800003 HC COOL LINE CATHETER KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 890.00)

27800155 HC FISH SP DEVICE NAVILYSTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 406.00)

27800156 HC CATHETER PICC LINE TRIPLE LUMENMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 270.00)

27800091 HC EKOSONIC US INFUSION CATHMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 5,190.00)

27800070 HC ANGIO SEAL CLOSURE DEVICEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 640.00)

27800072HC ARTERIAL VAS. CLOSURE DEVICE PERCLOSE


27800148 HC VASCULAR CLOSURE DEVICEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 396.00)

27800172 HC ADHESION BARRIERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 500.00)

27800085 HC WALLGRAFTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 4,056.00)

27800126 HC STENT VASCULARMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,080.00)

27800120HC OCULAR IMPLANT AQUEOUS DRAIN ASSIST DEVICE


27800065HC OCULAR DEVICE INTRAOP DETACHED RETINA


27800073HC PORT/RESERVVENOUSVAXCEL IMPLANT V.


27800125 HC P.A.S. PORT INFUSIONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 956.00)

27800372 HC INFUSAPORT T PORTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 562.00)

27800063HC RETINAL TAMPONADE DEVICE SILICONE OIL


27800059 HC VIABAHN STENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 4,430.00)

27800061 HC ION DES STENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,276.00)

27800069HC THORACIC STENT GRAFTCOOK COAT/COVER/DEL


27800076HC STENTBILIARYWALLSTENT ENDOPROSTHE


27800079 HC JOMED CORONARY GRAFT STENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 4,982.00)

27800106 HC VIABIL STENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 4,742.00)

27800134 HC STENT GORE ILIAC LONGMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 6,698.00)

27800135 HC STENT GORE AORTAMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 14,518.00)

27800136 HC STENT GORE ILIAC SHORTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 4,658.00)

27800137 HC TALENT STENT PROXIMAL MAINMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 25,792.00)

27800138 HC TALENT STENT DISTAL MAINMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 24,960.00)

27800139 HC TALENT STENT PROXIMAL EXTENSIONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 11,440.00)

27800140 HC TALENT STENT DISTAL EXTENSIONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 11,440.00)

27800150 HC STENT VIATORR VIAHAHNMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 5,222.00)

27800157 HC PROMUS DRUG COATED STENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,276.00)

27800550 HC XIENCE PRIME DRUG ELUTING STENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,120.00)

27800006 HC SCIMED WALLSTENT SHORTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,131.00)

27800007 HC SCIMED WALLSTENT MEDIUMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,063.00)

27800008 HC SCIMED WALLSTENT LONGMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,558.00)

27800009 HC ZILVER STENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,536.00)

27800015 HC LIFESTENT 20MM80MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,704.00)

27800016 HC LIFESTENT 100MM120MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,536.00)

27800018 HC LIFESTENT 170MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 4,888.00)

27800019HC STENTBIL.WALLSTENT TIPS20/40/60MM SYS


27800020 HC STENT W SYS PALMAZ/CORINTHIANMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,184.00)

27800042 HC SCIMED EXPRESS 2 STENT (ALL SIZES)MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,872.00)

27800047 HC SENTINOL STENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,288.00)

27800049 HC PROTEGE STENT150MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,952.00)

27800050 HC PROTEGE STENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,500.00)

27800051 HC GENESIS STENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,350.00)

27800052 HC PALMAZ BLUE STENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,434.00)

27800054 HC EV3 BILIARY STENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,080.00)

27800089 HC LIFESTENT 150MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 4,056.00)

27800094 HC EXPRESS BILIARY STENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,328.00)

27800095 HC CORDIS SMART CTRL 610FR 3060MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,122.00)


27800102 HC RING CAPSULAR TENSIONMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 414.00)

27800104 HC CORDIS SMART STENT LONG 120-150MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,192.00)


27800146 HC VERIFLEX BARE METAL STENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,654.00)

27800151HC GUIDANTVISION COBALT CHROMIUM STENT


27800158 HC PRECISE STENT CORDISMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 4,576.00)

27800159HC INTEGRITY BARE METAL STENT MEDTRONIC


27800495 HC POLYFLEX ESOPHAGEAL STENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,848.00)

27800496 HC RAPID EXCHANGE BILIARY STENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 230.00)

27800516 HC STENT BILIARY METAL WALLMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,110.00)

27800114 HC TISSUE MARKER IMPLANTABLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 130.00)

27800056 HC OPTEASE VENA CAVA FILTERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,028.00)

27800082 HC GREENFIELD FILTERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,494.00)

27800124 HC IVC FILTERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,902.00)

27800011 HC PANCREATIC STENTSMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 186.00)

27800023HC STENT NONCORONARY TEMPORARY W/O DELIVERY SYSTEM


27800039HC MICROVASIVE ULTRAFLEX ESOPH STENT #1312


27800434 HC BILIARY STENT 4310043120MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,110.00)

27800490 HC MICROVASIVE BILIARY STENT 45554574MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 260.00)

27800117HC I125 EA. BRACHYTHERAPY RADIOISOTOPE


27800118HC P103 EA. BRACHYTHERAPY RADIOISOTOPE


27800111 HC OCULAR IMPLANTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,370.00)

27800044 HC RITA CHEMOEMBOLIZATION BEADSMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,694.00)

30000437 HC ROUTINE VENIPUNCTURE LABORATORY - GENERAL CLASSIFICATION [0300] ( 31.00)

30000969 HC BASIC METABOLIC PANELIONIZED CA LABORATORY - CHEMISTRY [0301] ( 534.00)

30000637HC BASIC METABOLIC PANEL(CALCIUM TOTAL) LABORATORY - CHEMISTRY [0301] ( 582.00)

30000137 HC ELECTROLYTES PANEL LABORATORY - CHEMISTRY [0301] ( 424.00)

30000638 HC COMPREHENSIVE METABOLIC PANEL LABORATORY - CHEMISTRY [0301] ( 1,334.00)

30000058 HC LIPID PROFILE LABORATORY - CHEMISTRY [0301] ( 600.00)

30000053HC LIVER PROFILE (HEPATIC FUNCTION PANEL) LABORATORY - CHEMISTRY [0301] ( 661.00)

30000573HC RL SYNTHETIC CANNABINOID METABOLITE SCN LABORATORY - CHEMISTRY [0301] ( 131.00)

30001031HC RL ETHANOL URINE QUALITATIVE MEDICAL LABORATORY - CHEMISTRY [0301] ( 96.00)

30000369 HC THC CONFIRMATION (MARIJUANA) LABORATORY - CHEMISTRY [0301] ( 220.00)

30001004HC URINE TRICYCLIC ANTIDEPRESSANT CONFIRM LABORATORY - CHEMISTRY [0301] ( 76.00)

30000056 HC RL AMIKACINQUANT LABORATORY - CHEMISTRY [0301] ( 266.00)

30000057 HC RL AMIKACIN TROUGHQUANT LABORATORY - CHEMISTRY [0301] ( 266.00)

30000017 HC AMITRIPTYLENE QUANT LABORATORY - CHEMISTRY [0301] ( 30.00)

30000047 HC RL SERUM BENZODIAZEPINS LABORATORY - CHEMISTRY [0301] ( 161.00)

30000096 HC CLONAZEPAM LABORATORY - CHEMISTRY [0301] ( 132.00)

30000123 HC DIAZEPAM LABORATORY - CHEMISTRY [0301] ( 151.00)

30000657 HC RL ALPRAZOLAMXANAX LABORATORY - CHEMISTRY [0301] ( 199.00)

30001005HC BENZODIAZEPINE CONFIRMATION/QUANTITATION LABORATORY - CHEMISTRY [0301] ( 115.00)

30000370 HC TEGRETOLTOTAL LABORATORY - CHEMISTRY [0301] ( 76.00)

30000794 HC CARBAMAZEPINE TOTAL LABORATORY - CHEMISTRY [0301] ( 76.00)

30000215 HC RL CARBAMAZEPINE FREE LABORATORY - CHEMISTRY [0301] ( 58.00)

30000126 HC CYCLOSPORIN A LABORATORY - CHEMISTRY [0301] ( 624.00)

30000134 HC RL DESIPRAMINE LABORATORY - CHEMISTRY [0301] ( 29.00)

30000814 HC RL DESIPRAMINE BY HPLC LABORATORY - CHEMISTRY [0301] ( 110.00)

30000132 HC DIGOXIN LABORATORY - CHEMISTRY [0301] ( 164.00)

30000827 HC RL DIGOXIN UNBOUND LABORATORY - CHEMISTRY [0301] ( 164.00)

30000130 HC DEPAKENE LABORATORY - CHEMISTRY [0301] ( 71.00)

30000162 HC RL VALPROIC ACID FREE LABORATORY - CHEMISTRY [0301] ( 71.00)

30000773 HC VALPROIC ACID TOTAL LABORATORY - CHEMISTRY [0301] ( 71.00)

30000155 HC RL DOXEPINQUANT LABORATORY - CHEMISTRY [0301] ( 26.00)

30000419 HC RL ZARONTINQUANT LABORATORY - CHEMISTRY [0301] ( 85.00)

30000177 HC GENTAMYCIN TROUGHQUANT LABORATORY - CHEMISTRY [0301] ( 204.00)

30000178 HC GENTAMYCIN PEAKQUANT LABORATORY - CHEMISTRY [0301] ( 204.00)

30000239 HC RL IMIPRAMINEQUANT LABORATORY - CHEMISTRY [0301] ( 29.00)

30000339 HC LIDOCAINEQUANT LABORATORY - CHEMISTRY [0301] ( 210.00)

30000267 HC LITHIUMQUANT LABORATORY - CHEMISTRY [0301] ( 82.00)

30000283 HC RL NORTRIPTYLINE TESTQUANT LABORATORY - CHEMISTRY [0301] ( 23.00)

30000043 HC PHENOBARBITALQUANT LABORATORY - CHEMISTRY [0301] ( 60.00)

30000787 HC RL PRIMIDONE METABOLITEQUANT LABORATORY - CHEMISTRY [0301] ( 60.00)

30000133 HC DILANTIN LEVEL LABORATORY - CHEMISTRY [0301] ( 93.00)

30000769 HC RL DILANTIN TOTALQUANT LABORATORY - CHEMISTRY [0301] ( 93.00)

30000161 HC DILANTIN FREEQUANT LABORATORY - CHEMISTRY [0301] ( 96.00)

30000426 HC RL PRIMIDONEQUANT LABORATORY - CHEMISTRY [0301] ( 106.00)

30000767 HC RL PROCAINAMIDE(PRONESTYL)QUANT LABORATORY - CHEMISTRY [0301] ( 127.00)

30000742 HC RAPAMUNEQUANT LABORATORY - CHEMISTRY [0301] ( 81.00)

30000344 HC SALICYLATES SERUMQUANT LABORATORY - CHEMISTRY [0301] ( 182.00)

30000428 HC FK506 (TACROLIMUS) LABORATORY - CHEMISTRY [0301] ( 172.00)

30000371 HC THEOPHYLLINEQUANT LABORATORY - CHEMISTRY [0301] ( 94.00)

30000372 HC THEOPHYLLINE PEAK LABORATORY - CHEMISTRY [0301] ( 94.00)

30000373 HC THEOPHYLLINE THROUGHQUANT LABORATORY - CHEMISTRY [0301] ( 94.00)

30000179 HC TOBRAMYCIN PEAKQUANT LABORATORY - CHEMISTRY [0301] ( 162.00)

30000180 HC TOBRAMYCIN TROUGHQUANT LABORATORY - CHEMISTRY [0301] ( 162.00)

30000187 HC RL TOPIRAMATE LEVEL(TOPOMAX) LABORATORY - CHEMISTRY [0301] ( 81.00)

30000405 HC VANCOMYCIN PEAKQUANT LABORATORY - CHEMISTRY [0301] ( 362.00)

30000406 HC VANCOMYCIN TROUGHQUANT LABORATORY - CHEMISTRY [0301] ( 362.00)

30000008 HC RL AMOXAPINE LABORATORY - CHEMISTRY [0301] ( 92.00)

30000015 HC RL AMIODARONE LABORATORY - CHEMISTRY [0301] ( 92.00)

30000069 HC RL BROMIDE LABORATORY - CHEMISTRY [0301] ( 92.00)

30000135 HC RL DIGITOXIN LABORATORY - CHEMISTRY [0301] ( 92.00)

30000169 HC RL FLECANIDE LABORATORY - CHEMISTRY [0301] ( 92.00)

30000170 HC RL FLUOROCYTOSINE LABORATORY - CHEMISTRY [0301] ( 118.00)

30000271 HC RL MEXILETINE LABORATORY - CHEMISTRY [0301] ( 92.00)

30000282 HC RL NORPACE LABORATORY - CHEMISTRY [0301] ( 92.00)

30000375 HC RL TRAZADONE LABORATORY - CHEMISTRY [0301] ( 80.00)

30000381 HC RL SULFONOMIDES LABORATORY - CHEMISTRY [0301] ( 92.00)

30000413 HC RL VORICONAZOLE LABORATORY - CHEMISTRY [0301] ( 92.00)

30000427 HC RL CLOZARIL LABORATORY - CHEMISTRY [0301] ( 92.00)

30000501HC TENOFOVIR (VIREAD) QUANT NOT SPECIFIED LABORATORY - CHEMISTRY [0301] ( 92.00)

30000585 HC RL CLOMIPRAMINE LABORATORY - CHEMISTRY [0301] ( 92.00)

30000639 HC RL GABAPENTIN LABORATORY - CHEMISTRY [0301] ( 82.00)

30000656 HC RL EPOXIDE METABOLITE LABORATORY - CHEMISTRY [0301] ( 92.00)

30000662 HC RL RITALIN LABORATORY - CHEMISTRY [0301] ( 92.00)

30000668 HC RL LAMOTRIGINE LABORATORY - CHEMISTRY [0301] ( 72.00)

30000676 HC RL WARFARIN LABORATORY - CHEMISTRY [0301] ( 92.00)

30000684 HC RL FELBAMATE LABORATORY - CHEMISTRY [0301] ( 92.00)

30000750 HC RL TRILEPTAL (OXCARBAZEPINE METAB) LABORATORY - CHEMISTRY [0301] ( 92.00)

30000760 HC RL ZONISAMIDE LABORATORY - CHEMISTRY [0301] ( 75.00)

30000761 HC RL KEPPRA (LEVETIRACETAM) LABORATORY - CHEMISTRY [0301] ( 132.00)

30000797 HC RL MYCOPHENOLIC ACID (MPA) LABORATORY - CHEMISTRY [0301] ( 154.00)

30000808 HC RL TIGABINE (GABITRIL) LABORATORY - CHEMISTRY [0301] ( 88.00)

30000880HC ITRACONAZOLE ANTIFUNGAL SERUM BY HPLC LABORATORY - CHEMISTRY [0301] ( 92.00)

30001012 HC RL LEFLUNOMIDE (ARAVA) LABORATORY - CHEMISTRY [0301] ( 92.00)

30001041 HC RL ITRACONAZOLE LABORATORY - CHEMISTRY [0301] ( 92.00)

30000363 HC UA (WITH CS IF INDICATED) LABORATORY - UROLOGY [0307] ( 70.00)

30000402 HC URINE DIPAUTO W/MICRO LABORATORY - UROLOGY [0307] ( 70.00)

30000048 HC URINE DIPNON AUTO W/O MICRO LABORATORY - UROLOGY [0307] ( 37.00)

30000331 HC REDUCING SUBSTANCES LABORATORY - UROLOGY [0307] ( 37.00)

30000289 HC OCCULT BLOOD URINEAUTOMATED LABORATORY - UROLOGY [0307] ( 53.00)

30000302 HC NEONATAL URINEAUTOMATED LABORATORY - UROLOGY [0307] ( 53.00)

30000353 HC SPECIFIC GRAVITY URINEAUTOMATED LABORATORY - UROLOGY [0307] ( 53.00)

30000364 HC SUGAR QUAL URINEAUTOMATED LABORATORY - UROLOGY [0307] ( 53.00)

30000577 HC URINALYSIS W/MICRO (IF INDICATED) LABORATORY - UROLOGY [0307] ( 53.00)

30000159 HC FAT QUALITATIVE URINE LABORATORY - UROLOGY [0307] ( 67.00)

30000247 HC HANSEL STAIN (URINE FOR EOSINOPHI LABORATORY - UROLOGY [0307] ( 67.00)

30000812 HC CRYSTALS URINE LABORATORY - UROLOGY [0307] ( 67.00)

30000934 HC URINE MICROSCOPIC ONLY LABORATORY - UROLOGY [0307] ( 67.00)

30000403 HC PREGNANCY TESTTUBE (VISUAL) LABORATORY - UROLOGY [0307] ( 86.00)

30000055 HC ACETAMINOPHENQUANT LABORATORY - CHEMISTRY [0301] ( 330.00)

30000001 HC ACETONE QUALITATIVE LABORATORY - CHEMISTRY [0301] ( 66.00)

30000871 HC RL ACETONE SERUMQUANT LABORATORY - CHEMISTRY [0301] ( 109.00)

30000988HC RL NS ACYLCARNITINES;QUANT.EA SPECIMEN LABORATORY - CHEMISTRY [0301] ( 230.00)

30000002 HC RL ACTH QUANT LABORATORY - CHEMISTRY [0301] ( 302.00)

30000010 HC ALBUMIN SERUM PLASMA WH BLD LABORATORY - CHEMISTRY [0301] ( 70.00)

30000887 HC RL OLIGOCLONAL BAND PFALB SERUM LABORATORY - CHEMISTRY [0301] ( 70.00)

30000894HC RL IMMUNOGLOBULIN GCSF INDEXALBSERUM LABORATORY - CHEMISTRY [0301] ( 70.00)

30000888 HC RL OLIGOCLONAL BAND PFALB CSF LABORATORY - CHEMISTRY [0301] ( 76.00)

30000895HC RL IMMUNOGLOBULIN G CSF INDEXALB CSF LABORATORY - CHEMISTRY [0301] ( 76.00)

30000272 HC MICRO ALBUMINQUANT LABORATORY - CHEMISTRY [0301] ( 80.00)

30000016 HC ALCOHOL BLOOD LABORATORY - CHEMISTRY [0301] ( 324.00)

30000358 HC URINE ALCOHOL MEDICAL LABORATORY - CHEMISTRY [0301] ( 208.00)

30000012 HC RL ALDOLASEQUANT LABORATORY - CHEMISTRY [0301] ( 99.00)

30000013 HC RL ALDOSTERONE LABORATORY - CHEMISTRY [0301] ( 214.00)

30000045 HC RL URINE ALDOSTERONEQUANT LABORATORY - CHEMISTRY [0301] ( 214.00)

30000009 HC RL ALPHA1 ANTITRYPSIN TOTAL LABORATORY - CHEMISTRY [0301] ( 80.00)

30000005 HC RL ALPHA FETO PROTEIN SERUM LABORATORY - CHEMISTRY [0301] ( 101.00)

30000011 HC RL ALPHA 1 FETO PROTEIN (MAT LABORATORY - CHEMISTRY [0301] ( 101.00)

30000826 HC RL TRISCREEN PROFILE LABORATORY - CHEMISTRY [0301] ( 101.00)

30000615 HC RL ALUMINUMQUANT LABORATORY - CHEMISTRY [0301] ( 118.00)

30000121 HC RL CYSTINE URINE (AMINO ACID QUANT) LABORATORY - CHEMISTRY [0301] ( 101.00)

30000129 HC RL DELTA AMINOLEVULINIC ACID LABORATORY - CHEMISTRY [0301] ( 99.00)

30000019 HC RL AMINO ACIDS QUAN 6 OR MORE LABORATORY - CHEMISTRY [0301] ( 108.00)

30000990HC RL NS AMINO ACIDS6 OR MOREQUANTEA SPE LABORATORY - CHEMISTRY [0301] ( 108.00)

30000022 HC AMMONIA BLOODQUANT LABORATORY - CHEMISTRY [0301] ( 199.00)

30000020 HC AMPHETAMINES URINEQUANT LABORATORY - CHEMISTRY [0301] ( 280.00)

30000881 HC AMPHETAMINE CONFIRMATION LABORATORY - CHEMISTRY [0301] ( 109.00)

30000023 HC AMYLASE LABORATORY - CHEMISTRY [0301] ( 135.00)

30000024 HC AMYLASE URINE LABORATORY - CHEMISTRY [0301] ( 135.00)

30000025 HC AMYLASE URINE 2 HR. LABORATORY - CHEMISTRY [0301] ( 135.00)

30000680 HC RL AMYLASE ISOENZYMES LABORATORY - CHEMISTRY [0301] ( 135.00)

30000621 HC RL ANDROSTANEDIOL GLUCURONIDE LABORATORY - CHEMISTRY [0301] ( 173.00)

30000623 HC RL ANDROSTENEDIONE LABORATORY - CHEMISTRY [0301] ( 175.00)

30000029 HC RL ANGIOTENSIN CONVERTING ENZSER LABORATORY - CHEMISTRY [0301] ( 147.00)

30000758 HC RL ANGIOTENSIN CONVERTING ENZCSF LABORATORY - CHEMISTRY [0301] ( 147.00)

30000634 HC RL APOLIPOPROTEIN B100 LABORATORY - CHEMISTRY [0301] ( 93.00)

30000641 HC RL ARSENIC URINE LABORATORY - CHEMISTRY [0301] ( 108.00)

30000642 HC RL ARSENIC BLOOD LABORATORY - CHEMISTRY [0301] ( 108.00)

30000643 HC RL ARSENIC HAIR LABORATORY - CHEMISTRY [0301] ( 108.00)

30000644 HC RL ARSENIC NAILS LABORATORY - CHEMISTRY [0301] ( 108.00)

30000674 HC RL VITAMIN C LEVELSERUM LABORATORY - CHEMISTRY [0301] ( 59.00)

30000044 HC RL SERUM BARBITSNOT SPEC ELSEWH LABORATORY - CHEMISTRY [0301] ( 228.00)

30000645 HC RL MEPHOBARBITAL LABORATORY - CHEMISTRY [0301] ( 161.00)

30000932 HC BARBITURATE CONFIRMATION LABORATORY - CHEMISTRY [0301] ( 67.00)

30000607 HC RL BETA2MICROGLOBULIN LABORATORY - CHEMISTRY [0301] ( 97.00)

30000733 HC RL BETA 2 MICROGLOBULINURINE LABORATORY - CHEMISTRY [0301] ( 97.00)

30000752 HC RL BILE ACIDS TOTAL LABORATORY - CHEMISTRY [0301] ( 103.00)

30000037 HC NEONATAL BILIRUBIN LABORATORY - CHEMISTRY [0301] ( 114.00)

30000049 HC BILIRUBIN TOTAL LABORATORY - CHEMISTRY [0301] ( 114.00)

30000050 HC BILIRUBIN DIRECT LABORATORY - CHEMISTRY [0301] ( 88.00)

30000983 HC RL NS BIOTIDINASE LABORATORY - CHEMISTRY [0301] ( 101.00)

30000766 HC GASTRIC OCCULT BLOOD LABORATORY - CHEMISTRY [0301] ( 35.00)

30000288 HC OCCULT BLOOD FECES 1-3 TESTS LABORATORY - CHEMISTRY [0301] ( 46.00)

30000420 HC 25HYDROXY VITAMIN D3 LABORATORY - CHEMISTRY [0301] ( 237.00)

30000970 HC RL VITAMIN D2/D3 LABORATORY - CHEMISTRY [0301] ( 237.00)

30000078 HC RL CALCITONIN LABORATORY - CHEMISTRY [0301] ( 139.00)

30000077 HC CALCIUM SERUM(TOTAL) LABORATORY - CHEMISTRY [0301] ( 83.00)

30000250 HC IONIZED CALCIUM LABORATORY - CHEMISTRY [0301] ( 294.00)

30000079 HC CALCIUM QUANTITATIVE URINE LABORATORY - CHEMISTRY [0301] ( 79.00)

30000310 HC RANDOM UR CALCIUM LABORATORY - CHEMISTRY [0301] ( 79.00)

30000256 HC RL KIDNEY STONE ANALYSIS LABORATORY - CHEMISTRY [0301] ( 112.00)

30000081 HC CO2 CONTENT LABORATORY - CHEMISTRY [0301] ( 56.00)

30000083 HC CARCINOEMBRYONIC ANTIGEN LABORATORY - CHEMISTRY [0301] ( 95.00)

30000989HC RL NS CARNITINE(TOTAL&FREE)QUANTEA SPE LABORATORY - CHEMISTRY [0301] ( 109.00)

30000084 HC RL CAROTENE LABORATORY - CHEMISTRY [0301] ( 55.00)

30000082 HC RL CATECHOLAMINES; FRACTIONURINE LABORATORY - CHEMISTRY [0301] ( 151.00)

30000308HC RL CATECHOLAMINES; FRACTION PLASMA LABORATORY - CHEMISTRY [0301] ( 151.00)

30000092 HC RL CERULOPLASMIN LABORATORY - CHEMISTRY [0301] ( 64.00)

30000690 HC RL IGFBINDING PROTEIN 3 LABORATORY - CHEMISTRY [0301] ( 164.00)

30000091 HC CHLORIDE SERUM LABORATORY - CHEMISTRY [0301] ( 28.00)

30000070 HC URINE CHLORIDE24 HR LABORATORY - CHEMISTRY [0301] ( 30.00)

30000093 HC CHOLINESTERASESERUM LABORATORY - CHEMISTRY [0301] ( 48.00)

30000768HC RL SULFONYLUREA HYPOGLYCEMICS URINE LABORATORY - CHEMISTRY [0301] ( 108.00)

30000157 HC CAFFEINE LABORATORY - CHEMISTRY [0301] ( 350.00)

30000193 HC RL ENCAINIDE LABORATORY - CHEMISTRY [0301] ( 108.00)

30000257 HC RL IODINE SERUM LABORATORY - CHEMISTRY [0301] ( 108.00)

30000275 HC METHAQUALONE URINE LABORATORY - CHEMISTRY [0301] ( 108.00)

30000503HC TENOFOVIR (VIREAD) QUANT CHROMATOGRAPHY LABORATORY - CHEMISTRY [0301] ( 108.00)

30000556 HC DOXYLAMINE SERUM LABORATORY - CHEMISTRY [0301] ( 108.00)

30000557 HC DOXYLAMINE URINE LABORATORY - CHEMISTRY [0301] ( 108.00)

30000971 HC TPMT ENZYME ACTIVITY HPLC LABORATORY - CHEMISTRY [0301] ( 108.00)

30000431 HC RL CHROMIUM LABORATORY - CHEMISTRY [0301] ( 90.00)

30000094 HC RL CITRATE LABORATORY - CHEMISTRY [0301] ( 166.00)

30000933 HC COCAINE CONFIRMATION LABORATORY - CHEMISTRY [0301] ( 81.00)

30000530 HC RL QU C-TELOPEPTIDE SERUM LABORATORY - CHEMISTRY [0301] ( 50.00)

30000105 HC RL COPPER SERUM LABORATORY - CHEMISTRY [0301] ( 75.00)

30000106 HC RL HEAVY METALS URINE COPPER LABORATORY - CHEMISTRY [0301] ( 75.00)

30000102 HC RL URINE FREE CORTISOL LABORATORY - CHEMISTRY [0301] ( 100.00)

30000072 HC BASAL CORTISOL LABORATORY - CHEMISTRY [0301] ( 201.00)

30000074 HC CORTISOL AM LABORATORY - CHEMISTRY [0301] ( 201.00)

30000075 HC CORTISOL PM LABORATORY - CHEMISTRY [0301] ( 201.00)

30000107 HC CORTISOL PLASMA LABORATORY - CHEMISTRY [0301] ( 201.00)

30000918 HC CANNABINOID CONFIRMATION LABORATORY - CHEMISTRY [0301] ( 129.00)

30000110 HC CK CPK; TOTAL LABORATORY - CHEMISTRY [0301] ( 121.00)

30000120 HC CKCPK; ISOENZYMES LABORATORY - CHEMISTRY [0301] ( 70.00)

30000109 HC CKCPK; MB FRACTION ONLY LABORATORY - CHEMISTRY [0301] ( 60.00)

30000111 HC CREATININE SERUM LABORATORY - CHEMISTRY [0301] ( 83.00)

30000112 HC CREATININE URINE24HR LABORATORY - CHEMISTRY [0301] ( 75.00)

30000118 HC CREATININE URINE RANDOM LABORATORY - CHEMISTRY [0301] ( 75.00)

30000389 HC RL QU URINE CREATININE LABORATORY - CHEMISTRY [0301] ( 200.00)

30000124 HC CREATININE CLEARANCE 2 HOURS LABORATORY - CHEMISTRY [0301] ( 145.00)





30000113HC RL CRYOGLOBULINQUAL OR SEMIQUANT LABORATORY - CHEMISTRY [0301] ( 61.00)

30000181 HC RL CYANIDE LABORATORY - CHEMISTRY [0301] ( 103.00)

30000414 HC VITAMIN B12 LABORATORY - CHEMISTRY [0301] ( 286.00)

30000716 HC RL DHEA SERUM LABORATORY - CHEMISTRY [0301] ( 131.00)

30000136 HC RL DHEA SULFATE LABORATORY - CHEMISTRY [0301] ( 115.00)

30000103 HC RL 125 DIHYDROXY VITAMIN D LABORATORY - CHEMISTRY [0301] ( 205.00)

30000822 HC RL QU TPMT ENZYME ACTIVITY LABORATORY - CHEMISTRY [0301] ( 295.00)

30001033HC RL TPMT ENZYME ACTIVITY PERIPHERAL RBC LABORATORY - CHEMISTRY [0301] ( 102.00)

30000138 HC RL ERYTHROPOIETIN LABORATORY - CHEMISTRY [0301] ( 112.00)

30000144 HC ESTRADIOL LABORATORY - CHEMISTRY [0301] ( 166.00)

30000661 HC RL ESTRONE LABORATORY - CHEMISTRY [0301] ( 151.00)

30000160 HC RL QUALITATIVE FECAL FAT LABORATORY - CHEMISTRY [0301] ( 31.00)

30000165 HC FERRITIN LABORATORY - CHEMISTRY [0301] ( 95.00)

30000722 HC FETAL FIBRONECTIN LABORATORY - CHEMISTRY [0301] ( 416.00)

30000171 HC FOLIC ACID FOLATESSERUM LABORATORY - CHEMISTRY [0301] ( 260.00)

30000712 HC RL RBC FOLATE LABORATORY - CHEMISTRY [0301] ( 94.00)

30000587 HC RL FRUCTOSE SEMEN LABORATORY - CHEMISTRY [0301] ( 94.00)

30000985HC RL NS GAL1PHOS URIDYL TRANS QUANT(GALT LABORATORY - CHEMISTRY [0301] ( 127.00)

30000242 HC RL IMMUNOGLOBULIN GAMMA QUANTEA LABORATORY - CHEMISTRY [0301] ( 107.00)

30000535 HC CELIAC PLUS TOTAL IGA LABORATORY - CHEMISTRY [0301] ( 107.00)

30000616 HC IMMUNOGLOBULIN G LABORATORY - CHEMISTRY [0301] ( 23.00)

30000617 HC IMMUNOGLOBULIN A LABORATORY - CHEMISTRY [0301] ( 23.00)

30000817 HC RL MOTOR SENS NEURPOATHY PANIGG LABORATORY - CHEMISTRY [0301] ( 107.00)

30000818 HC RL MOTOR SENS NEURPOATH PANIGM LABORATORY - CHEMISTRY [0301] ( 107.00)

30000885 HC RL OLIGOCLONAL BAND PFIGGSERUM LABORATORY - CHEMISTRY [0301] ( 107.00)

30000886 HC RL OLIGOCLONAL BAND PFIGG CSF LABORATORY - CHEMISTRY [0301] ( 107.00)

30000892 HC RL IMMUNOGLOBULIN CSF QN LABORATORY - CHEMISTRY [0301] ( 107.00)

30000893HC RL IMMUNOGLOBULIN GCSF INDEXIMMUNOGLOB LABORATORY - CHEMISTRY [0301] ( 107.00)

30000904 HC RL MOTOR SENS NEUROPATHY PANIGA LABORATORY - CHEMISTRY [0301] ( 107.00)

30000240 HC RL IMMUNOGLOBULIN E LABORATORY - CHEMISTRY [0301] ( 95.00)

30000977HC RL ALLERGENS PED. MARCH PROFILE IGE LABORATORY - CHEMISTRY [0301] ( 95.00)

30000979HC RL ALLERGENSRESP. DISEASEREGION 6IGE LABORATORY - CHEMISTRY [0301] ( 95.00)

30000981HC RL ALLERGENS FOODS COMMON ADULT IGE LABORATORY - CHEMISTRY [0301] ( 95.00)

30000251 HC RL IGG SUBCLASS 1 LABORATORY - CHEMISTRY [0301] ( 47.00)




30000034 HC ARTERIAL BLOOD GAS ABG LABORATORY - CHEMISTRY [0301] ( 330.00)

30000196 HC RL GASTRIN LABORATORY - CHEMISTRY [0301] ( 105.00)

30000365 HC SUGAR QUANTITATIVE SPINAL FLUID LABORATORY - CHEMISTRY [0301] ( 73.00)

30000366 HC SUGAR QUANTITATIVE URINE 24 HR LABORATORY - CHEMISTRY [0301] ( 73.00)

30000922 HC GLUCOSE FLUID LABORATORY - CHEMISTRY [0301] ( 73.00)

30000186 HC GLUCOSE; QUAN BLOOD LABORATORY - CHEMISTRY [0301] ( 98.00)

30000203 HC GLUCOSE 1HOUR POST PRADIAL LABORATORY - CHEMISTRY [0301] ( 98.00)

30000204 HC GLUCOSE BLOODFASTING LABORATORY - CHEMISTRY [0301] ( 98.00)

30000205 HC GLUCOSE 2HOUR POST PRANDIAL LABORATORY - CHEMISTRY [0301] ( 98.00)

30000449 HC GLUCOSE REAGENT STRIP/BLOOD LABORATORY - CHEMISTRY [0301] ( 42.00)

30000210 HC GLUCOSE2 HOUR POSTGLUCOLA LABORATORY - CHEMISTRY [0301] ( 29.00)

30000195 HC GLUCOSE TOLERANCE TEST LABORATORY - CHEMISTRY [0301] ( 68.00)

30000754 HC RL G6PD QUANTITATIVE LABORATORY - CHEMISTRY [0301] ( 51.00)

30000188 HC GGPT LABORATORY - CHEMISTRY [0301] ( 122.00)

30000603 HC RL QU FRUCTOSAMINE LABORATORY - CHEMISTRY [0301] ( 37.00)

30000172 HC FOLLICULAR STIMULATING HORMONE LABORATORY - CHEMISTRY [0301] ( 111.00)

30000268 HC LUTEINIZING HORMONE LABORATORY - CHEMISTRY [0301] ( 111.00)

30000214 HC RL GROWTH HORMONE LABORATORY - CHEMISTRY [0301] ( 100.00)

30000216 HC HAPTOGLOBINQUANT LABORATORY - CHEMISTRY [0301] ( 75.00)

30000612 HC RL HEAVY METALS BLOOD LABORATORY - CHEMISTRY [0301] ( 112.00)

30001051 HC RL THALLIUM LABORATORY - CHEMISTRY [0301] ( 131.00)

30000923 HC RL ACID HGB ELECTROPHORESIS LABORATORY - CHEMISTRY [0301] ( 77.00)

30000924 HC RL ALKALINE HGB ELECTROPHORESIS LABORATORY - CHEMISTRY [0301] ( 77.00)

30000003HC RL HEMOGLOBIN FRAC/QUANT/CHROM (A2) LABORATORY - CHEMISTRY [0301] ( 187.00)

30000620 HC RL HEMOBLOBIN EVALUATION LABORATORY - CHEMISTRY [0301] ( 187.00)

30000992HC RL NS HGB FRACTIONATION & QUANT CHROM LABORATORY - CHEMISTRY [0301] ( 187.00)

30000052 HC RL FETAL HEMOGLOBIN QUAL LABORATORY - CHEMISTRY [0301] ( 34.00)

30000278 HC METHEMOGLOBINQUANT LABORATORY - CHEMISTRY [0301] ( 34.00)

30000223 HC HEMOGLOBIN PLASMA LABORATORY - CHEMISTRY [0301] ( 83.00)

30000553 HC HEMOGLOBIN URINE LABORATORY - CHEMISTRY [0301] ( 21.00)

30000227 HC HEMOSIDERIN URINEQUAL LABORATORY - CHEMISTRY [0301] ( 19.00)

30000605 HC RL HISTAMINE URINE LABORATORY - CHEMISTRY [0301] ( 145.00)

30000709 HC RL HISTAMINE WHOLE BLOOD LABORATORY - CHEMISTRY [0301] ( 145.00)

30000324 HC RL HOMOCYSTEINE PLASMAQUANT LABORATORY - CHEMISTRY [0301] ( 87.00)

30000218 HC RL HOMOVANILLIC ACIDHVA LABORATORY - CHEMISTRY [0301] ( 76.00)

30000128 HC RL 17HYDROXYCORTICOSTEROIDS LABORATORY - CHEMISTRY [0301] ( 92.00)

30000236 HC RL 5HIAA 24HOUR QUANTITATIVE URINE LABORATORY - CHEMISTRY [0301] ( 68.00)

30000295 HC RL 17HYDROXYPROGESTERONE LABORATORY - CHEMISTRY [0301] ( 141.00)

30000984HC RL NS 17ALPHA HYDROXYPROGESTERONE(CAH) LABORATORY - CHEMISTRY [0301] ( 141.00)

30000238 HC RL HYDROXYPROLINE TOTAL LABORATORY - CHEMISTRY [0301] ( 127.00)

30000038 HC RL ANTIHISTONE ANTIBODY LABORATORY - CHEMISTRY [0301] ( 85.00)

30000041HC RL ANTIGLOMERULAR BASEMENT MEMBRANE LABORATORY - CHEMISTRY [0301] ( 85.00)

30000348HC RL ANTIMYELIN ASSOCIATED GLYCOPROTEIN LABORATORY - CHEMISTRY [0301] ( 85.00)

30000417 HC RL GLIADIN PEPTIDE ANTIBODY IGA LABORATORY - CHEMISTRY [0301] ( 85.00)

30000460HC NEURONAL NUCLEAR AB SER IGG (HU YO RI) LABORATORY - CHEMISTRY [0301] ( 85.00)

30000468HC NEURONAL NUCLEAR ANTIBODY ANTIHU IGG LABORATORY - CHEMISTRY [0301] ( 85.00)

30000511 HC CENTROMERE ANTIBODY IGG LABORATORY - CHEMISTRY [0301] ( 85.00)

30000531 HC TYSABRI ANTIBODIES (NATALIZUMAB) LABORATORY - CHEMISTRY [0301] ( 85.00)

30000564 HC RNA POLYMERASE III ANTIBODY IGG LABORATORY - CHEMISTRY [0301] ( 85.00)

30000565 HC FIBRILLARIN (U3RNP) LABORATORY - CHEMISTRY [0301] ( 85.00)

30000566 HC TH/TO ANTIBODY LABORATORY - CHEMISTRY [0301] ( 85.00)

30000579 HC RL GM1 IGG ANTIBODIES LABORATORY - CHEMISTRY [0301] ( 85.00)

30000580 HC RL ASIALOGM1 IGG ANTIBODIES LABORATORY - CHEMISTRY [0301] ( 85.00)

30000606 HC RL ENDOMYSIAL ANTIBODY IGA LABORATORY - CHEMISTRY [0301] ( 85.00)

30000649 HC RL GM1 IGM ANTIBODIES LABORATORY - CHEMISTRY [0301] ( 85.00)

30000650 HC RL ASIALOGM1 IGM ANTIBODIES LABORATORY - CHEMISTRY [0301] ( 85.00)

30000672 HC RL GLUTAMIC ACID DECARBOXYLASE LABORATORY - CHEMISTRY [0301] ( 85.00)

30000681 HC RL GLIADIN ANTIBODY IGA LABORATORY - CHEMISTRY [0301] ( 85.00)

30000682 HC RL GLIADIN ANTIBODY IGG LABORATORY - CHEMISTRY [0301] ( 85.00)

30000744 HC RL ANTIPM1 IGG W/REFLEX ANA LABORATORY - CHEMISTRY [0301] ( 85.00)

30000798 HC RL TISSUE TRANSGLUTAMINASE AB IGA LABORATORY - CHEMISTRY [0301] ( 85.00)

30000799 HC RL TISSUE TRANSGLUTAMINASE AB IGG LABORATORY - CHEMISTRY [0301] ( 85.00)

30000815HC RL MOTOR SENS NEUROPATHY PANASIALO GM1 LABORATORY - CHEMISTRY [0301] ( 85.00)

30000821HC RL MOTOR SENS NEUROPATHY PANMAG IGM IFA LABORATORY - CHEMISTRY [0301] ( 85.00)

30000830 HC RL SERINE PROTEASE 3 ANTIBODY LABORATORY - CHEMISTRY [0301] ( 85.00)

30000905HC RL MOTOR SENS NEUROPATHY PANSGPG IGM LABORATORY - CHEMISTRY [0301] ( 85.00)

30001032HC RL SIGNAL RECOGNITION PARTICLE (SRP) AB LABORATORY - IMMUNOLOGY [0302] ( 93.00)

30001049 HC RL ANTI PHOSPHOLIPID AB IGG LABORATORY - CHEMISTRY [0301] ( 85.00)

30001050 HC RL ANTI PHOSPHOLIPID AB IGM LABORATORY - CHEMISTRY [0301] ( 85.00)

30000552 HC TRYPSINLIKEIMMUNOREACTIVITY LABORATORY - CHEMISTRY [0301] ( 83.00)

30000671HC RL ACETYLCHOLINE RECEPTOR BLOCKING LABORATORY - CHEMISTRY [0301] ( 83.00)

30000710 HC RL ACETYLCHOLINE RECEPTOR PANEL LABORATORY - CHEMISTRY [0301] ( 83.00)

30000810 HC RL IGFBINDING PROTEIN 2 LABORATORY - CHEMISTRY [0301] ( 83.00)

30000811HC RL EATONLAMBERT AB IMMUNOASSAY RIA LABORATORY - CHEMISTRY [0301] ( 83.00)

30000870HC RL ACETYLCHOLINE RECEPTOR MODULATING AB LABORATORY - CHEMISTRY [0301] ( 83.00)

30000993 HC 21HYDROXYLASE ANTIBODY LABORATORY - CHEMISTRY [0301] ( 83.00)

30001001HC RL PITUITARY GLYCOPROTEIN ALPHA SUBUNIT LABORATORY - CHEMISTRY [0301] ( 83.00)

30001022HC RL VOLTAGE GATED POTASSIUM ANTIBODY LABORATORY - CHEMISTRY [0301] ( 306.00)

30000054 HC RL ANTI GM1 ANTIBODY LABORATORY - CHEMISTRY [0301] ( 180.00)

30000076 HC RL CHYMOPAPAIN SCREEN LABORATORY - CHEMISTRY [0301] ( 180.00)

30000185 HC RL TUMOR NECROSIS FACTOR LABORATORY - CHEMISTRY [0301] ( 180.00)

30000532HC PHOSPHATIDYLCHOLINE ANTIBODIES IGG LABORATORY - CHEMISTRY [0301] ( 180.00)

30000533HC PHOSPHATIDYLCHOLINE ANTIBODIES IGM LABORATORY - CHEMISTRY [0301] ( 180.00)

30000534HC PHOSPHATIDYLCHOLINE ANTIBODIES IGA LABORATORY - CHEMISTRY [0301] ( 180.00)

30000561 HC GM COLONY STIMULATING FACTOR LABORATORY - CHEMISTRY [0301] ( 180.00)

30000581 HC RL GQ1B ANTIBODY LABORATORY - CHEMISTRY [0301] ( 180.00)

30000664 HC RL INHIBIN B SERUM LABORATORY - CHEMISTRY [0301] ( 180.00)

30000673 HC RL TSH RECEPTOR ANTIBODY LABORATORY - CHEMISTRY [0301] ( 180.00)

30000729 HC RL INTERLEUKIN 6 LABORATORY - CHEMISTRY [0301] ( 180.00)

30000809 HC RL EATONLAMBERT AB IMMUNOASSAY LABORATORY - CHEMISTRY [0301] ( 180.00)

30000972 HC RL CELIAC PLUS GLIADIN AB IGA LABORATORY - CHEMISTRY [0301] ( 180.00)

30000973 HC RL CELIAC PLUS GLIADIN AB IGG LABORATORY - CHEMISTRY [0301] ( 180.00)

30000974 HC CELIAC PLUS IGA RECOMBINANT AG LABORATORY - CHEMISTRY [0301] ( 180.00)

30000991 HC RL NS IRT FOR CF LABORATORY - CHEMISTRY [0301] ( 180.00)

30001036 HC RL INTERLELUKIN 2 RECEPTOR BY MAFD LABORATORY - CHEMISTRY [0301] ( 180.00)

30000245 HC RL INSULINTOTAL LABORATORY - CHEMISTRY [0301] ( 86.00)

30000248 HC IRON SERUM LABORATORY - CHEMISTRY [0301] ( 118.00)

30000249 HC IRON BINDING CAPACITY LABORATORY - CHEMISTRY [0301] ( 106.00)

30000255 HC RL 17KETOSTEROIDSTOTAL LABORATORY - CHEMISTRY [0301] ( 125.00)

30000260 HC LACTIC ACID LABORATORY - CHEMISTRY [0301] ( 260.00)

30000261 HC LACTIC DEHYDROGENASE LDH LABORATORY - CHEMISTRY [0301] ( 86.00)

30000263 HC RL LDH ISOENZYMES LABORATORY - CHEMISTRY [0301] ( 77.00)

30000646 HC RL HEAVY METALS URINE LEAD LABORATORY - CHEMISTRY [0301] ( 73.00)

30000647 HC RL HEAVY METALS LEAD WHOLE BLOOD LABORATORY - CHEMISTRY [0301] ( 73.00)

30000748 HC RL LEAD FINGERSTICK OR CAPILLARY LABORATORY - CHEMISTRY [0301] ( 73.00)

30000266 HC LIPASE LABORATORY - CHEMISTRY [0301] ( 229.00)

30000772 HC RL LIPOPROTEIN A LABORATORY - CHEMISTRY [0301] ( 229.00)

30000558 HC LDL SUBCLASSES LABORATORY - CHEMISTRY [0301] ( 141.00)

30000237 HC HIGH DENSITY LIPOPROTEIN LABORATORY - CHEMISTRY [0301] ( 49.00)

30000582 HC MEASURED LDL LABORATORY - CHEMISTRY [0301] ( 57.00)

30000590 HC URINE MAGNESIUM24 HR LABORATORY - CHEMISTRY [0301] ( 234.00)

30000764 HC RL MANGANESE SERUM LABORATORY - CHEMISTRY [0301] ( 142.00)

30000765 HC RL MANGANESE WHOLE BLOOD LABORATORY - CHEMISTRY [0301] ( 142.00)

30000502HC TENOFOVIR (VIREAD) QUANT EACH SPECIMEN LABORATORY - CHEMISTRY [0301] ( 108.00)

30000611 HC RL MERCURY BLOOD QUANT LABORATORY - CHEMISTRY [0301] ( 98.00)

30000648 HC RL HEAVY METALS URINE MERCURY LABORATORY - CHEMISTRY [0301] ( 98.00)

30000277 HC RL METANEPHRINE URINE LABORATORY - CHEMISTRY [0301] ( 90.00)

30000691 HC RL METHANEPHERINE PLASMA LABORATORY - CHEMISTRY [0301] ( 90.00)

30000737 HC METHADONE LABORATORY - CHEMISTRY [0301] ( 111.00)

30001006 HC METHADONE CONFIRMATION LABORATORY - CHEMISTRY [0301] ( 93.00)

30000286 HC RL CELONTIN LABORATORY - CHEMISTRY [0301] ( 374.00)

30000018 HC RL MUCOPOLYSACCHARIDES SCREEN LABORATORY - CHEMISTRY [0301] ( 100.00)

30000063 HC RL MYELIN BASIC PROTEIN CSF LABORATORY - CHEMISTRY [0301] ( 112.00)

30000884 HC RL OLIGOCLONAL BAND PFMYELIN BSC LABORATORY - CHEMISTRY [0301] ( 112.00)

30000273 HC RL MYOGLOBIN (SERUM) LABORATORY - CHEMISTRY [0301] ( 42.00)

30000281 HC MYOGLOBIN URINE LABORATORY - CHEMISTRY [0301] ( 86.00)

30000747 HC BNATRIURETIC PEPTIDE(BNP) LABORATORY - CHEMISTRY [0301] ( 232.00)

30000741HC RL BENCE JONES NEPHELOMETRYKAPPA/LAMBDA LABORATORY - CHEMISTRY [0301] ( 96.00)

30000807 HC RL RETINOL BINDING PROTEIN LABORATORY - CHEMISTRY [0301] ( 96.00)

30001002HC RL KAPPA/LAMBDA FREE LIGHT CHAINS QUANT LABORATORY - CHEMISTRY [0301] ( 96.00)

30000463HC MOLECULAR DNA PHENOTYPE RBC ISOLATION LABORATORY - CHEMISTRY [0301] ( 115.00)

30000512HC DPD DIHYDROPYRIMIDINE DEHYDRO ISOLATION LABORATORY - CHEMISTRY [0301] ( 60.00)

30000525 HC PML/RARA BY PCRISOLATION LABORATORY - CHEMISTRY [0301] ( 51.00)

30000757 HC RL HCV ULTRAQUALITATIVE EACH LABORATORY - CHEMISTRY [0301] ( 649.00)

30000779 HC FACTOR V LEIDEN ISOLATIONEA LABORATORY - CHEMISTRY [0301] ( 69.00)

30000889 HC PROTHROMBIN GENE ASSAYISOEA LABORATORY - CHEMISTRY [0301] ( 69.00)

30000906 HC RL RAPID GROWER ID BY PCR MOLEA LABORATORY - CHEMISTRY [0301] ( 32.00)

30000911 HC RL NOCARDIA ID BY PCR MOLECEA LABORATORY - CHEMISTRY [0301] ( 25.00)

30000994 HC RL TB PCR ISOLATION OR EXTRACTION LABORATORY - CHEMISTRY [0301] ( 61.00)

30000418HC RL CYSTIC FIBROSIS MUTATION 32ISOLATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 51.00)

30000443 HC RL JAK2 MUTATION ISOLATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 19.00)

30000474 HC MPL515 NUCLEIC ACID EXTRACTION LABORATORY - GENERAL CLASSIFICATION [0300] ( 51.00)

30000479 HC TUBEROUS SCLEROSIS N.A. ISOLATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 51.00)

30000492 HC IGVH MUTATION CLL ISOLATION EA. N.A. LABORATORY - GENERAL CLASSIFICATION [0300] ( 51.00)

30000507 HC JAK2 EXON 12 BY PCR ISOLATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 81.00)

30000521 HC MGMT GENE MUTATION ISOLATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 79.00)

30000536 HC CELIAC PLUS NUCLEIC ACID ISOLATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 51.00)

30000541 HC TCELL GENE REARRANGE ISOLATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 33.00)

30000792HC RL MTHFR MUTATION DETECTION ISOLATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 21.00)

30000796 HC RL FRAGILE X DNA PCRISOLATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 52.00)

30000802 HC RL HEMOCHROMATOSIS MUT DET ISOEA LABORATORY - GENERAL CLASSIFICATION [0300] ( 94.00)

30000874 HC RL FRAGILE X DNA SOUTH BLOTISEA LABORATORY - GENERAL CLASSIFICATION [0300] ( 52.00)

30000900 HC RL BCR/ABL BY PCR QUANT ISOLATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 30.00)

30000937HC TPMT GENETICS ISOLATION OF NUCLEIC ACID LABORATORY - GENERAL CLASSIFICATION [0300] ( 21.00)

30001015 HC RL CMV DRUG RESISTANCE ISOLATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 57.00)

30001043 HC RL ABL KINASE MUT. ISOLATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 7.00)

30000514HC DPD DIHYDROPYRIMIDINE DEHYDRO DIGESTION LABORATORY - GENERAL CLASSIFICATION [0300] ( 60.00)

30000875HC RL FRAGILE X DNA SOUTHERN BLOTDIEA LABORATORY - GENERAL CLASSIFICATION [0300] ( 52.00)

30000907HC RL RAPID GROWER ID BY PCR ENZYMAEACH LABORATORY - GENERAL CLASSIFICATION [0300] ( 32.00)

30000912HC RL NOCARDIA ID BY PCR ENZYMATIC DIGEST LABORATORY - GENERAL CLASSIFICATION [0300] ( 25.00)

30000493HC IGVH MUTATION CLL SEPARATION ELECT. LABORATORY - GENERAL CLASSIFICATION [0300] ( 51.00)

30000515HC DPD DIHYDROPYRIMIDINE DEHYDRO SEP. LABORATORY - GENERAL CLASSIFICATION [0300] ( 60.00)

30000876HC RL FRAGILE X DNA SOUTH BLOTGEL SEEA LABORATORY - GENERAL CLASSIFICATION [0300] ( 52.00)

30000908 HC RL RAPID GROWER ID BY PCR GEL ELEA LABORATORY - GENERAL CLASSIFICATION [0300] ( 32.00)

30000913 HC RL NOCARDIA ID BY PCR GEL ELECEA LABORATORY - GENERAL CLASSIFICATION [0300] ( 25.00)

30001016HC RL CMV DRUG RESISTANCE SEPARATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 57.00)

30000441HC RL JAK2 MUTATION NUCLEIC ACID PROBE LABORATORY - GENERAL CLASSIFICATION [0300] ( 19.00)

30000447HC MTHFR MUTATION DETECTION NA PROBES LABORATORY - GENERAL CLASSIFICATION [0300] ( 19.00)

30000480 HC TUBEROUS SCLEROSIS N.A. PROBE LABORATORY - GENERAL CLASSIFICATION [0300] ( 51.00)

30000522 HC MGMT GENE MUTATION N.A. PROBE LABORATORY - GENERAL CLASSIFICATION [0300] ( 79.00)

30000528 HC PML/RARA BY PCR N.A. PROBE EACH LABORATORY - GENERAL CLASSIFICATION [0300] ( 51.00)

30000539 HC CELIAC PLUS NUCLEIC ACID PROBES LABORATORY - GENERAL CLASSIFICATION [0300] ( 51.00)

30000782 HC FACTOR V LEIDEN NUCLEIC AC PROB LABORATORY - GENERAL CLASSIFICATION [0300] ( 34.00)

30000804HC RL HEMOCHROMATOSIS MUT DET NUC ACID PRO LABORATORY - GENERAL CLASSIFICATION [0300] ( 24.00)

30000891HC PROTHROMBIN GENE ASSAYNUC ACD PROBE LABORATORY - GENERAL CLASSIFICATION [0300] ( 34.00)

30000903 HC RL BCR/ABL BY PCR QUANT NA PROBE LABORATORY - GENERAL CLASSIFICATION [0300] ( 30.00)

30000939 HC TPMT GENETICS NUCLEIC ACID PROBES LABORATORY - GENERAL CLASSIFICATION [0300] ( 51.00)

30000995 HC RL TB PCR NUCLEIC ACID PRODE LABORATORY - GENERAL CLASSIFICATION [0300] ( 61.00)

30000877 HC RL FRAGILE X DNA SOUT BLOTTREA LABORATORY - GENERAL CLASSIFICATION [0300] ( 52.00)

30000224 HC RL HLA DR TYPING LABORATORY - GENERAL CLASSIFICATION [0300] ( 1,463.00)

30000442 HC RL JAK2 MUTATION AMPLIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)

30000481HC TUBEROUS SCLEROSIS N.A. AMPLIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)

30000508 HC JAK2 EXON 12 BY PCR AMPLIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 81.00)

30000513HC DPD DIHYDROPYRIMIDINE DEHYDRO AMP. LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)

30000523 HC MGMT GENE MUTATION AMPLIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 79.00)

30000546HC BCELL GENE REARRANGE AMPLIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)

30000780 HC FACTOR V LEIDEN AMPLIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)

30000803HC RL HEMOCHROMATOSIS MUT DET AMPLIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 94.00)

30000872 HC RL FRAGILE X DNA PCRAMPLIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)

30000890HC PROTHROMBIN GENE ASSAYAMPLIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)

30000902HC RL BCR/ABL BY PCR QUANT AMPLIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)

30000909HC RL RAPID GROWER ID PCR NUCLEIC ACIDEA LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)

30000938HC TPMT GENETICS AMPLIFICATION FOR DNA LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)

30000996 HC RL TB PCR AMPLIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)

30001017HC RL CMV DRUG RESISTANCE AMPLIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)

30000421 HC RL CYSTIC FIBROSIS MUTATION 32 AMP LABORATORY - GENERAL CLASSIFICATION [0300] ( 61.00)

30000446HC MTHFR MUTATION DETECTION MOLE DIAG. LABORATORY - GENERAL CLASSIFICATION [0300] ( 19.00)

30000465HC MOLECULAR DNA PHENO RBC AMP. MULTIPLEX LABORATORY - GENERAL CLASSIFICATION [0300] ( 115.00)

30000475 HC MPL515 NUCLEIC ACID ISOLATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 61.00)

30000482 HC TUBEROUS SCLEROSIS AMP. MULTIPLEX LABORATORY - GENERAL CLASSIFICATION [0300] ( 61.00)

30000496 HC IGVH MUTATION CLL AMPLIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 61.00)

30000537 HC CELIAC PLUS DQA1 AMPLIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 58.00)

30000538 HC CELIAC PLUS DQ1B AMPLIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 49.00)

30000542HC TCELL GENE REARRANGE AMPLIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 61.00)

30001044 HC RL ABL KINASE MUT. AMPLIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 58.00)

30000422HC RL CYSTIC FIBROSIS MUTAT 32 MUTIPLEX AMP LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)

30000476 HC MPL515 AMPLIFICATION EACH N.A. LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)

30000483HC TUBEROUS SCLEROSIS AMP. MULTIPLEX ADD. LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)

30000527 HC PML/RARA BY PCR AMPLIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)

30000543HC TCELL GENE REARRANGE AMP. EACH ADD. NA LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)

30001035HC RL CELIAC GENETICS NUC ACID AMPL EA AD LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)

30001037HC RL CELIAC PLUS DQB1 AMPL EACH ADD N.A. LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)

30001045 HC RL ABL KINASE MUT. AMP. EACH ADD. LABORATORY - GENERAL CLASSIFICATION [0300] ( 29.00)

30000494 HC IGVH MUTATION CLL REVERSE TRANS. LABORATORY - GENERAL CLASSIFICATION [0300] ( 94.00)

30000526HC PML/RARA BY PCR REVERSE TRANSCRIPTION LABORATORY - GENERAL CLASSIFICATION [0300] ( 94.00)

30000901HC RL BCR/ABL BY PCR QUANT REV TRANSCRIPT LABORATORY - GENERAL CLASSIFICATION [0300] ( 94.00)

30001046 HC RL ABL KINASE MUT. REV TRANSCRIPT LABORATORY - GENERAL CLASSIFICATION [0300] ( 25.00)

30000444 HC RL JAK2 MUTATION IDENTIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)

30000477 HC MPL515 MUTATION IDENTIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)

30000484 HC TUBEROUS SCLEROSIS MUTATION ID LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)

30000495 HC IGVH MUTATION CLL MUTATION ID LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)

30000510 HC JAK2 EXON 12 BY PCR MUTATION ID LABORATORY - GENERAL CLASSIFICATION [0300] ( 81.00)

30001018HC RL CMV DRUG RESISTANCE SEQUENCING LABORATORY - GENERAL CLASSIFICATION [0300] ( 105.00)

30001047 HC RL ABL KINASE MUTATION ID LABORATORY - GENERAL CLASSIFICATION [0300] ( 29.00)

30000524 HC MGMT GENE MUTATION CELL LYSIS LABORATORY - GENERAL CLASSIFICATION [0300] ( 79.00)

30001034 HC RL TPMT GENETICS CELL LYSIS LABORATORY - GENERAL CLASSIFICATION [0300] ( 24.00)

30000438 HC RL APOE AMPLIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 30.00)

30000464HC MOLECULAR DNA PHENO RBC AMP. EACH NA. LABORATORY - GENERAL CLASSIFICATION [0300] ( 233.00)

30000424HC RL CYSTIC FIBROSIS MUTATION 32 ELECTRO LABORATORY - GENERAL CLASSIFICATION [0300] ( 30.00)

30000466 HC MOLECULAR DNA PHENO RBC SEP & ID LABORATORY - GENERAL CLASSIFICATION [0300] ( 174.00)

30000486HC TUBEROUS SCLEROSIS SEP. & ID BY ELECTRO LABORATORY - GENERAL CLASSIFICATION [0300] ( 30.00)

30000491 HC IGVH MUTATION CLL SEPARATION & ID LABORATORY - GENERAL CLASSIFICATION [0300] ( 30.00)

30000544HC TCELL GENE REARRANGE SEPARATION & ID LABORATORY - GENERAL CLASSIFICATION [0300] ( 33.00)

30000547HC BCELL GENE REARRANGE SEPARATION & ID LABORATORY - GENERAL CLASSIFICATION [0300] ( 34.00)

30000873HC RL FRAGILE X DNA PCRCAPILLARY ELECT LABORATORY - GENERAL CLASSIFICATION [0300] ( 52.00)

30001019HC RL CMV DRUG RESISTANCE ELECTROPHORESIS LABORATORY - GENERAL CLASSIFICATION [0300] ( 57.00)

30000425HC RL CYSTIC FIBROSIS MUTAT 32 INTERP/RPT LABORATORY - GENERAL CLASSIFICATION [0300] ( 51.00)

30000439 HC RL APOE INTERP & REPORT LABORATORY - GENERAL CLASSIFICATION [0300] ( 23.00)

30000445 HC RL JAK2 MUTATION INTERP & REPORT LABORATORY - GENERAL CLASSIFICATION [0300] ( 19.00)

30000448HC MTHFR MUTATION DETECTION INTRP & RPT LABORATORY - GENERAL CLASSIFICATION [0300] ( 19.00)

30000467HC MOLECULAR DNA PHENO RBC INTERP & RPT LABORATORY - GENERAL CLASSIFICATION [0300] ( 58.00)

30000478 HC MPL515 INTERP & REPORT LABORATORY - GENERAL CLASSIFICATION [0300] ( 51.00)

30000487HC TUBEROUS SCLEROSIS INTERP & REPORT LABORATORY - GENERAL CLASSIFICATION [0300] ( 51.00)

30000497 HC IGVH MUTATION CLL INTERP & RPT LABORATORY - GENERAL CLASSIFICATION [0300] ( 51.00)

30000509 HC JAK2 EXON 12 BY PCR INTERP & RPT LABORATORY - GENERAL CLASSIFICATION [0300] ( 81.00)

30000516HC DPD DIHYDROPYRIMIDINE DEHYDRO INTRP LABORATORY - GENERAL CLASSIFICATION [0300] ( 60.00)

30000529 HC PML/RARA BY PCR INTERP & RPT LABORATORY - GENERAL CLASSIFICATION [0300] ( 51.00)

30000540 HC CELIAC PLUS INTERP AND REPORT LABORATORY - GENERAL CLASSIFICATION [0300] ( 51.00)

30000545 HC TCELL GENE REARRANGE INTERP & RPT LABORATORY - GENERAL CLASSIFICATION [0300] ( 33.00)

30000548 HC BCELL GENE REARRANGE INTERP & RPT LABORATORY - GENERAL CLASSIFICATION [0300] ( 34.00)

30000759HC RL BCR/ABL BY PCR QUANT INTRP & REPORT LABORATORY - GENERAL CLASSIFICATION [0300] ( 51.00)

30000781 HC FACTOR V LEIDEN INTERP & REPORT LABORATORY - GENERAL CLASSIFICATION [0300] ( 69.00)

30000805HC RL HEMOCHROMATOSIS MUT DET INTERP & RPT LABORATORY - GENERAL CLASSIFICATION [0300] ( 94.00)

30000910 HC RL RAPID GROWER ID BY PCR I&R LABORATORY - GENERAL CLASSIFICATION [0300] ( 32.00)

30000914HC RL NOCARDIA ID BY PCR INTERP & REPORT LABORATORY - GENERAL CLASSIFICATION [0300] ( 25.00)

30000940 HC TPMT GENETICS INTERP & RPT LABORATORY - GENERAL CLASSIFICATION [0300] ( 51.00)

30000997 HC RL TB PCR INTERP AND REPORT LABORATORY - GENERAL CLASSIFICATION [0300] ( 61.00)

30001020 HC RL CMV DRUG RESISTANCE INTERP. LABORATORY - GENERAL CLASSIFICATION [0300] ( 57.00)

30001048 HC RL ABL KINASE MUT. INTERP & RPT LABORATORY - GENERAL CLASSIFICATION [0300] ( 7.00)

30000423 HC RL CYSTIC FIBROSIS MUTATION 32 OLA LABORATORY - GENERAL CLASSIFICATION [0300] ( 30.00)

30000485HC TUBEROUS SCLEROSIS MUTATION ID BY OLA LABORATORY - GENERAL CLASSIFICATION [0300] ( 30.00)

30000683 HC RL 5'NULCEOTIDASE LABORATORY - CHEMISTRY [0301] ( 86.00)

30000806 HC RL OLIGOCLONAL BANDING LABORATORY - CHEMISTRY [0301] ( 220.00)

30000883 HC RL OLIGOCLONAL BAND PFIMMUNE LABORATORY - CHEMISTRY [0301] ( 220.00)

30000771 HC RL QU ORGANIC ACIDS URINE LABORATORY - CHEMISTRY [0301] ( 200.00)

30000274 HC RL METHYLMALONIC ACID URINEQUANT LABORATORY - CHEMISTRY [0301] ( 114.00)

30000610 HC RL METHYLMALONIC ACID SERUMQUNT LABORATORY - CHEMISTRY [0301] ( 114.00)

30000836 HC OPIATE CONFIRMATION/QUANTITATION LABORATORY - CHEMISTRY [0301] ( 103.00)

30001008 HC PROPOXYPHENE CONFIRMATION LABORATORY - CHEMISTRY [0301] ( 123.00)

30000290 HC OSMOLARITY PLASMA OR SERUM LABORATORY - CHEMISTRY [0301] ( 100.00)

30000291 HC OSMOLARITY URINE LABORATORY - CHEMISTRY [0301] ( 100.00)

30000677 HC RL OSTEOCALCIN LABORATORY - CHEMISTRY [0301] ( 155.00)

30000292 HC RL OXALATE LABORATORY - CHEMISTRY [0301] ( 110.00)

30000329 HC PARATHYROID HORMONE (INTACT) LABORATORY - CHEMISTRY [0301] ( 301.00)

30000299 HC PH BODY FLUID EXCEPT BLOOD LABORATORY - CHEMISTRY [0301] ( 51.00)

30001007 HC RL PHENCYCLIDINE CONFIRMATION LABORATORY - CHEMISTRY [0301] ( 73.00)

30000301 HC RL PHENATHIAZINE SCREEN URINE LABORATORY - CHEMISTRY [0301] ( 214.00)

30000378 HC RL THORAZINE LABORATORY - CHEMISTRY [0301] ( 113.00)

30000554 HC PROMETHAZINE SERUM LABORATORY - CHEMISTRY [0301] ( 108.00)

30000555 HC PROMETHAZINE URINE LABORATORY - CHEMISTRY [0301] ( 108.00)

30000007 HC RL ACID PHOSPHATASETOTAL LABORATORY - CHEMISTRY [0301] ( 88.00)

30000298 HC RL PROSTATIC ACID PHOSPHATASE/RIA LABORATORY - CHEMISTRY [0301] ( 94.00)

30000014 HC ALKALINE PHOSPHATASE LABORATORY - CHEMISTRY [0301] ( 81.00)

30000006HC ALKALINE PHOSPHATASE FRACTIONATED LABORATORY - CHEMISTRY [0301] ( 104.00)

30000305 HC PHOSPHORUS LABORATORY - CHEMISTRY [0301] ( 99.00)

30000304 HC PHOSPHATES URINE 24HR. LABORATORY - CHEMISTRY [0301] ( 104.00)

30000311 HC RL PORPHOBILINOGEN URINEQUANT LABORATORY - CHEMISTRY [0301] ( 116.00)

30000316 HC RL QUANT/FRACT PORPHYRIN URINE LABORATORY - CHEMISTRY [0301] ( 70.00)

30000312 HC POTASSIUM K SERUM PLAS WH BLD LABORATORY - CHEMISTRY [0301] ( 120.00)

30000313 HC POTASSIUM K URINE RANDOM LABORATORY - CHEMISTRY [0301] ( 62.00)

30000314 HC POTASSIUM URINE 24HR. LABORATORY - CHEMISTRY [0301] ( 62.00)

30000315 HC PREALBUMIN LABORATORY - CHEMISTRY [0301] ( 182.00)

30001052 HC RL PREGNENOLONE SERUM OR PLASMA LABORATORY - CHEMISTRY [0301] ( 192.00)

30000666 HC RL 17HYDROXYPREGNENOLONE LABORATORY - CHEMISTRY [0301] ( 203.00)

30000319 HC PROGESTERONE LABORATORY - CHEMISTRY [0301] ( 127.00)

30000498 HC PROCALCITONIN LABORATORY - CHEMISTRY [0301] ( 293.00)

30000297 HC PROLACTIN LABORATORY - CHEMISTRY [0301] ( 101.00)

30000300 HC PROSTATE SPECIFIC ANTIGENTOTAL LABORATORY - CHEMISTRY [0301] ( 122.00)

30000788 HC RL PSA TOTAL(PERCENT FREE) LABORATORY - CHEMISTRY [0301] ( 122.00)

30000609 HC RL PSA PERCENT FREE LABORATORY - CHEMISTRY [0301] ( 115.00)

30000321 HC PROTEIN TOT SERUM PLAS WH BLD LABORATORY - CHEMISTRY [0301] ( 53.00)

30000320 HC PROTEIN RANDOM URINE LABORATORY - CHEMISTRY [0301] ( 84.00)

30000323 HC PROTEIN TOTAL 24HOUR URINE LABORATORY - CHEMISTRY [0301] ( 84.00)

30000325 HC 12 HR URINE PROTEIN LABORATORY - CHEMISTRY [0301] ( 84.00)

30000388 HC URINE PROTEIN QUANTITATIVE LABORATORY - CHEMISTRY [0301] ( 84.00)

30000813HC RL BENCE JONES PROTEINTOTAL PROTEIN LABORATORY - CHEMISTRY [0301] ( 84.00)

30000322 HC TOTAL PROTEIN FLUID LABORATORY - CHEMISTRY [0301] ( 73.00)

30000816HC RL MOTOR SENS NEUROPATHY PANTTL PROTEIN LABORATORY - CHEMISTRY [0301] ( 33.00)

30000139 HC ELECTROPHORESIS SERUM PROTEIN LABORATORY - CHEMISTRY [0301] ( 103.00)

30000819HC RL MOTOR SENS NEUROPATH PANELECTROPHORE LABORATORY - CHEMISTRY [0301] ( 103.00)

30000046 HC BENCE JONES PROTEIN URINE LABORATORY - CHEMISTRY [0301] ( 103.00)

30000140 HC ELECTROPHORESIS URINE PROTEIN LABORATORY - CHEMISTRY [0301] ( 103.00)

30000141HC RL ELECTROPHORESIS SPINAL FLD PROTE LABORATORY - CHEMISTRY [0301] ( 103.00)

30000570HC RL NEURONAL NUCLEAR AB WESTERN BLOT LABORATORY - CHEMISTRY [0301] ( 113.00)

30000166 HC RL PORPHYRINSRBC;QUANT LABORATORY - CHEMISTRY [0301] ( 86.00)

30000430 HC RL ZINC PROTOPORPHYRIN LABORATORY - CHEMISTRY [0301] ( 86.00)

30000791 HC RL PROINSULIN LABORATORY - CHEMISTRY [0301] ( 106.00)

30000391 HC RL VITAMIN B6 LABORATORY - CHEMISTRY [0301] ( 167.00)

30000326 HC RL QU PYRUVIC ACID PYRUVATE LABORATORY - CHEMISTRY [0301] ( 35.00)

30000332 HC RL PYRUVATE KINASE LABORATORY - CHEMISTRY [0301] ( 46.00)

30000259 HC RL RENIN IVC BELOW RENAL VEIN LABORATORY - CHEMISTRY [0301] ( 131.00)

30000336 HC RL RENINRENAL VEIN LABORATORY - CHEMISTRY [0301] ( 131.00)

30000337 HC RL RENIN (RANDOM) LABORATORY - CHEMISTRY [0301] ( 131.00)

30000393 HC RL SEROTONIN BLOOD LABORATORY - CHEMISTRY [0301] ( 185.00)

30000622 HC RL SEX HORMONE BINDING GLOBULIN LABORATORY - CHEMISTRY [0301] ( 131.00)

30000350 HC SODIUM NA SERUM PLASMA WH BLD LABORATORY - CHEMISTRY [0301] ( 83.00)

30000351 HC SODIUMNA URINE RANDOM LABORATORY - CHEMISTRY [0301] ( 66.00)

30000352 HC SODIUM URINE 24HR LABORATORY - CHEMISTRY [0301] ( 66.00)

30000354 HC RL INSULINLIKE GROWTH FACTOR 1 LABORATORY - CHEMISTRY [0301] ( 119.00)

30000035 HC RL ARYLSULFATASE LABORATORY - CHEMISTRY [0301] ( 73.00)

30000559 HC ADENOSINE DEAMINASE LABORATORY - CHEMISTRY [0301] ( 73.00)

30000654 HC RL PORPHYRIN SERUM LABORATORY - CHEMISTRY [0301] ( 73.00)

30000659 HC RL VITAMIN B1(THIAMINE) PLASMA LABORATORY - CHEMISTRY [0301] ( 133.00)

30000882 HC RL VITAMIN B1 WB LABORATORY - CHEMISTRY [0301] ( 133.00)

30000379 HC RL THIOCYANATE LABORATORY - CHEMISTRY [0301] ( 86.00)

30000380 HC RL URINE THIOCYANATE LABORATORY - CHEMISTRY [0301] ( 60.00)

30000376 HC RL THYROGLOBULIN LABORATORY - CHEMISTRY [0301] ( 83.00)

30000368 HC T4 LABORATORY - CHEMISTRY [0301] ( 102.00)

30000711 HC T4 WITH T7 LABORATORY - CHEMISTRY [0301] ( 102.00)

30000987HC RL NS TOTAL THYROXINE(T4)REQUIRG ELUTION LABORATORY - CHEMISTRY [0301] ( 63.00)

30000163 HC FREE THYROXINE LABORATORY - CHEMISTRY [0301] ( 129.00)

30000175 HC RL FREE T4 BY EQUILIBRIUM DIALYSIS LABORATORY - CHEMISTRY [0301] ( 129.00)

30000377 HC RL THYROXIN BINDING GLOBULIN TBG LABORATORY - CHEMISTRY [0301] ( 77.00)

30000374 HC THYROID STIMULATING HORMONE LABORATORY - CHEMISTRY [0301] ( 240.00)

30000986HC RL NS THYROID STIMULATING HORMONE(TSH) LABORATORY - CHEMISTRY [0301] ( 240.00)

30000670HC RL THYROID STIMULATING IMMUNOGLOB LABORATORY - CHEMISTRY [0301] ( 264.00)

30000655 HC RL VITAMIN E LEVEL LABORATORY - CHEMISTRY [0301] ( 81.00)

30000382 HC TRANSAMINASE SGOT LABORATORY - CHEMISTRY [0301] ( 92.00)

30000387 HC TRANSAMINASE SGPT LABORATORY - CHEMISTRY [0301] ( 83.00)

30000383 HC TRANSFERRIN LABORATORY - CHEMISTRY [0301] ( 97.00)

30000384 HC TRIGLYCERIDES LABORATORY - CHEMISTRY [0301] ( 79.00)

30000367 HC T3 OR T4 (UPTAKE/BIND RATIO) LABORATORY - CHEMISTRY [0301] ( 79.00)

30000174 HC FREE T3 LABORATORY - CHEMISTRY [0301] ( 127.00)

30000770 HC RL REVERSE T3 LABORATORY - CHEMISTRY [0301] ( 82.00)

30000592 HC TROPONINQUANT LABORATORY - CHEMISTRY [0301] ( 196.00)

30000399 HC BLOOD UREA NITROGENBUN QUANT LABORATORY - CHEMISTRY [0301] ( 68.00)

30000398 HC UREA URINE LABORATORY - CHEMISTRY [0301] ( 68.00)

30000400 HC URIC ACID LABORATORY - CHEMISTRY [0301] ( 71.00)

30000401 HC URIC ACID 24HOUR URINE LABORATORY - CHEMISTRY [0301] ( 34.00)

30000392HC RL VASOACTIVE INTESTINAL POLYPEPTIDE LABORATORY - CHEMISTRY [0301] ( 211.00)

30000705 HC RL ANTIDIURETIC HORMONE LABORATORY - CHEMISTRY [0301] ( 176.00)

30000653 HC RL VITAMIN A LEVEL LABORATORY - CHEMISTRY [0301] ( 72.00)

30000342 HC RL HEAVY METALS URINE ZINC LABORATORY - CHEMISTRY [0301] ( 59.00)

30000066 HC CPEPTIDE INSULIN LEVEL LABORATORY - CHEMISTRY [0301] ( 108.00)

30000211 HC PREGNANCY TEST SERUM HCGQUANT LABORATORY - CHEMISTRY [0301] ( 182.00)

30000751HC RL BETA HCGSERUM QNTUMOR MARKER LABORATORY - CHEMISTRY [0301] ( 182.00)

30000317 HC SERUM PREGNANCY TEST QUALITATIVE LABORATORY - CHEMISTRY [0301] ( 134.00)

30000593 HC IONIZED MAGNESIUM LABORATORY - CHEMISTRY [0301] ( 234.00)

30000059 HC RL BLEEDING TIME TEMPLATE LABORATORY - HEMATOLOGY [0305] ( 74.00)

30000131 HC MANUAL DIFFERENTIAL LABORATORY - HEMATOLOGY [0305] ( 60.00)

30000220 HC HEMATOCRIT LABORATORY - HEMATOLOGY [0305] ( 70.00)

30000222 HC HEMOGLOBIN LABORATORY - HEMATOLOGY [0305] ( 57.00)

30000100 HC CBC WITH AUTO DIFF(INC PLAT) LABORATORY - HEMATOLOGY [0305] ( 122.00)

30000244 HC INDICES LABORATORY - HEMATOLOGY [0305] ( 95.00)

30000825 HC CBC WITHOUT DIFF(INC PLAT) LABORATORY - HEMATOLOGY [0305] ( 95.00)

30000334 HC RED BLOOD CELL COUNT RBC LABORATORY - HEMATOLOGY [0305] ( 30.00)

30000335 HC RETICULOCYTES COUNTAUTO LABORATORY - HEMATOLOGY [0305] ( 69.00)

30000416 HC WHITE BLOOD CELL COUNTWBCAUTO LABORATORY - HEMATOLOGY [0305] ( 26.00)

30000068 HC BONE MARROW SMEAR INTERPRET LABORATORY - HEMATOLOGY [0305] ( 509.00)

30000154HC FAHC RL FACTOR 2 ASSAYCTOR 2 ASSAY LABORATORY - HEMATOLOGY [0305] ( 33.00)

30000149 HC FACTOR 5 ASSAY LABORATORY - HEMATOLOGY [0305] ( 41.00)

30000153 HC RL FACTOR 7 ASSAY LABORATORY - HEMATOLOGY [0305] ( 42.00)


30000390 HC RL VON WILLEBRAND FACTOR ASSAY LABORATORY - HEMATOLOGY [0305] ( 128.00)

30000702 HC RL VW ANTIGEN LABORATORY - HEMATOLOGY [0305] ( 128.00)

30000801 HC RL VON WILLEBRAND MULTIMERIC LABORATORY - HEMATOLOGY [0305] ( 128.00)


30000727 HC RL FACTOR 9 INHIBITOR LABORATORY - HEMATOLOGY [0305] ( 125.00)





30000173 HC FUNCTIONAL AT III LABORATORY - HEMATOLOGY [0305] ( 162.00)

30000258

HC DRVVT FOR DETECTION OF LUPUS ANTICOAGULANTHC LUPUS ANTICOAGULANT LABORATORY - HEMATOLOGY [0305] ( 44.00)

30000724 HC LUPUS ANTICOAGULANT CONFIRM. LABORATORY - HEMATOLOGY [0305] ( 71.00)

30000328 HC PROTEIN C;ACTIVITY LABORATORY - HEMATOLOGY [0305] ( 83.00)

30000327 HC PROTEIN S FREE LABORATORY - HEMATOLOGY [0305] ( 92.00)

30000600 HC RL APC RESISTANCE LABORATORY - HEMATOLOGY [0305] ( 92.00)

30000728 HC RL FACTOR 8 INHIBITOR LABORATORY - HEMATOLOGY [0305] ( 77.00)

30000832 HC RL BETHESDA QUANTITATIVE FACTOR IX LABORATORY - HEMATOLOGY [0305] ( 77.00)

30001009HC RL FACTOR 8 ACTIVITY BETHESDA QUANT LABORATORY - HEMATOLOGY [0305] ( 77.00)

30000146 HC RL EUGLOBULIN CLOT LYSIS LABORATORY - HEMATOLOGY [0305] ( 50.00)

30000168 HC FIB DEGRE. PROD;AGGL;SEMIQUAN LABORATORY - HEMATOLOGY [0305] ( 105.00)

30000743HC FIBRIN MONOMER PARACOAGULATION TEST LABORATORY - HEMATOLOGY [0305] ( 161.00)

30000721 HC QUANTITATIVE DDIMER LABORATORY - HEMATOLOGY [0305] ( 142.00)

30000167 HC FIBRINOGEN ACTIVITY LABORATORY - HEMATOLOGY [0305] ( 129.00)

30000488 HC FIBRINOGEN PANEL (ARUP) LABORATORY - HEMATOLOGY [0305] ( 129.00)

30000489 HC FIBRINOGEN PANEL ANTIGEN LABORATORY - HEMATOLOGY [0305] ( 129.00)

30000462 HC RL ADAMTS13 ACTIVITY LABORATORY - HEMATOLOGY [0305] ( 148.00)

30000453 HC PLASMINOGEN ACTIVATOR INHIBITOR1 LABORATORY - HEMATOLOGY [0305] ( 130.00)

30000309 HC RL PLASMINOGEN LABORATORY - HEMATOLOGY [0305] ( 97.00)

30000828HC RL HEINZ BODY STAIN DIRECT COMPONENT LABORATORY - HEMATOLOGY [0305] ( 71.00)

30000221 HC RL HEINZ BODY STAIN INDUCED LABORATORY - HEMATOLOGY [0305] ( 99.00)

30000051 HC FETALDEX LABORATORY - HEMATOLOGY [0305] ( 99.00)

30000164 HC FETALDEX LABORATORY - HEMATOLOGY [0305] ( 99.00)

30000588 HC TRAUMA FETAL BLEED LABORATORY - HEMATOLOGY [0305] ( 99.00)

30000217 HC RL HEPARIN ASSAY LABORATORY - HEMATOLOGY [0305] ( 80.00)

30000551 HC LYSOZYME SERUM OR BODY FLUID LABORATORY - HEMATOLOGY [0305] ( 116.00)

30000176 HC RL FRAGILITY OSMOTIC LABORATORY - HEMATOLOGY [0305] ( 99.00)

30000306HC RL PLATELET AGGREGATIONEACH AGENT LABORATORY - HEMATOLOGY [0305] ( 254.00)

30000755HC PLATELET FUNCTION STUDYEACH AGENT LABORATORY - HEMATOLOGY [0305] ( 254.00)

30000980 HC RL ASPRIN PLATELET FUNCTION LABORATORY - HEMATOLOGY [0305] ( 254.00)

30000318 HC PROTHROMBIN TIME LABORATORY - HEMATOLOGY [0305] ( 83.00)

30000746 HC MIXING STUDIES FOR PT INHIBITORS LABORATORY - HEMATOLOGY [0305] ( 24.00)

30000340 HC RL REPTILASE TIME LABORATORY - HEMATOLOGY [0305] ( 59.00)

30000412 HC WESTERGREN SEDIMENTATION RATE LABORATORY - HEMATOLOGY [0305] ( 36.00)

30000073 HC SEDIMENTATION RATE AUTOMATED LABORATORY - HEMATOLOGY [0305] ( 34.00)

30000346 HC SICKLE CELL PREPARATION LABORATORY - HEMATOLOGY [0305] ( 40.00)

30000929 HC HGB SOLUBILITY SICKLING OF RBC LABORATORY - HEMATOLOGY [0305] ( 40.00)

30000961 HC RL HEMOGLOBIN S REDUCTION TEST LABORATORY - HEMATOLOGY [0305] ( 71.00)

30000436 HC THROMBIN TIME LABORATORY - HEMATOLOGY [0305] ( 30.00)

30000296 HC PARTIAL THROMBOPLA TIME PTT LABORATORY - HEMATOLOGY [0305] ( 102.00)

30000745 HC MIXING STUDIES FOR APTT INHIBITORS LABORATORY - HEMATOLOGY [0305] ( 34.00)

30000408 HC RL VISCOSITY SERUM LABORATORY - HEMATOLOGY [0305] ( 61.00)

30000499HC HYPERSEN. PNEUMONITIS ALLERGEN IGE EA. LABORATORY - IMMUNOLOGY [0302] ( 28.00)

30000703 HC RL RASTIGE SPECIFIC ALLERGEN LABORATORY - IMMUNOLOGY [0302] ( 28.00)

30000720HC RL IGE SPECIFIC ALLERGENEACH INDIVIDUAL LABORATORY - IMMUNOLOGY [0302] ( 28.00)

30000975 HC RL ALLERGENS FOODS COMMON ADULT LABORATORY - IMMUNOLOGY [0302] ( 28.00)

30000976 HC RL ALLERGENS PED. MARCH PROFILE LABORATORY - IMMUNOLOGY [0302] ( 28.00)

30000978HC RL ALLERGENS RESP. DISEASE REGION 6 LABORATORY - IMMUNOLOGY [0302] ( 28.00)

30000229 HC HEPARIN ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 353.00)

30000563HC RL HEPARIN THROMBOCYTOPENIA ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 353.00)

30000574 HC RL PLATELET ANTIBODIES INDIRECT LABORATORY - IMMUNOLOGY [0302] ( 327.00)

30000575HC RL DRUG DEPENDENT PLATELET ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 353.00)

30000942 HC RL PLT CROSSMATCH OBI LABORATORY - IMMUNOLOGY [0302] ( 171.00)

30000280 HC RL PLATELET ASSOCIATED ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 88.00)

30000678HC RL PLATELET ASSOCIATED AB DIRECTIGG LABORATORY - IMMUNOLOGY [0302] ( 88.00)

30000679HC RL PLATELET ASSOCIATED AB DIRECT IGM LABORATORY - IMMUNOLOGY [0302] ( 88.00)

30000027 HC ANTINUCLEAR ANTIBODIES LABORATORY - IMMUNOLOGY [0302] ( 136.00)

30000567 HC ANA IGG BY IFA TITER LABORATORY - IMMUNOLOGY [0302] ( 67.00)

30000028 HC ANTISTREPTOLYSIN O TITER LABORATORY - IMMUNOLOGY [0302] ( 44.00)

30000108 HC CREACTIVE PROTEIN CRP LABORATORY - IMMUNOLOGY [0302] ( 110.00)

30000713 HC RL CPRHIGH SENSITIVITY LABORATORY - IMMUNOLOGY [0302] ( 99.00)

30000454 HC BETA2 GLYCOPROTEIN IGM LABORATORY - IMMUNOLOGY [0302] ( 146.00)

30000469 HC BETA2 GLYCOPROTEIN 1 ANTIBODY IGM LABORATORY - IMMUNOLOGY [0302] ( 146.00)

30000693 HC RL CARDIOLIPIN ANTIBODY IGG LABORATORY - IMMUNOLOGY [0302] ( 146.00)

30000694 HC RL CARDIOLIPIN ANTIBODY IGM LABORATORY - IMMUNOLOGY [0302] ( 146.00)

30000090 HC COLD AGGLUTININ SCREEN LABORATORY - IMMUNOLOGY [0302] ( 126.00)

30000097 HC COLD AGGLUTININTITER LABORATORY - IMMUNOLOGY [0302] ( 63.00)

30000080HC RL C1 ESTERASE INHIBITOR(NONFUNCTION LABORATORY - IMMUNOLOGY [0302] ( 132.00)

30000098 HC COMPLEMENT LEVEL SERUM C4 LABORATORY - IMMUNOLOGY [0302] ( 30.00)

30000099 HC COMPLEMENT LEVEL SERUM C3 LABORATORY - IMMUNOLOGY [0302] ( 30.00)

30000197 HC RL C2 COMPLEMENT LABORATORY - IMMUNOLOGY [0302] ( 173.00)

30000071HC RL C1 ESTERASE INHIBITOR (FUNCTIONAL) LABORATORY - IMMUNOLOGY [0302] ( 173.00)

30000101 HC RL COMPLEMENTTOTAL HEMOLYTIC LABORATORY - IMMUNOLOGY [0302] ( 292.00)

30000651 HC RL ANTIDNA SINGLE STRAND LABORATORY - IMMUNOLOGY [0302] ( 73.00)

30000031 HC ENA SCREEN LABORATORY - IMMUNOLOGY [0302] ( 107.00)

30000517 HC RL ANTI CHROMATIN ANTIBODY IGG LABORATORY - CHEMISTRY [0301] ( 85.00)

30000604 HC RL RIBOSOMAL P PROTEIN ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 107.00)

30000033 HC RL ANTISTRIATED MUSCLE ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 72.00)

30000213 HC RL RETICULIN ANTIBODY IGA LABORATORY - IMMUNOLOGY [0302] ( 72.00)

30000303 HC ANTINEUTROPHIL CYTOPLASMIC AB LABORATORY - IMMUNOLOGY [0302] ( 72.00)

30000356 HC RL PURKINJE CELL AB LABORATORY - IMMUNOLOGY [0302] ( 72.00)

30000357 HC RL PURKINJE CELL ANTIBODY CSF LABORATORY - IMMUNOLOGY [0302] ( 72.00)

30000456 HC NEURONAL NUCLEAR ANTIBODY SERUM LABORATORY - IMMUNOLOGY [0302] ( 72.00)

30000457 HC PURKINJE CELL ANTIBODY SERUM LABORATORY - IMMUNOLOGY [0302] ( 72.00)

30000470 HC NEURONAL NUCLEAR ANTIBODY CSF LABORATORY - IMMUNOLOGY [0302] ( 72.00)

30000584 HC RL PARIETAL CELL ANTIBODY IGG LABORATORY - IMMUNOLOGY [0302] ( 72.00)

30000790 HC RL INFLAM BOWEL DIS FLUOR AB SCN LABORATORY - IMMUNOLOGY [0302] ( 72.00)

30000941 HC RL AR NMO AUTOANTIBODIES IGG CSF LABORATORY - IMMUNOLOGY [0302] ( 335.00)

30001003 HC RL NMO AUTOANTIBODY IGG SERUM LABORATORY - IMMUNOLOGY [0302] ( 72.00)

30000355 HC RL NEURONAL NUCLEAR TITER LABORATORY - IMMUNOLOGY [0302] ( 73.00)

30000458HC NEURONAL NUCLEAR ANTIBODY SER TITER LABORATORY - IMMUNOLOGY [0302] ( 73.00)

30000459 HC RL PURKINJE CELL ANTIBODY TITER LABORATORY - IMMUNOLOGY [0302] ( 73.00)

30000571 HC RL NEURONAL NUCLEAR AB TITER CSF LABORATORY - IMMUNOLOGY [0302] ( 73.00)

30000831 HC RL ANTISMOOTH MUSCLE AB IGG TITER LABORATORY - IMMUNOLOGY [0302] ( 73.00)

30000925 HC RL ENDOMYSIAL ANTIBODY TITER IGA LABORATORY - IMMUNOLOGY [0302] ( 73.00)

30000931 HC RL STRIATED MUSCLE ANTIBODY TITER LABORATORY - IMMUNOLOGY [0302] ( 73.00)

30001010 HC RL RETICULIN ANTIBODY IGA TITER LABORATORY - IMMUNOLOGY [0302] ( 73.00)

30000067 HC RL CANCER ANTIGEN 153(2729) LABORATORY - IMMUNOLOGY [0302] ( 125.00)

30000586 HC RL CA 27.29 LABORATORY - IMMUNOLOGY [0302] ( 125.00)

30000088 HC RL CARBOHYDRATE ANTIG 199QUANT LABORATORY - IMMUNOLOGY [0302] ( 104.00)

30000089 HC RL CARBOHYDRATE ANTIGEN 125QUANT LABORATORY - IMMUNOLOGY [0302] ( 104.00)

30000230 HC HETEROPHILE AB SCREEN LABORATORY - IMMUNOLOGY [0302] ( 71.00)

30000793 HC RL QU CHROMOGRANIN A LABORATORY - IMMUNOLOGY [0302] ( 115.00)

30000030 HC ASPERGILLUS PRECIPITINS LABORATORY - IMMUNOLOGY [0302] ( 84.00)

30000042 HC RL TEICHOIC ACID ANTIBODIES LABORATORY - IMMUNOLOGY [0302] ( 84.00)

30000233 HC FUNGAL PRECIPITATION SERIES LABORATORY - IMMUNOLOGY [0302] ( 84.00)

30000294HC RL HYPERSENSITIVITY PNEUMONITIS PNL LABORATORY - IMMUNOLOGY [0302] ( 68.00)

30000500HC HYPERSEN. PNEUMONITIS GELL QUANT EACH LABORATORY - IMMUNOLOGY [0302] ( 68.00)

30000060 HC RL C1Q BINDING ASSAY LABORATORY - IMMUNOLOGY [0302] ( 146.00)

30000330 HC RL RAJI CELL ASSAY LABORATORY - IMMUNOLOGY [0302] ( 146.00)

30000763HC RL IMMUNOFIXATION ELECTROPHOR IGD & IGE LABORATORY - IMMUNOLOGY [0302] ( 133.00)

30000820 HC RL MOTOR SENS NEUROPATHY PANIFE LABORATORY - IMMUNOLOGY [0302] ( 133.00)

30001021 HC RL BETA 2 TRANSFERRIN SERUM LABORATORY - IMMUNOLOGY [0302] ( 133.00)

30000740HC RL BENCE JONES PROTIMMUNOFIXATION ELECT LABORATORY - IMMUNOLOGY [0302] ( 147.00)

30001053 HC RL BETA 2 TRANSFERRIN FLUID LABORATORY - IMMUNOLOGY [0302] ( 240.00)

30000660 HC RL INSULIN ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 128.00)

30000040 HC RL ANTIINTRINSIC FACTOR ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 90.00)

30000039 HC RL ANTIPANCREATIC ISLET CELL ANTIBO LABORATORY - IMMUNOLOGY [0302] ( 103.00)

30000269 HC RL LEUKOCYTE PHAGOCYTOSIS LABORATORY - IMMUNOLOGY [0302] ( 48.00)

30000359 HC FLOW AB CD 45 LABORATORY - IMMUNOLOGY [0302] ( 95.00)

30000361 HC FLOW AB T CELL RECEPTOR LABORATORY - IMMUNOLOGY [0302] ( 95.00)

30000433 HC NK CELLS TOTAL COUNT LABORATORY - IMMUNOLOGY [0302] ( 144.00)

30000434 HC FLOW ABCD3 LABORATORY - IMMUNOLOGY [0302] ( 201.00)


30000360 HC FLOW AB CD4 CD8 LABORATORY - IMMUNOLOGY [0302] ( 209.00)

30001038 HC FLOW AB CD4 LABORATORY - IMMUNOLOGY [0302] ( 123.00)

30000032 HC RL ANTI THR LABORATORY - IMMUNOLOGY [0302] ( 87.00)

30000116 HC RL THYROID ANTIBODIES LABORATORY - IMMUNOLOGY [0302] ( 87.00)

30000158 HC RL LIVERKIDNEY MICROSOME ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 87.00)

30000589 HC RL ANTIMICROSOMAL ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 87.00)

30000115 HC CRYPTOCOCCAL ANTIGEN LABORATORY - IMMUNOLOGY [0302] ( 161.00)

30000338 HC RHEUMATOID ARTHRITIS QL LABORATORY - IMMUNOLOGY [0302] ( 59.00)

30000407 HC RL QUANTIFERON TB GOL IN TUBE LABORATORY - IMMUNOLOGY [0302] ( 266.00)

30200007HC SKIN TEST TUBERCULOSIS INTRADERMAL LABORATORY - IMMUNOLOGY [0302] ( 27.00)

30000409 HC VDRL ROUTINEQUAL LABORATORY - IMMUNOLOGY [0302] ( 67.00)

30000410 HC VDRL SPINAL FLUIDQUAL LABORATORY - IMMUNOLOGY [0302] ( 67.00)

30000026 HC RL ADENOVIRUS ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 77.00)

30000774 HC RL FUNGAL SEROLOGYASPERGILLUS LABORATORY - IMMUNOLOGY [0302] ( 90.00)

30000738HC RL BORTENELAA SPECIES ANTIBODY IGG LABORATORY - IMMUNOLOGY [0302] ( 68.00)

30000739HC RL BORTENELAA SPECIES ANTIBODY IGM LABORATORY - IMMUNOLOGY [0302] ( 68.00)

30000856HC RL CAT SCRATCH FEVER ANTIBODY (IGG) LABORATORY - IMMUNOLOGY [0302] ( 68.00)

30000857HC RL CAT SCRATCH FEVER ANTIBODY (IGM) LABORATORY - IMMUNOLOGY [0302] ( 68.00)

30000775 HC RL FUNGAL SEROLOGYBLASTOMYCES LABORATORY - IMMUNOLOGY [0302] ( 68.00)

30000667HC RL LYME ANTIBODY IGG(WESTERN BLOT) LABORATORY - IMMUNOLOGY [0302] ( 93.00)

30000715HC RL LYME ANTIBODY IGM(WESTERN BLOT) LABORATORY - IMMUNOLOGY [0302] ( 93.00)

30000270 HC RL LYME ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 206.00)

30000717 HC RL LYME ANTIBODY CSF LABORATORY - IMMUNOLOGY [0302] ( 206.00)

30000064 HC RL CANDIDA ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 72.00)

30000594 HC RL CHLAMYDIA TRACHOMATISIGG LABORATORY - IMMUNOLOGY [0302] ( 61.00)

30000596 HC RL CHLAMYDIA PNEUMONIAEIGG LABORATORY - IMMUNOLOGY [0302] ( 61.00)

30000598 HC RL CHLAMYDIA PSITTACIIGG LABORATORY - IMMUNOLOGY [0302] ( 61.00)

30000595 HC RL CHLAMYDIA TRACHOMATISIGM LABORATORY - IMMUNOLOGY [0302] ( 70.00)

30000597 HC RL CHLAMYDIA PNEUMONIAEIGM LABORATORY - IMMUNOLOGY [0302] ( 70.00)

30000599 HC RL CHLAMYDIA PSITTACIIGM LABORATORY - IMMUNOLOGY [0302] ( 70.00)

30000692 HC RL COCCIDIODES ANTIBODYCF LABORATORY - IMMUNOLOGY [0302] ( 60.00)

30000776 HC RL FUNGAL SEROLOGYCOCCIDIOIDS LABORATORY - IMMUNOLOGY [0302] ( 60.00)

30000628 HC RL Q FEVER ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 63.00)

30000117 HC RL CMV IGG LABORATORY - IMMUNOLOGY [0302] ( 114.00)

30000943 HC RL CMV ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 114.00)

30000284 HC RL CMVIGM LABORATORY - IMMUNOLOGY [0302] ( 87.00)

30000879 HC RL ENCEPHALLITIS AB ST LOUIS IGG LABORATORY - IMMUNOLOGY [0302] ( 69.00)

30000004 HC RL ARBOVIRUS AB IGG WEE LABORATORY - IMMUNOLOGY [0302] ( 69.00)

30000199 HC RL ENTEROVIRUS ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 68.00)

30000209 HC RL POLIOVIRUS ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 68.00)

30000635 HC RL COXSACKIE A VIRUS ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 68.00)

30000685 HC RL ECHOVIRUS AB TYPE 6 LABORATORY - IMMUNOLOGY [0302] ( 68.00)





30000695 HC RL COXSACKIE B1 ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 68.00)





30000198 HC RL EHRLICHIA ANTIBODY IGG LABORATORY - IMMUNOLOGY [0302] ( 79.00)

30000714 HC RL EHRLICHIA ANTIBODY IGM LABORATORY - IMMUNOLOGY [0302] ( 79.00)

30000833 HC RL EHRLICHIA ANTIBODY IFA IGG LABORATORY - IMMUNOLOGY [0302] ( 79.00)

30000834 HC RL EHRLICHIA ANTIBODY IFA IGM LABORATORY - IMMUNOLOGY [0302] ( 79.00)

30000789 HC RL INFLAM BOWEL DIS SEMIQUAN IMM LABORATORY - IMMUNOLOGY [0302] ( 74.00)

30000675 HC RL GIARDIA ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 88.00)

30000520 HC H PYLORI ANTIBODY IGM LABORATORY - IMMUNOLOGY [0302] ( 87.00)

30000618 HC RL HELICOBACTER PYLORI ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 87.00)

30000669 HC RL H. PYLORI ANTIBODY IGG&IGA LABORATORY - IMMUNOLOGY [0302] ( 87.00)

30000626 HC RL ECHINOCOCCUS ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 78.00)

30000630 HC RL TOXOCARA ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 78.00)

30000736 HC RL STRONGYLOIDES ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 78.00)

30000347 HC RL WESTERN BLOT LABORATORY - IMMUNOLOGY [0302] ( 104.00)

30000624HC RL HIV2 ANTIBODY CONFIRMATION BY IFA LABORATORY - IMMUNOLOGY [0302] ( 104.00)

30000665 HC RL HTLV I&II CONFIRMATION LABORATORY - IMMUNOLOGY [0302] ( 104.00)

30000234 HC RL HEPATITIS DELTA ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 94.00)

30000471 HC HSV TYPE 1 & 2 ANTIBODY IGG (CSF) LABORATORY - IMMUNOLOGY [0302] ( 86.00)

30000472 HC HSV TYPE 1 & 2 ANTIBODY IGM (CSF) LABORATORY - IMMUNOLOGY [0302] ( 86.00)

30000718 HC RL HERPES I GLYCOPROTEIN SPECIGG LABORATORY - IMMUNOLOGY [0302] ( 63.00)

30000719 HC RL HERPES II GLYCOPROTEIN SPECIGG LABORATORY - IMMUNOLOGY [0302] ( 104.00)

30000663 HC RL HISTOPLASMA ANTIBODIES(CF) LABORATORY - IMMUNOLOGY [0302] ( 75.00)

30000777 HC RL FUNGAL SEROLOGYHISTO M LABORATORY - IMMUNOLOGY [0302] ( 75.00)

30000778 HC FUNGAL SEROLOGYHISTO Y LABORATORY - IMMUNOLOGY [0302] ( 75.00)

30000613 HC HIV 1&2 LABORATORY - IMMUNOLOGY [0302] ( 82.00)

30000228 HC HEPATITUS B CORE ANTIBODYTOT LABORATORY - IMMUNOLOGY [0302] ( 109.00)

30000190 HC HEPATITIS B CORE AB (IGM) LABORATORY - IMMUNOLOGY [0302] ( 71.00)

30000226 HC HEPATITUS B ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 64.00)

30000192 HC RL HEPATITIS BE ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 70.00)

30000021 HC HEPATITIS A ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 139.00)

30000200 HC RL INFLUENZA A ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 81.00)

30000783 HC RL INFLUENZA B LABORATORY - IMMUNOLOGY [0302] ( 81.00)

30000262 HC RL LEGIONELLA ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 80.00)

30000440 HC LEISHMANIA ANTIBODY IGG LABORATORY - IMMUNOLOGY [0302] ( 74.00)

30000265 HC RL LEPTOSPIRA AGGLUTINATION LABORATORY - IMMUNOLOGY [0302] ( 79.00)

30000627 HC RL LCM ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 77.00)

30000202 HC RL MUMPS ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 68.00)

30000640 HC RL MUMPS ANTIBODY IGM LABORATORY - IMMUNOLOGY [0302] ( 68.00)

30000206 HC RL MYCOPLASMA ANTIBODY IGG LABORATORY - IMMUNOLOGY [0302] ( 73.00)

30000786 HC RL MYCOPLASMA AB IGM LABORATORY - IMMUNOLOGY [0302] ( 73.00)

30000208 HC RL PARVOVIRUS B19 ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 80.00)

30000700 HC RL PARVOVIRUS ANTIBODY IGG LABORATORY - IMMUNOLOGY [0302] ( 80.00)

30000701 HC RL PARVOVIRUS ANTIBODY IGM LABORATORY - IMMUNOLOGY [0302] ( 80.00)

30000241HC RL AMEBIASIS(E.HISTOLYTICA)ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 74.00)

30000549 HC TRYPANOSOMA CRUZI ANTIBODY IGG LABORATORY - IMMUNOLOGY [0302] ( 74.00)

30000550 HC TRYPANOSOMA CRUZI ANTIBODY IGM LABORATORY - IMMUNOLOGY [0302] ( 74.00)

30000629 HC RL RSV ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 77.00)

30000194 HC ROCKY MTN SPOTTED FEVER AB IGG LABORATORY - IMMUNOLOGY [0302] ( 101.00)

30000636 HC RL TYPHUS FEVER ANTIBODIES LABORATORY - IMMUNOLOGY [0302] ( 101.00)

30000725HC ROCKY MOUNTAIN SPOTTED FEVER AB IGM LABORATORY - IMMUNOLOGY [0302] ( 101.00)

30000287 HC RL NEONATAL RUBELLA IGM ACUTE LABORATORY - IMMUNOLOGY [0302] ( 90.00)

30000341 HC RL RUBELLA HI LABORATORY - IMMUNOLOGY [0302] ( 90.00)

30000201 HC RL MEASLES ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 68.00)

30000784 HC RL MEASLES IGG LABORATORY - IMMUNOLOGY [0302] ( 68.00)

30000785 HC RL MEASLES IGM LABORATORY - IMMUNOLOGY [0302] ( 68.00)

30000386 HC RL TOXOPLASMA ANTIBODY IGG LABORATORY - IMMUNOLOGY [0302] ( 93.00)

30000285 HC RL TOXPLASMOSIS AB IGM LABORATORY - IMMUNOLOGY [0302] ( 193.00)

30000734HC RL FLUOR. TREPONEMAL PALLIDUM AB SERUM LABORATORY - IMMUNOLOGY [0302] ( 64.00)

30000631 HC RL TRICHINELLA ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 75.00)

30000385 HC RL VARICELLA ZOSTER (VZ) ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 77.00)

30000591 HC RL VARICELLA ZOSTERIGM ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 77.00)

30000898 HC RL WEST NILE VIRUS IGM LABORATORY - IMMUNOLOGY [0302] ( 80.00)

30000897 HC RL WEST NILE VIRUS IGG LABORATORY - IMMUNOLOGY [0302] ( 107.00)

30000207 HC RL PARAINFLUENZA AB LABORATORY - IMMUNOLOGY [0302] ( 77.00)

30000452 HC RL DENGUE FEVER ANTIBODY IGM LABORATORY - IMMUNOLOGY [0302] ( 77.00)

30000625 HC RL DENGUE FEVER ANTIBODY IGG LABORATORY - IMMUNOLOGY [0302] ( 77.00)

30000708 HC RL HTLV I&II ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 77.00)

30000855 HC RL HANTAVIRUS ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 116.00)

30000935 HC HEPATITIS E IGG LABORATORY - IMMUNOLOGY [0302] ( 77.00)

30000936 HC HEPATITIS E IGM LABORATORY - IMMUNOLOGY [0302] ( 77.00)

30000219 HC HEPATITIS C AB LABORATORY - IMMUNOLOGY [0302] ( 197.00)

30000231 HC RL CYTOTOXICITY CROSSMATCH W/TITR LABORATORY - IMMUNOLOGY [0302] ( 312.00)

30000930 HC RL CYTOTOXICITY XMATCH W/O TITR LABORATORY - IMMUNOLOGY [0302] ( 548.00)

30000232 HC RL CYTOTOXIC ANTIBODY SCREEN LABORATORY - IMMUNOLOGY [0302] ( 186.00)

30000235 HC RL HLA B27 ANTIGEN LABORATORY - IMMUNOLOGY [0302] ( 183.00)

30000225 HC RL HLA A B OR C TYPING LABORATORY - IMMUNOLOGY [0302] ( 345.00)

30001013 HC RL GM-CSF SERUM LABORATORY - IMMUNOLOGY [0302] ( 115.00)

30000944 HC ANTIBODY ELUTION (RBC) LABORATORY - IMMUNOLOGY [0302] ( 161.00)

30000104 HC COOMBS (DIRECT) LABORATORY - IMMUNOLOGY [0302] ( 51.00)

30000945 HC ANTIGLOBULIN; POLY DIRECT LABORATORY - IMMUNOLOGY [0302] ( 51.00)

30000946 HC ANTIGLOBULIN; IGG DIRECT LABORATORY - IMMUNOLOGY [0302] ( 84.00)

30000947 HC ANTIGLOBULIN; CONT DIRECT LABORATORY - IMMUNOLOGY [0302] ( 71.00)

30000948 HC AB ID(RBC) SEL CELLSQUAL;EA LABORATORY - IMMUNOLOGY [0302] ( 232.00)

30000949 HC ANTIBODY TITER (RBC AB)INDIR LABORATORY - IMMUNOLOGY [0302] ( 232.00)

30000964HC AUTOLOGOUS/DIRECTED NOT TRANSFUSED LABORATORY - GENERAL CLASSIFICATION [0300] ( 243.00)

30000950 HC BLOOD TYPING ABO LABORATORY - GENERAL CLASSIFICATION [0300] ( 189.00)

30000951 HC BLOOD TYPING RH LABORATORY - GENERAL CLASSIFICATION [0300] ( 73.00)

30000952 HC AG SCREEN W/REAGENTPER UNIT LABORATORY - GENERAL CLASSIFICATION [0300] ( 387.00)

30000953 HC ANTIGEN TYPE PATIENT LABORATORY - GENERAL CLASSIFICATION [0300] ( 387.00)

30000963 HC RL HIGH INCIDENCE AG TYPE ARC LABORATORY - GENERAL CLASSIFICATION [0300] ( 387.00)

30000999 HC RL RH PHENOTYPING COMPLETE LABORATORY - GENERAL CLASSIFICATION [0300] ( 47.00)

30000954 HC COMPATIBILITY TEST IS; EA UNIT LABORATORY - GENERAL CLASSIFICATION [0300] ( 152.00)

30001000 HC RL DILUTION OF SERUM LABORATORY - GENERAL CLASSIFICATION [0300] ( 232.00)

30000569 HC ELECTRONIC CROSSMATCH LABORATORY - GENERAL CLASSIFICATION [0300] ( 232.00)

30000955 HC RL FREEZING RED CELLS ARC;EA LABORATORY - IMMUNOLOGY [0302] ( 256.00)

30000965 HC RL DEGLYCEROLIZING ARC LABORATORY - IMMUNOLOGY [0302] ( 235.00)

30000956 HC RL IRRADIATION ARC; EACH LABORATORY - IMMUNOLOGY [0302] ( 122.00)

30000957 HC RL IRRAD; ADD FOR NIGHT ARC LABORATORY - IMMUNOLOGY [0302] ( 122.00)

30000962 HC RL IRRAD;ADD FOR NIGHT ACH LABORATORY - IMMUNOLOGY [0302] ( 122.00)

30000958 HC POOLING OFBLD PRODUCTS LABORATORY - GENERAL CLASSIFICATION [0300] ( 269.00)

30000966 HC RL RETICULOCYTE SEPARATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 135.00)

30000959 HC ANTIBODY ABSORPTION LABORATORY - IMMUNOLOGY [0302] ( 170.00)

30000960 HC RL TYPE AB SURCHARGE ARC LABORATORY - OTHER LABORATORY [0309] ( 125.00)

30000731HC RL CONCENTRATION FOR INFECTIOUS AGENTS

LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 41.00)

30000293 HC PEDIATRIC BLOOD CULTUREAEROLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 305.00)

30000841 HC BLOOD CULTURE AEROLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 305.00)

30000842 HC FECES CULTURE SALM SHIGAEROBLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 137.00)

30000862 HC FECES CULTURE CAMPY YER VIBRIOLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 41.00)

30000967 HC FECES CULTURE FOR E. COLI 0157LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 41.00)

30000114 HC CULTURE (MISC SOURCE) LABORATORY - GENERAL CLASSIFICATION [0300] ( 305.00)

30000843HC UPPER RESPIRATORY CULTURE (THROAT/NOSE) LABORATORY - GENERAL CLASSIFICATION [0300] ( 305.00)

30000982 HC QUANTITATIVE BACTERIAL CULTURELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 164.00)

30000184 HC ANA CULTURELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 164.00)

30000730 HC ORGANISM IDENTIFICATIONANAEROBICLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 115.00)

30000837 HC ORGANISM IDENTIFICATIONAEROBLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 115.00)

30000062 HC ACANTHAMOEBA CULTURE SCREENLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 64.00)

30000189 HC GC SCREENLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 64.00)

30000212 HC MATERNAL GROUP B STREP SCREENLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 64.00)

30000264 HC LEGIONELLA SCREENLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 64.00)

30000800 HC RL BARTONELLA CULTURE SCREENLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 64.00)

30000899 HC MULTIDRUG RESISTANT ORG CULT SCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 64.00)

30001014 HC RL BORRELIA BURGDORFERI CULTURELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 64.00)

30000840 HC CULTUREBACT W/ISOL URINELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 187.00)

30000845 HC FUNGUS CULTURE (SKIN/NAILS ONLY)LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 51.00)

30000183 HC FUNGUS SMEARS AND CULTURESLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 157.00)

30000844 HC FUNGUS CULTURE (BLOOD ONLY)LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 156.00)

30000849 HC YEAST IDENTIFICATIONLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 99.00)

30000861 HC MOLD IDENTIFICATIONLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 119.00)

30000968 HC REFERRED MOLD IDENTIFICATIONLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 119.00)

30000246HC RL UREAPLASMA/MYCOPLASMA CULTURE


30000095 HC RL CHLAMYDIA CULTURELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 156.00)

30000850 HC AFB IDENTIFICATION (CONVENTIONAL)LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 111.00)

30000927HC RL CULTURE TYPING IMMUNOFLUORESCENCE


30000998 HC MYCOBACTERIAL IDENTIFICATIONLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 75.00)

30000362 HC CANDIDA ALBICANS PNA FISHLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 162.00)

30000404 HC CANDIDA GLABRATA PNA FISHLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 162.00)

30000851 HC M. GORDONAENAPLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 162.00)

30000859 HC M. TUBERCULOSIS COMPLEXNAPLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 162.00)

30000860 HC M. INTRACELLAVIUM COMPLENAPLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 162.00)

30000915 HC ARTHROPOD EXAMLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 26.00)

30000916 HC PARASITES MICROSCOPIC EXAMLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 26.00)

30000307 HC PINWORM SCOTCH TAPE EXAMLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 26.00)

30000839 HC MIC (ANAEROBIC)EACH DRUGLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 29.00)

30000867HC DISK DIFF FOR RAP GROW MYCOBACTERIUM


30000182 HC RL FUNGUS SENSITIVITY 1 DRUGLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 94.00)

30000838 HC RL QU MIC (AEROBIC)LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 50.00)

30000864 HC YEAST SENSITIVITYLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 94.00)

30000866HC MIC FOR RAPID GROWING MYCOBACTERIUM


30000868 HC RL AMPHOTERICIN B SUSCEPTIBILITYLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 49.00)

30000865HC RL MACRO BROTH DILUTION (EACH AGENT)


30000869 HC RL MOLD SUSCEPTIBILITY OTHERLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 32.00)

30000852 HC AFB SUSCEPTIBILITYLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 34.00)

30000345 HC RL SERUM INHIBITIONLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 69.00)

30000276 HC MALARIA SMEARLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 73.00)

30000917 HC STAIN FOR COCCIDIALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 73.00)

30000863 HC OVA & PARASITE EXAMTRICHROMELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 90.00)

30000243 HC INDIA INK PREP (CSF)LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 56.00)

30000848 HC FUNGUS (WET PREP) SMEARLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 56.00)

30000411 HC RL VIRAL CULTURETISSUELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 156.00)

30000926HC RL HSV CUL C TYPTS CULTADD'L STUDIES


30000087 HC RL CHLAMYDIA DIRECT FALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 58.00)

30000349 HC RL CMV ANTIGEN DFALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 58.00)

30000726 HC RL HERPES ANTIGENHSV IIDFALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 58.00)

30000632 HC RL HERPES ANTIGENHSV IDFALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 58.00)

30000847HC RL FLUORESCENT ANTIBODY STAIN(LEGIONELLA


30000505 HC PNEUMOCYSTIS JIROVECI BY DFALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 58.00)

30000633 HC RL VARICELLA ZOSTER ANTIGENLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 58.00)

30000919HC RL ASPERGILLUS GALACTOMANNAN AG BY EIA


30000823 HC CLOSTRIDIUM DIFFICILE TOXINLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 58.00)

30000749 HC CRYPTOSPORIDIUM AG EIALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 58.00)

30000191 HC GIARDIA AG EIALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 58.00)

30000036 HC HEPATITUS B SURFACE AG EIALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 271.00)

30000658 HC RL HEPATITIS BE ANTIGENLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 69.00)

30000576 HC HIV 1 & 2LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 330.00)

30000707 HC INFLUENZA A/BAGEIALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 58.00)

30000333 HC RESP SYNCYTIAL AGEIALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 107.00)

30000343 HC ROTAVIRUS AG EIALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 58.00)

30000846 HC STREP A AG EIALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 98.00)

30000415 HC RL FUNGITELL BD GLUCANLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 151.00)

30000451 HC CLOSTRIDIUM DIFFICILE ANTIGENLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 151.00)

30000824 HC RL BLASTOMYCCES ANTIGENLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 151.00)

30000854 HC RL LEGIONELLA ANTIGEN(URINE)EIALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 151.00)

30000652 HC RL LYME DIS DNA AMP PROBELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 182.00)

30000858 HC CHYLMD TRAC DNA DIR PROBELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 123.00)

30000461 HC CHLAMYDIA TRACHOMATIS BY APTIMALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 182.00)

30000706 HC RL VI CMV PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 117.00)

30000723 HC RL HEPATITIS B DNA QUANTLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 250.00)

30000429 HC RL HEPATITIS C RNA AMP PROBELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 209.00)

30000583 HC RL HEPATITIS C RNA QUANTLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 256.00)

30000756 HC RL AR HCV QUANT NAATLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 122.00)

30000920 HC HSV1 BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 182.00)

30000921 HC HSV2 BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 182.00)

30000562 HC HERPESVIRUS 6 (HHV6) QUANT. PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 285.00)

30000602 HC RL HIV1 DNA QUANTLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 441.00)

30000490 HC AFB M. TUBERCULOSIS DNA BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 213.00)

30000732 HC RL MTB AMPLIFIED PROBELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 213.00)

30000795 HC RL MYCOBACTERIAL TB DIRECT PROBELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 213.00)

30000122 HC DNA PROBE GC SCREENLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 119.00)

30000601 HC RL HPV DNA AMP PROBELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 189.00)

30000753 HC RL HUMAN PAPILLOMAVIRUS HIGHLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 189.00)

30001040 HC S. AUREUS PCR (NAAT) S. AUREUSLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 156.00)

30001039 HC S. AUREUS PCR (NAAT) MRSALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 156.00)

30000896 HC HISTO PROBE IDLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 208.00)

30000455 HC MUMPS VIRUS RNA QUALTITATIVE PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)

30000473 HC TROPHERYMA WHIPPLEI DNA BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)

30000504 HC PNEUMOCYSTIS JIROVECI BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)

30000506 HC JC VIRUS BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)

30000518HC ROCKY MOUNTAIN SPOTTED FEVER BY PCR


30000560 HC TOXOPLASMA GONDII BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)

30000572 HC RL NOROVIRUS GROUP 1 & 2 BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)

30000735 HC RL ENTEROVIRUS PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)

30000829 HC PARVOVIRUS B19 BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)

30000835 HC RL EHRLICHIA ANTIBODY DNA PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)

30000853 HC RL VI VZV PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 117.00)

30000928 HC WEST NILE VIRUS RNA BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)

30001027 HC RL RSV RNA BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)

30001028HC RL PARAINFLUENZA (TYPE 12&3) RNA BY PCR


30001029 HC RL RHINOVIRUS RNA BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)

30001030 HC RL METAPNEUMOVIRUS RNA BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)

30000519 HC J C POLYOMA VIRUS DNA QNT BY RTPCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 321.00)

30000878HC EPSTEIN BARR VIRUS QUANTITATIVE BY PCR


30001042HC RL PARVOVIRUS B19 BY PCR QUANTITATIVE


30000619HC RL GC/CHLAMYDIA BY AMPLIFIED DETECTION


30001011HC RL BORDETELLA PERTUSSIS PARAPERTUSPCR


30000065 HC RL CANDIDA ANTIGEN W/OPTICLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 78.00)

30000450 HC RL STREP PNEUMONIAE ANTIGEN URINELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 78.00)

30000614 HC RL HIV GENOTYPE PLUSLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 1,333.00)

30000608 HC RL HEPATITIS C GENOTYPE BY NUCLLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 992.00)

30001023HC RL CHARCOT MARIE TOOTH TISSUE CULT. LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 397.00)

30001024 HC RL CHARCOT MARIE TOOTH DNA PROBE LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 130.00)

30001025HC RL CHARCOT MARIE TOOTH CELL ANALYSIS LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 166.00)

30001026HC RL CHARCOT MARIE TOOTH INTRP & RPT LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 99.00)

30000085 HC SPINAL FLUID COUNT LABORATORY - GENERAL CLASSIFICATION [0300] ( 119.00)

30000086 HC BODY FLUID COUNT LABORATORY - GENERAL CLASSIFICATION [0300] ( 119.00)

30000119 HC CRYSTALS BODY FLUIDS LABORATORY - GENERAL CLASSIFICATION [0300] ( 102.00)

30000143 HC EOSINOPHIL COUNT LABORATORY - GENERAL CLASSIFICATION [0300] ( 58.00)

30000762 HC RL SEMEN COUNTPOST VASECTOMY LABORATORY - GENERAL CLASSIFICATION [0300] ( 111.00)

30000061HC RL SEMEN ANALYSISCOMPLT KRUGER CRITERIA LABORATORY - GENERAL CLASSIFICATION [0300] ( 113.00)

30000432HC RL REFER TO OTHER LAB HANDLING CHARG LABORATORY - GENERAL CLASSIFICATION [0300] ( 31.00)

30000704 HC PSASCREENING LABORATORY - CHEMISTRY [0301] ( 246.00)

30100057HC RL MIDAZOLAM SERUM OR PLASMA (VERSED) LABORATORY - CHEMISTRY [0301] ( 121.00)

30100026 HC QUINIDINE LEVELQUANT LABORATORY - CHEMISTRY [0301] ( 99.00)

30100024 HC METHATREXATE LABORATORY - CHEMISTRY [0301] ( 92.00)

30100038HC RL LACOSAMIDE(VIMPAT)SERUM OR PLASMA LABORATORY - CHEMISTRY [0301] ( 92.00)

30100041 HC RISPERIDONE LABORATORY - CHEMISTRY [0301] ( 92.00)

30100071 HC RL QU POSCACONAZOLE LABORATORY - CHEMISTRY [0301] ( 194.00)

30100148 HC RL BACLOFEN QUANTITATION LABORATORY - CHEMISTRY [0301] ( 92.00)

30100204 HC RL STREPTOMYCIN PEAK LABORATORY - CHEMISTRY [0301] ( 92.00)

30100205 HC RL STREPTOMYCIN TROUGH LABORATORY - CHEMISTRY [0301] ( 92.00)

30100042HC ALDOSTERONE SUPRESSION EVAL (W/RENIN) LABORATORY - CHEMISTRY [0301] ( 650.00)

30100189HC RL BENCE JONES PROTEINMICROALBUMIN LABORATORY - CHEMISTRY [0301] ( 80.00)

30100004 HC URINE ALCOHOL LABORATORY - CHEMISTRY [0301] ( 78.00)

30100043 HC ALDOSTERONE LABORATORY - CHEMISTRY [0301] ( 214.00)

30100195 HC RL ALPHA1ANTITRYPSIN PHENOTYPE LABORATORY - CHEMISTRY [0301] ( 99.00)

30100021 HC RL APOLIPOPROTEIN EACH LABORATORY - CHEMISTRY [0301] ( 93.00)

30100255HC RL HEAVY METALSURINE ARSENICFRACTION LABORATORY - CHEMISTRY [0301] ( 108.00)

30100263HC RL CARBOHYDRATE DEFICIENT TRANSFERRIN LABORATORY - CHEMISTRY [0301] ( 114.00)

30100163 HC RL BICARBONATE URINE LABORATORY - CHEMISTRY [0301] ( 56.00)

30100188 HC RL CARBOXYHEMOGLOBINQUANT LABORATORY - CHEMISTRY [0301] ( 127.00)

30100172 HC RL IBD SGI ICAM LABORATORY - CHEMISTRY [0301] ( 164.00)

30100173 HC RL IBD SGI VCAM LABORATORY - CHEMISTRY [0301] ( 164.00)

30100174 HC RL IBD SGI SAA LABORATORY - CHEMISTRY [0301] ( 164.00)

30100219 HC RL IMMUNO(CYLEX) ASSAY LABORATORY - CHEMISTRY [0301] ( 164.00)

30100013 HC CHOLESTEROL TOTAL LABORATORY - CHEMISTRY [0301] ( 64.00)

30100200 HC RL MITOTANE LYSODREN LABORATORY - CHEMISTRY [0301] ( 108.00)

30100233 HC RL PRO PREDICT 6MP (6TGN) LABORATORY - CHEMISTRY [0301] ( 108.00)

30100234 HC RL PRO PREDICT 6MP (6MMP) LABORATORY - CHEMISTRY [0301] ( 108.00)

30100139 HC RL KETAMINE LABORATORY - CHEMISTRY [0301] ( 108.00)

30100227 HC RL DIURETIC SURVEY URINE LABORATORY - CHEMISTRY [0301] ( 108.00)

30100185 HC RL NTELOPEPTIDE CROSSLINKED URINE LABORATORY - CHEMISTRY [0301] ( 112.00)

30100218HC RL NTELOPEPTIDE CROSSLINKED SERUM LABORATORY - CHEMISTRY [0301] ( 112.00)

30100070HC RL HALLUCINOGENS PROFILE URINE (GC/MS) LABORATORY - CHEMISTRY [0301] ( 129.00)

30100083 HC RL PREGABALIN LABORATORY - CHEMISTRY [0301] ( 129.00)

30100011 HC CREATININE LABORATORY - CHEMISTRY [0301] ( 83.00)

30100012 HC CREATININE LABORATORY - CHEMISTRY [0301] ( 83.00)

30100039 HC CYSTATIN C LABORATORY - CHEMISTRY [0301] ( 77.00)

30100015 HC RL COMPOUND S (11 DEOXY CORTISOL) LABORATORY - CHEMISTRY [0301] ( 152.00)

30100197 HC RL DIHYDROTESTOSTERONE LABORATORY - CHEMISTRY [0301] ( 148.00)

30100061 HC RL CHYLOMICRON SCREEN BODY FLUID LABORATORY - CHEMISTRY [0301] ( 186.00)

30100225 HC RL ESTROGENS SERUM FRACTIONATED LABORATORY - CHEMISTRY [0301] ( 156.00)

30100249 HC RL ETHYLENE GLYCOL (ANTIFREEZE) LABORATORY - CHEMISTRY [0301] ( 89.00)

30100018 HC RL FECAL FAT QUANT 72 HOUR LABORATORY - CHEMISTRY [0301] ( 76.00)



30100238 HC RL FECAL FAT QUANT LABORATORY - CHEMISTRY [0301] ( 76.00)

30100182 HC RL FREE FATTY ACIDS LABORATORY - CHEMISTRY [0301] ( 70.00)

30100059HC RL VERY LONG CHAIN/BRANCHED FATTY ACIDS LABORATORY - CHEMISTRY [0301] ( 108.00)

30100220HC RL GALACTOSE1PHOSPH URIDYL TRANSFERASE LABORATORY - CHEMISTRY [0301] ( 111.00)

30100022 HC IMMUNOGLOBULIN M LABORATORY - CHEMISTRY [0301] ( 23.00)

30100034 HC CELIAC SERO TOTAL IGA LABORATORY - CHEMISTRY [0301] ( 107.00)

30100210 HC RL IMMUNOGLOBULIN D LABORATORY - CHEMISTRY [0301] ( 107.00)

30100229 HC RL CELIAC DISEASE REFLEXIVE PANEL LABORATORY - CHEMISTRY [0301] ( 107.00)

30100183 HC 02 SATURATION LABORATORY - CHEMISTRY [0301] ( 46.00)

30100019 HC RL GASTRIC ANALYSISFREE/TOTAL LABORATORY - CHEMISTRY [0301] ( 27.00)

30100020 HC GLUCOSEONE HOUR POST GLUCOLA LABORATORY - CHEMISTRY [0301] ( 29.00)

30100046 HC GTT 3 SPECIMENS LABORATORY - CHEMISTRY [0301] ( 68.00)

30100090 HC GTT EA. ADDL BEYOND 3 SPECIMENS LABORATORY - CHEMISTRY [0301] ( 21.00)

30100007 HC GLUCOSE;BLD BY MONITOR DEVICE LABORATORY - CHEMISTRY [0301] ( 64.00)

30100033 HC RL HELIOBACTER PYLORI BREATH TEST LABORATORY - CHEMISTRY [0301] ( 320.00)

30100036 HC COBALT LABORATORY - CHEMISTRY [0301] ( 131.00)

30100028 HC GLYCOHEMOGLOBIN (HGB A1C) LABORATORY - CHEMISTRY [0301] ( 182.00)

30100008HC RL MITOCHONDRIAL M2 ANTIBODY IGG ELISA LABORATORY - CHEMISTRY [0301] ( 85.00)

30100037 HC RL GLIADIN PEPTIDE ANTIBODY IGG LABORATORY - CHEMISTRY [0301] ( 85.00)

30100047 HC RL TRYPTASE URINE LABORATORY - CHEMISTRY [0301] ( 85.00)

30100150 HC RL MYOSITIS AB1 PANEL MI2 LABORATORY - CHEMISTRY [0301] ( 69.00)

30100151 HC RL MYOSITIS AB1 PANEL PL12 LABORATORY - CHEMISTRY [0301] ( 85.00)

30100152 HC RL MYOSITIS AB1 PANEL PL7 LABORATORY - CHEMISTRY [0301] ( 69.00)

30100153 HC RL MYOSITIS AB1 PANEL EJ LABORATORY - CHEMISTRY [0301] ( 69.00)

30100154 HC RL MYOSITIS AB1 PANEL OJ LABORATORY - CHEMISTRY [0301] ( 69.00)

30100159 HC RL MYOSITIS AB1 PANEL SRP LABORATORY - CHEMISTRY [0301] ( 85.00)

30100160 HC RL MYOSITIS AB1 PANEL KU LABORATORY - CHEMISTRY [0301] ( 85.00)

30100161 HC RL MYOSITIS AB1 PANEL U2 SNRNP LABORATORY - CHEMISTRY [0301] ( 85.00)

30100215HC RL CYCLIC CITRULLINATED PEPTIDE AB IGG LABORATORY - CHEMISTRY [0301] ( 85.00)

30100228 HC RL FACTIN(SMOOTH MUSCLE) AB IGG LABORATORY - CHEMISTRY [0301] ( 85.00)

30100243 HC RL GANGLIOSIDE ABASIALO GM1 LABORATORY - CHEMISTRY [0301] ( 85.00)

30100244 HC RL GANGLIOSIDE ABGM1 LABORATORY - CHEMISTRY [0301] ( 85.00)

30100245 HC RL GANGLIOSIDE ABGM2 LABORATORY - CHEMISTRY [0301] ( 85.00)

30100246 HC RL GANGLIOSIDE ABGD1A LABORATORY - CHEMISTRY [0301] ( 85.00)

30100247 HC RL GANGLIOSIDE ABGD1B LABORATORY - CHEMISTRY [0301] ( 85.00)

30100248 HC RL GANGLIOSIDE ABGQ1B LABORATORY - CHEMISTRY [0301] ( 85.00)

30100259 HC RL MPO/PR3 (ANCA) ANTIBODIES LABORATORY - CHEMISTRY [0301] ( 85.00)

30100005HC RL ACETYLCHOLINE RECEPTOR BINDING AB LABORATORY - CHEMISTRY [0301] ( 83.00)

30100067 HC RL AMYLOID BETA PROTEIN LABORATORY - CHEMISTRY [0301] ( 83.00)

30100119 HC RL ACHR ANTIBODY TEST LABORATORY - CHEMISTRY [0301] ( 83.00)

30100141 HC RL PARANEOPLASTIC AB PN ACH LABORATORY - CHEMISTRY [0301] ( 100.00)

30100142 HC RL PARANEOPLASTIC AB PN ACHR LABORATORY - CHEMISTRY [0301] ( 100.00)

30100143 HC RL PARANEOPLASTIC AB PN VGKC LABORATORY - CHEMISTRY [0301] ( 100.00)

30100144 HC RL PARANEOPLASTIC AB PN N TYPE CA LABORATORY - CHEMISTRY [0301] ( 100.00)

30100145HC RL PARANEOPLASTIC AB PN P/Q TYPE CA LABORATORY - CHEMISTRY [0301] ( 100.00)

30100147HC RL CORTICOTROPIN RELEASING HORMONE LABORATORY - CHEMISTRY [0301] ( 83.00)

30100191HC RL PARATHYROID HORMONERELATED PEPTIDE LABORATORY - CHEMISTRY [0301] ( 83.00)

30100202HC RL MYASTHENIA GRAVIS PNACHR BINDING AB LABORATORY - CHEMISTRY [0301] ( 83.00)

30100203HC RL MYASTHENIA GRAVIS PNACHR BLOCKING AB LABORATORY - CHEMISTRY [0301] ( 83.00)

30100213 HC RL MUSK ANTIBODY TEST LABORATORY - CHEMISTRY [0301] ( 83.00)

30100230HC RL VOLTAGE GATED CALCIUM CHANNEL AB LABORATORY - CHEMISTRY [0301] ( 232.00)

30100250 HC PANCREASTATIN LABORATORY - CHEMISTRY [0301] ( 83.00)

30100084 HC RL CROHN'S PROGNOSTIC PNL ANTI 12 LABORATORY - CHEMISTRY [0301] ( 180.00)

30100091 HC RL SERUM INFLIXIMAB ANTITNF LABORATORY - CHEMISTRY [0301] ( 180.00)

30100110 HC RL PANCREATIC ELASTASE FECAL LABORATORY - CHEMISTRY [0301] ( 180.00)

30100133 HC RL INTERLEUKIN 5 LABORATORY - CHEMISTRY [0301] ( 180.00)

30100140HC RL FIBROBLAST GROWTH FACTOR 23 (FGF23) LABORATORY - CHEMISTRY [0301] ( 180.00)

30100146 HC RL PARANEOPLASTIC AB PN STRIATED LABORATORY - CHEMISTRY [0301] ( 96.00)

30100149HC RL VASCULAR ENDOTHELIAL GROWTH FACTOR LABORATORY - CHEMISTRY [0301] ( 180.00)

30100164 HC RL IBD SGI ASCA IGA LABORATORY - CHEMISTRY [0301] ( 180.00)

30100165 HC RL IBD SGI ASCA IGG LABORATORY - CHEMISTRY [0301] ( 180.00)

30100166 HC RL IBD SGI ANCA IGG LABORATORY - CHEMISTRY [0301] ( 180.00)

30100167 HC RL IBD SGI ANTI OMPC LABORATORY - CHEMISTRY [0301] ( 180.00)

30100168 HC RL IBD SGI ANTI CBIR1 LABORATORY - CHEMISTRY [0301] ( 180.00)

30100169 HC RL IBD SGI FLA2 LABORATORY - CHEMISTRY [0301] ( 180.00)

30100170 HC RL IBD SGI FLAX LABORATORY - CHEMISTRY [0301] ( 180.00)

30100171 HC RL IBD SGI VEGF LABORATORY - CHEMISTRY [0301] ( 180.00)

30100184 HC RL TAU/AB42 CSF ANALYSIS LABORATORY - CHEMISTRY [0301] ( 180.00)

30100199 HC RL TRYPTASE LABORATORY - CHEMISTRY [0301] ( 180.00)

30100207 HC RL PARANEOPLASTIC PROFILE LABORATORY - CHEMISTRY [0301] ( 180.00)

30100258 HC RL PANCREATIC ELASTASE FECAL LABORATORY - CHEMISTRY [0301] ( 180.00)

30100262HC RL HUMAN ANTICHIMARIC ANTIBODY HACA LABORATORY - CHEMISTRY [0301] ( 180.00)

30100226 HC RL LACTOFERRIN FECAL(QUAL) LABORATORY - CHEMISTRY [0301] ( 98.00)

30100190HC FETAL LUNG MATURITY(LAMELLAR BODY COUNT) LABORATORY - CHEMISTRY [0301] ( 84.00)

30100023 HC MAGNESIUM SERUM LABORATORY - CHEMISTRY [0301] ( 234.00)

30100187HC RL SULFONYLUREA HYPOGLYCEMICS SERPLASMA LABORATORY - CHEMISTRY [0301] ( 108.00)

30100069HC RL HALLUCINOGENS PROFILE URINE (MS/MS) LABORATORY - CHEMISTRY [0301] ( 108.00)

30100073 HC RL URINARY BILE ACID PROFILE FABMS LABORATORY - CHEMISTRY [0301] ( 108.00)

30100194 HC RL CARNITINE TOTAL LABORATORY - CHEMISTRY [0301] ( 108.00)

30100201 HC RL MYELOPEROXIDASE ANTIBODY LABORATORY - CHEMISTRY [0301] ( 146.00)

30100261HC PROBRAIN NATRIURETIC PEPTIDE(PRO BNP) LABORATORY - CHEMISTRY [0301] ( 232.00)

30100025 HC RL NICOTENE LABORATORY - CHEMISTRY [0301] ( 189.00)

30100196 HC RL NICOTINE URINE LABORATORY - CHEMISTRY [0301] ( 184.00)

30100044 HC RL AML1/ETO T(8:21) ISOLATION LABORATORY - CHEMISTRY [0301] ( 25.00)

30100045 HC RL CBFB MYH11 BY PCR ISOLATION LABORATORY - CHEMISTRY [0301] ( 25.00)

30100079 HC RL BACTERIAL PCR ISOLATION LABORATORY - CHEMISTRY [0301] ( 48.00)

30100048HC RL HEMIPLEGIC MIGRAINE EVAL ISOLATION LABORATORY - CHEMISTRY [0301] ( 51.00)

30100053 HC RL ALPHA1 ANTITRYPSIN ISOLATION LABORATORY - CHEMISTRY [0301] ( 30.00)

30100062 HC RL CADASIL EVALUATION ISOLATION LABORATORY - CHEMISTRY [0301] ( 62.00)

30100075 HC RL FRIEDREICH ATAXIA DNA ISOLATION LABORATORY - CHEMISTRY [0301] ( 189.00)

30100085HC RL CROHN'S PROGNOSTIC PNL ISOLATION LABORATORY - CHEMISTRY [0301] ( 51.00)

30100092 HC RL HLA B5701 GENOTYPING ISOLATION LABORATORY - CHEMISTRY [0301] ( 36.00)

30100096HC RL 5 FLUOROURACIL SENSITIVITY ISOLATION LABORATORY - CHEMISTRY [0301] ( 29.00)

30100101HC MYOTONIC DYSTROPHY TYPE 2 DNAISOLATION LABORATORY - CHEMISTRY [0301] ( 270.00)

30100111HC RL FLT3 NPM1 MUTATION ANALISOLATION LABORATORY - CHEMISTRY [0301] ( 51.00)

30100124HC RL PLATELET ANTIGEN4 GENOTYPE ISOLATION LABORATORY - CHEMISTRY [0301] ( 29.00)

30100128HC RL MITOCHONDRIAL DNA GENOME ISOLATION LABORATORY - CHEMISTRY [0301] ( 32.00)

30100134 HC RL CEBPA MUTATION ISOLATION LABORATORY - CHEMISTRY [0301] ( 66.00)

30100155HC RL NPM1 MUTATION ANALYSIS ISOLATION LABORATORY - CHEMISTRY [0301] ( 34.00)

30100251 HC RL CELIAC GENETICS ISOLATION LABORATORY - CHEMISTRY [0301] ( 51.00)

30100076HC RL FRIEDREICH ATAXIA DNA SEPARATION LABORATORY - CHEMISTRY [0301] ( 189.00)

30100081 HC RL BACTERIAL PCR SEPARATION LABORATORY - CHEMISTRY [0301] ( 48.00)

30100112HC RL FLT3 NPM1 MUTATION ANALSEPARATION LABORATORY - CHEMISTRY [0301] ( 51.00)

30100136 HC RL CEBPA MUTATION SEPARATION LABORATORY - CHEMISTRY [0301] ( 66.00)

30100257HC RL TB PCR ELECTROPHORESIS SEPARATION LABORATORY - CHEMISTRY [0301] ( 61.00)

30100055HC RL ALPHA1 ANTITRYPSIN NUC ACID PROBES LABORATORY - CHEMISTRY [0301] ( 30.00)

30100087HC RL CROHN'S PROGNOSTIC PNL N.A. PROBE LABORATORY - CHEMISTRY [0301] ( 7.00)

30100094HC RL HLA B5701 GENOTYPING NUCLEIC ACID PRB LABORATORY - CHEMISTRY [0301] ( 36.00)

30100107 HC RL AML1/ETO T(8:21) EA. NUCLEIC ACID LABORATORY - CHEMISTRY [0301] ( 25.00)

30100122HC RL CBFB MYH11 BY PCR N.A. PROBE EACH LABORATORY - CHEMISTRY [0301] ( 25.00)

30100126HC RL PLATELET ANTIGEN4 GENOTYPE NA PROBES LABORATORY - CHEMISTRY [0301] ( 29.00)

30100180 HC RL IBD SGI NUCLEIC ACID PROBE LABORATORY - CHEMISTRY [0301] ( 51.00)

30100236 HC RL APOE NUCLEIC ACID PROBE LABORATORY - CHEMISTRY [0301] ( 23.00)

30100253HC RL CELIAC GENETICSNUCLEIC ACID PROBEEA LABORATORY - CHEMISTRY [0301] ( 51.00)

30100049HC RL HEMIPLEGIC MIGRAINE EVAL ISOLATION LABORATORY - CHEMISTRY [0301] ( 105.00)

30100054HC RL ALPHA1 ANTITRYPSIN AMPLIFICATION LABORATORY - CHEMISTRY [0301] ( 105.00)

30100063 HC RL CADASIL EVALATION AMPLIFICATION LABORATORY - CHEMISTRY [0301] ( 105.00)

30100077HC RL FRIEDREICH ATAXIA DNA AMPLIFICATION LABORATORY - CHEMISTRY [0301] ( 189.00)

30100080 HC RL BACTERIAL PCR AMPLIFICATION LABORATORY - CHEMISTRY [0301] ( 105.00)

30100086HC RL CROHN'S PROGNOSTIC PNL AMPLIFICATION LABORATORY - CHEMISTRY [0301] ( 29.00)

30100093HC RL HLA B5701 GENOTYPING AMPLIFICATION LABORATORY - CHEMISTRY [0301] ( 105.00)

30100102HC MYOTONIC DYSTROPHY TYPE 2 DNAAMPLIFI. LABORATORY - CHEMISTRY [0301] ( 270.00)

30100113 HC RL FLT3 NPM1 MUTATION ANALAMPL LABORATORY - CHEMISTRY [0301] ( 105.00)

30100125HC RL PLATELET ANTIGEN4 GENOTYPE AMPLIF. LABORATORY - CHEMISTRY [0301] ( 105.00)

30100129HC RL MITOCHONDRIAL DNA GENOME AMPLIF LABORATORY - CHEMISTRY [0301] ( 105.00)

30100135 HC RL CEBPA MUTATION AMPLIFICATION LABORATORY - CHEMISTRY [0301] ( 105.00)

30100156HC RL NPM1 MUTATION ANALYSIS AMPLIFICATION LABORATORY - CHEMISTRY [0301] ( 105.00)

30100176 HC RL IBD SGI ATG16L1 PCR LABORATORY - CHEMISTRY [0301] ( 105.00)

30100177 HC RL IBD SGI ECM1 PCR LABORATORY - CHEMISTRY [0301] ( 105.00)

30100178 HC RL IBD SGI NKX23 PCR LABORATORY - CHEMISTRY [0301] ( 105.00)

30100179 HC RL IBD SGI STAT3 PCR LABORATORY - CHEMISTRY [0301] ( 105.00)

30100097HC RL 5 FLUOROURACIL SENSITIV AMPLIFICATION LABORATORY - CHEMISTRY [0301] ( 60.00)

30100114HC RL FLT3 NPM1 MUTATION ANALAMP MULTIPLX LABORATORY - CHEMISTRY [0301] ( 60.00)

30100252HC RL CELIAC GENETICS NUCLEIC ACID AMPL. LABORATORY - CHEMISTRY [0301] ( 58.00)

30100098HC RL 5 FLUOROURACIL SENSITIVITY AMPADD. LABORATORY - CHEMISTRY [0301] ( 105.00)

30100106 HC RL AML1/ETO T(8:21) AMPLIFICATION LABORATORY - CHEMISTRY [0301] ( 105.00)

30100115HC RL FLT3 NPM1 MUTAT ANAL AMP MULTI EA ADD LABORATORY - CHEMISTRY [0301] ( 105.00)

30100121 HC RL CBFB MYH11 BY PCR AMPLIFICATION LABORATORY - CHEMISTRY [0301] ( 105.00)

30100105HC RL AML1/ETO T(8:21) REVERSE TRANSCRIPT. LABORATORY - CHEMISTRY [0301] ( 94.00)

30100120HC RL CBFB MYH11 BY PCR REVER TRANSCRIPT LABORATORY - CHEMISTRY [0301] ( 94.00)

30100130HC RL MITOCHONDRIAL DNA GENOME MUTATION LABORATORY - CHEMISTRY [0301] ( 105.00)

30100050HC RL HEMIPLEGIC MIGRAINE EVAL MUTATION ID LABORATORY - CHEMISTRY [0301] ( 105.00)

30100064 HC RL CADASIL EVALUATION MUTATION ID LABORATORY - CHEMISTRY [0301] ( 105.00)

30100116 HC RL FLT3 NPM1 MUTATION ANALID LABORATORY - CHEMISTRY [0301] ( 105.00)

30100131HC RL MITOCHONDRIAL DNA GENOME IDENTIFY LABORATORY - CHEMISTRY [0301] ( 105.00)

30100137 HC RL CEBPA MUTATION SEQUENCING LABORATORY - CHEMISTRY [0301] ( 105.00)

30100157HC RL NPM1 MUTATION ANALYSIS INDENTIFY LABORATORY - CHEMISTRY [0301] ( 105.00)

30100175 HC RL IBD SGI CELL LYSIS LABORATORY - CHEMISTRY [0301] ( 25.00)

30100051HC RL HEMIPLEGIC MIGRAINE EVAL SEP & ID LABORATORY - CHEMISTRY [0301] ( 30.00)

30100065HC RL CADASIL EVALUATION SEPARATION & ID LABORATORY - CHEMISTRY [0301] ( 62.00)

30100103HC MYOTONIC DYSTROPHY TYPE 2 DNAIDENT. LABORATORY - CHEMISTRY [0301] ( 270.00)

30100040 HC MGMT GENE MUTATION INTERP & RPT LABORATORY - CHEMISTRY [0301] ( 79.00)

30100052HC RL HEMIPLEGIC MIGRAINE EVAL INTRP & RPT LABORATORY - CHEMISTRY [0301] ( 51.00)

30100056 HC RL ALPHA1 ANTITRYPSIN INTRP & RPT LABORATORY - CHEMISTRY [0301] ( 30.00)

30100066 HC RL CADASIL EVALUATION INTERP & RPT LABORATORY - CHEMISTRY [0301] ( 62.00)

30100074HC RL URINARY BILE ACID PROFILE INTRP&RPT LABORATORY - CHEMISTRY [0301] ( 459.00)

30100078HC RL FRIEDREICH ATAXIA DNA INTRP & RPT LABORATORY - CHEMISTRY [0301] ( 189.00)

30100082 HC RL BACTERIAL PCR INTRP & RPT LABORATORY - CHEMISTRY [0301] ( 48.00)

30100088HC RL CROHN'S PROGNOSTIC PNL INTRP & RPT LABORATORY - CHEMISTRY [0301] ( 7.00)

30100095HC RL HLA B5701 GENOTYPING INTERP & RPT LABORATORY - CHEMISTRY [0301] ( 36.00)

30100100HC RL 5 FLUOROURACIL SENSITIVIE INTRP & RPT LABORATORY - CHEMISTRY [0301] ( 29.00)

30100104HC MYOTONIC DYSTROPHY TYPE 2 DNA INTRP/RPT LABORATORY - CHEMISTRY [0301] ( 270.00)

30100108 HC RL AML1/ETO T(8:21) INTERP & RPT LABORATORY - CHEMISTRY [0301] ( 25.00)

30100117HC RL FLT3 NPM1 MUTATION ANALINTERP&RPT LABORATORY - CHEMISTRY [0301] ( 51.00)

30100123 HC RL CBFB MYH11 BY PCR INTRP & RPT LABORATORY - CHEMISTRY [0301] ( 25.00)

30100127HC RL PLATELET ANTIGEN4 GENOTYPE INT & RPT LABORATORY - CHEMISTRY [0301] ( 29.00)

30100132HC RL MITOCHONDRIAL DNA GENOME INTRP & RPT LABORATORY - CHEMISTRY [0301] ( 32.00)

30100138 HC RL CEBPA MUTATION INTERP & RPT LABORATORY - CHEMISTRY [0301] ( 66.00)

30100158HC RL NPM1 MUTATION ANALYSIS INTERP & RPT LABORATORY - CHEMISTRY [0301] ( 34.00)

30100181 HC RL IBD SGI INTRP & RPT LABORATORY - CHEMISTRY [0301] ( 51.00)

30100237 HC RL TAU/AB42 CSF ANALYSISI & R LABORATORY - CHEMISTRY [0301] ( 287.00)

30100240 HC RL LEMS AB TEST; I & R LABORATORY - CHEMISTRY [0301] ( 556.00)

30100256 HC RL CELIAC GENETICS INTERP & RPT LABORATORY - CHEMISTRY [0301] ( 51.00)

30100099HC RL 5 FLUOROURACIL SENSITIVITY EXTENSION LABORATORY - CHEMISTRY [0301] ( 30.00)

30100208 HC RL VAP CHOLESTEROL LABORATORY - CHEMISTRY [0301] ( 220.00)

30100072 HC RL CALPROTECTIN FECAL LABORATORY - CHEMISTRY [0301] ( 98.00)

30100211 HC RL PROLIXIN(FLUPHENAZINE) LABORATORY - CHEMISTRY [0301] ( 103.00)

30100241 HC RL PLACENTAL ALPHA MICROGLOBULIN1 LABORATORY - CHEMISTRY [0301] ( 270.00)

30100060 HC RL AMPHIPHYSIN ANTIBODY LABORATORY - CHEMISTRY [0301] ( 113.00)

30100118HC RL 1433 ANTIGENWESTERN BLOT W/INTERP LABORATORY - CHEMISTRY [0301] ( 151.00)

30100162HC RL 1433 PRION PROTEIN AG WEST BLOTCJD LABORATORY - CHEMISTRY [0301] ( 151.00)

30100214 HC RL EATONLAMBERT AB WESTERN BLOT LABORATORY - CHEMISTRY [0301] ( 151.00)

30100206 HC RL VITAMIN B2 LABORATORY - CHEMISTRY [0301] ( 105.00)

30100192 HC RL SELENIUM SERUM LABORATORY - CHEMISTRY [0301] ( 133.00)

30100222HC TESTOSTERONE FREE&TOTALSHBGMALE LABORATORY - CHEMISTRY [0301] ( 131.00)

30100224HC RL TESTOSTERONE SHBGFEMALE OR CHILD LABORATORY - CHEMISTRY [0301] ( 131.00)

30100239 HC RL SOMATOSTATIN LABORATORY - CHEMISTRY [0301] ( 119.00)

30100089 HC RL HEMOGLOBIN SERUM LABORATORY - CHEMISTRY [0301] ( 73.00)

30100217 HC RL URINE SULFATE24 HOUR LABORATORY - CHEMISTRY [0301] ( 150.00)

30100029 HC RL TESTOSTERONE (MALES ONLY) LABORATORY - CHEMISTRY [0301] ( 148.00)

30100030 HC TESTOSTERONE FREE&TOTALMALE LABORATORY - CHEMISTRY [0301] ( 148.00)

30100221 HC RL TESTOSTERONE FEMALE OR CHILD LABORATORY - CHEMISTRY [0301] ( 148.00)

30100223HC RL TESTOSTERONEFREE&TOTALFEMALECHILD LABORATORY - CHEMISTRY [0301] ( 148.00)

30100109 HC RL CHRONIC URTICARIA INDX TSH LABORATORY - CHEMISTRY [0301] ( 240.00)

30100031 HC TOTAL T3 LABORATORY - CHEMISTRY [0301] ( 188.00)

30100058 HC RL TYROSINE PLASMA LABORATORY - CHEMISTRY [0301] ( 90.00)

30100035HC RL VANILLYLMANDELIC ACID URINE (VMA) LABORATORY - CHEMISTRY [0301] ( 81.00)

30100216 HC RL NIACIN VITAMIN B3 LABORATORY - CHEMISTRY [0301] ( 64.00)

30100235 HC SERUM VOLATILES ASSAY LABORATORY - CHEMISTRY [0301] ( 80.00)

30100209 HC RL PHENOLPTHALEINE FECAL LABORATORY - CHEMISTRY [0301] ( 100.00)

30100264 HC RL ALPHA2 ANTIPLASMIN ASSAY LABORATORY - HEMATOLOGY [0305] ( 100.00)

30100254HC RL HLA MATCHED APHERESIS SURCHARGE LABORATORY - GENERAL CLASSIFICATION [0300] ( 348.00)

30100010 HC HEPATITIS B SURFACE ANT (MATERNAL)LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 271.00)

30100193 HC RL GONORRHEA BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 238.00)

30100001 HC DRUG SCREEN A (URINE) LABORATORY - CHEMISTRY [0301] ( 112.00)

30100265 HC DRUG SCREEN B (URINE) LABORATORY - CHEMISTRY [0301] ( 256.00)

30100266 HC DRUG SCREEN B LABORATORY - CHEMISTRY [0301] ( 210.00)

30100267 HC BARBITURATES URINE LABORATORY - CHEMISTRY [0301] ( 209.00)

30100268 HC COCAINE METABOLITES URINE LABORATORY - CHEMISTRY [0301] ( 280.00)

30100270HC RL TRICYCLIC ANTIDEPRESSANTSERUMQUANT LABORATORY - CHEMISTRY [0301] ( 452.00)

30100271HC RL HALLUCINOGENS PROFILE URINE (GC/MS) LABORATORY - CHEMISTRY [0301] ( 86.00)

30100272 HC MEDICAL DRUG SCREEN 10 LABORATORY - CHEMISTRY [0301] ( 321.00)

30100273 HC RL HAIRSTAT 5 DRUG SCREEN LABORATORY - CHEMISTRY [0301] ( 270.00)

30100274 HC RL FLUNITRAZEPAM (ROHYPNOL) LABORATORY - CHEMISTRY [0301] ( 276.00)

30100275 HC DRUGS OF ABUSE 9 W/CONFIRMATION LABORATORY - CHEMISTRY [0301] ( 96.00)

30100276 HC RL DRUG SCREEN FLUID LABORATORY - CHEMISTRY [0301] ( 96.00)

30100277 HC RL MECONIUM SCREEN LABORATORY - CHEMISTRY [0301] ( 286.00)

30100278 HC ER TOXICOLOGY URINE LABORATORY - CHEMISTRY [0301] ( 790.00)

30100279 HC RAPID DRUG SCREEN LABORATORY - CHEMISTRY [0301] ( 452.00)

30200145HC RL FIBRONECTIN AGGREGATES IGA ELISA LABORATORY - CHEMISTRY [0301] ( 85.00)

30200016 HC CELIAC SERO ANTI GLIADIN IGA LABORATORY - CHEMISTRY [0301] ( 180.00)

30200017 HC CELIAC SERO ANTI GLIADIN IGG LABORATORY - CHEMISTRY [0301] ( 180.00)

30200018 HC CELIAC SERO ANTI HUTTG IGA LABORATORY - CHEMISTRY [0301] ( 180.00)

30200031 HC RL THROMBINANTITHROMBIN COMPLEX LABORATORY - CHEMISTRY [0301] ( 180.00)

30200122 HC IBD SERO7 ANTI ASCA IGA LABORATORY - CHEMISTRY [0301] ( 180.00)

30200123 HC IBD SERO7 ANTI ASCA IGG LABORATORY - CHEMISTRY [0301] ( 180.00)

30200124 HC IBD SERO7 ANTI OMPC IGA LABORATORY - CHEMISTRY [0301] ( 180.00)

30200146 HC IBD SERO7 ANTI ANCA IGG LABORATORY - CHEMISTRY [0301] ( 180.00)

30200147 HC IBD SERO7ANTI CBIR1 LABORATORY - CHEMISTRY [0301] ( 180.00)

30200039HC RL SUPEROXIDE DISMUTASE SPECIFIC IGE LABORATORY - IMMUNOLOGY [0302] ( 28.00)

30200046 HC RL DONOR SPECIFIC ANTIGEN LABORATORY - IMMUNOLOGY [0302] ( 500.00)

30200073 HC RL SEROTONIN RELEASE PNL LOVENOX LABORATORY - IMMUNOLOGY [0302] ( 353.00)

30200164HC RL SEROTONIN RELEASE PNLUNFRACT.HEPARIN LABORATORY - IMMUNOLOGY [0302] ( 353.00)

30200072 HC RL IBD SGI CRP LABORATORY - IMMUNOLOGY [0302] ( 110.00)

30200129HC RL PHOSPHATIDYLSERINE AB(IGG IGA IGM) LABORATORY - IMMUNOLOGY [0302] ( 86.00)

30200112HC RL ENCEPHALITIS ABCSFINFLUENZA A AB LABORATORY - IMMUNOLOGY [0302] ( 53.00)

30200141HC RL ENCEPHALITIS ABCSFINFLUENZA B AB LABORATORY - IMMUNOLOGY [0302] ( 53.00)

30200009 HC ANTIDNA LABORATORY - IMMUNOLOGY [0302] ( 82.00)

30200048HC RL NMETHYLDASPARTATE RECEPTOR AB IGG LABORATORY - IMMUNOLOGY [0302] ( 136.00)

30200127HC RL MYASTHENIA GRAVIS PNSTMR SCREEN LABORATORY - IMMUNOLOGY [0302] ( 72.00)

30200059 HC RL PARANEOPLASTIC AB PN AGNA1 LABORATORY - IMMUNOLOGY [0302] ( 73.00)

30200060HC RL PARANEOPLASTIC AB PN AMPHIPHYSIN LABORATORY - IMMUNOLOGY [0302] ( 73.00)

30200061 HC RL PARANEOPLASTIC AB PN ANNA1 LABORATORY - IMMUNOLOGY [0302] ( 73.00)



30200064 HC RL PARANEOPLASTIC AB PN CRMP5 LABORATORY - IMMUNOLOGY [0302] ( 73.00)

30200065 HC RL PARANEOPLASTIC AB PN PCA1 LABORATORY - IMMUNOLOGY [0302] ( 73.00)

30200066 HC RL PARANEOPLASTIC AB PN PCA2 LABORATORY - IMMUNOLOGY [0302] ( 73.00)

30200067 HC RL PARANEOPLASTIC AB PN PCATR LABORATORY - IMMUNOLOGY [0302] ( 73.00)

30200128 HC RL MYASTHENIA GRAVIS PNSTMR TITER LABORATORY - IMMUNOLOGY [0302] ( 73.00)

30200002 HC RL HEPATITIS B ANTIBODY QUANT LABORATORY - IMMUNOLOGY [0302] ( 89.00)

30200003 HC RL PNEUMOCOCCAL ANTIBODIES IGG LABORATORY - IMMUNOLOGY [0302] ( 421.00)

30200070 HC RL 1433 PRION PROTEIN AG QUANT(CJD) LABORATORY - IMMUNOLOGY [0302] ( 89.00)

30200081 HC RL 1433 ANTIGEN IMA QUANT. LABORATORY - IMMUNOLOGY [0302] ( 89.00)

30200126 HC RL TETANUS ANTIBODY IGG LABORATORY - IMMUNOLOGY [0302] ( 89.00)

30200144 HC RL DIPTHERIA ANTIBODY IGG LABORATORY - IMMUNOLOGY [0302] ( 89.00)

30200013HC RL IMMUNOFIXATION ELECTROPHORESIS SERUM LABORATORY - IMMUNOLOGY [0302] ( 133.00)

30200125 HC IMMUNOFIXATION ELECTROPHORESIS LABORATORY - IMMUNOLOGY [0302] ( 133.00)

30200157 HC RL IMMUNOFIX ELECTROPHOTHER SPEC LABORATORY - IMMUNOLOGY [0302] ( 147.00)

30200022 HC NEUTROPHIL OXIDATIVE BURST ASSAY LABORATORY - IMMUNOLOGY [0302] ( 568.00)

30200028 HC RL CHRONIC URTICARIA LABORATORY - IMMUNOLOGY [0302] ( 568.00)

30200043HC RL CHRONIC URTICARIA INDX STIMULATION LABORATORY - IMMUNOLOGY [0302] ( 568.00)

30200069 HC RL INTERFERON BETA NEUTRALIZING AB LABORATORY - IMMUNOLOGY [0302] ( 244.00)

30200130HC RL IMMUNO(CYLEX) LYMPH. TRANSFORM LABORATORY - IMMUNOLOGY [0302] ( 237.00)

30200074 HC B CELLS TOTAL COUNT LABORATORY - IMMUNOLOGY [0302] ( 144.00)


30200033HC RL PAROX NOCTURN HGB GLYCOPHONIN LABORATORY - IMMUNOLOGY [0302] ( 95.00)

30200034 HC RL PAROX NOCTURN HGB CD 59 LABORATORY - IMMUNOLOGY [0302] ( 95.00)

30200040HC RL LEUKOCYTE ADHESION DEFICIENT PNLCD11B LABORATORY - IMMUNOLOGY [0302] ( 95.00)

30200041HC RL LEUKOCYTE ADHESION DEFICIENT PNLCD15 LABORATORY - IMMUNOLOGY [0302] ( 95.00)

30200042HC RL LEUKOCYTE ADHESION DEFICIENT PNLCD18 LABORATORY - IMMUNOLOGY [0302] ( 95.00)





30200053 HC RL PAROX NOCTURN HGB FLAER LABORATORY - IMMUNOLOGY [0302] ( 95.00)

30200004 HC RL THYROID PEROXIDASE ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 87.00)

30200044HC RL CHRONIC URTICARIA INDX PERIOX.ABS LABORATORY - IMMUNOLOGY [0302] ( 87.00)

30200021 HC BACTERIAL ANTIGEN PANEL BY LA LABORATORY - IMMUNOLOGY [0302] ( 161.00)

30200155 HC RL RHEUMATOID FACTOR IGG LABORATORY - IMMUNOLOGY [0302] ( 59.00)

30200156 HC RL RHEUMATOID FACTOR IGA LABORATORY - IMMUNOLOGY [0302] ( 59.00)

30200152 HC RHEUMATOID ARTHRITIS QN LABORATORY - IMMUNOLOGY [0302] ( 47.00)

30200154 HC RL RHEUMATOID FACTOR IGM LABORATORY - IMMUNOLOGY [0302] ( 47.00)

30200071 HC RL TSPOT TB LABORATORY - IMMUNOLOGY [0302] ( 323.00)

30200008 HC SKIN TEST CANDIDA LABORATORY - IMMUNOLOGY [0302] ( 57.00)

30200083 HC RL ENCEPH ABADENOVIRUS AB LABORATORY - IMMUNOLOGY [0302] ( 77.00)

30200100HC RL ENCEPHALITIS ABCSFADENOVIRUS AB(CF) LABORATORY - IMMUNOLOGY [0302] ( 77.00)

30200035HC RL BLASTOMYCES ANTIBODY BY COMP FIXATION LABORATORY - IMMUNOLOGY [0302] ( 68.00)

30200019 HC BORDETELLA PERTUSSIS ANTIBODY IGG LABORATORY - IMMUNOLOGY [0302] ( 75.00)

30200023HC RL BORDETELLA PERTUSSIS ANTIBODIES IGA LABORATORY - IMMUNOLOGY [0302] ( 75.00)

30200024HC RL BORDETELLA PERTUSSIS ANTIBODIES IGM LABORATORY - IMMUNOLOGY [0302] ( 75.00)

30200006HC RL BRUCELLA ANTIBODY BACTERIAL AGGLUT. LABORATORY - IMMUNOLOGY [0302] ( 47.00)

30200029 HC RL BRUCELLA ANTIBODY IGG LABORATORY - IMMUNOLOGY [0302] ( 47.00)

30200030 HC RL BRUCELLA ANTIBODY IGM LABORATORY - IMMUNOLOGY [0302] ( 47.00)

30200054 HC RL CAMPYLOBACTER JEJUNI AB IGG LABORATORY - IMMUNOLOGY [0302] ( 79.00)

30200085 HC RL ENCEPH ABCMV IGG LABORATORY - IMMUNOLOGY [0302] ( 114.00)

30200104 HC RL ENCEPHALITIS ABCSF CMV IGGIFA LABORATORY - IMMUNOLOGY [0302] ( 114.00)

30200105 HC RL ENCEPH ABCMV IGM LABORATORY - IMMUNOLOGY [0302] ( 87.00)

30200148 HC RL AR TORCH IGM CMV IGM LABORATORY - IMMUNOLOGY [0302] ( 15.00)

30200093 HC RL ENCEPH ABLA CROSSE AB IGG LABORATORY - IMMUNOLOGY [0302] ( 69.00)

30200101HC RL ENCEPHALIT ABCSFLACROSSE ABIGGIFA LABORATORY - IMMUNOLOGY [0302] ( 69.00)

30200133 HC RL ENCEPH ABLA CROSSE AB IGM LABORATORY - IMMUNOLOGY [0302] ( 69.00)

30200136HC RL ENCEPHALITIS ABCSFLACROSSE AB IGM LABORATORY - IMMUNOLOGY [0302] ( 69.00)

30200094 HC RL ENCEPH ABEQUINE ENCEPH AB IGG LABORATORY - IMMUNOLOGY [0302] ( 69.00)

30200106HC RL ENCEPHALIT ABCSFEAST. EQUINE ABIGG LABORATORY - IMMUNOLOGY [0302] ( 69.00)

30200134 HC RL ENCEPH ABEASTERN EQUINE AB IGM LABORATORY - IMMUNOLOGY [0302] ( 69.00)

30200137HC RL ENCEPHALITIS ABCSFEAST.EQUIN ABIGM LABORATORY - IMMUNOLOGY [0302] ( 69.00)

30200095 HC RL ENCEPH ABST.LOUIS ENCEPH AB IGG LABORATORY - IMMUNOLOGY [0302] ( 69.00)

30200116HC RL ENCEPHALITIS ABCSFST.LOUIS AB IGG LABORATORY - IMMUNOLOGY [0302] ( 69.00)

30200138 HC RL ENCEPHALITIS ABCSFST.LOUIS A LABORATORY - IMMUNOLOGY [0302] ( 69.00)

30200165 HC RL ENCEPHALLITIS AB ST LOUIS IGM LABORATORY - IMMUNOLOGY [0302] ( 69.00)

30200096HC RL ENCEPH ABWSTRN EQUINE ENCEPH AB IGG LABORATORY - IMMUNOLOGY [0302] ( 69.00)

30200118HC RL ENCEPHALIT ABCSFWESTERN EQUINE IGG LABORATORY - IMMUNOLOGY [0302] ( 69.00)

30200135HC RL ENCEPH ABWESTERN EQUINE ENCEPH IGM LABORATORY - IMMUNOLOGY [0302] ( 69.00)

30200139HC RL ENCEPHALITIS ABCSFWEST.EQUIN ABIGM LABORATORY - IMMUNOLOGY [0302] ( 69.00)


30200084 HC RL ENCEPH ABCOXSACKIE B AB LABORATORY - IMMUNOLOGY [0302] ( 68.00)

30200086 HC RL ENCEPH ABECHOVIRUS AB LABORATORY - IMMUNOLOGY [0302] ( 68.00)

30200092 HC RL ENCEPH ABCOXSACKIE A AB LABORATORY - IMMUNOLOGY [0302] ( 68.00)

30200102HC RL ENCEPHALIT ABCSFCOXSACKIETYPE A AB LABORATORY - IMMUNOLOGY [0302] ( 68.00)

30200103HC RL ENCEPHALIT ABCSFCOXSACKIETYPE B AB LABORATORY - IMMUNOLOGY [0302] ( 68.00)

30200107 HC RL ENCEPHALITIS ABCSFECHOVIRUS AB LABORATORY - IMMUNOLOGY [0302] ( 68.00)

30200079 HC EBV AB TO EARLY D ANTIGEN IGG LABORATORY - IMMUNOLOGY [0302] ( 69.00)

30200078 HC EBV AB TO NUCLEAR ANTIGEN IGG LABORATORY - IMMUNOLOGY [0302] ( 80.00)

30200076 HC EBV AB TO VIRAL CAPSID ANTIGEN IGG LABORATORY - IMMUNOLOGY [0302] ( 95.00)

30200077 HC EBV AB TO VIRAL CAPSID ANTIGEN IGM LABORATORY - IMMUNOLOGY [0302] ( 95.00)

30200037HC RL ANAPLASMA PHAGOCYTOPHILA (HGE) IGG LABORATORY - IMMUNOLOGY [0302] ( 79.00)

30200038HC RL ANAPLASMA PHAGOCYTOPHILA (HGE) IGM LABORATORY - IMMUNOLOGY [0302] ( 79.00)

30200015 HC RL FRANC. TULARENSIS AB IGG LABORATORY - IMMUNOLOGY [0302] ( 54.00)

30200047 HC RL FRANC. TULARENSIS AB IGM LABORATORY - IMMUNOLOGY [0302] ( 54.00)

30200082 HC RL SACCHAROMYCES CEREVISIAE IGG LABORATORY - IMMUNOLOGY [0302] ( 74.00)

30200131 HC RL SACCHAROMYCES CEREVISIAE IGA LABORATORY - IMMUNOLOGY [0302] ( 74.00)

30200032 HC RL H. PYLORI ANTIBODY IGA LABORATORY - IMMUNOLOGY [0302] ( 87.00)

30200036 HC ASCARIS SEROLOGY LABORATORY - IMMUNOLOGY [0302] ( 78.00)

30200012 HC RL HERPES SIMPLEX VIRUS I & II AB IGG LABORATORY - IMMUNOLOGY [0302] ( 86.00)

30200014 HC RL HERPES SIMPLEX VIRUS I & II AB IGM LABORATORY - IMMUNOLOGY [0302] ( 86.00)

30200087 HC RL ENCEPH ABHSV AB LABORATORY - IMMUNOLOGY [0302] ( 86.00)

30200149 HC RL AR TORCH IGMHSV 1/2 IGM LABORATORY - IMMUNOLOGY [0302] ( 15.00)

30200098 HC RL ENCEPHALITIS ABHSV TYPE 1 LABORATORY - IMMUNOLOGY [0302] ( 63.00)

30200108HC RL ENCEPHALIT ABCSFHSV TYPE 1 ABACIF LABORATORY - IMMUNOLOGY [0302] ( 63.00)

30200110HC RL ENCEPHALITIS ABCSFHSV TYPE 1 IGM LABORATORY - IMMUNOLOGY [0302] ( 63.00)

30200099 HC RL ENCEPHALITIS ABHSV TYPE 2 LABORATORY - IMMUNOLOGY [0302] ( 104.00)

30200109HC RL ENCEPHALIT ABCSFHSV TYPE 2 ABACIF LABORATORY - IMMUNOLOGY [0302] ( 104.00)

30200111HC RL ENCEPHALITIS ABCSFHSV TYPE 2 IGM LABORATORY - IMMUNOLOGY [0302] ( 104.00)

30200001 HC RL HEPATITIS A ANTIBODY TOTAL LABORATORY - IMMUNOLOGY [0302] ( 139.00)

30200088 HC RL INFLUENZA A & B ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 81.00)

30200089 HC RL ENCEPH ABLCM AB IGG LABORATORY - IMMUNOLOGY [0302] ( 77.00)

30200113 HC RL ENCEPHILITIS ABCSFLCM AB IGG LABORATORY - IMMUNOLOGY [0302] ( 77.00)

30200132 HC RL ENCEPH ABLCM AB IGM LABORATORY - IMMUNOLOGY [0302] ( 77.00)

30200140 HC RL ENCEPHALITIS ABCSFLCM ABIGM LABORATORY - IMMUNOLOGY [0302] ( 77.00)

30200090 HC RL ENCEPH ABMUMPS AB IGG LABORATORY - IMMUNOLOGY [0302] ( 68.00)

30200115 HC RL ENCEPHALITIS ABCSFMUMPS AB IGG LABORATORY - IMMUNOLOGY [0302] ( 68.00)

30200143 HC RL ENCEPHALITIS ABCSFMUMPS ABIGM LABORATORY - IMMUNOLOGY [0302] ( 68.00)

30200020 HC MALARIA ANTIBODY IGG LABORATORY - IMMUNOLOGY [0302] ( 79.00)

30200119 HC RL BABESIA MICROTI ANTIBODY IGG LABORATORY - IMMUNOLOGY [0302] ( 74.00)

30200120 HC RL BABESIA MICROTI ANTIBODY IGM LABORATORY - IMMUNOLOGY [0302] ( 74.00)

30200055HC RL RICKETTSIA AB PNL SPOTTED FEVER IGG LABORATORY - IMMUNOLOGY [0302] ( 101.00)

30200056HC RL RICKETTSIA AB PNL SPOTTED FEVER IGM LABORATORY - IMMUNOLOGY [0302] ( 101.00)

30200057HC RL RICKETTSIA AB PNL TYPHUS FEVER IGG LABORATORY - IMMUNOLOGY [0302] ( 101.00)

30200058HC RL RICKETTSIA AB PNL TYPHUS FEVER IGM LABORATORY - IMMUNOLOGY [0302] ( 101.00)

30200150 HC RL AR TORCH IGM RUBELLA IGM LABORATORY - IMMUNOLOGY [0302] ( 15.00)

30200097 HC RL ENCEPH ABMEASLES AB IGG LABORATORY - IMMUNOLOGY [0302] ( 68.00)

30200114HC RL ENCEPHALITIS ABCSFMEASLES AB IGG LABORATORY - IMMUNOLOGY [0302] ( 68.00)

30200142HC RL ENCEPHALITIS ABCSFMEASLES ABIGM LABORATORY - IMMUNOLOGY [0302] ( 68.00)

30200151 HC RL AR TORCH IGM TOXOPLASA IGM LABORATORY - IMMUNOLOGY [0302] ( 15.00)

30200011HC RL FLUORESCENT TREPONEMAL ANTIBODIES LABORATORY - IMMUNOLOGY [0302] ( 78.00)

30200153 HC RL TREPONEMAL PALLIDUM AB CSF LABORATORY - IMMUNOLOGY [0302] ( 64.00)

30200091 HC RL ENCEPH ABVARICELLA ZOSTER AB LABORATORY - IMMUNOLOGY [0302] ( 77.00)

30200117HC RL ENCEPHALIT ABCSFVARICELLA ZOSTER AB LABORATORY - IMMUNOLOGY [0302] ( 77.00)

30200005HC RL HERPESVIRUS 6 (HHV6) ANTIBODY IGG LABORATORY - IMMUNOLOGY [0302] ( 77.00)

30200025 HC RL SIN NOMBRE VIRUS IGG LABORATORY - IMMUNOLOGY [0302] ( 77.00)

30200026 HC RL SIN NOMBRE VIRUS IGM LABORATORY - IMMUNOLOGY [0302] ( 77.00)

30200027HC RL HERPESVIRUS 6 (HHV6) ANTIBODY IGM LABORATORY - IMMUNOLOGY [0302] ( 77.00)

30200068 HC RL HERPESVIRUS 8 IGG ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 77.00)

30200163 HC RL HTLV ANITBODY CSF LABORATORY - IMMUNOLOGY [0302] ( 77.00)

30200045HC RL CHRONIC URTICARIA INDX THYROGLOB ABS LABORATORY - IMMUNOLOGY [0302] ( 96.00)

30200121 HC RL THYROGLOBULIN ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 96.00)

30200010 HC RL HEPATITIS C CONFIRMRIBA LABORATORY - IMMUNOLOGY [0302] ( 300.00)

30200158 HC ANTIBODY SCREEN RBC AB LABORATORY - IMMUNOLOGY [0302] ( 170.00)

30200159 HC ANTIBODY ID (RBC) PANEL LABORATORY - IMMUNOLOGY [0302] ( 387.00)

30200160 HC ANTIGLOBULIN C3BC3D DIR LABORATORY - IMMUNOLOGY [0302] ( 55.00)

30200161 HC COMPATIBILITY TEST AHG;EA UNIT LABORATORY - GENERAL CLASSIFICATION [0300] ( 155.00)

30200162 HC ANTIBODY NEUTRALIZATION LABORATORY - IMMUNOLOGY [0302] ( 126.00)

30500014 HC SPUN HEMATOCRIT LABORATORY - HEMATOLOGY [0305] ( 57.00)

30500004 HC PLATELET COUNTAUTO LABORATORY - HEMATOLOGY [0305] ( 62.00)

30500015 HC RL VW MULTIMERICFACTOR 8 ACTIVITY LABORATORY - HEMATOLOGY [0305] ( 121.00)

30500017HC RL VW MULTIMERICRISTOCETIN COFACTOR LABORATORY - HEMATOLOGY [0305] ( 128.00)

30500016HC RL VW MULTIMERICVW FACTOR ANTIGEN LABORATORY - HEMATOLOGY [0305] ( 128.00)

30500005 HC RL ADAMTS 13 INHIBITOR LABORATORY - HEMATOLOGY [0305] ( 77.00)

30500001 HC ACT ACTIVATED COAGULATION TI LABORATORY - HEMATOLOGY [0305] ( 61.00)

30500009 HC ACTIVATED COAGULATION TIME LABORATORY - HEMATOLOGY [0305] ( 61.00)

30500020 HC RL TEG ANALYSISACTIVATED LABORATORY - HEMATOLOGY [0305] ( 61.00)

30500021 HC RL TEG ANALYSISFIBRINOGEN ACTIVITY LABORATORY - HEMATOLOGY [0305] ( 129.00)

30500023HC RL TEG ANALYSISFIBRINOLYSIN INTERP&RPT LABORATORY - HEMATOLOGY [0305] ( 71.00)

30500025 HC FETAL BLD SCREENING TEST LABORATORY - HEMATOLOGY [0305] ( 99.00)

30500013HC RL HEPARIN ANTIXA FONDAPARINUX(ARIXTRA) LABORATORY - HEMATOLOGY [0305] ( 80.00)

30500003HC RL LEUKOCYTE ALKALINE PHOSPHATASE LABORATORY - HEMATOLOGY [0305] ( 66.00)

30500018 HC PLATELET INHIBITION ADP AGONIST LABORATORY - HEMATOLOGY [0305] ( 254.00)

30500019 HC PLATELET INHIBITION TRAP AGONIST LABORATORY - HEMATOLOGY [0305] ( 254.00)

30500022HC RL TEG ANALYSISPLT AGGREGATION EA AGENT LABORATORY - HEMATOLOGY [0305] ( 254.00)

30500024 HC RL TEG ANAL C PLT MAPPINGPLT AGG LABORATORY - HEMATOLOGY [0305] ( 254.00)

30500007 HC REFLEXIVE PROFILE ABNORMAL PT LABORATORY - HEMATOLOGY [0305] ( 83.00)

30500011 HC RL RUSSELL VIPER VENOM LABORATORY - HEMATOLOGY [0305] ( 44.00)

30500002 HC SEDIMENTATION RATE NONAUTOMATED LABORATORY - HEMATOLOGY [0305] ( 36.00)

30500008 HC REFLEXIVE PROFILE THROMBIN TIME LABORATORY - HEMATOLOGY [0305] ( 30.00)

30500006 HC REFLEXIVE PROFILE ABNORMAL APTT LABORATORY - HEMATOLOGY [0305] ( 102.00)

30500010 HC RL LUPUS ANTICOAGULANT PANEL LABORATORY - HEMATOLOGY [0305] ( 102.00)

30500012 HC RL BETA2 GLYCOPROTEIN IGG LABORATORY - IMMUNOLOGY [0302] ( 146.00)

30600043 HC MRSA SCREENLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 64.00)

30600002 HC ACID FAST BACILLUS SMEAR & CULLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 153.00)

30600006 HC RL OVA & PARASITES EXAMCONCLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 52.00)

30600009HC RL ANTIMICROBIAL SUSCEPTIBILITYMIC INDV


30600040 HC RL SYNERGYMIC 96 WELL PLATELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 94.00)

30600041 HC RL SYNERGYMLC 96 WELL PLATELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 49.00)

30600004 HC GRAM STAINLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 77.00)

30600001 HC AFB SMEARLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 70.00)

30600005 HC FUNGUS SMEARLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 70.00)

30600038 HC FUNGUS (DRY) SMEARLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 70.00)

30600007 HC KOH PREPLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 29.00)

30600003 HC RL CLOSTRIDIUM DIFFICILE CULTURELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 119.00)

30600030 HC RL CMV CULTURETISSUE CULTURELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 156.00)

30600033 HC RL HSV CULTURE TISSUE CULTURELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 156.00)

30600034 HC RL HSV CULTURE IP STAINLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 124.00)

30600031 HC RL CMV CULTURESHELL VIALLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 95.00)

30600025 HC RL RESP VIRUSES DFALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 58.00)

30600032 HC RL VARICELLA ZOSTER VIRUS DFALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 58.00)

30600042 HC RL ENTAMOEBA HISTOLYTICA ANTIGENLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 58.00)

30600023 HC RL HPYLORI STOOL EIALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 64.00)

30600008 HC RL HEPATITIS DELTA ANTIGENLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 98.00)

30600021 HC RL HISTOPLASMA ANTIGENLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 58.00)

30600046 HC RL SHIGA TOXIN TESTLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 86.00)

30600013HC RL VAGINITIS PANEL CANDIDA ALBICANS PROBE


30600022 HC RL CHLAMYDIA TRACHOMATIS BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 182.00)

30600012 HC RL C. DIFF TOXIN B BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 145.00)

30600020 HC TOXIGENIC C. DIFFICILE BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 145.00)

30600024 HC RL CMV DNA QUANTITATIVE BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 254.00)

30600039 HC RL ENTEROVIRUS DETECTION BY RTPCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 215.00)

30600010HC INFLUENZA VIRUS MULT TYPES1ST TWO TYPES


30600011HC INFLUENZA VIRUS MULT TYPESEA ADDL TYPE


30600014HC RL VAGINITIS PANEL GARDNERELLA PROBE


30600045 HC HEP C QNT PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 256.00)

30600019 HC RL HIV1 RNA PCR QUALITATIVE TMALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 209.00)

30600044 HC HIV RNA QUANT PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 441.00)

30600035 HC RL CSF AFB BY AMPLIFIED DETECTIONLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 213.00)

30600015HC RL VAGINITIS PANEL TRICHOMONAS PROBE


30600016 HC RL HERPESVIRUS 8 DNA QUALITATIVELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)

30600017HC RL PARECHOVIRUS DETECTION BY RTPCR


30600018 HC RL ADENOVIRUS DNA QUAL PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)

30600028 HC RL BK VIRUS BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)

30600029 HC BORDETELLA PERTUSSIS BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)

30600036 HC RL EPSTEIN BARR VIRUS BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)

30600027 HC RL BK VIRUS PCR QUANTLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 321.00)

30600026 HC RL HIV1 VIRTUAL PHENOTYPELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 537.00)

30600037HC RL HIV1 GENOTYPE ANALYSIS NUCLEIC ACID

LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 1,333.00)

30700002 HC ROUTINE URINE (AUTO) W/O MICROSC LABORATORY - UROLOGY [0307] ( 53.00)

30700001 HC RL MELANIN URINE LABORATORY - UROLOGY [0307] ( 52.00)

30700004 HC RL QU ACYLCARNITINE QUANTITATIVE LABORATORY - CHEMISTRY [0301] ( 182.00)

30700003 HC RL STRYCHNINE LABORATORY - CHEMISTRY [0301] ( 166.00)

30900001 HC SPLITTING OFBLOOD PRODS;EA LABORATORY - OTHER LABORATORY [0309] ( 182.00)

31000021HC RL CYTOPATHOLOGY FILTER METHOD ONLY INTP LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 180.00)

31000013HC RL CYTOLOGY SELECT CELLULR ENH TECH INTP LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 512.00)

31000039HC PAROXY.NOCTURN HGBWBC IST MARKER LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 281.00)

31000040 HC RL PNHCD59 EACH ADDITIONAL LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 172.00)

31000038HC RL CHROMOSOME ANALYSIS TISSUE BIOPSY LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 510.00)

31000036HC RL CHROM ANALYTISSUE BONE MARROW BLD LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 467.00)

31000029 HC RAPID CHROMOSOME ANALYSIS LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 915.00)

31000001HC RL CHROMOSOME ANALYSIS 1520 CELL COUNT LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 646.00)

31000027HC EOSINOPHILIA PANEL BY FISH DNA PROBE LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 130.00)

31000028HC EOSINOPHILIA PANEL BY FISHHYBRIDIZATION LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 212.00)

31000009 HC GROSS ONLY EXAMINATIONLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 71.00)

31000010 HC GROSS & MICROSCOPIC BASIC EXAMLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 173.00)

31000011 HC GROSS & MICROSCOPIC SMALL DIAGNOLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 354.00)

31000014 HC GROSS & MICROSCOPIC DIAGNOSTIC ELABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 515.00)

31000018 HC BONE MARROW BIOPSY INTERP.LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 515.00)

31000022 HC GROSS & MICROSCOPICBREASTLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 515.00)

31000015 HC GROSS & MICRO LG OR ORGAN EXAMLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 681.00)

31000023 HC GROSS & MICROSCOPICBREAST/COLONLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 681.00)

31000016 HC GROSS & MICRO COMPLEX DIAG. EXAMLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 962.00)

31000005 HC BONE DECAL GROSS & MICROSCOPICLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 130.00)

31000012 HC SPECIAL STAINS MICROORGANISMSLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 225.00)

31000002 HC RL PASLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 177.00)

31000004 HC RL SUDAN BLACK (SUDAN B)LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 177.00)

31000017 HC SPECIAL STAINS ROUTINE (EACH)LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 177.00)

31000003 HC RL PEROXIDASE (PEROX)LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 509.00)

31000006 HC RL CONSULT DURING SURGERY (NO FS)LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 113.00)

31000007 HC FROZEN SECTION 1SPECLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 279.00)

31000008 HC FROZEN SECTION (EACH ADDITIONALLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 104.00)

31000037 HC RL CYTOLOGY EXAM;INITIAL SITELABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 509.00)

31000020HC IMMUNOCYTOCHEMISTRY 1ST ANTIBODY

LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 243.00)

31000019HC RL IMMUNOFLORESCENCE PER SPECIMEN


31000035 HC ACIS IMAGE ANALYSISLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 314.00)

31000034HC RL ISH SINGLE ANTIBODY STAIN W/ INTRP


31000024 HC RL MDS PANEL BY FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 539.00)

31000025HC RL PLASMA CELL DYSCRASIA PANEL BY FISH


31000026 HC RL PML/RARA BY FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 539.00)

31000030 HC CLL FISH PANELLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 387.00)

31000031 HC BCL1 BY FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 539.00)

31000032 HC MLL T(11Q23)LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 539.00)

31000033 HC BCL2 BY FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 539.00)

31000041 HC RL BCR/ABL BY FISH QUALITATIVELABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 539.00)

31100007HC CYTOPATHOLOGY FLUIDS WSHGS OR BRSHGS LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 162.00)

31100005 HC RL CYTOLOGY CONCENTRATION TECH LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 180.00)

31100006 HC RL CYTOL CX OR VAG\PHYS INTERP. LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 101.00)

31100008

HC RL CYTOPATHOLOGYSMEARSOTHERSCREEN&INT LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 121.00)

31100004 HC RL CYTOLOGY EXTENDED STUDY LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 181.00)

31100002HC FINE NEEDLE ASP IMMEDIATE STUDY 1ST EVAL LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 120.00)

31100003 HC EVAL. OF FINE NEEDLE ASP. INTERP. LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 279.00)

31100001HC CYTOPATH C/V AUTO FLUID (LIQ BASE PAP) LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 108.00)

31100015HC CYTO FINE NEEDLE ASPIRATE IMMED EA ADDL LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 44.00)

31100009 HC DNA PARAFFIN BLOCK LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 235.00)

31100019 HC MISCELLANEOUS FLOW CYTOMETRY LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 387.00)

31100020 HC RL PNHCD55 LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 281.00)

31100021 HC RL PNHCD59 LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 281.00)

31100022 HC RL ZAP 70 PANEL FLOW FIRST MARKER LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 291.00)

31100024 HC FLOW CYTOMETRY FIRST MARKER LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 281.00)

31100016HC RL ZAP 70 PANEL FLOW EA. ADD. MARKER LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 172.00)

31100025 HC FLOW CYTOMETRY EACH ADD. MARKER LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 172.00)

31100017 HC RL ZAP 70 PANEL FLOW INTERP & RPT LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 217.00)

31100023HC RL CHROMOSOME ANALTISSUE CULTURE LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 397.00)

31100018HC RL CHROMOSOME ANALYSISRAPID ANALYSIS LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 915.00)

31100010 HC RL CHROMOSOME ANALYSIS 1520 CELLS LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 646.00)

31100011 HC RL FIP1L1 PDGFRA FISH DNA PROBE LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 130.00)

31100013 HC RL PDGFRB FISH DNA PROBE LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 130.00)

31100012 HC RL FIP1L1 PDGFRA FISH HYBRIDIZATION LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 212.00)

31100014 HC RL PDGFRB FISH HYBRIDIZATION LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 212.00)

31200004HC RL KAPPA ANTIBODY STAIN BY IHC 1ST ANTIBODY


31200005HC RL LAMBDA ANTIBODY STAIN BY IHC 1ST ANTIBODY


31200003 HC RL ANTIENTEROCYTE ANTIBODY LABORATORY PATHOLOGICAL - HISTOLOGY [0312] ( 243.00)

31200001 HC CELIAC SERO ANTI EMA IGA LABORATORY PATHOLOGICAL - HISTOLOGY [0312] ( 184.00)

31200002 HC CELIAC PLUS ANTI ENDOMYSIAL IGA LABORATORY PATHOLOGICAL - HISTOLOGY [0312] ( 184.00)

31200010 HC RL IBD SGI PANCA IGG LABORATORY PATHOLOGICAL - HISTOLOGY [0312] ( 184.00)

31200011 HC RL IBD SGI DNASE IGG LABORATORY PATHOLOGICAL - HISTOLOGY [0312] ( 184.00)

31200012 HC IBD SERO7 DNASE SENSITIVITY LABORATORY PATHOLOGICAL - HISTOLOGY [0312] ( 184.00)

31200013 HC RL CELIA PLUS PANEL LABORATORY PATHOLOGICAL - HISTOLOGY [0312] ( 184.00)

31200014 HC IBD SERO7 PANCA IGG LABORATORY PATHOLOGICAL - HISTOLOGY [0312] ( 184.00)

31200006 HC RL CBFB MYH11 BY FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 539.00)

31200007 HC RL MYC/IGHT(8:14) BY FISH MYCLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 539.00)

31200008 HC RL AML1/ ETO BY FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 539.00)

31200009 HC RL MYC/IGHT(8:14) BY FISH IGHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 539.00)

32000091 HC CISTERNOGRAMRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,002.00)

32000030 HC EYE FOREIGN BODY PLAIN FILMSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 164.00)

32000113 HC MANDIBLE 3V OR LESSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 164.00)

32000036 HC MANDIBLE 4 VIEWRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 387.00)

32000054 HC MASTOID <3V PER SIDERADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 164.00)

32000055 HC MASTOID MIN 3V PER SIDERADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 300.00)

32000033 HC FACIAL BONES; <3VRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 164.00)

32000034 HC FACIAL BONE MIN 3VRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 297.00)

32000035 HC NASAL BONE MIN 3VRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 297.00)

32000081 HC SKULL OPTIC FORAMINARADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 164.00)

32000038 HC ORBIT 4 VIEWSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 387.00)

32000062 HC PARANASAL SINUSES< 3VRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 252.00)

32000063 HC PARANASAL SINUSES MIN 3 VIEWSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 297.00)

32000082 HC SELLA TURCICARADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 164.00)

32000079 HC SKULL; < 4VIEWSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 375.00)

32000080 HC SKULL MIN 4 VIEWSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 389.00)

32000114HC TMJ JOINT UNILAT OPEN & CLOSED MOUTH

RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 164.00)

32000037HC TMJ JOINT BILAT OPEN & CLOSED MOUTH


32000039 HC PANELIPSERADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 164.00)

32000217 HC NECK SOFT TISSUERADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 164.00)

32000072 HC XRAY PHARYNGEAL & SPEECHRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 291.00)

32000171 HC SIALOGRAMRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 380.00)

32400003 HC CHEST 2V AP/PA & LAT RADIOLOGY - DIAGNOSTIC - CHEST X-RAY [0324] ( 473.00)

32000053 HC CHEST AP LAT W/BOTH OBLIQUESRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 478.00)

32000073 HC BRONCHOGRAPHY UNILAT S&IRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 456.00)

32000074 HC BRONCHOGRAPHY BILAT S&IRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 469.00)

32000220 HC RIBS UNILATERAL RIGHT(MINIMUM 2VS)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 297.00)

32000221 HC RIBS UNILATERAL LEFT(MININUM 2VS)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 297.00)

32000120 HC RIBS UNILAT LT WITH PA CHEST MIN 3VRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 313.00)

32000070 HC RIBS BILATERAL (MINIMUM 3V)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 338.00)

32000121 HC RIBS;BILAT W/PA CHEST MIN 4 VRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 345.00)

32000083 HC STERNUM 2 VIEWSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 297.00)

32000071 HC STERNO CLAVICULAR JOINTS 3VRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 313.00)

32000075HC SPINE ENTIRE; SURVEY STUDY A/P & LAT


32000023 HC SPINE 1 VIEW SPECIFY LEVELRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 281.00)

32000024 HC CERVICAL 2 OR 3 VIEWSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 344.00)

32000025 HC CERVICAL SPINE 4-5 VIEWS ROUTINERADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 364.00)

32000026 HC CERV COMP;INCLUD OBL FLEX EXTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 390.00)

32000089 HC SCOLIOSIS SERIESRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 261.00)

32000086 HC THORACIC SPINE 2VRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 278.00)



32000085 HC THORACOLUMBAR SPINE 2VRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 278.00)

32000076HC SPINE SCOLIOSIS STUDY; SUPINE/ERECT


32000050 HC LUMBAR SPINE 2-3 VIEWSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 397.00)

32000051 HC LUMBAR MIN 4VRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 461.00)

32000052HC LUMBAR SPINE COMPLETE W/BENDING MIN 6VWS


32000049HC LUMBAR SPINE BENDING ONLY 2-3 VIEWS


32000058 HC PELVIS; 1 OR 2 VIEWSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 324.00)

32000059 HC PELVIS MIN 3VRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 339.00)

32000060 HC SACROILLIAC JOINTS (3V OR LESS)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 328.00)

32000077 HC SACROILIAC JOINTS 3 OR MORE VRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 335.00)

32000061 HC SACRUM AND COCCYX MIN 2VRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 314.00)

32000170 HC CERVICAL MYELOGRAMRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,002.00)

32000168 HC THORACIC MYELOGRAMRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,002.00)

32000169 HC LUMBAR MYELOGRAMRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,002.00)

32000163 HC MYELOGRAM 2 OR MORE REGIONSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,181.00)

32000028 HC XRAY DISCOGRAM CERV/THORRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 5,461.00)

32000112 HC PERQ VERTE/SACROPLSTY FLUORRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,653.00)

32000010 HC DISCOGRAM LUMBARRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 5,461.00)

32000224 HC CLAVICLE COMPLETE RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 254.00)

32000225 HC CLAVICLE COMPLETE LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 254.00)

32000228 HC SCAPULA COMPLETE RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 296.00)

32000229 HC SCAPULA COMPLETE LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 296.00)

32000230 HC SHOULDER 1V RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 222.00)

32000231 HC SHOULDER 1V LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 222.00)

32000232 HC SHOULDER COMPLETE MIN 2V RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 296.00)

32000233 HC SHOULDER COMPLETE MIN 2V LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 296.00)

32000197 HC AC JOINTS BILATERALRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 277.00)

32000236 HC HUMERUS MIN 2V RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 277.00)

32000237 HC HUMERUS MIN 2V LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 277.00)

32000240 HC ELBOW 2V RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 235.00)

32000241 HC ELBOW 2V LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 235.00)

32000244 HC ELBOW 3V RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 253.00)

32000245 HC ELBOW 3V LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 253.00)

32000246 HC FOREARM 2V RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 284.00)

32000247 HC FOREARM 2V LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 284.00)

32000250 HC UPPER EXT(INFANT) 2V RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 301.00)

32000251 HC UPPER EXT(INFANT) 2V LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 301.00)

32000252 HC WRIST 2V RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 194.00)

32000253 HC WRIST 2V LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 194.00)

32000256 HC WRIST 3V RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 243.00)

32000257 HC WRIST 3V LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 243.00)

32000258 HC HAND 2V RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 230.00)

32000259 HC HAND 2V LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 230.00)

32000262 HC HAND 3V RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 265.00)

32000263 HC HAND 3V LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 265.00)

32000266 HC FINGER(S) RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 226.00)

32000267 HC FINGER(S) LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 226.00)

32000270 HC HIP 1V RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 210.00)

32000271 HC HIP 1V LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 210.00)

32000272 HC HIP 2V RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 313.00)

32000273 HC HIP 2V LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 313.00)

32000199 HC PELVIS W 2V OF EA HIP (5V)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 365.00)

32000276 HC HIP IN OR RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 287.00)

32000277 HC HIP IN OR LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 287.00)

32000115 HC PELVIS & HIPS INFANT/CHILD 2+VIEWSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 174.00)

32000278 HC FEMUR 2V RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 303.00)

32000279 HC FEMUR 2V LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 303.00)

32000282 HC KNEE 1-2 VIEWS RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 333.00)

32000283 HC KNEE 1-2 VIEWS LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 333.00)

32000284 HC KNEE 3 VIEW RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 352.00)

32000285 HC KNEE 3 VIEW LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 352.00)

32000286 HC KNEE 4+VIEW LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 358.00)

32000287 HC KNEE 4+VIEW RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 358.00)

32000206 HC KNEE (AP STANDING) BILATERALRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 352.00)

32000288 HC TIBIA/FIB 2V RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 338.00)

32000289 HC TIBIA/FIB 2V LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 338.00)

32000292 HC LOWER EXT 2V RT(INFANT)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 319.00)

32000293 HC LOWER EXT 2V LT (INFANT)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 319.00)

32000294 HC ANKLE 2V RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 364.00)

32000295 HC ANKLE 2V LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 364.00)

32000296 HC ANKLE MIN 3V RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 395.00)

32000297 HC ANKLE MIN 3V LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 395.00)

32000300 HC FOOT 2V RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 232.00)

32000301 HC FOOT 2V LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 232.00)

32000304 HC FOOT MIN 3V RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 406.00)

32000305 HC FOOT MIN 3V LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 406.00)

32000308 HC HEEL MIN 2V RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 214.00)

32000309 HC HEEL MIN 2V LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 214.00)

32000313 HC TOE(S) RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 231.00)

32000365 HC TOE(S) LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 231.00)

32000014 HC ABDOMEN 1 VIEWRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 334.00)

32000015 HC ABDAP & OBLIQUE & CONE VIEWSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 432.00)

32000158 HC ABDAP & ERECT OR/& DECUB VIEWSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 442.00)

32000016 HC ABDOMEN ACUTE ABDOMEN SERIESRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 582.00)

32000125HC PERITONEOGRAM AFTER INJ AIR OR CONTRAST


32000131HC ESOPHAGUS UPPER/CERVICAL/PHARYNX


32000029 HC ESOPHAGRAM COMPLETERADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 400.00)

32000032 HC SWALLOWING FUNCTION VIDEORADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 371.00)

32000117HC FB REMOVAL ESOP W BALLOON CATHETER


32000041 HC GI SERIES W/O PRE KUBRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 371.00)

32000045 HC GI SERIES W PRE KUBRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 601.00)

32000043HC GI & SM BOWEL W MULTIPLE SERIAL FILMS


32000046 HC UGI AIR W/O KUBRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 605.00)

32000044 HC GI (AIR CONTRAST/OTHER) W PRE KUBRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 806.00)

32000047 HC UGI AIR W SM BOWEL FOLLOW THRURADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,006.00)

32000048 HC SMALL BOWEL SERIES W/MULT FILMSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 621.00)

32000017 HC ENTEROCLYSIS W TUBE PLACE DIRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 624.00)

32000018 HC BARIUM ENEMA ROUTINERADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 688.00)

32000019 HC BARIUM ENEMA WITH AIR CONTRASTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 722.00)

32000124 HC THERAPEUTIC ENEMARADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 662.00)

32000040HC GALL BLADDER ORAL CHOLECYSTOGRAM


32000042 HC GALL BLADDER ADDL PROCEDURERADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 386.00)

32000020 HC CHOLANGIOGRAM SURGERY/ORRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 382.00)

32000031 HC CHOLANGIOGRAPHY ADDL SET ORRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 348.00)

32000021 HC CHOLANGIOGRAM VIA EXIST CATHRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 439.00)

32000140 HC PTC (S&I)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 795.00)

32000118HC BILIARY STONE EXTRACTPERC T-TUBE/BASKET


32000218 HC ERCP IN DEPARTMENTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 795.00)

32000095 HC ERCP (RETRO PANCREATOGRAM)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 795.00)

32000007 HC GI TUBE(LONG)PLACEFLUORO & FILMSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 303.00)

32000167 HC PERC PLACEMENT/FEEDING TUBERADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 795.00)

32000141HC BIL DUCT DIL TRANSHEPATIC PERC W/WO

RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,271.00)

32000064 HC IV PYELOGRAM ROUTINERADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 859.00)

32000066 HC IV PYELOGRAM RAPID SEQUENCERADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 592.00)

32000065 HC IV PYELOGRAM WITH TOMOGRAPHYRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 970.00)

32000067 HC RETROGRADE PYELOGRAM W/WO KUBRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 592.00)

32000318HC UROGRAPHY ANTEGRADE RS&I BILATERAL


32000319 HC UROGRAPHY ANTEGRADE RS&I RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 652.00)

32000320 HC UROGRAPHY ANTEGRADE RS&I LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 652.00)

32000068 HC CYSTOGRAM RS&I MIN 3VRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 592.00)

32000156 HC CORPORA CAVERNOSOGRAPHYRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 592.00)

32000174 HC URETHROGRAM RETROGRADERADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 592.00)

32000173 HC CYSTOURETHROGRAM (VOIDING)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 592.00)

32000012HC CATH RENAL PELVIS DRG&/NJX PRQ RS&I LT


32000322HC CATH RENAL PELVIS DRG&/NJX PRQ RS&I BILAT


32000364HC CATH RENAL PELVIS DRG&/NJX PRQ RS&I RT


32000323HC INTRO URETERAL CATH/STENT PRQ RS&I RT


32000324HC INTRO URETERAL CATH/STENT PRQ RS&I LT


32000325HC INTRO URETERAL CATH/STENT PRQ RS&I BIL


32000326HC DILATION URETER(S) OR URETHRA RAD S&I RT


32000327HC DILATION URETER(S) OR URETHRA RAD S&I LT


32000328HC DILATION URETER(S) OR URETHRA RAD S&I BIL


32000093 HC PELVIMETRYRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 364.00)

32000172 HC HYSTEROSALPINGOGRAMRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 976.00)

32000157 HC FALLOPIAN TUBE RECANNULAZATIONRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 795.00)

32000084 HC PERINEOGRAM SEX DETERMRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 592.00)

32000154 HC VISCERAL ANGIO SELECT (W/WO FLUSH) RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 8,926.00)

32000105 HC SHUNT ANGIO EXISTING ACCESSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,635.00)

32000132 HC LYMPHANGIOGRAM ARM/LEG UNILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 795.00)

32000133 HC LYMPHANGIOGRAM ARM/LEG BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,461.00)

32000134 HC LYMPHANGIOGRAM ABD/PELVIS UNILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,461.00)

32000151 HC LYMPHANGIO PELVIC/ABD BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 3,049.00)

32000078 HC SHUNTOGRAM PREV NONVASCRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 795.00)

32000329 HC VENOGRAM EXTREMITY UNIL RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,057.00)

32000330 HC VENOGRAM EXTREMITY UNIL LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,057.00)

32000027 HC VENO EXTREM BILAT S&IRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,216.00)

32000152HC INFERIOR VENA CAVA W SERIALOGRAPHS


32000155 HC SUPERIOR VENA CAVA W FILMSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,306.00)

32000335 HC VENOGRAM RENAL RT SELECTIVERADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 3,344.00)

32000336 HC VENOGRAM RENAL LT SELECTIVERADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 3,344.00)

32000123 HC VENOGRAM RENAL BILAT SELECTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 3,845.00)

32000136 HC VENOGRAM ADENAL LT SELECTIVERADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 3,344.00)

32000135 HC VENOGRAM ADENAL BILAT SELECTIVERADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 7,658.00)

32000337 HC VENOGRAM JUGULAR CATH LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 3,049.00)

32000338 HC VENOGRAM JUGULAR CATH RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 3,049.00)

32000166 HC VENOGRAM SUPERIOR SAGITTAL SINUSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,306.00)

32000009 HC VENOGRAM EPIDURALRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 3,049.00)

32000177 HC PORTOGRAPHY W HEMODYNAMIC EVALRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 3,344.00)

32000178HC PORTOGRAPHY W/O HEMODYNAMIC EVAL


32000150 HC HEPATIC VENO W HEMODYNAMIC EVALRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 3,845.00)

32000149HC HEPATIC VENOGRAM W/O HEMODYNAMIC


32000153HC VENOUS SAMPLING VIA CATHW/WO ANGIO


32000176 HC TRANSCATH EMBOLIZ;ANY METHODRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 2,413.00)

32000006HC TRANSCATHTHERAPYINFUSION ANY METHOD


32000183 HC EXISTING CATH ANGIOGR FOR F/U RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 1,765.00)

32000092HC THROMBOLYTIC CATH EXCHANGE W CONTRAST


32000138HC MECHANICAL RMVL PERICATHETER OBSTR MATRL RS&I


32000139HC MECHANICAL RMVL INTRALUMINAL OBSTR MATRL RS&I


32000146 HC IVC FILTER PLACEMENT PERCRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,336.00)

32000004 HC IV ULTRASOUND RS&I INITIAL VESSELRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 729.00)

32000005HC IV ULTRASOUND RS&I EACH NON-CORONARY VESSEL


32000002HC ENDOVASCULAR REPAIR INFRARENAL AAA S & I


32000003HC PROX OR DISTAL EXTENSION FOR AAA S & I


32000111 HC ENDO REPAIR ILIAC ARTERYRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 496.00)

32000179 HC ENDO T ANEURYSM INVOLV LSC(PROC)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 927.00)

32000180HC ENDO T ANEURYSM NOT INVOLV LSC (PRO


32000181 HC ENDO T ANEURYSM PROX EXT (PROC)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 530.00)

32000182 HC ENDO THORACIC REVISION (PROC)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 465.00)

32000104 HC TRANSCATH IV STENT RS&IRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,145.00)

32000145 HC TRANSCATHETER RETRIVAL PERCRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,256.00)

32000342 HC TRANSLUM PTAPERIPH;INITIALRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 3,615.00)

32000346 HC PTA EA ADD'L PERIPHERAL ARTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,334.00)

32000349 HC PTA RENAL/VISCERAL ARTERY RIGHTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 3,615.00)

32000350 HC PTA RENAL/VISCERAL ARTERY LEFTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 3,615.00)

32000355 HC PTA EA ADD'L VISCERAL ARTERY RIGHTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,334.00)

32000356 HC PTA EA ADD'L VISCERAL ARTERY LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,334.00)

32000175 HC TRANSCATHETER BIOPSY S&IRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,306.00)

32000102 HC PTA VENOUSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 4,056.00)

32000142 HC BILIARY DRAINAGE PERC EXTERNALRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,271.00)

32000143 HC BILIARY DRAINAGEPERC INT/EXTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,271.00)

32000144 HC DRAINAGE CATHETER CHANGE PERCRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 740.00)

32000119 HC DRAINAGE ABSCESS PERC CT GUID CT SCAN - OTHER CT SCAN [0359] ( 829.00)

32000022 HC FLUORO GUIDANCE UP TO 1 HOURRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 475.00)

32000057 HC C ARM FLUORO MORE THAN 1 HRRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 476.00)

32000116HC FOREIGN BODY CHILD NOSE TO RECTUM 1V


32000147 HC FISTULA/ABSCESSOGRAM STUDYRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 542.00)

32000126 HC SURGICAL SPECIMEN XRAYRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 951.00)

32000215 HC LOWER EXT TOMOGRAMRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 338.00)

32000103 HC UNLISTED FLUORO PROCEDURERADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 428.00)

32000164 HC UNLISTED RADIOGRAPHIC PROCEDURERADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 619.00)

32000162 HC CVC/PICC FLUORO GUIDANCE (+)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 462.00)

32000148 HC FLUOROGUIDE NDLE LOC(BXASPIR)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 271.00)

32000056 HC FLUORO GUIDE TX SPINETHER INJRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 286.00)

32000127 HC STEREOTACT GUIDE FOR BRST BXRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,193.00)

32000129 HC BREAST EA LESIONRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 255.00)

32000128 HC XRAY MAMMARY DUCTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 380.00)

32000130 HC XRAY MAMMARY DUCT MULTIPLERADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 513.00)

32000090HC MANUAL APPLIC STRESS BY MD JOINT XRAY


32000096 HC BONE AGE STUDYRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 209.00)

32000214 HC BONE LENGTH STUDYRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 264.00)

32000160 HC OSSEOUS SURVEY LIMITEDRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 360.00)

32000159HC OSSEOUS SURVEY AXIAL & APPENDICULAR


32000161 HC OSSEOUS SURVEY INFANTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 283.00)

32000184HC JOINT SURVEY 1 VIEW 2 OR MORE JOINTS


32000109 HC BONE DENSITYDXA AXIAL SKELETONRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 397.00)

32000110HC BONE DENSITYDXA APPENDICULAR SKELETON


32000108HC BONE DENSITYDXA VERTEBRAL FRACTURE


44400004 HC SWALLOW EVAL WITH VIDEOSPEECH THERAPY - LANGUAGE PATHOLOGY - EVALUATION OR REEVALUATION [0444] ( 357.00)

44400002 HC FEES SWALLOW EVALUATIONSPEECH THERAPY - LANGUAGE PATHOLOGY - EVALUATION OR REEVALUATION [0444] ( 301.00)

32000219HC CA SCRN BARIUM ENEMA(NONMEDICARE)


32000165 HC CLOSURE DEVICE PLACEMENTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 70.00)

32200008 HC TMJ ARTHROGRAM RIGHT RADIOLOGY - DIAGNOSTIC - ARTHROGRAPHY [0322] ( 569.00)

32200009 HC TMJ ARTHROGRAM LEFT RADIOLOGY - DIAGNOSTIC - ARTHROGRAPHY [0322] ( 569.00)

32200010 HC ARTHROGRAMTMJBILAT;S&I RADIOLOGY - DIAGNOSTIC - ARTHROGRAPHY [0322] ( 853.00)

32200011 HC SHOULDER ARTHROGRAM RT RADIOLOGY - DIAGNOSTIC - ARTHROGRAPHY [0322] ( 766.00)

32200012 HC SHOULDER ARTHROGRAM LT RADIOLOGY - DIAGNOSTIC - ARTHROGRAPHY [0322] ( 766.00)

32200013 HC ELBOW ARTHROGRAM RT RADIOLOGY - DIAGNOSTIC - ARTHROGRAPHY [0322] ( 569.00)

32200014 HC ELBOW ARTHROGRAM LT RADIOLOGY - DIAGNOSTIC - ARTHROGRAPHY [0322] ( 569.00)

32200015 HC WRIST ARTHROGRAM RT RADIOLOGY - DIAGNOSTIC - ARTHROGRAPHY [0322] ( 569.00)

32200016 HC WRIST ARTHROGRAM LT RADIOLOGY - DIAGNOSTIC - ARTHROGRAPHY [0322] ( 569.00)

32200017 HC HIP ARTHROGRAM RT RADIOLOGY - DIAGNOSTIC - ARTHROGRAPHY [0322] ( 676.00)

32200018 HC HIP ARTHROGRAM LT RADIOLOGY - DIAGNOSTIC - ARTHROGRAPHY [0322] ( 676.00)

32200021 HC KNEE ARTHROGRAM RT RADIOLOGY - DIAGNOSTIC - ARTHROGRAPHY [0322] ( 569.00)

32200022 HC KNEE ARTHROGRAM LT RADIOLOGY - DIAGNOSTIC - ARTHROGRAPHY [0322] ( 569.00)

32200023 HC ANKLE ARTHROGRAM RT RADIOLOGY - DIAGNOSTIC - ARTHROGRAPHY [0322] ( 569.00)

32200024 HC ANKLE ARTHROGRAM LT RADIOLOGY - DIAGNOSTIC - ARTHROGRAPHY [0322] ( 569.00)

32300012 HC THORACIC AO W/O SERIALOGRAPHY RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 3,344.00)

32300026 HC AORTOGRAPHY THORACIC RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 7,658.00)

32300023 HC AORTOGRAPHY ABDOMINAL RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 3,344.00)

32300004HC ANGIO ABD W BILAT LOW EXTRO(STEPETC) RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 3,344.00)

32300001HC ANGIOGRAPHY CERVICOCEREBRAL ARCH RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 3,453.00)

32300002 HC RETROGRADE BRACHIAL ARTERIOGRAM RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 3,344.00)

32300014 HC CAROTID EXTERNAL SELECTIVE LT RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 3,453.00)

32300028 HC CAROTID EXTERNAL SELECTIVE RT RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 3,453.00)

32300015HC CAROTID EXTERNAL SELECTIVE BILATERAL RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 3,453.00)

32300031 HC CAROTID CEREBRAL UNILATERAL S&I LT RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 2,596.00)

32300032 HC CAROTID CEREBRAL UNILATERAL S&I RT RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 2,596.00)

32300020 HC CAROTIDCEREBRALBILATERALANGIO RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 3,508.00)

32300035 HC ANGIO CERV CAROTID LT RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 4,322.00)

32300036 HC ANGIO CERV CAROTID RT RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 3,375.00)

32300019 HC ANGIO CERV CAROTID BILATERAL RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 2,596.00)

32300011HC VERTEBRAL CERV OR INTRACRAN ANGIO RT RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 2,823.00)

32300047HC VERTEBRAL CERV OR INTRACRAN ANGIO LT RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 2,823.00)

32300005 HC ANGIO SPINAL SELECTIVE RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 8,926.00)

32300037 HC ANGIO EXTREM UNILAT RT S&I RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 3,344.00)

32300038 HC ANGIO EXTREM UNILAT LT S&I RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 3,344.00)

32300024 HC ANGIO EXTREM BILAT S&I RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 3,845.00)

32300006 HC ANGIO ADRENAL LT SELECTIVE RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 3,344.00)

32300008 HC ANGIO ADRENAL RT SELECTIVE RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 3,344.00)

32300018 HC ANGIO ADRENAL BILAT SELECTIVE RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 3,845.00)

32300003HC ANGIO PELVIC SELECTIVE OR SUPRASELECT RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 7,658.00)

32300045 HC PULMONARY ANGIO SELECTIVE RIGHT RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 3,344.00)

32300046 HC PULMONARY ANGIO SELECTIVE LEFT RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 3,344.00)

32300021 HC PULMONARY BILATERAL (SELECTIVE) RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 3,845.00)

32300013 HC PULMONARY ANGIO NONSELECT RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 3,049.00)

32300007 HC ANGIO INTERNAL MAMMARY RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 3,049.00)

32300025HC ANGIOGRAPHY SELECTIVEEACH ADD'L VESSEL RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 3,105.00)

32400002 HC CHEST 1 VIEW RADIOLOGY - DIAGNOSTIC - CHEST X-RAY [0324] ( 468.00)

32400004 HC CHEST 3VAPLATW/APICAL LORDOTIC RADIOLOGY - DIAGNOSTIC - CHEST X-RAY [0324] ( 478.00)

32400005 HC CHEST COMPLETE (MINIMUM 4V) RADIOLOGY - DIAGNOSTIC - CHEST X-RAY [0324] ( 484.00)

32400006 HC CHEST COMPLETE MIN 4V W/FLUORO RADIOLOGY - DIAGNOSTIC - CHEST X-RAY [0324] ( 489.00)

32400001HC CHEST SPECIAL VIEW(EG DECUBS) DEPT RADIOLOGY - DIAGNOSTIC - CHEST X-RAY [0324] ( 255.00)

33100003HC CHEMO TX ADMN SUBQ/IM NONHORMONAL ANTINEO

RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - CHEMOTHERAPY ADMINISTRATION - INJECTED [0331] ( 182.00)

33100004HC CHEMO TX ADMN SUBQ/IM HORMONAL ANTINEO


33100001HC CHEMO TX ADMN IV PUSH TQ 1/1ST SBST/DRUG


33100002HC CHEMO TX ADMN IV PUSH TQ EA SBST/DRUG


33100006 HC CHEMO TX ADMIN INTRAART PUSH TQ


33100005HC CHEMO.INJECTION W LUMBAR PUNCTURE INC.


33300043HC US INTERSTITIAL RADIOELEMENT APPLICATION

RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 728.00)

33300004 HC TP/SAFS MINRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 573.00)

33300005 HC TP/SAFS INTERMRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 842.00)

33300006 HC TP/SAFS COMPLEXRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 905.00)

33300040 HC 3-D RADIOTHERAPY PLANRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 2,898.00)

33300003 HC DOSIMETRY CALCULATIONSRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 352.00)

33300041 HC IMRT PLANNINGRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 4,834.00)

33300009 HC DOS/ISO COMPLEXRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 616.00)

33300010 HC TPPPARTICLASHEMI TOTALRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 572.00)

33300014 HC DOS (EGTLDMICRODOS)RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 309.00)

33300015 HC TDD & CONSTR SIMPLERADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 588.00)

33300016 HC TDD & CONSTR INTERMRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 215.00)

33300017 HC TDD & CONSTR COMPLEXRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 726.00)

33300018 HC CONT MED RAD PHYS CONSULRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 416.00)

33300001HC MULTILEAF COLLIMATOR PER IMRT PLAN


33300019 HC SP MED RAD PHYS CONSULRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 285.00)

33300039 HC UNLIS PROCMED RAD PHYSDOSTRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 215.00)

33300025HC RADIATION TRTMT ORTHO VOLTAGE PER DAY


33300026 HC RADIATION TRMT SIMPLE >=1MEVRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 411.00)

33300028 HC RADIATION TRTMTSIMPLE 11-19 MEVRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 207.00)

33300030 HC RADIATION TRMT INTERMED >=1MEVRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 454.00)

33300034 HC RADIATION TRMT COMPLEX >=1MEVRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 621.00)

33300035 HC RADIATION TRTMTCOMPLEX 6-10 MEVRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 632.00)

33300036 HC RADIATION TRTMTCOMPLEX 11-19 MEVRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 645.00)

33300020 HC LOCAL/VERIF 1 PORTRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 164.00)

33300042 HC IMRT TRTMT DELIVERYRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 2,188.00)

33300045 HC IGRT TREATMENT DELIVERYRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 799.00)

33300038 HC SPECIAL TRMTRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 1,702.00)

33300021 HC HYPERTHERMIA EXTER SUPERFICIALRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 375.00)

33300022 HC HYPERTHERMIAEXTERNAL DEEPRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 1,355.00)

33300023 HC HYPERTHER GEN INTERS PROBE =/<5RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 908.00)

33300024 HC HYPERTHERM GEN INTERS PROBE >5RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 908.00)

33300046HC HPERTHERM GEN INTRACAVITY PROBE(S)


33300002 HC TOSITUMOMAB IV 450 MGRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 4,928.00)

33500002HC CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG

RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - CHEMOTHERAPY ADMINISTRATION - IV [0335] ( 392.00)

33500003HC CHEMOTHERAPY ADMN IV INFUSION TQ EA HR


33500005HC CHEMOTX ADMN TQ INIT PROLNG CHEMOTX NFUS PMP


33500004HC CHEMOTX ADMN IV NFS TQ EA SEQL NFS TO 1 HR


33500001HC CHEMOTX ADMN PRTL CAVITY PORT/CATH


34000001 HC IV INJ RA DRUG DX STUDY NUCLEAR MEDICINE - THERAPEUTIC PROCEDURES [0342] ( 373.00)

34000003 HC FDG DX PSD UT 45 MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 1,044.00)

34100005 HC THYROID UPTAKE (SINGLE) NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 401.00)

34100042 HC THYROID UPTAKE (MULTIPLE) NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 748.00)

34100030HC THYROID STIMULATION SUPPRESS/DISCHG NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 634.00)

34100024 HC THYROID UPTAKE (SINGLE) AND SCAN NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,083.00)

34100040 HC THYROID UPTAKE (MULTIPLE) AND SCAN NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,488.00)

34100006 HC THYROID SCAN NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 828.00)

34100007 HC THYROID CA WHOLE BODY NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,965.00)

34100072 HC THYROID CA METS UPTAKE NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 905.00)

34100013 HC PARATHYROID IMAGING NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 905.00)

34100073 HC NP 59 ADRENAL SCAN NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,578.00)

34100068HC BONE MARROW IMAGING LIMITED STUDY NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 653.00)

34100067HC BONE MARROW IMAGING MULTIPLE STUDY NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 905.00)

34100011 HC BONE MARROW IMAGING WHOLE BODY NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,155.00)

34100061 HC PLASMA VOLUME I 125 SINGLE STUDY NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 2,159.00)

34100009 HC CR 51 RED CELL VOLUME (MASS) NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 905.00)

34100010 HC CR 51 RED CELL SURVIVAL NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 905.00)

34100045 HC LYMPHANGIOSCAN NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,309.00)

34100050 HC SPECT (LIVER) NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 2,159.00)

34100002HC LIVER IMAGING (SPECT) WITH VASCULAR FLOW NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 994.00)

34100025 HC LIVER & SPLEEN STATIC ONLY NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 653.00)

34100029 HC HEPATOBILIARY SCAN NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,975.00)

34100078HC HEPATOBILLIARY IMAGING INCL GALLBLADDER NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,489.00)

34100079HC HEPATOBIL IMAGE INC GALLBLADDER W/DRUG NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 2,496.00)

34100003 HC GASTROESOPHAGEAL REFLUX STUDY NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 709.00)

34100023 HC GASTRIC EMPTYING SCAN NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 2,299.00)

34100066 HC C-14 UREA BREATH TEST NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 104.00)

34100014HC SCHILLING I W/O INTRINSIC FACTOR*1612 NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 402.00)

34100015HC SCHILLINGS II W INTRINSIC FACTOR*1612 NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 443.00)

34100012 HC B-12 ABSORPTION COMBINED NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 653.00)

34100027 HC GI BLEEDING SCAN NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 905.00)

34100034 HC MECKELS SCAN NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 653.00)

34100056 HC SHUNT PATENCY TEST NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 905.00)

34100018 HC BONE SCAN (LIMITED) SINGLE AREA NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 770.00)

34100017 HC BONE SCAN (WHOLE BODY) NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 2,496.00)

34100016 HC BONE SCAN (3 PHASE) NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 2,113.00)

34100058 HC BONE SPECT NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 947.00)

34100047 HC DYNAMIC CARDIAC FLOW SHUNT NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 905.00)

34100062 HC VASCULAR FLOW IMAGING NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 653.00)

34100052HC MYOCARD SPECT/SGL WM/EF IF PERFORMED NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,526.00)

34100053HC MYOCARD SPECT/MULT WM/EF IF PERFORMED NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 3,994.00)

34100054HC MYOCARD PERF/SGL/PLAN WM/EF IF PERFORMED NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,510.00)

34100055HC MYOCARD PERF/MUL/PLAN WM/EF IF PERFORMED NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 2,318.00)

34100051HC VENOUS THROMBOSIS IMAGINGACUTEPEPTIDE NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,244.00)

34100071HC RADIOISOTOPE VENOGRAM (UNILATERAL) NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 2,159.00)

34100043 HC RADIOISOTOPE VENOGRAM (BILATERAL) NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 980.00)

34100033 HC MYOCARDIAL SPECT PLANAR NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 2,159.00)

34100069 HC MUGA BLD POOL SNGL W/STRESS NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,510.00)

34100046 HC MUGA BID POOL MULTI W/STRESS NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,661.00)

34100048 HC FIRST PASS CARDIAC NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,510.00)

34100026 HC LUNG PERFUSION SCAN NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 653.00)

34100075HC PULMONARY VENT & PERFUSION IMAGING NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 2,094.00)

34100041HC LUNG PERFUSION WITH XENON VENTILATION NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 2,472.00)

34100031HC XENON VENTILATION SCAN(MULTIPLE PROJECTI NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,308.00)

34100032 HC LUNG PERFUSION SCAN QUANTITATIVE NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 803.00)

34100076HC QUANT DIFF PULMONARY PERFUSION INC IMAGE NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 430.00)

34100077HC QUANT DIFF PULM PERF & VENT INC IMAGE NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 792.00)

34100028 HC UNLISTED RESP PROCEDURE NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 945.00)

34100020 HC BRAIN MIN 4V W VASCULAR FLOW NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,459.00)

34100019 HC BRAIN SPECT NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 2,255.00)

34100001 HC BRAIN IMAGING VASC FLOW ONLY NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 653.00)

34100057 HC CSF SHUNT EVALUATION NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 905.00)

34100021 HC CISTERNOGRAM W/SPECT NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,244.00)

34100022 HC CSF LEAKAGE LOCALIZATION NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,244.00)

34100060 HC RENAL IMAGING NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 653.00)

34100038 HC KIDNEY MORPH W VASCULAR FLOW NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 743.00)

34100037HC KIDNEY MORPH W VASCULAR F&F W/O PHARM NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 905.00)

34100035 HC KIDNEY W VASC F&F W PHARM NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 962.00)

34100070 HC KIDNEY W F&F MULT W/WO PHAR NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,249.00)

34100049 HC SPECT (RENAL) NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 905.00)

34100039 HC URETERAL REFULX STUDY NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 653.00)

34100036 HC TESTICULAR W VASC FLOW NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 653.00)

34100065 HC RP DISTRIBUTION; LIMITED AREA NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 905.00)

34100044 HC RP LOC TUMOR MULTIPLE NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,015.00)

34100074 HC RP LOC TUMOR WHOLEBODY NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,125.00)

34100064 HC RP LOC TUMOR SPECT NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,804.00)

34100059 HC RP TUMOR LOC WHOLE BODY 2+DAYS NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 3,279.00)

34100004 HC RP LOC INFLAM LIMITED NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,244.00)

34100008 HC RP LOC INFLAMMATORY WHOLE BODY NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,368.00)

34100063 HC RP LOC INFLAMMATORY SPECT NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,505.00)

34200012 HC INSTIT RADIOELE APPLIC COMPLEX NUCLEAR MEDICINE - THERAPEUTIC PROCEDURES [0342] ( 2,267.00)

34200002 HC RP THERAPY ORAL ADMINISTRATION NUCLEAR MEDICINE - THERAPEUTIC PROCEDURES [0342] ( 1,064.00)

34200001 HC RP THERAPY IV ADMISTRATION NUCLEAR MEDICINE - THERAPEUTIC PROCEDURES [0342] ( 1,170.00)

34200003 HC RP INTRACAVITARY ADMIN NUCLEAR MEDICINE - THERAPEUTIC PROCEDURES [0342] ( 4,115.00)

34200004 HC RP THERAPY BY IV INFUSION NUCLEAR MEDICINE - THERAPEUTIC PROCEDURES [0342] ( 1,170.00)

34300040 HC C14 UREA CAPSULE PER CAPSULENUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 348.00)

34300010 HC INDIUM 111 ONCOSCINT PSD UT 6MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 3,244.00)

34300013 HC TC 99M MIRALUMA PSDNUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 183.00)

34300031 HC TC 99M CARDIOLITE PSDNUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 183.00)

34300017 HC TC 99M MYOVIEW PSDNUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 189.00)

34300006 HC TC 99M MDP PSD UT 30MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 55.00)

34300034 HC TC 99M ACUTECT PSD UT 20MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 1,044.00)

34300027 HC THALLIUM PER MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 43.00)

34300032 HC IN 111 PROSTASCINT PSD UT 10 MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 4,930.00)

34300012 HC I131 MIBG PER 0.5 MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 2,968.00)

34300008 HC TC 99M HEPATOLITE PSD UP 15MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 58.00)

34300018 HC TC99M PERTECHNETATE PER MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 2.00)

34300028 HC I123 DIAGNOSTIC PER 100 UCI UT 999NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 296.00)

34300019 HC CERETEC DX PSD UT 25 MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 2,720.00)

34300037 HC CERETEC LABELED DX PSD UT 25 MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 3,624.00)

34300001 HC I131 DIAGNOSTIC CAPS 4MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 172.00)

34300029 HC I131 SODIUM IOD CAP DX PER MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 172.00)

34300035 HC TC 99M NEOTECT PSD UT 35 MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 1,871.00)

34300020 HC TC 99M CHOLETEC PSD UT 15 MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 72.00)

34300003 HC TC 99M PYP PSD UT 25 MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 115.00)

34300022 HC TC 99M DTPA PSD UT 25 MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 257.00)

34300023 HC TC 99M MAA PSD UT 10 MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 451.00)

34300021 HC TC 99M SULFUR COL PSD UT 20MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 243.00)

34300042HC TC 99M SULFUR COL FILTERED PSD UT 20MCI

NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 181.00)

34300015 HC IN 111 ZEVALIN DX PSD UT 5 MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 5,240.00)

34300009 HC I131 BEXXAR DX PSDNUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 5,218.00)

34300038HC INDIUM 111 WBC OXYQUINOLINE PER 0.5 MCI

NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 3,612.00)

34300033 HC IN 111 DTPA PER 0.5 MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 3,376.00)

34300014 HC TC 99M GLUCEPTATE PSD UT 25MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 58.00)

34300004 HC TC 99M DMSA PSD UT 10 MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 339.00)

34300039 HC CR51 SOD CHROMATE PSDUT 250UCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 72.00)

34300036 HC RB92 PSD UT 60 MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 579.00)

34300026 HC GALLIUM 67 PER MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 400.00)

34300011 HC TC 99M NEUROLITE PSD UT 25 MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 2,479.00)

34300030 HC XE133 PER 10 MCI VIALNUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 200.00)

34300007 HC CO57 RUBRATOPE PSD 500 UCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 279.00)

34300041 HC TC99M LABELED RBC PSD UT 30MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 301.00)

34300024 HC TC 99M HDP PSD UT 30 MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 94.00)

34300025 HC TC 99M MAG3 PSD UT 15 MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 587.00)

34300016 HC IN111 IN OCTREOSCAN PSD UT 6 MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 7,090.00)

34300002 HC I123 MIBG DX PSD UT 15 MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 6,947.00)

34300005 HC INPNT STAY RADIOLABELED ITEMNUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 1.00)

34400006 HC I131 SODIUM IOD CAP TX PER MCINUCLEAR MEDICINE - THERAPEUTIC RADIOPHARMACEUTICALS [0344] ( 40.00)

34400005 HC YTTRIUM 90 ZEVALIN TX PSD UT 40MCINUCLEAR MEDICINE - THERAPEUTIC RADIOPHARMACEUTICALS [0344] ( 93,462.00)

34400001 HC I131 BEXXAR THERAPEUTICNUCLEAR MEDICINE - THERAPEUTIC RADIOPHARMACEUTICALS [0344] ( 45,216.00)

34400003 HC P32 SODIUM PHOSPHATE PER MCINUCLEAR MEDICINE - THERAPEUTIC RADIOPHARMACEUTICALS [0344] ( 483.00)

34400002 HC STRONTIUM 89 TX PER MCINUCLEAR MEDICINE - THERAPEUTIC RADIOPHARMACEUTICALS [0344] ( 1,759.00)

35000003HC CT ANGIO NECK W/WO CONT W POST PROCESS CT SCAN - HEAD SCAN [0351] ( 2,333.00)

35000008 HC CT CHEST W/O CONTRAST CT SCAN - BODY SCAN [0352] ( 2,257.00)

35000009 HC CHEST W CONTRAST CT SCAN - BODY SCAN [0352] ( 2,778.00)

35200022 HC CHEST W/WO CONTRAST CT SCAN - BODY SCAN [0352] ( 2,933.00)

35000004HC CT ANGIO CHEST W/WO CONT W POST PROCESS CT SCAN - BODY SCAN [0352] ( 2,311.00)

35000001 HC CT T-SPINE W&W/O CT SCAN - BODY SCAN [0352] ( 2,371.00)

35000013HC CT ANGIO PELVIS W/WO CONT/W POST PROCESS CT SCAN - BODY SCAN [0352] ( 2,048.00)

35000021 HC CT ANGIO UPR EXTRM W/O&W/DYE LT CT SCAN - BODY SCAN [0352] ( 2,271.00)

35000022 HC CT ANGIO UPR EXTRM W/O&W/DYE RT CT SCAN - BODY SCAN [0352] ( 2,271.00)

35000023 HC CT ANGIO UPR EXTRM W/O & W/DYE BIL CT SCAN - BODY SCAN [0352] ( 3,407.00)

35000024 HC CT ANGIO LWR EXT W/WO CONT LT CT SCAN - BODY SCAN [0352] ( 2,166.00)

35000020 HC CTA ABD & PELVIS CT SCAN - BODY SCAN [0352] ( 3,831.00)

35000005HC CT ANGIO ABDOMEN W/WO CONT & POST PR CT SCAN - BODY SCAN [0352] ( 2,264.00)

35000012HC CT HEART W/O EVAL CORONARY CALCIUM CT SCAN - GENERAL CLASSIFICATION [0350] ( 140.00)

35000011HC CT ANGIO ABD AO/BILAT RO W/WO CONT & PP CT SCAN - BODY SCAN [0352] ( 2,547.00)

35000010 HC CT 3D RECON CT SCAN - GENERAL CLASSIFICATION [0350] ( 364.00)

35000002 HC CT LTD OR LOCALIZED FU STUDY CT SCAN - GENERAL CLASSIFICATION [0350] ( 620.00)

35000016 HC CT PROCEDURE UNLISTED CT SCAN - GENERAL CLASSIFICATION [0350] ( 1,427.00)

35000018HC HEAD STEREOTACTIC LOC CT GUIDANCE CT SCAN - GENERAL CLASSIFICATION [0350] ( 1,500.00)

35000015 HC CT SCAN FOR NDL PLACEMENT CT SCAN - GENERAL CLASSIFICATION [0350] ( 1,440.00)

35000014 HC CT GUIDANCE TISSUE ABLATION CT SCAN - GENERAL CLASSIFICATION [0350] ( 575.00)

35000019 HC CT GUIDANCE FOR RADIATION THERAPY CT SCAN - GENERAL CLASSIFICATION [0350] ( 729.00)

35000017 HC CT BONE DENSITY AXIAL SKELETON CT SCAN - BODY SCAN [0352] ( 520.00)

35100005 HC HEAD WO CONTRAST CT SCAN - HEAD SCAN [0351] ( 2,677.00)

35100003 HC HEAD W CONTRAST CT SCAN - HEAD SCAN [0351] ( 2,995.00)

35100006 HC HEAD W & W/O CONTRAST CT SCAN - HEAD SCAN [0351] ( 3,696.00)

35100009 HC ORBITSELLAP FOSSA OR OMI EAR W/O CT SCAN - HEAD SCAN [0351] ( 3,729.00)

35100010 HC CT ORBITS SELL PF EAR W/ CT SCAN - HEAD SCAN [0351] ( 3,840.00)

35100004 HC CT ORBIT/EAR/FOS SA W&W/O CT SCAN - HEAD SCAN [0351] ( 3,950.00)

35100008 HC CT MAXILLOFACIAL/SINUSES W/O CT SCAN - HEAD SCAN [0351] ( 2,998.00)

35100011 HC CT FACIAL BONES/SINUSES W CONTAST CT SCAN - HEAD SCAN [0351] ( 3,206.00)

35100012HC CT FACIAL BONES/SINUSES W/WO CONTRAST CT SCAN - HEAD SCAN [0351] ( 3,414.00)

35100001 HC NECK W/O CONTRAST CT SCAN - HEAD SCAN [0351] ( 1,546.00)

35100007 HC NECK W CONTRAST CT SCAN - HEAD SCAN [0351] ( 2,000.00)

35100013 HC NECK W/WO CONTRAST CT SCAN - HEAD SCAN [0351] ( 2,248.00)

35100002 HC CTA HEAD W&WO CONTRA CT SCAN - HEAD SCAN [0351] ( 2,333.00)

35200013 HC CERVICAL SPINE W/O CONTRAST CT SCAN - BODY SCAN [0352] ( 2,086.00)

35200011 HC CERVICAL SPINE W CONTRAST CT SCAN - BODY SCAN [0352] ( 2,229.00)

35200009 HC CERV SPINE W & WO CONTRAST CT SCAN - BODY SCAN [0352] ( 2,371.00)

35200014 HC THORACIC SPINE W/O CONTRAST CT SCAN - BODY SCAN [0352] ( 2,086.00)

35200012 HC THORACIC SPINE W CONTRAST CT SCAN - BODY SCAN [0352] ( 2,229.00)

35200015 HC LUMBAR SPINE W/O CONTRAST CT SCAN - BODY SCAN [0352] ( 2,086.00)

35200023 HC SPINE LUMBAR W CONTRAST CT SCAN - BODY SCAN [0352] ( 2,229.00)

35200024 HC SPINE LUMBAR W/WO CONTRAST CT SCAN - BODY SCAN [0352] ( 2,371.00)

35200007 HC CT PELVIS W/O CONTRAST MATERIAL CT SCAN - BODY SCAN [0352] ( 1,824.00)

35200008 HC PELVIS W CONTRAST CT SCAN - BODY SCAN [0352] ( 2,048.00)

35200004 HC PELVIS W/WO CONTRAST CT SCAN - BODY SCAN [0352] ( 2,271.00)

35200025HC CT UPPER EXTREMITY W/O CONTRAST MATERIAL LT CT SCAN - BODY SCAN [0352] ( 1,707.00)

35200028HC CT UPPER EXTREMITY W/O CONTRAST MATERIAL RT CT SCAN - BODY SCAN [0352] ( 1,707.00)

35200037HC CT UPPER EXTREMITY W/O CONTRAST MATERIAL BILAT CT SCAN - BODY SCAN [0352] ( 2,560.00)

35200038HC EXTERMITYUPPERBILATERALW CONTRAST CT SCAN - BODY SCAN [0352] ( 2,678.00)

35200039 HC EXTREMITY UPPER RIGHT W CONTRAST CT SCAN - BODY SCAN [0352] ( 1,786.00)

35200040 HC EXTREMITY UPPER LEFT W CONTRAST CT SCAN - BODY SCAN [0352] ( 1,786.00)

35200041HC EXTREMITYUPPERBILATERAL W/WO CONTRAST CT SCAN - BODY SCAN [0352] ( 2,796.00)

35200042HC EXTREMITY UPPER RIGHT W/WO CONTRAST CT SCAN - BODY SCAN [0352] ( 1,864.00)

35200043HC EXTREMITY UPPER LEFT W/WO CONTRAST CT SCAN - BODY SCAN [0352] ( 1,864.00)

35200045HC CT LOWER EXTREMITY W/O CONTRAST LT CT SCAN - BODY SCAN [0352] ( 1,434.00)

35200046HC CT LOWER EXTREMITY W/O CONTRAST RT CT SCAN - BODY SCAN [0352] ( 1,434.00)

35200057HC CT LOWER EXTREMITY W/O CONTRAST BILATERAL CT SCAN - BODY SCAN [0352] ( 2,151.00)

35200058HC CT LOWER EXTREMITY W/CONTRAST BILATERAL CT SCAN - BODY SCAN [0352] ( 2,343.00)

35200059 HC CT LOWER EXTREMITY W/CONTRAST RT CT SCAN - BODY SCAN [0352] ( 1,562.00)

35200060 HC CT LOWER EXTREMITY W/CONTRAST LT CT SCAN - BODY SCAN [0352] ( 1,562.00)

35200061HC CT LWR EXTREMITY W/WO CONTRAST BIL CT SCAN - BODY SCAN [0352] ( 2,534.00)

35200062HC CT LWR EXTREMITY W/WO CONTRAST RT CT SCAN - BODY SCAN [0352] ( 1,690.00)

35200063HC CT LWR EXTREMITY W/WO CONTRAST LT CT SCAN - BODY SCAN [0352] ( 1,690.00)

35200064 HC CT ANGIO LWR EXT W/WO CONT RT CT SCAN - BODY SCAN [0352] ( 2,166.00)

35200005 HC ABDOMEN W/O CONTRAST CT SCAN - BODY SCAN [0352] ( 2,305.00)

35200006 HC ABDOMEN W CONTRAST CT SCAN - BODY SCAN [0352] ( 2,377.00)

35200021 HC ABDOMEN W/WO CONTRAST CT SCAN - BODY SCAN [0352] ( 2,449.00)

35200001 HC ABD & PELVIS W/O CT SCAN - BODY SCAN [0352] ( 2,488.00)

35200002 HC ABD & PELVIS W CONTRAST CT SCAN - BODY SCAN [0352] ( 2,560.00)

35200003 HC ABD & PELVIS W/WO CT SCAN - BODY SCAN [0352] ( 2,632.00)

35900001 HC CT 3D RECON ON INDEP WORK STATION CT SCAN - OTHER CT SCAN [0359] ( 480.00)

36000447HC FNA BX W/O IMAGING GUIDANCE 1ST LESION

OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 558.00)

36000981 HC FINE NEEDLE ASP W/IMAGING GUIDEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 699.00)

36000250 HC I&D ABSCESS SIMPLE/SINGLEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 460.00)

36000251 HC I&D ABSCESS COMPLICATED/MULTIOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 653.00)

36000200HC DBRDMT W/RMVL FM FX&/DISLC SKN&SUBQ TISS

OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,057.00)

36000032HC DBRDMT W/RMVL FM FX&/DISLC SKN SUBQ T/M/F MUSC


36000031 HC DBRDMT FX&/DISLC SUBQ T/M/FBONEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,174.00)

36000201HC DEBRID SUBQ TISSUE FIRST 20 SQ CM OR <


36000569HC DEBRID MUSCLE/FASCIA 1ST 20SQCM OR <


36000041HC DEBRIDE BONE MUSCLE &/FASCIA 20 SQ CM/<


36000576HC DBRDMT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM<


36000580 HC DEBRID BONE EA ADDL 20SQ CM OR <OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,245.00)

36000042HC PARING/CUTTING BENIGN HYPERKERATOTIC SNG


36000497HC BX SKIN;SUBCU TISS &/OR MUC.MEMB; SGL


36000045HC BX SKIN;SUBCU TISS &/OR MUC.MEMB; EA ADD'L


36000207 HC EXCISION NAIL MATRIX PERM REMOVALOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 830.00)

36000537 HC BLEPHAROPLASTY LOWER EYELIDOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,729.00)

36000538 HC BLEPHAROPLASTY UPPER EYELIDOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,729.00)

36000245 HC INITIAL TX 1ST DEGREE BURN LOCAL TXOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 367.00)

36000246HC DRS&/DBRDMT PRTL THKNS BURNS INIT/SBSQ SM


36000247HC DRS&/DBRDMT PRTL THKNS BURNS INIT/SBSQ MED


36000992HC BIOPSY MUSCLE PERCUTANEOUS NEEDLE


36001021 HC BONE BIOPSY NEEDLE/TROCAROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,420.00)

36001022 HC BIOPSY BONE TROCAR/NEEDLE DEEPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,906.00)

36001090HC INJECTION SINUS TRACT THERAPEUTIC SEPARATE PROC


36001091 HC INJECTION SINUS TRACT DIAGNOSTICOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 385.00)

36000007HC INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES


36000723 HC TRIG PT INJ(S) 3 > MUSCLE(S)OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 294.00)

36000174HC ARTHROCENTESIS ASPIR&/INJECTION SMALL JT/BURSA


36000448HC ARTHROCENTESIS ASPIR&/INJECTION INTERM JT/BURSA


36000453HC ARTHROCENTESIS ASPIR&/INJECTION MAJOR JT/BURSA


36000953 HC BONE CYST ASPIRATION/INJECTIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,057.00)

36000983HC ABLATION BONE TUMOR RF PERCUTANEOUS CT GUIDANCE


36000424 HC SOFT TISSUE MASS BIOPSY OR EXCOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,540.00)

36000087HC EXCISION TUMOR SUBCU FACE/SCALP <2CM


36000088HC EXCISION TUMOR SUBCU FACE/SCALP 2CM OR >


36000089HC EXCISION TUMOR FACE/SCALP SUBFASCIA <2CM


36000090HC EXCISION TUMOR FACE/SCALP SUBFA 2CM OR >


36000590HC I&D DEEP ABSCESS SOFT TIS NECK/THORAX


36000115HC EXCISION TUMOR BACK/FLANK SUBFAS <5CM


36000972HC VERTEBROPLASTYPERCTSP PER VERTEBRA


36000971HC VERTEBROPLASTYPERCLSP PER VERTEBRA


36000973HC VERTEBROPLASTYPERCEA ADD'L VERTEBRA


36001072 HC KYPHOPLASTY THORACICOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 12,869.00)

36001073 HC KYPHOPLASTY LUMBAROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 12,869.00)

36001074 HC KYPHOPLASTY EACH ADDITIONAL LEVELOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 12,869.00)

36001134 HC SHOULDER ARTHROGRAM INJECTIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 395.00)

36001133 HC ELBOW ARTHROGRAM INJECTIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 416.00)

36000607 HC I&D FOREARM AND/OR WRIST DEEP ABSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,475.00)

36001132 HC WRIST ARTHROGRAM INJECTIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 391.00)

36000915HC INJ HIP ARTHROGRAPHY W/O ANESTHESIA


36001137 HC INJ HIP ARTHROGRAPHY W/ANESTHESIAOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 336.00)

36000982HC INJECT SI JOINT ARTHRGRPHY&/ANES/STEROID W/IMAGE

SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 439.00)

36001136 HC KNEE ARTHROGRAM INJECTIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 374.00)

36000162HC EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASCIAL <5CM


36001135 HC INJECTION ANKLE ARTHROGRAPHYOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 499.00)

36000344HC APPLY LONG LEG SPLINT THIGH ANKLE/TOES


36000357HC CONTROL NASAL HEMORRH ANT COMPLEX


36000423 HC UNLISTED PROCEDURE NOSEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 348.00)

36000040HC NASAL ENDOSCOPY DIAGNOSTIC UNI/BI SPX


36000487HC NASAL/SINUS ENDO DX MAXILLARY SINUSOSCOPY


36000359HC INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE

SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,828.00)

36000427HC TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT


36001014 HC LARYNGOSCOPY FLEXIBLE DIAGSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 237.00)

36000005HC TRACHEOSTOMY EMERGENCY PROC TRANSTRACHEAL


36000001HC TRACHEOSTOMY EMERGENCY CRICOTHYROID MEMBRANE


36000551HC BRNCHSC INCL FLUOR GID DX W/CELL WASHG SPX


36000561HC BRONCHOSCOPY BRNCHL/ENDOBRNCL BX 1+ SITES


36000548HC BRONCHOSCOPY W/TRANSBRNCL LUNG BX 1 LOBE


36000546 HC BRONCHOSCOPY STENT EA ADDLSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,174.00)

36000547HC BRNCHSC W/NJX CONTRAST SGMTL BRONCHOG


36000406HC CATHETER ASPIRATION NASOTRACHEAL SPX


36000020 HC THORACOTOMY W/CARDIAC MASSAGEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,140.00)

36001069 HC BIOPSY PLEURA PERCSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,630.00)

36000991HC BIOPSY LUNG/MEDIASTINUM PERC NEEDLE


36000450HC THORACENTESIS PUNCTURE PLEURAL CAVITY ASPIRATION


36000039HC THORACENTESIS W/INSERT TUBE WATER SEAL


36000440HC INSERTION INDWELLING TUNNELED PLEURAL CATHETER


36000783 HC CHEST TUBE INSERTIONSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,779.00)

36000830HC REMOVE INDWELL TUNNEL PLEURAL CATH W CUF


36001126 HC TREAT LUNG LINING CHEMICALLYSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,125.00)

36000950HC ABLATIONLUNG TUMORPERC RADIO FREQ


36000956HC UNLISTED PROCEDURE LUNGS AND PLEURA


36000013 HC PERICARDIOCENTESIS INITIALOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,765.00)

36000019 HC PERICARDIOCENTESIS SUBSEQUENTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,765.00)

36001113HC INSERT/REPLACE P PACER WITH ATRIAL LEAD


36001114HC INSERT/REPLACE P PACER W VENTRICULAR LD


36001116HC INSERT/REPLACE PPM WITH ATR & VENT LDS


36000874HC INSERT/REPLACE TEMTRANSVEN S ELECTRODE


36000875HC INSERT/REPLACE TEMTRANSVEN D ELECTRODE


36001101HC UPGRADE PPACER SYSTEM SINGLE TO DUAL


36001143HC REPOS PREVIOUSLY IMPLANTED TRANS PACEMAKERCING


36000827HC INST SNG ELECTRODE PERM PAC/CARDIO DEFIB


36000828HC INST 2 ELECTRODE PERM PAC/CARDIO DEFIB


36001102HC REPAIR SINGLE LEADS TO SINGLE CHAMBER


36001103 HC REPAIR 2 LEADS TO DUAL CHAMBEROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 6,219.00)

36000841HC INS PACE PULS GEN ONLY W/EXIST MULT LEAD


36001146 HC RELOCATION POCKET PACEMAKEROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,950.00)

36001027 HC RELOCATE POCKET FOR DEFIBOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,950.00)

36000038HC INSJ ELTRD CAR VEN SYS ATTCH PM/CVDFB PLS GEN


36001120HC INS LV LEAD AT TIME OF INS W PPM OR ICD


36000833HC RPSG PREV IMPLTED CAR VEN SYS L VENTR ELTRD


36000845 HC REMOVE & REPLACE PM GEN SINGLEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 10,567.00)

36000846HC REMOVE & REPLACE PM GEN DUAL LEAD


36000847HC REMOVE & REPLACE PM GEN MULTI LEAD


36000848 HC INSERT PULSE GEN W/DUAL LEADSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 49,479.00)

36000849 HC INSERT PULSE GEN W/MULTI LEADSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 49,479.00)

36001104 HC REMOVAL OF PULSE GENERATOROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 7,510.00)

36000932HC REMOVAL OF TRANS PACEMAKER ELECTRODE SIN


36000933HC REMOVAL OF TRANSVEN PACEMAKER ELECT DUAL


36000843HC INS PACE CARDIODEFIB GEN W/EXIS SNG LEAD


36001028 HC REMVL PAC CVDFB PLS GEN ONLYOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,423.00)

36001087HC TRANSVENOUS LEAD REMOVAL S OR D ICD


36000844HC INS/REP PACE CARDIODEFIB W/TRANS LEAD


36000850HC REMOVE & REPLACE CVD GEN SINGLE LEAD


36000851HC REMOVE & REPLACE CVD GEN DUAL LEAD


36000852HC REMOVE & REPLACE CVD GEN MULTI LEAD


36001125HC NDSC ABLATION & RCNSTJ ATRIA LIMITED W/O BYPASS


36000936 HC IMPLANT PAT ACT CARDIAC RECORDEROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 9,017.00)

36000937HC RMVL IMPLANTABLE PT ACTIVATED CAR EVENT RECORDER


36000542HC REPAIR PATENT DUCTUS ARTERIOSUS LIGATION


36001093 HC ENDO T ANEURYSM INVOLVING LSCOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,716.00)

36001095 HC ENDO T ANEURYSM NOT INVOLVING LSCOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,333.00)

36001111 HC ENDO THORACIC REVISIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,299.00)

36001106 HC ENDO THORACIC EACH ADD'LOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,299.00)

36000026HC INSERTION INTRA AORTIC BALLOON ASSIST DEV PRQ


36000460 HC INSERT VAD EC SGL VOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 17,856.00)

36000995HC THROMBECTPERC CAROTID/SUBCLAVNECK


36000997 HC THROMBECTPERCLT UPEXT VIA ARMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,601.00)

36000998HC THROMBECTPERCLTRAD/ULNAR VIA ARM


36001000 HC THROMBECT PERC LT ILIAC/FEM POPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,491.00)

36001001 HC THROMBECT PERC LT POP/TIBIOOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,491.00)

36001002HC THROMBECTVEINPERCVC/ILIAC/FEM/POP


36001003 HC THROMBECTVEINPERCSUBCLAV (NECK)OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,491.00)

36001004HC THROMBECTVEINPERCSUBCLAVVIA ARM


36000858 HC ENDO REPAIR IR AAA EXTN PROS INTVOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,834.00)

36000859 HC ENDO REPAIR IR AAA EXTN PROS ADD'LOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,979.00)

36000861HC E C RPR AAA W/MDLR BFRC PROSTH 2 LIMBS


36000935 HC E C RPR AAA W/UNIBDY BFRC PROSTHOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 11,558.00)

36000941HC E C RPR AAA AORTO UNIILIAC/AORTO UNIFEM PROSTH


36000926 HC PTA RENAL/VISCERAL ARTERY PROCOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,148.00)

36001038 HC PTA AORTAPERC PROCOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 8,724.00)

36001040HC PTA BRACHIOCEPHALIC ARTERIES PROC


36000919 HC PTA AV FISTULA OR GRAFT; VENOUSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 7,499.00)

36100071HC SELECT CATH PLACE VEN SYS 1ST ORD FAM RT


36100073HC SELECT CATH PLACE VEN SYS 2ND ORD FAM RT


36000877HC INTRO NDL/CATH AV SHUNT IST ACCESS W/ RAD EVAL


36100097 HC THORAC SELCATH PL ART 3RD LTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,640.00)

36000443 HC UMBILICAL VEIN CATH INSERTIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 387.00)

36000470HC EXCHNG TRANSFUSION BLOOD OTHER/THAN NEW BORN


36001016HC INJ SCLEROSANT SINGLE INCOMPETENT VEIN


36001017HC INJ SCLEROSANT MULTIPLE INCOMPETENT VEIN


36001078HC PORTAL VEIN CATHETERIZATIONPERCUTANEOUS


36000366 HC INSJ NON TUNNELED CVC AGE < 5 YROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,373.00)

36000367 HC INSJ NON TUNNELED CVC AGE 5 YR/>OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,790.00)

36001148HC INSERT TUNNELED CVC W/O PORT YR RT


36001149 HC INSERT TUNNELED CVC W/O PORT YR LTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,238.00)

36000408HC INSJ TUNNELED CTR VAD W/SUBQ PORT UNDER 5 YR


36001050HC INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR/>


36001051 HC INSJ TUNNELED CTR VAD W/SUBQ PUMPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,256.00)

36001052HC INSJ TUN VAD REQ 2 CATH 2 SITS W/O SUBQ PORT/PMP


36001053HC INSJ TUN VAD REQ 2 CATH 2 SITS W/SUBQ PORT


36001054HC INSJ PICC <5 YR W/O PORT OR PUMP W/O IMAGING GUIDANCE


36000567HC INSJ PICC >5 YR W/O PORT OR PUMP W/O IMAGING GUIDANCE


36000543HC INSJ PRPH CTR VAD W/SUBQ PORT UNDER 5 YR


36000562HC INSJ PRPH CTR VAD W/SUBQ PORT AGE 5 YR/>


36000826HC CVC/PICC REPAIRTUN/NON TUNWO PORT/PUMP


36001071HC CVC/PICC REPAIR TUN/NON TUNW PORT/PUMP


36001055HC RPLCMT CATH CTR VAD SUBQ PORT/PMP


36001056HC CVC COMP REPLACE N TUN W/O P/PSAME SITE


36001057HC CVC COMP REPLACE TUN W/O P/PSAME SITE


36001058HC CVC COMP REPLACE TUN W PORT SAME SITE


36001059HC REPLACE COMPLETE PICC W/O PORT/PUMP SAME SITE W/GUIDANCE


36001060HC PICC COMP REPLACE W PORT SAME SITE


36000190 HC RMVL TUN CVC W/O SUBQ PORT/PMPSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 697.00)

36001061HC RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ


36001075 HC DRAW BLOOD OFF VENOUS DEVICESPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 201.00)

36000451HC DECLOT W/THROMBO AGENT IMPLANT DEVICE/CATH


36001062HC MCHNL RMVL PRICATH OBSTR CV DEV VIA VEN ACCESS


36001063HC MCHNL RMVL INTRAL OBSTR CV DEV THRU DEV LUMEN


36001064HC RPSG PREVIOUSLY PLACED CVC UNDER FLUOR GDN


36000947HC CNTRST NJX RAD EVAL CTR VAD FLUOR IMG&REPRT


36000400 HC ARTERIAL CATH SAMPLE/MON/TRANOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,478.00)

36001152 HC PERC AVF THROMBECT - GRAFT LTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 6,932.00)

36001153 HC PERC AVF THROMBECT - GRAFT RTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 6,932.00)

36000938 HC TIPS ALL INCLUSIVE (PRIMARY)OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,605.00)

36001026 HC TIPS REVISION (ALL INCLUSIVE)OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 12,958.00)

36000876HC PRIM PRQ TRLUML MCHNL THRMBC 1ST VSL


36001145HC SEC PRQ TRANSLUMINAL THROMBECTOMY NONCORONARY


36001041HC IVC FILTER PLACEMENT INTRAVASCULAR


36001089 HC REDO ENDOVAS VENA CAVA FILTEROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,480.00)

36001092 HC REMOVE ENDOVAS VENA CAVA FILTEROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,067.00)

36001109 HC TRANSCATHETER BIOPSY PROCOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,256.00)

36001076HC INFUSION THROMBOLYSIS NON CORONARY


36001036 HC INFUSION NON THROMBOLYSIS PROCOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,939.00)

36001037 HC TRANSCATH RETRIVAL PERC PROC FBOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,520.00)

36000855 HC EMBOLIZATION (NON NEURO)OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 7,820.00)

36000929 HC TRANSCATH IV STENT PERCUTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 15,546.00)

36000930 HC TRANSCATH IV STENT/PERC ADD'LOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 10,917.00)

36001067 HC IV STENT PLACE OPEN INIT VESSELOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 8,958.00)

36000862HC INTRA VASCULAR STENT OPEN ADD'L VESSE


36000921HC THROMBO THERAPY ART CATH EXCHANGE


36000916 HC EMBOLIZATION UTERINE FIBROIDOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 14,098.00)

36000872HC PERC PLCMNT CCA STENT W EMBOL PROTECT


36000873HC PERC PLCMNT CCA STENT WO EMBOL PROTECT


36000888 HC ILIAC PTA INITIALOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 8,549.00)

36000889 HC ILIAC STENT INITIALOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 19,760.00)

36000890 HC ILIAC PTA EA ADDLOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 7,402.00)

36000891 HC ILIAC STENT EA ADDLOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 7,772.00)

36000893 HC FEM/POP PTAOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 7,402.00)

36000894 HC FEM/POP ATHERECTOMYOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 12,958.00)

36000895 HC FEM/POP STENTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 12,958.00)

36000896 HC FEM/POP STENT & ATHERECTOMYOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 30,548.00)

36000966HC REVSC OPN/PRQ TIB/PERO W/ANGIOPLASTY UNI


36000898HC REVSC OPN/PRQ TIB/PERO W/ATHRC/ANGIOP SM VSL


36000902 HC TIB/PERONEAL STENT INITIALOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 20,800.00)

36000899HC TIB/PERONEAL STENT & ATHERECTOMY INITIAL


36000903 HC TIB/PER REVAS EA ADD VESSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 11,606.00)

36000901 HC TIB/PERONEAL ATHERECTOMY EA ADDLOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 17,638.00)

36000964 HC TIB/PERONEAL STENT EA ADDLOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 13,000.00)

36000965HC TIB/PERONEAL STENT & ATHERECTOMY EA ADDL


36000838HC IV US NON C VSL DX EVAL&/THER IVNTJ 1ST VSL


36000839HC IV US NON C VSL DX EVAL&/THER IVNTJ EA VSL


36000881HC BX/EXC LYMPH NODE NEEDLE SUPERFICIAL


36001045HC INJECTION PROCEDURE LYMPHANGIOGRAPHY


36001081 HC INJECTION SIALOGRAMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 159.00)

36000029HC ESOPHAGOSCOPY FLEX TRANSORAL BRUSH/WASH


36000444HC ESOPHAGOSCOPY FLEX TRANSORAL LIGATION


36000456HC EGD FLEX TRANSORAL DIAGNOSTIC BRUSH/WASH

GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,572.00)

36000560HC EGD FLEX TRANSORAL BIOPSY SINGLE/MULTI


36000471HC EGD FLEX TRANSORALW/TRANSMURAL DRAIN CYST


36000472HC EGD FLEX TRANSORAL INJECTION VARICES


36000473HC EGD FLEX TRANSORAL LIGATION VARICES


36000475HC EGD FLEX TRANSORAL DILATE STRICTURE


36000474HC EGD FLEX TRANSORAL PLACE GASTRO TUBE


36000554HC EGD FLEX TRANSORAL REMOVE FOREIGN BODY


36000429HC EGD FLEX TRANSORAL GUIDEWIRE INSERTION


36000476HC EGD FLEX TRANSORAL RMVL TUMOR POLYP LESION HOT BX


36000516HC EGD FLEX TRANSORAL SNARE TUMOR POLYP LESION


36000477HC EGD FLEX TRANSORAL CONTROL BLEEDING


36000478HC UPR GI NDSC TNDSC STENT PLMT W/PREDILAT


36000479HC UPR GI NDSC ABLTJ LES X RMVL FORCEPS/CAUT/SNARE


36000035HC ERCP DIAG W/SPECIMEN COLLECT BRUSH/WASH


36000091 HC ERCP W/BIOPSY SINGLE/MULTIPLEGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,815.00)

36000430HC ERCP W/SPHINCTEROTOMY/PAPILLOTOMY


36000431HC ERCP W/RMVCALCULI BILIARY&/PANCREATIC DUCTS


36000432HC ERCP W/INSJ TUBE/STENT BILE/PANCREATIC DUCT


36000028HC ERCP W/RTRGR RMVL FB&/CHNG TUBE/STENT


36000488HC ERCP W/BALO DILAT AMPULLA BILIARY&/PNCRTC DUX


36000119HC DILAT ESOPH BALLOON 30 MM DIAM/> ACHALASIA


36000003HC NASO/ORO GASTRIC TUBE PLMT REQ PHYS&FLUOR GDN


36000442HC GASTRIC INTUBAT&ASPIRA W/PHYS SKILL/LAVAGE


36000493HC GASTRIC INTUBAT DX W/ASPIRATION SINGLE SPECIMEN

GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 248.00)

36000494HC GASTRIC INTUBATION DX & ASPIRATJ MULTIPLE SPECS


36000495HC DUODENAL INTUBAT W/IMAG GUIDED SINGLE SPECIMEN


36000496HC DUODENAL INTUBAT W/IMAG GUIDED MULTIPLE SPECIMEN


36000521HC CHANGE GASTROSTOMY TUBE PERCUTANEOUS W/O GUIDE


36001077 HC REPOSITION GI FEEDING TUBEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 951.00)

36000490 HC ENDOSCOPY UPPER SMALL INTESTINEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,563.00)

36000491HC ENDOSCOPY UPPER SMALL INTESTINE W/BIOPSY


36000492HC ENTEROSCOPY > 2ND PRTN W/CONTROL BLEEDING


36000517HC ILEOSCOPY STOMA DX W/WO COLLJ SPEC BR/WA SPX


36000518HC COLONOSCOPY STOMA DX W/WO COLLJ SPEC SPX


36000519HC COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE


36000480 HC COLONOSCOPY STOMA W/RMVL F BGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,102.00)

36000520HC COLONOSCOPY STOMA CONTROL BLEEDING


36000482HC COLSC STOMA W/RMVL TUMOR POLYP LESION HOT BX FORCEP


36000522HC COLONOSCOPY STOMA ABLATION LESION


36000481HC COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE


36000454HC INTRO LONG GI TUBE SEPARATE PROCEDURE


36000949HC CLOSURE INTESTINAL CUTANEOUS FISTULA


36000023HC UNLISTED PROCEDURE SMALL INTESTINE


36000437HC APPENDEC INDICATED PURPOSE OTH MAJOR PX X SPX


36000550HC PROCTOSGMDSC RGD DX W/WO COLLJ SPEC BR/WA SPX


36000559HC PROCTOSGMDSC RIGID W/BX SINGLE/MULTIPLE


36000036HC SIGMOIDOSCOPY FLX DX W/WO COLLJ SPECIMENS


36000097HC SIGMOIDOSCOPY FLX W/BIOPSY SINGLE/MULTIPLE


36000109HC SIGMOIDOSCOPY FLX W/RMVL FOREIGN BODY


36000100HC SGMDSC FLX W/RMVL TUMOR POLYP LESION HOT BX FORCEP


36000124HC SIGMOIDOSCOPY FLX CONTROL BLEEDING


36000127HC SGMDSC FLX DIRED SBMCSL NJX ANY SBST


36000484HC SGMDSC FLX DCMPRN VOLVULUS ANY METHOD


36000103HC SGMDSC FLX RMVL TUM POLYP/OTH LES SNARE TQ


36000106 HC SIGMOIDOSCOPY FLX ABLTJ LESIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,590.00)

36000489HC SIGMOIDOSCOPY FLX DILAT BALO 1/MORE STRIXS


36000116HC COLONOSCOPY FLX DX W/WO SPECIMENS


36000030 HC COLONSCOPY FLEXIBLE W/REMOVAL FBGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,820.00)

36000062HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE


36000061HC COLONSCOPY FLEXIBLE W/SBMCSL INJ ANY SUBSTANCE


36000024HC COLONSCOPY FLEX W/CONTROL BLEED ANY METHOD


36000434HC COLSC FLX PROX SPLENIC FLXR ABLTJ LES


36000034HC COLSC FLEX W/RMVL TUMOR POLYP LESION HOT BX FORCEP


36000485HC COLSC FLEXIBLE W/RMVL TUMOR POLYP LESION SNARE TECH


36000033HC COLONSCOPY FLEXIBLE W/BALLOON DILATION


36000486HC COLSC FLX PROX SPLENIC FLXR TNDSC STENT PLMT


36000436HC ANOSCOPY DX W/WO COLLJ SPEC BR/WA SPX


36000990 HC BIOPSY LIVER NEEDLE PERCUTANEOUSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,270.00)

36000976HC HEPATOTOMY PRQ DRG ABSCESS/CYST 1/2 STAGES


36001107 HC BIOPSY LIVER WEDGEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,299.00)

36000942 HC ABLT 1/> LVR TUM PRQ RFOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 7,665.00)

36001032HC CHOLECYSTOSTOMY PRQ W/IMAGING & CATH PLMT


36001029 HC PTC INJECTIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 520.00)

36000918HC CHOLANGIOGRAM INJ THRU EXISTING CATH


36001033HC INTRO PRQ TRANSHEPATC STENT BILIARY DRG


36001034HC CHANGE PRQ BILIARY DRAINAGE CATHETER


36000943 HC PTC TUBE REVISE/REINSERTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,822.00)

36000912HC BILIARY ENDOSCOPY VIS T TUBE BIOPSY


36001030HC BILENDOSCPYDUCTDILATWO STNT VIA T TU


36001031HC BILIARY NDSC PRQ T TUBE DILAT STRIX W/STENT


36000870HC BILIARY DUCT STONE XTRJ PRQ VIA BASKET/SNARE


36000871 HC UNLISTED PROCEDURE BILIARY TRACTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,270.00)

36000944 HC BIOPSY PANCREAS PERCOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,270.00)

36000945HC DRAIN EXTPANCREAS PSEUDOCYST PERC


36000446HC EXPLORATORY LAPAROTOMY CELIOTOMY W/WO BIOPSY SPX


36000678HC DRAIN PERITONEAL ABCESS OR CYST PERC


36000680HC DRAIN SUBDIAPHRAGMATIC ABSCESS PERC


36000682HC DRAINAGE OF RETROPERITONEAL ABS PERC


36000552HC ABDOM PARACENTESIS DX/THER W/O IMAG GUIDE


36000999HC ABDOM PARACENTESIS DX/THER W IMAGING GUIDE


36000946 HC BIOPSY ABD/RETROPERI MASS PERCOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,420.00)

36001023HC LAPS SURG W/ASPIR CAVITY/CYST SINGLE/MULTIPLE


36001006HC INJECT AIR OR CONTRASTPERITONEAL CAVITY


36000940HC INS INTRAPERITONEAL CATHETER W/IMG GID


36000922HC EXCHNG ABSC/CST DRG CATH RAD GID SPX


36001147 HC ABSC CYST CONSTRAST INJOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,154.00)

36000882HC INJECTION OF PERITONEAL/VENOUS SHUNT


36000452HC INSERT GASTROSTOMY TUBE PERCUTANEOUS


36001127 HC PLACE DUOD/JEJ TUBE PERCOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,356.00)

36001128 HC PLACE CECOSTOMY TUBE PERCOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,735.00)

36001129 HC CHANGE G TUBE TO G J TUBEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,549.00)

36000883HC REPLACE GASTROSTOMY/CECOSTOMY TUBE PERC


36000684 HC REPLACE DUOD/JEJ TUBE PERCOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 864.00)

36000685 HC REPLACE G J TUBE PERC W/FLUROSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,347.00)

36001130 HC FIX G/COLON TUBE W/DEVICEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 697.00)

36000910 HC XRAY FLUORO EXAM OF G/COLON TUBEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 303.00)

36000455HC RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE


36000458HC RPR UMBILICAL HRNA 5 YRS/> REDUCIBLE


36000687HC DRAINAGE OF PERIRENAL OR RENAL ABS PERC


36000869HC NEPHROSTOMY/NEPHROTOMY W/DRAINAGE


36000989 HC RENAL BIOPSY PRQ TROCAR/NEEDLEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,586.00)

36000968 HC URETER STENT; CHANGE; PERCOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,945.00)

36000939 HC REMOVE URETER STENT PERCUTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,960.00)

36001131 HC CHANGE STENT VIA TRANSURETHOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,945.00)

36000969 HC URETER STENT; REMOVE; PERCOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,725.00)

36000970 HC URETER STENT; CHANGE EXT/INTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,822.00)

36000967 HC NEPH TUBE REMOVAL W/FLORO LTSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 759.00)

36000867HC ASPIR&/NJX RNL CYST/PELVIS NEEDLE PRQ


36001024 HC PERC DR OR INJ OF RENAL PELVISOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,960.00)

36000868HC INTRO URETER CATH/STNT RENAL PELVIS DRG&/NJX PRQ


36000923 HC NEPHROSTOMY DILATION PERCOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,945.00)

36000924HC CHANGE NEPHROSTOMY/PYELOSTOMY TUBE


36000962HC PERC RF ABLATE 1+ RENAL TUMOR RADIO FR


36000907HC ABLATION RENAL TUMOR UNILATERAL PERQ CRYOTHERAPY


36001083 HC INJECTION URETHROGRAMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 387.00)

36000917HC MANOMETRY URETEROSTOMY/INDW CATH


36001154HC CHGE URTR TUBE/STNT VIA ILEAL CON RT


36001155HC CHGE URTR TUBE/STNT VIA ILEAL CON LT


36001156HC CHGE URTR TUBE/STNT VIA ILEAL CON BI


36001025 HC INJ FOR VISUALIZATION OF ILEAL CONDOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 643.00)

36001015 HC CYSTO W/INSERT URETERAL STENTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,381.00)

36000382HC ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER


36001068 HC CYSTO/VCG INJECTION PROCEDUREOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 643.00)

36001086HC NJX&PLMT CHAIN CONTRAST&/URETHROCSTOGRAPY


36001088HC INJ CYSTOURETHROGRAM RETROGRADE


36000404HC INSJ TEMP NDWELLG BLADDER CATHETER SIMPLE


36000189 HC CHANGE CYSTOSTOMY TUBE SIMPLEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 490.00)

36001018HC CHANGE CYSTOSTOMY TUBE COMPLICATED


36000468HC MEAS POST VOIDING RESIDUAL URINE&/BLDR CAP


36000407HC CYST W INS OF INDWELLING URETER STENT


36000955HC UNLISTED PROCEDURE URINARY SYSTEM


36000409HC CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK


36000449HC CIRCUMCISION SURGICAL NEONATE <=28 DAYS


36000459 HC CIRCUMCISION SURGICAL >28 DAYSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,056.00)

36001046 HC INJ FOR CORPORA CAVERNOSOGRAPHYOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 372.00)

36000426HC PROSTATE NEEDLE BIOPSY ANY APPROACH


36000810 HC COLPOCENTESISOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,081.00)

36000015 HC D & C DX&/THER NONOBSTETRICALOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,314.00)

36000457 HC REMOVAL INTRAUTERINE DEVICE IUDOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 282.00)

36001082 HC INJECTION HYSTEROSALPINGOGRAMRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 643.00)

36001047 HC FALLOPIAN TUBE CATHETER INTROOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,360.00)

36000441HC SALPINGECTOMY COMPLETE/PARTIAL UNI/BI SPX


36000438HC SALPINGO OOPHORECTOMY COMPL/PRTL UNI/BI SPX


36000439 HC OOPHORECTOMY PARTIAL/TOTAL UNI/BIOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 6,618.00)

36000021 HC AMNIOCENTESIS DIAGNOSICOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 714.00)

36000544HC AMNIOCENTESISS THER AMNIOTIC FLUID RDCTJ US GID


36000445 HC HYSTEROTOMY ABDOMINALOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,039.00)

36000557HC INSERTION CERVICAL DILATOR SEPARATE PROCEDURE


36000464HC CERCLAGE CERVIX PREGNANCY VAGINAL


36000558HC EXTERNAL CEPHALIC VERSION W/WO TOCOLYSIS

LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 3,444.00)

36000017HC TX INCOMPLETE ABORTION ANY TRIMESTER SURGICAL


36000483HC REMOVAL CERCLAGE SUTURE UNDER ANESTHESIA


36000857 HC BIOPSY THYROID PERCUTANEOUSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 612.00)

36000996HC ASPIRATION AND/OR INJECTION THYROID CYST


36000856HC UNLISTED PROCEDURE; ENDOCRINE SYSTEM


36000469HC VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/O NJX


36001007HC CISTERNAL/LATERAL C1 C2 PUNCTURE W/O INJ SPX


36000911HC CISTERNAL/LATERAL C1 C2 PUNCTURE W/INJECTION


36000063HC PUNCTURE SHUNT TUBE/RESERVOIR ASPIRATION/INJ PX


36000954 HC DRAINAGE BRAIN ABSCESSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,014.00)

36001110HC EMBOLIZATIONINTRA ART/INJ/BALLOON NEURO


36000909 HC INTRACRANIAL ANGIOPLASTY W/STENTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 13,000.00)

36000977 HC SPINE DISC ASPIRATIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,057.00)

36001070 HC BIOPSY SPINAL CORD PERCOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,420.00)

36000386HC SPINAL PUNCTURE LUMBAR DIAGNOSTIC


36001066HC LUMBAR PUNCTURE DRAIN SPINAL FLUID


36000025HC INJECTION EPIDURAL BLOOD/CLOT PATCH


36001005 HC LUMBAR INJECTION SUBARACHNOIDOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 951.00)

36001080HC INJ NEUROLYTIC; EPIDURAL CERV/THORACIC


36001079 HC MYELOGRAM INJ LUMBAR NOT C1-C2OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 657.00)

36000860 HC INJ DISCOGRAM LUMBAR EACHOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 695.00)

36000980HC INJECTION PROC CERVICAL OR THORACIC DISCOGRAMEACH


36000425HC NJX DX/THER SBST EPIDURAL/SUBRACH CERV/THORACIC


36000541HC NJX DX/THER SBST EPIDURAL/SUBARACH LUMBAR/SACRAL


36000914 HC INTERCOSTAL NERVE BLOCK SINGLEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 688.00)

36000913 HC INTERCOSTAL NERVE BLOCK MULTIPLEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 838.00)

36001065HC NERVE BLOCK ILIOING/ILIOHYPOGASTRIC


36000818 HC INJ ANESTH OTHR PERIPHERAL NRVOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 976.00)

36000540HC NJX ANES&/STRD W/IMG TFRML EDRL CRV/THRC 1 LVL


36000904 HC CER/T TRANSFORAM EPIDRLINJADD'LOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 438.00)

36000905 HC LUMBAR TRANSFORAMEPIDRLINJSNGLOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,280.00)

36000906 HC LUMBAR TRANSFORAMEPIDRLINJADD'LOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 438.00)

36000168HC NJX DX/THER AGT PVRT FACET JT CRV/THRC 1 LEVEL


36000169HC NJX DX/THER AGT PVRT FACET JT CRV/THRC 2ND LEVEL


36000170HC NJX DX/THER AGT PVRT FACET JT CRV/THRC 3+ LEVEL


36000171HC NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL


36000172HC NJX DX/THER AGT PVRT FACET JT LMBR/SAC 2ND LEVEL


36000173HC NJX DX/THER AGT PVRT FACET JT LMBR/SAC 3+ LEVEL


36000984HC INJX ANES CELIAC PLEXUS W/WO RADIOLOGIC MONITRNG


36001138HC DESTROY CERV/THOR FACET JNT SINGLE


36001139HC DESTROY CERV/THORACIC FACET INJ ADDL


36001140 HC DESTROY LUMB/SAC FACET JNT SINGLEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,652.00)

36001141 HC DESTROY LUMBAR/SAC FACET INJ ADDLOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 838.00)

36000390HC RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP


36000467HC EXCISION/TRANSPOSITION PTERYGIUM W/O GRAFT


36000462HC EXCISION/TRANSPOSITION PTERYGIUM W/GRAFG


36001191HC SELECTIVE LASER TRABECULOPLASTY - SELECTA


36000466HC ORBITOTOMY BONE FLAP/WINDOW LATERAL RMVL FB


36000463 HC ORBITAL IMPLANT REMOVAL/REVISIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,052.00)

36000549 HC SUBCONJUNCTIVAL INJECTIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 204.00)

36000465HC DILATION LACRIMAL PUNCTUM W/WO IRRGATION


36000027HC OPHTH XM&EVAL ANES W/WO MANJ GLOBE LMTD

OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 1,733.00)

36000553HC NASOPHARYNGOSCOPY W/ENDOSCOPE SPX

SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 209.00)

48000001HC INSERTION FLOW DIRECTED CATHETER FOR MONITORING CARDIOLOGY - CARDIAC CATH LAB [0481] ( 2,714.00)

36000863HC NONINVASIVE EAR/PULSE OXIMETRY SINGLE DETER

PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460] ( 67.00)

36000864HC NONINVASIVE EAR/PULSE OXIMETRY MULTIPLE DETER


36000974HC PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE

OTHER THERAPEUTIC SERVICES - GENERAL CLASSIFICATION [0940] ( 135.00)

36001181 HC O.R. PROC LEVEL 1OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,046.00)










36000951HC TCAT PLMT XTRC VRT STENT S&I PRQ/OPEN 1ST VSL


36000865HC PERQ SAC AGMNTJ UNI W/WO BALO/MCHNL DEV 1/> NDL


36001043 HC LUMBAR FACET INJ. PROC. EA. LEVELOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,004.00)

36001048HC NJX DX/THER PARAVER FCT JT W/US LUMB/SAC LVL 2


36001049HC NJX PARAVERTBRL FCT JT W/US LUMB/SAC 3RD&> LVL


36001012HC NJX ANES/STEROID TFRML EDRL W/US LUM/SAC 1 LVL


36001013HC NJX ANES/STEROID TFRML EDRL W/US LUM/SAC EA ADDL


36000884 HC RENAL ARTERY ATHERECTOMYOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 14,037.00)

36000885HC VISCERAL ARTERY ATHERECTOMY EA VESSEL


36000886HC TRLUML PERIPH ATHRC W/RS&I ABDOM AORTA


36000960HC TRLUML PERIPH ATHRC W/RS&I BRCHIOCPHL EA VSL


36000892 HC ILIAC ATHERECTOMY EAOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 28,765.00)

36100023 HC PUNCT ASP BRST RT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 683.00)

36100034 HC PUNCT ASP BRST LT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 683.00)

36100025 HC PUNCT ASP BRST CYST EA ADDL LT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 382.00)

36100037 HC PUNCT ASP BRST CYST EA ADDL RT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 382.00)

36100026 HC MAMMARY DUCT INJ SINGLE BILATERAL OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 479.00)

36100038 HC MAMMARY DUCT INJ LT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 319.00)

36100039 HC MAMMARY DUCT INJ RT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 319.00)

36100024 HC PERC NDL CORE BRST BX W GUIDE LT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 592.00)

36100040 HC PERC NDL CORE BRST BX W GUIDE RT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 592.00)

36100042HC PERC NDL CORE BX RT CANCELED PRIOR ANES OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 592.00)

36100043HC PREC NDL CORE BX LT CANCELED PRIOR ANES OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 592.00)

36100044HC PERC NDL CORE BX RT CANCELED AFTER ANES OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 592.00)

36100045HC PERC NDL CORE BX LT CANCELED AFTER ANES OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 592.00)

36100012HC BPSY BRST; PERC AUTO VAC ASST/ROTATING LT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 2,562.00)

36100046HC BPSY BRST; PERC AUTO VAC ASST/ROTATING RT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 2,562.00)

36100047HC BPSY BRST; PERC AUTO VAC ASST/ROTATING BIL OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 3,884.00)

36100015 HC PL NDL LOCALIZ WIRE INIT LT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 760.00)

36100049 HC PL NDL LOCALIZ WIRE INIT RT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 760.00)

36100051 HC PL NDL LOCALIZ WIRE INIT BIL OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 760.00)

36100027 HC PL NDL LOCALIZ WIRE EA ADD LT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 180.00)

36100052 HC PL NDL LOCALIZ WIRE EA ADD BIL OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 180.00)

36100053 HC PL NDL LOCALIZ WIRE EA ADD RT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 180.00)

36100014HC BREAST CLIP IMAGE PLACEMENT BX/ASP LT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 405.00)

36100056HC BREAST CLIP IMAGE PLACEMENT BX/ASP BIL OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 498.00)

36100057HC BREAST CLIP IMAGE PLACEMENT BX/ASP RT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 405.00)

36100001HC INTRODUCTION NEEDLE/INTRACATHETER VEIN RT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 33.00)

36100058HC INTRODUCTION NEEDLE/INTRACATHETER VEIN LT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 33.00)

36100018HC INJECT PERC ANEURYSM EXTREMITY (THROMBIN OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,486.00)

36100059 HC VENO CONTRAST/INJ PROC RT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 399.00)

36100060 HC VENO CONTRAST/INJ PROC BILAT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 599.00)

36100062 HC VENO CONTRAST/INJ PROC LT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 399.00)

36100029 HC SVC/IVC CATH INTRO OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 494.00)

36100070HC SELECT CATH PLACE VEN SYS 1ST ORD FAM BILAT


36100072HC SELECT CATH PLACE VEN SYS 1ST ORD FAM LT


36100075 HC PULMON SEL CATH PLACE BIL OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,636.00)

36100141 HC PULMON SEL CATH PLACE RT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,091.00)

36100021HC SELECT CATH SEGMENTAL ART PULM RT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,102.00)

36100078 HC SELECT CATH SEGMENTAL ART PULM LT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,102.00)

36100079HC SELECT CATH SEGMENTAL ART PULM BILAT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,654.00)

36100028HC BRACHIAL ART RETROGRADE INTRO NEEDLE OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,064.00)

36100080 HC EXTREMITY ART INTRO NEEDLE/CAT RT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,478.00)

36100081 HC EXTREMITY ART INTRO NEEDLE/CAT LT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,478.00)

36100017HC DIALYSIS SHUNT W FLUORO 2ND ACCESS OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,951.00)

36100030 HC AORTA INTRO OF CATHETER OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,478.00)

36100084 HC THORAC SELCATH PL ART 1ST RT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 3,120.00)

36100085 HC THORAC SELCATH PL ART 1ST LT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 3,120.00)

36100090 HC THORAC SELCATH PL ART 2ND LT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 3,380.00)

36100091 HC THORAC SELCATH PL ART 2ND RT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 3,380.00)

36100096 HC THORAC SELCATH PL ART 3RD RTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,640.00)

36100101 HC CA;ART;EA ADD 2ND/3RD RT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 520.00)

36100102 HC CA;ART;EA ADD 2ND/3RD LT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 520.00)

36100108HC CATH PLACE ABD/PELV/LOW EXT ART 1ST ORDER LT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,610.00)

36100109HC CATH PLACE ABD/PELV/LOW EXT ART 1ST ORDER RT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,610.00)

36100010 HC ABD/PELVIS/LOW EXT ART 2ND RTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,691.00)

36100114 HC ABD/PELVIS/LOW EXT ART 2ND LTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,691.00)

36100013 HC ABD/PELVIS/LOW EXT ART 3RD RTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,775.00)

36100120 HC ABD/PELVIS/LOW EXT ART 3RD LTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,775.00)

36100022HC CATH PLACEMENT ABD-ADD'L 2ND OR 3RD RT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 451.00)

36100125HC CATH PLACEMENT ABD-ADD'L 2ND OR 3RD LT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 451.00)

36100128 HC INS CATH REN ART 1ST UNILAT LT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 3,344.00)

36100129 HC INS CATH REN ART 1ST UNILAT RT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 3,344.00)

36100133 HC INS CATH REN ART 1ST BILAT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 5,015.00)

36100135 HC INS CATH REN ART 2ND + UNILAT LT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 7,658.00)

36100136 HC INS CATH REN ART 2ND + UNILAT RT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 7,658.00)

36100033 HC INS CATH REN ART 2ND + BILAT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 5,015.00)

36100007 HC DIAGNOSTIC BONE MARROW ASP OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 2,420.00)

36100019 HC DIAGNOSTIC BONE MARROW BIOPSY OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,586.00)

36100031HC SENTINEL NODE INJ RADIOACTIVE TRACER OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 510.00)

36000689HC BLDR IRRIGATION SMPL LAVAGE&/INSTLJ OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 450.00)

36000383HC INSJ NON NDWELLG BLADDER CATHETER


36000807HC INSJ TEMP NDWELLG BLADDER CATHETER COMP OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 417.00)

72000012 HC FETAL NON STRESS TESTLABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 1,000.00)

36000578HC DEBRIDEMENT OPEN WOUND 20 SQ CM/< OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 411.00)

36000577HC DEBRIDEMENT OPEN WOUND EACH ADDITIONAL 20 SQ CM OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 527.00)

36100008HC BONE MARROW ASP SAME ACCESS AFTER BX OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,716.00)

37000001 HC GENERAL ANESTHESIA BASE ANESTHESIA - GENERAL CLASSIFICATION [0370] ( 707.00)

37000003 HC MAC BASE ANESTHESIA - GENERAL CLASSIFICATION [0370] ( 530.00)

39000007 HC WHOLE BLOOD

ADMINISTRATION PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390] ( 502.00)

39000008 HC SPLIT BLOOD PRODUCT


39000001 HC CRYOPRECIPITATE


39000006 HC RED CELLS LEUKODEPLETED


39000015 HC AUTOLOGOUS LKD RED CELLS


39000018 HC RED CELL LEUKODEPLETED


39000002 HC FRESH FROZEN PLASMA


39000003 HC RED CELLS


39000004 HC RED CELLS AUTOLOGOUS


39000013 HC SHORT DRAW PLATELET PHERESIS

ADMINISTRATION PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390] ( 1,731.00)

39000009 HC PLATELETS LKD PHERESIS


39000010HC PLATELETS PHERESIS LEUKOCYTE RED IRRA


39000005 HC RED CELLS DEGLYCEROLIZED


39000011HC RED BLOOD CELLS LEUKOCYTE RED IRRA


39000012 HC CRYO POOR PLASMA


39000016 HC LEUKODEPLETED RED CELLS DEGLYC


39000014 HC 24 HOUR PLASMA


39000017 HC PLASMA 24H


39100002 HC BLOOD TRANSFUSION ADMIN DAILY

ADMINISTRATION PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - ADMINISTRATION (E.G. TRANS [0391] ( 1,062.00)

36000365HC PUSH TRANSFUSION BLOOD 2 YR/UNDER


39100001 HC TRANSFUSION INTRAUTERINE FETAL


40100003 HC COMPUTER DX MAMMOGRAM ADD ONOTHER IMAGING SERVICES - DIAGNOSTIC MAMMOGRAPHY [0401] ( 35.00)

40100007 HC MAMMOGRAM ONE BREAST LTOTHER IMAGING SERVICES - DIAGNOSTIC MAMMOGRAPHY [0401] ( 228.00)

40100008 HC MAMMOGRAM ONE BREAST RTOTHER IMAGING SERVICES - DIAGNOSTIC MAMMOGRAPHY [0401] ( 228.00)

40100009 HC MAMMOGRAM ONE BREAST SD LTOTHER IMAGING SERVICES - DIAGNOSTIC MAMMOGRAPHY [0401] ( 228.00)

40100010 HC MAMMOGRAM ONE BREAST SD RTOTHER IMAGING SERVICES - DIAGNOSTIC MAMMOGRAPHY [0401] ( 228.00)

40100011 HC MAMMOGRAM BOTH BREASTSOTHER IMAGING SERVICES - DIAGNOSTIC MAMMOGRAPHY [0401] ( 401.00)

40100012 HC MAMMOGRAM BOTH BREASTS SDOTHER IMAGING SERVICES - DIAGNOSTIC MAMMOGRAPHY [0401] ( 401.00)

40100004 HC DX MAMMO W/CAD IF PERFORMED BILATOTHER IMAGING SERVICES - DIAGNOSTIC MAMMOGRAPHY [0401] ( 752.00)

40100005HC DX MAMMO W/CAD IF PERFORMED UNILAT LT

OTHER IMAGING SERVICES - DIAGNOSTIC MAMMOGRAPHY [0401] ( 430.00)

40100006HC DX MAMMO W/CAD IF PERFORMED UNILAT RT

OTHER IMAGING SERVICES - DIAGNOSTIC MAMMOGRAPHY [0401] ( 430.00)

40200012 HC NEONATAL HEAD ECHO OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 445.00)

40200009 HC US HEAD/THYROID &/OR NECK OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 583.00)

40200008 HC US CHEST OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 477.00)

40200030 HC US EXAM BREAST(S) OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 411.00)

40200014 HC ABDOMINAL US COMPLETE OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 1,442.00)

40200007 HC ABDOMINAL US LIMITED OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 659.00)

40200021HC RETROPERITONEAL ECHOGRAPHYCOMPLETE OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 936.00)

40200010HC ULTRASOUND RETROPERITONEAL LIMITED OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 853.00)

40200019 HC RENAL TRANSPLANT (WITH DOPPLER) OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 1,579.00)

40200016 HC SPINAL CANAL/CONTENTS OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 371.00)

40200035 HC PREG<14 WKS FET/MAT EVAL 1 GEST OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 371.00)

40200036HC PREG<14 WKS FET/MAT EVAL ADD'L GEST OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 243.00)

40200023 HC PREG>14 WKS FET/MAT EVAL 1 GEST OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 371.00)

40200024HC PREG>14 WKS FET/MAT EVAL ADD'L GEST OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 243.00)

40200037 HC PREG COMPLETE 1 GESTATION OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 542.00)

40200038 HC PREG COMPLETE EA ADD'L GESTATION OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 301.00)

40200025 HC PREG LIMITED 1 OR MORE FETUSES OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 487.00)

40200031 HC PREG FOLLOW UP/RE EVAL PER FETUS OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 301.00)

40200039 HC TRANSVAGINAL OBSTETRICAL OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 601.00)

40200002 HC FETAL BIOPHYSICAL PROFILE OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 390.00)

40200013HC BIOPHYSICAL PROFILE WO NON STRESS TEST OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 371.00)

40200020 HC TRANSVAGINAL NON OBSTETRICAL OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 632.00)

40200027HC PELVIC ULTRASOUND NON OBSTETRICAL OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 648.00)

40200022 HC US EXAM PELVIC LIMITED OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 452.00)

40200018 HC SCROTUM ULTRASOUND OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 669.00)

40200001 HC PROSTATE ULTRASOUND OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 371.00)

40200044 HC EXTREMITY LIMITED RT OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 384.00)

40200045 HC EXTREMITY LIMITED LT OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 384.00)

40200017HC HIP INFANT W PHYSICIAN MANIPULATION OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 409.00)

40200040HC HIP INFANT WO PHYSICIAN MANIPULATION OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 371.00)

40200011HC US GUIDANCE FOR PERICARDIOCENTESIS OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 463.00)

40200005 HC U/S GUIDE; ENDOMYOCARDIAL BX OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 2,260.00)

40200006HC ART PSEUDOANEURYSM COMPRESS REPAIR OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 463.00)

40200015 HC VASCULAR ACCESS US GUIDANCE(M59) OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 463.00)

40200034 HC US GUIDE VISC. TISSUE ABLAT.(59) OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 463.00)

40200004 HC US GUIDE NEEDLE;BXASP OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 463.00)

40200028 HC AMNIOCENTESIS BY US GUIDANCE OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 463.00)

40200041 HC US FOLLOW UP OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 243.00)

40200029 HC INTRAOPERATIVE ULTRASOUND OR OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 606.00)

40200042 HC UNLISTED ULTRASOUND OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 371.00)

40200026HC VEIN MAPPING FOR HEMODIALYSIS ACCESS OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 922.00)

40200032 HC US AAA SCREENING OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 261.00)

40300002 HC COMP SCREEN MAMMOGRAM ADD ONOTHER IMAGING SERVICES - SCREENING MAMMOGRAPHY [0403] ( 78.00)

40300001 HC MAMMOGRAM SCREENING BIL (2V EA)OTHER IMAGING SERVICES - SCREENING MAMMOGRAPHY [0403] ( 289.00)

40300003HC SCRN MAMMO W/CAD IF PERFORMED BILAT

OTHER IMAGING SERVICES - SCREENING MAMMOGRAPHY [0403] ( 282.00)

40400001HC PETMYOCARDVIABILITY AFTER NON CONSPEC

OTHER IMAGING SERVICES - POSITRON EMISSION TOMOGRAPHY [0404] ( 3,640.00)

40400002HC MYOCARDIAL PET PERF SNG STRESS OR REST


40400003HC MYOCARDIAL PET MULTI STRESS OR REST


40400004 HC BRAIN PET METABOLIC EVALOTHER IMAGING SERVICES - POSITRON EMISSION TOMOGRAPHY [0404] ( 3,905.00)

40400005 HC PET IMAGE LTD AREAOTHER IMAGING SERVICES - POSITRON EMISSION TOMOGRAPHY [0404] ( 3,099.00)

40400006 HC PET IMAGE SKULL THIGHOTHER IMAGING SERVICES - POSITRON EMISSION TOMOGRAPHY [0404] ( 3,409.00)

40400007 HC PET IMAGE FULL BODYOTHER IMAGING SERVICES - POSITRON EMISSION TOMOGRAPHY [0404] ( 3,750.00)

36000368HC ARTERIAL PUNCTURE WITHDRAWAL BLOOD DX

RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410] ( 194.00)

36000397 HC CARDIOPULMONARY RESUSCITATIONRESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410] ( 935.00)

41000001HC VENTILATION ASSIST & MGMT INPATIENT 1ST DAY

RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410] ( 2,908.00)

41000003HC VENTILATION ASSIST & MGMT INPATIENT EA SBSQ DAY

RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410] ( 2,236.00)

41000009HC SPMTRY W/VC EXPIRATORY FLO +MXML VOL VNTJ


41000010HC VITAL CAPACITY TOTAL SEPARATE PROCEDURE


46000017HC INHALATION TREAT INITAL OR SUBSEQUENT


41000007HC CONTINUOUS INHALATION TREATMENT 1ST HR


41000008HC CONTINUOUS INHALATION TREATMENT EA ADDL HR


41000002HC CPAP VENTILATION CPAP INITIATION&MGMT


41000011HC DEMO&/EVAL OF PT UTILIZ AERSL GEN/NEB/INHLR/IPPB


41000005HC MANJ CH WALL FACILITATE LNG FUNCJ 1 DEMO&/EVAL


41000004HC MANJ CHEST WALL FACILITATE LUNG FUNCTION SUBSQ


41000006HC NONINVASIVE EAR/PULSE OXIMETRY OVERNIGHT MONITOR


42000005HC APPLICATION SURFACE NEUROSTIMULATOR PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 102.00)

42000012 HC PHYSICAL THERAPY EVALUATIONPHYSICAL THERAPY - EVALUATION OR RE-EVALUATION [0424] ( 219.00)

42000014 HC PHYSICAL THERAPY RE-EVALUATIONPHYSICAL THERAPY - EVALUATION OR RE-EVALUATION [0424] ( 129.00)

42000002 HC TRACTION MECHANICAL PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 82.00)

43000015 HC VASOPNEUMATIC DEVICE APPLICATIONOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 60.00)

43000016 HC PARAFFIN BATHOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 46.00)

43000005 HC FLUIDO THERAPY/WHIRLPOOLOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 105.00)

42000009 HC INFRARED THERAPY PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 104.00)

42000007 HC ULTRAVIOLET PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 51.00)

43000003 HC ELECTRIC STIM MANUAL EA 15 MINOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 111.00)

43000018 HC IONTOPHORESIS EA 15 MINOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 93.00)

43000017 HC ULTRASOUND EA 15 MINOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 86.00)

42000006 HC HUBBARD TANK EA 15 MIN PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 233.00)

43000008 HC THERAP PROC EA 15 MIN EXEROCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 182.00)

43000023HC NEUROMUSCULAR RE-EDUCATION EA 15 MIN

OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 102.00)

42000004HC AQUATIC THERAPY W/THER EXERC EA 15 MIN PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 93.00)

42000013 HC GAIT TRAINING W/STAIRS EA 15 MIN PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 113.00)

43000024 HC MASSAGE EA 15 MINOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 83.00)

43000006HC MANUAL THERAPY 1/> REGIONS EA 15 MIN


43000012HC THERAPEUTIC PROC GROUP 2/> INDIVIDUALS


43000011HC THER ACTV DIR PT CONTACT BY PROVIDER EA 15 MIN


43000025HC SELF CARE/HOME MANG TRAINING EA 15 MIN


43000002 HC WHEELCHAIR MANAGEMENT EA 15 MINOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 104.00)

42000001HC WORK HARDEN/ CONDITIONING INITIAL 2 HRS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 238.00)

42000011HC WORK HARDEN/ CONDITIONING EA ADD HR PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 120.00)

43000001HC RMVL DEVITAL TISS NSLCTV DBRDMT W/O ANES 1 SESS


43000013HC NEG PRESS WOUND THER I <OR=50 SQCM


43000014 HC NEG PRESS WOUND THER II >50 SQCMOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 558.00)

43000021HC PHYSICAL PERFORM/TEST W/REPORT EA 15 MIN


43000020HC ORTHOTIC FITTING & TRAINING EA 15 MIN INITIAL OT


42000003HC PROSTHETIC TRAINING EA 15 MIN INITIAL PT PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 62.00)

43000027HC ORTHOTIC/PROSTHETIC USE CHECKOUT EA 15 MIN


42000008HC ELECTRICAL STIM UNATTEND/WOUND CARE PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 56.00)

42000010HC ELECTRICAL STIM UNATTENDED/NON WOUND PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 48.00)

43000004 HC OCCUPATIONAL THERAPY EVALUATIONOCCUPATIONAL THERAPY - EVALUATION OR REEVALUATION [0434] ( 225.00)

43000022HC OCCUPATIONAL THERAPY RE-EVALUATION

OCCUPATIONAL THERAPY - EVALUATION OR REEVALUATION [0434] ( 108.00)

43000019 HC DEVELOP COGNITIVE SKILLS EA 15 MINOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 94.00)

43000010HC COMMUNITY RE-INTEGRATION TRAINING EA 15 MIN


44400001HC EVAL SPEECH LANG VOICE & AUDITORY PROC

SPEECH THERAPY - LANGUAGE PATHOLOGY - EVALUATION OR REEVALUATION [0444] ( 458.00)

44000002HC TX SPEECH LANG VOICE & AUDITORY PROC


44000005HC TX SPEECH LANG VOICE & AUDITORY GROUP


44000006 HC SWALLOW TX AND/OR ORAL FUNCTIONSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 250.00)

44000007HC EVAL&/FITG VOICE PROSTC DEV SUPLMNT ORAL SPEECH


44400006HC EVAL FOR RX OF ALT COMMUNICATION DEVICE 1ST HR


44400005HC EVAL FOR RX OF ALT COMM DEVICE EA ADD'L 30 MIN


44000001 HC MODIFICATION OF A&A DEVICESPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 177.00)

44000004 HC EVAL ORAL & PHARYNEGEAL SWALLOWSPEECH THERAPY - LANGUAGE PATHOLOGY - EVALUATION OR REEVALUATION [0444] ( 332.00)

44000003HC SPEECH COGNITIVE PERFORMANCE TESTING


44400003 HC ASSESSMENT OF APHASIA/PER HRSPEECH THERAPY - LANGUAGE PATHOLOGY - EVALUATION OR REEVALUATION [0444] ( 666.00)

36000252 HC I&D PILONIDAL CYST SIMPLEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 621.00)

36000253HC INCISION & REMOVAL FB SUBQ TISS SIMPLE


36000254HC INCISION & REMOVAL FB SUBQ TISS COMPL


36000197 HC I&D CPLX POSTOP WND INFOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,912.00)

36000198HC DEBR EXTENSV ECZEMA/INFECT SKN UP 10% BS


36000199 HC DEBR EXZ/INF SKIN; EA ADDTL 10%OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 367.00)

36000202 HC REM SKN TAGS ANY AREA UP&W/15OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 385.00)

36000203HC REMOVAL SK TGS ANY AREA EA ADD'L 10


36000499 HC EXC BENIGN LES MRGN T/A/L 0.5 CM/<OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 832.00)

36000500 HC EXC BENIGN LES MRGN T/A/L 0.6-1.0 CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,102.00)

36000501 HC EXC BENIGN LES MRGN T/A/L 1.1- 2.0 CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,373.00)

36000502 HC EXC BENIGN LES MRGN T/A/L 2.1- 3.0 CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,643.00)

36000179 HC EXC BENIGN LES MRGN T/A/L 3.0-4.0 CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,914.00)

36000002 HC EXC BENIGN LES MRGN T/A/L > 4.0 CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,184.00)

36000503HC EXC BENIGN LES MRGN S/N/H/F/G 0.5 CM/<


36000504HC EXC BENIGN LES MRGN S/N/H/F/G 0.6-1.0CM








36000508HC EXC BENIGN LES MRGN S/N/H/F/G > 4.0CM


36000509HC EXC BENIGN LES MRGN F/E/E/N/L/M 0.5CM/<


36000510HC EXC BENIGN LES MRGN F/E/E/N/L/M 0.6-1.0CM








36000514HC EXC BENIGN LES MRGN F/E/E/N/L/M > 4.0CM


36000204HC TRIM NONDYSTROPHIC NAILS ANY NUMBER


36000205 HC DEBRIDEMENT NAIL(S) ANY METHOD 1-5OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 182.00)

36000046 HC DEBRIDE NAIL(S) ANY METHOD 6+OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 192.00)

36000206HC AVULSION NAIL PLATE PART/COMP SIMPLE 1


36000570HC AVULSION NAIL PLATE PART/COMP EA ADDL


36000399 HC EVAC SUBUNGUAL HEMATOMAOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 166.00)

36000132 HC REMOVE NAIL BED/FINGER TIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,265.00)

36000208 HC REPAIR NAIL BEDOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 504.00)

36000209 HC WEDGE EXC SKIN NAIL FOLDSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 367.00)

36000571 HC REMOVAL IMPLANT CONTRACEPT CAPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 830.00)

36000210 HC SMPL RPR S/N/A/G/TR/E 2.5CM/< EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 504.00)

36000211 HC SMPL RPR S/N/A/G/TR/E 2.6-7.5CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 523.00)




36000148 HC SMPL RPR S/N/A/G/TR/E >30.0CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 560.00)

36000213 HC SMPL RPR F/E/E/N/L/M 2.5CM/<SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 504.00)

36000214 HC SMPL RPR F/E/E/N/L/M 2.6CM-5.0CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 514.00)





36000526 HC SMPL RPR F/E/E/N/L/M >30.0CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 560.00)

36000217 HC TX SUPERFICIAL WND DEHISC SMPLOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 802.00)

36000218 HC TX SUPERFICIAL WND DEHIS W/PACKOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 482.00)

36000219 HC INTMD WND RPR S/A/T/EXT 2.5 CM/<OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 520.00)

36000220 HC INTMD WND RPR S/A/T/EXT 2.6-7.5 CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 538.00)


36000222 HC INTMD WND RPR S/A/T/EXT 12.6-20.0CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 555.00)


36000224 HC INTMD WND RPR S/A/T/EXT > 30.0 CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,725.00)

36000225 HC INTMD WND RPR N-HF/GENIT 2.5CM/<OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 520.00)

36000226 HC INTMD WND RPR N-HF/GENIT 2.6-7.5 CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 538.00)

36000227 HC INTMD WND RPR N-HF/GENIT 7.6-12.5CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 546.00)

36000527 HC INTMD WND RPR N-HF/GENIT 12.6-20 CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 555.00)

36000528HC INTMD WND RPR N-HF/GENIT 20.1-30.0 CM


36000529 HC INTMD WND RPR N-HF/GENIT >30.0 CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,816.00)

36000228 HC INTMD WND RPR FACE/MM 2.5 CM/<OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 520.00)

36000229 HC INTMD WND RPR FACE/MM 2.6-5.0 CM/>OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 529.00)

36000230 HC INTMD WND RPR FACE/MM 5.1-7.5 CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 538.00)

36000231 HC INTMD WND RPR FACE/MM 7.6-12.5 CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 546.00)

36000530 HC INTMD WND RPR FACE/MM 12.6-20.0CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 555.00)

36000531 HC INTMD WND RPR FACE/MM 20.1-30.0CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 564.00)

36000532 HC INTMD WND RPR FACE/MM > 30.0 CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 572.00)

36000232 HC COMPLEX RPR TRUNK 1.1 CM-2.5 CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,725.00)

36000233 HC COMPLEX RPR TRUNK 2.6 CM-7.5 CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,881.00)

36000234HC COMPLEX RPR TRUNK EACH ADDITIONAL 5 CM/<


36000235HC COMPLEX RPR SCALP/ARM/LEG 1.1 CM-2.5 CM


36000236HC COMPLEX RPR SCALP/ARM/LEG 2.6 CM-7.5 CM


36000237HC COMPLEX RPR SCALP/ARM/LEG EA ADDL 5 CM/<


36000238HC COMPLEX RPR F/C/C/M/N/AX/G/H/F 1.1 CM-2.5 CM


36000239HC COMPLEX RPR F/C/C/M/N/AX/G/H/F 2.6 CM-7.5 CM


36000240HC COMPLEX RPR F/C/C/M/N/AX/G/H/F EA ADDL .5 CM/<


36000241 HC COMPLEX RPR E/N/E/L 1.0 CM/<OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 955.00)

36000242 HC COMPLEX RPR E/N/E/L 1.1-2.5 CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,020.00)

36000243 HC COMPLEX RPR E/N/E/L 2.6-7.5 CMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,176.00)

36000244 HC COMPLEX RPR E/N/E/L EA ADDL 5 CM/<OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 776.00)

36000066HC SECONDARY CLOSURE WOUND/DEHSN EXTSV/COMPLIC


36000805HC ADJ TIS TRANS/REARRANGE E/N/E/L 10 SQ CM/<


36000248HC DRS&/DBRDMT PRTL THKNS BURNS INIT/SBSQ LGE


36000249 HC ESCHAROTOMY FIRST INCISIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 482.00)

36000572 HC ESCHAROTOMY ADD'L INCISIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 281.00)

36000498HC CHEMICAL CAUTERIZATION GRANULATION TISSUE


36000255 HC I&D SOFT TISSUE ABSCESS SUBFASCOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,402.00)

36000718 HC WOUND EXPLORATION NECKOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 951.00)

36000719 HC WOUND EXPLORATION CHESTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,696.00)

36000720 HC WOUND EXPLORATION TRUNKOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,511.00)

36000721 HC EXPL P WND EXTREMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,670.00)

36000256HC REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE


36000257HC RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP


36000258HC INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS


36000722 HC INJ TENDON ORIGIN/INSERTIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 294.00)

36000724 HC ASPIRATION/INJECTION GANGLION CYSTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 293.00)

36000821HC CRUTCHFIELD OR GARDNER WELLS TONGS


36000725HC REM IMPLANT SUPFCL(BURIED WIREPINROD)


36000259 HC CL TXT OF NASAL BONE FX WO MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 460.00)

36000581HC CLOSE TX NASAL BONE FX W/O STABILIZATION


36000260 HC CL TX OF NASAL BONE FX W STABILIZOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,948.00)

36000726HC CLD TX NASAL SEPTAL FX W/WO STABILIZATIN


36000582HC CL TX NASOMAXILLARY COMPLEX FRACTURE


36000583HC CL TX FX OF ORBIT W/O BLOWOUT W/O MANIP


36000584HC CL TX FX ORBIT W/O BLOWOUT WITH MANIP


36000585 HC CL TX PALATAL OR MAXILLARY FXOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,437.00)

36000586HC CL TX CRANIFACIAL SEP W/INTERDENTAL WIRE


36000587HC CL TX MANDIB/ MAXIL ALVEOLAR RIDGE FX


36000727 HC CLD TX MANDIBLE W/O MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 736.00)

36000728 HC CLD TX MANDIBLE W/MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,814.00)

36000588HC CL TX MANDIBULAR FX W/ INTERDENTAL FIX


36000261 HC CL TX TMJ DISLOCATION INT /SUBOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 356.00)

36000589HC CL TX TEMPOROMANDIBULAR DISLOCAL COMPL


36000729 HC INTRADENTAL WIRING OTHER THAN FXOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,892.00)

36000591HC I&D ABS NECK/THORAX W/PART RIB OSTECTOMY


36000262HC CLOSED TX RIB FRACTURE UNCOMPLICATED EACH


36000730 HC CLOSED TREATMENT STERNUM FROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 380.00)

36000592HC I&D OPEN DEEP ABS CERVICAL/THORACIC


36000593 HC I&D OPEN DEEP ABS LUMBAR/SACRALOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,977.00)

36000731 HC CL TX VERTEBRAL PROCESS FX(S)OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 380.00)

36000594HC CL TX VERTEB BODY FX W/O MANIP INCL CAST


36000595HC CL TX VERTEB FX DISLOC REQ CAST BY MANIP


36000263HC I&D SHOULDER DEEP ABSCESS/HEMATOMA


36000596 HC I&D SHOULDER AREA; INFECTED BURSAOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,698.00)

36000264HC REMOVAL FOREIGN BODY SHOULDER SUBCUTANEOUS


36000265 HC CL TX CLAVICULAR FX WO MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 528.00)

36000266 HC CL TX CLAVICULAR FX W MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,148.00)

36000597HC CL TX STERNOCLAVICULAR DISL W/O MANIP


36000598HC CL TX STERNOCLAVICULAR DISLOCAL W/MANIP


36000599HC CL TX ACROMIOCLAVICULAR DISLOC W/O MANIP


36000600HC CL TX ACROMIOCLAVICULAR DISLOC; W/MANIP


36000267 HC CL TX SCAPULAR FX WO MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 380.00)

36000268 HC CL TX SCAPULAR FX W MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,328.00)

36000269 HC CL TX PROX HUMERAL FX WO MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 449.00)

36000270 HC CL TX PROX HUMERAL FX W MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,148.00)

36000271 HC CL TX GR TUBEROSITY FX WO MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 376.00)

36000272 HC CL TX GR TUBEROSITY FX W MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,148.00)

36000273 HC CL SHLDR DISL W MANI WO ANOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 425.00)

36000274 HC CL TX SHLDR DISLOC & FX GT W MANOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,328.00)

36000601HC CL TX SHLDR DIS W/SURG/ANA NECK FX W/MAN


36000602 HC I&D UPPER ARM/ELBOW AREA DEEP ABSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,057.00)

36000603HC I&D UPPER ARM OR ELBOW AREA; BURSA


36000275 HC RMVL FB UPPER ARM/ELBOW SUBCOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,420.00)

36000276 HC REMOVAL FB UPPER ARM/ELBOW DEEPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,174.00)

36000277HC CL TX HUMERAL SHAFT FRACTURE W/O MANIPULATION


36000278HC CL TX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ


36000279HC CL TX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/WO MANJ


36000280HC CL TX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MANJ


36000281HC CL TX HUMERAL EPICONDY FX MEDIAL/LAT W/O MANJ


36000282HC CL TX HUMERAL EPICONDY FX MEDIAL/LAT W/MANJ


36000604HC CL TX HUM CONDY FX MEDIAL/LAT W/O MANIP


36000605HC CL TX HUM COND FX MEDIAL/LAT W/MANIP


36000283 HC CL TX ELBOW DISLOCATION W/O ANESOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 494.00)

36000606HC CL TX MONTEGGIA FX DISLOC ELBOW W/MANIP


36000284HC CL TX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MANJ


36000285HC CL TX RADIAL HEAD/NECK FX W/O MANIPULATION


36000286HC CL TX RADIAL HEAD/NECK FX W/MANIPULATION


36000287HC CL TX ULNAR FRACTURE PROXIMAL END W/O MANJ


36000288HC CL TX ULNAR FRACTURE PROXIMAL END W MANJ


36000608 HC I&D FOREARM AND/OR WRIST; BURSAOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,475.00)

36000609HC EXPLORE W/REMOVE DEEP FB FOREARM/WRIST


36000289HC CL TXRADIAL SHAFT FRACTURE W/O MANIPULATION


36000290HC CL TX RADIAL SHAFT FRACTURE W/MANIPULATION


36000610HC CL TX RAD SHAFT FX (GALEAZZI FX/DISLOC)


36000291HC CL TX ULNAR SHAFT FRACTURE W/O MANIPULATION


36000292HC CL TX ULNAR SHAFT FRACTURE W/MANIPULATION


36000293HC CL TX RADIAL&ULNAR SHAFT FRACTURES W/O MANJ


36000294HC CL TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ


36000732 HC CL TX RADIAL & ULNAR FX W/O MAOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 452.00)

36000733 HC CL TX FRAC RADIUS/ULNA W MANOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,328.00)

36000734 HC CL TX NAVICULAR FX W/O MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 450.00)

36000735 HC CL TX NAVICULAR FX W/MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,328.00)

36000295HC CL TX CARPAL BONE FX W/O MANJ EACH BONE


36000296HC CL TX CARPAL BONE FX W/MANJ EACH BONE


36000611 HC CL TX OF ULNAR STYLOID FRACTUREOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 450.00)

36000297HC CL TX RDCRPL/INTERCARPL DISLC 1/> BONES W/MANJ


36000298HC CL TX DISTAL RADIOULNAR DISLOCATION W/MANJ


36000299HC CL TX TRANS SCAPHOPRILUNAR TYP FX DISLC W/MANJ


36000612HC CL TX LUNATE DISLOCATION W/ MANIPULATION


36000300 HC DRAIN FINGER ABSC SIMPLEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 415.00)

36000301HC DRAINAGE FINGER ABSCESS COMPLICATED


36000613HC DRAIN TENDON SHEATH DIGIT AND/OR PALM EA


36000614HC DRAINAGE OF PALMAR BURSA; SINGLE BURSA


36000615HC DRAINAGE OF PALMAR BURSA; MULTIPLE BURSA


36000616HC ARTHR W/EXPL DRAIN/REM FB CMC JOINT


36000617HC ARTHR W/EXPL DRAIN/REM FB MCPHL JOINT EA


36000618HC ARTHR W/EXPL DRAIN/REM FB INPHL JOINT EA


36000736 HC FINGER FLEXOR TENDON REPAIROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,234.00)

36000737HC REP EXTENSR TENDN HAND W/O GRFT EA TENDO


36000738 HC FINGER TENDON REPAIR EA WO GRFOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,194.00)

36000619HC CL TX DISTAL EXTENSOR TENDON FINGER


36000302HC CL TX METACARPAL FX W/O MANI EACH BONE


36000303HC CL TX METACARPAL FX W/MANI EACH BONE


36000620HC CL TX MCP FX W/MANIP W/EXT FIX EA BONE


36000304HC CL TX CARPO/METACARPAL DISLC THUMB W/MANJ


36000305HC CL TX CARPO/METACARPAL FX DISLC THUMB W/MANJ


36000306HC CL TX CARPO/METACARPL DISLC THMB MANJ EA W/O ANES


36000307HC CL TX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES


36000308HC CL TX PHLNGL FX PROX/MIDDLE PX/F/T W/O MANJ EA


36000309HC CL TX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA


36000310HC CL TX ARTICULAR FX INVG MTCARPHLNGL/IPHAL JT W/O


36000311HC CL TX ARTICULAR FX INVG MTCARPHLNGL/IPHAL JT W/


36000312HC CL TX DSTL PHLNGL FX FNGR/THMB W/O MANJ EA


36000313HC CL TX DSTL PHLNGL FX FNGR/THMB W/MANJ EA


36000314 HC CL TX IPHAL JT DISLC W/MANJ W/O ANESOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 376.00)

36000717HC CL TX INTRPHGL JNT DIS SNGL W/MAN W/ANES


36000621HC I&D PELVIS OR HIP JOINT AREA DEEP ABS


36000622HC I&D PELVIS/HIP JOINT AREA INFECTED BURSA


36000739 HC FB REMOV HIP/PELV SQOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,586.00)

36000740 HC FB REMOV HIP/PELV DEEPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,696.00)

36000623HC CL TX PELVIC FX DISLOC SUBLUX W/O MANIP


36000624 HC CL TX OF COCCYGEAL FRACTUREOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 340.00)

36000625HC CL TX ACETABUL (HIP SOCKET) FX W/O MANIP


36000626HC CL TX ACETA FX W/MANIP W OR WO SKEL TRAC


36000627HC CL TX FEM FX PROXIMAL END NECK W/O MANIP


36000628HC CL TX FEM FX PROX W/MANIP W/WO SKEL TRAC


36000629HC CL TX INTER/PERI/SUBTROCHANTERIC FEM FX W/O MAN


36000630HC CL TX INTR/PERI/SBTRCHNTC FEMORAL FX W/MAN


36000631HC CL TX GREATER TROCHANTERIC FX WO MANIP


36000741 HC CL TX TRAUMA HIP DICLOC WO ANEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 279.00)

36000742 HC CL TX SPONTA HIP DISLOC W/O ANOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 450.00)

36000743HC CL TX POST HIP ARTHROPLAS DISLOC W/O ANE


36000776 HC CL TX THIGH FX W/O MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,105.00)

36000632HC CL TX FEM FX PROXIMAL END HEAD W/MANIP


36000633HC I&D DEEP ABS/BURSA/HEM THIGH/KNEE REGION


36000064HC REMOVAL FOREIGN BODY DEEP THIGH/KNEE


36000315HC CL TX FEMORAL SHAFT FX W/O MANIPULATION


36000634HC CL TX SUP/TRAN FEM FX W/WO EXT WO MANIP


36000316HC CL TX FEM SHFT FX W/MANJ W/WO SKIN/SKELETAL TRACJ


36000635HC CL TX SUP/TRAN FEM FX W/MANIP W/WO TRAC


36000317HC CL TX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ


36000318HC CL TX FEM FX DSTL END MEDIAL/LAT CONDYLE W/MANJ


36000636HC CL TX DIS FEM EPIPHYSEAL SEP WO MANIP


36000637HC CL TX DISTAL FEM SEP W/MANIP W/WO TRAC


36000319HC CL TX PATELLAR FRACTURE W/O MANIPULATION


36000320HC CL TX TIBIAL FX PROXIMAL W/O MANIPULATION


36000638HC CL TX TIBIAL FX PROX W/WO MANIP W/TRAC


36000639HC CL TX SPINE &/OR TUB FX KNEE W/WO MANIP


36000321HC CL TX KNEE DISLOCATION W/O ANESTHESIA


36000322HC CL TX PATELLAR DISLOCATION W/O ANESTHESIA


36000022 HC I&D LEG/ANKLE ABSCESS/HEMATOMAOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,305.00)

36000640 HC I&D LEG OR ANKLE; INFECTED BURSAOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,633.00)

36000744 HC CL TX TIB SHFT FX WO MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 468.00)

36000745 HC CL TX TIB SHFT FX W MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,148.00)

36000746 HC CL TX MEDIAL ANKLE FX WO MANOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 447.00)

36000747 HC CL TX MEDIAL ANKLE FX W MANOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,148.00)

36000777 HC CL TX POST ANKLE FX W/O MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,288.00)

36000778 HC CL FX POST ANKLE FX W MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,994.00)

36000748 HC CL TX PROX FIB/SHAFT FX WO MANOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 408.00)

36000749 HC CL TX PROX FIB/SHAFT FX W MANOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,148.00)

36000750 HC CL TX DSTL FIB FX WO MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 421.00)

36000751 HC CL TX DISTL FIB FX W MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 569.00)

36000752 HC CL TX BIMALLEOLAR FX W/O MANOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 441.00)

36000753 HC CL TX BIMALLEOLAR FX W MANOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,328.00)

36000754 HC CL TX TRIMALLEOLAR FX W/O MANOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 423.00)

36000755 HC CL TX TRIMALLEOLAR FX W MANOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,328.00)

36000641 HC CL TX FX DIS TIB W/WO ANES WO MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 447.00)

36000642 HC CL TX FX DIS TIB W/WO ANES W/TRACOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,148.00)

36000756HC CLSD TX PROX TIB/FIB DISLOC W/O ANEST


36000643HC CL TX PROX TIBIOFIB JOINT DISLO REQ ANES


36000323HC CL TX ANKLE DISLOCATION W/O ANESTHESIA


36000644HC CL TX ANK DIS REQ ANES W/WO PER SKEL FIX


36000324 HC UNLISTED PROCEDURE LEG/ANKLEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 450.00)

36000533 HC I&D BURSA FOOTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,472.00)

36000645HC I&D FASCIA W/WO TEN SHEATH INV FT MULTI


36000325 HC REM FB FOOT SUBCUTANEOUSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,057.00)

36000646 HC REM FB FOOT DEEPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,906.00)

36000647 HC REM FB FOOT COMPLICATEDOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,002.00)

36000757HC REPAIR FLEX TENDON FOOT W/O GRAFT EACH


36000758HC REPAIR EXTEN TENDON FOOT W/O GRAFT EACH


36000759 HC CL TX CALCANEAL FX WO MAOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 380.00)

36000760 HC CL TX CALCANEAL FX W MAOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,148.00)

36000761 HC CL TX TALUS FX WO MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 450.00)

36000762 HC CL TX TALUS FX W MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,328.00)

36000763 HC CL TX TARSAL BONE FX W/O MANOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 450.00)

36000764 HC CL TX TARSAL BONE FX W MANOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,328.00)

36000765 HC CL TX METATARSAL FX WO MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 450.00)

36000766 HC CL TX METATARSAL FX W MANIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 450.00)

36000767 HC CL TX FX GT PHALANX(S) WO MANIOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 380.00)

36000768 HC CL TX FX GT PHALANX(S) W MANIOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 380.00)

36000769 HC CL TX FX PHALNX/PHALANG WO MANOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 380.00)

36000770 HC CL TX FX PHALANX/PHALANG W MANOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 380.00)

36000648 HC CL TX SESAMOID FRACTUREOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 450.00)

36000771 HC CL TX TARSAL BONE DISLOC WO ANOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 450.00)

36000649HC CL TX OF TALOTARSAL JOINT DISLOC WO ANES


36000650HC CL TX TARSOMETATARS JOINT DISLOC WO ANES


36000772 HC CL TX MTP JNT DISLOC WO ANESTHOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 340.00)

36000773 HC CL TX IP JOINT DISL WO ANESTHOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 380.00)

36000326 HC APPLY CAST SHOULDER SPICAOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 361.00)

36000774 HC APPLY PLASTER VALPEAU CASTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 361.00)

36000327HC APPLY CAST SHOULDER HAND LONG ARM


36000328HC APPLY CAST ELBOW FINGER SHORT ARM


36000329HC APPLY CAST HAND&LOWER FOREARM GAUNTLET


36000330HC APPLY LONG ARM SPLINT SHOULDER HAND


36000331HC APPLY SHORT ARM SPLINT FOREARM HAND STATIC


36000332 HC APPLY SHORT ARM SPLINT DYNAMICOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 361.00)

36000333 HC APPLY FINGER SPLINT STATICOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 361.00)

36000334 HC APPLY FINGER SPLINT DYNAMICOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 361.00)

36000335 HC STRAPPING THORAXOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 361.00)

36000336 HC STRAPPING SHOULDEROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 361.00)

36000337 HC STRAPPING ELBOW/WRISTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 361.00)

36000338 HC STRAPPING HAND/FINGEROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 361.00)

36000339 HC APPLY LONG LEG CAST THIGH TOEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 361.00)

36000340HC APPLY SHORT LEG CAST BELOW KNEE TOE


36000341HC APPLY SHORT LEG CAST WALKING/AMBULATORY


36000342HC APPLY PATELLAR TENDON BEARING CAST


36000343HC ADDING WALKER PREVIOUSLY APPLIED CAST


36000775HC APPLY CLUBFOOT CAST MOLDING/LONG/SHORT LEG


36000345 HC APPLY SHORT LEG SPLINT CALF FOOTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 227.00)

36000346 HC STRAPPING HIPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 227.00)

36000347 HC STRAPPING KNEEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 227.00)

36000348 HC STRAP ANKLE OR FOOTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 227.00)

36000349 HC STRAPPING OF TOESOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 227.00)

36000350 HC STRAPPING UNNA BOOTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 227.00)

36000065HC APPLY MULTILAY COMPRES LEG (BELOW KNEE)


36000412HC APPLY MULTILAYER COMPRESS THIGH/LEG


36000413HC APPLY MULTILAYER COMPRESS UPPER ARM


36000414HC APPLY MULTILAYER COMPRESS ARM & HAND


36000351 HC DENIS BROWNE SPLINT STRAPPINGOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 194.00)

36000535HC REMOVE/BIVALVE GAUNTLET BOOT/BODY CAST


36000536HC REMOVAL/BIVALVING FULL ARM/FULL LEG CAST


36000555 HC REMOVE/BIVALVE SHLD/HIP SPICAOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 288.00)

36000556 HC REMOVE/BIVALVE TURNBUCKLE JACKETOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 226.00)

36000352 HC WINDOWING OF CASTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 227.00)

36000353HC WEDGING OF CAST NOT CLUBFOOT CAST


36000354HC UNLISTED PROCEDURE CASTING OR STRAPPING


36000579HC DRAIN ABSC/HEMATOMA; NASAL; INT APPROACH


36000651HC DRAINAGE ABSCESS / HEMATOMA NASAL SEPTUM


36000355 HC REM FB INTRANASALOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 348.00)

36000356 HC CONTROL NASAL HEMORRH ANT SIMPLEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 459.00)

36000358HC CTRL NSL HEMRRG PST NASAL PACKS&/CAUTERY 1ST


36000779HC POSTERIOR NASAL PACKING SUBSQUENT


36000806HC NASAL ENDO W/CONTROL NASAL HEMMORRHAGE


36000360HC LARYNGOSCOPY INDIRECT W/REMOVAL FB


36000790HC LARYNGOSCOPIC EXAM EXCLUDING NEWBORNS


36000780 HC LARYNGOSCOPY FLEX W REM OF FBSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 703.00)

36000781HC TRACHEOBRONCHOSCOPY THRU EST TRACH INCSN


36000782 HC BRONCHOSCOPY W/REMOVAL OF FBSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,567.00)

36000784HC THORACOTOMY MAJOR CTRL TRAUM LUNG TEAR


36000786HC REPAIR BLOOD VESSEL UPPER EXTREMITY


36000787 HC REPAIR BLOOD VESSEL HAND/FINGEROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,865.00)

36000788HC REPAIR BLOOD VESSEL INTRA ABDOMINAL


36000789HC REPAIR BLOOD VESSEL LOWER EXTREMITY


36000361HC VNPNXR <3 YEARS PHYS SKILL FEMORAL/JUGULAR VEIN


36000362HC VNPNXR <3 YEARS PHYS SKILL SCALP VEIN


36000363HC VNPNXR <3 YEARS PHYS SKILL OTHER VEIN


36000364 HC VNPNXR 3 YEARS/> PHYS SKILLOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 77.00)

36000710HC COLLECTION CAPILLARY BLOOD SPECIMEN


36000711HC VENIPUNCTURE CUTDOWN; 1YR OR YOUNGER


36000712HC VENIPUNCTURE CUTDOWN; 1YR OR OLDER


36000401 HC ARTER CATH SAMP/MON/TRA CUTDOWOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 166.00)

36000369 HC PLACE NEEDLE INTRAOSSEOUS INFUOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 344.00)

36000713HC THROMBOLYSIS CEREBRAL; INTRAVEN INFUSION


36000652HC DRAIN LYMPH ABS / LYMPHADENITIS SIMPLE


36000653HC DRAIN LYMPH ABS / LYMPHADENITIS EXTENS


36000370HC RPR LIP FULL THICKNESS VERMILION ONLY


36000371 HC RPR LIP FT; UP TO VERTICAL HEIGHTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,045.00)

36000791HC RPR LIP FULL THKNS >ONE-HALF VERT HEIGHT/COMPLEX


36000654HC DRAIN ABS/HEM/VESTIBULE OF MOUTH SIMPLE


36000655HC DRAIN ABS/HEM/VESTIBULE OF MOUTH COMPL


36000372HC RMVL EMBEDDED FB VESTIBULE MOUTH SMPL


36000373HC RMVL EMBEDDED FB VESTIBULE MOUTH COMP


36000374HC CLOSURE LACERATION VESTIBULE MOUTH 2.5 CM/<


36000375HC CLOSURE LACERATION VESTIBULE MOUTH > 2.5 CM/CPLX


36000376HC RPR LAC 2.5 CM/< MOUTH&/ANT TWOTHIRDS TONGUE


36000377HC RPR LAC 2.5 CM/< PST ONETHIRD TONGUE


36000378HC RPR LAC TONGUE FLOOR MOUTH > 2.6 CM/CPLX


36000379 HC DR ABSC CYST HEMATOM DENTOALVEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 399.00)

36000656HC REM FB FROM DENTOALVEOLAR STRUCTURE BONE


36000657HC DRAINAGE OF ABSCESS OF PALATE UVULA


36000658HC DRAINAGE OF ABSCESS; PAROTID SIMPLE


36000659HC DRAINAGE OF ABSCESS PAROTID COMPLICATED


36000660HC DRAIN ABS SUBMAXIL/SUBLINGUAL INTRAORAL


36000661HC DRAINAGE ABSCESS SUBMAXILLARY EXTERNAL


36000380 HC I&D ABSCESS PERITONSILLAROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 597.00)

36000662HC I&D ABSCESS; RETROPHARYNGEAL; INTERNAL


36000663HC I&D ABSCESS; RETROPHARYNGEAL; EXTERNAL


36000381 HC REMOVE FOREIGN BODY PHARYNXOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 348.00)

36000403HC CONTROL OROPHARYNGEAL HEMORRH; SIMPLE


36000574HC POST TONSIL BLEED CONTROL COMPLEX


36000792HC ESOPHAGOSCOPY FLEX TRANSORAL BALLOON <30MM


36000793HC DILATION ESOPHAGUS OVER GUIDEWIRE


36000794HC DILATION ESOPHAGUS BALLOON RETROGRADE


36000664 HC I&D OF APPENDICEAL ABSCESS; OPENOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,113.00)

36000665HC I&D OF APPENDICEAL ABSCESS; PERCUTANEOUS


36000796 HC I&D SUBMUCOSAL ABSCESS RECTUMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,735.00)

36000666HC I&D DEEP SUPRALEVATOR PELVIRECTAL ABSC


36000667 HC I&D PERIRECTAL OR ISCHIAL ABSCESSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,735.00)

36000669 HC I&D SUPERF ABSCESS PERI/ISCHEALOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,735.00)

36000797 HC I & D PERIANAL ABSCESSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,275.00)

36000671 HC I&D ISCHIORECTAL ABSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,735.00)

36000798 HC INCISE THROMBOS HEMORRHOID EXTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 486.00)

36000799HC HEMORRHOIDECTOMY INTERNAL BY RUBBER BAND


36000800HC EXCISION EXTRNL THROMBOTIC HEMORRHOID


36000801 HC INJ SCLEROSING SOLUTION HEMORROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,275.00)

36000802 HC ANOSCOPY;REMOVE FOREIGN BODYOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 951.00)

36000673 HC DESTROY INTERNAL HEMORRHOIDSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,681.00)

36000675 HC HEMORRHOIDOPEXY BY STAPLINGOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,696.00)

36000677HC DRAIN PERITONEAL ABSCESS OR CYST OPEN


36000679HC DRAIN SUBDIAPHRAGMATIC ABSCESS OPEN


36000681HC DRAINAGE OF RETROPERITONEAL ABSCES OPEN


36000683 HC DRAIN EXTRAPERITONEAL LYMPHOCELEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,068.00)

36000822 HC PERITONEAL LAVAGEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 812.00)

36000686HC DRAINAGE OF PERIRENAL OR RENAL ABS OPEN


36000688HC DRAIN PERIVESICAL/PREVESICAL SPACE ABS


36000714 HC ASPIRATION OFBLADDER; BY NEEDLEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 643.00)

36000715HC ASPIRATION OFBLADDER; TROCAR/INTRACATH


36000690HC DRAINAGE OF DEEP PERIURETHRAL ABSCESS


36000691HC DRAINAGE OF SKENE'S GLAND ABS OR CYST


36000692HC DR PERIN URINARY EXTRAVAS; UNCOMPLICATED


36000693HC DR PERIN URINARY EXTRAVAS; COMPLICATED


36000694HC INCISION AND DRAINAGE OF PENIS DEEP


36000575HC IRR CORPORA CAVERNOSA FOR PRIAPISM


36000808 HC I&D EPIDIDYMIS TESTIS/SCROTALOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,645.00)

36000695 HC DRAINAGE OF SCROTAL WALL ABSCESSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,472.00)

36000384 HC I&D VULVA/PERINEAL ABSCESSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 597.00)

36000809 HC I&D BARTHOLINS GLAND ABSCESSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 494.00)

36000696HC I&D VAGINAL HEMATOMA OB/POSTPARTUM


36000697 HC I&D VAGINAL HEMATOMA NOT OBOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,305.00)

36000811 HC INSERTION PESSARY DEVICEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 248.00)

36000385HC COLPORRHAPHY SUTURE INJURY VAGINA


36000698HC ANT COLPORRHAPHY CYSTOLE W/WO URTHROCELE


36000699HC POST COLPORRHAPHY RECTOCELE W/WO PERIN


36000700HC COMBINED ANTEROPOSTERIOR COLPORRHAPHY


36000701HC COMB ANT/POST COLPORRHAPHY W ENTEROCELE


36000702HC PEREYRA PROC INC ANT COLPORRHAPHY


36000703HC DRAINAGE OF OVARIAN CYST(S) VAGINAL


36000704HC DRAINAGE OF OVARIAN CYST(S) ABDOMINAL


36000705HC DRAIN OVARIAN ABS VAGINAL APPROACH OPEN


36000706HC DRAIN OVARIAN ABS ABDOMINAL APPROACH


36000707HC DR PELV ABSC TRANSVAG/TRANSRECT PERC


72000001 HC CURETTAGE POSTPARTUMLABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 2,835.00)

72000002 HC VAGINAL DELIVERY ONLYLABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 3,444.00)

72000003HC DELIVERY PLACENTA SEPARATE PROCEDURE


72000004 HC CESAREAN DELIVERY LABOR ROOM/DELIVERY - DELIVERY ROOM [0722] ( 9,779.00)

36000708HC I&D OF THYROGLOSSAL DUCT CYST INFECTED


36000812HC TWIST DRILL SUBDURAL/VENTRIC PUNCTURE


36000813HC TWIST DRILL VENTRIC CATH/PRESSURE RECORD


36000814HC TWIST DRILL EVAC/DRAIN SUBDURAL HEMATOMA


36000815HC BURRHOLE EVAC/DRAIN EXTRADURAL HEMATOMA


36000816HC BURRHOLE ASPIRATE HEMAT/CYST INTRACEREBR


36000817HC BURRHOLE CATHEEG ELECTPRESSURE RECORD


36000709 HC EXPL ORBIT TRANSCRANIAL; W REM FBOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 6,765.00)

36000716HC INJ ANES TRIGEMINAL NERVE ANY DIV/BRANCH


36000387HC REMOVAL FB EYE CONJUNCTIVAL SUPERFICIAL


36000388HC RMVL FB XTRNL EYE EMBED SCJNCL/SCLERAL NONPERFOR


36000389HC RMVL FB XTRNL EYE CORNEAL W/O SLIT LAMP


36000391HC BLEPHAROTOMY DRAINAGE ABSCESS EYELID


36000392HC REMOVAL EMBEDDED FOREIGN BODY EYELID


36000393HC DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA SIMPLE


36000394HC DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA CMPLX


36000395HC RMVL FB XTRNL AUDITORY CANAL W/O ANES


36000396HC REMOVE IMPACTED EAR WAX W/INSTRUMENT UNI


36000819 HC TEMPORARY TRANSCUTANEOUS PACINOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 935.00)

36000398HC CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 1,191.00)

36000820 HC CARDIOVERSION ELECTIVE INTERNALOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,140.00)

45000001 HC EMERGENCY DEPT VISIT LEVEL 1 EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 570.00)

45000008 HC WIM VISIT LEVEL 1 EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 253.00)

45000002 HC EMERGENCY DEPT VISIT LEVEL 2 EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 825.00)


45000003 HC EMERGENCY DEPT VISIT LEVEL 3 EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 1,025.00)



45000011 HC WIM VISIT LEVEL 4 EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 1,088.00)


45000012 HC WIM VISIT LEVEL 5 EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 1,336.00)

45000006 HC CRITICAL CARE INITAL 30-74 MIN EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 2,000.00)

36000825 HC CRITICAL CARE EACH ADDTL 30 MIN EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 907.00)

45000013 HC PCP ENROLLMENT FEE PROFESSIONAL FEES - GENERAL CLASSIFICATION [0960] ( 16.00)

46000004HC BRNCDILAT RSPSE SPMTRY PRE&POSTBRNCDILAT ADMN


46000013HC BRNCSPSM PROVOCATION EVAL MLT SPMTRY W/ADMN AGT


46000014HC MAX BREATHING CAPACITY MAXIMAL VOLUNTARY VENTJ


46000003HC EXPIRED GAS COLLECTION QUANT 1 PROCEDURE SPX


46000016 HC RESPIRATORY FLOW VOLUME LOOPPULMONARY FUNCTION - GENERAL CLASSIFICATION [0460] ( 255.00)

46000008HC INTRAPULMONARY SURFACTANT ADMINISTRATION


46000007 HC PULMONARY STRESS TESTING SIMPLEPULMONARY FUNCTION - GENERAL CLASSIFICATION [0460] ( 344.00)

46000015 HC CARDIOPULMONARY EXERCISE TESTINGPULMONARY FUNCTION - GENERAL CLASSIFICATION [0460] ( 486.00)

46000010HC O2 UPTK EXP GAS ALYS W/CO2 OUTPUT % O2 XTRC


46000002HC PLETHYSMOGRAPHY LUNG VOLUMES W/WO AIRWAY RESIST


46000006HC GAS DILUT/WASHOUT LUNG VOL W/WO DISTRIB VENT&VOL


46000009HC UNLISTED PULMONARY SERVICE/PROCEDURE


47100014HC CALORIC VESTIBULAR TEST EA IRRIGATION W/RECORD AUDIOLOGY - DIAGNOSTIC [0471] ( 588.00)

47100010HC OPTKINETIC NYSTAG BIDIR/FOVEAL/PERIPH STIM W/REC AUDIOLOGY - DIAGNOSTIC [0471] ( 588.00)

47100011HC OSCILLATING TRACKING TEST W/RECORDING AUDIOLOGY - DIAGNOSTIC [0471] ( 588.00)

47100013HC COMPUTERIZED DYNAMIC POSTUROGRAPY AUDIOLOGY - DIAGNOSTIC [0471] ( 588.00)

47100003 HC PURE TONE AUDIOMETRY AIR ONLY AUDIOLOGY - DIAGNOSTIC [0471] ( 154.00)

47100006 HC PURE TONE AUDIOMETRY AIR & BONE AUDIOLOGY - DIAGNOSTIC [0471] ( 166.00)

47100007 HC SPEECH AUDIOMETRY THRESHOLD AUDIOLOGY - DIAGNOSTIC [0471] ( 154.00)

47100008HC SPEECH AUDIOMETRY THRESHOLD SPEECH RECOGNIJ AUDIOLOGY - DIAGNOSTIC [0471] ( 154.00)

47100005HC COMPRE AUDIOMETRY THRESHOLD EVAL SP RECOGNIJ AUDIOLOGY - DIAGNOSTIC [0471] ( 305.00)

47100009 HC TYMPANOMETRY AUDIOLOGY - DIAGNOSTIC [0471] ( 154.00)

47100004 HC ACOUSTIC REFLEX THRESHOLD AUDIOLOGY - DIAGNOSTIC [0471] ( 305.00)

47100012HC AUDITORY EVOKED POTENTIALS COMPREHENSIVE AUDIOLOGY - DIAGNOSTIC [0471] ( 650.00)

47100002HC AUDITORY EVOKED POTENTIALS LIMITED AUDIOLOGY - DIAGNOSTIC [0471] ( 321.00)

47100001HC DISTORT PRODUCT EVOKED OTOACOUSTIC EMISNS LIMITD AUDIOLOGY - DIAGNOSTIC [0471] ( 624.00)

48000031 HC CARDIOASSIST EXTERNAL CPS CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 12,269.00)

48000014HC THROMBOLYSIS CORONARY; INTRAVEN INFUSION CARDIOLOGY - CARDIAC CATH LAB [0481] ( 356.00)

48000041 HC MICROVOLT T-WAVE ASSESS CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 484.00)

48000052 HC MICROVOLT T-WAVE ASSESS CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 484.00)

48000042 HC PRGRMG DEV EVAL PM OR LDLS PM CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 67.00)

48000053 HC PM DEVICE PROG EVAL SNGLE CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 67.00)

48000043 HC PM DEVICE PROG EVAL DUAL CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 67.00)

48000054 HC PM DEVICE PROG EVAL DUAL CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 67.00)

48000044 HC PM DEVICE PROG EVAL MULTI CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 67.00)

48000055 HC PM DEVICE PROG EVAL MULTI CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 67.00)

48000045 HC ICD DEVICE PROG EVAL 1 SNGL CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 67.00)

48000056 HC ICD DEVICE PROG EVAL 1 SNGL CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 67.00)

48000046 HC ICD DEVICE PROG EVAL DUAL CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 67.00)

48000057 HC ICD DEVICE PROG EVAL DUAL CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 67.00)

48000047 HC ICD DEVICE PROG EVAL MULTI CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 67.00)

48000058 HC ICD DEVICE PROG EVAL MULTI CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 67.00)

48000048 HC ICM DEVICE EVAL PER PT ENCOUNTER CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 42.00)

48000059 HC ICM DEVICE EVAL PER PT ENCOUNTER CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 42.00)

48000061HC PM PHONE R-STRIP DEVICE EVAL = <90 DAYS EKG/ECG (ELECTROCARDIOGRAM) - TELEMETRY [0732] ( 67.00)

48000049 HC PM/ICD REMOTE TECH SERV =<90 DAYS CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 67.00)

48000060 HC PM/ICD REMOTE TECH SERV =<90 DAYS CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 67.00)

48000062 HC ICM/ILR REMOTE TECH SERV =<30 DAYS CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 67.00)

48000021HC TTE CONGENITAL W/O CONTRAST COMPLETE CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 1,040.00)

48000003HC TTE CONGENITAL W/O CONTRAST FOLLOW UP CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 913.00)

48000007 HC TTE W/DOPPLER COMPLETE CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 2,154.00)

48000038HC ECHO MMODE REAL TIME W/O CONTRAST CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 1,248.00)

48000040 HC ECHOF/U OR LIMITED STUDY W/O CONT CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 913.00)

48000020HC TRANSESOPHAGEAL ECHO W/O CONTRAST CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 2,099.00)

48000013HC ECHO TRANSESOPHAG MONTR CARDIAC PUMP FUNCTJ CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 1,924.00)

48000015 HC DOPPLER ECHO W/SPECT DISPLAY CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 1,040.00)

48000017 HC CARD DOPPLER F/U OR LIMITED CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 913.00)

48000010 HC ECHO COLOR FLOW CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 913.00)

48000018HC STRESS ECHO TREADMILL W/O CONTRAST CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 913.00)

48000009 HC STRESS TTE COMPLETE CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 1,168.00)

48000004 HC INTRAVASCULAR DOPPLER CARDIOLOGY - CARDIAC CATH LAB [0481] ( 963.00)

48000005 HC INTRAVASCULAR DOPPLER ADD/VESSEL CARDIOLOGY - CARDIAC CATH LAB [0481] ( 343.00)

48000032 HC BUNDLE OF HIS RECORDING CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 5,374.00)

48000033 HC INTRAATRIAL RECORDING CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 5,374.00)

48000034 HC RIGHT VENTRICULAR RECORDING CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 5,374.00)

48000023 HC MAPPING OF TACHYCARDIA SITE (S) CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 5,269.00)

48000035 HC INTRAATRIAL PACING CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 5,269.00)

48000036 HC INTRAVENTRICULAR PACING CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 5,269.00)

48000006HC EP EVALUATION W/O INDUCTION OF ARRHYTHIM CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 6,158.00)

48000024 HC BASELINE EP W INDUCTION OF ARRHY CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 9,484.00)

48000025 HC PRO/STIM/PACE AFTER IV DRUG INF CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 6,774.00)

48000026 HC FOLLOWUP EP CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 6,023.00)

48000011 HC EVAL. HEART DEVICE LEAD TEST CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 2,279.00)

48000012 HC EP EVALUATION GENERATOR TEST CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 2,663.00)

48000027HC EP EVALUATION OF CARDIO VERTER DEF CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 3,121.00)

48000028 HC ANL CV/DEFIB W/O REPRO;SGL CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 338.00)

48100074 HC PERC TRANS CORONARY THROMB LC CARDIOLOGY - CARDIAC CATH LAB [0481] ( 4,601.00)

48100075 HC PERC TRANS CORONARY THROMB RC CARDIOLOGY - CARDIAC CATH LAB [0481] ( 4,601.00)

48100076 HC PERC TRANS CORONARY THROMB LAD CARDIOLOGY - CARDIAC CATH LAB [0481] ( 4,601.00)

48100010HC THROMBOLYSIS INTRACORANARY INFUSION CARDIOLOGY - CARDIAC CATH LAB [0481] ( 3,443.00)

48100073 HC INTRACORONARY ULTRASOUND CARDIOLOGY - CARDIAC CATH LAB [0481] ( 3,052.00)

48100029 HC IV US CORONARY V EA ADDTL CARDIOLOGY - CARDIAC CATH LAB [0481] ( 2,504.00)

48100080HC INTRACOR. STENT SINGLE VES.LT. CIRCUM CARDIOLOGY - CARDIAC CATH LAB [0481] ( 16,173.00)

48100081HC INTRACOR. STENT SINGLE VES.LT.ANT.DEC. CARDIOLOGY - CARDIAC CATH LAB [0481] ( 16,173.00)

48100082 HC INTRACOR. STENT SINGLE VES.RT.COR. CARDIOLOGY - CARDIAC CATH LAB [0481] ( 16,173.00)

48100083 HC INTRACOR. STENT ADD'L VES.RT.COR. CARDIOLOGY - CARDIAC CATH LAB [0481] ( 13,564.00)

48100084HC INTRACOR. STENT ADD'L VES.LT.CIRCUM. CARDIOLOGY - CARDIAC CATH LAB [0481] ( 13,564.00)

48100085HC INTRACOR. STENT ADD'L VES.LT.ANT.DEC. CARDIOLOGY - CARDIAC CATH LAB [0481] ( 13,564.00)

48100086 HC PTCA SINGLE VESSELRT. CORONARY CARDIOLOGY - CARDIAC CATH LAB [0481] ( 16,173.00)

48100087 HC PTCA SINGLE VESSEL LT. CIRCUMFLEX CARDIOLOGY - CARDIAC CATH LAB [0481] ( 16,173.00)

48100088HC PTCA SINGLE VESSELLT.ANT.DESCENDING CARDIOLOGY - CARDIAC CATH LAB [0481] ( 16,173.00)

48100089 HC PTCA ADD'L VESSEL RT. CORONARY CARDIOLOGY - CARDIAC CATH LAB [0481] ( 9,257.00)

48100090 HC PTCA ADD'L VESSEL LT. CIRCUMFLEX CARDIOLOGY - CARDIAC CATH LAB [0481] ( 9,257.00)

48100091HC PTCA ADD'L VESSELLT.ANT.DESCENDING CARDIOLOGY - CARDIAC CATH LAB [0481] ( 9,257.00)

48100092HC ATHREC. LASERCDAROTOBLADERRT.COR. CARDIOLOGY - CARDIAC CATH LAB [0481] ( 18,321.00)

48100093HC ATHREC. LASERCDAROTOBLADERLT.CIR. CARDIOLOGY - CARDIAC CATH LAB [0481] ( 18,321.00)

48100094HC ATHREC. LASERCDAROTOBLALT.ANT.DEC. CARDIOLOGY - CARDIAC CATH LAB [0481] ( 18,321.00)

48100095HC ATHERECTOMY ADD'L VESSELRT CORONARY CARDIOLOGY - CARDIAC CATH LAB [0481] ( 11,764.00)

48100096 HC ATHERECTOMY ADD'L VESSELLT CIRC. CARDIOLOGY - CARDIAC CATH LAB [0481] ( 11,764.00)

48100097 HC ATHERECTOMY ADD'L VESSELLAD CARDIOLOGY - CARDIAC CATH LAB [0481] ( 11,764.00)

48100034 HC RIGHT HEART CATH CARDIOLOGY - CARDIAC CATH LAB [0481] ( 8,069.00)

48100035 HC LH W OR W/O LV CARDIOLOGY - CARDIAC CATH LAB [0481] ( 8,620.00)

48100036 HC R&L W OR W/O LV CARDIOLOGY - CARDIAC CATH LAB [0481] ( 9,170.00)

48100037 HC COR W/O LH CARDIOLOGY - CARDIAC CATH LAB [0481] ( 9,317.00)

48100038 HC COR WO LH/IMA &/OR VBG CARDIOLOGY - CARDIAC CATH LAB [0481] ( 9,571.00)

48100039 HC RH W COR CARDIOLOGY - CARDIAC CATH LAB [0481] ( 11,336.00)

48100040 HC RH/COR IMA &/OR VGB /WO LH CARDIOLOGY - CARDIAC CATH LAB [0481] ( 11,648.00)

48100041 HC LH W OR WO LV/COR CARDIOLOGY - CARDIAC CATH LAB [0481] ( 11,648.00)

48100042 HC LH W COR/IMA &/OR VBG W/WO LV CARDIOLOGY - CARDIAC CATH LAB [0481] ( 11,648.00)

48100043 HC R&L W OR W/O LV/COR CARDIOLOGY - CARDIAC CATH LAB [0481] ( 11,648.00)

48100044 HC R&L W/WO LV/COR/IMA &/OR VBG CARDIOLOGY - CARDIAC CATH LAB [0481] ( 11,908.00)

48100045 HC TRANSSEPTAL PUNCTURE CARDIOLOGY - CARDIAC CATH LAB [0481] ( 5,994.00)

48100046HC PHARM AGENT ADMINISTRATION W HEMO CARDIOLOGY - CARDIAC CATH LAB [0481] ( 298.00)

48100065 HC ENDOMYOCARDIAL BIOPSY CARDIOLOGY - CARDIAC CATH LAB [0481] ( 3,585.00)

48100033 HC CH RIGHT HEART CATH CARDIOLOGY - CARDIAC CATH LAB [0481] ( 5,009.00)

48100047 HC CH RT HRT & RETRO LEFT HRT CARDIOLOGY - CARDIAC CATH LAB [0481] ( 5,510.00)

48100048 HC CH RT HRT & TRANSSEPTAL LT HRT CARDIOLOGY - CARDIAC CATH LAB [0481] ( 6,060.00)

48100049HC CH RT HRT & TRANSSEPTAL LT EXIT SEPTAL CARDIOLOGY - CARDIAC CATH LAB [0481] ( 6,666.00)

48100050 HC INJ CH CATH SEL CORONARY CARDIOLOGY - CARDIAC CATH LAB [0481] ( 437.00)

48100051HC INJ CH CATH SEL AORTOCORON VENOUS/BYPASS CARDIOLOGY - CARDIAC CATH LAB [0481] ( 444.00)

48100052 HC INJ CH CATH SEL LT VENT/ATRIAL CARDIOLOGY - CARDIAC CATH LAB [0481] ( 337.00)

48100053 HC INJ CATH SEL RT VENT/ATRIAL CARDIOLOGY - CARDIAC CATH LAB [0481] ( 337.00)

48100054 HC INJ CATH SEL SUPRAVALVULAR CARDIOLOGY - CARDIAC CATH LAB [0481] ( 380.00)

48100055 HC INJ CATH SEL PULMONARY CARDIOLOGY - CARDIAC CATH LAB [0481] ( 344.00)

48100056 HC CLOSURE OF ATRIAL DEFECT CARDIOLOGY - CARDIAC CATH LAB [0481] ( 19,284.00)

48100004 HC CLOSURE VENTRICULAR DEFECT CARDIOLOGY - CARDIAC CATH LAB [0481] ( 19,284.00)

48100063 HC 3DIMENSIONAL MAPPING CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 11,090.00)

48100067 HC EP W/ IND;LA PACE & RECORDING CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 5,990.00)

48100068 HC EP W/ IND;LV PACE & RECORDING CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 5,990.00)

48100069 HC ABLATION OF AV NODE FUNCTION CARDIOLOGY - CARDIAC CATH LAB [0481] ( 11,649.00)

48100070HC ABLATION OF ARRHYTHMOGENIC FOCUS CARDIOLOGY - CARDIAC CATH LAB [0481] ( 14,236.00)

48100071 HC ABLATION FOR TREATMENT OF VTACH CARDIOLOGY - CARDIAC CATH LAB [0481] ( 17,170.00)

48100072 HC HUT W/WO PHARMACY INTERVENT CARDIOLOGY - STRESS TEST [0482] ( 933.00)

48100030 HC INTRACARDIAC ECHO CARDIOLOGY - STRESS TEST [0482] ( 8,786.00)

48100031 HC RENAL ANGIOGRAPHYNON SELECTIVE CARDIOLOGY - CARDIAC CATH LAB [0481] ( 1,288.00)

48100032 HC ILIAC ANGIO W CARD CATH RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323] ( 1,288.00)

48100057 HC PLACEMENT OF DES LAD CARDIOLOGY - CARDIAC CATH LAB [0481] ( 17,581.00)

48100060 HC PLACEMENT OF DES ADD'L VESSEL LAD CARDIOLOGY - CARDIAC CATH LAB [0481] ( 17,581.00)

48200001 HC STRESS TEST TRACING ONLY CARDIOLOGY - STRESS TEST [0482] ( 677.00)

48300002HC TTE W/CONTRAST CONGENITAL COMPLETE CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 1,559.00)

48300003HC TTE W/CONTRAST CONGENITAL FOLLOW UP CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 1,004.00)

48300001HC ECHO MMODE REAL TIME W/O CONTRAST CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 990.00)

48300005HC 2D TTE W/CONTRAST COMPLETE W/O DOP CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 1,552.00)

48300006HC 2D TTE W/CONTRAST FOL UP LIMITED STUDY CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 990.00)

48300007HC TRANSESOPHAGEAL ECHO W/CONTRAST CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 2,233.00)

48300008HC TEE CONGENITAL CARDIAC ANOMALIES W/CONT CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 1,414.00)

48300009 HC TEE MONITORING W/CONTRAST CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 1,175.00)

48300010 HC STRESS ECHO TREADMILL W/CONTRAST CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 2,933.00)

48300004HC TTE W/DOPPLER COMPLETE W/CONTRAST CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 2,260.00)

48300011 HC STRESS TTE COMPLETE W/CONTRAST CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 2,704.00)

51000005 HC CLINIC VISIT NEW PATIENT LEVEL 1SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 135.00)





51000002 HC CLINIC VISIT EST LEVEL ISPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 114.00)

51000010 HC CLINIC VISIT EST LEVEL IISPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 156.00)

51000001 HC CLINIC VISIT EST LEVEL IIISPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 198.00)

51000003 HC CLINIC VISIT EST LEVEL IVSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 239.00)

51000004 HC CLINIC VISIT EST LEVEL VSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 281.00)

51000011HC DEMONSTRATION USE HOME INR MONITORING CLINIC - GENERAL CLASSIFICATION [0510] ( 277.00)

54000001 HC MILES BEYOND APPROPRIATE FACIL AMBULANCE - AIR AMBULANCE [0545] ( 88.00)

54000002 HC SERVICE FEE HELICOPTER AMBULANCE - AIR AMBULANCE [0545] ( 6,053.00)

54000003 HC ROTARY WING PER STATUE MILE AMBULANCE - AIR AMBULANCE [0545] ( 88.00)

61000004 HC MRI TMJ(S)MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 2,307.00)

61000046HC MRI ORBIT FACE NECK W & W/O CONTRAST

MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,216.00)

61000006 HC MRA HEAD W/O CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - HEAD AND NECK [0615] ( 2,307.00)

61000038 HC MRA HEAD WITH CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - HEAD AND NECK [0615] ( 2,757.00)

61000039 HC MRA HEAD W AND W/O CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - HEAD AND NECK [0615] ( 3,216.00)

61000007 HC MRA NECK W/O CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - HEAD AND NECK [0615] ( 2,307.00)

61000040 HC MRA NECK WITH CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - HEAD AND NECK [0615] ( 2,757.00)

61000041 HC MRA NECK W AND W/O CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - HEAD AND NECK [0615] ( 3,216.00)

61000025 HC MRI FUNCTIONAL BRAINMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - BRAIN/BRAINSTEM [0611] ( 3,380.00)

61000026HC MRI FUNCT BRAIN W DR NEURO TESTING

MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - BRAIN/BRAINSTEM [0611] ( 3,380.00)

61000027 HC MRI BRAIN OPEN W/CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - BRAIN/BRAINSTEM [0611] ( 4,116.00)

61000001 HC MRI CHEST W/O CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 2,389.00)

61000044 HC MRI CHEST WITH CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 2,546.00)

61000045 HC MRI CHEST W AND W/O CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 2,703.00)

61000003 HC MRI PELVIS W/O CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 2,486.00)

61000037 HC MRI PELVIS WITH CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 2,882.00)

61000047 HC MRI PELVIS W AND W/O CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,277.00)

61000199HC MRI UPPER EXTR OTH THAN JT W/O CONTR RT


61000200HC MRI UPPER EXTR OTH THAN JT W/O CONTR LT


61000207HC MRI UPPER EXTREMITY OTH THAN JT W/CONTR RT


61000208HC MRI UPPER EXTREMITY OTH THAN JT W/CONTR LT


61000216HC MRI UPPER EXTREM OTHER THAN JT W/WO CONT LT


61000218HC MRI UPPER EXTREM OTHER THAN JT W/WO CONT RT


61000224HC MRI ANY JT UPPER EXTREM W/O CONTRAST LT


61000226HC MRI ANY JT UPPER EXTREM W/O CONTRAST RT


61000234HC MRI ANY JT UPPER EXTREM W/CONTRAST LT


61000236HC MRI ANY JT UPPER EXTREM W/CONTRAST RT


61000244HC MRI ANY JT UPPER EXTREM W/WO CONTR LT


61000246HC MRI ANY JT UPPER EXTREM W/WO CONTR RT


61000253HC MRI LOWER EXTREM OTH/THN JT W/O CONTR RT


61000254HC MRI LOWER EXTREM OTH/THN JT W/O CONTR LT


61000259HC MRI LOWER EXTREM OTH/THN JT W/CONTRAST RT


61000260HC MRI LOWER EXTREM OTH/THN JT W/CONTRAST LT


61000265HC MRI LOWER EXTREM OTH/THN JT W/WO CONTR RT


61000266HC MRI LOWER EXTREM OTH/THN JT W/WO CONTR LT


61000271HC MRI ANY JT LOWER EXTREM W/O CONTRAST RT


61000272HC MRI ANY JT LOWER EXTREM W/O CONTRAST LT


61000273HC MRI ANY JT LOWER EXTREM W/O CONTRAST BILATERAL


61000280HC MRI ANY JT LOWER EXTREM W/CONTRAST RT


61000281HC MRI ANY JT LOWER EXTREM W/CONTRAST LT


61000282HC MRI ANY JT LOWER EXTREM W/CONTRAST BILATERAL


61000289HC MRI ANY JT LOWER EXTREM W/WO CONTRAST RT


61000290HC MRI ANY JT LOWER EXTREM W/WO CONTRAST LT


61000291HC MRI ANY JT LOWER EXTREM W/WO CONTRAST BILAT


61000002 HC MRI ABDOMEN W/O CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 2,766.00)

61000042 HC MRI ABDOMEN WITH CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,030.00)

61000033 HC MRI ABDOMEN W AND W/O CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,292.00)

61000029 HC CARDIAC VELOCITY FLOW MAPPINGMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 109.00)

61000030HC MAGNETIC RESONANCE SPECTROSCOPY

MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610] ( 1,663.00)

61000028 HC UNLISTED MRI PROCEDUREMAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610] ( 1,486.00)

61000023 HC MRI GUIDANCE NEEDLE PLCMT RAD S&IMAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610] ( 1,738.00)

61000005 HC MRI BONE MARROW BLOOD SUPPLYMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 1,908.00)

61000024 HC CAD MRI BREASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610] ( 35.00)

61000011 HC MRA ABDOMEN W CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER [0618] ( 1,892.00)

61000012 HC MRA ABDOMEN W/O CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER [0618] ( 1,327.00)

61000015 HC MRA ABD. W/WO CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER [0618] ( 2,340.00)

61000016 HC MRI BREAST W/CONTRAST LTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,169.00)

61000017 HC MRI BREAST W/CONTRAST RTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,169.00)

61000019 HC MRI BREAST W/O CONTRAST LTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,169.00)

61000020 HC MRI BREAST W/O CONTRAST RTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,169.00)

61000021 HC MRI BREAST W/WO CONTRAST LTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,169.00)

61000022 HC MRI BREAST W/WO CONTRAST RTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,169.00)

61000018 HC MRI BREAST W/CONTRAST BILATERALMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,169.00)

61000195 HC MRI BREAST BILATERAL W/O CONTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,169.00)

61000036HC MRI BREAST BILATERAL W AND W/O CONTRAST


61000008 HC MRA CHEST W CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER [0618] ( 1,892.00)

61000013 HC MRA CHEST W/O CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER [0618] ( 1,327.00)

61000014 HC MRA CHEST W/WO CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER [0618] ( 3,379.00)

61000175 HC MRA LOW EXT W/CONT BILMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER [0618] ( 3,786.00)

61000184 HC MRA BIL LOWER LEGS WITH CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER [0618] ( 3,786.00)

61000193 HC MRA BIL FEET WITH CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER [0618] ( 3,786.00)

61000174HC MRA W/O CONTRAST LOWER EXTREMITY RT


61000183HC MRA W/O CONTRAST LOWER EXTREMITY LT


61000185HC MRA W/WO CONTRAST LOWER EXTREMITY RT

MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER [0618] ( 2,340.00)

61000194HC MRA W/WO CONTRAST LOWER EXTREMITY LT


61000010 HC MRA PELVIS W CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER [0618] ( 1,345.00)

61000009 HC MRA PELVIS W/O CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER [0618] ( 1,327.00)

61000196 HC MRA SPINAL CANAL W CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER [0618] ( 1,720.00)

61000197 HC MRA SPINAL CANAL W/O CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER [0618] ( 1,696.00)

61000198 HC MRA SPINAL CANAL W/WO CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER [0618] ( 1,743.00)

61000154HC MRA WITH CONTRAST UPPER EXTREMITY RT


61000160HC MRA WITH CONTRAST UPPER EXTREMITY LT


61000153HC MRA W/O CONTRAST UPPER EXTREMITY RT


61000159HC MRA W/O CONTRAST UPPER EXTREMITY LT


61000155HC MRA W/WO CONTRAST UPPER EXTREMITY RT


61000161HC MRA W/WO CONTRAST UPPER EXTREMITY LT


61100003HC MRI ORBITFACE AND/OR NECK W/O CONTRAST


61100001 HC MRI BRAIN W/O CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - BRAIN/BRAINSTEM [0611] ( 3,380.00)

61100002 HC MRI BRAIN CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - BRAIN/BRAINSTEM [0611] ( 4,116.00)

61100004 HC MRI BRAIN W&WO CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - BRAIN/BRAINSTEM [0611] ( 4,852.00)

61200001 HC MRI C SPINE W/O CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - SPINAL CORD/SPINE) [0612] ( 2,700.00)

61200002 HC MRI C SPINE W/CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - SPINAL CORD/SPINE) [0612] ( 3,127.00)

61200003 HC MRI THORACIC SPINE W/O CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - SPINAL CORD/SPINE) [0612] ( 2,721.00)

61200004 HC MRI THORACIC SPINE W/CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - SPINAL CORD/SPINE) [0612] ( 3,148.00)

61200005 HC MRI LUMBAR SPINE W/O CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - SPINAL CORD/SPINE) [0612] ( 3,084.00)

61200006 HC MRI LUMBAR SPINE W/CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - SPINAL CORD/SPINE) [0612] ( 3,318.00)

61200007 HC MRI CERVICAL SPINE W&WO CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - SPINAL CORD/SPINE) [0612] ( 4,388.00)

61200008 HC MRI THORACIC SPINE W&WO CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - SPINAL CORD/SPINE) [0612] ( 4,388.00)

61200009 HC MRI LUMBAR SPINE W&WO CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - SPINAL CORD/SPINE) [0612] ( 4,388.00)

61400003HC MRI ORBIT FACE AND/OR NECK W CONTRAST


61400001HC MRI CARDIAC MORPHOLOGY WO CONTRAST


61400002HC MRI CARDIAC MORPHOLOGY W/WO CONTRAST


63600011 HC RABIES VACCINE INTRAMUSCULARPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 461.00)

63600018 HC CONTRAST GADOLINIUM 10 MLPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 99.00)



63600021HC NJGADOXETATE DISODIUMPER 10MLEOVIST

PHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 301.00)

63600049 HC ADENOSCAN DX 30MGPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 154.00)

63600024 HC CELESTONE 5MLPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 76.00)

63600046 HC DOBUTAMINE PER 250MGPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 102.00)

63600025HC INJECTION REGADENOSONLEXISCAN.4MG


63600050 HC RH IMMUNE GLOBULIN PHARMACY - GENERAL CLASSIFICATION [0250] ( 191.00)

63600047 HC INJECTION SINCALIDE 5 MICROGRAMSPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 137.00)

63600001 HC APLIGRAF ACTIVE TISSUE; PER SQ CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 62.00)

63600004HC DISCARD APLIGRAF ACTIVE TISSUE PER SQ CM


63600002 HC OASIS; PER SQ CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 18.00)

63600005 HC DISCARD OASIS PER SQ CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 18.00)

63600014HC OASIS 3X3.5 FENESTRATED 10.5 UNITS EA


63600023 HC DERMAGRAFT PER SQ CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 83.00)

63600052HC GRAFT JACKET TISSUE MATRIX PER SQ CM


63600053HC DISCARD GRAFT JACKET TIS MATRIX PER SQ CM


63600015HC OASIS ULTRA TRILAY WOUND MATX PER SQ CM


63600048 HC IONIC-HO(UP TO 149MG/ML) 50MLPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 26.00)

63600022 HC CYSTO CONRAY250MLPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 40.00)

63600040 HC IONIC-HO (300349MG/ML) 300MLPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 109.00)

63600041 HC IONIC-HO (350399MG/ML) 240MLPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 71.00)

63600033 HC NON-IONIC CONTRAST(100199MG) 20MLPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 43.00)

63600030 HC NON-IONIC CONTRAST(200299MG)20MLPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 43.00)

63600034 HC NON-IONIC CONTRAST (200299MG)50MLPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 49.00)


63600037 HC NON-IONIC CONTRAST(200299)50MLPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 21.00)


63600045 HC LO CONTRAST(200299MG/ML)VISI100MLPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 127.00)






63600027 HC NON-IONIC LO (300399MG/ML) 50MLPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 63.00)

63600028 HC NON-IONIC LO(300399MG/M)10ML SINOGPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 113.00)

63600029 HC CONTRAST MEDIA(300399MG)50CCPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 125.00)

63600031 HC LO CONTRAST (300399 MG/ML) VISI75 MLPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 49.00)

63600032 HC LO CONTRAST(300399MG/ML)OMNI50MLPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 25.00)

63600036 HC LO CONTRAST (300399MG/ML)VISI150MLPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 193.00)





68200002 HC LR TRAUMA LVL 2 LESS THAN 30 MIN TRAUMA RESPONSE - LEVEL II TRAUMA [0682] ( 4,185.00)

68200001HC LR TRAUMA LVL 2 CRIT. CARE 30 MIN OR MORE TRAUMA RESPONSE - LEVEL II TRAUMA [0682] ( 4,185.00)

71000003 HC 0-30 MIN RECOVER CHARGE RECOVERY ROOM - GENERAL CLASSIFICATION [0710] ( 431.00)

71000004 HC 31-60 MIN RECOVER CHARGE RECOVERY ROOM - GENERAL CLASSIFICATION [0710] ( 865.00)

71000005 HC 61-90 MIN RECOVER CHARGE RECOVERY ROOM - GENERAL CLASSIFICATION [0710] ( 1,294.00)






72000007HC LIG/TRNSXJ FLP TUBE ABDL/VAG POSTPARTUM SPX


72000010HC LIG/TRNSXJ FALOPIAN TUBE CESAREAN DEL/ABDML SURG


72000008 HC FETAL CONTRACTION STRESS TESTLABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 1,000.00)

72000014HC POSTPARTUM CARE ONLY SEPARATE PROCEDURE

LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 735.00)

72000005HC STOT/TOT HYSTERECTOMY AFTER CESAREN DELIVERY


72000011 HC FETAL MONITORINGLABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 1,388.00)

71000002 HC OB RECOVERYLABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 683.00)

72000015 HC LABOR & DELIVERY O.R. PROC LEVEL 1LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 3,046.00)










72000025 HC HIGH RISK LDRLABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 10,670.00)

72000026 HC HIGH RISK LDR W/INDUCTIONLABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 11,472.00)

72000028HC LABOR/DELIVERY/RECOVERY W/INDUCTION


72000029 HC LDR INDUCTION WITHOUT EPIDURALLABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 8,923.00)

72000030 HC LDR WITHOUT EPIDURALLABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 7,749.00)

72000031HC LUMBAR EPIDURAL INF/INTERMITTENT BOLUS


72000032 HC REPAIR OF CERVICAL LACERATIONSLABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 3,201.00)

72000033 HC TRIAL INDUCTION/LABORLABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 4,136.00)

72000034 HC UTERINE REPAIRLABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 5,181.00)

72000035 HC AMNIO INFUSION (VAGINAL)LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 1,388.00)

72000036 HC LABOR/DELIVERY/RECOVERYLABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 9,589.00)

72000037HC TREAT FETAL DEMISE<22 WKS NONSURGICAL


73000002HC EKG ROUTINE EKG W/LEAST 12 LDS TRCG ONLY W/O I&R

EKG/ECG (ELECTROCARDIOGRAM) - GENERAL CLASSIFICATION [0730] ( 255.00)

73000001 HC 13 LEAD EKG TRACING ONLYEKG/ECG (ELECTROCARDIOGRAM) - GENERAL CLASSIFICATION [0730] ( 80.00)

73100001 HC XTRNL ECG < 48 HR RECORDINGEKG/ECG (ELECTROCARDIOGRAM) - HOLTER MONITOR [0731] ( 353.00)

73100002HC XTRNL ECG SCANNING ANALYSIS REPORT

EKG/ECG (ELECTROCARDIOGRAM) - HOLTER MONITOR [0731] ( 356.00)

73100003 HC REMOTE PT 30 DAY ECG REV/REPORTEKG/ECG (ELECTROCARDIOGRAM) - HOLTER MONITOR [0731] ( 356.00)

74000015HC ELECTROENCEPHALOGRAM EXTND MNTR 4160 MIN

EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740] ( 2,312.00)

74000004HC ELECTROENCEPHALOGRAM EXTND MNTR > 1 HR


74000011HC ELECTROENCEPHALOGRAM W/REC AWAKE&DROWSY


74000002HC ELECTROENCEPHALOGRAM W/REC AWAKE&ASLEEP


74000012HC ELECTROENCEPHALOGRAM REC COMA/SLEEP ONLY


74000009HC ELECTROENCEPHALOGRAM CERE DEATH EVAL ONLY


74000008 HC ELECTROCORTICOGRAM SURGERY SPXEEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740] ( 1,691.00)

74000005HC LOCALIZE CEREBRAL SEIZURE CABLE/RADIO EEG/VIDEO


74000013HC LOCALIZE CEREBRAL SEIZURE CPTR PORTABLE EEG


74000003 HC EEG NONINTRACRANIAL SURGERYEEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740] ( 1,560.00)

74000010HC WADA ACTIVATION TEST HEMISPHERIC FUNCTION W/EEG


74000006HC FUNCJAL CORT&SUBCORT MAPG ELTRDS 1 HR PHYS ATTN


74000014HC FUNCJAL CORT&SUBCORT MAPG ELTRDS EA HR PHYS ATTN

EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740] ( 596.00)

75000001HC ERCP W/DSTRJ LITHOTRIPSY CALCULI ANY METHOD


75000003HC ESOPHAGEAL MOTILITY STUDY W/INTERP&RPT


75000004HC ESOPHAGEAL MOTILITY STD W/I&R STIM/PERFUSION


75000007HC GASTROESOPHAG REFLX TEST W/CATH PH ELTRD PLCMT


75000005HC GASTROESOPHAG REFLX TEST W/INTRLUML IMPED ELTRD


75000002HC ANOSCOPY W/THERMAL ENERGY TO ANAL CANAL


36000410HC I&D HEMATOMA SEROMA/FLUID COLLECTION


36000043HC PARING/CUTTING BENIGN LESION 2-4 LESION


36000044HC PARING/CUTTING BENIGN LESION 5+ LESION


36000523HC EXCISION HIDRADENITIS AXILLARY SMPL/INTRM RPR


36000092HC EXCISION MAL LES TRUNK/ARM/LEG 2.1-3.0 CM/>


36000120 HC EXCISION MAL LES F/E/E/N/L 1.1-2.0 CMSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,678.00)

36000134 HC BIOPSY NAIL UNIT SEP PROCEDURESPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 830.00)

36000139 HC INJECTION INTRALESIONAL /<7 LESIONSSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 166.00)

36000141 HC INJECTION INTRALESIONAL >7 LESIONSSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 189.00)

36000070HC ADJ TIS TRNS/REARGMT F/C/C/M/N/A/G/H/F 10SQCM/<


36000067HC ADJ TIS TRNSFR/REARGMT ANY AREA 30.1-60 SQ CM


36000068HC ADJ TIS TRNSFR/REARGMT DEFEC EA ADDL 30 SQCM/<


36000175HC PREP SITE TRUNK/ARM/LEG 1ST 100 SQ CM/1PCT


36000176 HC PREP SITE T/A/L ADDL 100 SQ CM/1PCTSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 726.00)

36000177HC PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT


36000178HC PREP SITE F/S/N/H/F/G/M/D GT ADDL 100 SQ CM/1PCT


36000048HC PINCH GRAFT 1/MLT C> SM ULCER TIP/OTH AREA 2CM


36000055HC FTH/GFT FREE W/DIRECT CLOSURE N/E/E/L 20 SQ CM/<


36000415HC APP SKN SUB GRFT T/A/L AREA/<100SCM /<1ST 25 SCM


36000416HC APP SKN SUB GRFT T/A/L AREA/<100SCM EA ADL 25SCM


36000417HC APP SKN SUB GRFT T/A/L AREA/>100SCM 1ST 100SCM


36000418HC APP SKN SUB GRFT T/A/L AREA/>100SCM ADL 100SCM


36000419HC SUB GRFT F/S/N/H/F/G/M/D /<100SCM /<1ST 25 SCM


36000420HC SUB GRFT F/S/N/H/F/G/M/D /<100SCM EA ADL 25SCM


36000421HC SUB GRFT F/S/N/H/F/G/M/D />100SCM 1ST 100SCM


36000422HC SUB GRFT F/S/N/H/F/G/M/D />100SCM ADL 100SCM


36000193HC DESTRUCTION BENIGN LESIONS UP TO 14


36000010 HC BIOPSY BONE OPEN SUPERFICIALSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,618.00)

36000047 HC TISSUE GRAFT OTHERSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 4,470.00)

36000194HC EXC BEN TUMOR/CYST MAXILLA/ZYGOMA


36000008HC TENOTOMY PERCUTANEOUS TOE SINGLE TENDON


36000009HC TENOTOMY PERCUTANEOUS TOE MULTIPLE TENDON


36000014HC TX OPN TENDON FLEXOR FOOT SINGLE/MULT TENDON SPX


36000016HC TENOTOMY OPEN EXTENSOR FOOT/TOE EACH TENDON


36000534HC AMPUTATION TOE METATARSOPHALANGEAL JOINT


36000192HC AMPUTATION TOE INTERPHALANGEAL JOINT


36000539 HC APPLY RIGID TOTAL CONTACT LEG CASTSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 361.00)

36000461HC THERAPEUTIC APHERESIS PLASMA PHERESIS


76100001HC COLLECT BLOOD FROM CENTRAL OR PICC LINE


36000018HC HRHC NTRNL & XTRNL 2/> COLUMN/GROUP W/FISSURECT


36000515HC RMVL DEVITAL TISS NSLCTV DBRDMT W/O ANES 1 SESS


76200001 HC OBS ADMIT DATE PER HOURSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - OBSERVATION ROOM (A) [0762] ( 49.00)

76200002 HC OBS DIRECT ADMIT (MEDICARE ONLY)SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - OBSERVATION ROOM (A) [0762] ( 648.00)

77000001HC PREVENTIVE BREASTFEEDING COUNSEL 15MIN

PREVENTIVE CARE SERVICES - GENERAL CLASSIFICATION [0770] ( 36.00)







77100004HC IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE

PREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION [0771] ( 82.00)

77100007HC STATE FUNDED VACCINE ADMINISTRATION 1ST


77100005HC IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE


77100008HC STATE FUNDED VACCINE ADMINISTRATION ADDL


77100003 HC INFLUENZA VACCINE ADMINPREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION [0771] ( 74.00)

77100002 HC PNEUMONIA VACCINE ADMINPREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION [0771] ( 74.00)

77100006 HC ADMINISTRATION HEPATITIS B VACCINEPREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION [0771] ( 74.00)

77100001HC H1N1 INFLUENZA A IMMUNIZATION ADMIN


79000001 HC LITHOTRIPSY XTRCORP SHOCK WAVEEXTRA-CORPOREAL SHOCK WAVE THERAPY (FORMERLY LITHOTRIPSY) - GENERAL CLASSIFICATION [0790] ( 6,336.00)

81100001HC DONOR NEPHRECTOMY OPEN LIVING DONOR

ACQUISITION OF BODY COMPONENTS - LIVING DONOR [0811] ( 96,704.00)

81200001HC DONOR NEPHRECTOMY CADAVER DONOR UNI/BILATERAL

ACQUISITION OF BODY COMPONENTS - CADAVER DONOR [0812] ( 71,684.00)

81900001 HC AMNOITIC MEMBRANEACQUISITION OF BODY COMPONENTS - OTHER DONOR [0819] ( 1,565.00)

82100001 HC HEMODIALYSIS ONE EVALUATIONHEMODIALYSIS - OUTPATIENT OR HOME - OTHER OP HEMODIALYSIS [0829] ( 1,796.00)

82900001 HC EMERG DIALYSIS ESRD PTHEMODIALYSIS - OUTPATIENT OR HOME - OTHER OP HEMODIALYSIS [0829] ( 1,077.00)

83000001HC DIALYSIS OTHER/THAN HEMODIALYSIS 1 PHYS EVAL

PERITONEAL DIALYSIS - OUTPATIENT OR HOME - GENERAL CLASSIFICATION [0830] ( 930.00)

90000002HC INTERACTIVE PSYCH DX INTERVIEW EXAM W/PLAY

BEHAVIORAL HEALTH TREATMENTS/SERVICES - GENERAL CLASSIFICATION [0900] ( 525.00)

90000001HC INTERPJ/EXPLNAJ RESULTS PSYCHIATRIC EXAM FAMILY


90000003HC UNLISTED PSYCHIATRIC SERVICE/PROCEDURE


90100001 HC ELECTROCONVULSIVE THERAPYBEHAVIORAL HEALTH TREATMENTS/SERVICES - ELECTROSHOCK TREATMENT [0901] ( 996.00)

90400001 HC ACTIVITY THERAPYBEHAVIORAL HEALTH TREATMENTS/SERVICES - ACTIVITY THERAPY [0904] ( 267.00)

98500003HC INDIV PSYCTX INPT/PRTL HOSP/RESDNTL 20-30 MIN

BEHAVIORAL HEALTH TREATMENTS/SERVICES - INDIVIDUAL THERAPY [0914] ( 260.00)

98500004HC INDIV PSYCTX INPT/PRTL HOSP/RESDNTL 45-50 MIN


91400004HC INDIV PSYCTX INPT/PRTL HOSP/RESDNTL 7580 MIN


91400001HC INDIV PSYCTX IA INPT/PRTL HOSP/RESDNTL 2030 MIN






91400005HC H&B INTERVENTION EA 15 MIN INDIVIDUAL


91500001 HC INTERACTIVE GROUP PSYCHOTHERAPYBEHAVIORAL HEALTH TREATMENTS/SERVICES - GROUP THERAPY [0915] ( 298.00)

98500005HC FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT

BEHAVIORAL HEALTH TREATMENTS/SERVICES - FAMILY THERAPY [0916] ( 354.00)

98500006HC FAMILY PSYCHOTHERAPY W/PATIENT PRESENT


98500007HC MULTIPLE FAMILY GROUP PSYCHOTHERAPY


91800001HC PSYCHOLOGICAL TESTING ADMN BY TECH PR HR

BEHAVIORAL HEALTH TREATMENTS/SERVICES - TESTING [0918] ( 255.00)

98500010 HC NEUROPSYCHOLOGICAL STATUS EXAMBEHAVIORAL HEALTH TREATMENTS/SERVICES - TESTING [0918] ( 492.00)

91800002 HC H&B ASSESSMENT EA 15 MIN INITIALBEHAVIORAL HEALTH TREATMENTS/SERVICES - TESTING [0918] ( 125.00)

91800003HC H&B ASSESSMENT EA 15 MIN SUBSEQUENT


92000006HC OPHTH XM&EVAL ANES W/WO MANJ GLOBE COMPL


92000007HC SENSORMOTOR XM W/MLT MEAS OCULAR DEVIJ W/I&R SPX

OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 208.00)

92000010HC VISUAL FIELD XM UNI/BI W/INTERP INTERMED EXAM


92000011HC VISUAL FIELD XM UNI/BI W/INTERP EXTENDED EXAM


92000009HC FUNDUS PHOTOGRAPHY W/INTERPRETATION & REPORT


92000002HC NINVAS PHYSIOLOGIC STD XTR VEINS COMPL BI STD


92000001HC MLT SLEEP LATENCY/MAINT OF WAKEFULNESS TSTG


92000004HC POLYSOMNOGRAPHY SLEEP STAGING 4/> ADDL PARAM


92000003HC POLYSM SLEEP STAGING 4/> ADDL PARAM W/CPAP TX


92000008 HC TENSILON TESTOTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 248.00)

92000005HC INTRAOP NEUROPHYSIOLOGY TSTG PR HR


92000014HC TSTG ANS FUNCJ CARDIOVAGAL INNERVAJ PARASYMP


92000013HC SHORT LATENCY SOMATOSENS EP STD UPR LIMBS


92000012HC SHORT LATENCY SOMATOSENS EP STD LWR LIMBS


92000017HC CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ UPR LIMBS


92000018HC CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ LWR LIMBS


92100020HC INTERROGATION VAD IN PRSON W/PHYSICIAN ANALYSIS CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 251.00)

92100001HC DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY

OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921] ( 1,194.00)

92100013 HC VERTEBRAL ARTERY UNI/LIMITEDOTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921] ( 565.00)

92100005HC TRANSCRANIAL DOPPLER HEAD COMPLETE


92100014 HC TRANSCRANIAL DOPPLER HEAD LIMITEDOTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 565.00)

92100002HC NONINVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL


92100003HC NONINVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVLS


92100008HC ART.DOP.LEGBILAT.W PRESS/TREADMILL


92100009 HC ART.DOP.LEG BILAT/IMAGINGOTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 707.00)

92100010 HC ART DOP. LEGUNI/LIMITED IMAOTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 565.00)

92100015 HC ART.DOP.ARM COMPLETEBILAT.IMAGINGOTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 707.00)

92100007 HC ARTERIAL DOP.ARMLTD/UNILAT IMAGINGOTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 565.00)

92100011HC DUPSCAN XTR VEINS COMP BILATERAL STUDY

OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921] ( 1,202.00)

92100021HC DUPSCAN XTR VEINS UNILATERAL/LIMITED STUDY RT

OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921] ( 802.00)

92100022HC DUPSCAN XTR VEINS UNILATERAL/LIMITED STUDY LT


92100004 HC VASC(DUP ABD/PELVIC ORG COMP)OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921] ( 889.00)

92100017 HC VASC.(DUP ABD/PELVIC ORG LTD)OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921] ( 577.00)

92100016 HC DUPAO/IVC/ILIACSGRAFTCOMPOTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921] ( 644.00)

92100018 HC DUPAO/IVC/ILIACSGRAFTLTDOTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921] ( 565.00)

92100006HC PENILE DUPLEX DOPPLER US COMPLETE


92100019 HC DOPPLERDIALYSIS SHUNT EVALUATIONOTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921] ( 643.00)

92200003HC NDL EMG 1 XTR W/WO RELATED PARASPINAL AREAS

OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922] ( 239.00)







92200010HC NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE UNI


92200011HC NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE BI


92200007HC NEEDLE EMG THRC PARASPI MUSC EXCLUDING T1/T12


92200009HC NRV CNDJ AMPLT&LATNCY EA NRV MOTR W/O FWAVE STD


92200001HC NRV CNDJ AMPLT&LATENCY EA NRV MOTOR W/FWAVE STD


92200002HC NRV CNDJ AMPLITUDE & LATENCY EACH NERVE SENSORY


92200008HC VISUAL EP TSTG CNS CHECKERBOARD/FLASH


92200012HC NEUROMUSCULAR JUNCT TSTG EA NRV ANY 1 METH


94000001HC REFILL&MAINTENANCE PUMP DRUG DLVR SPINAL/BRAIN


94000002HC IRRIGAJ IMPLNTD VENOUS ACCESS DRUG DELIVERY SYST


94200008HC MEDICAL NUTRITION ASSMT&IVNTJ INDIV EACH 15 MIN

OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942] ( 67.00)

94200009HC MEDICAL NUTRITION RE-ASSMT&IVNTJ INDIV EA 15 MIN


94200010HC MEDICAL NUTRITION THERAPY GRP2/> INDIV EA 30 MIN


94200004HC SYMPTOMATIC SMOKE/TOBACCO COUNSEL 4-10MIN


94200005HC SYMPTOMATIC SMOKE/TOBACCO COUNSEL>10MIN


94200006HC DIABETES OP SELFMANG TRAIN INDIV PER 30 MIN


94200001 HC DIABETES GRP TRAIN PER 30 MINSOTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942] ( 32.00)

94200007HC MENTAL HEALTH EDUC TRAINING 45 MIN OR MORE


94200011 HC MNT REASSESSMENT 15 MIN CHG IN DXOTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942] ( 57.00)

94200012HC MNT REASSESSMENT GROUP 30 MIN CHG IN DX


94200002HC ASYMPTOMATIC SMOKE/TOBACCO COUNSL4-10MIN


94200003HC ASYMPTOMATIC SMOKE/TOBACCO COUNSEL>10MIN


94200015HC MODERATE COMPLEXITY LACTATION CONSULT


94200016 HC LACTATION CLASSOTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942] ( 162.00)

94200017 HC DIABETES IP/OBS TRAIN PER 30 MINSSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 152.00)

94200018 HC DIABETES IP/OBS TRAIN PER 60 MINSSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 152.00)

94300001HC OUTPATIENT CARDIAC REHAB W/O CONT EKG MONITOR

OTHER THERAPEUTIC SERVICES - CARDIAC REHABILITATION [0943] ( 185.00)

94300002HC OUTPATIENT CARDIAC REHAB W/CONT EKG MONITORING

OTHER THERAPEUTIC SERVICES - CARDIAC REHABILITATION [0943] ( 249.00)

96100002 HC DIAGNOSTIC INTERVIEW(1HR) PROFESSIONAL FEES - PSYCHIATRIC [0961] ( 363.00)

96100003HC PSYCH TESTING BY PSYCH/PHYS PLANEY PROFESSIONAL FEES - PSYCHIATRIC [0961] ( 363.00)

96100001HC NEUROPSYCHOLOGICAL TESTING PER HR PROFESSIONAL FEES - PSYCHIATRIC [0961] ( 363.00)

98500001 HC INDV THERAPY(20 30MIN)BEHAVIORAL HEALTH TREATMENTS/SERVICES - INDIVIDUAL THERAPY [0914] ( 163.00)

98500002 HC INDV THERAPY(45 50MIN)BEHAVIORAL HEALTH TREATMENTS/SERVICES - INDIVIDUAL THERAPY [0914] ( 242.00)

98500008 HC GROUP PSYCHOTHERAPY PROFESSIONAL FEES - EKG [0985] ( 163.00)

98500009 HC INTERP EKG PROFESSIONAL FEES - EKG [0985] ( 25.00)

98500011 HC H&B FAMILY INTER EA 15 MIN PROFESSIONAL FEES - EKG [0985] ( 249.00)

98500012 HC H&B FAM INTERV W/O PT 15 MIN PROFESSIONAL FEES - EKG [0985] ( 209.00)

99000001 HC ADJUST LAP BAND VIA PORTPATIENT CONVENIENCE ITEMS - GENERAL CLASSIFICATION [0990] ( 951.00)

99000003HC ASTIGMATISM CORRECTING INTRAOCULAR LENS

PATIENT CONVENIENCE ITEMS - GENERAL CLASSIFICATION [0990] ( 1,015.00)

99000002HC PRESSBYOPIA CORRECTING INTRAOCULAR LENS

PATIENT CONVENIENCE ITEMS - GENERAL CLASSIFICATION [0990] ( 2,256.00)

36000795HC ESOPG/GSTR TAMP W/BALO SENGSTAKEN TYPE


11000001 HC R&B - PRIVATE - GENROOM & BOARD - PRIVATE (MEDICAL OR GENERAL) - GENERAL CLASSIFICATION [0110] ( 1,162.00)

11100001 HC R&B - PRIVATE - MED/SURG/GYNROOM & BOARD - PRIVATE (MEDICAL OR GENERAL) - MEDICAL/SURGICAL/GYN [0111] ( 1,130.00)

11300001 HC R&B - PRIVATE - PEDIROOM & BOARD - PRIVATE (MEDICAL OR GENERAL) - PEDIATRIC [0113] ( 1,130.00)

12000001 HC R&B - SEMIPRIVATE - GENROOM & BOARD - SEMI-PRIVATE TWO BED (MEDICAL OR GENERAL) - GENERAL CLASSIFICATION [0120] ( 1,108.00)

12300001 HC R&B - SEMIPRIVATE - PEDIROOM & BOARD - SEMI-PRIVATE TWO BED (MEDICAL OR GENERAL) - PEDIATRIC [0123] ( 1,076.00)

12400001 HC R&B - SEMIPRIVATE - PSYCHROOM & BOARD - SEMI-PRIVATE TWO BED (MEDICAL OR GENERAL) - PSYCHIATRIC [0124] ( 1,795.00)

12600001 HC R&B - SEMIPRIVATE - DETOXROOM & BOARD - SEMI-PRIVATE TWO BED (MEDICAL OR GENERAL) - DETOXIFICATION [0126] ( 1,942.00)

12800001 HC R&B - SEMIPRIVATE - REHABROOM & BOARD - SEMI-PRIVATE TWO BED (MEDICAL OR GENERAL) - REHABILITATION [0128] ( 1,369.00)

17100001 HC NEWBORN-LEVEL I NURSERY - NEWBORN - LEVEL I [0171] ( 1,076.00)

17200001 HC NEWBORN-LEVEL II NURSERY - NEWBORN - LEVEL II [0172] ( 1,200.00)

17300001 HC NICU STEPDOWN NURSERY - NEWBORN - LEVEL III [0173] ( 2,060.00)

17400001 HC NEWBORN-NICU NURSERY - NEWBORN - LEVEL IV [0174] ( 2,974.00)

20000001 HC ICU - GENERAL INTENSIVE CARE - GENERAL CLASSIFICATION [0200] ( 2,741.00)

20400001 HC ICU/ PSYCH INTENSIVE CARE - PSYCHIATRIC [0204] ( 2,331.00)

20600001 HC ICU/ INTERMEDIATE INTENSIVE CARE - INTERMEDIATE ICU [0206] ( 1,768.00)

21000001 HC CCU - GENERAL CORONARY CARE - GENERAL CLASSIFICATION [0210] ( 2,741.00)

21400001 HC CCU/ INTERMEDIATE CORONARY CARE - INTERMEDIATE CCU [0214] ( 1,768.00)

21900001 HC CCU/ OTHER-CVICU CORONARY CARE - OTHER CORONARY CARE [0219] ( 3,267.00)

30010535 HC LACTOTYPE AMPLIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 132.00)

30010536 HC RL HEP A VIRUS ULTRAQUAL BY PCR LABORATORY - GENERAL CLASSIFICATION [0300] ( 268.00)

30010537 HC LACTOTYPE NUCLEIC ACID EXTRACT LABORATORY - GENERAL CLASSIFICATION [0300] ( 33.00)

30010538 HC LACTOTYPE INTRP & RPT LABORATORY - GENERAL CLASSIFICATION [0300] ( 33.00)

30010539HC RL RECOMBX MATA AUTOANTIBODY TEST LABORATORY - GENERAL CLASSIFICATION [0300] ( 33.00)

30010540HC RL RECOMBX MATA AUTOANTIBODY TEST LABORATORY - CHEMISTRY [0301] ( 151.00)

30010541 HC HUMAN EPIDIDYMIS PROTEIN 4 (HE4) LABORATORY - IMMUNOLOGY [0302] ( 208.00)

30010542 HC RL YERSINIA ANTIBODY IGA LABORATORY - IMMUNOLOGY [0302] ( 79.00)

30010543 HC RL YERSINIA ANTIBODY IGG LABORATORY - IMMUNOLOGY [0302] ( 79.00)

30010544 HC RL NP TISSUE EXAM BY PATHOLOGYLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 515.00)

30010545 HC RL NP SPECIAL STAINSLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 177.00)

30010546HC RL NP IMMUNOHISTOCHEMISTRY 1ST ANTIBODY


30010547 HC RL NP IMMUNO FLOURESCENT STUDYLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 243.00)

30010548 HC RL NP ELECTRON MICROSCOPY LABORATORY PATHOLOGICAL - HISTOLOGY [0312] ( 2,057.00)

30010549HC RL AML DIAGNOSTIC PNL MORPHOMETRIC ANAL.


30010550HC RL IGH B CELL REARRANGEMENT BY FISH


32000367 HC RIBS UNILAT RT WITH PA CHEST MIN 3VRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 313.00)

46000018HC CAR SEAT/BED TEST INFANT TO 12MTHS 60 MINUTES


46000019 HC CAR SEAT/BED TEST - FULL 60 MINUTESPULMONARY FUNCTION - GENERAL CLASSIFICATION [0460] ( 97.00)

46000020HC CAR SEAT/BED TEST INFANT TO 12MTHS EA ADDL 30 MIN


46000021HC CAR SEAT/BED TEST - EACH ADD FULL 30 M


35200065 HC CT ANGIO W/3D IMAGE CT SCAN - GENERAL CLASSIFICATION [0350] ( 551.00)

27201338 HC ALCON ACRYPAK FOLDERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 16.00)

27201340 HC ALCON OPHTHALMIC KNIFEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 497.00)

27201348 HC VITRECTOMY KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 109.00)

27201358 HC PHACO NEEDLE AND SLEEVE 19GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 80.00)

27201371 HC LASER PROBE STRAIGHT 25 GAUGEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 317.00)

27201373 HC LASER PROBE DIRECTIONAL 25 GAUMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 437.00)

27201375 HC PROBE IRIDEX LASER 25 GAU STRAIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 400.00)

27201381 HC KNIFE 4.1 IMPLANTMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 26.00)

27201382 HC SUTURE PLAIN 6-0 G-1MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 14.00)

11200001 HC R&B-PRIVATE-OBROOM & BOARD - PRIVATE (MEDICAL OR GENERAL) - OB [0112] ( 1,130.00)

12200001 HC R&B-SEMIPRAVATE-OBROOM & BOARD - SEMI-PRIVATE TWO BED (MEDICAL OR GENERAL) - OB [0122] ( 1,076.00)

46000011 HC INO PER HOURPULMONARY FUNCTION - GENERAL CLASSIFICATION [0460] ( 803.00)

45000014 HC CL TX SHLDR DISL W/MANIP W/ANESTH EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 2,282.00)

30010551 HC BUFFY SMEAR DIFFERENTIAL LABORATORY - HEMATOLOGY [0305] ( 25.00)

27201390 HC SPYPUMP TUBEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 70.00)

27201391 HC SPYBITE FORCEPMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 1,209.00)

27201392 HC SPYSCOPE WITH BIOPSY CHANNELMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 1,853.00)

27201396 HC STAPLE GUN PRI PRW35MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 47.00)

27800562 HC AMPLATZER VASCULAR PLUGMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,664.00)

27800564HC XIENCE EPEDITION DRUG ELUTING STENT


29000001 HC BREAST PUMP MANUALDURABLE MEDICAL EQUIPMENT (OTHER THAN RENAL) - GENERAL CLASSIFICATION [0290] ( 67.00)

29100002HC BREAST PUMP HOSPITAL GRADE RENT/MONTH

DURABLE MEDICAL EQUIPMENT (OTHER THAN RENAL) - RENTAL [0291] ( 88.00)

29200003 HC BREAST PUMP ELECTRICDURABLE MEDICAL EQUIPMENT (OTHER THAN RENAL) - PURCHASE OF NEW DME [0292] ( 445.00)

36001213HC ERCP W/INSERT NASOBIL/NASOPAN DRAIN TUBE


36001214HC ERCP W/ABLATION OF TUMOR/POLYP/LESION


36001215 HC ERCP W/ PRESSURE MEASURE ODDIGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,815.00)

36001217HC THORACENTESIS-ASPIR W IMAGE GUIDANCE


36001235 HC LYSE CHEST FIBRIN INIT DAYSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 742.00)

36001282 HC ENDOSCOPIC PANCREATOSCOPYGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,815.00)

36001283HC DEBRID MUSC/FASIA EA ADDL 20SQ CM OR <


36001284HC PUNCT ASP ABCESS HEMATOMA BULLA/CYST


36001285 HC I&D PILONIDAL CYST COMPLICATEDOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,951.00)

41000013 HC AEROSOL PENTAMIDEN FOR P. CARINIIRESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410] ( 309.00)

45000016 HC CL TX KNEE DISL/W ANESTHESIA EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 1,733.00)

45000018HC THORACENTESIS ASPIRATION W/O IMG GUIDANC


45000019 HC ABD PARACENTESIS W/IMAGING EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 2,411.00)

45000020 HC CL TX SHLDR DISL W MANIP; W ANESTH EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 1,733.00)

90000004 HC PSYCH DIAGNOSTIC EVALUATIONBEHAVIORAL HEALTH TREATMENTS/SERVICES - GENERAL CLASSIFICATION [0900] ( 148.00)

90000005 HC EMP PSYCH DIAGNOSTIC EVALUATIONBEHAVIORAL HEALTH TREATMENTS/SERVICES - GENERAL CLASSIFICATION [0900] ( 148.00)

90000006 HC PUB PSYCH DIAGNOSTIC EVALUATIONBEHAVIORAL HEALTH TREATMENTS/SERVICES - GENERAL CLASSIFICATION [0900] ( 148.00)

90000007HC EMP FAMILY THERAPY W/O PATIENT 50 MIN


90000011 HC PDISC PSYCH DIAGNOSTIC EVALUATIONBEHAVIORAL HEALTH TREATMENTS/SERVICES - GENERAL CLASSIFICATION [0900] ( 148.00)

91400006 HC EMP PSYCHTHERP 30MIN W/PTBEHAVIORAL HEALTH TREATMENTS/SERVICES - INDIVIDUAL THERAPY [0914] ( 223.00)

91400007 HC PUB PSYCHTHERP 30MIN W/PTBEHAVIORAL HEALTH TREATMENTS/SERVICES - INDIVIDUAL THERAPY [0914] ( 148.00)




91400012 HC PDISC PSYCHTHERP 30MIN W/PTBEHAVIORAL HEALTH TREATMENTS/SERVICES - INDIVIDUAL THERAPY [0914] ( 223.00)



91400015HC PDISC FAMILY THERAPY W/O PATIENT 50 MIN


91400016HC PDISC FAMILY THERAPY W/PATIENT 50 MIN


92200013HC NERVE CONDUCTION STUDIES; 1-2 STUDIES












92200019HC NERVE CONDUCTION STUDIES; 13 OR MORE

OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922] ( 1,084.00)

96100004HC PSYC THER 60MIN W/PT AND/OR FAM MEM PROFESSIONAL FEES - PSYCHIATRIC [0961] ( 288.00)

42000015 HC MOBILITY CURRENT STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)

42000016 HC MOBILITY GOAL STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)

42000017 HC MOBILITY D/C STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)

42000018 HC BODY POS CURRENT STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)

42000019 HC BODY POS GOAL STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)

42000020 HC BODY POS D/C STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)

42000021 HC CARRY CURRENT STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)

42000022 HC CARRY GOAL STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)

42000023 HC CARRY D/C STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)

42000024 HC SELF CARE CURRENT STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)

42000025 HC SELF CARE GOAL STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)

42000026 HC SELF CARE D/C STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)

42000027 HC OTHER PT/OT CURRENT STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)

42000028 HC OTHER PT/OT GOAL STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)

42000029 HC OTHER PT/OT D/C STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)

42000030 HC SUB PT/OT CURRENT STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)

42000031 HC SUB PT/OT GOAL STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)

42000032 HC SUB PT/OT D/C STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)

42000033 HC ATTEN CURRENT STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)

42000034 HC ATTEN GOAL STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)

42000035 HC ATTEN D/C STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)

42000036 HC MEMORY CURRENT STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)

42000037 HC MEMORY GOAL STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)

42000038 HC MEMORY D/C STATUS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 0.01)

44400007 HC SWALLOW CURRENT STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)

44400008 HC SWALLOW GOAL STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)

44400009 HC SWALLOW D/C STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)

44400010 HC MOTOR SPEECH CURRENT STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)

44400011 HC MOTOR SPEECH GOAL STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)

44400012 HC MOTOR SPEECH D/C STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)

44400013 HC LANG COMP CURRENT STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)

44400014 HC LANG COMP GOAL STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)

44400015 HC LANG COMP D/C STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)

44400016 HC LANG EXPRESS CURRENT STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)

44400017 HC LANG EXPRESS GOAL STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)

44400018 HC LANG EXPRESS D/C STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)

44400019 HC VOICE CURRENT STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)

44400020 HC VOICE GOAL STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)

44400021 HC VOICE D/C STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)

44400022 HC SPEECH LANG CURRENT STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)

44400023 HC SPEECH LANG GOAL STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)

44400024 HC SPEECH LANG D/C STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)

27000945 HC LNCS ADTX SPO2 ADHESIVE SENSORMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 29.00)

27201394 HC SUTURE PLAIN PSMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 12.00)

27201395HC 4.0MM T-BAR RD/110MM W X 50MM L 395.687


27201397 HC DRESS GEL IODOSORB 10 GRAMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 91.00)

27201401 HC SAFE-T-CENTESIS CATH TRAYMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 152.00)

27201402 HC PLEURX DRAINAGE KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 139.00)

27201403 HC VISISHEATHMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 549.00)

27201404 HC MANUAL RETRACTION KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 352.00)

27201405 HC ARTIC FRONT 23MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 10,557.00)

27201406 HC ARTIC FRONT 28MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 10,557.00)

27201407HC FREEZER MAX 3 CARDIAC CRYOABLATION


27201408HC FREEZER MAX 5 CARDIAC CRYOABLATION


27201409 HC FLEX CATH 12 FRENCHMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,581.00)

27201411 HC ACHIEVE CABLE DISPOSABLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 528.00)

27201412 HC COAXIAL UMBILICAL DISPOSABLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 328.00)

27201413 HC ELECTRICAL UMBILICAL DISPOSABLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 493.00)

27201415 HC ACHIEVE CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,229.00)

27201400 HC MEPILEX AG 4X4 DRESSINGMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 14.00)

30001054HC RL DEXAMETHASONE SERUM OR PLASMA LABORATORY - CHEMISTRY [0301] ( 92.00)

30001055 HC RL QUAD SCREEN ALPHA FETO PROTEIN LABORATORY - CHEMISTRY [0301] ( 101.00)

30001056 HC RL QUAD SCREEN ESTRIOL LABORATORY - CHEMISTRY [0301] ( 140.00)

30001058 HC RL HLA B SEQUENCE ISOLATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 66.00)

30001059 HC RL HLA B SEQUENCE AMPLIFICATION LABORATORY - GENERAL CLASSIFICATION [0300] ( 66.00)

30001060 HC RL HLA B SEQUENCE SEQUENCING LABORATORY - GENERAL CLASSIFICATION [0300] ( 66.00)

30001061 HC RL HLA BA SEQUENCE SEP. & IDENT. LABORATORY - GENERAL CLASSIFICATION [0300] ( 66.00)

30001062 HC RL HLA B SEQUENCE INTERP & RPT LABORATORY - GENERAL CLASSIFICATION [0300] ( 66.00)

30001063 HC RL BUPRENORPHINE & METABS. QUANT LABORATORY - CHEMISTRY [0301] ( 97.00)

30001064 HC RL QUAD SCREEN HCG LABORATORY - CHEMISTRY [0301] ( 182.00)

30001065 HC RL HEPARIN COFACTOR II LABORATORY - HEMATOLOGY [0305] ( 68.00)

30001066 HC ALLERGEN EGG WHITE LABORATORY - IMMUNOLOGY [0302] ( 28.00)

30001067 HC ALLERGEN MILK COW LABORATORY - IMMUNOLOGY [0302] ( 28.00)

30001068 HC ALLERGEN WHEAT LABORATORY - IMMUNOLOGY [0302] ( 28.00)

30001069 HC ALLERGEN SOYBEAN LABORATORY - IMMUNOLOGY [0302] ( 28.00)

30001070 HC ALLERGEN SHRIMP LABORATORY - IMMUNOLOGY [0302] ( 28.00)

30001071 HC ALLERGEN WALNUT TREE LABORATORY - IMMUNOLOGY [0302] ( 28.00)

30001072 HC ALLERGEN CODFISH LABORATORY - IMMUNOLOGY [0302] ( 28.00)

30001073 HC ALLERGEN SCALLOP LABORATORY - IMMUNOLOGY [0302] ( 28.00)

30001074 HC ALLERGEN HAZELNUT LABORATORY - IMMUNOLOGY [0302] ( 28.00)

30001075 HC ALLERGEN GLUTEN LABORATORY - IMMUNOLOGY [0302] ( 28.00)

30001076 HC ALLERGEN SESAME SEED LABORATORY - IMMUNOLOGY [0302] ( 28.00)

30001077 HC M1-2 AUTOANTIBODIES LABORATORY - IMMUNOLOGY [0302] ( 107.00)

30001078 HC RL QUAD SCREEN INHIBIN A LABORATORY - IMMUNOLOGY [0302] ( 67.00)

30001079 HC RL SALMONELLA TYPHI H TYPE A AB LABORATORY - IMMUNOLOGY [0302] ( 69.00)

30001080 HC RL SALMONELLA TYPHI H TYPE B AB LABORATORY - IMMUNOLOGY [0302] ( 69.00)

30001081 HC RL SALMONELLA TYPHI H TYPE D AB LABORATORY - IMMUNOLOGY [0302] ( 69.00)

30001082 HC RL SALMONELLA TYPHI O TYPE D AB LABORATORY - IMMUNOLOGY [0302] ( 69.00)

30001083 HC RL SALMONELLA TYPHI O TYPE VI AB LABORATORY - IMMUNOLOGY [0302] ( 69.00)

30001084 HC SHIGA TOXIN CONCENTRATIONLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 41.00)

30001085 HC FUNGAL SENSITIVITY MLCLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 49.00)

30001086 HC FUNGAL SENSITIVITY MDMLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 32.00)

30001087 HC SHIGA TOXIN 1LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 86.00)

30001089HC RL FISH MORPHOMETRIC ANALYSIS MAN. PROBE


30001090HC RL GENOMIC MICROARRAY MOLECULAR PROBE LABORATORY - GENERAL CLASSIFICATION [0300] ( 180.00)

30001091 HC ALLERGEN PEANUT LABORATORY - IMMUNOLOGY [0302] ( 28.00)

30001092 HC RESP POTASSUM LABORATORY - CHEMISTRY [0301] ( 120.00)

30001093 HC RESP SODIUM LABORATORY - CHEMISTRY [0301] ( 83.00)

30001094 HC RESP CARBOXYHEMOGLOBIN-QUANT LABORATORY - CHEMISTRY [0301] ( 127.00)

30001095 HC LACTOTYPE TEST LABORATORY - CHEMISTRY [0301] ( 102.00)

30001096HC CROHN'S PROGNOSTIC MUTATION DETECT. LABORATORY - CHEMISTRY [0301] ( 188.00)

30001097 HC TPMT GENETICS LABORATORY - CHEMISTRY [0301] ( 188.00)

30001098 HC IDB SGI DIAGNOSTIC OTHER LABORATORY - CHEMISTRY [0301] ( 66.00)

30001099HC IBD SGI DIAGNOSTIC CHEMILUMINESCENT LABORATORY - CHEMISTRY [0301] ( 164.00)

30001100HC RL CROHN'S PROGNOSTIC AB SPEC. MARKER LABORATORY - CHEMISTRY [0301] ( 180.00)

30001101 HC CROHN'S PROGNOSTIC QUANTITATIVE LABORATORY - CHEMISTRY [0301] ( 180.00)

30001102 HC IBD SGI DIAGNOSTIC QUANTITATIVE LABORATORY - CHEMISTRY [0301] ( 180.00)

30001103 HC IBD SGI DIAGNOSTIC QUANTITATIVE NOS LABORATORY - CHEMISTRY [0301] ( 180.00)

30001104 HC FECAL MAGNESIUM LABORATORY - CHEMISTRY [0301] ( 234.00)

30001105 HC FECAL SODIUM LABORATORY - CHEMISTRY [0301] ( 26.00)

30001106 HC FECAL POTASSIUM LABORATORY - CHEMISTRY [0301] ( 100.00)

30001107 HC FECAL OSMOLALTY LABORATORY - CHEMISTRY [0301] ( 100.00)

30001108 HC IBD SGI DIAGNOSTIC CRP LABORATORY - IMMUNOLOGY [0302] ( 110.00)

30001109 HC CYCLIC CITRULLINATED PEPTIDE IGG LABORATORY - IMMUNOLOGY [0302] ( 62.00)

30001110HC CROHN'S PROGNOSTIC INDIRECT METHOD LABORATORY PATHOLOGICAL - HISTOLOGY [0312] ( 184.00)

30001111 HC IBD SGI DIAGNOSTIC INDIRECT METHOD LABORATORY PATHOLOGICAL - HISTOLOGY [0312] ( 184.00)

30001112 HC RL QU CYSTIC FIBROSIS SCREEN LABORATORY - CHEMISTRY [0301] ( 1,113.00)

30001113 HC HEM MUTATION PCR LABORATORY - CHEMISTRY [0301] ( 128.00)

30001114 HC MTHFR MUTATION PCR LABORATORY - CHEMISTRY [0301] ( 86.00)

30001115 HC CELIAC GENETICS LABORATORY - CHEMISTRY [0301] ( 437.00)

30100280 HC RESP GASES BLOOD PH ONLY LABORATORY - CHEMISTRY [0301] ( 47.00)

30100281 HC RESP GASES BLOOD ANY COMBINATION LABORATORY - CHEMISTRY [0301] ( 420.00)

30100282 HC RESP GLUCOSE; QUAN BLOOD LABORATORY - CHEMISTRY [0301] ( 98.00)

30100283 HC RESP PH-BODY FLUID EXCEPT BLOOD LABORATORY - CHEMISTRY [0301] ( 51.00)

30200166 HC RESP CANDIDA SKIN TEST LABORATORY - IMMUNOLOGY [0302] ( 57.00)

30200167 HC RESP TB SKIN TEST LABORATORY - IMMUNOLOGY [0302] ( 27.00)

30500026 HC RESP HEMATOCRIT LABORATORY - HEMATOLOGY [0305] ( 70.00)

34000004 HC THYROID IMAGING W/BLOOD FLOW NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 520.00)

34000005HC THYROID UPTAKE SING/MULTI MEASUREMENT NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 373.00)

34000006 HC THYROID IMAGING (INCL VAS FLOW) NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 409.00)

34000007HC PARATHYROID PLANAR IMAGING(W SUBSTRACT) NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 905.00)

34000008HC PARATHYROID PLANAR IMAGING W SPECT NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,014.00)

34000009HC PARATHYROID PLANAR W SPECT & CT LOCALIZE NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 1,139.00)

36001192HC ANGIOGRAPHY CERVICO CEREBRAL ARCH


36001193 HC INSERTION BLADDER CATH COMPLEXOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 417.00)

36001194HC RETRIEVAL OF INTRAVASCULAR FOREIGN BODY


36001201HC PLACE CATH CAROTID/INOM INTRACRANIAL-LT


36001202HC PLACE CATH CAROTID INOM/INTRACRANIAL-RT


36001203 HC PLACE CATH INT. CAROTID - LTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 9,926.00)

36001204 HC PLACE CATH INT. CAROTID - RTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 9,926.00)

36001205HC PLACE CATH SUBCLAVE/INOM ARTERY - LT


36001206HC PLACE CATH SUBCLAVE /INOM ARTERY - RT


36001207 HC PLACE CATH VERT ARTERY - LTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 7,227.00)

36001208 HC PLACE CATH VERT ARTERY - RTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 7,227.00)

36001209HC PLACE CATH EXTERNAL CAROTID ARTERY - LT


36001210HC PLACE CATH EXTERNAL CAROTID ARTERY - RT


36001211HC PLACE CATH INTRACRANIAL ARTERY - LT


36001212HC PLACE CATH INTRACRANIAL ARTERY - RT


36001216HC PARACENT ANT EYE W/REMOVAL OF VITREOUS


36001226HC TRANSCATH THROMBO INF EITHER NEXT DAY


36001227HC TRANSCATH THROMBO INF EITHER STOP/REMOVE


36001228HC EXTRACRANIAL CAROTID/INOMINATE BILAT


36001239HC TRANSCATH THROMBO INF ART INITIAL S&I


36001240HC TRANSCATH THROMBO INF VEN INITIAL S&I


36001259HC PLACE CATH CAR/INOM INTRACRAN BILAT


36001260 HC PLACE CATH INT. CARTOID - BILATOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 14,888.00)

36001261HC PLACE CATH SUBCLAVE/INOM ART- BI-LAT


36001262 HC PLACE CATH VERT. ARTERY - BI-LATOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 10,840.00)

36001263 HC PLACE CATH EXT CAROTID ART - BI-LATOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,568.00)

36001264HC PLACE CATH INTRACRANIAL ART. - BI-LAT


36001268HC PLACE CATH CAROTID INOM ART EXTRACRAN LT


36001269HC PLACE CATH CAROTID INOM ART EXTRACRAN RT


48100098HC PTCA SINGLE MAJOR ARTERY OR BRANCH CARDIOLOGY - CARDIAC CATH LAB [0481] ( 8,198.00)

48100099 HC PTCA EACH ADD'L BRANCH CARDIOLOGY - CARDIAC CATH LAB [0481] ( 6,315.00)

48100100HC COR. ARTERECTOMY W/PTCA SINGLE MAJOR ART CARDIOLOGY - CARDIAC CATH LAB [0481] ( 12,451.00)

48100101HC COR. ATHERECTOMY W/PTCA EACH ADD'L BRANC CARDIOLOGY - CARDIAC CATH LAB [0481] ( 9,025.00)

48100102 HC STENT W/PTCA SINGLE COR. ARTERY CARDIOLOGY - CARDIAC CATH LAB [0481] ( 12,451.00)

48100103HC STENT W/PTCA EACH ADD'L COR. BRANCH CARDIOLOGY - CARDIAC CATH LAB [0481] ( 4,565.00)

48100104HC COR. ATHERECTOMY W/STENT AND PTCA SMCA CARDIOLOGY - CARDIAC CATH LAB [0481] ( 17,198.00)

48100105HC COR. ATHERECTOMY W/STENT AND PTCA ADD'L CARDIOLOGY - CARDIAC CATH LAB [0481] ( 6,629.00)

48100106 HC REVASC BYP GRAFT 1ST VESL CARDIOLOGY - CARDIAC CATH LAB [0481] ( 12,451.00)

48100107 HC REVASC BYP GRAFT EACH ADD'L CARDIOLOGY - CARDIAC CATH LAB [0481] ( 4,565.00)

48100108HC REVASC ACUTE MI ANY VESSEL W/THROMB CARDIOLOGY - CARDIAC CATH LAB [0481] ( 12,451.00)

48100109HC REVASC CTO ANY BRANCH STENT ATHER PTCA CARDIOLOGY - CARDIAC CATH LAB [0481] ( 12,451.00)

48100110HC REVASC CTO ADD'L BRCH STENT ATHER PTCA CARDIOLOGY - CARDIAC CATH LAB [0481] ( 4,565.00)

48100111 HC EP & ABLATE SVT ARRHYT CARDIOLOGY - CARDIAC CATH LAB [0481] ( 17,449.00)

48100112 HC EP & ABLATE VENTRIC TACHY CARDIOLOGY - CARDIAC CATH LAB [0481] ( 17,800.00)

48100113 HC ABLATE ARRHYTMIA - ADD ON CARDIOLOGY - CARDIAC CATH LAB [0481] ( 10,284.00)

48100114 HC TX ATRIAL FIB PUL VEIN ISOL CARDIOLOGY - CARDIAC CATH LAB [0481] ( 17,449.00)

48100115 HC TX ATRIAL FIB ADD'L CARDIOLOGY - CARDIAC CATH LAB [0481] ( 8,995.00)

48100117HC PLACE DES STENT W/PTCA SINGLE VESSEL CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 15,819.00)

48100118HC PLACE DES STENT W/PTCA ADD'L VESSEL CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 15,819.00)

48100119 HC ATHERECTOMY W/DES SINGLE VESSEL CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 15,819.00)

48100120HC ATHERECTOMY W/DES/PTCA EACH ADD'L VESSEL CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 15,819.00)

48100121HC BYPASS GRAFT DES ATHER PTCA SINGLE CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 15,819.00)

48100122HC BYPASS GRAFT / DES/ ATHER/ PTCA ADD'L CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 15,819.00)

48100123HC REVAS AMI/DES/ATHER/PTCA THROMB SINGLE CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 15,819.00)

48100124HC REVAS CTO DES/ATHER/PTCA SINGLE VESSEL CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 15,819.00)

48100125 HC REVAS CTO DES/ATHER/PTCA ADD'L CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 15,819.00)

30001088 HC SHIGA TOXIN 2LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 86.00)

94100001 HC TR INITIAL ASSESS.OTHER THERAPEUTIC SERVICES - RECREATIONAL THERAPY [0941] ( 86.00)

94100002 HC TR EVALUATION IOTHER THERAPEUTIC SERVICES - RECREATIONAL THERAPY [0941] ( 120.00)

94100003 HC TR EVALUATION IIOTHER THERAPEUTIC SERVICES - RECREATIONAL THERAPY [0941] ( 178.00)

94100004 HC TR INDIV HC TREATMENT 1 (15 MIN)OTHER THERAPEUTIC SERVICES - RECREATIONAL THERAPY [0941] ( 120.00)




94100008 HC TR GROUP HC TREATMENT 1 (15 MIN)OTHER THERAPEUTIC SERVICES - RECREATIONAL THERAPY [0941] ( 60.00)






94100014 HC TR CRT GROUP 1 (45 MIN)OTHER THERAPEUTIC SERVICES - RECREATIONAL THERAPY [0941] ( 86.00)



36001286 HC ANGIO CERVICOCEREBRAL ARCHOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,389.00)

30001116 HC BCR/ABL BY PCR INTERP. LABORATORY - GENERAL CLASSIFICATION [0300] ( 67.00)

30001117 HC RL NORDOXEPIN-QUANT LABORATORY - CHEMISTRY [0301] ( 92.00)

30001118 HC RL PROTRIPTYLINE-QUANT LABORATORY - CHEMISTRY [0301] ( 92.00)

30001119 HC RL NORCLOMIPRAMINE-QUANT LABORATORY - CHEMISTRY [0301] ( 92.00)

30001120 HC RL FLUOXETIN-PROZAC LABORATORY - CHEMISTRY [0301] ( 92.00)

30001121 HC BCR/ABL BY PCR TRANSLOCATION LABORATORY - CHEMISTRY [0301] ( 280.00)

30001122 HC BCR/ABL BY PCR BREAK POINT LABORATORY - CHEMISTRY [0301] ( 246.00)

30001123 HC RL PROTHROMBIN GENE ASSAY (FII) LABORATORY - CHEMISTRY [0301] ( 102.00)

30001124 HC PML/RARA BY PCR LABORATORY - CHEMISTRY [0301] ( 353.00)

30001125 HC RL HLA-DR GENOTYPING HLAT2 LABORATORY - CHEMISTRY [0301] ( 375.00)

30001126 HC RL HLA-DR GENOTYPING ODQA1 LABORATORY - CHEMISTRY [0301] ( 239.00)

30001127 HC APOE GENOTYPE ANALYSIS LABORATORY - CHEMISTRY [0301] ( 188.00)

30001128 HC RL ALPHA-1 ANTITRYPSIN LABORATORY - CHEMISTRY [0301] ( 80.00)

30001129HC RL ACETYLCHOLINE RECEPT. MODULATING AB LABORATORY - CHEMISTRY [0301] ( 85.00)

30001130 HC RL ACETYLCHOLINE BLOCKING AB LABORATORY - CHEMISTRY [0301] ( 85.00)

30001134 HC RL MAGNESIUM RED BLOOD CELL LABORATORY - CHEMISTRY [0301] ( 234.00)

30001135 HC RL RENIN IVC ABOVE RENAL VEIN LABORATORY - CHEMISTRY [0301] ( 131.00)

30001136 HC FACTOR V LEIDEN LABORATORY - CHEMISTRY [0301] ( 127.00)

30001137 HC RL AUTO SALVAGE BLD WASHED LABORATORY - GENERAL CLASSIFICATION [0300] ( 509.00)

30001138HC RL HSV CULT C TYP-TS CULT-CYTOPATH EFFCT


30001139 HC CHLAMYDIA DNA AMPLIFICATIONLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 182.00)

30001140 HC GC DNA AMPLIFICATIONLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 238.00)

30001141 HC RL ACTH 1ST ANTIBODYLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 243.00)

30100284 HC RENAL FUNCTION PANEL LABORATORY - CHEMISTRY [0301] ( 157.00)

30100285 HC RL QUAD SCREEN PROFILE LABORATORY - CHEMISTRY [0301] ( 140.00)

30600047 HC RL NOCARIDA SUSC-DISK DIFFUSIONLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 42.00)

30600048 HC RL NOCARIDA SUSC-MICLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 94.00)

31000042HC CHROMOSOME ANALYSIS INTERP & REPORT LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 99.00)

39000019 HC AUTOLOGOUS FFP PHERESIS


39000020 HC PLATELET CONCENTRATE


39000021 HC PLATELETS EACH UNIT


39000022 HC WASHING BLOOD PRODUCT


39000023 HC AUTOLOGOUS LKD RED CELLS WASHED


39000024 HC RED CELLS WASHED


39000025 HC PLATELETS PHERESIS


39000026 HC AUTOLOGOUS PLATELET PHERESIS


39000027 HC DIRECTED LEUKOPOOR PLT-PHERESIS


39000028 HC AUTOLOGOUS LKD PLATELET PHERESIS


39000029 HC RED BLOOD CELLS IRRADIATED


39000030 HC GRANULOCYTES PHERESIS


39000031 HC AUTOLOGOUS LKD RED CELLS DEGLYC


39000032 HC AUTOLOGOUS PLASMA 24H


30001142 HC RL TBCPCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 213.00)

30001144 HC RL COCCIDIODES AGLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 151.00)

30001146 HC AML/ETO LABORATORY - CHEMISTRY [0301] ( 188.00)

30001147 HC C KIT MUTATE LABORATORY - CHEMISTRY [0301] ( 283.00)

30001148 HC IGVH MUTATE LABORATORY - CHEMISTRY [0301] ( 501.00)

30001149 HC FLT3 NPM1 Mutate LABORATORY - CHEMISTRY [0301] ( 237.00)

30001150 HC JAK2 EXON 12 LABORATORY - CHEMISTRY [0301] ( 249.00)

30001151 HC NPMI Mutation LABORATORY - CHEMISTRY [0301] ( 309.00)

30001152 HC MPL515 MUTATION LABORATORY - CHEMISTRY [0301] ( 283.00)

30001153 HC Adiponectin LABORATORY - CHEMISTRY [0301] ( 180.00)

30001154 HC HLA B 5701 LABORATORY - CHEMISTRY [0301] ( 179.00)

30001155 HC HER2/NEULABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 539.00)

30001156 HC RL PARAINFLUENZA ANTIBODY LABORATORY - GENERAL CLASSIFICATION [0300] ( 520.00)

30001157 HC COLLAGEN AB LABORATORY - CHEMISTRY [0301] ( 180.00)

30001158 HC LIVER CYTOSOL AB LABORATORY - IMMUNOLOGY [0302] ( 87.00)

30001159 HC CYTOGENOMIC LABORATORY - CHEMISTRY [0301] ( 2,080.00)

30001160 HC RL CYSTICERCOSIS LABORATORY - IMMUNOLOGY [0302] ( 78.00)

30100286 HC Neurokinin LABORATORY - CHEMISTRY [0301] ( 83.00)

30001161 HC JAK2GP LABORATORY - CHEMISTRY [0301] ( 180.00)

27000946 HC LNCS ADTX SPO2 ADHESIVE SENSORMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 29.00)

27000947 HC CAPD IMPERSOL ADMIN SETB6530-01MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 75.00)

27000948HC IMMOBILIZER SHOULDER ABD SUPPORT MED


27000949 HC TUBE FEEDING INFANT/PREMATUREMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 33.00)

27000950 HC STYLET KIT 6082/6057MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 99.00)

27000951 HC POUCH 1PC PRECUT DRAIN 1EA 125354MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 193.00)

27201416 HC MEDICAL MAGOTS 250-500MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 195.00)

27201417 HC DRESSING GEL IODOSORB 10 GRAMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 29.00)

27201418 HC STIMUPLEX NEEDLE ALL SIZESMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 143.00)

27201419 HC SET THORACENTESIS SUBCLMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 21.00)

27201420 HC JUGGERKNOT DISPOSABLE KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 899.00)

27201421HC CUP CERVICAL V-CARE LARGE #133405102


27201422HC SUTURE TAK DISPOSABLE KIT AR-1934DS-2


27201423 HC RUSCH TIEMAN CATH. #221800MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 14.00)

27201424 HC ENDOPATH TROCAR 5MM 2B5LTMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 110.00)

27800566HC SUTURE ANCHORBIO-SUTURE TAK AR-1934BF


27800567 HC VPATCH 8CMX8CM 31202MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,120.00)

27800568 HC CENTRIFX 10.5CMX16CM 31396MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 312.00)

30010552 HC RL ESTRIOL SERUM LABORATORY - CHEMISTRY [0301] ( 140.00)

30010553 HC RL CORTISOL SALIVA LABORATORY - CHEMISTRY [0301] ( 201.00)

30010554 HC OCCULT BLOOD STOOL-CONSEC SPEC LABORATORY - CHEMISTRY [0301] ( 35.00)

30010555 HC STREP A ASSAY W/OPTICLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 79.00)

31000043HC RL CHROMOSOME ANALYSIS-20-25 CELLS LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 646.00)

31100026HC RL CYTOGENETIC CHROMOSOME ANALYSIS LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 646.00)

36001287 HC LARYNGOSCOPE W/VC INJOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,328.00)

36001288 HC HYSTERECTOMYOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 8,008.00)

36001289 HC BLADDER REPAIROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,672.00)

36001290HC TREAT FETAL DEMISE <22WKS SURGICAL


36001291 HC ANGIO CERVICOCEREBRAL ARCHOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,389.00)

40400011 HC PET/CT-LIMITED STUDYOTHER IMAGING SERVICES - POSITRON EMISSION TOMOGRAPHY [0404] ( 3,409.00)

63600077 HC MS WOUND MAT 3CMX3.5CM PER SQ CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 16.00)

63600078HC MS WOUND MAT 3CMX3.5CM PER SQ CM DISC


81200002 HC HEART ACQUISITIONACQUISITION OF BODY COMPONENTS - CADAVER DONOR [0812] ( 101,807.00)

92000019HC SEP ANY/ALL PERIPH NV UPPER & LWR LIMBS


92000020 HC TC MOTOR - UPPER & LOWER LIMBSOTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 1,007.00)

92000021 HC IONM IN OPERATING ROOM 15 MINOTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 218.00)

92200020 HC EMG EACH EXTREMITY - LIMITEDOTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922] ( 203.00)

92200021 HC EMG EACH EXTREMITY - COMPLETEOTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922] ( 278.00)

44000009HC SP DEVELOPMENTAL TESTING EXTENDED


47100015 HC AIR COND. AUDIO EVAL. AUDIOLOGY - DIAGNOSTIC [0471] ( 58.00)

44000008 HC SP DEVELOPMENTAL TESTING LIMITEDSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 666.00)

36000878 HC SCRN COLONOSCOPY PT NOT HI RISKGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,768.00)

30500027 HC VAD PT PROTHROMBIN TIME LABORATORY - HEMATOLOGY [0305] ( 83.00)

30500028 HC HEART PT PROTHROMBIN TIME LABORATORY - HEMATOLOGY [0305] ( 83.00)

42000039HC ELECTRIC STIM-UNATTENDED/NON-WOUND PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 146.00)

30500029 HC ACT ACTIVATED COAGULATION TIME LABORATORY - HEMATOLOGY [0305] ( 61.00)

76100002 HC ACNE SURGERY MILIA CYSTSSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 415.00)

27201425 HC ADDWIREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 238.00)

27000952 HC ATRAC-TAIN CREAM 5 OZMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 14.00)

63600081 HC DISCARD DERMAGRAFT PMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 86.00)

45000021 HC I&D PILONIDAL CYST COMPLI EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 1,951.00)

27201426 HC MEPITEL 7.5 X 10MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 12.00)

27800569 HC MESH COMPOSIX 7 X 9MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,284.00)

27800570 HC MESH MARLEXMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 350.00)

27800571 HC MESH PROCEED 4X6 (PCDN1)MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 884.00)

27800572 HC MESH PROCEED 6X8 (PCDG1)MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,602.00)

36001292 HC OPENING OF CHESTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,632.00)

27800556 HC PHYSIOMESH 15X20 - PHY1520VMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 21,736.00)



36100076 HC PULMON SEL CATH PLACE LT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,091.00)

63600082 HC DISCARD OASIS ULTRAMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 23.00)

35200066 HC CT HRT W/3D IMAGE CT SCAN - GENERAL CLASSIFICATION [0350] ( 442.00)

27000954 HC BLADE ANGLED KERATIME 2.75MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 65.00)

27000955 HC KNIFE 2.75 ANGLED SAFETYMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)

27000956 HC KNIFE ALCON ANGLED SLIT 3.2MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 33.00)

27000957 HC SPHEREMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)

27000958 HC CAUTERY 25 GAUGE DISPOSABLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 99.00)

27000959 HC PACK EENT IMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 18.00)

27000960 HC PACK VITRECTOMY 25 GMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 1,168.00)

27000961 HC INTUBATION SET CANALICULUSMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 216.00)

27000962 HC BLADE BEAVER 552055215700MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 29.00)


27000964 HC CAUTERY ERASER 18GMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 23.00)

27000965 HC KNIFE V LANCE OPTHALMICMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)

27000966 HC BLADE MVR 23GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 54.00)

27000967 HC SCISSORS DISPOSABLE 25 GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 439.00)

27000968 HC PACK PLASTICSMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 134.00)

27000969 HC LITE PIPE 20G GRIESHABERMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 54.00)

27000970 HC LITE PIPES SPECIAL GRIESHABERMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 65.00)

27000971 HC SKIN CLOSURE DERMABONDMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 61.00)

27000972 HC PROBE ESOPHAGEAL TEMP ADULTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 26.00)

27000973 HC CAUTERY HAND CONTROL VALLEY LABMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 16.00)

27000974 HC CAUTERY PAD V-LAB PEDMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 14.00)

27000975 HC SHEET SLIDES (3M)MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 38.00)

27000976 HC CAUTERY RICHARDS SUCTIONMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 22.00)

27000977 HC CAUTERY ACCUTEMPMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 18.00)

27000978 HC PULSAVAC TUBING HAND CONTROLMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 98.00)


27000980 HC SPHERE HYDROXYAPATITEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 1,586.00)

27000981 HC CAUTERY TEFLON EXTENSIONMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 14.00)

27000983 HC KNIFE MICROFEATHER 745MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 26.00)

27000984 HC CAUTERY ERASER 23GMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 63.00)

27000985 HC TUBING FRAG 1531021HPMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 155.00)

27000986 HC MA30BA CARTRIDGEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 23.00)

27000987 HC COLORADO TIP - LONGMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 122.00)

27000988 HC TUBING BLOOD WARMERMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 31.00)

27000989 HC RESERVOIR ZIMMERMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 12.00)

27000992 HC TUBE ENDOTRACHEAL ADULTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 45.00)

27000993 HC TUBING ONLY SERIES 20000 20111MVMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 139.00)

27000994HC TUBING PAC 30DG KEL .9ABS W/TIP 7408-29


27000995HC PACK PROBE ANT VIT W/21G INFUS CANNULA


27000996HC TUBING PACK 30DG MAXVAC 1.1ABS 7407-87


27000997 HC TUBING LIPOSUCTIONMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 23.00)

27000998 HC PROBE LASER COHERENT STRT.MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 317.00)

27000999 HC CAUTERY TIP COLORADO NEEDLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 101.00)

27001000 HC PUNCHVAC. DONOR BARRON 8.0MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 162.00)

27001003 HC DISP. INFLATION DEVICEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 122.00)

27001004 HC KNIFE V-LANCE 19GMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 49.00)

27001005 HC KNIFE CLEAR-CUT SIDEPORTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 33.00)

27001006 HC SURGIBRAMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 68.00)

27001008 HC SURGIBRA XXXLGMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 92.00)

27201427 HC TROCAR 25 GA PLUGSMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 61.00)

27201428 HC CUTTER VIT HIGH SPEED 23GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 233.00)

27201429 HC PROBE LASER 25 GAUMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 340.00)

27201430 HC VISION BLUEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 99.00)

27201431 HC NEEDLE 20 G. SOFT-TIP GRIESHABERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 47.00)

27201432 HC ENDO ILLIUMINATOR 25 GAUMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 146.00)

27201433 HC G PROBEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 464.00)

27201434 HC BSS PLUS 500MLMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 122.00)

27201435 HC FORCEP 23 GAUMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 317.00)

27201436 HC FORCEP DISPOSABLE 25 GAUMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 317.00)

27201437 HC CANNULA 25 GAUGE SOFT-TIPMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 89.00)

27201438 HC PROBE LASER 25 GAUGEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 446.00)

27201439 HC CANNULA SOFT TIP SHORT 25GMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 89.00)

27201440 HC LASIK FLAP ROLLERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 26.00)

27201441 HC GOLD LID LOADS 1.0-1.6 GM.MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 451.00)

27201442 HC VITRECTOMY PACK 23 GAUMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 1,316.00)

27201443 HC TREPHINE WECK ALLMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 96.00)

27201444 HC NEEDLE EXTRUSION 23GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 59.00)

27201445 HC LIGHTED LASER PROBE 20 GAUMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 455.00)

27201446 HC CBM MICROKERATOME BLADE 19333MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 143.00)

27201447 HC INFUSION SYRINGE W/ STOPCOCKMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 38.00)

27201448HC SCRAPER DIAMOND DUSTED MEMBRANE 25 GA


27201449 HC STRIP SCLERAL 20 31 32 42MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 33.00)

27201450 HC CONFORMER WITH HOLESMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 49.00)

27201451 HC TUBES JONESMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 38.00)

27201452 HC SUTURE 0.2 METRIC 30 CM 10-0MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 70.00)

27201453 HC SUTURE VICRYL 8-0 TG-140-8MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 33.00)

27201454 HC SUTURE VICRYL 10-0MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 42.00)

27201456 HC SUTURE VICRYL 6-0 S-14MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 21.00)

27201457 HC SUTURE 6-0 MILD CHROMIC HE-1MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 42.00)

27201458 HC SUTURE 5-0 DEXON SS-2MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 45.00)

27201459 HC CANNULA 25 GAU TROCARMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 305.00)

27201460 HC PIPE LIGHT 25 GAUMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 159.00)

27201461 HC LASER LIGHTED 20 GAUMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 227.00)

27201462 HC SUTURE SUPRAMID 3-0MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 30.00)

27201464 HC SLEEVE SILICONE 270MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 18.00)

27201465 HC PROBE OCUTOME 1006MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 404.00)

27201467 HC SUTURE MICROTECH 10-0MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 49.00)

27201468 HC SUTURE PROLENE BV1MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 65.00)

27201472 HC SHIELD COLLAGEN CORNEAL 12 HOURMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 54.00)

27201473 HC CANNULA DIAMOND DUSTED 23 GAUMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 146.00)

27201474 HC LENS VITRECTOMY 30 DEGREEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 61.00)

27201475 HC VITRECTOMY PACK 20GMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 990.00)

27201476 HC SCLERAL BUCKLE PACKMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 146.00)

27201477 HC TUBOPLAST PERICARDIUMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 622.00)

27201478 HC IRR CYSTOME 25GMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 14.00)

27201479 HC SUPRA FOIL 0.6MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 14.00)

27201480 HC RETRACTOR FLEXIBLES IRISMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 216.00)

27201481 HC LASER PROBE DIRECTIONAL 25 GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 388.00)

27201482 HC LENS BIOM DISPOSABLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 159.00)

27201483 HC CANNULA SYSTEM 1272-ED206MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 488.00)

27201484 HC CANNULA INFUSION 6 MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 61.00)

27201485 HC DRAIN DAVOLMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 17.00)

27201486 HC PERFLUORON 5CCMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 938.00)

27201487 HC SUTURE SILK 6-0 TG-140-8MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 26.00)

27201488 HC STAPLE SIGNET 35 R & WMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 88.00)

27201491 HC KCI DRESSING VAC MED M6275052/10MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 101.00)

27201492 HC TIP .9MM 30 RND TAPER ABSMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 207.00)

27201493 HC TIP 1.1MM 30 RND FLARED ABSMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 176.00)

27201494 HC SLEEVE INFUSION 1.1MM TIPLESSMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 420.00)

27201495 HC PROBE LASER COHERENT CVD.MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 366.00)

27201496 HC SUTURE SILK 4-0 PC-5MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 31.00)

27201497 HC SUTURE ETHILON 5-0 S-24MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 21.00)

27201498 HC TREPHINE VACUUM RADIAL BARRONMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 166.00)

27201499 HC SUTURE ETHILON 10-0 CS-175-8MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 31.00)

27201500 HC SUTURE CHROMIC 5-0 S-14MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 21.00)


27201502 HC SUTURE PROLENE 4-0 RB-1MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 29.00)

27201503 HC SUTURE SURGIGUT 6-0 #G1794MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 42.00)

27201504HC CANNULA 19G. TRI-PORT SUBENON(DR. BERRY)


27201505 HC CANNULA SELF-RETAINING 20 GAU ACMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 92.00)

27201506 HC SUTURE PLAIN 6-0 TG 140-8MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 31.00)

27201507 HC SUTURE SILK 6-0 18 IN G-1MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 18.00)

27201508 HC SUTURE SILK 6-0 P-3MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 9.00)

27201509 HC SUTURE VICRYL 4-0 P-3MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 9.00)

27201510 HC SUTURE NYLON 6-0 P-1MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 21.00)

27201511 HC SUTURE NYLON 6-0 P-3MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 8.00)

27201512 HC SUTURE PROLENE 6-0 P-3MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 10.00)

27201513 HC SUTURE CHROMIC 4-0 M-1MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 16.00)

27201514 HC SUTURE ETHILON 10-0 CS-140-6 4MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 38.00)

27201515 HC SUTURE ETHILON 10-0 CS-175-8MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 47.00)

27201516 HC SUTURE NYLON 5-0 PDS P-3MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 10.00)

27201517 HC SUTURE ETHILON 5-0 S-24MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 31.00)

27201518 HC SUTURE ETHILON 8-0 TG-175-8MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 38.00)

27201519 HC SUTURE ETHILON 9-0 TG-140-8MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 26.00)

27201520 HC SUTURE PLAIN FAST ABS. 6-0 PC-1MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 12.00)

27201521 HC SUTURE PROLENE 10-0 STC-6MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 29.00)

27201522 HC SUTURE PROLENE 10-0 TG-140-8MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 52.00)




27201526 HC SUTURE SILK 2-0 SHMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 9.00)

27201527 HC SUTURE SILK 4-0 C-1MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 9.00)



27201530 HC SUTURE SILK 8-0 C-3MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 47.00)


27201532 HC SUTURE VICRYL 6-0 P-1 DYEDMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 16.00)


27201534 HC SUTURE VICRYL 7-0 TG-140-8MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 31.00)

27201535 HC SUTURE VICRYL 9-0 BV-100-3MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 38.00)

27201536 HC SUTURE 5-0 WHITE MERSLENEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 23.00)


27201539 HC STAPLER SKINMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 16.00)

27201540 HC CATH FOLEY TRAY W/URIMETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 35.00)

27201541 HC FORCEPS DORC DISP MICROMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 294.00)

27201542 HC SUTURE VICRYL 5-0 P-1MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 9.00)

27201543HC SCRAPER DIAMOND DUSTED MEMBRANE #2004


27201544HC PAK ACCURUS VISCUS FLUID INJ 8065-740254


27201545 HC SUTURE MERSILINE 5-0 S-28MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 26.00)

27201547 HC SUTURE GORTEX CV-S THX-36MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 33.00)

27201548 HC SUTURE PROLENE 3-0 SH W/PLEDGETTMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 15.00)

27800575 HC BAND SCLERAL BUCKLE-54050MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 34.00)

27800576 HC CRAWFORD LACRIMAL INTUBATION SETMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 140.00)

27800577HC ORBITAL FLOOR IMPLANT (BARRIER)8305


27800578 HC PLATE AHMED FLEXIBLE FP7MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,238.00)

27800579 HC GRAFT ALLODERM 4X7 IMPLANTABLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,672.00)

27800580 HC SCLERA PIECE QUARTERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 200.00)

27800582 HC BAND SCLERAL 40240MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 20.00)

27800583 HC SCREWS (ALL) LIEBINGERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 96.00)

27800584 HC SCREWS (EMERGENCY) LIEB.MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 70.00)

27800585HC PLATE FLOOR ORBITAL COMPLEX LARGE 1.2MM .3MM


36001293HC REMOVE LENS MATERIAL; EXTRACAP 1+ STGS (YAG)


36001294 HC O.R. PROC LEVEL 1 INCREMENTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 35.00)










37000002 HC GENERAL INCREMENTS ANESTHESIA - GENERAL CLASSIFICATION [0370] ( 22.00)

37000004 HC MAC INCREMENTS ANESTHESIA - GENERAL CLASSIFICATION [0370] ( 19.00)

72000038HC LABOR & DELIVERY O.R. PROC LEVEL 1 INCREMENT




















36001304HC UMBILICAL ARTERY CATHETERIZATION NEWBORN


36001305HC INS PM PULSE GEN ONLY W/EXIST SNG LEAD


36001306HC INS PM PULSE GEN ONLY W/EXIST DUAL LDS


27201398HC AQUACEL AG SURG 10 INCH DRESSING 412011


27201549 HC BIOPSY NEEDLE (BARD)MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 66.00)

27201550 HC HUBER NEEDLE 19-20GA W/TUBINGMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 20.00)

36001307 HC DISCISSION 2ND CATARACT YAG LASEROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,081.00)

36001310 HC IRIDOTOMY/IRIDECTOMY BY LASEROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 607.00)

27201559 HC ORSOS SUPPLIES 272 REVMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 63.00)

36001225 HC TRACHEOSTOMY PLANNEDSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,668.00)

36001224 HC DX BRONCHOSCOPE/BRUSHSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,644.00)

36001229 HC DX BRONCHOSCOPE/LAVAGESPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,882.00)

36001230HC INJ PROC PYELO/NEPHRO THR TUB/INDWELL CATH


91500002 HC GROUP THERAPY NOT MULTI-FAMILY

BEHAVIORAL HEALTH TREATMENTS/SERVICES - INTENSIVE OUTPATIENT SERVICES - CHEMICAL DEPENDENCY [0906] ( 321.00)

91600001 HC FAMILY THERAPY WO PT 50 MINBEHAVIORAL HEALTH TREATMENTS/SERVICES - FAMILY THERAPY [0916] ( 388.00)

91600002 HC FAMILY THERAPY W PT 50 MINBEHAVIORAL HEALTH TREATMENTS/SERVICES - FAMILY THERAPY [0916] ( 388.00)

91600003 HC MULTI-FAMILY GROUP THERAPYBEHAVIORAL HEALTH TREATMENTS/SERVICES - FAMILY THERAPY [0916] ( 321.00)

91600004HC INTERV HLTH/BEHAV EA 15 MINS FAM W/PT


91600005HC INTERV HLTH/BEHAV EA 15 MINS FAM NO PT


91800004HC NEUROBEHAVIORAL STATUS EXAM 1ST HOUR


91800005 HC NEUROPSYCH TST BY PSYCH/PHYSBEHAVIORAL HEALTH TREATMENTS/SERVICES - TESTING [0918] ( 289.00)

91800006 HC PSYCHO TESTING BY PSYCH/PHYSBEHAVIORAL HEALTH TREATMENTS/SERVICES - TESTING [0918] ( 289.00)

36001313 HC UNLISTED PROC SKIN MM & SQ TISSSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 382.00)

27800100 HC JUGGERKNOT 2.9 SUTURE ANCHORMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 822.00)

27800101 HC BIPLATE AHMED FLEXIBLE FX1MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,528.00)

27201556 HC ENDOPATH TROCAR 5MM 2CB5LTMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 61.00)

27001010 HC ENDO TRACH TUBE - HI-LOMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 14.00)

27201557 HC PROBE OCUTOME 1006MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 404.00)

27201558 HC SUTURE ETHILON 10-0 CS-B-6MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 63.00)

30010556 HC RL PROTRIPTYLINE-QUANT LABORATORY - CHEMISTRY [0301] ( 30.00)

30010557 HC BCR/ABL BY PCR TRANSLOCATION LABORATORY - CHEMISTRY [0301] ( 280.00)

30010558 HC BCR/ABL BY PCR BREAK POINT LABORATORY - CHEMISTRY [0301] ( 246.00)

30010559 HC IGVH MUTATION BY PCR CLL LABORATORY - CHEMISTRY [0301] ( 501.00)

30010560 HC JAK2 V617F MUTATION ANALYSIS LABORATORY - CHEMISTRY [0301] ( 180.00)

30010561 HC AML/ETO BY PCR LABORATORY - CHEMISTRY [0301] ( 270.00)

30010562HC ACIS IMMUNOCHEMISTRY EA ADD ANTIBODY


30010563 HC RL LYMPHOMA T CELL TCR LABORATORY - CHEMISTRY [0301] ( 343.00)

30010564 HC RL HLA-B 5701 LABORATORY - CHEMISTRY [0301] ( 179.00)

30010565 HC CELIAC HLA DQA1 LABORATORY - CHEMISTRY [0301] ( 437.00)

30010566 HC CELIAC HLA DQB1 LABORATORY - CHEMISTRY [0301] ( 437.00)

30010567 HC RL CELIAC HLA DQA1 LABORATORY - CHEMISTRY [0301] ( 437.00)

30010568 HC RL CELIAC HLA DQB1 LABORATORY - CHEMISTRY [0301] ( 437.00)

30010569 HC RL BILE ACIDS LABORATORY - CHEMISTRY [0301] ( 103.00)

30010570 HC RL CELIAC TOTAL IGA LABORATORY - CHEMISTRY [0301] ( 107.00)

30010571HC RL MYASTHENIA GRAVIS PN-ACHR MODULAT AB LABORATORY - CHEMISTRY [0301] ( 83.00)

30010572HC RL ANTI HUMAN TRANSGLUTAMINASE IGA LABORATORY - CHEMISTRY [0301] ( 180.00)

30010573HC RL ANTI HUMAN TRANSGLUTAMINASE IGA LABORATORY - CHEMISTRY [0301] ( 180.00)

30010574 HC RL SPOROTHRIX ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 74.00)

30010575 HC RL CYSTICERCOSIS ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 78.00)

30010576HC RL STREPTOCOCCUS PNEUMONIAE ANTIGEN


30010577 HC RL CELIAC ANTI ENDOMYSIAL IGA LABORATORY PATHOLOGICAL - HISTOLOGY [0312] ( 184.00)

30010578 HC RL MULTIPLE MYELOMA PANELLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 539.00)

92200022HC NCV MOTOR/SENSE ELECTROD ARRAY EA LIMB


27201560 HC SUTURE PROLENE 10-0 BV-100-4MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 63.00)

27201561 HC SUTURE PROLENE 10-0 CIF-4MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 63.00)

27201562 HC SUTURE CHROMIC 7-0 TG-175-8MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 45.00)

27201563 HC TISSEEL FIBRIN SEALANTMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 291.00)


27001012 HC CANNULA SUB RETINAL #5035MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 36.00)

27001013 HC CANNULA SUB RETINAL #5021MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 26.00)

27001014 HC PLUGS LACON SCLERAL 8064-807550MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 56.00)

27201564 HC SUB RETINAL ST. NEEDLE #5178MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 29.00)

27800103 HC BUCKLE MERIDIONAL 103 106MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 40.00)

27201565 HC TUBING VGFIMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 244.00)

27201566 HC TIC 25 GAUGE DISPOSABLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 263.00)

27001015 HC PHOTON LITE PIPE 23 GAUGEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 122.00)

27201567 HC PLACE CATH INT. CAROTID - BILMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 3,050.00)

43000026HC IP THERAPEUTIC PROCEDURES EA 15 MIN EXERCISES


43000028HC IP SELF CARE/HOME MANG TRAINING EA 15 MIN


43000029HC IP THER ACTV DIR PT CONTACT BY PROVIDER EA 15 MIN


27800593 HC FLUENCY STENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 4,390.00)

36001314 HC ROBOTIC SURGICAL SYSTEMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 0.01)

27201568 HC SPINE STAR RF ABLATION PROBEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 7,496.00)

27201569 HC PROGEL PLURAL SEALANTMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 1,994.00)

36001315 HC RF BONE ABLATION W/O CT GUIDANCEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,475.00)

36001316 HC TX EXT RETINOPATHY PRETERM INFANTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,586.00)

27201570 HC ASAHI TORNUS SUPPORT CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,866.00)

27201571 HC ASAHI CORSAIR MICROCATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,900.00)

27001016 HC TOPI-FOAMMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 21.00)

31200015 HC RL CIRCULATING TUMOR CELL COUNT LABORATORY PATHOLOGICAL - HISTOLOGY [0312] ( 902.00)

31000044 HC RL MEN2 RET GENE MUTATION LABORATORY - CHEMISTRY [0301] ( 826.00)

31000045 HC RL PDGFRB BY FISH PROBE LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 232.00)

31000046 HC RL PDGFRB BY FISH HYBRID LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 212.00)

31000047 HC RL FIP1L1-PDGFRA BY FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 146.00)

31000048 HC RL RBC DNA GENOTYPING LABORATORY - CHEMISTRY [0301] ( 418.00)

31000049 HC RL PLATELET GENOTYPING LABORATORY - CHEMISTRY [0301] ( 418.00)

31000050 HC RL RH DNA GENOTYPING LABORATORY - CHEMISTRY [0301] ( 488.00)

31000051 HC RL PATHOLOGY CONSULT LIMITEDLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 208.00)

31000052 HC RL AMYLOID PROTEIN ID SAMPLE PREPLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 272.00)

31000053HC RL MY AMYLOID PROTEIN ID SPECIAL STAIN


30001163HC RL AMYLOID PROTEIN ID EACH SPECIMEN LABORATORY - CHEMISTRY [0301] ( 108.00)

36001317HC EGD FLEX TRANSORAL W/SUBMUCOSAL INJ


36001318 HC PERQ SACRAL AUGMT BILAT INJ(S)OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 10,066.00)

27201572 HC BIOSEAL HEMOSTASIS POWDER 750MGMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 55.00)

36001319 HC INSERT CATH PLEURA W/O IMAGESPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,355.00)

36001320 HC INSERT CATH PLEURA W/ IMAGESPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,881.00)

27400103HC HM II HOLSTER VEST PC S/M/L REPLACEMENT ONLY


27400104HC HEARTMATE II BATTERY HOLSTER REPLACEMENT ONLY


27400105HC HEARTMATE II SHOWER BAG PC REPLACEMENT ONLY


30010579HC RL LACTOSTAT DRUG PANEL BREAST MILK LABORATORY - CHEMISTRY [0301] ( 17.00)

30100287 HC RL INTERFERON - GAMMA LABORATORY - CHEMISTRY [0301] ( 180.00)

27201574 HC DELIVERY NEEDLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 98.00)

27201575 HC PACKING NASAL MERCELMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 18.00)

31000054 HC RL MYOTONIA EVAL PATH LVL 2 LABORATORY - CHEMISTRY [0301] ( 188.00)

31000055 HC RL MYOTONIA EVAL PATH LVL 7 LABORATORY - CHEMISTRY [0301] ( 1,617.00)

31000056 HC RL MYOTONIA EVAL OTHER UNLISTED LABORATORY - CHEMISTRY [0301] ( 1,410.00)

30600049 HC HEP B SURF ANT CONFIRMLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 62.00)

30200168HC RL HRT MONOSODIUM GLUTAMATE (MSG) LABORATORY - IMMUNOLOGY [0302] ( 568.00)

30200169 HC RL PARAINFLUENZA IGG LABORATORY - IMMUNOLOGY [0302] ( 77.00)

30200171 HC RL MY PARANEOPLASTIC PANEL CSF LABORATORY - IMMUNOLOGY [0302] ( 184.00)

30200170 HC RL PARAINFLUENZA IGM LABORATORY - IMMUNOLOGY [0302] ( 77.00)

61000292 HC HANDS W & W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,397.00)

61000293 HC HANDS W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,332.00)

61000294 HC HANDS WITH CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,265.00)

61000295 HC KNEES W & W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,919.00)

61000296 HC KNEES W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,629.00)

61000297 HC KNEES WITH CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,904.00)

61000298 HC SHOULDER W & W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,397.00)

61000299HC MRI ANY JT UPPER EXTREM W/O CONTRAST BIL


61000300 HC SHOULDER WITH CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,332.00)

61000301 HC ANKLES W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,629.00)

61000303 HC ANKLES W & W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,919.00)

61000304 HC BIOMET KNEE W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,629.00)

61000306 HC BRACHIAL PLEXUS W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,265.00)

61000307 HC BRACHIAL PLEXUS WITH CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,332.00)

61000308 HC CLAVICLES W & W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,397.00)

61000309 HC CLAVICLES W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,265.00)

61000310 HC CLAVICLES WITH CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,332.00)

61000311 HC ELBOW W & W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,397.00)

61000312 HC ELBOW W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,265.00)

61000313 HC ELBOW WITH CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,332.00)

61000314 HC FEET W & W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 5,431.00)

61000315 HC FEET W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,629.00)

61000316 HC FEET WITH CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,904.00)

61000317 HC FINGERS W & W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,919.00)

61000318 HC FINGERS W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,265.00)

61000319 HC FINGERS WITH CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,904.00)

61000320 HC FOREARM W & W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,397.00)

61000321 HC FOREARM W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,265.00)

61000322 HC FOREARM WITH CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,332.00)

61000323 HC HUMERI W & W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,397.00)

61000324 HC HUMERI W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,265.00)

61000325 HC HUMERI WITH CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,332.00)

61000326 HC LEG/CALF W & W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 5,431.00)

61000327 HC LEG/CALF W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,629.00)

61000328 HC LEG/CALF WITH CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,904.00)

61000329HC STERNOCLAVICULAR JNTS W & W/O CONTR. BILAT


61000330HC STERNOCLAVICULAR JNTS W/O CONTR. BILAT


61000331HC STERNOCLAVICULAR JNTS WITH CONTR. BILAT


61000332 HC THIGHS W & W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 5,431.00)

61000333 HC THIGHS W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,904.00)

61000334 HC THIGH WITH CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,629.00)

61000335 HC TOES W & W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,919.00)

61000336 HC TOES W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,629.00)

61000337 HC TOES WITH CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,904.00)

61000338 HC WRIST W & W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,397.00)

61000339 HC WRIST W/O CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,265.00)

61000340 HC WRIST WITH CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 4,332.00)

32000668 HC ANKLE 2V PORT BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 546.00)

32000669 HC ANKLE 3V PORT BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 592.00)

32000670 HC ELBOW 2V PORT BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 353.00)

32000671 HC FEET 2V PORT. BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 348.00)

32000672 HC FEET 3V PORT BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 608.00)

32000673 HC FEMURA 2V PORT. BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 453.00)

32000674 HC FINGER 2V PORT BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 338.00)

32000675 HC FOREARM 2V PORT BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 426.00)

32000676 HC HAND 2V PORT BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 344.00)

32000677 HC HAND 3V PORT BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 397.00)

32000678 HC HEEL 2V PORT. BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 321.00)

32000679 HC HIP 1V PORT. BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 315.00)

32000680 HC HIP 2V PORT. BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 470.00)

32000681 HC HUMERUS 2V PORT BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 415.00)

32000682 HC KNEE 1-2V PORT. BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 499.00)

32000683 HC KNEE 1-2V ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 499.00)

32000684 HC LOWER EXT. (INFANT) 2V PORT. BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 479.00)

32000685 HC PATELLA 2V PORT. BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 499.00)

32000686 HC SHOULDER 2V TRAUMA BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 444.00)

32000687 HC TIB/FIB 2V PORT. BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 506.00)

32000688 HC UPPER EXT. (INFANT) 2V BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 451.00)

32000689 HC CLAVICLE ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 381.00)

32000690 HC FOREARM 2V ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 426.00)

32000691 HC HUMERUS 2V ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 415.00)

32000692 HC WRIST 2V PORT BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 292.00)

32000693 HC WRIST 3V PORT BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 365.00)

32000694 HC ANKLE 1V PORT BILAT (M52)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 546.00)

32000695 HC ANKLE 1V ROUTINE BILAT (M52)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 546.00)

32000696 HC ANKLE 2V ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 546.00)

32000697 HC ANKLE 3V ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 592.00)

32000698 HC CLAVICLE PORT. BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 381.00)

32000699 HC ELBOW 1V PORT. BILAT (M52)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 353.00)

32000700 HC ELBOW 1V ROUTINE BILAT (M52)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 353.00)

32000701 HC ELBOW 2V ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 353.00)

32000702 HC ELBOW 3V PORT BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 379.00)

32000703 HC ELBOW 3V ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 379.00)

32000704 HC FEET 1V PORT. BILAT (M52)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 348.00)

32000705 HC FEET 1V ROUTINE BILAT (M52)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 348.00)

32000706 HC FEET 2V ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 348.00)

32000707 HC FEET 3V ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 608.00)

32000708 HC FEMURA 2V ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 453.00)

32000709 HC FINGER 2V ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 338.00)

32000710 HC FOREARM 1V PORT. BILAT (M52)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 426.00)

32000711 HC FOREARM 1V ROUTINE BILAT (M52)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 426.00)

32000712 HC HAND 1V PORT. BILAT (M52)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 344.00)

32000713 HC HAND 1V ROUTINE BILAT (M52)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 344.00)

32000714 HC HAND 2V ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 344.00)

32000715 HC HAND 3V ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 397.00)

32000716 HC HEEL 2V ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 321.00)

32000717 HC HIP 1V ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 315.00)

32000718 HC HIP 2V ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 470.00)

32000719 HC HIP IN OR BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 430.00)

32000720 HC HUMERUS 1V PORT. BILAT (M52)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 415.00)

32000721 HC HUMERUS 1V ROUTINE BILAT (M52)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 415.00)

32000722 HC KNEE TRAUMA 3V ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 527.00)

32000723 HC LOWER EXT. (INFANT) 2V BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 479.00)

32000724 HC PATELLA 2V ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 499.00)

32000725 HC SCAPULA PORTABLE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 444.00)

32000726 HC SCAPULA ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 444.00)

32000727 HC SHOULDER 1V ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 332.00)

32000728 HC SHOULDER 1V PORT BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 332.00)

32000729 HC SHOULDER 3V ROUTINE/BURSITIS BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 444.00)

32000730 HC TIB/FIB 2V ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 506.00)

32000731 HC TOES ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 346.00)

32000732 HC TOES PORT. BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 346.00)

32000733 HC WRIST 1V ROUTINE BILAT (M52)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 292.00)

32000734 HC WRIST 1V PORT. BILAT (M52)RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 292.00)

32000735 HC WRIST 2V ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 292.00)

32000736 HC WRIST 3V ROUTINE BILATRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 365.00)

35000025 HC KNEE W/O CONTR. BILAT (BIOMET) CT SCAN - BODY SCAN [0352] ( 2,151.00)

35000026HC EXT. UPPER ANGIO W & W/O CONTR W PP BILAT CT SCAN - BODY SCAN [0352] ( 3,407.00)

35000027HC EXT. LOWER ANGIO W & W/O CONTR W PP BILAT CT SCAN - BODY SCAN [0352] ( 3,250.00)

35000028 HC ANKLES W/O CONTR. BILAT CT SCAN - BODY SCAN [0352] ( 2,151.00)

35000029 HC ELBOW W/O CONTR. BILAT CT SCAN - BODY SCAN [0352] ( 2,560.00)

35000030 HC FEET W/O CONTR. BILAT CT SCAN - BODY SCAN [0352] ( 2,151.00)

35000031 HC FEMUR W/O CONTR. BILAT CT SCAN - BODY SCAN [0352] ( 2,151.00)

35000032 HC FOREARM W/O CONTR. BILAT CT SCAN - BODY SCAN [0352] ( 2,560.00)

35000033 HC HAND W/O CONTR. BILAT CT SCAN - BODY SCAN [0352] ( 2,560.00)

35000034 HC HEELS W/O CONTR. BILAT CT SCAN - BODY SCAN [0352] ( 2,151.00)

35000035 HC HUMERI W/O CONTR. BILAT CT SCAN - BODY SCAN [0352] ( 2,560.00)

35000036 HC TIB/FIB W/O CONTR. BILAT CT SCAN - BODY SCAN [0352] ( 2,151.00)

35000037 HC WRIST W/O CONTR. BILAT CT SCAN - BODY SCAN [0352] ( 2,560.00)

61000302 HC ANKLES WITH CONTR. BILATMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 3,904.00)

61000305HC BRACHIAL PLEXUS W & W/O CONTR. BILAT


27800598 HC IMPLANT MEDPOR TITANMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 680.00)

43000060HC SPEECH COGNITIVE PERFORMANCE TESTING


42000041 HC ELECTRIC STIM MANUAL EA 15 MIN PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 111.00)

42000052 HC ULTRASOUND EA 15 MIN PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 86.00)

42000060HC IP THERAPEUTIC PROCEDURES EA 15 MIN EXERCISES PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 182.00)

42000047HC THERAPEUTIC PROC GROUP 2/> INDIVIDUALS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 94.00)

42000062HC IP THER ACTV DIR PT CONTACT BY PROVIDER EA 15 MIN PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 125.00)

42000061HC IP SELF CARE/HOME MANG TRAINING EA 15 MIN PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 104.00)

43000061 HC WORK HARDENING IOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 238.00)

43000062 HC WORK HARDENING IIOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 120.00)

42000063HC DEBRIDEMENT OPEN WOUND 20 SQ CM/< PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 411.00)

43000054HC DEBRIDEMENT OPEN WOUND 20 SQ CM/<


42000064HC DEBRIDEMENT OPEN WOUND EACH ADDITIONAL 20 SQ CM PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 527.00)

43000055HC DEBRIDEMENT OPEN WOUND EACH ADDITIONAL 20 SQ CM


42000048HC NEG PRESS WOUND THER I <OR=50 SQCM PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 166.00)

42000049 HC NEG PRESS WOUND THER II >50 SQCM PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 558.00)

42000058HC ORTHOTIC FITTING & TRAINING EA 15 MIN INITIAL PT PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 98.00)

43000036 HC MOBILITY CURRENT STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)

43000037 HC MOBILITY GOAL STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)

43000038 HC MOBILITY D/C STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)

43000039 HC BODY POS CURRENT STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)

43000040 HC BODY POS GOAL STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)

43000041 HC BODY POS D/C STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)

43000042 HC CARRY CURRENT STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)

43000043 HC CARRY GOAL STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)

43000044 HC CARRY D/C STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)

43000045 HC SELF CARE CURRENT STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)

43000046 HC SELF CARE GOAL STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)

43000047 HC SELF CARE D/C STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)

43000048 HC OTHER PT/OT CURRENT STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)

43000049 HC OTHER PT/OT GOAL STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)

43000050 HC OTHER PT/OT D/C STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)

43000051 HC SUB PT/OT CURRENT STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)

43000052 HC SUB PT/OT GOAL STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)

43000053 HC SUB PT/OT D/C STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)

43000030 HC ATTEN CURRENT STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)

44000010 HC ATTEN CURRENT STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)

43000031 HC ATTEN GOAL STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)

44000011 HC ATTEN GOAL STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)

43000032 HC ATTEN D/C STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)

44000012 HC ATTEN D/C STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)

43000033 HC MEMORY CURRENT STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)

44000013 HC MEMORY CURRENT STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)

43000034 HC MEMORY GOAL STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)

44000014 HC MEMORY GOAL STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)

43000035 HC MEMORY D/C STATUSOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 0.01)

44000015 HC MEMORY D/C STATUSSPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440] ( 0.01)

36001321 HC INTRAVITREAL INJECTION PHARMOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,389.00)

42000050 HC VASOPNEUMATIC DEVICE APPLICATION PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 60.00)

42000051 HC PARAFFIN BATH PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 46.00)

42000042 HC FLUIDO THERAPY/WHIRLPOOL PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 105.00)

42000053 HC IONTOPHORESIS EA 15 MIN PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 93.00)

42000044HC THERAPEUTIC PROCEDURES EA 15 MIN EXERCISES PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 182.00)

42000054HC NEUROMUSCULAR RE-EDUCATION EA 15 MIN PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 102.00)

42000055 HC MASSAGE EA 15 MIN PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 83.00)

42000046HC THER ACTV DIR PT CONTACT BY PROVIDER EA 15 MIN PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 125.00)

42000056HC SELF CARE/HOME MANG TRAINING EA 15 MIN PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 104.00)

42000045HC COMMUNITY RE-INTEGRATION TRAINING EA 15 MIN PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 94.00)

42000040 HC WHEELCHAIR MANAGEMENT EA 15 MIN PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 104.00)

42000059HC PHYSICAL PERFORM/TEST W/REPORT EA 15 MIN PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 113.00)

42000057HC ORTHOTIC/PROSTHETIC USE CHECKOUT EA 15 MIN PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 69.00)

42000043HC MANUAL THERAPY 1/> REGIONS EA 15 MIN PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 99.00)

34300043 HC 153-SM QUADRAMET UP TO 150 MCINUCLEAR MEDICINE - THERAPEUTIC RADIOPHARMACEUTICALS [0344] ( 16,927.00)

36001322 HC UNNA BOOT BILATERALOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 339.00)

76100003 HC APPLY MULTLAY COMPRS LWR LEG BILSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 250.00)

36100142HC CATH PL ABD/PELV/LOW EXT ART 1ST OR BILAT OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 2,415.00)

36001096 HC REMOVAL TUNNELED IP CATHOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,134.00)

27201583 HC SUTURE CHROMIC CT 3-0 922HMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 7.00)

27201601 HC SUTURE PROLENE CT-1 0 8424HMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 5.00)

27201603 HC SUTURE PROLENE SH 3-0 8522HMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 16.00)

30100260 HC RL RUFINAMIDE BANZEL LABORATORY - CHEMISTRY [0301] ( 92.00)

31100027HC RL ARRAY CGH MOLECULAR KAROTYPING LABORATORY - CHEMISTRY [0301] ( 525.00)

30100288 HC RL MANNOSE BINDING LECTIN LABORATORY - CHEMISTRY [0301] ( 108.00)

30100289 HC RL PSEUDOCHOLINESTERASE LABORATORY - CHEMISTRY [0301] ( 48.00)

30100290HC RL PSEUDOCHOLINESTERASE DIBUCAINE INHIB. LABORATORY - CHEMISTRY [0301] ( 63.00)

30200172 HC RL RABIES ANTIBODY IGG LABORATORY - IMMUNOLOGY [0302] ( 77.00)

36001323 HC BRONCHOSCOPY W/TUMOR EXCISESPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,242.00)

43000064HC APPLICATION SURFACE NEUROSTIMULATOR


43000065HC AQUATIC THERAPY W/THER EXERC EA 15 MIN


42000065HC RMVL DEVITAL TISS NSLCTV DBRDMT W/O ANES 1 SESS PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 303.00)

43000066HC PROSTHETIC TRAINING EA 15 MIN INITIAL OT


43000063HC ELECTRICAL STIM UNATTENDED/NON WOUND


36001097 HC BRONCHOSCOPY/NEEDLE BX EACHSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,569.00)

46000022 HC HAST W/REPORTPULMONARY FUNCTION - GENERAL CLASSIFICATION [0460] ( 420.00)

46000023 HC HAST W/OXYGEN TITRATEPULMONARY FUNCTION - GENERAL CLASSIFICATION [0460] ( 598.00)

46000024 HC C0 DIFFUSE CAPACITYPULMONARY FUNCTION - GENERAL CLASSIFICATION [0460] ( 100.00)

46000025 HC EXHALED NITRIC OXIDE MEASPULMONARY FUNCTION - GENERAL CLASSIFICATION [0460] ( 92.00)

36001098HC NEG PRESS WOUND TX <=50 SQ CM W/DME


36001099HC NEG PRESS WOUND TX >50 SQ CM W/DME


27201619HC CATH BALLOON TAMPONADE POSTPARTUM


30100291 HC RL ALCOHOL METHYL LABORATORY - CHEMISTRY [0301] ( 72.00)

30100292 HC RL CELIAC DISEASE ANTIGEN SCREEN LABORATORY - CHEMISTRY [0301] ( 85.00)

30100293 HC RL B CELL REARRANGEMENT BY PCR LABORATORY - CHEMISTRY [0301] ( 337.00)

30100294 HC RL ALPHA 1 ANTITRYPSIN S/Z MUTATION LABORATORY - CHEMISTRY [0301] ( 86.00)

30100295 HC RL LORAZEPAM LABORATORY - CHEMISTRY [0301] ( 88.00)

30100296 HC RL PANCREATITIS IDOPATHIC GENE SEQ LABORATORY - CHEMISTRY [0301] ( 1,533.00)

30100297HC RL PANCREATITIS IDOPATHIC MOLE PATH LABORATORY - CHEMISTRY [0301] ( 865.00)

30100298HC RL PANCREATITIS IDOPATHIC GENE SEQ. MISC. LABORATORY - CHEMISTRY [0301] ( 892.00)

76209999 HC CONDITION CODE 44 OBSSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - OBSERVATION ROOM (A) [0762] ( 37.00)

27201623 HC MICROCATHETER MARKSMANMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,283.00)

30100299 HC RL ALPHA THALASSEMIA 7 DELETIONS LABORATORY - CHEMISTRY [0301] ( 317.00)

75000008 HC SCRN COLONOSCOPY ON HI RISK PTGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,768.00)

36001324 HC EBUS DURING BRONCHOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,303.00)

30200173 HC RL GABA AMINO BUTYRIC ACID LABORATORY - IMMUNOLOGY [0302] ( 72.00)

30100300 HC RL FRAGILE X (FMR1) DIAGNOSTIC LABORATORY - CHEMISTRY [0301] ( 92.00)

30100301 HC RL UGT1A1 GENE ANALYSIS LABORATORY - CHEMISTRY [0301] ( 238.00)

27201624 HC ANGIOVACMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 30,498.00)

36001325HC UNLISTED PROCEDURE ABD PERITONEUM


27001017 HC COLD WRAP THERAPY ALLMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 49.00)

71000011 HC 241 - 270 MIN RECOVER CHARGE RECOVERY ROOM - GENERAL CLASSIFICATION [0710] ( 3,883.00)

71000012 HC 271 - 300 MIN RECOVER CHARGE RECOVERY ROOM - GENERAL CLASSIFICATION [0710] ( 4,314.00)

19100001HC SUBACUTE-LEVEL I RECOUP CARE SEMI-PRIVATE SUBACUTE CARE - LEVEL I [0191] ( 1,076.00)

75000009 HC DILATE ESOPH UNGUIDED SND/BOUGGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,247.00)




90000012HC EMP PSYCH DIAGNOSTIC EVALUATION NEW


90000013HC PUB PSYCH DIAGNOSTIC EVALUATION NEW


90000014HC PDISC PSYCH DIAGNOSTIC EVALUATION NEW


36001326 HC CL TX POSTOP HIP DISLOC W ANESTHOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,733.00)

76100011HC APP LC SKIN SUB >100 SQCM EA ADD 100 SQCM HEAD HAND FEET


36001341 HC PERQ DEV BREAST ADD MR GUIDE OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 272.00)

36001342 HC OPEN/PERQ PLACE STENT 1STOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 10,701.00)

36001343 HC OPEN/PERQ PLACE STENT EA ADDOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,923.00)

36001344 HC OPEN/PERQ PLACE STENT SAMEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 10,701.00)

36001345 HC OPEN/PERQ PLACE STENT EA ADDOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,923.00)

36001346 HC VASC EMBOLIZE/OCCLUDE VENOUSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 10,701.00)

36001347 HC VASC EMBOLIZE/OCCLUDE ARTERYOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 16,640.00)

36001348 HC VASC EMBOLIZE/OCCLUDE ORGANOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 16,640.00)

36001349 HC VASC EMBOLIZE/OCCLUDE BLEEDOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 16,640.00)

36001350 HC IMAGE CATH FLUID COLXN VISCOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,872.00)

36001351 HC IMAGE CATH FLUID PERI/RETROOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,872.00)

44400025 HC EVALUATION OF SPEECH FLUENCYSPEECH THERAPY - LANGUAGE PATHOLOGY - EVALUATION OR REEVALUATION [0444] ( 245.00)

44400026 HC EVALUATE SPEECH PRODUCTIONSPEECH THERAPY - LANGUAGE PATHOLOGY - EVALUATION OR REEVALUATION [0444] ( 198.00)

44400027 HC SPEECH SOUND LANG COMPREHENSPEECH THERAPY - LANGUAGE PATHOLOGY - EVALUATION OR REEVALUATION [0444] ( 434.00)

75000010HC ESOPHAGOSCOPY RIGID TRANSORAL BRUSH/WASH


75000011HC ESOPHAGOSCOPY RIGID TRANSORAL W/SUBMUC INJ


75000012HC ESOPHAGOSCOPY RIGID TRANSORAL BIOPSY SINGLE/MULTI


75000013HC ESOPHAGOSCOPY RIGID TRANSORAL REM FOREIGN BODY


75000014HC ESOPHAGOSCOPY RIGID TRANSORAL BALLOON DIL<30


75000015HC ESOPHAGOSCOPY RIGID TRANSORAL GUIDEWIRE INSERT


75000016HC ESOPHAGOSCOPY FLEX TRANSNASAL BRUSH/WASH


75000017HC ESOPHAGOSCOPY FLEX TRANSNASAL BIOPSY SINGLE/MULTI


75000018HC ESOPHAGOSCOPY FLEX TRANSORAL ENDO MUC RESECT


75000019HC ESOPHAGOSCOPY FLEX TRANSORAL STENT PLACE


75000020HC ESOPHAGOSCOPY FLEX TRANSORAL RETRO BALLN


75000021HC ESOPHAGOSCOPY FLEX TRANSORAL DILATE BALLN >30


75000022HC ESOPHAGOSCOPY FLEX TRANSORAL LESION ABLATE


75000023HC EGD FLEX TRANSORAL BALLOON DIL ESOPH >30


75000024HC EGD FLEX TRANSORAL US TRANSMURAL INJ/MARK


75000025HC EGD FLEX TRANSORAL ENDO MUCOSAL RESECTION


75000026HC EGD FLEX TRANSORAL ENDO STENT PLACE


75000027HC EGD FLEX TRANSORAL LESION ABLATION


75000028 HC ERCP DUCT STENT PLACEMENTGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 4,053.00)

75000029 HC ERCP REMOVE FORGN BODY DUCTGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,815.00)

75000030 HC ERCP STENT EXCHANGE W/DILATEGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 4,053.00)

75000031 HC ERCP EA DUCT/AMPULLA DILATEGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,815.00)

75000032 HC ERCP LESION ABLATE W/DILATEGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,815.00)

76100004HC APP LC SKIN SUB <100 SQCM 1ST 25 SQCM TRNK ARM LEG


76100005HC APP LC SKIN SUB <100 SQCM EA ADD 25 SQCM TRNK ARM LEG


76100006HC APP LC SKIN SUB >100 SQCM 1ST 100 SQCM TRNK ARM LEG


76100007HC APP LC SKIN SUB >100 SQCM EA ADD 100 SQCM TRNK ARM LEG


76100008HC APP LC SKIN SUB <100 SQCM 1ST 25 SQCM HEAD HAND FEET


76100009HC APP LC SKIN SUB <100 SQCM EA ADD 25 SQCM HEAD HAND FEET


76100010HC APP LC SKIN SUB >100 SQCM 1ST 100 SQCM HEAD HAND FEET


36001327 HC GUIDE CATHET FLUID DRAINAGEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,057.00)

36001328 HC BX BREAST 1ST LESION STRTCTC OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,669.00)

36001329 HC BX BREAST ADD LESION STRTCTC OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,085.00)

36001330 HC BX BREAST 1ST LESION US IMAG OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,669.00)

36001331 HC BX BREAST ADD LESION US IMAG OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,085.00)

36001332 HC BX BREAST 1ST LESION MR IMAG OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,669.00)

36001333 HC BX BREAST ADD LESION MR IMAG OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,085.00)

36001334 HC PERQ DEVICE BREAST 1ST IMAG OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 643.00)

36001335 HC PERQ DEVICE BREAST EA IMAG OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 272.00)

36001336 HC PERQ DEV BREAST 1ST STRTCTC OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 643.00)

36001337 HC PERQ DEV BREAST ADD STRTCTC OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 272.00)

36001338 HC PERQ DEV BREAST 1ST US IMAG OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 643.00)

36001339 HC PERQ DEV BREAST ADD US IMAG OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 272.00)

36001340 HC PERQ DEV BREAST 1ST MR GUIDE OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 643.00)

27201625 HC ENDOSERTERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 517.50)

44000016 HC BEHAVRAL QUALIT ANALYS VOICESPEECH THERAPY - LANGUAGE PATHOLOGY - EVALUATION OR REEVALUATION [0444] ( 192.00)

30600050 HC HSV TYPE 1 BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 223.00)

30600051 HC HSV TYPE 2 BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 223.00)

41000014 HC MECHANICAL CHEST WALL OSCILLRESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410] ( 335.00)

36001100HC AMPUTATE FING/TH SGL; W LOC ADV FLAP


31200016HC ACIS IMMUNOCHEMISTRY EA ADDL ANTIBODY LABORATORY PATHOLOGICAL - HISTOLOGY [0312] ( 151.00)

31200017HC IMMUNOCYTOCHEMISTRY EA ADDL ANTIBODY LABORATORY PATHOLOGICAL - HISTOLOGY [0312] ( 170.00)

31200018 HC RL ACTH EA ADDL ANTIBODY LABORATORY PATHOLOGICAL - HISTOLOGY [0312] ( 81.00)

31200019HC RL KAPPA ANTIBODY STAIN BY IHC EA ADDL ANTIBODY LABORATORY PATHOLOGICAL - HISTOLOGY [0312] ( 170.00)

31200020HC RL LAMBDA ANTIBODY STAIN BY IHC EA ADDL ANTIBODY LABORATORY PATHOLOGICAL - HISTOLOGY [0312] ( 170.00)

31200021HC RL NP IMMUNOHISTOCHEMISTRY EA ADDL ANTIBODY LABORATORY PATHOLOGICAL - HISTOLOGY [0312] ( 69.00)

30100302HC RL PORPHOBILINOGEN DEAMINASE (PBGS) LABORATORY - CHEMISTRY [0301] ( 102.00)

30600052 HC RL H1N1 INFLUENZA BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 238.00)

36001352 HC ABD/PELVIS/LOW EXT ART 2ND BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,537.00)

36001353 HC ABD/PELVIS/LOW EXT ART 3RD BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,663.00)

27400106 HC HM II PC SYSTEM CONTROLLERMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 20,625.00)

27400107 HC HM PC 11V LI-ION BACKUP BATTERYMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 1,312.00)

27400108 HC HM PC WEARABLE ACCESSORIES KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 446.00)

27400109 HC HM PC CONSOLIDATED BAG LEFTMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 853.00)

27400110 HC HM PC CONSOLIDATED BAG RIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 853.00)

27400111 HC HM PC HOLSTER VEST SMALLMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 1,037.00)

27400112 HC HM PC HOLSTER VEST MEDIUMMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 1,037.00)

27400113 HC HM PC HOLSTER VEST LARGEMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 1,037.00)

27400114 HC HM PC BATTERY HOLSTERMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 518.00)

27400115 HC HM PC SHOWER BAGMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 591.00)

27800609 HC LENS SILICONE AMO Z9002MEDICAL/SURGICAL SUPPLIES AND DEVICES - INTRAOCULAR LENS [0276] ( 270.00)

36001354HC EMBOLIZATION EXTRACRANIAL HEAD OR NECK


27800610 HC MESH DELTA .5MM 70-05145MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 4,021.00)

45000022 HC TX CL ELBOW DISLOC W ANESTH EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 1,733.00)

61000182 HC MRA W/O CONTRAST LOWER EXT BILMAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610] ( 2,658.00)

76100012 HC ENDOVENOUS RF 1ST VEINSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 4,956.00)

76100013 HC ENDOVENOUS RF VEIN ADD-ONSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,013.00)

76100014 HC LASER ABLTN EXT VEIN 1ST VEINSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 4,956.00)

76100015 HC LASER ABLTN EXTR VEIN 2ND & >SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,013.00)

76100016 HC STAB PHLEB VEINS XTR 10-20OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,013.00)

76100017 HC PHLEB VEINS - EXTREM 20+OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,313.00)

76100018 HC UNLISTED VASC PROCEDUREOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,350.00)

36001355 HC INJ SCIATIC NERVE SINGLEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 838.00)

36001356 HC ILIAC REVASC W/STENT BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 29,640.00)

27201626 HC ENSEAL NSLG2C35AMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 1,163.00)

27800612 HC SLING HALO OBTRYX 68505002MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,708.00)





36001357HC THORACENTESIS ASPIR W IMAGE GUIDANCE BIL


36001358 HC INSERT CATH PLEURA W/O IMAGE BILSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,032.00)

36001359 HC VENOUS MECH THROMBECTOMYOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 9,130.00)

36001360 HC INSERT CATH PLEUA W/IMAGE BILSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,823.00)

36001361HC THORACENTESIS ASPIRATION W/O IMG GUIDAN BIL


36001362 HC LYSE CHEST FIBRIN SUBQ DAYSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 618.00)

35200067 HC PERQ VERTE/SACROPLSTY CT CT SCAN - BODY SCAN [0352] ( 1,957.00)

31000057 HC CYTOLOGY EXAM EA ADDL SITELABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 120.00)

27201630 HC MELGISORB AG DRESSING 1X18MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 18.00)

36001363HC LIGATE FALLOP TUBE ABD OR VAG UNI/BIL


30100303 HC RL VENLAFAXINE (EFFEXOR) LABORATORY - CHEMISTRY [0301] ( 60.00)

30100304 HC RL CHLORIDE FECAL LABORATORY - CHEMISTRY [0301] ( 67.00)

30100305HC RL GRANULOCYTE STIMULATING FACTOR LABORATORY - CHEMISTRY [0301] ( 180.00)

30100306 HC GENERAL HEALTH PANEL LABORATORY - CHEMISTRY [0301] ( 130.00)

30100307 HC RL PARATHYROID HORMONE INTACT LABORATORY - CHEMISTRY [0301] ( 301.00)

30100308 HC RL PARATHYROID HORMONE CALCIUM LABORATORY - CHEMISTRY [0301] ( 83.00)

30100309 HC RL HLA B SEQUENCE LABORATORY - CHEMISTRY [0301] ( 302.00)

30500030 HC RL PROTEIN C FUNCTIONAL LABORATORY - HEMATOLOGY [0305] ( 83.00)

30500031 HC RL PROTEIN S FUNCTIONAL LABORATORY - HEMATOLOGY [0305] ( 92.00)

30600053 HC RL RESPIRATORY VIRUS PANELLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 1,685.00)

76100019 HC OFFICE CONSULTATION LEVEL 1SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 104.00)





30600054HC RL HIV1 INTEGRASE INHIBITOR RESISTANCE


27201632 HC TUBE GASTROSTOMY FEEDING 20FMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 24.00)

30200174 HC RL HIV 1 ANTIBODY BY MULTISPOT LABORATORY - IMMUNOLOGY [0302] ( 53.00)

30200175 HC RL HIV 2 ANTIBODY BY MULTISPOT LABORATORY - IMMUNOLOGY [0302] ( 81.00)

30600055 HC RL HIV PHENOSENSE GT SUSCEPTIBILTYLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 537.00)

30600056 HC RL HIV PHENOSENSE GT GENOTYPELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 1,333.00)

30600057 HC RL HIV PHENOSENSE GT DRUGS 1-10LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 794.00)

30600058HC RL HIV PHENOSENSE GT EACH ADD DRUG


30100310 HC RL ENDOTHELIAL GROWTH FACTOR D LABORATORY - CHEMISTRY [0301] ( 180.00)

27201639 HC DRESSING VAC BLACK FOAM VERFLOMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 257.00)

27201640 HC CASSETTE VAC VERALINKMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 123.00)

36001364 HC CYSTOURETHROSCOPYOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 374.00)

45000025 HC CL TX MCP DISLOC W MANIP & ANESTH EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 1,328.00)

75000033 HC ESOPH EGD DILATION <30 MMGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,612.00)

36001365HC UNLISTED PROCEDURE HEMIC OR LYMPHATIC


36001366 HC PERC BILIARY DRAINAGE EXTERNALOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,270.00)

36001367 HC BILIARY ENDO PERQ DX W/SPECIOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,537.00)

36001368 HC VENOUS M-THROMBECTOMY ADD-ONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,601.00)

32000368 HC DILATE FOR STRICTURE/OBSTRRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 740.00)

36001369 HC FEMORAL N BLOCK SGLOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 688.00)

36001370HC CHANGE NEPHROSTOMY/PYELOSTOMY TUBE BIL


27201642HC CAREFUSION BLOOD PLATELET SET 1 PORT


27201643HC CAREFUSION NITROGLYCERINE INFUSION SET


36001371 HC EVASC RPR ILIAC ART BIFUROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,647.00)

36001372 HC PLC PROSTH AA REP; INIT VESSELOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,404.00)

36001373 HC ENDOVASC EXTEN PROSTH ADDLOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,615.00)

27201644 HC LINE ADULT L6.5 CAPNOLINEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 14.50)

30100311HC RL MOLECULAR PATHOLOGY PROC LEVEL 4 LABORATORY - CHEMISTRY [0301] ( 249.00)

30200176 HC RL RABIES ANTIBODY SCREEN LABORATORY - IMMUNOLOGY [0302] ( 88.00)

30200177 HC ANCA ANTIGEN TITER LABORATORY - IMMUNOLOGY [0302] ( 73.00)

30200178 HC VDRL ANTIGEN TITER LABORATORY - IMMUNOLOGY [0302] ( 27.00)

30200179 HC DNA ANTIGEN TITER LABORATORY - IMMUNOLOGY [0302] ( 73.00)

30200180 HC CRYPTOCOCCAL ANTIGEN TITER LABORATORY - IMMUNOLOGY [0302] ( 55.00)

30500032HC RL HEXAGONAL PHOSPHOLIPID NEUTRAL LABORATORY - HEMATOLOGY [0305] ( 86.00)

30500033 HC RL ANTITHROMBIN ANTIGEN LABORATORY - HEMATOLOGY [0305] ( 64.00)

30600059 HC MTB RIFAMPIN RESISTANCE BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)

34100080 HC SPLEEN IMAGING ONLY NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 684.00)

71000017 HC EXTENDED RECOVERY PER HOUR RECOVERY ROOM - GENERAL CLASSIFICATION [0710] ( 37.00)

45000026 HC CL TX TRAUMA HIP DISLOC W ANESTH EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 2,047.00)

36001374 HC ABLATE PULM TUMORS + EXTNSNOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 8,120.00)

30100312 HC RL N METHYLHISTIMINE URINE LABORATORY - CHEMISTRY [0301] ( 108.00)

30200181 HC RL PROSTAGLANDIN D2 LABORATORY - IMMUNOLOGY [0302] ( 130.00)

30200182 HC RL N MENINGITIDIS TETRAVALENT ABS LABORATORY - IMMUNOLOGY [0302] ( 60.00)

36001375 HC INJ ANESTH PUDENDAL NERVEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 838.00)

36001376 HC BIOPSY SALIVARY GLAND NEEDLESPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,388.00)

36001019 HC PRIM ART M-THROMBECT ADD-ONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,601.00)

36001377 HC SCLEROTHERAPY THERAPYPATIENT CONVENIENCE ITEMS - OTHER PATIENT CONVENIENCE ITEMS [0999] ( 300.00)

30100313 HC RL ABL KINASE MUTATION ANALYSIS LABORATORY - CHEMISTRY [0301] ( 188.00)

30100314 HC RL PHENYLALANINE LABORATORY - CHEMISTRY [0301] ( 83.00)

30600060HC RL HIV-1 DRUG RESISTANCE PROT REGION

LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 1,333.00)

30600061HC RL HIV-1 DRUG RESISTANCE OTHER REGION


31000058 HC ARCHIVE TISSUE MOLEC ANALLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 61.00)

33300047 HC RESPIRATOR MOTION MGMT SIMULRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 396.00)

30100315 HC RL STRYCHNINE URINE LABORATORY - CHEMISTRY [0301] ( 108.00)

30100316 HC RL ADALIMUMAB ANTIBODY HUMIRA LABORATORY - CHEMISTRY [0301] ( 92.00)

30100317 HC RL CHEMILUMINESCENT ASSAY HUMIRA LABORATORY - CHEMISTRY [0301] ( 164.00)

30200183 HC INFLUENZA A/B ANTIGEN EIALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 107.00)

36001378 HC NEPH TUBE REMOVED W/FLORO RTSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 759.00)

36001379 HC NEPH TUBE REMOVED W/FLORO BILSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,139.00)

27001020 HC DONOR BREAST MILK PER OZMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 10.00)

45000027 HC CL TX IP JOINT DISL; W ANESTH EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 1,733.00)

36001380 HC PULMONARY ARTERY EMBOL W CPBOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,926.00)

30100318 HC RL BETA GLOBIN GENE SEQUENCING LABORATORY - CHEMISTRY [0301] ( 605.00)

27001021HC SILVASORB ANTIMICROBIAL WOUND GEL .25OZ


30010580 HC RL DAT NEG WORKUP TYPE LABORATORY - GENERAL CLASSIFICATION [0300] ( 189.00)

30010581 HC RL DAT NEG WORKUP ABO LABORATORY - GENERAL CLASSIFICATION [0300] ( 73.00)

30100319 HC RL PERAMPANEL SERUM LABORATORY - CHEMISTRY [0301] ( 108.00)

30200184 HC RL DAT NEG WORKUP DIREC COOMBS LABORATORY - IMMUNOLOGY [0302] ( 71.00)

30200185 HC RL DAT NEG WORKUP AB ELUTION LABORATORY - IMMUNOLOGY [0302] ( 232.00)

30200186 HC RL DAT NEG WORKUP AB ID LABORATORY - IMMUNOLOGY [0302] ( 243.00)

30200187 HC RL NEG WORKUP AB SCREEN LABORATORY - IMMUNOLOGY [0302] ( 248.00)

30010582 HC CATH FOR SPECIMEN COLLECT SGL PT LABORATORY - GENERAL CLASSIFICATION [0300] ( 89.00)

30200188 HC RL C BURNETII IGG PHASE I LABORATORY - IMMUNOLOGY [0302] ( 63.00)

30200189 HC RL C BURNETII IGG PHASE II LABORATORY - IMMUNOLOGY [0302] ( 63.00)

30200190 HC RL C BURNETII IGM PHASE I LABORATORY - IMMUNOLOGY [0302] ( 63.00)

30200191 HC RL C BURNETII IGM PHASE II LABORATORY - IMMUNOLOGY [0302] ( 63.00)

27201648 HC WAND SERFAS 50S 279351250MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 313.00)

27201649 HC WAND SERFAS 90S 279351400MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 361.00)

36001381 HC BRONCHOSCOPY W/MARKERSSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 8,734.00)

36001382 HC NAVIGATIONAL BRONCHOSCOPYSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,711.00)

31000059HC RL IMMUNOFLUORESCENT STUDY INDIRECT


31000060HC RL MICROSLIDE CONSULT W/SLIDE PREP


27201653 HC LARIAT SUTURE DELIVERY DEVICEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 11,385.00)

27201654 HC SURECUT SUTURE CUTTERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 920.00)

27201655 HC SOFTTIP GUIDE CANNULAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 690.00)

27201656 HC TENSURE SUTURE TIGHTENERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 460.00)

27800626 HC ENDOCATH OCCULSION BALLOONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,300.00)

27800627 HC FINDRWIRZ GUIDEWIREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,200.00)

36001383 HC LAA CLOSURE W/IMPLANTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 19,547.00)

27201657 HC VAPOTHERM CIRCUITMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 214.00)

27201658 HC MOUTHPIECE AEROBIKA OPEP DEVICEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 101.00)

30100320 HC RL VITAMIN K1 LABORATORY - CHEMISTRY [0301] ( 57.00)

30100321HC RL CHROMOSOME ANALY HIGH RESOLUTION LABORATORY - CHEMISTRY [0301] ( 179.00)

30100322 HC RL EVEROLIMUS BY MASS SPEC LABORATORY - CHEMISTRY [0301] ( 82.00)

30600062 HC RL HEPATITIS B GENOTYPELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 992.00)

31100028 HC RL RBC BAND 3 PROTEIN REDUCTION LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 281.00)

30100323 HC RL DSRCT BY RT PCR LABORATORY - CHEMISTRY [0301] ( 188.00)

30600063 HC RL HERPES VIRUS 8 DNA BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 321.00)

31100029 HC RL FLOW CYTOMETRY FIRST MARKER LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 281.00)

31100030HC RL FLOW CYTOMETRY EACH ADD MARKER LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 172.00)

27201660 HC SUTURE STRATAFIX MONO 36CM X 36CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 46.00)

72000048HC MYOMECTOMY ABDOM METHOD 1-4 MYOMAS


72000049HC MYOMECTOMY ABDOM COMPLEX 5+ MYOMAS


72000050HC ENDOMETRIAL BX WO CERVICAL DILATION


36001384 HC DRAIN/INJ MAJOR JNT/BURSA BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 656.00)

75000034 HC EGD TUBE/CATH INSERTIONGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,392.00)

36001385 HC CYSTOURETHROSCOPYOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,009.00)

27001022 HC SPLINT 24" SUPER SMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 29.00)

27201673 HC CATHETER IC FOLEY 30CC 18FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 18.00)

72000051 HC CORDOCENTESIS (INTRAUTERINE)LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 391.00)

36001386 HC INJ ANESTH LUMB/THOR (SYMPATHETIC)OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 838.00)

34300044 HC TC99 TILMANOCEPT DIAG 0.5MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 743.00)

36001387 HC ESOPHAGOSCOPY W/US NEEDLE BXSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,419.00)

30600064 HC BC ID BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 177.00)

36001388 HC UNLISTED PROCEDURE PANCREASGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,122.00)

27800673 HC GUIDEWIRE AGILITY .010 195CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 778.00)





27800678 HC GUIDEWIRE NEUROSCOUT 14MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 984.00)

27800679 HC CATHETER MICRO PROWLER 10 150CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,696.00)

27800680HC CATHETER MICRO PROWLER 10 150CM DUAL


27800681 HC CATHETER MICRO PROWLER 14 150CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,696.00)

27800682HC CATHETER MICRO PROWLER 14 150CM DUAL


27800683HC CATHETER MICRO PROWLER PLUS 20CM 150CM


27800684HC CATHETER MICRO PRE SHAPE PROWLER 10


27800685HC CATHETER MICRO PRE SHAPE PROWLER 14


27800686HC CATHETER MICRO PRE SHAPE PROWLER PLUS 20


27800687HC CATHETER MICRO PROWLER SELECT LPES


27800688HC CATHETER MICRO PROWLER SELECT LPES 90DEG


27800689HC TRUFILL NBCA ONE VIAL EMBOLIC SYSTEM


27800690HC TRUFILL NBCA TWO VIAL EMBOLIC SYSTEM


27201686 HC COIL EMBOL OG CMPLX FILL COILMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,551.00)

27201687 HC COIL EMBOL OG TDL CMPLX FILL COILMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,551.00)

27201688HC COIL EMBOL OG TDL CMPLX FRAME COIL


27201689 HC COIL EMBOL OG HELICAL XTRSOFT COILMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,714.00)

27201690 HC COIL EMBOL OG CMPLX XTRASOFT COILMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,551.00)

27201691 HC TRUFILL DCS SYRINGE IIIMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 649.00)

30600065 HC M KANSAS II PROBE IDENTIFICATIONLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 162.00)

27800691 HC AXIUM HELIX NYLON COILMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,800.00)

27800692 HC AXIUM 3D PGLA COILMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,100.00)

27800693 HC AXIUM HELIX PGLA COILMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,800.00)

27800694 HC BARE AXIUM 3D COILMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,700.00)

27800695 HC BARE AXIUM HELIX COILMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,450.00)

27800696 HC BARE AXIUM PRIME 3D COILMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,700.00)

27800697 HC BARE AXIUM PRIME HELIX COILMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,450.00)

27800698 HC CONCERTO HELIX COIL NYLONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,190.00)

27800699 HC GUIDEWIRE MIRAGEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 740.00)

27800700 HC GUIDEWIRE XPEDIONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 434.00)

27800701 HC GUIDEWIRE XCELERATORMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 650.00)

27800702 HC GUIDEWIRE AVIGOMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 758.00)

27800703 HC BALLOON HYPERFORMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,400.00)

27800704 HC BALLOON HYPERGLIDEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,400.00)

27800705 HC MICROCATHETER MARATHON .010MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,250.00)

27800706 HC MICROCATHETER ECHELONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,200.00)

27800707 HC MICROCATHETER REBARMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 570.00)

27800708 HC MICROCATHETER APOLLOMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,390.00)

27800709 HC RETRIEVAL DEVICE ALLIGATORMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 4,752.00)

27800710 HC CATHETER NAVIEN 5FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,590.00)

27800711 HC CATHETER NAVIEN 6FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,300.00)

27800712 HC CATHETER GUIDE CELLOMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,012.00)

27800713 HC CATHETER SOLITAIREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 13,998.00)

27201692 HC BONE BIOPSY SYSTEM ON CONTROLMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 863.00)


30100324 HC DIGOXIN FREE LABORATORY - CHEMISTRY [0301] ( 49.00)

30100325 HC DRUG SCREEN NON TLC DEVICES LABORATORY - CHEMISTRY [0301] ( 40.00)

30100326 HC DRUG SCREEN CLASS LIST A LABORATORY - CHEMISTRY [0301] ( 128.00)

30100327 HC DRUG SCREEN PRSMPTV 1 CLASS LABORATORY - CHEMISTRY [0301] ( 129.00)

30100328 HC DRUG SCREEN ONE/MULT CLASS LABORATORY - CHEMISTRY [0301] ( 129.00)

30100329 HC DRUG SCREEN ONE/MULT CLASS LABORATORY - CHEMISTRY [0301] ( 129.00)

30100330 HC ALCOHOLS LABORATORY - CHEMISTRY [0301] ( 202.00)

30100331 HC ALCOHOL BIOMARKERS 1 OR 2 LABORATORY - CHEMISTRY [0301] ( 202.00)

30100332 HC ALCOHOL BIOMARKERS 3 OR MORE LABORATORY - CHEMISTRY [0301] ( 404.00)

30100333 HC ALKALOIDS NOS LABORATORY - CHEMISTRY [0301] ( 148.00)

30100334 HC ANALGESICS NON-OPIOID 1 OR 2 LABORATORY - CHEMISTRY [0301] ( 142.00)

30100335 HC ANALGESICS NON-OPIOID 3-5 LABORATORY - CHEMISTRY [0301] ( 150.00)

30100336 HC ANALGESICS NON-OPIOID 6 OR MORE LABORATORY - CHEMISTRY [0301] ( 158.00)

30100337HC ANTIDEPRESSANTS TRICYCLIC AND OTHER CYCLICALS 1 OR 2 LABORATORY - CHEMISTRY [0301] ( 80.00)

30100338HC ANTIDEPRESSANTS TRICYCLIC AND OTHER CYCLICALS 3-5 LABORATORY - CHEMISTRY [0301] ( 80.00)

30100339HC ANTIDEPRESSANTS TRICYCLIC AND OTHER CYCLICALS 6 OR MORE LABORATORY - CHEMISTRY [0301] ( 80.00)

30100340HC ANTIEPILEPTICS NOT OTHERWISE SPECIFIED 1-3 LABORATORY - CHEMISTRY [0301] ( 93.00)

30100341HC ANTIEPILEPTICS NOT OTHERWISE SPECIFIED 4-6 LABORATORY - CHEMISTRY [0301] ( 98.00)

30100342HC ANTIEPILEPTICS NOT OTHERWISE SPECIFIED 7 OR MORE LABORATORY - CHEMISTRY [0301] ( 103.00)

30100343HC ANTIPSYCHOTICS NOT OTHERWISE SPECIFIED 1-3 LABORATORY - CHEMISTRY [0301] ( 60.00)

30100344HC ANTIPSYCHOTICS NOT OTHERWISE SPECIFIED 4-6 LABORATORY - CHEMISTRY [0301] ( 63.00)

30100345HC ANTIPSYCHOTICS NOT OTHERWISE SPECIFIED 7 OR MORE LABORATORY - CHEMISTRY [0301] ( 67.00)

30100346 HC BARBITURATES LABORATORY - CHEMISTRY [0301] ( 88.00)

30100347 HC BENZODIAZEPINES 1-12 LABORATORY - CHEMISTRY [0301] ( 94.00)

30100348 HC BENZODIAZEPINES 13 OR MORE LABORATORY - CHEMISTRY [0301] ( 99.00)

30100349 HC COCAINE LABORATORY - CHEMISTRY [0301] ( 73.00)

30100350 HC FENTANYL LABORATORY - CHEMISTRY [0301] ( 75.00)

30100351 HC KETAMINE AND NORKETAMINE LABORATORY - CHEMISTRY [0301] ( 71.00)

30100352 HC METHADONE LABORATORY - CHEMISTRY [0301] ( 75.00)

30100353 HC OPIATES 1 OR MORE LABORATORY - CHEMISTRY [0301] ( 105.00)

30100354 HC OPIOIDS AND OPIATE ANALOGS 1 OR 2 LABORATORY - CHEMISTRY [0301] ( 75.00)

30100355 HC OPIOIDS AND OPIATE ANALOGS 3 OR 4 LABORATORY - CHEMISTRY [0301] ( 79.00)

30100356HC OPIOIDS AND OPIATE ANALOGS 5 OR MORE LABORATORY - CHEMISTRY [0301] ( 83.00)

30100357 HC PREGABALIN LABORATORY - CHEMISTRY [0301] ( 71.00)

30100358 HC PROPOXYPHENE LABORATORY - CHEMISTRY [0301] ( 71.00)

30100359 HC TAPENTADOL LABORATORY - CHEMISTRY [0301] ( 83.00)

30100360 HC MEPROBAMATE LABORATORY - CHEMISTRY [0301] ( 77.00)

30600066 HC HPV LOW-RISK TYPESLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 164.00)

30600067 HC HPV HIGH-RISK TYPESLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 164.00)

30600068 HC HPV TYPES 16 & 18 ONLYLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 164.00)

31000061 HC IMMUNOHISTO ANTIBODY SLIDELABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 243.00)

32000001 HC FRACTURE ASSESSMENT VIA DXARADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 111.00)

33300048 HC TELETHX ISODOSE PLAN SIMPLERADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 580.00)

33300049 HC TELETHX ISODOSE PLAN CPLXRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 343.00)

33300050 HC BRACHYTX ISODOSE PLAN SIMPLERADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 580.00)

33300051 HC BRACHYTX ISODOSE INTERMEDRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 401.00)

33300052 HC BRACHYTX ISODOSE COMPLEXRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 590.00)

33300053HC RADIATION TREATMENT DELIVERY SIMPLE


33300054HC RADIATION TREATMENT DELIVERY INTERMED


33300055 HC RADIATION TREATMENT DELIVERY CPLXRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 362.00)

33300056 HC NTSTY MODUL RAD TX DLVR SMPLRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 977.00)

33300057 HC NTSTY MODUL RAD TX DLVR CPLXRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 1,171.00)

33300058 HC GUIDANCE FOR RADIATION TREATMENTRADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333] ( 768.00)

36001400 HC PERQ CERVICOTHORACIC INJECTIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,696.00)

36001401 HC PERQ LUMBOSACRAL INJECTIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,696.00)

36001402HC PERQ CERVICOTHORACIC OR LUMBOSACRAL INJ EA ADD


36001403HC PERQ VERTEBRAL AUGMENTATION THORACIC


36001404HC PERQ VERTEBRAL AUGMENTATION LUMBAR


36001405HC PERQ VERTEBRAL AUGMENTATION THORACIC/LUMBAR EA ADD


36001406 HC PERQ SACRAL AUGMT UNILAT INJOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 10,066.00)

36001407 HC PERQ SACRAL AUGMT BILAT INJOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,879.00)

40200046 HC US BREAST COMPLETE LT OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 189.00)

40200047 HC US BREAST COMPLETE RT OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 189.00)

40200048 HC US BREAST COMPLETE BIL OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 284.00)

40200049 HC US BREAST LIMITED LT OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 172.00)

40200050 HC US BREAST LIMITED RT OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 172.00)

40200051 HC US BREAST LIMITED BIL OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 258.00)

75000035HC COLONOSCOPY VIA STOMA W/ABLATION OF TUMOR POLYP OR LESION


75000036HC COLONOSCOPY VIA STOMA W/DIRECTED SUBMUCOSAL INJ ANY SUBSTANCE


75000037HC COLONOSCOPY VIA STOMA W/TRANSENDO US GUIDED FNA/BX


75000038HC COLONOSCOPY VIA STOMA W/DECOMPRESS INCLUDE PLACE OF TUBE


75000039HC SIGMOIDOSCOPY FLEXIBLE W/ABLATION OF TUMOR POLYP OR LESION


75000040HC SIGMOIDOSCOPY FLEX W/BAND LIGATION


75000041HC COLONOSCOPY FLEXIBLE W/ABLATION OF TUMOR POLYP OR LESION


75000042HC COLONOSCOPY FLEXIBLE W/ENDOSCOPIC STENT PLACEMENT


75000043 HC UNLISTED PROCEDURE COLONGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,481.00)

75000044HC ANOSCOPY DX W/HRA CHEM AGENT ENHANCE


32000369 HC DXA BONE DENSITY STUDYRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 178.00)

27800730 HC INTRODUCER SHEATH FTPRNT 1.4 FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 58.00)

27800731 HC CATHETER POLY OD KIT 1.4FR PICCMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 182.00)

30100361 HC RL ANTI DEPRESSANTS SEROTONERGIC LABORATORY - CHEMISTRY [0301] ( 80.00)

30100362 HC RL CANNABINOIDS CONFIRM LABORATORY - CHEMISTRY [0301] ( 73.00)

30100363 HC RL METHYLPHENIDATE RITALIN LABORATORY - CHEMISTRY [0301] ( 71.00)

30100364 HC RL ANTIPSYCHOTICS NOS 1-3 LABORATORY - CHEMISTRY [0301] ( 60.00)

30100365 HC RL ANABOLIC STEROIDS 1 OR 2 LABORATORY - CHEMISTRY [0301] ( 138.00)

30100366 HC RL ANABOLIC STEROIDS 3 OR MORE LABORATORY - CHEMISTRY [0301] ( 138.00)

30100367 HC RL VALPROIC ACID FREE LABORATORY - CHEMISTRY [0301] ( 50.00)

36001408HC CLOSE RECTOVAGINAL FISTULA VAGINAL


27800739 HC CATHETER CONTACT FORCE ABLATIONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 5,000.00)

36001409 HC INSJ SUBQ IMPLTBL DFB ELCTRDOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 7,510.00)

36001410 HC RMVL OF SUBQ DEFIBRILLATOROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,762.00)

36001411 HC REPOS PREV IMPLTBL SUBQ DFBOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,762.00)

27800740 HC EMBOLIC DEVICE PIPELINEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 26,000.00)

32000370HC DRAINAGE CATHETER CHANGE PERC BIL


36001412 HC BRONCHOSCOPY/LUNG BX ADDLSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,174.00)

36001413 HC UNLISTED PROCEDURE LIVEROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,122.00)

36001414HC MYELOGRAPHY LUMBAR INJECTION CERVICAL


36001415HC MYELOGRAPHY LUMBAR INJECTION THORACIC


36001416HC MYELOGRAPHY LUMBAR INJECTION LUMBOSACRAL


32200025 HC SHOULDER ARTHROGRAM BIL RADIOLOGY - DIAGNOSTIC - ARTHROGRAPHY [0322] ( 1,149.00)

36001417 HC CHEST TUBE INSERTION BILSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,669.00)

35000038HC MYELOGRAPHY LUMBAR INJECTION 2 OR MORE REGIONS


45000028 HC NERVE BLOCK INJ PLANTAR DIGIT EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 383.00)

30600069HC CULTURE PATHOGENIC ORGANISM SCREEN ONLY




30100370HC RL MOLECULAR PATHOLOGY PROC UNLISTED LABORATORY - CHEMISTRY [0301] ( 194.00)

27800753 HC LACRICATH 2MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 612.00)

27800754 HC LACRICATH BILATERAL 2MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,110.00)


27800756 HC LACRICATH BILATERAL 3MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,110.00)


61400004HC MRI 3D RECON ON INDEP WORK STATION

MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 480.00)

36001418 HC BRONCHOSCOPY DILATE/FX REPRSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,242.00)

36001419 HC BRONCHOSCOPY DILATE W/STENTSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 8,734.00)

36001420HC BRONCHOSCOPY BRONCH STENTS INITIAL


36001421 HC BRONCHOSCOPY REVISE STENTSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 8,734.00)

27001027 HC THERMAL ANGEL WARMER MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 416.00)

27001028 HC SPRAY LIDOCAINE TOPICAL 4%MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 23.00)

36001422 HC BRONCHOSCOPY TREAT BLOCKAGESPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,242.00)

36001423 HC IV OCT FOR PROC INIT VESSELOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,694.00)

36001424 HC IV OCT FOR PROC ADDL VESSELOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,694.00)

27201710HC CATHETER OPTICAL COHERENCE TOMOGRAPHY


45000029HC UNLISTED MUSCULOSKELETAL SYSTEM OP EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 2,475.00)

36001425HC SHOULDER ARTHROGRAM INJECTION BIL


30100371 HC RL GASTRIC PARIETAL ANTIBODY LABORATORY - CHEMISTRY [0301] ( 85.00)

30100372HC RL IMMUNOASSAY ANALYTE QUANTITATIVE NOS LABORATORY - CHEMISTRY [0301] ( 180.00)

30100373 HC RL FUNGITELL B-D GLUCAN LABORATORY - CHEMISTRY [0301] ( 73.00)


30100375 HC RL EGFR ONKOMATCH PANEL LABORATORY - CHEMISTRY [0301] ( 468.00)

30100376 HC RL FIBROSURE ALT LABORATORY - CHEMISTRY [0301] ( 83.00)

30100377 HC RL FIBROSURE ALPHA 2 MACRO LABORATORY - CHEMISTRY [0301] ( 107.00)

30100378 HC RL FIBROSURE APOLIPOPROTEIN LABORATORY - CHEMISTRY [0301] ( 93.00)

30100379 HC RL FIBROSURE T BILI LABORATORY - CHEMISTRY [0301] ( 114.00)

30100380 HC RL FIBROSURE GGPT LABORATORY - CHEMISTRY [0301] ( 122.00)

30100381 HC RL FIBROSURE HAPTOGLOBIN LABORATORY - CHEMISTRY [0301] ( 75.00)

30200192 HC RL DIPHTHERIA AB IGG LABORATORY - IMMUNOLOGY [0302] ( 79.00)

30200193 HC RL F TULARENSIS AB LABORATORY - IMMUNOLOGY [0302] ( 48.00)

30200194 HC RL ENDOMYSIAL AB SCREEN LABORATORY - IMMUNOLOGY [0302] ( 72.00)

30200195 HC RL P-ANCA ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 85.00)

30200196 HC RL C-ANCA ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 85.00)

30600070HC RL MYCOBACTERIUM SPECIES AMPLIFIED PROBE


30600071 HC RL FUNGAL PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 289.00)

31000062 HC RL MICRODISSECTION MANUALLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 323.00)

31000063 HC RL AUTOMATED HER2 FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 627.00)

31000064 HC RL IHC2 ANTIBODIES STAINLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 243.00)

31000065 HC RL FISH MANUAL MULTIPLEX TCLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 374.00)

31100031HC RL PAROXY NOCTURN HGBWBC 9-15 MARKERS LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 278.00)

27201742 HC TROCAR VALVED ENTRY 25GA 6MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 180.00)

27001029 HC FILTER LIPOMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 296.00)

27001030 HC LINER CANNISTER LIPOMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 16.00)

27001031 HC LUBRICANT OPTHALMICMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 49.00)

27001032 HC PATTIES SURG 1/2 X 3MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 46.00)

27001033 HC TRANSFER SET ASEPTIC FLUIDMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 33.00)

27001034 HC TRAY PREP SKIN SCRUBMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 10.00)

27201711 HC BLADE GUARDED DEPTH .35MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 24.00)

27201712 HC BLADE ULTRACLEAN 50EA/CSMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 14.00)

27201713 HC CANNULA 4.0MM 20GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 52.00)

27201714 HC CHANDELIER 25GMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 230.00)

27201715 HC DILATOR DISP PUNCTUM/PLG INSRTMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 20.00)

27201716 HC DRILL BIT J NOTCHMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 118.00)

27201717 HC LENS FLAT VITRECTMY DISPMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 44.00)

27201718 HC PACK TOTAL PLUS 23GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 1,018.00)

27201719 HC PACK TOTAL PLUS 2500 PROBEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 830.00)


27201721 HC PARTS KIT SMALL 23GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 198.00)

27201722 HC PARTS KIT SMALL 25GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 99.00)

27201723 HC PROBE FLEX TIP LASER 23GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 330.00)

27201724 HC PROBE FLEX TIP LASER 25GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 330.00)

27201725 HC PROBE FLEXBL CURVD LASER 23GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 380.00)

27201726 HC PROBE FLEXTIP CURVD LASER 25GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 380.00)

27201727 HC PROBE FLEXTIP ST LASER 25GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 380.00)

27201728 HC PROBE LASER NN LGHT CRVD 20GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 332.00)

27201729 HC PROBE LIGHT 23GMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 225.00)

27201730 HC PROBE LIGHT 25GMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 225.00)

27201731 HC PROBE STRAIGHT LASER 23GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 348.00)

27201732 HC PROBE VITRCTMY ULTRAVIT 23GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 380.00)

27201733 HC PROBE VITRECTOMY ULTRAVIT 25GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 380.00)

27201734 HC SCISSOR CURVED 23GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 330.00)

27201735 HC SCREW CRS PIN SLF DRLL 1.2MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 157.00)

27201736 HC SUTURE VCRL 6-0 TG 100-8 18"MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 23.00)

27201737 HC TIP PACK OZIL INFINITI .9MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 180.00)

27201738 HC TROCAR ENTRY SYSTEM 23GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 250.00)




30200197 HC RL Q FEVER IGG PHASE 1 TITER LABORATORY - IMMUNOLOGY [0302] ( 63.00)

30200198 HC RL Q FEVER IGG PHASE 2 TITER LABORATORY - IMMUNOLOGY [0302] ( 63.00)

30200199 HC RL Q FEVER IGM PHASE 1 TITER LABORATORY - IMMUNOLOGY [0302] ( 63.00)

30200200 HC RL Q FEVER IGM PHASE 2 TITER LABORATORY - IMMUNOLOGY [0302] ( 63.00)

30200201 HC RL HSV1 IGM TITER LABORATORY - IMMUNOLOGY [0302] ( 63.00)

30200202 HC RL HSV2 IGM TITER LABORATORY - IMMUNOLOGY [0302] ( 104.00)

30200203 HC RL RPR TITER LABORATORY - IMMUNOLOGY [0302] ( 27.00)

30200204 HC RL ATYPICAL P-ANCA TITER LABORATORY - IMMUNOLOGY [0302] ( 85.00)

30200205 HC RL ANCA SCREEN LABORATORY - IMMUNOLOGY [0302] ( 85.00)

30200206 HC RL MYELOPEROXIDASE ANTIBODY (MPO) LABORATORY - IMMUNOLOGY [0302] ( 85.00)

30200207 HC RL PROTEINASE 3 ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 85.00)

30500034 HC RL DRVVT CONFIRMATION LABORATORY - HEMATOLOGY [0305] ( 107.00)

30500035 HC RL DRVVT 1:1 DILUTION LABORATORY - HEMATOLOGY [0305] ( 44.00)

30010583HC RL RBC CHEM PRETREATMENT PER CELL LABORATORY - GENERAL CLASSIFICATION [0300] ( 67.00)

33500006 HC CHEMO IA INFUSION UP TO 1 HR


33500007 HC CHEMO IA INFUSE EACH ADDL HR


27201743 HC TUBING SYRNG MCRBR 0.2 MICRNMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 60.00)

27800774HC IN PACT ADMIRAL DRUG COATED BALLOON <100MM


27800775HC IN PACT ADMIRAL DRUG COATED BALLOON >100MM


27201744 HC GOLD LID LOADS 0.8 - 1.4 GMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 662.00)

27201745 HC GOLD LID LOADS PLATINUMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 1,090.00)

27201746 HC SPHERE EYE 18MM STERILIZEDMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 60.00)

27201747 HC NEEDLE STRAIGHT & SLEEVE 1CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 143.00)

27201748 HC SUTURE 1PBT GS-21 18"MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 78.00)

27201749 HC SUTURE 2-0 GS-21 18"MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 78.00)

27201750 HC SUTURE 3-0 NYLON FS-1-30#MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 5.00)

27201751 HC SUTURE 4.0 RB-1 27" CHROMICMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 7.00)

27201752 HC SUTURE 4-0 18" PLAIN GUT G-3MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 35.00)

27201753 HC SUTURE 4-0 C-1 MILDMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 28.00)

27201754 HC SUTURE 5-0 MONOCRYL P-1MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 9.00)

27800776 HC SCREW 1.4X5MM CRS PN SLF TPNGMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 148.00)

27201755 HC SUTURE 6-0 CHROMIC GUTMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 281.00)

27201756 HC SUTURE CV-2 42" GORETEXMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 60.00)

27201757 HC SUTURE ETHICON GUT SZ 4-0 27 IMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 7.00)

27201758 HC SUTURE GUT 6-0 18"MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 35.00)

27201759 HC SUTURE PDS PLUS 2/0 27INMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 5.00)

27201760 HC SUTURE PLAIN 5/0 18" PC-1MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 14.00)

99000004 HC OVERNIGHT RECOVERYPATIENT CONVENIENCE ITEMS - GENERAL CLASSIFICATION [0990] ( 1,040.00)

30100382 HC RL ASSAY OF CADMIUM LABORATORY - CHEMISTRY [0301] ( 138.00)

27201761 HC SUTURE STRTFX 3-0 FS 30CMX30CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 46.00)

27201762 HC SUTURE VCRYL + 2/0 27" UNDYEDMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 5.00)



27201765 HC SUTURE VCRYL 2/0 27" UNDYEDMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 5.00)

27201766 HC SUTURE VCRYL 3/0 27" UNDYD PS2MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 7.00)

27201767 HC SUTURE 0 NUROL CT-1 CR/8 18"MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 23.00)

27201768 HC SUTURE 2-0 ETH PS-2 36/BXMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 7.00)

36001426 HC INSERT VAD ARTERY ACCESSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 17,856.00)

27201769 HC SUTURE 3-0 MERSILENE FS-1 18"MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 5.00)

27201770 HC SUTURE 3-0 PDS CLEAR FS-1 27"MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 7.00)

27201771 HC SUTURE 3-0 PS-2 MONOCRYLMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 9.00)

27201772 HC SUTURE 3-0 RB-1 27" CHROMICMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 7.00)

27201773 HC SUTURE 4-0 MONOCRYL PS2MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 21.00)

27201774 HC SUTURE 5-0 PROLENE PC-3 18"MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 12.00)

27201775 HC SUTURE 5-0 PROLENE PS-2 18"MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 9.00)

27201776 HC SUTURE 7-0 P-1 18" PROLENEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 9.00)

27800779 HC BALLOON OCCLUSION SCEPTOR CMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,800.00)

27800780 HC BALLOON OCCLUSION SCEPTOR XCMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,400.00)

27201777 HC SUTURE 7-0 P-2 18" CHROMICMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 48.00)

27201778 HC SUTURE P-3 8"4-0 CHROMICMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 12.00)

27201779 HC SUTURE PDS 4-0 18"MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 9.00)

27201780 HC SUTURE PROLENE PS-2 18"MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 9.00)

27201781 HC SUTURE 3-0 CHROMIC3DZ/BXMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 18.00)

27201782 HC SUTURE 3-0 SILK SH 30"MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 5.00)

75000045HC LAPAROSCOPY CHOLECYSTECTOMY W/CHOLANGIOGRAPHY


27800781 HC LVIS COIL ASSIST STENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 6,175.00)

36001427 HC DRAIN/INJ MAJOR JOINT/BURSA W/USOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 520.00)

45000030 HC CYSTO W DIL OF URETHRAL STRICTURE EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 1,960.00)

30100383 HC RL OXCARBAZEPINE METABOLITE LABORATORY - CHEMISTRY [0301] ( 56.00)

30100384 HC RL HADHA COMMON MUTATION LABORATORY - CHEMISTRY [0301] ( 364.00)

30100385HC RL BRAF GENE ANALYSIS V600E VARIANT LABORATORY - CHEMISTRY [0301] ( 256.00)

30200208 HC RL LISTERIA ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 77.00)

30200209 HC RL AQUAPORIN 4 RECEPTOR IGG CSF LABORATORY - IMMUNOLOGY [0302] ( 72.00)

31000066 HC IMMUNOCYTOCHEMISTRY EA ADD STAINLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 114.00)

31000067HC RL FISH PROBE INITIAL STAIN PROCEDURE


31000068HC RL FISH PROBE EA ADD STAIN PROCEDURE


45000031 HC FORESKIN MANIPULATION EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 358.00)

27201783HC CABLE MICROVASCULAR PLUG DETACHMENT


27201784 HC ABLATION INSTRUMENT SPINESTARMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 6,613.00)

27800783 HC WIRELESS PRESSURE SENSORMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 100,467.00)

27800784 HC LC CHEMOEMBOLIZATION BEADSMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 5,300.00)

27800785 HC PLUG MICROVASCULARMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,590.00)

27800786 HC KIT STABILIT COMPLETE FRACTUREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 4,300.00)

27800787HC KIT STABILIT MX VERTEBRAL AUGUMENTATION


27800788 HC MICROCATHETER HEADWAY 27MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,920.00)

27800789 HC MICROCATHETER HEADWAY 21MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,660.00)

27800790 HC MICROCATHETER HEADWAY SHAPED 17MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,680.00)

27800791HC MICROCATHETER HEADWAY STRAIGHT 17


48300012 HC IMPL PRESSURE SENSOR W/ANGIO CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 58,585.00)

27201787 HC OSCILLATING BLADE 2296-3-105MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 85.00)

27201788 HC ROUND DIAMOND BURR 1608-6-91MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 212.00)

27201789 HC RING CAPSULAR TENSIONMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 458.00)

27201790 HC VLOC ABSRBL WOUND CLSR GUNMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 71.00)

27800792 HC IMPLANT ORBITALMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 26.00)

27800793 HC IMPLANT RIGHT ORBITAL FLOR MTBMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,460.00)

27800794 HC TUBE SET MINI MONOKA S1-1500UMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 116.00)

27800795 HC CAPSULAR TENSION SEGMENT MR-6DMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 390.00)

27800796 HC MEMBRANE BLUE MBB.055USAMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 230.00)

27800797 HC COIL TARGET 360 SOFT DETACHABLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,750.00)

61400005 HC MRI 3D RECONMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER [0614] ( 364.00)

30100386 HC SALICYLATE LABORATORY - CHEMISTRY [0301] ( 142.00)

30100387 HC ACETAMINOPHEN LABORATORY - CHEMISTRY [0301] ( 142.00)

30100388 HC RL AMITRIPTYLINE LABORATORY - CHEMISTRY [0301] ( 80.00)

30100389 HC RL DOXEPIN LABORATORY - CHEMISTRY [0301] ( 80.00)

30100390 HC RL IMIPRAMINE LABORATORY - CHEMISTRY [0301] ( 80.00)

30100391 HC RL NORTRIPTYLINE LABORATORY - CHEMISTRY [0301] ( 80.00)

27201791 HC SYSTEM INZONE DETACHMENT 2.0MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 443.00)

27201792 HC MICROCATHETER EXCELSIOR SL-10MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 2,043.00)

27201793 HC GUIDER SOFT TIPMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 616.00)

27800799HC BALLOON TRANSFORM COMPLIANT OCCLUSION


27800800 HC BALLOON CATHETER GATEWAY PTAMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,021.00)

27800801 HC RETRIEVER TREVO XP PROVUEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 14,090.00)

27800802 HC CATHETER FLOWGATE BALLOON GUIDEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,247.00)

27800803 HC STENT SYSTEM NEUROFORMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 12,022.00)

27800804 HC STENT SYSTEM WINGSPANMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 12,190.00)

27800805 HC CATHETER DISTAL ACCESS DACMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,058.00)

27800806HC GUIDEWIRE SYNCRO 2 STANDARD PRESHAPED 300CM


27800807HC GUIDEWIRE SYNCRO 2 STANDARD 300CM


27800808HC GUIDEWIRE SYNCRO 2 SOFT PRESHAPED 300CM


27800809 HC GUIDEWIRE SYNCHRO 2 SOFT 200CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,006.00)

27800810HC GUIDEWIRE SYNCHRO 2 SOFT PRESHAPED 200CM


27800811 HC GUIDEWIRE SYNCHRO 2 SOFT 300CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,250.00)

27201796 HC PACK PERFSN PMP AFFNTY CC SNKMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 2,513.00)

27201797 HC TUBING PRFSN PMP THK3/32 L72MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 73.00)

27201798 HC TUBING PERF BIO MDCS 3/8" ADLTMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 721.00)

27201799 HC CANULA PERFSN CIO MEDSC L76.2CMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 721.00)

27201800 HC CANNULA PRFSN BIOMDCS L76.2CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 721.00)

27201801 HC SET BLOOD PUMP VNTRC ASST DVCMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 28,980.00)

27201802 HC OXYGENATOR PERFUSN QUADROX IDMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 2,565.00)

75000046HC SM INT ENDO W ILEUM DX W/WO SPECI BRUSH/WASH


36001428HC VENOUS SELECTIVE ORGAN BLOOD SAMPLING


36001429HC RPR 1ST INGUN HRNA AGE 5 YRS/>INCAR/STRANG


36001430HC RPR UMBILICAL HRNA 5 YRS/> INCAR/STRANG


36001431 HC FETAL FLUID DRAINAGE W USOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 430.00)

36001432HC EPISIOTOMY OR VAGINAL REPAIR BY OTHER THAN ATTEND


36001433HC CERCLAGE CERVIX PREGNANT ABDOMINAL


36001434HC HYSTERORRHAPHY OF RUPTURED UTERUS


36001435HC CESAREAN DELIV AFTER ATTEMP VAG DELIV


36001436HC TREAT FETAL DEMISE 2ND TRIMESTER SURGICAL


36001437 HC ABORTION BY 1+ SUPPOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,463.00)

36001438 HC ABORTION BY 1+ SUPP W D&COPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,463.00)

72000052 HC FETAL SCALP BLOOD SAMPLINGLABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 424.00)

72000053 HC FETAL MONITORING DURING LABORLABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 364.00)

72000054 HC VAG DELIVERY AFTER CEASARIANLABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 3,444.00)

72000055 HC FETAL INVAS PX W/USLABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 245.00)

72000056 HC NIPPLE STIMULATION STRESS TESTLABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 384.00)

72000057 HC EPIDURAL INTRATHECAL CARELABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 156.00)

72000058 HC NEWBORN CARELABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 2,549.00)

75000047 HC COLONOSCOPY W/DECOMPRESSIONGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,820.00)

27201803 HC TUBE 15FR 60CM TRACHEALMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 118.00)

27201805 HC DRILL BIT 1.9MM X 58MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 385.00)

27201806 HC SUTURE GORETEX 8-0 CV-8MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 62.00)

27201807 HC EXTENDABLE PICK 25GMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 124.00)


30100392 HC ALBUMIN OTHER SOURCE QUAN LABORATORY - CHEMISTRY [0301] ( 76.00)

30100393 HC PROTEIN TOTAL FLUID LABORATORY - CHEMISTRY [0301] ( 73.00)

30100394HC RL THYROTROPIN BINDING IMMUNOGLOBULIN LABORATORY - CHEMISTRY [0301] ( 83.00)

30100395 HC RL PROPHYRINS TOTAL PLASMA LABORATORY - CHEMISTRY [0301] ( 108.00)

30100396 HC RL ORGANIC ACIDS URINE LABORATORY - CHEMISTRY [0301] ( 114.00)

30100397 HC RL IODINE LABORATORY - CHEMISTRY [0301] ( 108.00)

30100398 HC RL PENTA SCREEN AFP LABORATORY - CHEMISTRY [0301] ( 101.00)

30100399 HC RL PENTA SCREEN ESTRIOL LABORATORY - CHEMISTRY [0301] ( 140.00)

30100400 HC RL PENTA SCREEN HCG LABORATORY - CHEMISTRY [0301] ( 182.00)

30100401 HC RL PENTA SCREEN ITA HCG LABORATORY - CHEMISTRY [0301] ( 164.00)

30200210 HC RL GLUTAMIC ACID DECARBOXYLASE 65 LABORATORY - IMMUNOLOGY [0302] ( 103.00)

30200211 HC RL BACTERIUM ANTIBODY NOS LABORATORY - IMMUNOLOGY [0302] ( 77.00)

30200212 HC RL PM-SCI ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 134.00)

30200213 HC RL PENTA SCREEN INHIB A LABORATORY - IMMUNOLOGY [0302] ( 67.00)

27201809 HC TROCAR EXCEL BLADELESS 5MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 54.00)

75000048HC SM INTESTINE ENDO W REM T/P/L W SNARE


30100402 HC RL K-RAS GENE MUTATION LABORATORY - CHEMISTRY [0301] ( 936.00)

30100403 HC RL VGKC AUTO ANTIBODY LABORATORY - CHEMISTRY [0301] ( 83.00)

30100404 HC RL NMDA RECEPTOR AUTO ANTIBODY LABORATORY - CHEMISTRY [0301] ( 530.00)

31000069 HC RL HPV FISH PROBE FIRST STAINLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 381.00)

31000070 HC RL HPV FISH PROBE EA ADD STAINLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 125.00)

30200214 HC RL ISLET CELL AB TITER LABORATORY - IMMUNOLOGY [0302] ( 103.00)

30200215 HC RL LEPTOSPIRA AB TITER LABORATORY - IMMUNOLOGY [0302] ( 79.00)

30200216 HC RL R TYPHI IGG TITER LABORATORY - IMMUNOLOGY [0302] ( 101.00)

30200217 HC RL R TYPHI IGM TITER LABORATORY - IMMUNOLOGY [0302] ( 101.00)

36001439HC CHANGE PRQ BILIARY DRAINAGE CATHETER BIL


63600084HC EPIFIX 2CM X 2CM ALLOGRAFT PER SQ CM






63600087HC EPIFIX 18MM DISK ALLOGRAFT PER SQ CM


36001440HC INTRO PRQ TRANSHEPATIC STENT BILIARY DRG BIL


27201818HC SNARE CAPTIVATOR MEDIUM HEXAGONAL 6234


36001441HC DRAIN/INJ MAJOR JOINT/BURSA W/US BIL


36001442HC NONSELECT CATH RT HEART/MAIN PULMON ART


36001443HC LUMBAR TRANSFORAM EPIDRL INJ ADDL BIL


36001444HC NJX DX/THER AGT PVRT FACET JT CRV/THRC 3+ LEVEL BIL


36001445HC NJX DX/THER AGT PVRT FACET JT LMBR/SAC 3+ LEVEL BIL


36001446 HC EVASC RPR ILIAC ART BIFR S&IOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 10,244.00)

36001447 HC PTA RENAL/VISCERAL ARTERY PROC BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 10,182.00)

36001448 HC ILIAC PTA INITIAL BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 12,823.00)

36001449 HC PERC DR OR INJ OF PELVIS BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,941.00)

36001450HC INTRO URETER CATH/STNT RENAL PELVIS BIL


36001451

HC INJ PROC PYELOGRAPHY/NEPHROSTOGRAM INDWELL CATH BIL


36001452 HC NEPHROSTOMY DILATION PERC BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,418.00)

27800844 HC HEMOSPLIT CATHETER LONG TERMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 748.00)

30200218 HC RL C4 BINDING PROTEIN LABORATORY - IMMUNOLOGY [0302] ( 84.00)

30200219 HC RL C3 NEPHRITIC FACTOR LABORATORY - IMMUNOLOGY [0302] ( 132.00)

30200220 HC RL LYME DNA PCR LABORATORY - IMMUNOLOGY [0302] ( 289.00)

62400008 HC HM III SYSTEM CONTROLLERMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 21,450.00)

62400009 HC HM III SEALED OUTFLOW GRAFTMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 18,720.00)

62400010 HC HM III MODULAR CABLEMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 19,306.00)

62400011 HC HM III TUNNELERMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 8,386.00)

36001491HC NJX DX/THER AGT PVRT FACET JT LMBR/SAC 2ND LEVEL BIL


36001453 HC ABLATE BONE TUMOR(S) PERQOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 10,066.00)

36001454HC NONSELECT CATH TRANSLUMBAR AORTA


36001455 HC PERQ ABLTJ LVR CRYOABLATIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,619.00)

36001456 HC INSERT TUN IP CATH W/PORTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,187.00)

36001457 HC TRANSCATH RENAL SYMP DENERV UNIOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 9,130.00)

36001458HC TRANSCATH RENAL SYMP DENERV BILAT


36001459HC ABLATION BONE TUMOR RF PERCUTANEOUS CT GUID BIL


36001460HC INJ SI JOINT ARTHRGRPHY&/ANES/STEROID W/IMAGE BIL


36001461HC PTA BRACHIOCEPHALIC ARTERIES PROC BIL


36001462 HC PTA AV FISTULA OR GRAFT VENOUS BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 14,999.00)

36001463HC SELECT CATH PLACE VEN SYS 2ND ORD FAM BIL


36001464HC PRIM PRQ TRLUML MCHNL THRMBC 1ST VSL BIL


36001465 HC VENOUS MECH THROMBECTOMY BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 13,695.00)

36001466HC VENOUS M-THROMBECTOMY ADD-ON BIL


36001467 HC ILIAC PTA EA ADDL BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 11,102.00)

36001468 HC ILIAC STENT EA ADDL BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 11,657.00)

36001469 HC FEM/POP PTA BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 11,102.00)

36001470 HC FEM/POP ATHERECTOMY BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 19,438.00)

36001471 HC FEM/POP STENT BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 19,438.00)

36001472HC REVSC OPN/PRQ TIB/PERO W/ATHRC/ANGIOP SM VSL BIL


36001473 HC TIB/PERONEAL STENT INITIAL BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 31,200.00)

36001474HC TIB/PERONEAL STENT & ATHERECTOMY INITIAL BIL


36001475 HC TIB/PER REVAS EA ADD VESS BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 17,410.00)

36001476HC TIB/PERONEAL ATHERECTOMY EA ADDL BIL


36001477 HC TIB/PERONEAL STENT EA ADDL BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 19,500.00)

36001478HC TIB/PERONEAL STENT & ATHERECTOMY EA ADDL BIL


36001479 HC OPEN/PERQ PLACE STENT 1ST BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 16,050.00)

36001480 HC OPEN/PERQ PLACE STENT EA ADD BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,884.00)

36001481 HC OPEN/PERQ PLACE STENT SAME BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 16,050.00)

36001482 HC OPEN/PERQ PLACE STENT EA ADD BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,884.00)

36001483 HC URETER STENT CHANGE PERC BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,418.00)

36001484 HC REMOVE URETER STENT PERCUT BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,941.00)

36001485 HC URETER STENT CHANGE EXT/INT BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,733.00)

36001486HC NJX ANES&/STRD W/IMG TFRML EDRL CRV/THRC 1 LVL BIL


36001487HC LUMBAR TRANSFORAM EPIDRL INJ SNGL BIL


36001488HC NJX DX/THER AGT PVRT FACET JT CRV/THRC 1 LEVEL BIL


36001489HC NJX DX/THER AGT PVRT FACET JT CRV/THRC 2ND LEVEL BIL


36001490HC NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL BIL


75000049 HC SCREENING COLONOSCOPYGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,768.00)

75000050 HC FECAL MICROBIOTA PREP INSTILGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 248.00)

75000051HC GI TRACT CAPSULE ENDOSCOPY ESOPHAGUS THROUGH ILEUM


75000052 HC GI TRACT CAPSULE ENDOSCOPY COLONGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,598.00)

36001492HC MG LIVER HEMORRHAGE COMPLEX SUTURE


40200052 HC LIVER ELASTOGRAPHY OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 253.00)

32000371 HC EPIDUROGRAMRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 1,002.00)

62400012HC HM III MOBILE POWER UNIT W/AC POWER CABLE


36100137HC SENTINEL NODE INJ RADIOACTIVE TRACER BIL OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 764.00)

27800848 HC PROBE STRYKER RF MULTILESIONMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 2,000.00)

30100405 HC RL MEN2 (RET) DNA SEQUENCING LABORATORY - CHEMISTRY [0301] ( 1,617.00)

40200053 HC US ELASTOGRAPHY OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 253.00)

27400121 HC HM II 14V LI-ION BATTERYMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 1,641.00)

27001037HC CANISTER WITH TUBING AND FILTER MAX


27001038 HC AEROCHAMBERMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 12.00)

27001039 HC INFANT AMBU BAGMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 22.00)

27001040 HC CIRCUIT INVASIVE VISIONMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 12.00)

27001041 HC SENSOR ADLT NEONTL OXIMX 3-4KGMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 21.00)

27201821 HC SEPARATOR 5MAXMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 6,877.00)

27201822 HC TUBING MAX ASPIRATIONMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 851.00)

27800853 HC SHEATH NEURON MAX LONGMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 990.00)

27800854 HC CATHETER 3MAX REPEFUSIONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,380.00)

27800855 HC CATHETER 5MAX ACE REPEFUSIONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 4,980.00)

36001493HC CREATE SHUNT VENTRIC-ATR JUGUL AURICL


36001494 HC NEUROENDOSCOPY ADD-ONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,613.00)

27201829 HC SUTURE 3-0 VICRYL SH CR/8 VCP864DMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 24.00)

30100406 HC RL LACTOSTAT 12 LABORATORY - CHEMISTRY [0301] ( 260.00)

30100407 HC RL HYPOGLYCEMIC PANEL LABORATORY - CHEMISTRY [0301] ( 72.00)

30200221 HC RL PHOSPHOLIPASE A2 RECEPTOR AB LABORATORY - IMMUNOLOGY [0302] ( 515.00)

31000071 HC PROSTATE BIOPSYLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 515.00)

30100408HC RL HUNTINGTON DISEASE MUTATION ANALYSIS LABORATORY - CHEMISTRY [0301] ( 188.00)

30100409HC RL MYELIN ASSOCIATED GLYCOPROTEIN IGM LABORATORY - CHEMISTRY [0301] ( 180.00)

30100410 HC RL QU INTERLEUKIN 2 RECEPTOR LABORATORY - CHEMISTRY [0301] ( 125.00)

30600072 HC RL TOXOPLASMA GONDII BY PCR QUANTLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 321.00)

36001495 HC BRONCHOSCOPY/NEEDLE BX ADDLSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,174.00)

76100024 HC INJ GREATER OCCIPITAL NERVESPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 688.00)

27201837 HC TRAY MAMMOTONE SPECIMEN 8GAMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 14.00)

27201838HC CHAMBER MAMMOTONE REPLACEMENT TISSUE


27800870 HC CATHETER SET FALLOPIAN TUBEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 304.00)

27800871 HC BALLOON CATHETER MENCINIMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 346.00)

31000072HC RL MORPHOMETRIC ANALYSIS FISH INITIAL PROBE


31000073HC RL MORPHOMETRIC ANALYSIS FISH EA ADDL PROBE


30100412HC RL PROCOLLAGEN TYPE I N TERMINAL PEPTIDE LABORATORY - CHEMISTRY [0301] ( 83.00)

27201841 HC QUICK CONNECT SPO2 ADULTMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 17.00)

27201842 HC NIBP CUFF SINGLE LUMEN SMLMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 40.00)

27201843 HC IV SET EXTENSION MRIDIUMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 36.00)

27201844 HC INJECTOR KIT MEDRAD SPECTRISMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 32.00)

27201849 HC STYLET SATIN SLIP 10FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 6.00)

27800873 HC BRACHYTX NON STR YTTRIUM 90MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 31,165.00)

45000032 HC CL TX MTP JNT DISLOC W ANESTH EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 1,733.00)

27800874HC CATH DRUG COATED NON LASER 0.35 60MM






27800877HC PLATE FLOOR ORBITAL BASIC MEDIUM 1.2MM .4MM


27800878HC PLATE FLOOR ORBITAL ISOLATED SMALL 1.2MM .3MM


30600073 HC TRICHOMONAS RAPID TESTLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 107.00)

31100032HC RL CHROMOSOME ANAL TISSURE CULTURE LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 515.00)

31100033HC RL CHROMOSOME ANAL FIRST KARYOTYPE LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 861.00)

31100034HC RL CHROMOSOME ANAL EACH ADDL KARYOTYPE LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 135.00)

27800879 HC SCREW CRS PIN SLF TAP 1.2MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 142.00)

27800880HC SCREW CRS PIN SLF TAP 1.4 EMERGENCY


27800881HC PLATE UPPERFACE 24 HOLE STRAIGHT MALLEABLE


27800882HC PLATE UPPERFACE 18 HOLE STRAIGHT MALLEABLE


27800883HC PLATE UPPERFACE 2X2 HOLE 3D MALLEABLE


27800884HC PLATE UPPERFACE 2X6 HOLE 3D MALLEABLE


27800885HC PLATE UPPERFACE 10 HOLE CURVED CONDENSED MALLEA


27800886HC PLATE UPPERFACE 7 HOLE DOUBLE Y MALLEABLE


27800887 HC PLATE UPPERFACE 8 HOLE STRAIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 528.00)

27800888 HC PLATE UPPERFACE 24 HOLE STRAIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 966.00)

27800889 HC PLATE UPPERFACE 10 HOLE CURVEDMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 464.00)

27800890HC PLATE UPPERFACE 8 HOLE L 90 DEGREE LEFT


27800891HC PLATE UPPERFACE 8 HOLE L 90 DEGREE RIGHT


27800892 HC PLATE UPPERFACE 7 HOLE TMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 366.00)

27800893 HC PLATE UPPERFACE 7 DOUBLE YMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 372.00)

27800894 HC PLATE UPPERFACE 2X2 HOLE 3DMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 449.00)

27800895 HC PLATE UPPERFACE 2X6 HOLE 3DMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 807.00)

27800896 HC PLATE UPPERFACE 4 HOLE ORBITALMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 228.00)

27201858HC DRILL BITS 4 6 & 12MM STOP STRYKER END


36001498HC LARYNGOSCOPY FLEX/RIGID W STROBOSCOPY


30100413 HC REDUCING SUBSTANCES FECES LABORATORY - CHEMISTRY [0301] ( 29.00)

30200222 HC RL JO1 ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 107.00)

30200223 HC RL SCLERODERMA ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 107.00)

30200224 HC RL SMITH ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 107.00)

30200225 HC RL RIBONUCLEIC PROTEIN ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 107.00)

30200226 HC RL SJOGREN SSA ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 107.00)

30200227 HC RL SJOGREN SSB ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 107.00)

27201859 HC DETACHER COVIDIEN INSTANTMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 112.00)

27201860 HC DRILL DFINE VERTECOR BONEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 483.00)

27201861 HC TISSEEL FIBRIN SEALANT 4MLMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 522.00)

27201862HC DUPLOCATH APPLICATION CATHETER 35 MIS


27800900 HC INTRODUCER DFINE OSTEOMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 480.00)

61800001 HC MRA LOW EXTREM W CONT LTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER [0618] ( 1,893.00)

61800002 HC MRA LOW EXTREM W CONT RTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER [0618] ( 1,893.00)

27201866 HC PACK PINPOINTMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 288.00)

27201867HC SCOPE DISP RIGID INTRO PACK PINPOINT


27201868 HC INSUFFLATOR TUBING PINPOINTMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 58.00)

36001499 HC TT NDL WIRE/DILATOR/STENT FOR O2 TXSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,328.00)

27001052 HC FROG BEAN BAGMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 28.00)

27001053 HC POSITIONER SNUGGLE SMALLMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 76.00)

27001054 HC POSITIONER SNUGGLE MEDIUMMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 80.00)

27001055 HC POSITIONER SNUGGLE LARGEMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 85.00)

27001056 HC POSITIONER ZAKYMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 202.00)

27800910 HC STENT ENTERPRISEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 12,858.00)

92200023HC NEEDLE EMG ANAL/URETHRAL SPHINCTER


92200024 HC MUSCLE TEST LARYNXOTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922] ( 178.00)

92200025 HC MUSCLE TEST HEMIDIAPHRAGMOTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922] ( 178.00)

27201870 HC EVICEL FIBRIN 2MLMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 491.00)

31000074 HC RL HISTOCHEMICAL STAIN GROUP IIILABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 552.00)

31000075HC RL MORPHOMETRIC ANALYSIS EACH PROBE


30200228 HC RL HELMINTH ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 122.00)

30100414 HC RL TESTOSTERONE FREE LABORATORY - CHEMISTRY [0301] ( 86.00)

76100025 HC BRONCHIAL VALVE INIT INSERTSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 8,734.00)

76100026 HC BRONCHIAL VALVE ADDL INSERTSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,979.00)

76100027 HC BRONCHIAL VALVE REMOV INITSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 4,232.00)

76100028 HC BRONCHIAL VALVE REMOV ADDLSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,979.00)

75000053 HC COLONOSCOPY W/RESECTIONGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,481.00)

36001500 HC LARYNGOSCOPY FLEX WITH BXSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,363.00)

36001501 HC LARYNGOSCOPY FLEX W REM LESIONSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 4,698.00)

36001502 HC BRONCH W/BALLOON OCCLUSIONSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 8,734.00)

36001503 HC DIAG BRONCHOSCOPE/CATHETERSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,979.00)

36001504 HC BRONCHOSCOPY CLEAR AIRWAYSSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,979.00)

36001505 HC BRONCHOSCOPY RECLEAR AIRWAYSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,979.00)

36001506 HC THORACOSCOPY DIAGNOSTICSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 5,767.00)

36001507 HC THORACOSCOPY WBX SACSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 5,767.00)

36001508 HC THORACOSCOPY W/BX MED SPACESPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 5,767.00)

36001509 HC THORACOSCOPY W/BX INFILTRATESPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 5,767.00)

36001510 HC THORACOSCOPY W/BX NODULESPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 5,767.00)

36001511 HC THORACOSCOPY W/BX PLEURASPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 5,767.00)

36001512HC ABLATION LUNG TUMOR PERC RADIO FREQ BIL


36001513 HC ESOPHAGOSCOP ULTRASOUND EXAMSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,997.00)

36001514 HC THORACOSCOPY W/PLEURODESISSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 7,624.00)

36001515 HC THORACOSCOPY W/PLEURODESIS BILSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 15,248.00)

36001516 HC THORACOSCOPY REMOVE CORTEXSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,137.00)

36001517 HC THORACOSCOPY REMOVE CORTEX BILSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 6,272.00)

36001518 HC THORACOSCOPY REM TOTL CORTEXSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 20,986.00)

36001519 HC THORACOSCOPY REM TOTL CORTEX BILSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 41,972.00)

36001520 HC THORACOSCOPY REMOV FB/FIBRINSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,027.00)

36001521 HC THORACOSCOPY CONTRL BLEEDINGSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 985.00)

36001522 HC THORACOSCOPY CONTRL BLEEDING BILSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,970.00)

36001523 HC THORACOSCOPY RESECT BULLAESPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 13,906.00)

36001524 HC THORACOSCOPY RESECT BULLAE BILSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 27,812.00)

36001525 HC THORACOSCOPY W/MEDIAST EXCSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 4,437.00)

36001526 HC THORACOSCOPY W/LOBECTOMYSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 11,682.00)

36001527 HC THORACOSCOPY W/ TH NRV EXCSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 12,352.00)

36001528 HC THORACOSCOPY W/ TH NRV EXC BILSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 24,705.00)

36001529 HC THORACOSCOPY W/WEDGE RESECTSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 6,557.00)

36001530 HC THORACOSCOPY W/W RESECT ADDLSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,926.00)

36001531 HC THORACOSCOPY REMOVE SEGMENTSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,816.00)

36001532 HC THORACOSCOPY W/THYMUS RESECTSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 11,306.00)

36001533 HC THORACOSCOPY LYMPH NODE EXCSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 6,496.00)

36001534 HC TOTAL LUNG LAVAGE (UNILATERAL)SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,482.00)

36001535 HC TOTAL LUNG LAVAGE (BILATERAL)SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,964.00)

27201874 HC ELECTRODE PED PNG DEFIB 3X4MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 68.00)

27800913 HC GUIDEWIRE MAXXWIREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 220.00)

27800914 HC STENT AEROMINI TRACHEOBRONCHIALMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 4,600.00)

27800915 HC STENT AERO TRACHEOBRONCHIALMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,900.00)

36001536HC UNLISTED PROCDURE PELVIS OR HIP JOINT


27201875 HC STENT SIZING DEVICE AEROSIZERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 250.00)

27201876 HC NEEDLE ASPIRATION VIZISHOT L70MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 267.00)

27201877 HC NEEDLE ASPIRATION 22GMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 224.00)

27800916 HC BALLOON DILATION PULMONARYMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 510.00)

45000033 HC INJ ANESTH FACIAL NERVE EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 275.00)

30100415HC RL IMMUNOGLOBULIN A CRYOPRECIPITATE LABORATORY - CHEMISTRY [0301] ( 23.00)

30100416HC RL IMMUNOGLOBULIN G CRYOPRECIPITATE LABORATORY - CHEMISTRY [0301] ( 23.00)

30100417HC RL IMMUNOGLOBULIN M CRYOPRECIPITATE LABORATORY - CHEMISTRY [0301] ( 23.00)

31000076HC RL MOLECULAR PATH PROCEDURE LEVEL 6


31000077HC RL UNLISTED MOLECULAR PATH PROCEDURE


31000078 HC RL PTEN GENE ANALYSISLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 686.00)





32000372 HC RENAL STONE EXTRACTIONRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 8,187.00)

32000373 HC PERC NEPHROSTOLITHOTOMY TO 2 CMRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 13,867.00)

32000374 HC DILATE NEPHROSTOMY TRACT PERCRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 2,945.00)

61800003HC MRA W/WO CONTRAST LOWER EXTREMITY BIL


27201878 HC INFLA DEV B/G60 ENDO-AN6012MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 81.00)

31000081 HC RL MLC MUTATION T(11;14) + 11LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 208.00)

31000082 HC RL BRCA1 BRCA2 SEQUENCE ANALYSISLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 2,494.00)

31000083 HC RL BRCA1 BRCA2 DELETION VARIANTSLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 666.00)

30200229 HC RL TETANUS ANTITOXOID LABORATORY - IMMUNOLOGY [0302] ( 49.00)

30100418 HC RL ESLICARBAZEPINE LABORATORY - CHEMISTRY [0301] ( 66.00)

45000036HC DRAIN EXTERNAL AUDITORY CANAL ABSCESS EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 1,029.00)

45000037HC REMOVE IMPACTED EAR WAX W/INSTRUMENT BIL EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 435.00)

32000408 HC XRAY EXAM ENTIRE SPI 1 VWRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 127.00)

32000409 HC XRAY EXAM ENTIRE SPI 2/3 VWRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 209.00)

32000410 HC XRAY EXAM ENTIRE SPI 4/5 VWRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 399.00)

32000411 HC XRAY EXAM ENTIRE SPI 6/> VWRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 399.00)

32000412 HC XRAY EXAM HIP UNI 1 VIEWRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 127.00)

32000413 HC XRAY EXAM HIP UNI 2-3 VIEWSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 127.00)

32000414 HC XRAY EXAM HIP UNI 4/> VIEWSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 209.00)

32000415 HC XRAY EXAM HIPS BI 2 VIEWSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 209.00)

32000416 HC XRAY EXAM HIPS BI 3-4 VIEWSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 209.00)

32000417 HC XRAY EXAM HIPS BI 5/> VIEWSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 399.00)

32000418 HC XRAY EXAM OF FEMUR 1RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 127.00)

32000419 HC XRAY EXAM OF FEMUR 2/>RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 127.00)

32000420 HC XRAY EXAM OF FEMUR 2/> BILRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 253.00)

32000421 HC MRI FETAL SNGL/1ST GESTATIONRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 569.00)

32000422 HC MRI FETAL EA ADDL GESTATIONRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 569.00)

34100082HC GASTRIC EMPTYING IMAG STUDY W/SMALL BOWEL TRANSIT NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 692.00)

34100083HC GASTRIC EMPTYING IMAG STUDY W/SMALL BOWEL AND COLON TRANSIT NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 918.00)

34200014HC HDR RDNCL SKN SURF BRACHYTX LESION DIAMETER UP TO 2.0CM NUCLEAR MEDICINE - THERAPEUTIC PROCEDURES [0342] ( 405.00)

34200015HC HDR RDNCL SKN SURF BRACHYTX LESION DIAMETER OVER 2.0CM NUCLEAR MEDICINE - THERAPEUTIC PROCEDURES [0342] ( 405.00)

34200016HC HDR RDNCL NTRSTL/ICAV BRCHTX 1 CHANNEL NUCLEAR MEDICINE - THERAPEUTIC PROCEDURES [0342] ( 1,448.00)

34200017HC HDR RDNCL NTRSTL/ICAV BRCHTX 2-12 CHANNELS NUCLEAR MEDICINE - THERAPEUTIC PROCEDURES [0342] ( 1,448.00)

34200018HC HDR RDNCL NTRSTL/ICAV BRCHTX OVER 12 CHANNELS NUCLEAR MEDICINE - THERAPEUTIC PROCEDURES [0342] ( 1,448.00)

34200019 HC UNLISTED CLINICAL BRACHYTHERAPY NUCLEAR MEDICINE - THERAPEUTIC PROCEDURES [0342] ( 230.00)

45000034HC REMOVE IMPACTED EAR WAX IRRIG/LAVAGE UNI OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 104.00)

45000035HC REMOVE IMPACTED EAR WAX IRRIG/LAVAGE BIL OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 208.00)

76100029 HC BRONCH EBUS SAMPLNG 1/2 NODESPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 4,143.00)

76100030 HC BRONCH EBUS SAMPLNG 3/> NODESPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 4,143.00)

76100031 HC BRONCH EBUS IVNTJ PERPH LESSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 4,143.00)

76100034HC PLMT URETERAL STENT PRQ PRE EXISTING NEPHROSTOMY TRACT


76100035HC PLMT URETERAL STENT PRQ PRE EXISTING NEPHROSTOMY TRACT BIL


76100036HC PLMT URETERAL STENT PRQ NEW ACCESS W/O NEPHROSTOMY CATH


76100037HC PLMT URETERAL STENT PRQ NEW ACCESS W/O NEPHROSTOMY CATH BIL


76100038HC PLMT URETERAL STENT PRQ NEW ACCESS W/NEPHROSTOMY CATH


76100039HC PLMT URETERAL STENT PRQ NEW ACCESS W/NEPHROSTOMY CATH BIL


76100040 HC EVASC PRLNG ADMN RX AGNT 1STSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,939.00)

76100041 HC EVASC PRLNG ADMN RX AGNT ADDSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,939.00)

76100042HC PLMT BILIARY DRAINAGE CATH INTERNAL-EXTERNAL


76100043 HC CONVERSION EXT BIL DRG CATHSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 4,528.00)

76100044 HC EXCHANGE BILIARY DRG CATHSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 4,528.00)

76100045 HC REMOVAL BILIARY DRG CATHSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,005.00)

76100046 HC REMOVAL DUCT GLBLDR CALCULISPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 4,569.00)

76100047HC NJX PX NFROSGRM &/URTRGRM NEW ACCESS


76100048HC NJX PX NFROSGRM &/URTRGRM NEW ACCESS BIL


76100049HC NJX PX NFROSGRM &/URTRGRM EXISTING ACCESS


76100050HC NJX PX NFROSGRM &/URTRGRM EXISTING ACCESS BIL


76100051 HC PLMT NEPHROSTOMY CATHETERSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,134.00)

76100052 HC PLMT NEPHROSTOMY CATHETER BILSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 6,267.00)

76100053 HC PLMT NEPHROURETERAL CATHETEROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,134.00)

76100054 HC PLMT NEPHROURETERAL CATHETER BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 6,267.00)

76100055 HC CONVERT NEPHROSTOMY CATHETERSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,045.00)

76100056HC CONVERT NEPHROSTOMY CATHETER BIL


76100057 HC EXCHANGE NEPHROSTOMY CATHSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,045.00)

76100058 HC EXCHANGE NEPHROSTOMY CATH BILSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 4,567.00)

76100059 HC ENDOLUMINAL BX URTR RNL PLVSSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,812.00)

76100060 HC ENDOLUMINAL BX URTR RNL PLVS BILSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,623.00)

76100061 HC URETERAL EMBOLIZATION/OCCLSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,812.00)

76100062 HC URETERAL EMBOLIZATION/OCCL BILSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,623.00)

76100063 HC BALLOON DILATE URTRL STRIXSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,812.00)

76100064 HC BALLOON DILATE URTRL STRIX BILSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,623.00)

76100065 HC PERQ ART M-THROMBECT &/NFS BILSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 12,673.00)

76100066 HC PERQ ART M-THROMBECT &/NFSSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 6,337.00)

76100067 HC PVB THORACIC SINGLE INJ SITESPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,092.00)

76100068 HC PVB THORACIC SINGLE INJ SITE BILSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,185.00)

76100069 HC PVB THORACIC 2 OR MORE INJ SITESPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,185.00)

76100070 HC PVB THORACIC 2 OR MORE INJ SITE BILSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 4,370.00)

76100071 HC PVB THORACIC CONT INFUSIONSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,092.00)

76100072 HC PVB THORACIC CONT INFUSION BILSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,185.00)

92000022 HC ART PRESSURE WAVEFORM ANALYSOTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 57.00)

30100419 HC RL ENCAINIDE LABORATORY - CHEMISTRY [0301] ( 118.00)

30100420 HC RL IODINE SERUM LABORATORY - CHEMISTRY [0301] ( 205.00)

30100421 HC METHAQUALONE URINE LABORATORY - CHEMISTRY [0301] ( 243.00)

30100422 HC RL HPLC FOR 6-THIOGUANINE (6 TGN) LABORATORY - CHEMISTRY [0301] ( 243.00)

30100423HC RL HPLC FOR 6 METHYLMERCAPTOPURINE (6MMPN) LABORATORY - CHEMISTRY [0301] ( 251.00)

30100424 HC RL STRYCHNINE URINE LABORATORY - CHEMISTRY [0301] ( 114.00)

30100425 HC RL PORPHYRINS PLASMA LABORATORY - CHEMISTRY [0301] ( 126.00)

30100426 HC RL KETAMINE LABORATORY - CHEMISTRY [0301] ( 126.00)



30100429 HC RL MECONIUM SCREEN LABORATORY - CHEMISTRY [0301] ( 286.00)

30100430 HC DRUG SCREEN A URINE LABORATORY - CHEMISTRY [0301] ( 112.00)

30100431 HC DRUG SCREEN B URINE LABORATORY - CHEMISTRY [0301] ( 256.00)

30100432 HC MEDICAL DRUG SCREEN 10 LABORATORY - CHEMISTRY [0301] ( 321.00)

30100433 HC RL DRUG SCREEN FLUID LABORATORY - CHEMISTRY [0301] ( 96.00)

31000084HC RL PANCA INDIRECT IMMUNO FLOR IGG SPECIFIC


31000085HC RL ANTI ENDOMYSIAL IGA ANITBODY (EMA)


31000086 HC RL HPLC FOR 6 METHYL THIOGUANINELABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 102.00)

31000087HC RL IMMUNOFLORESCENCE PER SPECIMEN EA ADD


36001537 HC RENAL ENDO THRU ESTAB N/P OSTOMYOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 6,654.00)

45000451HC ED IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 384.00)

45000452HC ED IV INFUSION HYDRATION EACH ADDITIONAL HOUR EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 114.00)

45000453HC ED IV INFUSION THERAPY/PROPH /DX 1ST TO 1 HR EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 448.00)

45000454HC ED IV INFUSION THERAPY PROPH/DX EA HOUR EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 170.00)

45000455HC ED IV INFUSION THER PROPH ADDL SEQ TO 1 HR EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 245.00)

45000456HC ED IV NFS THERAPY PROPHY/DX CONCURRENT NFS EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 160.00)

45000457HC ED THERAPEUTIC PROPHY/DX INJECTION SUBQ/IM EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 166.00)

45000458HC ED THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 364.00)

45000459HC ED THERAPEUTIC INJECTION IV PUSH EACH NEW DRUG EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 148.00)

45000460HC ED THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG FAC EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 141.00)

45000461HC ED UNLISTED THER./PROPHYLACTIC/DIAG. INJ. EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 194.00)

27801014 HC STENT SYNERGY DESMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,400.00)

30200230 HC RL IMMUKNOW LABORATORY - IMMUNOLOGY [0302] ( 212.00)

27201879 HC BRUSH W/STOP NEEDLE TIPPED CYTMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 144.00)

27201880 HC MARKER FIDUCIAL L7MM OD4MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 363.00)

27201881 HC FORCEP BPSY SPRTRX STRL DISPMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 166.00)

27201882 HC BRUSH CYTLGY SPRTRX L120CM L2MMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 53.00)

27201883 HC BRUSH CYTLGY TRPL NEEDLE 10MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 106.00)

27201884 HC BRUSH CYTLGY L15MM L1115 MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 265.00)

27201885 HC NEEDLE ENDSCP ASPRTNG FLXB SHFMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 211.00)

76100073HC INJECTION FOR CHOLANGIOGRAM EXISTING ACCESS


76100074HC INJECTION FOR CHOLANGIOGRAM NEW ACCESS


76100075HC PLMT BILIARY DRAINAGE CATH EXTERNAL


76100076 HC INTRVASC US NONCORONARY 1STSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,969.00)

76100077 HC INTRVASC US NONCORONARY ADDLSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,969.00)

76100078 HC INJ ANESTH SUPRASCAPULAR NERVESPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,092.00)

27801016HC INTRODUCER ACC SET MICROPUNCTURE PEDAL


30100434 HC RL ANTI RETINAL AUTO ANTIBODY IHC LABORATORY - CHEMISTRY [0301] ( 338.00)

30100435 HC RL ANTI RETINAL AUTO ANTIBODY WB LABORATORY - CHEMISTRY [0301] ( 541.00)

27201886HC PROBE KIT OSTEOCOOL RF ABLATION SINGLE


27201887HC PROBE KIT OSTEOCOOL RF ABLATION DUAL


27201888HC BONE ACCESS KIT OSTEOCOOL RF ABLATION


27201889HC CEMENT GUN AND BONE FILLER KYPHON CDS2A


27201890 HC CEMENT CARTRIDGE KYPHON CC02AMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 207.00)

27201891HC BONE CEMENT XPEDE WITH MIXER KYPHON CX01B


27201892 HC SYRINGE INFLATION KYPHON A08EMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 236.00)


30100436 HC RL SANDOSTATIN LABORATORY - CHEMISTRY [0301] ( 208.00)

30100437 HC RL SUBSTANCE P LABORATORY - CHEMISTRY [0301] ( 182.00)

30200231 HC RL IMMUNOASSAY TUMOR OTHER LABORATORY - IMMUNOLOGY [0302] ( 159.00)

30100438 HC RL DRUG ABUSE PANEL 9 SERUM LABORATORY - CHEMISTRY [0301] ( 81.00)

75000054 HC FLEX SIGM CANCER SCREENINGGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 919.00)

34000010 HC INTRA-ARTERIAL RPHARM RX NUCLEAR MEDICINE - GENERAL CLASSIFICATION [0340] ( 467.00)

76100079 HC ENDOLUMINAL BX BILIARY TREESPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 4,569.00)

76100080 HC SIJ ANESTH/STEROID INJSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,092.00)

30200232 HC RL CHROMATIN ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 57.00)

30100439HC RL MY GALACTOSE 1 PHOSPHATE ERYTHROCYTES LABORATORY - CHEMISTRY [0301] ( 344.00)

30100440 HC RL CLOZAPINE LABORATORY - CHEMISTRY [0301] ( 86.00)

27201898 HC KIT IVAS SYSTEM STRYKERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 2,415.00)

27201899 HC MIXER AUTOPLEX W/VHV STRYKERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 1,702.00)

27201900 HC DRILL HAND STRYKERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 153.00)

27201901HC CANNULA VERTEPORT CEMENT STRYKER


27201902 HC CANNULA ACCESS STRYKERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 140.00)

27201903 HC KIT IVAS BIOPSY STRYKERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 201.00)

27201904 HC CURETTE STRYKERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 1,254.00)

27201905 HC NEEDLE CURVED STRYKERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 978.00)

27801023 HC COIL AXIUM PRIME 3D 7X30 OR SMALLERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,700.00)

27801024 HC COIL AXIUM PRIME BARE HELIXMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,350.00)

76100081 HC BRONCHOPL EXC STENOS & ANASTOMSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,028.00)

76100082HC PERQ PLMT BILE DUCT STENT EXISTING ACCESS


76100083HC PERQ PLMT BILE DUCT STENT NEW ACCESS W/PLACE SEP DRAIN CATH


76100084 HC IMAGE CATH FLUID TRNS/VGNLSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,759.00)

76100085 HC BRONCH THERMOPLSTY 1 LOBESPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 5,724.00)

76100086 HC BRONCH THERMOPLSTY 2/> LOBESSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 5,724.00)

76100087HC CATHETERIZATION WITH BRONCHIAL BRUSH BX


76100088 HC MANOMETRY NEPH/PYELO INDW CATHSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 3,045.00)

27201908 HC PACEMAKER SNGL CHAMBER EXT TEMPMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 6,210.00)

27201909HC PULSE GENERATOR KIT DUAL CHAMBER EXT


27801025 HC LEAD CRTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,004.00)

27801026 HC LEAD CRT QUADMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 4,032.00)

27801027 HC LEAD CRT STARFIXMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,338.00)

27801028 HC ICD LEADMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 6,186.00)

27801029 HC ICD CRTD COREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 31,682.00)

27801030 HC ICD CRTD PREMIUMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 35,002.00)

27801031 HC ICD CRTD PREMIUM PLUSMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 35,716.00)

27801032 HC ICD CRTD VALUEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 29,222.00)

27801033 HC ICD DUAL COREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 23,508.00)

27801034 HC ICD DUAL MRI XTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 30,582.00)

27801035 HC ICD DUAL MRI TMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 29,022.00)

27801036 HC ICD DUAL PREMIUMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 24,008.00)

27801037 HC ICD DUAL PREMIUM PLUSMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 25,446.00)

27801038 HC ICD DUAL VALUEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 21,948.00)

27801039 HC ICD SINGLE COREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 20,418.00)

27801040 HC ICD SINGLE MRIMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 27,034.00)

27801041 HC ICD SINGLE PREMIUMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 20,918.00)

27801042 HC ICD SINGLE PREMIUM PLUSMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 22,172.00)

27801043 HC ICD SINGLE VALUEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 18,860.00)

27801044 HC LOOP RECORDER COREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 7,448.00)

27801045 HC LOOP RECORDER PREMIUMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 9,690.00)

27801046 HC PPM LEADMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 820.00)

27801047 HC PPM CRTP COREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 12,192.00)

27801048 HC PPM CRTP PREMIUMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 13,216.00)

27801049 HC PPM CRTP VALUEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 11,782.00)

27801050 HC PPM DUAL COREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 5,072.00)

27801051 HC PPM DUAL MRIMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 8,840.00)

27801052 HC PPM DUAL PREMIUMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 6,524.00)

27801053 HC PPM DUAL VALUEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 4,386.00)

27801054 HC PPM SINGLE COREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,786.00)

27801055 HC PPM SINGLE MRIMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 6,824.00)

27801056 HC PPM SINGLE PREMIUMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 5,158.00)


40200054 HC UMBILICAL ARTERY ECHO OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 172.00)

27001059HC KCI CANISTER WND VAC VAC INFOVAC TUBE CLAMP 500ML


27201911HC KCI DRSG WND VAC GRANUFOAM PAD LG 3.2X15X26CM


30100441 HC RL SUFONYLUREAS QUALITATIVE LABORATORY - CHEMISTRY [0301] ( 140.00)

27201913 HC MAXORB AG 4IN X 4.75INMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 14.00)

36001538HC TRACHEOBRONCHIAL CATH ASP W/ FIBERSCOPE


76100089 HC PHARYNGOSTOMYSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,288.00)

75000055 HC ENDOSCOPIC US EXAM ESOPHGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,031.00)

75000056 HC EGD US FINE NEEDLE BX/ASP LIMITEDGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,031.00)

75000057HC EGD US FINE NEEDLE BX/ASP COMPLETE


75000058 HC EGD OPTICAL ENDOMICROSCOPYGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 4,926.00)

75000059 HC EGD W/THRML TXMNT GERDGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 3,697.00)

75000060 HC EGD US EXAM DUODENUM/JEJUNUMGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,031.00)

30600074HC RL AMPLIFIED PROBE(S) TECHNIQUE DNA PCR


27801076 HC ASAHI CHIKAI GUIDEWIRE .014MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 990.00)

27801077 HC ASAHI CHIKAI GUIDEWIRE .008 .010 .019MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,098.00)

76100090 HC DILATE BILIARY DUCT/AMPULLASPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 656.00)

27001060HC POSITIONING AID PRONE + URETHANE CVR FM


27001061 HC POSITIONING AID INF FREDDY TFROGMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 164.00)

27001062HC POSITIONING BUMPER B3 BETTER BENDY SM


75000062 HC COLONOSCOPY W/ENDOSCOPE USGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,405.00)

45000462 HC OPEN TX DISTAL PHALANG FRACT EA EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 2,716.00)

76100091 HC MEDIASTINOSCPY W/MEDSTNL BXSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 5,886.00)

76100092 HC MEDIASTINOSCPY W/LMPH NOD BXSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 5,886.00)

27201914 HC EVICEL FIBRIN 5MLMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 1,130.00)

30600075 HC CANDIDA SPECIES DNA PROBELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 87.00)

30600076 HC MYCOPLASMA GENITALIUM DNA PROBELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 87.00)

30600077 HC MYCOPLASMA HOMINIS DNA PROBELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 87.00)

30600078HC UREAPLASMA UREALYTICUM DNA PROBE


30600079 HC HANSEL STAIN (URINE EOSINOHILS)LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 95.00)

36001539HC INJ NEUROLYTIC EPIDURAL LUMB/CAUDAL


75000063HC COLONOSCOPY THROUGH STOMA W/RESECTION


36001540HC DESTR W NEUROLYT TRIGEM NRV INF ALV BR


75000064HC COLONOSCOPY STOMA W/ENDOSCOPIC STENT PLCMT


75000065HC COLONOSCOPY STOMA W/BALOON DILATION


75000066HC COLONOSCOPY STOMA W/ENDOSCOPIC US


36001541HC INJECT SPINE W/CATH CERVICAL THORACIC


36001542HC INJECT SPINE W/CATH LUMBAR SACRAL (CAUDAL)


36001543 HC TAP BLOCK UNIL BY INJECTIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,092.00)

36001544 HC TAP BLOCK BIL BY INJECTIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,184.00)

36001545 HC ECMO/ECLS INSJ PRPH CANNULA PRQOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 11,875.00)

76100093HC PERQ PLMT BILE DUCT STENT NEW ACCESS


76100094HC TRANSCATH THROMBO INF ART INITIAL S&I BIL


76100095HC TRANSCATH THROMBO INF VEN INITIAL S&I BIL


36100143 HC PERC NDL CORE BRST BX WO GUID OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 1,759.00)

36100144 HC PERC NDL CORE BRST BX WO GUID BIL OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 3,517.00)

36001546 HC NEUROL AG DESTR SH PLEXUSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,535.00)

76100096 HC INJ HYPOGAS PLXSSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,535.00)

37000005 HC HOSP MANAGE CONT DRUG ADMIN ANESTHESIA - GENERAL CLASSIFICATION [0370] ( 260.00)

27801080 HC SHEATH CLASSIC 6FMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 86.00)

75000067 HC COLONOSCOPY SUBMUCOUS NJXGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,405.00)

75000068 HC SIGMOIDOSCOPY W/ULTRASOUNDGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,405.00)

75000069 HC SIGMOIDOSCOPY W/US GUIDE BXGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 3,101.00)

36001547 HC UNLISTED PROCEDURE STOMACHOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,392.00)

75000070 HC SIGMOIDOSCOPY W/PLCMT STENTGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 6,746.00)

75000071 HC SIGMOIDOSCOPY W/RESECTIONGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,405.00)

75000072 HC COLONOSCOPY W/ENDOSCOPIC FNBGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 3,101.00)

75000073 HC COLONOSCOPY W/BAND LIGATIONGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,405.00)

75000074 HC ESOPHAGOSCOPY FLEX REMOVE FBGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,031.00)

75000075 HC ESOPHAGOSCOPY LESION REMOVALGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 3,697.00)

75000076 HC ESOPHAGOSCOPY SNARE LES REMVGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,031.00)

27801081HC PRIMATRIX 2 CM X 2 CM 607-005-220 PER SQ CM


27801082HC PRIMATRIX 3 CM X 3 CM MESHED 607-005-330 PER SQ CM


27801083HC PRIMATRIX 4 CM X 4 CM SOLID 607-001-440 PER SQ CM


27801084HC PRIMATRIX 4 CM X 4 CM FENESTRATED 607-004-440 PER SQ CM


27801085HC PRIMATRIX 4 CM X 4 CM MESHED 2:1 607-005-440 PER SQ CM




27801087HC PRIMATRIX 6 CM X 6 CM SOLID 607-001-660 PER SQ CM


27801088HC PRIMATRIX 6 CM X 6 CM FENESTRATED 607-004-660 PER SQ CM




92100023 HC DUPLEX FLOW PENILE FUP/LIMITOTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921] ( 287.00)

92100024 HC PENILE PLETHYSMOGRAPHYOTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921] ( 242.00)

36001548 HC LIGATION MAJOR ARTERY EXTREMITYOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,496.00)

72000059 HC IUPC APPLICATIONLABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 1,388.00)

72000060 HC BAKRI BALLOON PROCEDURELABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720] ( 1,388.00)

36001549 HC APPLY HALO CRANIALOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,831.00)

36001550 HC ECMO/ECLS INITIATION VENOUSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,786.00)

36001551 HC ECMO/ECLS INITIATION ARTERYOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,786.00)

36001552 HC ECMO/ECLS DAILY MGMT VENOUSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,843.00)

36001553 HC ECMO/ECLS DAILY MGMT ARTERYOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,843.00)

36001554 HC ECMO/ECLS INSJ PRPH CANNULA OPENOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 7,408.00)

36001555HC ECMO/ECLS INSJ CTR CANNULA STERNO/THORA


36001556 HC ECMO/ECLS REPOS PERPH CNULA PRQOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,843.00)

36001557 HC ECMO/ECLS REPOS PERPH CNULA OPENOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,843.00)

36001558HC ECMO/ECLS REPOS CTR CNULA STERNA/THORA


36001559 HC ECMO/ECLS RMVL PRPH CANNULA PRQOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,843.00)

36001560HC REM IAB ASSIST DEVICE PERCUTANEOUS


36001561HC INS IAB ASSIST DEVICE THRU FEM ART OPEN


36001562HC REM IAB ASSIST DEVICE REPAIR FEM ART W W/O GRAFT


36001563 HC INSERT VAD EC BIVOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,843.00)

36001564 HC REM VAD EC SGL VOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,843.00)

36001565 HC REM VAD EC BIVOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,843.00)

36001566 HC ECMO/ECLS RMVL PRPH CANNULA OPENOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,843.00)

36001567HC ECMO/ECLS RMVL CTR CANNULA STERNO/THORA


36001568 HC REMOVE VAD DIFFERENT SESSIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,843.00)

36001569 HC REPOSITION VAD DIFF SESSIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,843.00)

30100442 HC RL GENOMIC SEQUENCE ANALYSIS LABORATORY - CHEMISTRY [0301] ( 1,035.00)

30600080 HC RL ZIKA VIRUS RNA PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 400.00)

27801090 HC ENVELOPE CORMATRIX CANGAROOMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 1,900.00)

76100097HC NEG PRESS WOUND TX <=50 SQ CM NON DME


76100098HC NEG PRESS WOUND TX >50 SQ CM NON DME


36001570HC ASP VITREOUS SUBRETIN OR CHOROID FLUID


48000065 HC PB VALVULOPLASTY AORTIC VALVE CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 8,573.00)

30500036 HC HEMOGLOBIN S REDUCTION TEST LABORATORY - HEMATOLOGY [0305] ( 33.00)

31000088 HC RL KIT D816 MUTATION ANALYSISLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 477.00)

30100443 HC RL DRUG SCREEN DRUG CLASS LIST B LABORATORY - CHEMISTRY [0301] ( 68.00)

36001571HC REPLACE AORTIC VALVE PERQ FEM APRCH


36001572HC REPLACE AORTIC VALVE OPEN FEM APRCH


36001573HC REPLACE AORTIC VALVE OPEN AXILLARY APRCH


36001574HC REPLACE AORTIC VALVE OPEN ILIAC APRCH


36001575HC REPLACE AORTIC VALVE TRANSAORTIC APRCH


36001576HC TRANSCATH TRANSAPICAL REPLACE AORTIC VALVE


36001577HC REPLACE AORTIC VALVE W/BYP PRQ ART/VENOUS APRCH


36001578HC REPLACE AORTIC VALVE W/BYP OPEN ART/VENOUS APRCH


36001579HC REPLACE AORTIC VALVE W/BYP CNTRL ART/VENOUS APRCH


30200233 HC RL ALLERGEN SPECIFIC IGG LABORATORY - IMMUNOLOGY [0302] ( 16.00)

45000463HC UNLISTED PROCEDURE HUMERUS OR ELBOW EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 321.00)

32200026 HC HIP ARTHROGRAM BIL RADIOLOGY - DIAGNOSTIC - ARTHROGRAPHY [0322] ( 1,034.00)

30100444 HC RL ANTIEPILEPTICS NOS LABORATORY - CHEMISTRY [0301] ( 89.00)

30600081HC RL CULTURE TYPING NUCLEIC ACID SEQUENCE


30600082 HC RL CULTURE TYPING ADDED METHODLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 92.00)

30600083 HC RL ACTINOMYCETES SENSITIVITYLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 198.00)

36001580HC INJ HIP ARTHROGRAPHY W/O ANESTHESIA BIL


36001581HC INTERCOSTAL NERVE BLOCK MULTIPLE BIL


36001582 HC INJ ANESTH OTHR PERIPHERAL NRV BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,548.00)

36001583HC CER/T TRANSFORAM EPIDRLINJADD'L BIL


36001584HC INJ ANESTH LUMB/THOR (SYMPATHETIC) BIL


36001585HC DESTROY CERV/THOR FACET JNT SINGLE BIL


36001586HC DESTROY CERV/THORACIC FACET INJ ADDL BIL


36001587HC DESTROY LUMB/SAC FACET JNT SINGLE BIL


36001588HC DESTROY LUMBAR/SAC FACET INJ ADDL BIL


61800004 HC MRA PELVIS W & WO CONTRASTMAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER [0618] ( 1,352.00)

30200234 HC RL BARTONELLA SPECIES IGG TITER LABORATORY - IMMUNOLOGY [0302] ( 25.00)

30200235 HC RL BARTONELLA SPECIES IGM TITER LABORATORY - IMMUNOLOGY [0302] ( 25.00)

30200236 HC RL BARTONELLA HENSELAE IGG TITER LABORATORY - IMMUNOLOGY [0302] ( 25.00)

30200237 HC RL BARTONELLA HENSELAE IGM TITER LABORATORY - IMMUNOLOGY [0302] ( 25.00)

40300004 HC SCREEN BREAST TOMOSYNTHESIS BILOTHER IMAGING SERVICES - SCREENING MAMMOGRAPHY [0403] ( 46.00)

40100013 HC BREAST TOMOSYNTHESIS UNI LTOTHER IMAGING SERVICES - DIAGNOSTIC MAMMOGRAPHY [0401] ( 46.00)

40100014 HC BREAST TOMOSYNTHESIS UNI RTOTHER IMAGING SERVICES - DIAGNOSTIC MAMMOGRAPHY [0401] ( 46.00)

40100015 HC BREAST TOMOSYNTHESIS BILOTHER IMAGING SERVICES - DIAGNOSTIC MAMMOGRAPHY [0401] ( 46.00)

30100445 HC RL GAMMA HYDROXYBUTYRIC ACID LABORATORY - CHEMISTRY [0301] ( 172.00)

31100035HC RL CML/ALL BCR/ABL BY FISH DNA PROBE LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 135.00)

31100036HC RL CML/ALL BCR/ABL BY FISH HYBRIDIZATION LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 135.00)

31000089 HC RL VKORC1 GENE ANALYSISLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 208.00)

31000090 HC RL CYP2C9 GENE ANALYSISLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 208.00)

30100446HC FECAL OCCULT BLOOD BY IMMUNOASSAY LABORATORY - CHEMISTRY [0301] ( 36.00)

30600084HC RL INFECTIOUS AGENT BY AMPLIFIED PROBE


30600085 HC RL LEGIONALL PNEUMONPHILIA BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 87.00)

30600086 HC RL C. PNEUMONIAE DIRECT PROBELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 87.00)

30600087 HC RL M. PNEUMONIAE AMPLIFIED PROBELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 87.00)

30600088HC RL RESPIRATORY VIRUS AMPLIFIED PROBE


30600089 HC RL S. AUREUS AMPLIFIED PROBELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 87.00)

30600090 HC RL GROUP A STREP AMPLIFIED PROBELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 87.00)

30100447 HC OCCULT BLOOD BY IMMUNOASSAY LABORATORY - CHEMISTRY [0301] ( 25.00)

11600001 HC R&B - PRIVATE - DETOXROOM & BOARD - PRIVATE (MEDICAL OR GENERAL) - DETOXIFICATION [0116] ( 1,996.00)

76100099HC PERQ DEV SOFT TISS 1ST LESION W/IMAGE


76100100HC PERQ DEV SOFT TISS ADD LESION W/IMAGE


30100448 HC RL IBUPROFEN LABORATORY - CHEMISTRY [0301] ( 58.00)

30600091 HC RL NOROVIRUS STOOLLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 102.00)


30200238 HC RL BETA2 GLYCOPROTEIN IGA LABORATORY - IMMUNOLOGY [0302] ( 81.00)

30600092 HC RL NOROVIRUS EIALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 102.00)

30100450 HC RL ORGANIC ACIDS PLASMA LABORATORY - CHEMISTRY [0301] ( 133.00)

30100451 HC RL CRYOFIBRINOGEN LABORATORY - CHEMISTRY [0301] ( 51.00)

40200055 HC DX OPHTHAL B-SCAN US OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 213.00)

92200026 HC NDL EMG SINGLE FIBEROTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922] ( 233.00)

27001064 HC DROP FOOT BOOTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 41.00)

48000066 HC PERQ CLSR TCAT L ATR APNDGE CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 19,547.00)

36001589 HC VALVULOPLASTY AORTIC VALVE SIMPLEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,843.00)

36001590HC VALVULOPLASTY AORTIC VALVE COMPLEX


76100101 HC ENDOVENOUS MCHNCHEM 1ST VEINSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 4,332.00)

76100102 HC ENDOVENOUS MCHNCHEM ADD-ONSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 4,332.00)

76100103 HC ENDOVENOUS MCHNCHEM ADD-ON BILSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 8,663.00)

36001591 HC INTRO CATH DIALYSIS CIRCUITOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,255.00)

36001592HC INTRO CATH DIALYSIS CIRCUIT W/BALLN ANGIOPLASTY


36001593HC INTRO CATH DIALYSIS CIRCUIT W/INTRAVAS STENT


36001594 HC THRMBC/NFS DIALYSIS CIRCUITOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 8,854.00)

36001595HC THRMBC/NFS DIALYSIS CIRCUIT W/BALLN ANGIOPLASTY


36001596HC THRMBC/NFS DIALYSIS CIRCUIT W/INTRAVAS STENT


36001597 HC BALO ANGIOP CTR DIALYSIS SEGOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,148.00)

36001598 HC STENT PLMT CTR DIALYSIS SEGOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,148.00)

36001599 HC DIALYSIS CIRCUIT EMBOLJOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,148.00)

48100126 HC TRLUML BALO ANGIOP 1ST ART CARDIOLOGY - CARDIAC CATH LAB [0481] ( 8,854.00)

48100127 HC TRLUML BALO ANGIOP 1ST ART BIL CARDIOLOGY - CARDIAC CATH LAB [0481] ( 17,706.00)

48100128 HC TRLUML BALO ANGIOP ADDL ART CARDIOLOGY - CARDIAC CATH LAB [0481] ( 8,854.00)

48100129 HC TRLUML BALO ANGIOP ADDL ART BIL CARDIOLOGY - CARDIAC CATH LAB [0481] ( 17,706.00)

48100130 HC TRLUML BALO ANGIOP 1ST VEIN CARDIOLOGY - CARDIAC CATH LAB [0481] ( 8,854.00)

48100131 HC TRLUML BALO ANGIOP 1ST VEIN BIL CARDIOLOGY - CARDIAC CATH LAB [0481] ( 17,706.00)

48100132 HC TRLUML BALO ANGIOP ADDL VEIN CARDIOLOGY - CARDIAC CATH LAB [0481] ( 8,854.00)

48100133 HC TRLUML BALO ANGIOP ADDL VEIN BIL CARDIOLOGY - CARDIAC CATH LAB [0481] ( 17,706.00)

75000077 HC LAPS ESOPHGL SPHNCTR AGMNTJGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 12,788.00)

75000078 HC RMVL ESOPHGL SPHNCTR DEVGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 7,704.00)

76100104HC NJX INTERLAMINAR CRV/THRC W/O IMAG GUID


76100105HC NJX INTERLAMINAR CRV/THRC W/IMAG GUID


76100106HC NJX INTERLAMINAR LMBR/SAC W/O IMAG GUID


76100107HC NJX INTERLAMINAR LMBR/SAC W/IMAG GUID


76100108HC NJX INTERLAMINAR CRV/THRC W/O IMAG GUID


76100109HC NJX INTERLAMINAR CRV/THRC W/IMAG GUID


76100110HC NJX INTERLAMINAR LMBR/SAC W/O IMAG GUID


76100111HC NJX INTERLAMINAR LMBR/SAC W/IMAG GUID


36001600 HC NDSC DCMPRN 1 NTRSPC LUMBAROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 9,580.00)

36001601 HC NDSC DCMPRN 1 NTRSPC LUMBAR BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 19,161.00)


30100453 HC RL LACTOSTAT LABORATORY - CHEMISTRY [0301] ( 260.00)

30100454 HC RL DRUG ABUSE PANEL 9 SERUM LABORATORY - CHEMISTRY [0301] ( 81.00)

30100455 HC RL DRUG SCREEN CLASS LIST B LABORATORY - CHEMISTRY [0301] ( 144.00)

48100134 HC PERQ TRANSCATH CLS MITRAL CARDIOLOGY - CARDIAC CATH LAB [0481] ( 27,121.00)

48100135 HC PERQ TRANSCATH CLS AORTIC CARDIOLOGY - CARDIAC CATH LAB [0481] ( 27,121.00)

48100136 HC PERQ TRANSCATH CLOSURE EACH CARDIOLOGY - CARDIAC CATH LAB [0481] ( 27,121.00)

42400001 HC PT EVAL LOW COMPLEXPHYSICAL THERAPY - EVALUATION OR RE-EVALUATION [0424] ( 219.00)

42400002 HC PT EVAL MOD COMPLEXPHYSICAL THERAPY - EVALUATION OR RE-EVALUATION [0424] ( 219.00)

42400003 HC PT EVAL HIGH COMPLEXPHYSICAL THERAPY - EVALUATION OR RE-EVALUATION [0424] ( 219.00)

42400004 HC PT RE-EVAL EST PLAN CAREPHYSICAL THERAPY - EVALUATION OR RE-EVALUATION [0424] ( 129.00)

43400001 HC OT EVAL LOW COMPLEXOCCUPATIONAL THERAPY - EVALUATION OR REEVALUATION [0434] ( 225.00)

43400002 HC OT EVAL MOD COMPLEXOCCUPATIONAL THERAPY - EVALUATION OR REEVALUATION [0434] ( 225.00)

43400003 HC OT EVAL HIGH COMPLEXOCCUPATIONAL THERAPY - EVALUATION OR REEVALUATION [0434] ( 225.00)

43400004 HC OT RE-EVAL EST PLAN CAREOCCUPATIONAL THERAPY - EVALUATION OR REEVALUATION [0434] ( 108.00)

37000006HC MOD SED SAME PHYS/QHP <5 YRS INITIAL 15 MIN ANESTHESIA - GENERAL CLASSIFICATION [0370] ( 265.00)

37000007HC MOD SED SAME PHYS/QHP 5/>YRS INITIAL 15 MIN ANESTHESIA - GENERAL CLASSIFICATION [0370] ( 265.00)

37000008HC MOD SED SAME PHYS/QHP EA ADDL 15 MIN ANESTHESIA - GENERAL CLASSIFICATION [0370] ( 265.00)

37000009HC MOD SED OTH PHYS/QHP <5 YRS INITIAL 15 MIN ANESTHESIA - GENERAL CLASSIFICATION [0370] ( 265.00)

37000010HC MOD SED OTH PHYS/QHP 5/>YRS INITIAL 15 MIN ANESTHESIA - GENERAL CLASSIFICATION [0370] ( 265.00)

37000011HC MOD SED OTHER PHYS/QHP EA ADDL 15 MIN ANESTHESIA - GENERAL CLASSIFICATION [0370] ( 265.00)

37000012 HC MOD SEDAT ENDO SERVICE >5YRS ANESTHESIA - GENERAL CLASSIFICATION [0370] ( 265.00)

30010604 HC AG SCREEN W/PATIENT SERUM LABORATORY - GENERAL CLASSIFICATION [0300] ( 57.00)

30010605 HC RL AG SCREENED PER UNIT LABORATORY - GENERAL CLASSIFICATION [0300] ( 387.00)

30100456HC RL CALRETICULIN GENE MUTATION (CALR) LABORATORY - CHEMISTRY [0301] ( 260.00)

76100112 HC INJ ANESTH STELLATE GANGLIONSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,173.00)

27201920HC TRAY MAMMOTOME RVLV SPECIMEN CRVSN


27201921HC CANISTER REPL VAC MAMMOTOME REVOLVE SYS 800CC


27201922HC PREVENA INCISION MANAGEMENT SYSTEM 90CM


27201923HC PREVENA INCISION MANAGEMENT SYSTEM 13CM


30100457 HC RL AMPHETAMINE VERIFICATION SERUM LABORATORY - CHEMISTRY [0301] ( 50.00)

30100458 HC RL METHYLENEDIOXYAMPHETAMINES LABORATORY - CHEMISTRY [0301] ( 50.00)

75000079HC ANOSCOPY W REM MULTI TUMORS POLYPS LESIONS


31000091HC GROSS & MICROSCOPIC RADICAL PROSTATECTOMY


31000092HC GROSS & MICROSCOPIC LUNG RESECTION


31000093HC GROSS & MICROSCOPIC BARRETT'S ESOPHAGUS


76100113 HC UNLISTED CARDIAC SURGERYSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,255.00)

27201926 HC VALVE IN CARTRIDGE 9MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 6,900.00)

27201927 HC VALVE IN CARTRIDGE 7MM 6MMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 5,300.00)

27201928 HC CATH DEPLOYMENT AND LOADERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 2,000.00)

27201929 HC AIRWAY SIZING KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 690.00)

30100459 HC RL CEPBA LABORATORY - CHEMISTRY [0301] ( 380.00)

30100460 HC RL CORTISOL FREE LABORATORY - CHEMISTRY [0301] ( 69.00)

27801094 HC EDGE ENDOBRONCHIAL KIT CATHETERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,439.00)

27201930 HC EDGE BRONCHOSCOPE ADAPTERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 161.00)

48100137 HC AS BALLOON TRANSVENOUS CARDIOLOGY - CARDIAC CATH LAB [0481] ( 6,482.00)

40200056 HC FETAL MIDL CEREBRAL ARTERY ECHO OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 207.00)

40100016 HC BX BREAST 1ST LESION US IMAG BILOTHER IMAGING SERVICES - DIAGNOSTIC MAMMOGRAPHY [0401] ( 3,338.00)

45000464 HC I&D ABSC/CYST TONGUE FOM LINGUAL EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 812.00)

27801096 HC BRONCHIAL TRACHEAL STENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 900.00)

27801097 HC Y STENTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,800.00)

30100461 HC RL QU THIOPURINE METABOLITES LABORATORY - CHEMISTRY [0301] ( 102.00)

30200239 HC RL RICE (F9) IGE LABORATORY - IMMUNOLOGY [0302] ( 8.00)

27201931 HC GENCUT CORE BIOPSY SYSTEMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 805.00)

30100462 HC RL ALK PHOS ISOENZYMES LABORATORY - CHEMISTRY [0301] ( 45.00)

46000099HC INHALATION TREAT INITIAL OR SUBSEQUENT (OP)


40200057 HC US ABDL AORTA SCREEN AAA OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 207.00)

27801098 HC STENT REBELMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,000.00)

27801099 HC STENT TAXUS LIBERTEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,000.00)

27801100 HC STENT MULTI LINK VISIONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 950.00)

32200027 HC KNEE ARTHROGRAM BIL RADIOLOGY - DIAGNOSTIC - ARTHROGRAPHY [0322] ( 1,138.00)

11400001 HC R&B PRIVATE PSYCHROOM & BOARD - PRIVATE (MEDICAL OR GENERAL) - PSYCHIATRIC [0114] ( 1,849.00)

30100463 HC RL ANTI MULLERIAN HORMONE LABORATORY - CHEMISTRY [0301] ( 106.00)

30200240HC RL LYMPHOCYTE AG/MITOGEN PROLIFERATION PANE LABORATORY - IMMUNOLOGY [0302] ( 624.00)

45000465 HC TREAT TOE FRACTURE EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 4,475.00)

48000067 HC PRGRMG DEV EVAL IMPLTBL SYS CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 64.00)

31100037 HC RL PNHCD59 PHYSICIAN INTERP LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 62.00)

31000094HC RL DDIT3 GENE REARRANGEMENT BY FISH


30200241 HC RL ZIKA VIRUS IGM ANTIBODY CAPTURE LABORATORY - IMMUNOLOGY [0302] ( 68.00)

27801101 HC STENT INNOVA UP TO 120MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,082.00)



27801104 HC STENT UNI PLUSMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,776.00)

27801105 HC STENT UNI PLUS HALOMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,812.00)

27801106 HC CATHETER COYOTEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 378.00)

27801107 HC CATHETER EQUALIZERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 494.00)

27201932HC MEPILEX BORDER SACRUM 9.2 X 9.2 282455


27201933 HC MEPILEX BORDER HEEL 283250MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 22.00)

27001065HC UTILITY POSITIONER WITHOUT COVERS 1401007


27001066HC TORTOSIE TURNING AND POSITIONING SYSTEM 1400800


27001067HC TORTOSIE TURNING AND POSITIONING SYSTEM BARIATRIC 1400801


76100114 HC LARGSC W/LASER DSTRJ LESSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 4,463.00)


63600101 HC NEOX FLO 25MG (PER 1 MG)PHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 33.00)




27400204 HC HEARTWARE CONTROLLER KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 26,813.00)

48000068 HC WCD DEVICE INTERROGATE CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 64.00)

27801108 HC ENDURANT BIFURCATED STENT GRAFTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 17,955.00)

27801109 HC ENDURANT STENT GRAFT LIMBMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 11,520.00)

27801110 HC RELIANT BALLOONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 801.00)

27801111 HC SENTRANT SHEATH 12FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 195.00)

27801112 HC SENTRANT SHEATH 16FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 260.00)

27801113 HC SUPER SHEATH 11CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 15.00)

27801114 HC SUPER SHEATH 25CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 29.00)

27801115 HC GUIDEWIRE MAGIC TORQUEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 152.00)

27801116 HC SUPPORT CATHETER RUBICONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 200.00)

27801117 HC GUIDEWIRE STARTER JFCMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 25.00)

32000375 HC XRAY EXAM OF FEMUR 1 VIEW BILRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 254.00)

27001068 HC NASAL ALAR PROBE MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 46.00)

27801118 HC STARTER WIRE STRAIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 22.00)

27201937 HC ENSITE PROTECTION ELECTRODE KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 2,185.00)

27801119 HC ADVISOR FL BIDIRECT MAPPING CATHMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,700.00)

30600093 HC RL ANAEROBIC BACTERIA MIC PANELLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 203.00)

30100464 HC RL AMYLASE FLUID LABORATORY - CHEMISTRY [0301] ( 10.00)

30100465 HC RL LIPASE FLUID LABORATORY - CHEMISTRY [0301] ( 10.00)

30100466 HC RL CEA FLUID LABORATORY - CHEMISTRY [0301] ( 135.00)

30100467 HC RL EGFR T790M MUTATION DETECTION LABORATORY - CHEMISTRY [0301] ( 536.00)

30100468 HC RL C3 PROACTIVATOR LABORATORY - CHEMISTRY [0301] ( 48.00)

31000095 HC RL BCL6 BY FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 130.00)

30600094 HC RL HIV ANTIGEN ANTIBODY W/ REFLEXLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 62.00)

30100469 HC RL MECONIM 7 PANEL LABORATORY - CHEMISTRY [0301] ( 483.00)

30100470 HC RL MECONIUM 9 PANEL LABORATORY - CHEMISTRY [0301] ( 82.00)

31000096 HC RL BCL2 BY FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 260.00)

31000097 HC RL MYC BA BY FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 260.00)

30100471 HC RL MYD88 NGS LABORATORY - CHEMISTRY [0301] ( 415.00)

27001069 HC ADULT AMBU BAG MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 15.00)

27001070 HC PEDIATRIC AMBU BAGMEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270] ( 15.00)

45000466 HC UNLISTED PROCEDURE ANUS EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 1,260.00)

27801120HC OCCLUSION BALLOON SPECTRANETICS BRIDGE


27801121 HC STENT SUPERA PERIPHERALMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,390.00)

27801122 HC ACCESS SYSTEM WATCHMANMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 2,000.00)

27801123 HC CLOSURE DEVICE WATCHMAN LAAMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 34,000.00)

27201938 HC PREP KIT SPECTRANETICS BRIDGEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 610.00)

27801124 HC CATHETER INFINITI 4FR 5FRMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 15.00)

27801125 HC GLIDESHEATH ACCESS KITMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 159.00)

27801126 HC VENA CAVA FILTER DENALIMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,800.00)

27801127 HC CATHETER EXPEL APD DRAINAGEMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 112.00)

27801128 HC GUIDEWIRE STARTER NEWTONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 24.00)

27201939 HC CATHETER BERN 5FMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 18.00)

27201940 HC CATHETER CHG2.5MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 17.00)

27201941 HC CATHETER CONTRALATERAL 2MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 18.00)

27201942 HC CATHETER CONTRALATERAL FLUSHMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 18.00)

27201943 HC CATHETER MIK 5FMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 17.00)

27201944 HC CATHETER PIGTAIL 5FMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 18.00)

27801129 HC KIT CATH MAHURKAR HI FLOMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 144.00)

27801130 HC KIT CATH MAHURKAR CURVED QUINTONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 134.00)

27801131 HC KIT CATH MAHURKAR DIALYSISMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 144.00)

27801132 HC KIT CATH MAHURKAR QUINTONMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 144.00)

27801133 HC KIT CATH MAHURKAR CURVED DIALYSISMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 134.00)

27801134HC KIT CATH PALINDROME PRECISION DIALYSIS


27801135HC KIT CATH PALINDROME PRECISION CURVED DIALYSIS


30200242HC RL HU YO AND RI ANTIBODIES WITH REFLEX LABORATORY - IMMUNOLOGY [0302] ( 334.00)

48100138 HC PB VALVULOPLASTY MITRAL VALVE CARDIOLOGY - CARDIAC CATH LAB [0481] ( 17,900.00)

27201945 HC TRACH CARE WET PAK MEDFLIGHTMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 23.00)

27801136 HC STENT EPIC ILIAC SELF EXPANDINGMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,035.00)

27201946 HC KCI VAC VERAFLO DRESSING MEDMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 265.00)

27801137 HC CARDIOFORM SEPTAL OCCLUDER GOREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 14,350.00)

27801138 POWERGLIDE PRO 18MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 202.00)

27801139 POWERGLIDE PRO 20MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 202.00)

27801140 HC STENT VIABAHN VBX BALLOON EXPMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 6,434.00)

31000098 HC RL CHRONIC EPSINOPHILIC LEUKEMIALABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 192.00)

27801141 HC ANSEL FLEXOR SHEATH STRAIGHT 45CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 84.00)

27801142 HC ANSEL FLEXOR SHEATH STRAIGHT 70CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 121.00)

27801143 HC FLEXOR CHECK FLO INTRO SETMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 108.00)

27801144 HC GUIDING CATHETER CORDISMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 72.00)

27801145 HC GUIDEWIRE BENTSON 150CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 18.00)

27801146 HC GUIDEWIRE BENTSON 260CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 23.00)

27201947 HC CATHETER H1 MIKMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 18.00)

27801147 HC GUIDEWIRE COMET PRESSUREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,250.00)

36001602 HC STENT PLACEMT ANTE CAROTIDOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 11,022.00)

36001603 HC ENDOVASC ILIAC REPR W/GRAFTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 6,037.00)

30100472 HC RL RIFUNAMIDE LABORATORY - CHEMISTRY [0301] ( 119.00)

27801149 HC SAPIEN 3 DELIVERY SYSTEMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 65,000.00)

27801150 HC TISSUE VALVE EVOLUTRMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 60,000.00)

27801151 HC TISSUE VALVE EVOLUTPROMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 60,000.00)

27801152 HC GUIDEWIRE CONFIDAMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 1,950.00)

27801153 HC INTRO SHEATH PERFORMER CHECK FLOMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 180.00)

27201948 HC LOADING SYSTEM LS ENVEORMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 897.00)

27201949 HC LOADING SYSTEM LS MDT2MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 897.00)

27201950 HC DELIVERY SYSTEM ENVEORMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 4,853.00)

45000467 HC MASTOTOMY W EXPL DEEP EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 2,270.00)

30100473 HC RAPID DRUG SCREEN CONFIRMATION LABORATORY - CHEMISTRY [0301] ( 452.00)

75000080 HC REMOVE FECAL IMPACT OR FBGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,611.00)

36001604HC PERC IMPL NS ELECTRODE ARRAY EPIDURAL


31000099 HC MELANOMA GROSS AND MICROSCOPICLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 515.00)

36100145 HC UNLISTED PROCEDURE BREAST OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 4,587.00)

30600095 HC RL BABESIA MICROTI DNALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 275.00)

76100115 HC INJ GREATER OCCIPITAL NERVE BILSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,377.00)

30600096 HC RL CMV ANTIVIRAL RESISTANCELABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 754.00)

27801156 HC COIL AXIUM PRIME 3D 8X15 OR LARGERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,990.00)

27801157 HC VALIANT CAPTIVIA STENT GRAFTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 31,490.00)

92000023 HC TCD VASOREACTIVITY STUDYOTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 415.00)

92000024 HC TCD EMBOLI DETECT W/O INJOTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920] ( 207.00)

48000069 HC PRGRMG DEV EVAL SCRMS IP CARDIOLOGY - GENERAL CLASSIFICATION [0480] ( 64.00)

36001605 HC PERQ TRANSCATH SEPTAL REDUXNOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 11,042.00)

27801158 HC STENT DYNAMIC YMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 7,170.00)

27801159 HC GUIDEWIRE ZIPWIRE ANGLED .035MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 46.00)

27801160 HC CATH JETSTREAM ATHERECTOMYMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 6,400.00)

27801161 HC CATH FLEXIMA BILIARYMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 114.00)

27801163 HC STENT STERLING OTW HYBRIDMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 330.00)

27801162 HC GLIDEWIRE ADVANTAGE GUIDEWIREMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 360.00)

75000081HC ILEOSCOPY THRU STOMA W BX SGL/MULTI


76100116 HC DRAIN/INJ INTER JOINT/BURSA W/USSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 931.00)

30100475 HC RL HALOPERIDOL LABORATORY - CHEMISTRY [0301] ( 36.00)

30100476HC RL SUCCINYLACETONE QUANTITATIVE URINE LABORATORY - CHEMISTRY [0301] ( 207.00)

30100477 HC VANCOMYCIN RANDOM LABORATORY - CHEMISTRY [0301] ( 362.00)

30100478 HC RL AMIKACIN RANDOM LABORATORY - CHEMISTRY [0301] ( 266.00)

30100479 HC TOBRAMYCIN RANDOM LABORATORY - CHEMISTRY [0301] ( 162.00)

30100480 HC GENTAMYCIN RANDOM LABORATORY - CHEMISTRY [0301] ( 204.00)

27201951 HC INTERLOCK COILMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 738.00)

48300014 HC ECHO TRANSESOPHAGEAL (TEE) CARDIOLOGY - ECHOCARDIOLOGY [0483] ( 2,415.00)

30100481 HC MICROALBUMIN URINE SEMIQUAN LABORATORY - CHEMISTRY [0301] ( 12.00)

30500037 HC WBC W AUTO DIFF LABORATORY - HEMATOLOGY [0305] ( 19.00)

30600097 HC DIR NA PROBE MULTI ORGANISMSLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 114.00)

30100482 HC ACUTE HEPATITIS PANEL LABORATORY - CHEMISTRY [0301] ( 136.00)

30600098 HC BACT CULTURE URINE QUAN COUNTLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 23.00)

30500038 HC PERIPHERAL BLD SMEAR LABORATORY - HEMATOLOGY [0305] ( 50.00)

27801164 HC STENT WALLFLEXMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 3,300.00)

30100483 HC RL CLARITEST NIPT LABORATORY - CHEMISTRY [0301] ( 1,518.00)

30100484HC RL ONKOSIGHT NGS MPN PANEL SEQUENCING LABORATORY - CHEMISTRY [0301] ( 941.00)

30100485HC RL ONKOSIGHT NGS MYELOID DISORDER SEQUENCING LABORATORY - CHEMISTRY [0301] ( 425.00)

30100486HC RL ONKOSIGHT NGS AML PANEL SEQUENCING LABORATORY - CHEMISTRY [0301] ( 941.00)

30100487 HC RL LYMPHOMA - B-CELL IGH BY PCR LABORATORY - CHEMISTRY [0301] ( 489.00)

30100488HC RL CLL PROGNOSIS IGVH MUTATION ANALYSIS BY PCR LABORATORY - CHEMISTRY [0301] ( 727.00)

30100489HC RL ONKOSIGHT NGS MDS PANEL SEQUENCING LABORATORY - CHEMISTRY [0301] ( 941.00)

30100490 HC RL RUNX1/RUNX1T1 BY FISH LABORATORY - CHEMISTRY [0301] ( 274.00)

30100491 HC RL ONKOSIGHT NGS NPM1 SEQUENCING LABORATORY - CHEMISTRY [0301] ( 425.00)

30100492 HC RL AML CEBPA MUTATIONAL ANALYSIS LABORATORY - CHEMISTRY [0301] ( 370.00)

30100493 HC RL ALLOMAP LABORATORY - CHEMISTRY [0301] ( 6,480.00)

31000100 HC RL FGFR3/IGH T(4;14) BY FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 218.00)

31000101 HC RL FISH IGH/MAF T(14;16)LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 218.00)

31000102 HC RL LYMPHOMA MANTLE CELLLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 270.00)

31000103 HC RL 1Q21 BY FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 218.00)

31000104 HC RL AML M3 (PML/RARA) BY FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 270.00)

31000105 HC RL AML M4+M5 BY FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 140.00)

31000106 HC RL AML M4EO BY FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 140.00)

31000107 HC RL BCR/ABL BY FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 270.00)

31000109 HC RL FOLLICULAR BCL2/IGH BY FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 270.00)

31000110 HC RL XL RARA (17Q21) BY FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 270.00)

31000111 HC RL LYMPHOMA BURKITT BY FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 270.00)

31000112HC RL CHRONIC EOSINOPHILIC LEUKEMIA BY FISH


31000113 HC RL B-CELL IGH BY FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 140.00)

31000114 HC RL LYMPHOMA ALCL ALKP 2P23LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 385.00)

31000108HC RL LYMPHOMA DIFFUSE LARGE B-CELL BCL6 BY FISH


34300045 HC IODINE I-123 IOFLUPANE =< 5 MCINUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343] ( 5,015.00)

75000082 HC SMALL BOWEL ENDOSCOPY BR/WAGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,450.00)

75000083 HC ESOPHAGOSCOPY RIGID TRNSOGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 7,583.00)

75000084 HC ESOPH SCOPE W/SUBMUCOUS INJGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,450.00)

75000085 HC ESOPH SCOPE W/SCLEROSIS INJGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,450.00)

75000086 HC ESOPH OPTICAL ENDOMICROSCOPYGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,450.00)

75000087 HC ESOPH ENDOSCOPY DILATIONGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,450.00)

75000088 HC ESOPHAGOSCOPY CONTROL BLEEDGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 2,450.00)

75000089 HC EGD ESOPHAGOGASTRC FNDOPLSTYGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 7,233.00)

31100038 HC CP CERV/VAG ATL MANUAL SCRN LABORATORY PATHOLOGICAL - CYTOLOGY [0311] ( 43.00)

30600099 HC GENET VIRUS ISOLATE HSVLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 97.00)

30600100 HC RESP SYNCYTIAL AG IALABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 26.00)

30100494HC RL DESMOPLASTIC SMALL ROUND CELL BY RT PCR LABORATORY - CHEMISTRY [0301] ( 745.00)

30100495 HC RL EWING SARCOMA BY RT PCR LABORATORY - CHEMISTRY [0301] ( 763.00)

30500039 HC RL FACTOR XIII CLOTTING ACTIVITY LABORATORY - HEMATOLOGY [0305] ( 42.00)

72000061HC HIGH RISK LABOR/DELIVERY/RECOVERY W/O EPIDURAL


72000062HC HIGH RISK LABOR/DELIVERY/RECOVERY W/INDUCT W/O EPI


27201952 HC LLD ACCESSORY KIT 1 2 3MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 3,795.00)

27201953 HC LEAD CUTTERMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 207.00)

27801165 HC INTRO VASC MICROPUNC 5.0FR 10CMMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 65.00)

27801166 HC GUIDEWIRE FIGHTERMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 48.00)

75000090 HC SMALL BOWEL ENDOSCOPYGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 4,608.00)

31000115 HC RL LIGHT MICROSCOPYLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 208.00)

30100496 HC RL DRUG ABUSE SCREEN BREAST MILK LABORATORY - CHEMISTRY [0301] ( 92.00)

30100497 HC RL CADASIL LABORATORY - CHEMISTRY [0301] ( 2,974.00)

36001606HC UNLISTED PROCEDURE TONGUE FLOOR MOUTH


36001607 HC COLPOSCOPY OF VULVAOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 280.00)

31000116 RL AML1/ETOT(821) FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 270.00)

31000117 RL MDS FISH PANEL - 5QLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 387.00)




31000121 RL CLL ATM FISH PROBELABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 133.00)

31000122 RL CLL +12 FISH PROBELABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 133.00)

31000123 RL CLL D13S FISH PROBELABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 133.00)

31000124 RL MULTIPLE MYELOMA FISH PANEL P53LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 387.00)

31000125RL MULTIPLE MYELOMA RB1 FOR 13Q14 BY FISH


31000126 RL P53 BY FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 387.00)

31000127 RL M2 (AML/ETO) BY FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 229.00)

30100500 RL CLARITEST NIPT RESULT SUMMARY LABORATORY - CHEMISTRY [0301] ( 844.00)

30100501RL CLARITEST NIPT MICRODELETION COMMENTS LABORATORY - CHEMISTRY [0301] ( 844.00)

32000376 HC HUMERUS 1V RTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 277.00)

32000377 HC HUMERUS 1V LTRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 277.00)

63600112 HC INJECTION OCTREOTIDE DEPOT IM 1MGPHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636] ( 230.00)

48100139 HC EXERCISE W/HEMODYNAMIC MEAS CARDIOLOGY - CARDIAC CATH LAB [0481] ( 850.00)

63600113HC IIV4 VACC PRESRV FREE 0.5 ML DOS FOR IM USE


30100502HC RL ONKOSIGHT NGS FLT3 GENE SEQUENCING LABORATORY - CHEMISTRY [0301] ( 213.00)

30100503HC RL ONKOSIGHT NGS FLT3 MOLE PATH PX LABORATORY - CHEMISTRY [0301] ( 213.00)

30100504 HC RL NOREPINEPHRINE PLASMA LABORATORY - CHEMISTRY [0301] ( 161.00)

45000468 HC CANTHOTOMY EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 3,123.00)

30100505 HC RL MOPATH PROCEDURE LEVEL 3 LABORATORY - CHEMISTRY [0301] ( 301.00)

30100506 HC RL MOPATH PROCEDURE LEVEL 4 LABORATORY - CHEMISTRY [0301] ( 370.00)

30100507 HC RL CALR BY NGS LABORATORY - CHEMISTRY [0301] ( 364.00)

30100508 HC RL MPN: MOPATH PROCEDURE LEVEL 3 LABORATORY - CHEMISTRY [0301] ( 301.00)

30100509 HC RL MPN: CARL BY NGS LABORATORY - CHEMISTRY [0301] ( 364.00)

30100510 HC RL MPN: BRAF GENE LABORATORY - CHEMISTRY [0301] ( 187.00)

30100511HC RL JAK2 GENE NEG REFLEX TO MPN PNL LABORATORY - CHEMISTRY [0301] ( 364.00)

30100512HC RL JAK2 GENE MPN: JAK2/MPL/CALR BY NGS LABORATORY - CHEMISTRY [0301] ( 364.00)

63600114HC PNEUMOCOCCAL CONJ VACCINE 13 VALENT IM


30100513HC PTAB TUMOR AG BIOMARKER PROSTATE LABORATORY - CHEMISTRY [0301] ( 99.00)

30100514 HC OTAB TUMOR AG BIOMARKER OVARIAN LABORATORY - CHEMISTRY [0301] ( 99.00)

30100515 HC GTAB TUMOR AG BIOMARKER GASTRIC LABORATORY - CHEMISTRY [0301] ( 99.00)

30100516HC CERTAB TUMOR AG BIOMARKER CERVICAL LABORATORY - CHEMISTRY [0301] ( 99.00)

30100517HC PANTAB TUMOR AG BIOMARKER PANCREATIC LABORATORY - CHEMISTRY [0301] ( 99.00)

30100518 HC RTAB TUMOR AG BIOMARKER RENAL LABORATORY - CHEMISTRY [0301] ( 99.00)

30100519 HC CTAB TUMOR AG BIOMARKER COLON LABORATORY - CHEMISTRY [0301] ( 99.00)

30100520HC OMNITAB TUMOR AG BIOMARKER NON-SPECIFIC LABORATORY - CHEMISTRY [0301] ( 99.00)

30100521 HC BTAB TUMOR AG BIOMARKER BREAST LABORATORY - CHEMISTRY [0301] ( 99.00)

30100522 HC LTAB TUMOR AG BIOMARKER LUNG LABORATORY - CHEMISTRY [0301] ( 99.00)

21900002 HC CVICU - ECMO CORONARY CARE - OTHER CORONARY CARE [0219] ( 6,642.00)

35200068 HC LDCT FOR LUNG CA SCREEN CT SCAN - BODY SCAN [0352] ( 110.00)

27201954 HC ALLEVYN AG NON ADHESIVE 4X4MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 18.00)

27201955 HC ALLEVYN NON ADHESIVE 6X6MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 13.00)

30100523 HC RL BRCA VANTAGE COMPREHENSIVE LABORATORY - CHEMISTRY [0301] ( 2,160.00)

27201957 HC TWOPRESS 2 COMPRESSION SYSTEMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 25.00)

82900000HC HEMODIALYSIS ONE EVAL ICU ONE ON ONE CARE

HEMODIALYSIS - OUTPATIENT OR HOME - OTHER OP HEMODIALYSIS [0829] ( 1,727.00)

27201958HC ENDOFORM DERMAL TEMPLATE 2X2 FENESTRATED


30600101 HC RL MUMPS VIRUS RNA QUAL RT PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 145.00)

36001609 HC ABLATE PULM TUMOR PERQ CRYBLOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 8,059.00)

36001610 HC ABLATE PULM TUMOR PERQ CRYBL BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 16,118.00)

36001611 HC EVASC RPR A-AO NDGFTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,826.00)

36001612 HC EVASC RPR A-AO NDGFT RPTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,610.00)

36001613 HC EVASC RPR A-UNILAC NDGFTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 11,113.00)

36001614 HC EVASC RPR A-UNILAC NDGFT RPTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 18,033.00)

36001615 HC EVAC RPR A-BIILIAC NDGFTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,896.00)

36001616 HC EVASC RPR A-BIILIAC RPTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 6,620.00)

36001617 HC EVASC RPR ILIO-ILIAC NDGFTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,805.00)

36001618 HC EVASC RPR ILIO-ILIAC RPTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 6,505.00)

36001619 HC PLMT XTN PROSTH EVASC RPROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,235.00)

36001620 HC DLYD PLMT XTN PROSTH 1ST VSLOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,235.00)

36001621 HC DLYD PLMT XTN PROSTH EA ADDLOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,553.00)

76100117 HC NJX NONCMPND SCLRSNT 1 VEINSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,816.00)

76100118 HC NJX NONCMPND SCLRSNT MLT VNSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,816.00)

76100119 HC ENDOVEN THER CHEM ADHES 1STSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 7,657.00)

76100120 HC ENDOVEN THER CHEM ADHES SBSQSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 7,657.00)

36001622 HC DX BONE MARROW BX & ASPIROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 2,420.00)

36001623 HC DX BONE MARROW BX & ASPIR BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,840.00)

32400007 HC X-RAY EXAM CHEST 1 VIEW RADIOLOGY - DIAGNOSTIC - CHEST X-RAY [0324] ( 112.00)

32400008 HC X-RAY EXAM CHEST 2 VIEWS RADIOLOGY - DIAGNOSTIC - CHEST X-RAY [0324] ( 112.00)

32400009 HC X-RAY EXAM CHEST 3 VIEWS RADIOLOGY - DIAGNOSTIC - CHEST X-RAY [0324] ( 112.00)

32400010 HC X-RAY EXAM CHEST 4+ VIEWS RADIOLOGY - DIAGNOSTIC - CHEST X-RAY [0324] ( 213.00)

32000378 HC X-RAY EXAM ABDOMEN 1 VIEWRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 112.00)

32000379 HC X-RAY EXAM ABDOMEN 2 VIEWSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 213.00)

32000380 HC X-RAY EXAM ABDOMEN 3+ VIEWSRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 213.00)

32000381 HC FLUOROSCOPE EXAM EXTENSIVERADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 490.00)

46000100 HC EXERCISE TST BRNCSPSMPULMONARY FUNCTION - GENERAL CLASSIFICATION [0460] ( 189.00)

46000101HC PULMONARY STRESS TESTING (6 MIN WALK TEST)


43000067 HC THER IVNTJ W/FOCUS COG FUNCJOCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430] ( 90.00)

42000067HC ORTHC/PROSTC MGMT SBSQ ENC EA 15 MIN PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 66.00)

36001630 HC TCAT DLVR ENHNCD FIXJ DEVOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,362.00)

36001631 HC PERQ ACCESS & CLSR FEM ARTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 638.00)

36001632 HC OPN FEM ART EXPOS CNDT CRTJOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 638.00)

36001633 HC OPN AX/SUBCLA ART EXPOSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 638.00)

36001634 HC TMVI PERCUTANEOUS APPROACHOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,362.00)

36001635 HC TMVI TRANSTHORACIC EXPOSUREOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,362.00)

43000068HC ORTHC/PROSTC MGMT SBSQ ENC OT EA 15 MIN


27001071HC BELMONT BUDDY LITE DISP TUBING MEDFLIGHT


75000091 HC UNLISTED PROCEDURE ESOPHAGUSGASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750] ( 1,335.00)

39000033HC PLATELETS PHERESIS PATHOGEN REDUCED EACH UNIT


39000034 HC PATHOGEN TEST FOR PLATELETS


45000469 HC LEV 1 HOSP TYPE B ED VISIT EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 253.00)



45000472 HC LEV 4 HOSP TYPE B ED VISIT EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 1,088.00)

45000473 HC LEV 5 HOSP TYPE B ED VISIT EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 1,336.00)

45000474HC REP ACQ/TRAUM AV FISTULA EXTREMITIES EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 7,658.00)

36001636 HC IMPLANT TCAT PULM VLV PERQOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 3,151.00)

27201959 HC CORECATH 2.75MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 3,163.00)

92100025HC DUPSCAN XTR VEINS UNILATERAL/LIMITED STUDY


40200058 HC EXTREMITY LIMITED OTHER IMAGING SERVICES - ULTRASOUND [0402] ( 384.00)

30100524 HC CREATININE DRAIN FLUID LABORATORY - CHEMISTRY [0301] ( 75.00)

27400205 HC SO AIRPLANE W/WO JOINT CFMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 2,099.00)

27400206 HC EO ELAS W/METAL JNTS PRE OTSMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 264.00)

27400207 HC WHFO W/JOINT(S) CUSTOM FABMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 807.00)

27400208 HC WHFO W/O JOINTS PRE OTSMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 444.00)

27400209 HC WHO NONTORSION JNTS PRE CSTMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 944.00)

27400210 HC HFO NONTORSION JNTS PRE OTSMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 163.00)

27201960 HC AUTOPLEX W/O NEEDLESMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 2,300.00)

30100525 HC RL AMG BY NEPHELOMETRY LABORATORY - CHEMISTRY [0301] ( 107.00)

30100526 HC RL HA ELISA QUANTITATIVE LABORATORY - CHEMISTRY [0301] ( 91.00)

30100527 HC RL TIMP 1 CHEMILUMINESCENT LABORATORY - CHEMISTRY [0301] ( 91.00)

36100146 HC REMOVAL IMPLANT DEEP OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 4,174.00)

76100121HC THER APHERESIS PLASMA PHERESIS ICU ONE ON ONE CARE


36001637 HC REPAIR TCAT MITRAL VALVE INITIALOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 21,274.00)

36001638HC REPAIR TCAT MITRAL VALVE ADDITIONAL


30200243 HC RL ISOHEMAGGLUTININ TITER LABORATORY - IMMUNOLOGY [0302] ( 122.00)

30200244 HC RL STRATIFY JCV ANTIBODY WIREFLEX LABORATORY - IMMUNOLOGY [0302] ( 1,521.00)

45000475HC UNLISTED PROCEDURE PHARYNX ADENOIDS EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 321.00)

31000128HC NP IMMUNOFLUORESCENCE PER SPECIMEN EA


27400211 HC HFO W/O JOINTS OTSMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 155.00)

27400212 HC EWHO RIGID W/O JOINT CUSTOMMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 1,243.00)

27400213 HC FO W/O JOINTS CUSTOMMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 379.00)

27400214 HC WHO WRIST HAND ORTHOSIS CUSTOMMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 1,761.00)

48100140 HC LEADLESS C PM INS/RPL VENTR CARDIOLOGY - CARDIAC CATH LAB [0481] ( 28,765.00)

31000129HC IN-SITU HYBRIDIZATION STAIN 1ST INITIAL


31000130 HC IN-SITU HYBRIDIZATION STAIN EA ADDLLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 104.00)

31000131 HC NP MICROSLIDE CONSULTATIONLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 126.00)

30600102 HC RL ADENOVIRUS BY PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 314.00)

30200245 HC RL CMV T CELL IMMUNITY CD4 LABORATORY - IMMUNOLOGY [0302] ( 237.00)

30200246 HC RL CMV T CELL IMMUNITY CD8 LABORATORY - IMMUNOLOGY [0302] ( 237.00)

30200247 HC RL CMV T CELL IMMUNITY VIABILITY LABORATORY - IMMUNOLOGY [0302] ( 237.00)

11400002 HC R&B - PRIVATE - PSYCH 2GROOM & BOARD - PRIVATE (MEDICAL OR GENERAL) - PSYCHIATRIC [0114] ( 1,996.00)

45000476HC CORPORA CAVERNOSA-GLANS PENIS FISTULIZ EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 3,045.00)

30100529 HC RL TSO 5 HIAA LABORATORY - CHEMISTRY [0301] ( 300.00)

30100530HC RL 5 FU DPYD GENE TOX AND CHEMO REPSONSE LABORATORY - CHEMISTRY [0301] ( 360.00)

30100531HC RL 5 FU TYMS GENE TOX AND CHEMO RESPONSE LABORATORY - CHEMISTRY [0301] ( 278.00)

30100532HC RL OXYCODONE AND METABOLITE QUANT LABORATORY - CHEMISTRY [0301] ( 77.00)

30100533 HC RL ANTI HMGCR AB EIA LABORATORY - CHEMISTRY [0301] ( 962.00)

30100534 HC RL MATA AUTOANTIBODY LABORATORY - CHEMISTRY [0301] ( 630.00)

30100535 HC RL METHEMOGLOBIN REDUCT LABORATORY - CHEMISTRY [0301] ( 355.00)

30100536 HC RL ZIC4 AUTOANTIBODY LABORATORY - CHEMISTRY [0301] ( 380.00)

31000132HC GROSS ONLY EXAMINATION WITH MICROSCOPIC EXAM


30100528 HC RL TSO PANCEASTATIN LABORATORY - CHEMISTRY [0301] ( 230.00)

94300003 HC PAD REHAB PER SESSIONOTHER THERAPEUTIC SERVICES - CARDIAC REHABILITATION [0943] ( 100.00)

27801168 HC ELATION BALLOON DILATOR MM 10 11 12MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 400.00)

30600103HC RESP VIRUS MULTIPLEX AMP PROBE TECH 3-5 TARGETS


27001072HC DISPOSABLE MASIMO PULSE OX ADULT MEDLFIGHT


27001073HC DISPOSABLE MASIMO PULSE OX PEDS MEDLFIGHT


30600104 HC BLASTO PROBE IDLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 208.00)

30010608 HC HEPSIN - CASH ONLY LABORATORY - GENERAL CLASSIFICATION [0300] ( 99.00)

30100537HC RL INFLIXIMAB QUANTITATION W/REFLEX LABORATORY - CHEMISTRY [0301] ( 230.00)

30100538HC RL CHROMOSOMAL MICROARRAY POSTNAL LABORATORY - CHEMISTRY [0301] ( 2,010.00)

31000133 HC RL GMS1 (SILVER STAIN)LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 90.00)

45000477HC UNLISTED PROCEDURE MALE GENITAL SYSTEM EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 412.00)

27201961HC AQUACEL AG EXTRA HYDROFIBER WOUND DRESSING 4X5 420677


27201962 HC ACTICOAT FLEX 7 66800405MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 32.00)

30100539 HC ESTROGEN ASSAY LABORATORY - CHEMISTRY [0301] ( 54.00)

30200248HC RL LEGIONELLA ANTIBODY PNEUMOPHILIA AB IGM LABORATORY - IMMUNOLOGY [0302] ( 24.00)

30200249HC RL LEGIONELLA ANTIBODY PNEUMOPHILIA AB IGG LABORATORY - IMMUNOLOGY [0302] ( 52.00)

32000382 HC KNEE 4+VIEW BILRADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320] ( 537.00)

30600105 HC RL SURE SWAB HSV 1 DNA PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 105.00)

30600106 HC RL SURE SWAB HSV 2 DNA PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 105.00)

30600107HC RL SURE SWAB GARDNERELLA VAGINALIS


30600108HC RL SURE SWAB TRICHOMONAS VAGINALIS


30600109 HC RL SURESWAB CANDIDIASIS PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 294.00)

30600110 HC RL SURESWAB NOS AGENTLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 73.00)

42000068HC TEAM CONF W/O PAT BY HC PRO 30+ MINS PT PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 94.00)

43000070HC TEAM CONF W/O PAT BY HC PRO 30+ MINS OT


44000017HC TEAM CONF W/O PAT BY HC PRO 30+ MINS SLP


30200250 HC RL MOG IGG1 ASSAY LABORATORY - IMMUNOLOGY [0302] ( 535.00)

30100540HC RL TRICYCLIC ANTIDEPRESSANTS ID AND QUAN LABORATORY - CHEMISTRY [0301] ( 91.00)

30200251 HC RL LATEX K82 IGE LABORATORY - IMMUNOLOGY [0302] ( 16.00)

45000478HC AMPUTATE FINGER/THUMB SGL W DIR CLOSE EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 4,950.00)

30600111 HC CARBAPENEMASESLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 48.00)

27801170 HC MITRACLIP ABBOTTMEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278] ( 60,000.00)

30010609HC BONE MARROW RETRIEVAL AND PROCESSING LABORATORY - GENERAL CLASSIFICATION [0300] ( 31.00)

34100084 HC LIVER IMAGE STATIC ONLY NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 2,159.00)

30100542 HC ALPHA-FETOPROTEIN L3 LABORATORY - CHEMISTRY [0301] ( 159.00)

32000383 HC PERQ LAMOT/LAM LUMBARSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 10,066.00)

31000134 HC RL MORPHOMETRIC ANALYSISLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 387.00)

30100543 HC RL MSI BY PCR IF MSI-H REFLEX LABORATORY - CHEMISTRY [0301] ( 715.00)

30100544 HC RL MLH-1 PROMOTER METHYLATION LABORATORY - CHEMISTRY [0301] ( 385.00)

48100141 HC BIOPSY WITH RHC CARDIOLOGY - CARDIAC CATH LAB [0481] ( 3,585.00)

31000135 HC RL ADDITIONAL IHC STAIN ONLY LABORATORY - CHEMISTRY [0301] ( 50.00)

30200252HC RL CNS DEMYELINATING DISEASE EVAL S LABORATORY - IMMUNOLOGY [0302] ( 810.00)

30100545 HC RL 1433 PROTEIN CSF LABORATORY - CHEMISTRY [0301] ( 155.00)

30100546 HC RL RECOMBX CV2 AUTOAB/CRMP-5 LABORATORY - CHEMISTRY [0301] ( 370.00)

30100547HC RL PAIN MGT PROFILE 4 W/CONFIRM W/O MEDMATCH LABORATORY - CHEMISTRY [0301] ( 177.00)

20000004 HC ICU ONE TO ONE INTENSIVE CARE - GENERAL CLASSIFICATION [0200] ( 5,482.00)

36001639 HC PERC ASPIRATION SPINAL CORD CYSTOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,207.00)

76100122 HC PERQ LAMOT/LAM CRV/THRCSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 10,066.00)

30200253 HC DEOXYRIBONUCLEASE ANTIBODY LABORATORY - IMMUNOLOGY [0302] ( 33.00)

30100548 HC RL BETA MELANOCYTE STIM LABORATORY - CHEMISTRY [0301] ( 195.00)

30100549 HC RL MMP-P LABORATORY - CHEMISTRY [0301] ( 155.00)

30100550 HC RL ALPHA MELANOCYTE STIM LABORATORY - CHEMISTRY [0301] ( 175.00)

30200254 HC RL ANA IFA WITH REFLEX LABORATORY - IMMUNOLOGY [0302] ( 14.00)

30100552 HC RL LEPTIN LABORATORY - CHEMISTRY [0301] ( 83.00)

30100553 HC RL TGFB1 LABORATORY - CHEMISTRY [0301] ( 80.00)

30100554 HC RL HLA-B51 LABORATORY - CHEMISTRY [0301] ( 90.00)

30100551 HC RL OPA1 DNA LABORATORY - CHEMISTRY [0301] ( 1,860.00)

31000136 HC KAPPA IN-SITU HYBRIDIDIZATIONLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 260.00)

31000137 HC LAMBDA IN-SITU HYBRIDIZATIONLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 260.00)

76100123 HC INS MARK THOR FOR RT PERQSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 2,131.00)

36100147HC DESTR W NEUROLYT TRIGEM NRV W/RAD GUIDE OPERATING ROOM SERVICES - MINOR SURGERY [0361] ( 2,892.00)

27400218 HC HM III MODULAR CABLE BTTMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 19,306.00)

27400219 HC HM III SYSTEM CONTROLLER BTTMEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274] ( 21,450.00)

27400220HC HM III MOBILE POWER UNIT W/AC POWER CABLE BTT


30600112 HC STPCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 98.00)

31000138 HC RL DNASE SENSITIVITY (IBD)LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 120.00)

36001640 HC INJ ANESTH AXILLARY NERVEOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,207.00)

36001641 HC INJ ANESTH AXILLARY NERVE BILOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,810.00)

94000004 HC PHOTOTHERAPY DAILYOTHER THERAPEUTIC SERVICES - GENERAL CLASSIFICATION [0940] ( 100.00)

94000005 HC HYPOTHERMIA ILL NEONATEOTHER THERAPEUTIC SERVICES - GENERAL CLASSIFICATION [0940] ( 216.00)

30200255 HC RL CASPR2-IGG CBA CSF LABORATORY - IMMUNOLOGY [0302] ( 250.00)

30200256 HC RL LGI1-IGG CBA CSF LABORATORY - IMMUNOLOGY [0302] ( 250.00)

30100555 HC RL VGKC COMPLEX AB IPA CSF LABORATORY - CHEMISTRY [0301] ( 232.00)

30600113 HC RL VIRAL CULTURE CSFLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 165.00)

30100556 HC RL INTEFERON ALPHA LABORATORY - CHEMISTRY [0301] ( 183.00)

30600114 HC RL HIV-2 DNA/RNA QUAL PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 296.00)

30600115 HC RL FUNPCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 460.00)

30600116 HC RL BCTPCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 286.00)

30600117 HC RL NTMPCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 316.00)

30100557 HC RL PANCREATIC ELASTASE 1 LABORATORY - CHEMISTRY [0301] ( 160.00)

11200002 HC R&B PRIVATE OB ONE ON ONE CAREROOM & BOARD - PRIVATE (MEDICAL OR GENERAL) - OB [0112] ( 2,260.00)

17300002HC NEWBORN NICU STEPDOWN ONE ON ONE CARE NURSERY - NEWBORN - LEVEL III [0173] ( 4,120.00)

17400002 HC NEWBORN NICU ONE ON ONE CARE NURSERY - NEWBORN - LEVEL IV [0174] ( 5,948.00)

76100124HC EXCISION OF LINGUAL FRENUM (FRENECTOMY)


76100125 HC PAL & UACSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,100.00)

76100126 HC PARTIAL EXCHANGE TRANSFUSE NBSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 673.00)

30200257 HC RL CRP (PJI ARUP) LABORATORY - IMMUNOLOGY [0302] ( 18.00)

30100558 HC RL SPECTROPHOTOMETRY (PJI ARUP) LABORATORY - CHEMISTRY [0301] ( 18.00)

30100559 HC RL IMMUNOASSAY NON-AB (PJI ARUP) LABORATORY - CHEMISTRY [0301] ( 18.00)

30600118 HC RL GASTRO PATH PANEL (GPP) PCR 15LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 566.00)

92200027 HC MUSC TST DONE W/N TST NONEXTOTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922] ( 75.00)

42000069HC CANALITH REPOSITIONING PROC PT PER DAY PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420] ( 129.00)

43000071HC CANALITH REPOSITIONING PROC OT PER DAY


46000102 HC PULMONARY COMPLIANCEPULMONARY FUNCTION - GENERAL CLASSIFICATION [0460] ( 245.00)

76100127 HC NJX SCLRSNT SPIDER VEINSSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 303.00)

45000479HC PERC SKTL FIX D PHALANG FX FINGER/THUMB EMERGENCY ROOM - GENERAL CLASSIFICATION [0450] ( 4,750.00)

76100128 HC SCLEROTX FLUID COLLECTIONSPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761] ( 1,029.00)

30600119 HC RL HIV-1 DNA QUALITATIVE PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 236.00)

30200258 HC RL RABIES VACCINE END POINT TITER LABORATORY - IMMUNOLOGY [0302] ( 102.00)

36001642HC DESTR W NEUROLYTIC; OTHER PERIPH NRV


30100560 HC RL QU IGF 2 LABORATORY - CHEMISTRY [0301] ( 120.00)

30100561 HC RL AR PHOSPHATIDYLETHANOL LABORATORY - CHEMISTRY [0301] ( 107.00)

30100562 HC RL MY GALACTITOL QNT URINE LABORATORY - CHEMISTRY [0301] ( 205.00)

30100563 HC RL MY AUTO RETINOPATHY PANEL LABORATORY - CHEMISTRY [0301] ( 685.00)

31000139 HC RL QU BLADDER CANCER FISHLABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310] ( 460.00)

30600120 HC RL MY ACANTHAMOEBA SP PCRLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 247.00)

30600121 HC RL QU H. PYLORI CUL W/REFLEX 1LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 74.00)

30600122 HC RL QU H. PYLORI CUL W/REFLEX 2LABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 74.00)

30100564HC RL QU SENSORY-METER NEUROPATHY ANTIBODY PANEL LABORATORY - CHEMISTRY [0301] ( 93.00)

30100565 HC RL QU C3A DES ARG FRAGMENT LABORATORY - CHEMISTRY [0301] ( 102.00)

30200259 HC RL QU C4A LEVEL BY RIA LABORATORY - IMMUNOLOGY [0302] ( 80.00)

36001643 HC AMPUTATE FOOT TRANSMETATARSALOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,750.00)

27801172HC THERASKIN 2.5CM X 2.5CM 100TSXS (PER SQ CM)


27801173HC THERASKIN 2.5CM X 5.1CM 101TSS (PER SQ CM)


27801174HC THERASKIN 5.1CM X 7.6CM 102TSL Per SQ CM


36001644 HC REPAIR DETACHED RETINAOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 6,479.00)

27201964 HC ACTICOAT 7 FLEX ROPEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 47.00)

27201965HC DRESSING WOUND ALLEVYN LIFE HYDROCELLULAR SILICONE GEL FOAM


27201966HC DRSG WND CARE V.A.C. VERAFLO CLEANSE LF ST DISP MD


27201967HC DRSG WND GRANUFOAM VAC 5X5INAG LG


27201968HC DRSG WND INFO V.A.C. GRANUFOAMNEG PRESS SM 3.2X7.5X10CM


27201969HC DRSG WND NEG PRESS V.A.C. GRANUFOAM AG LF SM 3.2X7.5X10CM


27201970HC DRSG WND NEG PRESS V.A.C. GRANUFOAM POLYURET 26X15X1.6CM


27201971 HC DRSG WND PRISMA MATRX 19.1INMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 54.00)

27201972

HC DRSG WND V.A.C. 10X7.5X1CMGRANUFOAM POLYURET DRP PAD WHT


27201973HC DRSG WND V.A.C. GRANUFOAM AG LF ST MD 5.0CA 3.2X12.5X18CM


27201974HC DRSG WND V.A.C. GRANUFOAM POLYURET DRP PAD MD 3.3X12.5X18CM


27201975HC DRSG WND V.A.C. GRANUFOAM POLYURET DRP PAD XL 60X30X1.5CM


27201976HC DRSG WND V.A.C. WHITEFOAM LF POLYVNYL ALC FM WET 15X10CM


27201977HC KIT DEV FECAL MGMT FLEXI-SEALLF SIL INCLUDES 3 FILT BAG


27201978HC POUCH WND EAKIN FLX CUT TO FITTAP CLS REMOTE DRN 4.3X3.0IN


27201979 HC VAC DRAPEMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 17.00)

27001074CASSET WND THER UNIT V.A.C.VERALINK PLSTC LF ST DISP


36001645 HC LEADLESS C PM REMOVE VENTROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 4,476.00)

30100566 HC IMMUNOGLOBULIN PANEL(IGG IGA IGM) LABORATORY - CHEMISTRY [0301] ( 69.00)

30200260 HC RL QU TOXOCARA AB ELISA FLUID LABORATORY - IMMUNOLOGY [0302] ( 66.00)

30100567 HC RL QU DPD GENE MUTATION ANALYSIS LABORATORY - CHEMISTRY [0301] ( 360.00)

30100568 HC RL MY GADOLINIUM 24H URINE LABORATORY - CHEMISTRY [0301] ( 248.00)

30100569 HC RL GP CLL TP53 SEQUENCING LABORATORY - CHEMISTRY [0301] ( 499.00)

30100570 HC RL QU GQ1B ANTIBODY LABORATORY - CHEMISTRY [0301] ( 117.00)

30100571HC RL QU FLUNITRAZEPAM METABOLITES URINE LABORATORY - CHEMISTRY [0301] ( 176.00)

30100572 HC RL QU METHADONE GC/MS LABORATORY - CHEMISTRY [0301] ( 65.00)

30100573HC RL QU FLUNITRAZEPAM METABOLITES QUANT LABORATORY - CHEMISTRY [0301] ( 109.00)

30100574 HC RL QU HSP-70 ANTIBODY LABORATORY - CHEMISTRY [0301] ( 146.00)

30100575HC RL QU MYCOBACTERIUM TB COMPLEXPCR NONRESP LABORATORY - CHEMISTRY [0301] ( 172.00)

30600123HC RL QU HISTOPLASMA GALACTOMANNAN AGUR


30100576HC RL QU ERYTHROCYTE PROTOPORPHYRIN LABORATORY - CHEMISTRY [0301] ( 43.00)

30600124 HC RL QU CYCLOSPORA EXAMLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 33.00)

30600125 HC RL QU ISOSPORA EXAMLABORATORY - BACTERIOLOGY AND MICROBIOLOGY [0306] ( 33.00)

30100577 HC RL QU ALCOHOL SCREEN FLUID LABORATORY - CHEMISTRY [0301] ( 84.00)

12400002 HC R&B - SEMIPRIVATE - PSYCH 2GROOM & BOARD - SEMI-PRIVATE TWO BED (MEDICAL OR GENERAL) - PSYCHIATRIC [0124] ( 1,942.00)

27201683 HC AQUA SHIELD WATER BOTTLE SYSTEMMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 22.00)

27201684 HC TORRENT IRRIGATION TUBINGMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 24.00)

27201685 HC TORRENT SCOPE CONNECTORMEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272] ( 24.00)

34100081 HC RED CELL SEQUESTRATION NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341] ( 905.00)

36001389 HC SGL NBI BRACHIAL PLEXUSOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 951.00)

36001390 HC STENT PLACEMT RETRO CAROTIDOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 5,344.00)

36001391HC TCAT PLMT XTRC VRT STENT S&I PRQ/OPEN EA ADL VSL


36001392 HC ENDOVASC TEMP B VESSEL OCCLOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 14,040.00)

36001393 HC INTRACRANIAL ANGIOPLASTYOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 12,503.00)

36001394 HC DILATE IC VASOSPASM INITOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 11,309.00)

36001395HC DILATE IC VASOSPASM ADD-ON SAME VASC TERRITORY


36001396HC DILATE IC VASOSPASM ADD-ON DIFFERENT VASC TERRITORY


36001397HC DESTR W NEUROLYTIC; INTERCOSTAL NRV


36001398 HC INS/REP SUBQ DEFIBRILLATOROPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 34,189.00)

36001399 HC ELECTROPHYSIOLOGY EVALUATIONOPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360] ( 1,702.00)

40400009HC PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH


45000015 HC MEDICAID SCREENINGEMERGENCY ROOM - EMTALA EMERGENCY MEDICAL SCREENING [0451] ( 46.00)

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