0987730
EMERGENCY ROOM CHG.(SEMI)
252
0987730E
EMERGENCY ROOM CHG.(SEMI)
252
0987731
EMERGENCY ROOM CHG (UNITINTE)
252
0987731E
EMERGENCY ROOM CHG (UNITINTE)
252
0987732
EMERGENCY ROOM CHG SHELTER-B
252
0987732E
EMERGENCY ROOM CHG SHELTER-B
252
0995555
OBSERVATION ROOM MEDICINE A
150
0995555E
OBSERVATION ROOM MEDICINE A
150
0998075
M&S PRIVATE ROOM-MEDICINE A
312
0998075E
M&S PRIVATE ROOM-MEDICINE A
312
0998076
M&S PVT ISOLATION RM-MED A
327
0998076E
M&S PVT ISOLATION RM-MED A
327
0998077
M&S PVT TELEMETRY RM-MED A
327
0998077E
M&S PVT TELEMETRY RM-MED A
327
0998085
M&S SEMI-PVT ROOM-MEDICINE A
252
0998085E
M&S SEMI-PVT ROOM-MEDICINE A
252
0998086
M&S SEMI-PVT ISOLATION RM-MEDA
300
0998086E
M&S SEMI-PVT ISOLATION RM-MEDA
300
0998087
M&S SEMI-PVT TELEMETRY RM-MEDA
302
0998087E
M&S SEMI-PVT TELEMETRY RM-MEDA
302
1005550
OBSERVATION ROOM MEDICINE B
150
1005550E
OBSERVATION ROOM MEDICINE B
150
1005555
OBSERVATION ROOM
150
1005555E
OBSERVATION ROOM
152
1005556
TREATMENT OBSERVATION ROOM
150
1005556E
TREATMENT OBSERVATION ROOM
150
1007768
M & S SEMI-PRIV ISOLATION ROOM
300
1007768E
M & S SEMI-PRIV ISOLATION ROOM
300
1007769
M & S PRIVATE ISOLATION ROOM
325
1007769E
M & S PRIVATE ISOLATION ROOM
325
1007770
M & S SEMI-PRIV.ROOM
252
1007770E
M & S SEMI-PRIV.ROOM
252
1007775
M & S PRIVATE ROOM
310
1007775E
M & S PRIVATE ROOM
310
1007778
M & S SEMI-PRIV TELEMETRY ROOM
302
1007778E
M & S SEMI-PRIV TELEMETRY ROOM
302
1007779
M & S PRIVATE TELEMETRY ROOM
327
1007779E
M & S PRIVATE TELEMETRY ROOM
327
1008075
M&S PRIVATE ROOM-MEDICINE B
312
1008075E
M&S PRIVATE ROOM-MEDICINE B
312
1008076
M&S PVT ISOLATION RM-MED B
327
1008076E
M&S PVT ISOLATION RM-MED B
327
1008077
M&S PVT TELEMETRY RM-MED B
327
1008077E
M&S PVT TELEMETRY RM-MED B
327
1008085
M&S SEMI-PVT ROOM-MEDICINE B
252
1008085E
M&S SEMI-PVT ROOM-MEDICINE B
252
1008086
M&S SEMI-PVT ISOLATION RM-MEDB
302
1008086E
M&S SEMI-PVT ISOLATION RM-MEDB
302
1008087
M&S SEMI-PVT TELEMETRY RM-MEDB
302
1008087E
M&S SEMI-PVT TELEMETRY RM-MEDB
302
1015554
OBSERVATION ROOM DELUXE
150
1015554E
OBSERVATION ROOM DELUXE
150
1015555
OBSERVATION ROOM MEDICINE D
150
1015555E
OBSERVATION ROOM MEDICINE D
150
1017874
M&S PRIVATE ROOM DELUXE
312
1017874E
M&S PRIVATE ROOM DELUXE
312
1017875
M&S PRIVATE ROOM-MEDICINE D
312
1017875E
M&S PRIVATE ROOM-MEDICINE D
312
1017876
M&S PVT ISOLATION RM-MED D
327
1017876E
M&S PVT ISOLATION RM-MED D
327
1017877
M&S PVT TELEMETRY RM-MED D
327
1017877E
M&S PVT TELEMETRY RM-MED D
327
1017885
M&S SEMI-PVT ROOM-MEDICINE D
252
1017885E
M&S SEMI-PVT ROOM-MEDICINE D
252
1017886
M&S SEMI-PVT ISOLATION RM-MEDD
302
1017886E
M&S SEMI-PVT ISOLATION RM-MEDD
302
1017887
M&S SEMI-PVT TELEMETRY RM-MEDD
302
1017887E
M&S SEMI-PVT TELEMETRY RM-MEDD
302
1025555
OBSERVATION ROOM SURGERY
150
1025555E
OBSERVATION ROOM SURGERY
150
1027975
M&S PRIVATE ROOM-SURGERY
312
1027975E
M&S PRIVATE ROOM-SURGERY
312
1027976
M&S PVT ISOLATION RM-SURGERY
327
1027976E
M&S PVT ISOLATION RM-SURGERY
327
1027977
M&S PVT TELEMETRY RM-SURGERY
325
1027977E
M&S PVT TELEMETRY RM-SURGERY
325
1027985
M&S SEMI-PVT ROOM-SURGERY
252
1027985E
M&S SEMI-PVT ROOM-SURGERY
252
1027986
M&S SEMI-PVT ISOLATION RM-SURG
302
1027986E
M&S SEMI-PVT ISOLATION RM-SURG
302
1027987
M&S SEMI-PVT TELEMETRY RM-SURG
302
1027987E
M&S SEMI-PVT TELEMETRY RM-SURG
302
1035555
OBSERVATION ROOM MEDICINE C
150
1035555E
OBSERVATION ROOM MEDICINE C
150
1035556
OBSERVATION ROOM MEDICINE UD
150
1035556E
OBSERVATION ROOM MEDICINE UD
150
1038075
M&S PRIVATE ROOM-MEDICINE C
310
1038075E
M&S PRIVATE ROOM-MEDICINE C
310
1038076
M&S PVT ISOLATION RM-MED C
327
1038076E
M&S PVT ISOLATION RM-MED C
327
1038077
M&S PVT TELEMETRY RM-MED C
325
1038077E
M&S PVT TELEMETRY RM-MED C
325
1038078
M&S PRIVATE ROOM-MEDICINE UD
310
1038078E
M&S PRIVATE ROOM-MEDICINE UD
310
1038079
M&S PVT ISOLATION RM-MED UD
327
1038079E
M&S PVT ISOLATION RM-MED UD
327
1038080
M&S PVT TELEMETRY RM-MED UD
327
1038080E
M&S PVT TELEMETRY RM-MED UD
327
1038085
M&S SEMI-PVT ROOM-MEDICINE C
252
1038085E
M&S SEMI-PVT ROOM-MEDICINE C
252
1038086
M&S SEMI-PVT ISOLATION RM-MEDC
300
1038086E
M&S SEMI-PVT ISOLATION RM-MEDC
300
1038087
M&S SEMI-PVT TELEMETRY RM-MEDC
302
1038087E
M&S SEMI-PVT TELEMETRY RM-MEDC
302
1038088
M&S SEMI-PVT ROOM-MEDICINE UD
252
1038088E
M&S SEMI-PVT ROOM-MEDICINE UD
252
1038089
M&S SEMI-PVT ISOLATION RM-UD
302
1038089E
M&S SEMI-PVT ISOLATION RM-UD
302
1038090
M&S SEMI-PVT TELEMETRY RM-UD
302
1720012
#FINE NEEDLE ASPIRATION W IMAG
10022
0
1720013
#NBLOCK INJEC ELIAC PELVIS
64530
0
1720013E
#NBLOCK INJEC ELIAC PELVIS
64530
0
1720014
#ACHE SURG (COMEDONES/CYST/PUS
10040
0
1720015
#REMOVE SPINE LAMINA 1 THRC
63046
0
1720016
#INC & DRA ABCESS (CARBUNCLE)
10060
0
1720017
#INC & DRA ABCESS SUBFACIAL
20005
0
1720018
#INC & DRA (COMPICATE OR MULTI
10061
0
1720019
#INJECT FOR SPINE DISK XR
62290
0
1720020
#INC & DRA PILONIDAL CYST/SIMP
10080
0
1720021
#BIOPSY OF VAGINA
57105
0
1720021E
#BIOPSY OF VAGINA
57105
0
1720022
#INC & DRA PILONIDAL CYST/COMP
10081
0
1720023
#DILATION OF CERVIX CANAL
57800
0
1720023E
#DILATION OF CERVIX CANAL
57800
0
1720024
#INC & REM FOREING BD SUB SMPL
10120
0
1720024E
#INC & REM FOREING BD SUB SMPL
10120
0
1720025
#IVC RADIOLOGY
75894
0
1720026
#INC & REM FOREING BD SUB CMPL
10121
0
1720026E
#INC & REM FOREING BD SUB CMPL
10121
0
1720027
#VEINS PROCEDURE
36473
0
1720027E
#VEINS PROCEDURE
36473
0
1720028
#INC & DRA HEMATOMA/SEROMA/FLU
10140
0
1720028E
#INC & DRA HEMATOMA/SEROMA/FLU
10140
0
1720029
#LAPAROSCOPIC ORTHOPEDIC ARTHT
29871
0
1720029E
#LAPAROSCOPIC ORTHOPEDIC ARTHT
29871
0
1720030
#PUNTURE ASPIRATION ADCESS/HEM
10160
0
1720030E
#PUNTURE ASPIRATION ADCESS/HEM
10160
0
1720031
#BIOPSY OF PANCREA OPEN
48100
0
1720031E
#BIOPSY OF PANCREA OPEN
48100
0
1720032
#INC & DRA COMPLEX/POSTOPERATI
10180
0
1720033
#PM DEVICE EVAL
93288
0
1720033E
#PM DEVICE EVAL
93288
0
1720034
#DEBRIDMENT 10% BODY SURFACE
11000
0
1720035
#PLACE CATH CAROTID ART
36224
0
1720035E
#PLACE CATH CAROTID ART
36224
0
1720036
#DEBRIDMENT ADITIONAL 10% BDY
11001
0
1720037
#LAPT STG/RESTRG OVAR TUBALL
58960
0
1720037E
#LAPT STG/RESTRG OVAR TUBALL
58960
0
1720038
#DEBRIDMENT REMOVAL FOREIGN MA
11010
0
1720039
#PIN FINGUER FRACTURE EACH
26756
0
1720039E
#PIN FINGUER FRACTURE EACH
26756
0
1720040
#DEBRIDMENT/SKIN/SUBCUTANEOUS
11011
0
1720041
#KIDNEY ENDOSCOPY & TREAT
50557
0
1720041E
#KIDNEY ENDOSCOPY & TREAT
50557
0
1720042
#DEBRIDMENT/SKIN/SUBCU/MUSCLE
11012
0
1720043
#FRACTURE AND/DISLOCATION PROC
26785
0
1720044
#DEBRIDMENT/SKIN/PARTIAL THICK
97597
0
1720045
#DEBIDRE TISSUE/MUSCLE/BONE
11044
0
1720046
#PARING OR CUTTING SINGLE LESI
11055
0
1720047
#REPAIR INGINAL HERNIA NO OBST
49492
0
1720048
#PARING OR CUTTING 2 TO 4 LESI
11056
0
1720049
#KIDNEY ENDOSC W/URETERAL CATH
50553
0
1720050
#PARING OR CUTTING > 4 LESIONS
11057
0
1720051
#REMOVAL OF ANUS TAGS
46230
0
1720052
#BIOPSY OF SKIN(SINGLE LESION)
11100
0
1720052E
#BIOPSY OF SKIN(SINGLE LESION)
11100
0
1720053
#OPTX POST ANKLE FX
27769
0
1720054
#BIOPSY OF SKIN(EACH ADITIONAL
11101
0
1720055
#REMOVAL OF SKIN TAGS
11200
0
1720056
#EXCISION 0.5CM OR LESS
11400
1720056E
#EXCISION 0.5CM OR LESS
11400
1720057
#EXCISION 0.5CM OR LESS
11400
1720058
#EXCISION 0.6CM TO 1.0CM
11401
0
1720058E
#EXCISION 0.6CM TO 1.0CM
11401
0
1720059
HEARING SCREENING
92587
40
1720060
#EXCISION 1.1CM TO 2.0CM
11402
0
1720060E
#EXCISION 1.1CM TO 2.0CM
11402
0
1720061
#EXCISION 2.1 TO 3.0 CM
11403
0
1720061E
#EXCISION 2.1 TO 3.0 CM
11403
0
1720062
#EXCISION (SCALP/NECK/HANDS)
11420
0
1720062E
#EXCISION (SCALP/NECK/HANDS)
11420
0
1720063
#PIERCE EARLOBES
69090
0
1720064
#EXCISION 0.6CM TO 1.0CM
11421
0
1720064E
#EXCISION 0.6CM TO 1.0CM
11421
0
1720065
#EXCISION 2.1 TO 3.0 CM
11423
0
1720065E
#EXCISION 2.1 TO 3.0 CM
11423
0
1720066
#EXCISION 1.1CM TO 2.0CM
11422
0
1720066E
#EXCISION 1.1CM TO 2.0CM
11422
0
1720067
#EXCISION 3.1 TO 4.0 CM
11424
0
1720067E
#EXCISION 3.1 TO 4.0 CM
11424
0
1720068
#EXCISION OTHER BENING LESION
11440
0
1720068E
#EXCISION OTHER BENING LESION
11440
0
1720069
#DRAINAGE OF PROSTATE ABSCESS
52700
0
1720070
#EXCISED DIAM 0.6CM TO 1.0CM
11441
0
1720070E
#EXCISED DIAM 0.6CM TO 1.0CM
11441
0
1720071
#EXC FACE-MM B9+ MARG
11441
0
1720071E
#EXC FACE-MM B9+ MARG
11441
0
1720072
#EXCISED DIAM 1.1CM TO 2.0CM
11442
0
1720072E
#EXCISED DIAM 1.1CM TO 2.0CM
11442
0
1720073
#EXCISION BENING LESS 2.1-3.0C
11443
0
1720073E
#EXCISION BENING LESS 2.1-3.0C
11443
0
1720074
#EXCISION OF SKIN & SUBCUTANOU
11450
1720075
#REPLACEMENT PEG TUBE
49450
1720076
#TREAT HUERUS FRACTURE
23620
1720077
#REPAIR OF HYDROCELE
55060
1720078
#EXCISION OF SKIN & SUBCUTANOU
11462
0
1720079
#SHOULDER ALTROSCOPY SURGERY
29807
0
1720080
#EXCISION OF SKIN & SUBCUTANOU
11463
0
1720081E
#INT CARD ABLATION CRYO
93656
0
1720082
#EXCISION OF SKIN & SUBCUTANOU
11470
0
1720083
#BX BREAST 1ST LESSION
19085
0
1720084
#EXCISION OF SKIN & SUBCUTANOU
11471
1720085
#REP VENTRAL HERNIA INIT REP
49560
0
1721601
#INSERTION OF CANNULA
36800
0
1721602
#REPLACE TUNNELED VC CATH
36578
0
1721604
#AV FUSE/UPPR ARM/CEPHALIC
36818
0
1721604E
#AV FUSE/UPPR ARM/CEPHALIC
36818
0
1721606
#TREATMENT OF ANKLE FRACTURE
27788
0
1721608
#REPLACE ELBOW JOINT
24363
0
1721610
#INSERT MESH/PELVIC FLR ADDON
57267
0
1721612
#COLPOPEXI VAGINAL EXTRA
57282
0
1721613
#COLPOPEXI VAG INTRA-PERIT APP
57283
0
1721614
#ARHROSCOPY OF JOINT
29999
0
1721616
#REMOVAL OF BREAST TISSUE
19300
0
1721616E
#REMOVAL OF BREAST TISSUE
19300
0
1721618
#LAPAROSCOPY/SURGICAL PROSTATE
55866
0
1721620
#INSERT OCULAR IMPLANT
65130
0
1721622
#CREATE PASSAGE TO KIDNEY
50436
0
1721622E
#CREATE PASSAGE TO KIDNEY
50435
0
1721624
#NBLOCK LUMBAR/THORACIC
64520
0
1721626
#REMOVE MULTI-COMP PENIS PROS
54406
0
1721628
#REMOVAL OF SHOULDER LESION
23075
0
1721630
#ENDOSCOPY/MAXILLARY SINUS
31267
0
1721631
#PERC VERTEBRAL AUGMENT LUMBAR
22514
0
1721631E
#PERC VERTEBRAL AUGMENT LUMBAR
22514
0
1721632
#REMOVAL OF KNEE CARTILAGE
27333
0
1721634
#TREATMENT OF NOSE FRACTURE
21335
0
1721635
#TREATMENT OF NOSE FRACTURE
21325
0
1721636
#IMPLANT NEUROELECTRODES
64581
0
1721636E
#IMPLANT NEUROELECTRODES
64581
0
1721637
#REIMPLANTATION OF KEDNEY
50382
0
1721638
#TREAT FRACTURE OF ULNA
25535
0
1721642
#REMOVE EYELID LESIONS
67805
0
1721644
#TREAT HUMERUS FRACTURE
23630
0
1721644E
#TREAT HUMERUS FRACTURE
23630
0
1721646
#NASAL/SINUS ENDOSCOPY SURG
31240
0
1721648
#REMOVE NASAL FOREIGN BODY
30320
0
1721650
#TREAT METATARSAL FRACTURE
28470
0
1721652
#LARYNGOSCOPY DIRECT
31561
0
1721654
#REMOVAL OF LYMPH NODES NECK
38700
0
1721658
#TREATMENT OF NOSE FRACTURE
21315
0
1721660
#RESET DISLOCATED JAW
21480
0
1721662
#EYE SURGERY PROCEDURE
66999
0
1721664
#SURG DX EXAM ANORECTAL
45990
0
1721666
#RESECT INFERIOR TURBINATE
30140
0
1721666E
#RESECT INFERIOR TURBINATE
30140
0
1721668
#HAND TENDON RECONSTRUCTION
26502
0
1721670
#PARTIAL REMOVE OF TONGUE
41130
0
1721671
#PARTIAL REMOVAL OF THYROID
60225
0
1721672
#REMOVAL OF TESTIS
54520
0
1721672E
#REMOVAL OF TESTIS
54520
0
1721673
#PARTIAL REMOVAL OF PHARYNX
60225
0
1721674
#REPAIR RECTUM VAGINA FISTULA
57300
0
1721675
#PARTIAL REMOVAL OF PHARYNX
42890
0
1721676
#DESTRUCTION OF LESSIONS ANUS
46924
0
1721677
#PARTIAL REMOVE OF TOE
28153
0
1721680
#CRYOABLATE PROSTATE
55873
0
1721682
#KNEE ARTHROSCOPY DX
29870
0
1721684
#AV FISTULA REVISION OPEN
36832
0
1721684E
#AV FISTULA REVISION OPEN
36832
0
1721686
#REMOVE HIP/PELVIS LESION
27047
0
1721688
#REPAIR OF KNEE CARTILAGE
27403
0
1721690
#BONE BIOPSY EXCISIONAL
20245
0
1721692
#BIOPSY THIGH SOFT TISSUES
27324
0
1721693
#BIOPSY SOFT TISS PELVIS/HIP
27041
0
1721694
#REMOVE TUMOR HIP/PELVIS
27049
0
1721695
#REMOVE PROSTATE REGROWTH
52630
0
1721695E
#REMOVE PROSTATE REGROWTH
52630
0
1721696
#REPAIR FOREARM TENDON/MUSCLE
25260
0
1721697
#REPAIR SUPERFICIAL WOUND(S)
12036
0
1721698
#REPAIR OF WOUND OR LESION
13151
0
1721699
#REPAIR OF WOUND LESSION
13152
0
1721700
#EXPLORE TREAT ANKLE JOINT
27610
0
1721702
#ABDOMEN SURGERY PROCEDURE
49999
0
1721704
#REMOVE ARMPIT LYMPH NODES
38745
0
1721706
#INCISION OF URETHRA
53000
0
1721707
#INCISION OF URETHRA
53020
0
1721708
#INCISION OF BILE DUCT
47530
0
1721709
#INCISION OF URETHRA
53010
0
1721710
#ANOSCOPY AND DILATION
46604
0
1721712
#BIOPSY OF TOE JOINT LINING
28054
0
1721714
#MAST/ MOD RAD
19307
0
1721714E
#MAST/ MOD RAD
19307
0
1721715
#REVISE SPINE ELTRD PERQ.
63663
0
1721715E
#REVISE SPINE ELTRD PERQ.
63663
0
1721716
#REVISION OF CERVIX
59325
0
1721717
#REVISION OF URETHRA
53460
0
1721718
#TREAT FRACTURE ULHAR STYLOID
25652
0
1721720
#WRIST REPLACEMENT
25446
0
1721722
#TREATMENT OF URETHRA LESION
53265
0
1721724
#LIGATE/STRIP SHORT LEG VEIN
37718
0
1721726
#REMOVE IMPLANT OF EYE
65920
0
1721728
#PARTIAL THYROID EXCISION
60210
0
1721728E
#PARTIAL THYROID EXCISION
60210
0
1721729
#PARTIAL THYROID EXCISION
60212
0
1721730
#LARYNGOSCOPY FOR ASPIRATION
31515
0
1721732
#LEG SURGERY PROCEDURE
27599
0
1721733
#INSERT AND REMOVE BONE PIN
20650
0
1721733E
#INSERT AND REMOVE BONE PIN
20650
0
1721734
#REMOVAL OF SUPPORT IMPLANT
20670
0
1721736
#MAST SUBQ
19304
0
1721738
#REPAIR BLADDER & VAGINA
57289
0
1721740
#REREPAIR ING HERNIA BLOCKED
49521
0
1721742
#REPAIR BLOOD VASSEL LESION
35201
0
1721744
#REPAIR BLOOD VESSEL LESION
35180
0
1721745
#REPAIR CONG ANTVNS FISTULA EX
35184
0
1721746
#APPLICATION LOWER LEG SPLINT
29515
0
1721748
#REMOVAL OF THYNID
60240
0
1740022
# LAPAROSCOPIC EQUIPMENT TRAY
47579
0
1740024
# LAPAROSCOPIC EQUIPMENT TRAY
47562
0
1740025
# LAPAROSCOPIC EQUIPMENT TRAY
58570
0
1740027
# ERCP MATERIALS
43266
0
1740032
# LAPAROSCOPIC EQUIPMENT TRAY
49320
0
1740034
# LAPAROSCOPIC EQUIPMENT TRAY
49321
0
1740036
# LAPAROSCOPIC EQUIPMENT TRAY
49322
0
1740038
# LAPAROSCOPIC EQUIPMENT TRAY
55550
0
1740056
# LAPAROSCOPIC EQUIPMENT TRAY
58670
0
1740058
# LAPAROSCOPIC EQUIPMENT TRAY
58672
0
1740064
# LAPAROSCOPIC EQUIPMENT TRAY
38570
0
1740066
# LAPAROSCOPIC EQUIPMENT TRAY
38571
0
1740068
# LAPAROSCOPIC EQUIPMENT TRAY
38572
0
1740070
# LAPAROSCOPIC EQUIPMENT TRAY
43280
0
1740076
# LAPAROSCOPIC EQUIPMENT TRAY
44202
0
1740084
# LAPAROSCOPIC EQUIPMENT TRAY
49323
0
1740086
# LAPAROSCOPIC EQUIPMENT TRAY
49650
0
1740088
# LAPAROSCOPIC EQUIPMENT TRAY
49651
0
1740089
# LAPAROSCOPIC EQUIPMENT TRAY
49654
0
1740090
# LAPAROSCOPIC EQUIPMENT TRAY
49655
0
1740091
# LAPAROSCOPIC EQUIPMENT TRAY
49656
0
1740092
# LAPAROSCOPIC EQUIPMENT TRAY
49657
0
1740093
# LAPAROSCOPIC EQUIPMENT TRAY
44180
0
1740110
# LAPAROSCOPIC EQUIPMENT TRAY
58550
0
1740111
# LAPAROSCOPIC EQUIPMENT TRAY
58571
0
1740112
# LAPAROSCOPIC EQUIPMENT TRAY
58661
0
1740114
# LAPAROSCOPIC EQUIPMENT TRAY
58662
0
1740116
# LAPAROSCOPIC EQUIPMENT TRAY
58671
0
1740120
# LAPAROSCOPIC EQUIPMENT TRAY
58545
0
1740122
# LAPAROSCOPIC EQUIPMENT TRAY
58546
0
1740123
# LAPAROSCOPIC EQUIPMENT TRAY
44203
0
1740126
# LAPAROSCOPIC EQUIPMENT TRAY
44202
0
1740127
# LAPAROSCOPIC EQUIPMENT TRAY
44204
0
1740129
# LAPAROSCOPIC EQUIPMENT TRAY
44205
0
1740138
# LAPAROSCOPIC EQUIPMENT TRAY
58660
0
1740139
# LAPAROSCOPIC EQUIPMENT TRAY
58552
0
1740140
#HYSTERESCOPY DIAG EQUIP TRAY
58555
0
1740141
*#HYSTERESCOPY DIAG EQUIP TRAY
58558
0
1740142
# STEREOTAC BIOPSY NEEDLE ABBI
0
1740143
# STEREOTAC BIOPSY NEEDLE MIBB
0
1740144
# STEREOTAC BIOPSY NEEDLE EVIV
19499
0
1740145
# LAPAROSCOPIC EQUIPMENT TRAY
49653
0
1740146
# LAPAROSCOPIC EQUIPMENT TRAY
44206
0
1740147
# LAPAROSCOPIC EQUIPMENT TRAY
44207
0
1740148
# LAPAROSCOPIC EQUIPMENT TRAY
58553
0
1740149
# LAPAROSCOPIC EQUIPMENT TRAY
58554
0
1740150
# LAPAROSCOPIC EQUIPMENT TRAY
58673
0
1740151
# LAPAROSCOPIC EQUIPMENT TRAY
58573
0
1740152
# LAPAROSCOPIC EQUIPMENT TRAY
58572
0
1740200
PACEMAKER
0
1741000
# ERCP MATERIAL TRAY
43266
0
1750012
#MATERIALS STEREOTACTIC BIOPSY
0
1750013
#USO FAC STEREOTACTIC BIOPSY
99056
0
1760010
# THYROXINE NEONATAL
0
1770001
ABDOMINAL SONOGRAM COMPLETE
1
1770002
PELVIC SONOGRAM
1
1770003
RENAL SONOGRAM
1
1770005
ABDOMEN 3 OR MORE VIEWS
1
1770006
BANDEJA ORTOPEDICA
L8699
0
1770007
LUMBAR CMP AP&LAT&OBLQ FLX-EXT
1
1770008
OBSTETRIC SONOGRAM
1
1770009
TTE W/DOPPLER/ COMPLETE
1
1770010
ENDORECTAL/PROST SON
1
1770011
DUPLEX CAROTID
1
1770012
DUPLEX CAROTID F/UP
1
1770013
DUPLEX A/LOW/EXT
1
1770014
DUPLEX ART/LOW/EXT UNILATERAL
1
1770015
DUPLEX A/UPP/EXT - BILATERAL
1
1770017
DUPLEX EXT VENOUS - BILATERAL
1
1770018
DUPLEX EXT VENOUS - UNILATERAL
1
1770019
TRANSVAGINAL US OBSTETRIC
1
1770020
U/S GUIDANCE ASPIRAT
1
1770021
HEPATOBILI SYSTEM IMAGE W/DRUG
1
1770022
DOPPLER LOWER EXT
1
1770025
TESTICULAR SONOGRAM
1
1770026
US SOFT TISSUE HEAD & NECK
1
1770027
US BREAST COMPLETE UNILATERAL
1
1770028
DOPPLER AORTA
1
1770029
DUPLEX AORTA
1
1770030
DUPLEX AORTA F/UP
1
1770033
DUPLEX RENAL ART F/U
1
1770034
NEUROSONOGRAM
1
1770035
DOPPLER TEST.SCAN CO
1
1770037
DOPPLER PENEAL COMPL
1
1770040
DOPPLER TRANSCRANEAL
1
1770042
DOPPLER ARTERIAL LOWER EXT.
1
1770043
ABDOMINAL SONOGRAM LIMITED
1
1770045
DUPLEX ARTERIO-VENOUS FISTULA
1
1770047
CHEST SONOGRAM
1
1770048
KNEE SONOGRAM
1
1770049
2D-ECHOCARDIOGRAM
1
1770050
2D + M-MODE ECHOCARDIOGRAPHY
1
1770051
CARDIAC DOPP(PULS &/OR CNT WAV
1
1770052
DOPPLER COLOR FLOW M
1
1770053
ECO-TRANSESOFAGICO
1
1770054
#ECO CON CONTRASTE
1
1770055
MRI TEMPOROMANDIBULAR JOINT
1
1770056
MRI ORBIT FACE & NECK WO/CONTR
1
1770057
MRI ORBIT FACE & NECK W/CONTRA
1
1770058
MRI ORB FCE&NCK WO/DYE FL B DY
1
1770059
MRA HEAD WO/CONTRAST
1
1770060
MRA HEAD W/CONTRAST
1
1770061
MRA HEAD WO/DYE FOLLOWD BY DYE
1
1770062
MRA NECK WO/CONTRAST
1
1770063
MRA NECK W/CONTRAST
1
1770064
MRA NECK WO/DYE FOLLOWD BY DYE
1
1770065
MRI BRAIN WO/CNTR(INCL BRAIN S
1
1770066
MRI BRAIN W/CONTR(INCL BRAIN S
1
1722323
# RESECT BACK TUM 5 CM >
21936
0
1722324
# PARTIAL REMOVAL OF COLON
44140
0
1722325
# REPAIR MAJOR BLOOD VESSEL
33320
0
1722326
# RESET CACETUMOR 2CM/>
21016
0
1722327
# RECONSTRUCT EXTRA FINGUER
26587
0
1722328
# DEB MUSC/FASCIA 20 SQ C...
11043
0
1722328E
# DEB MUSC/FASCIA 20 SQ C...
11043
0
1722329
# HIP ARTHRO W/DEBRIDETMENT
29862
0
1722330
# RECONSTRUC LIP WITH FLAP
40525
0
1722330E
# RECONSTRUC LIP WITH FLAP
40525
0
1722331
# PERC LUMBOSACRAL INJECTION
22511
0
1722331E
# PERC LUMBOSACRAL INJECTION
22511
0
1722332
# PERCUTANEOS DISKECTOMY
62287
0
1722332E
# PERCUTANEOS DISKECTOMY
62287
0
1722333
# TREAT SPINAL CORD LESION
62281
0
1722334
# TREAT SPINAL CORD LESION
62281
0
1722335
# REMOVE TUMOR OF SHOULDER
23078
0
1722336
# REVISION OF EYELID
67880
0
1722337
# SPINE SURGERY PROCEDURE
22899
0
1722338
# VISUALIZATION OF WINDPIPE
31615
0
1722340
# EXCISION OF TONSIL TAGS
42860
0
1722341
# LAPAROHYSTERECTOPY
58546
0
1722342
# EXC ABOL TUM DEEP 5CM/>
22901
0
1722343
# IMPLANT SPINE INFUSION PUMP
62362
0
1722343E
# IMPLANT SPINE INFUSION PUMP
62362
0
1722344
# EPIDURAL LYSIS ON SINGLE DAY
62264
0
1722344E
# EPIDURAL LYSIS ON SINGLE DAY
62264
0
1722345
# SHOULDER ARTHOSCOPY/SURGERY
29825
0
1722346
# REPAIR OF BICEPS TENDON
24340
0
1722347
# REPAIR MULTI COMP PENIS PROT
54408
0
1722348
# N BLOCK INJ VAGUS
64408
0
1722349
# ARCH OF AORTA SURGERY
33852
0
1722352
# NEDGE BIOPSY OF LIVER
47100
0
1722353
# REPAIR SHOULDER CAPSULE
23462
0
1722354
# DX GASTR INTUB W/ASP SPECS
43755
0
1722355
# APLICATION OF FINGER SPLINT
29131
0
1722356
# BIOPSY OF PENNIS
54100
0
1722356E
# BIOPSY OF PENNIS
54100
0
1722357
# INJ FORAMEN EPIDURAL
64484
0
1722358
# REPAIR ROTATOR CUFF CHRONIC
23412
0
1722358E
# REPAIR ROTATOR CUFF CHRONIC
23412
0
1722359
# REMOVE FEAR GLAND LESSION
68540
0
1722360
#EXC SHOULDER TUM DEEP 5 CM
23073
0
1722361
#RESECT DISTAL FINGER TUMOR
26262
0
1722362
#EXC HIP PELV DEEP 5 CM
27045
0
1722363
#PERCUT CERVICOTHORACIC INJECT
22510
0
1722363E
#PERCUT CERVICOTHORACIC INJECT
22510
0
1722364
#CYTOSCOPY STONE REMOVAL
52325
0
1722365
# CLOSED DISLOCATION ACROMI...
23552
0
1722366
#REMOVAL FOREIGN BODY KNEE/THG
27372
0
1722367
#REPAIR OF VAGINA
57200
0
1722367E
#REPAIR OF VAGINA
57200
0
1722370
#BIOPSY OF URETHRA
53200
0
1722371
#REMOVAL TUNNELED CV CATHETER
36589
0
1722371E
#REMOVAL TUNNELED CV CATHETER
36589
0
1722372
#TONGUE BASE VOL RED
41530
0
1722373
#EXC HIP PELVIS LESS SC3
27043
0
1722374
#REMOVAL OF BLADDER CYST
51500
0
1722375
#VERTEBROPLASTY ADDL INJECTION
22512
0
1722376
#SHOULDER ARTHOSCOPY SURGERY
29823
0
1722376E
#SHOULDER ARTHOSCOPY SURGERY
29823
0
1722377
#REPAIR EYELID DEFECT
67916
0
1722379
#REVISION OF URETER
50700
0
1722380
#INJ FORAMEN EPIDURAL C/T
64479
0
1722381
#INJ FORAMEN EPIDURAL L/S
64483
0
1722381E
#INJ FORAMEN EPIDURAL L/S
64483
0
1722382
#REPAIR ELBOW DEB/ATTC
24359
0
1722383
#LARYNGOSCOPY WITH BIOPSY
31510
0
1722384
#EXC RECT TUM TRANSANAL
45172
0
1722385
#EXC HAN TUM DEEP
26113
0
1722386
#DESTROY CERV/THOR FACET INJ
64633
0
1722387
#INJECTION TREATMENT OF NERVE
64640
0
1722389
#REMOVAL OF SPLEEN TOTAL
38100
0
1722390
#INPLANT SPINAL CANAL CATH
62350
0
1722390E
#INPLANT SPINAL CANAL CATH
62350
0
1722391
#REPAIR BICEPS TENDON
23430
0
1722392
#SKIN TISSUE REARRANGEMENT
14021
0
1722393
#INSERT TISSUE EXPANDER(S)
11960
0
1722394
#RESET FOREARM/WRIST
25078
0
1722395
#DESTROY INTERNAL HEMO
46930
0
1722396
#REPLACE PICVAD CATH
36585
0
1722397
#RMVL & RPLCMT DFB GEN MLT LD
33264
0
1722397E
#RMVL & RPLCMT DFB GEN MLT LD
33264
0
1722398
#ABDOMEN SURGERY PROC
22999
0
1722399
#REMOVE/TRANSPLANT TENDON
23440
0
1722400
#EXCISE INFERIOR TURBINATE
30130
0
1722401
#INS/REP PERM PACEMAKER
33208
0
1722401E
#INS/REP PERM PACEMAKER
33208
0
1722402
#REPAIR OF RECTOCELE
45560
0
1722403
# PTA
75962
0
1722404
#DRAIN BLOOD UNDER NAIL
11740
0
1722404E
#DRAIN BLOOD UNDER NAIL
11740
0
1722405
#EXC FOOT/TOE TUM DEP
28041
0
1722406
#CLOSURE OF GASTRONOMY SURGIC
43870
0
1722407
#GROWTH FACTOR THERAPY
0
1722407E
#GROWTH FACTOR THERAPY
0
1722408
#INSERTION OF CANNULA
36815
0
1722411
#EXC HAND TUMRA<3CM
26117
0
1722412
#HYTERESCOPY BIOPSY
58558
0
1722412E
#HYTERESCOPY BIOPSY
58558
0
1722413
#REPAIR ROTATOR CUFF
23410
0
1722413E
#REPAIR ROTATOR CUFF
23410
0
1722415
#SKIN FULL GRAFT SCLP/ARM/LEG
15220
0
1722416
#REPAIR/GRAFT FINGER TENDON
26420
0
1722417
#RELASE OF TOE JOINT EACH
28272
0
1038090E
M&S SEMI-PVT TELEMETRY RM-UD
302
1045555
OBSERVATION ROOM PEDIATRICS
150
1045555E
OBSERVATION ROOM PEDIATRICS
150
1048175
M&S PRIVATE ROOM-PEDIATRICS
312
1048175E
M&S PRIVATE ROOM-PEDIATRICS
312
1048176
M&S PVT ISOLATION RM-PEDIATRIC
327
1048176E
M&S PVT ISOLATION RM-PEDIATRIC
327
1048177
M&S PVT TELEMETRY RM-PEDIATRIC
325
1048177E
M&S PVT TELEMETRY RM-PEDIATRIC
325
1048185
M&S SEMI-PVT ROOM-PEDIATRICS
252
1048185E
M&S SEMI-PVT ROOM-PEDIATRICS
252
1048186
M&S SEMI-PVT ISOLATION RM-PEDI
300
1048186E
M&S SEMI-PVT ISOLATION RM-PEDI
300
1048187
M&S SEMI-PVT TELEMETRY RM-PEDI
302
1048187E
M&S SEMI-PVT TELEMETRY RM-PEDI
302
1055555
OBSERVATION ROOM - CARDIO
150
1055555E
OBSERVATION ROOM - CARDIO
150
1058275
M&S PRIVATE ROOM-CARDIO
312
1058275E
M&S PRIVATE ROOM-CARDIO
312
1058276
M&S PVT ISOLATION RM-CARDIO
327
1058276E
M&S PVT ISOLATION RM-CARDIO
327
1058277
M&S PVT TELEMETRY RM-CARDIO
327
1058277E
M&S PVT TELEMETRY RM-CARDIO
327
1058285
M&S SEMI-PVT ROOM-CARDIO
252
1058285E
M&S SEMI-PVT ROOM-CARDIO
252
1058286
M&S SEMI-PVT ISOLATION RM-CARD
300
1058286E
M&S SEMI-PVT ISOLATION RM-CARD
300
1058287
M&S SEMI-PVT TELEMETRY RM-CARD
302
1058287E
M&S SEMI-PVT TELEMETRY RM-CARD
302
1105555
OBSERVATION ROOM - CARDIO INTE
152
1105555E
OBSERVATION ROOM - CARDIO INTE
152
1108275
M&S PRIVATE ROOM-CARDIO INTE
312
1108275E
M&S PRIVATE ROOM-CARDIO INTE
312
1108276
M&S PVT ISOLATION RM-CARDIO IN
327
1108276E
M&S PVT ISOLATION RM-CARDIO IN
327
1108277
M&S PVT TELEMETRY RM-CARDIO IN
327
1108277E
M&S PVT TELEMETRY RM-CARDIO IN
327
1108285
M&S SEMI-PVT ROOM-CARDIO INTE
252
1108285E
M&S SEMI-PVT ROOM-CARDIO INTE
252
1108286
M&S SEMI-PVT ISOLATION RM-C-IN
302
1108286E
M&S SEMI-PVT ISOLATION RM-C-IN
302
1108287
M&S SEMI-PVT TELEMETRY RM-C-IN
302
1108287E
M&S SEMI-PVT TELEMETRY RM-C-IN
302
1207710
ICU ROOM CHARGE
603
1207710E
ICU ROOM CHARGE
603
1208900
MICU ROOM CHARGE
653
1208900E
MICU ROOM CHARGE
653
1308900
CARDIOVASCULAR ICU ROOM CHARGE
653
1308900E
CARDIOVASCULAR ICU ROOM CHARGE
653
1340010
NEO-NATAL INTERMEDIATE UNIT
253
1340010E
NEO-NATAL INTERMEDIATE UNIT
253
1350930
NEO-NATAL I.C.U. (NICU)
603
1350930E
NEO-NATAL I.C.U. (NICU)
603
1360505
PEDIATRIC I.C.U. (PICU)
603
1360505E
PEDIATRIC I.C.U. (PICU)
603
1370010
NEO-NATAL C.C.U.
503
1370010E
NEO-NATAL C.C.U.
503
1380010
PEDIATRIC C.C.U.
450
1380010E
PEDIATRIC C.C.U.
450
1380021
INITIAL HOSP CARE 30 MINUTES
99221
94
1380022
INITIAL HOSP CARE 50 MINUTES
99222
128
1380023
INITIAL HOSP CARE 70 MINUTES
99223
25
1380031
SUBSEQUENT HOSP CARE 15 MINUTE
99231
37
1380032
SUBSEQUENT HOSP CARE 25 MINUTE
99232
20
1380033
SUBSEQUENT HOSP CARE 35 MINUTE
99233
98
1380038
HOSPITAL DISCHARGE DAY <30 MIN
99238
14.63
1380039
HOSPITAL DISCHARGE DAY >30 MIN
99239
99
1380045
OUTPATIENT CONSULTATIONS
99245
20
1380051
INPAT CONSULTATION 20 MINUTES
99251
32
1380052
INPAT CONSULTATION 40 MINUTES
99252
37
1380053
INPAT CONSULTATION 55 MINUTES
99253
42
1380054
INPAT CONSULTATION 80 MINUTES
99254
53
1380055
INPAT CONSULTATION 110 MINUTES
99255
63
1380056
ASPIRATION O BLADDER BY NEEDLE
51100
50
1380057
VENIPUNCTURE
36415
38.99
1380058
SPINAL PUCTURE LUMBAR DIAGNOST
62270
50
1380059
ULTRAVIOLET LIGHT THERAPY
96900
20.26
1405555
OBSERVATION ROOM OB/GYN
150
1405555E
OBSERVATION ROOM OB/GYN
150
1407710
OB/GYN PRIVATE ROOM
310
1407710E
OB/GYN PRIVATE ROOM
310
1407720
OB/GYN SEMI PRIVATE
250
1407720E
OB/GYN SEMI PRIVATE
250
1407740
LABOR ROOM CHARGE
250
1407740E
LABOR ROOM CHARGE
250
1407776
M&S PVT ISOLATION RM- OB/GYN
325
1407776E
M&S PVT ISOLATION RM- OB/GYN
325
1407777
M&S PVT TELEMETRY RM - OB/GYN
325
1407777E
M&S PVT TELEMETRY RM - OB/GYN
325
1407786
M&S SEMI-PVT ISOLAT RM-OB/GYN
300
1407786E
M&S SEMI-PVT ISOLAT RM-OB/GYN
300
1407787
M&S SM-PVT TELEMETRY RM-OB/GYN
300
1407787E
M&S SM-PVT TELEMETRY RM-OB/GYN
300
1409260
NATURAL BIRTH UNIT
250
1409260E
NATURAL BIRTH UNIT
250
1417740
LABOR ROOM CHARGE
250
1417740E
LABOR ROOM CHARGE
250
1420000
MATERNAL FETAL STUDY & REPORT
0
1420002
INITIAL VISIT L-II (PERINATO)
9920225
80
1420003
INITIAL VISIT L III (PERINATO)
9920325
115
1420004
INITIAL VISIT L IV (PERINATO)
9920425
175
1420005
INITIAL VISIT L V (PERINATO)
9920525
215
1420006
CONSULT VISIT L-I (PERINATO)
9924125
55
1420007
CONSULT VISIT L-II (PERINATO)
9924225
90
1420008
CONSULT VISIT L-III (PERINATO)
9924325
125
1420009
CONSULT VISIT L-IV (PERINATO)
9924425
185
1420010
CONSULT VISIT L-V (PERINATO)
9924525
225
1420011
ESTABLI VISIT L-I (PERINATO)
9921125
25
1720770
#LAPRSCPY/SURGICAL/ORCHIECTOMY
54690
0
1720772
#LAPRSCPY SURGICAL/ORCHIOPEXY
54692
0
1720772E
#LAPRSCPY SURGICAL;ORCHIOPEXY
54692
0
1720774
#UNLISTED PARRSCPY PROC TESTI
54699
0
1720776
#LAPRSCPY W LIGATION SPERMATIC
55550
0
1720778
#UNLISTED LAPRSCPY SPERMATIC C
55559
0
1720780
#LAPRSCPY W VAGINAL HYSTERECT
58550
0
1720782
#LAPRSCPY W VAGINAL HYSTERREC
58552
0
1720784
#LAPRSCPY W VAGINAL HYSTERECT
58553
0
1720786
#LAPRSCPY W VAGINAL HYSTERECT
58554
0
1720786E
#LAPRSCPY W VAGINAL HYSTERECT
58554
0
1720788
#HYSTEROSCOPY W LYSIS
58559
0
1720790
#HYSTEROSCOPY W DIVISION/RESEC
58560
0
1720790E
#HYSTEROSCOPY W DIVISION/RESEC
58560
0
1720792
#HYSTEROSCOPY W REMOVAL LEIOMA
58561
0
1720794
#HYSTEROSCOPY W REMOVAL IMPACT
58562
0
1720794E
#HYSTEROSCOPY W REMOVAL IMPACT
58562
0
1720796
#HYSTEROSCOPY W ENDOMETRIAL AB
58563
0
1720796E
#HYSTEROSCOPY W ENDOMETRIAL AB
58563
0
1720798
#UNLISTED LAPRSCPY/UTERUS
58578
0
1720800
#UNLISTED HYSTEROSCOPY UTERUS
58579
0
1720802
#LAPRSCPY W LYSIS OF OVARY
58660
0
1720802E
#LAPRSCPY W LYSIS OF OVARY
58660
0
1720803
LAPARASCOPY W/REMOVAL ADRENAL
58661
0
1720803E
LAPARASCOPY W/REMOVAL ADRENAL
58661
0
1720804
#LAPRSCPY W FULGURATN/EXCISION
58662
0
1720804E
#LAPRSCPY W FULGURATN/EXCISION
58662
0
1720806
#LAPRSCPY W FULGURATION OVIDUC
58670
0
1720806E
#LAPRSCPY W FULGURATION OVIDUC
58670
0
1720808
#LAPRSCPY W ACCLUSION OVIDUCTS
58671
0
1720808E
#LAPRSCPY W ACCLUSION OVIDUCTS
58671
0
1720810
#LAPRSCPY W FIMBRIOPLASTY
58672
0
1720812
#LAPRSCPY W SALPINGOSTOMY
58673
0
1720814
#UNLISTED LAPRSCPY OVIDUCT/OVA
58679
0
1720816
#LAPRSCPY Tx-ECTOPIC PREG
59150
0
1720818
#LAPRSCPY Tx-ECTOPIC PREG
59151
0
1720820
#UNLISTED LAPRSCPY MATERNITY C
59898
0
1720822
#LAPRSCPY W ADRENALECTOMY
60650
0
1720822E
#LAPRSCPY W ADRENALECTOMY
60650
0
1720824
#UNLISTED LAPRSCPY ENDOCRINE
60659
0
1720826
#EXCISION OVER 4.0 CM`
11406
0
1720826E
#EXCISION OVER 4.0 CM`
11406
0
1720827
#EXC BACK TUM DEEP = 5 CM
21933
0
1720827E
#EXC BACK TUM DEEP = 5 CM
21933
0
1720828
# BIOPSY/PROSTATE: NEEDLE
55700
0
1720828E
# BIOPSY/PROSTATE: NEEDLE
55700
0
1720829
#INCISION & DRAINAGE BARTHOLIN
56420
0
1720829E
#INCISION & DRAINAGE BARTHOLIN
56420
0
1720830
#INJECTION SINGLE OR MULTIPLE
20552
0
1720831
# INJECTION SINGLE OR MULTIPLE
20553
0
1720832
#MANIPULATION SKIN OR SKELETAL
26725
0
1720833
#BIOPSY ANORECTAL WALL/ANAL AP
45100
0
1720833E
#BIOPSY ANORECTAL WALL/ANAL AP
45100
0
1720836
#OPEN TREATMENT TRIMALLEOLAR
27822
0
1720837
#INTERDISCAL PERCU ASPIRATION
62267
0
1720838
#INTERCOSTAL BLOCK MULTIPLE
64421
0
1720839
#MANIPULATE WRIST
25259
0
1720840
# MURINGOPLASTY
69620
0
1720842
#REPAIR INGUINAL HERNIA 6 MONT
49500
0
1720842E
#REPAIR INGUINAL HERNIA 6 MONT
49500
0
1720844
# EXCISION TR B9 3.1 - 4 CM
11404
0
1720844E
# EXCISION TR B9 3.1 - 4 CM
11404
0
1720846
# REMOVAL OF SUPPORT IMPLANT
20680
0
1720846E
# REMOVAL OF SUPPORT IMPLANT
20680
0
1720848
#EXCISION DEEP SUBFACIAL
25076
0
1720850
# EXCISION UMBILECTOMY
49250
0
1720852
# EXCISION GANGLION HAND
26160
0
1720854
# ARTHRODESIS
28760
0
1720856
# ARTHROSCOPY SHOULDER
29806
0
1720858
#EXCISION ABDOMINAL WALL TUMOR
22900
0
1720858E
#EXCISION ABDOMINAL WALL TUMOR
22900
0
1720859
#EXCISION MAX/ZIGOMA B9 TUMOR
21030
0
1720860
# REPAIR PALATOPLASTY
42215
0
1720862
#RENAL BIOPSY: PERCUTANEOUS
50200
0
1720862E
#RENAL BIOPSY: PERCUTANEOUS
50200
0
1720863
#CONTROL NASAL HEMORRHAGE
30901
0
1720864
#CONTROL NASAL HEMORRHAGE
30903
0
1720866
#CYSTOURETO W/CONGEN
52400
0
1720868
#REMOVAL OF FOOT FOREINGN BODY
28190
0
1720870
#EXCISION OF NECK MASS
21555
0
1720870E
#EXCISION OF NECK MASS
21555
0
1720871
#WOUND PREP TRK/ ARM/ LEG
15002
120
1720872
#REPAIR DETACHED RETINA
67107
0
1720874
#OPEN TREATMENT MEDIAL MALLEOL
27766
0
1720874E
#OPEN TREATMENT MEDIAL MALLEOL
27766
0
1720876
#REPAIR OF NASAL SEPTUM
30520
0
1720876E
#REPAIR OF NASAL SEPTUM
30520
0
1720878
#OPEN TREATMENT NASAL FRACTURE
21330
0
1720880
#INJECTION ANESTHETIC AGENT
64415
0
1720882
#DRAINAGE OF FINGER ABSCESS
26010
0
1720883
#DRAINAGE OF FINGER
26011
0
1720884
#DEBRIDEMENT OF NAIL(S) ANY ME
11720
0
1720885
#EXCISION VARICOCELE OR LIGATI
55530
0
1720885E
#EXCISION VARICOCELE OR LIGATI
55530
0
1720886
#EXCISION VARICOCELE OR LIGATI
55535
0
1720888
#SIMPLE CYSTENOGRAM (CGM)
51725
0
1720890
#TREATMENT OF ANAL FISTULA
46280
0
1720892
#EXCISION BIOPSY PLEURA PERCUT
32400
0
1720892E
#EXCISION BIOPSY PLEURA PERCUT
32400
0
1720894
#INJECTION PROCEDURE MYELOGRAP
62284
0
1720896
# BIOPSY OF LIVER
47000
0
1720086
#EXCISION MALIGNANT LESION
11600
0
1720087E
#INJECTION TRATMENT OF NERVE
64610
0
1720088
#EXCISION MALIGNANT LESION
11620
0
1720089
#REP HERNIA W/MESH
49568
0
1720090
#EXCISION MALIGNANT LESION
11640
0
1720091
#EXCISION MALIGNAN LESION FACE
11642
0
1720092
#AVULSION OF NAIL PARTIAL/COMP
11730
0
1720093
#REP PARAVAG DEFECT LAP
57423
0
1720094
#AVULSION OF NAIL PLATE MATRIX
11750
0
1720094E
#AVULSION OF NAIL PLATE MATRIX
11750
0
1720095
#LAPARASCOPY SURG COLPOPEXY
57425
0
1720096
#REPAIR OF NAIL BED
11760
0
1720097
#REPAIR GRAFT KNEECAP TENDON
27381
0
1720098
#RECONSTRUCTION OF NAIL BED
11762
0
1720099
#EXC RECTUM TRANSANAL PART
45171
0
1720100
#WEDGE EXCISION SKIN NAIL FOLD
11765
0
1720101
#AMPUTATION THRU MET
28805
0
1720102
#EXCISION PILOMIDAL SIMPLE
11770
0
1720102E
#EXCISION PILOMIDAL SIMPLE
11770
0
1720103E
#PARTIAL REMOVAL OF FOOT BONE
28288
0
1720104
#EXCISION PILOMIDAL EXTENSIVE
11771
0
1720104E
#EXCISION PILOMIDAL EXTENSIVE
11771
0
1720105
#EXCISION PILOMIDAL SIMPLE
11770
0
1720105E
#EXCISION PILOMIDAL SIMPLE
11770
0
1720106
#EXCISION PILOMIDAL COMPLICATE
11772
0
1720106E
#EXCISION PILOMIDAL COMPLICATE
11772
0
1720107E
#SUSPENSION OF VAGINA
57280
0
1720108
#SIMPLE REPAIR 2.5CM OR LESS
12001
0
1720109
#INCISION OF HELL BONE
28300
0
1720110
#SIMPLE REPAIR 2.6CM TO 7.5CM
12002
0
1720111E
#INCICION OF ARCHIES TENDON
27605
0
1720112
#SIMPLE REPAIR 7.6CM TO 12.5CM
12004
0
1720112E
#SIMPLE REPAIR 7.6CM TO 12.5CM
12004
0
1720113E
#REPOSITION GASTROTOMY TUBE
43762
0
1720114
#SIMPL REPAIR 12.6CM TO 20.5CM
12005
0
1720115E
#RMVL SUVQ CAL RHYTHM MNTR
33286
0
1720116
#SIMPL REPAIR 20.1CM TO 30.0CM
12006
0
1720117E
#AV FUSION DIRECT ANY SITE
36821
0
1720118
#SIMPLE REPAIR OVER 30.0CM
12007
0
1720119E
#RMVL SUVQ CAL RHYTHM MNTR
33285
0
1720120
#SIMPLE REPAIR 2.5CM OR LESS
12011
0
1720121
#AMPUTATION TOE, METATARSOPHAL
28820
0
1720122
#SIMPLE REPAIR 2.6CM TO 5.0CM
12013
0
1720123
#ANOSCOPY
46612
0
1720124
#SIMPLE REPAIR 5.1CM TO 7.5CM
12014
0
1720125
#TREAT VAGINA INECT
57150
0
1720126
#SIMPLE REPAIR 7.6CM TO 12.5CM
12015
0
1720128
#SIMPL REPAIR 12.6CM TO 20.0CM
12016
0
1720129
#ADJUST BONE FIXIATION DEVICE
20693
0
1720130
#SIMPL REPAIR 20.1CM TO 30.0CM
12017
0
1720131
#SKIN SPLIT GRFT TRUNK/ARM/LEG
15100
0
1720132
#SIMPLE REPAIR OVER 30.0CM
12018
0
1720134
#TREATMENT OF WOUND SIMPLE
12020
0
1720136
#TREATMENT OF WOUND W PACKING
12021
0
1720138
#LAYER CLOSURE 2.5 OR LESS
12031
0
1720138E
#LAYER CLOSURE 2.5 OR LESS
12031
0
1720140
#LAYER CLOSURE 2.5 OR LESS
12041
0
1720142
#LAYER CLOSURE 2.5 OR LESS
12051
0
1720143
#REPAIR INT. WOUND 2.6 TO 5.0
12052
0
1720144
#REPAIR COMPLEX 1.1CM TO 2.5CM
13100
0
1720146
#REPAIR COMPLEX 1.1CM TO 2.5CM
13120
0
1720148
#REPAIR COMPLEX 1.1CM TO 2.5CM
13131
0
1720152
#SECONDARY CLOSURE SURG WOUND
13160
0
1720154
#BLEPHAROPLASTY LOWER LID
15820
0
1720156
#BLEPHAROPLASTY UPPER LID
15822
0
1720157
#CYSTOSCOPY TREATMENT
52278
0
1720158
#EXCISION COCCYGEAL
15920
0
1720160
#EXCISION SACRAL PRESSURE ULCE
15931
0
1720162
#EXCISION ISCHIAL PRESSURE ULC
15940
0
1720164
#EXCISION TRONCHANTERIC
15950
0
1720166
#INITIAL TREAMENT 1ST DEGREE
16000
0
1720170
#ESCHOROTOMY INICIAL INCISION
16035
0
1720172
#DESTRUCTION ALL BENING
17000
0
1720174
#DESTRUCTION ALL BENING
17004
0
1720176
#PUNCTURE ASPIRATION OF CYST
19000
0
1720178
#MASTOTOMY W EXPLORATION
19020
0
1720178E
#MASTOTOMY W EXPLORATION
19020
0
1720180
#INJECTION PROCEDURE
19030
0
1720181
#BREAST RECONSTR W/LAT FLAP
24065
0
1720182
#BIOPSY OF BREAST
19100
0
1720183
#BIOPSY OF SOFT TISSUE
27040
0
1720184
#BIOPSY OF BREAST
19101
0
1720184E
#BIOPSY OF BREAST
19101
0
1720185
#ANALYZE SPINE INFUS PUMP
62367
0
1720188
EXCISION OF CYST/FIBROADENOMA
19120
0
1720188E
EXCISION OF CYST/FIBROADENOMA
19120
0
1720189
#EXCISION/ GRAFT EXTREMITIES
35903
0
1720190
#EXCISION OF BREAST
19125
0
1720190E
#EXCISION OF BREAST
19125
0
1720191
#EXCISION ADDL BREAST LESSION
19126
0
1720199
#LASER SURGERY ANAL LESIONS
46917
0
1720204
#BONE GRAFT ANY DONOR AREA
20900
0
1720206
#CLOSED TREATMENT NASAL BONE
21310
0
1720207
#CLOSE TREATMENT NASAL BONES
21320
0
1720207E
#CLOSE TREATMENT NASAL BONES
21320
0
1720208
#CLOSED TREATMENT OF NASAL SEP
21337
0
1720210
#ARTHROTOMY QLENOHUMERAL JOINT
23040
0
1720212
#ARTHROTOMY/ACROMIOCLAVICULAR
23044
0
1720214
#CLAVICULECTOMY/PARTIAL
23120
0
1720214E
#CLAVICULECTOMY/PARTIAL
23120
0
1720216
#ACROMIOPLASTY OR ACROMIONECTO
23130
0
1720216E
#ACROMIOPLASTY OR ACROMIONECTO
23130
0
1720217
#RECONSTRUCT COMPLETE SHOULDER
23420
0
1721750
#REPAIR OF PENIS
54440
0
1721752
#TREAT KNEE DISLOCATION
27552
0
1721754
#SKIN TISSUE PROCEDURE
17999
0
1721756
#VAGINECTOMY PARTIAL W/NODES
57109
0
1721758
#TREAT BIG TOE FRACTURE
28496
0
1721758E
#TREAT BIG TOE FRACTURE
28496
0
1721760
#REPAIR OF LEG TENDON EACH
27658
0
1721761
#REMOVAL OF KEDNEY LESION
50280
0
1721762
#TREATMENT OF THIGH FRACTURE
27510
0
1721764
#REMOVAL OF ANAL FISTULA
46275
0
1721765
#REMOVAL OF CHEST WALL LESION
19260
0
1721766
#REMOVAL OF EPIDIDYMIS
54860
0
1721767E
REVISION OF LOWER LEG TENDON
27685
0
1721768
#CYSTOSCOPY AND TREATMENT
52265
0
1721769
#REMOVAL OF SCROTUM
55150
0
1721770
#RELIEVE BLADDER CONTRACTURE
52640
0
1721770E
#RELIEVE BLADDER CONTRACTURE
52640
0
1721772
#REVISE SPECIMATIC CORD-VEINS
55535
0
1721773
#REPAIR OF LEG TENDON EACH
27659
0
1721774
#TREAT RADIUS FRACTURE
24666
0
1721776
#TREATMENT OF ANKLE FRACTURE
27823
0
1721778
#REPAIR SHOULDER CAPSULE
23466
0
1721780
#EXCISION OF TONGUE LESION
41113
0
1721782
#BIOPSY OF PENIS
54105
0
1721782E
#BIOPSY OF PENIS
54105
0
1721786
#REPOSITION INTRAOCULAR LENS
66825
0
1721786E
#REPOSITION INTRAOCULAR LENS
66825
0
1721788
#LYSIS PENIL CIRCUMIC LESION
54162
0
1721790
#DRAIN THIGH/KNEE LESION
27301
0
1721793
#REMOVE EYE/INSERT IMPLANT
65103
0
1721794
#REMOVE EYE IMPLANT MAT
67121
0
1721795
#REMOVE EYE IMPLANT MATERIAL
67120
0
1721796
#REMOVE VAGINAL WALL PARTIAL
57106
0
1721796E
#REMOVE VAGINAL WALL PARTIAL
57106
0
1721798
#MYOMECTOMY VAG METHOD
58145
0
1721800
#CYSTOSCOPY AND TREATMENT
52315
0
1721802
#REPAIR IRIS & CILIARY BODY
66682
0
1721802E
#REPAIR IRIS & CILIARY BODY
66682
0
1721804
#RPR UMBIL HERNIA BLOCK
49582
0
1721806
#STRAPPING OF SHOULDER
29240
0
1721808
#INTUBATION/ENDOTRACHCAL
31500
0
1721810
#TREAT LOWER LEG FRACTURE
27827
0
1721812
#REMOVE SKIN NERVE LESION
64788
0
1721814
#INNER SKULL VESSEL SURGERY
61702
0
1721816
# MAST SIMPLE COMPLETE
19303
0
1721816E
# MAST SIMPLE COMPLETE
19303
0
1721817
# MAST RADICAL
19305
0
1721818
#DRAINAGE OF SCROTUM ABSCESS
55100
0
1721819
#KNEE ARTHROSCOPY SURGERY
29882
0
1721820
#REMOVE EAR LESION
69540
0
1721822
#REMOVE FOREIGN BODY FROM EYE
65222
0
1721824
#REMOVE TUMOR FOREARM/WRIST
25077
0
1721826
#VIT FOR MUSCULAR PUCKER
67041
0
1721826E
#VIT FOR MUSCULAR PUCKER
67041
0
1721828
#TREATMENT OF PENIS LESION
54205
0
1721830
#LIGATION OF HEMORRHOID (S)
46221
0
1721834
#REVISE ULNAR NEVUE AT ELBOW
64718
0
1721836
#THROMBOENDARTERECTOMY
35301
0
1721837
#THROMBOENDARTERECTOMY
35303
0
1721838
#RPR ING HERNIA BABY BLOCKED
49496
0
1721840
#ENDOSCOPIC ULTRASOUND EXAM
43259
0
1721842
#D & C AFTER DELIVERY
59160
0
1721843
#BREAST RECONSTR W/LAT FLAP
19361
0
1721844
#ENDOSCOPIC ULTRASOUND EXAM
43259
0
1721845
#NASAL/SINUS ENDOSCOPY DX
31233
0
1721846
#SHOULDER JOINT SURGERY
23101
0
1721847
VIT FOR MACULAR HOLE
67042
0
1721847E
VIT FOR MACULAR HOLE
67042
0
1721848
LYSIS OF LABIAL LESION
56441
0
1721848E
LYSIS OF LABIAL LESION
56441
0
1721849
#BREAST RECONSTRUCTION
19366
0
1721849E
#BREAST RECONSTRUCTION
19366
0
1721850
DILATION OF ANAL SPHINCTER
45905
0
1721851
#REPLACE DUOD/JEJ TUBE PERC
49451
0
1721851E
#REPLACE DUOD/JEJ TUBE PERC
49451
0
1721852
THORACENTESIS FOR ASP W/O IMAG
32554
0
1721853
AIRWAYS SURGICAL PROCEDURE
31899
0
1721854
#EXCISE PHARYNX LESION
42808
0
1721855
#ENDOCRINE SURGERY PROCEDURE
60699
0
1721856
#MYOMECTOMY ABDOMINAL METHOD
58140
0
1721857
#NASAL/SINUS ENDOSCOPY DX
31233
0
1721859
#INJECT EPIDURAL PATCH
62273
0
1721860
#DESTROY VULVA LESION/S COMPL
56515
0
1721861
#EXCISION ABD TUM 5 CM OR LESS
49203
0
1721862
#REPAIR ING HERNIA INIT BLOCK
49501
0
1721863
#REMOVAL OF FOOT FOREIGN BODY
28192
0
1721864
#REPAIR/GRAFT ACHILLES TENDON
27652
0
1721865
#TREATMENT OF FIBULA FRACTURE
27784
0
1721866
#REMOVE TISSUE EXPANDER (S)
11971
0
1721867
#EXPLORATION RETROPERITONIAL
49010
0
1721867E
#EXPLORATION RETROPERITONIAL
49010
0
1721868
#INNER EAR SURGERY PROCEDURE
69949
0
1721869
#EXC.FACE MM MALIG+MARG 1.1-2
11642
0
1721870
#INSRT/REDO PN/GASTR STIMUL
64590
0
1721870E
#INSRT/REDO PN/GASTR STIMUL
64590
0
1721871
#EXCISION BREAST LESION
19125
0
1721872
#REPAIR OF WOUND OR LESION
13121
0
1721873
#REPAIR SHOULDER CAPSULE
23465
0
1721874
#REPAIR WOUND/LESION ADD-ON
23465
0
1721876
#N BLOCK INJ SUPRASCAPULAR
64418
0
1721878
#BREAST RECONSTRUCTION
19357
0
1721880
#STOMACH SURGERY PROCEDURE
43999
0
1721881
#EXC TUMOR SOFT TISS BACK <5CM
21932
0
1721882
#NON TUNNELED CATH INSERTION
36556
0
1721882E
#NON TUNNELED CATH INSERTION
36556
0
1803061
LT VENTRIC PACING LEAD ADD-ON
33225
4000
1803062
DEBRIDE SKIN PARTIAL
97597
118
1803063
ARTERY VEIN AUTOGRAFT
36825
1500
1803064
INSERT 2 ELECTRODE PM-DEFIB
33217
2500
1803065
LIGATION OF INFERIOR VENA CAVA
37619
1500
1803066
IMPLANT CARDIAC EVENT RECORDER
33282
3000
1803067
AV FUSE UPPER ARM VEIN
36819
2000
1803068
RECHANNELING OF ARTERY
35321
1000
1803069
AV FUSE FORE ARM VEIN
36820
2000
1803070
DIST REVAS LIGATION HEMO
36838
2000
1803071
REMOVE CANNULA/CATHETER
49422
1100
1803072
INSERT PERM CANNULA/CATH
49419
1700
1803073
PERC. THROMBECTOMY AV FISTULA
36904
2400
1803074
ARTERY VEIN NONAUTOGRAFT
36830
2600
1803075
REPOSITION PACING DEFIB LEAD
33215
1800
1803076
REMOVAL OF ARTERY CLOT
34201
2600
1806372
INJ THER/PROPH/DIAG SC/IM
96372
40
1806374
INJ IV PUSH THER/PROPH/DIAG
96374
75
1806375
IV PUSH SEQUENT ADD NEW DRUG
96375
25
1806376
IV PUSH SEQUENT ADD SAME DRUG
96376
10
1850010
CARDIOVAS PUMP PER MINUTES
5
1850026
CARDIOVASCULAR OR /MINUTES
10
1850050
ILIAC REVASC
37220
3785
1850051
ILIAC REVASC W/STENT
37221
3785
1850052
ILIAC REVASC ADD-ON
37222
3785
1850053
ILIAC REVASC W/STENT ADD-ON
37223
3785
1850054
FEM/POPL REVAS W/TLA
37224
3085
1850055
FEM/POPL REVAS W/ATHER
37225
6535
1850056
FEM/POPL REVASC W/STENT
37226
8030
1850057
FEM/POPL REVASC STENT & ATHER
37227
13900
1850058
TIB/PER REVASC W/TLA
37228
3785
1850059
TIB/PER REVASC W/ATHER
37229
8030
1850060
TIB/PER REVASC W/STENT
37230
8030
1850061
TIB/PER REVASC STENT & ATHER
37231
13900
1850062
TIB/PER REVASC ADD-ON
37232
3785
1850063
TIBPER REVASC W/ATHER ADD-ON
37233
8030
1850064
REVSC OPN/PRQ TIB/PERO STENT
37234
3785
1850065
TIB/PER REVASC STNT & ATHER
37235
3785
1850066
INSERT CATH RENAL 2/ARTERY UNI
36253
1500
1850067
INSERT CATH RENAL 2/ARTERY BIL
36254
1500
1850068
INSERT CATH RENAL ARTERY/1 UNI
36251
1500
1850069
INSERT CATH RENAL ARTERY/1 BIL
36252
1500
1850100
INSERTION OF CHEST TUBE
32551
0
1850102
INJ EPID OF BLOOD/CLOT PATCH
62273
0
1850104
INSERT TEMP BLADDER CATH
51702
0
1850106
INSERTION PLEURAL CATH
32550
0
1850108
ARTERIAL LINE PLACEMENT
36620
0
1850110
PERICARDIOCENTESIS INITIAL
33010
265
1850112
ANGIOGRAPHY ARTERIOVEN SHUNT
75791
200
1850114
ARTERY X-RAYS ARMS/LEGS BIL
75716
2030
1850116
ARTERY X-RAYS ARMS/LEG UNILAT
75710
2030
1850118
ANGIOGRAPHY INTERNAL MAMMARY
75756
450
1850120
ANGIOGR PELVIC SEL OR SUPRSELE
75736
450
1850122
ANGIOG SEL.E/ADD VES STU AFT B
75774
425
1850124
ANGIO VISCERAL SELEC
75726
1500
1850126
AORTOGRAPHY THOR W/O SERIALOGR
75600
425
1850130
DIGIT ABDOMINAL AORT
75625
2000
1850132
DIGIT THORACIC ARTER
75605
2000
1850134
CHOLANGIOGRAPHY POST OPER.
47531
110
1850136
CARDIOVERSION ELECT. EXTERNAL
92960
255
1850138
CARDIOVERSION ELECT. INTERNAL
92961
260
1850140
CHOLANGIOGRAPHY PERC
47532
300
1850142
INS/PLACE CATHETER (SWAN GANZ)
93503
1320
1850144
TRNSLUM BALLN ANGIOPL.E/AD PER
75964
450
1850146
TRNSLM BALLN ANGIO EA ADD VISC
75968
425
1850148
TRNSLUM BALLN ANGIOPL.PERIPH A
75962
850
1850150
TRNSLM BALLN ANGIO REN OR VISC
75966
875
1850152
TRNSLUM BALLN ANGIO VENOUS
75978
825
1850156
VALVULOPLASTY AORTA
92986
5000
1850158
VENOGRAPH CAVAL SUPRW/SERIALOG
75827
850
1850160
SUBCLAVIAN VGRAM BILATERAL
75822
500
1850162
SUBCLAVIAN VGRAM UNILATERAL
75820
500
1850163
OPEN/PERQ PLACE STENT 1ST ARTE
37236
6420
1850164
OPEN/PERQ PLACE STENT ADD ARTE
37237
3105
1850165
OPEN/PERG PLACE STENT 1ST VEIN
37238
6420
1850166
OPEN/PERG PLACE STENT ADD VEIN
37239
3105
1850167
VASC EMBOLIZE/OCCLUDE VENOUS
37241
6225
1850168
VASC EMBOLIZE/OCCLUDE ARTERY
37242
6225
1850169
VASC EMBOLIZE/OCCLUDE ORGAN
37243
6225
1850170
VASC EMBOLIZE/OCCLUDE BLEED
37244
6225
1850171
PERQ TRANSCATH CLOSURE PDA
93582
9000
1850172
PERQ TRANSCATH SEPTAL REDUXN
93583
10
1851000
INITIAL HOSP VISI 30MIN CARDIO
99221
94
1851001
INITIAL HOSP VISI 50MIN CARDIO
99222
128
1851002
INITIAL HOSP VISI 70MIN CARDIO
99223
189
1851003
SUBSEQ HOSP VISIT 15MIN CARDIO
99231
37
1851004
SUBSEQ HOSP VISIT 25MIN CARDIO
99232
68
1851005
SUBSEQ HOSP VISIT 35MIN CARDIO
99233
98
1851006
INPATIENT CONSULT 20MIN CARDIO
99251
32
1851007
INPATIENT CONSULT 40MIN CARDIO
99252
37
1851008
INPATIENT CONSULT 55MIN CARDIO
99253
42
1851009
INPATIENT CONSULT 80MIN CARDIO
99254
53
1851010
INPATIENT CONSUL 110MIN CARDIO
99255
63
1851011
HOSP DISCHARG DAY<30MIN CARDIO
99238
67
1851012
HOSP DISCHARG DAY>30MIN CARDIO
99239
99
1851013
OUTPATIENT CONSULT CARDIO
99245
27
1852003
INS/REP TEMP TRANS SINGL CHAMB
33210
3675
1852004
INS/REP TEMP TRANSV DUAL CHAMB
33211
3675
1856372
INJ THER/PROPH/DIAG SC/IM
96372
40
1856374
INJ IV PUSH THER/PROPH/DIAG
96374
75
1856375
IV PUSH SEQUENT ADD NEW DRUG
96375
25
1856376
IV PUSH SEQUENT ADD SAME DRUG
96376
10
1860010
OPEN WEDGE/BX LUNG INFILTR
32096
718
1770067
MRI BRAIN W/DYE F BY D(BRAIN S
1
1770068
MRI CHE WO/CONT(EVAL.HIL&M LYM
1
1770069
MRI CHE W/CONT(EVL.HIL&M LYMP)
1
1770070
MRICHE WO/DYE FL BY D(EVL.H&M
1
1770071
MRA CHEST W/WO/CONT(EXCL MYOC)
1
1770072
MRI CERVICAL SPINE W/O CONTRAS
1
1770073
MRI CERVICAL SPINE W/CONTRAST
1
1770074
MRI SPIN CANL&CONT-THOR WO/CON
1
1770075
MRI SPIN CANL&CONT-THOR W/CONT
1
1770076
MRI SPIN CANL&CONT-LUMB WO/CON
1
1770077
MRI SPIN CANL&CONT-LUMB W/CONT
1
1770078
MRI CERV.SPINE W/O FOLL W/CONT
1
1770079
MRI THORACIC WO/FOLL W/CONTRAS
1
1770080
MRI LUMBAR WO/FOLL W/CONTRAST
1
1770081
MRA SPIN CANL&CONT W R WO/CONT
1
1770082
MRI PELVIS WO/CONTRAST
1
1770083
MRI PELVIS W/CONTRAST
1
1770084
MRI PELVIS WO/DYE FOLLO BY DYE
1
1770085
MRA PELVIS W OR WO/CONTRAST
1
1770086
MRI UPPER EXT. WO/CONTRAST
1
1770087
MRI UPPER EXT. W/CONTRAST
1
1770088
MRI UPPER EXT. WO & W/CONTRAST
1
1770089
MRI UPPER JOINT WO/CONTRAST
1
1770090
MRI UPPER JOINT W/CONTRAST
1
1770091
MRI UPPER JOINT WO & W/CONTRAS
1
1770093
MRA UPPER EXT. W/CONTRAST
1
1770094
MRI LOW EXT.OTH THN JOIN WO/CO
1
1770095
MRI LOWER EXT. W/CONTRAST
1
1770096
MRI LOWER EXT. WO & W/CONTRAST
1
1770097
MRI LOWER JOINT WO/CONTRAST
1
1770098
MRI LOWER JOINT W/CONTRAST
1
1770099
MRI LOWER JOINT WO & W/CONTRAS
1
1770100
MRA LOWER EXT.W OR WO/CONTRAST
1
1770101
MRI ABDOMEN WO/CONTRAST
1
1770102
MRI ABDOMEN W/CONTRAST
1
1770103
MRI ABDOMEN WO/DYE FOLL BY DYE
1
1770104
MRA ABDOMEN W OR WO/CONTRAST
1
1770105
MRI (CARDIAC) FOR MORPH WO/CON
1
1770106
MRI (CARDIAC) FOR MORPH W/CONT
1
1770107
MRI (CARDIAC) FUNC(COMP)W/WO C
1
1770108
MRI(CARDIAC)FUNC(LIMIT)W/WO/CO
1
1770109
MRI(CARDIAC)FOR VELOC FLOW MAP
1
1770110
MRI BREAST W/WO/CONTR-UNILATER
77048
1
1770111
MRI BREAST W/WO/CONTR-UNILATER
77048
1
1770112
MRI BREAST W OR WO/CONTR-BILAT
77049
1
1770113
MAGNETIC RESONANCE SPECTROSCOP
1
1770114
MRI BONE MARROW BLOOD SUPPLY
1
1770115
CHEST PA-LAT.DECUBIT
1
1770116
FACIAL COMPLETES
1
1770117
ARTHOGRAM KNEE
1
1770118
ARTHOGRAM SHOULDER
1
1770119
FISTULOGRAM
1
1770120
BREAST SPECIMEN EXAM
1
1770122
E.R.C.P.
1
1770123
EYE FOR FOREING BODY
1
1770124
OB US >/= 14 WKS ADDL FETUS
1
1770125
FACIAL BONES-WATERS
1
1770126
MANDIBLE
1
1770127
MASTOIDS COMPLETE
1
1770128
NASAL BONES
1
1770129
NECK SOFT TISSUE
1
1770130
OPTIC FORAMINA
1
1770131
ORBIT COMPLETE
1
1770132
PARANASAL SINUSES
1
1770133
SALIVARY GLANDS CALC
1
1770134
SELLA TURCICA
1
1770135
SIALOGRAM
1
1770136
SKULL AP & LATERAL
1
1770137
SKULL SERIES
1
1770138
T M J /UNILATERAL
1
1770139
T M J /BILATERAL
1
1770140
CHEST P A
1
1770141
CHEST P A - LATERAL
1
1770142
CHAMBER ANALYSIS
1
1770143
CHEST FLUOROSCOPY
1
1770144
CERVICAL AP &LATERAL
1
1770145
BRONCHOGRAPHY BILAT
1
1770146
RIBS UNILATERAL
1
1770147
RIBS BILATERAL
1
1770148
STERNUM
1
1770149
STERNOCLAVICULAR JNT
1
1770150
OB US < 14 WKS SINGLE FETUS
1
1770151
CERVICAL COMPLETE
1
1770152
HIP AP & EXT OBLIQUE
1
1770153
RADIOLOGIC EXAM CHEST 2 VIEWS
1
1770154
HIP & PELVIS
1
1770155
THORACI AP & LATERAL
1
1770156
THORACIC COMPLETE
1
1770157
THORACIC-LUMBAR
1
1770158
LUMBAR AP & LATERAL
1
1770159
LUMBO SACRAL COMPLE.
1
1770160
PELVIS A P
1
1770161
PELVIS COMPLETE
1
1770162
SACRO - COCCYX
1
1770163
SACROILIAC PA OBLIQ.
1
1770164
CHOLANGIOGRAPHY OPE.
1
1770165
CHOLANG POST OPER.
1
1770166
CHOLECYSTROGRAPHY
1
1770167
COLON BA. ENEMA
1
1770168
COLON ENEMA WITH AIR
1
1770169
ESOPHAGUS
1
1770170
BARIUM SWALLOW
1
1770171
SCOLIOSIS SERIES X-RAY
1
1770172
SMALL BOWEL SERIES
1
1770173
UPPER GASTRO INT/SER
1
1770174
KIDNEY URETER BLADD
1
1770175
SCANOGRAM
1
1770176
OB US < 14 WKS SINGLE FETUS
1
1770177
HYSTEROSALPINOGRAM
1
1770178
PELVIMETRY
1
1770180
MYELOGRAMS CERVICAL
1
1770181
MYELOGRAM COMPL 3 AR
1
1770182
MYELOGRAM LUMBAR
1
1770183
MYELOGRAN THORACIC
1
1770184
ACROMIO-CLAVICLE
1
1770185
CLAVICLE
1
1770186
ELBOW AP & LAT.
1
1770187
ELBOW COMPLETE OBLIQ
1
1770188
FOREARM
1
1722419
#ASPIRATE PLEURA WITH IMAGING
32555
0
1722419E
#ASPIRATE PLEURA WITH IMAGING
32555
0
1722420
#REPAIR/GRAFT WRIST BONE
25440
0
1722421
#INSERT UNILATERAL TUBE
50393
0
1722422
#REPAIR FOREARM TENDON MUSCLE
25270
0
1722423
#LIGATION OF NECK ARTERY
37615
0
1722424
#SKIN FULL GRAFT SCLP/ARM/LEG
15220
0
1722425
#RESECT ARM/ELBOW TUM 5
24079
0
1722426
#X-RAY GUIDE GU DILATATION
74485
0
1722427
#REMOVAL OF ADENOIDS
42830
0
1722427E
#REMOVAL OF ADENOIDS
42830
0
1722428
#PREPUTIAL STRECHING
54450
0
1722429
#VAG HYST W/T/ VAG REPAIR
58263
0
1722430
#ENLARGE BREAST WITH IMPLANT
19325
0
1722431
#REMOVAL OF TAIL BONE
27080
0
1722432
#DREINAGE OF SALIVARY CYSTO
42409
0
1722433
#ARTERY VEIN NONAUTOGRAPH
36830
0
1722433E
#ARTERY VEIN NONAUTOGRAPH
36830
0
1722434
#INSERT 1 ELECTRODE PM-DEFIB
33216
0
1722434E
#INSERT 1 ELECTRODE PM-DEFIB
33216
0
1722435
#EXCISION OF RECTAL PROLAPSE
45130
0
1722436
#CORRECT OF RECTAL PROLAPSE
45541
0
1722438
#BIOPSY LOWER LEFT SOFT
27614
0
1722439
#REPAIR/REV/RECONST/FIBULA
27707
0
1722440
#FUSION OF BIG TOE JOINT
28750
0
1722441
#NECKSPINE FUSE & REMOV BEL C2
22551
0
1722442
#TREAT ECTOPIC PREGNACY
59120
0
1722443
#VEIN X RAY TRUNK
75825
0
1722443E
#VEIN X RAY TRUNK
75825
0
1722444
#TREAT SPINAL CANAL LESSION
62282
0
1722445
#REVISE SPINE ELTRD PLATE
63664
0
1722446
#REMOVE PART THORAX VERTEBRA
22101
0
1722447
#REVISION OF ETHMOID SINUS
31254
0
1722448
#IMAGE CATH FLUID TRANS/VAGN
49407
0
1722449
#INJECTION TREATMENT OF NERVE
64605
0
1722450
#NJX PX NFROSGRAM & OR PYELOSC
50430
0
1722450E
#NJX PX NFROSGRAM & OR PYELOSC
50430
0
1722451
#IMAGE CATH FLUID TRANS/VAG
49407
0
1722452
# LAPAROHYSTERECTOMY
58548
0
1722453
#FUSION OF FOO BONES
28740
0
1723354
# TREAT KNRRCAP DISLOCATION
27562
0
1723355
# FREE OSTEOSCUTANEOUS FLAP
20969
0
1723356
# NEPHRECTOMY
50220
0
1723357
# ARTHROTOMY WITH BIOPSY INTER
26110
0
1723358
# ARTHROTOMY WITH BIOPSY INTER
26110
0
1723359
# ARTHROTOMY WITH BIOPSY INTER
26110
0
1723360
# CL REDUC DISLOC-WRIST
25690
0
1723361
#CYSTOSCOPY TREATMENT
52290
0
1723362
# RESECT ABD TUM < 5 CM
22904
0
1723363
# REPAIR DEFECT OF ARM
35045
0
1723364
# REMOVE MESH FROM ABD
11008
0
1723366
# RECONSTRUC ORBIT/FORE
21172
0
1723367
# EXC HAND TUM RA 3 CM
26118
0
1723368
# D&C OF CERVICAL STUMP
57558
0
1723369
# REMOVAL OF ANORECTAL LESION
45108
0
1723370
# TREATMENT OF TIBIA FRACTURE
27756
0
1723371
# NIPPLE EXPLORATION
19110
0
1723371E
# NIPPLE EXPLORATION
19110
0
1723372
# INSERT/REDO NEUROSTIM ARRAY
61885
0
1723373
# REPAIR/GRAFT OF TIBIA
27724
0
1723374
# REMOVAL & REPLSCEMENT PM GEN
33228
0
1723374E
# REMOVAL & REPLSCEMENT PM GEN
33228
0
1723375
# REMOVE SPINE ELTRD PERGARAY
63661
0
1723375E
# REMOVE SPINE ELTRD PERGARAY
63661
0
1723376
# REMOVE SPINE ELTRD PERGARAY
63661
0
1723377
# RECONSTRUCT VENA CAVA
34502
0
1723378
# REMOVAL OF SESAMOID BONE
28315
0
1723379
# RECONSTRUCT VENA CAVA
34502
0
1723380
# ANL SP INF PMP W/MDEPRG & FI
62365
0
1723380E
# ANL SP INF PMP W/MDEPRG & FI
62365
0
1723381
# ANL SP INF PMP W/MDEPRG & FI
62365
0
1723382
# ANL SP INF PMP W/MDEPRG & FI
62365
0
1723383
# ANL SP INF PMP W/MDEPRG & FI
62365
0
1723384
# ANL SP INF PMP W/MDEPRG & FI
62365
0
1723385
# PERCUTANEUS ABD DRAINAGE
49020
0
1723385E
# PERCUTANEUS ABD DRAINAGE
49020
0
1723386
# EXC MAL MRG 2.1 - 3
11623
0
1723387
# GAG HYST INCLUDING T/O
58262
0
1723388
# DESTROY LUMB / SAC FACET
64635
0
1723389
# LIP BIOPSY
40490
0
1723390
# PERC RF ABLATE RENAL TUMOR
50592
0
1723391
# SHULDER ARTHROSCOPY
29822
0
1723392
# REMOVAL OF LARINX
31365
0
1723393
# REM ENDOVAS VENA CAVA FILTER
37193
0
1723393E
# REM ENDOVAS VENA CAVA FILTER
37193
0
1723394
# OPEN & ODER REPL TRICUSP VAL
33465
0
1723396
# N BLOCK INJ TRIGEMINAL
64400
0
1723397
# I PEDICLE FLAP GRAFT
15740
0
1723398
# EXC HAND TURN DEEP <1.5 CM
26116
0
1723399
# TREAT FINGER FRACTURE
26750
0
1723400
# PERC RF ABLATE RENAL TUMOR
50592
0
1723401
#BIOPSY OF MOUTH LESSION
40808
0
1723402
# CYSTO URETRO LITHOTRIPSY
52356
0
1723402E
# CYSTO URETRO LITHOTRIPSY
52356
0
1723403
# REPAIR OF THIGH MUSCLE
27335
0
1723404
# REVISION OF UTERUS
58540
0
1723405
# EGD REMOVAL
43247
0
1723406
# REPAIR OF THIGH MUSCLE
27385
0
1723406E
# REPAIR OF THIGH MUSCLE
27385
0
1723407
# DRANAIGE OF MOUTH LESION
41016
0
1723408
# IMAGE CATH FLUID PERI \ RETR
49406
0
1723409
# DIANGNOSTIC SIGMOIDOSCOPY
45330
0
1723409E
# DIANGNOSTIC SIGMOIDOSCOPY
45330
0
1723411
# REMOVE ELCTRD TRANSVENOUSLY
33244
0
1720217E
#RECONSTRUCT COMPLETE SHOULDER
23420
0
1720218
#CAPSULORRAPHY ANTERIOR
23455
0
1720219
SEL CAT.PLAC. ART.SYS.E/FST TH
36215
0
1720220
#CLOSED TREATMENT CLAVICULAR
23500
0
1720222
#OPEN TREATMENT CLAVICULAR
23515
0
1720222E
#OPEN TREATMENT CLAVICULAR
23515
0
1720224
#CLOSED TREATMENT PROX HUMERAL
23600
0
1720225
#TREAT HUMERUS FRACTURE
23605
0
1720226
#OPEN TREATMENT PROX HUMERAL
23615
0
1720226E
#OPEN TREATMENT PROX HUMERAL
23615
0
1720228
#MANIPULATION UNDER ANESTHESIA
23700
0
1720228E
#MANIPULATION UNDER ANESTHESIA
23700
0
1720230
#EXCISION/OLECRANON BURSA
24105
0
1720230E
#EXCISION/OLECRANON BURSA
24105
0
1720232
#OPEN TREATMENT HUMRAL SHAFT
24515
0
1720232E
#OPEN TREATMENT HUMRAL SHAFT
24515
0
1720234
#PERC SKELETAL FIXATION
24566
0
1720235
# PERC VERTEBRAL AUGMENTATION
22513
0
1720235E
# PERC VERTEBRAL AUGMENTATION
22513
0
1720236
#OPEN TREATMENT HUMERAL EPICON
24575
0
1720238
#OPEN TREATMENT MONTEGGIA TYPE
24635
0
1720239
# TREAT ULNAR FRACTURE
24685
0
1720239E
# TREAT ULNAR FRACTURE
24685
0
1720240
#ARTHRTOMY WRIST W SYNOVECTOMY
25105
0
1720242
#EXCISION OF GANGLIO/WRIST
25111
0
1720242E
#EXCISION OF GANGLIO/WRIST
25111
0
1720244
#RADICAL EXCISION OF BURSA
25115
0
1720246
#SYNOVECTOMY EXTENSOR
25118
0
1720248
#CLOSED TREATMENT RADICAL SHAF
25500
0
1720250
#OPEN TREATMENT RADICAL SHAFT
25515
0
1720252
#OPEN TREATMENT RADICAL ULNA
25574
0
1720254
#CLOSED TREATMENT DISTAL RADIC
25600
0
1720255
# THREAT FRACTURE RADIUS
25605
0
1720255E
# THREAT FRACTURE RADIUS
25605
0
1720257
#PERC SKELETAL FIXATION
26608
0
1720257E
#PERC SKELETAL FIXATION
26608
0
1720258
#OPEN TREATMENT FEMORAL FRACTU
27236
0
1720260
#CAPSULOTOMY
27435
0
1720262
#ARTHROPLASTY
27440
0
1720264
#OPEN TREATMENT TIBIAL FRACTUR
27535
0
1720264E
#OPEN TREATMENT TIBIAL FRACTUR
27535
0
1720265
# FIXATION OF KNEE JOINT
27570
0
1720265E
# FIXATION OF KNEE JOINT
27570
0
1720266
#REPAIR ACHILLES TENDON
27650
0
1720266E
#REPAIR ACHILLES TENDON
27650
0
1720268
#CLOSED TREATMENT BIMALLEOLAR
27808
0
1720270
#OPEN TREATMENT BIMALLEOLAR
27814
0
1720270E
#OPEN TREATMENT BIMALLEOLAR
27814
0
1720271
# PARTIAL EXCISION BONE TALUS
28120
0
1720272
#APLICATION CAST SHOULDER/HAND
29065
0
1720273
# PARTIAL REMOVAL OF ARM BONE
24140
0
1720274
#APLICATION CAST ELBOW/FINGER
29075
0
1720276
#APLICATION/CAST/HAND/FOREARM
29085
0
1720278
#APLICATION CAST FINGER
29086
0
1720280
#APLICATION/SPLINT/LONG ARM
29105
0
1720282
#APLICATION/SPLINT/SHORT ARM
29125
0
1720284
#APLICATION SPLINT SHORT ARM
29126
0
1720286
#APLICATION CAST LONG LEG
29345
0
1720288
#APLICATION CAST SHORT LEG
29405
0
1720290
#ARTHROSCOPY/SHOULDER/SURG
29824
0
1720291
ARTHROSCOPY W/RORATOR CUFF RE
29827
0
1720291E
ARTHROSCOPY W/RORATOR CUFF RE
29827
0
1720292
#ARTHROSCOPY/KNEE/SURGICAL
29880
0
1720292E
#ARTHROSCOPY/KNEE/SURGICAL
29880
0
1720293
#ARTHROSCOPY KNEE SURGERY
29882
0
1720296
#EXCISION NASAL POLYPS SIMPLE
30110
0
1720298
#SEPTAL OR INTRANASAL DERMOPLA
30620
0
1720299
#REPAIR NASAL SEPTAL PERFORATI
30630
0
1720300
#CAUTERY AND/OR ABLATION
30802
0
1720302
#SINUSOTOMY/NAXILLARY/INTRANAS
31020
0
1720302E
#SINUSOTOMY/NAXILLARY/INTRANAS
31020
0
1720304
#SINUSOTOMY NAXILLARY RADICAL
31030
0
1720306
#NASAL/SINUS ENDOSCOPY DIAGNOS
31235
0
1720308
#ETHMOIDECTOMY INTRANASAL ANTE
31200
0
1720310
#NASAL/SINUS ENDOSCOPY/SURGICA
31237
0
1720310E
#NASAL/SINUS ENDOSCOPY/SURGICA
31237
0
1720311
#DIAGNOSTIC LARYNGOSCOPY
31525
0
1720311E
#DIAGNOSTIC LARYNGOSCOPY
31525
0
1720312
#LARYNGOSCOPY/DIRECT/OPERATIVE
31535
0
1720312E
#LARYNGOSCOPY/DIRECT/OPERATIVE
31535
0
1720314
#LARYNGOSCOPY DIRECT OPERATIVE
31536
0
1720314E
#LARYNGOSCOPY DIRECT OPERATIVE
31536
0
1720316
#LARYNGOSCOPY/DIRECT/OPERATIVE
31540
0
1720316E
#LARYNGOSCOPY/DIRECT/OPERATIVE
31540
0
1720318
#BROCHOSCOPY/RIGID OR FLEXIBLE
31622
0
1720318E
#BROCHOSCOPY/RIGID OR FLEXIBLE
31622
0
1720323
#THORAX SURGERY PROCEDURE
42999
0
1720325
#THORACOSCOPY W/BX INFILTRATE
32607
0
1720336
#ADDITIONAL THORACIC BRANCH
36218
0
1720346
#INSERTION VENOUS ACCESS DEVIC
36561
0
1720346E
#INSERTION VENOUS ACCESS DEVIC
36561
0
1720352
#CREATION ARTERIOVENOUS FISTUL
36825
0
1720352E
#CREATION ARTERIOVENOUS FISTUL
36825
0
1720353
#HEMODIALYSIS ACCESS ANY SITE
36821
0
1720353E
#HEMODIALYSIS ACCESS ANY SITE
36821
0
1720354
#THROMBECTOMY
36831
0
1720354E
#THROMBECTOMY
36831
0
1720356
#REVISION ARTERIOVENOUS FISTUL
36833
0
1720356E
#REVISION ARTERIOVENOUS FISTUL
36833
0
1720358
#BIOPSY OF LYMPH NODE
38500
0
1720358E
#BIOPSY OF LYMPH NODE
38500
0
1720360
#BIOPSY DEEP CERVICAL NODES
38510
0
1721883
#REPAIR TONGUE LACERATION
41250
0
1721884
#KNEE ARTHROSCOPY/SURGERY
29881
0
1721884E
#KNEE ARTHROSCOPY/SURGERY
29881
0
1721885
#REPAIR VAGINA/PERINEUM
57210
0
1721885E
#REPAIR VAGINA/PERINEUM
57210
0
1721886
#REPAIR TONGUE LACERATION
41252
0
1721888
#LAYER CLOSURE OF WOUNDS
12053
0
1721890
#SHOULDER ARTHROSCOPY DX
29805
0
1721892
#XPOSE FOR ENDOPROSTH FEMORAL
34812
0
1721893
#BIOPSY OF EXTERNAL EAR CANAL
69105
0
1721894
#XPOSE FOR ENDOPROSTH FEMORAL
64445
0
1721895
#MATERNITY CARE PROCEDURE
59899
0
1721896
#MANIPULATE ELBOW W/ANESTHESIA
24300
0
1721896E
#MANIPULATE ELBOW W/ANESTHESIA
24300
0
1721898
#BIOPSY OF EYELID LINING
68100
0
1721899
#INCISE EXTERNAL HEMORROIDS
46083
0
1721900
#REPAIR FINGER TENDON
26418
0
1721901
#UPPER ENDOSCOPY W/REM OF TUM
43251
0
1721902
#EXPLORE TREAT ELBOW JOINT
24101
0
1721903
#CYTOSCOPY AND TREATMENT
52320
0
1721904
#REPR ELBOW LAT LIGMNTS W/TISS
24343
0
1721905
#REMOVAL OF TOE LESIONS
28108
0
1721906
#REPARIR OF URETER LESION
51535
0
1721907
#TREAT HUMERUS FRACTURE
24545
0
1721908
#LAYER CLOSURE OF WOUND (S)
12032
0
1721909
#REVISE WRIST/FOREARM TENDON
25280
0
1721910
#LAYER CLOSURE OF WOUND (S)
12035
0
1721911
#LEG/ANKLE SURGERY PROCEDURE
27899
0
1721913
#CRANIECTOMY W EXCISION OF TUM
61500
0
1721914
#DESTRUCTION PENIS LESIONS
54065
0
1721915
#CRANIOPLASTY FOR SKULL DEFECT
62145
0
1721916
#REMOVAL NECK/ARMPIT LESION
38555
0
1721917
#REMOVAL OF COLLAR BONE
23125
0
1721918
#REPAIR OF ANAL SPHINCTER
46750
0
1721922
#DRAIN NECK/ CHEST LESION
21501
0
1721923
#DRAIN EXTERNAL EAR LESSION
69005
0
1721924
#STRAPPING OF ELBOW OR WRIST
29260
0
1721926
#DRESSING DEBRITMENT OF PARTIA
16020
0
1721928
#REPAIR OF DEFECT WITHAUT
25425
0
1721930
#DILATE URETHRA STRICTURE
53605
0
1721932
#LAYER CLOUSURE OF WOUND
12042
0
1721934
#NECK SPINE DISK SURGERY
63075
0
1721934E
#NECK SPINE DISK SURGERY
63075
0
1721936
#APPLY SPINE PROSTH DEVICE
22859
0
1721938
#EX H-F-NK-SP-B9 + MARG
15120
0
1721940
#TREAT VAGINAL BLEEDING
57180
0
1721942
#APPLICATION LONG LEG SPLINT
29505
0
1721944
#LAYER CLOSURE OF WOUND (S)
12046
0
1721946
#REDUCTION OF LARGE BREAST
19318
0
1721948
#DESTRUCT LESION 15 OR MORE
17111
0
1721950
#TONGUE AND MOUSE SURGERY
41599
0
1721952
#DESTRUCTION PENIS LESSION
54055
0
1721954
#REPAIR PARAVAG DEFECT VAG
57285
0
1721956
#REPAIF OF WEB FINGER
26560
0
1721957
#REPAIR OF EYE WOUND
65270
0
1721958
#NASAL SURGERY PROCEDURE
30999
0
1721964
#KNEE ARTROSCPY SURGERY
29888
0
1721966
#TREAT TOE DISLOCATION
28665
0
1721967
#TREAT TOE DISLOCATION
28630
0
1721968
#VAGINAL HYSTERECTOMY WITH
58291
0
1721970
#LIGATION OF HEMORROIDS
46945
0
1721972
#LIGATION OF HEMORROIDS
46945
0
1721974
#DRAINAGE OF SCROTUM
54700
0
1721976
#SUCTION ASSISTED LIPECTOMY
15877
0
1721978
#STAPPING OF HAND & FINGER
29280
0
1721980
#TREAT FINGER FRACTURE
26742
0
1721982
#REMOVAL FOOT FOREIGN BODY
28193
0
1721984
#EXC MALIGNANT LES OVER 4 CM
11626
0
1721985
#REMOVAL OF BREAST IMPLANT
19328
0
1721986
#EXCISION FACE MM MALIGN
11644
0
1721987
#TREATMENT HUMERUS FRACTURE
24582
0
1721988
#EXPLORE/DRAIN EYE SOCKET
67405
0
1721990
#REPAIR RETINAL DETACH
67113
0
1721990E
#REPAIR RETINAL DETACH
67113
0
1721992
#CORRECT METACARPAL FLAW
26565
0
1721993
#REM OF PEM EPICARDIAL PMK
33226
0
1721994
#NASAL SURGERY PROCEDURE
30999
0
1721995
#LAYER CLOSURE OF WOUNDS
12054
0
1721996
#APLICATION OF LONG LEG CAST
29365
0
1721998
#REMOVAL OF LENS MATERIAL
66840
0
1722002
#REPAIR OF BOWEL BULGE
57268
0
1722002E
#REPAIR OF BOWEL BULGE
57268
0
1722006
#HEMORRHOIDOPEXY BY STAPPLING
46947
0
1722006E
#HEMORRHOIDOPEXY BY STAPPLING
46947
0
1722010
#BLOOD/LYMPH SYSTEM PROCEDURE
38999
0
1722016
#MALE SLING PROCEDURE
53440
0
1722016E
#MALE SLING PROCEDURE
53440
0
1722020
#REMOVE/RECEIVE NEURORECEIVER
63688
0
1722020E
#REMOVE/RECEIVE NEURORECEIVER
63688
0
1722022
#ANALYZE NEUROTISM SIMPLE
95971
0
1722022E
#ANALYZE NEUROTISM SIMPLE
95971
0
1722024
#FREEING OF BOWEL ADHESION
44005
0
1722026
#NECK/CHEST SURGERY PROCEDURE
21899
0
1722028
#EXTRACTION OF LENS
66940
0
1722032
#IMPLANT NEUROELECTRODOS
64561
0
1722032E
#IMPLANT NEUROELECTRODOS
64561
0
1722033
#ANALIZE NEUROTISM NO PROG
95970
0
1722036
#CLTX MED ANKLE FX
27762
0
1722038
#BIOPSY OF EXTERNAL EAR
69100
0
1722040
#REBUILD EARDRUM STRUCTURES
69633
0
1722041
#REBUILD OUTER EAR CANAL
69310
0
1722042
#TREATMENT OF PENIS LESION
54110
0
1722044
#SC THER INFUSION UP TO 1 HR
96369
0
1722045
#SC THER INFUSION ADD HR
96370
0
1770189
FINGERS
1
1770190
HAND
1
1770191
HAND 3 VIEWS
1
1770192
HUMERUS
1
1770193
SCAPULA
1
1770194
SHOULDER
1
1770195
SHOULDER COMPLETE
1
1770196
WRIST
1
1770197
ANKLE
7360026
1
1770198
ANKLE COMPLETE
1
1770199
FEMUR
1
1770200
FOOT AP & LATERAL
1
1770201
FOOT COMPLETE OBLIQU
1
1770202
HIP
1
1770203
RADIOLOGIC EXAM CHEST SINGLE
7104526
1
1770204
KNEE AP & LATERAL
1
1770205
KNEE COMPLETE OBLIQU
1
1770206
LEG
1
1770207
OS CALCIS
1
1770208
TOES
1
1770209
ABDOMEN AP
1
1770210
ABDOMEN 2 POSITION
7401926
1
1770211
ABDOMEN 3 POSITIONS
1
1770212
TRANSVAGINAL US NON-OBSTETRIC
76830
1
1770213
I.V.P.
1
1770214
URETROCYSTOGRAM
1
1770215
NEPHROTOMOGRAM
1
1770216
RETROGRADE PYELOGRAM
1
1770217
VOIDING CYSTOGRAM
1
1770218
CHOLANGIOGRAPHY PERC
1
1770219
DENSITOMETRIA OSEA
1
1770220
BONE AGE
1
1770221
BOTH KNEES-STANDING ANTEROPOST
1
1770222
ARTHOGRAM HIP
1
1770223
BONE SURVEY
1
1770224
MAMOGRAPHY BILATERL-DIAG
1
1770225
MAMOGRAPHY UNILATERAL-DIAG
77065
1
1770226
SCREENING MAMOGRAPHY BILATERAL
1
1770227
VENOGRAPHY EXTREMITI
1
1770228
VENOGRAMS
1
1770229
HEAD/BRAIN WO/CM
1
1770230
HEAD/BRAIN W/CM
1
1770231
HEAD/BRAIN WO/CM FCM
1
1770232
ORBIT-SELLA-WO/CM
1
1770233
ORBIT-SELLA-W/CM
1
1770234
ORBIT-SELLA-WO/CMFCM
1
1770235
SOFT TISSUE N - WO/CM
1
1770236
SOFT TISSUE N - W/CM
1
1770237
THORAX WO/CM
1
1770238
THORAX W/CM
1
1770239
THORAX WO/CM F BY CM
1
1770240
CERVICAL SPINE WO/CM
1
1770241
CERVICAL SPINE W/CM
1
1770242
CERV.SPINE WO/CM-FCM
1
1770243
THORACIC SPINE WO/CM
1
1770244
THORACIC SPINE W/CM
1
1770245
LUMBAR SPINE WO/CM
1
1770246
LUMBAR SPINE W/CM
1
1770247
LUMBAR S. WO/CM F CM
1
1770248
PELVIS WO/CONT MATER
1
1770249
PELVIS W/CONT MATER.
1
1770250
PELVIS WO/CM F BY CM
1
1770251
LOWER EXTREM. WO/CM
1
1770252
LOWER EXTREM. W/CM
1
1770253
LOWER EXT.WO/CM F CM
1
1770254
ABDOMEN WO/CONT MAT.
1
1770255
ABDOMEN W CONT. MAT.
1
1770256
ABDOMEN WO/CM F CM
1
1770257
CARDIAC DOPPLER ECHO EXAM
1
1770258
CT GUIDANCE/DRAINAGE
1
1770259
CT SCAN BIOPSY/ASPIR
1
1770260
2D + M-MODE ECHOCARDIOGRAPHY
1
1770261
CT UPPER EXT W/O CON
1
1770262
CT UPPER EXT W/CONT.
1
1770263
CT MAXILLOFACIAL W/O CONT.MAT.
1
1770264
CT ANGLIOGR NECK W/O CONT.MAT.
1
1770265
CT MAXILLOFACIAL W/CONT. MAT.
1
1770266
CT MAXILLOFACIAL W/O CONT.MAT.
1
1770267
CT MAXIL.W/OCONT.MAT.FL/CNT.MA
1
1770268
CT SFT TISS NECK W/OCONT.MAT&F
1
1770269
CT ABD.W-W/O CONT.MAT.FOL/CONT
1
1770270
CT CHST W/O CONT.MAT.FOL/CONT.
1
1770271
CT LW EXTR W/O CNT.MAT.FOL/CNT
1
1770272
CT PELVIC W/O CONT.MAT.FOL/CNT
1
1770273
CT THOR SPIN W/OCONT.MAT.FOL/C
1
1770274
CT UPP EXTR W/O CONT.MAT.FOL/C
1
1770275
BONE SCAN WHOLE BODY
1
1770276
24 HOUR THYROID UPTAKE
1
1770277
BRAIN SCAN
1
1770278
CT ABD & PELV 1/>REGNS
1
1770279
LIVER SCAN-MULT VIEW
1
1770280
LUNG SCAN-PERFUSION
1
1770281
THYROID SCAN WITH UPTAKE
1
1770282
RENAL SCAN
1
1770283
ESTERELIZACION POST CESAREA
58611
0.01
1770284
CT ABD & PELV W/CONTRAST
1
1770285
THYROID SCAN
1
1770286
CT ABD & PELVIS W/O CONTRAST
1
1770287
LUNG SCAN-VENTILATIO
1
1770288
MYOCARDIAL PYP INFARCT SCAN
1
1770289
SPLEEN SCAN-MULT VIE
1
1770290
HEPATOBIL. SCAN-HIDA
1
1770292
ABD SCAN MECKEL GI B
1
1770293
GALLIUM SCAN
1
1770294
THERAPY HYPERTHYROID
1
1770295
THERAPY THYROID CA
1
1770296
BONE FLOW
1
1770297
BRAIN FLOW
1
1770298
RENAL FLOW
1
1770299
PARATHYROID SCAN
1
1770300
BONE BY 3 PHASE
1
1770301
LIVER+SPLEEN SCAN
1
1770302
MUGA SCAN CARDIAC BLOOD IMAGIN
1
1770303
METASTRON TECH.COMP.
1
1770304
INDIUM WBC SCAN LIMITED AREA
1
1770305
I-131 MIBG
1
1770306
LIVER SPECT
1
1770307
BONE SCAN SPECT
1
1770308
MYOCARD PERF REST SPECT SINGLE
1
1770309
TTE W/DOPPLER/ COMPLETE
0
1770310
MUGA/REST DOSE
1
1770311
BRAIN SPECT
1
1770312
RENAL SPECT
1
1770313
DUPLEX ART/UPP/EXT UNILAT/LIM
1
1770314
ESTERELIZACION POST PARTO
58605
0.01
1720896E
# BIOPSY OF LIVER
47000
0
1720898
#OSTEOSTOMY RADIUS AND ULNA
25365
0
1720900
#OSTEOPLASTY TIBIA AND FIBULA
27715
0
1720902
#VULVECTOMY SIMPLE:COMPLETE
56625
0
1720904
#REPAIR UMBILICAL HERNIA >5
49587
0
1720904E
#REPAIR UMBILICAL HERNIA >5
49587
0
1720906
# EXCISION CHOLECYSTECTOMY
47600
0
1720907
#REMOVAL TUNNELED CV CATH
36590
0
1720907E
#REMOVAL TUNNELED CV CATH
36590
0
1720908
#REMOVAL CERCLAGE SUTURE
0
1720910
#PROCTOSIGMOIDOSCOPY ABLATE
45320
0
1720911
#REPOSITION VENOUS CATHETER
36597
0
1720911E
#REPOSITION VENOUS CATHETER
36597
0
1720912
#REMOVAL OF LARYNX LESION
31300
0
1720914
# TRANSCATHETER BIOPSY
37200
0
1720915
#TIPPS INSRT TRAV INTAHEPA POR
37182
0
1720916
#RETROBULBAR INJECTION?;MEDICA
67500
0
1720918
#TREATMENT OF ANKLE FRACTURE
0
1720920
#OPEN TREATMENT DISTAL FRACTUR
27792
0
1720920E
#OPEN TREATMENT DISTAL FRACTUR
27792
0
1720922
#CAUTERIZATION INNER NOSE
30801
0
1720924
#REPAIR EARDRUM STRUCTURES
69631
0
1720925
#TYMPANOPLASTY
69632
0
1720926
#MICROSURGICAL TECHNIQUES
69990
0
1720928
#OPEN REDUCTION PATELLA FX
27524
0
1720928E
#OPEN REDUCTION PATELLA FX
27524
0
1720930
#FRACTURE WITH MANIPULATION
24535
0
1720932
#REMOVAL OF KIDNEY STONE
50081
0
1720934
#REMOVE GROIN LYMPH NODES
38765
0
1720936
#EXCISION TUMOR SOFT TISSUE
21930
0
1720938
#EXC FACE MM B9 MARG 3.1-4 CM
11444
0
1720940
#TREAT SHOULDER DILOCATION
23655
0
1720942
#TREAT LOWER LEG FRACTURE
27825
0
1720946
#SUTURE OF TRACHEAL WOUND
31800
0
1720948
#MARSUPIALIZATION BARTHOLINS
56440
0
1720950
#EXCISION TUMOR SUBFASCIAL
24076
0
1720950E
#EXCISION TUMOR SUBFASCIAL
24076
0
1720952
#REMOVAL OF SPERM CORD LESION
55520
0
1720954
#TREAT RADIUS FRACTURE
24665
0
1720954E
#TREAT RADIUS FRACTURE
24665
0
1720956
# ELBOW ARTHROSCOPY SURGERY
29834
0
1720958
#REMOVAL FOREARM LESSION SUBCU
25075
0
1720958E
#REMOVAL FOREARM LESSION SUBCU
25075
0
1720960
#REMOVAL OF URETHRA LESION
53230
0
1720961
#REMOVAL OF URETHRA GLAND
53250
0
1720962
#EXCISION MALIGNANT LESION
11640
0
1720963
#REMOVAL OF URETHRA GLAND
53270
0
1720964
#TREAT METACARPAL FRACTURE
26615
0
1720964E
#TREAT METACARPAL FRACTURE
26615
0
1720966
#NASOPHARYNGOSCOPY
92511
0
1720967
#NASAL / OROGASTRIC W/STENT
43752
70
1720968
#CURETTAGE OF BONE CYST
23140
0
1720970
# I & D OF VULVA/PERINEUM
56405
0
1720972
#REMOVE EPIDIDYMIS LESION
54840
0
1720972E
#REMOVE EPIDIDYMIS LESION
54840
0
1720974
#REPAIR FOOT DISLOCATION
28555
0
1720976
#REMOVAL OF KNEE CARTILAGE
27332
0
1720978
#DILATION OF ESOPHAGUS
43450
0
1720980
# EXPLORE WOUND EXTREMITY
20103
0
1720980E
# EXPLORE WOUND EXTREMITY
20103
0
1720982
#REVISION OF UNSTABLE KNEECAP
27422
0
1720984
#TREATMENT OF TIBIA FRACTURE
27759
0
1720984E
#TREATMENT OF TIBIA FRACTURE
27759
0
1720986
#OPEN TREAT BIG TOE FRACTURE
28505
0
1720988
#CLOSE TREAT FRACTURE PHALANX
28510
0
1720990
#REPAIR FOREARM TENDON SHEATH
25275
0
1720992
#EXCISION CHEST WALL TUMOR
19260
0
1720992E
#EXCISION CHEST WALL TUMOR
19260
0
1720994
#INSERT NEEDLE CATH BOWEL
44015
0
1720996
#REMOVAL OF TENDON LESION
27630
0
1720998
#VASCULAR SURGERY PROCEDURE
37799
0
1720999
#ENDOSCOPIC BRONCHIAL BX
31625
0
1720999E
#ENDOSCOPIC BRONCHIAL BX
31625
0
1721001
#REPLECE TUNNELED CV CATH
36581
0
1721002
#REMOVE NAIL BED/FINGER TIP
11752
0
1721003
#PARTIAL REMOVAL FOOT FASCIA
28060
0
1721004
#EXPLORE WOUND CHEST
20101
0
1721005
#SCOPE PLANTAR FASCIOCTOMY
29893
0
1721006
#EXCISION OF LESION SCLERA
66130
0
1721007
#SPINE DISK SURGERY TORAX
63077
0
1721008
#CORRECTION HAMMERTOE
28285
0
1721009
#RENAL ABCESS OPEN DRAIN
50021
0
1721010
#REPAIR RADIUS AND ULNA
25415
0
1721011
#INSERTION OF VENOUS ACC DEV
36583
0
1721012
#REMOVE BONE FIXATION DEVICE
20694
0
1721013
#INCISION OF METATARSAL
28306
0
1721014
#CYSTOURETHROSCOPY
52330
0
1721015
#PTCA CTO
92943
0
1721017
#CORRECTION HALLUX VALGUS
28295
0
1721018
#RECONSTRUCT ELBOW LIGMT
24344
0
1721019
#THROMBECTOMY
37186
0
1721021
#TREATMENT OF THIGT FRACTURE
27513
0
1721024
#EXCISION MALIGNANT LESION
53445
0
1721024E
#EXCISION MALIGNANT LESION
53445
0
1721026
#TREAT CLAVICLE DISLOCATION
23550
0
1721027
#APPLICATION OF LEG CAT
29450
0
1721028
#DRAIN/INJECT JOINT/BURSA
20610
0
1721028E
#DRAIN/INJECT JOINT/BURSA
20610
0
1721030
#EVACUATE MOLE OF UTERUS
59870
0
1721031
#RECONSTRUCT ELBOW JOINT
24360
0
1721032
#RECONSTRUCT ELBOW JOINT
24361
0
1721033
#ANKLE ARTHROSCOPY SURGERY
29895
0
1721034
#REPAIR DETACHED RETINA
67108
0
1721034E
#REPAIR DETACHED RETINA
67108
0
1720360E
#BIOPSY DEEP CERVICAL NODES
38510
0
1720362
#BIOPSY DEEP AXILIARY NODES
38525
0
1720362E
#BIOPSY DEEP AXILIARY NODES
38525
0
1720364
#CERVICAL LYMPHADENECTOMY
38724
0
1720366
#AXILLARY LYMPHADENECTOMY
38740
0
1720368
#VERMILIONECTOMY
40500
0
1720370
#INCISION LINGUAL FRENUM
41010
0
1720370E
#INCISION LINGUAL FRENUM
41010
0
1720371
#EXCISION LESION TONGUE W/O CL
41110
0
1720372
#EXCISION LINGUAL FRENUM
41115
0
1720372E
#EXCISION LINGUAL FRENUM
41115
0
1720373
#EXCISION OF LINGUAL TONSIL
42870
0
1720374
#FRENOPLASTY
41520
0
1720375
#TREATMENT OF THIGH FRACTURE
41520
0
1720376
#BIOPSY PALATE UVULA
42100
0
1720377
#REVISION OF FOOT TENDON
28238
0
1720378
#EXCISION LESION OF PALATE
42104
0
1720379
#EXCISION; RESECTION OF PALATE
42120
0
1720380
#UVULECTOMY/ EXCISION OF UVULA
42140
0
1720381
#CORRECT FINGER DEFORMITY
26567
0
1720382
#BIOPSY OF UPPER NOSE/THROAT
42804
0
1720383
#SURGERY FOR STEP LEG GROUTH
27485
0
1720384
#BIOPSY OROPHARYNX
42800
0
1720385
#EXCISION BRANCHIAL LEFT CYST
42810
0
1720385E
#EXCISION BRANCHIAL LEFT CYST
42810
0
1720386
#TONSILLECTOMY & ADENOIDECTOMY
42820
0
1720386E
#TONSILLECTOMY & ADENOIDECTOMY
42820
0
1720388
#TONSILLECTOMY & ADENOIDECTOMY
42821
0
1720390
#TONSILLECTOMY PRI OR SEC <12
42825
0
1720390E
#TONSILLECTOMY PRI OR SEC <12
42825
0
1720392
#TONSILLECTOMY/PRI OR SEC >12
42826
0
1720392E
#TONSILLECTOMY/PRI OR SEC >12
42826
0
1720394
#ADENOIDECTOMY/PRIMARY < 12
42830
0
1720394E
#ADENOIDECTOMY/PRIMARY < 12
42830
0
1720396
#ADENOIDECTOMY/PRIMARY > 12
42831
0
1720396E
#ADENOIDECTOMY/PRIMARY > 12
42831
0
1720397
#ADENOIDECTOMY PRIMARY < 12
42835
0
1720398
#ESOPHAGOSCOPY BRUSHING/WASHIN
43200
0
1720402
#ESOPHAGOSCOPY CONTROL BLEEDIN
43227
0
1720410
#ESOPHA FUNDOPLASTY LAPAROTOM
43327
0
1720412
#ESOPHAGOGASTRIC FUNDOPLASTY
43325
0
1720422
#COLO LESION REMOVAL SNARE TEC
45385
0
1720423
# REMOVE RECTAL OBSTRUCTION
45915
0
1720424
#PLACEMENT OF SETON
46020
0
1720424E
#PLACEMENT OF SETON
46020
0
1720426
#INC & DRA OF ISCHIORECTAL
46040
0
1720428
#INC & DRA OF ISCHIORECTAL
46060
0
1720430
#SPHINTEROTOMY
46080
0
1720431
#FISSURECTOMY W/WO SPHINCTEROT
46200
0
1720431E
#FISSURECTOMY W/WO SPHINCTEROT
46200
0
1720432
#HEMORRHOIDECTOMY EXTERNAL
46250
0
1720433
#SURG TREATMENT ANAL FISTULA
46270
0
1720433E
#SURG TREATMENT ANAL FISTULA
46270
0
1720434
#HEMORRHOIDECTOMY INTERNAL
46255
0
1720434E
#HEMORRHOIDECTOMY INTERNAL
46255
0
1720436
#ENUCLEATION/EXCISION HEMORRHO
46320
0
1720436E
#ENUCLEATION/EXCISION HEMORRHO
46320
0
1720439
#ANOPLASTY INFANT
46705
0
1720440
#HEPATOTOMY
47010
0
1720444
#LAPARATOMY
47015
0
1720445
#APENDECTOMY
44950
0
1720446
#LAPAROSCOPY W/GUIDED W/O BYOP
47579
0
1720447
#LAPARASCOPIC ABDOMINO PERINEA
45395
0
1720449
#LAPARASCOPE PROCEDURE LIVER
47379
0
1720453
#DRAINAGE TONSIL ABSCESS
42700
0
1720456
#INSER INTRAPERITONEAL CANULA
49421
0
1720457
#REPAIR ING HERNIA BABY REDUC
49495
0
1720457E
#REPAIR ING HERNIA BABY REDUC
49495
0
1720458
#REPAIR INGUINAL HERNIA < 5YRS
49491
0
1720459
#REPAIR INGUINAL HERNIA < 6YRS
49495
0
1720460
#REPAIR INGUINAL HERNIA > 5YRS
49505
0
1720460E
#REPAIR INGUINAL HERNIA > 5YRS
49505
0
1720462
#REPAIR RECURRENT INGUINAL HER
49520
0
1720462E
#REPAIR RECURRENT INGUINAL HER
49520
0
1720464
#REPAIR INICIAL INGUINAL HERNI
49560
0
1720464E
#REPAIR INICIAL INGUINAL HERNI
49560
0
1720465
#REPAIR RECURRENT INCISIONAL
49565
0
1720465E
#REPAIR RECURRENT INCISIONAL
49565
0
1720466
#REPAIR EPIGASTRIC HERNIA
49570
0
1720467
#REPAIR EPIGASTRIC HERNIA ICAR
49572
0
1720467E
#REPAIR EPIGASTRIC HERNIA ICAR
49572
0
1720468
#REPAIR UMBILICAL HERNIA
49580
0
1720468E
#REPAIR UMBILICAL HERNIA
49580
0
1720469
#REPAIR UMBILICAL HERNIA AGE5>
49585
0
1720469E
#REPAIR UMBILICAL HERNIA AGE5>
49585
0
1720470
#NEPHROSTOMY
50040
0
1720471
#REPAIR UMBILICAL LESION
49600
0
1720472
#ASPIRA/INJEC RENAL CYST
50390
0
1720472E
#ASPIRA/INJEC RENAL CYST
50390
0
1720473
RE-EXPLORE PARATHYROIDS
60502
0
1720475
#ARTHROSCOPY BISCEP TENODESIS
29828
0
1720475E
#ARTHROSCOPY BISCEP TENODESIS
29828
0
1720476
#CHANGE NEPHROSTOMY TUBE
50435
0
1720476E
#CHANGE NEPHROSTOMY TUBE
50435
0
1720477
#KIDNEY ENDOSCOPY
50575
0
1720477E
#KIDNEY ENDOSCOPY
50575
0
1720478
#LITHOTRIPSY
50590
0
1720478E
#LITHOTRIPSY
50590
0
1720479
#FRAGMENTING OF KIDNEY STONE
50590
0
1720479E
#FRAGMENTING OF KIDNEY STONE
50590
0
1720480
#URETEROTOMY W EXPLORATION
50600
0
1720482
#URETEROTOMY FOR INSERTION
50605
0
1720484
#CLOSURE URETEROVISCERAL FISTU
50930
0
1720486
#CYSTOSTOMY
51525
0
1420012
ESTABLI VISIT L-II (PERINATO)
9921225
45
1420013
ESTABLI VISIT L-III (PERINATO)
9921325
75
1420014
ESTABLI VISIT L-IV (PERINATO)
9921425
115
1420015
ESTABLI VISIT L-V (PERINATO)
9921525
150
1420016
OB US COMPREHENSIVE 1ST FETUS
76811
110
1420017
OB US COMPREHENSIVE ADD FETUS
76812
45
1420018
OB US FOLLOW-UP 1ST FETUS
76816
67
1420019
OB US LIMITED 1 OR MORE FETUS
76815
209
1420020
US NUCHAL TRANSLUCENCY 1 FETUS
76813
67
1420021
US NUCHAL TRANSLUCENCY ADD FET
76814
45
1420022
OB US < 14 WKS SINGLE FETUS
76801
110
1420023
OB US < 14 WKS ADD FETUS
76802
45
1420025
OB US COMPLET<14 WKS ADD FETUS
76802
70
1420026
TRANSVAGINAL US OBSTETRIC
76817
110
1420027
FETAL ECHO
76825
305
1420028
FETAL ECHO F/U REPEAT
76826
305
1420029
DOPPLER COMPLETE
76827
209
1420030
DOPPLER COMPLETE F/U REPEAT
76828
209
1420031
FETAL CEREBRAL DOPPLER
76821
67
1420032
FETAL UMBILICAL DOPPLER
76820
67
1420033
COLOR FLOW VELOCITY MAPPING
93325
45
1420034
3D/4D ULTRASOUND W/INTERP
76376
45
1420035
NST
59025
103
1420036
BPP W/NON STRESS 1ST FETUS
76818
110
1420037
BPP W/NON STRESS ADD FETUS
76818
110
1420038
BPP W/O NON STRESS 1ST FETUS
76819
110
1420039
BPP W/O NON STRESS ADD FETUS
76819
110
1420040
AMNIO
59000
465
1420041
ULTRASOUND GUIDANCE
76946
45
1420042
AMNIOREDUCTION
59001
183.5
1420043
CORDOCENTESIS INTRAUTERIN
59012
183.5
1420044
FETAL BLADDER ASPIRATION
59074
183.5
1420045
FETAL THORACENTESIS
59074
183.5
1420046
FETAL PARACENTESIS
59074
183.5
1420047
FETAL TRANSFUSION
36460
255.5
1420048
VENIPUNCTURE
36415
10
1420049
BETAMETHASONE
90782
2.1
1420050
RHOGAM
90384
216
1420051
ADMIN OF MEDICATION
96372
31
1420052
OB US >/=14 WKS SINGLE FETUS
76805
110
1420053
OB US >/=14 WKS ADD FETUS
76810
45
1420054
OB US COMPLETE >14 WKS 1 FETUS
76805
110
1420055
OB US COMPL >14 WKS ADD FETUS
76802
45
1420056
INPATIENT CONSULT 20 MIN
99251
55
1420057
INPATIENT CONSULT 40 MIN
99252
90
1420058
INPATIENT CONSULT 55 MIN
99253
125
1420059
INPATIENT CONSULT 80 MIN
99254
185
1420060
INPATIENT CONSULT 110 MIN
99255
225
1420061
GENETIC COUNSELING
96040
55
1420062
HARMONY PRENATAL TEST
81507
460
1420062E
MATERNIT 21 + ESS
436
1420063
SPINOCEREBELLAR ATAXIA TYPE 10
81479
0
1420063E
MATERNIT 21 + ESS + SCA
436
1420064
FETAL CHROMOSOMAL MICRODELETIO
81422
0
1420064E
MATERNIT GENOME
1198.5
1420065
FETAL CHROMOSOMAL ANEUPLOIDY
0
1420066
MATERNIT 21 CORE
81420
436
1420067
MATERNIT 21 + SCA
81420
436
1505627
TEST
1507710
NURSERY - BASSINETTE
125
1507710E
NURSERY - BASSINETTE
125
1507720
NURSERY- W -OXYGEN
125
1507720E
NURSERY- W -OXYGEN
125
1507730
OBSERVATION-BASSINET
125
1507730E
OBSERVATION-BASSINET
125
1510010
NEONATAL SCREENING
0
1510011
HEARING SCREENING
92587
40
1510012
RET SCAN (OPHTHALMOSCOPY)
92260
180
1701110
# CARDIAC CATHETERIZATION ONLY
93458
0
1701110E
# CARDIAC CATHETERIZATION ONLY
93458
0
1701111
# CARDIAC CATHETERIZATION ONLY
93458
0
1701111E
# CARDIAC CATHETERIZATION ONLY
93458
0
1701112
# PTCA ONLY
92920
0
1701112E
# PTCA ONLY
92920
0
1701114
# CORONARY ARTERY BY PASS
33517
0
1701114E
# CORONARY ARTERY BY PASS
33517
0
1701115
# PTCA WITH CATHETERIZATION
92921
0
1701115E
# PTCA WITH CATHETERIZATION
92921
0
1701116
#CABG FAILPTCAOR CONC N/VASCPR
0
1701117
# AORTIC VALVE REPLACEMENT
0
1701118
# MITRAL VALVE REPLAC W/CABG
33430
0
1701118E
# MITRAL VALVE REPLAC W/CABG
33430
0
1701119
#A.V.REPLC W/CONC NON VASC.PRO
0
1701120
#M.V.REPLC W/CONC NON VASC.PRO
33420
0
1701121
#CABG W/PREVIOUS CARDIOV SURG.
0
1701122
#CABG W/VALUE SURG&HEART CATH
0
1701122E
#CABG W/VALUE SURG&HEART CATH
0
1701123
#AORTIC VALVE REPLA W/PREV CAB
0
1701124
#MITRAL VALVE REPLAC W/PREVCAB
0
1701125
#AORT VALVE REP.W/C PREV CARD.
33405
0
1701125E
#AORT VALVE REP.W/C PREV CARD.
33405
0
1701126
#MITRAL VAL REP.W/C PREV CARD.
0
1701127
#AORTIC VALVE REP.W/CONC CORON
0
1701127E
#AORTIC VALVE REP.W/CONC CORON
0
1701128
#MITRAL VALVE REP.W/CONCO COR.
0
1701128E
#MITRAL VALVE REP.W/CONCO COR.
0
1701129
#MULTIPLE VALVE REPLACEMENT
33419
0
1701129E
#MULTIPLE VALVE REPLACEMENT
33419
0
1701130
# INTRA-AORTIC BALLOON
33970
0
1701131
#CONGEN HEART SURG W/HEART CAT
0
1701132
# PERIPHERAL VASCULAR SURGERY
0
1701132E
# PERIPHERAL VASCULAR SURGERY
0
1701133
# ABDOM AORTA & BRANCHES SURG.
34800
0
1701133E
# ABDOM AORTA & BRANCHES SURG.
35631
0
1701134
# THORACIC AORTA SURGERY
33880
0
1701134E
# THORACIC AORTA SURGERY
33880
0
1701135
# THORA/ABDOM AORTIC ANEURYSM
33877
0
1701136
# VASCULAR ANGIOPLASTY
37221
0
1721036
#TREAT THUMB FRACTURE
26665
0
1721037
#REVISION OF BIG TOE
28310
0
1721038
#TREAT KNUCKLE DISOCATION
26715
0
1721039
#SURGERY OF EYE
66285
0
1721040
# REMOVAL OF FOOT LESION
28090
0
1721041
#REPAIR OF FOOT TENDON
28200
0
1721042
#REPAIR OF FOOT TENDON
28208
0
1721043
#REPAIR TOE DISLOCATION
28645
0
1721044
# REMOVE VAGINA GLAND LESSION
56740
0
1721045
# REMOVE VAGINA GLAND LESSION
0
1721046
#REVISE/REMOVE NEURORECEIVER
64595
0
1721048
#REMOVE/REPLACE PENIS PROSTH
54410
0
1721049
#BIOPSY REMOV LYMPH NODES
38531
0
1721050
#CHANGE OF WINDPIPE AIRWAY
31502
0
1721051
#CHANGE STENT VIA TRANS.
50385
0
1721052
#TREAT ELBOW DISLOCATION
24605
0
1721054
#REMOVAL OF FOREIGN BODY
20520
0
1721056
#EXPLORATION OF VAGINA
57000
0
1721058
#REMOVAL OF INTRANASAL LESION
30117
0
1721058E
#REMOVAL OF INTRANASAL LESION
30117
0
1721060
#TREAT ELBOW FRACTURE
24586
0
1721062
#EXCISION EXTERNAL EAR PARTIAL
69110
0
1721062E
#EXCISION EXTERNAL EAR PARTIAL
69110
0
1721064
#SIMPLE MASTOIDECTOMY
69501
0
1721066
# DIAGNOSTIC ANOSCOPY SPX
46600
0
1721076
#REMOVAL OF SHOULDER LESION
23076
0
1721078
#HEMORRHOIDECTOMY
46260
0
1721078E
#HEMORRHOIDECTOMY
46260
0
1721080
#ENDOCERVICAL CURETTAGE
57505
0
1721082
#EXCISION DEEP SUBFASCIAL
21556
0
1721084
#OPEN TREAT CARPAL SCAPHOID
25628
0
1721086
#REMOVAL OF FOREIGN BODY
20525
0
1721088
#REMOVAL OF TESTIS
54530
0
1721088E
#REMOVAL OF TESTIS
54530
0
1721092
#ARTHROSCOPY KNEE DRILLING
29886
0
1721094
#TREAT FRACTURE RADIUS/ULNA
25575
0
1721095
#EXC FOOT/TOE TUM SC 71.5CM
28039
0
1721096
#EXC FACE MM MLG MARG 74 CM
11646
0
1721100
#REMOVAL OF SALIVARY STONE
42335
0
1721101
#REMOVAL OF SALIVARY CYST
42330
0
1721102
#EXPLORATION OF TESTIS
54550
0
1721104
#CYSTOSCOPY AND TREATMENT
52235
0
1721104E
#CYSTOSCOPY AND TREATMENT
52235
0
1721106
#EXCISION LESSION MOUTH ROOF
42106
0
1721108
#REMOVAL OF TOE LESIONS
28092
0
1721110
#REPAIR NONUNION GRUPAL BONE
25431
0
1721112
#REMOVAL OF EYE LESION
65426
0
1721112E
#REMOVAL OF EYE LESION
65426
0
1721114
#TREATMENT OF TIBIA FRACTURE
27758
0
1721116
#EX H-F-NK-SP B9 + MARG > 4CM
11426
0
1721116E
#EX H-F-NK-SP B9 + MARG > 4CM
11426
0
1721118
#CYSTOURETHROSCOPY W/URETEROSC
52344
0
1721120
#CYSTOURETERO W/STONE REMOVAL
52352
0
1721120E
#CYSTOURETERO W/STONE REMOVAL
52352
0
1721122
#MANIPULATION FINGER POINT
26340
0
1721122E
#MANIPULATION FINGER POINT
26340
0
1721124
#REMOVAL IMPACTED CERUMEN
69210
0
1721126
#REMOVAL NECK/ARMPIT LESION
38550
0
1721128
#PRP I/HERN INIT BLOCK>5 YR
49507
0
1721130
#CYSTOSCOPY AND TREATMENT
52214
0
1721131
#EXPLORATION ARTERY W/W LYSIS
35761
0
1721132
#TREAT KNEE FRACTURE
27536
0
1721132E
#TREAT KNEE FRACTURE
27536
0
1721134
#EXPL LAPAROTOMY WI-WO BIOPSY
49000
0
1721134E
#EXPL LAPAROTOMY WI-WO BIOPSY
49000
0
1721136
#TREAT HEEL FRACTURE
28415
0
1721136E
#TREAT HEEL FRACTURE
28415
0
1721138
#TREAT METATARSAL FRACTURE
28485
0
1721140
#CYSTO/URETERO W/UP STRICTURE
52345
0
1721141
#CYSTO W/UP STRICTURE TX
52342
0
1721142
#RECONSTRUCTION SHOULDER JOINT
23472
0
1721144
#INCISE FINGER TENDON SHEATH
26055
0
1721146
#BIOPSY OF VAGINA
57100
0
1721148
#TREAT FRACTURE RADIUS & ULNA
25565
0
1721150
#EXPLORATION OF SINUSES
31090
0
1721150E
#EXPLORATION OF SINUSES
31090
0
1721152
#EXCISION OF PENIS LESION (S)
54060
0
1721154
#REMOVAL OF KIDNEY STONE
50080
0
1721154E
#REMOVAL OF KIDNEY STONE
50080
0
1721156
#REMOVE EYELID LESIONS
67801
0
1721158
#KNEE ARTHROSCOPY/SURGERY
29883
0
1721160
#REPAIR/GRAFT RADIUS OR ULNA
25405
0
1721161
#LASER SURGERY OF PROSTATE
52647
0
1721161E
#LASER SURGERY OF PROSTATE
52647
0
1721162
#LASER SURGERY OF PROSTATE
52648
0
1721162E
#LASER SURGERY OF PROSTATE
52648
0
1721163
#LASER SURG PENIS LESSION
54057
0
1721164
#PARTIAL EXCISION OF LIP
40520
0
1721166
#REPAIR ANAL FISTULA
46288
0
1721168
#REPAIR RADIUS OR ULNA
25400
0
1721170
#INCISION OF FOOT TENDON
28234
0
1721171
# RESECT NECK TUM + 5CM
21558
0
1721172
#FOLLOW-UP SURGERY OF EYE
66250
0
1721173
# RESECT ABD TUM > 5CM
22905
0
1721174
#RESECTION OF FACIAL TUMOR
21015
0
1721174E
#RESECTION OF FACIAL TUMOR
21015
0
1721175
#REMOVE MANDIBLE CYST COMPLEX
21046
1721176
#DILATION OF RECTAL NARROWING
45910
0
1721178
#TREATMENT OF TOE FRACTURE
28515
0
1721180
#REPAIR EXTRA TOE (S)
28344
0
1721182
#REVISION OF CERVIX
57720
0
1721184
# REMOVE BLADDER STONE
52318
0
1721184E
# REMOVE BLADDER STONE
52318
0
1721186
#EXPLORE / TREAT KNEE JOINT
27331
0
1721188
#REPAIR OF KNEECAP TENDON
27380
0
1723412
# RECONSTRUCTION OF NOSE
30400
0
1723413
# LSH W/T/O UTERUS ABOVE 250G
58544
0
1723413E
# LSH W/T/O UTERUS ABOVE 250G
58544
0
1723414
# IMAGE CATH FLUID COLXN VISC
49405
0
1723414E
# IMAGE CATH FLUID COLXN VISC
49405
0
1723415
# ACCESS AV DIAL GRAFT FOR EVA
36901
0
1723415E
# ACCESS AV DIAL GRAFT FOR EVA
36901
0
1723416
# REMOVE VAGINA LESSION
57130
0
1723417
# INCISE WRIST/FOREARM TENDO
25290
0
1723418
# BX OF BREAST 1ST LESSION
19083
0
1723418E
# BX OF BREAST 1ST LESSION
19083
0
1723420
# DESTRUCTION ANAL LESSION
46910
0
1723421
# TREAT FINGER FRACTURE
26746
0
1723422
# REVISE EXTERANAL EAR
69300
0
1723423
# EXTRAORAL INC/DRAIN SUBMANDI
41017
0
1723432
#CORRJ HALUX RIGDUS W/IMPLANT
28291
0
1723433
# ANKLE ARTHROSCOPY SURGERY
29891
0
1723434
# ANKLE ARTHROSCOPY SURGERY
29897
0
1723435
# RECONSTRUCTION LEFT PALATE
42200
0
1723436
# RECHANELING OF ARTERY
35372
0
1723437
# REMOVE FOREIGN BODY FROM EYE
65210
1
1723438
# CORRECTION OF BUNION
28290
0
1723439
# BX/CURETT OF CERVIX W/SCOPE
57454
0
1723440
#OPEN TX SEPTAL FX W/WO STABJ
21336
0
1723441
# RESECT CLAVICLE TUMOR
23200
0
1723442
# TIS TRNFER E/N/E/R 10 SQ CM
14060
0
1723443
# REPAIR OF TOE DISLOCATION
28675
0
1723444
# EXCISION OF FACIAL BONES
21026
0
1723445
# GUIDE CATHETER FLUID DRAINAG
10030
0
1723447
# PINULNAR STYLOID FRACTURE
25651
0
1723448
# REVISE/REMOVE NEUROELECTRODE
61880
0
1723449
# COLOSTOMY
44300
0
1723450
# REMOVAL OF JAW BONE LESION
21044
0
1723451
# DIVISION OF FALLOPIAN TUBE
58605
0
1723452
# LAPAROSCOPY
44227
0
1723453
# SHOULDER PROTHESIS REMOVAL
23334
0
1723454
# REMOVAL OF BREAST CAPSULE
19371
0
1723455
# EXP REMOV DREN OF FOOT JOINT
28022
0
1723456
# REMOVE CONTRACEPTIVE CAPSULE
11976
0
1723457
# CRANIO/MAXILOFACIAL SURGERY
21299
0
1723458
# REMOVAL OF FOOT LESION
28080
0
1723459
# EXCISION LESION MOUTH ROOF
42107
0
1723460
# PARTIAL REMOVAL OF LIP
40530
0
1723461
# PARTIAL REMOVAL OF LIP
42699
0
1723462
# FASCIOTOMY, FOOT AND/OR MORE
28008
0
1723463
# TREAT METACARPAL FRACTURE
26607
0
1723464
# FUSION OF SHOULDER JOINT
23800
0
1723465
#CYSTOURETERO W/EXCISE TUMOR
52355
0
1723466
# LAP INC HERNIA REPAIR COMP
49655
0
1723468
# PARTIAL REMOVAL OF TOE
28124
0
1723470
# REVISION OF UNESTABLE KNEECA
27420
0
1723471
# BREAST BIOPSY 1ST LESSION
19081
0
1723471E
# BREAST BIOPSY 1ST LESSION
19081
0
1723472
# REMOVAL VAGINA TISSUE COMPL
57111
0
1723473
# DERM AUTOGRAFT TRUNK/ARM/LEG
15130
0
1723474
# PELVIS/HIP JOINT SURGERY
27299
0
1723475
# REMOVE SUTURES DIFF SURGEON
15851
0
1723476
# ABDOMINAL ENDARTERECTOMY
35341
0
1723477
# INSERT SEMI RIGID PROTHESIS
54400
0
1723477E
# INSERT SEMI RIGID PROTHESIS
54400
0
1723478
# REMOVE IN/EX HEM GRPS & FISS
46261
0
1723479
# TREAT KNEE FRACTURE
27538
0
1723480
# INSERT SEMI RIGID PROTHESIS
54400
0
1723481
# CONTOUR OF FACE BONE LESSION
21029
0
1723482
# BIOPSY ARM\ELBOW SOFT TISSUE
24066
0
1723483
# ENDOMETRIAL CRYOABALTION
58356
0
1723484
# REMOVE KNEE JOINT
27334
0
1723485
# REPAIR OF URETRAL LESION
57230
0
1723486
# MUSCLE TRANSFER SHOULDER/ARM
23395
0
1723487
# REPLACE TUNNELED CV CATH
36582
0
1723487E
# REPLACE TUNNELED CV CATH
36582
0
1723488
# REPAIR ANORECTAL FIST W PLUG
46707
0
1723489
# PERCUTANEUS VERTEBROPLASTY
22520
0
1723490
# ANOSCOPY AND BIOPSY
46606
0
1723491
# REPAIR OF ACHILLES TENDON
27654
0
1723492
# REMOVE STENT VIA TRANSURETH
50386
0
1723493
# REMOVE PAT ACTIVE
33284
0
1723493E
# REMOVE PAT ACTIVE
33284
0
1723494
# REMOVE EXOSTOSIS MANDIBULE
21031
0
1723495
# GENERAL SURGERY PROCEDURE
55899
0
1723496
# TREAT ANKLE DISLOCATION
27848
0
1723497
# IMPLANT SPINE INFUSION PUMP
62361
0
1723498
# RECONSTRUCTION KNEE
27427
0
1723499
# BILE TRACT SURGERY PROCEDUER
47999
0
1723500
# EXCISION OF TONGE LESION
41114
0
1723501
# TREAT DISLOCATION/FRACTURE
23680
0
1723502
# LAPAROSCOPY GASTRIC BYPASS
43644
0
1723503
# SINUS ENDOSCOPY SURGICAL
31276
0
1723504
# EXC FACE TURN DEEP < 2 CM
21013
0
1723505
# LAPAROSCOPY EQUIPMENT
47564
0
1723506
# LAPAROSCOPY EQUIPMENT
31276
0
1723507
# PLEURAL DRAINAGE
32557
0
1723507E
# PLEURAL DRAINAGE
32557
0
1723508
# REVISE BREAST RECONSTRUCTION
19380
0
1723509
# REMOVE OF IMPLANT MATERIAL
19330
0
1723510
# LAPAROSC REPAIR DIAP HERNIA
43281
0
1723511
# MYELOGRAPHY LUMBAR INJECTION
62304
0
1723511E
# MYELOGRAPHY LUMBAR INJECTION
62304
0
1723512
# REPLACE G-J TUBE PERC
49452
0
1723513
# PARTIAL REMOVAL OF RADIUS
24145
0
1723514
# REMOVAL ANKLE JOINT LINING
27626
0
1723515
# TENDON EXCISION PALM/FINGUER
26145
0
1723516
# CYSTOSCOPY AND TREATMENT
52234
0
1722046
#PROCTOSIGMOIDOSCOPY
45303
0
1722048
#BIOPSY BY NEEDLE LYMPH NODE
38505
0
1722050
#INJ PROC LYMPHANGIOGRAPHY
38792
0
1722052
#INJECT SINUS TREAT FOR XRAY
20501
0
1722054
#INTRO GSATROINTESTINAL TUBE
44500
0
1722056
#REPAIR BLADDER & VAGINA
57240
0
1722056E
#REPAIR BLADDER & VAGINA
57240
0
1722058
#SKIN FULL GRAFT EAR & LIPS
15260
0
1722060
#LASER SURGERY OF PROSTATE
52649
0
1722060E
#LASER SURGERY OF PROSTATE
52649
0
1722062
#REVISE POCKET PACEMEKER
33222
0
1722062E
#REVISE POCKET PACEMEKER
33222
0
1722064
#DRIAN / INJECT JOINT BURSA
20605
0
1722066
#STRAPPING OF KNEE
29530
0
1722068
#AV FUSE UPPER ARM
36819
0
1722068E
#AV FUSE UPPER ARM
36819
0
1722070
#SKIN FULL GRAFT EAR & LIPS
15260
0
1722072
#SKIN FULL GRAFT EAR & LIPS
15260
0
1722076
#LIGATION OF EXTREMITY ARTERY
37618
0
1722077
#LIGATION OF A-V FISTULA
37607
0
1722077E
#LIGATION OF A-V FISTULA
37607
0
1722078
#TREAT FRACTURE OF RADIUS
25526
0
1722080
#REVISION OF EYELID
67961
0
1722082
#REMOVE EPIDIDYMIS LESSION
54830
0
1722083
#EXC BACK LES SC = 3CM
21931
0
1722083E
#EXC BACK LES SC = 3CM
21931
0
1722084
#EXC FACE MALIGNANCY MASS
11643
0
1722085
#EXC FACE LES SC = 2CM
21012
0
1722085E
#EXC FACE LES SC = 2CM
21012
0
1722086
#TRATMENT OF PENIS LESION
54115
0
1722087
#EXC FACE TUMOR DEEP 2CM +
21014
0
1722088
#EXPLORE TEAT WRIST JOINT
25101
0
1722090
#REMOVE THYROID DUCT LESSION
60281
0
1722092
#TREAT MIDFOOT FRACTURE
28465
0
1722094
#EXPLORE WOUND ABDOMEN
20102
0
1722096
#STAPPING OF ANKLE AND OR FOOT
29540
0
1722098
#TREAT KNUCKLE DISLOCATION
26700
0
1722100
#LARINGOSCOPY W/ FB REMOVAL
31530
0
1722101
#LARYNGOSCOPY AND DILATION
31528
772
1722101E
#LARYNGOSCOPY AND DILATION
31528
772
1722102
#TREAT KNUCKLE DISLOCATION
26705
0
1722104
#REMOVE ABDOMEN LYMPH
38780
0
1722106
#REMOVE VAGINA WALL COMPLETE
57110
0
1722106E
#REMOVE VAGINA WALL COMPLETE
57110
0
1722110
#VAGINAL HYSTERECTOMY
58260
0
1722112
#LAPARASCOPY W TOTAL HYSTERECT
58570
0
1722112E
#LAPARASCOPY W TOTAL HYSTERECT
58570
0
1722113
#LAP SUPRACERVICAL HYSTERECT
58541
0
1722114
#DRESS/DEBRIT THICK BURN
16025
0
1722115
#LAPARASCOPY W TOTAL HYSTERECT
58572
0
1722116
#INSERT PRESARY/OTHER DEVICE
57160
0
1722117
#TREAT EYELID LESION
67850
0
1722118
#TREAT HUMERUS FRACTURE
24535
0
1722119
#BIOPSY SKIN LESION
11100
0
1722120
#KNEE ARTHROSCOPY SURGERY
29875
0
1722121
#REPAIR LEAD PACE-DEFIB DUAL
33220
0
1722122
#FOREARM & WRIST SURGERY
25999
0
1722123
#EXC TR-EXT MLG+MARG> 3.1-4CM
11604
0
1722123E
#EXC TR-EXT MLG+MARG> 3.1-4CM
11604
0
1722124
#FOREARM & WRIST SURGERY
25999
0
1722125
#TREAT RADIUS FRACTURE
24655
0
1722126
#REMOVAL OF NOSE POLYP(S)
30115
0
1722126E
#REMOVAL OF NOSE POLYP(S)
30115
0
1722128
#INJ TENDON SHEATH/LIGAMENT
20550
0
1722129
#APPLY BONE FIXATION DEVICE
20690
0
1722130
#TREAT HIP DISLOCATION
27266
0
1722131
#EXC HAND LES SC>1.5CM
26111
0
1722133
#REPAIR FINGER / HAND TENDON
26356
0
1722134
#EXPLORE ABDOMINAL VESSELS
35840
0
1722135
#EXCISE MANDIBLE LESION
21040
0
1722136
#BIOPSY OF TESTIS
54500
0
1722137
# DILATION OF URETHRA
53665
0
1722138
#SKIN TISSUE REARRANGEMENT
14040
0
1722139
#EXC H-F-NK-SP MLG+/MARG 1.1-2
11622
0
1722140
#DRAIN CEREBRO SPINAL FLUID
62272
1722141
#EXTRACTION OF LENS
66930
0
1722142
#INSERT LENS PROTHEIS
66985
0
1722143
#REMOVAL OF FOOT LESIONS
28104
0
1722144
# LIFELINK NO DONOR FLAT FEE
0
1722145
# LIFELINK DONOR FLAT FEE
0
1722145E
# LIFELINK DONOR FLAT FEE
0
1722146
#REMOVAL TISSUE FOR GRAFT
20926
0
1722147
#REVISE HERNIA & SPERM VEINS
55540
0
1722148
#REMOVE CERCLAGE SUTURE
59871
0
1722149
#INSERT PULSE GENERATOR
33240
1722149E
#INSERT PULSE GENERATOR
33240
1722150
#MANIPULATION OF HIP JOINT
27275
0
1722151
#NEEDLE BIOPSY/ MUSCLE
20206
0
1722152
# REMOVAL OF HEAD OF RADIUS
24130
0
1722153
#LAYER CLOSURE OF WOUNDS
12053
0
1722154
#INCISE INNER EYE ADHESIONS
65865
1722155
#LAPRSCPY INC HERNIA REPAIR
49654
1722155E
#LAPRSCPY INC HERNIA REPAIR
49654
1722156
#TREAT FINGER FRACTURE
26735
0
1722156E
#TREAT FINGER FRACTURE
26735
0
1722157
#REMOVE VENTILATING TUBE
69424
0
1722158
#TREAT HUMERUS FRACTURE
24577
0
1722159
#TREAT WRIST BONE FRACTURE
25635
0
1722160
#APLICATION OF SHOULDER CAST
29055
0
1722161
# DRAINAGE OF EYE
65810
0
1722161E
# DRAINAGE OF EYE
65810
0
1722162
#INSRT/REDO SPINE N GENERATOR
63685
0
1722162E
#INSRT/REDO SPINE N GENERATOR
63685
0
1722163
#IMPLANT NEUROELECTRODES
63650
1722163E
#IMPLANT NEUROELECTRODES
63650
1722164
#APPLICATION OF FINGER SPLINT
29130
0
1770315
CARGO DE MALLA
0
1770316
GASTRIC EMPTYM SCAN
1
1770317
GASTROESOPHAGEAL REF
1
1770318
EJECTION FRACTION
1
1770319
WALL MOTION
1
1770320
EJECTION FRACTION HEART
1
1770321
G.I. BLEEDING SCAN
1
1770322
CYSTERNOGRAPHY
1
1770323
RADIOPHARMA. LOC TUMOR/MULTIPL
1
1770324
GALLIUM SCAN WHOLE BODY
1
1770325
RADIOPHARMA. LOC TUMOR/TOMOGRA
1
1770326
INDIUM WBC SCAN WHOLE BODY
1
1770327
TUMOR IMAGING - WHOLE BODY
1
1770328
DOPPLER TRANSCRANIAL LIMITED
1
1770400
RIBS UNILATERAL W/PA CHEST
1
1770401
RIBS BILATERAL W/PA CHEST
1
1780001
ABDOMINAL SONOGRAM COMPLETE
60
1780002
PELVIC SONOGRAM
36
1780003
RENAL SONOGRAM
48
1780004
GALLBLADDER SONOGRAM
42
1780005
PANCREAS SONOGRAM
48
1780006
LIVER SONOGRAM
48
1780007
SPLEEN SONOGRAM
48
1780008
OBSTETRIC SONOGRAM
36
1780009
ENDO/TRANSVAGINAL SO
75
1780010
ENDORECTAL/PROST SON
75
1780025
TESTICULAR SONOGRAM
60
1780026
THYROID SONOGRAM
60
1780034
NEUROSONOGRAM
60
1780043
ABDOMINAL SONOGRAM LIMITED
60
1780048
KNEE SONOGRAM
120
1780055
MRI TEMPOROMANDIBULAR JOINT
850
1780056
MRI ORBIT,FACE & NECK WO/CONTR
750
1780057
MRI ORBIT,FACE & NECK W/CONTRA
800
1780058
MRI ORB,FCE&NCK WO/DYE FL B DY
1300
1780059
MRA HEAD WO/CONTRAST
750
1780060
MRA HEAD W/CONTRAST
800
1780061
MRA HEAD WO/DYE FOLLOWD BY DYE
1300
1780062
MRA NECK WO/CONTRAST
750
1780063
MRA NECK W/CONTRAST
800
1780064
MRA NECK WO/DYE FOLLOWD BY DYE
1300
1780065
MRI BRAIN WO/CNTR(INCL BRAIN S
850
1780066
MRI BRAIN W/CONTR(INCL BRAIN S
1050
1780067
MRI BRAIN W/DYE F BY D(BRAIN S
1400
1780068
MRI CHE WO/CONT(EVAL.HIL&M LYM
850
1780069
MRI CHE W/CONT(EVL.HIL&M LYMP)
975
1780070
MRICHE WO/DYE FL BY D(EVL.H&M
1600
1780071
MRA CHEST W/WO/CONT(EXCL MYOC)
900
1780072
MRI CERVICAL SPINE W/O CONTRAS
850
1780073
MRI CERVICAL SPINE W/CONTRAST
975
1780074
MRI SPIN CANL&CONT,THOR WO/CON
900
1780075
MRI SPIN CANL&CONT,THOR W/CONT
950
1780076
MRI SPIN CANL&CONT,LUMB WO/CON
900
1780077
MRI SPIN CANL&CONT,LUMB W/CONT
950
1780078
MRI CERV.SPINE W/O FOLL W/CONT
1600
1780079
MRI THORACIC WO/FOLL W/CONTRAS
1600
1780080
MRI LUMBAR WO/FOLL W/CONTRAST
1600
1780081
MRA SPIN CANL&CONT W R WO/CONT
850
1780082
MRI PELVIS WO/CONTRAST
800
1780083
MRI PELVIS W/CONTRAST
850
1780084
MRI PELVIS WO/DYE FOLLO BY DYE
1450
1780085
MRA PELVIS W OR WO/CONTRAST
800
1780086
MRI UPPER EXT. WO/CONTRAST
850
1780087
MRI UPPER EXT. W/CONTRAST
975
1780088
MRI UPPER EXT. WO & W/CONTRAST
1450
1780089
MRI UPPER JOINT WO/CONTRAST
850
1780090
MRI UPPER JOINT W/CONTRAST
975
1780091
MRI UPPER JOINT WO & W/CONTRAS
1600
1780092
MRA UPPER EXT. WO/CONTRAST
925
1780093
MRA UPPER EXT. W/CONTRAST
975
1780094
MRI LOW EXT.OTH THN JOIN WO/CO
775
1780095
MRI LOWER EXT. W/CONTRAST
825
1780096
MRI LOWER EXT. WO & W/CONTRAST
1200
1780097
MRI LOWER JOINT WO/CONTRAST
750
1780098
MRI LOWER JOINT W/CONTRAST
800
1780099
MRI LOWER JOINT WO & W/CONTRAS
1300
1780100
MRA LOWER EXT.W OR WO/CONTRAST
750
1780101
MRI ABDOMEN WO/CONTRAST
800
1780102
MRI ABDOMEN W/CONTRAST
925
1780103
MRI ABDOMEN WO/DYE FOLL BY DYE
1600
1780104
MRA ABDOMEN W OR WO/CONTRAST
850
1780105
MRI (CARDIAC) FOR MORPH WO/CON
925
1780106
MRI (CARDIAC) FOR MORPH W/CONT
975
1780107
MRI (CARDIAC) FUNC(COMP)W/WO C
975
1780108
MRI(CARDIAC)FUNC(LIMIT)W/WO/CO
975
1780109
MRI(CARDIAC)FOR VELOC FLOW MAP
750
1780110
MRI BREAST W/WO/CONTR-UNILATER
850
1780111
MRI BREAST W/WO/CONTR-UNILATER
850
1780112
MRI BREAST W OR WO/CONTR-BILAT
1100
1780113
MAGNETIC RESONANCE SPECTROSCOP
700
1780114
MRI BONE MARROW BLOOD SUPPLY
700
1780115
CHEST PA-LAT.DECUBIT
85
1780116
FACIAL COMPLETES
100
1780117
ARTHOGRAM KNEE
325
1780118
ARTHOGRAM SHOULDER
275
1780119
FISTULOGRAM
100
1780120
BREAST SPECIMEN EXAM
50
1780121
BREAST NEEDLE GUIDE
125
1780122
E.R.C.P.
350
1780123
EYE FOR FOREING BODY
65
1780124
EYE FOR LOCAL F B
65
1780125
FACIAL BONES-WATERS
85
1780126
MANDIBLE
70
1780127
MASTOIDS COMPLETE
110
1780128
NASAL BONES
70
1780129
NECK SOFT TISSUE
60
1780130
OPTIC FORAMINA
85
1780131
ORBIT COMPLETE
110
1780132
PARANASAL SINUSES
80
1780133
SALIVARY GLANDS CALC
85
1780134
SELLA TURCICA
60
1780135
SIALOGRAM
200
1780136
SKULL AP & LATERAL
0
1780137
SKULL SERIES
125
1780138
T M J /UNILATERAL
70
1720488
#INJEC PROC FOR CYSTOGRAPHY
51600
0
1720490
#INJEC PROC FOR RETROGRADE
51610
0
1720490E
#INJEC PROC FOR RETROGRADE
51610
0
1720491
#INJECTION FOR URETER XRAY
50684
0
1720492
#BLADDER IRRIGATION
51700
0
1720494
#INSERT INDWILLING BLADDER CAT
51702
0
1720494E
#INSERT INDWILLING BLADDER CAT
51702
0
1720495
#INSERT BLADER CATH
51703
0
1720496
#ANTERIOR VESICOURETHROPEXY
51840
0
1720497
#ABDOMINAL AORTA BRANCH SURG
0
1720498
#ABDOMINAL-VAGINAL VESICAL
51845
0
1720500
#CYSTOURETHROSCOPY
52000
0
1720500E
#CYSTOURETHROSCOPY
52000
0
1720502
#CYSTOURETHROSCOPY W URETERAL
52005
0
1720502E
#CYSTOURETHROSCOPY W URETERAL
52005
0
1720504
#CYSTOURETHROSCOPY W BIOPSY
52204
0
1720506
#CYSTOURETHROSCOPY W FULGURAT
52224
0
1720508
#CYSTOURETHROSCOPY W FULGURAT
52234
0
1720508E
#CYSTOURETHROSCOPY W FULGURAT
52234
0
1720510
#CYSTOURETHROSCOPY W DILATION
52260
0
1720510E
#CYSTOURETHROSCOPY W DILATION
52260
0
1720512
#CYSTOURETHROSCOPY W URETHROTO
52270
0
1720514
#CYSTOURETHROSCOPY W URETHROTO
52275
0
1720514E
#CYSTOURETHROSCOPY W URETHROTO
52275
0
1720516
#CYSTOURETHROSCOPY W DIRECT VI
52276
0
1720516E
#CYSTOURETHROSCOPY W DIRECT VI
52276
0
1720518
#CYSTOURETHROSCOPY W CALIBRATI
52281
0
1720518E
#CYSTOURETHROSCOPY W CALIBRATI
52281
0
1720520
#CYSTOURETHROSCOPY W STENT
52282
0
1720520E
#CYSTOURETHROSCOPY W STENT
52282
0
1720522
#CYSTOURETHROSCOPY W URETERAL
52305
0
1720524
#CYSTOURETHROSCOPY W REMOVAL
52310
0
1720524E
#CYSTOURETHROSCOPY W REMOVAL
52310
0
1720526
#REMOVE BLADDER STONE
52317
0
1720526E
#REMOVE BLADDER STONE
52317
0
1720528
#CYSTOSCOPY AND TREATMENT
52332
0
1720528E
#CYSTOSCOPY AND TREATMENT
52332
0
1720530
#CYSTOURETHROSCOPY W WIRE GUID
52334
0
1720530E
#CYSTOURETHROSCOPY W WIRE GUID
52334
0
1720531
#CYSTOURETHROSCOPY W/TREATMENT
52341
0
1720531E
#CYSTOURETHROSCOPY W/TREATMENT
52341
0
1720532
#CYSTOURETHROSCOPY W URETEROSC
52351
0
1720532E
#CYSTOURETHROSCOPY W URETEROSC
52351
0
1720534
# CYSTOURETEROSCOPY W/LITHO
52353
0
1720534E
# CYSTOURETEROSCOPY W/LITHO
52353
0
1720536
#TRANSURETRAL INCISION PROSTAT
52450
0
1720538
#TRANSURETRAL RESECTION BLADDE
52500
0
1720538E
#TRANSURETRAL RESECTION BLADDE
52500
0
1720540
#TRANSURETRAL RESECTION PROSTA
52601
0
1720540E
#TRANSURETRAL RESECTION PROSTA
52601
0
1720542
#SLITTING OF PREPUCE(NEWBORN)
54000
0
1720543
TRNSLUM BALL ANGIO PERC. ILIAC
37220
0
1720544
#SLITTING OF PREPUCE
54001
0
1720545
#EXCISION PENILE PLAQUE W/GRAF
54112
0
1720546
#CIRCUNCISION USING CLAMP
54150
0
1720546E
#CIRCUNCISION USING CLAMP
54150
0
1720547
SEL CAT.PLAC.INI.THRD/ABD.PEL.
36247
0
1720548
#CIRCUNCISION SURGICAL EXCISIO
54161
0
1720548E
#CIRCUNCISION SURGICAL EXCISIO
54161
0
1720549
#FEM/POPL REVASC W/STENT
37226
0
1720549E
#FEM/POPL REVASC W/STENT
37226
0
1720550
#INSER MULTI-COMPONENT
54405
0
1720550E
#INSER MULTI-COMPONENT
54405
0
1720551
FEM/POPL REVAS W/TLA
37224
0
1720552
#ORCHIOPEXY
54640
0
1720552E
#ORCHIOPEXY
54640
0
1720553
#ORCHIOPEXY (FOWLER STEPHENS)
54650
0
1720554
#EXCISION HYDROCELE/UNILATERAL
55040
0
1720554E
#EXCISION HYDROCELE/UNILATERAL
55040
0
1720556
#EXCISION HYDROCELE/BILATERAL
55041
0
1720556E
#EXCISION HYDROCELE/BILATERAL
55041
0
1720558
#VASECTOMY UNILATERAL OR BILAT
55250
0
1720560
#EXCISION VAGINAL CYST/TUMOR
57135
0
1720562
#PLASTIC OPER ON URETHRAL SPHI
57220
0
1720564
#ANTERIOR COLPORRHAPY
57240
0
1720564E
#ANTERIOR COLPORRHAPY
57240
0
1720566
#POSTERIOR COLPORRHAPHY
57250
0
1720566E
#POSTERIOR COLPORRHAPHY
57250
0
1720568
#COMBINED COLPORRHAPHY
57260
0
1720568E
#COMBINED COLPORRHAPHY
57260
0
1720569
#CONZ OF CERVIX W/SCOPE DEEP
57461
0
1720570
#COMBINED COLPORRHAPHY W ENTER
57265
0
1720570E
#COMBINED COLPORRHAPHY W ENTER
57265
0
1720571
#REMOVAL OF REVISION OF SLING
57287
0
1720571E
#REMOVAL OF REVISION OF SLING
57287
0
1720572
#SLING OPERATION
57288
0
1720572E
#SLING OPERATION
57288
0
1720574
#PELVIC EXAMINATION UNDER ANES
57410
0
1720574E
#PELVIC EXAMINATION UNDER ANES
57410
0
1720575
# BIOPSY OF CERVIX
57500
0
1720575E
# BIOPSY OF CERVIX
57500
0
1720576
#CAUTERY OF CERVIX
57510
0
1720578
#CORNIZATION OF CERVIX
57520
0
1720578E
#CORNIZATION OF CERVIX
57520
0
1720580
#LOOP ELECTRODE EXCISION
57522
0
1720580E
#LOOP ELECTRODE EXCISION
57522
0
1720582
#CERCLAGE OF UTERINE CERVIX
57700
0
1720583
TRANSCER INTROC OF FALLOPIAN
58345
0
1720584
#DILATION + CURETTAGE
58120
0
1720584E
#DILATION + CURETTAGE
58120
0
1720586
#CHROMOTUBATION OF OVIDUCT
58350
0
1720588
#ENDOMETRIAL ABLATION
58353
0
1720590
#HYSTEROSCOPY DIAGNOSTIC
58555
0
1701136E
# VASCULAR ANGIOPLASTY
37221
0
1701137
#CONGEN OPEN HEART DIS SURGICA
0
1701142
# PTCA WITH CATHETERIZ & STENT
92992
0
1701142E
# PTCA WITH CATHETERIZ & STENT
92992
0
1701143
TRANSCATH AORT/REPLC W/PROSTHE
33365
0
1701144
# MITRAL VALVE REPLAC W/CATH
33430
0
1701151
# DELIVERY PACKAGE
59409
0
1701152
# DELIVERY PACKAGE-C SECTION
59514
0
1701153
# STERILIZ IN NORMAL DELIVERY
58605
0
1701153E
# STERILIZ IN NORMAL DELIVERY
58605
0
1701154
# STERILIZATION IN C/S
58611
0
1701154E
# STERILIZATION IN C/S
58611
0
1701155
# CARDIAC CATH ONE DAY
0
1701156
# STERILIZ NORMAL DELIV MHPR
58605
0
1701156E
# STERILIZ NORMAL DELIV MHPR
58605
0
1701157
# STERILIZATION IN C/S SSSMS
0
1701158
# STERILIZ NORMAL DELIV SSS PS
0
170115E
# PTCA WITH CATHETERIZATION
92921
0
1701160
# CARDIAC CATHETERIZATION ONLY
93460
0
1702000
# ONE DAY SURGERY
0
1702001
# EPS WITH ABLATION
0
1702003
#LAPAROSCOPY W/CHOLECYSTECTOMY
0
1702004
#LAPAROSCOPY WITH HISTERECTOMY
0
1702005
# PTERIYGIUM OS/OD
0
1702006
# CHALAZIUM
0
1702007
# CABG WITH CATH
33535
0
1702007E
# CABG WITH CATH
33535
0
1702008
# CAB INCLUDING ANY GRAFT NUMB
0
1702009
# LAPAROSCOPY W/APPENDECTOMY
44970
0
1702010
# LAPAROSCOPY WITH HERNIAL
0
1702011
# LAPAROSCOPY WITH DIAGNOSTIC
0
1702012
# LAPAROSCOPY WITH STERILIZATI
0
1702013
# ARTERIOGRAM
75710
0
1702013E
# ARTERIOGRAM
75710
0
1702015
# TRANSLUMINAL BALLOON
0
1702017
# EPS FACILITY USE
93600
0
1702017E
# EPS FACILITY USE
93600
0
1702018
# EPS/LEFT ATRIAL/CS PACING
93621
0
1702019
# STIMULATION PACING HEART
93623
0
1702020
# MAP TACHYCARDIA ADD ON
93609
0
1702020E
# MAP TACHYCARDIA ADD ON
93609
0
1702021
# EPS WITH ABLATION
93650
0
1702021E
# EPS WITH ABLATION
93650
0
1702022
ELECTROPHYSIOLOGICAL STUDIES
93620
0
1702022E
ELECTROPHYSIOLOGICAL STUDIES
93620
0
1705569
# BLOOD TRANS.FEE
0
1705570
# RADIOLOGICAL INVASIVE STUDIO
75962
0
1705570E
# RADIOLOGICAL INVASIVE STUDIO
75962
0
1705571
# PTCA /W STENT
92928
0
1705571E
# PTCA /W STENT
92928
0
1705572
# CARDIAC HEART VALVE
0
1705573
# CABG WITH PTCA
0
1705574
#OTHER CARDIO-THORACIC PROCED
0
1705575
# PERIPHERAL VASCULAR SURGERY
0
1705576
# AORTOGRAM
75625
0
1705576E
# AORTOGRAM
75625
0
1705577
# IVC RADIOLOGY
75894
0
1705580
# PACEMAKER USE FACILITIES
33206
0
1705580E
# PACEMAKER USE FACILITIES
33206
0
1705581
# BLOQUEO EPIDURAL
0
1705582
# PTCA W/O CATH STENT REG
92928
0
1705583
# PTCA W/O CATH STENT MED
0
1705583E
# PTCA W/O CATH STENT MED
0
1705584
# PTCA WITH CATH STENT REG
0
1705587
# PACEMAKER
0
1705588
# ANGIOGRAMS
0
1705588E
# ANGIOGRAMS
0
1705589
# CATH PLACEMENT / ANGIOGRAPHY
93454
0
1705589E
# CATH PLACEMENT / ANGIOGRAPHY
93454
0
1705591
# PTCA ROTABLATOR
92924
0
1705592
# CORONARY ARTERY BY PASS (2)
33534
0
1705593
# CORONARY ARTERY BY PASS (3)
33535
0
1705593E
# CORONARY ARTERY BY PASS (3)
33535
0
1705594
# CORONARY ARTERY BY PASS (4)
33536
0
1705595
# PTA OF NON-CORONARY VESSEL
0
1705596
CABG W/VENOUS-ARTERIAL GRAFT 1
33517
0
1705597
CABG W/VENOUS-ARTERIAL GRAFT 2
33518
0
1705598
CABG W/VENOUS-ARTERIAL GRAFT 3
33519
0
1705599
CABG W/VENOUS-ARTERIAL GRAFT 4
33521
0
1705600
CABG W/VENOUS-ARTERIAL GRAFT 5
33522
0
1705601
CABG W/VENOUS-ARTERIAL GRAFT 6
33523
0
1705602
#CABG / VEIN / SINGLE
33510
0
1705602E
#CABG / VEIN / SINGLE
33510
0
1705603
#CABG/VEIN/TWO
33511
0
1705603E
#CABG/VEIN/TWO
33511
0
1705604
#CABG / VEIN / THREE
33512
0
1705605
#CABG VEIN FOUR
33513
1705606
#CABG VEIN FIVE
33514
0
1705607
#CABG/VEIN/SIX OR MORE
33516
0
1705607E
#CABG/VEIN/SIX OR MORE
33516
0
1705608
#REPACEMENT OF AORTIC VALVE
33411
0
1705609
#REPACEMENT OF AORTIC VALVE
33412
0
1705610
#REPACEMENT OF AORTIC VALVE
33413
0
1705611
#REPAIR BLOOD VESSEL LESION
35276
0
1705612
#ASD-ATRIAL SEPTAL DEFECT
33641
0
1705613
#VSD-VENTRIAL SEPTAL DEFECT
33681
0
1705614
#REPAIR HEART CHAMBERS
33670
0
1705615
#REPAIR HEART-VEIN DEFECT(S)
33730
0
1705616
#MAJOR VESSEL SHUNT
33755
0
1705617
#INSERT MAJOR VESSEL GRAFT
33335
0
1705618
#ENDOVASC TAA REPR W/O SUBCL
33881
0
1705619
#INSERT MAJOR VESSEL GRAFT
33335
0
1705620
#INSERT PACING LEAD & CONNECT
33224
0
1705620E
#INSERT PACING LEAD & CONNECT
33224
0
1705621
#REPLACEMENT OF AORTIC VALVE
33406
0
1705622
##REPLACEMENT OF AORTIC VALVE
33410
0
1705623
##REPLACEMENT OF AORTIC VALVE
33411
0
1705624
#REPLACEMENT OF AORTIC VALVE
33412
0
1723516E
# CYSTOSCOPY AND TREATMENT
52234
0
1723517
# REPAIR ARTERIAL BLOCKAGE
35474
0
1723518
# THOMBOLYTIC ART THERAPY
37211
0
1723519
# AORTA LEG ARTERIES XR
75630
0
1723520
# TIS TRNFR ANY 30 1-60 SQ CM
14301
0
1723521
# CHANGE URESTEROSTOMY TUBE
50688
0
1723522
# LONGITUDAL GASTRECTOMY
43775
0
1723522E
# LONGITUDAL GASTRECTOMY
43775
0
1723523
# INSERT TUNNELED VC CATH
36559
0
1723524
# REMOVAL OF HUMERUS LESSION
23150
0
1723525
# REPAIR FOOT DISLOCATION
28615
0
1723526
# MESH REMOVAL TUNNELED CATH
36595
0
1723527
# OCULAR SURFACE RECONSTRUCTIO
65780
0
1723528
# PRIMARY PERC TRANS THROMBECT
37184
0
1723528E
# PRIMARY PERC TRANS THROMBECT
37184
0
1723529
# SPINAL CORD BIOPSY
62269
0
1723530
# SPINAL CORD BIOPSY
62269
0
1723531
# LAMINOTOMY W DECOMP NERVE
63020
0
1723532
# HEMIPHALANGECTOMY EXC
28160
0
1723532E
# HEMIPHALANGECTOMY EXC
28160
0
1723533
# POPLITEAL TIBIO PERONEAL ART
34203
0
1723534
# FLUOROSCOPY FOR REM ACCES D
36598
0
1723534E
# FLUOROSCOPY FOR REM ACCES D
36598
0
1723535
# UND INT ART AORTI VAS INJ
36148
0
1723536
# INSERT SPINE FUSION DEVICE
62360
0
1723537
# REMOVE VAGINA TISSUE PART
57107
0
1723537E
# REMOVE VAGINA TISSUE PART
57107
0
1723538
#FASCIECTOMY/PARTIAL PALMAR
26123
0
1723539
# REMOVE WRIST/FOREARM LESSION
25116
0
1723540
# REPAIR FINGER/HAND TENDON
26426
0
1723541
# EXC FACE LES SBQ 2CM <
21012
0
1723542
# REPAIR OF MITRAL VALVE
33426
0
1723543
# CHANGE URETER STENT
50382
0
1723543E
# CHANGE URETER STENT
50382
0
1723544
# CHANGE URETER STENT
50382
0
1723545
# THOR AORT GRAFT W & WO BYPA
33875
0
1723545E
# THOR AORT GRAFT W & WO BYPA
33875
0
1723546
# IDIOPAT HYPERT SUB AORT STEN
33390
0
1723547
# WATCHMAN ATRIAL APPENDAGE
33340
0
1723547E
# WATCHMAN ATRIAL APPENDAGE
33340
0
1723548
# THROMBECTOMY
37187
0
1723548E
# THROMBECTOMY
37187
0
1723549
# INSERT PULSE GEN W DUAL LEAD
33230
0
1723549E
# INSERT PULSE GEN W DUAL LEAD
33230
0
1723550
# CERVIX COLPOSCOPY
57452
0
1723551
# INTRO CATH DIALISYS CIRCUIT
36902
0
1723551E
# INTRO CATH DIALISYS CIRCUIT
36902
0
1723552
# CYSTOSCOPY CHEMODENERVATION
52287
0
1723553
# RESECT LEG/ANKLE TURN 5 CM
27616
0
1723554
# REMOVE FOREIGN BODY FROM EYE
65235
0
1723555
# ABLATION THERAPY BONE TUMOR
20982
0
1723555E
# ABLATION THERAPY BONE TUMOR
20982
0
1723556
# TRANS CATH PLACEMENT OF STEN
36906
0
1723557
# TREAT HELL FRACTURE
28406
0
1723558
#HYSTERECTOMY/REVISE VAGINA
58270
0
1723559
#PENIS PLASTIC SURGERY
54360
0
1723560
# INJEC OF AIR OR CONT PERIT C
49400
0
1723561
#BIOPSY OPEN INTER MAMMARY NOD
38530
0
1723562
# ADJ TISSUE TRANF DEF 10.1 SQ
14001
0
1723563
# INCISION OF TENDON SHEATH
25000
0
1723564
# DRAINAGE EYE W/REMOVAL BLOOD
65815
0
1723566
# DRAINAGE EYE W/REMOVAL BLOOD
65815
0
1723567
# RADICAL RESECT OF TUMOR 3 CM
28047
0
1723568
# VEIN X-RAY CHEST
75827
0
1723569
# MYOMECTOMY ABDOM COMPLEX
58146
0
1723570
# LAPAROSC REPAIR DIAP HERNIA
43281
0
1723571
# REPAIR OF HAND OR FOOT NERVE
64834
0
1723572
# TRANSPLANT PALM TENDON
26485
0
1723573
# INTRO CATH DIALISYS CIRCUIT
36903
0
1724000
IMPLANT CARDIAC EVENT RECORDER
33282
0
1724000E
IMPLANT CARDIAC EVENT RECORDER
33282
0
1724001
INS/REP PACEMAKER CATH. VENTRI
33207
0
1724001E
INS/REP PACEMAKER CATH. VENTRI
33207
0
1724002
INSERT/RPLCMT DEFIB W/LEAD(S)
33249
0
1724002E
INSERT/RPLCMT DEFIB W/LEAD(S)
33249
0
1724003
TX ATRIAL FIB PULM VEIN ISOL
93656
0
1724003E
TX ATRIAL FIB PULM VEIN ISOL
93656
0
1724004
EP & ABLATE SUPRAVENT ARRHYT
93653
0
1724006
TIB/PER REVASC STNT & ATHER
37235
0
1724007
RMVL & REPLC PULSE GEN 1 LEAD
33262
0
1724008
VASC EMBOLIZE/OCCLUDE ARTERY
37242
0
1724009
TRNSLUM BALL ANGIO DIALYSIS SE
36905
0
1729989
S9981 MMM AUDITORIAS ADM EXPEN
15
1729990
PM DEVICE PROGR EVAL DUAL
93280
1729993
CATH/ EP/ 19 OR FEW ELECT
0
1729994
#WOUND CARE VISITA INICIAL
99203
0
1729994E
#WOUND CARE VISITA INICIAL
99203
0
1729995
#WOUND CARE SUBSIGUIENTE
99213
0
1729995E
#WOUND CARE SUBSIGUIENTE
99213
0
1729997
#DEDUCIBLE CIRUGIA AMBULATORIA
0
1729999
#ENDOSCOPIA O COLONOSCOPIA IMC
0
1729999E
#ENDOSCOPIA O COLONOSCOPIA IMC
0
1730000
#CIRUGIA AMB GUAYAMA IMC
0
1730001
#LAPAROSCOPIAS SIN CPT
0
1730002
#LAPAROCOPIA DIAGNOSTICA IMC
0
1730003
#CIRUGIAS AMBULATORIAS SIN CPT
0
1730004
#CIR AMB GUAYAMA CAT IV
0
1730005
#CIRUGIA AMBULATORIA
1
1730006
#CIRUGIA AMB IMC CAT I
0
1730007
#CIR AMB IMC GUAYAMA CAT II
0
1730008
#CIR AMB IMC GUAYAMA CAT III
0
1730009
PHYSICAL THERAPY LEVEL 1
0
1730010
PHYSICAL THERAPY LEVEL 2
0
1722165
#TREAT FINGER DISLOCATION
26770
0
1722166
#CONTROL OF NOSEBLEED
30905
0
1722167
#REPAIR EYELID WOUND
67935
0
1722168
#EXCISION MOUTH LESION
41116
1722169
#CARPAL TUNEL SURGERY
64721
1722170
#CATARACT SURGERY COMPLEX
66982
0
1722170E
#CATARACT SURGERY COMPLEX
66982
0
1722171
#ESOPHAGUS ENDOSCOPY BIOPSY
43202
0
1722172
#LAP VENT/ABD HERN PROC COMP
49654
0
1722173
#REPAIR OF WOUND OR LESION
13132
0
1722174
#BONE BIOPSY TROCAR NEEDLE
20220
0
1722175
#REMOVAL FOREING BODY MOUTH
40804
1722176
#EXCISE SUBLINGUAL GLAND
42450
0
1722177
#BONE BIOPSY TROCAR NEEDLE
20225
1722177E
#BONE BIOPSY TROCAR NEEDLE
20225
1722178
#BIOPSY KNEE JOINT LINING
27330
0
1722179
#ANUS SURGERY PROCEDURE
46999
0
1722180
#BONE BIOPSY TROCAR NEEDLE
20220
0
1722181
#REMOVAL FOREING BODY MOUTH
40804
1722182
#INCISION OF EARDRUM
69420
0
1722183
#DRAINAGE OF ARM LESION
23930
0
1722184
#TREAT THUMB FRACTURE
26650
0
1722184E
#TREAT THUMB FRACTURE
26650
0
1722185
#TREAT FX RAD INTRA-ARTICUL
25608
0
1722186
#HYSTEROSCOPY BIOPSY
58558
0
1722186E
#HYSTEROSCOPY BIOPSY
58558
0
1722187
#REMOVE FOREARM FOREIGN BODY
25248
0
1722188
#EXCISE SUBMAXILARY GLAND
42440
0
1722200
#DRAIN/INJECT JOINT/BURSA
20600
0
1722201
#CORRECTION OF BUNION
28292
0
1722202
#REMOVAL OF LARYNX LESION
31578
0
1722202E
#REMOVAL OF LARYNX LESION
31578
0
1722203
# INCISE DRAIN BLADDER
51040
0
1722204
#LAP INC HERNIA REPAIR RECUR
49656
0
1722205
#LAP VENT/ABD HERNIA REPAIR
49652
0
1722205E
#LAP VENT/ABD HERNIA REPAIR
49652
0
1722206
#REMOVE TUMOR THIGH/KNEE
27329
0
1722207
#REMOVE PULSE GENERATOR
33241
0
1722208
#REPOSITION PACING DEFIB LEAD
33215
0
1722208E
#REPOSITION PACING DEFIB LEAD
33215
0
1722211
#REVISE EYELID LINING
68362
0
1722212
#REVISION OF NOSE
30120
1722213
#KNEE ATHROSCOPY SURGERY
29873
0
1722214
#NEW EYE EXAM & TREATMENT
92018
0
1722215
#EYE SERVICE OR PROCEDURE
92499
0
1722216
#REMOVE EYELID FOREING BODY
67938
0
1722217
# ENDOCERV CURETTAGE W/SCOPE
57456
0
1722218
#REMOVE TUMOR BACK
21935
0
1722219
#LAPRSC INSERTION PERM IP CATH
49324
0
1722220
#UTERINE SUSPENSION
58400
0
1722221
#INJ PARAVERT F JNT L/S 1 LEV.
64493
0
1722222
#INTRANASAL BIOPSY
30100
1722223
#INJ PARAVERT F JNT L/S 1 LEV.
64494
0
1722224
#RECONSTRUCT LIP WITH FLAP
40527
0
1722225
#INJ PARAVERT F JNT L/S 1 LEV.
64495
0
1722226
# DRAINAGE OF EYE
65800
0
1722226E
# DRAINAGE OF EYE
65800
0
1722227
#INJ PARAVERT F INJ C/T1
64490
0
1722228
#BIOPSY LOWER LEG SOFT TISSUE
27613
0
1722229
#BIOPSY THIGH SOFT TISSUE
27323
0
1722230
# REMOVAL OF BLADDER STONE
51050
0
1722231
#INJ PARAVERT F INJ C/T2
64491
0
1722232
#TREAT FINGER FRACTURE EACH
26765
0
1722234
#ESOPHAGUS SURGERY PROCEDURE
43499
0
1722236
#REMOVAL OF INTRANASAL LESION
30118
0
1722238
#LIGATE/DIVIDE/EXCISE VEIN
37785
0
1722239
#EXCISE INTESTINE LESION
44110
0
1722240
#REPAIR WOUND / LESION ADD-ON
13122
0
1722241
#LAP INC HERN RECUR COMP
49657
0
1722242
#TREAT HIP DISLOCATION
27265
1722243
#TREAT HIP DISLOCATION
27265
1722244
#REMOVE EYELID LINING LESION
68110
0
1722246
#REPAIR / GRAFT OF TIBIA
27722
0
1722248
#STAPPING OF TOES
29550
0
1722249
#REPAIR LEAD PACE-DEFIB ONE
33218
0
1722250
#REMOVAL OF CERVIX
57530
0
1722251
#REMOVE EYELID LESION
67840
0
1722252
#BIOPSY OF SALIVARY GLAND
42405
0
1722253
#BREAST SURGERY PROCEDURE
19499
0
1722254
#REMOVED FOREING BODY LARYNX
31511
0
1722255
# REMOVAL OF BLADDER
51570
0
1722256
# EXC SKIN ABD
15847
0
1722257
# EXC SKIN ABD ADD-ON
15830
0
1722258
# PARTIAL REMOVAL OF KIDNEY
50240
0
1722259
#EXCISE PAROTID GLAND/LESION
42410
0
1722259E
#EXCISE PAROTID GLAND/LESION
42410
0
1722260
#REMOVE EXOSTOSIS MAXILLA
21032
0
1722261
#AMPUTATION TOE AND METATARSAL
28810
0
1722262
#BIOPSY OF SALIVARY GLAND
42400
0
1722263
#MIDDLE EAR SURGERY PROCEDURE
69799
0
1722264
#EXPLORATION OF MIDDLE EAR
69440
0
1722265
# REMOVAL OF ARM FOREING BODY
24201
0
1722266
# BIOPSY SHOULDER TISSUES
23065
0
1722267
# EXCISION FACE-MM BM+MARG>4CM
11446
0
1722268
# ABORTION
59841
0
1722269
# EXCISION OF FOOT LESION
28045
0
1722270
# REPAIR NOSE TO LIP FISTULA
42260
0
1722271
# PARTIAL REMOVAL OF TONGUE
41120
0
1722272
#N BLOCK INJ FEM SINGLE
64447
0
1722273
#REPAIR FIBULA NONUNION
27726
0
1722273E
#REPAIR FIBULA NONUNION
27726
0
1722274
#NEDDLE BIOPSY PANCREAS
48102
0
1722274E
#NEDDLE BIOPSY PANCREAS
48102
0
1722275
#REMOVE GROIN LYMPH NODES
38760
0
1722276
#CONSTRUCTION OF ABSENT ANUS
46740
0
1722277
#VAG HYST W/ENTEROCELE REPAIR
58270
0
1720592
#HYSTEROSCOPY/SURGICAL
58558
0
1720592E
#HYSTEROSCOPY/SURGICAL
58558
0
1720594
#OCCLUSION FALLOPIAN TUBE(S)
58615
0
1720596
#REMOVAL OF FALLOPIAN TUBE
58700
0
1720596E
#REMOVAL OF FALLOPIAN TUBE
58700
0
1720598
#SALPINGO-OOPHORECTOMY BILATER
58953
0
1720600
#CERCLAGE OF CERVIX
59320
0
1720600E
#CERCLAGE OF CERVIX
59320
0
1720602
#TREATMENT INCOMPLETE ABORTION
59812
0
1720602E
#TREATMENT INCOMPLETE ABORTION
59812
0
1720604
#TREATMENT MISSED ABORTION
59820
0
1720604E
#TREATMENT MISSED ABORTION
59820
0
1720605
TOTAL THYROID LOBECTOMY UNILAT
60220
28.8
1720606
#INC & DRA THYROGLOSSAL CYST
60000
0
1720607
#BIOPSY THYROID PERCUTANEOUS
60100
0
1720608
#EXCISION OF CYST OF THYROID
60200
0
1720610
#REMOVE THYROID DUCT LESION
60280
0
1720610E
#REMOVE THYROID DUCT LESION
60280
0
1720612
#INJECTION SINGLE SPINE
62320
0
1720613
#INJECTION SACROILIAC JOINT
27096
0
1720613E
#INJECTION SACROILIAC JOINT
27096
0
1720614
#INJECTION/LUMBAR/SACRAL
62321
0
1720616
#INJECTION ANESTHESIA
64510
0
1720618
#ENUCLEATION OF EYE W/O IMPLAN
65101
0
1720620
#REMOVAL FOREING BODY/EXT EYE
65205
0
1720621
# DESTRUCTION CILIARY BODY
66720
0
1720622
#REMOVAL LENS MATERIAL
66850
0
1720622E
#REMOVAL LENS MATERIAL
66850
0
1720624
#REMOVAL LENS MATERIAL PARSPLA
66852
0
1720624E
#REMOVAL LENS MATERIAL PARSPLA
66852
0
1720626
#EXTRACAPSULAR CATARACT REMOVA
66984
0
1720626E
#EXTRACAPSULAR CATARACT REMOVA
66984
0
1720628
#INJECTION VITREOUS SUBSTITUDE
67025
0
1720628E
#INJECTION VITREOUS SUBSTITUDE
67025
0
1720630
#INTRAVITREAL INJECTION
67028
0
1720631
#EXTENSIVE PROSTATE SURGERY
69150
0
1720632
#VITRECTOMY/MECHANICAL
67036
0
1720632E
#VITRECTOMY/MECHANICAL
67036
0
1720634
#VITRECTOMY W EPIRETINAL STRIP
67041
0
1720634E
#VITRECTOMY W EPIRETINAL STRIP
67041
0
1720636
#VITRECTOMY W FOCAL ENDOLASER
67039
0
1720636E
#VITRECTOMY W FOCAL ENDOLASER
67039
0
1720637
# VITRECTOMY W/ENDOLASER PANRE
67040
0
1720637E
# VITRECTOMY W/ENDOLASER PANRE
67040
0
1720638
#REPAIR RETINAL DETACHMENT
67101
0
1720639
#EXTENSIVE CANAL SURGERY
99157
0
1720640
#REPAIR RETINAL DETACHMENT
67105
0
1720641
# REPAIR DETACHED RETINA
67107
0
1720642
#EXCISION CHALAZION SINGLE
67800
0
1720644
#REPAIR BROW PTOSIS
67900
0
1720646
#REPAIR ENTROPION SUTURE
67921
0
1720648
#DRAINAGE EXTERNAL EAR
69000
0
1720650
#REMOVAL FOREING BODY EXT EAR
69200
0
1720651
#REMOVAL FOREING BODY EXT W/AN
69205
0
1720652
#MYRINGOTOMY
69421
0
1720653
#TYMPANOSTOMY REQUIRING INSERT
69433
0
1720654
#TYMPANOSTOMY
69436
0
1720654E
#TYMPANOSTOMY
69436
0
1720655
#POMEROYS STERILIZATION
58600
0
1720656
#TYMPANOLYSIS TRANSCANAL
69450
0
1720657
# BIOPSY ABDOMINAL MASS
49180
0
1720657E
# BIOPSY ABDOMINAL MASS
49180
0
1720658
#REMOVE IN/EX 11CM GRPS
46262
0
1720659
#REMOVE IN/EX 11CM GRPS
46262
0
1720660
#LAPAROSCOPY SURGICAL PLENECTO
38120
0
1720662
#UNLISTED LAPAROSCOPY PROC SPL
38129
0
1720664
#LAPAROCOSPY W RETROPERITONEAL
38570
0
1720664E
#LAPAROCOSPY W RETROPERITONEAL
38570
0
1720666
#LAPAROSCOPY W BIL PELVIC LYMP
38571
0
1720666E
#LAPAROSCOPY W BIL PELVIC LYMP
38571
0
1720668
#LAPRSCPY W BIL PELVIC&AORTIC
38572
0
1720670
#UNLISTED LAPRSCPY LYMPHATIC
38589
0
1720672
#LAPRSCPY SURGICAL/ESOPHAGOGAS
43280
0
1720674
#UNLISTED LAPRSCPY ESOPHAGUS
43289
0
1720675
# DILATION OF ESOPHAGUS
0
1720676
#LAPRSCPY TRUNCAL
43651
0
1720678
#LAPRSCPY SELECTIVE
43652
0
1720680
#LAPRSCPY GASTROSTOMY WO TUBE
43653
0
1720682
UNLISTED LAPRSCPY PROC STOMACH
43659
0
1720682E
UNLISTED LAPRSCPY PROC STOMACH
43659
0
1720685
#LAPARATOMY/CHOLECYSTECTOMY
47562
0
1720685E
#LAPARATOMY/CHOLECYSTECTOMY
47562
0
1720687
#LAPRCPY PYELOPLASTY
50400
0
1720688
#LAPRCPY INTESTINAL RESECTION
44202
0
1720689
#LAPARASCOPY MYOMECTOMY
58545
0
1720690
#LAPRCPY INTESTINAL ADITIONAL
44203
0
1720692
#LAPRCPY/CLECTOMY/PARTIAL
44204
0
1720692E
#LAPRCPY/CLECTOMY/PARTIAL
44204
0
1720694
#LAPRCPY CLECTOMY PARTIAL W RE
44205
0
1720696
#LAPRCPY CLECTOMY PARTIAL W EN
44206
0
1720698
#LAPRCPY CLECTOMY PARTIAL W AN
44207
0
1720700
#LAPRCPY CLECTOMY PARTIAL W AN
44208
0
1720701
#LSH UTERUS ABOVE 250 G
58543
0
1720702
#LAPRCPY CLECTOMY TOTAL ABDOMI
44210
0
1720704
#LAPRCPY CLECTOMY TOTAL ABDOMI
44211
0
1720705
#LSH W/T/O UT 50 G OR LESS
58542
0
1720706
#LAPRCPY CLECTOMY TOTAL ABDOMI
44212
0
1720708
#UNLISTED LAPRSCPY INTESTINE
44238
0
1720712
#LAPAROSCOPY/APPENDECTOMY
44970
0
1720712E
#LAPAROSCOPY;APPENDECTOMY
44970
0
1720714
#UNLISTED LAPRSCPY APPENDIX
44979
0
1720716
#LAPRSCPY W GUIDE TRASHEPATIC
47579
0
1720718
#LAPRSCPY CHOLECYSTECTOMY
47563
0
2040561
PTA BALLN 8X2 80CM - POWERFLEX
675
2040562
PTA BALLOON 8X4 80CM
675
2040563
PTA BALLOON 8X6 80CM
675
2040564
PTA BALLN 8X6 80CM - POWERFLEX
675
2040565
PTA BALLOON 8X8 80CM
675
2040566
PTA BALLOON 9X4 80CM
675
2040567
PTA BALLOON 10X4 80CM
675
2040568
PTA BALLOON 10X4 80CM-EXTREME
48
2040569
PTA BALLOON 12X4 80CM
675
2040570
PTA BALLOON 7X10 80CM
675
2040571
CATETER JL4 6FR .38 X 100CM
48
2040572
CATE PIGTAIL 145 6FR.38X110CM
48
2040573
CATETER JL4 5FR .038 X 100CM
48
2040574
CATETER JR4 5FR .038 X 100CM
145
2040575
CATE PIGTAIL 145 .038 X 110CM
48
2040576
CATETER ALI 5FR .038 X 100CM
145
2040577
CATETER ALII 5FR .038 X 100CM
48
2040578
CATE PIGTAIL 5FR .038 X 110CM
145
2040579
WALLSTENT 6X 46 ENDOPROSTHESIS
4000
2040580
WALLSTENT 6X 36 ENDOPROSTHESIS
3327.75
2040581
WALLSTENT 8 X 20 135CM
4000
2040582
WALLSTENT 10 X 20 135CM
4000
2040583
WALLSTENT 12 X 12 135CM
4000
2040584
C-2 (COBRA) 5FR .38 X 65CM
52.5
2040585
WOVEN 7FR .38 X 100 CM
276
2040586
SIM 1 5FR .38 X 100CM
48
2040587
JR4 5FR .38 X 100CM
48
2040588
JR6 7FR .38 X 100CM
52.5
2040589
JL4 5FR .047 X 100CM
48
2040590
MPA 2 7FR .38 X 100CM
52.5
2040591
VASCUL ACCESS SYST. FASTRACKER
1485
2040592
INFUSION CATHETER - FASTRACKER
975
2040593
VASOVIEW CANNULA SYS GUIDANT
2027.85
2040594
BLOWER/MISTER GUIDANT AXIUS
180
2040595
VASCULAR PATCH 0.08CM
360
2040596
VASCULAR PATCH 2CM
627
2040597
GUIDING CATH. 7FR JL5
220
2040598
GUIDING CATH. 7FR JL6
220
2040599
GUIDING CATH. 7FR JR4
255
2040600
GUIDING CATH. 7FR JR3.5
220
2040601
GUIDING CATH. 7FR AL3
220
2040602
GUIDING CATH. 7FR H.STICK
255
2040603
GUIDING CATH. 7FR IM
55.5
2040604
GUIDING CATH. 7FR XB4
220
2040605
BALLON 4.5X20 OPENSAIL
1100
2040606
POWERSAIL 3.5 X 18
1050
2040607
2 PORT MANIFOLD
22.2
2040608
VIKING OPTIMA SH JL 3.5 WW 8FR
180
2040609
VIKING OPTIMA SH JL 4 WW 8FR
180
2040610
VIKING OPTIMA SH JCL 3.5 8FR
180
2040611
VIKING OPTIMA SH JCL 4 8FR
180
2040612
VIKING OPTIMA SH JR 4 WW
180
2040613
VIKING OPTIMA SH AL .75S WW
180
2040614
VESSEL SIZING CATH PIGTAIL
465
2040615
POWERSAIL 3.0 X 18
1050
2040616
STENT ZETA 3.5X18
2300
2040617
STENT ZETA 3.5X23
2300
2040618
STENT ZETA 3.5X28
2300
2040619
STENT ZETA 3.0X28
2300
2040620
STENT ULTRA 4.5X13
2300
2040621
STENT ULTRA 5.0X13
2300
2040622
STENT VISION 3.0X28
3400
2040623
STENT VISION 3.5X8
3400
2040624
SMART STENT 6X60 120CM CORDIS
2100
2040625
SMART STENT 6X60 120CM CORDIS
2100
2040626
SMART STENT 6X60 120CM CORDIS
2100
2040627
SMART STENT 6X60 120CM CORDIS
2100
2040628
STENT VISION 4.0X8
3400
2040629
SMART STENT 6X60 120CM CORDIS
2100
2040630
SMART STENT 6X60 120CM CORDIS
2100
2040631
SMART STENT 6X60 120CM CORDIS
2100
2040632
STENT VISION 4.0X28
3400
2040633
BLOOD FILTER
36.15
2040634
CDI SHUNT
356.25
2040636
TRANSDUCER
92.7
2040637
MALE/MALE PRESSURE LINE
8.4
2040638
VAVR CONVERSION PACK
162.45
2040639
STENT S7 ZIPPER MX 3.0X18
1700
2040640
STENT S7 ZIPPER MX 3.0X24
1700
2040641
STENT S7 ZIPPER MX 3.5X18
1700
2040642
STENT S7 ZIPPER MX 3.5X24
1700
2040643
LGHT SUPP G/WIRE 0.014X180CM
195
2040644
EVEREST 30 SURVIVAL KIT
141
2040645
BALLOON 2.5X15 STORMER
700
2040646
BALLOON 2.5X20 STORMER
700
2040647
BALLOON 3.0X15 STORMER
700
2040648
BALLOON 3.0X20 STORMER
700
2040649
VASCULAR GRAFT 5MM STRAIGHT
712
2040650
VASCUL GRAFT 6MMX45CM-GORE-TEX
1656
2040651
VASCUL GRAFT 6MM-CENTER FLEX
1890
2040652
VASCULAR GRAFT 6MM - STRAIGHT
1398
2040653
FLOSWITCH HIGH PRESSURE
18.75
2040654
ANGLED TAPER FR 5 GLIDE CATH
228
2040655
NON-TAPER ANGLE FR4GLIDE CATH
214.2
2040656
WALLSTENT 10 X 94
3752
2040657
NINJA BALLON 3.0 X 20
1100
2040658
INTRODUCER SET 22 FR
562
2040659
INTRODUCER SET 18 FR
426
2040660
XXL BALLOON 18 X 4
946
2040661
ULTRATHIN DIAMOND 8 X 4
664
2040662
ULTRATHIN DIAMOND 6 X 4
1020
2040663
ULTRATHIN DIAMOND 10 X 4
664
2040664
SIMMONS SIDEWINDER CATH 5 FR
198
2040665
HEAD HUNTER CATH 5 FR
228
2040666
GDE WIRE J CURV FIXED CORE.035
40.35
2040667
COIL FIBERED PLATINUM 5MMX50MM
405.55
2040668
COIL FIBERED PLATINUM 9MMX60MM
165.85
2040669
ULTRA THIN DIAMOND 12X4 X 75CM
1302
2040670
ULTRA THIN DIAMOND 5 X 4 X 75C
1020
2040671
SYMETRY BALLON 4 X 2 X 90CM
1440
2040672
SYMETRY BALLON 2 X 2 X 90CM
1176
2040673
WALLSTENT 10 X 42 X 75CM
2489
2040674
WALLSTENT 10 X 68 X 75CM
2489
2040675
WALLSTENT 8 X 60 X 75CM
2489
2040676
BENTSON HANAFEE WILSON 2.4FR
228
1780139
T M J /BILATERAL
110
1780140
CHEST P A
65
1780141
CHEST P A - LATERAL
80
1780142
CHAMBER ANALYSIS
110
1780143
CHEST FLUOROSCOPY
125
1780144
BRONCHOGRAPHY UNILAT
210
1780145
BRONCHOGRAPHY BILAT
300
1780146
RIBS UNILATERAL
80
1780147
RIBS BILATERAL
100
1780148
STERNUM
80
1780149
STERNOCLAVICULAR JNT
90
1780150
CERVICAL AP &LATERAL
85
1780151
CERVICAL COMPLETE
150
1780152
HIP AP & EXT OBLIQUE
135
1780153
HIP IN O/R
90
1780154
HIP & PELVIS
100
1780155
THORACI AP & LATERAL
85
1780156
THORACIC COMPLETE
110
1780157
THORACIC-LUMBAR
50
1780158
LUMBAR AP & LATERAL
90
1780159
LUMBO SACRAL COMPLE.
125
1780160
PELVIS A P
55
1780161
PELVIS COMPLETE
70
1780162
SACRO - COCCYX
60
1780163
SACROILIAC PA OBLIQ.
70
1780164
CHOLANGIOGRAPHY OPE.
220
1780165
CHOLANG POST OPER.
110
1780166
CHOLECYSTROGRAPHY
100
1780167
COLON BA. ENEMA
200
1780168
COLON ENEMA WITH AIR
275
1780169
ESOPHAGUS
150
1780170
BARIUM SWALLOW
150
1780171
INTRAVENOUS CHOLANG
310
1780172
SMALL BOWEL SERIES
160
1780173
UPPER GASTRO INT/SER
250
1780174
KIDNEY URETER BLADD
200
1780175
SCANOGRAM
65
1780176
FETAL BONE AGE ABDOM
70
1780177
HYSTEROSALPINOGRAM
180
1780178
PELVIMETRY
130
1780179
PLACENTA LOCALIZATIO
125
1780180
MYELOGRAMS CERVICAL
425
1780181
MYELOGRAM COMPL 3 AR
550
1780182
MYELOGRAM LUMBAR
375
1780183
MYELOGRAN THORACIC
400
1780184
ACROMIO-CLAVICLE
90
1780185
CLAVICLE
70
1780186
ELBOW AP & LAT.
70
1780187
ELBOW COMPLETE OBLIQ
80
1780188
FOREARM
70
1780189
FINGERS
60
1780190
HAND
70
1780191
HAND 3 VIEWS
30
1780192
HUMERUS
80
1780193
SCAPULA
75
1780194
SHOULDER
65
1780195
SHOULDER COMPLETE
80
1780196
WRIST
70
1780197
ANKLE
70
1780198
ANKLE COMPLETE
75
1780199
FEMUR
80
1780200
FOOT AP & LATERAL
70
1780201
FOOT COMPLETE OBLIQU
75
1780202
HIP
75
1780203
HIP & FROG POS.
80
1780204
KNEE AP & LATERAL
70
1780205
KNEE COMPLETE OBLIQU
90
1780206
LEG
75
1780207
OS CALCIS
70
1780208
TOES
60
1780209
ABDOMEN AP
75
1780210
ABDOMEN 2 POSITION
95
1780211
ABDOMEN 3 POSITIONS
110
1780212
CYSTOGRAM
150
1780213
I.V.P.
200
1780214
URETROCYSTOGRAM
180
1780215
NEPHROTOMOGRAM
225
1780216
RETROGRADE PYELOGRAM
270
1780217
VOIDING CYSTOGRAM
130
1780218
CHOLANGIOGRAPHY PERC
300
1780219
DENSITOMETRIA OSEA
200
1780220
BONE AGE
24
1780221
BOTH KNEES,STANDING ANTEROPOST
70
1780222
ARTHOGRAM HIP
275
1780223
BONE SURVEY
95
1780225
MAMOGRAPHY UNILATERAL-DIAG
150
1780226
SCREENING MAMOGRAPHY BILATERAL
115
1780227
VENOGRAPHY EXTREMITI
75
1780228
VENOGRAMS
550
1780229
HEAD,BRAIN WO/CM
300
1780230
HEAD,BRAIN W/CM
300
1780231
HEAD,BRAIN WO/CM FCM
300
1780232
ORBIT,SELLA, WO/CM
300
1780233
ORBIT,SELLA, W/CM
300
1780234
ORBIT,SELLA,WO/CMFCM
300
1780235
SOFT TISSUE N,WO/CM
100
1780236
SOFT TISSUE N,W/CM
300
1780237
THORAX WO/CM
300
1780238
THORAX W/CM
300
1780239
THORAX WO/CM F BY CM
300
1780240
CERVICAL SPINE WO/CM
300
1780241
CERVICAL SPINE W/CM
300
1780242
CERV.SPINE WO/CM-FCM
300
1780243
THORACIC SPINE WO/CM
300
1780244
THORACIC SPINE W/CM
300
1780245
LUMBAR SPINE WO/CM
300
1780246
LUMBAR SPINE W/CM
300
1780247
LUMBAR S. WO/CM F CM
300
1780248
PELVIS WO/CONT MATER
300
1780249
PELVIS W/CONT MATER.
300
1780250
PELVIS WO/CM F BY CM
300
1780251
LOWER EXTREM. WO/CM
300
1780252
LOWER EXTREM. W/CM
300
1780253
LOWER EXT.WO/CM F CM
300
1780254
ABDOMEN WO/CONT MAT.
300
1780255
ABDOMEN W CONT. MAT.
300
1780256
ABDOMEN WO/CM F CM
300
1780257
LIMITED FOLLOW UP CT
300
1780258
CT GUIDANCE/DRAINAGE
300
1780259
CT SCAN BIOPSY/ASPIR
300
1780260
CT SCAN BIOPSY/NEEDL
300
1780261
CT UPPER EXT W/O CON
300
1780262
CT UPPER EXT W/CONT.
300
1780263
CT ANGLIOGR HEAD W/O CONT.MAT.
775
1780264
CT ANGLIOGR NECK W/O CONT.MAT.
775
1780265
CT MAXILLOFACIAL W/CONT. MAT.
600
1780266
CT MAXILLOFACIAL W/O CONT.MAT.
500
1780267
CT MAXIL.W/OCONT.MAT.FL/CNT.MA
725
1780268
CT SFT TISS NECK W/OCONT.MAT&F
750
1780269
CT ABD.W-W/O CONT.MAT.FOL/CONT
975
1721188E
#REPAIR OF KNEECAP TENDON
27380
0
172118E
#REPAIR OF KNEECAP TENDON
27380
0
1721190
#REMV/REPL PENIS CONTAIN PROS
54416
0
1721190E
#REMV/REPL PENIS CONTAIN PROS
54416
0
1721192
#REMOVE EAR CANAL LESION
69140
0
1721194
# TREAT HUMERUS FRACTURE
24538
0
1721195
# TREAT SCAPULA FRACTURE
23585
0
1721196
# REPAIR FINGER/HAND TENDON
26350
0
1721197
# EXCISION UPPR JAW CYST W/REP
21049
0
1721198
# EXCISION OF SALIVARY CYST
42408
0
1721199
#EXCISION MALIGNANT LESION
11640
0
1721200
#TREAT METACARPAL FRACTURE
26605
0
1721202
#PARTIAL REMOVAL OF PENIS
54120
0
1721203
#AMPUTATION OF PENIS RADICAL
54130
0
1721204
#INJECTION FOR HIP X-RAY
27095
0
1721206
#LAP/ENTEROLYSIS
44180
0
1721208
#REMOVE HEMORROHOIDS & FISTULA
46258
0
1721212
#SKIN FULL GRFT FACE/GENIT/HF
15240
0
1721214
#RELEASE OF EYE FLUID
67015
0
1721214E
#RELEASE OF EYE FLUID
67015
0
1721215
#RELEASE MIDDLE EAR BONE
69650
0
1721216
#TREAT LOWER LEG FRACTURE
27828
0
1721218
#CLOSURE OF VAGINA
57120
0
1721218E
#CLOSURE OF VAGINA
57120
0
1721220
#BIOPSY OF NECK/CHEST
21550
0
1721222
#REMOVE NASAL FOREIGN BODY
30310
0
1721224
#GENITAL SURGERY PROCEDURE
58999
0
1721225
#DISARTICULATION OF SHOULDER
23920
0
1721226
#SHOULDER SURGERY PROCEDURE
23929
0
1721228
#REMOVE LOWER LEG BONE LESION
27635
0
1721230
#TREAT FRACTURE OF RADIUS
25525
0
1721231
#TREAT FRACTURE OF RADIUS
25520
0
1721232
#EXPLORATORY ELBOW SURGERY
24000
0
1721233
#REPOSITION LEFT FINGER PAHLAN
26720
0
1721234
#KNEE ATHROSCOPY SURGERY
29874
0
1721236
#SHAVE SKIN LESION
11310
0
1721238
#REMOVAL OF HEEL SPUR
28119
0
1721240
#REMOVAL OF THIGH LESION
27327
0
1721241
# URETHRYS TRANSVAG W/
53500
0
1721242
#TREATMENT FRACTURE OF RADIUS
25505
0
1721242E
#TREATMENT FRACTURE OF RADIUS
25505
0
1721243
# TLH W/T/O UTERS OVER 250G
58573
0
1721244
#TOTAL ABDOMINAL HYSTERECTOMY
58150
0
1721245
# TLH W/T/O 250G OR LESS
58571
0
1721245E
# TLH W/T/O 250G OR LESS
58571
0
1721246
#CLOSURE TRACHEOSTOMY
31820
0
1721247
# REPAIR OF EYE WOUND
65280
0
1721248
#DEBRIDE ABDOM WALL
11005
0
1721249
#REMOVE THIGH PREASSURE SORE
15956
0
1721250
#REPAIR OF KNEE LIGAMENT
27405
0
1721252
#TREAT ANKLE DISLOCATION
27842
0
1721254
#INCISION OF GALLBLADDER
47490
0
1721254E
#INCISION OF GALLBLADDER
47490
0
1721256
#REDUCE TESTIS TORSION
54600
0
1721258
#REMOVAL OF EYE LESION
65420
0
1721258E
#REMOVAL OF EYE LESION
65420
0
1721260
#PARTIAL EXCISION OF LIP
40510
0
1721262
#BIOPSY OF TESTIS
54505
0
1721262E
#BIOPSY OF TESTIS
54505
0
1721264
#PREPARE SPERM DUCT
55300
0
1721266
#REMOVAL PELVIC LYMPH NODES
38562
0
1721268
#CYSTOSCOPY AND TREATMENT
52240
0
1721268E
#CYSTOSCOPY AND TREATMENT
52240
0
1721270
#HERNIA REPAIR W/MESH
49568
0
1721270E
#HERNIA REPAIR W/MESH
49568
0
1721274
#EXC TR-EXT MLG+MARG>4CM
11606
0
1721274E
#EXC TR-EXT MLG+MARG>4CM
11606
0
1721276
#REMOVE EAR CANAL LESION (S)
69145
0
1721278
#EXC SOFT TISSUE MASS RGT FOOT
28043
0
1721280
#RPR VENTRAL HERN INIT/BLOCK
49561
0
1721280E
#RPR VENTRAL HERN INIT/BLOCK
49561
0
1721282
#SURGERY SIMPLE INTRACRANIAL
61700
0
1721284
#REMOVE HIP/PELVIS LESION
27048
0
1721286
#BIOPSY OF VULVA/PERINEUM
56605
0
1721288
#REVISION OF RAIUS
25350
0
1721294
#REPAIR VENTRL HERM BLOCK
49566
0
1721295
#TRLUML BALO ANGIOP 1ST VEIN
37248
0
1721295E
#REPAIR VENOUS BLOCKAGE
37248
0
1721296
#REMOVAL OF LYMPH NODES NECK
38720
0
1721298
#REMOVE FOREING BODY FROM EYE
65220
0
1721300
#REVISE FALLOPIAN TUBE
58740
0
1721302
#REMOVAL OF URETER STONE
50630
0
1721304
#URETER ENDOSCOPY & BIOPSY
50974
0
1721306
#ENDOSCOPIC INJECTION/IMPLANT
51715
0
1721306E
#ENDOSCOPIC INJECTION/IMPLANT
51715
0
1721307
#BIOPSY OF OVARY UNIT OR BILAT
58900
0
1721308
#REMOVAL OF OVARIAN CYST (S)
58925
0
1721310
#URETER ENDOSCOPY & CATHETER
50972
0
1721311
#URETER ENDOSCOPY & CATHETER
50961
0
1721311E
#URETER ENDOSCOPY & CATHETER
50961
0
1721312
#VAGINAL HYSTERECTOMY
58290
0
1721314
#RECONSTRUCTION OF NOSE
30420
0
1721316
#REMOVAL OF KNEE CYST
27345
0
1721318
#DEBRIDE SKIN TISSUE
11042
0
1721318E
#DEBRIDE SKIN TISSUE
11042
0
1721320
#UNLISTED PX SMALL INTESTINE
44799
0
1721322
#EXPLORE TREAT EYE SOCKET
67412
0
1721324
#DESTROY VULVA LESIONS SIM
56501
0
1721326
#EXPLORE SINUS/REMOVE POLYPS
31032
0
1721328
#INCISION OF GALL BLADDER
47480
0
1721329
#INCISE & TREAT BLADDER
51020
0
1721330
#DRAINAGE OF EYELID ABSCESS
67700
0
1721332
#CORRECTION OF BUNION
28296
0
1721332E
#CORRECTION OF BUNION
28296
0
1721334
#EXC FACE-MM b9+MARG>4CM
11446
0
2040677
BENTSON HANAFEE WILSON 1.5FR
228
2040678
BENTSON GUIDEWIRE HEPARINE
70
2040679
SYMPHONY STENT 8 X 44 X 75
2446
2040680
SYMPHONY STENT 8 X 60 X 75
2446
2040681
AMPLATE GUIDEWIRE .035 X 75
115
2040682
PIGTAIL CATHETER 4FR .035
66
2040683
PIGTAIL CATHETER 5FR .038
66
2040684
BERN ANGIOGRAFIC CATH 5FR
66
2040685
SCREW DILATOR 8FR
135
2040686
CONTRA ANGIOGRAFIC CATH. 4FR
66
2040687
SKATER NEPHROSTOMY CATH. 8FR
266.04
2040688
AMPLATZ GUIDEWIRE .035 X 180
171
2040689
WALLSTENT 8X80 ENDOPROSTHESIS
3760
2040690
WALLSTENT 7X90 ENDOPROSTHESIS
3760
2040691
WALLSTENT 20X40 ENDOPROSTHESIS
2850
2040692
XXL BALLOON CATH 18MMX4CMX75CM
984.3
2040693
SNARE KIT CATHETER 6 FR
1170
2040694
HEMOSPLIT 14.5 FR X 24 CM
520
2040695
HEMOSPLIT 14.5 FR X 28 CM
520
2040696
EMBOLIC PROTECTOR FILTER
408
2040697
STENT TAXUS/PROMUS DRUG 3.0X8
2500
2040698
STENT TAXUS/PROMUS DRUG 3.0X12
2500
2040699
STENT TAXUS/PROMUS DRUG 3.0X16
2500
2040700
STENT TAXUS/PROMUS DRUG 3.0X20
3800
2040701
STENT TAXUS/PROMUS DRUG 3.0X24
2500
2040702
STENT TAXUS/PROMUS DRUG 3.0X28
2500
2040703
STENT TAXUS/PROMUS DRUG 3.0X32
3800
2040704
STENT TAXUS/PROMUS DRUG 3.5X8
2500
2040705
STENT TAXUS/PROMUS DRUG 3.5X12
2500
2040706
STENT TAXUS/PROMUS DRUG 3.5X16
2500
2040707
STENT TAXUS/PROMUS DRUG 3.5X20
3800
2040708
STENT TAXUS/PROMUS DRUG 3.5X24
2500
2040709
STENT TAXUS/PROMUS DRUG 3.5X28
2500
2040710
STENT TAXUS/PROMUS DRUG 3.5X32
3800
2040711
STENT TAXUS/PROMUS DRUG 2.5X8
2500
2040712
STENT TAXUS/PROMUS DRUG 2.5X12
2500
2040713
STENT TAXUS/PROMUS DRUG 2.5X16
2500
2040714
STENT TAXUS/PROMUS DRUG 2.5X20
3800
2040715
STENT TAXUS/PROMUS DRUG 2.5X24
2500
2040716
STENT TAXUS/PROMUS DRUG 2.75X8
2500
2040717
STENT TAXUS/PROMUS DRUG2.75X12
2500
2040718
STENT TAXUS/PROMUS DRUG2.75X16
2500
2040719
STENT TAXUS/PROMUS DRUG2.75X20
3800
2040720
STENT TAXUS/PROMUS DRUG2.75X24
2500
2040721
STENT TAXUS/PROMUS DRUG2.75X28
2500
2040722
STENT TAXUS/PROMUS DRUG2.75X32
3800
2040723
FX MINIRAIL PTCA CATH2.5X20 MM
1300
2040724
FX MINIRAIL PTCA CATH3.0X20 MM
1300
2040725
FX MINIRAIL PTCA CATH3.5X20 MM
1300
2040726
FX MINIRAIL PTCA CATH2.5X15 MM
1300
2040727
FX MINIRAIL PTCA CATH3.0X15 MM
1300
2040728
JL3.5 8FR GUIDE CATHETER MACH1
285
2040729
JL4 8FR GUIDE CATHETER MACH 1
285
2040730
JL4 8FR GUIDE CATHETER MACH 1
285
2040731
AL 75 8FR GUIDE CATHETER MACH1
285
2040732
JL4 7FR GUIDE CATHETER MACH 1
285
2040733
JR4 7FR GUIDE CATHETER MACH 1
285
2040734
AL 2 7FR GUIDE CATHETER MACH 1
285
2040735
FL4 7FR EXPO CATHETER DIAGNOST
39
2040736
FL4 7FR EXPO CATHETER DIAGNOST
39
2040737
PIGTAIL 7FR EXPO CATHETER DIAG
39
2040738
PIGTAIL 145 7FR EXPO CATHETER
39
2040739
SHEATH INTR. 7FR PINNACLE
45
2040740
SHEATH INTR. 8FR PINNACLE
45
2040741
BALLOON 3.0X20 MAVERICK OTH CA
1170
2040742
BALLOON 2.5X20 MAVERICK OTH CA
1170
2040743
VASCULAR GRAFT 6MM X 70CM GORE
1780
2040744
ARTERIAL EMBOLECTOMY 4FR
135
2040745
ARTERIAL EMBOLECTOMY 5FR
135
2040746
ARTERIAL EMBOLECTOMY 6FR
135
2040747
ARTERIAL EMBOLECTOMY ADHREDT
570
2040748
GUIDE WIRE J CURVED FIXED .035
27
2040751
POWERFLEX DILATATION CATH 6X8
675
2040752
POWERFLEX DILATATION CATH 5X10
450
2040753
POWERFLEX DILATATION CATH 5X8
675
2040754
POWERFLEX DILATATION CATH 4X10
450
2040755
POWERFLEX DILATATION CATH 4X8
675
2040756
SHEATH INTR.11FR CORDIS.035X23
75
2040757
STENT SMART 8X40X120 CORDIS
2190
2040758
SURGILOOP WITH NEEDLE
97.5
2040759
BALLOON SYMMETRY 2.5 X 4 X 90
1440
2040760
BALLOON SYMMETRY 18 X 4 X 120
849.6
2040761
EN SNARE SYSTEM
1170
2040762
EKM INFLATING DEVICE KIT
120
2040765
WALLSTENT 10 X 94 X 75CM
3752
2040766
WALLSTENT 8 X 80 X 75CM
3752
2040767
WALLSTENT 7 X 90 X 75CM
3752
2040768
WALLSTENT 20 X 40 X 75CM
2850
2040769
ULTRA-THIN DIAMOND 3X4X135CM
701
2040770
ULTRA-THIN DIAMOND 3X10X135CM
701
2040771
ULTRA-THIN DIAMOND 4X6X75CM
813
2040772
ULTRA-THIN DIAMOND 4X6X120CM
1020
2040773
ULTRA-THIN DIAMOND 7X6X75CM
645
2040774
ULTRA-THIN DIAMOND 6X4X75CM
1020
2040775
ULTRA-THIN DIAMOND 8X4X75CM
1020
2040776
ULTRA-THIN DIAMOND 10X4X75CM
645
2040777
SIMMS/SIDEWINDER I 5FR GLIDECA
155
2040778
HINCK HEADHUNTER I 5FR GLIDECA
155
2040779
ANGLED TAPER 5FR GLIDECATH
205.5
2040780
COBRA 2 5FR FERUMO
143
2040781
SHEATH INTR.7FR CORDIS .038X11
48
2040782
NON TAPER ANGLE 4FR GLIDE CATH
205.5
2040783
INTRODUCER GUIDE 7FR CONTRA 1
435
2040784
INTRODUCER GUIDE 8FR CONTRA 1
435
2040785
DUAL LUMEN MAHURKAR 11.5 CATH
225
2040786
TENCKNOFF PERITONEAL DIALYSIS
225
2040787
VASCULAR FABRIC 1X6 HEMASHIELD
462
2040788
VASCULAR FABRIC 1X3 HEMASHIELD
480
1721336
#REMOVAL HAND LESION SUBCUT
26115
0
1721338
#ORCHIECTOMY PARTIAL
54522
0
1721338E
#ORCHIECTOMY PARTIAL
54522
0
1721340
#BIOPSY OF EYELID
67810
0
1721342
#TREAT FRACTURE OF ULNA
25545
0
1721344
#REMOVE FEMUR LESION
27355
0
1721344E
#REMOVE FEMUR LESION
27355
0
1721346
#REPAIR OF MELATARSALS
28322
0
1721348
#BONE MARROW BIOPSY
38221
0
1721350
#TREAT THUMB DISLOCATION
26641
0
1721352
#PIN HAND DISLOCATION
26676
0
1721354
#REPAIR OF ANAL STRICTIRE
46700
0
1721356
#REMOVAL OF HYDROCELE
55500
0
1721356E
#REMOVAL OF HYDROCELE
55500
0
1721358
#MUSCLE BIOPSY
20200
0
1721360
#PROSTATECTOMY
52601
0
1721360E
#PROSTATECTOMY
52601
0
1721362
#TREAT METATARSAL FRACTURE
28476
0
1721364
#UPPER ARM/ ELBOW SURGERY
24999
0
1721368
#INCISION OF LIP FOLD
40806
0
1721369
#INCISION OF EYELID FOLD
67715
0
1721370
#REMOVAL OF NEPHROSTOMY TUBE
50389
0
1721372
#REMOVAL OF LARYNX LESION
31512
0
1721374
KNEE ARTHROSCOPY/SURGERY
29877
0
1721376
#FOOT TOES SURGERY PROCEDURE
28899
0
1721378
#REMOVE KNEE CYST
27347
0
1721380
#TREAT SHOULDER DISLOCATION W
23650
0
1721380E
#TREAT SHOULDER DISLOCATION W
23650
0
1721382
#BIOPSY OF UTERUS LINING
58100
0
1721384
#RECONSTRUCT SHOULDER JOINT
23470
0
1721385
#EXC FOREARM LES SC>3CM
25071
0
1721385E
#EXC FOREARM LES SC>3CM
25071
0
1721386
#REMOVE ARM/ELBOW LESION
24075
0
1721387
#EXC ARM/ELBOW LES SC=3CM
24071
0
1721387E
#EXC ARM/ELBOW LES SC=3CM
24071
0
1721388
#INSERT SELF-CONTD PROTHESIS
54401
0
1721389
#EX ARM/ELBOW TUM DEEP 75CM
24073
0
1721390
#EXCISE REPAIR MOUTH LESION
40812
0
1721390E
#EXCISE REPAIR MOUTH LESION
40812
0
1721391
#EXC LEG/ANKLE LES SC=73CM
27632
0
1721391E
#EXC LEG/ANKLE LES SC=73CM
27632
0
1721392
#LARYNSCOP W/TUMR EXC+SCOPE
31541
0
1721394
#PARTIAL REMOVAL OF VILVA
56620
0
1721394E
#PARTIAL REMOVAL OF VILVA
56620
0
1721396
#EXC.TR-RXT MLG+MARG 2.1-3CM
11603
0
1721398
#REPAIR SPIGELIAN HERNIA
49590
0
1721400
#EXCISION OF BOWEL POUCH
44800
0
1721402
#REMOVAL OF KNEECAP
27350
0
1721404
#REMOVE HEMORROIDS & FISSURE
46257
0
1721406
#TREAT TOE FRACTURE
28525
0
1721408
#TREAT TOE FRACTURE
28525
0
1721410
#REMOVE WRIST TENDON LESSION
25112
0
1721411
#REMOVE WRIST JOINT IMPLANT
25449
0
1721412
#PARTIAL REMOVAL OF HYMEN
56700
0
1721414
#EXC H-F-NK-SP MLP+MARG 3.1-4
11624
0
1721416
#REPAIR OF DIGIT NERVE
64831
0
1721418
#INJECTION ANESTHETIC AGENT
64450
0
1721420
#EXCISION MASS IN FOOT
27618
0
1721420E
#EXCISION MASS IN FOOT
27618
0
1721422
#REPAIR LUMBAR HERNIA
49540
0
1721424
#HAND FINGER SURGERY
26989
0
1721426
#REPAIR LACERATION CORNEA
65275
0
1721428
#TREAT LOWER LEG JOINT
27829
0
1721428E
#TREAT LOWER LEG JOINT
27829
0
1721430
#UROLOGY SURGERY PROCEDURE
53899
0
1721431
#INSERT PROST URETHRAL STENT
53855
0
1721432
#TEMPORAL ARTERY
37609
0
1721434
#REMOVE TUMOR NECK/CHEST
21557
0
1721436
#EXCHANGE LENS PROTHEIS
66986
0
1721438
#EXCISE LIP ONCHEEK FOLD
40819
0
1721440
#REMOVAL OF SUTURES
15850
0
1721442
#FRENULOTOMY OF PENIS
54164
0
1721444
#DIAG LAPARO SEPARATE
49320
0
1721444E
#DIAG LAPARO SEPARATE
49320
0
1721445
#DIAGNOSTIC LARYNGOSCOPY
31579
0
1721446
#CIRCUMCISION SURGICAL
54160
0
1721447
#DIAGNOSTIC LARYNGOSCOPY
31575
0
1721447E
#DIAGNOSTIC LARYNGOSCOPY
31575
0
1721448
#EXCISION BRANCHIAL LEFT CYST
42815
0
1721450
#EXCISION OF ANAL LESION
46922
0
1721450E
#EXCISION OF ANAL LESION
46922
0
1721452
#RADICAL EXCISION SOFT TISSUE
27619
0
1721454
#LEFT FOREAM RADIUS
25607
0
1721454E
#LEFT FOREAM RADIUS
25607
0
1721456
#CHALAZION LEFT EYELID
67808
0
1721458
#REPAIR INITIAL FEMORAL HERNIA
49550
0
1721458E
#REPAIR INITIAL FEMORAL HERNIA
49550
0
1721460
#TREAT FINGER FRACTURE EACH
26727
0
1721460E
#TREAT FINGER FRACTURE EACH
26727
0
1721462
#TREATMENT OF LIBIA FRACTURE
27752
0
1721464
#REPAIR OF EARDRUM
69610
0
1721466
#DRAINAGE OF SALIVARY GLAND
42310
0
1721468
#TREAT FX RAD INTRA ARTICUL
25608
0
1721470
#PROBE NASOLACRIMAL DUCT
68811
0
1721472
#REMOVE EYELID LINING LESION
68115
0
1721474
#BONE BIOPSY OPEN
20240
0
1721474E
#BONE BIOPSY OPEN
20240
0
1721476
#TREAT FX DISTAL RADIAL
25606
0
1721478
#REPAIR ING HERNIA SLIDING
49525
0
1721479
#EXC THIGH/KNEE LES SC>3CM
27337
0
1721479E
#EXC THIGH/KNEE LES SC>3CM
27337
0
1721480
# P.MASTECTOMY W/LN REMOVAL
19302
0
1721481
#EXC THIGH/KNEE TUM
27339
0
1721482
#REMOVE SHOULDER FOREING BODY
23330
0
1721483
#REPAIR LEG FASCIA DEFECT
27656
0
1721484
#REMOVE OF KNEE CAP BURSA
27340
0
1721484E
#REMOVE OF KNEE CAP BURSA
27340
0
2041599
ENDOTAK RELIANCE SG 0180/0181
1710
2041600
EPICARDIAL ENDOTAK SQ ARRAY XP
1710
2041601
DIAGNOSTIC CATHETER DCR
48
2041604
BALLOON AMPHIRIAN DEEP
690
2041605
BALLOON ADMIRAL XTREME
690
2041606
STENT BILIARY COMPLETE SE
3300
2041607
LEAD SPRINT QUATTRO SECURE S
100
2041608
SNGL LUMEN PERITONEAL CATHETER
1575
2041609
ENDURANT CONTRALATERAL EXT
8400
2041610
GORE ENDOPROSTHESIS PLC231000
3883.2
2041611
MUSTANGS BALLOON
669
2041612
PPM ZEPHYR SSIR 5620 SINGLE
3096
2041613
ICD ENERGEN E141/E140 SINGLE
15162
2041614
ICD ENERGEN E143/E142 DUAL
15390
2041615
CRT-D ENERGEN N141-N140-N164
C1882
16461.6
2041616
STARFISH HEART POSITONER
360
2041617
GORE EXCLUDER ENDOPR PXL161207
2733.6
2041618
ICD FORTIFY VR SINGLE ST JUDE
15810
2041619
ENDOTAK RELIANCE SG 0292 59 CM
100
2041620
STENT RESOLUTE
3300
2041621
ATTAIN COUGA XT
60
2041622
ATTAIN COMMAND
156
2041623
ATTAIN BALLOON
225
2041624
LEAD 6935-58CM MEDTRONIC
2265
2041625
CABLE ATRIAL 5086MRI MEDTRONIC
1360
2041626
CABLE VENTRICULAR 5086MRI MEDT
1360
2041627
ISOFLEX S (ST JUDE MEDICAL)
600
2041628
PPM ZEPHYR DR ST JUDE MEDICAL
5760
2041629
DISPOS. SURGICAL CABLE ABBOTT
30
2041630
PRELUDE SNAP INTRODUCER ABBOTT
60
2041631
ENDOTAK RELIANCE SG 0292/0293
2622
2041632
ENDOTAK RELIANCE G 0295/0296
3000
2041633
ICD FORTIFY DR DUAL ST JUDE
17424
2041634
STYLET KIT 58CM ST JUDE
210
2041635
HEX WRENCH ABBOTT
36
2041636
LEAD CAP ST JUDE (4033A)
48
2041637
PREDATOR CATHETER 1.25MM-.014
5590
2041638
PREDATOR CATHETER 1.25 CROWN
5590
2041639
PREDATOR CATHETER 1.50 CROWN
5590
2041640
PREDATOR CATHETER 2.00 CROWN
5590
2041641
EMBOSHIELD NAV6 5.0/7.2 MM
2500
2041642
XACT 8-6MM X 30MM CAROTID STEN
3700
2041643
BEADBLOCK MICROSPH 300-500
1425
2041644
CLASSIC SHEATH PLS
60
2041645
SUPERA TRANSHEPATIC BIL. STENT
3100
2041646
STENT VASC. EPIC SELF EXP SYS
3348
2041647
VASCULAR CLOSURE DEV.-EXOSEAL
495
2041648
VALIANT THORACIC/VAMF3838C200
10200
2041649
ARCHER SUPER STIFF GUIDEWIRE
250
2041650
AORTIC VALVE MAGNA EDWARDS
10180
2041651
MITRAL VALVE MAGNA EDWARDS
10180
2041652
ANNULOPLASTY RING PHYSIO II
5380
2041653
PPM ACCENT DR DUAL
4614
2041654
CRT-D INCEPTA N160/N161/N164
16461.6
2041655
GUIDELINER CATHETER
1479
2041656
PPM INGENIO K173 DUAL CHAMBER
3648
2041657
PPM INGENIO K172 SINGLE CHAMBE
3534
2041658
ATTAIN SELECT
156
2041659
ICD INCEPTA E160/E161 SINGLE
15162
2041660
CRT-D UNIFY ASSURA
19800
2041661
DECAPOLAR CATHETER 6FR
150
2041662
CPS COURIER GUIDEWIRE ABBOTT
300
2041663
BALLOON ARMADA PTA CATH 35
690
2041664
VENA CAVA FILTER RETRIEVAL KIT
1500
2041665
GLIDEWIRE ADVANTAGE 180
444
2041666
GLIDEWIRE ADVANTAGE 260
453
2041667
GLIDEWIRE GOLD
498
2041668
EMBOSPHERE (300-500/500-700)
837
2041669
QUADRASPHERE 25 MG
3600
2041670
EMBOCATH MICROCATHETERS
1500
2041671
GUIDEWIRE TENOR
885
2041672
GUIDEWIRE LUNDERGUIST X-STIFF
264
2041673
ARTERIAL THROMBECTOMY 6FR
480
2041674
OVER THE WIRE FOGARTY 3FR/6FR
396
2041675
TALENT ABDOMINAL STENT GRAFT
5040
2041676
VALIANT THORACIC/VAMF3434 C150
10200
2041677
CRT-P INVIVE
5472
2041678
ICD VIVA XT DUAL
14400
2041680
CRT-P ANTHEM
5850
2041682
PPM ACCENT SR (RF) SINGLE
3840
2041683
STENT OMNILINK ELITE
2550
2041685
BLOOD ADMINISTRATION SET
50.85
2041686
ACT CONTROLS
6.6
2041687
LEVEL DETECTOR HOLDER
9.71
2041688
TRANSFER BAG
6.6
2041689
HEMOBAG
435.6
2041690
VACUUM RELIEF VALVE
35.64
2041691
TUBING GISH 1/4
38.28
2041692
TUBING 1/2
21.12
2041693
PERFUSION LINE LUER 3/8
6
2041694
TUBING MEDTRONIC 1/4
13.08
2041695
TUBING 3/8
29.04
2041696
SAT/HCT CONNECTOR
9.84
2041697
CARDIOTOMY SUCKER
11.64
2041698
PIN PLUG KIT 6719
60
2041699
LEAD QUARTET 1458Q-75
2160
2041700
AORTIC CANNULA (211024)
25.08
2041701
250 ML BRAT 2 BOWL
81.9
2041702
PRESSURE LINE
5.68
2041703
INTRAVASCULAR SHUNT ALL EDWARD
113.08
2041704
INTRAVASCULAR SHUNT ALL GUIDAN
189.92
2041705
PRESSURE TRANSDUCER MEDTRONIC
16.9
2041706
PRESSURE TRANSDUCER ARGON
47.82
2041707
BLOOD ACCESS SAMPLE
6.17
2041708
BACKPAD EKG CABLE
0
2041709
CORONARY OSTIAL PERF CANNULA
65.47
2041710
CARDIAC SUMP (FLOPPY)
18.95
2041711
AC-DP-3 DF-1 RECEPTACLE PLUG
90
2041712
GORE DRYSEAL SHEATH 22-24-26F
420
2041713
BLOOD BAG
8.04
2041714
LEAD CAPSUREFIX NOVUS 4076
682.5
2041716
QUICK CABLE BIOSENSE WEBSTER
585
2041717
ROTATION TOOL
30
2041718
VENACAVA FILTER MERIDIAN FEMOR
3075
2041719
GUIDE WIRE WINN
285
2041720
CPS SLITTER TOOL
112.5
1780270
CT CHST W/O CONT.MAT.FOL/CONT.
1075
1780271
CT LW EXTR W/O CNT.MAT.FOL/CNT
725
1780272
CT PELVIC W/O CONT.MAT.FOL/CNT
950
1780273
CT THOR SPIN W/OCONT.MAT.FOL/C
985
1780274
CT UPP EXTR W/O CONT.MAT.FOL/C
975
1780275
RIBS UNILATERAL W/PA CHEST
100
1780276
RIBS BILATERAL W/PA CHEST
100
1780277
CARDIAC MRI FOR MORPH W/DYE
75561
925
1790001
BODY CAST ADULT PLASTER
0
1790002
BODY CAST ADULT FIBERGLASS
0
1790003
SHLDER CAST ADULT 11YRS + PLAS
0
1790004
SHLDER CAST ADULT 11YRS+ FBGLS
0
1790005
LONG ARM CAST (11 YRS+) PLASTE
0
1790006
LONG ARM CAST (11 YRS+) FBRGLA
0
1790007
LONG ARM CAST (0-10 YRS) PLAST
0
1790008
LONG ARM CAST (0-10 YRS)FBR GL
0
1790009
SHORT ARM CAST (11 YRS+) PLAST
0
1790010
SHORT ARM CAST (11 YRS+) FBRGL
0
1790011
SHORT ARM CAST (0-10 YRS)PLAST
0
1790012
SHORT ARM CAST (0-10 YRS)FBRGL
0
1790013
GAUNTLET CAST (11 YRS+)PLASTER
0
1790014
GAUNTLET CAST (11 YRS+)FBRGLAS
0
1790015
GAUNTLET CAST (0-10 YRS)PLSTER
0
1790016
GAUNTLET CAST (0-10 YRS)FBRGLA
0
1790017
LONG ARM SPLINT (11 YRS+)PLAST
0
1790018
LONG ARM SPLINT (11 YRS+)FBRGL
0
1790019
LONG ARM SPLINT (0-10 YRS)PLAS
0
1790020
LONG ARM SPLINT (0-10 YRS)FBRG
0
1790021
SHORT ARM SPLINT (11 YRS+)PLAS
0
1790022
SHORT ARM SPLINT (11 YRS+)FBRG
0
1790023
SHORT ARM SPLINT (10 YRS)PLAST
0
1790024
SHORT ARM SPLINT (10 YRS)FBRGL
0
1790025
HIP ONE/BOTH LGS 11 YRS+ PLAST
0
1790026
HIP ONE/BOTH LGS 11 YRS+ FBRGL
0
1790027
HIP ONE/BTH LGS 0-10 YRS+ PLAS
0
1790028
HIP ONE/BTH LGS 0-10 YRS+ FBRG
0
1790029
LONG LEG CAST (11 YRS+) PLASTE
0
1790030
LONG LEG CAST (11 YRS+) FBRGLA
0
1790031
LONG LEG CAST (0-10 YRS) PLAST
0
1790032
LONG LEG CAST (0-10 YRS) FBRGL
0
1790033
LONG LEG CYLDR CAST 11 YRS+ PL
0
1790034
LONG LEG CYLDR CAST 11 YRS+ FG
0
1790035
LONG LEG CYLDR CAST 0-10 YR PL
0
1790036
LONG LEG CYLDR CAST 0-10 YR FG
0
1790037
SHORT LEG CAST (11 YRS+) PLAST
0
1790038
SHORT LEG CAST (11 YRS+) FBRGL
0
1790039
SHORT LEG CAST (0-10 YRS)PLAST
0
1790040
SHORT LEG CAST (0-10 YRS)FBRGL
0
1790041
LONG LEG SPLINT (11 YRS+)PLAST
0
1790042
LONG LEG SPLINT (11 YRS+)FBRGL
0
1790043
LONG LEG SPLINT (0-10 YRS)PLAS
0
1790044
LONG LEG SPLINT (0-10 YRS)FBRG
0
1790045
SHORT LEG SPLINT (11 YRS+)PLAS
0
1790046
SHORT LEG SPLINT (11 YRS+)FBRG
0
1790047
SHORT LEG SPLINT(0-10 YRS)PLAS
0
1790048
SHORT LEG SPLINT(0-10 YRS)FBRG
0
1800015
OPERATING ROOM /MIN.
9
1800036
CHIROPRACTIC OR SERVICES
350
1800040
LITHOTRIPCY OR SERVICES
5
1800045
RECOVERY ROOM /MIN.
1.75
1800050
RECOVERY ROOM /MIN. AMBULATORY
1.75
1800055
LITHOTRIPCY ROOM /MIN.
3.5
1800100
INSERTION OF CHEST TUBE
32551
0
1800102
INJ EPID OF BLOOD/CLOT PATCH
62273
0
1800104
INSERT TEMP BLADDER CATH
51702
0
1800106
INSERTION PLEURAL CATH
32550
0
1800108
ARTERIAL LINE PLACEMENT
36620
0
1800110
PERICARDIOCENTESIS INITIAL
33010
265
1800112
ANGIOGRAPHY ARTERIOVEN SHUNT
75791
200
1800114
ARTERY X-RAYS ARMS/LEGS BIL
75716
2030
1800116
ARTERY X-RAYS ARMS/LEG UNILAT
75710
2030
1800118
ANGIOGRAPHY INTERNAL MAMMARY
75756
450
1800120
ANGIOGR PELVIC SEL OR SUPRSELE
75736
450
1800122
ANGIOG SEL.E/ADD VES STU AFT B
75774
425
1800124
ANGIO VISCERAL SELEC
75726
1500
1800126
AORTOGRAPHY THOR W/O SERIALOGR
75600
425
1800130
DIGIT ABDOMINAL AORT
75625
2000
1800132
DIGIT THORACIC ARTER
75605
2000
1800134
CHOLANGIOGRAPHY POST OPER.
47531
110
1800136
CARDIOVERSION ELECT. EXTERNAL
92960
255
1800138
CARDIOVERSION ELECT. INTERNAL
92961
260
1800140
CHOLANGIOGRAPHY PERC
47532
300
1800142
INS/PLACE CATHETER (SWAN GANZ)
93503
1320
1800144
TRNSLUM BALLN ANGIOPL.E/AD PER
75964
450
1800146
TRNSLM BALLN ANGIO EA ADD VISC
75968
425
1800148
TRNSLUM BALLN ANGIOPL.PERIPH A
75962
850
1800150
TRNSLM BALLN ANGIO REN OR VISC
75966
875
1800152
TRNSLUM BALLN ANGIO VENOUS
75978
825
1800156
VALVULOPLASTY AORTA
92986
5000
1800158
VENOGRAPH CAVAL SUPRW/SERIALOG
75827
850
1800160
SUBCLAVIAN VGRAM BILATERAL
75822
500
1800162
SUBCLAVIAN VGRAM UNILATERAL
75820
500
1801133
# THORACIC ANEURYSM
33860
1802000
INS/REP PACEMAKER CATH ATRIAL
33206
8600
1802001
INS/REP PACEMAKER CATH. VENTRI
33207
8600
1802002
INS/REP PMAK CATH ATRIAL&VENTR
33208
10475
1802003
INS/REP TEMP TRANS SINGL CHAMB
33210
3675
1802004
INS/REP TEMP TRANSV DUAL CHAMB
33211
3675
1802005
INSERT PMAK PUL GEN SING LEAD
33212
7000
1802006
INSERT PMAK PUL GEN DUAL LEADS
33213
7950
1802007
UPGR IMPL PMAK SYS SINGLE-DUAL
33214
6000
1802008
REMOVAL PERMN PMAK PULSE GENER
33233
1625
1802009
REMOVAL TRANS PMAK SINGLE LEAD
33234
2250
1802010
REMOVAL TRANS PMAK DUAL LEAD
33235
2500
2040789
VASC. FABRIC 0.3X3 HEMASHIELD
480
2040790
VASC. GRAFT 7MM X 70CM-GORETEX
2329.5
2040791
VASC. GRAFT 8MM X 80CM-GORETEX
1860
2040792
VASC. GRAFT 8MM X 70CM-GORETEX
1944
2040793
VASC. GRAFT 8MM X 70CM-GORETEX
1900
2040794
VASC. GRAFT 6MM X 45CM-GORETEX
1656
2040795
VASC. GRAFT 6MM X 45CM-GORETEX
1392
2040796
VASC. GRAFT 6-8 X 80CM-GORETEX
2619
2040797
VASC. GRAFT 4.5-6.5X80CM - GOR
1958
2040798
VASC. GRAFT 5MM X 70CM-GORETEX
2274
2040799
VASC. GRAFT 6MM X 80CM-GORETEX
2096
2040800
VASC. GRAFT 7MM X 80CM-GORETEX
1944
2040801
VASC. GRAFT 6-8 X 70CM-GORETEX
1714
2040802
ANNULOPLASTRY RING MITRAL
3800
2040803
AORTIC VALVE CARPENTIER EDWARD
7800
2040804
MITRAL VALVE CARPENTIER EDWARD
7800
2040805
MITRAL HEART VALVE 23 ST JUDE
7550
2040806
MITRAL HEART VALVE 25 ST JUDE
7550
2040807
MITRAL HEART VALVE 27 ST JUDE
7550
2040808
MITRAL HEART VALVE 29 ST JUDE
7550
2040809
MITRAL HEART VALVE 31 ST JUDE
7550
2040810
MITRAL HEART VALVE 19 ST JUDE
7550
2040811
AORTIC HEART VALVE 21 ST JUDE
7550
2040812
MITRAL HEART VALVE 23 ST JUDE
7550
2040813
MITRAL HEART VALVE 25 ST JUDE
4090
2040814
MITRAL HEART VALVE 27 ST JUDE
7550
2040815
BALLOON CUTTING ULTRA 2 X 10
1300
2040816
BALLOON CUTTING ULTRA 2.5 X 10
1300
2040817
BALLOON CUTTING ULTRA 3.0 X 10
1300
2040818
BALLOON CUTTING ULTRA 2.0 X 15
1300
2040819
BALLOON CUTTING ULTRA 2.5 X 15
1300
2040820
BALLOON CUTTING ULTRA 3.0 X 15
1300
2040821
BALLOON MAVERICK OTW 1.5X20MM
1050
2040822
BALLOON MAVERICK OTW 2.0X20MM
1050
2040823
BALLOON MAVERICK OTW 3.5X20MM
1050
2040824
BALLOON MAVERICK OTW 4.0X20MM
1050
2040825
BALLOON QUANTUM 2.5 X 12MM
1050
2040826
BALLOON QUANTUM 3.0 X 12MM
960
2040827
BALLOON QUANTUM 3.5 X 12MM
1050
2040828
BALLOON QUANTUM 4.0 X 12MM
1050
2040829
BALLOON QUANTUM 4.5 X 12MM
1050
2040830
BALLOON QUANTUM 5.0 X 12MM
1050
2040831
BALLOON QUANTUM 2.5 X 15MM
1050
2040832
BALLOON QUANTUM 3.0 X 15MM
1050
2040833
BALLOON QUANTUM 3.5 X 15MM
1050
2040834
BALLOON QUANTUM 4.0 X 15MM
1050
2040835
ICROSS CORONARY IMAGING CATHET
672
2040836
STENT EXPR 2 MONORAIL 2.25X8MM
2100
2040837
STENT EXPR 2 MONORAIL 2.50X8MM
2100
2040838
STENT EXPR 2 MONORAIL 2.75X8MM
2100
2040839
STENT EXPR 2 MONORAIL 3.00X8MM
2100
2040840
STENT EXPR 2 MONORAIL 3.50X8MM
2100
2040841
STENT EXPR 2 MONORAIL 4.00X8MM
2100
2040842
STENT EXPR 2 MONO 2.25 X 12MM
2100
2040843
STENT EXPR 2 MONO 2.50 X 12MM
2100
2040844
STENT EXPR 2 MONO 2.75 X 12MM
2100
2040845
STENT EXPR 2 MONO 3.00 X 12MM
2100
2040846
STENT EXPR 2 MONO 3.50 X 12MM
2100
2040847
STENT EXPR 2 MONO 4.00 X 12MM
2100
2040848
STENT EXPR 2 MONO 4.50 X 12MM
2100
2040849
STENT EXPR 2 MONO 5.00 X 12MM
2100
2040850
STENT EXPR 2 MONO 2.25 X 16MM
2100
2040851
STENT EXPR 2 MONO 2.50 X 16MM
2100
2040852
STENT EXPR 2 MONO 2.75 X 16MM
2100
2040853
STENT EXPR 2 MONO 3.00 X 16MM
2100
2040854
STENT EXPR 2 MONO 3.50 X 16MM
2100
2040855
STENT EXPR 2 MONO 4.00 X 16MM
2100
2040856
STENT EXPR 2 MONO 4.50 X 16MM
2100
2040857
STENT EXPR 2 MONO 5.00 X 16MM
2100
2040858
STENT EXPR 2 MONO 2.25 X 20MM
2100
2040859
STENT EXPR 2 MONO 2.50 X 20MM
2100
2040860
STENT EXPR 2 MONO 2.75 X 20MM
2100
2040861
STENT EXPR 2 MONO 3.00 X 20MM
2100
2040862
STENT EXPR 2 MONO 3.50 X 20MM
2100
2040863
STENT EXPR 2 MONO 4.00 X 20MM
2100
2040864
STENT EXPR 2 MONO 4.50 X 20MM
2100
2040865
STENT EXPR 2 MONO 5.00 X 20MM
2100
2040866
STENT EXPR 2 MONO 2.25 X 24MM
2100
2040867
STENT EXPR 2 MONO 2.50 X 24MM
2100
2040868
STENT EXPR 2 MONO 2.75 X 24MM
2100
2040869
STENT EXPR 2 MONO 3.00 X 24MM
2100
2040870
STENT EXPR 2 MONO 3.50 X 24MM
2100
2040871
STENT EXPR 2 MONO 4.00 X 24MM
2100
2040872
STENT EXPR 2 MONO 4.50 X 24MM
2100
2040873
STENT EXPR 2 MONO 5.00 X 24MM
2100
2040874
STENT EXPR 2 MONO 2.75 X 28MM
2100
2040875
STENT EXPR 2 MONO 3.00 X 28MM
2100
2040876
STENT EXPR 2 MONO 3.50 X 28MM
2100
2040877
STENT EXPR 2 MONO 4.00 X 28MM
2100
2040878
STENT EXPR 2 MONO 4.50 X 28MM
2100
2040879
STENT EXPR 2 MONO 5.00 X 28MM
2100
2040880
STENT EXPR 2 MONO 2.75 X 32MM
2100
2040881
STENT EXPR 2 MONO 3.00 X 32MM
2100
2040882
STENT EXPR 2 MONO 3.50 X 32MM
2100
2040883
STENT EXPR 2 MONO 4.00 X 32MM
2100
2040884
STENT EXPR 2 MONO 4.50 X 32MM
2100
2040885
STENT EXPR 2 MONO 5.00 X 32MM
2100
2040886
GUIDE WIRE EX SUPP.014X300CM
255
2040887
GUIDE WIRE IQ MOD.014X300 TIP
255
2040888
GUIDE WIRE IQ .014X300 TIPMAKE
255
2040889
GUIDE WIRE PT2 MOD .014X300CM
255
2040890
STENT GRAFT ANEU RX (AAA)
16000
2040891
ENDOPROSTHESIS 5CM X 8MM
4100
2040892
ENDOPROSTHESIS 5CM X 9MM
4100
2040893
ENDOPROSTHESIS 10CM X 9MM
4900
2040894
ENDOPROSTHESIS 10CM X 10MM
4900
2040895
ENDOPROSTHESIS 5CM X 10MM
4100
2040896
WALLSTENT 6 X 24
3132
2080241
KYPHX HV-R BONE CEMENT CO1B
468
2080242
OCTRODE TRIAL LEAD KIT (3086)
1800
2080243
N-EC-E 13MM 27G 2.5 DUAL
600
2080244
AQUAMANTYS 6.0 BIPOLAR SEALER
1300
2080245
LEAD KIT 1 X 8 977A260 MEDTRON
1740
2080246
SNAP LIP CONECTOR
216
2080247
TITAN ANCHOR KIT
180
2080248
PATIENT PROGRAMMER 97740/97745
1194
2080249
ANTENNA NEURO
160
2080250
PRIME ADVANCED NEUROSTIMULATOR
9600
2080251
KYPHOPAK EXP ADD TRAY KPE1004
2400
2080252
LEGACY 5.5 CANN MAS 6.5 X 45
720
2080253
SEXTANT II CANN SET SCREW
108
2080254
5.5 X 45MM TI PRE-BENT ROD
270
2080255
INFUSE rhBMP-2 BONE GRAFT X-SM
2940
2080256
CAPSTONE PEEK 14 X 26MM
2400
2080257
PROGENIX DBM PUTTY 5ML
1188
2080258
CANCELLOUS GRANULE(1-4MM)
1098
2080259
AQUAMANTYS EPIDURAL VEIN SEALE
780
2080260
MAST QUADRANT ILLUMINATION SYS
1020
2080261
BALL TIP PROBE
360
2080262
N-EC-E 13MM 27G 2.5 SING
960
2080263
PACK (2 NEEDLES) TROCAR TIP
162
2080264
CAPSTONE PEEK 10 X 26MM
2400
2080265
LEGACY 5.5 CANN MAS 6.5 X 40
720
2080266
LONGITUDE ROD 90MM
240
2080267
CAPSTONE PEEK 12 X 26MM
2400
2080268
AQUAMANTYS 2.3 BIPOLAR SEALER
780
2080269
TI ROD 5.5MM
240
2080270
SET SCREW BREAK OFF HEX TI
120
2080271
5.5 CROSSLINK 1.50 TI
822
2080272
5.5 CROSSLINK 1.55-1.75 TI
822
2080273
PROGENIX PLUS DBM PUTTY 5ML
1350
2080274
UCS GUIDEWIRE(THREADED)
72
2080275
QUADRANT MAST SYSTEM
720
2080276
LONGITUDE PRE-CUT ROD 80CM
270
2080277
INFUSE rhBMP-2 BONE GRAFT SMAL
3474
2080278
PAK (2 NEEDLES) TROCAR
144
2080279
LEGACY 5.5 CANN MAS 5.5 X 45
720
2080280
5.5 X 50MM TI PRE-BENT ROD
300
2080281
5.5 X 55MM TI PRE-BENT ROD
300
2080282
CLYDESDALE CAGE 6X12X45/50 MM
3480
2080283
LONG BAYONETED DISCECTMY KNIFE
270
2080284
DILATOR SET NIM STIMULATED
600
2080285
LEGACY 5.5 CANN MAS 6.5 X 50
720
2080286
LONGITUDE PRE-CUT ROD 100MM
270
2080287
LONGITUDE PRE-CUT ROD 110MM
270
2080288
INFUSE rhBMP2 BONE GRAFT LG II
5580
2080289
CAPSTONE PEEK 14 X 32MM
240
2080290
MULTI SNAP LEAD (ACCESORY KIT)
216
2080291
RESTORE SENSOR NEUROSTIMULATOR
39500
2080292
CHARGING SYSTEM 37754
4780
2080293
CATHETER PASSER
114
2080294
5.5 X 40MM TI PRE-BENT ROD
270
2080295
VERTEX-MAX CROSSLINK MEDIUM
780
2080296
NIM ET TUBE 6 MM/7MM
834
2080297
VENTURE SELF DRILLING 4.0 X 15
300
2080298
PROGENIX DBM PUTTY 1ML
354
2080299
KYPHOPAK ONESTP TRAY 1ST FRACT
5910
2080300
KYPHON BONE BIOPSY DEVICE
336
2080301
TWISTED PAIR SUBDERMAL NEEDLES
720
2080302
CATHETER ACCESS PORT KIT
30
2080303
VERTEX-MAX MAS 4.0 X 10/12/14
1140
2080304
RIBBON SUBDERMALS 27GA/ 12MM
960
2080305
VENTURE CERVICAL PLATE 23-25MM
1410
2080306
CORNESTONE L-ASR 8 X 14 X 11
2250
2080307
SYNCHROMED II INFUSION PUMP
7800
2080308
LAMITRODE LEAD KIT 3286
5040
2080309
LEAD DELIVERY SYSTEM 1772/1773
600
2080310
SWIFT LOCK ANCHOR
480
2080311
INTRA LEAD CATHETER 8780
660
2080312
LEAD TRIAL KIT 1 X 8 3873-45
1200
2080313
CLYDESDALE CAGE 6X14X50 MM
3480
2080314
HEADSET ELECTRODE
960
2080315
TWISTED PAIR ELECTRODE
600
2080316
CAPSTONE PEEK 8 X 22MM
2400
2080317
NV I-PAS III/DIAMOND TIP
247.2
2080318
MAXCESS LIGHT CABLE/ANGLED TIP
334.8
2080319
OSTEOCEL PLUS CELLULAR B/M 5CC
1890
2080320
NVM5 NEEDLE MODULE/EMG
1794
2080321
NV CLIPS DSC & IN/LINE ACTIVAT
235.2
2080323
PRECEPT TI ROD/40MM PREBENT LO
830.4
2080324
PRECEPT TI RPD/50MM PREBENT LO
466.8
2080325
PRECEPT SET SCREW
214.8
2080326
COROENT LO/12X10X35MM 5
4922.4
2080327
ALLOQUENT CORTICAL LORDOTI 9MM
2700
2080328
ACCELL CONNEXUS PUTTY 1 ML
356.4
2080329
HALLMARK AC PLATE 1 LEVEL 22MM
2938.8
2080330
HALLMARK 4.1 SEMICONS SD/ST 14
489.6
2080332
ALLOQUENT S CORTICOCANCELL 8MM
2700
2080333
ALLOQUENT S CORTICOCANCELL 7MM
2700
2080334
HALLMARK AC PLATE 2 LEVEL 42MM
3498
2080335
SPINAL USA POST MINI S-LOK CER
1440
2080336
SPINAL USA POSTER CERVICA RODS
900
2080337
DONAT HUMAN TISS ALLOGRAFT 10
2640
2080338
CANCELLOUS CRUSHED
1440
2080339
SPINAL USA CROSS-LINK
1080
2080340
ASCENDA CATHETER 8780 8784
924
2080341
CANCELLOUS GRANULES(1-4MM)15ML
750
2080342
VENTURE SD (V.A. SCREW)
300
2080343
IMPLANTABLE PULSE GENERA (IPG)
17456
2080344
SPINAL USA OFFSET
1440
2080345
NVM5 XLIF DILATOR KIT/PKG STER
1254
2080346
MAXCESS SHIM KIT/FIXATION
504
2080347
MAXCESS IV KIT
2820
2080348
OSTEOCEL PLUS CEL/BONE MAT
4224
2080349
PRECEPT SCREW 6.5X45MM POLYAXI
1111.2
2080350
PRECEPT NIT K-WIRE/BEVEL TIP
81.6
2080351
PRECEPT SCREW 6.5X50MM POLYAXI
1975.2
2080352
COROENT LO 8X10X30MM 5
4944
2080353
COROENT XL WIDE 10X22X50MM LOR
2874
2040897
WALLSTENT 7 X 23
2900
2040898
WALLSTENT 7 X 34
3327.75
2040899
PINNACLE CAROTID GUIDING 7FR
615
2040900
BALLOON MAVERICK2 MONO. 2.5X20
1050
2040901
BALLOON MAVERICK2 MONO. 3.0X20
1050
2040902
GUIDE WIRE CHOICE FLOPPY .014
255
2040903
EMBOLIC PROTEC.SYS.FILTERWIRE
1950
2040904
ARMOD 6FR DIAGNOSTIC CATETER
48
2040905
AL I 6FR DIAGNOSTIC CATETER
48
2040906
IM 6FR DIAGNOSTIC CATETER
48
2040907
MPB2 6FR DIAGNOSTIC CATETER
48
2040908
STENT GRAFT M.JOSTENT 3.0X16
3790
2040909
STENT GRAFT M.JOSTENT 3.0X19
3790
2040910
STENT GRAFT M.JOSTENT 3.0X26
3790
2040911
STENT GRAFT M.JOSTENT 3.5X16
3990
2040912
STENT GRAFT M.JOSTENT 3.5X19
3990
2040913
STENT GRAFT M.JOSTENT 3.5X26
3990
2040914
STENT GRAFT M.JOSTENT 4.0X19
3990
2040915
STENT GRAFT M.JOSTENT 4.0X26
3990
2040916
BALLOON MAVERICK OTW 2.5 X15MM
1050
2040917
WALLSTENT 7 X 67 135CM
3078
2040918
WALLSTENT 8 X 66 135CM
3283.2
2040919
WALLSTENT 7 X 55 135CM
2766
2040920
WALLSTENT 8 X 47 135CM
3327.75
2040921
ENDOPROSTHESIS 6mmX15cm VIABAH
4362
2040922
ENDOPROSTHESIS 6mmX10cm VIABAH
3766.8
2040923
BALLOON QUANTUM OTW 3.5 X 20
1050
2040924
STENT CYPHER 2.5X8 DRUG ELUTIN
3500
2040925
STENT CYPHER 3.0X8 DRUG ELUTIN
3500
2040926
STENT CYPHER 3.5X8 DRUG ELUTIN
3500
2040927
STENT ABSOLUTE OTW 10X60X135CM
2500
2040928
STENT ABSOLUTE OTW 9X40X135CM
2500
2040929
STENT ABSOLUTE OTW 9X60X135CM
2500
2040930
STENT ABSOLUTE OTW 6X100X80CM
2550
2040931
STENT ABSOLUTE OTW 5X100X80CM
2550
2040932
AGIL TRACK DILATION CATH 6X100
750
2040933
STENT LIBERTE BARE 5.00 X 12MM
2100
2040934
STENT LIBERTE BARE 5.00 X 16MM
2100
2040935
STENT LIBERTE BARE 5.00 X 20MM
2100
2040936
STENT LIBERTE BARE 5.00 X 24MM
2100
2040937
STENT LIBERTE BARE 5.00 X 28MM
2100
2040938
STENT LIBERTE BARE 5.00 X 32MM
2100
2040939
STENT LIBERTE BARE 4.00 X 8MM
2100
2040940
STENT LIBERTE BARE 4.00 X 12MM
2100
2040941
STENT LIBERTE BARE 4.50 X 12MM
2100
2040942
STENT LIBERTE BARE 4.00 X 16MM
2100
2040943
STENT LIBERTE BARE 4.50 X 16MM
2100
2040944
STENT LIBERTE BARE 4.00 X 20MM
2100
2040945
STENT LIBERTE BARE 4.50 X 20MM
2100
2040946
STENT LIBERTE BARE 4.00 X 24MM
2100
2040947
STENT LIBERTE BARE 4.50 X 24MM
2100
2040948
STENT LIBERTE BARE 4.00 X 28MM
2100
2040950
STENT LIBERTE BARE 4.50 X 28MM
2100
2040951
STENT LIBERTE BARE 4.00 X 32MM
2100
2040952
STENT LIBERTE BARE 4.50 X 32MM
2100
2040953
STENT LIBERTE BARE 2.75 X 8MM
2100
2040954
STENT LIBERTE BARE 3.00 X 8MM
2100
2040955
STENT LIBERTE BARE 3.50 X 8MM
2100
2040956
STENT LIBERTE BARE 2.75 X 12MM
2100
2040957
STENT LIBERTE BARE 3.00 X 12MM
2100
2040958
STENT LIBERTE BARE 3.50 X 12MM
2100
2040959
STENT LIBERTE BARE 2.75 X 16MM
2100
2040960
STENT LIBERTE BARE 3.00 X 16MM
2100
2040961
STENT LIBERTE BARE 3.50 X 16MM
2100
2040962
STENT LIBERTE BARE 2.75 X 20MM
2100
2040963
STENT LIBERTE BARE 3.00 X 20MM
2100
2040964
STENT LIBERTE BARE 3.50 X 20MM
2100
2040965
STENT LIBERTE BARE 2.75 X 24MM
2100
2040966
STENT LIBERTE BARE 3.00 X 24MM
2100
2040967
STENT LIBERTE BARE 3.50 X 24MM
2100
2040970
STENT LIBERTE BARE 2.75 X 28MM
2100
2040971
STENT LIBERTE BARE 3.00 X 28MM
2100
2040972
STENT LIBERTE BARE 3.50 X 28MM
2100
2040973
STENT LIBERTE BARE 2.75 X 32MM
2100
2040974
STENT LIBERTE BARE 3.00 X 32MM
2100
2040975
STENT LIBERTE BARE 3.50 X 32MM
2100
2040976
BALLOON NCRAPTOR 2.5 X15
900
2040977
BALLOON NCRAPTOR 2.5 X20
900
2040978
CATHETER JL 3.5 6FR
48
2040979
GUIDING CATHETER 8FR JCL4
255
2040980
GUIDING CATHETER 8FR JCR4
255
2040981
FLO TRAC SENSOR
960
2040982
JR3.5 6FR DIAG. CATHETER
48
2040983
GUIDING CATH 8FR JCL3.5
255
2040984
BALLOON QUANTUM MAV. 2.75X8MM
1050
2040985
BALLOON QUANTUM MAV. 2.75X12MM
1050
2040986
BALLOON QUANTUM MAV. 2.5X8MM
1050
2040987
BALLOON QUANTUM MAV. 2.75X15MM
1050
2040988
BALLOON QUANTUM MAV. 3.75X12MM
1050
2040989
BALLOON QUANTUM MAV. 3.75X15MM
1050
2040990
STENT HERCULINK 4.0 X 18MM
2550
2040991
GUIDE WIRE PILOT 0.014 X 300CM
390
2040992
PRONTO EXTRACTION CATHETER
1380
2040993
BALLOON QUANTUM MAV. 3.25X15MM
1050
2040994
GUIDE WIRE SPARTA CORE .014
285
2040995
STENT MULTI LINK MINI VISION
2100
2040996
STENT LD EXPRESS BIL10.0X30X75
3348
2040997
STENT LD EXPRESS BIL10.0X40X75
3348
2040998
STENT LD EXPRESS BIL 7.0X30X75
3348
2040999
STENT LD EXPRESS BIL 7.0X40X75
3348
2041001
STENT LD EXPRESS BIL 7.0X60X75
3348
2041002
STENT LD EXPRESS BIL 8.0X30X75
3348
2041003
STENT LD EXPRESS BIL 8.0X40X75
3348
2041004
STENT LD EXPRESS BIL 8.0X60X75
3348
2041005
STENT LD EXPRESS BIL10.X30X135
3348
2041006
STENT LD EXPRESS BIL10.X40X135
3348
1860011
OPEN WEDGE/BX LUNG NODULE
32097
718
1860012
EXPLORATION OF CHEST
32100
718
1860013
RELEASE OF LUNG
32220
1408
1860014
FREE/REMOVE CHEST LINING
32320
1423
1860015
PARTIAL REMOVAL OF LUNG
32480
1322
1860016
SEGMENTECTOMY
32484
1286
1860017
INSERTION OF CHEST TUBE
32551
161
1860018
INCISION HEART SAC/REM CLOT/FB
33020
781
1860019
INCIS HEART SAC/WINDOW/DRAINAG
33025
713
1860020
INSERT HEART PM VENTRICULAR
33207
432
1860021
INSERT HEART PM ATRIAL & VENT
33208
469
1860022
RELOCATION POCKET PACEMAKER
33222
302
1860023
REPOSITION L VENTRIC LEAD
33226
440
1860024
REMV&REPLC PM GEN DUAL LEAD
33228
320
1860025
REMOVAL OF PACEMAKER SYSTEM
33234
434
1860026
REPAIR OF HEART WOUND
33305
3723
1860027
REPLACEMENT OF AORTIC VALVE
33405
2054
1860028
REPAIR MV CARDIO BYPASS W/RING
33426
2155
1860029
REPAIR MV CARDIO BYPASS RECONS
33427
2216
1860030
REPLACEMENT OF MITRAL VALVE
33430
2532
1860031
CABG VEIN SINGLE
33510
1749
1860032
CABG VEIN TWO
33511
1920
1860033
CABG VEIN THREE
33512
2185
1860034
CABG ARTERY - VEIN SINGLE
33517
172
1860035
CABG ARTERY - VEIN TWO
33518
377
1860036
CABG ARTERY - VEIN THREE
33519
499
1860037
CABG ARTERY-VEIN FOUR
33521
599
1860038
CORONARY ARTERY BYPASS/REOP
33530
482
1860039
CABG ARTERIAL SINGLE
33533
1690
1860040
OPEN CORONARY ENDARTERECTOMY
33572
212
1860041
REPAIR HEART SEPTUM DEFECT
33641
1478
1860042
REVISION OF HEART VEINS
33645
1559
1860043
REPAIR HEART SEPTUM DEFECTS
33647
1646
1860044
ASCEN AOR GRAFT BYPASS W/VALVE
33860
2916
1860045
ASCEN AOR GRAFT BYPASS W/ROOT
33863
2863
1860046
INSERT IA PERCUT DEVICE
33967
235
1860047
REPAIR DEFECT OF ARTERY
35081
1620
1860048
RECHANNELING OF ARTERY
35301
1043
1860049
OPEN WEDGE/BX LUNG INFILTR
32160
490
1860501
INITIAL VISIT L-2 (CTH)
99202
80
1860502
INITIAL VISIT L-3 (CTH)
99203
115
1860503
INITIAL VISIT L-4 (CTH)
99204
175
1860504
INITIAL VISIT L-5 (CTH)
99205
215
1860505
ESTABLISHED VISIT L-1 (CTH)
99211
25
1860506
ESTABLISHED VISIT L-2 (CTH)
99212
50
1860507
ESTABLISHED VISIT L-3 (CTH)
99213
75
1860508
ESTABLISHED VISIT L-4 (CTH)
99214
115
1860509
ESTABLISHED VISIT L-5 (CTH)
99215
150
1860510
CONSULT VISIT L-1 (CTH)
99241
78
1860511
CONSULT VISIT L-2 (CTH)
99242
112
1860512
CONSULT VISIT L-3 (CTH)
99243
144
1860513
CONSULT VISIT L-4 (CTH)
99244
222
1860514
CONSULT VISIT L-5 (CTH)
99245
277
1860515
INPATIENT VISIT 30 MIN (CTH)
99221
105
1860516
INPATIENT VISIT 50 MIN (CTH)
99222
140
1860517
INPATIENT VISIT 70 MIN (CTH)
99223
210
1860518
INPATIENT CONSULT 20 MIN (CTH)
99251
78
1860519
INPATIENT CONSULT 40 MIN (CTH)
99252
112
1860520
INPATIENT CONSULT 55 MIN (CTH)
99253
144
1860521
INPATIENT CONSULT 80 MIN (CTH)
99254
222
1860522
INPATIENT CONSULT 110 MIN(CTH)
99255
277
1880015
OB/GYN OR MINUTES
9
1950045
CARDIO RECOVERY ROOM /MINUTES
1.75
1980045
OB/GYN RECOVERY ROOM MINUTES
1.75
2000010
DELIVERY ROOM CHARGE
150
2000010E
DELIVERY ROOM CHARGE
150
2000031
LABOR/DEL SP.STUDIES
59025
75
2020010
LAPAROTOMY PACK
24.26
2020011
ORTHONEURO PACK
26
2020012
PERIGYN PACK
10.79
2020013
CESAREAN PACK
162
2020014
CARDIOVASCULAR PACK
430
2020015
EYE PACK III
17.8
2020016
CYSTO PACK
11.03
2020017
OB PACK
25
2020018
HIP PACK
0
2020019
OR GOWN
9.2
2020020
MAYO COVER
2.07
2020021
DRAPE SHEET
2.44
2020022
NON ABSORBENT TOWELS
1.17
2020023
ABSORBENT TOWELS
0.86
2020024
BURN CARE PACK
26.62
2020025
FENESTRATED TOWELS
0.84
2020026
PATIENT GOWN
0.84
2020027
VAGINAL DRAPES
15
2020028
STERI-DRAPES
9.06
2020029
VITRECTORS
26
2020031
KWIK-SET/NURSES PACK
45
2020032
MICROSCOPE DRAPE
11.8
2020033
CASSETTE DRAPE
3.78
2020034
MAGNETIC SURG. DRAPE
56
2020035
TUR DRAPES
11.5
2020036
VITROPHAGE 123-32-33
630
2020037
IMAGE COVER
11.05
2020038
ISOLATION KIT
5
2020039
O.R. TOWELS
7
2020040
IOBAN 2
17.16
2020041
MEMBERANG DISSECTOR
330
2020042
CUSTOM OB PACK
58.86
2020044
MAYO ABDOMINAL PACK
99.8
2020045
DELUXE I/A PACK
120
2020046
DELUXE POST.VITRECTO
360
2020047
ANTERIOR VITRECTOR
225
2020048
CUSTOM D & C PACK
59.81
2020049
CATARACT DISP. PACK
95.14
2020050
RETINAL DISP. PACK
88
2020051
EYE DRAPE-POUCH
17.64
2020052
VIDEO CAMERA COVER
14.46
2020053
IOBAN 6617
47.13
2020054
E/R CRICOTHYROTOMY
198
2020055
SURGERY START KIT
34.54
2020056
GASTRI LAVAGE KIT
52
2020058
SCRUB & PREP KIT
47.3
2020059
PEDIATRIC SURG. GOWN
1.11
2020060
OB GOWN
3.89
2020061
PTE WARM SYS UP/LOW
20.4
2041721
BALLOON CATHETER BVCS 6180
285
2041722
EMERGE PTA DILAT BALL MONORAIL
900
2041723
FLUENCY PLUS TRACHEOBRONCHIAL
3600
2041724
ICD ELLIPSE DR DUAL ST JUDE
17760
2041725
POWER TRIALYSIS CATH 3PLE LUME
315
2041726
MECHANICAL HEART VALVE REGENT
9000
2041727
PPM ACCENT DR RF
4614
2041728
CANULA EZ GLIDE
62.11
2041729
CDI SHUNT SENSOR
283.8
2041730
CDI CUVETTE
92.4
2041731
1 LITER REIFUSION BAG
15
2041732
WASTE BAG
11.41
2041733
TERMINAL CAPS ST JUDE
120
2041734
LUMEN EMBOLECTOMY CATHETER
375
2041735
XACT 8.6 X 40MM
3600
2041736
INTRODUCER (FR) MEDTRONIC
60
2041737
RA LEAD (MEDTRONIC)
600
2041738
T V I (MEDTRONIC)
75
2041739
TORQR (MEDTRONIC)
360
2041740
COUGAR XT
30
2041741
ATTAIN 621580
225
2041742
ATTAIN SELECT II
390
2041743
ADJUSTABLE SLITTER
105
2041744
LV LEAD (MEDTRONIC)
1800
2041745
SNARE KIT
1155
2041746
AORTIC VALVE ATS/OPEN PI 505DA
6990
2041747
MITRAL VALVE ATS/OPEN PI 500DM
6990
2041748
PPM ADVISA DR MRI COMPATIBLE
4440
2041749
STREAMLINE UNIPOLAR CATH TEMP
67.5
2041750
ATTAIN 6250MPX
390
2041751
ATTAIN 6250MP
390
2041752
LEAD LV (MEDTRONIC)
3000
2041753
ZINGER SUPPORT (MEDTRONIC)
75
2041754
CRT-D VIVA XT
15600
2041755
POWERFLEX PRO CATH
654
2041756
PPM ACCENT DR FR
5514
2041757
VALVE SUPRA AORTIC EPIC STJUDE
7000
2041758
VALVE AORTIC EPIC ST JUDE
7000
2041759
VALVE MITRAL EPIC ST JUDE
7000
2041760
RIGID RING SADDDLE ST JUDE
4400
2041761
STEALTH CLASSIC CROWN
5590
2041762
SOLID CROWN
5590
2041763
STEALTH SOLID MICRO CROWN
5590
2041764
OSTIAL HANDLE CANNULA
27.6
2041765
FEMORAL VENOUS CANNULA
319.45
2041766
AORTIC ROOT NEEDLE
9.9
2041767
LV VENT 45 DEGREES
12.95
2041768
AORTIC CANNULA ARS022CS
47.15
2041769
DEC ELECTRO CATHET CSL ST JUDE
120
2041770
ICD ELLIPSE VR SINGLE
16200
2041771
BILIARY STENT RACER
2850
2041772
SENTRANT INTRODUCER SHEATH
150
2041773
ICD EVERA XT-VR SINGLE CHAMBER
16200
2041774
TRIFECTA AORTIC VALVE ST JUDE
10000
2041775
ENDURANT STENT GRFT AORTIC EXT
3000
2041776
EZ STEER THERMOCOOL CURVE
1275
2041777
ICD INCEPTA DUAL CHAMBER
15390
2041778
REFLEXION SPIRAL
1342.5
2041779
ICD EVERA XT DR DUAL CHAMBER
14400
2041781
COURIER GUIDE WIRE MEDIUM
300
2041782
RV LEAD (MEDTRONIC)
1800
2041783
PPM EVIA SR-T SINGLE CHAMBLE
3900
2041784
CRT-P EVIA HF-T
5400
2041785
VENT LEAD SETROX S 60
600
2041786
ATRIAL LEAD SETROX S 53
600
2041787
RV LEAD (MEDDEV)
600
2041788
INSERTION KIT ARTERIAL CANNULA
84.18
2041789
OXYGENATOR QUADROX ID
1401.25
2041790
PACK UNIVERSITY OF COLORADO
377
2041791
CENTRIFUGAL PUMP REVOLUTION
273.24
2041792
PACK/AIR-PRESSURE SEPARATOR
24.41
2041793
STOPCOCK 4-WAY
5.28
2041794
PRESSURE MONITORI LINE 1FT M/F
3.83
2041795
CONNECTOR DOUBLE FEMALE LUERLO
1.72
2041796
ECMO MONITORING PER HOUR
98.4
2041797
ECMO SET-UP
859.2
2041798
PREMIUM ANGIO TOUCH KIT
58
2041799
TUBING SORIN 3/8 X 6 FT
38.28
2041800
CONNECTOR 3/8 X 3/8 LUERLOCK
5.94
2041801
CONNECTOR 1/4 X 3/8
5.94
2041802
CSL 6F (401351)
120
2041803
PULL BACK
36
2041804
CABLE ATRIAL 5076-52CM MEDTRON
546
2041805
INTRODUCER STARTET KIT
36
2041806
OPTICROSS CORONARY CATH
1305
2041807
STENT PROMUS PREMIER
3750
2041808
ENDURANT STENT AORTO-UNI-ILIAC
5760
2041809
ENDOPROTESIS 9MM X 15CM
4153.2
2041811
FOGARTY VENOUS THROMBECTOMY
450
2041812
RELEXION SPINAL-VARIABLE REDIU
1074
2041813
CLIK ANCHOR (BOSTON SCIENTIFIC
456.24
2041814
GORE VASC GRAFT IRST08080080L
3346
2041815
GORE VASC GRAFT IRST07080080L
3346
2041816
GORE VASC GRAFT SRRT08070100L
4130
2041817
GORE VASC GRAFT SRD06005045L
2796
2041818
GORE VASC GRAFT RR47050080NL
3892
2041819
GORE VASC GRAFT S47045
2379
2041820
GORE VASC GRAFT IRST06080080L
3186
2041821
GORE VASC GRAFT VT06080L
2934
2041822
GORE VASC GRAFT VT68070L
2727
2041823
GORE VASC GRAFT V68080L
2648
2041824
GORE VASC GRAFT VT07080L
3609
2041825
ANASTAFLO INTRAV SHUNT 3.75FR
207
2041826
PERCUTANEOU THOMBOLYTE DEV KIT
2925
2041827
GORE VASC GRAFT VT68080L
3873
2041828
TVI (MEDTRONIC)
30
2041829
SLITTER (MEDTRONIC)
30
2041830
BLAZER PRIME XP ST CURVE CATHE
1192.5
2041831
BLAZER PRIME XP LG CURVE CATHE
1192.5
2041832
BLAZER HTP STANDARD CURVE
892.5
2041833
BLAZER PRIME HDT LG CURVE CATH
892.5
2041834
EXPLORER ST FIXED SPASING
745.5
2041835
INQUI HIS SOFT C FIX 5MM CABLE
235.5
2041836
EXPLORER ST FXD JOSEPHSON CABL
457.5
2041837
EXPLORER ST FXD COURNARD CABLE
457.5
2041838
POLARIS X STEER DECAPOLAR 270
717
1705625
#REPLACEMENT OF AORTIC VALVE
33413
0
1705626
#VALVULOPLATY / OPEN
33390
0
1705627
#VALVULOPLATY W/CP BYPASS
33391
0
1705627E
#VALVULOPLATY W/CP BYPASS
33391
0
1705628
#REVISION OF MITRAL VALVE
33422
0
1705629
#REPAIR OF MITRAL VALVE
33425
0
1705630
#REPAIR OF MITRAL VALVE
33426
0
1705631
#REPAIR OF MITRAL VALVE
33427
0
1705632
#RELOCATE POCKET FOR DEFIBRILL
33223
0
1705632E
#RELOCATE POCKET FOR DEFIBRILL
33223
0
1705633
# PERPHERAL VASCULAR SURGERY
35566
0
1705634
# REPAIR DEFECT OF ARTERY
35001
0
1705634E
# REPAIR DEFECT OF ARTERY
35001
0
1705635
#THORACIC AORTA &BRANCHES SURG
35631
0
1705636
# INSERT MAJOR VESSEL GRAFT
33330
0
1705637
# SKIN TISSUE REARRANGEMENT
14020
0
1705638
# EXC SHOULDER LESS SC >3CM
23071
0
1705638E
# EXC SHOULDER LESS SC >3CM
23071
0
1705639
# AV-CANAL ANTRIVENTRICULAR
33660
0
170563E
# INV RAD BIOPSY & ASPIRATION
47000
0
1705640
# REPAIR DEFECT OF ARTERY AXIL
35011
0
1705641
# INSJ PICC RS & I 5 YRS +
36573
0
1705660
# IHSS-IDIOPATHIC HYPERTROPHY
33415
0
1705661
# CAROTID/VERT/AXIL/SUBCL/ ETC
35022
0
1705661E
# CAROTID/VERT/AXIL/SUBCL/ ETC
35022
0
1705662
# ARCH OF AORTA W CABG
33853
0
1705663
# INV RAD BIOPSY & ASPIRATION
47000
0
1705663E
# INV RAD BIOPSY & ASPIRATION
47000
0
1705664
# INV RAD ABCESS DRAINAGE
75989
0
1705664E
# INV RAD ABCESS DRAINAGE
75989
0
1705665
# INV RAD DIAGNOSTIC
75605
0
1705665E
# INV RAD DIAGNOSTIC
75605
0
1705666
# INTERVENTIONAL RADIOLOGY
37248
0
1705666E
# INTERVENTIONAL RADIOLOGY
37248
0
1705667
# EMBOLIZATION-IVC AND OTHERS
75894
0
1705667E
# EMBOLIZATION-IVC AND OTHERS
75894
0
1705668
# SIGMOIDOSCOPY W/ ABLATION
45346
0
1705669
# STEREOTA BIOPSY FACILITY FEE
99070
0
1705669E
# STEREOTA BIOPSY FACILITY FEE
99070
0
1705670
PLACE CATH SUBCLAVIAN ART
36225
0
1705670E
PLACE CATH SUBCLAVIAN ART
36225
0
1705671
#TIB/PER REVASC W/STENT
37230
0
1705671E
#TIB/PER REVASC W/STENT
37230
0
1705672
# PARTIAL MASTECTOMY
19301
0
1705672E
# PARTIAL MASTECTOMY
19301
0
1705673
# BY PAST GRAFT BRACHIAL-BRACH
35522
0
1710000
DIFERENCIAL CASOS MEDICARE ADV
0
1710001
CONTESTAR NO PROCESABLES
0
1710002
# WALLSTENT
0
1710003
# CORRJ HALUX RIGDUS W/O IMPLA
28289
0
1710010
# CARDIAC CATHETERIZATION ONLY
0
1710012
# PTCA ONLY
0
1710015
# PTCA WITH CATHETERIZATION
0
1710042
# PTCA WITH CATHETERIZ & STENT
0
1711111
# CARDIAC CATHETERIZATION ONLY
0
1711112
# CARDIAC CATH W/CABG
0
1711136
# VASCULAR ANGIOPLASTY
0
1712013
# ARTERIOGRAM
0
1712111
# CARDIAC CATHETERIZATION ONLY
0
1715571
# PTCA /W STENT
0
1715583
# PTCA W/O CATH STENT MED
0
1715587
# PACEMAKER
1715589
# CATH PLACEMENT IN CORONARY A
0
1715591
# PTCA ROTABLATOR
92995
1715593
#STENT NO MEDICADO ADICIONAL
1715595
#STENT MEDICADO ADICIONAL
1715596
#DRUG STENT PTCA
0
1715597
#DRUG STENT PTCA ADD VESSEL
0
1715598
#DRUG STENT PTCA ATHERECTOMY
0
1715599
#DRUG STENT PTCA ATHER ADD
0
1715600
#DRUG STENT PTCA REVASCULARIZA
0
1715601
#DRUG STENT PTCA REVASCUL ADD
0
1715602
#DRUG STENT PTCA CHRO TOTAL/SU
0
1715603
#DRUG STENT PTCA CHRONIC TOTAL
0
1715604
#DRUG STENT PTCA CHRONIC ADD
0
1720001
#TREAT KNEE FRACTURE
27540
0
1720001E
#TREAT KNEE FRACTURE
27540
0
1720002
#EXPLORATION OF JOINT KNEE
27310
0
1720002E
#EXPLORATION OF JOINT KNEE
27310
0
1720003
#ANALYZE NEUROSTIM COMPLEX
95972
0
1720003E
#ANALYZE NEUROSTIM COMPLEX
95972
0
1720004
#REPAIR BLOOD VESSEL LESION
35266
0
1720004E
#REPAIR BLOOD VESSEL LESION
35266
0
1720005
#NEOPLASM REMOVAL
11982
0
1720005E
#NEOPLASM REMOVAL
11982
0
1720006
#INS CATH REN AVT 1ST
36252
0
1720006E
#INS CATH REN AVT 1ST
36252
0
1720007
#EXTIRPATION OF MATTER PARYNX
42809
0
1720007E
#EXTIRPATION OF MATTER PARYNX
42809
0
1720008
#EXCISION OF MASENTERY LESION
44820
0
1720008E
#EXCISION OF MASENTERY LESION
44820
0
1720009
#PLACE CATH CAROTID
36223
0
1720009E
#PLACE CATH CAROTID
36223
0
1720010
#FINE NEEDLE ASPIRATION
76942
0
1720010E
#FINE NEEDLE ASPIRATION
76942
0
1720011
#BRAIN CAVITY SHUNT
62223
0
2170166
HEAD STRAP
19.8
2170167
CIRCUIT BIPAP
17.99
2170168
TRACH T ADAPTER
0.5
2170169
HOPE NEBULIZER
23.67
2170170
WHISPER JET NEBULIZER-NEONATAL
5.8
2170171
PULMONETIC CIRCUIT ADULT/PED
36.37
2170172
OXILATOR CIRCUIT
406.86
2170173
NONIN OXIMETER SENSOR WRAP-AD
7.04
2170174
PNEUMOTACH MOUTH PIECE
6.2
2170175
EZ PAP W/MOUTHPIECE 23-0747
31
2170176
EZ FLOW CONTINUOS NEBULIZER
36.16
2170177
CAPSULES & DIAPHRAGM #766896
117.82
2042726
RIVAL PTA BALLOON RV13564
300
2042727
CONQUEST HIHG PRESS 8X4
258
2042728
ATLAS PTA DILATION
240
2042729
CONQUEST HIGH PRESSU 10 X 40MM
240
2042730
QUICKFLEX (ST JUDE ABBOTT)
1770
2042731
RECEPTACLE PLUG (ST JUDE)
225
2042733
ULTRAVERSE .035 PTA U3513064
300
2042734
ULTRAVERSE .035 PTA U351568
240
2042735
ULTRAVERSE .035 PTA U3513068
204
2042736
ULTRAVERSE .014 PTA U41502H10
204
2042737
ULTRAVERSE .014 PTA U415044
204
2042738
ON X CONFORMEX MITRAL VALVE
8000
2042739
ULTRAVERSE .014 PTA 2.5X80
204
2042740
CAPSUREFIX NOVUS (4076)
C1898
600
2042741
LIFESTENT VASC BIL EX0060603CS
1440
2042742
VASCUTRAK V186080
390
2042743
CONQUEST BALLOON 12X40
240
2042744
PROTEGO S 60 BIOTRONIK
1800
2042745
OPTICROSS PERIPHERAL CATH
1305
2042746
CONQUEST 40 HP BALLOON 7X60
240
2042747
CONQUEST HP BAL 8X10 CQF75810
240
2042748
ULTRAVERSE .014 PTA BALL 4X120
204
2042749
LIFESTENT XL VASC EX051703CS
1440
2042751
STENT SYNERGY BIOABSORBABLE
3000
2042752
JET STREAM XC
5390
2042753
THRUWAY
369
2042754
ELECTROPHYSIOLOGY CABLE 1924-S
750
2042755
INQUIRY OPTIMA DIAGNO CATHETER
2685
2042756
CONQUEST 40 6X10
240
2042757
ULTRAVERSE PTA U415038
204
2042758
EXTRA STIFF DC WIRE GUIDE LUND
540
2042759
AGILIS 8 STERR 71CM SMCRL
2700
2042760
VALIANT THORACIC/VAMF2626C100
L8670
9000
2042761
BALLOON AORTIC & PULMONIC VALV
2955
2042762
ULTRAVERSE U415054
204
2042763
ULTRAVERSE .014 PTA BAL 3X40MM
204
2042764
CONQUEST HP CQF7558
240
2042765
GORE VIABAH ENDO VBJR082502A
7140
2042766
INGEVITY MRI IS-1 BI FIX RA/RV
1125
2042767
CRT-D IPERIA 7 HF-T /BIOTRONIK
15594
2042768
ANGIOJET AVX CATHETER
1995
2042769
PROXI SOLENT CATHETER
4461
2042770
OMNI SOLENT CATHETER
4461
2042771
SPIROFLEX VG CATHETER
4461
2042772
ZELANTE DVT CATHETER
4461
2042773
POWER PULSE DELIVERY KIT
102
2042774
JET STREAM SC 1.85
5390
2042775
JET STREAM SC 1.60
5120
2042776
E-LUMINEXX BILIARY STENT 12X80
900
2042777
CRT-D IPERIA 7 VR-T /BIOTRONIK
13980
2042778
PPM ASSURITY MRI
4200
2042779
GORE VIABAH ENDO VBH091002A
3570
2042780
GORE PROPATEN HT066070A
2526
2042781
SPLITTABLE SHEATH - ST JUDE
60
2042782
BLAZER PRIME XP STANDARD CURVE
1335
2042783
ELECTROPHISIOLOGY CABLE 3" BOS
825
2042784
EPL 7F H/O/D(LIVEWIRE)CATHETER
2685
2042785
FLEXABILITY-FLEX-TIP F-J CATHE
4500
2042786
TACTICATH CONTACT FORCE ABLATI
3600
2042787
SENSOR ENABLE CABLE ABBOTT
972
2042788
FLEXABILITY SENSOR ENABLE DF
1410
2042789
FLEXABILITY SENSOR ENABLE FJ
4500
2042790
BALLOON ARMADA PTA CATH 18
690
2042791
APTUS SG-64 MEDTRONIC
1800
2042792
APTUS SA-85 MEDTRONIC
4200
2042793
CATHETER VENOSO CENTRAL
654
2042794
CLEAR SIGHT NON INVASIVE CUFF
990
2042795
CRT-D IPERIA 7 DR-T /BIOTRONIK
13980
2042796
ULTRAVERSE U4150315
204
2042797
ULTRAVERSE U4150412
204
2042798
STENT INNOVA 75CM
3300
2042799
ICD VISIA AF MRI VR
C1722
16200
2042801
AMPLATZER TORQVUE 45
1620
2042802
AMPLATZER PFO OCCLUDER
10800
2042803
AMPLATZER GUIDEWIRE .035/.889
330
2042804
SAMURAI GUIDE WIRE
315
2042805
CRT-D ILIVIA 7 HF-T /BIOTRONIK
16200
2042806
GORE VIABAH ENDO VBHR061502A
4360.8
2042807
GORE VIABAH ENDO VBHR072502A
11332
2042808
GORE VIABAHN ENDO VBHR081002A
3570
2042809
REVEAL LINQ (MEDTRONIC)
3600
2042810
GORE GKFV1015
888
2042811
GORE VIABAHN VBHR070502A
3050.4
2042812
GORE VIABAHN VBJR060202A
3237.6
2042813
GORE VIABAHN BXA063902A
4003.2
2042814
GORE EXCLUDER PLC231400
3883.2
2042815
CONNECT WIRE .014 X 300
285
2042816
GUIDING CATH CONVEY TIG
285
2042817
GUIDING CATH CONVEY TIG SIDE H
285
2042818
GUIDING CATH CONVEY LEFTBU3
285
2042819
LIFESTREAM BA EXP VASC C STENT
2160
2042820
TR BAND
75
2042821
CRT-D INTICA 7 HF-T QP
16794
2042822
BALLOON MOZEC PTCA
540
2042823
BALLOON MOZEC PTCA NC
540
2042824
STENT INNOVA 130CM
3300
2042825
VALIANT THORACIC/VAMF3232C200
10200
2042826
GORE VIABAHN ENDO VBHR061002A
3570
2042827
AQUATRACK .035 STIFF SHORT ANG
156
2042828
AQUATRACK .035 REGUL SHORT ANG
156
2042829
GORE EXCLUDER PLC231000
3883.2
2042830
GLIDEPATH LONG TERM HEMODIALYS
240
2042831
LUTONIX .035 LX3575860V
1080
2042832
LUTONIX .035 LX35751240V
1080
2042833
ULTRAVERSE .018 PTA U815024
204
2042834
ULTRAVERSE .018 PTA U815026
204
2042835
ULTRAVERSE .018 PTA U815028
204
2042836
ULTRAVERSE .018 PTA U8150210
204
2042837
ULTRAVERSE .018 PTA U8150212
204
2042839
ULTRAVERSE .018 PTA U8150215
204
2042840
ULTRAVERSE .018 PTA U8150222
204
2042841
ULTRAVERSE .018 PTA U81502H4
204
2042842
ULTRAVERSE .018 PTA U81502H6
204
2112121
K WIRE S. TROCAR 6" 2.0MM
120
2112122
DBM PUTTY 10CC/INTERGRO
2017.2
2112123
CANC. MORS 15CC
338.4
2112124
1 LEVEL 13MM FIXED PLATE GREEN
1100.02
2112125
3.5MM X 120MM CURVED TI ROD
302.4
2112126
2 LEVEL 36MM FIX PLATE (GREEN)
1201.98
2112127
SCREW POLYAXIAL CAN 5.5MM X 40
2277
2112128
SCREW POLYAXIAL CAN 5.5MM X 45
2277
2112129
STRAIGHT SPACER 12HX30LX10W CO
3629.25
2112130
TL +TELESCOPIC LINEAR DIST 200
420
2112131
TL + ONE HOLE POST
270
2112132
TL + TWO HOLE POST
270
2112133
TL PLUS HALF RING 160MM
1440
2112134
TL BOLT 16MM
12
2112135
STOPPER/RED/WIRE
6
2112136
160MM DOUBLE ROW FOOT PLATE
1920
2112137
12MM BOLT
12
2112138
115MM THREADED ROD
90
2112139
FOOTPLATE RING ASSEMBLY 160MM
1440
2112140
85MM THREADED ROD
90
2112141
115MM THREADED ROD
90
2112142
TL+HALF PIN AO 5MMX180MM
270
2112143
TL PLUS FULL RING 160MM
1440
2112144
165MM THREADED ROD
90
2112145
TL THREADED HEX END ROD 200MM
90
2112146
12MM BOLT
12
2112147
TL HALF PIN AO 5MMX180MM
195
2112148
TL UNIV HLF PIN FIX BOLT 4-6MM
840
2112149
TL THREE HOLE POST
270
2112500
OPTIVAC FUSION VACUUM BOWL
120
2112501
COBALT MV BONE CEMENT 40GM B
216
2112502
BIOMET CC CRUCIATE TRAY 71MM
1020
2112503
VANGUARD FEM PEGS SET 2
240
2112504
VAN PS OPEN INTL FEM-RT 62.5
1440
2112505
SERIES A PAT STD 28 3 PEG
360
2112506
E1 VNGD PS TIB BRG 7 1/75 X 10
1800
2112507
75 OCCIPITAL ROD
282.55
2112508
5.0 X 6 Occ BONE SCREW
161.38
2112509
30-40MM Occ PLATE
2019.91
2112510
EXPLOR 16X20 MM IMPLANT HEAD
1200
2112511
EXPLOR 8X28MM IMPLA STEM W/SCR
1920
2112512
TPRLC 133 FP TYPE 1 PPS SO 6.0
2040
2112513
28MM DIA COCR MOD HD STD NK
600
2112514
RINGLOC BI-POLAR 28 X 43MM
960
2112515
3 LEVEL 54MM PLATE
1356.06
2112516
2 LEVEL 30MM PLATE
1104.6
2112517
2 LEVEL 32MM PLATE
1104.5
2112518
SERIES A PAT STD 31 3 PEG
360
2112519
VAN PS OPEN INTL FEM LT 60
1440
2112520
1 LEVEL 14MM FIXED PLATE GREEN
1100.02
2112521
4.0X14 VAR SELF DRILLING SCREW
243.23
2112522
8MM COMPOSITE CERVICAL
908
2112523
2 LEVEL 34MM FIX PLATE (GREEN)
1201.98
2112524
7MM COMPOSITE CERVICAL
908
2112525
4.0 X 14 MULTI-AX SCREW
782.72
2112526
8CM ROD
130.31
2112527
ARCHED CROSS CONECTOR MED
734.72
2112528
LINEUM HF PLUG
154.8
2112529
10MM COMPOSITE CERVICAL
908
2112530
TPRLC 133 TYPE 1 PPS SO 9.0
2040
2112531
RINGLOC BI-POLAR 28 X 45 MM
960
2112532
ABDCTN PILLOW CONT FOAM UNIV
39.6
2112533
JUGGERKNOT 2.9 MM 2 # 2MB
536.4
2112534
JUGGERKNOT 2.9 MM DISP KIT
499.2
2112535
VAN PS OPEN UNTL FEM LT 67.5
1440
2112536
BIOMET CC I-BEAM TRAY 67 MM
1020
2112537
E1 VNGD PS TIB BRG 63/ 67 X 12
1800
2112538
BOWL WITH SPATULA 20 PK
25.2
2112539
3 LEVEL 51MM FIX PLATE (GREEN)
1324.05
2112540
E1 VNGD PS TIB BRG 63/ 67 X 10
1800
2112541
VAN PS OPEN INTL FEM-RT 65
1440
2112542
5.0 ALLTHREAD TI 2#2MB TPRD N
460.8
2112543
VAN PS OPEN INTL FEM-LT 55
1440
2112544
VNGD PS TIB BRG 12X63/67MM
1080
2112545
BIOMET CC CRUCIATE TRAY 67MM
1020
2112546
VAN PS OPEN INTL FEM-RT 67.5
1440
2112547
TELE ARCH CROSS CONN (M)
L8699
734.72
2112548
3.5 PREF MULTI AX SCREW
L8699
938.62
2112549
K WIRE CHAMFERED
90
2112550
18MM X 55MM X 8 0 LORDOSIS
6345
2112551
VAN PS OPEN INTL FEM RT 60
1440
2112552
1 LEVEL 13MM FIXED PLATE GREEN
1100.02
2112553
2 LEVEL 32MM FIX PLATE (GREEN)
1260
2112554
TRINNECT HYDR ACDF 8MM
900
2112555
TRINNECT HYDR ACDF 9MM LORD ID
900
2112556
NEURO MONITORING SYSTEM
1560
2113010
2.0mm PEDI FLEX NAIL CAP
150
2113012
2.0mm PEDI FLEX NAIL TI
600
2113014
2.0mm X 14mm PEGS
138
2113016
2.0mm X 20mm PEGS
138
2113018
2.0mm X 22mm PEGS
156
2113020
2.0mm X 26mm PEGS
156
2113022
2.5mm X 18mm THREADED PEGS
138
2113024
2.5mm X 20mm THREADED PEGS
138
2113026
2.5mm X 22mm THREADED PEGS
156
2113028
2.5mm X 24mm THREADED PEGS
156
2113030
2.5mm X 26mm PEGS SCREWS
156
2113032
2.5mm X 26mm THREADED PEGS
156
2113034
2.5mm X 28mm PEGS SCREWS
156
2113036
24mm MULTIDIRECTIONAL SCREW
174
2113038
26mm MULTIDIRECTIONAL SCREW
174
2113040
2MM K-WIRE
36
2113041
3.0mm PEDI FLEX NAIL TI
600
2113042
3.5mm PEDI FLEX NAIL CAP
150
2113044
3.5mm PEDI FLEX NAIL TI
600
2113046
32.5mm SHOULDER STANDARD PEG
102
2113048
34mm MULTIDIRECTIONAL SCREW
174
2113050
35mm SHOULDER STANDARD PEG
114
2113052
37.5mm SHOULDER STANDARD PEG
102
2113054
42.5mm SHOULDER STANDARD PEG
102
2113056
47.5mm SHOULDER STANDARD PEG
102
2113058
CORTICAL SCREWS 3.5mm X 12mm
156
2113060
CORTICAL SCREWS 3.5mm X 14mm
210
2113062
DISTAL VOLAR RADIUS PLATE ADV.
1872
2170178
BELLOWS & WATERTRAP #766897
282.16
2170179
VENTILATOR CIRCUIT-VERSAMED
21.9
2170180
VENTILATOR CIRCUIT-VERSAM.-MRI
50
2170181
INCENTIVE SPIROMETER
6.83
2170182
TENT CANOPY 18 X 18
32
2170183
TENT CANOPY 24 X 24
35.33
2170184
TENT CANOPY 7 X 7
18
2170185
TRACH CARE 14FR TRACHEOSTOMY
35.9
2170186
HYGROBABY FILTERS
8.5
2170187
BACTERIAL FILTER-HYDROBAC
7.75
2170188
BACTERIAL FILTER NON CONDUCTIV
2
2170189
INFANT BREATHING CIR.-TRANSP.
16
2170190
HUMIDIFIER W/STERILE WATER 340
3.27
2170191
GLIDE CATHETER COBRA II
137
2170192
TRACHEAL TUBE SUBGLOT 6.0-8.5
5.44
2170193
SUCTION SUBGLOTIC ACCESORY
18.28
2170194
SINGLE VASCU PICC BASIC SET
43.4
2170195
ANESTHESIA CIRCUIT EXPAN ADULT
15.6
2170196
RADIAL JAW 4 LC W/NDL
19
2170197
INTEJECT CL 7 F 23 G 4MM 240CM
60
2170198
RESOLUTION 360 CLIP 235 CM
378
2170199
CAPTIVATOR II ROUND STIFF
36
2170200
RETRACTORES VAGINALES
148
2170201
THERMODIL CATH SWAN-GANZ 6FR
114
2170617
BILIARY DRAINAGE CATHETER 8FR
177.36
2170619
DRAINAGE CHOLE-CATH LOCK HYDRO
194
2170620
FLEXIMA ALL PURPOSE CATH J-TIP
177.36
2170621
XCELA 1R 2BL LUMEN POWER PICC
370
2170622
TWISTER PLUS RETRIEVAL 26MM
121.6
2171505
WARM FLO 2 LINES 250 FLUID
36.3
2171556
SUCTION CATHETER 8 FR.
0.95
2171557
SUCTION CATHETER 10 FR.
0.95
2171558
SUCTION CATHETER 12 FR.
0.95
2171559
SUCTION CATHETER 14 FR.
0.95
2171560
SUCTION CATHETER 16 FR.
1.05
2171561
SUCTION CATHETER 18 FR.
1.01
2171562
CLOSED SUCTION TRACH.
40
2171563
ALL PURPOSE CATHETER 10 FR.
0.98
2171564
ALL PURPOSE CATHETER 12 FR.
0.98
2171565
ALL PURPOSE CATHETER 14 FR.
6.67
2171566
ALL PURPOSE CATHETER 16 FR.
0
2171567
ALL PURPOSE CATHETER 18 FR.
1.64
2171568
SURGICAL CONN. TUBE 120
1.53
2171569
DELEE SUCTION & BULB
10.5
2171570
NEONATAL CLOSE SUCTION
35
2171571
NEO VAC MECONIUM SUCTION 3.5
43
2171572
NEO VAC MECONIUM SUCTION
43
2171573
ALL PURPOSE CATH. 18 FR.
1
2171574
GOS TRACH. TUBE 4.5
90
2171575
TRACHEOTOMY TUBE 6
90
2171576
CFS TRACHEOTOMY TUBE 8
92
2171577
TRACHEOTOMY TUBE PEDIATRIC 2PT
84.44
2171578
TRACHEOTOMY TUBE 1PT
80
2171579
FEN TRACHEOTOMY TUBE 6
90
2171580
CFS TRACHEOTOMY TUBE 10
90
2171581
LPC TRACHEOTOMY TUBE 10
80
2171582
TRACHEOTOMY TUBE PEDIATR 1PT
80
2171583
BREATH BAG 5LT
6.36
2171584
MALE ADAPTER PLUG SHORT
1.05
2171585
MALE ADAPTER PLUG LARGE
4.14
2171587
ADULT AEROSOL SET
19.11
2171588
UTERINE SUCTION CURETTE
43.9
2171589
SHIRLEY-W-DRAIN
31.5
2171590
PEEP VALVE
9.4
2171591
OXYSENSOR E-500
53.13
2171592
1 AND A CANULA 23
9.4
2171593
ENDO BAG 3"" X 6""
30.63
2171594
MULTI ACCESS CATHETER
32
2171595
EPISTAXIS BALLOON CATHETER
119.9
2171596
OXYSENSOR E-1002-01(ADULTO)
60
2171597
OXYSENSOR 1032-01 (INFANT)
60
2171598
OXYSENSOR 1042-01 (NEONATAL)
60
2171599
CATHETER ADAPTER TIPO II
52
2171600
INTRAUTERINE PRESSURE CATH.SET
78
2171601
JEJUNAL GASTR DECOMPR FEED SET
150
2171602
HANDPORT SYSTEM
750
2171603
BSS PLUS STERI IRRIG ADMIN.SET
12.3
2171604
D BAG DRAINAGE SET
24
2171605
DRAINAGE CATHETER 8F
177.36
2171606
SIMCOE CANULA 23G
42
2171607
TRUMPET VALVE
118
2171608
THERMACHOICE
1200
2171609
JEJUNAL FEEDING TUBE
378
2171610
ONE WAY STOPCOCK
3
2171611
RESECTOSC PUNCTATE ELECTR 26FR
167.7
2171612
CONNECTOR PIGGYBACK ADAPTER
2.4
2171614
GATEWAY - Y ADAPTER
696
2171615
ESOPHAGEAL PET BALLON DILATOR
280
2171616
GENERAL DRAINAGE CATHETER 10FR
177.36
2171617
BILIARY DRAINAGE CATHETER 8FR
170
2171618
BILIARY DRAINAGE CATHETER 10FR
170
2171619
TRACER HYBRID WIRE GUIDE
357
2171620
TRI-TOME PC TRIP LUMER SPHINCT
220
2171621
MITY VAC (MITYSOFT CUP)
9.6
2171624
RENAL COBRA CATHETER
56
2171625
RENAL COBRA CATHETER
246
2171626
BUTTERFLY VENT TUBE
29.66
2171627
AMSTRONG VENT TUBE
32
2171628
CYSTO BLADDER IRRIGATION SET
5.76
2171629
FNS IRRIGATION TUBE
96
2171630
INTERMEDIARY TUBE
56
2171631
FLUSH SET
570
2171632
JACKSON PRATTS 7MM X 20
19.2
2171633
JACKSON PRATTS 10MM X 20
26.77
2171634
JACKSON PRATTS HEYER SHULTE
25.2
2171635
TRACH. TUBE HI-LO EVAC.
16
2171636
LARINGECTOMY TUBE #8
90
2171637
TRIPLE LUMEN EXTRACTION
238
2171638
VACCUM CANISTER
12.25
2171639
TUBING SET FOR MST & MHH
48
2171640
MAMMOTOME HH PROBE
440
2171641
MAMMOTOME ST PROBE
450
2171642
MICROMARK TISSUE MARKER
150
2171643
PROBE GUIDE
14.4
2171644
BILIARY RETRIEVE BASETS
360
2171645
POLIPECTOMY SNARE
75
2080354
PRECEPT TI ROD 70MM PREBE LOR
879.6
2080355
PRECEPT TI ROD 60MM PREBE LOR
878.4
2080356
COROENT XL WIDE 12X22X50MM
4439
2080357
XLP PLATE 2-HOLE SIZE 10
1970.4
2080358
XLP BOLT 6.5MM X 40MM
647
2080359
XLP LOCK NUT LATERIAL PLATE
102
2080360
PRECEPT TI ROD 45MM PREB LORDO
830.4
2080361
NVM5 PROBE SINGLE USE STER PAC
235.2
2080362
COROENT LO 14X10X30MM 5
4923.6
2080363
PRECEPT TI ROD 75MM PREB LORDO
877.2
2080364
EON MINI LE CHARGING SYSTEM
1182
2080365
EON (PATIENT PROGRAMMER ST JU)
1182
2080366
ANS EXTENSION 30CM
720
2080367
AXLE PLATE 40 MM / NO INSERT
11400
2080368
INTERSPINOUS CORTIC BLOOCK 8MM
10071.6
2080369
FORMAGRAFT GRANULES 20 CC
1528.8
2080370
FORMAGRAFT XL BLOCKS LARGE
2016
2080371
PRECEPT TI ROD 150MM PREBENT L
879.6
2080372
PRECEPT SCREW POLYAXIAL
1975.2
2080373
PRECEPT SCREW 6.5X40MM POLY SR
1975.2
2080374
COROENT XL WIDE LORDOTIC
6456
2080375
COROENT XL WIDE
6456
2080376
COROENT XL
5954.4
2080377
COROENT LO
4922.4
2080378
OSTEOSPONGE CRANIAL DISC
1470
2080379
OSTEOCEL PLUS CELLULAR B/M15ML
5184
2080380
COROENT LO 12X10X30MM 5
2769.6
2080381
COROENT LO 10X10X30MM 5
4922
2080382
COROENT XL WIDE 8X22X50MM
6456
2080383
COROENT XL WIDE 10X22X55MM
6456
2080384
PRECEPT TI ROD 130MM PREB LORD
879.6
2080385
PRECEPT SCREW 7.5X55MM POLYAXI
1975.2
2080386
PRECEPT TI ROD 95MM PREBENT LO
879
2080387
PRECEPT TI ROD 80MM PREBENT LO
879.6
2080388
SPINAL INTRAOPER MONITORING
1200
2080389
OSTEOSPONGE CRANIAL STRIP
1170
2080390
ACTIVA SC DBS NEUROSTIMULATOR
10200
2080391
TRIAD CC ALLOGRAFT LORDOTIC
1435.2
2080392
FORMAGRAFT STRIPS SMALL
898.8
2080393
NV ET TUBE 7MM EMG ID
283.2
2080394
HELIX R PLATE 62MM 3 LEVEL
1617.6
2080395
HELIX R SCREW VAR SELF
478.8
2080396
LINEAR ST TRIAL LEAD KIT
1494.72
2080397
PATIENT TRIAL KIT (BOSTON SCI)
94.92
2080398
SUTURE SLEEVE 2.3CM (BOSTON)
77.76
2080399
PASSING ELEVATOR (BOSTON SCI)
56.16
2080400
COROENT XL 10 X 18 X 55 MM
5954.4
2080401
PRECEPT TI ROD 140MM PREB LORD
861.6
2080402
TRAVERSE SCREW
579.6
2080403
TRAVERSE PLATE
5997.6
2080404
X-CORE II Ti ENDCAP
2424
2080405
X-CORE II Ti LOCK SCREW
475.2
2080406
X-CORE II Ti CORE
9931.2
2080407
CANCELLOUS CHIPS (1-4MM) 30ML
1098
2080408
DISPO BALL TIP PROBE 130 X 1.9
360
2080409
NEUROSTIMULATOR (MEDTRONIC)
11520
2080410
EXTENSION 30 CM
720
2080411
VUEPOINT II ROD/80MM PRE-CONTO
432
2080412
VUEPOINT SCREW 3.5X10MM MULTI
1608
2080413
VUEPOINT SCREW 3.5X12MM MULTI
1608
2080414
VUEPOINT SCREW 3.5X14MM MULTI
1608
2080415
VP SET SCREW TULIP SCREW & LAM
84
2080416
VUEPOINT II CROSS CONN ADJ TUL
1968
2080417
NVM5 NEEDLE MODULE MEP/EMG
1101.6
2080418
PRECEPT SCREW 6.5X40 POLYAXIAL
1975.2
2080419
PRECEPT TI ROD 65MM PREBENT LO
879.6
2080420
HELIX R PLATE/24MM 1-LEVEL
1387.2
2080421
SPINAL USA CERVICAL PLATE 3LEV
3360
2080422
SPINAL USA VARIABLE SCREW
300
2080423
SPINAL MONITORING USA
2160
2080424
SPINAL USA H-GENNIN PUTTY 5ML
1800
2080425
CORTICAL CANCELLOUS SPACER USA
2160
2080426
SPECIFY 5-6-5 LEAD KIT
3540
2080427
COROENT XL WIDE 14X22X50MM
2874
2080428
ALLOGRAFT DONATED HUMAN TISSUE
2640
2080429
X-CORE MINI TI/15X12MM LORD TO
1723.2
2080430
X-CORE MINI TI/15X12MM LORD BT
1723.2
2080431
X-CORE MINI TI LOCK SCW ENDCAP
475.2
2080432
X-CORE MINI/17-24MM 012 MM
6715.2
2080433
HELIX R PLATE/46MM 2-LEVEL
1502.4
2080434
VUEPOINT OCT CONN/11MM OPEN OF
600
2080435
VUEPOINT OCT CONN/38MM FIXED
1305.6
2080436
VUEPOINT SCREW 3.5X20MM MULTI
1608
2080437
VUEPOINT SCREW 3.5X18MM MULTI
1305.6
2080438
VP SCREW 3.5X24MM FAV ANG PART
1386
2080439
VUEPOINT OCT ROD 3.5X120MM
348
2080440
PRECEPT TI ROD 110MM PREB LORD
420
2080441
COROENT XL WIDE 10X22X60MM
3780
2080442
TUNNELING TOOL
117.6
2080443
HALLMARK AC PLATE 1 LEVEL 24MM
2938.8
2080444
NEUROMONIT W ENDOTRACHEAL TUBE
2340
2080445
SPINAL USA CERVICAL PLATE 2LEV
3120
2080446
CERVICAL CORNSTONE
2160
2080447
NEUROMONITORING USA
2160
2080448
DONAT HUMAN TISS ALLOGRAFT 5ML
1800
2080449
VENTURE CERVICAL PLATE 82.5MM
1530
2080450
ACCESSORY KIT 3550-29 MEDTRONI
216
2080451
RF LUMBAR TRAY
282
2080452
PRECEPT TI ROD 100MM PREB LORD
879.6
2080453
RESTOREULT RECHARGE NEUR 97713
17730
2080454
NIM EMG TUBE TRIVANTAGE 7.0MM
690
2080455
PROPEL PUTTY/SMALL
91.2
2080456
MAYFIELD ADULT DISPOSABLE PIN
33.5
2080457
V. COMPACT 1X8 SURESCAN LEAD
1740
2080458
RESTOREULTRA SURESCAN SENS IPG
11400
2080459
RECHARGER SYSTEM/97754 97755
1440
2080460
ATLANTIS CERVICAL PLATE 21MM
1500
2080461
ATLANTIS SD VA 4.0X13MM SCREW
180
2080462
DISTRACTOR PIN 12MM
60
2080463
COROENT XLF SCREW 5.5 X 55MM
780
2145074
ETHIBOND X 444
11.8
2145075
LIGASURE LS-1200
987.5
2145076
DUAL MESH 10CM X 12CM
1500
2145077
PARIETEX POLY MESH 6X6 TEC1515
222
2145078
PARIETEX POLYESTER MESH 12X12
288
2145079
PARIETEX COM OP 20X10 PCO2015X
2745
2145080
PARIETEX COM OP 25X10 PCO2520X
2805
2145081
MAXBRAID PE 900333
60
2145082
MULTIFIRE PREMIUM 35W
111
2145083
VICRYL 3-0 J305H
7.86
2145084
VICRYL 5-0 J303H
7.86
2145085
ULTRABRAID #2 7210914
50
2145086
MONOCRYL 3.0 Y 416 H
7.92
2145091
ENDOGIA ROTICULATOR 60-2.5
466.5
2145092
ENDOGIA ROTICULATOR 60-3.5
630
2145093
ENDOGIA ROTICULATOR 60-4.8
630
2145094
ENDOGIA ROTICULATOR 45-4.8
601.5
2145095
SURGIPRO 2-0 SP-623
9
2145096
BIOSYN 1-0 CM-680
23.75
2145097
ETHIBOND O C X 22D
49.5
2145098
ENDOGIA STRAIGTH 60 - 4.8
466.5
2145099
ENDOGIA STRAIGTH 45 - 4.8
443.5
2145100
GOROTEX CV-7-7K02A24
61.5
2145101
GOROTEX CV-8-8J02A18
65
2145102
MAXON 1 6085-73
30.75
2145103
COMPOSITIVE PARIETEX CIRCULAR
1590
2145104
VICRYL 2-0 J869
9.33
2145105
ENDOPATH BLADELESS 5MM-100MM
233.01
2145106
ENDOPATH BLADELESS 12MM-100MM
292.5
2145107
PDS II Z463G 5-0
17.88
2145108
PDS II Z880G
22.44
2145109
GIA 80 48 MM 8048L
200
2145110
MULTIFIRE ENDO HERNIA 4.0 MM
108
2145111
SILK 5-0 SS682
5.25
2145112
ETHIBOND CX21D
60.5
2145113
ENDO HERNIA 48MM 174007
108
2145114
SHARP HOOK 5 MM X 32 CM
593.75
2145115
ENDOPATH EXCELL 11MM-100MM
282.5
2145116
ENDOPATH EXCELL BT 12MM-100MM
282.5
2145117
ENDOLOOP COATED VYCRIL SZ0
119.46
2145118
ENDOPATH EXCELL 5MM-100MM
224.5
2145119
DIRECT DRIVE GRASPER 5MM x 35M
339.9
2145121
BIOSYN 3-0 GM324
10.66
2145122
ABSORBATACK 5MM W/20 TACKS
780.5
2145123
PARIETX COM 20X10 OS PCO1510OS
2160
2145124
PARIETEX COMPOSITE 20 X 15 OS
2745
2145125
PARIETEX COMP 25X20 PCO2520OSX
2805
2145126
PINZA LCSK-5 5MM SUTURE
1000
2145127
PDS PLUS 3-0 316
10.53
2145128
ENDOLOOP LIG WIPDS11
115.93
2145129
ANASTOCLIPS MED/LARGE
1125
2145130
ANASTOCLIPS REMOVER
287.5
2145131
LIGASURE IMPACT LF-4200
1937.5
2145133
PARIETEX COMPOSITE
3321
2145134
PARIETEX COMPOSITE 30 X 20 OS
2925
2145135
HARMONIC LCS-5 KNIFE DOWN 15MM
1000
2145136
HARMONIC FOCUS
1275
2145137
CHROMIC 0 L114G
5.55
2145138
CHROMIC 4-0 L111G
6.33
2145139
CHROMIC 7-0 1744G
4.5
2145140
SYMBOTEX 12 CM (SYM12)
1500
2145141
PARIETEX COMPOS 15X10 PCO1510X
1854
2145142
ETHIBOND X 987 H
24.21
2145143
GIA 60 4.8 STAPLES
24.2
2145144
GIA 60 4.8 LOADING
264.5
2145147
GIA 60 4.8 STAPLES
24.2
2145148
ROTICULATOR ENDO DISSET
433.5
2145149
ROTICULATOR ENDOGRAFT
433.5
2145150
SILS PORT
1178.5
2145151
GIA 80 4.8 STAPLER GIA8048S
320
2145152
CAPROSYN 2-0 CC-558
10.3
2145153
POLYSORB 3-0 GL-332
15.42
2145154
V-LOC CLOSURE 3-0 24
74.2
2145155
NYLON 10-0 OPTH 12" (ALCON)
87
2145156
SILK 6-0 OPTH 18" (ALCON)
58.5
2145157
TA PREMIUM 45 STAPLER
489.25
2145158
TA PREMIUM 45 LOADING
163.88
2145159
VERITAS COLLAGEN MATRIX 12X25
7326
2145160
TICRON 0 (2) 3113
7.77
2145161
MAXON 3-0 6233-41
13.13
2145162
POLYSORB 4-0 UL-203
7.83
2145164
POLYESTER 36 IN SIZE 0
267
2145165
LIGASURE ADVANCED
2445
2145166
HEMORROID STAPLER 33MM W/3.5MM
663.34
2145167
PHYSIOMESH 15X20 cm (PHY1520V)
1062
2145168
V-LOC 90 3-0 6" WOUND CLOSURE
78.75
2145169
PROXIMATE ACCESS AX-55
1182
2145170
PHYSIOMESH 7X15 cm (PHY0715R)
374.4
2145171
PHYSIOMESH 10X15 cm (PHY1015V)
638.4
2145172
ENDO GIA ULTRA STNDARD STAPLER
465
2145173
ENDO GIA 3-STAPLE 45MM M THICK
546
2145174
ENDO GIA 3STAPLE 45MM VR THICK
572.49
2145175
ENSEAL G2 SUPERJAW
1250.01
2145176
PHYSIOMESH 20X30 cm (PHY2030R)
1874.4
2145177
PERMACOL BIOMESH P100104
381.6
2145178
PERMACOL BIOMESH P100204
511.2
2145179
PERMACOL BIOMESH P050205
633.6
2145180
PERMACOL BIOMESH P100205
633.6
2145181
PERMACOL BIOMESH P100308
964.8
2145182
PERMACOL BIOMESH P100055
720
2145183
PERMACOL BIOMESH P100510
1382.4
2145184
PERMACOL BIOMESH P101010
2592
2145185
PERMACOL BIOMESH P151010
2880
2145186
PERMACOL BIOMESH P101015
3744
2145187
PERMACOL BIOMESH P151015
3120
2145188
PERMACOL BIOMESH P151020
3360
2145189
PERMACOL BIOMESH P101520
6000
2145190
PERMACOL BIOMESH P151020
4845.6
2145191
PERMACOL BIOMESH P101828
9078
2145192
PERMACOL BIOMESH P151828
14400
2145193
PERMACOL BIOMESH P152030
14400
2145194
PERMACOL BIOMESH P152040
22389.12
2145195
PERMACOL BIOMESH P152050
30000
2145196
PERMACOL BIOMESH P152840
32880
2145197
VENTRALIGHT ST MESH 6"X8"
930
2145198
STAPLER CIRC CV 29MM CDH29A
1155
2145199
STAPLER CIRC CV 33MM CDH33A
1175.01
2041839
VASC GRFT HEMASHIELD PLAT32X30
2274
2041840
EXPLORER 360 FX JOSEPHSON CABL
298.5
2041841
EXPLORER 360 FX MULTIP CABLE
298.5
2041842
VALIANT THORACIC/VAMF3834C150
9000
2041843
INTROD SENSH 1828/1628/1428W
150
2041844
ENDOPROTHESIS 9mmX10cm VIABAHN
3570
2041845
GORE VIABAHN ENDOPROSTHESIS
4153.2
2041846
IS-1 ST JUDE (9427956)
90
2041847
CPS AIM SL (ST JUDE)
336
2041848
VALIANT THORACIC/VAMF2626C150
L8670
10200
2041849
VALIANT THORACIC/VAMC2622C150
6000
2041850
Y CLICK CONNECTOR ACIST
57
2041851
ON X PROSTHETIC MITRAL VALVE
4800
2041852
STENT XPEDITION
3600
2041853
BALLOON MINI TREK MR
957
2041854
BALLOON TREK MR
957
2041855
BALLOON MINI TREK OTW
957
2041856
DUALMESH PLUS BIOMAT (DLMCP04)
1159.2
2041857
CONQ PTA HIGH PRES BAL 8MMX8CM
258
2041858
LEAD INTRODUCER (MEDTRONIC)
60
2041859
LEAD 4076-52 (MEDTRONIC)
384
2041860
STYLET KIT 6082/6091 MEDTRONIC
48
2041861
VALIANT THORACIC/VAMF3838C150
10200
2041862
CROSSER PERIP OV CATH CRUOP106
2370
2041863
12G PORTER GUIDEWIRE GWP1412X
114
2041865
ULTRAVERSE .014
204
2041866
LEAD ACCESSORY KIT (6056M)
30
2041867
ENDURANT STENT CNTRL LIMB 1616
5040
2041868
OCCLUDER (OCL18US)
1020
2041869
HERO VENOUS OUTFLOW COMPO 5MM
2390.4
2041870
HERO ARTERIAL GRAFT COMP 5-6MM
1046.4
2041871
HERO ACCESSORY COMPONENT KIT
526.8
2041872
MOSAIC PORCINE MITRAL VALVE
8400
2041873
OFFROAD RE-ENTRY CATHETER SYST
1078.8
2041874
GUIDEWIRE PLATINUM PLUS
108
2041875
CROSSER PERIP OW CATH CRUO14PA
2370
2041876
LIFESTENT XL VASCULAR & BILIAR
1440
2041877
ULTRAVERSE .018
204
2041878
ULTRAVERSE .035
204
2041879
6G PORTER GUIDEWIRE GWP1406X
114
2041880
HELIX CONCERTO COIL
780
2041881
CRT-D ILESTO 7 HF-T
20394
2041882
SELECTRA EXTENDED HOOK-45
720
2041883
MOSAIC PORCINE AORTIC VALVE
5040
2041884
ANNULOPLASTRY RING PROFILE 3D
4200
2041885
INSERT SETS FOR INTRACK CLAMPS
75.75
2041886
GORE BIOA TISSUE REIN (HH0710)
699.6
2041887
STYLET KIT 6093 MEDTRONIC
30
2041888
CROSSER PERIP OW CATH CRUOS106
2370
2041889
ULTRAVERSE PTA U4150210
240
2041890
SUTURE BELT MEDTRONIC
275
2041891
ATRIAL LIFT MEDTRONIC
840
2041892
KNOT PUSHER MEDTRONIC
600
2041893
MOSAIC AORTIC VALVE ULTRA
8400
2041894
ENDURANT STENT GRAFT SYS LIMB
5040
2041895
BALLOON NC TREK RAPID EXCHANGE
957
2041896
SAFIRE BLU DUO SP ABLAT CATH
1500
2041897
PPM ENTOVIS DR-T DUAL CHAMBER
4200
2041898
MVP PLUG 9
1560
2041899
PPM VITALIO SINGLE MODELO K272
3534
2041900
PPM VITALIO DUAL MODELO K273
3648
2041901
CRT-P INTUA MODEL V272/V273
5472
2041902
EXC. ENDOPROTHESIS PLC271200
3460.8
2041903
RV LEAD (6935-58/65)
1800
2041904
HEMASHIELD WOV VEL FAB 019627
1362
2041905
AORFIX SG-HBB
21000
2041906
AORFIX SG-HBL
4000
2041907
VALIANT THORACIC/VAMF3636 C200
10200
2041908
VALIANT THORACIC/VAMC4040 C200
6600
2041909
VALIANT THORACIC/VAMC3838 C200
10200
2041910
VALIANT THORACIC/VAMF3434 C200
10200
2041911
DOUBLE LUMEN PRO LINE 6X60 KIT
477
2041912
ICD DYNAGEN MINI D020VR/D021VR
15162
2041913
ICD DYNAGEN MINI D022DR/D023DR
15390
2041914
MITRAL VALVE ATS/OPEN PI 505DM
6990
2041915
ACUSEAL VASCUL GRAFT 6X40 GORE
3840
2041916
TIGHT RAIL ROTA DILATOR SHEATH
3100
2041917
TIGHT RAIL MINI ROTA DILA SHEA
C1899
3585
2041918
BIOGLUE SURGICAL ADHESIVE 5ML
1221
2041919
STENT REBEL MR
1650
2041920
GORE EXCLUDER ENDOPR PLC181400
3883.2
2041921
CRT-D AMPLIA MRI CHANGE
15600
2041922
SUPPORT CATHETER 130CM
312
2041923
ICAST COVERED STENT
4400
2041924
VALIANT THORACIC/VAMC4040 C100
6600
2041925
VALIANT THORACIC/VAMF3636 C100
7800
2041926
VALIANT THORACIC/VAMC3636 C150
10200
2041927
ULTRAVERSE .018 UB130422
204
2041928
ULTRAVERSE .014
204
2041929
SEEKER CROSSING SUPPORT CATHET
204
2041930
INTERGARD WOVEN STRAIGHT
1650
2041931
INTERGARD KNITTED BIFURCATION
1950
2041932
INTERGARD KNITTED STRAIGHT
2298
2041933
HEMAGARD KNITTED BIFUR HGK1206
2775
2041934
CROSSER PERIP OW CATH CRUO14SA
2370
2041935
ULTRAVERSE .014 PTA BALLOON
300
2041936
ULTRAVERSE PTA U415058
204
2041937
ANNULO RING TRICUSP CONTOUR 3D
4200
2041938
ULTRAVERSE .014 PTA U415028
204
2041939
ULTRAVERSE U415028
204
2041940
ULTRAVERSE .014 PTA BAL 2.5X15
204
2041941
CROSSER CATHETER S6 (CRUS6A)
2370
2041942
ULTRAVERSE U41502H30
204
2041944
GRAFTMASTER RX
3790
2041945
STENT ALPINE
2970
2041946
PERIPHERAL INFUSION SYSTEM 6FR
4500
2041947
ULTRAVERSE .014 PTA BAL 5X30MM
204
2041948
LIFESTENT SOLO VAS EX062003CL
1980
2041949
HEMAGARD BIFURCATED KNITTED
1860
2041950
SHEATH INTRODUCER 23
67.5
2041951
PPM ENTOVIS SR-T SINGL CHAMBER
3600
1720718E
#LAPRSCPY CHOLECYSTECTOMY
47563
0
1720720
#LAPRSCPY CHOLECYSTECTOMY
47564
0
1720720E
#LAPRSCPY CHOLECYSTECTOMY
47564
0
1720722
#LAPRSCPY/CHOLECYSTOENTEROSTOM
47570
0
1720724
#UNLISTED LAPRSCPY BILIARY TRC
47579
0
1720726
#LAPAROSCOPY DIAGNOSTIC
49320
0
1720726E
#LAPAROSCOPY DIAGNOSTIC
49320
0
1720728
#LAPRSCPY ABDOMEN W BIOPSY
49321
0
1720728E
#LAPRSCPY ABDOMEN W BIOPSY
49321
0
1720730
#LAPRSCPY W ASPIRATION CAVITY
49322
0
1720730E
#LAPRSCPY W ASPIRATION CAVITY
49322
0
1720732
#LAPRSCPY W DRAINAGE LYMPHOSEL
49323
0
1720734
#UNLISTED LAPRSCPY/ABDOMEN
49329
0
1720735
#LAPRSCPY/REPAIR INGUINAL HERN
49650
0
1720735E
#LAPRSCPY/REPAIR INGUINAL HERN
49650
0
1720736
#LAPRSCPY/REPAIR INGUINAL HERN
49651
0
1720736E
#LAPRSCPY/REPAIR INGUINAL HERN
49651
0
1720738
#UNLISTED LAPRSCPY/HERNIOPLAST
49659
0
1720740
#LAPRSCPY/ABLATION RENAL CYSTS
50541
0
1720740E
#LAPRSCPY/ABLATION RENAL CYSTS
50541
0
1720742
#LAPRSCPY ABLATION RENAL MASS
50542
0
1720744
#LAPRSCPY/PARTIAL NEPHRECTOMY
50543
0
1720744E
#LAPRSCPY/PARTIAL NEPHRECTOMY
50543
0
1720746
#LAPRSCPY SURGICAL/PYELOPLASTY
50544
0
1720746E
#LAPRSCPY SURGICAL;PYELOPLASTY
50544
0
1720748
#LAPRSCPY RADICAL NEPRECTOMY
50545
0
1720748E
#LAPRSCPY RADICAL NEPRECTOMY
50545
0
1720750
#LAPRSCPY SURGICAL NEPRECTOMY
50546
0
1720752
#LAPRSCPY DONOR NEPRECTOMY
50547
0
1720754
#LAPAROSCOPICALLY NEPHROURETER
50548
0
1720756
#UNLISTED LAPRSCPY RENAL
50549
0
1720758
#LAPRSCPY URETEROLITHOTOMY
50945
0
1720760
#LAPRSCPY URETERONEOCYSTOSTOMY
50947
0
1720762
#LAPRSCPY URETERONEOCYSTOSTOMY
50948
0
1720764
#UNLISTED LAPRSCPY PROC URETER
50949
0
1720766
#LAPRSCPY/URETHRAL SUSPENSION
51990
0
1720768
#LAPRSCPY/SLING OPERATION
51992
0
2201830
LIPOSYN 20% 500 ML BAG
35.8
2201831
SODIUM CHLORIDE 0.9% 25ML
1.8
2201832
DEXTROSE 5% INJ 25ML
1.8
2201833
SET SANGRE W/PUMP (ABBOTT)
12.36
2201834
INTERLINK EXT. SET .22 MC
12
2201835
C-LINK C-FLO 2 VENT 105"3SITE
5
2201836
DW 5% 100ML ADD-VANTAGE
2.25
2201837
DEXTROSA 5% 250ML PBC FREE
3
2201838
STERILE WATER F/IRRIG 250 ML
2.56
2201839
LIPOSYN 20% 250 ML BAG
20.4
2201840
DUOVENT SET
4
2201841
S.C.D. EXP. T/L SMALL #9545
34
2201842
S.C.D. EXP. T/L MEDIUM #9530
34
2201843
S.C.D. EXP. T/L LARGE #9780
56.65
2201844
S.C.D. EXP. K/L MEDIUM #9529
34
2201845
S.C.D. EXP. K/L LARGE #9789
34
2201846
T.E.D. T/L SMALL LONG #3222
23.35
2201847
T.E.D. T/L SMALL SHORT #3071
23.35
2201848
T.E.D. T/L MEDIUM SHORT #3310
23.35
2201849
T.E.D. T/L XLARGE REGULAR 3728
23.35
2201850
T.E.D. K/L SMALL LONG #7339
11.65
2201851
T.E.D. K/L MEDIUM REG #8551
11.65
2201852
T.E.D. T/L LARGE SHORT #3634
23.35
2201853
SODIUM CHLORIDE 250ML ADDVANTA
4
2201854
COLLEAGUE SYRINGE ADAPTER
18.9
2201855
AVIVA DEXTRESE 5% 250 ML
3.75
2201856
AVIVA SALINA 0.9% 250ML
4.26
2201857
STERILE SALINE IRRIGATION
2.45
2201858
C-LINK C-FLO NON DEHP
4.5
2201859
SC 0.9% IRRIGAR 250 ML BOTELLA
1.69
2201860
DEXTROSA 2.5% PREP IV ROOM
22.5
2202301
I.V. OPERATING ROOM
0
2206766
OMNIPAQUE 300 50 ML
35
2206767
OPTIRAY 300MG I/50ML / DOSE
50
2206768
GLYCERINE IRRIGATION 3000
8
2206769
LIFE SHIELD CONNECTOR
2
2206770
LACT RINGERS 250ML
1.74
2206771
DOPAMINA 400 MG
10.4
2206772
SET OMNIFLOW SECUNDARIO
9
2206774
TWIN PACK
1.5
2206775
ADM CONT FLOW SET
2.64
2206776
CONT FLOW W/LEG SET
7.14
2206777
PUMP NITRO SET
12.44
2206778
PUMP BLOOD SET
12.44
2206779
SEC ADM SET
3.66
2206780
LEVER LOCK CANNULA
1.62
2206781
PRIMARY CONT FLOW
9.75
2206782
DRUG VIAL ADAPTER
4.3
2206784
EMT VIAFLEX CONN 500
4.95
2206785
CONTROL FLOW EXTENSION
4.5
2206786
INT.UTED C/F 34 SET
5.42
2206790
SOD CHL 0.9% 150ML MB
3.09
2206791
MICROBORE EXT SET T
3.75
2206792
LIDOCAINE 250 ML
6.78
2206793
SOD CHL 0.9% 100ML MB
3.09
2206794
DEXTROSE 5% 100ML MB
3.09
2206795
DEXTROSE 5% 50ML MB
3.09
2206796
INFUSION THERAP OTH THAN CHEMO
100
2206797
S.C.D.THIGH LENGTH SMALL UP 22
18
2206798
S.C.D.THIGH LENGTH MEDIUM UP28
18
2206799
S.C.D.THIGH LENGTH LARGE UP 36
25
2206800
S.C.D.THIGH LGTH ONE SIZE UP21
18
2206801
T.E.D.THIGH LENGTH SMALL REG12
12.5
2206802
T.E.D.THIGH LENGTH MED. REG12
12.5
2206803
T.E.D.THIGH LENGTH MED.LONG 12
12.5
2206804
T.E.D.THIGH LGTH LARGE REG15-1
12.5
2206805
T.E.D.THIGH LGTH LARGE LONG 15
12.5
2206806
T.E.D.THIGH LGTH XLARGE LONG15
12.5
2206807
T.E.D.KNEE LENGTH SMALL REG12
6.25
2206808
T.E.D.KNEE LGTH MEDIUM LONG12-
6.25
2206809
T.E.D.KNEE LGTH LARGE REG15-17
6.25
2206810
T.E.D.KNEE LGTH LG LONG 15-17
6.25
1722278
# AMPUTATION OF FINGER/THUMB
26951
0
1722280
#REPAIR OF CIRCUMCISION
54163
0
1722281
#TREAT ELBOW DISLOCATION
24600
0
1722282
#DEEP MUSCLE BIOPSY
20205
0
1722283
#EXCISE LESION TESTIS
54512
0
1722284
#TREAT FINGER FRACTURE/EACH
26755
0
1722285
#EXC TR-EXT MLG +MARG 1.1-2CM
11602
0
1722286
# REPAIR OF HUMERUS
24430
0
1722287
# REPAIR OF URETHRA INJURY
53502
0
1722288
# REPAIR OF HUMERUS
24430
0
1722289
# TREAT DISLOCATION FRACTURE
23665
0
1722290
#REPAIR RECTUM & VAGINA
57250
0
1722290E
#REPAIR RECTUM & VAGINA
57250
0
1722291
#REMOVE LUNG CATHETER
32552
1100
1722292
#DRAIN PENIS LESION
54015
1100
1722293
#REVISE OCULAR IMPLANT
65150
1100
1722294
#TREAT WRIST DISLOCATION
25676
0
1722295
#TRANSFER SKIN PEDICLE FLAP
15650
0
1722296
#THERAPY FOR COUNTOUR DEFECTS
11950
0
1722297
#REVISE REMOVE NEUROELECTRODES
64585
0
1722297E
#REVISE REMOVE NEUROELECTRODES
64585
0
1722298
#EXC FACE LESS SC < 2 CM
21011
0
1722299
#DRAIN BL W/CATH INSERTION
51102
0
1722300
#LAP VENT/ABD HERNIA PROC.
49653
0
1722301
#REDUCTION OF RECTAL PROLAPSE
45900
0
1722302
#SHAVE SKIN LESION
11312
0
1722303
#BIOPSY OF TONGUE
41100
0
1722304
# INCISE DRAIN BLADDER
51040
0
1722305
#REPAIR BLOOD VESSEL LESSION
35206
0
1722306
#REMOVAL OF THYROID
60271
0
1722307
#THROMBOENDARTERECTOMY
35302
0
1722308
#REPAIR BLOOD L/E ANGIOPLASTY
35226
0
1722309
#REPAIR WINDPIPE OPENING
31613
0
1722310
#EXC ABD LES SC > 3 CM
22903
0
1722310E
#EXC ABD LES SC > 3 CM
22903
0
1722311
#ASPIRATION ORBITAL CONTENTS
67415
0
1722312
#BX OF CERVIX W/SCOPE LEEP
57460
0
1722313
#CATARACT SURG W/IOL 1 STAGE
66984
0
1722313E
#CATARACT SURG W/IOL 1 STAGE
66984
0
1722315
#THYROIDECTOMY
60260
0
1722316
#REMOVAL OF THYROID
60252
0
1722317
#REPAIR EYELID DEFECT
67908
0
1722318
#EXC ABD TUM OVER 10 CM
49205
0
1722319
#PARTIAL REMOVAL OF FOOT
28122
0
1722320
#REPAIR BLADDER/VAGINA LESION
51900
0
1722321
#BIOPSY/REMOVAL LYMPH NODE
38520
0
2500116
PTCA W/DRUG-ELUT STNT-FRST VES
92928
6535
2500117
PTCA W/DRUG-ELUT STNT ADD VESS
92929
100
2500132
CARDIAC FLUOROSCOPY
76000
110
2500133
HEART FLOW RESERVE MEASURE
93571
100
2500200
LT HT CATH W/VENTRICLGRPHY
93452
1750
2500201
RT/LT HRT CATH W/VENTRICLGRPHY
93453
1750
2500202
LT HEART CATH CORONARYS
93454
1750
2500203
LT HRT CATH CORONARY GRAFT
93455
1750
2500204
RT HRT CORONARY ARTERY ANGIOGR
93456
1750
2500205
RT HRT CORON ART/GRAFT ANGIOGR
93457
1750
2500206
LT HRT ARTERY/VENTRICLE ANGIO
93458
1750
2500207
LT HRT ART/GRFT VENTRICLE ANGI
93459
1750
2500208
RT/LT HRT ART/VENTRICLE ANGIO
93460
1750
2500209
RT/LT ART/VENT ANGIO W/GRAFT
93461
1750
2500210
LT HRT CATH TRNSPTL PUNCTURE
93462
100
2500211
DRUG ADMIN & HEMODYNMIC MEASUR
93463
100
2500212
RT HEART CATH CONGENITAL
93530
1750
2500213
RT/LT HRT CATH CONGENITAL
93531
1750
2500214
RT/LT HRT CATH TRANSSEPTAL
93532
1750
2500215
RT/LT HRT CATH EXISTING SEPTAL
93533
1750
2500217
CARDIAC OUTPUT MEASUREMENT SUB
93562
100
2500218
INJECT CONGENITAL CARD CATH
93563
100
2500219
INJECT HRT CONGENITAL ART/GRFT
93564
100
2500220
INJECT LEFT VENTR/ATRIAL ANGIO
93565
100
2500221
INJECT RT VENTR/ATRIAL ANGIO
93566
100
2500222
INJECT SUPRV/VALV AORTOGRAPHY
93567
100
2500223
INJECT PULM ART HEART CATH
93568
100
2500224
HRT FLOW RESERVE MEAS ADD VESS
93572
100
2500225
TRANSCATHETER RETRIEVAL
37197
1520
2500226
TRANSCATH STENT CCA W/O EPS
37216
100
2500228
ANGIOGRAPHY ARMS/LEGS BILATERA
75716
1740
2500229
ANGIOGRAPHY ARMS/LEG UNILAT
75710
1740
2500231
PERCUT CORONARY THROMBECTOMY
92973
100
2500232
PRQ CARD ATHERECT W/STENT ADDL
92934
100
2500233
PRQ REVASC BYP GRAFT 1 VSL
92937
6535
2500234
PRQ REVASC BYP GRAFT ADDL
92938
100
2500235
PRQ CARD REVASC MI 1 VSL
92941
6535
2500236
PRQ CARD REVASC CHRONIC 1 VSL
92943
6535
2500237
PRQ CARD REVASC CHRONIC ADDL
92944
100
2500238
PLACE CATH CAROTID/INOM ART EX
36222
1740
2500239
PLACE CATH CAROTID/INOM ART IN
36223
1740
2500241
PLACE CATH THORACIC AORTA
36221
1740
2500244
PLACE CATH CAROTID ART
36224
3615
2500245
PLACE CATH SUBCLAVIAN ART
36225
1740
2500246
PLACE CATH VERTEBRAL ART
36226
3615
2500247
OPEN/PERQ PLACE STENT 1ST ARTE
37236
6535
2500248
OPEN/PERQ PLACE STENT ADD ARTE
37237
100
2500249
OPEN/PERQ PLACE STENT 1ST VEIN
37238
6535
2500250
OPEN/PERQ PLACE STENT ADD VEIN
37239
100
2500251
VASC EMBOLIZE/OCCLUDE VENOUS
37241
6535
2500252
VASC EMBOLIZE/OCCLUDE ARTERY
37242
6535
2500253
VASC EMBOLIZE/OCCLUDE ORGAN
37243
6535
2500254
VASC EMBOLIZE/OCCLUDE BLEED
37244
6535
2500255
PERQ TRANSCATH CLOSURE PDA
93582
10000
2500256
PERQ TRANSCATH SEPTAL REDUXN
93583
100
2500257
PLACE CATH EXTERNAL CAROTID
36227
10
2500258
PLACE CATH INTRACRANIAL ART
36228
10
2500259
INSERT CATH RENAL 2/ARTERY UNI
36253
1740
2115679
T2 F/T LOCKING SCREW 5MMX60MM
150
2115680
FLOSTEADY DISP TUBE SET 10/BOX
139.2
2115681
GAMMA3 TROCHANTERIC NAIL
1800
2115682
ANATOMICAL VOLAR SMARTLOCK DR
1080
2115683
2.3MM LOCKING SCREWS 16MM
180
2115684
2.3MM LOCKING SCREWS 20MM
180
2115685
2.3MM LOCKING SCREWS 22MM
180
2115686
2.7MM BONE SCREWS 16MM
90
2115687
3.5MM X 28 CORTICAL SCREW SELF
96
2115688
3.5MM X 30 CORTICAL SCREW SELF
108
2115689
4.0MM X 30 LOCK SCREW SELF TAP
108
2115690
PROXIMAL LATERAL HUMERU TS 3RT
1558.08
2115691
K-WIRES 2.0MM X 230
96
2115692
CANCELLOUS SCREWS
74.78
2115693
DISTAL LATERAL FIBULA PLATE
600
2115694
3.5 LOCKING SCREW 14MM
90
2115695
3.5 LOCKING SCREW 16MM
90
2115696
3.5 NON LOCKING SCREW 12MM
60
2115697
3.5 NON LOCKING SCREW 14MM
60
2115698
3.5 NON LOCKING SCREW 40MM
60
2115699
3.5 NON LOCKING SCREW 42MM
60
2115700
T2 TIBIAL NAIL 9MM X 285MM
2100
2115701
T2 TIBIAL NAIL 9MM X 270MM
2100
2115702
T2 TIBIAL NAIL 12MM X 300MM
2100
2115703
T2 F/T LOCKING SCREW 5MM X55MM
150
2115704
T2 F/T LOCKING SCREW 5MM X50MM
150
2115705
4.0MM X 28 LOCK SCREW SELF TAP
108
2115706
4.0MM X 40 CANCELLO SCREW FULL
108
2115707
K-WIRES 2.0MM X 150MM
42
2115708
T-PLATE/L111/HOLES 6
1302
2115709
4.5MM X 32 CORT SCREW SLF TAP
108
2115710
4.5MM X 34 CORT SCREW SLF TAP
108
2115711
4.5MM X 36 CORT SCREW SLF TAP
108
2115712
4.5MM X 42 CORT SCREW SLF TAP
108
2115713
4.5MM X 50 CORT SCREW SLF TAP
108
2115714
CANCELLOUS CHIPS (4-10MM)30CC
1428
2115715
KNEE INMOBILIZER / X LARGE
90
2115716
SERFAS ENERGY 30-S 3.5MM
259.2
2115717
PROXIMAL LATERAL HUMERU TS 3LT
1558.08
2115718
3.5MM X 46 CORTICAL SCREW SELF
108
2115719
4.0MM X 48 LOCKING SCREW SELF
108
2115721
OLECRANON PALTE 4 HOLE LEFT
2040
2115722
LOCKING SCREW 3.5X16MM VARIAX
150
2115723
LOCKING SCREW 3.5X20MM VARIAX
150
2115724
BONE SCREW 3.5X20MM VAR ELBOW
150
2115725
BONE SCREW 3.5X22MM VAR ELBOW
150
2115726
BONE SCREW 3.5X26MM VAR ELBOW
150
2115727
3.5 BONE SCREW 40MM VARIAX CLA
150
2115728
PROXIMAL LATERAL HUMERUS TS PL
1558.08
2115729
4.0MM X 22 LOCKING SCREW SELF
108
2115730
4.0MM X 26 LOCK SCREW SELF TAP
108
2115731
4.0MM X 32 LOCK SCREW SELF TAP
108
2115732
4.0MM LOCKING INSERT
756
2115733
4.0MM X 24 LOCK SCREW SELF TAP
108
2115734
4.0MM X 36 CANCELLO SCREW PART
108
2115735
SUPERIOR MIDSHAFT PLATE DCR CU
1440
2115736
BONE SCREW 2.7X14MM VAR ELBOW
150
2115737
GAMMA3 LNG NAIL KIT 11X340X130
2160
2115738
3.5 BONE SCREW 48MM VARIAX CLA
150
2115739
LOCKING SCREW 3.5X32MM VARIAX
150
2115740
SUPER SERFAS 50-S 3.5MM
259.2
2115741
GAMMA 3 LAG SCREW TI 10.5X80MM
540
2115742
GAMMA 3 THROCHANTER 11X180X125
1800
2115743
T2 F/T LOCKING SCREW 5MM X 25M
150
2115744
LOCKING SCREW 3.5X14MM VARIAX
150
2115745
3.5 BONE SCREW 50MM VARIAX CLA
150
2115746
GAMMA3 LONG NAIL RT 011X360MM
2160
2115747
T2 F/T LOCKING SCREW 5MMX70MM
150
2115748
T2 FEMORAL NAIL 12MM X 300MM
2160
2115749
DISTAL LATERAL FEMUR RIGHT
1983.6
2115750
5.0MM X 36 LCK SCR S/TAP
108
2115751
5.0MM X 40 LCK SCR S/TAP
108
2115752
5.0MM X 65 LCK SCR S/TAP
108
2115753
4.5MM X 24 CORT SCREW SLF TAP
108
2115754
4.5MM X 70 CORT SCREW SLF TAP
108
2115755
MED 100MM LONG W2 2.0MM CABLES
1710
2115756
GAMMA3 LAG SCREW TI 10.5X110MM
540
2115757
3.5MM X 22 CORT SCREW SELF TAP
108
2115758
ASNIS III CANNULA SCREW 6.5X45
228
2115759
GAMMA 3 LAG SCREW TI 10.5X95MM
540
2115760
GAMMA3 LONG NAIL KIT R1.5TI RT
2160
2115761
T2 F/T LOCKING SCREW 5MMX45MM
150
2115762
CORTICAL SHAFT SMALL 100-125
2040
2115763
GAMMA3 LONG NAIL 011X400MM
2160
2115764
T2 F/T LOCKING SCREW 5MMX55MM
150
2115765
T2 F/T LOCKING SCREW 5MMX75MM
150
2115766
T2 FEMORAL NAIL 14MM X 260MM
2160
2115767
T2 F/T LOCKING SCREW 5MMX90MM
150
2115768
GAMMA3 LONG NAIL LFT 011X380MM
2160
2115769
GAMMA 3 THROCHANTER 11X180X130
2160
2115770
GAMMA 3 LAG SCREW TI 10.5X90MM
540
2115771
T2 F/T LOCKING SCREW 5MMX65MM
150
2115772
T2 FT LOCKING SCREW 5MMX85MM
150
2115774
T2 F/T LOCKING SCREW 5MM X40MM
150
2115775
T2 HUMERAL NAIL 9MM X 250MM
2340
2115776
T2 LOCKING SCREW FT 4MM X 45MM
150
2115777
T2 LOCKING SCREW FT 4MM X 50MM
150
2115778
T2 LOCKING SCREW FT 4MM X 26MM
150
2115779
GUIDE WIRE SMOOTH 2.2 X 800MM
120
2115780
WAISTED COMP PLT BRD L148 H8
1302
2115781
SUPER SERFAS 50-S 3.5MM
259.2
2115782
T2 TIBIAL NAIL 10MM X 315MM
2100
2115783
***DISPONIBLE***
2116010
OPUS SPEED SCREW
918
2116012
PERFECT PASSER SUTURE
360
2116014
INSITE SYSTEM
594
2116016
ARTHRO PORT CANNULA SYSTEM
66
2116018
PERFECT PASSER CONNECTOR
480
2116020
MAGNUM WIRE SUTURE
114
2041007
STENT LD EXPRESS BIL7.0X30X135
3348
2041008
STENT LD EXPRESS BIL7.0X40X135
3348
2041009
STENT LD EXPRESS BIL7.0X60X135
3348
2041010
STENT LD EXPRESS BIL8.0X30X135
3348
2041011
STENT LD EXPRESS BIL8.0X40X135
3348
2041012
STENT LD EXPRESS BIL8.0X60X135
3348
2041013
STENT VASC. SENTINOL 5X40X135
3348
2041014
STENT VASC. SENTINOL 5X60X135
3348
2041015
STENT VASC. SENTINOL 5X80X135
3348
2041016
STENT VASC. SENTINOL 6X40X135
3348
2041017
STENT VASC. SENTINOL 6X59X135
3348
2041018
STENT VASC. SENTINOL 6X79X135
3348
2041019
STENT VASC. SENTINOL 7X20X135
3348
2041020
STENT VASC. SENTINOL 7X39X135
3348
2041021
STENT VASC. SENTINOL 7X59X135
3348
2041022
STENT VASC. SENTINOL 7X78X135
3348
2041023
WALL STENT BIL. MONORAIL 6X22
2890
2041024
WALL STENT BIL. MONORAIL 8X21
2890
2041025
WALL STENT BIL. MONORAIL 8X29
2890
2041026
WALL STENT BIL. MONORAIL 8X36
2890
2041027
WALL STENT BIL. MONORAIL 10X24
2890
2041028
WALL STENT BIL. MONORAIL 10X31
2890
2041029
WALL STENT BIL. MONORAIL 10X37
2890
2041030
WALL STENT ILIAC 6X24X75
2993.7
2041031
WALL STENT ILIAC 6X36X135
3327.75
2041032
WALL STENT ILIAC 6X46X135CM
3327.75
2041033
WALL STENT ILIAC 6X59X135
3187.2
2041034
WALL STENT ILIAC 8X20X135
2218.5
2041035
WALL STENT ILIAC 8X38X135
3327.75
2041036
WALL STENT ILIAC 8X47X75
1996
2041037
WALL STENT ILIAC 8X45X135
3327.75
2041038
WALL STENT ILIAC 8X66X75
3201.1
2041039
WALL STENT ILIAC 8X66X135
3012.8
2041040
WALL STENT ILIAC 9X18X135
3327.75
2041041
WALL STENT ILIAC 9X35X135
3327.75
2041042
WALL STENT ILIAC 9X52X135
2218.5
2041043
WALL STENT ILIAC 9X61X135
3201.5
2041044
WALL STENT ILIAC 10X39X135
3327.75
2041045
WALL STENT ILIAC 10X49X135
3327.75
2041046
WALL STENT ILIAC 10X69X135
3386.4
2041047
STENT BILIARY SM PMTD 4.X15X90
3348
2041048
STENT BILIARY SM PMTD 5.X15X90
3348
2041049
STENT BILIARY SM PMTD 4.X19X90
3348
2041050
STENT BILIARY SM/PMTD 5.X19X90
3348
2041051
FL 3.5 SH WISEGUIDE GUIDING 7F
285
2041052
FL 4 SH WISEGUIDE GUIDING 7FR
285
2041053
FR 4 SH WISEGUIDE GUIDING 7FR
285
2041054
FR 4 SH WISEGUIDE GUIDING 8FR
285
2041055
FL 4 SH WISEGUIDE GUIDING 8FR
285
2041056
FL 3.5 SH WISEGUIDE GUIDING 8F
285
2041057
AL 75 RUNWAY GUIDE CATH 6FR
285
2041058
AL 1 RUNWAY GUIDE CATH 6FR
285
2041059
AL 2 RUNWAY GUIDE CATH 6FR
285
2041060
JR4 RUNWAY GUIDE CATH 6FR
285
2041061
JL4 RUNWAY GUIDE CATH 6FR
285
2041062
BALLOON CUTTING 6.0 X 2.0 X 50
1920
2041063
BALLOON CUTTING 8.0 X 2.0 X 50
1920
2041064
GUIDING CATH 7FR CLS 3.5 SH
285
2041065
GUIDING CATH 7FR CLS 4 SH
285
2041066
GUIDING CATH 8FR JCL 3.5 SH
255
2041067
INFUSION CATH RAPID TRANSIT2.3
1125
2041068
INFUSION CATH RAPID TRANSIT2.8
1125
2041069
ROTALINK PLUS CATH 1.25MMX135
1871.5
2041070
ROTALINK PLUS CATH 1.50MMX135
1871.5
2041071
ROTALINK PLUS CATH 1.75MMX135
1871.5
2041072
ROTALINK PLUS CATH 2.00MMX135
1871.5
2041073
ROTALINK PLUS CATH 2.25MMX135
1871.5
2041074
ROTALINK PLUS CATH 2.50MMX135
1871.5
2041075
ROTAGLIDE LUBRICANT
191.25
2041076
ROTAWIRE FLOPPY GUIDE WIRE 325
357
2041077
ROTAWIRE EXTRA SUPP GUIDE W325
357
2041078
D-STAT DRY HEMOSTATIC BANDAGE
135
2041079
STENT MULTI LINK MINI VISION
2100
2041080
STENT MULTI LINK MINI VISION
2100
2041081
BALLOON POWERSAIL 3.0 X 8
1050
2041082
BALLOON POWERSAIL 3.0 X 13
1050
2041083
BALLOON POWERSAIL 3.0 X 15
1050
2041084
BALLOON POWERSAIL 3.0 X 23
1050
2041085
BALLOON POWERSAIL 3.5 X 8
1050
2041086
BALLOON POWERSAIL 3.5 X 13
1050
2041087
BALLOON POWERSAIL 3.5 X 15
1050
2041088
BALLOON POWERSAIL 3.5 X 23
1050
2041089
AL 1 SH 7FR WISEGUIDE GUIDE CA
285
2041090
AL 1 SH 7FR MACH 1 GUIDE CATH.
285
2041091
AL .75 SH 7FR MACH 1 GUIDE CAT
285
2041092
AL 1 SH 8FR MACH 1 GUIDE CATH.
285
2041093
AL .75 SH WISEGUIDE GUIDE CATH
285
2041094
RCB SH MACH 1 7FR GUIDE CATH.
285
2041095
LCB SH MACH 1 7FR GUIDE CATH.
285
2041096
IMC 90CM SH 7FR MACH 1 GUIDE C
285
2041097
BALLON NC RANGER 2.5X9
1050
2041098
BALLON NC RANGER 3.0X9
1050
2041099
BALLOON CUTTING ULTRA 2.25 X 6
1300
2041100
BALLOON CUTTING ULTRA 2.50 X 6
1300
2041101
BALLOON VIATRAC 14 PLUS 4.0X20
690
2041102
BALLOON NC RAPTOR 2.25X20
900
2041103
BALLOON NC RAPTOR 2.75X20
900
2041104
BALLOON NC RAPTOR 3.0X20
900
2041105
BALLOON NC RAPTOR 3.75X20
900
2041106
BALLOON NC RAPTOR 3.5X20
900
2041107
BALLOON NC RAPTOR 4.0X20
900
2041108
ANGIO-SEAL 6FR STS PLUS
540
2041109
ARMOD 5FR DIAGNOSTIC CATHETER
48
2041110
AL 1 5FR GUIDE CATHETER
48
2041111
AL 2 5FR GUIDE CATHETER
48
2041112
AL 3 5FR GUIDE CATHETER
48
2041113
IM 3 5FR GUIDE CATHETER
48
2041114
RCB 5FR GUIDE CATHETER
48
2041115
LCB 5FR GUIDE CATHETER
48
2171646
PT INFILTRATION TUBING
55.5
2171647
PSI-TEC TUBING
25.8
2171648
FISCHER CONE BIOPSY EXCISOR
48
2171649
CATHETER EXTENSION SET
4.17
2171650
BLEAKMORE TUBE 18FR 024-3100
454
2171651
WALLSTENT BILIARY ENDOPROTHESI
2850
2171652
PATIENT TUBBING SET
56
2171653
DAILY TUBBING SET
96
2171654
GASTROSTOMY TUBE 18FR-MOSS
490
2171655
NASAL TUBE MARK IV-MOSS
390
2171656
JAG WIRE .035
210
2171657
CRE 18-20MM 8CM
338
2171658
FASTRACH ETT 6.0 MM
66
2171659
FASTRACH ETT 6.5 MM
66
2171660
FASTRACH ETT 7.0 MM
66
2171661
FASTRACH ETT 7.5 MM
66
2171662
LARINGEAL MASK AIRWAY 1
25
2171663
LARINGEAL MASK AIRWAY 1.5
25
2171664
LARINGEAL MASK AIRWAY 2
25
2171665
LARINGEAL MASK AIRWAY 2.5
25
2171666
LARINGEAL MASK AIRWAY 3
25
2171667
LARINGEAL MASK AIRWAY 4
25
2171668
FLEX CONNECTOR
4.72
2171669
GASTROSTOMY KIT 22 FR FLEXIFLO
150
2171670
ROLLER BALL/CUTTING LOOP ELECT
205
2171671
STRAIGHT/DIMPLED/CLLONGS ELECT
283.4
2171672
VERSAPOINT RESECTOSCOPE ELECTR
100
2171673
BIVONA TRACHEOSTOMY TUBE 6.5
400
2171674
TRACHEOSTOMY TUBE - HOLDEN
1.63
2171675
PLEUR EVAC DRAINAGE UNIT
118.35
2171676
CHEST DRAIN VALVE
67.8
2171677
RESECTOSCOPE ELECTRODE ANGLE
500
2171678
RESECTOSCOPE ELECTRODE 1950
500
2171679
ELECTRODE - BALL TIP
525
2171680
ELECTRODE - TWIZZLE TIP
525
2171681
ELECTRODE - SPRING TIP
525
2171682
SOFT-TIP CANNULA 23 GA
48
2171683
ULTRAFLEX ESOPHAGEAL NG 18 X 1
1900
2171684
MAXFORE BILIARY BALLOON
360
2171685
JAGTOME RX
500
2171686
COLPO PNEUMO OCCLUDER
71.66
2171687
DISP.UTERINE MANIP.TIP 8CM
104
2171688
DISP.UTERINE MANIP.TIP 6.7MM
104
2171689
VACCUM ASSIST DELIVERY SYSTEM
46.67
2171690
BLOOD/FLUID WARMER SET W/EXT.
142.47
2171691
ENDOPATH UTERINE MANIPULAT 7CM
230.96
2171692
ENDOSCOPIC APPLICATOR
70
2171693
VENTILATION TUBE 1.27
60
2171694
HYDRODISSECTION CANULA
34.5
2171695
ENDOTRACHEAL TUBE UNIVENT
440
2171696
TRIUNE VENT TUBE SILICONE
50
2171697
BILIARY DRAINAGE
150
2171698
BILIARY STENT INTRODUCER KIT
178
2171699
RIGIFLEX ACHALASIA BALLOON
1190
2171700
TRACHEOSTOMY TUBE-LONG
326
2171701
RECTAL CATH. WITH BALLOON 30FR
73.7
2171703
LARYNGEAL MASK CLASSIC LMA
500
2171704
LARYNGEAL MASK PROSEAL LMA #4
650
2171705
STENT ESOPHAGEAL 20MM 10CM FC
3500
2171706
UTERINE EXPLORAS CURETTES
21.9
2171707
FRAZIER NEURO CATH
4.78
2171708
MICROBORE EXTENSION SET 60"
3.92
2171709
TRACHEOSTOM TUBE-BIVONA CUSTOM
992
2171710
GOODE T-TUBE LNG TERM MICROGEL
50.4
2171711
GOODE T-TUBE LNG TERM MODIFIED
25.6
2171712
WALLFLEX BILIA FULLY COV STENT
3300
2171713
WALLFLEX ESOPHAGEAL
4500
2171714
BACTERIA VIRAL FILTER PFT
4.3
2171715
GASTROSTOMY TUBE MICKEY
294
2171716
BILIARY STENT PRELOADED-ADVANI
278
2171717
PEG STANDARD BALLOON REPLACEME
150
2171718
MULTI EXTRACTION BALLOON
230
2171719
LITHOCRUSH TIP
540
2171720
VISIGLIDE GUIDEWIRE
340
2171721
BIOPSY VALVE
4
2171722
DOUBLE LAYER BILIARY STENT
400
2171723
MAX PASS BILIARY DILATOR
420
2171724
ORAL CARE SET
29.61
2171725
BIPOLAR LOOPS ELECT VERSAPOINT
334.8
2171726
BIOMED BREATHING CIRCUIT PED
25.5
2171727
BIOMED BREATHING CIRCUIT ADULT
25.5
2171728
LAPARASCOPIC SMOKE EVAC SYST
50
2171729
DUAL PROLINE BASIC SET 6FR
318
2171730
NEOTECH RAM CANNULA
30
2171731
EPISTAXIS BALLOON POSTERIOR
70
2171732
TAPER GUARD 10.0
12
2171733
TAPER GUARD 5.0
12
2171734
TAPER GUARD 5.5
12
2171735
TAPER GUARD 6.0
12
2171736
TAPER GUARD 6.5
12
2171737
TAPER GUARD 7.0
12
2171738
TAPER GUARD 7.5
12
2171739
TAPER GUARD 8.0
12
2171740
TAPER GUARD 8.5
12
2171741
TAPER GUARD 9.0
12
2171742
TAPER GUARD EVAC 6.0
24
2171743
TAPER GUARD EVAC 6.5
24
2171744
TAPER GUARD EVAC 7.0
24
2171745
TAPER GUARD EVAC 7.5
24
2171746
TAPER GUARD EVAC 8.0
24
2171747
TAPER GUARD EVAC 8.5
24
2171748
TAPER GUARD EVAC 9.0
24
2171749
CO2 DETECTOR ADULT/PEDIATRIC
26.5
2171750
DISPOSABLE MANOMETER
9.72
2171751
MC GRATH MAC BLADE VIDEO LARYN
18
2171752
POLYFLEX ESOPH STENT 25/21MM
3300
2171753
RX DILATATION BALLOON CATH
370
2171754
EXTRACTOR PRO XL BALLOON
290
2171755
BILIARY STENT ADVANIX
298
2171756
PANCRIA STENT ADVANIX
378
2171757
TAPERVENT TUBE 1.27MM SILI PER
55.6
2171758
OXISENSOR NEONATAL LNCS
24
2171759
PRESSURE MONIT SET PX12N NICU
56
2171760
TRACHEOSTOMY TUBE FENESTRADO
160
2171761
ADULT/PED FLOW SENSOR-HAMILTON
63
2171762
CRICOTHYROTOMY KIT ADULT
204
2145200
PHYSIOMESH 15X15 cm (PHY1515Q)
668.4
2145201
SECURESTRAP (ETHICON)
240
2145203
ECHELON STAPLER 60
1440.51
2145204
ECHELON RELOAD 60MM
708.12
2145206
VICRYL PLUS 6-0 VCP 316
9
2145207
VICRYL PLUS 1 VCP 341
9.15
2145208
VICRYL PLUS 1 VCP 359
10
2145209
VICRYL PLUS 4-0 VCP 426
19
2145210
SILS SHEAR
705
2145211
MONOCRYL PLUS 3-1 MCP 497
21.15
2145212
PROLENE 7-0 8701
44
2145213
PROLENE 3-0 8558
21
2145214
PROLENE 6-0 8726
29
2145215
PROLENE 6-0 8711
20.5
2145216
GORETEX SUTURE 3N08 CV-3 TH26
48.24
2145217
GORETEX SUTURE 4N02 YH18
57.99
2145218
TRICON 2-0/88862719-51
7.75
2145219
PROCEED VENTRAL PATCH (MESH)
1140
2145220
ENDO GIA ARTICULAT RELOAD 45
546
2145221
ENDO GIA ARTICULAT RELOAD 60
609
2145222
PHYSIOMESH 25x35 cm (PHY2535V)
2654.4
2145223
PARIETEX COMP VENTRAL PCO6VP
528
2145224
XENMATRIX SURGICAL GRAFT
14400
2145225
PARIETEX LAPA PROGRIP LPG1510
660
2145226
SM PLUS BTT/OVAL BALLOON DISS
390
2145227
ABSTACK20 5MM SINGLE USE
295.26
2145228
PHYSIOMESH 15x20 cm (PHY1520R)
1062
2145229
PHYSIOMESH 20x25 cm (PHY2025V)
1718.4
2145230
PHYSIOMESH 30x35 cm (PHY3035R)
3184.8
2145231
PHYSIOMESH 30x50 cm (PHY3050R)
4200
2145232
DERMABOND (SKIN ADHESIVE PEN)
102.75
2145233
ETHIBOND EXCEL 2-0 D6803 SUTUR
154.2
2145234
ETHIBOND EXCEL 2-0 X582H SUTUR
20.4
2145236
V-LOC WOUND CLOSURE RELOAD
172.5
2145237
ENDO STITCH WITH POLYSORB 3-0
50.01
2145238
PARIETEX COMPOSITE 15X10 OS
859.32
2145239
PARIETEX COMPOSITE 9CM PCO9
1590
2145240
PARIETEX COMP VENTRAL PCO8VP
1650
2145241
VENTRALIGHT ST MESH 4X6 BARD
0
2145242
VENTRALIGHT ST MESH 6X8 BARD
1320
2145243
VENTRALIGHT ST MESH 8X10 BARD
1200
2145244
VENTRALIGHT ST MESH 12X14 BARD
0
2145245
VENTRALEX MESH MEDIUM BARD
540
2145246
VENTRALEX MESH LARGE BARD
480
2145249
GORE BIOA TISSUE REIN (FS2030)
5066.6
2145250
VENTRALIGHT W/ECHO PS 6X8 ELLI
1560
2145251
GORE BIOA TISSUE REIN (FS2020)
3369
2145252
EPIX LAPAROSC GRASPER 5MMX35CM
135
2145253
POLYSORB 1 REF # CL60M
39.99
2145254
PARIETEX COM 15CM ROUND PCO15X
1620
2145255
PARIETEX COM 20X15 PCO2015OSX
2745
2145256
PARIETEX COM 20CM ROUND PCO20X
2250
2145257
PARIETEX COM 30X20 OP PCO3020X
2985
2145258
RT ANATOMI MESH 6X4 TECT1510AR
750
2145259
PARIETEX PROGRIP TEM1409GL
319.2
2145260
PARIETEX PROGRIP TEM1409GR
319.2
2145261
THREE DIMENS HONEYCOMB TET3030
288
2145262
PARIETEX COMPOSITE 12CM PCO12X
1000
2145263
SORBAFIX BARD
312
2145264
PARIETEX COMP VENTRAL PCO4VP
1155
2145265
VENTRALIGHT ST W ECHO-5955460
720
2145266
VERSAPORT OPT 11MM V2 BLADELES
159.99
2145267
VERSAPORT OPT 5MM V2 BLADELESS
155.01
2145268
KII SLEEVE ZTHR 5
39
2145269
KII SLEEVE ZTHR 11-12
54
2145271
KII BLADED ACCES SYSTEM 5MM
78
2145272
KII BLADED ACCES SYSTEM 11MM
108
2145273
DIRECT DRIVE CLIP APPLIER 10MM
255
2145274
INZII RETRIEVAL SYSTEM 10MM
165
2145275
EPIX LAPARASCOPIC DISECTOR 5MM
135
2145276
EPIX LAPARASCOPIC SCISSORS 5MM
114
2145277
PARIETEX COM 08CM PCO08OSX
630
2145278
KII OPTICAL ADV FIX 5MMX100
78
2145279
KII OPTICAL ADV FIX 11MMX100
108
2145280
SYMBOTEX 37 X 28CM (SYM3728)
2316
2145281
KII TROCAR OPTICO 11X100
108
2145282
KII TROCAR OPTICO 5X100
78
2145283
3D MAX MESH LARGE LEFT BARD
450
2145284
3D MAX MESH MEDIUM LEFT BARD
450
2145285
3D MAX MESH LARGE RIGHT BARD
450
2145286
3D MAX MESH MEDIUM RIGHT BARD
450
2145287
GORE BIOA TISSUE REIN (FS0915)
2301
2145288
SYMBOTEX 20 X 15 (SYM2015)
2745
2145289
PARIETEX PROGRIP TEM1208 LT
201.6
2145290
PARIETEX PROGRIP TEM1208 RT
201.6
2145291
PARIETEX PRO LAP ANA LPG1510AR
270
2145292
PARIETEX PRO LAP ANA LPG1510AL
270
2145293
XENMATRIX 15 X 20
3600
2145294
NUROLON 0 C541D PE
68.91
2145295
VICRYL 2-0 J339H PE
10.68
2145296
VICRYL 3-0 J316H PE
10.89
2145297
LIGASURE MARYLAND JAW SEAL/DIV
1875
2145298
ENDO GIA AMT
650
2145299
VENTRALIGHT W/ECHO PS 4X6 ELLI
1800
2145300
PHASIX (BARD)
4320
2145301
PARIETEX 3 DIMEN 15X15 TET1515
222
2145302
PARIETEX PROGRIP TEM 1515G
220.32
2145303
ULTRA PRO HERNIA SYSTEM /UHSL1
246
2145304
SYMBOTEX 25 X 20 (SYM2520OS)
2805
2145305
CAPROSYN 6-0 UC201
7.92
2145306
BIOSYN 3.0 UM 215
8.01
2145307
BIOSYN 4.0 UM 214
7.92
2145308
BIOSYN 5.0 UM 215
8.01
2145309
PARIETEX PROGRIP TEM1208 GR
302.4
2145310
PARIETEX PROGRIP TEM1208 GL
302.4
2145311
THUNDERBEAT OPEN EXTENDED JAW
1440
2145312
GORETEX CV-8 8K10A
81
2145313
VENTRALEX MESH SMALL BARD
360
2145314
VENTRALEX WITH ECHO BARD
1080
2145315
ALLOMAX HUMAN DERMIS 10X15
4200
2145316
VERSAPORT BLADELESS OPTI 12MM
181.38
2145317
VERSAPORT BLADELESS OPT 12MM L
195
2119040
2.7 MM K-WIRE
120
2119041
ARTICULEZE FEMORAL HEAD
3434.4
2119042
FEMORAL STEM TAP W POROCOAT
3520.8
2119043
SELFCENTERING BIPOLAR HEAD
2174.4
2119044
EVOLUTION MP TIB (ETPKN4SR)
1440
2119045
EVOLUTION MP FEM (EFPSN4PR)
1776
2119046
ADVANCE TRIPEG ONLAY PATELLA
312
2119047
EVOLUTION MP PS INSER EIP4S10R
1074
2119048
ORTHOSET 3 BONE CEMENT LOW VIS
L8699
120
2119049
ORTHOSET SUMMIT VAC CEM BOWL
108
2119050
EVOLUTION MP TIB (ETPKN4SL)
1440
2119051
EVOLUTION MP FEM (EFPSN4PL)
L8699
1776
2119052
EVOLUTION MP PS INSER EIP4S12L
1074
2119053
EVOLUTION MP TIB (ETPKN5SR)
L8699
1440
2119054
EVOLUTION MP FEM (EFPSN5PR)
1776
2119055
EVOLUTION MP PS INSER EIP5S10R
1074
2119056
EVOLUTION MP TIB (ETPKN6SR)
1440
2119057
EVOLUTION MP FEM (EFPSN6PR)
1776
2119058
EVOLUTION MP PS INSER EIP6S10R
1074
2119059
EVOLUTION MP PS INSER EIP4S10L
1074
2119060
EVOLUTION MP TIB (ETPKN3SL)
1440
2119061
EVOLUTION MP FEM PS (EIP3S10L)
1776
2119062
EVOLUTION MP PS INS (EFPSN3PL)
1074
2119063
EVOLUTION MP TIB (ETPKN5SL)
L8699
1440
2119064
EVOLUTION MP FEM PS(EFPSN6PL)
1776
2119065
EVOLUTION MP PS INS (EIP5S10L)
L8699
1074
2119066
OSTEOSET RESOR BEADS/BONE VOID
2220
2119067
STERNUM BLADE STD SOUTTER
192
2119068
STERNUM BLADE SOUTTER
199.9
2119500
5.0MM V-LOX TITANIUM SUTURE
1140
2119501
TRI MED FIXED ANGLE
162
2119502
2.3 MM NON LOCKING
225
2119503
3.2 MM CORTICAL SCREW
225
2119504
CAPS
90
2119505
SYNTHES PLATE (REF 243.14)
90
2119508
SHAVE BLADE FULL RADIUS 3.5MM
126
2119509
SHAVE BLADE INSCISOR PLU 4.5MM
169.84
2119510
SHAVE BLADE IBURR ACROMI 4.0MM
224.7
2119511
SHAVE BLADE IBURR ACROMI 5.5MM
233.54
2119512
COBALTION PROBE 50IFS SHA 3.75
724.6
2119513
COBALTION PROBE 90IFS SHA 5.25
724.6
2119514
T-MAX DISPOSABLE FACE MASK
93.76
2120010
I.V. PUMP /DAY
10
2120011
BLOOD PRESSURE CUF/D
5
2120012
ORTHO-TORNIQUETTE
15
2120013
EYE TORNIQUETTE
15
2120014
BLANKETROL MACH./DAY
15
2120015
BOWIE MACHINE
15
2120018
ELECTRODES
1
2120019
PATIENT CABLE
10
2120020
FETAL MONITOR
59050
25
2120021
DINAMAP
15
2120022
E.K.G. MONITOR
10
2120023
DEFIBRILLATOR
15
2120024
FIBRILLATOR
15
2120025
AMBU RESUCITATOR
5
2120026
INTRAORTIC BALLOON/D
500
2120027
SUCTION MACHINE
20
2120028
WAGESTEEN MACHINE
10
2120029
WALL SUCTION /DAY
10
2120030
TRAPECE /DAY
13
2120031
TRACTIONS /DAY
13
2120032
FIBEROPTIC MACHINE
15
2120033
WARMER MACHINE /DAY
15
2120034
PERINEAL LAMP
5
2120035
DOPTON MACHINE
15
2120036
PHOTOTHERAPY LAMP
10
2120037
CAST CUTTING MACHINE
10
2120039
ELECTRIC PAD
10
2120040
AIR MATRESS
93
2120041
HISTEROGRAM SET
25
2120042
RESUCITATOR
10
2120043
PARENTERAL MACHINE
15
2120044
DERMATOME MACHINE
135
2120045
OXIHOOD /DAY
15
2120046
ANESTHESIA MONITOR
15
2120047
UNDERSKIN AIR PAD
15
2120048
EQUIPMT LAPARASC TOTAL HYSTRCT
350
2120049
OPHTHALMIC CRYO UNIT
50
2120050
OPHTHALMIC DIATHERMY
50
2120051
OPHTHALMIC MICROSCOP
50
2120052
OPHTHALMIC VITRECTOM
50
2120053
URETEROSCOPE
100
2120054
NEPHROSCOPE PERC.
150
2120055
LITHOTRIPTOR
250
2120056
CELL SAVER MACHINE
100
2120057
TOOMEY SYRINGE - USE
5
2120058
EQUIPO LAPARASCOPIA
250
2120059
LASER MACHINE
500
2120060
PHACO MACHINE
250
2120061
TELEMETRY MONITOR
36
2120062
H-C INRRIG. SYRINGE T
3.21
2120065
TLC 55 ETHICON 900550
22.8
2120066
TRC 55 ETHICON 905500
114.2
2120067
CDH-25-0903324
50.6
2120068
CDH-29-0903323
50.6
2120069
CDH-33-0903322
50.6
2120070
CUSTOM PACK 5467
406
2120071
LAPAR CHOLANG KARLAN BALL CATH
184
2120072
ARTHROS SURG BLADE
130
2120073
TPS SCREWDRIVER
450
2120074
EHD SCREWDRIVER
550
2120075
NITROGEN TANK USE
100
2120076
TURBO SONICS M-T 201
69.6
2120077
TURBOSONICS ABS 799920
187.5
2120078
MAXVAC-CASSE 20500
150
2120079
C-ARM MACHINE (USE)
50
2120080
ARTROSCOPIO (USO)
212
2120081
LIGTH SOURCE
25
2120082
VIDEO SET UP
25
2120083
BI-PAP MACHINE - USE PER DAY
247
2120084
LITHOTRIPSY MACHINE USE
970
2120085
LITHOCLAST ULTRA SYSTEM USE
950
2120090
LITHOTRIPSY ELECTRODE 45-INSP
80
2120091
PERIPHERAL NERVE STIMULAT. 1VA
40
2120092
PERIPHERAL NERVE STIMULAT. 1B
30
2120093
CERAMIC SCISSORS 840-886
33
2120094
ENTERAL MACHINE
15
2120095
POLYHESIVE PT RETURN ELECTRODE
4.06
2120096
CAPNOGRAFH MACHINE (USE)
100
2113064
K-WIRE 1.6mm
84
2113066
SHOULDER SIDE PLATE 3 HOLE
2280
2113068
V-LOCK SET SCREW 90 DEGREES
156
2113070
GRAFTON PUTTY 10ML
2424
2113072
SHOULDER SIDE PLATE 3 & 4 HOLE
2640
2113074
40MM SHOULDER STANDARD PEG
114
2113076
35MM SHOULDER THREADED PEG
144
2113078
22MM MULTIDIRECTIONAL SCREW
144
2113080
V-LOCK 90 30MM
174
2113082
V-LOCK 90 24MM
174
2113084
2.5MM X 16MM THREADED PEGS
138
2113086
CORICAL SCREWS 3.5MM X 16MM
138
2113090
V-LOCK 90 26MM
174
2113092
V-LOCK 90 28MM
174
2113094
50MM SHOULDER STANDARD PEG
114
2113095
2.0MM X 24MM PEGS
156
2113096
CORTICAL SCREWS 3.5MM X 10MM
156
2113097
2.0MM X 18MM PEGS
156
2113098
2.5MM X 18MM SCREW PEGS
156
2113100
2.5MM X 20MM SCREW PEGS
156
2113102
CORTICAL SCREWS 3.5MM X 18MM
156
2113104
2.5MM X 22MM SCREW PEGS
156
2113106
2.5MM X 20MM PEGS
156
2113108
2.5MM X 22MM PEGS
156
2113110
2.5MM X 24MM PEGS
156
2113112
2.5MM X 26MM PEGS
156
2113113
CANCELLOUS CRUSHED 10ML
558
2113114
2.5MM X 24MM SCREW PEGS
156
2113115
2.5MM X 18MM PEGS
156
2113140
FOOTPLATE RING ASSEMBLY 180MM
1440
2113500
ROTATOR CUFF IMPLANT & INSTRUM
3000
2113501
2 ROTATOR CUFF IMPLANTS (KIT)
600
2113502
ROTATOR CUFF INSTRUMENTAT TRAY
2400
2113503
CANNULA
120
2113504
1 ROTATOR CUFF IMPLANTS (KIT)
600
2113505
SHOULDER TRACTION KIT
120
2113506
ADDITIONAL ANCHOR
240
2113507
ADDITIONAL SUTURE
60
2113508
SERFAS ENERGY SUPER 90-S 3.5MM
300
2113509
SUTURE ANCH HEALIX PE5.5 W/NDL
550
2113600
FLOSTEADY DISP TUBE SET WPKIT
54
2113601
TOMCAT SHAVER BLADE 4.0MM
102
2113602
SLOTTED WHISKER 4.0MM
102
2113603
SERFAS ENERGY 30-S
210
2113604
SERFAS ENERGY 50.S
210
2113605
FLOSTEADY ARTHROSCOPY PUMP
54
2113606
TOMCAT CUTTER 4.0X125MM
102
2114010
1.25 K-WIRE 150MM TROCAR POINT
71.1
2114011
BALL TIP GUIDE ROD
288.9
2114012
1.6MM K-WIRE 150MM TROCAR POIN
71.1
2114013
CAPTURED SCREW
288.9
2114014
2.5MM DRILL BIT QUICK-COUPLING
54.42
2114015
SUBTROCH SCREW
702.72
2114016
3.5 CORTICAL SCREW 10MM
7.02
2114017
LEFT INTERTAN NAIL
1640.88
2114018
3.5 CORTICAL SCREW 12MM
7.02
2114020
3.5 CORTICAL SCREW 14MM
7.02
2114022
3.5 CORTICAL SCREW 16MM
7.02
2114024
3.5 CORTICAL SCREW 18MM
7.02
2114026
3.5 CORTICAL SCREW 20MM
7.02
2114028
3.5 CORTICAL SCREW 22MM
7.02
2114030
3.5 CORTICAL SCREW 26MM
7.02
2114032
3.5 CORTICAL SCREW 28MM
9.06
2114034
3.5 CORTICAL SCREW 35MM
7.56
2114036
3.5 CORTICAL SCREW 45MM
10.84
2114038
3.5MM DRILL BIT QUICK COUPLING
107.86
2114040
3.5MM SMALL PLATE 6 X 73MM
73.44
2114042
3.5MM SMALL PLATE 7 X 85MM
79.18
2114044
3MM X 100MM BALL TP GDE RD
270
2114046
4.0 CANCELLOUS SCREW 10MM P-TH
5.02
2114048
4.0 CANCELLOUS SCREW 12MM F-TH
7.14
2114050
4.0 CANCELLOUS SCREW 12MM P-TH
5.02
2114052
4.0 CANCELLOUS SCREW 14MM F-TH
7.14
2114054
4.0 CANCELLOUS SCREW 14MM P-TH
5.02
2114056
4.0 CANCELLOUS SCREW 16MM F-TH
7.14
2114058
4.0 CANCELLOUS SCREW 16MM P-TH
5.02
2114060
4.0 CANCELLOUS SCREW 40MM P-TH
5.02
2114062
4.0 CANCELLOUS SCREW 45MM P-TH
5.02
2114064
4.0 CANCELLOUS SCREW 50MM F-TH
10.14
2114066
4.5 CORTICAL SCREW 30MM
10.06
2114068
4.5MM X 34MM CAPTURED SCREW
108
2114070
ABDUCTION PILLOW SMALL
99
2114072
ALLEVYN ADHESIVE 3 X 3 IN
46.8
2114074
ALLEVYN ADHESIVE DRESSINGS 5"
70.8
2114076
ALLEVYN HEEL DRESSING
57.6
2114078
ALLEVYN PLUS 5 X 9
168
2114080
ALLEVYN PLUS ADHESIVE 5 X 5
84
2114082
ALLEVYN PLUS SACRUM 9 X 9
234
2114084
ALLEVYN SACRUM SMALL ADHESIVE
108
2114086
AMBI COMP LAG SCREW 105MM 4.13
229.54
2114088
AMBI LAG SCREW 85MM 3.35'
229.54
2114090
AMBI LAG SCREW 95MM 3.70'
229.54
2114092
ANGULAR RONGEUR 229MM
549.46
2114094
BASEBALL SPLINT LARGE PADDED
29.94
2114096
BASEBALL SPLINT SMALL PADDED
29.94
2114098
BASEBALL SPLINT MEDIUM PADDED
29.94
2114100
CANNULATED SCREW
101.52
2114102
CANNULATED SCREW
87.64
2114104
CANNULATED SCREW 6.5 70MM
101.52
2114106
COBALT CHROME TAPER FEMORAL
1056
2114108
COMPRESSING SCREW 3.5MM
31.06
2114110
CORTICAL BONE SCREW 3.5 X 32
9.06
2114112
DYONICS 25DAY TUBE SET
61.99
2114114
FEMORAL FILE
701.2
2114116
FLEXIFIX TRANSP ADHESIVE FILM
221.76
2114118
GUIDE ROD FOR NAIL 3.0X 900M
100.08
2114120
HOHMAN RETRACTOR 18MM BLADE
136.36
2114122
HOHMANN RETRACTOR 15MM
112.98
2114124
HOHMANN RETRACTOR 8MM
97.42
2114126
HOKE OSTEOTOME 6.4MM X 127MM
129.76
2114128
HOKE OSTETOME 7.9 X 127MM
129.76
2114130
IM HIP SCREW SET SCREW
63.72
2114132
IM HIP SCREW SLEEVE
186
2114134
IMHS CP 130D 12 X 19.5R
1213.9
2114136
IMHS CP CAPT COMP SCREW
235
2041952
CRT-D AMPLIA MRI
19200
2041953
CRT-D DYNAGEN G150 G151 G158
16461.6
2041954
PACING LEAD/PACE SENSE LEAD
600
2041955
CRT-P VIVA
5520
2041956
HEMASHIELD GRAFT 18X30
1860
2041957
FLAIR ENDOVASC STENT GRAFT
3600
2041958
PROPATEN VASC GRAFT
6120
2041959
AORTIC VALVE #19 ON-X ACE
8000
2041960
INTERFACE CABLE BIOSENSE
780
2041961
ICD S- SQ-RX PULSE GENERATOR
21000
2041962
ICD S Q-TRACK SUBCUT ELECTRODE
2394
2041963
ICD IFORIA SINGLE CHAMBER
16800
2041964
STENT PERIFERAL SUPERA
3900
2041965
GORE ENDOPROSTHESIS PLC201000
3883.2
2041966
RENEGADE HI-FLOW FATHOM SYSTEM
1497
2041967
RENEGADE HI-FLOW FATHOM KIT
1497
2041968
RIVAL PTA DILAT CATH RV13568
300
2041969
RIVAL PTA DILAT CATH RV135415
300
2041971
PPM ASSURITY DUAL CHAMBER
4614
2041972
DEBAKEY WOVEN FABRIC .25
381
2041973
ANNULOPLASTY RING PHYSIO TRICU
5380
2041974
PPM ACCOLADE DR MODELO L301
3648
2041975
PPM ACCOLADE SR MODELO L300
3534
2041976
PTFE TEAR AWAY INTRODUCER SHEA
59.4
2041977
VALIANT THORACIC/VAMF3232C150
10200
2041978
ULTRAVERSE U4150515
204
2041979
PPM ADVISA SR MRI SURESCAN
3600
2041980
PPM ASSURITY SR
3840
2041981
FLEXABI ABLATION CATH CURV D/D
4500
2041982
FLEXABI ABLATION CATH CURV D/F
4500
2041983
SAFIRE ABLATION CATH SMALL CUR
2085
2041984
RELEXION SPIRAL X
2685
2041987
LIFESTENT VASC BIL EX0051003CS
1440
2041988
SIDEKICK SUPPORT SD110AT
420
2041989
ULTRAVERSE PTA BALLOON 3X10
204
2041990
PORTER GUIDEWIRE GWP1412X
108
2041991
ENDURANT STENT LIMB 1616
4560
2041992
VALIANT THORACIC/VAMC3026C150
10200
2041993
QUADRASHERE 50-100 (V325QS)
1440
2041994
ENDOPROSTHESIS 7X25cm W/HEPARI
6799.2
2041995
USHER ANGLE TAPERED
390
2041996
ENDOPROSTHESIS PLC161200 GORE
3883.2
2041997
GORE ENDOPROSTHESIS PLC201200
3530.4
2041998
GORE EXCLUDER ENDOPROSTH TRUNK
9471.6
2041999
EXC. RT CONT. LEG PXC141000
3530.4
2042000
ICD EVERA MRI XT DR
14400
2042001
SUPREME CSL 401863 ABBOTT
540
2042002
ICD EVERA MRI XT VR
16200
2042003
ICD VIVA XT VR
14400
2042004
VASCULAR GRAFT 6-6MM GORE
2270.4
2042005
INTERFACE CABLE 10FT REDEL 10
780
2042006
CONNECTOR SLEEVE ST JUDE
90
2042007
TRANS RADIAL SHEATH
105
2042008
DIAG CATH TRANSRAD TIGER 4.0
75
2042009
DIAG CATH TRANSRAD JACKY 3.5
75
2042010
DIAG CATH TRANSRAD SARAH 4.0
75
2042011
COMPRESSION BAND TRANSRAD REG
75
2042012
COMPRESSION BAND TRANSRAD LRG
87
2042013
GUIDING CATH HEATRAIL TIGER MO
375
2042014
GUIDING CATH HEATRAIL IKARI LT
375
2042015
GUIDING CATH HEATRAIL IKARI RT
375
2042016
DIAG CATH JUDKINS RT 5FR
53.7
2042017
DIAG CATH JUDKINS RT 6FR
53.7
2042018
DIAG CATH JUDKINS LT 5FR
53.7
2042019
DIAG CATH JUDKINS LT 6FR
53.7
2042020
DIAG CATH TRANSRAD PIG TAIL ST
53.7
2042021
DIAG CATH TRANSRAD PIG TAIL AN
53.7
2042022
TRANSRADIAL NEEDLE 20 X 2
10.14
2042023
ENDURANT STENT CNTRL LIMB 1610
5040
2042024
SENSH 1828W INTRODUCER
150
2042025
SENSH 1428W INTRODUCER
150
2042026
PPM ELUNA 8 DR-T
4200
2042027
ENDURANT STENT CNTRL LIMB 1624
5040
2042028
SENSH 1628W INTRODUCER
150
2042029
CRT-D QUADRA ASSURA
19800
2042030
ENDURANT STENT GRAFT LIMB 1620
5040
2042031
ULTRAVERSE PTA U4150322
204
2042032
CPS DIRECT PL GUIDE CATHETER
300
2042033
ULTRAVERSE U357578
204
2042034
ULTRAVERSE U35130410
204
2042035
ULTRAVERSE U3513038
204
2042039
DENVER ASCITES SHUNT 11.5FR
4050
2042040
CRT-P VALITUDE U125/U128
5472
2042041
GORE VIABAH ENDO VBHR082502A
7424.4
2042042
GORE EXCLUDER ENDOPR PXC141400
3530.4
2042043
GORE ENDOPRO AORTIC PLA260300
3678
2042044
GORE ENDOPRO AORTIC PXA280300
4612
2042045
CONTOUR 45-150
405
2042046
PLEURX PLEURAL CATHETER KIT
855
2042047
ARCTIC FRT ADV CRYO BALLOON
4800
2042048
FREEZOR CARDIAC CRYOABLATION
1680
2042049
DENVER ASCITES SHUNT 15.5FR
4200
2042050
WATCHMAN DEVICE
18000
2042051
PVA CONTOUR
405
2042052
AMPLATZER VASC. PLUG 4
3300
2042054
CROSSER CATHETER (CRUS6106)
2370
2042055
LIFESTENT VASC BIL EX0050803CS
1440
2042056
ULTRAVERSE .035 PTA BALLOON
300
2042057
LIFESTENT VASC BIL EX0051503CS
1440
2042058
USHER STRAIGHT TAPERED
390
2042059
INFLATION DEVICE PRESTO
48
2042060
ATLANTIS SR PRO IVUS
920
2042061
ENDURANT STN GFT LIMB EXT 1620
4560
2042062
CONQUEST HIGH BALLOON 8X4
258
2042063
CONQUEST 40 10X40
240
2042065
ULTRAVERSE .014 PTA U41502H8
204
2042067
LIFESTENT VASC BIL EX0060803CS
1440
2042068
GORE DRYSEAL SHEATH 16FR
327.6
2042069
CONQUEST HIGH PRES BAL 5X4
240
2042070
ULTRAVERSE PTA DIL U4150430
300
2042071
ULTRAVERSE U4150522
204
2042072
LIFESTENT XL VASC EX061703CS
1440
2500260
INSERT CATH RENAL 2/ARTERY BIL
36254
1740
2500261
INS CATH ABD/L-EXT ART 2ND
36246
10
2500262
INS CATH ABD/L-EXT ART 3RD
36247
10
2500263
INS CATH ABD/L-EXT ART 1ST
36245
10
2500264
INS CATH ABD/L-EXT ART ADDL
36248
10
2500265
INSERT ENDOVAS VENA CAVA FILTR
37191
1520
2500266
TRANSCATH STENT CCA W/EPS
37215
10
2500267
FEM/POPL REVAS W/TLA
37224
3085
2500268
FEM/POPL REVAS W/ATHER
37225
6535
2500269
TIB/PER REVASC W/TLA
37228
6535
2500270
TIB/PER REVASC W/ATHER
37229
10080
2500271
AORTOGRAPHY ABDOMINAL BY SERIA
75625
1740
2500272
ANGIOGRA SELEC EACH ADD VESSEL
75774
10
2500273
VEIN X RAY TRUNK
75825
1740
2506372
INJ THER/PROPH/DIAG SC/IM
96372
40
2506374
INJ IV PUSH THER/PROPH/DIAG
96374
75
2506375
IV PUSH SEQUENT ADD NEW DRUG
96375
25
2506376
IV PUSH SEQUENT ADD SAME DRUG
96376
10
2510004
OFFICE/OUT VISIT,INITIAL L-IV
99204
175
2510005
OFFICE/OUT VISIT,INITIAL LEV V
99205
215
2510011
OFFICE/OUT VISIT,ESTAB LEV I
99211
25
2510012
OFFICE/OUT VISIT,ESTAB LEV II
99212
45
2510013
OFFICE/OUT VISIT,ESTAB LEV III
99213
75
2510014
OFFICE/OUT VISIT,ESTAB LEV IV
99214
115
2510015
OFFICE/OUT VISIT,ESTAB LEV V
99215
150
2510021
INITIAL HOSPITAL CARE LEVEL I
99221
95
2510022
INITIAL HOSPITAL CARE LEVEL II
99222
130
2510023
INITIAL HOSPITAL CARE LEVELIII
99223
190
2510031
SUBSEQUENT HOSP CARE LEVEL I
99231
40
2510032
SUBSEQUENT HOSP CARE LEVEL II
99232
70
2510033
SUBSEQUENT HOSP CARE LEVEL III
99233
100
2510038
HOSPITAL DISCHARGE DAY <30 MIN
99238
70
2510039
HOSPITAL DISCHARGE DAY >30 MIN
99239
100
2510040
ROTABLATOR
3500
2510081
ER PROF FEES CARDIO VISIT L/I
99281
25
2510082
ER PROF FEES CARDIO VISIT L/II
99282
45
2510083
ER PROF FEE CARDIO VISIT L/III
99283
65
2510084
ER PROF FEES CARDIO VISIT L/IV
99284
120
2510085
ER PROF FEES CARDIO VISIT L/V
99285
175
2510100
*IVUS FIRST VESSEL
92978
100
2510105
PTCA CORONARY BALLOON,ADD VESS
92984
160
2510106
TTE W/DOPPLER, COMPLETE
93306
70
2510107
2D + M-MODE ECHOCARDIOGRAPHY
93307
50
2510108
ECHO TRANSESOPHAGEAL
93312
115
2510110
DOPPLER COLOR FLOW ADD ON
93325
10
2510111
SWAN GANZ W/FLUORO
93503
140
2510112
LT HT CATH W/VENTRICLGRPHY
93452
235
2510113
ANGIO MAMARY
93539
25
2510114
ANGIO BY PASS
93540
25
2510115
ANGIO LT VENT/ATRIAL
93543
20
2510116
ANGIO AORTA
93544
15
2510117
ANGIO CORONARY
93545
25
2510118
SUPV. ATRIO/VENT.
93555
45
2510119
SUPV. OTHER/ANG.
93556
45
2510120
PTCA W/STENT-FIRST VESSEL
92980
805
2510121
PTCA W/STENT- ADD VESSEL
92981
225
2510122
LT HRT ARTERY/VENTRICLE ANGIO
93458
335
2510124
CARDIOVERSION ELECT INTERNAL
92961
280
2510125
ILIAC REVASC W/STENT
37221
560
2510126
ILIAC REVASC W/STENT ADD-ON
37223
235
2510127
PLACE CATHETER IN ARTERY
36247
360
2510128
CONTRAST X-RAY EXAM OF AORTA
75625
65
2510129
FEM/POPL REVASC W/STENT
37226
580
2510130
ARTERY X-RAYS ARMS/LEGS BILAT
75716
75
2510131
ARTERY X-RAYS ARM/LEG UNILATER
75710
65
2510132
ARTERY X-RAYS KIDNEY
75722
65
2510133
TRANSCATHETER RETRIEVAL
37203
295
2510134
FFR
93571
106
2510135
ANGIO CAROTID CEREBRAL UNILATE
75665
75
2510136
ANGIO CAROTID CEREBRAL BILATER
75671
95
2510137
ANGIO EXTERNAL CAROTID BILATER
75662
95
2510138
ANGIO EXTERNAL CAROTID UNILATE
75660
75
2510139
ANGIO CAROTID CERVICAL UNILATE
75676
75
2510140
ANGIO CAROTID CERVICAL BILATER
75680
95
2510141
TIB/PERC REVASC W/TLA
37228
615
2510142
TIB/PERC REVASC ADD-ON
37232
225
2510143
FEM/POP/REVAS W/TLA
37224
505
2510144
REPAIR ARTERIAL BLOCKAGE
35475
545
2510145
LT HEART CATH CORONARYS
93454
275
2520010
EPS W/PACING/RECORD W/O INDUCT
93619
3150
2520011
EPS W/PACING/RECORD W/INDUCT
93620
3150
2520012
EP/LEFT ATRIAL/CS PACING & REC
93621
100
2520013
EP/LEFT VENTRICULAR PACE & REC
93622
100
2520014
STIMULATION/PACING HEART
93623
100
2520015
BUNDLE OF HIS RECORDING
93600
3150
2520016
INTRA-ATRIAL RECORDING
93602
3150
2520017
RIGHT VENTRICULAR RECORDING
93603
595
2520018
MAP TACHYCARDIA/ ADD-ON
93609
100
2520019
INTRA ATRIAL PACING
93610
3150
2520020
INTRAVENTRICULAR PACING
93612
3150
2520021
ELECTROPHYS MAP 3D/ ADD-ON
93613
100
2520022
EVAL OF ICD & LEADS AT INSERT
93641
100
2520023
EVAL OF ICD LEADS ONLY@INSERT
93640
100
2520024
HEART RHYTHM PACING
93618
595
2520025
EP FOLLOW-UP W/PACE & RECORD
93624
3150
2520026
HEART PACING MAPPING
93631
100
2520027
TILT TABLE EVALUATION
93660
225
2520028
EP EVALUATION SINGLE/DUAL ICD
93642
595
2520029
CARDIOVERSION ELECT. EXTERNAL
92960
320
2520030
CARDIOVERSION ELECT. INTERNAL
92961
320
2520032
AV NODE ABLATION W/OR W/O PM
93650
3150
2520034
INTRACARDIAC ECHO (ICE)
93662
100
2520035
SETUP CARDIOVERT-DEFIBRILL
93745
170
2520036
EP & ABLATE SUPRAVENT ARRHYT
93653
9750
2520037
EP & ABLATE VENTRIC TACHY
93654
9750
2116022
PARCUS SHOULDER
150
2116024
ARTHOWAND
456
2116028
ARTHRO PORT 6MM X 70MM CAN SYS
66
2116030
SUPER TURBO VAC 90
456
2116032
5.5MM TITAN TI SUT ANCHOR/MAGN
594
2116034
LOCKING ANKLE PLATE SYSTEM
960
2116036
3.5MM X 10.0MM CORTICAL SCREW
102
2116038
3.5MM X 12.0MM CORTICAL SCREW
102
2116040
3.5MM X 14.0MM CORTICAL SCREW
102
2116042
4.0MM X 12.0MM CORTICAL SCREW
102
2116044
LOW PROF CLAVIC PLATE 8HOLE LG
1866
2116046
2.7MM X 10.0MM CORTICAL SCREW
114
2116048
2.7MM X 12.0MM CORTICAL SCREW
102
2116050
3.5MM X 16.0MM CORTICAL SCREW
96
2116052
3.5MM X 18.0MM CORTICAL SCREW
102
2116054
3.5MM X 12.0MM CORTICAL SCREW
102
2116056
OLECRANON PLATE 3-HOLE 65MM RT
1920
2116058
2.7MM X 14MM LOCK HEXALOBE SCR
114
2116060
2.7MM X 18MM NON LOCK HEXALOBE
138
2116062
3.5MM X 24MM NON LOCK HEXALOBE
138
2116064
3.5MM X 32MM NON LOCK HEXALOBE
138
2116066
3.5MM X 40MM NON LOCK HEXALOBE
114
2116068
3.5MM X 45MM NON LOCK HEXALOBE
138
2116070
S.D. FLO 8.6MM X75 MM CANN SET
66
2116072
SABER WAND
456
2116074
ARTHRO PORT 8.6MM X 50MM SYST
66
2116075
ACU LOC 2 VDR PROX PLT NARROW
1470
2116076
2.3MM X 16.0MM LOCKING PEG
102
2116077
2.3MM X 18.0MM LOCKING PEG
102
2116078
2.3MM X 18.0MM CORTICAL SCREW
102
2116080
2.3MM X 16.0MM LOCKING SCREW
102
2116081
2.3MM X 20.0MM ACU LOCKING PEG
102
2116082
2.3MM X 22.0MM ACU LOCKING PEG
102
2116083
2.3MM X 18.0MM FL THREADED LKG
102
2116084
2.3MM X 18.0MM NON-TOG CORTICA
102
2116085
NEXTRA HAMMER TOE CORRECTION
1062
2116086
GEMINUS FOSSA VOLAR PLT STD
1260
2116087
SMOOTH PEG LOCKING 2.0MMX22MM
102
2116088
THREADED PEG NON LOCK 2.7MMX18
102
2116089
SCREW CORTICAL LOCK 3.5MMX12MM
102
2116090
SCREW CORTICAL LOCK 3.5MMX14MM
102
2116091
K-WIRE STANDAR TIP 1.5MMX127MM
66
2116092
24MM TR ANGLED HEAD LEFT
1800
2116093
8MM DIAX0.0MM TOTAL RADIAL STE
1800
2116094
2.3MM X 22.0MM FL THREADED LKG
102
2116095
2.3MM X 22.0MM NON-TOG CORTICA
102
2116096
ACU LOC 2 VDR PLT NARROW
1470
2116097
.045" X 6" ST GUIDE WIRE
66
2116098
TR-ICORTICAL BLOCK 2.0CM-2.9CM
1320
2116099
SMOOTH PEG LOCKING 2.0MMX24MM
102
2116100
THREADED PEG LOCK 2.3MMX24MM
102
2116101
SCREW POLY NON LOCK 3.5MMX13MM
102
2116102
SCREW POLY NON LOCK 3.5MMX14MM
102
2116103
SMOOTH PEG LOCKING 2.0MMX14MM
102
2116104
SMOOTH PEG LOCKING 2.0MMX18MM
102
2116105
SMOOTH PEG LOCKING 2.0MMX20MM
102
2116106
THREADED PEG NON LOCK 2.7MMX20
102
2116107
SCREW POLY NON LOCK 3.5MMX12MM
102
2116108
ACU LOC DORSAL PLT NARROW RT
1260
2116109
2.3MM X 20.0MM FL THREADED LKG
102
2116110
2.3MM X 20.0MM NON-TOG CORTICA
102
2116111
3.5MMX12MM LOCK CORTICAL SCREW
102
2116112
SMOOTH PEG LOCKING 2.0MMX26MM
102
2116113
THREADED PEG NON LOCK 2.7MMX22
102
2116114
SCREW POLY NON LOCK 3.5MMX16MM
102
2116115
DISPOSABLE SHOULDER SUSPE KIT
150
2116116
THREADED PEG NON LOCK 2.7MMX10
102
2116117
THREADED PEG NON LOCK 2.7MMX14
102
2116118
SCREW POLY NON LOCK 3.5MMX10MM
102
2116119
SMOOTH PEG LOCKING 2.0MMX16MM
102
2116120
THREADED PEG NON LOCK 2.7MMX16
102
2116121
QUATTRO SHOULDER SYS HERCULON
420
2116122
SHOULDE SUSPENSION KIT
150
2116123
SCREW POLY NON LOCK 3.5MMX15MM
L8699
102
2116124
12 HOLE LOCK MEDIAL ELBOW PLAT
1920
2116125
OLECRANON PLATE STD 20 HOLE RT
1920
2116126
POST LAT DIST HUM PLAT 11HO RT
1920
2116127
3.5MM X 16MM NON LOCK HEXALOBE
114
2116128
3.5MM X 18MM NON LOCK HEXALOBE
138
2116129
3.5MM X 20MM NON LOCK HEXALOBE
138
2116130
3.5MM X 22MM NON LOCK HEXALOBE
114
2116131
2.7MM X 12MM LOCK HEXALOBE SCR
114
2116132
2.7MM X 16MM LOCK HEXALOBE SCR
114
2116133
2.7MM X 22MM LOCK HEXALOBE SCR
138
2116134
2.7MMX18MM HI COM LOCKING PEG
102
2116135
2.7MMX20MM HI COM LOCKING PEG
102
2116136
26MM STD ACUTRAK 2 SCREW-TITAN
456
2116137
SCREW POLY NON LOCK 3.5MMX11MM
102
2116138
ACU LOC 2 VDR EXTENSION PLT
480
2116139
ACU LOC 2 VDR PLT LINKSCREW
180
2116140
2.3MM X 16.0MM SMOOTH LKG PEG
102
2116141
2.3MM X 18.0MM SMOOTH LKG PEG
102
2116142
2.3MM X 20.0MM SMOOTH LKG PEG
102
2116143
2.3MM X 14.0MM SMOOTH LKG PEG
102
2116144
2.3MM X 14.0MM NON-TOG CORTICA
102
2116145
OPPOSING FORCE COMP SCREW 3X16
570
2116146
OPPOSING FORCE COMP SCREW CANN
360
2116147
ALMING GUIDES 1.5MM
66
2116148
ACUTRAK (2/4/5) SYS-TITANIUM
456
2116149
SCREW POLYAXIAL NON LOC 3.5X12
84
2116150
SCREW POLYAXIAL NON LOC 3.5X13
102
2116151
K-WIRE STANDAR TIP .9MMX152MM
66
2116152
GEMINUS FOSSA VOLAR PLT NAR RT
1260
2116153
SMOOTH PEG LOCKING 2.0MMX19MM
102
2116154
THREADED PEG 2.7MMX20MM
102
2116155
SCREW POLYAXIAL 3.5MM X 12
102
2116156
SCREW POLYAXIAL 3.5MM X 14
102
1721485
#EXC NECK LES SC=3CM
21552
0
1721485E
#EXC NECK LES SC=3CM
21552
0
1721486
#LAPRSC REVISION PERM CATHETER
49325
0
1721487
#EXC NECK TUM DEEP 5+ CM
21554
0
1721488
#TREAT FX RADIAL 3+FRAG
25609
0
1721488E
#TREAT FX RADIAL 3+FRAG
25609
0
1721490
#PARTICAL MASTECTOMY
19301
0
1721490E
#PARTICAL MASTECTOMY
19301
0
1721492
#ANKLE ARTHROSCOPY/SURGERY
29892
0
1721494
#REPAIR OF ANAL SPHINCTER
46751
0
1721496
#CYSTOURETERO W/BIOPSY
52354
0
1721496E
#CYSTOURETERO W/BIOPSY
52354
0
1721498
#EXCISION OF GUM LESSION
41825
0
1721500
#INSERT TUNNELED CV CATH
36561
0
1721500E
#INSERT TUNNELED CV CATH
36561
0
1721501
#EXCISION OF GUM LESSION
41825
0
1721502
#BIOPSY LUNG OR MEDIASTINUM
32408
0
1721502E
#BIOPSY LUNG OR MEDIASTINUM
32408
0
1721503
#INSERT PICVAD CATH
36571
0
1721503E
#INSERT PICVAD CATH
36571
0
1721504
#EXPLORE SCROTUM
55110
0
1721504E
#EXPLORE SCROTUM
55110
0
1721505
#EXPLORE PARATHYROID GLANDS
60500
0
1721505E
#EXPLORE PARATHYROID GLANDS
60500
0
1721506
#PLACE GASTROSTOMY TUBE
43830
0
1721508
#TREAT SLIPPED EPIPHYSIS
27176
0
1721510
#REPAIR OF PERINEUM
56810
0
1721510E
#REPAIR OF PERINEUM
56810
0
1721512
#RELEASE OF SHOULDER LIGAMENT
23415
0
1721512E
#RELEASE OF SHOULDER LIGAMENT
23415
0
1721514
#EXCISE PAROTID GLAND/LESION
42415
0
1721516
#MAST. RAD URBAN TYPE
19306
0
1721518
#KNEE ARTHROSCOPY SURGERY
29882
0
1721519
#KNEE ARTHROSCOPY SURGERY
29887
0
1721520
#DESTRUCT LESION 1-14
17110
0
1721520E
#DESTRUCT LESION 1-14
17110
0
1721522
#INCISION OF ANAL ABSCESS
46050
0
1721526
#REMOVE/REPLACE UR SPHINCTER
53447
0
1721528
#IMMEDIATE BREAST PROSTHESIS
19340
0
1721530
#REPAIR BLANDER VAGINA LESSION
57320
0
1721532
#CASTING/STRAPPING PROCEDURE
29799
0
1721534
#TREAT ANKLE DISLOCATION
27840
0
1721535
#TREAT WRIST DISLOCATION
25670
0
1721536
#REVISION OF THIGH MUSCLES
27430
0
1721538
#RECONSTRUCT HEAD OF RADIUS
24366
0
1721540
#REMOVE WRIST TENDON LESION
25110
0
1721542
#DRAIN OPEN RETROP ABSCESS
49060
0
1721544
#RECONSTRUCTION OF URETHRA
53410
0
1721546
# EGD CAUTERY TUMOR POLYP
43250
0
1721546E
# EGD CAUTERY TUMOR POLYP
43250
0
1721548
#REVISE URETHRA STAGE1
53400
0
1721550
#TREATMENT OF URETHRA LESION
53260
0
1721552
#SPINAL FLUID TAP/DIAGNOSTIC
62270
0
1721554
#CHANGE VAGINAL GRAFT
57295
0
1721555
#TREAT HUMERUS FRACTURE
23616
0
1721555E
#TREAT HUMERUS FRACTURE
23616
0
1721556
#TREAT HUMERUS FRACTURE
24516
0
1721556E
#TREAT HUMERUS FRACTURE
24516
0
1721558
#HYSTEROSCOPY STERILIZATION
58565
0
1721560
#REMOVE INTRUTERINE DEVICE
58301
0
1721561
#INSERT INTRUTERINE DEVICE
58300
0
1721562
#KNEE ARTHROSCOPY/SUEGERY
29876
0
1721564
#SHOULDER ARTHROSCOPY/SURGERY
29826
0
1721566
#REMOVE CARTILAGE FOR GRAFT
20912
0
1721568
#REPAIR PALATE/PHARYN X/UVULA
42145
0
1721568E
#REPAIR PALATE/PHARYN X/UVULA
42145
0
1721570
#EXC FACE-mm MALIGT+MARG 0.6-1
11641
0
1721572
#TREATMENT OF MISCARRIAGE
59821
0
1721574
#REPAIR HUMERUS WITH GRAFT
24435
0
1721576
#TREATMENT HUMERUS FRACTURE
24579
0
1721578
#NASAL/SINUS ENDOSCOPY SURGERY
31238
0
1721580
#TREAT ULNAR FRACTURE
24675
0
1721582
#REMOVAL OF THIGH LESION
27328
0
1721584
#EXTRACTION OF LENS
66920
0
1721584E
#EXTRACTION OF LENS
66920
0
1721586
#LARYNGOSCOPY WITH BIOPSY
31576
0
1721588
#ENDOSCOPY OF UTETER
50953
0
1721589
#ENDOSCOPY OF URETER
50951
0
1721590
#EXPLORATION MAXILLARY SINUS
31256
0
1721592
#RECONSTRUCT CLEFT PALATE
42225
0
1721593
#REMOVAL OF OVARY(S)
58720
0
1721593E
#REMOVAL OF OVARY(S)
58720
0
1721594
#REMOVAL OF OVARY (S)
58940
0
1721595
#EXC ABD LESS <3CM
22902
0
1721595E
#EXC ABD LESS <3CM
22902
0
1721596
#REPAIR ARM TENDON/MUSCLE
24341
0
1721597
#REPAIR OF RUPTURED TENDON
24342
0
1721598
#EXCISON OF TONGUE LESION
41112
0
1721600
#TREAT METATARSAL FRACTURE
28475
0
2700098
RED BLD CELLS LEUK RED IRRADI
625
2700099
PLATELETS LEUKOCTE REDUC-IRRAD
400
2700100
PLATELETS/PHERESIS LEUKOC REDU
880
2700101
PLATELETS LEUKO REDUC CMV NEG
1375
2700102
PLATELETS PHERESIS LEUKO IRRAD
900
2700103
AUTOLOGOUS TRANSFUSION
86890
60
2700103E
AUTOLOGOUS TRANSFUSION (CE)
86890
60
2700104
HIV/HCV NAT TESTING
87801
60
2700107
EXCHANGE TRANS.BLOOD NEWBORN
36450
400
2700108
FRESH FROZEN PLASMA
150
2700109
PUSH TRANSF BLOOD2YRS OR UNDER
36440
400
2700110
SECOND AUTOLOGOUS TRANSFUSION
86890
60
2700111
WEST NILE VIRUS WNV
86790
30
2700112E
TYPE & SCREEN
80
2700113E
BLOOD TYPE & GROUP
55
2700114
EXTRA BAG AUTOLOGUS TRANSFUSIO
86890
25
2700115
DAT-CR
86880
20
2700116
ABO TYPE-CR
86900
30
2206811
T.E.D.KNEE LGTH XLARGE LONG17-
6.25
2206812
T.E.D.KNEE LGTH XLARGE REG17 1
6.25
2206814
WATER FOR IRRIGATIO (250ML)EA
3
2206815
SET CORDARONE (PYXIS)
12.5
2206816
MANNITOL 20 % 250 ML BAG
10
2206817
DW 5% AVIVA 500ML PBC BAG
7
2206818
SODIUM CHLORIDE IRRIGAT 1500ML
3
2206819
SODIUM CHLORIDE IRRIGATI 500ML
2.5
2206820
SC .9% 50 ML ADD-VANTAGE
4.5
2206821
RL 5000 BAG
24.5
2206822
TISSEEL/ARTISS SPRAY SET
45
2206823
EMPTY BAG CONTAINER 100ML
5
2206824
EXT SET 1.2M W IV FAT EMULSION
18
2206825
TPN SMART SITE INFUSION SET
8.8
2206826
INFUSION FAT EMULSION SET
5.8
2206827
VERSASATE BLOOD INFUSION SET
7.4
2206828
PRIMARY SET SMART SITE
5.5
2206829
SYRINGE PUMP 60" 0.2 MICRON FI
4.96
2208613
WATER FOR IRRIGATION 250ML EA
3
2208614
AVIVA SALINA 0.9% 500ML BAG
7
2208615
KCL20/DW5/0.9NSS 1000ML
3
2208616
BD ULTRAFINE III PEN NEED 31X8
1
2208617
CONCHAPAK SW 1650ML BTL
45.5
2210001
PICC CHILD < 5
36568
520
2210002
PICC 5 + OLDER
36569
520
2210003
PICC W/PORT CHILD < 5
36570
1175
2210004
PICC W/PORT 5 + OLDER
36571
1175
2210005
INSERT TUNNELED CV CATH
36558
1175
2210006
INSERT NON-TUNNELED CV CATH
36556
520
2210007
REPAIR PICC W/PORT
36576
520
2210008
REPAIR PICC W/O PORT
36575
220
2210009
REPLACE PICC W/PORT
36585
1175
2210010
REPLACE PICC W/O PORT
36584
520
2210011
REMOVAL PICC W/PORT
36590
520
2210012
REMOVAL PICC W/O PORT
25
2210013
TUNNELED REPLACEMENT
36581
1000
2210014
NONTUNNELED CATH REPLACEMENT
36580
900
2210015
INSERT TUNNELED CV CATH <5 YR
36560
2262
2210016
DRAW BLOOD OFF VENOUS DEVICE
36591
50
2210017
COLLECT BLOOD FROM PICC
36592
50
2210018
DECLOT VASCULAR DEVICE
36593
180
2210019
INSERT TUNNELED CV CATH
36566
1175
2220001
CONTINU-FLO SET 2 INJ SITE 89"
3.8
2220002
C-FLO MINIDRIP SET 3 INJ 105"
5.38
2220003
CONTIN-FLO SET 2 INJ SITE 110"
5.6
2220004
SECONDARY MEDICATION SET
1.3
2220005
BURETROL 150ML 3 INJ SITE 115"
9.6
2220006
C-FLO MINIDRIP .22 FILTER 105"
10
2220007
CONTROL A FLOW REGULATOR
13.2
2220008
NITRO VENTED SET
13.6
2220009
BLOOD Y SET 1 INJ SITE 112"
12
2220010
C-FLO VENTED SET 3 INJ 106"
5
2220011
IV FAT EMULSI ADM/NOVENT SPIKE
12
2220012
INTERLINK EXTENSION SET .22 MC
8.4
2220013
VIALMATE RECONSTITUTION DEVICE
3.54
2220014
EXTENSION SET 1.2 MICRON
3.4
2220015
INTERLINK COLLEAGUE SYRINGE AD
18.9
2220017
C-FLO W/DIAL-A-FLO REGULATOR
8.5
2220018
EXTENSION SET 1.2 MICRON
8.34
2220019
LD HEMO BLOOD W/PUMP SET
7.06
2220020
SET CORDARONE (PYXIS)
12.5
2260001
OFFICE/OUT VISIT INITIAL LEV I
99201
45
2260002
OFFICE/OUT VISIT INITIAL L-II
99202
80
2260003
OFFICE/OUT VISIT INITIAL L-III
99203
115
2260004
OFFICE/OUT VISIT INITIAL L-IV
99204
175
2260005
OFFICE/OUT VISIT INITIAL L-V
99205
215
2260006
CONSULT VISIT LEVEL I
99241
78
2260007
CONSULT VISIT LEVEL II
99242
112
2260008
CONSULT VISIT LEVEL III
99243
125
2260009
CONSULT VISIT LEVEL IV
99244
185
2260010
CONSULT VISIT LEVEL V
99245
277
2260011
OFFICE/OUT VISIT ESTAB LEV I
99211
25
2260012
OFFICE/OUT VISIT ESTAB L II
99212
45
2260013
OFFICE/OUT VISIT ESTAB L III
99213
75
2260014
OFFICE/OUT VISIT ESTAB L IV
99214
115
2260015
OFFICE/OUT VISIT ESTAB L V
99215
150
2260016
POST OPERATIVE FOLLOW UP VISIT
99024
25
2270001
INITIAL VISIT LEVEL I
99201
45
2270002
INITIAL VISIT LEVEL II
99202
80
2270003
INITIAL VISIT LEVEL III
99203
115
2270004
INITIAL VISIT LEVEL IV
99204
175
2270005
INITIAL VISIT LEVEL V
99205
215
2270006
ESTABLISHED VISIT I
99211
25
2270007
ESTABLISHED VISIT II
99212
45
2270008
ESTABLISHED VISIT III
99213
75
2270009
ESTABLISHED VISIT IV
99214
115
2270010
ESTABLISHED VISIT V
99215
150
2270011
CONSULT VISIT LEVEL I
99241
78
2270012
CONSULT VISIT LEVEL II
99242
112
2270013
CONSULT VISIT LEVEL III
99243
144
2270014
CONSULT VISIT LEVEL IV
99244
222
2270015
CONSULT VISIT LEVEL V
99245
277
2270016
PT EVAL LOW COMPLEXITY
97161
25
2270017
PT EVAL MODERATE COMPLEXITY
97162
50
2270018
PT EVAL HIGH COMPLEXITY
97163
75
2270019
PT RE-EVAL ESTABLISHED
97164
35
2270020
RT INITIAL VISIT LEVEL I
0
2270021
RT ESTAB VISIT LEVEL I
0
2270022
NUTRITION INICIAL ASSESMENT
97802
60
2270023
NUTRITION RE-ASSESSMENT
97803
35
2270024
SOCIAL WORKER
0
2270025
CAPELLAN CARE
0
2280001
INITIAL VISIT L I PED RES
99201
45
2280002
INITIAL VISIT L II PED RES
99202
80
2280003
INITIAL VISIT L III PED RES
99203
115
2280004
INITIAL VISIT L IV PED RES
99204
175
2280005
INITIAL VISIT L V PED RES
99205
215
2280006
ESTABLI VISIT L I PED RES
99211
25
2280007
ESTABLI VISIT L II PED RES
99212
45
1730011
PHYSICAL THERAPY LEVEL 3
0
1730012
PHYSICAL THERAPY LEVEL 4
0
1730013
PHYSICAL THERAPY LEVEL 5
0
1730014
COLONOSCOPY DIAGNOSTIC
45378
125
1730015
#REMOVAL OF RECTAL MARKET
46030
0
1730016
COLONOSCOPY WITH BIOPSY
45380
0
1730017
PROCTOSIGMOIDOSCOPY REMOVAL
45309
125
1730018
PROCTOSIGMOIDOSCOPY
45300
125
1730019
PROCTOSIGMOIDOSCOPY W/BX
45305
125
1730020
ERCP DIAGNOSTIC PROC. ONLY
43260
0
1730021
ERCP DIAGNOSTIC PROC. ONLY
43260
668
1730030
FEM/POPL REVAS W/ATHER
37225
0
1730031
FEM/POPL REVASC STENT & ATHER
37227
0
1730032
TIB/PER REVASC W/TLA
37228
0
1730033
TIB/PER REVASC W/ATHER
37229
0
1730034
TIB/PER REVASC STENT & ATHER
37231
0
1730035
TIB/PER REVASC ADD-ON
37232
0
1730036
OPEN/PERQ PLACE STENT 1ST ARTE
37236
0
1730037
OPEN/PERQ PLACE STENT ADD ARTE
37237
0
1730038
OPEN/PERG PLACE STENT 1ST VEIN
37238
0
1730039
OPEN/PERG PLACE STENT ADD VEIN
37239
3105
1730040
TRNSLUM BALL ANGIOPL PERC.VENO
37246
0
1730041
ELECTROPHYSIOLOGY EVALUATION
93640
0
1730042
PLACE CATH CAROTID/INOM ART EX
36222
1740
1730043
BX BREAST ADD LESION STRTCTC
19082
10
1730044
# FUSION OF ANKLE JOINT OPEN
27870
0
1730045
AV FISTULA W/MAGNETIC GUIDE
G2171
0
1730046
# THOMBOLYTIC ART THERAPY CESS
37214
0
1730047
CYSTOURETHEROSC IMPL 4 OR MORE
C9740
0
1730048
PRQ CARD ATHERECTOMY W/STENT
92933
10000
1730049
# LAPAROS REPAIR HERNIA W/MESH
43282
0
1730050
#ARTHROPLASTY; RADIAL HEAD
24365
0
1730051
#PROSTATE SATURATION SAMPLING
55706
0
1730052
#REMOVE URO SPHINCTER
53446
0
1730053
TRANSCATH STENT CCA W/EPS
37215
10
1730054
#INSTN OF CANNULA HEMOD/ARTERI
36810
0
1730055
#RPAR RECTUM VAG. FISTULA ABD
57305
0
1730056
LAP REPAIR PE HIATAL HERNIA
43333
0
1730057
#DESCOMPRESSION OF TIBIA NERVE
28035
0
1730058
# LONGITUDAL GASTRECTOMY
43645
0
1730059
# FUSION OF ANKLE JOINT OPEN
27871
0
1730060
#ENDOVASCULAR REPAIR ANEURISM
0
1730061
#AMPUTATION FOOT, INTERP JOINT
28825
0
1730062
FACILITY USE WOUND CARE
97597
0
1731000
HYPERBARIC OXIGEN EVALUATION
99183
0
1731001
HYPERBARIC TX PER SESSION
C1300
0
1731002
HYPERBARIC TX 30 MINS
C1300
0
1731003
#TENOTOMY-PERCT GENERAL ANEST
27606
0
1731004
#BRAIN CANAL SHUNT PROCEDURE
61070
0
1731005
#EXCISION ABD TUM OVER 5 CM
49204
0
1731006
#BX BREAST 1ST LESSION BILATER
1908550
0
1731007
#REMOVAL OF UPPER JAW
31225
0
1731008
#DRAINAGE OF SALIVARY GLAND
42300
0
1731010
CLOSURE OF URETHRSTMY FISTULA
53520
0
1731011
INS/REP SUBQ DEFIBRILLATOR
33270
10000
1731012
#FUSION OF FOOT BONES
28725
0
1731013
#LAPAROSCOPY ESOPHAGOMYOTOMY
43279
0
1731014
#LAPAROSCOPY ESOPHAGOMYOTOMY
43283
0
1731015
#LASER SURGERY EYE STRANDS
67031
0
1731016
ELECTROPHYS MAP 3D
93613
0
1731017
PLCMT NEPHRO CATH PERC NEPHROG
50432
0
1731018
#EXCISION BIOPSY PLEURA PERCUT
32408
0
1731019
# EXC CHEST WALL TUMOR W/RIBS
21601
0
1733377
# REMOVE SPINE ELTRD PERGARAY
63661
0
1733398
# I PEDICLE FLAP GRAFT
15740
0
173530
# SPINAL CORD BIOPSY
62269
0
1740010
# LAPAROSCOPIC EQUIPMENT TRAY
43651
0
1740012
# LAPAROSCOPIC EQUIPMENT TRAY
43652
0
1740014
# LAPAROSCOPIC EQUIPMENT TRAY
43653
0
1740015
# LAPAROSCOPIC EQUIPMENT TRAY
49652
0
1740016
# LAPAROSCOPIC EQUIPMENT TRAY
44970
0
1740020
# LAPAROSCOPIC EQUIPMENT TRAY
47579
0
2604699
ARTHRITIS PANEL
80072
65.55
2604700
VENOUS PUNCTURE (CE)
36415
15
2604701
LUPUS PANEL(COLLAG DISEA PANEL
82523
182
2604702
BLOOD COUNT HEMOGLOBIN
85018
9
2604703
SPUN MICROHEMATOCRIT
85013
8
2604705
ACETYLCHOLINE BLOCKING
83519
113
2604706
PTH-INTACT
83970
43.5
2604707
LIPOPROTEIN DIRCT VLDL CHOLEST
83719
40
2604708
LIPOPROTEIN DIRECT LDL CHOLEST
83721
40
2604709
MICROGLOBULIN BETA-2
82232
34.75
2604710
CAPILLARY BLOOD DRAW
36416
0
2604712
TOTAL PROTEIN (BODY FLUIDS)
84155
20
2604713
GLUCOSE (FOR BODY FLUIDS)
82945
20
2604714
LDH (FOR BODY FLUIDS)
83615
15
2604715
AMYLASE (FOR BODY FLUIDS)
82150
16
2604716
LIPASE (FOR BODY FLUIDS)
83690
75
2604718
CHLORIDES (FOR BODY FLUIDS)
82435
41
2604719
BILIRUBIN DIRECT
82248
15
2604721
GIARGIA ANTIGEN
87329
30
2604722
ANTI GAD
83519
204
2604723
HERPES ZOSTER IGG (VARICELLA)
86787
32
2604724
HIV-VIRAL LOAD
87521
135.85
2604725
CRYPTOCOCCUS ANTIGEN SERUM
86641
48
2604727
SELENIUM/BLOOD
84255
192
2604728
URINE ORGANIC ACIDS QUANLITATI
83918
90
2604729
ESCHERICHIA SPP ANTIBDY 9(IFA)
86666
562.5
2604730
LYME DISEASE AB
86618
40
2604731
CARNITINE
82379
180
2604732
VIT D1/ 25 DIHYDROXY(CALCITRIO
82652
68
2604733
VITAMINA D/25 HYDROXY
82306
38
2604734
VITAMINA E
84446
47
2604735
VITAMINA A
84590
87
2604737
ACETAMINOPHEN
80329
20
2604739
PH (FLUID/STOOL)
83986
24
1802011
INSERT/RPLCMT DEFIB W/LEAD(S)
33249
0
1802012
INSERT PULSE GEN W/SINGLE LEAD
33240
0
1802013
REMOVE PULSE GENERATOR
33241
0
1802014
REMOVE ELCTRD TRANSVENOUSLY
33244
0
1802015
RELOCATE POCKET FOR DEFIBRILL
33223
0
1802016
REPOSITION PACING DEFIB LEAD
33215
0
1802017
REPAIR LEAD PACE-DEFIB ONE
33218
0
1802018
REPAIR LEAD PACE-DEFIB DUAL
33220
0
1802019
REM OF PEM EPICARDIAL PMK
33226
0
1802021
TRNSLUM BALL ANGIO/PERC.REN
36902
1000
1802022
TRNSLUM BALL ANGIO PERC. AORTI
36905
1000
1802023
TRNSLUM BALL ANGIO PERC. ILIAC
37220
1000
1802024
FEM/POPL REVAS W/TLA
37224
3085
1802025
TRNSLUM BALL ANGIO/PERC.BRACIO
35475
1000
1802026
TRNSLUM BALL ANGIOPL PERC.VENO
37246
1000
1802027
INJECT PROCED FOR EXTREM VENOG
36005
500
1802028
INTRO CATHE.SUP./INF.VENA CAVA
36010
175
1802029
SEL CATH.PLAC.VEN.SYS.FRST ORD
36011
215
1802030
SEL CATH.PLAC.VEN.SYS.SEC ORD
36012
250
1802031
SEL CATH.PLAC.RIGHT HEART/MAIN
36013
175
1802032
SEL CATH.PLAC.L/R HEART/MAIN
36014
210
1802033
SEL CATH.PLAC.SEGM/SUBSEGM.
36015
245
1802034
INTRO OF NEDDLE OR INTRCATHE
36100
225
1802035
INTRO OF INTRCATH BRACHIAL ART
36140
150
1802036
INTRO OF INTRCATH EXTREMTY ART
36140
150
1802038
INTRO OF INTRCATH AORT TRNLUMB
36160
190
1802039
INTRODUCTION OF CATHETER AORTA
36200
215
1802040
SEL CAT.PLAC. ART.SYS.E/FST TH
36215
315
1802041
SEL CAT.PLAC./INI.SEC THOR BRA
36216
375
1802042
SEL CAT.PLAC.INI.THRD THOR BRA
36217
450
1802043
SEL CAT.PLAC.ADD SEC/THRD/B TH
36218
75
1802044
SEL CAT.PLAC.ART.SYS.E/FRST AB
36245
350
1802045
SEL CAT.PLAC.INI.SEC ABD.PEL.
36246
375
1802046
SEL CAT.PLAC.INI.THRD/ABD.PEL.
36247
450
1802047
SEL CAT PLAC SEC/THRD/BEY ABM
36248
100
1802048
INSERT IMPLA.INTRA ART. INFUS
36260
775
1802051
REV/RELOC SKIN POCKET/PACEMAKE
33222
1802052
HEMODIALYSIS ACCESS ANY SITE
36821
1800
1802053
INSERT 1 ELECTRODE PM-DEFIB
33216
3000
1802054
INJECTION SINGLE OF DX SUBTAN
62320
350
1802055
NERVE BLOCK - ILIOINGUINAL
64425
175
1802056
NERVE BLOCK - LUMBAR SACRAL
62322
350
1803055
#REVISION OF COLOSTOMY
44340
1500
1803056
INSERT PACING LEAD & CONNECT
33224
0
1803057
REMOVAL IMPLANT CARDIAC RECORD
33284
450
1803058
VASCULAR INJECTION PROCEDURE
36002
175
1803059
ULTRASONIC GUIDANCE NEEDLE PL
76942
100
1803060
FLUOROSCOPE EXAMINATION
76000
100
2606145
ASSAY OF NICOTINE
80323
10
2606146
IMMUNODIFFUSIONS GEL DIFFUSION
86331
26
2606147
EHRILICHIA FUNGUS
86671
26
2606148
ASPERGILLUS
86606
31
2606149
CELL CYCLE FLOW CYTOMETRY
88182
10
2606150
LUTEINIZING HORMONE (LH)
83002
40
2606151
GONADOTROPIN (FSH)
83001
40
2606152
BETA 2 GLYCOPROTEIN AB
86146
54
2606153
RENIN
84244
47
2606154
HEMOPHILUS INFLUENZA
86684
42
2606155
IMMUNO ASSAY FOR ANALYTE
83516
20
2606156
CHROMATOGRAPHY QUANTIT COLUMN
82542
39
2606157
HERPES SIMPLEX TYPE 1
86695
28.02
2606158
HERPES SIMPLEX TYPE 2
86696
41
2606159
ARSENIC
82175
41
2606160
LEAD
83655
26
2606161
ASSAY OF LEADS
83655
10
2606162
MERCURY/BLOOD
83825
50
2606163
HELICOBACTER PYLORI
86677
70
2606164
INSULIN TOTAL
83525
25
2606165
PSA FREE
84154
39
2606166
PSA TOTAL
84153
39
2606167
CBC
85025
17
2606168
SYPHILIS TEST
86592
10
2606169
BLOOD TYPING
86901
7
2606170
COOMBS TEST INDIRECT
86886
11
2606171
ANTIBODY WEST NILE VIRUS IgM
86788
36
2606172
ANTIBODY WEST NILE VIRUS
86789
216
2606173
GLUCOSE-6 (G6PD)
82955
21
2606174
BLOOD COUNT RBC
85041
7
2606175
ANTIBODY VARICELLA-ZOSTER
86787
28
2606176
ANTIBODY ADENOVIRUS
86603
28
2606177
ANTIBODY RUBEOLA
86765
28
2606178
FLOW CYTOMETRY/READ 16 OR <
88189
65
2606179
PROTEIN C/ANTIGEN
85302
26
2606181
PROTEIN S/ TOTAL
85305
75
2606182
PROTEIN S/ FREE
85306
88
2606183
ANTITHROMBIN III LV
85300
26
2606184
ANTITHROMBIN III AG
85301
40
2606185
RUSSELL VIPER VENOM DILUTED
85613
21
2606186
THROMBIN TIME/ PLASMA
85670
30
2606187
THROMBOPLASTIN INHIBITION
85705
21
2606188
FACTOR VIII ACTIVITY = AHF
85240
128
2606189
FACTOR VIII VW RISTOCETIN
85245
90
2606190
VWF CLEARING PROLEASE ACTIVITY
85246
64.58
2606191
AMINOACIDS PLASMA QUANT.
82139
47.48
2606192
INFLUENZA ANTIBODIES A+B QT.
86710
66.57
2606193
FEBRILE AGGLUTINIS PROFILE
86000
19.64
2606194
VITAMINA B-12
82607
42.42
2606195
FOLATE
82746
20
2606196
PRO-INSULIN
84206
50.14
2606197
ACID FAST (TB) CULTURE
87206
30
2606198
MYCOBACTERIA CULTURE
87116
30.42
2606199
CHROMIO
82495
69
2606200
THYROGLOBULIN QUANTITATIVE
84432
54
2606201
METHYLMALONIC ACID IN URINE
83921
46.32
2606202
T CELLS TOTAL COUNT
86359
106.16
2606203
B CELLS TOTAL COUNT
86355
106.16
2606204
CD4 & CD8
86360
132.24
2606205
17 HYDROXI/17 KETOS
83491
49.3
2171763
CRICOTHYROTOMY KIT PEDIATRIC
196
2171764
NEONATAL FLOW SENSOR HAMILTON
85
2171765
SPEEDBAND
280
2171766
EXTRACTOR PRO RX 9-12MM ABOVE
290
2171767
CRE PRO WG 8-10MM 240CM
370
2171768
VENT MASK II NEONATE
3
2171769
ADULT/PED VENT CIRCUIT DUAL HT
78
2171770
ORAL ENDOTRACHEAL TUBE FASTENE
19.96
2171771
RUBE VENT TUBE W/TAB 1.27MM
60
2171772
MICROBORE EXT SET (2N3348)
5.7
2171773
BILIARY DRAINABLE CATH 8.5FR
408
2171774
BREATHING CIRCUITE VENTSTAR
26
2171775
WALLFLEX BILI PART COVER STENT
3900
2171776
WALLFLEX BILI FULL COVER STENT
3900
2171777
HURRICANE BILIARY BALLON
378
2171778
FLEXIMA BILI PRELOADED STENT
258
2171779
FLEXIMA BILI RX DELIVERY SYSTE
258
2171780
RX MICROKNIFE XL NEEDLE KNIFE
298
2171781
ENCORE INFLATION DEVICE 20CC
158
2171782
ORISEL GEL SYRINGE KIT
390
2171783
ENDOVIVE 1STEP LOW PRO PEG KIT
398
2171784
ENDOVIVE LOW PRO BUTTONKIT REP
258
2171785
WALLFLEX BILIARY STENT UNCOVER
3900
2171786
ENDOVIVE STD PEG PULL 24FR
150
2171787
TRUTOME DREAMWIRE
518
2171788
CRE STERIFLATE INFLATION DEV
150
2171789
DISPO EXPIRATORY FILTER D/X800
44.16
2171790
CATHETER CHEST RT ANGLE ST
31.18
2171791
BREATHING BAG FOR CIRCUIT
6.5
2171792
CLEVERCUT 3V SPHINCT WIRE V SY
200
2171793
VISIGLIDE 2 GUIDEW 450CM ANGLE
320
2171794
VISIGLIDE 2 G/W 450CM STRAIGHT
320
2180001
SUCTION VALVE MAJ 209
18
2180010
CATH TRAY
3.03
2180011
FOLLEY TRAY ALL FR.
11.23
2180012
DISP.IRRIGATION TRAY
2.62
2180013
CYSTO FLO
6.31
2180014
FOLLEY CATH ALL FR.
7.9
2180015
FOLLEY PED. ALL FR.
9.14
2180016
FOLLEY 3WAYS ALL FR.
21.6
2180017
ENDOSCOPY CORD
7.2
2180018
ELECTRO SURG. GROUND
15
2180019
DISP.URETHERAL CATH.
25
2180020
SOLUCION IRRIGAR3000
6
2180022
PENCILLETTE
7.83
2180023
ACCU-TEMP SURG CAUTE
15
2180024
DISP.SUCTION CAUTERY
36
2180025
ELECTROSURGICAL TIP
0.45
2180026
UROMATIC TUR CONNECT
7.64
2180027
MALE INCONTINENT CAT
1.35
2180028
LIQUID TILE CONTAINE
2.86
2180029
URINARY DIVERSION ST
170
2180030
PYELOPLASTY STENT
80
2180031
NEPHROSTOMY SET
376
2180032
DISP.GRASPING FORCES
76
2180033
URETERAL STENT SET
194
2180034
DEFLE.CYTOLOGY BRUSH
60
2180035
LEG BAND CATH.HOLDER
8.6
2180036
STOMA URINE BAG
3
2180037
PERCUTANEOUS DIL.SET
200
2180038
KAYE NEPHROSTOMY TAM
175
2180039
PERC. MALECOT NEPH.
199
2180040
TRACT DILATION 7.3FR
270
2180041
TRACT DILATION 9.0FR
270
2180042
AMPLATZ RENAL DILAT.
473.1
2180043
RUTNER NEPH. ADAPTER
91
2180044
FINLAYSON URETERAL A
190
2180045
PEEL AWAY SHEATH
25
2180046
GUIDE WIRE/FINLAYSON
86.25
2180047
BALLON URET.DIL. 5FR
198
2180048
BALLON URET.DIL. 7FR
190
2180049
GRASPINE FORCEPS 3.7
245
2180050
HELICAL STONE EXTRAC
350
2180051
RUTNER URET.CATH 5FR
15
2180052
URETERAL DOUBLE PIG.
238
2180053
OCCLUSION BALLON CAT
225
2180054
FOLLEY TEMP. SENSOR
37.2
2180055
STENT FIGURE FOUR
220
2180056
MALLECOT CATHETER
16.67
2180057
PEZZER CATHETER
18
2180058
NEEDLE W/CHIBA TIP
64
2180059
NEEDLE W/TROCAR STYL
21
2180060
COUNCILL FOLLEY
28
2180061
RESECTION ELECTRODE LOOP 24FR
241.86
2180062
HEYMAN FILI CATHETER
26
2180063
OPEN END UR. CATETER
19.9
2180064
DOME FITTING KIT
26
2180065
LEVEEN PRESSURE INFL
55
2180066
1 INCH NEEDLE ELECTR
1.97
2180067
BLADE-NEEDLE ELECTR.
6.67
2180068
LAWSON II NEPH. SET
310
2180069
BALLON DILATION CATH
312
2180070
SPLASH SHIELD
30
2180071
CORE BIOPSY SYSTEM
80
2180072
PROSTHESIS MALEABLE
1600
2180073
LITHOTRIPTOR PROBE
220
2180074
STAMEY PERC.CATH SET
100
2180075
RENAL DOUBLE CURVE
35
2180076
SIDEWINDER CATHETER
35
2180077
HEAD HUNTER CATHETER
35
2180079
URETERAL DIL.CATH/BA
370
2180080
FOLLEY CONNECTOR
8
2180081
ENDOPHOTO PROBE
580
2180082
MONOPOLAR LAP CORD
9
2180083
ENDO ILLUMINATOR
35
2180084
ELITE SYSYTEM CORD
40
2180085
CUTTING LOOP R ANGLE
123.31
2180086
PM CABLE DISP.
240
2180087
DRAINAGE TRAY
10
2180088
PAPILLOTOME CUT-WIRE
350
2180089
CUP BIOPSY FORCEPS
1120
2180090
INFANT CATH. TRAY
51
2180091
ELLIK BLADDER EVACUATION
120
2180092
STAR RETRACTOR RINGS 3350
15.92
2180093
STAR RETRACTOR RINGS 3350
16
2180094
NEUROSTIMULATOR (URO)
9720
2180095
ANTENNA UROLOGIA (37092)MEDT
96
2180096
HYSTEROFLOW II IN/OUT BG OLYMP
156
2180097
FLUID COLLECTION CANISTER OLYM
16.66
2180098
FLUID COLLECTION SET OLYMPUS
62.62
2080464
COROENT XLF SCREW 5.5 X 50MM
780
2080465
COROENT XLF 10 X 18 X 55MM 10
2874
2080466
INTERLOCK HL 9X17X14MM 15
1260
2080467
INTERLOCK HL 9X17X14MM 10
1260
2080468
COROENT SI SCREW 13X4.0MM SELF
126
2080469
COROENT SI SCREW 12X4.0MM SELF
126
2080470
ATLANTIS CERVICAL PLATE 42.5MM
1560
2080471
ATLANTIS SD FA 4.5X13MM SCREW
180
2080472
CORNERSTONE L-ASR 7 X 14 X 11
840
2080473
OSTEOCOOL RF BONE ABLATION
1800
2080474
VOYAGER MAS 6.5 X 40MM SCREW
960
2080475
VOYAGER MAS 6.5 X 45MM SCREW
960
2080476
VOYAGER SET SCREW
180
2080477
VOYAGER CAPPED ROD 45MM
360
2080478
INFUSE BMP BONE GRAFT X-SMALL
2220
2080479
PTC SPACER PEEK 26MM X 12MM
2880
2080480
VENTRICULOSTOMY RESERV #44210
180
2080481
OBLIQUE TLIF TI 10X10X25MM
2874
2080482
PROCLAIM PAT CONT CCQX868LGGNK
1182
2080746
ACCESSORY KIT (MEDTRONIC)
216
2080747
EON RECHARGEABLE IPG (3716)
15000
2080748
SPINAL USA H-GENNIN PUTTY 1ML
1800
2080749
COROENT LO 10X10X25MM 5
2769
2080750
COROENT XL WIDE 8X22X55MM
3631.2
2080751
COROENT XL WIDE 10X22X45MM LOR
6456
2080752
PRECEPT BLADE/FASCIAL SPLITTER
540
2080753
SPINAL USA CERVICAL SCREWS
300
2080754
DBM PUTTY 5ML (USA)
1800
2080755
POSTERIOR CAP SCREWS (04-1000)
240
2080756
OSTEOCEL PRO CELLULAR BONE MAT
3810
2080757
HELIX R PLATE/48MM 2-LEVEL
1502.4
2080758
NV ET TUBE 6MM EMG ID
159.6
2080759
CORNERSTONE L-ASR
2010
2080760
ACCESSORY KIT 3550-14 MEDTRONI
54
2080761
MAXCESS STERILE DISPOSABLE KIT
2066.4
2080762
VENTURE CERVICAL PLATE 65MM
1590
2080763
HELIX R PLATE 36MM 2-LEVEL
844.8
2080764
X-CORE MINI TI-15X12MM PARALLE
969.6
2080765
X-CORE MINI 15-20MM 012MM
3780
2080766
LOCKING NUT
108
2080767
ACTIVA PC MODEL 37601
22188
2080768
VERTEX-MAX CROSSLINK LARGE
900
2080769
PROGENIX PLUS DBM PUTTY 10CC
2490
2080770
PRECEPT TI ROD/20MM PREBENT LO
830.4
2080771
NV I-PASS III BEVELOP TIP STER
439.2
2080772
ACRYLIC RESIN
360
2080773
EZFLOW CEMENT DELIVERY SYSTEM
540
2080774
VERTEBRAL BALLOON KIT 10G 15MM
1440
2080775
10G VERTEB AUG ACCESS TOOL KIT
168
2080776
CORNESTONE L-ASR 6 X 14 X 11
2250
2080777
COROENT LO 8X10X25MM 5
2874
2080778
HELIX R PLATE/42MM 2-LEVEL
1503.6
2080779
PROGENIX DBM PUTTY 1CC
312
2080780
HELIX R PLATE/40MM 2-LEVEL
1472.4
2080781
HELIX R SCREW 4X15MM VAR SELF
478.8
2080782
NV ET TUBE 8MM EMG ID
159.6
2080783
HELIX R PLATE/44MM 2-LEVEL
1502.4
2080784
OSTEOCEL PLUS CELLULAR B/M 1CC
552
2080785
COROSI 5 X 17 X 14MM
2655
2080786
COROSI 6 X 17 X 14MM
2655
2080787
COROSI SCREW 4X13MM SELF TAP
235.2
2080788
LEGACY 5.5 CANN MASS 6.5 X 35
840
2080789
DISPO BALL TIP PROBE 100 X .75
360
2080790
HELIX R PLATE 74MM 4 LEVEL
1732.8
2080791
COROSI 8 X 17 X 14MM
L8699
2832
2080792
PRECEPT SCREW 6.5X55 POLYAXIAL
1975.2
2080793
COROSI SCREW 4 X 14MM SELF TAP
417.6
2080794
HELIX R PLATE/54MM 2-LEVEL
1502.4
2080795
X-CORE MINI TI/17X14MM LORD BT
1723.2
2080796
X-CORE MINI 29-48MM 012MM
6715.2
2080797
NVM5 NEEDLE MODULE/SSEP
1959.6
2080798
VP II SET SCW TULIP SCREW & LA
240
2080799
VUEPOINT II SCREW MA *456466*
1608
2080800
PROTEGE IPG (3789)
17250
2080801
PRODIGY CHARGING SYSTEM (3730)
1198.8
2080802
PATIENT PROGRAMMER (3852)
1198.8
2080803
PRECEPT TI ROD 120MM PREB LORD
907.2
2080804
PRECEPT NIT K-WIRE/THREADED TI
144
2080805
VENTURE CERVICAL PLATE 80MM
1530
2080806
CORNESTONE L-ASR 7X14X11
2250
2080807
CORNERSTONE L-ASR 8 X 14 X 11
1140
2080808
VUEPOINT II ROD/3.5X60MM
374.4
2080809
VUEPOINT SCREW 3.5X16MM MULTI
1608
2080810
HELIX R PLATE/22MM 1-LEVEL
1387.2
2080811
NIM EMG TUBE TRIVANTAGE 8.0MM
690
2080812
HELIX R PLATE 38MM 2-LEVEL
1502.4
2080813
HELIX R PLATE/28MM 1-LEVEL
1387.2
2080814
PROPEL PUTTY/LARGE
2481.6
2080815
PROPEL PUTTY/MEDIUM
1494
2080816
ARM15T SCREW/POLYAXIAL
1768.8
2080817
ARMADA TI LOCK SCREW OPN TULIP
333.6
2080818
ARM15T ROD/65MM
400.8
2080819
KYPHOPLASTY (MSDI)
4593.6
2080820
PROTEGE MRI (3771) ST JUDE
17250
2080821
PRODIGY (3853/3856/3883)
1182
2080822
HELIX R PLATE/26MM 1-LEVEL
1387.2
2080823
SYNCHROMED REFILL KIT
30
2080824
OSTEOCEL PLUS CELLULAR B/M15CC
5670
2080825
VUEPOINT II CONN EXTRA ROD
1584
2080826
STRATA VALVE PROGRAMMER #42866
3900
2080827
BALLON KYPHOPLASTY FOR VERTEBR
4884
2080828
HVR BONE CEMENT C01B
468
2080829
EXPRESS CURETTE T TIP A13A
696
2080830
PROCLAIM 5 ELITE
15000
2080831
VUEPOINT II CONN FIXED CROSS
1305.66
2080832
VUEPOINT II ROD/3.5X240MM
432
2080833
COROSI 7 X 17 X 14MM
1593.6
2080834
ARCHON SCREW 4.0X13MM SELF DRI
502.8
2080835
ARCHON SCREW PLATE 24MM 1-LEVE
1456.8
2080837
ARCHON PLATE 40M 2-LEVEL
L8699
886.8
2080838
PROCLAIM PAT CONT CCQXT12SGGNK
1182
2042843
ULTRAVERSE .018 PTA U81502H8
204
2042844
ULTRAVERSE .018 PTA U81502H10
204
2042845
ULTRAVERSE .018 PTA U81502H12
204
2042846
ULTRAVERSE .018 PTA U81502H15
204
2042847
ULTRAVERSE .018 PTA U81502H22
204
2042848
AMPLATZ GOOSE NECK SNARE KIT
990
2042849
LUTONIX .035 LX35751060V
1080
2042850
LUTONIX .035 LX3575760V
1080
2042851
LUTONIX .035 LX3575660V
1080
2042852
CAROTID STENT XACT 7X30X136
3600
2042853
ADVISOR HD GRID MAP CATH
3800
2042854
SENSOR ENABLE DIAG CATH CABLE
2685
2042855
STENT RESOLUTE ONYX
2850
2042856
TRANSSEPTAL NEEDLES
630
2042857
CRT-P EDORA 8 HF-T QP
4920
2042858
LUTONIX .035 LX351304605F
1080
2042859
COVERA CVRD STENT 7X100X80
C1876
3600
2042860
LUTONIX .035 LX3513051005F
1080
2042861
LUTONIX .035 LX3513051505F
1080
2042862
ADVISOR HD GRID SENSOR ENABLED
2190
2042863
ULTRAVERSE .035 PTA U35130520
204
2042864
COVERA VASC COVERE AVSM07060
C1876
2160
2042865
COVERA VASC COVERE AVSM08060
C1760
2160
2042866
COVERA VASC COVERE AVSM06060
2160
2042867
COVERA VASC COVERE AVSM10100
2160
2042868
REBAR EV3
480
2042869
STENT XIENCE SIERRA
2970
2042870
FREEZOR XTRA
798
2042871
INTERGARD KNITTED 22 X 11 BIFU
1860
2042872
COVERA VASC COVERE AVSM07040
2160
2042873
BILATERAL RADIAL CATH SRD
75
2042874
IMPULSE FR 4
42
2042875
IMPULSE FL 4
42
2042876
BLAZER PRIME HTD LARGE CURVE
1275
2042877
BLAZER PRIME XP LARGE CURVE
1335
2042878
INTELLATIP MIFI XP STD CURVE
2625
2042879
INTELLATIP MIFI XP LRG CURVE
2625
2042880
OPEN IRRIGATED QUADPOLAR STD
2595
2042881
OPEN IRRIGATED QUADPOLAR LRG
2595
2042882
CABLE BLAZER OI
615
2042883
CABLE POD TO STANDARD
825
2042884
CABLE METRIO TUB SET
225
2042885
CABLE INTELLATIP MIFI
660
2042886
3 DRC 5FR DIGN CATH
55.5
2042887
PIG TAIL 5.2FR
55.5
2042888
COOL POINT 85785
600
2042889
ENSITE PREC SURF ELECTRODE KIT
450
2042890
FLEXABILITY SENSOR ENABLED
1410
2042891
SENSOR ENABLE ABLATION CABLE
360
2042892
LIVEWIRE ABBOTT
660
2042893
RESPONSE ABBOTT
108
2042894
SUPREME TM 401982 ABBOTT
240
2042895
SUPREME TM 402004 ABBOTT
120
2042896
DORADO DR8078
240
2042897
COVERA VASC COVERE AVSM10060
2160
2042898
SUPREME TM 401430 ABBOTT
132
2042899
ELECTROPHYSIOLOGY CABLE 2.5 SJ
585
2042900
GORE VIABAH ENDO VBJR050502A
3399.6
2042901
WEBSTER 5FR DEPOLAR CATH
600
2042902
LUTONIX .035 LX3513061205F
1080
2042903
VALIANT THORAC VAMF2828C100TU
10200
2042904
GORE VIABAH ENDO VBJR051502A
4512
2042905
WECK EFX SHIELD PORT SITE
230.4
2042906
VENOVO VENOUS STENT 14MMX60MM
1440
2042907
LUTONIX .035 LX3513061505F
1080
2042908
COVERA VASC COVERE AVSM06100
2160
2042909
WAVELING 4FR CATHETER
10000
2042910
LUTONIX .035 LX3513041205F
1080
2042911
GORE EXCLUDER ENDOPR RLT231214
9945.6
2042912
GORE EXCLUDER ENDOPR PLC121200
4077.6
2042913
GORE EXCLUDER ENDOPR RLT231216
9945.6
2042914
AL .75 -.078 CTO 588-890
330
2042915
CSL CATHETER (401381)
300
2042916
GUIDE WIRE 05260031195CM ST JU
300
2042917
VENOVO VENOUS STENT 16MMX100MM
C1876
1440
2042918
VALIANT THORACIC/VAMF4646 C200
6960
2042919
VALIANT THORACIC/VAMC4646 C150
6660
2042920
VALIANT THORACIC/VAMC4642 C150
6660
2042921
VALIANT THORACIC/VAMF3030C200
10200
2042922
ADVISOR FL SENSOR ENABLE
2685
2042923
SENSOR ENABLE CABLE
1260
2042924
VASCULAR TUNNELET & BULLET TIP
178.8
2042925
MICRO INTRO KIT 4FST-7SMT
118.5
2042926
MICRO INTRO KIT 5FST-7SMT
90
2042927
MICRO INTRO KIT 4F-7ECO
93
2042928
MICRO INTRO KIT 5F-7ECO
93
2042929
LUTONIX .018 LX18130440AF
1080
2042930
BENTSON WIRE .035 X 180
138
2042931
BENTSON WIRE .035 X 260
165
2042932
AMPLATZ GOOSE NECK SNARE
990
2042933
VASCULAR GRAFT 6 X 30
1860
2042934
VENOVO VENOUS STENT 16MMX40MM
C1760
1440
2042935
UNIVERSAL FLUSH
37
2042936
FOGARTY EVECLIP 6MM SPRING CLI
100.5
2042937
GORE EXCLUDER ENDOPR PLA360400
2870.4
2042938
GORE EXCLUDER ENDOPR PLC161400
4077.6
2042939
LUTONIX .018 LX181305605F
1080
2042940
INQUIRY IBI-81104 ABBOTT
480
2042941
IBI-65930 CATHETER ABBOTT
750
2042942
PROPATEN VASC GRAFT HEPARIN
4210
2042943
GORE EXCLUDER ENDOPR RLT261416
10244.4
2042944
GORE EXCLUDER ENDOPR PLC231200
4200
2042945
GORE EXCLUDER ENDO CEB231010A
11440.8
2042946
GORE EXCLUDER ENDO HGB161007A
3192
2042947
GLIDE SHEATH SLENDER SS 5FRX10
208.5
2042948
DISTAL GLIDEWIRE ADV 014X180
736.5
2042949
ENROUTE TRANSCAROTIC NEUROPROT
7000
2042950
ENROUTE TRANSCAROTIC STENT
5500
2042951
ENROUTE MICRO INTRODUCER KIT
540
2042952
ENROUTE GUIDEWIRE
585
2042953
CRT-D ILIVIA 7 DR-T /BIOTRONIK
12600
2042954
SOLIA S 53 REF377177 BIOTRONIK
600
2042955
BALLOON STERLINE MONORAIL 80CM
1050
2041116
JR 3.5 5FR GUIDE CATHETER
48
2041117
JL 3.5 5FR GUIDE CATHETER
48
2041118
JL 5 5FR GUIDE CATHETER
48
2041119
JR 5 5FR GUIDE CATHETER
48
2041120
JL 6 5FR GUIDE CATHETER
48
2041121
JR 6 5FR GUIDE CATHETER
48
2041122
BALLOON AGIL TRAC 5.0X100X80
750
2041123
BALLOON POWERSAIL 4.0 X 13
1050
2041124
PINNACLE CAROTID GUIDING S.6FR
450
2041125
BALLOON VIATRAC14 P/5.0X20X135
690
2041126
STENT - RX ACULINK 6.0X20X135
3700
2041127
EMBOLIC PROTEC.RX ACCUNET 5.5
2500
2041128
ENDOPROSTHESIS 7mmX2.5cm VIABA
4000
2041130
ENDOPROSTHESIS 7mmX15cm VIABAH
5600
2041131
ENDOPROSTHESIS 7mmX10cm VIABAH
4800
2041132
ENDOPROSTHESIS 8mmX5cm VIABAHN
2400
2041134
ENDOPROSTHESIS 8mmX15cm VIABAH
3360
2041135
GUIDEWIRE ATW FLOPPY .014X195
405
2041136
BALLON NC RANGER 3.5X9
1050
2041137
BALLOON CUTTING 225 X 10
1300
2041138
BALLOON CUTTING MONORAIL3.0X10
1300
2041139
INTRODUCER SUTTLE SELECT 6.0
630
2041140
VTK SLIP-CATH SELECT SELECTIVE
312
2041141
STENT ABSOLUTE 6.0 X 80 X 80CM
2550
2041142
STENT ABSOLUTE 7.0 X 80 X 80CM
2550
2041143
STENT ABSOLUTE 7.0 X 60 X 80CM
2550
2041144
STENT ABSOLUTE 8.0 X 20 X 80CM
2550
2041145
STENT ABSOLUTE 8.0 X 40 X 80CM
2550
2041146
STENT ABSOLUTE 8.0 X 60 X 80CM
2550
2041147
STENT ABSOLUTE 8.0 X 80 X 80CM
2550
2041148
STENT ABSOLUTE 9.0 X 20 X 80CM
2550
2041149
STENT ABSOLUTE 9.0 X 40 X 80CM
2550
2041150
STENT ABSOLUTE 9.0 X 60 X 80CM
2550
2041151
STENT ABSOLUTE 10 X 20 X 80CM
2550
2041152
STENT ABSOLUTE 10 X 40 X 80CM
2550
2041153
STENT ABSOLUTE 10 X 60 X 80CM
2550
2041154
INDEFLATOR PRIORITY 20/20
165
2041155
STENT ABSOLUTE 7.0 X 40 X 80CM
2550
2041156
GUIDING CATH JR 3.5SH 9FR
255
2041157
GUIDING CATH H-STICK SH 9FR
255
2041158
GUIDING CATH AL2 SH 9FR
255
2041159
GUIDING CATH AL1 SH 9FR
255
2041160
GUIDING CATH AR 9FR
255
2041161
GUIDING CATH JCL 4 9FR
255
2041162
GUIDING CATH JL 3.5SH 9FR
255
2041163
GUIDING CATH JL 4SH 9FR
255
2041164
GUIDING CATH JR 4SH 9FR
255
2041165
BALLOON VIATRAC 14 PLUS 4.0X30
690
2041166
BALLOON VIATRAC 14 PLUS 5.0X30
690
2041167
BALLOON VIATRAC 14 PLUS 6.0X30
690
2041168
EMBOLIC PROT.RX ACUNET 6.5X190
2500
2041169
STENT RX ACCULINK 6-8 X40 X132
3700
2041170
EMBOLIC PROT.RX ACUNET 4.5X190
3100
2041171
STENT RX ACCULINK 6-8 X30 X132
3700
2041174
LEAD 4480
800
2041175
LEAD 4457
800
2041176
INTRODUCER LEAD LLP-11
100
2041179
BALLOON VIATRAC 14 PLUS 6.0X30
690
2041180
LEAD C207 - MEDTRONIC
100
2041181
STENT BIL.OMNI LINK 5.0X18X80
2550
2041182
STENT BIL.OMNI LINK 5.0X28X80
2550
2041183
STENT BIL.OMNI LINK 5.0X38X80
2550
2041184
STENT BIL.OMNI LINK 6.0X28X80
2550
2041185
STENT BIL.OMNI LINK 6.0X38X80
2550
2041186
STENT MINI VISION RX
2100
2041187
STENT MINI VISION DTW
2100
2041188
STENT CYPHER 2.75X13 DRUG ELUT
3800
2041189
STENT CHYPER 2.75X23 DRUG ELUT
3800
2041190
STENT CHYPER 2.75X33 DRUG ELUT
3800
2041191
AR1 MOD 5FR DIAGNOSTIC CATHETE
48
2041192
AR2 MOD 5FR DIAGNOSTIC CATHETE
48
2041193
PIG 5FR SH DIAGNOSTIC CATHETER
48
2041194
BALLOON MAVERICK MONO 2.75X20M
1050
2041195
BALLOON MAVERICK MONO 2.0X20MM
1050
2041196
BALLOON MAVERICK MONO 2.0X15MM
1050
2041197
BALLOON MAVERICK MONO 2.5X15MM
1050
2041198
BALLOON MAVERICK MONO 2.25X15M
1050
2041199
BALLOON MAVERICK MONO 2.25X20M
1050
2041200
BALLOON AGIL TRAC 5.0X40X135CM
750
2041201
BALLOON AGIL TRAC 6.0X40X135CM
750
2041202
BALLOON AGIL TRAC 7.0X40X135CM
750
2041203
BALLOON AGIL TRAC 6.0X60X135CM
750
2041204
BALLOON AGIL TRAC 6.0X80X135CM
750
2041205
BALLOON AGIL TRAC 7.0X80X135CM
750
2041206
VASCULAR GRAFT VECTRA 6.0MM
2390
2041207
JB-1 SHUTTLE SLIP CATH
411
2041208
JB-2 SHUTTLE SLIP CATH
411
2041209
STARCLOSE VASCULAR CLOSURE SYS
540
2041210
STYLET KIT 6054-6058-6094-MEDT
75
2041211
REVEAL XT -HOLTER -
2400
2041212
RIO ASPIRATION CATHETER
1380
2041213
STEER-IT GUIDEWIRE .014X180CM
1050
2041214
STABILIZER PLUS GUIDEWIRE
405
2041215
ADDWIRE EXTENSION WIRE
270
2041216
VASCULAR GRAFT 6MM X 40CM GORE
1535
2041217
VASCULAR PATCH 2.5CM ACUSEAL
855
2041218
HERNIA REPAIR GRAFT-SURGISIS
3500
2041219
BALLOON AGIL TRAC 5.0X40X80CM
750
2041220
BALLOON AGIL TRAC 5.0X80X80CM
750
2041221
BALLOON AGIL TRAC 6.0X60X80CM
750
2041222
BALLOON AGIL TRAC 6.0X80X80CM
750
2041223
BALLOON AGIL TRAC 7.0X40X80CM
750
2041224
BALLOON AGIL TRAC 7.0X60X80CM
750
2041225
BALLOON AGIL TRAC 4.0X100X80CM
750
2041226
BALLOON AGIL TRAC 5.0X60X80CM
750
2041227
BALLOON AGIL TRAC 5.0X100X80CM
750
2041228
BALLOON AGIL TRAC 6.0X20X80CM
750
2041230
BALLOON AGIL TRAC 7.0X40X80CM
750
2020062
PTE WARM SYS FULL
32.6
2020063
PREV. SURGICAL GOWN
10.84
2020064
VITRACTOMY PAK PLUS
754
2020065
CUSTOM CATARACT PACK
364
2020066
LAPAROSCOPY BUNDLE PACK
16.5
2020067
LEGGINGS
2.3
2020068
STERILE DRAGE EYE PADS
5.5
2020069
ENDOSCOPY BUNDLE PACK
5.5
2020070
FLUID GAS EXCHANGE
57
2020071
ARTHROSCOPY PACK
105
2020072
FEMORAL ARTERY KIT
74.42
2020073
BASIC PACK
10.32
2020074
STERI-DRAPES 1015
56.55
2020075
ACROMIO PLAST EP-1
730
2020076
CUSTOM PACK 4630
730
2020077
PHACO PACK 5469
730
2020078
ANTI FOG KIT
4.66
2020079
JUMBO MICROSCOPE DRAPE
40
2020080
STERI DRAPE 1019
11.31
2020081
STERI DRAPE (ORTHO)
20.2
2020082
PEDIATRIC DRAPE SHEET
12.7
2020083
FEMORAL ANGIOGRAPHY PACK
105
2020089
ANGIO PACK
105.4
2020090
LAPAROSCOPY DRAPE W/PONCHES
29
2020091
STERI DRAPS 1073
16
2020092
STERI DRAPS 1074
16
2020093
STERI DRAPS 1075
17.3
2020094
STERI DRAPS 1076
18.5
2020095
FITS C-ARM
0.01
2020096
SURGICAL GOWN XXL
14.1
2020097
SURGICAL GOWN L-REINFORCED
5.59
2020098
CYSTO TUR PACK
72.78
2020099
CDS ANGIO PACK
153
2020100
CDS OPEN HEART
1655.36
2020101
CDS ARTHROSCOPY
207.85
2020102
CDS LABOR & DELIVERY
167.4
2020103
CDS MINOR ORTHO
160
2020104
CDS LAPAROSCOPY GYN
239.9
2020105
CDS LAP CHOLE (SL-I)
197.16
2020106
CDS GENERAL MAYOR ABDOMINAL
236.79
2020107
CDS TOTAL KNEE
617.36
2020108
CDS C-SECTION (SAN LUCAS)
258.28
2020109
CDS C-SECTION (CRISTO REDENTO)
323.8
2020110
CDS VAGINAL DELIVERY
306.1
2020111
CDS LAP CHOLE (CRISTO REDENTO)
1619.85
2020112
CDS TOTAL JOINT
254.2
2020113
CDS ORTHOPEDIC
177.15
2020114
CDS CHOLECYSTECTOMY
243.9
2020115
CDS CATARACT
585.6
2020116
ARTHROSCOPIC CROMIO PLASTIC PA
990
2020117
VITRECTOMY PACK-TOTAL PLUS
998
2020118
CDS GENERAL MAYOR ABDOMINAL C2
332.8
2020119
LAPARATOMY T DRAPE
11.28
2020120
UNDERBUTTOCK DRAPE
7.32
2020121
CDS - SHOULDER
357.29
2020122
PATIENT ISOLATION DRAPE 6617
43.78
2020123
VITRECTOMY PACK-TOTAL PLUS
958
2020199
LAPAROTOMY T DRAPE
16.4
2020200
BLUE CLOTH TOWELS
5.47
2020201
DRAPE APERTURE 40 X 48MM
17.64
2020202
CDS AIRWAY SUCTION CANNULA
54.2
2020203
CDS IV SET
36.2
2020204
CDS NEEDLE/SYRINGE - ADULT
11.25
2020205
CDS PED. AIRWAY/SYRINGE
28.7
2020206
HYPOTHERMIA BLANKET
82
2020207
TOTAL HYSTERECTOMY/LAPARO PACK
539.3
2020208
VITRECTOMY CONSTELLAT VALVE 23
995
2020209
ELECTROPHYSIOLOGY PACK
75.9
2020210
UNDER BODY COVER ADULT
45.36
2020211
IRIS RING & INSERTER
251.1
2020212
SHOULDER ARTHROSCOPY
250.8
2020213
TOWEL SURGICAL 17 X 27 BLUE
1.04
2020214
DRAPE X RAY C ARM 41" X 74"
6.6
2020215
ENT PACK
61.8
2040010
MEMBRANE OXIGENATOR
400.76
2040011
CARDIOTOMY RESERVORI
286
2040012
CUSTOM PACK PERF.
692
2040014
PUMP FILTER
140
2040015
FEMORAL CANNULA 14FR
10.5
2040016
FEMORAL CANNULA 18FR
10.5
2040017
FEMORAL CANNULA 24FR
52
2040018
VENA CAVA CANNULA 28
14
2040019
VENA CAVA CANNULA 32
14
2040020
LEFT HEART SUMP 90
10.8
2040021
AUTOTRANSF CONV. KIT
180.4
2040022
SINGLE ATRIAL CANNUL
34.5
2040023
AORTIC CANNULA (5779)
60.72
2040024
MANOMETER AUTOTRANSF
111
2040025
ACT CARTRIDGE
2.77
2040026
BRATT 2 BOWL
242
2040027
VESSEL CLAMP BLUE
5
2040028
VESSEL ARTERY CLAMP
5
2040030
SUCTION LINE GREEN
25.2
2040031
CARDIOPLEGIA PACK
198
2040032
PERFUSOR ADAPTER SET
11.85
2040033
THERMAL DILUTION CAT
210
2040035
CATH INTRODUCER KIT
67.5
2040036
NYLON TIES
5.4
2040037
CONNECTOR Y 3/8X1/2
5.7
2040038
PERCOR IAB TRAY
1260
2040039
PERCOR DL-II TRAY
1200
2040040
PERCOR CATH/SURG TRA
1040
2040041
PVC PLASTIC SUC.CATH
2.5
2040042
MONITORING SYST W/DM
60
2040043
DISPOSABLE DOME
25
2040045
ARTERIAL GRAFT 8MM
1458
2040046
ARTERIAL GRAFT 6MM
1312.25
2040047
SAPHENOUS VEIN CANNULA
10
2040048
CONNECTOR 1/4 C-120S
10.15
2040049
CONNECTOR 1/2 C-140S
7.2
2040050
OPTIMA BLUE RIBBON PACK
1027.62
2040051
BLOOD FILTER
50.22
2040052
CONNECTORS ALL SIZES
5.94
2040053
CONNECTOR 3/8 C-135
7.2
2040054
CONNECTOR 3/8 C-135S
15
2040055
CONNECTOR 1/4 C-240
12.6
2040056
VENOUS CANULA ALL FR
52.5
2040057
VENOUS CANNULA 2SIDE
48.6
2040058
VENOUS CANNULA 8SIDE
52.5
2040059
ARTERIAL CANN.ALL FR
36
2040060
MULTI-FLOW ADAPTER
9.84
2040061
MANIFOLD 'H' TYPE
12.75
2040062
ARTERIAL EMBOLECTOMY
144
2040063
PERCUTANEOUS ENTRY TRAY
68.4
2145318
VERSAPORT BLADELESS OPTI 5MM
199.5
2145319
ALEXIS WOUND RETRACTOR XS
106.5
2145320
LIGASURE BLUNT TIP 37 CM
1135
2145321
SYMBOTEX 15 X 10 (SYM1510)
1854
2145322
SYMBOTEX 9CM (SYM 9)
1575
2145323
SYMBOTEX 15CM (SYM15)
1620
2145324
PARIETEX COMPOSITE 20CM PCO20X
2250
2145325
SYMBOTEX 30 X 20 (SYM3020)
2985
2145326
SYMBOTEX 20 X 15 (SYM2015OS)
2742
2145327
SYMBOTEX 20 X 15 (SYM2015)
2805
2145328
SYMBOTEX MESH 30X20 (PCO3020X)
1194
2145329
EGIA 60 CURVED TIP ART VASC/ME
510
2145330
EGIA 60 ARTICULATING XTRA THIC
275
2145331
EGIA 45 CURVED TIP ART VASC/ME
255
2145332
TRICON 2 / 8886337282
7.5
2145333
RELIATACK ARTICULATING TACKER
1250
2145334
VENTRALEX ST SMALL BARD
900
2145335
SURGIFORM PTFE SUTURE 2-0
62.49
2145336
PHASIX ST (BARD)
6000
2145337
MERSELINE 4-0 R633H
8.91
2145338
V-LOC 2-0 9" VL0CM0345
60
2145339
ENDO CLIP APP 5MM
520.89
2145340
TA 60-3.5MM
504
2145341
VERSAPORT OPT 5MM LONG
175.02
2145342
VICRIL 1
4.66
2145343
VICRIL 3
8.5
2145344
VICRIL 2-0
5.54
2145345
VICRIL 0
4.94
2145346
VICRIL 4-0
4.2
2145347
SUTURA PDS 3-0
14.85
2145348
PHASIX ST 25 X 30 (10"X12)BARD
14000
2145349
CAPSURE PERMANENT FIXATION
240
2145350
V-LOCK MAXON 0
64.98
2145351
BASIC TURN OVER KIT
12.3
2145352
ADVANCED FIX SLEEVE 5MMX100MM
31.5
2145353
RETRIEVAL SYSTEM 12/15MM
330.75
2145354
UNIV. RETRIEVAL SYSTEM 5MM
151.2
2145355
ADVANCED FIX SLEEVE 11MMX100MM
50.4
2145356
ALEXIS WOUND RETRACT 2.5-8CM
111.84
2145357
OPTICAL ADVANCED FIX 5MMX100MM
66.15
2145358
OPTICAL ADVANCED FIX 11X100MM
103.95
2145359
OPTICAL ADVANCED FIX 5MMX150MM
66.15
2145360
OPTICAL ADVANCED FIX 11X150MM
103.95
2145361
OPTICAL ADVANCED FIX 12X150MM
103.95
2145362
OPTICAL ADVANCED FIX 12X100MM
103.95
2145363
PICC 5FR/80CM DUAL LUMEN TRAY
816
2145364
UNIVERSAL PLUS 5MM SUCT IRRGAT
75
2145365
STRAIGHT HANDLE H CONTROL
157.5
2145366
VELOSRB 5-0 CV23 17MM
9.93
2145367
SAGITAL BLADE 18.0X0.89X90MM
96
2145368
SAGITAL BLADE 18.0X0.89X75MM
96
2145369
SAGITAL BLADE 18.0X1.37X100MM
120
2145370
BLADE FAN OFFE 34.5X0.8X64.0MM
75
2145371
TROCAR 5MM OPTICAL
135
2145372
TROCAR 11MM OPTICAL
150
2145373
ENDO GIA 60 X 2.5 VASC ROTIC
549
2145374
ENSEAL G2 ARTI TISSUE SEALER
1170
2145375
V-LOC 0 GS-21 TAPER
57.51
2145376
VERSAONE OPTL TROCA KIT 5MM
255
2145377
VENTRIO ST 25X20
1920
2145378
OPTIFIX OPEN
540
2145379
VENTRALIGHT ECHO 6" -5955680
1320
2145380
PROXIMATE 1 REL VASC STA 30MM
406.41
2145381
PROXIMATE 12 STAPLER VASCULAR
18.06
2145382
T A STAPLER 30-4.8
480
2145383
T A LOADING 30-4.8
159.99
2145384
T A STAPLER 45-4.8
489
2145385
T A LOADING 45-4.8
159.99
2145386
T A STAPLER 30 V-3
429.99
2145387
T A LOADING 30 V-3
159.99
2145388
VENTRALIGHT ECHO2 6X8-5991015
1680
2145389
LIGASURE MARYLAND 23CM
1363.5
2145390
LIGASURE EXACR DIVIDER
1363.5
2145391
PARIETEX PROGRIP TEM 1509G
285
2145392
STRAIGHT HANDLE CONTROL
157.5
2145393
UNIVERSAL SUCTION ELEC SPATULA
75
2145394
ELECTRODE L-HOOK 32CM
78
2145395
PREMIUM PLUS EEA XL
900
2145396
EEA ORVIL 25
600
2145397
SURGICAL STEEL #4
22.26
2145398
MONODEK ABSV TC43 TAPERCUT
59.13
2145399
SIGNIA LOADING UNIT SIGLU 60A
800.01
2145400
TRI STAPLE 2.0 CARTRIDGE
516.24
2145401
3D MAX MESH XL LEFT BARD
450
2145402
3D MAX MESH XL RIGHT BARD
450
2145403
VENTRALIGHT ECHO 2 6" -5990015
1560
2145404
VENTRALIGHT ECHO 5991520
1560
2145405
VENTRALIGHT ECHO -5955600
1260
2145406
VENTRIO ST 59500050
960
2145407
VLOC ABSORBIBLE
154.98
2145708
VLOC NO ABSORBIBLE
154.98
2145709
VENTRALIGHT ST W ECHO-5990020
720
2145710
VENTRALEX ST MEDIUM BARD
540
2145711
ETHIBOND 2-0 V-7+ PLEDGET
184.02
2145712
ETHIBOND 2-0 RB-1 + PLEDGET
279.78
2145713
PROLENE 8-0 BV 130-5
124.02
2145714
HEMOCLIPS TRADICIONAL MED
84
2145715
MYO WIRE 2-0 TEMP CARDIAC PACI
73.26
2150008
PEDIATRIC PACING DE FIBRILATRI
90
2150009
SYRINGES 60 CC.
0.7
2150010
SYRINGES 3/5/10 ML
0.41
2150011
SYRINGES 20/30/60 ML
0.44
2150012
INSULIN U100 SYRINGE
0.36
2150013
TUBERCULIN SYRINGES
0.2
2150014
BIOPSY NEEDLE
17.23
2150015
SPINAL NEEDLE
3.65
2150016
ASEPTO SYRINGES
2.52
2150018
VACUTAINER TUBE
0.21
2150019
VACUTAINER TUBE-GRAY
0.2
2150020
VACUTAINER TUBE-LAVE
0.16
2150021
VACUTAINER TUBE-BLUE
0.2
2150022
URINE COLLECTOR TUBE
0.27
2150023
BLOOD CULTURE KIT
5.3
2150024
MULTISAMPLE NEEDLE
0.46
2150025
EAR BULB SYRINGES
1.36
2150026
INTRACATH
3.04
2150027
ANGIOCATH
6
2150028
BLOOD CULTURE BOTTLE
7.2
2105652
SUBSEQUENT PELVIC FLOOR REPAIR
1590
2105653
VERSASCOPE SHEATH
240
2105654
TOTAL PELVIC FLOOR REPAIR SYST
2700
2105655
BIOPSY FORCEPS 155CM ALLIGATOR
34
2105656
BIOPSY FORCEPS 230CM ALLIGATOR
34
2105657
DISPOSABLE BLADES/MINI CLIPPER
5.83
2105658
Y-CONNECTOR & CLAMPS FOR ORAL
4.42
2105659
ELECTRODE BIO Z TECT
38.7
2105660
PREMIE POUCHING SYSTEM
6.9
2105661
DISPOSABLE DIGITAL THERMOMETER
9.5
2105662
DISPOSABLE STETHOSCOPE
30
2105664
DISP. BLOOD PRESSURE CUFF 1826
6.85
2105665
DISP. BLODD PRESSURE CUFF 3242
6.85
2105666
COOL TIP ABLATION
2244
2105668
DERMA GRAN B
3.65
2105669
FLOSCAL ENDOSCOPIC DEVICE
70
2105670
RX CYTOLOGY BRUSH
180
2105671
GOLD/SOLAR PROBE 7 FR
380
2105672
BREAST IMPLANT
1300
2105673
BIOPSY FORCEP HOT 240CM
60
2105674
MORCELLEX TISSUE MORCELLATOR
1200
2105675
LARINGOSCOPE HANDLE XP DISP
23.5
2105676
HEINE BLADES CURVOS DISP
12.5
2105677
ALLODERM REGEN. TISSUE 6X16 CM
6428
2105678
OPHTALMIC SLIT KNIFE 3.0 MM
40.6
2105679
CRESCENT KNIFE
48.9
2105680
OPTICAL LARYNGOSCOPE (AIRTRAQ)
266
2105681
TURBO SONICS ULTRASONIC M-T
150
2105682
TURBO SONICS MICROSMOOTH M-T k
58.34
2105683
SCALPER DISPOSABLE #15
2.89
2105684
COOL TIP ABLATRON MULTIP ELECT
2200
2105685
SEAL CAP ASSEMBLY-DEXTRUS
1000
2105686
FIXED-LENGTH ACCESS RETRACTOR
120
2105687
WALLFLEX BILIARY STENT 10X60MM
3300
2105688
SPYGLASS DIRECT VISUALIZATION
440
2105689
SPYSCOPE ACCESS & DELIVERY CAT
1600
2105690
SPYBITE BIOPSY FORCEPS
1120
2105691
SEAL CAP ASSEMBLY DEXTRUS
1000
2105692
FIXED LENGTH ACCESS RETRAC DEX
120
2105693
WALLFLEX DUODENAL STENT
2500
2105694
SPYGLASS DIRECT VISUALIZ PROBE
440
2105695
SPYSCOPE ACCESS DELIVERY CATHE
1600
2105696
SPYBITE BIOPSY FORCEPS
1120
2105697
SPYGLASS IRRIGATION TUBE SET
400
2105698
CHLORAPREP SURGICAL 3ML
3.28
2105699
ULTRA SOUND PROBE LOVER W/GEL
14
2105700
GAUGE NEEDLE GUIDE KIT
18
2105701
FECAL MANAGEMENT SYSTEM KIT
560
2105702
REFLEX 45 ICW
278.4
2105703
COAGRASPER-HEMOSTATIC GRASPER
340
2105705
CANNULAIDE BABIES
12.96
2105706
ENTROPY SENSOR DISPOSABLE
88
2105707
POST PARTUM BALLOON
292
2105708
PINNACLE ANTERIOR APICAL
2398
2105709
PINNACLE UPHOLD ANTERIOR
1858
2105710
PINNACLE POSTERIOR
1858
2105711
PINNALE DUET
2998
2105712
SOLYX SINGLE
1398
2105713
FORCE TRIVERSE ELECTROSURGICAL
96
2105714
ELECTRODE LAPAROSCOPIC OPTI 2
130
2105715
INFANT TRANSPORT MATRESS
50
2105716
ENTERAL FDG BAG SENCILLA
4.2
2105717
ENTRAL FDG E PUMP SENCILLA
6.7
2105718
ENTRAL FDG E PUMP W IRRIGATION
6.66
2105719
DILATOR FASCIAL 7.0 X 20
36
2105720
DILATOR FASCIAL 8.0 X 20
36
2105721
DILATOR FASCIAL 9.0 X 20
48
2105722
TISSUE EXPANDER
1302
2105723
LOW POLE EXPANDER
1560
2105724
CERVICAL RIPENING BALLOON
100
2105725
MICRO SMOTH ULTR INF SLEEV .9
82
2105726
MULIFUNCTION RADIOTRANS 2277OR
75
2105727
SENSOR CHEETAH/HEMODYNAMIC MON
313
2105728
GRANUFOAM AB THERA DRESS SENSA
320
2105729
BIOPSY GRIDS CT
27.75
2107776
LOW COST MISCELLANEOUS OR
22
2107777
LOW COST MISCELLANEOUS INP
33
2107778
LOW COST MISCELLANEOUS INP ICU
53
2107779
LOW COST MISCELLANEOUS ER
33
2107780
LOW COST MISCELLANEOUS OBS
33
2107781
LOW COST MISCELLANEOUS ADM ER
33
2107782
LOW COST MISCELLANEOUS GASTRO
40
2107783
DISPOSABLE BIOPSY VALVE
4
2107784
ENDO CLEANER CHANNEL BRUSH
5.2
2107785
ELECTROSURGI HEMOSTATIC FORCEP
340
2107786
ROTATABLE CLIP FIXING DEVICE
90
2107787
LIGATING DEVICE-POLYLOOP
112
2107788
PERITONEAL PORT
1300
2107789
INTRAOCULAR LENS TORIC
798
2107790
TUNNELER
20
2107791
INTRODUCTOR
70
2107792
HEMOSTASIS CLIP LONG
90
2107793
INFLATION DEVICE FOR BILIARY
238
2107794
SNAREMASTER 10MM - 25MM
38
2107795
ENDOCLEANER BRUSH
7.2
2107796
CHG IN WATER FOR IRRIGATION
140
2107797
MAMMOGRIP SPEE-D-GRIP
10.82
2107798
BRUSHMASTER CYTOLOGY BRUS
210
2107799
DISPOSABLE TUBE AFU-100
98
2107800
FORCETRIAD MONOPOLAR CORD
43.2
2107801
CANISTER SUCTION
1.98
2107802
BLADE MINI SHARPALL AROUND
8.25
2107803
COOL TIP ABLATION SINGLE ACT
1162.8
2107804
4.0 X 12.0CM/1.6-4.7"
1680
2107805
POLYETHYLENE TRANDUCER COVER
27.66
2107806
COOL TIP SINGLE ELECTRODE 20X3
1162.8
2107807
AQUASONIC GEL STERILE
1.87
2107808
VERSAJET HANDPIECE 14 X 45
300
2107809
DISP BLADE MACINTOSH #3
4.68
2107810
DISP BLADE MACINTOSH #4
4.68
2107811
DISPOSABLE BLADE MILLER #3
4.68
2107812
DISPOSABLE BLADE MILLER #4
4.68
2107813
DISPOSABLE HANDLE BLADE
4.68
2107814
DORSAL CALUMELLA
660
2120097
CRYO MACHINE (USE)
1850
2120098
LIGASURE MACHINE (USE)
100
2120099
GASTROSCOPIO (USO)
100
2120100
HYSTEROSCOPIO (USO)
100
2120101
NEURO MONITORING SYSTEM (USE)
3000
2120102
BAIR HUGGER MACHINE (USE)
25
2120103
PSI-TEC MACHINE LIPO & CANNULA
40
2120104
ABLATION MACHINE
25
2120105
PROCTOSIGMOIDOSCOPY MACHINE
25
2120106
NEOPROBE DETECTOR MACHINE
25
2120107
ENT MICROSCOPE
25
2120108
MIDAS REX LEGEND MACHINE
25
2120109
VIDEO TOWER CAM MACHINE
25
2120110
MAXI DRIVER MACHINE
25
2120111
HARMONIC MACHINE
25
2120112
OPHTALMIC LASER MACHINE
25
2120113
UROLOGY LASER MACHINE
25
2120114
FORCE TRIAD VESSEL SEALING MCH
25
2120115
SDC ANTIEMBOLIC DEVICE
25
2120116
HARVESTING MACHINE
25
2120117
CYSTOSCOPE MACHINE USE
25
2120118
COLONOSCOPE USE
25
2120119
OLYMPUS TOWER USE
25
2120120
HEATHER PROBE USE
25
2120121
ARGON MACHINE USE
25
2120122
NEURO MICROSCOPE
25
2120123
COBLATOR MACHINE
25
2120124
ULTRASOUND MACHINE
25
2120125
HAND PIECE XPS MACHINE & CABLE
25
2120126
BIPOLAR MACHINE
25
2120127
THERMACHOICE MACHINE
25
2120128
PERFLUOROPROPANE C3F8 TANK USE
12
2120129
HYDROJET MACHINE (USE)
75
2120130
CRANEOTOMO MACHINE (USE)
100
2120131
BRONCHOSCOPY MACHINE (USE)
50
2120132
iNAV NEURONAVIGATION SERVICE
3240
2120133
FLEXIBLE LARYNGOSCOPE (USE)
30
2120134
FLOWMATE (INJKIT)
150
2120135
AUTO TRANSFUSION SYSTEM
360
2120136
I-DRIVE BATTERY
5.1
2127777E
USES & SERVICES MED/SURG
0
2127778E
USE & SERV MICU/CICU/NICU/PICU
0
2127779E
USES & SERVICES TELEMETRY
0
2130010
CYDEX 7
25
2130011
BACTERIOSTATIC WATER
1
2130012
BETADINE SOLUTION
0.5
2130013
BETADINE SCRUB
0.5
2130014
ZEPHIRAN RED
0.5
2130015
ZEPHIRAN ACUOUS
0.5
2130016
PHISODEM
5.28
2130018
SODA LIME
236
2130019
DETACHOL
3.63
2130020
MASTISOL
3.91
2130022
ADHESIVE UNIDOSE
0.5
2130023
SKIN PREP SWAB
0.35
2130024
SKIN PREP
0.5
2130025
SKIN BOND CEMENT ADHESIVE 1 OZ
11.68
2130026
ANTIMICROBIAL SKIN CLEANSER8OZ
5.9
2130027
DERMAL WOUND CLEANER 16 OZ
0.76
2130028
WOUND GEL 3 OZ
5.3
2130029
TOTAL BODY FOAM CLEANSER8.5OZ
11.2
2130030
ANTIFUNGAL EXTRA THICK 3.25 OZ
11.5
2130031
REMOVE WIPES
0.15
2130032
TRIPLE CARE EPC 3.25 OZ
5
2130033
REMOVER LOTION 1 OZ
2.1
2130034
TRIPE CARE EPC 3.25 OZ
6
2130035
REMOVER LOTION 1 OZ
1.91
2130036
BSS IRRIGATION SOLUTION 500CC
38.84
2130037
HYDROGEL SKINTEGRITY 1 oz
3.38
2130038
DERMAL WOUND CLEANSER 8 OZ
12.33
2130039
NASAL ANTISEPTIC SKIN PREP
23.54
2140007
CHROMIC 2-0 778 UG
5.64
2140008
CHROMIC 2-0 816
5.32
2140009
CHROMIC 3-0 832H
5
2140010
CHROMIC-- 905
6.77
2140011
CHROMIC-- 923
5.76
2140012
SILK 7-0 18''
58.5
2140013
CHROMIC-- 793
25.3
2140014
TROCAR TEC 12MM
135
2140015
CHROMIC--5589
17.9
2140016
CHROMIC--5588
16.15
2140017
CHROMIC--1637
11.03
2140018
CHROMIC--1636
12.26
2140019
CHROMIC--M551
33.45
2140021
CHROMIC--G124
4.67
2140022
CHROMIC--G123
4.67
2140023
CHROMIC--G122
4.75
2140024
CHROMIC--L113
6.44
2140025
CHROMIC--G181
5
2140026
CHROMIC--G125
4.88
2140029
CHROMIC-- 924
5
2140030
CHROMIC-- 982
10
2140031
CHROMIC-- 983
9.5
2140032
CHROMIC-- 904
5
2140033
CHROMIC--G113
3.9
2140034
CHROMIC--G121
4.92
2140035
CHROMIC-- 883
5
2140036
CHROMIC-- 795
30
2140037
CHROMIC-- 636
5.92
2140038
CHROMIC-- 687
9.2
2140043
CHROMIC--U203
5.75
2140045
CHROMIC--M760
41.15
2140046
CHROMIC--878 2-0
4.2
2140047
VICRYL--J423
5.3
2140048
VICRYL--J458
6.76
2140049
VICRYL--J493
14.75
2140050
VICRYL--J496
14.45
2140051
VICRYL--J500
11.5
2140052
VICRYL--J544
47.74
2140053
VICRYL--J507
11.5
2140054
VICRYL--J546
35.3
2140055
VICRYL--J566
23.85
2140056
VICRYL--J340
6.5
2140057
VICRYL--J339
7.92
2140058
VICRYL--J332
7.39
2140059
VICRYL--J304
6.69
2140061
VICRYL--J317
6.45
2140062
VICRYL--J316
6.31
2140063
VICRYL--J740
21.75
2140064
VICRYL--J310
5.3
2140065
VICRYL--J682
10.7
2140066
SILK-- 629
2.91
2140067
SILK-- 639
8.95
2140069
SILK--1678
7.68
2140074
SILK--C046
27.2
2140076
SILK--K834
4.17
2140077
SILK--K845
4.35
2140078
SILK--K889
6.25
2140079
SILK--SA 8
3.2
2520038
ABLATE ARRHYTHMIA ADD ON
93655
100
2520039
TX ATRIAL FIB PULM VEIN ISOL
93656
9750
2520040
TX L/R ATRIAL FIB ADDL
93657
100
2520041
EP EVALUATION OF SUBQ DEFIBR
93644
10
2520042
INTERROGATE EVALUATION S-ICD
93261
25
2520043
PRGRMG DEVICE EVALUATION S-ICD
93260
25
2525000
INSERT PMAK PUL GEN SING LEAD
33212
4445
2525001
INSERT PMAK PUL GEN DUAL LEADS
33213
6445
2525002
INS/REP PACEMAKER CATH ATRIAL
33206
6445
2525003
INS/REP PACEMAKER CATH. VENTRI
33207
6445
2525004
INS/REP PMAK CATH ATRIAL&VENTR
33208
6445
2525005
UPGR IMPL PMAK SYS SINGLE-DUAL
33214
6445
2525006
REMOVAL TRANS PMAK SINGLE LEAD
33234
1595
2525007
REMOVAL TRANS PMAK DUAL LEAD
33235
1595
2525008
REMOVAL PERMN PMAK PULSE GENER
33233
4445
2525009
REV/RELOC SKIN POCKET/PACEMAKE
33222
960
2525010
INS/REP TEMP TRANS SINGL CHAMB
33210
4445
2525011
INS/REP TEMP TRANSV DUAL CHAMB
33211
4445
2525012
INSERT/RPLCMT DEFIB W/LEAD(S)
33249
10000
2525013
INSERT PULSE GEN W/SINGLE LEAD
33240
10000
2525014
REMOVE PULSE GENERATOR
33241
1595
2525015
REMOVE ELCTRD TRANSVENOUSLY
33244
1595
2525016
RELOCATE POCKET FOR DEFIBRILL
33223
960
2525017
REPOSITION PACING DEFIB LEAD
33215
1070
2525018
INSERT 1 ELECTRODE PM-DEFIB
33216
4445
2525019
INSERT 2 ELECTRODE PM-DEFIB
33217
4445
2525020
REPAIR LEAD PACE-DEFIB ONE
33218
1595
2525021
REPAIR LEAD PACE-DEFIB DUAL
33220
1595
2525022
REM OF PEM EPICARDIAL PMK
33226
1070
2525023
INSERT PACING LEAD & CONNECT
33224
6445
2525024
LT VENTRIC PACING LEAD ADD-ON
33225
100
2525025
IMPLANT CARDIAC EVENT RECORDER
33282
4445
2525026
REMOVAL IMPLANT CARDIAC RECORD
33284
565
2525027
INTRO OF INTRCATH EXTREMTY ART
36140
100
2525028
FLUOROSCOPE EXAMINATION
76000
110
2525029
PERICARDIOCENTESIS INITIAL
33010
335
2525030
PERICARDIOCENTESIS SUBSEQUENT
33011
335
2525031
SUBCLAVIAN VGRAM UNILATERAL
75820
565
2525032
SUBCLAVIAN VGRAM BILATERAL
75822
555
2525033
CS VENOGRAM
75860
565
2525034
INJ PROCED VENOGRAM EXTREMITY
36005
100
2525035
PULMONARY ANGIOGRAPHY UNILATER
75741
1740
2525036
PULMONARY ANGIOGRAPHY BILATERL
75743
1740
2525037
ARTERIAL LINE PLACEMENT
36620
100
2525038
LT HT CATH W/VENTRICLGRPHY
93458
1750
2525039
RIGHT HEART CATH
93451
1750
2525040
LT HRT CATH TRNSPTL PUNCTURE
93462
100
2525042
INTRAVAS/CORONARY ULTRASOUND
92978
100
2525043
REMOVE & REPLACE PM GEN SINGLE
33227
4445
2525044
REMV & REPLC PM GEN DUAL LEAD
33228
6445
2525045
REMV & REPLC PM GEN MULT LEADS
33229
10000
2525046
INSERT PULSE GEN W/DUAL LEADS
33230
10000
2525047
INSERT PULSE GEN W/MULT LEADS
33231
10000
2525048
INSERT PULSE GEN MULT LEADS
33221
10000
2525049
RMVL & REPLC PULSE GEN 1 LEAD
33262
10000
2525050
RMVL & RPLCMT DFB GEN 2 LEAD
33263
10000
2525051
RMVL & RPLCMT DFB GEN MLT LEAD
33264
10000
2525052
INS/REP SUBQ DEFIBRILLATOR
33270
10000
2525053
INSJ SUBQ IMPLTBL DEFIB ELCTRD
33271
4445
2525054
REMOVAL OF SUBQ DEFIBRILLATOR
33272
1595
2525055
REPOS PREV IMPLTBL SUBQ DEFIBR
33273
1595
2525056
WATCHMAN LT ART APPEN CLOSURE
33340
10000
2525057
ARTIC FRT ADVANCE CRYO
93656
10000
2525058
FREEZOR CARDIAC CRYOABLATION
93656
10000
2525059
CTO CHRONIC TOTAL OCCLUSION
92943
16000
2525060
CTO CHRONIC TOTAL OCCLU ADDITI
92944
0
2590002
USO DE FACILIDADES
99202
75
2590003
USO DE FACILIDADES
99202
75
2590100
MEDICAL NUTRITION VISIT (INIT)
97802
25
2590110
MEDICAL NUTRITION VISIT (SUBS)
97803
20
2590120
MEDICAL NUTR VISIT (EMPLOYEE)
97802
15
2590200
NUTRITION CATEGORY I
3.75
2590201
JEVITY 1.0
1.5
2590202
JEVITY 1.2
1.54
2590203
PROMOTE
1.72
2590204
NUTREN 1.0
2.12
2590205
NUTREN CON FIBRA
1.96
2590206
ISOSOURCE 1.5
3.44
2590207
ENSURE CLINICAL STRENGTH
1.94
2590208
ENSURE INMUNE HEALTH
1.6
2590209
ENSURE MUSCLE HEALTH
1.66
2590210
ENSURE COMPLETE CHOCOLATE
1.94
2590211
ENSURE COMPLETE FRESA
1.94
2590212
ENSURE COMPLETE VAINILLA
1.94
2590213
ENSURE INMUNE VAINILLA
1.6
2590214
ENSURE MUSCLE VAINILLA
1.66
2590215
NUTREN 1.2
3.75
2590216
RESOURCE BREEZE CHINA
3
2590217
NUTREN 1.0 FIBRA
2
2590218
FIBER SOURCE HN
1.82
2590219
ISO SOURCE HN
2.26
2590220
PROMOTE FIBRA
1.82
2590221
RESOURCE BREEZE DIABETIC WILD
2.88
2590222
RESOURCE BREEZE PEACH
3
2590223
RESOURCE BREEZE WILD BERRY
3
2590224
ENSURE CLEAR APPLE
0.82
2590225
ENSURE CLEAR MIXED BERRY
0.82
2590300
NUTRITION CATEGORY II
3.75
2590301
NUTREN 1.5
2.06
2590302
JEVITY 1.5
2.34
2590303
NUTREN 2.0
2.32
2590304
NUTREN 1.5 ULTRAPACK
14.14
2590305
GLUCERNA 1.2
3.04
2590306
GLUCERNA 1.5
2.2
2590307
OSMOLITE 1.0
1.66
2590308
OSMOLITE 1.2
1.9
2590309
GLUCERNA SHAKE FRESA
2.62
2590310
GLUCERNA SHAKE VAINILLA
2.62
2590311
RESOURCE 2.0
3
2107815
SPARC SLING SYSTEM
690
2107816
LASER PROBE CONSTELLATION 23GA
580
2107817
PHACO PACK COSNTELLATION
180
2107818
ALEXIS O WOUND RETRACT 11-17CM
145
2107819
ALEXIS O WOUND RETRACT 9-14CM
113
2107820
ALEXIS LAPAROSCOPY SYSTEM
120
2107821
ALEXIS O WOUND PROT/RETRA 2-4
71
2107822
ALEXIS O WOUND RETRACT 5-9CM
71
2107823
CONDYLAR HEAD TITANIUM
3297.6
2107824
SLOTTED SCREW F/CONDYLAR HEAD
188.4
2107825
PLATE/TI FIXATION F/CONDYLAR
376.8
2107826
LOCK SCREW 2.4MM TI MATRIX MAN
192
2107827
RECON PLATE 2.5MM TI MATRIX MA
3480
2107828
PATIENT SAFETY FOOTWEAR
0
2107829
REPRIZA ADM (RZT-6.16)
3360
2107830
ENDOTRACHEAL TUBE 6MM VITALIFE
510
2107831
PRASS STD PROBE PKG VITALIFE
150
2107832
PR'D ELECTR DUAL CASE VITALIFE
372
2107833
HANDPIECE 12 CM 12 MM
400
2107834
HANDPIECE 12 CM - 20 MM
400
2107835
NEEDLE GUIDE LORAD
14
2107836
TRIMARK BIOPSY
130
2107837
ALEXIS C SECTION RETACT 9-14CM
113
2107838
ALEXIS C SECTION RETAC 11-17CM
145
2107839
ALEXIS LAP SYSTEM W/KII FIOS
90
2107840
FRAGMATOME TIP
76
2107841
VFC PACK SILICONE
120
2107842
ANTERIOR VIT PROBE
300
2107843
WIDE ANGLE ENDOILUMINATOR 23GA
230
2107844
CAUTERIO INTRAOCULAR 25GA
84
2107845
CURVED LASER FLEXIB 23GA PROBE
396
2107846
ENDOCLEAR CLEANIN BRUSH
5.2
2107847
SPOT ENDOSCOPIC MARKER
43.8
2107848
CHANDELIER 25GA W/RFID
270
2107849
ENTACT SEPTAL STAPLER
249.6
2107850
RUN CADAVER ZIP 36X90
13.98
2107851
EXTREMITY EXPANDER
1302
2107852
POLYFLEX AIRWY STENT 14X60X9MM
3300
2107853
LEGENT LUBRICANT DIFFUS PA100A
38.24
2107854
INTERPUL HP W/BONE CLEAN & SUC
133.34
2107855
REFLEX ULTRA PTR W CABLE
360
2107856
WALLFLEX BILIARY RX COVERED
3990
2107857
SILICONE OIL 1000 8.5ML
300
2107858
DISPOSABL BIS QUATRO XP SENSOR
39.2
2107859
BX FORCEPS RJ IV PULM STAND CA
30
2107860
REPRIZA 4CM (RZT-4.12)
1680
2107861
BARIUM SULFATE READI-CAT/CHEET
8
2107862
MPRINT STND PERCULANEO ANTENNA
1500
2107863
EMPRINT STD PERC ANTENA W THER
2500
2107864
CHLORAPREP 10.5ML APP W/ORANGE
8.4
2107865
METZENBAUM SCISSORS TIP M3112
135
2107866
MOD MARYLAND DISSECT TIP M3322
159
2107867
TRAD MARYLAND DISSEC TIP M3352
159
2107868
5MM RT ANGLE DISSECT TIP M3332
159
2107869
ENDOCUT SCISSOR TIP 19.3MM
135
2107870
OVER TUBE ESOPHAGEAL
276.66
2107871
CUFF SINGLE PORT ARM
51.94
2107872
CUFF SINGLE PORT THING
60.59
2107873
CUFF SINGLE PORT LOWER LIMB
51.92
2107874
ALLOX2 MID-HEIGHT EXPANDER
2160
2107875
GENESYS HTA SYSTEM SET
2200
2107876
PRESTO INFLATION DEVICE (BARD)
48
2107877
POLYP TRAP COLLETION CONTAINER
10
2107878
SEDLINE SENSOR
55.6
2107879
TEXTU SHAPED ANATOM BREAST IMP
4320
2107880
CAPTIVATOR POLYPEOTOMY SNARE
36
2107881
BROSU SINGLE SWIVEL
21.6
2107882
OROPHARYNGEAL AIRWAY INTUBATOR
9.4
2107883
INTRODUCER ADUL BOUGIE
16.4
2107884
POLY LINED MICRO PREEMIE HAT
65.5
2107885
TRANSWARMER INFANT TRS MATTRES
75
2107886
THERMO TRACE CORE
40
2107887
THERMO TRACE PERIPHERAL
44
2107888
THERMOPAD
2.72
2107889
LONE STAR RECTRACTOR
211.2
2107890
UTERINE MANIPULATION SOFT SEAL
161.26
2107891
VASHE WOUND THERAPY BTL 16 ONZ
92.86
2107892
VASHE WOUND THERAPY BTL 04 ONZ
37.12
2107893
PRECISION MEDICAL CANISTER
42
2107894
GELPOINT PATH TRANSANAL CN011
1450
2107895
VASHE 8 ONZ
45.9
2107896
ADJUSTABLE BIOPSY PORT SEAL
49.88
2107897
NEO-TEE INFANT T-PIECES RESUSC
38.6
2107898
V.A.C FREEDOM CANISTER W/GEL
71.6
2107899
V.A.C. WHITEFOAM SMALL
20
2107900
GRANUFOAM MEDIUM SENSA T.R.A.C
61.2
2107901
GRANUFOAM SILVER SENSA T.R.A.C
73.6
2107902
MONITOR LINE 72" SIMS
5.6
2107903
GRAUFOAM SMALL SENSA T.R.A.C.
46
2107904
KCH FETAL BLADDER DRAINAGE CAT
216
2107905
KCH CATHETER INTRODUCER SET
91.8
2107906
PROBE COVER KIT WITH GEL
12
2107907
ALEXIS LAPAROSCOPY SYSTEM
90
2107908
DISPOSABL MACHINTOSH BLADE LED
10.8
2107909
INFO VAC 1000ML CANISTER W GEL
154
2107910
VAC VERAFLO DRESSING MED
92.02
2107911
VAC VERALINK CASSETTE
63.86
2107912
TURN & POSITION KIT SAGE XXL
818
2107913
EMPTY EVAC GLASS CONTAI 1000ML
30
2107914
BEAVER NEEDLE BLADE 3MM
84.66
2107915
DISPOSABLE SAFETY STRAP 3 X 60
5.76
2107916
NEO-FIT ENDOTRACHEAL TUBE GRIP
22.32
2107917
LYNX BLUE SYSTEM
758.1
2107918
HANDPIECE MRI
19499
710
2107919
TRIMARK BIOPSY MRI
130
2107920
ILM FORCEPS 25 GA
246
2107921
SLEEVE VISIGI 3D
447.02
2107922
ARTIC 25GA ILUMUNATED LASER
444
2107923
HOLLISTER FECAL COLL 12"
17.2
2107924
SIGNIA DISPOSABLE SHELL
165
2107925
GLOW'N TELL TAPE 55CM
75
2107926
CENTRAL SKIN TEMP SENSOR
39.8
2606206
NATURAL KILLER CELL SURF AG CD
86357
106.16
2606207
AMYLASE ISOENZYME
82150
18.24
2606208
BORDETELLA PERTUSSIS IgG IgAb
86615
136
2606209
APOLIPOPROTEIN
82172
43.62
2606210
TRICHINELLA ANTIBODY
86788
47.4
2606211
N TELEPEPTYDE URINE
82523
52.62
2606212
BARTONELLA AB PROF (CAT SCRATC
86611
78
2606213
CHROMOSOME ANALYSIS TISSUE BIO
88233
72.38
2606214
SMEAR COMPLEX STAIN
87209
50.58
2606216
H. PYLORI CULTURE
87081
18.66
2606217
FUNGUS ANTIBODY
86671
35
2606218
AUTOMATED PLATELET COUNT
85049
12.58
2606219
HISTOPLASMA CAPSULATUM ABS
86698
35.18
2606220
SPECTROPHOTOMETRY
84311
16
2606221
CSF GRAM STAIN
87205
15
2606222
HEMOGLOBIN FRACTIONATED PROFIL
83021
50.82
2606223
SICKLE CELL
85660
15.52
2606224
MYCOPLASMA IGM
86738
37.28
2606227
ASSAY CARBOXYHB QUANT
82375
28
2606228
HERPES SIMPLEX TEST
86695
38
2606229
BARBITURATE URINE
80345
36
2606230
TOXICOLOGY DRUG PANEL/SERUM
80305
30
2606231
ALDOLASE
82085
27.32
2606232
ALPHA I ANTITRIPSIN CLEAR F-S
82103
37.82
2606233
ALPHA PHENOTYPING
82104
40.7
2606234
CHLAMYDIA CULTURE
87110
55.14
2606235
CULTURE TYPE INMUNOFLUORESC
87140
15.68
2606236
DRUG CONFIRMATION
80305
37.28
2606237
CYTOMEGALOVIRUS CULTURE
87252
73.36
2606238
VIRUS INOCULTION/SHELL VIA
87254
55.04
2606239
ANTI-FUNGAL SUSCEPT FLUCONAZOL
87186
24.34
2606240
LACTIC ACID CSF
83615
17
2606241
LDH ISOENZYMES
83625
38
2606242
FACTOR IX/ACTIVITY
85250
53.6
2606243
FACTOR INHIBITOR TEST
85335
36.24
2606244
17 KETOSTEROIDS
83586
36.04
2606245
HYDROXYINDOLACETIC (5 HIAA)
83497
36.28
2606246
AMIKIN (PEAK)
80150
42.42
2606247
CHOLINESTERASE
82480
22.18
2606248
ASSAY RBC CHOLINESTERASE
82482
21.62
2606249
ASSAY OF DIBUCAINE NUMBER
82638
34.46
2606251
ASSAY OF INSULIN
83525
32.5
2606252
BLOOD METHEMOGLOBIN
83050
17
2606253
DRUG ABUSE SCREEN III URINE
80305
20
2606254
AFB ANTIBIOTIC SUSCEPTIBILITY
87190
62
2606255
CHLAMYDIA
87491
73
2606256
GONOR NUCLEIC ACID
87591
73
2606257
RSV PCR
87798
52.5
2606258
CATECOLAMINE
82384
42
2606259
VMA & CATHECOLAMINAS
84585
150
2606260
LYME DISEASE AB
86618
57.5
2606261
MACROPROLACTIN
84146
40
2606262
KAPPA/LAMBDA/FREE LGT CHAIN UR
83883
37.5
2606263
A.BLOOD GAS ANALYSIS
82803
100
2606263E
A.BLOOD GAS ANALYSIS
82803
100
2606264
ASSAY OF LACTIC ACID
83605
24
2606265
ASSAY OF CALCIUM
82330
30
2606266
ASSAY OF SERUM SODIUM
84295
11
2606267
HgB QUANT TRANSCUTANEOUS
88738
11
2606268
HCV Ab VERIFICATION
86804
159
2606269
BONE SPECIFIC ALKALINE PHOSPHA
84080
55
2606270
H.INFLUENZAE B Ag
87899
60
2606271
LYME DISEASE Ab IgM
86618
40
2606272
CMV Ab IgM CSF
86645
75
2606273
VDRL QUANT
86592
151
2606274
INFLUENZA A&B RT-PCR
87502
429
2606275
ORGANISM ID BY SEQUENCING
87186
375
2606276
VIRUS DIRECT DFA ADENOVIRUS
87260
165
2606277
ANTI-RI Ab
86256
435
2606278
ANTI HU
86256
173
2606279
ANTIRETICULIN IgA Ab
86255
227
2606280
ANTISTRIATED MUSCLE Ab
86255
48
2606281
MANNAN BIND LECT FUNCTIONAL
86160
280
2606282
MANNAN BIND LECT QUANTITATIVE
83520
167
2606283
URIC ACID BODY FLUIDS
84560
15
2606284
IgE PENICILLIN V
86003
8
2606285
IgE PENICILLIN G
86003
8
2606286
SYPHILLIS QUANTITATIVE
86593
15
2606287
MONO TEST QUANTITATIVE
86310
15
2606288
B CELLS TOTAL COUNT
86355
78
2606289
NK CELLS TOTAL COUNT
86357
78
2606290
FOLATE
82747
36
2606291
BLASTOMYCES DERMATITIDIS ANTIB
86612
27
2606292
GD1A Ab IgG IgM
83516
20
2606293
DRUG TOXICOLOGY (SERUM)
80305
0
2606294
RAST PARROT FEATHERS
86003
30
2606295
BILE ACIDS
82239
33
2606296
ASPERGILLUS Ab IgG
86606
31
2606297
CDC LEPTOSPIRA IgM
86720
0
2606298
RAST ANCHOVY
86003
30
2606299
ASCARIS / ELISA
86682
159
2606300
METFORMIN/SERUM/PLASMA
82542
244
2606301
INFLUENZA B VIRUS
87275
41.58
2606302
INFLUENZA A VIRUS
87276
38.16
2606303
SEX HORMONE BINDING GLOBU/SERU
84270
45
2606304
SHIGA TOXIN QUIK TEST
87427
120
2606305
HIV-1 ANTIBODY
86701
17
2606306
HIV-2 ANTIBODY
86702
22.75
2606307
BK VIRUS/DNA/PCR
87799
618
2606308
JC VIRUS/WHOLEBLOOD/PCR
87798
513
2606309
CYANIDE/BLOOD
82600
121
2606310
RHEUMATOID FACTOR/FLUID/QN
86431
74
2606311
FUNGUS STAIN
87206
22
2606312
TRIGLYCERIDES/FLUID
84478
15
2606313
OSMOLALITY/SUERO
83930
27
2606314
INTERPHERON BETA IgG/MAID
83520
1277
2606315
FREE CARBAMAZEPINE/SERUM
80157
202
2606316
CHYLOMICRON SCREEN/BODY FLUIDS
82664
169
2606317
INFLUENZA B VIRUS
87275
0
2606318
INFLUENZA A VIRUS
87276
0
2606319
JC VIRUS DNA/CSF/PCR
87798
515
2606320
FACTOR VIII Ag
83520
128
2606321
ASPERGI FUMIGATUS PRECI Ab IgG
86606
108
2606322
ASPERGILLUS FUMIGATUS IgA
86606
108
2180111
PROSTHESIS
0
2180112
BAR UROL.FIL.FIP
24
2180113
LEG BAG LONG TUB
5.9
2180114
LEGS BAG SHIRT TUB
5.86
2180115
FDXI TRACK
1.8
2180116
BENDOSCOPIE TUR
20
2180118
CLEAN ENEMA SET
1.81
2180119
FIST-U-TRAP
40
2180120
URINE COLLECTOR PEDIATRIC
0.75
2180121
CHART REC. PAPER 8012
6
2180123
VAGINAL IRRIGATION
3.2
2180126
ELECTRO SURGICAL PENCIL
4.36
2180127
CHEST DRAIN W.S.
208.4
2180128
SURGICAL MARKER
6.5
2180129
FETAL MONITOR CHART
9.76
2180130
SPACE LAB CHART
14.6
2180131
PLEUR EVAC INFANT
129.99
2180132
CHART PAPER 1910
6
2180133
URET. STENT FIG. 4 4FR
200
2180134
URET. STENT FIG.4 5FR
200
2180135
URET. STENT FIG.4 6FR
200
2180136
URET. CATH. 6 FR OPEN
19
2180137
URET. CATH. 7 FR OPEN
19
2180138
URET. CATH. 5 FR OPEN
19
2180139
URET. CATH. 8 FR OPEN
19
2180140
URET. CATH. (WHISTLE) 4 FR
19
2180141
URET. CATH. (WHISTLE) 5 FR
19.9
2180142
URET. CATH. WEDGE 5 FR
19
2180143
URET. CATH. WEDGE 4 FR
19
2180144
URET. CATH. SPIRAL 5 FR
19
2180145
DOUBLE LUMEN EXTRACTION BALLON
208
2180146
INMOVILIZER CATH.
7.2
2180147
MALECOT #16
13.3
2180148
MALECOT #18
13.3
2180149
SURG. GROUND NEONATE
30.83
2180150
REM POLYHESIVE ELECT.
9.66
2180151
LEG BAG STRAPS
8.1
2180152
PEDIATRIC POL II R-E
21.2
2180153
ELECTRO SURG ELECT L-H
41.1
2180154
ELECT DEFIBRIL-1210H
33.5
2180155
CRYO-40 CRYOPROBES 3MM
762
2180156
CRYO-55 TEMPPROBES SHORT
750
2180157
CRYO-72 FASTTRAC INTROD SHEATH
750
2180158
UTEROSCOPY BALLON CATHETER 3F
260
2180159
URETHRAL CATHETER WO BALLOON
26
2180160
PROTATECTOMY CATHETER 2 WAYS
40
2180161
PROTATECTOMY CATHETER 3 WAYS
44
2180162
BUGBEE ELECTRODE
68
2180163
THREE PRONG GRASPER
434
2180164
TIPLESS STONE EXTRACTOR
506
2180165
PROUB GASPER 3 FR
432
2180166
DONALSON VENT TUBE
35.23
2180167
SMITH PERCUTANEOUS STENT SET
148
2180168
BILIARY STONE REMOVAL SET
698
2180169
SUPRAPUBIC CATHETER INTRODUCER
32
2180170
CYSTOSCOPY NEEDLE
34
2180171
MITTY POLLACK NEEDLE
76
2180172
ENDOFOG
24
2180173
IRRIGATION DELIVERY SYSTEM
70
2180174
NITINOL TIPLES STONE EXTRACTOR
359.1
2180175
PRONG GRASPER
390
2180176
URETERAL CATHETER ADAPTER
3.75
2180177
IRRIGATOR TUBBING
40
2180178
PROSTH PENIL(MOD.AMS650MALIABL
2187.5
2180179
PROSTHESIS PENIL(MOD.AMBICOR)
8000
2180180
PROSTHESIS PENIL (MOD.CX)
9250
2180181
PROSTHESIS PENIL (MOD.SPARC)
1125
2180182
SENATED BLADE 3.5 MM C/5
1120
2180183
CATHETER STYLET 6 FR
100
2180184
SUPRA PUBIC I FOLLEY CATHE SET
133.4
2180185
FOLEY CATHETER 10 FR 3CC
9.28
2180186
FOLEY CATHETER 14 FR 5CC 2 WAY
7.75
2180187
FOLEY CATHETER 16 FR 5CC 2 WAY
7.18
2180188
FOLEY CATHETER 18 FR 5CC 2 WAY
7.93
2180189
FOLEY CATHETER 20 FR 5CC 2 WAY
7.9
2180190
FOLEY CATHETER 22 FR 5CC 2 WAY
7.9
2180191
FOLEY CATHETER 18 FR 30CC 2WAY
9.1
2180192
FOLEY CATHETER 20 FR 30CC 2WAY
7.01
2180193
FOLEY CATHETER 24 FR 30CC 2WAY
8.5
2180194
FOLEY CATHETER 20 FR 30CC 3WAY
14.44
2180195
FOLEY CATHETER 22 FR 30CC 3WAY
21.7
2180196
FOLEY CATHETER 24 FR 30CC 3WAY
21.7
2180197
FOLEY CATHETER 26 FR 30CC 3WAY
10.57
2180198
DISPOSABLE ACTIVE CORD
70
2180199
FOLEY CATHETER CONDE TIP 14FR
24.5
2180200
FOLEY CATHETER CONDE TIP 16FR
24.5
2180201
FOLEY CATHETER CONDE TIP 18FR
24.5
2180202
FOLEY CATHETER CONDE TIP 20FR
24.5
2180203
FOLEY CATHETER CONDE TIP 22FR
14
2180204
LITHOTRIPSY PROBE 9FR
380
2180205
PTFE WIREGUIDE .035 X 145
26
2180206
PTFE WIREGUIDE .038 X 145
26
2180207
URETE DOUBLE PIG.C-FLEX 5FRX24
283.1
2180208
URETE DOUBLE PIG.C-FLEX 6FRX18
266.55
2180209
POLARIS LOOP URETERAL STENT
C2617
302.1
2180210
POLARIS ULTRA URETERAL STENT
283.1
2180211
URET DBLE PIG.C-SOF-FLEX6FRX24
240
2180212
URETHERAL POLARIS STENT 6X26
283.1
2180213
URET DBLE PIG.C-SOF-FLEX6FRX28
250
2180214
URET DB PIG.ENDO-FLEX6FRX248
300
2180215
STAMEY PERC SUPRAPUBIC CATH12F
80
2180216
STAMEY PERC SUPRAPUBIC CATH14F
108
2180217
STAMEY PERC SUPRAPUBIC CATH17F
80
2180218
PROSTATECTOMY CATH 20FR 2WAY
40
2180219
PROSTATECTOMY CATH 22FR 2WAY
40
2180220
PROSTATECTOMY CATH 24FR 2WAY
40
2180221
PROSTATECTOMY CATH 20FR 3WAY
44
2180222
PROSTATECTOMY CATH 22FR 3WAY
44
2180223
PROSTATECTOMY CATH 24FR 3WAY
44
2180224
COBRA CATHETER 6FR .038MM
56
2180225
FASCIAL INCISING NEEDLE 070
72
2180226
FASCIAL INCISING NEEDLE 071
80
2180227
HIWIRE W/ HYDROPHILIC CDATING
100
2180228
PERC N-CIRCLE
256
2180229
ULTRA NEPHROSTOMY BALLOON SET
473.1
2280008
ESTABLI VISIT L III PED RES
99213
75
2280009
ESTABLI VISIT L VI PED RES
99214
115
2280010
ESTABLI VISIT L V PED RES
99215
150
2300010
EMERGENCY ROOM VISIT - E/M 1
99281
125
2300010E
EMERGENCY ROOM VISIT - E/M 1
99281
125
2300011
EMERGENCY ROOM VISIT W/CRITERI
99281
150
2300011E
EMERGENCY ROOM VISIT W/CRITERI
99281
150
2300012
EMERGENCY ROOM VISIT URG CARE
99281
150
2300012E
EMERGENCY ROOM VISIT URG CARE
99281
150
2300013
EMERGENCY ROOM PEDIATRIC VISIT
99281
125
2300013E
EMERGENCY ROOM PEDIATRIC VISIT
99281
125
2300082
EMERGENCY ROOM VISIT - E/M 2
99282
125
2300082E
EMERGENCY ROOM VISIT - E/M 2
99282
125
2300083
EMERGENCY ROOM VISIT - E/M 3
99283
150
2300083E
EMERGENCY ROOM VISIT - E/M 3
99283
150
2300084
EMERGENCY ROOM VISIT - E/M 4
99284
175
2300084E
EMERGENCY ROOM VISIT - E/M 4
99284
175
2300085
EMERGENCY ROOM VISIT - E/M 5
99285
200
2300085E
EMERGENCY ROOM VISIT - E/M 5
99285
200
2300091
ER CRITICAL CARE FIRST HOUR
99291
447
2300092
ER CRITICAL CARE ADDL 30MIN
99292
125
2300099
E/R OBSERVATION ROOM /HOUR
450
2300150
E/R MINOR SURGERY PROCEDURE
125
2300153
IV INJECTION UP TO 1HR
96360
125
2300154
IV INJECTION ADDL. HOUR
96361
50
2300155
IV INFUSION > 8HRS USING PUMP
125
2300156
THER/PROPH/DIAG IV INF. INIT
96365
125
2300158
THER/PROPH/DIAG IV INF. ADD HR
96366
30
2300159
THER/PROPH/DIAG IV INF ADD MED
96367
30
2300162
VENT MGMT INPAT/ INITIAL DAY
94002
200
2300164
VENT SUBSIGUIENTE
94003
200
2300500
SERVICIO MEDICO ER
99281
15
2305010
REMOVAL OF NAIL BED
11750
225
2305011
RPR S/N/AX/GEN/TRNK 2.5CM/<
12001
60
2305012
RPR S/N/AX/GEN/TRNK2.6-7.5CM
12002
60
2305013
RPR S/N/AX/GEN/TRK7.6-12.5CM
12004
60
2305014
RPR S/N/A/GEN/TRK12.6-20.0CM
12005
60
2305015
RPR F/E/E/N/L/M 2.5 CM/<
12011
60
2305016
RPR F/E/E/N/L/M 2.6-5.0 CM
12013
60
2305017
FNA W/O IMAGE
10021
104
2305018
DRAINAGE SKIN ABSCESS SIMP/SNG
10060
113
2305019
DRAINAGE SKIN ABSCESS COMP/MUL
10061
113
2305020
DRAINAGE OF PILONIDAL CYST
10080
113
2305021
REMOVE FOREING BODY
10120
194
2305022
DRAINAGE OF HEMATOMA/FLUID
10140
595
2305023
DEBRIDE INFECTED SKIN
11000
194
2305024
EXC H-F-NK-SP B9+MARG 0.5/<
11420
452
2305025
REMOVAL OF NAIL PLATE
11730
104
2305026
DRAIN BLOOD FROM UNDER NAIL
11740
43
2305027
RPR S/N/A/GEN/TRK20.1-30.0CM
12006
141
2305028
RPR F/E/E/N/L/M 5.1-7.5 CM
12014
59
2305029
RPR F/E/E/N/L/M 7.6-12.5 CM
12015
59
2305030
RPR FE/E/EN/L/M 12.6-20.0 CM
12016
59
2305031
RPR FE/E/EN/L/M 20.1-30.0 CM
12017
59
2305032
RPR F/E/E/N/L/M >30.0CM
12018
59
2305033
CLOSURE OF SPLIT WOUND
12020
289
2305034
INTMD RPR S/A/T/EXT 2.5 CM/<
12031
141
2305035
INTMD RPR S/A/T/EXT 2.6-7.5
12032
141
2305036
INTMD RPR S/TR/EXT 7.6-12.5
12034
141
2305037
INTMD RPR N-HF/GENIT 2.5CM/<
12041
141
2305038
INTMD RPR N-HF/GENIT 2.6-7.5
12042
141
2305039
INTMD RPR FACE/MM 2.5CM/<
12051
141
2305040
INTMD RPR FACE/MM 2.6-5.0 CM
12052
141
2305041
INTMD RPR FACE/MM 5.1-7.5 CM
12053
141
2305042
INTMD RPR FACE/MM 7.6-12.5 CM
12054
141
2305043
CMPLX RPR TRUNK 2.6-7.5 CM
13101
289
2305044
CMPLX RPR S/A/L 2.6-7.5 CM
13121
289
2305045
CMPLX RPR F/C/C/M/N/AX/G/H/F
13131
141
2305046
CMPLX RPR F/C/C/M/N/AX/G/H/F
13132
289
2305047
DRESS/DEBRID P-THICK BURN S
16020
104
2305048
REMOVAL OF FOREIGN BODY
20520
452
2305049
DRAIN/INJECT JOINT/BURSA
20610
143
2305050
RESET DISLOCATED JAW
21480
60
2305051
TREAT CLAVICLE DISLOCATION
23545
123
2305052
TREAT HUMERUS FRACTURE
23605
882
2305053
TREAT SHOULDER DISLOC WO/ANEST
23650
123
2305054
TREAT SHOULDER DISLOC W/ANESTH
23655
813
2305055
TREAT DISLOCATION/FRACTURE
23665
316
2305056
TREAT DISLOCATION/FRACTURE
23675
123
2305057
TREAT HUMERUS FRACTURE
24565
123
2305058
TREAT ELBOW DISLOCATION
24600
123
2305059
TREAT ELBOW DISLOCATION
24640
123
2305060
TREAT RADIUS FRACTURE
24655
123
2305061
TREAT FRACTURE OF RADIUS
25520
123
2305062
TREAT FRACTURE RADIUS/ULNA
25605
316
2305063
DRAINAGE FINGER ABSCESS SIMPLE
26010
113
2305064
DRAINAGE FINGER ABSCESS COMPLI
26011
595
2305065
REPAIR/GRAFT FINGER TENDON
26420
1569
2305066
REPAIR HAND JOINT
26540
881
2305067
TREAT METACARPAL FRACTURE
26605
123
2305068
TREAT KNUCKLE DISLOCATION
26700
123
2305069
TREAT FINGER FRACTURE EACH
26725
123
2305070
TREAT FINGER FRACTURE EACH
26742
123
2305071
TREAT FINGER DISLOCAT WO/ANEST
26770
77
2305072
TREAT FINGER DISLOCAT W/ANESTH
26775
98
2305073
TREAT HIP SOCKET FRACTURE
27222
0
2305074
TREAT THIGH FRACTURE
27232
0
2305075
TREATMENT OF THIGH FRACTURE
27502
882
2305076
TREAT KNEECAP DISLOCATION
27560
77
2305077
TREATM DISTAL FIBULAR FRACTURE
27788
123
2305078
TREAT BIMALLEOLAR ANK FRACTURE
27810
316
2305079
TREATMENT TALUS FRACTURE
28435
882
2305080
TREAT BIG TOE FRACTURE
28495
123
2305081
TREATMENT OF TOE FRACTURE
28515
123
2042073
PPM ELUNA 8 SR-T
3600
2042074
CONQUEST HIGH PRESSURE CQ75810
240
2042075
CONQUEST 8X40 CQ7584
240
2042076
CONQUEST HIGH PRESS 12MMX40MM
240
2042077
SJM CONFIRM
2400
2042078
CRT-P PERCEPTA QUAD MRI
5352
2042079
CRT-P ALLURE RF
9900
2042080
INTRODUCER PLS 1007-1010 ABBOT
60
2042081
QUARTET ABBOTT
2160
2042082
INSTANT DETACHER
240
2042084
LEAD SOLIA S 53 BIOTRONIK
600
2042085
ESMERALD GUIDEWIRE .25X150CM
24
2042086
LUTONIX .035 LX3513061205F
1080
2042087
LUTONIX .035 LX3513051205F
1080
2042088
LUTONIX .035 LX3513066055F
1080
2042089
COVERA STENT STRAIGHT
3600
2042090
GUIDEZILLE II GUIDE EXTEN 6FR
1455
2042091
HORNET STRAIGHT TIP GUIDEWIRE
315
2042092
FIGHTER STRAIGHT TIP
315
2042093
WOLVERINE MONORAIL
2220
2042094
GORE EXCLUDER ENDOPR RLT231416
9471.6
2042095
GORE EXCLUDER ENDOPR PXC121200
3883.2
2042096
GUIDEZILLE II GUIDE EXTEN 7FR
1455
2042097
GORE EXCLUDER ENDOPR PLA230300
4556
2042098
GORE EXCLUDER ENDO HGB161207A
2952
2042099
DORADO DR8064
240
2042100
DORADO DR8086
240
2042101
DORADO DR80810
240
2042102
VALIANT THORACIC/VAMC3636 C200
10200
2042103
TWIN-PASSV2
1047
2042104
SUPERCROSS-014-130
1185
2042105
SUPERCROSS-014-150
1185
2042106
SUPERCROSS-014AT 90DG130
1485
2042107
TURNPIKEGOLD 135CM
1950
2042108
TURNPIKELP-135
1950
2042109
TURNPIKELP-150
1950
2042110
TURNPIKESPIRAL-135
2175
2042111
TURNPIKE-135
1785
2042112
TURNPIKE-150
1785
2042113
R350 GUIDEWIRE
567
2042114
SHEATH INTRODUCER SLENDER 10CM
208.5
2042115
PINNACLE DESTINATION 8FRX45CM
615
2042116
GUIDEWIRE CONFIANZA 12X180
375
2042117
GUIDEWIRE MIRACLEBRO 12X300
375
2042118
GUIDEWIRE FIELD FC 180 CM
375
2042119
GUIDEWIRE FIELD XT 190 CM
375
2042120
GUIDEWIRE ASAHI SION 180 CM
375
2042121
GUIDEWIRE RG3 300 CM
375
2042122
STINGRAY DEVICE
4050
2042123
CROSSBOSS CATH
3350
2042124
STINGRAY GUIDEWIRE 300 CM
1185
2042125
STINGRAY EXTWIRE
360
2042126
STINGRAY GUIDEWIRE 185 CM
1185
2042127
STRAPPER EXCHANGE CATH WW
1485
2042128
THREADER MR 1.2 X 12MM
1485
2042129
THREADER OTW 1.2 X 12 MM
1485
2042130
SAMURAI GUIDEWIRE RC 190 CM
315
2042131
GUIDEZILLE II GUIDE EXT 8FR
1940
2042132
HORNET 10 190CM
315
2042133
HORNET 14 190CM
315
2042134
CONVEY 8FR AL .75 SIDE HOLES
285
2042135
CONVEY 8FR IM
285
2042136
CONVEY 8FR ART 4
285
2042137
CONVEY 8FR AL1 SIDE HOLES
285
2042138
CONVEY 8FR JR 4
285
2042139
CONVEY 8FR AL 2 SIDE HOLES
285
2042140
CONVEY 8FR JR 3.5 SIDE HOLES
285
2042141
CONVEY 8FR ART 3.75 SIDE HOLES
285
2042142
CONVEY 8FR LEFT BU 3.0
285
2042143
CONVEY 8FR LEFT BU 3.5
285
2042144
MANIFOLD KIT CTO
45
2042145
INTRODUCER BRITE TIP 8FRX45CM
135
2042146
COPILOT BBCV
114
2042147
GORE EXCLUDER ENDOPR RLT231418
7545.6
2042148
GORE EXCLUDER ENDOPR PXC121400
4077.6
2042149
ANGIOGRAPHIC CONT SYRINGE 10ML
25.5
2042150
LAUNCHER CATH 8 FR 90 CM
210
2042151
STINGRAY LP
4050
2042152
VALIANT THORACIC/VAMF4242C100
9000
2042153
ENSITE PRECISION SURFACE ELECT
1500
2042154
SUPREME TM 401980 ABBOTT
240
2042155
COVERA VASC COVERE AVSM08040
C1760
2160
2042156
DORADO DR80710
240
2042157
GORE EXCLUDER ENDOPR RLT231415
9945.6
2042158
GORE EXCLUDER ENDO HGB161407A
3099.6
2042159
SHEATH INTRODUCER 9FR
55.5
2042160
LUTONIX .035 LX3513041005F
1080
2042161
BARD SNARE RETRIEVAL KIT
1950
2042162
3D EV3 CONCERTO
780
2042163
COVERA CVRD STENT 6X40X80
3600
2042164
COVERA CVRD STENT 6X60X80
3600
2042165
COVERA CVRD STENT 06X100X80
3600
2042166
COVERA CVRD STENT 7X40X80
3600
2042167
COVERA CVRD STENT 7X60X80
3600
2042168
COVERA CVRD STENT 8X40X80
3600
2042169
COVERA CVRD STENT 8X60X80
3600
2042170
COVERA CVRD STENT 8X100X80
3600
2042171
FLUENCY STENT 12X40
2160
2042172
FLUENCY STENT 80X120
3600
2042173
FLUENCY STENT 40X140
3600
2042174
GORE VIABAHN BXA115902A
4102.8
2042175
GORE EXCLUDER ENDOPR PXL161407
2870.4
2042176
GORE DRYSEAL FLEX DSF1233
327.6
2042177
GORE VIABAHN ENDO VBHR071002A
C1874
3898.8
2042178
SWARTZ 407453 ABBOTT
120
2042179
AGILIS TM NXT 6583486 ABBOTT
600
2042180
BALLOON CATHETER ABBOTT
228
2042181
ENDURANT STENT CNTRL LIMB 1628
5040
2042182
COVERA COVER STENT 10X40
3600
2042183
VENOVO VENOUS STENT 14MMX120MM
1560
2042184
VENOVO VENOUS STENT 18MMX80MM
1560
2042185
VENOVO VENOUS STENT 18MMX100MM
1440
2042186
GRAFT WOVEN 24 X 30
2040
2042187
GRAFT KNITTED 24 X 12
2160
2042188
PROPATEN VASC GRAFT 6X70 60CM
2526
2042189
CRD-2 QUAD CATH
120
2042190
JSN QUAD CATH 6FR
132
2116157
THREADED PEG 2.7MMX16MM
102
2116158
LOCKING CLAVICLE PLATE SYSTEM
1866
2116160
HIGH COMPRE LOCK PEG 2.7X16 TI
102
2116161
HIGH COMPRE LOCK PEG 2.7X18 TI
102
2116162
HIGH COMPRE LOCK PEG 2.7X20 TI
102
2116163
THREADED PEG 2.7MMX18MM
102
2116164
SCREW POLYAXIAL NON LOC 3.5X14
102
2116165
SMOOTH PEG LOCKING 2.0MMX17MM
102
2116166
OLECRANON PLATE STD 65MM LT
1920
2116167
3.5MM X 16MM LOCK HEXALOBE SCR
114
2116168
3.5MM X 34MM NON LOCK HEXALOB
114
2116169
THREADED PEG 2.7MMX22MM
102
2116170
THREADED PEG 2.7MMX26MM
102
2116171
ACU LOC 2 VDR PROX PLT STD LNG
1710
2116172
2.3MM X 24.0MM SMOOTH LKG PEG
102
2116173
2.3MM X 24.0MM NON-TOG CORTICA
102
2116174
35MM ACUTRAK 2-5.5 SCREW TITAN
540
2116175
SCREW CORTICAL LOCK 3.5MMX13MM
78
2116176
CANCELLOUS CUBES 15.0CC
600
2116177
SCREW CORTICAL LOCK 3.5MMX15MM
78
2116178
16MM MICRO ACUTRAK 2 BONE SCRE
456
2116179
.045 X 5.75 ST GUIDE WIRE
66
2116180
OLECRANON PLATE STD 90MM RT
1920
2116181
3.0MM X 45MM HEXALOBE SCREW
114
2116182
3.0MM X 50MM HEXALOBE SCREW
114
2116183
3.5MM X 26MM NON LOCK HEXALOBE
114
2116184
3.5MM X 28MM LOCK HEXALOBE SCR
114
2116185
.035" X 5.75" ST GUIDE WIRE
66
2116186
GEMINUS FOSSA VOLAR PLT NAR LF
1260
2116187
.054" X 7" GUIDE WIRE
66
2116188
STIMULAN PASTE KIT 10CC
1440
2116189
3.0MM X 145MM FIBULA ROD
1200
2116190
3.5 CORTICAL SCREW 40MM
204
2116191
3.5MMX14MM NON LOCK HEXALOBE
114
2116192
2.3MM X 22.0MM SMOOTH LKG PEG
102
2116193
3.5MM X 14.0MM LOCK CORT SCREW
102
2116194
2.3MM X 16.0MM NON-TOG CORTICA
102
2116195
.054" X 6" GUIDE WIRE
66
2116500
APTUS ADAPTIVE DISTAL RADIUS
3558
2116501
SMOOTH PEG LOCKING 2.0MMX16MM
102
2116502
SMOOTH PEG LOCKING 2.0MMX20MM
102
2116503
SCREW POLY NON LOCK 3.5MMX12MM
102
2116504
THREADED PEG LOCK 2.3MMX18MM
102
2116505
THREADED PEG LOCK 2.3MMX20MM
102
2116506
SCREW POLY NON LOCK 3.5MMX18MM
102
2116509
2.3MM X 16.0MM FL THREADED LKG
102
2116510
2.3MM X 20.0MM NON-TOG CORTICA
102
2116511
4.0MM X 36.0MM CANN EXT SCREW
420
2116512
4.0MM X 42.0MM CANN EXT SCREW
420
2116513
LKG DIST FIBULA PLATE TITANIUM
990
2116514
4.0MM X 12.0MM CANN EXT SCREW
102
2117010
FIXION PF 10.0 X 220 130 DEGRE
1620
2117012
FIXION PF HIP PEG 100MM
540
2117014
FIXION PF K WIRE
90.89
2117016
PUMP
64.98
2117018
1/2 TIBIAL AUGMENT SIZE 2 11MM
774
2117020
1/3 TIBIAL AUGMENTATION BLOCK
502.37
2117022
ACCELERATE APPLICATOR KIT
178.2
2117024
ACCELERATE PROCEDURE KIT
712.8
2117026
ACUMATCH 15 D LINER 28MM SIZ E
300.53
2117028
ACUMATCH P-PLASMA COLLARLESS 4
1616.35
2117030
ACUMATH MULTIHOLCUP PORUS 48M
974.69
2117032
ACUMATH MULTIHOLCUP PORUS 50M
974.69
2117034
BIPOLAR HEAD 44MM
666.04
2117036
BONE SCREW 40MM LONG
81.23
2117038
BONE SCREW 6.5MM DIA X 15MM LO
81.23
2117040
BONE SCREW 6.5MM DIA X 20MM LO
81.23
2117042
BONE SCREW 6.5MM X 35MM
81.23
2117044
CANCELLOUS CUBE (4-6MM) 15CC
1055.92
2117046
CC 5 DEGREE STEM ADAPTER
324.9
2117048
CC FEORAL AUGMENT SCREW 15MM
221.52
2117050
CEMENTED PS FEMORAL SIZE 1
1705.7
2117052
CEMENTED PS FEMORAL SIZE 2
1705.7
2117054
CEMENTED PS FEMORAL SIZE 3
1705.7
2117056
CEMENTED PS FEMORAL SIZE 4
1705.7
2117058
CEMENTED TRAPEZOID TIBIAL TRAY
974.69
2117060
CEMENT TRAPE TIBIAL TRAY 2F/2T
974.69
2117062
CEMENT TRAPE TIBIAL TRAY 3F/3T
974.69
2117064
CEMENT TRAPE TIBIAL TRAY 4F/4T
974.69
2117066
CEMEX FAST SEET WITH GENTA
381.76
2117068
CEMEX SYSTEM GENTAMYCIN 60G
381.76
2117070
COCR FEMOR HEAD 28MM 0MM NECK
324.9
2117072
CONSTAVAC II WOUND DRAIN SYST
627.79
2117074
DISTAL FEMORAL AUGMENT BLOCK
324.9
2117076
DISTAL FEMORAL AUGMENT SIZE 3
324.9
2117078
FEMORAL CONSTRAINED CONDYLAR 3
3248.95
2117080
FIXION HUMERAL 8.0 X 240MM
1146
2117082
FIXION PF 10 X 220 135 DEGREE
1380.8
2117084
FIXION PX 10 X 220 125 DEGREE
1380.8
2117086
FIXION PF LT 10 X 380 130 DEGR
1380.8
2117088
FIXION PH HIP PEG 100
487.34
2117090
FLUTED STEM EXT 14MM X 80MM
487.34
2117092
FLUTED STEM EXT 16MM X 80MM
487.34
2117094
FLUTED STEM EXT 20MM X 120MM
1182
2117096
INTERSPACE KNEE LARGE
4309.74
2117098
KNEE INMOVILIZER 20" BREGG
154.32
2117100
NAIL CAP
72.6
2117102
OPTEFILL ALLOGRAFT SYRINGE
2702.4
2117104
OPTEFORM ALLOGRAFT RT 5CC
1927.96
2117106
OPTEFORM FRESH FROZEN 30MM DIS
584.1
2117108
OPTEFORM RT 10CC
2820
2117110
OPTETRACK PS SYMMETRIC SIZE 3
1705.7
2117112
OPTETRACK TIB INS PS S3 #13MM
420
2117114
OPTETRAK OFFSET SCREW SIZE LL
918
2117116
OPTETRAK OFFSET TIBIAL 3F/2T
5620.2
2117118
POSTERIOR FEMORAL AUGMENT SIZ3
324.9
2117120
SAW BLADE .035
97.46
2117122
SAW BLADE .050 WIDE
97.46
2117124
SIMPLEX P WITH TOBRAMYCIN
351
2117126
THREE PEG PATELLA 26MM
81.23
2042956
ASTATO XS 20 180CM
390
2042957
ASAHI GLADIUS 200CM 0.018
390
2042958
TREASURE 12 180CM
390
2042959
GUIDEWIRE JUDO 1 300CM
1575
2042960
GUIDEWIRE JUDO 3 300CM
1575
2042961
GUIDEWIRE JUDO 6 300CM
1575
2042962
SAFE-T-J ROSEN CATH EXCHANGE
165
2042963
CRT-D CLARIA MRI QUAD SURESCA
15600
2042964
OUTBACK ELITE 80CM
2620
2042965
GLIDEWIRE STD ANGLE .018X150
133.2
2042966
GLIDEWIRE ADVANCE .018X300
736.5
2042967
DISTAL GLIDEWIRE ADV .014X300
147
2042968
GLIDE ADVANCE .035X180
495
2042969
GLIDE ADVANCE .035X260
495
2042970
GLIDEWIRE ADVANCE .18X180
736.5
2042971
NAVICROSS .035X90 STR TIP
123
2042972
NAVICROSS .035X150 STR TIP
123
2042973
GORE VIABAH ENDO VBHR052502A
7424.4
2042974
VENOVO VENOUS STENT 16MMX60MM
C1760
1440
2042975
ROTAPRO
2792.25
2042976
RENEGADE STC 18
1386
2042977
INTERLOCK 2D
1200
2042978
LUTONIX .035 LX3575880V
1080
2042979
LUTONIX .018 LX1813051005F
1080
2042980
LUTONIX .018 LX181304604F
1080
2042981
LUTONIX .035 LX3575560V
1080
2042982
LUTONIX .035 LX3575560V
1080
2042983
ICD VISIA AF MRI VR DVFB1D1
C1722
14400
2042984
VENOVO VENOUS STENT 14MMX160MM
1440
2042985
LUTONIX .018 LX1813042204F
1080
2042986
LUTONIX .018 LX1813053005F
1080
2042987
HALO ONE THIN WALLED HLO54535
240
2042988
CRT-D RIVACOR 7 HF-T BIOTRONIK
15594
2042989
LUTONIX .035 LX3575480V
1080
2042990
ICM CONFIRM RX
2400
2042991
GORE TEX VAS GRF SRRT06060070L
2072.4
2042992
ASAHI GLADIUS MONGO STR 190 CM
390
2042993
FG NE EMERGE MR
900
2042994
VIEWFLEX TM XTRA
3000
2042995
V-14 SHORT TAPER STRA TIP 182
180
2042996
V-14 SHORT TAPER STRA TIP 300
180
2042997
STENT SYNERGY XD MR
3000
2044943
INTERVASCULAR GRAPH WOVEN 8X30
2040
2044944
GUIDE WIRE COMMAND 18 LT
285
2044945
GUIDE WIRE COMMAND 18 ST
285
2044946
VESSEL CANNULA ONE WAY FLOW
18.75
2044947
IBI STR CRV DIAG AFXS 7F
2685
2044948
CABLES AUTOCLAVABLE
585
2044949
MAMBA 135 MICROCATHETER
2385
2044950
MAMBA 150 MICROCATHETER
2385
2044951
MAMBA MICROCATHETER
2385
2044952
GUIDEWIRE JUDO 1 190 CM
1575
2044953
GUIDEWIRE JUDO 3 190 CM
1575
2044954
GUIDEWIRE JUDO 6 190 CM
1575
2044955
COMET PRESSURE GUIDEWIRE
1860
2044956
BALLOON VIATRAC 14 PLUS 5.0X40
690
2044957
BALLOON VIATRAC 14 PLUS 6.0X40
690
2044958
UNIVERSAL FLUSH 4FR-90CM
55.5
2044959
UNIVERSAL FLUSH 4FR-65CM
55.5
2044960
PIGTAIL 5FR-90CM
55.5
2044961
UNIVERSAL FLUSH 5FR-90CM
55.5
2044962
FATHOM 16 G/WIRE 180X25-25 TIP
825
2044963
FATHOM 16 G/WIRE 200X10-35 TIP
825
2044964
BRK-1 XS SERIES (ABBOTT)
252
2044965
GORE EXCLUDER ENDOPR RLT231412
10244.4
2044966
GORE EXCLUDER ENDOPR PLC271000
4200
2044967
GORE EXCLUDER ENDOPR PLC271400
4200
2044968
GORE DRYSEAL FLEX DSF1833
463.2
2044969
GORE DRYSEAL FLEX DSF1633
344.4
2044970
COBRA 2 CATH CORDIS 5FR
55.5
2044971
UNI SELEC CATH CORDIS
55.5
2044972
AMPLATZ SS CORDIS
75
2044973
BALLOON VIATRAC 14 PLUS 5.0X20
690
2044974
INQUIRY IBI-81104
1650
2044975
STENT LD EXPRESS BIL 6.0X60X75
3300
2060010
RAYTEC GAUZE PKG-10
2.5
2060011
PLAIN GAUZE 2X2
1.91
2060012
GAUZE 4X4 PACK- 3
0.25
2060013
COTTON EYE SHIELD
1
2060014
TELFA GAUZE
0.53
2060016
EYE PAD
0.18
2060017
TONSILLS BALLS
7.73
2060018
CHERRIES SPONGES
3
2060019
PEANUTS SPONGES
1.5
2060020
VASELIN GAUZE
9.92
2060021
GAUZE BANDAGES
0.5
2060022
KLING ELASTIC BANDAG
1.11
2060023
SURGIPADS
0.57
2060024
VAGINAL PACKING
5.25
2060025
NASAL PACKING
5.5
2060026
LAPARATOMY SPONGES
3.05
2060027
SCARLET RED GAUZE
3
2060028
ELASTIC BANDAGE
3
2060029
BABY DIAPERS
0
2060030
MATERNITY PADS
0.27
2060031
TRI PADS
0.27
2060032
KELLY PADS
2.14
2060033
COTTON BALLS-PKG
0.25
2060034
COTTON SWABS
0.02
2060035
CULTURETTE SWABS
0.96
2060036
IODOPHOR GAUZE
5.99
2060037
SPONGE GAUZE 4X4 STERILE
0.22
2060038
ADHESIVE TAPE
0.5
2060039
WETPROOF TAPE
0.5
2060041
ADULT DIAPERS
0.83
2060042
ENSURE TAPE
1.5
2060043
DRAINAGE SPONGES
0.3
2060044
STERI-STRIPS
2.07
2060045
STERILE 3X3 GAUZE
0.5
2060046
GAUZE 4X4 PACK-10
0.04
2060047
GAUZE 4X4 PACK-20
2
2060048
CALGISWAB
2.14
2060049
ELASTIKON
9.7
2060050
SURGICEL
45.42
2060051
BAND-AIDS
0.03
2060052
VIDRAPES
12.14
2060053
GELFOAM
84.83
2060054
MICRO SPONGE
5.2
2060055
DOYLE HEMOSTAT
24.07
2060056
NASAL TAMPON
19.9
2060057
MATERNITY KIT
10
2060058
COTTONOID
8.5
2140080
SILK--SA 5
2.85
2140081
SILK--SA 6
2.85
2140083
SILK--SA 7
2.85
2140085
SILK-- 482
8.75
2140087
SILK--M 24
17.15
2140088
SILK--M 23
18.45
2140089
SILK--C022
21.2
2140090
SILK--C021
34.56
2140091
SILK--C014
33.98
2140092
SILK--C012
14.87
2140093
SILK--C013
14.87
2140094
SILK--M191
29.1
2140095
SILK--A183
3.3
2140096
SILK--A184
3.6
2140097
SILK--A185
3.6
2140098
SILK--M124
23.65
2140099
SILK-- 678
3.65
2140100
SILK--K833
5.64
2140101
SILK-- 684
4
2140102
SILK-- 769
34.31
2140103
SILK-- 768
3.15
2140104
SILK-- 679
1.7
2140105
SILK-- 640
11.97
2140107
SILK-- 619
3.8
2140108
SILK-- 423
3.15
2140111
SILK--1677
7.68
2140112
SILK--1676
7.68
2140113
SILK--K871
4
2140115
SILK-- 789
10.5
2140116
SILK--K890
6.25
2140117
SILK--M192
23.95
2140118
SILK--K832
4
2140119
SILK 3-0 622
5.14
2140120
SILK--A306
2.7
2140121
SILK--K831
4.33
2140126
SILK--K534
9.55
2140128
SILK--SA63
3.5
2140129
SILK--M706
28.25
2140130
SILK--K835
4.5
2140131
SILK--K843
4.5
2140132
SILK--K844
4.25
2140133
S.STEEL-- 630
4.05
2140134
S.STEEL-- 605
4.05
2140136
S.STEEL-- 631
8.62
2140137
S.STEEL-- 539
19.1
2140138
S.STEEL--D8047
3.21
2140139
S.STEEL--SS26
11.7
2140140
S.STEEL--SS30
10.75
2140142
S.STEEL--M650
44.65
2140143
S.STEEL--M645
20.15
2140144
S.STEEL--M684
28.9
2140145
S.STEEL--M694
28.9
2140146
ETHIBOND--B682
8.5
2140147
ETHIBOND--B691
8.5
2140151
ETHIBOND--X551
10.9
2140152
ETHIBOND--B185
4.5
2140153
ETHIBOND--B184
4.5
2140154
ETHIBOND--B183
4.5
2140156
ETHIBOND--X987
15
2140157
ETHIBOND--X522
10
2140159
ETHIBOND--B190
13.5
2140161
ETHIBOND--MPB27
64.5
2140164
ETHIBOND--MB927
55
2140166
ETHIBOND--MX977
55
2140170
ETHILON--1663
5.96
2140171
ETHILON--1668
9.33
2140172
ETHILON--1674
5
2140173
ETHILON--1667
7.25
2140174
ETHILON--1666
7.42
2140175
ETHILON--1662
7.25
2140176
ETHILON--2.0 664H
4.42
2140177
ETHILON-- 697
7.58
2140178
ETHILON-- 698
7.33
2140179
ETHILON-- 699
10.35
2140180
ETHILON-- 662
4.42
2140181
NEUROLON--C522
20.7
2140182
NEUROLON--C541
40.69
2140183
UMBILICAL TAPE--U10
4.57
2140184
UMBILICAL TAPE--U11
6.25
2140185
PROLENE--8203
12.35
2140186
PROLENE--8435
8.3
2140187
PROLENE--3-844
25.45
2140188
PROLENE--8522
15.95
2140189
PROLENE--8556
16.16
2140190
PROLENE--8557
16.19
2140191
PROLENE--8558
11.8
2140192
PROLENE--8621
7.1
2140193
PROLENE--8622
7.01
2140194
PROLENE--8681
15.38
2140195
PROLENE--8682
15.87
2140196
PROLENE--8683
5.45
2140197
PROLENE--8686
10.8
2140198
PROLENE--8701
26
2140199
PROLENE--8706
22.09
2140200
PROLENE--8710
15.95
2140201
PROLENE--8711
11.5
2140203
PROLENE--8714
15.95
2140205
PROLENE--8870
5.5
2140206
PROLENE MESH--PM-M
65
2140207
PROLENE--C821
33.05
2140208
PROLENE--3-846
23.03
2140209
PROLENE--8521
16.19
2140210
PROLENE 4-0 VP204
12
2140212
PLAIN--L101
5.15
2140213
PLAIN--L102
5
2140214
PLAIN--L103
5.35
2140215
PLAIN--G322
4.67
2140216
PLAIN--G323
4.67
2140217
PLAIN--H810
4.1
2140218
PLAIN--H822
4
2140219
PLAIN-- 843
5.75
2140221
PLAIN--1626
8.75
2140222
PLAIN--1627
8.75
2140223
PLAIN--N862
4.1
2140224
PLAIN--N863
4.1
2140225
PLAIN-- 3-0 842
4.65
2140226
PLAIN-- 4-0 321
4.15
2140243
TICRON--3175-41
22.65
2140247
TEFLON PLEDG-8677-01
15.9
2140251
FLEXON--2597-63
33.62
2140255
VICRYL--J727
32.05
2140256
PROLENE--8805
24.65
2140258
SILK--LA54
3
2140259
PROLENE--8707
18.4
2140260
PROLENE--8702
34.13
2140261
PROLENE--8720
22.39
2140262
PROLENE--8776
24.65
2140263
PDS-Z340
5.73
2140264
PDS--Z341
5.73
2140265
PDS--Z422
5.73
2140267
LIGACLIP--200
10
2140268
BONE WAX--W31
13.03
2140269
ETHILON--1673
5
2140276
SKIN STAPLER-PSW15
36.8
2140277
SKIN STAPLE EXTRACTO
2.06
2140278
SKIN STAPLER-PSW35
28.5
2140279
SUTURE BRIDGE-RSB-5
15.58
2140280
DACRON--2830-23
28.75
2140281
VICRYL--J447
30
2604740
ALBUMINA (FLUID)
82040
20
2604741
ZINC
84630
11
2604742
ANTI SMITH ANTIBODY
86235
29.85
2604743
ANTI JO ANTIBODY
86235
148
2604744
THYROID ANTIBODIES
86800
28.8
2604745
PYRUVATE
84210
24
2604746
CERULOPLASMIN
82390
50
2604747
SERUM COPPER
82525
37.2
2604748
ACYLGLYCINE QT URINE
82542
731
2604749
TORCH PROFILE IGG
80090
45
2604750
TORCH PROFILE IGM
80090
120
2604751
ANCA PROFILE ANTI NEUTROF CYTO
86256
681
2604752
SULFONYLUREA/URINE
82542
164
2604753
VIRAL CULTURE GENERAL
87252
90
2604754
PLATELET ANTIBODY EACH
86022
216.75
2604755
FATTY CHAIN (LCHAIN)+PYTANIC A
82726
423
2604756
PARVOVIRUS B-19 IGG
86747
69
2604757
CANCER ANTIGEN 27-29
86316
47
2604758
CA 15-3 ANTIGEN
86300
27
2604759
VIT B6/ PYRIDOXAL PHOSPHATE
84207
115.5
2604760
ANTI ISLET CELL
86341
191.5
2604761
MICROSTREP
87186
50
2604762
WELLCOGEN TITERS
86403
435
2604763
RSV
87807
50
2604764
VON WILLEBRAND ACT(W RISTOCETI
85247
265.5
2604765
AMINOACIDS PLASMA QUANT.
82139
285
2604767
FIBRONECTINA FETAL
82731
280
2604768
B-TYPE NATRIURETIC PEPTIDE
83880
125
2604771
RAST MILK
86003
17.25
2604772
RAST SOY
86003
17.25
2604773
RAST EGG WHITE
86003
17.25
2604774
RAST SHRIMP
86003
17.25
2604775
RAST WHOLE EGG
86003
17.25
2604776
RAST PORK
86003
17.25
2604777
RAST BEEF
86003
17.25
2604778
RAST FISH
86003
17.25
2604779
RAST OAT
86003
17.25
2604780
RAST LOBSTER
86003
17.25
2604781
RAST CACAO
86003
17.25
2604782
RAST FIRE ANT
86003
17.25
2604783
RAST GOAT MILK
86003
17.25
2604784
ALERGY PR PANEL
86003
372.6
2604785
HEAVY METAL URINE
83015
665
2604786
HEAVY METAL BLOOD
83015
392
2604787
MICROALBUMIN (URINE RANDOM)
82044
17
2604788
MICROALBUMIN (24HR. URINE)
82043
38
2604789
CHROMOSOME ANALYSYS(KARIOTYPE)
88237
535
2604790
ANTIPHOSPHO LIPIDS ANTIBODY
86147
47.5
2604791
FREE T4 BY DIALISIS
84439
128
2604795
HELICOBACTER PILORY IGM
86677
64.2
2604796
RAST WHEAT
86003
17.25
2604797
ALCOHOL ETHYL SCREEN
80320
23.8
2604798
REDUCING SUBSTANCE URINE
81099
18
2604799
PHOSPHATASE ACID PROSTATIC
84066
40
2604800
LEPTOSPIROSIS CULTURE URINE
87081
398.85
2604801
CORDARONE LEVEL
82542
100
2604802
WNV TITER (DPTO SALUD)
86790
0
2604803
MYCOPLASMA IGM
86738
31.5
2604804
IFE AND PE/SERUM
84165
105.25
2604805
RAST PAPER WAST
86003
17.25
2604806
RAST HONEYBEE YELLOW
86003
17.25
2604807
RAST BUMBLE BEE
86003
17.25
2604808
THYROGLOBULIN QUANTITATIVE
84432
54
2604810
TOPIRAMATE (TOPAMAX)
80201
206.63
2604811
HEPATITIS B SURFACE AB QT
86706
12
2604812
INFLAMATORY BOWEL DISEASE
86706
98
2604813
RAST SWEET POTATO
86003
17.25
2604815
RAST DUST MILE
86003
17.25
2604816
RAST CORN
86003
17.25
2604817
RAST SPINASH
86003
17.25
2604818
RAST CARROTS
86003
17.25
2604819
RAST RICE
86003
17.25
2604820
RAST CASEIN
86003
18.48
2604821
RAST WHEY
86003
10.87
2604822
HALDOL QT
82542
72
2604823
URINE COPPER
82525
46.5
2604824
ANTI-SACHARAMYCAS CEREVISIAE
86622
358.45
2604825
VITAMIN C
82180
103.5
2604827
CHROMIO
82495
69
2604828
GLYCINE (SPINAL)
82131
162
2604829
URINE OROTIC ACID
83921
382.5
2604830
URINE AMINOACI QUANT R.
82128
1047
2604831
URINE MUCOPOLYSACHARIDES(GLYCO
83864
225
2604832
PARVOVIRUS B-19 IGM
86747
75
2604833
MULYBDEM
83018
146
2604835
CAFFEINE LEVELS
80299
90
2604837
HISTAMINE LEVEL (PLASMA)
83088
60
2604838
CYCLOSPORINE
80158
172.5
2604839
GLIADIN AB
83516
214.5
2604840
ANTIENDOMETRIAL AB
83516
60.9
2604841
TRYPTASE LEVELS
83520
219
2604842
TRACOLIMUS
80197
239
2604843
COMPLEMENT C5
86160
170
2604844
ANTI-RNP
86235
59.52
2604845
STOOL FOR OCCULT BLOOD BY EIA
82274
30
2604846
LACTIC ACID (LACTATE LEVEL)
83605
19.5
2604847
PRO-INSULIN
84206
220
2604848
PROTEIN ELECTROPHORESIS & INMU
86334
105.25
2604849
CPK IZOENZYMES (MM-MB-BB)
82552
16
2604850
VITAMINA B-1 (THIAMINE)
84425
38
2604851
HBSAG BY NEUTRALIZATION
87340
17.8
2604852
T3 REVERSE
84482
295
2604853
INSULINE-LIKE GROWTH=IGF-1
84305
167.5
2604854
ALFAFETOPROTEIN TUMOR MARKER
82105
14
2604855
CHROMOSOME ANALYSIS HIGH RESOL
88289
957
2604856
MUMPS IGG
86735
108
2604857
RESPIRTORY SYNCYTIAL AB
86756
62.6
2604858
CARNITINE TOTAL AND FREE
82379
33
2604860
COPPER SERUM
82525
37.2
2604862
CRYPTOCOCCUS AG/FLUIDS/CSF
86403
217
2604863
INMUNOGLOBULIN IGG
82784
10.5
2604864
INMUNOGLOBULIN IGA
82784
23
2604865
INMUNOGLOBULIN IGM
82784
8.5
2604866
RHEUMATOID FACTOR QL
86430
7
2604867
STOOL EOSINOPHILS
87205
6.05
2604868
CRYPTOSPORIDIUM + ISOSPERA
87177
114
2604869
T3 TOTAL
84480
15
2604870
RUBELLA AB IGG
86762
9
2590350
NUTRITION CATEGORY II(NAT.PROT
6.3
2590351
COMPLETE
2.92
2590352
COMPLETE PEDIATRICO
3.14
2590400
NUTRITION CATEGORY III
16.5
2590401
PEPTAMEN 1.5
10.4
2590402
OPTIMENTAL
9.16
2590403
PEPTAMEN 1.0 VAINILLA
8
2590404
PEPTAMEN AF
7.86
2590405
PEPTAMEN PREBIO
9.22
2590406
IMPACT ADVANCE 1.0
3.68
2590407
IMPACT PEPTIDE 1.5
13.54
2590408
VITAL 1.5
3.82
2590409
IMPACT PEPTIDE 1.5 ULTRAPACK
51.8
2590410
IMPACT ADVANCE RECOV
3.68
2590411
PEPTAMEN 1.5 ULTRAPACK
49.83
2590412
PEPTAMEN ULTRAPACK
0
2590413
VITAL 1.0
5.88
2590414
VITAL 1.2
7.63
2590415
PERATIVE
16.5
2590416
PEPTAMEN 1.0
16.5
2590417
CRUCIAL
16.5
2590418
PEPTAMEN
16.5
2590419
PEPTAMEN DT
16.5
2590500
NUTRITION CATEGORY IV
18
2590501
BOOST GLUCOSE CONTROL
2.26
2590502
DIABETIC SOURCE AC
2.06
2590503
GLUCERNA 1.0
1.5
2590504
NEPRO
3.9
2590505
OXEPA
9.16
2590506
PULMOCARE
1.82
2590507
SUPLENA
2.08
2590508
NUTREN PULMONARY
2.5
2590509
NUTRIHEP
28.44
2590510
PIVOT 1.5
6.26
2590511
ENTEREX RENAL
4.86
2590512
ENTEREX HEPATIC
20.42
2590513
INMUNEX PLUS
16.5
2590514
NUTREN PULMONARY ULTRAPACK
11.4
2590515
NOVASOURCE RENAL
3.6
2590516
NOVASOURCE RENAL ULTRAPACK
17.7
2590521
BOOST CHOCOLATE REGULAR
2.35
2590522
BOOST DIABETIC CHOCOLATE
18
2590523
BOOST DIABETIC STRAWBERRY
18
2590524
BOOST DIABETIC VAINILLA
18
2590525
BOOST GLUCOSE CONTROL FRESA
18
2590526
BOOST GLUCOSE CONTROL VAINILLA
18
2590527
BOOST HIGH PROTEIN CHOCOLATE
2.52
2590528
BOOST HIGH PROTEIN FRESA
2.52
2590529
BOOST HIGH PROTEIN VAINILLA
2.52
2590530
BOOST PUDDING
2.31
2590531
BOOST PLUS CHOCOLATE
2.8
2590532
BOOST PLUS FRESA
2.8
2590533
BOOST PLUS VAINILLA
2.8
2590534
BOOST STRAWBERRY REGULAR
2.35
2590535
BOOST VAINILLA REGULAR
2.35
2590536
ENTEREX DIABETIV FRESA
3.18
2590537
ENTEREX DIABETIC CHOCOLATE
3.18
2590538
ENTEREX DIABETIC VAINILLA
3.18
2590539
MAGNACAL RENAL
18
2590540
IMPACT
18
2590541
IMPACT 1.5
18
2590542
NUTRIRENAL
18
2590543
RENALCAL
18
2590544
MODULEN
18
2590545
GLYTROL
18
2590546
GLYTROL ULTRAPACK
18
2590600
NUTRITION CATEGORY V
36
2590601
MCT OIL
78
2590602
POLYCOSE
12.22
2590603
JUVEN
4.6
2590604
GLUTAPACK R
7.7
2590605
ENTEREX PROTEIN
23.62
2590606
ENTEREX ESPESANTE
8.62
2590607
GLUTAPAK 15G REGULAR
7.7
2590608
GLUTASOLVE
2590609
GLUTAPAK 15G R
0
2590661
ENSURE CLINICAL STRENGTH
1.94
2590662
ENSURE INMUNE HEALTH
1.6
2590663
ENSURE MUSCLE HEALTH
1.66
2590700
NUTRITION PEDIATRIC
0
2590701
PEDIASURE NO FIBER 1.0
2.36
2590702
PEDIASURE 1.5
3.46
2590703
PEDIASURE 1.5 CON FIBRA
3.6
2590704
PEDIASURE PEPTIDE 1.0
6.7
2590705
PEDIASURE PEPTIDE 1.5
10.06
2590706
PEDIASURE PEPTIDE VAINILLA 1.5
9.16
2590707
PEDIASURE PEPTIDE UNFLAV 1.0
41.63
2590708
ENTEREX KIDZ
3.75
2590709
NUTREN JR VAINILLA
1.96
2590710
PEDIASURE CHOCOLATE
2.48
2590711
PEDIASURE FRESA
2.48
2590712
PEDIASURE CON FIBRA
2.57
2590713
PEDIASURE SIDEKICKS VAINILLA
2.47
2590714
PEDIASURE SIDEKICKS CLEAR
2.99
2590715
PEDIASURE VAINILLA
2.47
2590716
COMPLETE PEDIATRIC
6.3
2590717
NUTREN JR
0
2590719
PEDIASURE ENTERAL 1.0
0
2590720
PEDIASURE CON FIBRA (TUBO)
2.4
2590721
PEPTAMEN JR
6.89
2590722
PEPTAMEN JR 1.5
13.09
2590723
PEPTAMEN JR PREBIO
9.61
2590750
NUTRITION PEDIATRIC FORMULA
0
2590751
SIMILAC SPIT UP
13.94
2590752
SIMILAC FUSSINESS
14.36
2590753
ELECARE UNFLAVORED
66.5
2590754
ELECARE JR VAINILLA
66.5
2590755
SIMILAC ISOMIL
15.48
2590756
SIMILAC NEOSURE
16.9
2590757
SIMILAC ALIMENTUN
20.5
2590758
HUMAN MILK FORTIFIER
2.16
2590800
NUTRITION
0
2590801
SIMILAC PM 60/40
27.84
2590802
VALEX 1
0
2590803
VALEX 2
136.55
2590900
NUTRITION
0
2590901
RESOURCE 2.0
0
2590902
RESOURCE BREEZE CHINA
0
2590903
RESOURCE BREEZE DIABETIC WILD
0
2590904
RESOURCE BREEZE PEACH
0
2590905
RESOURCE BREEZE WILD BERRY
0
2590906
RESOURCE 2.0
0
2600001
ALDOLASE
82085
23
2600002
ANDROSTENEDIONE
82157
50
2600004
ALPHA FETOPROTEIN PLUS
82106
67.5
2600005
ALPHA FETOPROTEIN XTRA
82105
68
2600006
ANTI NUC. ANTIBODY
86038
15
2600007
HIV RAPID 4TA GENERACION
87389
25
2600009
CARCINOEMBRIONIC-CEA
82378
12
2040064
STR 4FR .35X90CM CATH CORDIS
52.5
2040065
CONNECTOR ETCHED-500
19.5
2040066
A.V. CANNULA ALL FR.
130
2040068
PACEMAKER ELECTRODE
0
2040069
DACRON TAPE 18""
24
2040070
DACRON TAPE 30""
28.2
2040071
MICRO RECIPIENT SET
30
2040072
VASCULAR GRAFT
1260
2040073
TOPICAL COOLING DEVI
210
2040074
VESSEL CATH. 11FR.
112
2040075
DIALYSIS CANNULA
272.4
2040076
GUIDE WIRE-MC
34.29
2040078
CARDIOPLEGIC CANNULA
75
2040079
HEART SUPPORT
134
2040080
TWO STAGE VENOUS CANNULA
52.03
2040081
LT VENTRICULAR VENT CATH 18 FR
50.16
2040082
TEMPERATURE SENSOR
16.26
2040083
AORTA PUNCH
41.08
2040084
ARTERIAL CANNULA ALL SZ FEMORA
60.72
2040085
CARDIAC VALVE RING
800
2040086
NEO-NATAL CUFF
7.8
2040087
OPHT. MICRON FILTER
15.6
2040088
CONNECTOR 1/8 C-130S
9.75
2040089
VENOUS CANNULA 20 FR
30.9
2040090
SINGLE BLOOD PACK
21.93
2040091
VENOUS CANNULA 34 FR
64
2040092
INTRA AORTIC BALLOON CATH ALL
1514.01
2040093
CONNECTOR 1/4 C-320
12
2040094
COMP.DISP.TRANSDUCER
112.5
2040095
HEPARIN LOCK-INJECTION PLUG
1.13
2040096
VENOUS CANNULA SINGLE STAGE AL
47.87
2040097
JEJUNOSTOMY KIT
97
2040098
MYOCARDIAL TEMP. SENSOR
38.28
2040099
CELL SAVER PAC
225
2040100
CELL SAVER SUCTION LINE
30
2040101
FEMORAL CANNULA 20FR
22.4
2040102
FEMORAL CANNULA 36FR
40
2040103
HEMOCONCENTRATOR
148.5
2040104
DISP. TEMP. PM LEADS
100
2040105
LEAD INTRODUCER-DISP
66
2040106
MULTIPLE PERFUSION SET
29.83
2040107
VASCULAR PATCH
216
2040109
RETROGRADE CANNULA ALL FR
128.94
2040110
PERC. ENTRY SET
57
2040111
OPTICATH
430
2040112
DISP.TRANSDUCER-BIF.
93
2040113
SILICONE RT.ANG.CATH
31.75
2040114
MEDIASTINAL SIL.DRAI
40.5
2040115
PRESSURE DISPLAY SET
51
2040116
GRAFT MARKER
24.65
2040117
SINGLE LEUMEN CATH.
41.2
2040118
AORTIC ROOT CANNULA 12G
17.5
2040119
COBE COLLECTION RESERVOIR
79.2
2040120
CAROTID SHUNT
2070
2040121
COLLAPSIBLE ST.SLEEV
33
2040122
SHEATH INTR. 4 FR CORDIS .035X
52.5
2040123
CENTRIFUGAL PUMP
430
2040124
HALOCATH - PERIFERAL
1700
2040125
MAX-FLEX SPECTRA PRO
1590
2040126
XXL BALLOON CATH 16MMX4CMX75CM
1377
2040127
GLIDE WIRE STIFF ANGLED .35X26
177
2040128
ACCESS SYSTEM
555
2040129
PIGTAIL 4FR .35X90CM
52.5
2040130
PTA BALLOON CATH. 4X2 80 CM CO
675
2040131
STORG SOFT GUIDEWIRE .35X300CM
270
2040132
BRAUN INDEFLATOR DEVICE
152
2040133
LEVEEN INFLATOR
179.4
2040134
INFANT MONITOR SENSO
348
2040135
BRAT 2 PROCEDURE SET
660
2040136
SUB4 BALLOON DIL CAT
1165
2040138
PROBE DP 3/8 X 3/8
72
2040139
VENA CAVA FILTER
3132.15
2040142
GUIDING CATH. 8FR JVC 55CM
300
2040143
PERCARDIO CENTES.SET
215
2040144
ROTABLATOR VASC.
3000
2040145
GUIDE WIRE-WIRE CLIP
340
2040146
TISSUE STABILIZER
2765.55
2040147
AIR ASPIRATOR NEEDLE
15.75
2040148
SURGICAL SUCKERS
16
2040149
REDUCERS 1/2 X 3/8
4.8
2040150
REDUCERS 1/4 X 3/8
4.8
2040151
CONNECTOR 3/8 C-230S
7.2
2040152
CONNECTOR 3/8 C-330
7.2
2040153
3 PORT MANIFOLD
18
2040154
GUIDEWIRE V18 CONTROL
339
2040155
GUIDEWIRE PLATINUM
275
2040156
ULTRA THIN DIAMOND 3X4X75CM
813
2040157
HEMOSTATIC VALVET
66
2040158
REFLEX GUIDE WIRE
180
2040159
HYDRONOL GUIDE WIRE
98
2040160
SYMMETRY BALLOON 1.5X4X90CM
1176
2040161
SMART STENT 6X60 120CM CORDIS
2100
2040162
TORQUE DEVICE CORDIS
18
2040163
WALLGRAFT 7MMX20MM MEDITECH
4000
2040164
PRESS.TRANSD.SYSTEM NEONATAL
105
2040165
ENDOVASCULAR SNARE RETRIEVER
1040
2040166
ENDOPROSTHESIS 5MM X 5CM
3237.6
2040167
ENDOPROSTHESIS 2.5CM X 5MM
3237.6
2040168
VALEO BALLOON STENT EXPANDABL
780
2040175
GUIDEWIRE AMPLATZ SUPER STIFF
148.2
2040176
C-1 ANGIOGR CATH 4FR.38X65CM
48
2040177
BENTSON GUIDE WIRE
52
2040178
N/TAPER ANGLGLIDE CATH4FR100CM
216
2040180
ANGIOGRAPHIC CEREBRAL CATHETER
48
2040181
PATIENT CABLE
240
2040182
BRAUN INFLATION DEVICE KIT
163
2040183
SMART STENT 6X60 120CM CORDIS
2100
2040184
WALLSTENT 8 X 47
3327.75
2040190
LEAD PACEMAKER FINELINE II 445
1275
2040191
LEAD PACEMAKER PASSIVE PLUS DX
1275
2040192
LEAD PACEMAKER OSCOR ZY 4039
1275
2040193
CAPSURE SP/FIX/SENSE/NOVUS EPI
960
2040194
PACEMAKER INTRODUCER
150
2040195
CATHETER COBRA 2 TERUMO
142.8
2040196
HEADHUNTER 1 4FR CATH. TERUMO
790.5
2040197
TORQUE DEVICE MEDI-TECH
54
2040198
ENCORE INFLATION DEVICE
180
2040199
WALLSTENT 7 X 55 ENDOPROSTHESI
2993.7
2040200
SMART STENT 6X60 120CM CORDIS
3201.5
2040201
CONTOUR EMBOLIZ355-500MICRONS
312
2107927
VITREQ ILM ENDGRIPPING
201.6
2107928
ANAPNOGUARD CUFFILL
37
2107929
BICOAG BIPOLAR HEMOSTASIS PROB
380
2107930
MULTI-3V LUMEN EXTRACTION BALL
230
2107931
BILIARY EXTRACTION BALLOON
230
2107932
NASAL CANNULA FOR CAPNOGRAPHY
34
2107933
RADIAKL JAW 4 JUMBO W/NDL 240C
17
2107934
SPYBITE MAX BIOPSY FORCEPS
658
2107935
SPYGLASS RETRIEVAL BASKET
658
2107936
SPYGLASS RETRIEVAL SNARE
658
2107937
SPYSCOPE DS 11 ACCESS& DEL CAT
2998
2107938
HIGH PRESS STOPCOCK 3WAY W/ROT
10
2107939
TCS SUCTION DRAINAGE BAG
70
2107940
CYTO CORE BIOPSY DEVICE
293
2107941
VITREQ 25G FORCEPS KUHN 45 POW
234.2
2107942
CIRCUIT SINGLE LIMB ADULT HIGH
113.32
2107943
CANNULA HIGH FLOW
51
2107944
FETAL BLADDER STENT SET HARROS
530
2107945
ACQUIRE EUS FNB NEEDLE 22G
598
2107946
EXPECT SLIMLINE 22G EUS NEEDLE
598
2107947
SNAREMASTER SOFT
294
2107948
INJECTOR SYRINGE MARK 7 ARTERI
16.5
2110010
ORTHOGLASS SPLINT
28.5
2110011
KIRSCHNER WIRE
28
2110012
HANSEN SET
35.25
2110013
HIP PLATE
21
2110014
KNOWLE PIN
53.8
2110015
OLECRANO SCREW ML
32.55
2110016
ORTHOPEDIC FELT
4.5
2110017
OSTEOTOMY SET
6.5
2110018
RUSH PIN
11
2110019
HIP PROSTHESIS
460
2110020
PROSTHESIS TRAY
40
2110021
SKELETAL TRACTION
43.8
2110022
STEINMAN PIN
26.65
2110023
STOKINET
28.5
2110024
CAST PADDING
1.71
2110025
BONE PLATE
18
2110026
CAST
3.92
2110027
FINGER SPLINT
4.47
2110028
NOSE SPLINT
3
2110029
ARM SPLINT
5
2110030
ARM BOARD
1.5
2110031
HEEL PROTECTOR
7.44
2110032
CURETTES SET
40
2110033
THREADER PIN
43.8
2110034
SMITH PETERSEN TRAY
40
2110035
GIGLI SAW BLADES
29.63
2110036
MENISECTOMY SET
40
2110037
TRACTION SPLINT
37
2110038
SKIN MAKER W/RULER
1.21
2110039
SMITH PETERSEN
30
2110040
CORTICAL SCREW
8
2110041
MALLEOLAR SCREW
12
2110042
CANCELLOUS SCREW
10
2110043
INTERTROCHANTERIC PL
130
2110044
DISP.PELVIC TRACTION
35
2110045
INMOBILIZATION SLING
7.97
2110046
BONE CEMENT
200
2110047
UNIV. LUMBO TRACTION
71.6
2110048
SKIN TRACTION KIT
50
2110049
CERVICAL COLLAR
43.9
2110050
PANEL BINDER
39
2110051
CERVICAL COLLAR-FOAM
7
2110052
HANSEN STREET NAIL
78
2110053
NEONATAL ARM BOARD
3.85
2110054
STERNAL SAW BLADE
28
2110055
FLEXI DRESS UNN BOAF
14.52
2110056
YESOS ALL
1.83
2110057
IV ARM SUPPORT NEO
1.85
2110058
IV ARM SUPPORT INFANT
1.12
2110060
GENERAL ORTHOPED PA
60
2110061
SPECIMEN CONVERT M-V
4
2110062
CRADIE BOOT
56.33
2110063
HEAD CRADLE
10.42
2110064
SAGITAL BLADE
126
2110065
YESO LARGO 6""-5""
8
2110066
YESO CORTO 4""-2""
4
2110067
TIKNSCR-FITSS1 7X9MM5P59-17009
67.2
2110068
TIKNSCR-FTSS1 7X10MM5P59-17010
67.2
2110069
TIKNSCR-FTSS1 7X11MM5P59-17011
67.2
2110070
TIKNSCR-FTSS1 7X12MM5P59-17012
67.2
2110071
TIKNSCR-FTSS1 7X14MM5P59-17014
67.2
2110072
TIKNSCR-FTSS1 7X15MM5P59-17015
67.2
2110073
WASHER D5 (640320)
150
2110074
SMALL WASHER
50
2110075
OPTIVAC KIT80GRM(41X200 BIOMET
130
2110076
POWER PULSE LAVAGE HIP
119
2110077
STANDARD BARREL TK2 PLATE
700
2110100
TUERCA PAR TORNI CORTICAL4.5MM
12.3
2110101
ARANDELA
8.2
2110102
3.5MM & 4.0MM SCREW WASHER
6.1
2110103
PROFYLE/TWST DRL 1.0X76
60
2110104
PROFYLE/S PLT T 90DG
193.2
2110105
PROFYLE/BONESCREW 1.7X6MM
67.2
2110106
PROFYLE/BONESCREW 1.7X8MM
67.2
2110107
PROFYLE/BONESCREW 1.7X9MM
67.2
2110108
PROFYLE/TWST DRL 1.4X94MM
138
2110109
PROFYLE/BONESCREW 2.3X11
69.2
2110110
PROFYLE/BONESCREW 2.3X12
69.2
2110111
PROFYLE/BONESCREW 1.2X6
81.2
2110112
FLYTE HOODS
40
2110200
CORTEX SCREW S/T 3.5 X 10MM
13
2110201
CORTEX SCREW S/T 3.5 X 12MM
13
2110202
CORTEX SCREW S/T 3.5 X 14MM
13
2110203
CORTEX SCREW S/T 3.5 X 16MM
14.4
2110204
CORTEX SCREW S/T 3.5 X 18MM
14.4
2110205
CORTEX SCREW S/T 3.5 X 20MM
14.4
2110206
CORTEX SCREW S/T 3.5 X 22MM
14.4
2110207
CORTEX SCREW S/T 3.5 X 24MM
14.9
2110208
CORTEX SCREW S/T 3.5 X 26MM
14.9
2110209
CORTEX SCREW S/T 3.5 X 28MM
14.9
2110210
CORTEX SCREW S/T 3.5 X 30MM
14.9
2110211
CORTEX SCREW S/T 3.5 X 32MM
14.9
2110212
CORTEX SCREW S/T 3.5 X 36MM
25.7
2110213
CORTEX SCREW S/T 3.5 X 40MM
27.8
2110214
CORTEX SCREW 4.5 X 12MM
13
2110215
CORTEX SCREW 4.5 X 14MM
13
2110216
CORTEX SCREW 4.5 X 16MM
14.4
2110217
CORTEX SCREW 4.5 X 18MM
14.4
2110218
CORTEX SCREW 4.5 X 20MM
14.4
2305082
TREAT FOOT DISLOCATION
28545
1416
2305083
TREAT TOE DISLOCATION
28630
123
2305084
TREAT TOE DISLOCATION
28660
77
2305085
APPLICATION OF FIGURE EIGHT
29049
71
2305086
APPLICATION OF FOREARM CAST
29075
98
2305087
APPLY HAND/WRIST CAST
29085
71
2305088
APPLY FINGER CAST
29086
71
2305089
APPLY LONG ARM SPLINT
29105
71
2305090
APPLY FOREARM SPLINT STATIC
29125
71
2305091
APPLY FOREARM SPLINT DYNAMIC
29126
71
2305092
APPLICATI FINGER SPLINT STATIC
29130
40
2305093
APPLICAT FINGER SPLINT DYNAMIC
29131
40
2305094
APPLICATION OF LONG LEG CAST
29345
98
2305095
APPLICATION OF LONG LEG CAST
29355
98
2305096
APPLICATION CYLINDER CAST
29365
98
2305097
APPLY SHORT LEG CAST
29405
98
2305098
APPLY SHORT LEG CAST
29425
98
2305099
APPLICATION LONG LEG SPLINT
29505
71
2305100
APPLICATION LOWER LEG SPLINT
29515
71
2305101
REMOVE NASAL FOREIGN BODY
30300
70
2305102
CONTROL OF NOSEBLEED
30901
60
2305103
NASAL ENDOSCOPY DX
31231
106
2305104
INSERT EMERGENCY AIRWAY
31500
113
2305105
LARYNGOSCOPY W/FB REMOVAL
31530
856
2305106
INSERTION OF CHEST TUBE
32551
342
2305107
ASPIRATE PLEURA W/O IMAGING
32554
342
2305108
REPAIR BLOOD VESSEL LESION
35226
452
2305109
REMOVAL FOREIGN BODY MOUTH
40804
70
2305110
REPAIR TONGUE LACERATION
41250
60
2305111
REMOVE PHARYNX FOREIGN BODY
42809
70
2305112
TX GASTRO INTUB W/ASP
43753
70
2305113
DRAIN BL W/CATH INSERTION
51102
999
2305114
INSERT TEMP BLADDER CATH
51702
70
2305115
INSERT BLADDER CATH COMPLEX
51703
149
2305116
PREPUTIAL STRETCHING
54450
149
2305117
DRAINAGE OF SCROTUM
54700
1222
2305118
I & D OF VULVA/PERINEUM
56405
134
2305119
DRAINAGE OF GLAND ABCESS
56420
90
2305121
SPINAL FLUID TAP DIAGNOSTIC
62270
250
2305122
DRAIN CEREBRO SPINAL FLUID
62272
250
2305123
REMOVE FOREIGN BODY FROM EYE
65205
55
2305124
REMOVE FOREIGN BODY FROM EYE
65220
55
2305125
REMOVE EYELID FOREIGN BODY
67938
129
2305126
DRAIN EXTERNAL EAR LESION
69000
113
2305127
CLEAR OUTER EAR CANAL
69200
38
2305128
REMOVE IMPACTED EAR WAX UNI
69210
38
2305129
HEART/LUNG RESUSCITATION CPR
92950
113
2305130
VENT MGMT INPAT INIT DAY
94002
246
2305131
WOUND CLOSURE BY ADHESIVE
25
2305132
DRAINAGE OF HEART SAC
33010
342
2305133
REPEAT DRAINAGE OF HEART SAC
33011
110
2305134
INSERT CARD ELECTRODE DUAL
33211
3239
2305135
INSERT TUNNELED CV CATH
36561
1652
2305136
INSERT TUNNELED CV CATH
36563
1652
2305137
INSERT TUNNELED CV CATH
36566
1652
2305138
INSERT PICC CATH
36569
598
2305139
VAGINAL DELIVERY ONLY
59409
968
2305140
CESAREAN DELIVERY POST-MORTEM
59514
0
2305141
TEMPORARY EXTERNAL PACING
92953
113
2305142
CARDIOVERSION ELECTRIC EXT
92960
311
2305143
THER/PROPH/DIAG INJ IA
96373
75
2305145
DIRECT ADVANCED LIFE SUPPORT
99288
0
2305146
TREAT TIBIA FRACTURE WO/MANIPU
27750
123
2305147
TREAT TIBIA FRACTURE W/MANIPUL
27752
882
2305148
CLTX MEDIAL ANKLE FX
27760
123
2305149
CLTX MEDIAL ANKLE FX W/MNPJ
27762
882
2305150
CLTX POST ANKLE FX
27767
77
2305151
CLTX POST ANKLE FX W/MNPJ
27768
77
2305152
TREAT FIBULA FX WO/MANIPULATIO
27780
123
2305153
TREAT FIBULA FX W/MANIPULATION
27781
316
2305154
TREAT ANKLE FX WO/MANIPULATION
27786
123
2305155
TREAT ANKLE FX W/MANIPULATION
27808
123
2305156
TREAT TRIMALLE ANKLE FX WO/MAN
27816
123
2305157
TREAT TRIMALLEO ANKLE FX W/MAN
27818
316
2305158
TREAT LOWER LEG FX WO/MANIPULA
27824
123
2305159
TREAT LOWER LEG FX W/MANIPULAT
27825
882
2305160
TREAT LOWER LEG DISLOC WO/ANTH
27830
77
2305161
TREAT LOWER LEG DISLOC W/ANEST
27831
316
2305162
TREAT ANKLE DISLOCATI WO/ANEST
27840
123
2305163
TREAT ANKLE DISLOCATIO W/ANEST
27842
813
2305164
TRACHEOSTOMY - TRANSTRACHEAL
31603
384
2305165
TRACHEOSTOMY-CRICOTHYROID MEMB
31605
384
2305166
PERITONEAL LAVAGE
49084
342
2306372
INJ THER/PROPH/DIAG SC/IM
96372
40
2306374
INJ IV PUSH THER/PROPH/DIAG
96374
75
2306375
IV PUSH SEQUENT ADD NEW DRUG
96375
25
2306376
IV PUSH SEQUENT ADD SAME DRUG
96376
10
2307730
EMERGENCY ROOM CHG.(SEMI)
250
2307730E
EMERGENCY ROOM CHG.(SEMI)
250
2307731
EMERGENCY ROOM CHG.(DEN X ER)
99285
250
2310010
ER PROFESSIONAL FEES EM/1
99281
25
2310010E
ER PROFESSIONAL FEES EM/1 (CE)
99281
25
2310082
ER PROFESSIONAL FEES EM/2
99282
50
2310082E
*ER PROFESSIONAL FEES EM/2 (C
99282
50
2310083
ER PROFESSIONAL FEES EM/3
99283
75
2310083E
*ER PROFESSIONAL FEES EM/3 (CE
99283
75
2310084
ER PROFESSIONAL FEES EM/4
99284
100
2310084E
*ER PROFESSIONAL FEES EM/4 (CE
99284
100
2310085
ER PROFESSIONAL FEES EM/5
99285
150
2310085E
*ER PROFESSIONAL FEES EM/5 (CE
99285
150
2310091
ER CRITICAL CARE FIRST HOUR
99291
211
2310091E
ER CRITICAL CARE FIRST HOUR
99291
200
2310092
ER CRITICAL CARE ADDL 30MIN
99292
106
2310092E
ER CRITICAL CARE ADDL 30MIN
99292
100
2700117E
CROSSMATCH
130
2700118
ANTIBODY SCREENING-CR
86850
38
2700119
RH TYPE-CR
86901
25
2700119E
ABO/RH-SV
50
2700120
IMMEDIATE CROSSMATCH-CR
86920
66
2700121
PATIENT PHENOTYPE EACH ANTIGEN
86905
25
2700122
AGT CROSSMATCH-CR
86922
81
2700123
INDIRECT TITER-CR
86886
90
2700124
PRETREATMENT CELL W/DRUGS-CR
86970
45
2700125
ANTIBODY ELUTION-CR
86860
75
2700126
C/C/E/ e PHENOTYPE-CR
86906
48
2700127
RETICULOCYTE SEPARATION-CR
86972
135
2700128
PRETREATMENT W/ENZYMES-CR
86971
39
2700129
ANTIGEN TYPE-PER ANTIGEN-CR
86902
64
2700130
DIFFERENTIAL ADSOR PER CELL-CR
86978
65
2700131
ANTIBODY IDENT.EACH PANEL-CR
86870
75
2700132
INHIBITION OF SERUM-CR
86977
48
2700133
ANTIGEN SCREENING STOCK-CR /10
86902
30
2700134
CALL IN FEE-CR
225
2700135
STAT FREE CRUZ ROJA
100
2700136
ANTIGEN SCREENED-1 CR
86902
105
2700137
SHIPPING CHARGE FROM E.U
150
2700138
AB ID / EACH SELECTED REAGENT
86885
8
2700139
ANTIGEN SCREENED P-10 CR
86902
30
2700140
IRL SAMPLE/ URGENT/ DURING
150
2700141
RH PHENOTYPING COMPLETE CR DCE
86906
58
2700142
THAWING EU FRESH FROZEN PLASMA
86927
15
2700143
THAWING CRYOS
86931
50
2700144
FROZEN BLOOD FREEZE & THAWING
86932
50
2700145
SPLIT BLOOD OR PRODUCTS EACH
86985
15
2700146
SEPACELL LEUK FILTRATION BABY
86999
33
2700147
SEPACELL LEUK FILTRATION ADULT
86999
40
2700148
DAT-CR E.U.
86880
38
2700149
ABO TYPE-CR E.U.
86900
48
2700150
PATIENT PHENOTYPE CR E.U.
86905
48
2700151
ANTIBODY SCREENING-CR E.U.
86850
69
2700152
RH TYPE-CR E.U.
86901
38
2700153
IMMEDIATE XMT CR E.U.
86920
66
2700154
AGT CROSSMATCH-CR E.U.
86922
81
2700155
INDIRECT TITER-CR E.U.
86886
114
2700156
PRE-RX RBCs CR E.U.
86970
45
2700157
ANTIBODY ELUTION-CR E.U.
86860
76
2700158
C/C/E/e PHENOTYPE-CR E.U.
86906
86
2700159
SEPARATION/DENSITY CR E.U.
86972
551
2700160
PRETREATMENT W/ENZYMES-CR E.U.
86971
39
2700161
ANTIGEN TYPE ANTIGEN-CR E.U.
86902
45
2700162
DIFFERENTIAL ADSOR-RC E.U.
86978
118
2700163
INHIBITION OF SERUM-CR E.U.
86977
85
2700164
ANTIBODY IDENT.EACH PANEL-CR
86870
114
2700165
AB ID SELECTED REAGENT CR E.U.
86885
8
2700166
BACTERIAL PLATELETS TEST
86999
50
2700167
THERAPEUTIC APHERESIS FOR WBC
36511
940
2700168
THERAPEUTIC APHERESIS FOR RBC
36512
855
2700169
THERAPEUTIC APHERESIS PLATELET
36513
940
2700170
THERAPEUTIC PLASMAPHERESIS
36514
4000
2700171
APHERESIS ADSORP/REINFUSE
36516
2385
2700172
THERAPEUTIC APHERESIS SELECTIV
36516
2385
2700173
DILUTION OF SERUM PER ALIQUOT
86976
17
2700174
IMPORT FEE/ US RED CELL
372
2700175
CELULAS LEUCOREDUCIDAS PRBC/EU
375
2700176
UNIDAD CELULAS ROJAS PRBC/RARA
475
2700177
CARGO ADICION FACTURA ENVIO/EU
P9604
85
2700178
COLD AGGLUTINS/SV
86157
75
2700179
PLATEPHERESIS/PATHOGEN/RED/SV
970
2700180
PLATEPHERESIS/PATHOGEN/RED/CR
1100
2700181
PLATELETS APHE/LEUK CR EMP4
1140
2700182
PLATELETS APHE/LEUK CR (A)
855
2700183
PLATELETS APHE/LEUK CR (B)
855
2700184
PLATELETS APHE/LEUK CR (C)
640
2700185
PLATELETS APHE/LEUK CR (D)
640
2700186
PLATELETS APHE/LEUK EMPA
900
2700187
PLATELETS APHE/LEUK (A)
675
2700188
PLATELETS APHE/LEUK (B)
675
2700189
PLATELETS APHE/LEUK (C)
507
2700190
PLATELETS APHE/LEUK (D)
507
2700191
PLATELETS APHE/LEUK/IRRAD EMP4
950
2700192
PLATELETS APHE/LEUK/IRRAD (A)
715
2700193
PLATELETS APHE/LEUK/IRRAD (B)
715
2700194
PLATELETS APHE/LEUK/IRRAD (C)
535
2700195
PLATELETS APHE/LEUK/IRRAD (D)
535
2700196
PRETREATM OF RBC/ RBC AB DETEC
86904
90
2700197
INCUBATION WITH ENZYMES/SV
86971
53
2700198
STAT REFERENCE WORKOUT FEE/SV
187.5
2700199
AB PANEL AND/OR REF (US)/SV
207
2700200
UNLIST TRANSFUSION MEDICINE/SV
86999
640.5
2700201
ABSORPTION TEST (US)/SV
247.5
2700202
TRANSPORTATION CHANGE/SV
45
2700203
RED BLOOD CELL ANTIGEN TY KELL
86905
122
2700204
D
2250
2701110
AFTER HOURS PANEL FEE HOL/WEND
150
2701111
CREDIT - BLOOD
400
2701112
FENOTIPO-SV
86905
45
2701113
GENOTIPO-SV
86905
45
2701114
PANEL DE ANTICUERPO-SV
86870
180
2701115
CROSSMATCH-SV
86922
100
2701116
IDENTIFICACION ANTIGEN-SV
86902
30
2701117
POOL PLAQUETAS LEUKO-SV
86965
880
2701118
DIRECT COOMBS-SV
86880
50
2701119
ANTIGENO Ag-NEGATIVO
86903
40
2701120
COLD AUTO ANTIBODY/SV
86940
225
2701121
ELUTION/SV
86860
150
2701122
ADSORPTION/SV
86978
45
2701123
PRE WARM TECHNIQUE/SV
86970
75
2701124
INDIRECT COOMBS/SV
86886
30
2701125
WARM AUTO AB/SV
86970
225
2701126
FRESH FROZEN PLASMA/HHS
50
2701127
CRYOPRECIPITATED/HHS
35
2701128
PLATELETS/PHERESIS / HHS
400
2701129
RED BLOOD CELLS/ HHS
150
2701130
BLOOD BANK PHYSICIANS SERVI/SV
86077
30
2060059
VASELINE GAUZE 1 X 8
1
2060060
XEROFORM GAUZE
2.13
2060061
METAL EYE PAD
6
2060062
BABY BATH SET
10
2060063
STERI-STRIPS R1547
2.27
2060064
SELOPOR GAUZE 4X31/2
1.5
2060065
GAUZE 4X4 PACK-TRAY6
1.31
2060066
I.V. PREP & CARE KIT
1.35
2060067
AIRSTRIP
6
2060068
HEMOPAD
19.8
2060069
DUODERM H. GRANULES
5.75
2060070
DUODERM DRESSING 8X8
24.37
2060071
DUODERM DRESSING 4X4
6
2060072
TELEMETRY POUCH
7.13
2060073
COLLASTAT 1X2""
40
2060074
COTTON SWABS PKG-10
1
2060075
BABY KIT
34.34
2060076
PATIENT SURGERY KIT
3.88
2060077
LAP.WOUND CLOSURE #1
2.15
2060078
LAP.WOUND CLOSURE #5
9.85
2060079
PNEUMOTHORAX SET
175
2060080
LAPAROSCOPY PACK
117.07
2060081
LAPAROSCOPY OBPACK
78.5
2060082
BLOOD EXTRACTION KIT
2.3
2060082E
BLOOD EXT. KIT II (CE)
4.9
2060083
WOUND DRESSING
5.7
2060084
URINE CULTURE KIT
3.56
2060085
TEGASORB THIN 6X6
12.6
2060086
GEL WOUND DRESSING
12.25
2060087
SPRAY GEL DRESSING
71.5
2060088
CENTRAL LINEDRESSING
11.2
2060089
TRACHEOSTOMY DRESSIN
11.7
2060090
ANESTHESIA I.V. KIT
23.6
2060091
ANESTH. CIRCUIT KIT
57.37
2060092
IODO UTERINE PACKING
13
2060093
X-RAY SPONGE
1.5
2060094
BDJE ROLLS 4""
11.8
2060095
ISOLATION GOWN
0.59
2060096
POLY PADS
0.24
2060097
MEDIPORE DRESSIT
2.14
2060098
MICRO EYE SPONGE
108
2060099
INFANT SHIRT
0.6
2060100
NEEDLE COUNTER 30
2.8
2060101
GASAS 2X2 2-25
0.05
2060102
CALCIUM ALGINATE 3/4 X 12"
9.38
2060103
CALCIUM ALGINATE DRESSING4""X8
11.76
2060104
CALCIUM ALGINATE DRESSING2"X2"
4.24
2060105
STRECHERT SHEAT
0.89
2060106
DUODERM 8 X 12
25.38
2060107
DUODERM 4 X 5
9.66
2060108
DUODERM 6X6
11.04
2060109
DUODERM PASTE
6.82
2060110
OPTIPORE SPONGE
3.6
2060111
TEGADERM 1626 4X4
1.48
2060112
TEGADERM 2 3/8 X 2 3/4
0.73
2060113
RECEIVING BLANKET
1.17
2060114
TEGADERM 1622
0.8
2060115
SPUTUM CULTURE
2.74
2060116
ELASTIC BANDAGE 6"
1.79
2060117
ELASTIC BANDAGE 3"
1.13
2060118
ELASTIC BANDAGE 4"
1.26
2060119
ELASTIC BANDAGE 2"
0.77
2060120
NEO HYDROCOLLID STRIPS
6.3
2060121
DISPOSABLE CLEANING TOWEL
3.99
2060122
GAUZE 4X4 PACK - 2
0.4
2060123
CHEMOTERAPY KIT
12.75
2060124
BASIC PACK
12
2060125
HAND PACK
16
2060126
COMPRESSAR DISC
10
2060127
COMPRESSION BANDAGE
56
2060128
ARTHROSCOPY SPEC. SOCK
40
2060129
COBAN 2""
4.32
2060130
COTTONOID SURGICAL STRIP
11.25
2060131E
BLOOD EXTRATION KIT I (CE)
4
2060132
EAR WICK
2.5
2060133
CHEMIO ADMINISTRATION KIT
103
2060134
ARTHROGRAM TRAY
23.56
2060135
HYDROGEL DRESSING/BORDER
6.7
2060136
ALLEVYN ADHESIVE 7X7
17
2060137
CAVITY ULCER DRESSING
3
2060138
PERIPHERAL TRANSP DRESSING
0.75
2060139
CNTRL-MVP-TRANSPARENT DRESSING
2
2060140
COVER DRESSING COVRSITE
1.4
2060141
OPSITE POST OP. DRESSING 2.5X2
0.75
2060142
LABOR & DELIVERY DRAPE
15
2060143
PKT PAMPERS 10
5.6
2060144
ALLEVYN ADHESIVE 3"X3"
7.8
2060145
EMERG PEDIAT PNEUMOTHORAX SET
206
2060146
MULTIDEX POWDER DRESSING
35.8
2060147
PRE-CUT DRESSING COVER 3 X 7
0.73
2060148
PRE-CUT DRESSING COVER 7 X 11
1.59
2060149
DRESSING ADHESIVE 6 X 8
3
2060150
DRESSING TRANSPARENT 4 X 10
6.3
2060151
MULTIDEX GEL
35.8
2060152
ABSORBENT WOUND DRESSING
7
2060153
MATRESS COVER SOFT SKIN 72""
20.6
2060154
PHLEBOTOMY KIT
5.21
2060155
SIX SHOTER BAND LIGATOR
340
2060156
COMFORM WOUND DRESS 4X4
1.85
2060157
ZINC PASTE BANDAGE
13.6
2060158
FOUR LAYERS BANDAGE
26.09
2060159
CALCIUM ALGINATE DRESSING 4X4
6.75
2060160
CALCIUM ALGINATE DRESSING 6X8
24
2060161
HYDROCOLLOID WOUND DRESS1 1/2"
24.7
2060162
HYDROCOLLOID WOUND DRESS 4X4
6.57
2060163
HYDROCOLLOID WOUND DRESS 6X6
18.26
2060164
COMPOSITE DRESSING 4X4
2.49
2060165
COMPOSITE DRESSING 6X6
5.61
2060166
DRESSING RETENTION SHEET2""X1Y
0.35
2060167
TRANSPAREN DRESS/ABSORB PAD 3"
1.6
2060168
TRANSPAREN DRESS/ABSORB PAD 6"
2
2060169
TRANSPAREN DRESS/ABSORB PAD 8"
2.4
2060170
TRANSPAREN DRESS/ABSORB PAD10"
3.1
2060171
ANTIMICROBIAL DRESSING 6X6
57.84
2060172
ANTIMICROBIAL DRESSING 4X5
24.3
2060173
BURN DRESSING 4X4
16.33
2060174
ALLEVYN ADHESIVE 5"X5" (REG)
11.8
2060175
COMPRESS BLANKET ADULT COMPL
31
2060176
COMPRESS BLANKET UPPER BODY
43
2060177
COMPRESS BLANKET LOWER BODY
43
2060178
FOAM DRESSING 4X4
6.89
2060179
FOAM DRESSING 6X6
11.52
2140282
ETHILON--7719
33.95
2140284
NYLON--1960
31.35
2140286
NYLON--1922
42
2140287
PROLENE--8533
11.8
2140288
VICRYL--J371
7.15
2140289
ETHILON--7756
39.5
2140290
VICRYL--J663
6.83
2140291
ETHILON-- 622
3.75
2140293
SILK--7733
41.54
2140294
CHROMIC--CC01
44.8
2140295
VICRYL--J527
10.55
2140296
ETHILON--7760
53.7
2140300
S.STEEL--TPW32
45.84
2140301
PROLENE--8423
8.09
2140303
NYLON--1930
35.88
2140304
CHROMIC--U202
6.25
2140305
CHROMIC 1 818
2.8
2140306
NYLON--1961
42.75
2140307
DACRON--1893
25.98
2140308
PLAIN--1735
31.95
2140309
LIGACLIP--TI100
22.32
2140310
LIGACLIP--TI300
16.05
2140311
SILK--K870
4
2140312
PROLENE--8424
7.6
2140313
INT. STOPLING PLCRU
115
2140315
INT. STOPLING RL60
110
2140316
INT. STOPLING RU60
85
2140317
VICRYL--J494
10
2140318
ETHILON-- 626
4.28
2140319
PROLENE--8665
7.22
2140320
ETHIBOND--PB514
15
2140321
ETHIBOND--B871
5
2140323
CHROMIC--U210
5.8
2140324
CHROMIC--U211
5.9
2140325
CHROMIC--G127
5
2140326
SKIN STAPLER-W/R 50
63.48
2140327
VICRYL--J548
52.43
2140328
LIGACLIP--100
10
2140329
LIGACLIP--300
20
2140330
ETHIBOND--X977
19.86
2140331
PROLENE--8623
7.01
2140332
VICRYL--J303
4.55
2140333
VICRYL--J302
4.55
2140335
VICRYL--J594
11.5
2140336
ETHILON-- 627
4.37
2140338
ETHIBOND--PXX22
282.99
2140339
CHROMIC-- 47
10.45
2140340
ETHIBOND--PXX77
293.75
2140342
SKIN STAPLER-PTW25
50.25
2140343
PDS II--Z422
9.74
2140344
PDS II--Z340
8.57
2140345
PDS II--Z203
6.5
2140347
SILK--7752
26.82
2140348
ETHIBOND--B843
11.25
2140349
VICRYL--J323
7.06
2140350
ABSORBABLE MESH
250
2140351
VICRYL--J334
6.6
2140352
CHROMIC--SGL 1
60.75
2140353
ROTICULATOR 55-3.5
834
2140354
ROTICULATOR 30-V3
891
2140355
ROTICULATOR 30-4.8
762
2140356
ENDOSCOPIC KIT
460
2140357
ETHILON--9000
56.48
2140358
ENDOCLIP--ML
354
2140359
AUTO-SUTURE ACC KIT
1800
2140360
INT. STAPLING TLC 55
240
2140361
INT. STAPLING TCR 55
191.66
2140362
INT. STAPLING TA 90
205.23
2140363
INT. STAPLING TL 90
223.75
2140364
INT. STAPLING TR 90
156.65
2140365
CHROMIC--U201
5
2140366
DACRON--2919-23
28.75
2140367
ETHIBOND--B865
4.5
2140368
ETHIBOND--B927
15
2140369
NEUROLON--C502
26.55
2140370
PROLENE--8204
13.9
2140371
PROLENE--8685
7.95
2140372
PROLENE--8721
22.2
2140373
S.STEEL--DS22
15
2140374
VICRYL--J401
40.75
2140375
VICRYL--J519
15.17
2140376
VICRYL--J553
31.5
2140377
AUTOSUTURE PREMIUM25
950
2140378
AUTO-SUTURE LDS-15W
150
2140379
MONOCRYL Y-862 H
117
2140380
MERSILENE 740
32.1
2140381
BLUNPORT DISP.TROCAR
183
2140382
AUTOSUTURE ENDO GRAS
24
2140383
AUTOSUTURE ENDO CLIN
245
2140384
SURGPORT DISP TROCAR
230
2140385
REDUCTOR MULTISEAL
13.75
2140386
LIGACLIP MCA
263.69
2140387
HEMOCLIP SMALL-MED
42.19
2140388
HEMOCLIP MED-LARGE
42.75
2140389
HEMOCLIP SYST CRTDGS
300
2140390
VERSAPORT
149.67
2140391
VICRYL RAPIDE VR493
14.55
2140392
VICRYL RAPIDE VR496
15
2140393
ENDOSCOPIA CHOLE KIT
965.55
2140394
SURGIDAC VD46M
41.5
2140395
ETHIBOND LOOP PLX20
65
2140396
ENDO LCUT UNIT ERU35
351
2140397
VASC. L CUTTER EZ35W
760
2140398
ENDO RETRACT
425
2140399
SURGICAL NEEDLE
50
2140400
DISP SURGICAL NEEDLE
75
2140401
LOADING UNIT. 60 3.8
90
2140402
LINEAR CUTTER 60 3.8
456
2140403
ARTICULATING STAPLER
640
2140404
DISP. THORACO TROCAR
90
2140405
MF ENDOGIA LOAD UNIT
177
2140406
MF ENDO GIA STAPLER
362
2140407
PROLENE 8697
180
2140408
LAP COAGULATIONSHEAR
918
2140409
LAP DISSECTING HOOK
486
2140410
ADAPTOR 5MM
114
2140411
UTERINE MANIPULATOR
269.29
2140412
DERMABOND AD-12
95.46
2140413
PURSTRING 45
225
2140414
PURSTRING 65
199
2140415
VERSAFIRE STAPLER
378
2140416
SURGIPRO VP-744
76.5
2140417
PROLENE 1713 G
47.84
2140418
OTI-CRON 3257-62
32.95
2140419
PLAIN 2-0 853
3.06
2140420
VICRYL COATED 6-0 V5
21.56
2140421
SILK 3-0 1207-42 TRAY
15.76
2140422
SILK 4-0 004T
11.32
2140423
PROLENE 6-0 VP 889
6.36
2140424
CHROMIC LIGA PACK LARGE
4.46
2140425
CHROMIC IL 115G
3.7
2140426
CHROMIC 1 925
5.42
2140427
ETHILON 9-0 7717
24.92
2140428
MERSELENE R 495T
15.62
2600010
TRILEPTAL (OXCARBAZEPINE)
82542
131.58
2600011
FACTOR V LEIDEN MUTATION
81241
195
2600012
FACTOR II DNA (PROTHROMBIN G)
85250
210
2600013
CATECOLAMINAS URINE / FREE
82382
55
2600017
COMPLEMENT C3
86160
12
2600018
PHOSPHATIDYGLYCEROL (PG) FLUID
84081
150
2600019
LECITHIN/SPHINGOMYELIN L/S FLD
83661
231
2600020
TRICYCLIC ANTIDEPRESSANTS SCRE
80337
166
2600022
ANTI-CITRULLINE AB
86200
46
2600026
ESTROGENS FRACT.
82671
105
2600034
F.T.A. SYPHILIS CONFIRM
86780
30
2600038
GASTRIN
82941
22
2600042
HEMOGLOBIN ELECT.
83020
9
2600050
17 HYDROXICORTICOSTE
83491
26
2600054
IRON BINDING CAPAC.
83550
25
2600058
IRON TOTAL
83540
20
2600062
17 KETOSTEROIDS
83586
11
2600062E
17 KETOSTEROIDS
225
2600066
LIPASE
83690
20
2600070
LIPID PANEL
80061
60
2600078
PROTEIN ELECTRO.SERU
84165
30
2600080
L.A.P. SERUM
85540
23
2600086
HYDROXYINDOLACETIC (5 HIAA)
83497
71
2600090
SALICILATES
80329
14
2600092
STOOL FAT 24 HRS/QUANT
82710
164
2600093
TRYGLICERIDES
84478
20
2600096
VANILLYLMANDELIC ACI
84585
16
2600099
XYLOSE
84620
67
2600100
BASIC METABOLIC PANEL
80048
75
2600101
A C T-ACTIVATED CLOTTING TIME
85347
40
2600102
ALPHA I.ANTITRIPSIN
82103
19.8
2600103
A C T H
82024
32
2600104
AMIKIN LEVEL
80150
50
2600105
CPK MB
82553
30
2600106
COPROPORPHYRIN QUAL.
84119
70
2600107
COPROPORPHYRIN QUANT
84120
60
2600108
CMV - IGG
86644
14
2600109
CMV - IGM
86645
25
2600110
CAMPYLOBACTER CULTURE
87046
30
2600111
CORTISOL RANDOM
82533
17
2600112
CORTISOL AM/PM
82533
85
2600113
ESTROGENS TOTAL SERUM
82672
28
2600114
D DIMER FDP SEMI-QUANTITATIVE
85378
40
2600115
FERRITIN LEVEL
82728
50
2600116
GENTAMYCIN LEVELS
80170
50
2600118
HERPES-I/II IGM
86695
45
2600119
HERPES-I/II IGG
86695
26
2600120
HGH-HUMAN GROWTH H.
83003
25.5
2600121
VIRUS NOS
86790
195.75
2600122
IRON STAIN-B. MARROW
88313
20
2600123
INSULIN LEVELS
83525
11
2600124
INMUNO GLOBULIN IGE
82785
10.5
2600125
LEAD PB (BLOOD)
83655
18.75
2600126
LIPOPROTEIN ELECTROPH
83704
23
2600127
LH SERUM
83002
12
2600128
NAPA - PRONESTYL
80190
65
2600129
CORTISOL FREE (URINE)
82530
47
2600130
STOOL WBC
87205
15
2600132
TOBRAMYCIN LEVELS
80200
167
2600133
T-3 FREE RIA
84481
32
2600134
T-4 FREE
84439
45
2600136
URINE URIC ACID
84560
20
2600137
URINE PHOSPHORUS 24 HRS
84105
30
2600138
URINE CREATININE
82570
20
2600139
URINE SODIUM
84300
20
2600140
URINE POTASIUM
84133
20
2600141
URINE TOTAL PROTEIN
84156
20
2600142
URINE UREA QUANT 24 HRS
84520
20
2600143
URINE CALCIUM 24 HRS
82340
30
2600144
URINE OSMOLARITY
83935
30
2600145
SERUM OSMOLARITY
83930
8.6
2600146
URINE AMYLASE (2 HRS)
82150
30
2600147
THYROID ANTITHYROGLOBULIN AB
84432
14.25
2600149
EOSINOPHIL URINE
87205
25
2600210
ALDOSTERONE - URINE
82088
102
2600211
ALDOSTERONE - PLASMA
82088
27
2600213
ALPHA PHENOTYPING
82104
85
2600214
CATECOLAMINE FRACTIONATED URIN
82384
42
2600215
COMPLEMENT CH50
86162
62.65
2600216
CYSTINE - URINE
82615
70
2600217
CATECOLAMINE FRACTIONATED PLAS
82384
51
2600218
CLOSTRIDIUM DIFF.
87230
65
2600219
EPSTEIN B.VIRUS IGG
86665
19.5
2600220
EPSTEIN B.VIRUS IGM
86666
19.5
2600222
FACTOR V
85220
286.5
2600224
GLYCOHEMOGLOBIN AIC
83036
30
2600225
HEMOSIDERIN
83070
83
2600226
HAPTOGLOBIN
83010
15
2600227
PRE-ALBUMIN
84134
42
2600228
HOMOCYSTEIN SERUM
82131
37
2600229
FACTOR VIII INHIBIT
85244
438
2600230
HIV
86703
50
2600231
HIV W/WEST BLOT
86689
40
2600235
HYDROXIPROGESTERONE
83498
28.5
2600236
HEPATITIS B CORE AB IGM
86705
12
2600237
HEPATITIS A AB(HAAB)IGM
86709
16.5
2600239
HEPATITIS B SURFACE ANTIGEN
87340
12
2600240
HEPATITIS B SURFACE ANTIBODY
86706
15
2600241
HEPATITIS B CORE AB IGG
86704
12
2600242
HEPATITIS A AB (HAAB)TOTAL
86708
12
2600244
HDL
83718
30
2600246
INMUNOELECTRO.-SERUM
86320
26
2600247
INMUNOELECTRO.-URINE
86325
103.5
2600248
INSULIN-5 SP.
83525
143
2600249
INSULIN-6 SP.
83525
172
2600250
INSULIN-7 SP.
83525
200
2600251
LITHIUM
80178
10
2600253
LEPTOSPIRA IGM AB.
86720
291
2600254
METANEPHRINE QUALI
83835
55
2600255
MYCOPLASMA PNEUMONIAE AB IGG
86738
27
2600256
5 NUCLEOTIDASE
83915
68
2600257
OXALATE URINE
83945
50
2600258
PRIMIDONE - MYSOLINE
80188
88
2600259
PROTEIN ELECTRO.URIN
84165
68
2600261
PROGESTERONE-SERUM
84144
24
2600263
17 OH PROGESTERONE
83498
32
2600264
PROCAINAMIDE
80190
50.8
2600265
QUINIDINE
80194
42
2110219
CORTEX SCREW 4.5 X 22MM
14.4
2110220
CORTEX SCREW 4.5 X 24MM
14.9
2110221
CORTEX SCREW 4.5 X 26MM
14.9
2110222
CORTEX SCREW 4.5 X 28MM
14.9
2110223
CORTEX SCREW 4.5 X 30MM
14.9
2110224
CORTEX SCREW 4.5 X 32MM
14.9
2110225
CORTEX SCREW 4.5 X 34MM
14.7
2110226
CORTEX SCREW 4.5 X 36MM
25.7
2110227
CORTEX SCREW 4.5 X 38MM
14.7
2110228
CORTEX SCREW 4.5 X 40MM
27.8
2110229
CORTEX SCREW 4.5 X 42MM
15.7
2110230
CORTEX SCREW 4.5 X 44MM
15.7
2110231
CORTEX SCREW 4.5 X 46MM
15.7
2110232
CORTEX SCREW 4.5 X 48MM
17
2110233
CORTEX SCREW 4.5 X 50MM
17
2110234
CORTEX SCREW 4.5 X 52MM
16.9
2110235
CORTEX SCREW 4.5 X 54MM
19
2110236
CORTEX SCREW 4.5 X 56MM
19
2110237
CORTEX SCREW 4.5 X 58MM
19
2110238
CORTEX SCREW 4.5 X 60MM
19
2110239
CORTEX SCREW 4.5 X 65MM
21
2110240
CORTEX SCREW 4.5 X 70MM
21
2110300
CANCEL SCRW4.0X14MM(FULL THRD)
10.3
2110301
CANCEL SCRW4.0X16MM(FULL THRD)
10.3
2110302
CANCEL SCRW4.0X18MM(FULL THRD)
10.8
2110303
CANCEL SCRW4.0X20MM(FULL THRD)
10.8
2110304
CANCEL SCRW4.0X22MM(FULL THRD)
11.7
2110305
CANCEL SCRW4.0X24MM(FULL THRD)
11.7
2110306
CANCEL SCRW4.0X26MM(FULL THRD)
12.6
2110307
CANCEL SCRW4.0X28MM(FULL THRD)
13.4
2110308
CANCEL SCRW4.0X30MM(FULL THRD)
13.4
2110309
CANCEL SCRW4.0X35MM(FULL THRD)
14.3
2110310
CANCEL SCRW4.0X40MM(FULL THRD)
14.3
2110311
CANCEL SCRW4.0X45MM(FULL THRD)
16.6
2110312
CANCEL SCRW4.0X50MM(FULL THRD)
17.9
2110313
CANCEL SCRW4.0X55MM(FULL THRD)
19
2110314
CANCEL SCRW4.0X60MM(FULL THRD)
19.9
2110315
CANCEL SCRW4.0X12MM(PART THRD)
10.8
2110316
CANCEL SCRW4.0X14MM(PART THRD)
10.8
2110317
CANCEL SCRW4.0X16MM(PART THRD)
10.8
2110318
CANCEL SCRW4.0X18MM(PART THRD)
10.8
2110319
CANCEL SCRW4.0X20MM(PART THRD)
10.8
2110320
CANCEL SCRW4.0X22MM(PART THRD)
11.9
2110321
CANCEL SCRW4.0X24MM(PART THRD)
11.9
2110322
CANCEL SCRW4.0X26MM(PART THRD)
11.9
2110323
CANCEL SCRW4.0X28MM(PART THRD)
11.9
2110324
CANCEL SCRW4.0X30MM(PART THRD)
11.9
2110325
CANCEL SCRW4.0X35MM(PART THRD)
13.3
2110326
CANCEL SCRW4.0X40MM(PART THRD)
13.3
2110327
CANCEL SCRW4.0X45MM(PART THRD)
14.6
2110328
CANCEL SCRW4.0X50MM(PART THRD)
14.6
2110329
CANCEL SCRW6.5X25MM(16MM THRD)
19.5
2110330
CANCEL SCRW6.5X30MM(16MM THRD)
19.5
2110331
CANCEL SCRW6.5X35MM(16MM THRD)
20.5
2110332
CANCEL SCRW6.5X40MM(16MM THRD)
20.5
2110333
CANCEL SCRW6.5X45MM(16MM THRD)
21.3
2110334
CANCEL SCRW6.5X50MM(16MM THRD)
21.3
2110335
CANCEL SCRW6.5X55MM(16MM THRD)
22.6
2110336
CANCEL SCRW6.5X60MM(16MM THRD)
22.6
2110337
CANCEL SCRW6.5X65MM(16MM THRD)
23.7
2110338
CANCEL SCRW6.5X70MM(16MM THRD)
23.7
2110339
CANCEL SCRW6.5X75MM(16MM THRD)
24.7
2110340
CANCEL SCRW6.5X80MM(16MM THRD)
24.7
2110341
CANCEL SCRW6.5X85MM(16MM THRD)
26.2
2110342
CANCEL SCRW6.5X90MM(16MM THRD)
26.2
2110343
CANCEL SCRW6.5X95MM(16MM THRD)
27.1
2110344
CANCL SCRW6.5X100MM(16MM THRD)
27.1
2110345
CANCL SCRW6.5X110MM(16MM THRD)
28.4
2110346
CANCL SCRW6.5X30MM(32MM THRD)
18.9
2110347
CANCL SCRW6.5X35MM(32MM THRD)
18.9
2110348
CANCEL SCRW6.5X40MM(32MM THRD)
20.8
2110349
CANCEL SCRW6.5X45MM(32MM THRD)
20.8
2110350
CANCEL SCRW6.5X50MM(32MM THRD)
22.9
2110351
CANCEL SCRW6.5X55MM(32MM THRD)
22.9
2110352
CANCEL SCRW6.5X60MM(32MM THRD)
24.8
2110353
CANCEL SCRW6.5X65MM(32MM THRD)
24.8
2110354
CANCEL SCRW6.5X70MM(32MM THRD)
27
2110355
CANCEL SCRW6.5X75MM(32MM THRD)
27
2110356
CANCEL SCRW6.5X80MM(32MM THRD)
28.6
2110357
CANCEL SCRW6.5X85MM(32MM THRD)
29.4
2110358
CANCEL SCRW6.5X90MM(32MM THRD)
31
2110359
CANCEL SCRW6.5X95MM(32MM THRD)
31
2110360
CANCL SCRW6.5X100MM(32MM THRD)
33.3
2110361
CANCEL SCRW6.5X25MM(FULL THRD)
20.4
2110362
CANCEL SCRW6.5X30MM(FULL THRD)
20.4
2110363
CANCEL SCRW6.5X35MM(FULL THRD)
21.3
2110364
CANCEL SCRW6.5X40MM(FULL THRD)
21.3
2110365
CANCEL SCRW6.5X45MM(FULL THRD)
22.6
2110366
CANCEL SCRW6.5X50MM(FULL THRD)
22.6
2110367
CANCEL SCRW6.5X55MM(FULL THRD)
23.5
2110368
CANCEL SCRW6.5X60MM(FULL THRD)
23.5
2110369
CANCEL SCRW6.5X65MM(FULL THRD)
24.8
2110370
CANCEL SCRW6.5X70MM(FULL THRD)
24.8
2110371
CANCEL SCRW6.5X75MM(FULL THRD)
26.1
2110372
CANCEL SCRW6.5X80MM(FULL THRD)
27.4
2110373
CANCEL SCRW6.5X85MM(FULL THRD)
28.8
2110374
CANCEL SCRW6.5X90MM(FULL THRD)
28.8
2110375
CANCEL SCRW6.5X95MM(FULL THRD)
30.4
2110376
CANCL SCRW6.5X100MM(FULL THRD)
31.5
2110377
CANCL SCRW6.5X105MM(FULL THRD)
35
2110378
CANCL SCRW6.5X110MM(FULL THRD)
35
2110400
MALEOLLAR SCREW 4.5 X 25MM
15
2110401
MALEOLLAR SCREW 4.5 X 30MM
15
2110402
MALEOLLAR SCREW 4.5 X 35MM
15.7
2110403
MALEOLLAR SCREW 4.5 X 40MM
15.7
2110404
MALEOLLAR SCREW 4.5 X 45MM
16.3
2606323
HIV 4TA GENERATION
87389
50
2606324
CYSTICERCOSIS (TAENIA SOLIUM)
86682
284
2606325
BILIRUBIN/TOTAL/BODY FLUID
82247
71
2606326
ADENOVIRUS QPCR(BAL)
87799
604
2606327
HUMAN EPIDIDYMI PROTEIN
86305
341
2606328
SPINOCEREBELLAR ATAXIA TYPE 10
81479
797
2606329
FRIEDREICH ATAXIA MUTATION
81401
797
2606330
DIBUCAINE NUMBER
82638
45
2606331
RABIES NEUT ABS TITRAT (RFFIT)
86382
98
2606332
DOXEPIN
80335
30
2606333
THYROID STIMULATING IMMUNOGLOB
84445
350
2606334
STOOL/CALPROTECTIN
83993
276
2606335
HAPTOGLOBIN
83010
15
2606336
SGPT
84460
20
2606337
G. G. T.
82977
6
2606338
CANDIDA ALBICAN AB
86628
186
2606339
BLOOD COUNT HEMOGLOBIN
85018
9
2606340
BLOOD COUNT HEMATOCRIT HCT
85014
6
2606341
GLUCOSE 1 HOURS PP
82950
20
2606342
COMPLEMENT C8
86160
110
2606343
ALDOSTERONE
82088
85
2606344
RAST PHOMA BETAE
86003
8
2606345
RAST FUSARIUM PROLIFERATUM
86003
8
2606346
RAST PLANTAIN/ENGLISH
86003
8
2606347
RAST LAMB'S QUARTERS
86003
8
2606348
RAST RAGWEED/WESTERN
86003
8
2606349
RAST PIGWEED/COMMON
86003
36
2606350
RAST GREEN BEANS
86003
8
2606352
RNA QUALITATIVE
87535
98
2606353
THYROXINE (T4) BINDING PROTEIN
82664
425
2606354
RAST ASPERGILLUS NIGER
86003
7.5
2606355
RESPIRATO VIRUS PROFILE PCR
87633
525
2606356
CLOZAPINE
80159
175
2606357
RAST GINGER
86003
7.5
2606358
RAST AUSTRALIAN PINE
86003
37
2606359
RAST MUCOR RACEMOUS
86003
7.5
2606360
RAST FOOD MIX (SEA FOOD)
86005
9
2606361
EXPOSICION HIV 1/2
87389
0
2606362
EXPOSICION HEPATITIS B
87340
0
2606363
EXPOSICION HEPATITIS C VIRUS
86803
0
2606364
RAST GRASS POLLEN MIX (GXO2)
86005
36
2606365
BLASTOMYCES ANTIGEN
87449
203
2606366
FUNGITELL (GLUCAN-B)
87449
406
2606367
ITRIACONAZOLE
80299
643
2606368
AMNIOTIC FLUID
88235
0
2606369
CHROMOSOME ANALYSIS
88269
0
2606370
HARMONY PRENATAL TEST
81507
745
2606371
ANTI RIBOSOMAL P Ab
83516
155
2606372
CELL COUNT/BODY FLUIDS
89050
15
2606373
LAMELLAR BODY COUNT
83664
313
2606374
ZIKA URINE (GOV)
87798
0
2606375
HISTOPLASMA GAL'MANNAN AG/SERU
87385
173
2606376
URINE PORPHYRIN/RANDON
84120
48
2606377
ANTI-HUMIRA
80299
0
2606378
ANTI PM/SCL
86235
138
2606379
GLYCINE PLASMA AND CSF
82136
561
2606380
ANTI NEURONAL CELL AB CSF
83520
90
2606381
RNA QUALITATIVE EXPOSICION
87535
0
2606382
HIV 1 Ab SUPPLE TEST (EXPOS
86701
0
2606383
HIV 2 Ab SUPPLE TEST (EXPOS
86702
0
2606384
LEPTOSPIRA URINE Ag PCR
87449
255
2606385
RAST GUINEA PIG EPITHELIUM
86003
37
2606386
RAST RABBIT EPITHELIA
86003
8
2606387
DNA AMP PROBE (TB)
87556
48.14
2606388
NMDA RECEPTOR (CSF)
86255
1088
2606389
LEPTOSPIRA Ab IgG
86720
105
2606390
NMDA RECEPTOR/SERUM/CSF
86256
0
2606391
INMUNOGLOBIN G/CSF QUANT
82784
84
2606392
PROTEIN 14-3-3/CSF
83520
308
2606393
FDP/PLASMA
85362
25
2606394
INFLIXIMAB (IFX) CONC
80299
0
2606395
IFX Ab (REMICADE)
82397
0
2606396
CMV PCR/AMNIOTIC
87496
477
2606397
PARVO B19 PCR/AMNIOTIC
87798
604
2606398
VITAMIN B3 NIACIN & METABOLITE
84591
465
2606399
MRSA/PCR
87641
120
2606400
RAST TURKEY FEATHERS
86003
37
2606401
RAST GOOSE FEATHERS
86003
37
2606402
EARLY SJOGREN PANEL
83520
0
2606403
UREA NITROGEN BODY FLUID
84530
14
2606404
18-OH CORTICOSTERON
82542
135
2606405
MONONUCLEAR CELL ANTIGEN
86356
49.6
2606406
METHOTREXATE
80375
187
2606407
RAST BROCCOLLI
86003
37
2606408
CYSTIC FIBROSIS PROFILE 97 MUT
81220
1200
2606409
SPINK-1
81404
900
2606410
EMPLEADOS RPR
86592
0
2606411
EMPLEADOS RPR QUANTITATIVE
86593
0
2606412
EMPLEADOS FTA
86780
0
2606413
TRYPANOSOMA CRUZI Ab IgG
86753
129
2606414
TRYPANOSOMA CRUZI Ab IgM
86753
129
2606415
BETA 2 TRANSFERRIN
86335
270
2606416
RAST MELON
86003
37
2606417
TOXOPLASMA GONDI/PCR FLUID
81795
233
2606418
HSV I/ II PCR/ BODY FLUID
87529
233
2606419
CMV QUALITATIVE PCR/BODY FLUID
87496
525
2606420
PORPHOBILINOGEN/QN/RANDOM UR
84110
126
2606421
OXYCODONE/OXYMORPHONE
80307
254
2606422
FENTANYL/URINE
80307
266
2606423
RAST DUCK FEATHER
86003
37
2606424
ANTI-PLA2-R
83516
300
2606425
CRYOFIBRINOGEN QUALITATIVE
82585
45
2606426
PREGNENOLONE
84140
111
2606427
GALACTOSEMIA
82760
20.73
2606428
PKU
84030
10.19
2606429
HYPOTHYRIODISM (T-3 UPTAKE)
84479
11.97
2606430
HEMOGLOBINOPATHIES- HEMO ELECT
83020
23.84
2606431
17 OH PROGESTERONE
83498
50.31
2606432
NEONATAL SCREENING PACKAGE
84030
0
2606433
FATTY ACID PROFILE
82726
269
2606434
ANTIPROTEINASE-3
83520
207
2606435
ACTIVATED PROTEIN C RESISTANCE
85307
194
2606436
RAST CASHEW NUT
86003
7.5
2606437
RAST PISTACHIO
86003
7.5
2114138
IMHS NAIL 10MM X 34CM X 13
1213.9
2114140
INTRAMEDULLARY HIP SCREW NAIL
1213.9
2114142
IV300 CE FRAME DELI PERIPH 4X4
60
2114144
JACOBS CHUCK KEY
138
2114146
K WIRE 2.0MM STERILE
71.1
2114148
KIRSCHNER .045 X 12PT DM
15.79
2114150
KIRSCHNER WIRE .062 X 12 2PT D
17.8
2114152
OPSITE POST OP DERSSING 8"
31.92
2114154
OPSITE POST OP DRESSING 2 1/2"
45.08
2114156
ORTHO-GLASS 3"X15"
78
2114158
ORTHO-GLASS 4"X15"
93
2114160
PERIOSTEAL ELEVATOR 6MM
141
2114162
PHILADELPHIA COLLAR 3 1/4
26.34
2114164
PHILADELPHIA COLLAR 3 1/4 M
26.34
2114166
REDUCTION FORCEPS
404.46
2114168
REMOVE WIPES
92.16
2114170
REUS TOURNIQUET CUFF 44" 2LINE
540
2114172
SECURA MOISTURIZING CLEANS 8OZ
85.02
2114174
SENN DBL END RET SHRP 165
62.57
2114176
SMALL BONE FORCEP STRAIG 152MM
511.66
2114178
SPIRAL GIGLI SAW BLADE 20"
17.77
2114179
IMHS CP 130D 10 X 19.5R
1944
2114180
STAINLESS STEEL SCALE 6"
60.1
2114182
SYNERGY POR HIGH OFFSET FEMORA
2620.2
2114184
TANDEM INTL BIPOLAR
594
2114186
T-HANDLE BONE HOOK
307.8
2114188
TWINFIX TI 5.0 STR ANCHOR W/2
420
2114190
UNI SOLVE WIPES
92.16
2114192
VERBRUGGE FORCEPS SIZE 0
635.58
2114194
WASHER 7MM
54.36
2114196
WASHER 8MM 0.04MM
66.1
2114198
GRADUATED BRAND POINT DRIL 3.5
137
2114200
4.5MM X 30MM CAPTURED SCREW
150
2114202
AMBI LAG SCREW 85MM 3.35
258
2114204
AMBI COMP SCREW 28.5MM
31.06
2114206
CLASSIC COMP HIP SCREW PLATE
714
2114208
4.5 CORTICAL SCREW 34MM
28.8
2114210
4.5 CORTICAL SCREW 36MM
28.8
2114212
4.5 CORTICAL SCREW 38MM
28.8
2114213
ACROMIONIZER BURR 4.0MM
99
2114214
AMBI LAG SCREW 90MM 3.54
420
2114215
COPBALT CHROME 12/14 FEMORAL
960
2114216
TWINFIX ULTRA 5.5MM W/2 UB
1074
2114217
ULTRABRAID #2 COBRAID 38''
510
2114218
ULTRABRAID #2 WHITE 38''
510
2114219
IMHS CP 130 D 10X36 R
1440
2114220
5.5 X 72MM THREADED FLEX CANNU
420
2114221
SHOULDER SUSPEN KIT LATEX FREE
150
2114222
TWINFIX TI 5.0 ULTRABRAID
1074
2114223
DYONICS RF-S WHIRLWIND 90 DEGR
834
2114224
SHORT BRAD POINT DRILL 3.5MM
137
2114225
SUTURE PASSER 12" STERILE
150
2114226
INT HEX CAP SCREW 5.0MM X 35MM
270
2114227
INT HEX CAP SCREW 5.0MM X 55MM
270
2114228
INT HEX CAP SCREW 5.0MM X 45MM
270
2114229
INT HEX CAP SCREW 5.0MM X 30MM
270
2114230
3.2 TIP THREADED GUIDE WIRE
210
2114231
4.0MM SHORT DRILL
150
2114232
4.0MM LONG PILOT DRILL
150
2114233
KNEE NAIL GOLD 10 X 34
2040
2114234
DYONICS RF HOOK 30 DEGREE
540
2114235
FEMORAL COMPONENT
3582
2114236
TIBIAL COMPONENT
1674
2114237
PATELAR COMPONENT
486
2114238
INSERT
858
2114239
VERSABOND CEMENT
120
2114240
MIXING BOWL
60
2114241
KNEE SPLINT
90
2114242
3.2MM TIP THREADED GUIDE PIN
72
2114243
IMHS CP 130D 10 X 34L
1440
2114244
4.5MM X 38MM CAPTURED SCREW
126
2114245
POWERPULSE LAVAGE HIP DISP UNI
108
2114246
VERSABOND AB 40GRAMS F2
120
2114247
CEMENT MIXING
60
2114248
GNS II CMT TIB SIZE 3 RT
1674
2114249
LEGION PS OXIN FEM SZ5 RT
3582
2114250
20" 3-PANNEL KNEE SPLINT
90
2114251
GII OVAL RESURFACING PAT 29
576
2114252
LGN PS HIGH FLEX XLPE SZ 3-4
1020
2114327
FEMORAL COMPONENT
3582
2114328
SYNERGY POROUS FEMORAL COMP
2620.2
2114329
7.0 X 72MM CLEARTRAC CANNULA
420
2114330
CLEAR TRAC THREADED CANNULA
420
2114331
Ct-BN SCREW 4.5 X 36MM
121.98
2114332
Ct-BN SCREW SFTP 4.5 X 34MM
121.98
2114333
2.5MM S-T CRTX LOCKIN SCREW 12
121.98
2114334
3.5MM LP S-T CORTEX SCREW 16MM
121.98
2114335
2.05MM S-T CRTX LOCKING SCREW1
121.98
2114336
V-D-R LK PL STD HD 3H L 62MM
2054.4
2114337
2.5MM S-T CRTX SCREW 22MM
121.98
2114338
3.5MM LP S-T CRTX SCREW 14MM
121.98
2114339
RICHARDS CLASSIC CHSP 5SL
1149.18
2114340
Ct-BONE SCREW SELFTAPI 4.5X40M
121.98
2114341
Ct-BONE SCREW SELFTAPI 4.5X42M
121.98
2114342
RICHARDS CLASSIC CHSP 4SL
1149.18
2114343
Ct-BONE SCR STRP 4.5 38MM
121.98
2114344
AMBI LAG SCREW 100MM 3.94
449.4
2114345
RICHARS CLASSIC
1149.18
2114346
AMBI COMP SCREW 28.5 MM
288.9
2114500
DISTAL RADIUS PLATE
1800
2114501
NON LOCKING SCREW SIZE 10
108
2114502
NON LOCKING SCREW SIZE 12
108
2114503
NON LOCKING SCREW SIZE 14
108
2114504
LOCKING SCREW SIZE 18
108
2114505
LOCKING SCREW SIZE 20
108
2114506
NON LOCKING SCREW SIZE 16
108
2114507
LOCKING SCREW SIZE 22
108
2114508
SUTURE ANCHOR 2 HI-FI SUTURE N
780
2114509
CANNULA 7 X 85MM
180
2114510
EL LIGHT WAVE SUCTION ABLATOR
354
2114511
SHURELOC DRAPE SET
180
2114512
SHOULDER CANNULA 5.5MM X 70
108
2114513
DRY DOC CANNULA
108
2114514
DERMASPAN
1560
2114515
FLEXHD 6CMX16CM
3840
2117128
THREE PEG PATELLA 29MM
72
2117130
THREE PEG PATELLA 32MM
135
2117132
THREE PEG PATELLA 35MM
81.23
2117134
TIBIAL INSERT PS SZ1 15MM
406.12
2117136
TIBIAL INSERT PS SZ1 18MM
406.12
2117138
TIBIAL INSERT PS SZ2 13MM
406.12
2117140
TIBIAL INSERT PS SZ3 11MM
974.69
2117142
TIBIAL INSERT PS SZ3 9MM
406.12
2117144
TIBIAL INSERT PS SIZE 3 26MM
649.79
2117146
TIBIAL STEM EXTENSION SCREW
332.28
2117148
TRAPEZOIN TIBIAL TRAY 1F/1T
1169.63
2117150
TRAPEZOIN TIBIAL TRAY 3F/2T
1169.63
2117154
UNIVERSAL ABDUCTION PILLOW
154.32
2117156
ZIRAMIC FEMORAL HEAD 28 +0
1218
2117158
TRAPEZOIN TIBIAL TRAY 4F/3T
1169.63
2117160
FIXION PF HIP PEG 90MM
540
2117162
CEMEX GENTA LOW VISCOSITY 40G
343.2
2117163
LOGIC TI FIT TRAY 3.5/3.5
1082.4
2117164
LOGIC FI PS CEM RT SIZE 3.5
1580.7
2117165
LOGIC T IMP PS MI SIZE 3.5 9MM
464.14
2117166
LOGIC TIP FIT TRAY C SZE 3F/3T
1137
2117167
LOGIC FI PS CEM LEFT SIZE 3
1660
2117168
LOGIC T IMP PS MI SZ 3/9MM
487.3
2117169
UNIVERSAL 3 KNEE IMMOBILIZER
218.76
2117170
LOGIC TI FIT TRAY C SIZE 5F/4T
1534.31
2117171
LOGIC FI PS CEM LEFT SIZE 5
2120.76
2117172
LOGIC T IMP PS MI SIZE 5 11MM
657.92
2117173
EQUINOXE REV SHOULDER GLEN SPA
1130.41
2117174
EQUINOXE REV SHOULDER SCREW/LO
226.08
2117175
EQUINOXE REV SHOULDER GLEN 36
1858.22
2117176
EQUINOXE REV SHOULDER GLEN SCR
180
2117177
EQUINOXE REV SHOUL TORQUE DEFI
540
2117178
EQUINOXE STEM PRESS FIT 13MM
2461.8
2117179
EQUINOXE REV SHOULDER HUMERAL
727.81
2117180
EQUINOXE REV SHOUL HUMERAL LIN
1314
2117181
ALTEON MONOBLOCK 245MM X 20MM
5250
2117182
COCR FEMORAL HEAD 28MM +.3MM
517.87
2117183
BIPOLAR HEAD 42MM
480
2117184
EQUINOXE REV SHOULDER HUM LINE
607.08
2117500
XPE PATELLA/ON SET/3PEGS/SMALL
321
2117501
TIBIAL BASEPLATE/CEMENTED #3
642
2117502
FEMORAL COMPONENT/PS/#4 RT
1925
2117503
XPE TIBIAL INSERT/PS/#3/9MM
535
2117504
BONE CEMENT COBALT GHV 40GM B
360
2117505
FEMORAL COMPONENT/PS#3/LEFT
641.5
2117506
FEMORAL COMPONENT/PS#3/RIGHT
1924.6
2117507
TIBIAL BASEPLATE CEMENTED #2
641.5
2117508
TIBIAL BASEPLATE CEMENTED #4
641.5
2117509
XPE TIBIAL INSERT/PS/#2/11MM
534.6
2117510
XPE TIBIAL INSERT/PS/#4/9MM
534.6
2117511
OPTETRACK TIB INS PS SZ2 15MM
2550
2117600
CANNSCR 3.5 L4013 SST
248.4
2117601
VA LCP LAT DIST FIGULA PI 2.7
1380
2117602
CORTSCR 2.7 SELFTAP L12 SST
69
2117603
CORTSCR 2.7 SELFTAP L14 SST
69
2117604
CORTSCR 2.7 SELFTAP L40 SST
69
2117605
LWPROF METAPHYS COMP SCR 2.7
138
2117606
VA LOCKSCR 2.7 HD 2.4 SLTAP L1
207
2117608
VA LOCKSCR 2.7 HD 2.4 SLTAP L2
207
2118001
GLOBAL A/P STEM
1320
2118002
GLOBAL A/P ASSEMBLY
0
2118003
GLOBAL GLENOIDE
1090.5
2118004
GLOBAL A/P MEAD
1170
2118005
SMART SET GMV
90
2118006
PREP KIT
180
2118007
MIXING BOWL
72
2118008
ORTHODORED
540
2118009
GLOBAL A/P HEAD
1170
2118010
MEALIX ANCHOR
0
2118011
FEMORAL COMPONENT
1380
2118012
INSERT 4.10 MM
684
2118013
INSERT 3.10 MM
468
2118014
TIBIAL COMPONENT
1260
2118015
PATELLA 3 PEG 32MM
150
2118016
BONE CEMENT
90
2118017
ARTICUL EZE BALL 28 +1.5 GR
396
2118018
PFC SIGMA OV DOME PA 3 PEG 32
120
2118019
PFC SIGMA OV DOME PA 3 PEG 35
120
2118020
PFC SIGMA PS NO-LUG FE LT S3
1268.4
2118021
PFC SIGMA PS NO-LUG FE LT S5
1268.4
2118022
SELF CENTERING CUP 28 X 43
1080
2118023
SIG MOD TIB TRAY CEM COCR 2.5
1920
2118024
SIG MOD TIB TRAY CEM COCR 4
1800
2118025
SIGMA STAB MAR INS 2.5
468
2118026
SIGMA STAB MAR INS 2.5 8MM
468
2118027
SIGMA STAB MAR INS 3 8MM
468
2118028
SIGMA STAB MAR INS 4 10MM
468
2118029
SMARTMIX OPEN MIXING BOWL
30
2118030
SUMMIT POR RAPER STD OFF SZ4
1584
2118031
SMARTSET GMV US 40G EO
127.2
2118032
PFC SIGMA PS NO-LUG FE LT S4
1268.4
2118033
PFC SIGMA PS NO-LUG FE RT S2.5
1268.4
2118034
SIG MOD TIB TRAY CEM COCR 3
1800
2118035
SIGMA STAB MAR INS 2.5 10 MM
468
2118036
PFC SIGMA PS NO-LUG FE LT S2
1268.4
2118037
SIG MOD TIB TRAY CEM COCR 2
1800
2118038
SIGMA STAB MAR INS 2 8MM
468
2118039
SIGMA STAB MAR INS 3 10MM
468
2118040
PFC SIGMA PS NO-LUG FE RT S4
1268.4
2118041
PFC SIGMA PS NO-LUG FE LT S2.5
1268.4
2118042
SIGMA STAB MAR INS 2.5 12.5 MM
468
2118043
SIGMA STAB MAR INS 3 12.5 MM
468
2118044
ATTUNE PS FEM LT SZ6 NAR CEM
1792.8
2118045
ATTUNE FB TIB BASE SZ 4 CEM
1792.8
2118046
ATTUNE MEDIAL DOME PAT 32MM
180
2118047
ATTUNE PS FB INSRT SZ 6 5MM
540
2118048
TBIAL INSERT
540
2118049
TBIAL TRAY
1792.8
2118050
PATELLA
180
2118051
BONE CEMENT W/GENTAMICIN
127.2
2118052
SELF CENTER/CUP 28X46
1188
2118053
TRI-LOCK BPS SIZE 5 HIGH OFFSE
360
2118054
ARTICULEZE BALL 28 + 5 BR
1650
2042191
PPM AZURE XT DR (RPLMT)
4200
2042192
VENOVO VENOUS STENT 12MMX100MM
1440
2042193
AORTIC VALVE INSPIRIS RESILIA
10180
2042194
CARTERPILLAR EMB DEV
1200
2042195
CRT-D MOMENTUM IS-1 DF-1 IS1
16461.6
2042196
PROPATEN VAS GRF 8X90X40CM HEP
5850
2042197
ULTRAVERSE U41501H2
204
2042198
LUTONIX .035 LX35755100V
1080
2042199
LUTONIX .018 LX181304804F
1080
2042200
PPM AZURE XT SR
3600
2042202
CRT-P VISIONIST X4 IS 1 IS4
5472
2042203
ULTRAVERSE .014 PTA U41502H22
204
2042204
GORE VIABAHN VBHR081502A
4512
2042205
HAWK ONE ATHERECTOMY SYSTEM
1920
2042206
SPIDER FX
960
2042207
LUTONIX .035 LX35754100V
1080
2042208
CRAGG MCNAMARA
210
2042209
DEXTILE MESH 15X10CM RT
270
2042210
DEXTILE MESH 15X10CM LT
270
2042211
CONCERTO
720
2042212
REBAR
480
2042213
COVERA COVER STENT 10X60
3600
2042214
VALVULOTOME W LE MILLS 98CM
2400
2042215
REAMROD 2.5 L950 W OLIVE
172.5
2042216
11MM/130 DEG TI CANN TFNA 170M
1518
2042217
TFNA SCREW 100MM STERILE
345
2042218
LOCKSCR 5 L40 FNAILS TAN GREEN
276
2042219
CANNSCR 3.5 L4013 SST
248.4
2042220
VA LCP LAT DIST FIGULA PI 2.7
1380
2042221
CORTSCR 2.7 SELFTAP L12 SST
69
2042222
CORTSCR 2.7 SELFTAP L14 SST
69
2042223
CORTSCR 2.7 SELFTAP L40 SST
69
2042224
LWPROF METAPHYS COMP SCR 2.7
138
2042225
VA LOCKSCR 2.7 HD 2.4 SLTAP L1
207
2042226
VA LOCKSCR 2.7 HD 2.4 SLTAP L2
207
2042227
PPM AZURE XT DR
4440
2042653
TELESCOPE GUIDE EXTENSION CATH
1185
2042654
CRT-D RESONATE X4/DF4/IS4
16461.6
2042655
CRT-D RESONATE SINGLE VR DF4
15162
2042656
CRT-D RESONATE DUAL DR DF4
15390
2042657
ICD PERCIVA SINGLE VR DF1
15162
2042658
ICD PERCIVA DUAL IS DR DF1
15390
2042659
ICD PERCIVA SINGLE VR DF4
15162
2042660
ICD PERCIVA DUAL DR DF4
15390
2042661
MYNX CONTROL CLOSURE DEV 5F
495
2042662
MYNX CONTROL CLOSURE DEV 6F/7F
495
2042663
VENOVO VENOUS STENT 12MMX80MM
1440
2042664
VENOVO VENOUS STENT 14MMX40MM
1440
2042665
CRT-D CLARIA QUAD MRI
19200
2042666
ABNTUS 5603/5606 DUAL CHAMBER
6200
2042667
STYLET KIT 52CM ST JUDE
180
2042669
BALLOON VENOGRAM BVCS 6180
228
2042670
VASCUTRAK V184040
300
2042671
PPM ACCOLADE MRI DR
3648
2042672
ICD EMBLEM MRI S
21000
2042673
3DRC SH GUIDING CATHETER
330
2042675
ULTRAVERSE PTA U41502H30
204
2042676
DOLPHIN INFLA DEVICE W/O VALVE
54
2042677
DOLPHIN INFLATI DEVICE W VALVE
78
2042678
PTA HIGH PRES CONQUES 6MMX4CM
258
2042680
SENSH 2028W INTRODUCER
150
2042681
ATS (PS/CE)
909
2042682
XTRA/PROCEDURE SET 225ML
606
2042683
GORE VIABAHN ENDOPRO W HEPARIN
4153.2
2042684
PPM ACCOLADE MRI SR
3648
2042685
ULTRAVERSE .035 PTA U3513054
204
2042686
LIFESTENT VAS BIL EX050603CS
1440
2042687
LIFESTENT VASC BIL EX0051703CS
1440
2042688
ULTRAVERSE PTA U4150330
300
2042689
ULTRAVERSE PTA U4150410
204
2042690
ULTRAVERSE PTA U35130412
204
2042692
VASCUTRAK V142040
420
2042693
CRT-D INTREVIA 7 HF-T
3594
2042694
RIVAL PTA BALLOON RV8044
300
2042696
PORTER GUIDEWIRE GWP1478
108
2042697
XENO SURE 8X8 BIOL VASCU PATCH
486
2042698
XENO SURE 2X9 BIOL VASCU PATCH
855
2042699
VASCUTRAK V185040
390
2042700
E-LUMINEXX BILIARY STENT
900
2042701
GORE VIABAH ENDOPROS 6MMX5CM
2767.2
2042702
STYLET KIT 65 CM ABBOTT
120
2042703
PLEUR EVAC THORA CAT 32 W TROC
42.6
2042704
THORACIC CATETER W TROCAR 28FR
42.6
2042705
TROCAR THORACIC CATHETER 24FR
48.96
2042706
CONQUEST PRESSURE 7X4 CQF7574
240
2042707
CONQUEST BA 5X10 CQF50510
258
2042708
LIFESTENT VASC BIL EXO050403CS
1440
2042709
ATLAS 16 X40
240
2042710
VASCUTRAK V184080
390
2042711
ULTRAVERSE U415052
204
2042713
RIVAL PTA BALLOON RV13544
300
2042714
LIFESTENT VASC BIL EX005203CS
1440
2042715
ATLAS PTA DIAL 16X60
240
2042716
VASCUTRAK V1840120
390
2042717
VASCUTRAK V143060
390
2042718
ULTRAVERSE .014 PTA BALLO 6X80
204
2042719
CONQUEST HIGH PRESSURE BALLOON
258
2042720
ULTRAVERSE .035 PTA U3513044
300
2042721
STENT ABSORB GT1
3300
2042722
VASCUTRAK V1850120
390
2042724
CROSSER RECANALIZATION CRUS106
2370
3109925
BONE SURVEY
77075
95
3109960
MAMOGRAPHY BILATERL-DIAG
77068
150
3109961
MAMOGRAPHY UNILATERAL-DIAG
77065
150
3109970
SCREENING MAMOGRAPHY BILATERAL
77067
115
3109971
DIG SCREENING MAMMOGRAPHY BILA
77067TC
75
3109972
DIG DIAGNOSTIC MAMMOGRAPHY BIL
77066
121.21
3109973
DIG DIAGNOSTIC MAMMOGRAPHY UNI
77065
94.71
3109974
BREAST TOMOSYNTHESIS UNILATERA
77061
10
3109975
PORTABLE
10
3109976
BREAST TOMOSYNTHESIS BILATERAL
77062
10
3109977
SCREEN DIGI BREAST TOMOSYN BIL
77063
25.4
3109997
VENOGRAPHY EXTREMITI
75820
75
2041231
BALLOON AGIL TRAC 10.0X40X80CM
750
2041232
BALLOON AGIL TRAC 12.0X20X80CM
750
2041233
BALLOON AGIL TRAC 12.0X40X80CM
750
2041234
BALLOON AGIL TRAC 4.0X20X135CM
750
2041235
BALLOON AGIL TRAC 4.0X40X135CM
750
2041236
BALLOON AGIL TRAC 5.0X20X135CM
750
2041237
BALLOON AGIL TRAC 5.0X60X135CM
750
2041238
BALLOON AGIL TRAC 5.0X80X135CM
750
2041239
BALLOON AGIL TRAC 6.0X20X135CM
750
2041240
BALLOON AGIL TRAC 7.0X60X135CM
750
2041241
BALLOON AGIL TRAC 9.0X20X135CM
750
2041242
BALLOON AGIL TRAC 9.0X40X135CM
750
2041243
BALLOON AGIL TRAC 6.0X100X135C
750
2041244
BALLOON AGIL TRAC 7.0X20X135CM
750
2041245
BALLOON AGIL TRAC 8.0X20X135CM
750
2041246
BALLOON AGIL TRAC 8.0X40X135CM
750
2041247
BALLOON AGIL TRAC 10.0X20X135C
750
2041248
BALLOON AGIL TRAC 10.0X40X135C
750
2041249
BALLOON AGIL TRAC 12.0X20X135C
750
2041250
STENT BIL.OMNI LINK 5.0X18X135
2550
2041251
STENT BIL.OMNI LINK 5.0X28X135
2550
2041252
STENT BIL.OMNI LINK 5.0X38X135
2550
2041253
STENT BIL.OMNI LINK 5.0X58X135
2550
2041254
STENT BIL.OMNI LINK 6.0X18X135
2550
2041255
STENT BIL.OMNI LINK 6.0X28X135
2550
2041256
STENT BIL.OMNI LINK 6.0X38X135
2550
2041257
STENT BIL.OMNI LINK 6.0X58X135
2550
2041258
STENT BIL.OMNI LINK 6.0X58X80
2550
2041259
STENT BIL.OMNI LINK 7.0X28X80
2550
2041260
STENT BIL.OMNI LINK 7.0X28X135
2550
2041261
STENT BIL.OMNI LINK 7.0X38X135
2550
2041262
STENT BIL.OMNI LINK 7.0X58X135
2550
2041263
STENT BIL.OMNI LINK 6.0X18X80
2550
2041264
STENT BIL.OMNI LINK 7.0X38X80
2550
2041265
STENT BIL.OMNI LINK 7.0X58X80
2550
2041266
BALLOON AGIL TRAC 14.0X20X135
750
2041267
BALLOON AGIL TRAC 14.0X40X135
750
2041268
BALLOON VIATRAC 4.0X40X135CM
690
2041269
BALLOON VIATRAC 5.0X40X135CM
690
2041270
BALLOON VIATRAC 7.0X20X135CM
690
2041271
BALLOON VIATRAC 7.0X30X135CM
690
2041272
BALLOON VIATRAC 7.0X40X135CM
690
2041273
STENT VISION 2.75X12
2550
2041274
STENT VISION 2.75X15
2550
2041275
STENT VISION MULTILINK 2.0X18
2550
2041276
STENT VISION MULTILINK 2.0X23
2550
2041277
EMBOSHIELD .070 X 32CM E619001
4650
2041278
CAROTID STENT 8-6MM X 40 82090
4650
2041279
CAROTID STENT 8-6MM X 30 82091
4650
2041280
PPM ADAPTA DR (ADDR) DUAL CHAM
4200
2041281
INTRODUCER LEAD (MEDTRONIC)
75
2041282
STENT CYPHER 2.5X13 DRUG ELUTI
3500
2041284
STENT CYPHER 3.0X13 DRUG ELUTI
4000
2041285
STENT CYPHER 3.5X13 DRUG ELUTI
3500
2041286
STENT CYPHER 2.5X18 DRUG ELUTI
3500
2041287
STENT CYPHER 3.0X18 DRUG ELUTI
3500
2041288
STENT CYPHER 3.5X18 DRUG ELUTI
3500
2041289
STENT CYPHER 3.0X23 DRUG ELUTI
3500
2041290
STENT CYPHER 2.5X23 DRUG ELUTI
3500
2041291
STENT CYPHER 3.5X23 DRUG ELUTI
3500
2041292
STENT CYPHER 2.5X28 DRUG ELUTI
3500
2041293
STENT CYPHER 3.5X28 DRUG ELUTI
3500
2041294
STENT CYPHER 3.0X28 DRUG ELUTI
3500
2041295
STENT CYPHER 3.0X33 DRUG ELUTI
3500
2041296
STENT CYPHER 3.5X33 DRUG ELUTI
3500
2041297
CATHETER ENDOSONICS AVANAR
1000
2041298
STENT CYPHER 2.75X18 DRUG ELUT
3500
2041299
PERI-GUARD 10CM X 16CM-REPAIR
1305
2041300
POLAR CATH PERIPHERAL 5.0 X 60
1920
2041301
INFLATION UNIT(PLUS POWER MODU
2280
2041302
NITROUS OXIDE CARTRIDGE
127.5
2041303
BALLOON VOYAGER RX 2.5X30X143
750
2041304
SCANLAN TUNNELER SHEATH & BULL
119
2041305
BALLOON FOX SV 2X20X135 PTA CA
750
2041308
PPM ADAPTA (ADVDD) DUAL CHAMBE
4794
2041309
PPM ADAPTA SR(ADSR)SINGLE CHAM
3600
2041310
CAPSURE VDD 5038
2070
2041312
MARINR MCXL 072402
900
2041313
SLEEVE KIT 5866P 6719PG 5867CA
75
2041314
WRENCH KIT 5873
54
2041315
VALVE (6228)
105
2041316
SEALING ADAPTER SSSA-09
42
2041317
UNIVERSAL SLITTER
90
2041320
VASCULAR TUNNELER SHEATH/BULLE
119.2
2041321
A/V ACCESS TUNNELER SHEATH/BUL
119.2
2041325
PPM MICRONY II SR 2525T
7380
2041327
LEAD 1646T 1688T (ST.JUDE)
2025
2041328
INTRODUCER (ABBOTT)
150
2041329
X-CEED BILIARY STENT 6X40X120
2550
2041331
GUIDE WIRE RUNTHROUGHT .14X180
450
2041332
MANIFOLD/TRANSDUCER KIT
54
2041333
ANGIO TOUCH KIT
66
2041334
BALLOON 2.5X20X145CM FIRE STAR
900
2041335
BALLOON 4.0X20X145CM DURA STAR
900
2041336
DENVER SHUNT SILIQUE42-2000
1774
2041337
TAL PALINDROME 14.5FR X 55CM
771
2041338
MINI SNARE SYSTEM 2-4MM 3.2FR
2025
2041339
CROSS WIRE NT .014 X 180 CM
720
2041340
HEMODIALYSIS REPAIR KIT
348
2041341
DUAL LUMEN CATH KIT CUFFED
527.6
2041342
ENDOVASCULAR GRAFT AAA(ANEURI)
9600
2041343
BALLOON CATH EMBOLIZATION/OCCL
1080
2041344
ROYAL FLUSH CENTIMETER CATH 5F
520
2041345
LUNDERQUIST WIREGUIDE 260 ST
660
2041346
LUNDERQUIST WIREGUIDE 260 CURR
660
2041347
CONTRALETERAL ILIAC LEGS 14-54
4781
2041348
PERIGUARD 6CM X 8CM-PERICARDIU
900
2040202
GUIDE WIRE TSFB-35-180
147
2040203
INTRO/SHEATH GUIDING INTRACAR.
425
2040204
COIL FIBERED PLATINUM 3MM/10MM
180
2040205
VASCULAR SEAL (DUETT)
630
2040206
TRNSJUGUL TRANSHEPAT ACCE SET
1560
2040207
POUR SPOUT (ESPIGA)
9.12
2040208
DISP.EXT CABLE REMIN FL-601-97
72
2040209
SAFET ADAPT REMINGTON MOD.6126
120
2040210
IMAGER II CONTRA CATHETER 4F
84
2040211
CORDIS PALMAZ GEN TRNSH BIL ST
3500
2040212
CORDIS ENDOV. PERFLEX STENT
3500
2040213
BOSTON SCIENT.MEDI-TECH WALLST
1500
2040214
BAXTER FOGARTY ART.EMB.CATH. 2
500
2040215
BAXTER FOGARTY ART.EMB.CATH. 6
500
2040216
BAXTER FOGARTY ART.EMB.CATH.7F
500
2040217
EDWRDS/LF FOGARTY ARTEMBCATH3F
500
2040218
EDWRDS/LF FOGARTY ARTEMBCATH4F
500
2040219
IDEAS MEDICINE IRR. ART. EMB C
500
2040220
CORDIS AVANTIS + INTROD. 4F
500
2040221
CORDIS AVANTIS + INTROD. 8F
500
2040222
CORDIS AVANTIS + INTROD. 9F
500
2040223
CORDIS PIG HIGH FLW ANG CATH7F
500
2040224
VASCULAR ACCESS SET
135
2040225
DUAL LUMEN CLAMPABLE
324
2040226
SURFER QUIDEWIRE 3MM
34
2040227
INTRASTENT MEGA 26 MM BILIARY
2900
2040228
Z-MED II DILATATION CATH. 12X1
975
2040229
SHEATH INTR.5FRCORDIS.035X11CM
51
2040230
SHEATH INTR.6FRCORDIS.035X11CM
52.5
2040231
SHEATH INTR.7FRCORDIS.035X11CM
52.5
2040232
SHEATH INTR.8FRCORDIS.035X11CM
52.5
2040233
SHEATH INTR.8FR CORDIS.038X11C
48
2040234
SHEATH INTR.7FR CORDIS.038X23C
63.75
2040235
SHEATH INTR.8FR CORDIS.038X23C
75
2040236
SHEATH INTR.9FR CORDIS.038X23C
75
2040237
SHETH INTR.10FRCORDIS.038X23CM
75
2040238
CHECK FLO INTR.SET5.0 TO10.0
50
2040239
SMART STENT 6X60 80CM CORDIS
2100
2040240
SMART STENT 6X40 80CM CORDIS
2100
2040241
SMART STENT 6X60 120CM CORDIS
2100
2040242
SMART STENT 7X40 80CM CORDIS
2100
2040243
SMART STENT 7X40 120CM CORDIS
2100
2040244
SMART STENT 6X60 120CM CORDIS
2100
2040245
SMART STENT 8X40 80CM CORDIS
2100
2040246
SMART STENT 8X60 80CM CORDIS
2100
2040247
SMART STENT 9X40 80CM CORDIS
2100
2040248
SMART STENT 9X60 80CM CORDIS
2100
2040249
SMART STENT 10X40 80CM CORDIS
2100
2040250
SMART STENT 10X60 80CM CORDIS
2100
2040251
SMART STENT 8X60 120CM CORDIS
2100
2040252
SMART STENT 7X60 120CM CORDIS
2100
2040253
PTA BALLN CATH4X4 80CMCORDIS
675
2040254
PTA BALLN CATH4X6 80CMCORDIS
675
2040255
PTA BALLN CATH4X8 80CMCORDIS
675
2040256
PTA BALLN CATH4X10 80CM CORDIS
675
2040257
PTA BALLN CATH 5X2 80CM CORDIS
675
2040258
PTA BALLN CATH 5X4 80CM CORDIS
675
2040259
PTA BALLN CATH 5X6 80CM CORDIS
675
2040260
PTA BALLN CATH 5X8 80CM CORDIS
675
2040261
PTA BALLN CATH5X10 80CM CORDIS
675
2040262
PTA BALLN CATH 6X2 80CM CORDIS
675
2040263
PTA BALLN CATH 6X4 80CM CORDIS
675
2040264
PTA BALLN CATH 6X6 80CM CORDIS
675
2040265
PTA BALLN CATH 6X8 80CM CORDIS
675
2040266
PTA BALLN CATH6X10 80CM CORDIS
675
2040267
PIGTAIL 5FR .35X110CM
50.25
2040268
PIGTAIL 6FR .38X110CM
48
2040269
PIGTAIL 7FR .38X110CM
48
2040270
JB2 5FR .38X100CM
52.5
2040271
JB2 4FR .38X100CM
52.5
2040272
JR4 6FR .38X100CM
48
2040273
JR4 7FR .38X100CM
48
2040274
SIM2 5FR .38X100CM
52.5
2040275
SIM2 4FR .38X100CM
52.5
2040276
C-1 5FR .38X100CM
48
2040277
GENESIS STENT CORDIS
2300
2040290
SMART STENT 6X60 120CM CORDIS
2100
2040296
POWERFLEX 4X4 135CM CORDIS
675
2040297
POWERFLEX 4X4 110CM CORDIS
375
2040298
POWERFLEX 5X4 135CM CORDIS
675
2040299
POWERFLEX 6X4 135CM CORDIS
675
2040300
POWERFLEX 5X6 110CM CORDIS
675
2040301
POWERFLEX 7X4 110CM CORDIS
675
2040302
POWERFLEX 8X4 135CM CORDIS
645
2040303
POWERFLEX 9X4 135CM CORDIS
645
2040304
SAVVY PTA BALLOON 3.5X10 80CM
645
2040305
ESMERALD GUIDEWIRE .38X150CM
20
2040306
ESMERALD GUIDEWIRE .35X150CM
29.25
2040307
GLIDE CATH 4FR100CM B.H.WILSON
205.5
2040308
BENTSON H. WILSON 2 5FR 100CM
186
2040309
C-2 ANGIOGR CATH 4FR .38X65CM
48
2040310
PIGTAIL ANGIOGRAPHY 4FR 100CM
72
2040311
HEAD HUNT CEREB ANG.4.1FR100CM
110
2040313
WALLGRAFT OTW
1888.8
2040315
GUIDE WIRE ANGLED .38X260CM
214
2040316
GUIDE WIRE STRAIGHT .35X260CM
178.5
2040317
GUIDE WIRE ANGLED .35X260CM
177
2040318
REFLEX GUIDEWIRE STAN.14X300CM
270
2040319
STABIL GUIDEWIRE .14X180CM
375
2040320
HYDRONOL GUIDE WIRE .35X180CM
147
2040321
HYDRONOL GUIDE WIRE .35X180CM
147
2040322
RADFOCUS GLD WIR ANGL.35X180CM
184.5
2040323
RADFOCUS GLD WIR ANGL.35X150CM
133.2
2040324
RADIFOCS GLD WIR ANGL.35X180CM
165.9
2040325
RADIFOCS GLD WIR STRA.35X150CM
133.5
2040326
RADIFOCS GLD WIR STRA.35X180CM
165
2040327
RADFOCUS GLD WIR ANGL.18X180CM
187.5
2040328
RADIFOCS GLD WIR ANGL.38X150CM
130
2040329
STORG SUPR SFT GUIDE.35X180CM
258
2701131
ABO/SV
86900
15
2701132
Rh (D)/sv
86901
15
2701133
BY DIFF RED CELL ABSORPTION/SV
86978
75
2701134
ANTIBODY SCREN/RBC/EA SERUM/sv
86850
38
2701135
COMPATIBI TEST ANTIGLOBULIN/sv
86922
53
2701136
COMPATIBILI TEST INCUBATED/sv
86921
30
2701137
COMPATIBILI INMEDIATE SPIN/sv
86920
30
2701138
ANTIGEN TESTING OF DONOR BLOOD
86902
30
2701139
IRR/LEUK/CMV NEG/CEL LAV/SV
490
2701140
PEDIPACK IRRAD/LEUK CMV NEG/SV
P9058
420
2701141
COOMBS INDIRECTO MODIFICADO/SV
86885
30
2701142
PEDIPACK LEUK/IRRADIADO/SV
445
2701143
ANTIGEN TYPING FBS/SV
86905
85
2701144
PEDIPACK/LEUK/IRRAD C BOLS (A)
350
2701145
PEDIPACK/LEUK/IRRAD C BOLS (B)
300
2701146
PEDIPACK/LEUK/IRRAD C BOLS (C)
300
2701147
PEDIPACK/LEUK/IRRAD C BOLS (D)
300
2701148
PEDIPACK/LEUK/IRRAD C BOLS (E)
300
2701149
PEDIPACK/LEUK CON BOLSITAS
385
2701150
PEDIPACK/LEUK CON BOLSITAS (A)
250
2701151
PEDIPACK/LEUK CON BOLSITAS (B)
200
2701152
PEDIPACK/LEUK CON BOLSITAS (C)
200
2701153
PEDIPACK/LEUK CON BOLSITAS (D)
200
2701154
PEDIPACK/LEUK CON BOLSITAS (E)
200
2701155
INDIRECT EACH ANTIBODY TITER
86886
90
2701155E
ANTIBODY IDENTIFICATION
130
2701156
COVID CONVALESCENT PLASMA (CCP
0
2701157
PEDIPACK/LEUK/IRRAD W BOLSITAS
300
2800010
ELECTROCARDIOGRAMA
93005
50
2800046
HOLTER TEST
93225
125
2850015
ELECTROENCEPHALOGRAM
95819
100
2850015E
ELECTROENCEPHALOGRAM
95819
323.66
2850025
EEG DIGITAL ANALYSIS
95957
100
2850025E
EEG DIGITAL ANALYSIS
95957
100
2850035
ELECTROENCEPHALOGRAM REPORT
9581926
119
2850040
EEG DIGITAL ANALYSIS REPORT
95957
100
2900001
ABDOMINAL SONOGRAM COMPLETE
76700
60
2900002
PELVIC SONOGRAM
76856
80
2900003
RENAL SONOGRAM
76770
80
2900004
GALLBLADDER SONOGRAM
76705
80
2900005
PANCREAS SONOGRAM
76705
48
2900006
LIVER SONOGRAM
76705
48
2900007
SPLEEN SONOGRAM
76705
48
2900016
ENDORECTAL SONOGRAM
76872
75
2900022
DUPLEX CAROTID COMPLETE BILAT
93880
100
2900023
DUPLEX CAROTID UNILAT/LIMITED
93882
100
2900024
DUPLEX ART/LOWER EXT-BILATERAL
93925
100
2900025
DUPLEX ART/LOW EXT-UNILAT/LIM
93926
100
2900026
DUPLEX ART/UPP/EXT-BILAT COMPL
93930
100
2900027
DUPLEX ART/UPP/EXT UNILAT/LIM
93931
100
2900028
DUPLEX EXT VENOUS-BILAT COMPL
93970
100
2900029
DUPLEX EXT VENOUS-UNILAT/LIM
93971
100
2900030
U/S GUIDANCE FOR BX
76942
150
2900031
U/S GUIDANCE ASPIRAT
76942
150
2900034
DOPPLER ART UPPER/LOW EXT COMP
93923
50
2900036
TESTICULAR SONOGRAM
76870
80
2900037
THYROID SONOGRAM
76536
80
2900039
DOPPLER AORTA
93998
50
2900040
DUPLEX AORTA COMPLETE
93978
100
2900041
DUPLEX AORTA UNILAT/LIMITED
93979
100
2900043
DUPLEX RENAL ARTERY COMPLETE
93975
100
2900044
DUPLEX RENAL ART UNI/LIMITED
93976
100
2900045
NEUROSONOGRAM
76506
80
2900047
DOPPLER TESTICULAR SCAN COMPL
93998
140
2900048
DOPPLER TESTICULAR SCAN LIMIT
93998
100
2900049
DOPPLER PENILE COMPLETE
93998
150
2900052
DUPLEX ART MESENTERIC COMPLETE
93975
140
2900053
DUPLEX PORTAL VEIN
93975
140
2900054
DOPPLER TRANSCRANIAL COMPLETE
93886
140
2900057
ABDOMINAL SONOGRAM LIMITED
76705
60
2900058
DUPLEX INF CAVA&ILIAC COMPLETE
93978
120
2900059
DUPLEX ARTERIO-VENOUS FISTULA
93990
100
2900060
DOPPLER FOR TOS ART BILAT COMP
93923
50
2900062
KNEE ULTRASOUN LIMITED
76882
120
2900063
EXTREMITY ULTRASOUND LIMITED
76882
120
2900064
CHEST SONOGRAM
76604
120
2900065
US SOFT TISSUE HEAD & NECK
76536
110
2900066
DOPPLER PENILE LIMITED
93998
100
2900067
DOPPLER TRANSCRANIAL LIMITED
93888
100
2900068
DOPPLER TRANSCR VASOREACTIVITY
93890
100
2900069
DUPLEX PENILE VESSELS COMPLETE
93980
100
2900070
DUPLEX PENILE VESSELS F/U -LIM
93981
100
2900071
DOPPLER ART UPPER/LOW EXT LIMI
93923
50
2900072
DUPLEX INF CAVA&ILIAC UNI/LIM
93979
120
2900073
DOPPLER EXT VENOUS UNI/LIMIT
93965
100
2900081
OB US < 14 WKS SINGLE FETUS
76801
70
2900082
OB US < 14 WKS ADDL FETUS
76802
45
2900083
OB US >/= 14 WKS ADDL FETUS
76810
70
2900084
OB US DETAILED SINGLE FETUS
76811
110
2900085
OB US DETAILED ADDL FETUS
76812
45
2900086
OB US NUCHAL MEASUREMEN 1 GEST
76813
45
2900087
OB US NUCHAL MEASUREMEN ADD-ON
76814
45
2900088
OB US FOLLOW-UP PER FETUS
76816
45
2900089
TRANSVAGINAL US OBSTETRIC
76817
45
2900090
UMBILICAL ARTERY ECHO
76820
45
2900091
MIDDLE CEREBRAL ARTERY ECHO
76821
45
2900092
ECHO GUIDE FOR ARTERY REPAIR
76936
76
2900093
US GUIDE VASCULAR ACCESS
76937
10
2900094
US GUIDE TISSUE ABLATION
76940
10
2900095
US GUIDE INTRAOPERATIVE
76998
10
2900096
TRANSVAGINAL US NON-OBSTETRIC
76830
70
2900097
OB US >/= 14 WKS SINGLE FETUS
76805
70
2900098
DUPLEX SCROTAL CONTENTS
93975
110
2900099
US BREAST COMPLETE UNILATERAL
76641
70
2900100
US BREAST LIMITED UNILATERAL
76642
50
2604871
ANTIGLOMERULAR BASE - AB
83520
136.5
2604872
FACTOR X (STUART FACTOR)
85260
287.05
2604873
VON WILLEBRAND PROFILE
85247
376
2604874
PORPHOBILINOGEN QT. 24 HRS
84110
51.4
2604875
ANTI-MAG
86317
261.3
2604876
ANTI-GLIADIN (IGG/IGA) PANEL
83516
96
2604877
C3 + C4 COMPLEMENT
86160
19.5
2604878
ENDOMYSIAL AB (T-TRANSGLUTAM)
83516
60.9
2604879
ANTI-HISTONE AB
86256
94.5
2604880
CD3
86361
168.7
2604881
INTRINSIC FACTOR BLOCK ABS
83528
21
2604882
MYCOPLASMA PNEUMONIA IGG/IGM
86378
139.2
2604883
DRUG ABUSE III WITH GC/MS CONF
80305
30
2604886
DRUG ABUSE SCREEN X (URINE)
80306
42
2604887
CYTOMEGALOVIRUS CULTURE
87252
53
2604889
PHOSPHORUS URINE RANDOM
84105
15
2604890
MAGNESIUM URINE
83735
16
2604891
ARSENIC BLOOD
82175
62
2604892
INMUNO FIX + PROTEIN ELECTR 24
84165
53
2604894
ENTAMOEBA HISTOLYCA AB
86753
163.2
2604895
VIT K-1
84597
203
2604896
HELICOBACTER PILORI IGA/IGG/IG
86677
103.5
2604897
DRUG ABUSE SRCEEN III/URINE
80305
20
2604898
COMPLEMENT C2
86160
30
2604899
LAMICTAL (LAMOTRIGINES)
80299
131.6
2604902
ACYLCARNITINE
82017
375
2604903
ANTICARDIOLIPIN AB IGG IGM IGA
86147
72
2604904
CHROMOSOME AND FRAGILE X DNA
83891
1325
2604906
IMMUNOGLOBULIN IMMUNOFIXATION
86334
52.5
2604907
PROTEIN ELECTROFORESIS/CSF
84165
116
2604908
HELICOBACTER AG (STOOL)
87338
76.13
2604910
MANGANESE (PLASMA)
83785
210
2604911
C1 ESTERASE INHIBITOR
86160
55.45
2604913
T LYMPHOCYTE PANEL
86361
475
2604914
HAEMOPHILUS SUSCEPTIBILITY
87070
62
2604915
HELICOBACTER PYLORI IGA
86677
69
2604916
LEUKEMIA LINFOME IMMUNOPHENTYP
88180
859
2604917
MULTIPLE SCLEROSIS PANEL/CSF
82784
135
2604918
MUMPS IGM
86735
108
2604919
RSV CULTURE
87420
54
2604920
ENTEROVIRUS AB
86658
394
2604921
PSA FREE
84154
60
2604922
FACTOR VIII ACTIVITY = AHF
85240
32
2604923
ALK PHOSPHA/ISOENZYMES
84080
40
2604924
ANTI-LIVER KIDNEY MICROSOMAL
86376
37.5
2604925
CHROMOSOME ANALYSIS-BONE MARRO
88237
741
2604926
IMMUNOPHENOTYPIN-BONE MARROW
88180
572.75
2604927
ARYLSULFATASE A LEUKOCYTES BLO
82657
461
2604930
INSULINE ANTIBODY
86337
106.5
2604931
T+B COMPLETE LYMPHOCYTE PROFIL
86360
257.89
2604932
ACETYLMALONIC ACID LEVEL
83921
288
2604933
METANEPHRINES FRACT/ QUANTI
82384
87
2604934
LIPASE URINE
83690
23.3
2604935
HLA B27 ANTIGEN
81374
133.75
2604937
AEROBIC ID & SUSCEPTIBILITY
87070
125
2604938
PNEUMOCYSTIS SMEAR
87015
208
2604939
OVA + PARASITES X 3
87177
54
2604940
ISLET CELL ANTIGEN 512 AB
83519
303.75
2604941
HEPATITIS B DNA PCR QUANT
87517
225
2604942
OSMOLALITY URINE
83935
10
2604943
HISTOPLASMA ANTIGEN PANEL
87385
216.68
2604944
METHYLENETE TRAHYDROFOLATE
81291
368
2604945
RAST TRITICIUM AESTIVITIUM/WHE
86003
17.25
2604946
RAST MAIZE
86003
17.25
2604947
RAST GALLUS SP; CHICKEN MEAT
86003
17.25
2604948
RAST PASPALUM NOTATUM/BAHIA GR
86003
17.25
2604949
RAST D.PTERONYSSINUS(HOUSE DUS
86003
17.25
2604950
RAST BARLEY
86003
17.25
2604951
RAST BLATELLA GERMANICA/COCKR
86003
17.25
2604952
IMMUNOGLOBULINS IGG M/A
82784
69
2604953
ISLET CELL DYSFUNCTION GROUP 1
86255
128
2604954
OXCARBAZEPINE (TRILEPTAL)
82542
69.6
2604955
METABOLIC SCREENING URINE+PLAS
82128
390
2604956
CARBOXYHEMOGLOBIN
82375
51
2604957
MICROALBUMIN/CREATININE RATIO
82043
22
2604958
COUMADIN (WARFARIN)
82542
81.6
2604959
TACROLIMUS
80197
90
2604960
HIV RNA BY PCR
87536
315
2604961
BETA Z GLYCOPROTEIN AB
86146
124.52
2604962
POTASSIUM (BODY FLUID)
84132
41
2604963
SODIUM (FLUID)
84300
41
2604965
RAST COCONUT
86003
17.25
2604966
RAST PINEAPPLE
86003
17.25
2604967
RAST TOMATO
86003
17.25
2604968
RAST STRAWBERRY
86003
26
2604969
HEPATITIS BE AG
87350
15
2604971
ECHOVIRUS SPINAL FLUID
86658
358.45
2604972
COXSACHIE AB-A IN SPINAL FLUID
86658
352.35
2604973
COXSACHIE AB-B IN SPINAL FLUID
86658
930.3
2604974
HEPATITIS C BY RIBA
86804
292.5
2604975
HEPATITIS C RNA BY PCR QUANTIT
87522
202
2604976
HEMOGLOBIN FREE (PLASMA)
83051
52
2604977
CLOSURE TIME ("BLEEDING TIME")
85002
45
2604978
ANTI LKM AB (ANTI LIVER KIDNEY
86376
37.5
2604979
CSF MYELIN BASIC PROTEIN
83873
210
2604980
SIRALIMUS TITER
80299
243
2604981
CSF OLIGOCLONAL BANDS
83916
104.15
2604982
CSF ANGIOTENSIN CONVERT ENZYME
82164
184.9
2604983
RAST DOG
86003
17.25
2604984
ACONDROPASIE MUTATION FG/FR3
81401
409.5
2604985
URINE ORGANIC ACIDS QUANTITATI
83918
615
2604986
CHLAMYDIA (CT) RNA AMPLIFIED
87491
30
2604987
NEISSERIA (GC)BY RNA AMPLIFIED
87591
30
2604988
KEPPRA (LEVETIRACETAM)
80177
75
2604989
ESTRONE
82679
47
2604990
PROTHOMBIN TEST SUBTITUTION
85611
15
2604991
FACTOR VII INHIBITOR
85244
462
2604992
COMP GENOMIC HYBRIDIZATION
88271
3940
2604993
SPINAL MUSCLE ATROPHY
83891
1035
2604994
IMMUNOGLOBULIN SUBCLASS IGG
82787
86.5
2150029
MEDICUT CANNULA
2
2150030
'T' PORT
4.5
2150031
ANGIO GUIDE
22
2150032
SUBCLAVIAN CATH. SET
14
2150033
TRIPLE LUMENCATH TRA
148
2150034
IRRIGATING CYSTOTOME
6.65
2150035
RADIAL ARTERY KIT
46.8
2150036
CALCU CATCH
6.35
2150037
RETROBULBAR NEEDLE
15.6
2150038
REVERSE CANNULA
155.5
2150039
CULTURE MED PED PLUS
9.23
2150040
BUTTERFLY VACT SET
1.79
2150041
ANGIOGRAPHIC NEEDLE
5
2150042
PED.JUGULAR PUNC.KIT
38
2150043
AUTO CORE BIOPSY SYS
100
2150044
DOUBLE LUMENCATH TRA
134
2150045
CENTRAL VEIN CATH 14
67.2
2150046
CENTRAL VEIN CATH 16
67.2
2150047
HAWKINS I
37.8
2150048
HEVLER POINT NEEDLE
10.6
2150049
NEONATE SAMPLE KIT
30
2150050
VAMP. 120
408
2150051
VAMP. 400
1.16
2150052
VAMP. 700
4.6
2150053
BLOOD WARMER SET
40
2150054
REPLACEMENT TUBING
4.4
2150055
SCLEROTHERAPY NEEDLE
55
2150056
ANGIOGRAPHIC SYRINGE
13.4
2150057
SPINAL NEEDLE 25X6
26.8
2150058
ARTERIAL VENOUS SET
20.8
2150059
HYST. SALP. CATH.SET
179
2150060
VAMP 503 H
4.6
2150061
HEMODIAL FISTULA SET
1.5
2150062
CRUSH SYRINGE
2.5
2150063
IV PREP. KIT
2
2150067
ANGIO CATHETER 14 X 15
5
2150068
ANGIO CATHETER 14 X 2
3
2150069
ANGIO CATHETER 14 X 3 1/4
3
2150070
ANGIO CATHETER 14 X 5 1/4
4.8
2150071
ANGIO CATHETER 20 X 2
4.8
2150072
ANGIO CATHETER 16 X 3 1/4
3.4
2150073
ANGIO CATHETER 16 X 5 1/4
4.8
2150074
INTRACATH 20
1.7
2150075
INTRACATH 22
1.7
2150076
INTRACATH 24
1.7
2150077
LEVER LOCK CANNULA
0.98
2150078
SYRINGE FILLING CANNULA
1.1
2150079
PEDIATRC CNTRL VINUS CATH.TRAY
136
2150080
ARTERIAL BLOOD GAS KIT
2.55
2150081
EXT PACING ELECT
110
2150082
NEO ELECTRODO
20
2150083
INTRA OSSEUS NEEDLE
92
2150084
TRANSCERVICAL KIT
8.5
2150085
CHEST TUBE SET
168
2150086
PNCU PERIT NEED 14GA
36
2150087
SPINAL NEEDLE 25X4
10.51
2150088
TRIPLE LUMEN CATH. SET MECOMP
360
2150089
CROWN BIOPSY NEEDLE
30.39
2150090
ASAP BIOPSY SYSTEM
99.79
2150091
CO-AXIAL INTRODUCER NEEDLE
25
2150092
SCREW DILATOR
37
2150093
TRU-CORE BIOPSY INSTRUMENT
56
2150094
CRUISER PLUS-INTRODUCER SET
196
2150095
DILATOR JCD
15
2150096
GEREMIA VERTIC BIOPS NEEDL SET
327
2150097
NEFF PERCUTANEUOS ACCESS SET
220
2150098
MICROPUNCTURE INTRODUCER SET
72
2150099
HEEL INCISION DEVICE
2.85
2150100
ASAP-INTRODUCER NEEDLE
36
2150101
SCREW DILATOR 28 FR
90
2150102
HYPOTHERMIC NEEDLE
0.26
2150103
SYRING VIAL ACCE CANN INTRLINK
1.2
2150104
PROBE IRRIGATIN OCUTOME
326.66
2150105
WESTCOTT BIOPSY NEEDLE
25.14
2150106
NEEDLE PERCUTANEOUS
11
2150107
NEEDLE PERCUTANEOUS 18G X2 7/8
5
2150108
SYRINGE 1CC 25 X 5/8
1.12
2150109
PTC SPINAL NEEDLE 18 X 8""
29.2
2150110
PEDIATRIC BLADE 4MM
230
2150111
WINGED INFUSION SET 20 GA
8
2150112
PROBE IRRIGATIN OCUTOME
326.66
2150113
CO-AXIAL BIOPSY NEEDLE
30
2150114
DUPLOCATH
75.6
2150115
AMPLATZ EXTRA STIFF .0384X145
56.77
2150116
DILATION 4MM-8MM 12FR-24FR
376
2150117
BIOPSY NEEDLY W/ECHOGENIC TIP
29
2150118
SINGLE LUMEN 3FR X 8CM SET
56
2150119
SINGLE LUMEN 3FR X 8CM TRAY
112
2150120
CENTRAL VENOUS CATH 3X5
98
2150121
SINGLE LUMEN 4FR X 12CM SET
90
2150122
SINGLE LUMEN 4FR X 12CM TRAY
112
2150123
SINGLE LUMEN 5FR X 15CM TRAY
63
2150124
IRRIGATING CYSTOTOME #25
8
2150125
RETROBULBAR NEEDLE 25 X 1 1/2
15.6
2150126
IRRIGATING CYSTOTOME #27
10.8
2150127
ACCESS SYSTEM NEEDLE
90
2150128
SEMI-FLEX ELECTROSURGICAL DEV.
4390
2150129
AMPLATZ SUPER STIFF .35 X 145
79.2
2150130
VARIJET CLEAR INTY THERAPHY NE
66
2150131
MICRO NEEDLE COLORADO
90
2150132
TLA INTRODUCER NEEDLE 19 GA
74
2150133
PROBLOCK II NEEDLE 40MM
25
2150134
INSULT REG BLOCK NEEDLE HN1-80
22
2150136
PRESSURE TRAND SINGLE W VAMP
39.6
2150137
PRESSURE TRAND DOUBLE W VAMP
54.6
2150200
ALLIANCE INFL.SYRINGE BX5 5060
60
2150205
POLYGLYTONE SUTURE W/TC NEEDLE
41.5
2150206
NON-CORING SAFETY NEEDLE
20.24
2150207
FLUID ADMINISTRATION SET 0144
9.18
2150208
INTRACATH 14 X 2.5 FR
2.36
2150209
REVOLUTION DSP CURVED SCISSOR
350
2150210
SOF TIP NEEDLE 25 GA
48
2150211
BALLON DILATATION CATH 5848
320
2150212
SINGLE LUMEN 2.5FR X 2.5CM
85
2150213
SINGLE LUMEN 2.5FR X 5CM
75
2150214
DOUBLE LUMEN 4FR X 5CM
142
2150215
DOUBLE LUMEN 4FR X 8CM
142
2150216
DOUBLE LUMEN 5FR X 5CM
141.33
2150217
ANGIOCATH 16G X 2 1/4
2.96
2150218
ANGIO CATHETER 1GG X 2 1/4
2.96
2060180
COMPOSITE DRESSING 4""X10""
5.5
2060181
HYDROCOLLOID DRESS THIN 2""X4"
3.7
2060182
EAKIN COH SEAL C/20 48MM1 7/8"
182
2060183
ADHESIVE BANDAGE D-STAT
112
2060184
DERMA-GEL WOUND DRESSING
8
2060185
SILVER ANTIMICRO DRESS-PERFORA
62.32
2060186
SILVER ANTIMICROBIAL CAVITY
26
2060187
ABSORBENT GEL-TENDER WET
9
2060188
FOAM DRESSING-NON ADH. 4 X 4
6.4
2060189
FOAM DRESSING-NON ADH. 6 X 6
8.67
2060190
DRESS RETENTION SHEET 6"" X 1Y
3
2060191
TRANSPARENT FILM ROLL-1YD
30.8
2060192
UROLOGICAL DRAPE
12.71
2060193
COMPRESS BLANKET PEDIATRIC COM
31
2060194
ADHESIVE BANDAGE 1" CD-FLEX
2.37
2060195
AQUACEL 4 X 4
28.6
2060196
AQUACEL 8 X 12
41.6
2060198
BIOPATCH 2151
6.5
2060199
V.A.C. GRANUFOAM LARGE DRESSIN
104
2060200
WOUND MEASURING GAUGE
0.25
2060201
COMPOSITE DRESSING 4"X 14"
8
2060202
OPSITE POST OP. DRESSING 8X4"
2.66
2060203
INTERCEED TC7 ADHESION BARRIER
290
2060204
DRAPE SPLIT SHEET
10.07
2060205
CV PLUS VEIN-STATLOCK
14.88
2060206
ARROW ARTERIAL-STATLOCK
11.4
2060207
ALLEVYN SACRUM 6 3/4 X 6 3/4
18
2060208
DERMA GRAN GAUZE 4 X 4
7.73
2060209
HYDROFERA FOAM DRESSING 4X4
17.89
2060210
HYDROFERA FOAM DRESSING 6X6
39.57
2060211
HYDROFERA HEAVY DRAIN DRES 6X6
55.54
2060212
SURGICEL - FIBRILLAR 2X4
200
2060213
SUGICEL - FIBRILLAR 4X4
260
2060214
TEGADERM CHG 31/2 X 4 1/2 1657
15.4
2060215
TEGADERM CHG 4 X 6 1/8" 1659
16.2
2060216
ALGICELL AG ANTIMICR 4.25x4.25
33.2
2060217
ALGICELL AG ANTIMICROBI 3/4x12
184
2060218
OASIS WOUND MATRIX 7"X10" MESH
528.77
2060228
OPTIFOAM 4"X4" AG SELF ADHESIV
11.45
2060229
SOFT WASH SPONGE
2
2060230
AQUACEL AG W/HYDROFIBER 6X6
41
2060231
VERSIVA 5.5 X 5.5
7.6
2060232
VERSIVA 7.5 X 7.5
14.25
2060233
UNNA BOOT 3 X 10 YDS
16
2060234
UNNA BOOT 4 X 10 YDS
19
2060235
ULTRASORB DRY PADS 31X36
2.93
2060236
FIBRACOL PLUS 2X2 (2981)
7.5
2060237
MEDIHONEY 31515
46.5
2060238
DERMA GRAN B WOUND DRESSING
18.25
2060239
FLUID PROTECTOR/PATIENT MOVER
11.82
2060240
CHG CLEANING TOWELS
21
2060241
ALLEVYN PLUS ADHESIVE 5"X5"
14
2060242
ALLEVYN PLUS ADHES SACRUM 9X9
39
2060243
ALLEVYN HEEL
19.2
2060244
ALLEVYN PLUS ADHESIVE 5"X9"
28
2060245
OPTIFOAM DRESSING AG 6" X 5.5"
29.93
2060246
SILVASORB GEL .25 OZ
12.46
2060247
DERMA GEL WAFER 4" X 4"
14.63
2060248
OPTILOCK DRESSING N/ADHESI 4X4
4.37
2060249
OPTILOCK DRESSING N/ADH 6.5X10
51.9
2060250
MAXORB EXTRA AG 2" X 2"
8.79
2060251
MAXORB EXTRA AG 4X4 (12" ROPE)
13.23
2060252
SODIUM CHLORIDE PACK.STRIP 1/2
8.66
2060253
GAUZE PACK STRIP PLAIN 1/2" 1"
6
2060254
GAUZE PACKING STRIP PLAIN 2"
9.59
2060255
PURACOL PLUS 4.5
12.64
2060256
PURACOL PLUS 19.13
25.71
2060257
PROTECTANT SKIN MARATHON LIQUI
13.24
2060258
ALLEVYN BORDE LITE 2 1/8x4 3/4
5.6
2060259
ALLEVYN GENTLE BORDER LITE 4x4
6.6
2060260
ALLEVYN GENTLE BORDER HEEL 9x9
35.6
2060261
OPSITE POST-OP VISIBLE 4x6
3.6
2060262
OPSITE POST-OP VISIBLE 4x8
5.4
2060263
OASIS ULTRA TRI-LAYER 7"X10"
1809.6
2060264
ALLODERM ACELLULAR DERMIS MATR
4714.8
2060265
COMFORT BATH CLEANSING W/CLOTH
10.82
2060266
EAKING WOUND POUCH 245 X 160MM
55.6
2060267
ALLODERM 8 X 16 REF1520128
4714.8
2060268
EAKING WOUND POUCH 110 X 75MM
23.8
2060269
EAKING WOUND POUCH 175 X 110MM
31.1
2060270
ABSORBABLE SPONGE 60X20X7
33
2060271
ABSORBABLE CYLIN HEMORROID SPG
60
2060272
OASIS ULTRA MATRIX 5 X 7
478.8
2060273
ALGIDEX AG WET GAUZE 4 X 4
13.74
2060274
ALGIDEX AG WET GAUZE 2 X 2
6.48
2060275
ALGIDEX AG PACKING GAUZE
15.16
2060276
BIOSTEP 2X2
10.58
2060277
BIOSTEP 4X4
24
2060278
CHG IV SECUREMENT DRESSING 2X3
15.6
2060279
ALGINATE + AG 6X6
43.32
2060280
ALGINATE 6X6
6.8
2060281
DRAWTEX SURGICAL 3.5 X 9.75
50.68
2060282
DRAWTEX SURGICAL 3.5 X 12
56.14
2060283
DRAWTEX SURGICAL 3.5 X 6
46.3
2060284
PETROLATUM EMULSION 3 X 8
1.18
2060285
SILICONE CONTACT LAYER 4X7
6.4
2060286
DRAWTEX 4X4
23.8
2060287
HYDROGEL AG 1.5 ONZ
15.16
2060288
STATSEAL TOPICAL ADVANCED DISC
50
2060289
STATSEAL TOPICAL POWDER
50
2060290
REPICARE 4X4 IN
8.8
2060291
SOLOSITE WOUND GEL 3OZ
5.48
2060292
INTRASITE GEL 26G APPLI PACK
9.78
2060293
ALGIITE MWND 4X4
10.8
2060294
SECURA ANTIFUGAL XTRA THI 3.25
7.06
2060295
SECURE EPC 3.25OZ
6.44
2060296
SECURA TOTAL BODY FOAM 8.5OZ
48
2060297
DURAFIBER AG 6X6
17.14
2060298
DURAFIBER AG 4X5
17.14
2060299
ALLEVYN GENTLE BORDER SARUM
17.8
2060300
ACTICOAT FLEX 3 4"X8"
22.5
2060301
ALLEVYN ADHESIVE DRESSING 9X9
29.82
2060302
ACTICOAT 4X48 (NANOCRYSTALLINE
172.2
2180230
FOLEY TRAY 18 FR
11.23
2180231
SURG. GROUNDING INF/PED
14.8
2180232
ELECTROSURG PENCIL-FOOTCONTROL
8
2180233
URINE CATH SET 5 FR
63
2180234
URINE CATH SET 8 FR
63
2180237
FULGURATING ELECTRODE SHORT
1136
2180238
VAPORIZATION ELECTRODE GROOVED
90
2180239
FOLEY CAT COUNCILL 16FR 5CC
12.5
2180240
FOLEY CAT TIEMANN 16FR 5CC
14.2
2180241
RENAL ACCESS COBRA
50
2180242
STABILIZED COLD KNIFE
180
2180243
URETERAL DB PIGTAIL CFLEX 6X22
238
2180244
URINE LEG BAG 19 OZ.
4
2180245
URINE LEG BAG 32 OZ.
4
2180246
URETERAL DBL.PIGTAIL STENT6X22
170
2180247
BARKIN CONTRALATERAL INST 5.5F
169
2180248
COOK REUSABLE HANDLE LENGHT 12
75.75
2180249
PASSPORT BALLONS 12FR X2CM/2CM
929.1
2180250
PASSPORT BALLONS 12FR X4CM/2CM
929.1
2180251
KAYAK GUIDEWIRE .035"
64.8
2180252
STONE CONE RETRIEVAL COIL
359.1
2180253
ULTRA BALLOON KIT
456
2180254
BALLOON KIT
478
2180255
SUPRAPUBIC CATHETER
158
2180256
INTRODUCER NEEDLE SET 12CM
66.5
2180257
IMAGER CATHETER C1
32
2180258
IMAGER CATHETER BERN
34.81
2180259
CLEAR RENAL SHEATH
131.1
2180260
RETROMAX ENDOPYELOTOMY STENT
313.5
2180261
PERCUFLEX URINARY DIV STENT
298
2180262
PTFE GUIDEWIRE - BENTSON TYPE
34
2180264
PIRANHA URETEROSCOPIC COLD FOR
658
2180265
SAFETY WIRE INTRODUCER SHEATH
90
2180266
DUAL LUMEN URETERAL CATHETER
138
2180267
UROVAC BLADDER EVACUATOR
39.8
2180268
ZEBRA GUIDEWIRE .035" STRAIGHT
96
2180269
SENSOR DUAL-FLEX GUIDEWIRE
71.82
2180270
WEDGE STORZ SINGLE STEM 27FR
411.75
2180271
ROLLER BALL ELEC.5M STORZ 27FR
209.7
2180272
STONE CATCHER
179.4
2180273
URETEROSCOPIC BIOPSY FORCEP115
987
2180274
MARDIS II SINGLE PUNCTURE INT.
207
2180275
UROLOK II ADAPTOR
44.7
2180276
NAVIGATOR URETERAL ACESS SHEAT
317.4
2180277
UROVAC BLADDER EVACUATORS
59.7
2180278
GEMINI 4-WIRE BASQUET 3FRx90CM
516
2180279
COAXIAL 8FR DILATATION STYLET
135
2180280
HYDROPHOLIC KAYAK GUIDEWIRE
97.2
2180281
LITHOCLAST U.PNEUMATIC 1.0x497
597
2180282
LITHOCLAST U.PNEUMATIC 0.8x668
597
2180283
LITHOCLAST U.FLEXIBLE 0.89x940
458
2180284
LITHOCLAST U.RE-USABLE 3.8x330
1497
2180285
INTRODUCER NEEDLE SET 20CM
105
2180286
SUPRAPUBIC MID-URETHRAL SLING
1197
2180287
ESCAPE BASKET 90CM
530.1
2180290
CORD MONOPOLAR LAPAROSCOPIC
10
2180291
ACCESS SHEATH 11/13 X 36CM
218
2180292
ACCESS SHEATH 11/13 X 46CM
218.5
2180293
BRACHYTHERAPHY SEEDS
150
2180294
BRACHYTHERAPHY NEEDLE
14
2180295
OVAL BALLOON - INFLATION BULB
260
2180296
BRACHYTX NON-STRANDED 1-125
150
2180300
CREW G 10-12MM 240 5847
240
2180310
CREW G 12-15MM 5848
240
2180315
CREW G 15-18MM 5849
240
2180320
ALLIANCE II INFL/LITHO DEV5062
800
2180325
RADICAL PROSTATECTOMY SUTURE D
498
2180326
PNEUMATIC PROBE 1.0MM X 570MM
398
2180327
PNEUMATIC PROBE .8MM X 668MM
398
2180328
PNEUMATIC PROBE .89MM X 940MM
458
2180329
ULTRA STONE CATCHER
87.02
2180330
PEREUTANEOUS ACCESS NEEDLE
90
2180340
CREW WG 5860
240
2180345
SLIMLINE 1000 MICRON LASER FIB
406
2180350
SLIMLINE 550 MICRON LASER FIBE
205.6
2180355
SLIMLINE 365 MICRON LASER FIBE
174.8
2180360
SLIMLINE 200 MICRON LASER FIBE
494.8
2180361
MICRON DUOTOME 550 FIBER 840-6
1567.5
2180362
ULTRASOUND PROBE/LITHO ULTRA
249.5
2180363
ROTATORE SNARE OVAL 13MM 6182
76
2180364
PERCUTANEOUS NEPHROTOMY420-111
218
2180365
PERCUTANEOUS NEPHROTOMY420-112
218
2180366
BIOPSY FORCEPS UROLOGIC
658
2180367
ESCAPE LASER STONE BASKET
558
2180368
NEPHROSTOMY CATH LOCKING LOOP
178
2180369
NEPHROSTOMY SET PIGTAIL DESIGN
218
2180370
URETERAL CATH CONE TIP OPENEND
50
2180371
SPEED BAND SUPER 7
220
2180372
STAR RETRACTOR RINGS 3311
15.92
2180373
COAGULATING ELECTRODO FR 24
120
2180374
COAGULATING ELECTRODO FR 27
120
2180375
STEM RESECTOSCOPE 880-402
139.8
2180376
PROSTHESIS PENIL AMS 650
7650
2180378
SNAREMASTER SOFT DISP.OVAL SNA
38
2180379
BALL ELECTRODE 1550
3
2180380
BLADE ELECTRODE 15516
7.06
2180381
NEEDLE ELECTRODE 1552
3.52
2180382
NEEDLE ELECTRODE 14524
13.08
2180383
TUNGSTER LOOP 1561
35.9
2180384
TUNGSTER LOOP 1562
35.9
2180385
INSOLATED COATED NEEDLE VALLEY
15.4
2180386
DUOTOME SIDELITE 55O
1650
2180387
CRYO-60 URETHAL WARMING CATH
2000
2180388
CRYO-260 F/2.4 MM PROBE
5600
2180389
PERIGEE SYSTEM
1570
2180390
APOGEE SYSTEM
1480
2180391
PERIGEE WITH INTEXEN
1920
2180392
APOGEE WITH INTEXEN
1750
2180393
POLY LOOP HX-400U-30
123.5
2180394
ELECTROSURGICAL SNARE SD210U25
47.5
2180395
LOOP CUTTER FS-5UI
64.5
2180396
MULTI PURPOSE DRAINAGE SYSTEM
26
2180398
PTFE COATED UROL.GUIDEWIRE.035
28.78
2315009
ELECTROCARDIOGRAM REPORT
93010
9
2315009E
ELECTROCARDIOGRAM REPORT
93010
9
2315010
REMOVAL OF NAIL BED
11750
155
2315010E
REMOVAL OF NAIL BED
11750
155
2315011
RPR S/N/AX/GEN/TRNK 2.5CM/<
12001
45
2315011E
RPR S/N/AX/GEN/TRNK 2.5CM/<
12001
45
2315012
RPR S/N/AX/GEN/TRNK2.6-7.5CM
12002
55
2315012E
RPR S/N/AX/GEN/TRNK2.6-7.5CM
12002
55
2315013
RPR S/N/AX/GEN/TRK7.6-12.5CM
12004
70
2315013E
RPR S/N/AX/GEN/TRK7.6-12.5CM
12004
70
2315014
RPR S/N/A/GEN/TRK12.6-20.0CM
12005
95
2315014E
RPR S/N/A/GEN/TRK12.6-20.0CM
12005
95
2315015
RPR F/E/E/N/L/M 2.5 CM/<
12011
55
2315015E
RPR F/E/E/N/L/M 2.5 CM/<
12011
55
2315016
RPR F/E/E/N/L/M 2.6-5.0 CM
12013
60
2315016E
RPR F/E/E/N/L/M 2.6-5.0 CM
12013
60
2315017
FNA W/O IMAGE
10021
65
2315017E
FNA W/O IMAGE
10021
65
2315018
DRAINAGE SKIN ABSCESS SIMP/SNG
10060
84
2315018E
DRAINAGE SKIN ABSCESS SIMP/SNG
10060
84
2315019
DRAINAGE SKIN ABSCESS COMP/MUL
10061
156
2315019E
DRAINAGE SKIN ABSCESS COMP/MUL
10061
156
2315020
DRAINAGE OF PILONIDAL CYST
10080
88
2315020E
DRAINAGE OF PILONIDAL CYST
10080
88
2315021
REMOVE FOREING BODY
10120
88
2315021E
REMOVE FOREING BODY
10120
88
2315022
DRAINAGE OF HEMATOMA/FLUID
10140
103
2315022E
DRAINAGE OF HEMATOMA/FLUID
10140
103
2315023
DEBRIDE INFECTED SKIN
11000
28
2315023E
DEBRIDE INFECTED SKIN
11000
28
2315024
EXC H-F-NK-SP B9+MARG 0.5/<
11420
71
2315024E
EXC H-F-NK-SP B9+MARG 0.5/<
11420
71
2315025
REMOVAL OF NAIL PLATE
11730
50
2315025E
REMOVAL OF NAIL PLATE
11730
50
2315026
DRAIN BLOOD FROM UNDER NAIL
11740
29
2315026E
DRAIN BLOOD FROM UNDER NAIL
11740
29
2315027
RPR S/N/A/GEN/TRK20.1-30.0CM
12006
113
2315027E
RPR S/N/A/GEN/TRK20.1-30.0CM
12006
113
2315028
RPR F/E/E/N/L/M 5.1-7.5 CM
12014
74
2315028E
RPR F/E/E/N/L/M 5.1-7.5 CM
12014
74
2315029
RPR F/E/E/N/L/M 7.6-12.5 CM
12015
93
2315029E
RPR F/E/E/N/L/M 7.6-12.5 CM
12015
93
2315030
RPR FE/E/EN/L/M 12.6-20.0 CM
12016
125
2315030E
RPR FE/E/EN/L/M 12.6-20.0 CM
12016
125
2315031
RPR FE/E/EN/L/M 20.1-30.0 CM
12017
144
2315031E
RPR FE/E/EN/L/M 20.1-30.0 CM
12017
144
2315032
RPR F/E/E/N/L/M >30.0CM
12018
163
2315032E
RPR F/E/E/N/L/M >30.0CM
12018
163
2315033
CLOSURE OF SPLIT WOUND
12020
166
2315033E
CLOSURE OF SPLIT WOUND
12020
166
2315034
INTMD RPR S/A/T/EXT 2.5 CM/<
12031
132
2315034E
INTMD RPR S/A/T/EXT 2.5 CM/<
12031
132
2315035
INTMD RPR S/A/T/EXT 2.6-7.5
12032
167
2315035E
INTMD RPR S/A/T/EXT 2.6-7.5
12032
167
2315036
INTMD RPR S/TR/EXT 7.6-12.5
12034
180
2315036E
INTMD RPR S/TR/EXT 7.6-12.5
12034
180
2315037
INTMD RPR N-HF/GENIT 2.5CM/<
12041
135
2315037E
INTMD RPR N-HF/GENIT 2.5CM/<
12041
135
2315038
INTMD RPR N-HF/GENIT 2.6-7.5
12042
174
2315038E
INTMD RPR N-HF/GENIT 2.6-7.5
12042
174
2315039
INTMD RPR FACE/MM 2.5CM/<
12051
149
2315039E
INTMD RPR FACE/MM 2.5CM/<
12051
149
2315040
INTMD RPR FACE/MM 2.6-5.0 CM
12052
178
2315040E
INTMD RPR FACE/MM 2.6-5.0 CM
12052
178
2315041
INTMD RPR FACE/MM 5.1-7.5 CM
12053
191
2315041E
INTMD RPR FACE/MM 5.1-7.5 CM
12053
191
2315042
INTMD RPR FACE/MM 7.6-12.5 CM
12054
202
2315042E
INTMD RPR FACE/MM 7.6-12.5 CM
12054
202
2315043
CMPLX RPR TRUNK 2.6-7.5 CM
13101
220
2315043E
CMPLX RPR TRUNK 2.6-7.5 CM
13101
220
2315044
CMPLX RPR S/A/L 2.6-7.5 CM
13121
236
2315044E
CMPLX RPR S/A/L 2.6-7.5 CM
13121
236
2315045
CMPLX RPR F/C/C/M/N/AX/G/H/F
13131
221
2315045E
CMPLX RPR F/C/C/M/N/AX/G/H/F
13131
221
2315046
CMPLX RPR F/C/C/M/N/AX/G/H/F
13132
278
2315046E
CMPLX RPR F/C/C/M/N/AX/G/H/F
13132
278
2315047
DRESS/DEBRID P-THICK BURN S
16020
47
2315047E
DRESS/DEBRID P-THICK BURN S
16020
47
2315048
REMOVAL OF FOREIGN BODY
20520
127
2315048E
REMOVAL OF FOREIGN BODY
20520
127
2315049
DRAIN/INJECT JOINT/BURSA
20610
42
2315049E
DRAIN/INJECT JOINT/BURSA
20610
42
2315050
RESET DISLOCATED JAW
21480
30
2315050E
RESET DISLOCATED JAW
21480
30
2315051
TREAT CLAVICLE DISLOCATION
23545
259
2315051E
TREAT CLAVICLE DISLOCATION
23545
259
2315052
TREAT HUMERUS FRACTURE
23605
358
2315052E
TREAT HUMERUS FRACTURE
23605
358
2315053
TREAT SHOULDER DISLOC WO/ANEST
23650
245
2315053E
TREAT SHOULDER DISLOC WO/ANEST
23650
245
2315054
TREAT SHOULDER DISLOC W/ANESTH
23655
337
2315054E
TREAT SHOULDER DISLOC W/ANESTH
23655
337
2315055
TREAT DISLOCATION/FRACTURE
23665
334
2315055E
TREAT DISLOCATION/FRACTURE
23665
334
2315056
TREAT DISLOCATION/FRACTURE
23675
425
2315056E
TREAT DISLOCATION/FRACTURE
23675
425
2315057
TREAT HUMERUS FRACTURE
24565
410
2315057E
TREAT HUMERUS FRACTURE
24565
410
2315058
TREAT ELBOW DISLOCATION
24600
287
2315058E
TREAT ELBOW DISLOCATION
24600
287
2315059
TREAT ELBOW DISLOCATION
24640
82
2315059E
TREAT ELBOW DISLOCATION
24640
82
2315060
TREAT RADIUS FRACTURE
24655
336
2315060E
TREAT RADIUS FRACTURE
24655
336
2080839
COROENT LO 12X10X25MM 5
2874
2080840
RELINE MAS SCREW 6.5X40MM 2C
708
2080841
RELINE MAS SCREW 6.5X45MM 2C
708
2080842
RELINE LOCK SCREW 5.5MM OPEN T
102
2080843
RELINE MAS TI ROD 5.5X45MM LOR
252
2080844
RELINE MAS TI ROD 5.5X40MM LOR
252
2080845
RELINE MAS SCREW 6.5X35MM 2C
708
2080846
X-CORE MINI 25-40MM 012MM
3780
2080847
ARCHON PLATE 60M 3-LEVEL
957.6
2080848
TRIAD CC ALLOGRAFT 9X11X14MM
900
2080849
ARCHON PLATE 24M 1-LEVEL
957.6
2080850
ARCHON SCREW 4.5X13MM SELF-TAP
150
2080851
ARCHON PLATE 46M 2-LEVEL
957.2
2080852
XLP BOLT 5.5MM X 45MM
234
2080853
RELINE MAS SCREW 6.5X50MM 2C
708
2080854
LEAD KIT 1 X 8 977D260 MEDTRON
1200
2080855
MULTI-LEAD TRIALING CAB 355531
216
2080856
IMPLANT NEUROSTIMULATO MN10200
16800
2080857
50CM SLIM TIP LEAD MN10450-50A
2400
2080858
PATIENT CONTROLLER MN 10600-02
2400
2080859
MASTERGRAFT MATRIX EXT 10CC
1140
2080860
CLYDESDALE CAGE 6 X 10 X 55
2400
2080861
TRIAD CC ALLOGRAFT 8X11X14MM
900
2080862
TRIAD CC ALLOGRAFT 7X11X14MM
807.6
2080863
ARCHON ACP 56MM 3-LEVEL
955.2
2080864
SELF DRILLING SCREW 4X13MM
283.2
2080865
COROENT XL 10X18X50MM 10
2874
2080866
RELINE MAS TI ROD 5.5X70MM
252
2080867
OSTEOCEL PLUS CELLULAR B/M10CC
3780
2080868
RELINE MAS NITINOL K-WIRE
180
2080869
ARCHON PLATE 36M 2-LEVEL
957.6
2080870
ARCHON SCREW 4.0X15MM SELF DRI
150
2080871
VUEPOINT II SCREW MA *581860*
702
2080872
PRODIGY MRI REF (3772)
17250
2080873
EPIDUCER (3186) ST JUDE
600
2080874
RELINE MAS TI ROD 5.5X35MM LOR
252
2080875
RELINE MAS TI ROD 5.5X75MM
252
2080876
ARCHON PLATE 22M 1-LEVEL
957.6
2080877
COROENT XL WIDE 8X18X55MM
2874
2080878
RELINE MAS TI ROD 5.5X75MM LOR
252
2080879
COROENT XL WIDE 12X22X55MM
2874
2080880
KURVE VERTEBROPLASTY KIT
2280
2080881
LEAD KIT 1 X 8 977A290 MEDTRON
1740
2080882
TRIAD CC ALLORGRFT 10X11X14MM
900
2080883
ARCHON PLATE 64M 3-LEVEL
957.6
2080884
RELINE MAS SCREW 7.5X45MM 2C
708
2080885
RELINE MAS TI ROD 5.5X60MM LOR
252
2080886
NVM5 NEEDLE MODULE
1794
2080887
ARCHON PLATE 44M 2-LEVEL
957.6
2080888
COROENT LO 10X10X35MM 5
2874
2080889
RELINE MAS TI ROD 5.5X110MM
252
2080890
LEAD KIT 1 X 8 977A275 MEDTRON
1740
2080891
RESTOREULT RECHARGE NEUR 97712
11400
2080892
EPIDUCER (1772) ST JUDE
360
2080893
WIRELESS EXTERNAL NEURO 97725
216
2080894
COHERE CERVICAL CAGE 12X14X10M
1260
2080895
RELINE MAS TI ROD 5.5X140MM LO
252
2080896
CO ROENT LO 14X10X35MM 5
2874
2080897
ACDF 1 LEVEL
6600
2080898
VUEPOINT II ROD 3.5 X 120 MM
5670
2080899
X-CORE MINI ENCAP 014
246
2080900
PROCLAIM ABBOTT-REF 3664
15618
2080901
IMPLANT LEAD KIT 50CM ABBOTT
2400
2080902
DUET-DRAINAGE SYSTEM
730
2080903
XLP BOLT 5.5MM X 55MM
234
2080904
KYPHON KURVE
2280
2080905
PATIENT PROGRAMMER (37642)
1194
2080906
INTERLOCK HL 8X17X14MM 10
1260
2080907
ARCHON SCREW 4.0X17MM SELF-TAP
150
2080908
ARCHON PLATE 26M 1-LEVEL
957.6
2080909
RELINE MAS TI ROD 5.5X160MM LO
252
2080910
RELINE MAS SCREW 5.5X40MM 2C
708
2080911
TRAJECTORY GUIDE KIT
2520
2080912
BIOPSY NEEDLE KIT PASSIVE
1340
2080913
RELINE MAS TI ROD 5.5X65MM LOR
252
2080914
INTEL ADAPTIVSTIM SURESCAN IPG
11400
2080915
PATIENT CONTROLLER 97745
1194
2080916
CO ROENT LO 12X10X35MM 5
2874
2080917
CO ROENT XL WIDE 12X22X55MM LO
2874
2080918
EPIDUCER (1773 ST JUDE
600
2080919
ACTIVA RC DBS NEUROSTIMULATOR
32280
2080920
KYPHON HV-R BONE CEMENT BUNDLE
3600
2080921
SLIM TIP DRG (MN10450-50A)
1200
2080922
PROCLAIM ABBOTT-REF 3660
15000
2080923
PROCLAIM PAT CONT CCQWW1ABGGNK
2400
2080924
CO ROENT LO 10X10X30MM 5
2874
2080925
PROCLAIM PAT CONT CCQWT1MPGGNK
1182
2080926
PROCLAIM PAT CONT CCQXV2DYGGNK
1182
2080927
PROCLAIM PAT CONT CCQXV26BGGNK
1182
2080928
KIT VERTEBROPLASTY CUR 13 GA
2280
2080929
PROCLAIM PAT CONT CCQXV4F9GGNK
1182
2080930
NDI PASSIVE SPHERES
190
2080931
PROCLAIM PAT CONT CCQWX16YGGNK
1182
2080932
PROCLAIM PAT CONT CCQWX2ENGGNK
1182
2080933
PROCLAIM PAT CONT CCQWX1QZGGNK
1182
2080934
LAMITRODE
5040
2080935
EPIDUCER
600
2080936
PROCLAIM PAT CONT CCQWX1WVGGNK
1182
2080937
PROCLAIM PAT CONT CCQWX1J4GGNK
1182
2080938
PROCLAIM PAT CONT CCQWX2AEGGNK
1182
2080939
PROCLAIM PAT CONT CCQXM7VZGGNK
1182
2080940
PROCLAIM PAT CON SCCQXMAC5GGNK
1182
2080941
PROCLAIM PAT CON SCCQXMF3GGGNK
1182
2080942
PROCLAIM PAT CON SCCQXN010GGNK
1182
2080943
PROCLAIM PAT CON SCCQXQ4LJGGNK
1182
2100001
PATIENT KIT-PEDIATRIC
12
2100002
PATIENT KIT-ADULT
12
2100003
HEALON GV 0.85 ML US
70
2100024
WRIST RESTRAINTS
4.23
2100025
BEAVER BLADES
7.6
2100027
CORD CLAMPS
1.14
2140430
SILK 6-0 765
14.18
2140431
SILK 3-0 C003 D
18.08
2140432
SURGICUT 7-0 1745/2797
32.56
2140433
SURGILINE 6-0 361011
6.36
2140435
VICRYL 2-0 306
7.5
2140436
CHROMIC 3-0 L-112
5.4
2140437
CHROMIC 3-0 810H
4.62
2140438
SILK 0-1159-62
16.3
2140439
ETHIBOND EXCEL SW 110
85.5
2140440
ETHIBOND EXCEL SW 100
99
2140441
ENDOSUTURE ASSISTANT
319
2140442
OPTICAL TROCAR
288
2140443
ENDOGIA ROTICULATOR INSTRUMENT
527
2140444
ENDOGIA ROTICUL30-3.5LOAD UNIT
519
2140445
ENDOGIA ROTICUL45-2.5LOAD UNIT
519
2140446
ENDOGIA ROTICUL45-3.5LOAD UNIT
519
2140447
VICRYL 1-J 341
6.5
2140448
VICRYL 4-0-J 422
7.7
2140449
SILK 4-0 1035-31
7
2140451
CHROMIC 2-0 173
23.14
2140452
ETHILON 5-0 661-H
6.05
2140453
SURGIDAC 0 CD 10
43.61
2140454
SILK 2-0 685
4.71
2140455
SILK 2-0 305
7.38
2140456
SILK 4-0 683 1074-31
4.62
2140457
NYLON 10 1718
28.1
2140458
NUROLON 2-0 542
22
2140459
PROXMATE 1LS CDH25
606
2140460
PROXIMATE 1LS CDH29
606
2140461
PROXIMATE 1LS CDH33
606
2140462
FILSHIE CLIP
162.75
2140463
INT STAPLING TLC 55
273.32
2140464
PLAIN--1915 G
15.75
2140465
PLAIN--1916 G
13.83
2140466
ETHIBOND--X558
14.58
2140467
SURGIPRO VP-523
54
2140468
ENDO BABCOCK
299
2140469
PROTACK 5MM
598.5
2140470
STERNOTOMY WIRE 2 SUT
23.25
2140471
STERNOTOMY WIRE 4 SUT
46.5
2140472
STERNOTOMY DOUBLE W.
186.75
2140473
MYO WIRE 025-200 TCPW
28.33
2140474
CHROMIC 4-0 635
3.9
2140475
PROLENE 3-0 8684
7.11
2140476
SILK 8-0 7736
26.52
2140477
MERSILENE R522
57.46
2140478
CHROMIC 0-812
4.29
2140479
PROLENE 1-8425
7.6
2140480
LINEAR STAPPLER TLH60
466.66
2140481
ENDO RED CAPS 5M-12M
21.15
2140482
MAIN ZIP 4.5MM #5
250
2140483
MAIN ZIP 2.7MM #0
250
2140484
MAIN ZIP 3.5MM #2
250
2140485
ENDOPATH TROCAR 10X11
230.82
2140486
ENDO PATH TROCAR 5MM
153.75
2140487
LINEAR CUTTER TVR 55
178.95
2140488
ER 320
250
2140489
TX 30B
306
2140490
AX 55B
793.32
2140491
VERSAPORT PLUS 5MM
122.1
2140492
END SEAL 5MM
16.92
2140493
VERSAPORT PLUS V2
184.66
2140494
TROCAR TEC 18MM
240
2140495
NEZHAT DORSEY T-VALVE
99.82
2140496
PROXIMATE TRT 55
225
2140497
SURGIPRO VP 744
77
2140498
ETHIBON MX 927
85.37
2140499
ETHIBON MX 944
80.45
2140500
ENDOSTICH SURGIDAC O
54.25
2140501
ENDOSTICH SUTURE DEVICE
432
2140502
ENDO GIA 30-2.5
393
2140503
ETHIBOND C X 41
53
2140504
ETHIBOND C X 42
53
2140505
ETHIBOND C X 45
50.8
2140506
ETHIBOND C X 46
53
2140507
ETHIBOND X 517
11
2140508
ETHIBOND X 518
11
2140509
ETHIBOND X 519
11
2140510
MONOCRYL Y 493
17.11
2140511
MONOCRYL Y 935
15.98
2140512
MONOCRYL Y 936
17.33
2140513
PDS Z 359
10.86
2140514
ETHIBOND EXCEL SW 120
105
2140515
PDS Z 339
8.72
2140516
PROLENE 8842
18
2140517
PROLENE 8897
17
2140518
PROLENE 8629
8
2140519
PROLENE 8425
9
2140520
SILK 621
6
2140521
SILK CO 41
18.25
2140522
SILK SA 64
3.58
2140523
SILK SA 65
3.5
2140524
SILK SA 73
7
2140525
CHROMIC IL 115G
0
2140526
TA PREMIUM 55-3.5
222.5
2140527
TA PREMIUM 90-3.5
290
2140528
TA PREMIUM 90-4.8
290
2140529
VICRYL J215
9.58
2140530
VICRYL J338
6.85
2140531
VICRYL J345
7.21
2140532
VICRYL J358
7.71
2140533
VICRYL J441
7.14
2140534
VICRYL J442
7.34
2140535
VICRYL RAPID VR932
17.63
2140536
SURGI WAND #2
225
2140537
SOFSILK S-2752
66.75
2140538
MONOCRYL Y523
9.5
2140539
ENDOCATCH
197.5
2140540
ETHIBOND EXCEL 5 MB46G
58.78
2140541
PRELOAD RC5 5.0MM TI SUTUR ANC
590
2140542
PROLENE 3-0 8872
6
2140543
MERSILINE 5MM RS21
57.74
2140544
ULTRA CIS. HARMONIC SCAIPEL
1038
2140545
ENDO SHEARS SUTURE
272.5
2140546
SCB-45 FLEX LINEAR CUTTER
946
2140547
TR-45 W RELOADING UNIT
325.75
2140548
TR-45 B RELOADING UNIT
380
2140549
ENDOSCOP ARTICUL LINEAR CUTTER
1103
2140550
ENDOSCO CURVED INTRLUMIN STAPL
1164
2140551
ENDOSCO CURV SCISS/MONOPO CAUT
275
2140552
ELECTRO PROBE POOL/SUMP SHAFTS
195
2140553
ELECTRO PROBE PNCIL HAND CNTRL
300
2140554
LIGASURE
795
2140555
LIGASURE XTD(ELEC/CORD)
400
2140556
VASCUFIL 6-0 4756-11 V
37.92
2140557
VASCUFIL 5-0 4710-21 V
30
2140558
VASCUFIL 6-0 4710-11 V
30
2140559
ETHIBOND X 412
7.71
2140560
MONOCRYL Y 215
9
2110405
MALEOLLAR SCREW 4.5 X 50MM
16.3
2110406
MALEOLLAR SCREW 4.5 X 55MM
17.1
2110407
MALEOLLAR SCREW 4.5 X 60MM
17.1
2110408
MALEOLLAR SCREW 4.5 X 65MM
17.4
2110409
MALEOLLAR SCREW 4.5 X 70MM
17.4
2110410
IC-LOCKING SCRW D5XL55(640056)
120
2110411
IC-LOCKING SCRW D5XL60(640057)
120
2110412
IC-LOCKING SCRW D5XL50(640075)
120
2110413
IC-COMP SCREW LONG D5(640302)
150
2110414
IC-RET/ANT.FEMD14XL380(640636S
1400
2110415
IC-N DIST FR D10XL360(380022S)
1200
2110416
IC-LOCKSCR W/SHFTD5XL45(375045
120
2110417
IC-COMPRESSION SCREW (375000)
120
2110418
GAM SCR LSCREWD8XL27(12060022S
150
2110419
GAMSCR LGSCRWD12/LXX(120712XXX
400
2110420
GAM TROD11XL180/130D(120411305
1500
2110421
IM HIPSCRSLV(HN1200-SMITH&NEPH
190
2110422
SCREW 2.7 X 18MM
160
2110423
SCREW 2.7 X 20MM
160
2110500
PLACA TERCIO DE TUBO3ORIFICIOS
28.6
2110501
PLACA TERCIO DE TUBO4ORIFICIOS
32.6
2110502
PLACA TERCIO DE TUBO5ORIFICIOS
26.6
2110503
PLACA TERCIO DE TUBO6ORIFICIOS
40.1
2110504
PLACA TERCIO DE TUBO7ORIFICIOS
43.2
2110505
PLACA TERCIO DE TUBO8ORIFICIOS
46.8
2110506
PLACA ACP 3X9MM 6 AGUJEROS
110.4
2110507
PLACA ACP 3X9MM 8 AGUJEROS
124.8
2110508
PLACA ACP 3X9MM 10 AGUJEROS
152.3
2110509
PLACA ACP 2X11MM 6 AGUJEROS
69.2
2110510
PLACA ACP 2X11MM 7 AGUJEROS
60.6
2110511
PLACA ACP 2X11MM 8 AGUJEROS
72.1
2110512
PLACA ACP RADIO DISTAL 3 ORIFI
99.9
2110513
PLACA ACP RADIO DISTAL 4 ORIFI
109.8
2110514
PLACA ACP ANCHA DE 8 ORIFICIOS
127.4
2110515
PLACA ACP ANCHA DE 9 ORIFICIOS
135.1
2110516
PLACA ACP ANCHA DE 10ORIFICIOS
141.9
2110517
PLACA ACP ANCHA DE 10ORIFICIOS
149.1
2110518
PLACA ACP ANCHA DE 11ORIFICIOS
156.2
2110519
PLACA ACP ANCHA DE 12ORIFICIOS
163.4
2110520
PLACA ACP ANCHA DE 13ORIFICIOS
205
2110521
PLACA ACP ESTRECHA 6 ORIFICIOS
95.7
2110522
PLACA ACP ESTRECHA 6 ORIFICIOS
113.7
2110523
PLACA ACP ESTRECHA 8 ORIFICIOS
118.4
2110524
PLACA ACP ESTRECHA 8 ORIFICIOS
124.6
2110525
PLACA ACP ESTRECHA 9 ORIFICIOS
126.1
2110526
PLACA ACP ESTRECHA 10ORIFICIOS
127.4
2110527
PLACA ACP ESTRECHA 11ORIFICIOS
152.1
2110528
PLACA ACP ESTRECHA 12ORIFICIOS
179.6
2110529
PLACA ACP ESTRECHA 13ORIFICIOS
190.2
2110530
PLACA SEMI-TUBULAR 4 ORIFICIOS
35.8
2110531
PLACA SEMI-TUBULAR 5 ORIFICIOS
40.1
2110532
PLACA SEMI-TUBULAR 6 ORIFICIOS
43.7
2110533
PLACA SEMI-TUBULAR 7 ORIFICIOS
46.8
2110534
PLACA EN ""T"" CON 4 ORIFICIOS
174.2
2110535
PLACA EN ""T"" CON 6 ORIFICIOS
184.4
2110536
PLACA EN ""T"" CON 8 ORIFICIOS
196.9
2110537
PLACA ""T"" DE SOPORTE4ORIFICI
275
2110538
PLACA ""L"" 4 ORIFICIOS RIGHT
264
2110539
PLACA ""L"" 4 ORIFICIOS LEFT
264
2110540
S3-D PLATTE2X2+2LOCH(57-05297)
333.9
2110541
FIX CRUCI TIBIAL(14123X BIOMET
900
2110542
SID BARREL PLATE 4HOLE(8315-35
700
2110600
MERIDIAL FEMOR STERN6265-0-0XX
3200
2110601
RELIANCE FEMOR STERN6265-2-00X
1350
2110602
CITATION FEMORAL STERN
3200
2110603
FEMOR STERN CNTRLIZR6259-8-1X0
60
2110604
ODC FEMORAL STERN 6070-0XX
970
2110605
HNR REVIS FEMOR COMP6257-0-XXX
3200
2110606
V40 FEMORAL HEAD 6264-X-XXX
500
2110607
C-TAPER HEADS 6001-XXXX
500
2110608
C-TAPER CERAMIC HEAD 16-2XXX
600
2110609
UNIVERS BIPOLAR COMP UH1-XX-XX
500
2110610
CENTRAX BIPOLAR COMP6225-X-XXX
960
2110611
VITALOCK SOLID BACK 6302-1-XXX
500
2110612
VITALOCK CLUSTER 6302-1-XXX
500
2110613
SYST12ACETABULA INST5260-X-XXX
300
2110614
TALON ACETABUL SHELL5302-2-XXX
1000
2110615
OMNIFIT ALLPOLY 61-28XX
900
2110616
ACETABULAR SCREWS
90
2110617
ASC PRIM.FEMINTLOC(1790XX BIOM
1350
2110618
S&N FEMORAL CONQUEST (1316509)
814
2110619
S&N FEMORAL HEAD (1302600)
410
2110620
S&N UNI. LINER 38MM (1322638)
208
2110621
S&N SHELL BIPOLAR 40MM (26440)
566
2110622
S&N DISTAL CENTRAL 9 (1313209)
140
2110623
BI-POLAR HEAD (DEPUY)
800
2110624
PREP KIT W/RESTRICTORS
190
2110625
GUIDE WIRE 3.2 MM (ORTHOPEDIC)
150
2110700
DURACON FEMORAL COMP6630-0-XXX
1950
2110701
DURACON TIBI BASEPLT6632-3-XXX
1000
2110702
DURACON TIBIL INSERT6632-1-XXX
600
2110703
DURACON PATELLA 6642-2-1XX
350
2110704
SCORPIO CRUC RET FEMOR70-300XX
1500
2110705
SCORP STABIL FEMOR COMP71300XX
1500
2110706
SCORP TIBIAL BASEPLT 7115-XXXX
1160
2110707
SCORP TIBIAL INSERT 72-2-XXXX
980
2110708
SCORP TIBI INS STABIL72-3-0710
980
2110709
SCORPIO PATELLA 73-2710
350
2110710
ASC PRIM.LIPBEAR(1793XX BIOMET
600
2110800
HUMERAL STERN 5351-4-XXX
2000
2110801
HUMERAL HEAD 5350-4-XXX
1000
2110802
GLENOID COMPONENT 5361-6-XXX
1000
2110803
HIP BARREL PLATE 3362-1-XXX
430
2110804
90MM LEG SCREW 3362-1-XXX
220
2110805
COMPRESSION SCREW 3362-7-XXX
34
2110806
SUPRACONDYLAR PLATE 3362-2-XXX
590
2606438
RAST TIMOTHY GRASS
86003
37
2606439
RAST MOLD MIX
86005
37
2606440
DIHYDROTESTOSTERONE ((DHT)
82642
79
2606441
ANTI RNA POLYMERASE III
83520
119
2606442
RAST OAK T007 Ig E
86003
7.5
2606443
RAST BENTGRASS G009 Ig E
86003
36.4
2606444
RAST EUCALYPTOS T018 Ig E
86003
36.4
2606445
RAST ELM T008 Ig E
86003
36.4
2606446
RAST PIGWEED W014 Ig E
86003
7.5
2606447
RAST WALL PELLITORY W19 Ig E
86003
36.4
2606448
RAST AUREOBASIDIUM PULLULANS
86003
7.5
2606449
RAST BLOMIA TROPICALI D201 IgE
86003
36.4
2606450
RAST MOUSE URINE PROTEINS E072
86003
36.4
2606451
PHOSPHOROUS URINE RANDOM
84105
2
2606452
RAST TROUT
86003
7.5
2606453
RAST SCALLOP
86003
7.5
2606454
DNA TEST FOR CMD TYPE II
81187
2801.5
2606455
DNA TEST FOR CMD TYPE I
81234
817
2606456
TOXOPLASMA GONDII/PCR
87798
727
2606457
RAST BARLEY GRASS
86003
37
2606458
RAST CANARY FEATHERS
86003
37
2606459
MENINGITIS ENCEPHALITIS SPINAL
87483
1350
2606460
ERLICHIA PROFILE DNA PCR
87798
549
2606461
X-LINKED AGAMMAGLOBULINEMIA
81406
2250
2606462
HSV-2 IG G SUPLEMENTAL TEST
86696
85.5
2606463
GLYCOSAMINOGLYCANS UR (GAGS)
83864
225
2606464
RETICULATED PLATELET ASSAY
85055
0
2606465
RETICULOCYTE COUNT
85046
15
2606466
DRUG SCREEN 10 SERUM
80307
330
2606467
DRUG SCREEN 7 SERUM
80307
330
2606468
URINE CREATININE 24HRS
82570
18
2606469
RAST COCKROACH GERMAN
86003
7.5
2606470
IMMATURE PLT FRACTION (IPF)
85032
15
2606471
HFE GENE
81256
157.5
2606472
DRUG ABUSE SCREEN V/URINE
80305
36
2606473
PERIPHERAL SMEAR WRFX-IPF
85008
15
2606474
COLD AGGLUTININ TITER/QUANTITA
86157
20
2606475
ANTI-PL-7
86849
93
2606476
MODIFIED ACID FAST STAIN
87206
169
2606477
ETHOSUXIMIDE (ZARONTIN) SERUM
80168
21
2606478
PANCREATITIS: PRSS1 (FGS)
81404
975
2606479
LDH (CSF)
83615
27
2606480
INTERLEUKIN-6
83520
182.63
2606481
BUN BODY FLUIDS
84520
15
2606482
COVID-19 NASO SOUTHERN PATH/SP
87635
190
2606483
ANTIPHOSPHATIDYLSERINE IgG/M/A
86148
150
2606484
IMMUNOGLOBULIN SUBCLASS IGG
82787
86.5
2606485
HIV 1 P24 AG
87390
64
2606486
ANTI SRP(SIGNAL RECOGNITION PA
83516
360
2606487
STREPTOCOC PNEUMO Ab IgG 23 SE
86317
47.5
2606488
HERPES SIMPLEX I II PCR/FLU/QL
87529
233
2606489
CMV QUALITATIVE PCR FLUIDS
87496
525
2606490
COVID-19 TOMA DE MUESTRA NASO
40
2606491
ANTI PM/SCL-100Ab (RDL)
86235
155
2606492
DEAMINATED GLIADIN Ig A/ Ig G
83516
45
2606493
PYRUVATE KINASE
84220
270
2606494
COVID-19 RAPID TEST EMPLEADOS
86328
0
2606495
HBSAG BY NEUTRALIZ- EXPOSICION
87340
0
2606496
RAST BLOMIA TROPICALIS
86003
36.38
2606497
RAST MOUSE URINE
86003
36.38
2606498
SARS-COV-2 IG G Ab EMPLEADOS
86769
0
2606499
CALCIUM RANDOM URINE
82340
2
2606500
HIV-1 RNA EXPOSICION
87535
0
2606501
CRYPTOCOCCUS ANTIGEN CSF
87899
16
2606502
CRYPTOCOCCU ANTIGEN CSF TITERS
87899
25
2606503
CRYPTOCOCCU ANTIGEN CSF SUSCEP
87899
5
2607010E
CYSTIC FIBROSIS 32 MUTATIONS
437
2607011E
VON WILLEBRAND PROFILE
0
2607012E
URINE AMINO ACID QUANT
0
2607013E
ENTEROVIRUS Ab
0
2607014E
APO &GENOTYPE &INTERPRETATION
0
2607015E
PT 50:50 MIXING STUDY
130
2607016E
HYPERSENSITIVITY PNUMONITIS PA
0
2607017E
INFLUENZA A + B Ab QUANT
0
2607018E
NMR LIPO PROFILE
235
2607019E
INFLAMMATORY BOWEL DISEASE
0
2607020E
ANTIBODY TO ENA
0
2607021E
SULFATIDE AUTO ANTIBODIES
498
2607022E
CMV URINE
0
2607023E
FEBRILE ANTIGENS
0
2607024E
PTT MIXING STUDY
55
2607025E
PT/PTT MIXING STUDY
0
2607026E
FOLATE + VIT B12
18
2607027E
CALCIUM/CREAT RATIO SPOT URINE
10
2607028E
ISLET CELL DYSFUNTION GROUP A
0
2607029E
PHILADELPHIA CHROMOSOME PERIPH
0
2607030E
AFB CULTURE + AFB SMEAR
0
2607031E
CHROMIUM URINE
0
2607032E
ARTHRITIS PROFILE
0
2607033E
CSF PROTEIN IMMUNOELECTOPHORES
214
2607034E
PLATELET AB PROFILE
375
2607035E
HEREDITARY HEMOCHOMATOSIS DNA
0
2607036E
THYROGLOBULIN QN
84
2607037E
MUMPS IgG IgM CSF
196
2607038E
LYMPHOCYTIC CHORIOMENINGITIS
218
2607039E
SEROTONIN RELEASED HEPARIN AB
718
2607040E
FACTOR V INHIBITOR PROFILE
469
2607041E
PROTEIN/CREAT RATIO SPOT URINE
20
2607042E
URINE OROTIC ACID
0
2607043E
HOMOVANILLIC ACID
61
2607044E
LYME WESTERN BLOT CSF
98
2607046E
T + B LYMPHOCYTE PROFILE
0
2607047E
AMYLASE ISOENZYMES SERUM
0
2607048E
ALUMINUM URINE
120
2607049E
ALPHA FETOPROTEIN PLUS 4
196
2607050E
CHROMOSOME AND FRAGILE X DNA
1325
2607051E
BORDETELLA PERTUSISIS AbIgGIgM
0
2607052E
ASPERGILLUS Ab QUANT DID
37
2607053E
ADH LEVELS
411
2607054E
APOLIPOPROTEIN A + B
0
2607055E
LEUKEMIA/LYMPHOMA PANEL
1877.8
2315061
TREAT FRACTURE OF RADIUS
25520
453
2315061E
TREAT FRACTURE OF RADIUS
25520
453
2315062
TREAT FRACTURE RADIUS/ULNA
25605
435
2315062E
TREAT FRACTURE RADIUS/ULNA
25605
435
2315063
DRAINAGE FINGER ABSCESS SIMPLE
26010
117
2315063E
DRAINAGE FINGER ABSCESS SIMPLE
26010
117
2315064
DRAINAGE FINGER ABSCESS COMPLI
26011
157
2315064E
DRAINAGE FINGER ABSCESS COMPLI
26011
157
2315065
REPAIR/GRAFT FINGER TENDON
26420
576
2315065E
REPAIR/GRAFT FINGER TENDON
26420
576
2315066
REPAIR HAND JOINT
26540
536
2315066E
REPAIR HAND JOINT
26540
536
2315067
TREAT METACARPAL FRACTURE
26605
243
2315067E
TREAT METACARPAL FRACTURE
26605
243
2315068
TREAT KNUCKLE DISLOCATION
26700
260
2315068E
TREAT KNUCKLE DISLOCATION
26700
260
2315069
TREAT FINGER FRACTURE EACH
26725
255
2315069E
TREAT FINGER FRACTURE EACH
26725
255
2315070
TREAT FINGER FRACTURE EACH
26742
282
2315070E
TREAT FINGER FRACTURE EACH
26742
282
2315071
TREAT FINGER DISLOCAT WO/ANEST
26770
218
2315071E
TREAT FINGER DISLOCAT WO/ANEST
26770
218
2315072
TREAT FINGER DISLOCAT W/ANESTH
26775
289
2315072E
TREAT FINGER DISLOCAT W/ANESTH
26775
289
2315073
TREAT HIP SOCKET FRACTURE
27222
847
2315073E
TREAT HIP SOCKET FRACTURE
27222
847
2315074
TREAT THIGH FRACTURE
27232
668
2315074E
TREAT THIGH FRACTURE
27232
668
2315075
TREATMENT OF THIGH FRACTURE
27502
672
2315075E
TREATMENT OF THIGH FRACTURE
27502
672
2315076
TREAT KNEECAP DISLOCATION
27560
282
2315076E
TREAT KNEECAP DISLOCATION
27560
282
2315077
TREATM DISTAL FIBULAR FRACTURE
27788
326
2315077E
TREATM DISTAL FIBULAR FRACTURE
27788
326
2315078
TREAT BIMALLEOLAR ANK FRACTURE
27810
362
2315078E
TREAT BIMALLEOLAR ANK FRACTURE
27810
362
2315079
TREATMENT TALUS FRACTURE
28435
248
2315079E
TREATMENT TALUS FRACTURE
28435
248
2315080
TREAT BIG TOE FRACTURE
28495
128
2315080E
TREAT BIG TOE FRACTURE
28495
128
2315081
TREATMENT OF TOE FRACTURE
28515
121
2315081E
TREATMENT OF TOE FRACTURE
28515
121
2315082
TREAT FOOT DISLOCATION
28545
216
2315082E
TREAT FOOT DISLOCATION
28545
216
2315083
TREAT TOE DISLOCATION
28630
99
2315083E
TREAT TOE DISLOCATION
28630
99
2315084
TREAT TOE DISLOCATION
28660
79
2315084E
TREAT TOE DISLOCATION
28660
79
2315085
APPLICATION OF FIGURE EIGHT
29049
60
2315085E
APPLICATION OF FIGURE EIGHT
29049
60
2315086
APPLICATION OF FOREARM CAST
29075
54
2315086E
APPLICATION OF FOREARM CAST
29075
54
2315087
APPLY HAND/WRIST CAST
29085
58
2315087E
APPLY HAND/WRIST CAST
29085
58
2315088
APPLY FINGER CAST
29086
44
2315088E
APPLY FINGER CAST
29086
44
2315089
APPLY LONG ARM SPLINT
29105
53
2315089E
APPLY LONG ARM SPLINT
29105
53
2315090
APPLY FOREARM SPLINT STATIC
29125
34
2315090E
APPLY FOREARM SPLINT STATIC
29125
34
2315091
APPLY FOREARM SPLINT DYNAMIC
29126
43
2315091E
APPLY FOREARM SPLINT DYNAMIC
29126
43
2315092
APPLICATI FINGER SPLINT STATIC
29130
27
2315092E
APPLICATI FINGER SPLINT STATIC
29130
27
2315093
APPLICAT FINGER SPLINT DYNAMIC
29131
30
2315093E
APPLICAT FINGER SPLINT DYNAMIC
29131
30
2315094
APPLICATION OF LONG LEG CAST
29345
88
2315094E
APPLICATION OF LONG LEG CAST
29345
88
2315095
APPLICATION OF LONG LEG CAST
29355
94
2315095E
APPLICATION OF LONG LEG CAST
29355
94
2315096
APPLICATION CYLINDER CAST
29365
76
2315096E
APPLICATION CYLINDER CAST
29365
76
2315097
APPLY SHORT LEG CAST
29405
53
2315097E
APPLY SHORT LEG CAST
29405
53
2315098
APPLY SHORT LEG CAST
29425
50
2315098E
APPLY SHORT LEG CAST
29425
50
2315099
APPLICATION LONG LEG SPLINT
29505
44
2315099E
APPLICATION LONG LEG SPLINT
29505
44
2315100
APPLICATION LOWER LEG SPLINT
29515
45
2315100E
APPLICATION LOWER LEG SPLINT
29515
45
2315101
REMOVE NASAL FOREIGN BODY
30300
105
2315101E
REMOVE NASAL FOREIGN BODY
30300
105
2315102
CONTROL OF NOSEBLEED
30901
53
2315102E
CONTROL OF NOSEBLEED
30901
53
2315103
NASAL ENDOSCOPY DX
31231
60
2315103E
NASAL ENDOSCOPY DX
31231
60
2315104
INSERT EMERGENCY AIRWAY
31500
106
2315104E
INSERT EMERGENCY AIRWAY
31500
106
2315105
LARYNGOSCOPY W/FB REMOVAL
31530
182
2315105E
LARYNGOSCOPY W/FB REMOVAL
31530
182
2315106
INSERTION OF CHEST TUBE
32551
161
2315106E
INSERTION OF CHEST TUBE
32551
161
2315107
ASPIRATE PLEURA W/O IMAGING
32554
87
2315107E
ASPIRATE PLEURA W/O IMAGING
32554
87
2315108
REPAIR BLOOD VESSEL LESION
35226
765
2315108E
REPAIR BLOOD VESSEL LESION
35226
765
2315109
REMOVAL FOREIGN BODY MOUTH
40804
114
2315109E
REMOVAL FOREIGN BODY MOUTH
40804
114
2315110
REPAIR TONGUE LACERATION
41250
135
2315110E
REPAIR TONGUE LACERATION
41250
135
2315111
REMOVE PHARYNX FOREIGN BODY
42809
118
2315111E
REMOVE PHARYNX FOREIGN BODY
42809
118
2315112
TX GASTRO INTUB W/ASP
43753
21
2315112E
TX GASTRO INTUB W/ASP
43753
21
2115010
GAMMA LAG SCREW
570
2115011
GAMMA LOCKING SCREW
282
2115012
LONG NAIL KIT
1440
2115013
GAMMA GUIDE WIRE
277
2115014
TOMCAT 4.0
600
2115015
SLOTTED 4.0 MM
600
2115016
SERFAS 50-S 3.5 MM
259.2
2115017
ABDUCTION PILLOW
69.96
2115018
BIPOLAR LINER 50/51/52MM OD
522
2115019
BIPOLAR SHELL 52MM OD
1500
2115020
BONE CEMENT
333
2115021
BONE INJECTOR
2115022
COMPRESSION SCREW
215.54
2115023
CONTRAVAC
180
2115024
CORTICAL SCREWS
84
2115025
DISTAL CENTRALIZER
120
2115026
12/14 COCR FEMORAL HEAD 28MM
924
2115027
VERSYS FM TAPER 14X135MM STD
1836
2115028
FLEXIBLE NOZEL
2115029
GLENOID
2115030
NEXGEN LCCK ART SURF CD1-2/STR
1800
2115031
HUMERAL STEM
1530
2115032
INTERPULSE
190.8
2115033
DISPOSA MIXING BOWLS W SPATULA
31.8
2115034
PREPARATION KIT
245.5
2115035
PREPARATION KIT & BONE PLUG
2115036
PRESS FIT STEM
1560
2115037
PULSAVAC
307
2115038
GAMMA TROCHANTERIC NAIL
2187
2115039
TUBE PLATE
2840.83
2115040
COMPACT VACUUM CEMENT MIX SYST
180
2115041
NEXGEN ALL POLY PATELLA
190.8
2115042
NEXGEN LPS-FLEX ART SURF CD
777.41
2115043
BIPOLAR HIP
2115044
NEXGEN LCCK FEM D-LT
4962.96
2115045
CORTICAL SCREWS 30MM
84
2115046
CORTICAL SCREW 35MM
156
2115047
CORTICAL SCREWS 4.5 X 36MM
31.82
2115048
CORTINAL SCREWS 4.5 X 38MM
32.05
2115049
LPS-FLEX GSF OPTION FEMORAL
2208
2115050
T2 FEMORAL NAIL
2238.72
2115051
GAMMA SYSTEM
2115052
NEXGEN PRECOAT AGMT BLOCK POST
1080
2115053
HEADED SCREW
220.8
2115054
K WIRE
90
2115055
LAG SCREW 85MM
420
2115056
LAG SCREW 90MM
420
2115057
NEXGEN DISTAL AGMT BLOCK
1080
2115058
NAIL CAP
480
2115059
PULSA VAC PLUS
1200
2115060
SAGITTAL BLADE 18.0MM
150
2115061
NEXGEN PRECOAT STEMMED TIBIAL
1454.59
2115062
KNEE INMOBILIZER
69.6
2115063
HUMERAL NAIL
2124
2115064
BUILD-UP (REVISION/CALCAR)
1170
2115065
PLACA
2040
2115066
SCREW 4.5
266.4
2115067
CANNULADO 7.0
300
2115068
ALLOGRAFT PASTE 10CC
1320
2115069
PLATE
1997
2115070
SCREW 3.5 / 4.0
120
2115071
CANCELLOUS CUBES 15 CC
1020
2115072
ARANDELA
76.32
2115073
INMOVILIZER
69.96
2115074
STEM EXTENSION
1121.87
2115075
VERSYS FM TAPER 15X140MM STD
1836
2115076
DISTAL FEMORAL BLOCK
150
2115077
NEXGEN TAPER PLUG
182.6
2115078
T2 TIBIAL NAIL 12MMX330MM
2238.72
2115079
GAMMA3 TROCHANTERIC NAIL
2318.59
2115080
PLATE HOLE
409.5
2115081
CANCELLOUS 3.5MM
69.6
2115082
CANNULATED 4.0
156
2115083
CANNULATE 5.0/6.5MM
312
2115084
BONE SCREW 25MM
178
2115085
CANNULATE SCREW #40
312
2115086
WASHERS
72
2115087
COMPRESSION LAG SCREW
277
2115088
COMPRESSION TUBE/PLATE
1089
2115089
4.0MM X 26 CANCELLOUS SCREW
150
2115090
PINES
60
2115091
CONSTAVAC CBC II
190.8
2115092
CANNULATED SCREW #65
312
2115093
CANNULATED SCREW #75
312
2115094
PEEK ZIP ANCHOR NEEDLES
600
2115095
CANNULATED SCREW FULL TREADED
312
2115096
BONE CEMENT ANTIBIOTIC
237.6
2115097
CANNULATE SCREW 6.5MM
312
2115098
SCREW 5.0
266.4
2115099
CABLE SLEEVE SET
318
2115100
EASY CLIP
660
2115101
ANTIBIOTIC SIMPLEX
108
2115102
SAGITAL BLADE 13.0MM
150
2115103
7 HOLES PLATE
409.5
2115104
DBM PUTTY 10ML
3823.2
2115105
SCREW 6.5
266.4
2115106
FEMORAL STEM CEMENTED
2182.32
2115107
LOCKING PEG
105
2115108
BONE SCREW
63.5
2115109
FORCE FIBER
74.38
2115110
CANCELLOUS 15ML
1119.36
2115111
PLATE 3 HOLE
2116.6
2115112
CORTICAL SCREW 3.5
282.39
2115113
PEEK ZIP ANCHOR 5.5MM
583.38
2115114
BARREL BUR
336.56
2115115
AGGRESSIVE PLUS
336.56
2115116
SERFAS ENERGY 30-S
641.08
2115117
CANNULA 8.0
152.64
2115118
FLEXIBLE NEEDLE
473.18
2115119
3.5MM CORTINAL SCREW X 26
282.38
2115120
4.0 LOCKING SCREW
282.38
2115121
SERFAS ENERGY 90.S
300
2115122
SERFAS ENERGY 50.S
641.08
2115123
CANULA 6.5
144
2115124
CANULA 8.0
144
2115125
CANNULADOS SCREW 7.0
360
2115126
PLATE 8 HOLES
434.06
2115127
CANCELLOUS SCREWS
74.78
2115128
PLATE 4 HOLES
2116.6
2115129
4.0MM LOCKING SCREW
282.38
2115130
3.5MM CORTICAL SCREW
84
2115131
NEXGEN LPS-FLEX ART SURF EF
777.41
2115132
VERSYS FM TAPER 11X120MM STD
678
2115133
BIPOLAR SHELL 46MM OD
678
2115134
BIPOLAR LINER 44/45/46MM OD
522
2115135
VERSYS FM TAPER 12X125MM STD
1836
2115136
BIPOLAR SHELL 48MM OD
678
2115137
NEXGEN LPS-FLEX OPTION FEMORAL
2208
2040330
STABIL GWIRE SUPR SFT.14X180CM
435
2040331
STABIL GUIDEWIRE SOFT.14X180CM
375
2040332
XXL BALLN CATH14MMX4CMX75CM
1263
2040333
BLUE MAX BALLOON 5X2X75CM
1011
2040334
BLUE MAX BALLOON 5X4X75CM
1011
2040335
BLUE MAX BALLOON 5X10X75CM
1011
2040336
BLUE MAX BALLOON 6X2X75CM
1011
2040337
BLUE MAX BALLOON 6X4X75CM
1011
2040338
BLUE MAX BALLOON 6X10X75CM
1011
2040339
SYMMETRY BALLOON 1.5X10X90CM
1395
2040340
SYMMETRY BALLOON 2.5X10X90CM
1176
2040341
SYMMETRY BALLOON 3X4X90CM
1395
2040342
SYMMETRY BALLOON 3X10X90CM
1176
2040343
SYMMETRY BALLOON 3.5X4X90CM
1395
2040344
SYMMETRY BALLOON 3.5X10X90CM
1176
2040345
SYMMETRY BALLOON 4X4X90CM
1176
2040346
SYMMETRY BALLOON 1.5X2X135CM
1239
2040347
SYMMETRY BALLOON 1.5X4X135CM
1395
2040348
SYMMETRY BALLOON 1.5X10X135CM
1239
2040349
SYMMETRY BALLOON 2.5X4X135CM
1239
2040350
SYMMETRY BALLOON 2.5X10X135CM
1239
2040351
SYMMETRY BALLOON 3X10X135CM
1239
2040352
SYMMETRY BALLOON 3.5X4X135CM
1239
2040353
SYMMETRY BALLOON 3.5X10X135CM
1239
2040354
CONTOUR EMBOLIZ 250-355MICRONS
312
2040355
CONTOUR EMBOLIZ 150-250MICRONS
312
2040356
COIL FIBERD PLATINUM 3MM/20MM
180
2040357
ULTRA THIN DIAMOND 3X4X120CM
1020
2040358
ULTRA THIN DIAMOND 3X10X120CM
1050
2040359
ULTRA THIN DIAMOND 3X10X75CM
813
2040360
ULTRA THIN DIAMOND 4X4X75CM
966
2040361
ULTRA THIN DIAMOND 4X4X120CM
858
2040362
ULTRA THIN DIAMOND 5X10X120CM
858
2040363
ULTRA THIN DIAMOND 6X10X120CM
858
2040364
ULTRA THIN DIAMOND 7X10X75CM
966
2040365
ULTRA THIN DIAMOND 7X6X135CM
1020
2040366
ULTRA THIN DIAMOND 8X6X135CM
1020
2040367
GUIDING CATH 8FR RDC1 55CM
300
2040368
GUIDING CATH 8FR STR 55CM
300
2040369
GUIDING CATH 8FR RDC 55CM
345
2040370
GUIDING CATH 8FR CONTRA 1 55CM
345
2040371
GUIDING CATH 7FR RDC(1) 55CM
345
2040372
GUIDING CATH 7FR CONTRA 1 55CM
345
2040373
GUIDING CATH 7FR JVC 55CM
300
2040374
GUIDING CATH 7FR RDC 55CM
345
2040375
GUIDING CATH 8FR MPA-1 90CM
300
2040376
GUIDING CATH 8FR AR-1 100CM
300
2040377
GUIDING CATH 8FR VBL 90CM
300
2040378
GUIDING CATH 8FR AR2 100CM
300
2040379
GUIDING CATH 8FR AL2SH 100CM
300
2040380
GUIDING CATH 7FR JL4SH 100CM
300
2040381
GUIDING CATH 7FR AR2SH 100CM
300
2040382
GUIDING CATH 8FR H STICK 55CM
300
2040383
GUIDING CATH 8FR JR3.5SH 100CM
300
2040384
GUIDING CATH 8FR JR4 SH 100CM
300
2040385
GUIDING CATH 8FR JR3.5SH 100CM
300
2040386
GUIDING CATH 7FR HSTICK 55CM
255
2040387
VSTABRIT INT.GDE7FR CNTR1 55CM
300
2040388
VSTABRITE INT.GUIDE7FR RDC55CM
435
2040389
VISTABRITE INT.GUIDE7FR HS55CM
435
2040390
VSTABRTE INT.GDE8FR CNTR1 55CM
300
2040391
VSTABRITE INT.GUIDE8FR RDC55CM
435
2040392
VSTABRTE INT.GUIDE8FR HS55CM
435
2040393
BRITE TIP SHEATH INT 6FR 90CM
69
2040396
STENT ZETA 4.0X13
2300
2040397
SMART STENT 6X60 120CM CORDIS
2300
2040398
STENT ZETA 4.0X18
2300
2040399
STENT ZETA 4.0X23
2300
2040400
STENT ZETA 4.0X28
2300
2040401
SMART STENT 6X60 120CM CORDIS
2300
2040402
SMART STENT 6X60 120CM CORDIS
2300
2040403
STENT ZETA 3.5X33
2300
2040404
SMART STENT 6X60 120CM CORDIS
2300
2040405
SMART STENT 6X60 120CM CORDIS
2300
2040406
SMART STENT 6X60 120CM CORDIS
2300
2040407
STENT ULTRA 4.0X38
2300
2040408
SMART STENT 6X60 120CM CORDIS
2300
2040409
SMART STENT 6X60 120CM CORDIS
2300
2040410
STENT ULTRA 5.0X18
2300
2040411
STENT PIXEL 2.0X18
2300
2040412
STENT PIXEL 2.25X18
2300
2040413
STENT PIXEL 2.25X23
2300
2040414
STENT PIXEL 2.25X25
2300
2040415
STENT PIXEL 2.5X8
2300
2040416
STENT PIXEL 2.5X13
2300
2040417
SMART STENT 6X60 120CM CORDIS
2100
2040418
STENT PIXEL 2.5X23
2300
2040419
STENT PIXEL 2.5X28
2300
2040420
STENT ZETA 2.75X8
2300
2040421
STENT ZETA 2.75X13
2300
2040422
STENT ZETA 2.75X18
2300
2040423
STENT ZETA 2.75X15
2300
2040424
STENT ZETA 2.75X23
2300
2040425
STENT ZETA 2.75X28
2300
2040426
STENT PIXEL 2.0X23
2300
2040427
STENT PIXEL 2.0X28
2300
2040428
STENT ZETA 3.0X8
2300
2040429
STENT ZETA 3.0X13
2300
2040430
STENT ZETA 3.0X15
2300
2040431
STENT ZETA 3.0X18
2300
2040432
SMART STENT 6X60 120CM CORDIS
2100
2040433
SMART STENT 6X60 120CM CORDIS
2100
2040434
STENT ZETA 3.5X8
2300
2040435
STENT PENTA 3.5X8
2300
2040436
STENT ZETA 3.5X13
2300
2040437
STENT ZETA 3.5X15
2300
2040438
STENT ZETA 3.5X15
2300
2040439
STENT PENTA 3.0X28
2300
2040440
STENT ZETA 4.0X8
2300
2040441
STENT BX VELOCITY 2.25X8
2400
2040442
STENT BX VELOCITY 2.5X8
2400
2040443
STENT BX VELOCITY 3.0X8
2400
2040444
STENT BX VELOCITY 3.5X8
2400
2040445
STENT BX VELOCITY 2.25X13
2400
2600267
RUBELLA IGM
86762
21
2600269
RUBEOLA AB (MEALES)
86765
25.5
2600271
RENIN LEVEL
84244
30
2600272
RENIN & ALDOSTERONE
82088
157
2600273
RAST-MINI PROF. ALLERGY PR PAN
86005
373
2600274
FECAL FAT/STOOL FAT SUDAN QUAL
89125
10
2600275
SEROTONIN PLASMA
84260
108
2600276
TOXOPLASMA IGM
86778
31.5
2600277
TOXOPLASMA IGG
86777
15
2600278
TRANSFERIN
84466
18
2600279
TESTOSTERONE FREE
84402
50
2600280
TSH NEONATAL
84443
60
2600281
TEGRETOL (CARBAMAZEPINE)
80156
20
2600282
TOXICOLOGY DRUG PANEL/ SERUM
80305
30
2600285
VMA & CATHECOLAMINAS
84585
150
2600287
17 HYDROXI/17 KETOS
83491
101
2600288
TSH 3RD GEN (ULTRASENSITIVE)
84443
60
2600292
INMUNE COMPLEX C1Q (BINDING)
86332
70
2600294
CHLAMYDIA TRACHOMATIS IGG
86631
32
2600296
CHLAMYDIA TRACHOMATIS IGM
86632
34
2600507
BLEEDING TIME IVY ME
85002
15
2600512
CBC ALL & PLATELET
85025
25
2600522
EOSINOPHIL NASAL SMEAR
89190
27
2600528
FETAL HEMOGLOBIN
85460
48
2600530
FIBRINOGEN INDEX
85384
30
2600532
BLOOD COUNT HEMATOCRIT HCT
85014
6
2600542
L.E.CELL PREPARATION
87207
10
2600549
PTT
85730
20
2600552
PERIFERAL SMEAR RBC
85008
15
2600555
PLATELET COUNT
85032
15
2600561
PROTHOMBIN TIME (PT)
85610
30
2600562
PT / PTT MIXING STUDY
85610
120
2600562E
PT / PTT MIXING STUDY
184
2600564
RETICULOCYTE COUNT
85044
15
2600572
SEDIMENTATION RATE SED
85652
20
2600576
SICKLE CELL
85660
10
2600577
SCHISTOSOMA IGG
86682
163
2600580
CSF CELL COUNT
89050
15
2600581
CHLAMYDIA BY DNA PROBE
87485
21
2600582
NEISSERIA (GC) BY DNA PROBE
87590
14.28
2600583
D DIMER QUANTITATIVE
85379
112.5
2600590
URINE OXALATE
83945
50
2600595
URINE CITRIC ACID (CITRATE)
82507
49.5
2600596
ALCOHOL QUANTITATIVE
80320
43
2601005
AMYLASE
82150
20
2601057
TRICHOMONA SMEAR
87205
10
2601067
URINALYSIS ROUTINE
81001
20
2601071
URINARY CALCULI
82355
52
2601080
UROBILINOGEN
84578
6.05
2601085
UROBILINOGEN QUANTI
84580
15
2601504
ASTO TITER
86060
21
2601514
REACTIVE PROTEIN CRP QUALIT.
86140
7
2601520
FEBRILE AGGLUTINIS PROFILE
86000
281
2601530
MONO TEST
86308
20
2601540
RHEUMATON ( L.T.)
86430
5
2601560
SYPHILIS SEROLOGY(QUALITATIVE)
86592
25
2602010
CELL COUNT & DIFF.
85048
15
2602020
CSF CHLORIDE
82438
20
2602040
GLUCOSE
82947
20
2602041
GLUCOSE REAGENT STRIP
82948
15
2602052
ENZYME BIOTINIDASE DEFICIENCY
82261
206
2602070
CSF VDRL
86592
25
2602503
ACETONE IN BLOOD
82009
15
2602511
BLOOD AMMONIA
82140
30
2602513
BLOOD UREA NITROGEN
84520
15
2602519
CALCIUM
82310
20
2602521
CHLORIDES
82435
20
2602524
CHOLESTEROL TOTAL
82465
20
2602526
CO2
82374
20
2602529
CPK TOTAL
82550
20
2602531
CREATININE
82565
20
2602534
CREATININE CLEARANCE
82540
50
2602535
ELECTROLYTE PANEL
80051
55
2602543
GLUCOSE (3 SAMPLES)
82951
60
2602549
PHOSPHORUS
84100
20
2602552
HEPATIC FUNCTION PANEL
80076
70
2602553
HCV RNA BY PCR QUALITATIVE
87522
183
2602554
HCV GENOTYPE
87902
511
2602555
LDH
83615
30
2602561
BILIRUBIN (MICRO) TOTAL
82248
20
2602564
ACID PHOSPHATASE/TOTAL
84060
79
2602567
POTASIUM
84132
20
2602572
COMPREHENSIVE METABOLIC PANEL
80053
150
2602583
SGOT (AST)
84450
20
2602585
SGPT
84460
20
2602587
SODIUM
84295
20
2602591
TOTAL PROTEIN A/G
84155
20
2602596
URIC ACID
84550
20
2602598
BILIRUBIN TOTAL & DIRECT
82247
30
2603019
UPPER RESPIRATORY ALLERGY PANE
86003
332.93
2603020
PARASITE EXAMINATION BLOOD
87207
48
2603030
STOOL FOR AMAEBAS
87177
15
2603040
STOOL OCCULT BLOOD
82270
15
2603050
OVA & PARASITE(SPT/STOOL/URIN)
87177
18
2603051
REDUCING SUBSTANCES (STOOL)
84376
70
2603055
SCOTCH TAPE PINWORM
87172
20
2604005
SMEARS GC
87207
15
2604015
A F B (TB) SMEAR
87206
20
2604025
ACID FAST (TB) CULTURE
87206
56
2604505
ANTIBIOTIC STY TEST
87181
30
2604510
BLOOD CULTURE A&A ST
87040
40
2604525
CULTURES RUTINE (AEROBIC)
87070
30
2604526
CULTIVO GARGANTA
87070
30
2604530
FUNGUS CULTURE
87101
16
2604545
SMEARS GRAM STAIN
87205
15
2604548
ENTEROVIRUS (CSF)(PCR)
87798
385.5
2604550
HERPES SIMPLEX 1/2 PCR/CSF
87529
310.5
2604555
URINE CULTURE
87088
30
2604556
AMINOPHYLLINE-THEOPH
80198
35
2604558
BETA SUB-UNIT
84703
30
2604560
COMPLEMENT C4
86160
9.75
2604561
FOLATE
82746
9
2604562
BETA SUB-UNIT QUANT
84702
60
2604563
INMU.IGA IGM IGD IGG
82784
26.25
2604564
MAGNESIUM
83735
25
2604566
PROLACTIN
84146
12
2604567
RHEUMATON WITH TITER
86430
25
2604568
TETOSTERONE TOTAL /F
84403
64
2180399
MONARC SUBFACIAL HAM UROL MESH
1000
2180400
PROSTESIS PENIL 700CX-MS-IZ LG
9750
2180401
PROSTHESIS PENIL 700 CX CXM
7950
2180402
URETHRAL SLING TRANSOBTURATOR
678
2180403
URETHRAL SLING TRANSVAGINAL
454.86
2180404
FOLEY CATH 5CC 2WAY LATEX FREE
11.2
2180405
FOLEY CATH 30CC 2WAY LATEX FRE
12.7
2180406
FOLEY CATH 30CC 3WAY LATEX FRE
32.85
2180407
CLEAR INJ THERAPY NEEDLE
66
2180408
ROTATABLE CLIP (INTESTINAL)
90
2180409
ROTATABLE CLIP (COLON)
90
2180410
LONE ELASTIC STAYS HOOK
22.5
2180411
MINIARC MESH
1400
2180412
ESCAPE STONE RETRIEVAL BASKET
498
2180413
NEPHROSTOMY SYSTEM
210
2180414
OBTRYX HALO SYSTEM
798
2180415
ELECTROSURG INCISION BLADE 24F
141.8
2180416
TUIP KNIFE ELECTROSURG ELECTRO
141.8
2180417
LONE ELAST.STAYS 5MM 3311-1G
20
2180418
PROSTHESIS PENIL 700CX(TM) AMS
8250
2180419
LONE ELAST STAYS 12MM 3550-1G
20
2180420
FOLEY CATH.HEMATU.24FR 2551H24
35.1
2180421
HEMATURIA FOLEY CATH 24FR-30CC
35
2180422
ELEVATE POSTERIOR REPAIR KIT
2000
2180423
ELEVATE ANTERIOR REPAIR KIT
2150
2180424
SINGLE CUT LOOP 27FR
109.8
2180425
UPHOLD VAGINAL SUPPORT SYSTEM
1858
2180426
PINNACLE PELVIC FLOOR REP KIT
2398
2180427
SNS LEAD (IMPLANTED LEAD)
2400
2180428
LEAD INTRODUCER KIT INTERSTIM
336
2180429
INTERSTIM 3058 NEUROSTIMULATOR
9720
2180430
ICON PATIENT PROGRAMMERS 3037
1194
2180431
ANTENNA
96
2180432
ADVANCE MALE SLING SYSTEMS
3060
2180433
PROSTHESIS URINARY SPHINCTER
5700
2180434
TLC RETRACTOR SYSTEM
178
2180436
CONTOUR VL 6x22-30
283.1
2180437
MINIARC
1500
2180438
ELECTROSURGICAL ROLLER BALL
123.32
2180439
ULTRASOUND PROBE
189.62
2180440
URETERAL DILATOR SYSTEM
359.98
2180441
WOVEN URETERAL CATH CONE TIP
140
2180442
POLARIS TM ULTRA STENT SET
302.1
2180443
POLARIS TM LOOP URET STENT SET
302.1
2180444
POLARIS ULTRA STENT SET 7X28
318
2180445
GEMINI 4/0/90/14 MM
344
2180446
TALON 3 PRONG 3/90
344
2180447
SAPS SNG ACTION PUMPING SYSTEM
98.8
2180448
GLIDEWIRE GUIDEWIRE STANDARD
61.56
2180449
STIFF SHAFT GLIDEWIRE GUIDEWIR
61.56
2180451
STENT RESON. METALIC URETERAL
1560
2180452
RESECTION ELECTRODE LOOP 24 FR
300
2180453
PERCUT COMB STENT/NEPHRONSTOMY
169.1
2180454
700 CX IZ MS (AMS 700)
6150
2180455
CHIBA BIOPSY NEEDLE
19.6
2180456
CHIBA BIOPSY NEEDLE 18 X 15
11.75
2180457
CHIBA BIOPSY NEEDLE 18 X 20
11.75
2180458
AMS 700 ACCESORY KIT
348
2180459
CX PRECONNECT MS
4230
2180460
RESERVOIR 65ML PC/IZ
1572
2180461
AMS 800 ACCESORY KIT
402
2180462
AMS CUFF 3.5 IZ
1530
2180463
AMS 800 CUFF 4.0 CM/IZ
1530
2180464
61-70 CM PRESSURE REG BALLOON
1200
2180465
AMS 800 CONTROL PUMP IZ
6180
2180466
OCCLUDER OCLUSION BALLOON CATH
302.1
2180467
PROST PENILE NON INFL SPECTRA
1920
2180468
AMS 800 IZ (URINARY SPHINCTER)
6180
2180469
AMS 800 CUFF 4.5 CM/IZ
1440
2180470
LEAD INTRO KIT 3550-18 MEDTRON
336
2180471
STORZ CUTTING LOOP
123.32
2180472
STORZ SINGLE POWERBALL
246.62
2180473
STORZ ROLLER BALL
123.32
2180474
STORZ TUIP KNIFE
123.32
2180475
STORZ INCISION BLADE
0
2180476
OLYMPUS CUTTING LOOP
132.82
2180477
OLYMPUS TUIP KNIFE
132.82
2180478
ROLLER BALL STORZ 3MM
123.32
2180479
VERIFY ENS SINGLE USE 3531
360
2180480
TEST STIMULATION CABLE 357501
48
2180481
VERIFY TWIST-LOCK CABLE
96
2180482
MINIARC PRECISE SINGLE INCISIO
960
2180483
GREEN LIGHT MOXY FIBER OPTIC
1553.84
2180484
POLARIS LOOP W/O WIRE
250
2180485
POLARIS ULTRA W/O WIRE
250
2180486
THUNDERBEAT PISTOL GRIP
896
2180487
TUBING W FILTER FOR INSUFFLATI
45.12
2180488
HIGH FLOW SUCTION TUBING
64.6
2180489
HOLMIUM LASER REUS FI 270UM
133.34
2180490
HOLMIUM LASER REUS FIBER 400UM
133.34
2180491
HOLMIUM LASER REUS FI 600UM
153.34
2180551
URETERAL DILATOR SYSTEM BOSTON
358
2180552
SPECTRA AMS PROSTHESIS PENIL
2100
2180553
URETERAL STENT SET BL SILICONE
240
2180554
GEN-3-GEL POINT SYSTEM
1050
2180555
STENT SET 6FR FILIFORM DOUBLE
1100
2180556
HF ELECTRODE BUTTON 12-30 DEG
433.34
2180557
AMS 700 CX MS PUMP PRECONN IZ
6150
2180558
SIDEKICK RIGID NEEDLE
92
2180559
COAPTITE INJECTABL IMPLANT 1ML
660
2180560
UPSYLON & MESH KIT
1059.06
2180561
HF RESECT ELECT LOOP 24 FR LRG
170
2180562
AMS 700 LGX THREE COMP PENILE
6840
2180563
SYMPHION FLUID MANAGEMENT ACCE
840
2180564
SYMPHION RESECTION DEVICE
600
2180565
ADAPTOR STELR 5 F/ATTACH
40.54
2180566
SMART PROGRAMMER KIT (TH90G01)
1920
2180567
HF ELECTRODE 24-28FR 12/30 DEG
291.66
2180568
HF RES ELECTRODE SMALL LOOP
760
2180569
UROLIFT SYSTEM
1020
2180570
LYNX BLUE SYSTEM
758.1
2180571
SOLYX BLUE SIS SYSTEM
838.8
2180572
TACTRA MALLE PENILE PROSTHESIS
2100
2604995
ERLICHIA HME AB PANEL
86666
809
2604996
TISSUE TRANSGLUTAMINASE IGG
83516
158
2604997
ANTI CITRULIN IGG ( CCP IGG )
86635
41
2604998
CAMPYLOBACTER JEJUNI AB
86625
318
2604999
GM - 1 ANTIBODY
83520
273
2605000
AMYLASE ISOENZYME
82150
92
2605001
TRYPSINOGEN
83519
57
2605002
ORTICOTROPIN RELEASING HORMONE
83519
506
2605003
ANTIBODY PANEL
86870
131
2605005
OLIGOCLONAL BANDS CSF OLIGOCLO
83916
104
2605006
INHIBIN LEVEL B
83520
217
2605007
INHIBIN LEVEL A
86336
334
2605008
LEGIONELLA IGG
86713
258
2605009
LEGIONELLA IGM
86713
219
2605010
ANTI GBM GLOMERULAR BASEMEN
83520
60
2605011
PNEUMOCCAL AB TITER
86609
376
2605012
RAST WATERMELON
86003
17
2605013
RAST ALMOND
86003
17
2605014
RAST PEANUT
86003
17
2605015
RAST BEAN
86003
17
2605016
BORDETELLA PERTUSSIS TITER IGM
86615
197
2605017
HEMOGLOBIN A2 QT
83021
23
2605018
OSMOTIC FRAGILITY T.
85555
564
2605019
EBV IGG IGM IN CSF
86665
346
2605020
CMV IGG IGM CSF
86645
98
2605021
APT TEST (GASTRIC)
83033
6
2605022
ASCA IBD DIAGNOST SYST GEN-2
83520
889.5
2605023
HZV IGG IN CSF
86787
233
2605024
HZV IGM IN CSF
86787
220
2605027
PROTEIN C - ACTIVITY
85303
68
2605028
PROTEIN S - ACTIVITY
85303
75
2605029
RAST NUTS
86003
26
2605030
STOOL FOR ELASTASE
83520
984
2605031
ANTI-SCLERODERMA
86331
185
2605032
LAMICTAL LEVELS
80175
68
2605033
METHYLMALONIC ACID PLASMA
83921
90
2605034
MITOCHONDRIAL ENCEPHALOMIOPATH
86335
3064
2605035
RAST MOSQUITOS
86003
17
2605036
RAST GRASS
86003
17
2605037
ADH LEVELS
83930
134
2605038
SIALIC ACID LEVELS (LASA)
84275
64
2605039
FACTOR VII-STABILE FACTOR
85230
316
2605041
RA FACTOR QUANT. LIQ. PLEURAL
86430
24
2605042
LEUKEMIAL/LYMPHOMA PANEL
88184
525
2605044
ANA IN BODY FLUID
86038
98
2605045
ANTI YO
86256
436
2605046
ANTI HU - ANTI R1
84181
233
2605047
RAST CAT
86003
17
2605049
BORDETELLA PERTUSSIS IGG
86615
197
2605050
SUDAN STAIN (PLEURAL FLUID)
88312
141
2605051
ANTISKELETAL MUSCLE ANTIBODY
86255
67
2605054
BILE ACIDS
82239
46.98
2605055
TRANSFERIN RECEPTOR SOLUBLE
82239
229.83
2605056
RAST HOUSE DUST MIX
86003
17.25
2605057
THYROTROPIN RECEPTOR AB
83519
248
2605058
ACETYLCHOLINE RECEPTOR BIND AB
84238
46
2605059
PARAINFLUENZA AB
86003
137
2605060
GALACTOSA PHOSPHATASE
82775
383
2605061
HERPES ZOSTER IGM
86787
53
2605062
PROTEIN-CREAT. RATIO SPOT URIN
84155
20
2605063
CYTOMEGALOVIRUS PCR QNT/PLASMA
87497
188
2605064
ANTI-FUNGAL SUSCEPT 4 DRUGS
87186
300
2605065
PRADER WILLI SYNDROME-CHROM 15
88230
534
2605066
DIPHTERIA ANTIBODIES
86317
40.5
2605067
ECSTASY SCREEN (MDMA)
80359
150
2605069
HEPARIN INDUCED PLATELET ANTIB
86022
98
2605070
PHOSPHOETANOLAMINE IN URINE
82131
423
2605071
HOMOVANILIC ACID
82570
61
2605073
LISTERIA ANTIBODIES CSF
86609
252
2605074
EBNA - EBV IGG
86664
63
2605075
CSF IGG INDEX
82040
130
2605076
VITAMINA B2
84252
120
2605077
COPROPORPHYRIN IN URINE
84120
69
2605078
HEPATITIS C VIRUS GENOTYPE
87522
384
2605079
ALPHA FETOPROTEIN PLUS 4
84702
196
2605080
CORTISOL FREE SERUM
84449
120
2605081
BCR-ABL1 TRANSCRIPT
81207
600
2605082
HERPES I-II DNA BY PCR CSF
87529
452
2605083
17-OH PREG-NENOLONE
84143
137
2605084
UROPORPHYRIN IN URINE
84110
50
2605085
ARBOVIRUS CSF PANEL
86651
1341
2605086
ANTI-SOHISTOSOMA AB IgG
86602
192
2605087
CHLAMYDIA TRACHOMATIS
87491
30
2605088
NEISSERIA GONORRHOEAE
87591
30
2605090
AFB CULTURE CSF
87117
30
2605092
MUMPS IGG/IGM CSF
86735
196
2605093
AMNIOTIC FLUID L/S RATIO + PG
83661
231
2605094
VON WILLEBRAND Ag(FACTOR VIII
85246
195
2605095
LYMPHOCITIC CHRORIOMENING CSF
86727
218
2605096
FREE DILANTIN
80186
196
2605097
SEROTONIN RELEASED HEPARIN AB
86022
718
2605099
FACTOR XI
85270
375
2605100
EOSINOPHIL COUNT
85048
15
2605101
NEUROSPECIFIC ENOLASE CSF
86316
208.26
2605102
DOPAMINES 24HR URINE
82384
189
2605103
RHEUMATOID FACTOR QUANT
86431
24
2605104
FACTOR V INHIBITOR PROFILE
85220
469
2605106
5-HIAA (24 HRS.URINE)
82542
70.73
2605107
RAST BERMUDA GRASS
86003
17.25
2605108
RAST KENTUAKY BLUE GRASS
86003
18.5
2605109
RAST BAHIA GRASS
86003
17.25
2605110
RAST PARAKEET FEATHERS
86003
32.65
2605111
RAST ALTERNARIA
86003
17.25
2605112
RAST CLADAPARIAM
86003
17.25
2605113
RAST ASPEYELLY
86003
17.25
2605114
RAST SHEEP
86003
18.5
2605115
RAST ACARIA
86003
17.25
2605116
RAST PALM QUEEN
86003
17.25
2605117
RAST FARINAE MITE
86003
17.25
2605118
RAST CINNAMON
86003
18.5
2605119
RAST CRUSTACEO
86003
17.25
2605120
RAST PIGEON FEATHER
86003
18.5
2605121
RAST CHICKEN
86003
17.25
2605122
RAST GLUTEN
86003
11
2607056E
MEM CSF
0
2607057E
N-TELEPEPTIDE URINE
0
2607058E
HERPES I +II IgG
0
2607059E
BARTONELLA Ab PROFILE IgG IgM
0
2607060E
C-ANCA P-ANCA (ANTINEUTROPHIL
0
2607061E
COXSACHIE Ab CSF
0
2607062E
HERPES I-II IgG IgM CSF
0
2607063E
COXSACHIE Ab B CSF
0
2607064E
IMMUNOGLOBULINA IgGIgMIgA
73
2607065E
SPINAL MUSCLE ATROPHY
1035
2607066E
ACONDROPASIE MUTATIO FG/FR3
409.5
2607067E
ECHOVIRUS SPINAL FLUID
525
2607068E
CHROMOSOME ANALYSIS BONE MARRO
0
2607069E
CHROMOSOME ANALYSIS TISSUE BIO
0
2607070E
HLA B27 ANTIGEN
133.75
2607071E
OVA + PARASITE(SOT STOOL URINE
0
2607072E
FACTOR II DNA (PROTHROMBIN)
0
2607073E
ARBOVIRAL ENCEPHALITIS Ab IgG
0
2607074E
METHYLENETE TRAHYDROFOLATE (RE
368
2607076E
MICROALBUMIN/CREATININE RATIO
53
2607077E
CHROMOSOME ANALYSIS(KARYOTYPE)
0
2607078E
ARBOVIRAL ENCEPHALITIS Ab IgM
0
2607079E
COXSAKIE A AB
535
2607080E
ECHOVIRUS/TI TYPES 4/7/9/11&30
635
2607081E
SSA-SSB
0
2607082E
LEPTUSPIRA CULTURE URINE
0
2607083E
TORCH PROFILE IgM
120
2607084E
ANTICARDIOLIPIN AB IgA Igg IgM
72
2607085E
CBC/DIFF & PLATELETS
0
2607086E
ANTIMIOCARDIAL Ab
0
2607087E
HISTOPLASMA CAPSULATION PANEL
0
2607088E
H. PYLORI CULTURE
0
2607089E
ANA PROFILE
139
2607090E
BILIRUBIN TOTAL & DIRECT
30
2607091E
CHROMOSOME HIGH RESOLUTION
957
2607092E
HEMOGLOBIN ELECT FRCT PROFILE
0
2607093E
EPSTEIN B VIRUS PROFILE
127
2607094E
MYCOPLASMA PNEUMONIAC IgG IgM
0
2607095E
GLUCOSE 2 HR
40
2607096E
GTT 5 HR
100
2607097E
INSULIN (4 SPECIMENS)
121
2607098E
INSULIN (2 SPECIMENS)
0
2607099E
VITAMIN A + E
0
2607100E
HEPATITIS PROFILE 7
84
2607101E
HERPES I & II SPECIFIC IgG
90
2607102E
IMMUNOFIXATION & PROTEIN ELECT
53
2607103E
IMMUNOGLOBULIN IMMUNOFIXATION
52.5
2607104E
OVA + PARASITE X3
0
2607105E
DRUG ABUSE SCREEN X URINE
0
2607106E
MULTIPLE SCLEROSIS PROFILE
135
2607107E
TOXICOLOGY SCREEN SERUM
0
2607108E
PLATELET AUTOANTIBODY PANEL
0
2607109E
LUPUS PANEL ANALYZER
182
2607110E
RHEUMATOID PROFILE
64
2607111E
TETOSTERONE TOTAL & FREE
64
2607112E
TORCH PROFILE IgG
56
2607113E
RENIN + ALDOSTERONE
0
2607114E
PARVORVIRUS B-19 IgG IgM TITER
113
2607115E
EBV VCA IgG IgM CSF
0
2607116E
ALPHA 1 ANTITRYPSIN PHENOTYPIN
0
2607117E
ANTICARDIOLIPIN Ab IgG IgM QN
0
2607118E
ZINC URINE 24 HRS
61
2607119E
PRADER WILLI METHYLATIONS STUD
657
2607120E
HEPATITIS C QUANTIT & GENOTYPE
753
2607122E
IMMUNOFIXATION ELECTROPHORESIS
105.25
2607123E
URINE COOPER
46.5
2607124E
THYROID ANTIBODIES
28.8
2607125E
CHROMOSOME ANALYSIS INSTABILIT
938
2607126E
BACTERIAL ANTIGENS (WELLCOGEN)
435
2607127E
HEPATITIS PROFILE 9
135
2607128E
CHLAMYDIA TRACHOMATIS CULT URI
0
2607129E
PROTEIN ELECTROPHORESIS URINE
68
2607130E
DRUG ABUSE III W/CONFIRM URINE
0
2607131E
GLUCAGON
45
2607132E
MDS FISH PANEL
1560
2607133E
ALLERGY P.R. PANEL
414
2607134E
ALLERGY PANEL D.G.T
345
2607135E
COXI BURNETTI IgGIgM (Q FEVER)
307
2607136E
IMMUNOFIX + PROTEIN ELECTRO
99
2607137E
BORDE PERTUSSIS/B PARAPERTUSIS
225
2607138E
CCF IMMUNOGLOBULINE G SYNTHESI
280
2607139E
HEPATITIS A&B PROFILE 5
129
2607140E
TOXOPLASMA AB IgG IgM CSF
207
2607141E
ANCA PROFILE
681
2607142E
PARANEOPLASTIC PROFILE CSF
1116
2607143E
CMV CSF BY PCR
229
2607144E
IMUNOFIX & PROT ELECT URINE 24
53
2607145E
MITOCHON ENCEPHALOMIOPA MUTATI
3064
2607146E
ERLICHIA HME AB PANEL
809
2607147E
COXSACHIE A IgM
195
2607148E
CHROMOSOME ANALYSI BONE MARROW
741
2607149E
COXSACHIE B AB
525
2607150E
COXSAKIE A IgG AB
252
2607151E
HERPES I II DNA PCR CSF
452
2607152E
PLATELETS ANTIBODY DIRECT
0
2607153E
PRADER WILLIFISH & ANGELMAN SY
535
2607154E
CHLAMYDIA PNEUMONIAE IgG IgM
254
2607155E
ARBORVIRUS CSF PANEL
1341
2607156E
PNH PANEL
354
2607157E
LEUKEMIA/LYMPHOMA PHENOTYPING
525
2607159E
IMMUNOGLOBULIN SUBCLASS IgG
158
2607160E
LEGIONELLA IgM
219
2607161E
HEPATITIS PROFILE (FSE)
0
2607162E
COMPARATIVE GENOMIC HYBRIDIZAT
3940
2607163E
FSH & LH 3 GENERATION (CHILD)
192
2607164E
BETA 2 GLYCOPROTEIN AB
124.52
2607165E
ANTIFUL SUSCEP(4 DRUGS)
0
2607166E
RENIN-2 SAMPLES
69
2607167E
ANTI GLIADIN AB PANEL
96
2607168E
6 MERCAPTOPURINE
0
2607169E
TORCH IgG & IgM
405
2607170E
HEAVY METAL PROFILE 1 BLOOD
124
2607171E
HEAVY METAL URINE
4211.5
2607172E
HELICOBACTER PYLOR IgA IgG IgM
103.5
2607173E
INSULIN 5 SAMPLE
143
3109998
VENOGRAMS
75831
550
3140096
INJECTION CHOLANGIOGRAM THR
47532
200
3140151
INITIAL VISIT L-2 (IVR)
99202
80
3140152
INITIAL VISIT L-3 (IVR)
99203
115
3140153
INITIAL VISIT L-4 (IVR)
99204
175
3140154
INITIAL VISIT L-5 (IVR)
99205
215
3140155
ESTABLISHED VISIT L-1 (IVR)
99211
25
3140156
ESTABLISHED VISIT L-2 (IVR)
99212
50
3140157
ESTABLISHED VISIT L-3 (IVR)
99213
75
3140158
ESTABLISHED VISIT L-4 (IVR)
99214
115
3140159
ESTABLISHED VISIT L-5 (IVR)
99215
150
3140160
CONSULT VISIT L-1 (IVR)
99241
78
3140161
CONSULT VISIT L-2 (IVR)
99242
112
3140162
CONSULT VISIT L-3 (IVR)
99243
144
3140163
CONSULT VISIT L-4 (IVR)
99244
222
3140164
CONSULT VISIT L-5 (IVR)
99245
277
3140165
INPATIENT VISIT 30 MIN (IVR)
99221
105
3140166
INPATIENT VISIT 50 MIN (IVR)
99222
140
3140167
INPATIENT VISIT 70 MIN (IVR)
99223
210
3140168
INPATIENT CONSULT 20 MIN (IVR)
99251
78
3140169
INPATIENT CONSULT 40 MIN (IVR)
99252
112
3140170
INPATIENT CONSULT 55 MIN (IVR)
99253
144
3140171
INPATIENT CONSULT 80 MIN (IVR)
99254
222
3140172
INPATIENT CONSULT 110MIN (IVR)
99255
277
3140173
POST OR FOLLOW UP VISIT (IVR)
99024
0
3140180
ABD PARACENTESIS W/IMAGING
49083
318.32
3140181
ASPIR/INJ RENAL OR PELVIS CYST
50390
96.4
3140182
FLUOROSCOPIC GUIDANCE BX PROC
7700226
27.96
3140183
U/S GUIDANCE BX PROCEDURES
7694226
31.44
3140184
CT GUIDANCE BX PROCEDURE
7701226
72.67
3140185
MRI GUIDANCE BX PROCEDURE
7702126
71.65
3140186
BX ABDOMINAL/RETROPERITONEAL
49180
180.19
3140187
BX BONE DEEP
20225
426.84
3140188
BX BONE SUPERFICIAL PERCUTANEO
20220
259
3140189
DX BONE MARROW ASPIRATION
38220
173.29
3140190
DX BONE MARROW BIOPSY
38221
166.29
3140191
DX BONE MARROW BX & ASPIRATION
38222
182.41
3140192
BIOPSY LIVER
47000
326.88
3140193
BX LUNG PERCUTANE OR MEDASTINU
32408
973.54
3140194
BX LYMPH NODES SUP PERCUTANEOU
38505
126.57
3140195
BX MUSCLE PERCUTANEOUS
20206
250.08
3140196
BX PANCREAS PERCUTANEOUS
48102
560.42
3140197
BX SALIVARY GLAND /PAROTID
42400
105.93
3140198
BX PLEURA PERCUTANEOUS
32400
168.22
3140199
BIOPSY PROSTATE
55700
257.6
3140200
BX RENAL PERCUTANEOUS
50200
572.48
3140201
BIOPSY SPINAL CORD
62269
266.29
3140202
BX THYROID PERCUTANEOUS
60100
113.76
3140203
TRANSCATHETER BIOPSY
37200
218.23
3140204
FLUOROSCOPIC GUIDANCE DRAINAGE
77002
27.96
3140205
U/S GUIDANCE DRAINAGE PROCEDUR
76942
31.44
3140206
CT GUIDANCE DRAINAGE PROCEDURE
77012
72.67
3140207
MRI GUIDANCE PROCEDURES
77021
71.65
3140208
CONTRAST INJ ASSESSMENT ABSCES
49424
192.49
3140209
ASP ABSCESS BULLA/CYST BY NEED
10160
134.25
3140210
ASP OF BLADDER BY INTRACATHETE
51101
159.65
3140211
ASP OF BLADDER W INSERT SUPRAP
51102
251.92
3140212
ASPIRATION OF BLADDER BY NEEDL
51100
76.38
3140213
EXCHANGE OF ABSCESS DRAIN
49423
654.4
3140214
DRAIN SPINAL CORD CYST
62268
263.82
3140215
DRAIN BY CATH PERITONEAL/RETRO
49406
959.88
3140216
DRAINAGE BY CATHETER SOFT TISS
10030
685.95
3140217
DRAINAGE BY CATHETER VISCERAL
49405
959.53
3140218
FISTULA/SINUS TRACT STUDY/SINO
20501
150.63
3140219
FNA BX W/O IMAGING 1ST LESION
10021
105.83
3140220
FNA BX W/O IMAGING EA ADDTL
10004
52.45
3140221
FNA BX W/ULTRASOUND 1ST LESION
10005
139.81
3140222
FNA BX W/ULTRASOUND EA ADDTL
10006
61.9
3140223
FNA BX W/FLUOR 1ST LESION
10007
318.01
3140224
FNA BX W/FLUOR EA ADDTL
10008
168.76
3140225
FNA BX W/CT 1ST LESION
10009
488.45
3140226
FNA BX W/CT EA ADDTL
10010
288.54
3140227
FNA BX W/MRI 1ST LESION
10011
0
3140228
FNA BX W/MRI EA ADDTL
10012
0
3140229
INSERT INDWELLING TUNN PLEURAL
32550
864.79
3140230
PERICARDIOCENTESIS INCLUD IMAG
33016
240.39
3140231
PERICAR DRAIN W/INDWELL 6+OLDE
33017
249.13
3140232
PERICAR DRAIN W/INDWEL CHILD<6
33018
282.98
3140233
PERICAR DRAIN W/INDWELLIN CATH
33019
230.31
3140234
INSERT PERITON TUNN CATHW/IMAG
49418
1182.49
3140235
ABD PARACENTESIS W/O IMAGING
49082
227.09
3140236
PERITONEAL LAVAGE
49084
110.62
3140237
PLEURAL DRAINAGE W/TUBEW/O IMA
32556
776.73
3140238
PLEURAL DRAINAGE W/TUBE W/IMA
32557
696.04
3140239
RENAL CYST ASPIRATION W/NEEDLE
50390
96.4
3140240
SCLEROTHERAPY OF FLUID COLLECT
49185
1346.62
3140241
THORACENTESIS WITH IMAGING
32555
337.22
3140242
THORACENTESIS W/O IMAGING
32554
248.37
3140243
WIRE LOCALIZATI OF SOFT TISSUE
10035
441.53
3140244
WIRE LOCALI OF SOFT TISSUE ADD
10036
378.49
3140245
DILATION OF EXIS TRACT PER IMA
50436
152.37
3140246
DILATION OF EXIS TRACT NEW ACC
50437
252.6
3140247
INJ ANTEGRADE NEPHO/URETER NEW
50430
652.48
3140248
INJ ANTEGRADE NEPHO/URETER EXI
50431
320.39
3140249
PLCMT NEPHRO CATH PERC NEPHROG
50432
973.95
3140250
PLCMT NEPHROURETERAL CATH PERC
50433
1236.31
3140251
CONVERT NEPHROSTOMY CATHETER
50434
990.56
3140252
EXCHANGE NEPHROSTOMY CATHETER
50435
638.1
3140253
REMOVE & REPLACE EXT NEPHROURE
50387
607.88
3140254
ENDOLUMINAL BX URETE/RENAL PEL
50606
611.61
3140255
PLMT OF URETERAL STENT EXIST
50693
1105.5
3140256
PLMT URETER STENT NEW W/O SEP
50694
1229.22
3140257
PLMT OF URETER STENT NEW W/SEP
50695
1482.97
2315113
DRAIN BL W/CATH INSERTION
51102
136
2315113E
DRAIN BL W/CATH INSERTION
51102
136
2315114
INSERT TEMP BLADDER CATH
51702
28
2315114E
INSERT TEMP BLADDER CATH
51702
28
2315115
INSERT BLADDER CATH COMPLEX
51703
76
2315115E
INSERT BLADDER CATH COMPLEX
51703
76
2315116
PREPUTIAL STRETCHING
54450
54
2315116E
PREPUTIAL STRETCHING
54450
54
2315117
DRAINAGE OF SCROTUM
54700
192
2315117E
DRAINAGE OF SCROTUM
54700
192
2315118
I & D OF VULVA/PERINEUM
56405
95
2315118E
I & D OF VULVA/PERINEUM
56405
95
2315119
DRAINAGE OF GLAND ABCESS
56420
82
2315119E
DRAINAGE OF GLAND ABCESS
56420
82
2315121
SPINAL FLUID TAP DIAGNOSTIC
62270
72
2315121E
SPINAL FLUID TAP DIAGNOSTIC
62270
72
2315122
DRAIN CEREBRO SPINAL FLUID
62272
75
2315122E
DRAIN CEREBRO SPINAL FLUID
62272
75
2315123
REMOVE FOREIGN BODY FROM EYE
65205
41
2315123E
REMOVE FOREIGN BODY FROM EYE
65205
41
2315124
REMOVE FOREIGN BODY FROM EYE
65220
39
2315124E
REMOVE FOREIGN BODY FROM EYE
65220
39
2315125
REMOVE EYELID FOREIGN BODY
67938
101
2315125E
REMOVE EYELID FOREIGN BODY
67938
101
2315126
DRAIN EXTERNAL EAR LESION
69000
104
2315126E
DRAIN EXTERNAL EAR LESION
69000
104
2315127
CLEAR OUTER EAR CANAL
69200
51
2315127E
CLEAR OUTER EAR CANAL
69200
51
2315128
REMOVE IMPACTED EAR WAX UNI
69210
31
2315128E
REMOVE IMPACTED EAR WAX UNI
69210
31
2315129
HEART/LUNG RESUSCITATION CPR
92950
180
2315129E
HEART/LUNG RESUSCITATION CPR
92950
180
2315130
VENT MGMT INPAT INIT DAY
94002
90
2315130E
VENT MGMT INPAT INIT DAY
94002
90
2315131
WOUND CLOSURE BY ADHESIVE
25
2315131E
WOUND CLOSURE BY ADHESIVE
25
2315132
DRAINAGE OF HEART SAC
33010
109
2315132E
DRAINAGE OF HEART SAC
33010
109
2315133
REPEAT DRAINAGE OF HEART SAC
33011
110
2315133E
REPEAT DRAINAGE OF HEART SAC
33011
110
2315134
INSERT CARD ELECTRODES DUAL
33211
166
2315134E
INSERT CARD ELECTRODES DUAL
33211
166
2315135
INSERT TUNNELED CV CATH
36561
322
2315135E
INSERT TUNNELED CV CATH
36561
322
2315136
INSERT TUNNELED CV CATH
36563
337
2315136E
INSERT TUNNELED CV CATH
36563
337
2315137
INSERT TUNNELED CV CATH
36566
347
2315137E
INSERT TUNNELED CV CATH
36566
347
2315138
INSERT PICC CATH
36569
88
2315138E
INSERT PICC CATH
36569
88
2315139
VAGINAL DELIVERY ONLY
59409
730
2315139E
VAGINAL DELIVERY ONLY
59409
730
2315140
CESAREAN DELIVERY POST-MORTEM
59514
820
2315140E
CESAREAN DELIVERY POST-MORTEM
59514
820
2315141
TEMPORARY EXTERNAL PACING
92953
11
2315141E
TEMPORARY EXTERNAL PACING
92953
11
2315142
CARDIOVERSION ELECTRIC EXT
92960
114
2315142E
CARDIOVERSION ELECTRIC EXT
92960
114
2315143
THER/PROPH/DIAG INJ IA
96373
16
2315143E
THER/PROPH/DIAG INJ IA
96373
16
2315144
THER/PROPH/DIAG INJ IV PUSH
96374
43
2315144E
THER/PROPH/DIAG INJ IV PUSH
96374
43
2315145
DIRECT ADVANCED LIFE SUPPORT
99288
0
2315145E
DIRECT ADVANCED LIFE SUPPORT
99288
0
2315146
TREAT TIBIA FRACTURE WO/MANIPU
27750
265
2315146E
TREAT TIBIA FRACTURE WO/MANIPU
27750
265
2315147
TREAT TIBIA FRACTURE W/MANIPUL
27752
422
2315147E
TREAT TIBIA FRACTURE W/MANIPUL
27752
422
2315148
CLTX MEDIAL ANKLE FX
27760
254
2315148E
CLTX MEDIAL ANKLE FX
27760
254
2315149
CLTX MEDIAL ANKLE FX W/MNPJ
27762
372
2315149E
CLTX MEDIAL ANKLE FX W/MNPJ
27762
372
2315150
CLTX POST ANKLE FX
27767
233
2315150E
CLTX POST ANKLE FX
27767
233
2315151
CLTX POST ANKLE FX W/MNPJ
27768
370
2315151E
CLTX POST ANKLE FX W/MNPJ
27768
370
2315152
TREAT FIBULA FX WO/MANIPULATIO
27780
231
2315152E
TREAT FIBULA FX WO/MANIPULATIO
27780
231
2315153
TREAT FIBULA FX W/MANIPULATION
27781
327
2315153E
TREAT FIBULA FX W/MANIPULATION
27781
327
2315154
TREAT ANKLE FX WO/MANIPULATION
27786
239
2315154E
TREAT ANKLE FX WO/MANIPULATION
27786
239
2315155
TREAT ANKLE FX W/MANIPULATION
27808
249
2315155E
TREAT ANKLE FX W/MANIPULATION
27808
249
2315156
TREAT TRIMALLE ANKLE FX WO/MAN
27816
239
2315156E
TREAT TRIMALLE ANKLE FX WO/MAN
27816
239
2315157
TREAT TRIMALLEO ANKLE FX W/MAN
27818
373
2315157E
TREAT TRIMALLEO ANKLE FX W/MAN
27818
373
2315158
TREAT LOWER LEG FX WO/MANIPULA
27824
255
2315158E
TREAT LOWER LEG FX WO/MANIPULA
27824
255
2315159
TREAT LOWER LEG FX W/MANIPULAT
27825
425
2315159E
TREAT LOWER LEG FX W/MANIPULAT
27825
425
2315160
TREAT LOWER LEG DISLOC WO/ANTH
27830
296
2315160E
TREAT LOWER LEG DISLOC WO/ANTH
27830
296
2315161
TREAT LOWER LEG DISLOC W/ANEST
27831
336
2315161E
TREAT LOWER LEG DISLOC W/ANEST
27831
336
2315162
TREAT ANKLE DISLOCATI WO/ANEST
27840
318
2315162E
TREAT ANKLE DISLOCATI WO/ANEST
27840
318
2315163
TREAT ANKLE DISLOCATIO W/ANEST
27842
423
2315163E
TREAT ANKLE DISLOCATIO W/ANEST
27842
423
2315164
TRACHEOSTOMY - TRANSTRACHEAL
31603
207
2315164E
TRACHEOSTOMY - TRANSTRACHEAL
31603
207
2315165
TRACHEOSTOMY-CRICOTHYROID MEMB
31605
171
2115138
SAGITAL BLADE 18.0MM
186.98
2115139
SAGITTAL BLADE 13.0MM
150
2115140
T2 F/T LOCKING SCREW 5MMX80MM
245.75
2115141
T2 F/T LOCKING SCREW 5MMX35MM
245.75
2115142
T2 F/T LOCKING SCREW 5MMX50MM
245.75
2115143
GUIDE WIRE BALL TIP D3 X L1000
293.83
2115144
T2 F/T LOCKING SCREW 5MMX30MM
245.75
2115145
T2 F/T LOCKING SCREW 5MMX45MM
245.75
2115146
ONE-THIRD TUBUL PLATE W COLLAR
434.06
2115147
MINI MAGNA-FX CANN SCREW PART
230.4
2115148
4.0MM CANCELLOUS SCREW 14MM
84
2115149
4.0MM CANCELLOUS SCREW 16MM
84
2115150
FEMORAL HEAD
678
2115151
QUICK-VAC MIXING BOWL
31.8
2115152
GAMMA3 LAG SCREW TI 10.5X85MM
603.68
2115153
A.S. HUMERAL STEM UNCEMENT
2844
2115154
A.S. INVERSE GLENOID FIXATION
1663.2
2115155
A.S. INVERSE GLENOID HEAD 36
1345.2
2115156
A.S. INVERSE HUMERAL PE-INLAY
766.8
2115157
INVERSE/REVERSE 4.5MM SCREW 18
190.8
2115158
INVERSE HUMERAL CUP 0
1533.6
2115159
T2 F/T LOCKING SCREW 5MMX55MM
245.75
2115160
T2 F/T LOCKING SCREW 5MMX40MM
245.75
2115161
VERSYS FM TAPER 13X130MM STD
1836
2115162
BIPOLAR LINER 47/48/49MM OD
522
2115163
PROXI LATER HUMERUS TS PLTE 8H
2116.61
2115164
3.5MM X 24 CORTICAL SCREW SELF
282.38
2115165
K-WIRES TROCAR POINT 1END
76.32
2115166
3.5MM X 26 CORTICAL SCREW SELF
282.38
2115167
4.0MM X 36 CORTICAL SCREW SELF
282.38
2115168
4.0MM X 40 LOCKING SCREW SELF
282.38
2115169
4.0MM X 45 CANCELLOUS SCREW
282.38
2115170
12/14 COCR FEMORAL HEAD 22MM
924
2115171
BIPOLAR SHELL 43MM OD
678
2115172
BIPOLAR LINER 42/43MM ID
737.24
2115173
GAMMA3 LAG SCREW TI 10.5X95MM
603.68
2115174
12/14 COCR FEMORAL HEAD 32MM
1319.57
2115175
TRILOGY ACET SHELL 50MM OD
1506.55
2115176
MODULAR CUP 10 DEGREE LINER
934.93
2115177
BONE SCREW 6.5 X 25 SELF-TAP
99.6
2115178
BONE SCREW 6.5 X 30 SELF-TAP
99.6
2115179
NEXGEN LPS-FLEX ART SURF GH
776.98
2115180
T2 TIBIAL NAIL 11MM X 345MM
2238.72
2115181
PROX LAT TIB TS PLATE 2HOLE LT
2216.61
2115182
3.5MM X 55 CORTICAL SCREW SELF
282.38
2115183
3.5MM X 32 CORTICAL SCREW SELF
282.38
2115184
4.0MM X 55 CANCELLOUS SCREW PT
282.38
2115185
4.0MM X 65 CANCELLOUS SCREW PT
282.38
2115186
CANCELLOUS CHIPS (4-10MM) 15CC
1119.36
2115187
ASNIS III CANNULA SCREW 4.0X44
330.72
2115188
WASHER 6.5MM/8.0MM
76.32
2115189
NEXGEN LCCK ART SURF EF3-4/STR
1632.96
2115190
NEXGEN LCCK FEM SIZE E-RT
4984.56
2115191
NEXGEN A/P WEDGED PRCT TIB SZ3
3205.42
2115192
NEXGEN OFFSET STEM EXT
843.34
2115193
NEXGEN STRAIGHT STEM EXT
1054.16
2115194
GAMMA3 LAG SCREW TI 10.5X90MM
603.68
2115195
GUIDE WIRE BALL TIP 3 X 980MM
293.83
2115196
3.5MM CONTOURABLE DUAL COMPRES
409.5
2115197
A.S. HUMERAL HEAD
1345.2
2115198
FEMORAL BONE CEMENT PREP KIT
245.5
2115199
BIPOLAR SHELL 47MM OD
1581.1
2115200
VERSYS ADVOCATE CEMENTED STEM
1581.09
2115201
VERSYS DISTAL CENTRALIZER 11MM
197.66
2115202
LARGE GRIP W3 2.0MM CABLES
2671.2
2115203
MED 100MM LONG W2 2.0MM CABLES
3323.73
2115204
ORTHO DALL MILES BEADED CABLE
387.96
2115205
GAMMA3 LONG NAIL RT 011X360MM
2318.6
2115206
BIPOLAR SHELL 41MM OD
1506.55
2115207
BIPOLAR LINER 40/41MM OD
934.93
2115208
MODULAR CUP NEUTRAL LINER LONG
882
2115209
M/L TAPER SIZE 6.0 STND OFFSET
4215.14
2115210
DELTA CERA FEM HEAD 36MM+O M
2872.8
2115211
BONE SCREW 6.5X15 SELF-TAP
154.92
2115212
M/L TAPER RED NECK STND OFFS 4
2840.4
2115213
TRIOL ACET SHELL 50MM OD CLUST
1015.2
2115214
12/14 ALU CER FEM HEA 32MM/3.5
1440
2115215
VERSYS FM TAPER 16X145MM STD
1836
2115216
BIPOLAR SHELL 50MM OD
678
2115217
PROX LAT HUMERUS TS PLTE 3H RT
2116.6
2115218
3.5MM X 36 CORTICAL SCREW SELF
282.38
2115219
BIPOLAR SHELL 53MM OD
1581.1
2115220
BIPOLAR LINER 53/54/55MM OD
737.25
2115221
BIPOLAR SHELL 45MM OD
847.2
2115222
BIPOLAR SHELL 44MM OD
678
2115223
VERSYS DISTAL CENTRALIZER 13MM
197.66
2115224
GAMMA3 LONG NAIL RT 011X360MM
2318.6
2115225
NEXGEN 22DEG THIRD WEDGE TIBIA
900
2115226
NEXGEN LCCK ART SURF EF5-6/GRE
1140
2115227
NEXGEN 16DEG HALF WEDGE TIBIAL
900
2115228
NEXGEN A/P WEDGED PRCT TIB SZ6
1840.8
2115229
VERSYS FM MC CLRLSS
1836
2115230
ONE-THIRD TUB PLATE W/COLLAR/6
480
2115231
DISTAL MEDIAL TIBIA TS PLT 4H0
2116.61
2115232
3.5MM X 28 CORTICAL SCREW SELF
282.37
2115233
3.5MM X 36 CORTICAL SCREW SELF
282.37
2115234
4.0MM X 30 LOCKING SCREW SELF
282.37
2115235
4.0MM X 44 LOCKING SCREW SELF
282.37
2115236
5.0MM WEDGE ANCHOR II W/NEEDLE
412.77
2115237
WATER PUMP KIT
52.8
2115238
T2 FEMORAL NAIL 12MM X 320MM
3477.9
2115239
SERFAS ENERGY SUPER 90-S 3.5MM
259.2
2115240
DRI-LOCK CANNULA 6.5X75MM FULL
127.2
2115241
FORCE FIBER 2 38" W 1/2 CIRCLE
172.8
2115242
SHOULD SUS KIT 8 CORD W S HOOK
190.8
2115243
SLOTTED WHISKER
336.56
2115244
ONE-THIRD TUB PLATE W/COLLAR/8
L8699
950.4
2115245
LAG SCR 12.7D X 95MM STND THRE
457.5
2115246
COMPRESSION SCREW 1 IN
112.5
2900101
DOPPLER RENAL ARTERY COMPLETE
93998
40
2900102
US SPINAL CANAL & CONTENTS
76800
70
2900103
AXILLARY ULTRASOUND LIMITED
76882
65
2950011
2D-ECHOCARDIOGRAM
93308
200
2950014
2D + M-MODE ECHOCARDIOGRAPHY
93307
450
2950015
TTE W/DOPPLER/ COMPLETE
93306
475
2950020
CARDIAC DOPPLER ECHO EXAM
93320
200
2950021
DOPPLER COLOR FLOW ADD ON
93325
275
2950050
ECHO TRANSESOPHAGEAL
93312
775
2950052
TEE INTRAOPERATIVE PHASE
93318
300
2950053
INJ DOBUTAMINE HCL/250 MG
7
2950054
IV INJECTION (IV PUSH)
96374
75
2950055
CARDIAC STRESS W/TREADMILL
93017
195
2950058
ECHO FETAL HEART FOLLOW UP
76826
150
2950059
CARDIOVERSION ELECT. EXTERNAL
92960
255
2950060
ECHO EXAM OF FETAL HEART
76825
150
2950070
PED 2D ECHO LIMITED STUDY
93307
450
2950071
PED 2D ECHO WITH BUBBLE
93307
450
2950072
PED 2D ECHO + CARDIAC DOPPLER
0
2950073
PED CARDIOVERSION ELECT EXTERN
92960
255
2950074
PED ECHO TEST OF FETAL HEART
76825
150
2950075
PED 2D ECHO+CARDIAC DOPPLER+CF
93306
475
2950076
PED TTE WITH BUBBLE (CONTRAST)
93306
475
3000005
BONE SCAN WHOLE BODY
78306
99
3000015
BRAIN SCAN
78600
65
3000025
LIVER SCAN-MULT VIEW
78201
85
3000030
LUNG SCAN-PERFUSION
78580
90
3000040
RENAL SCAN
78707
90
3000045
RENOGRAM-COMPUTERIZE
78707
90
3000088
LUNG SCAN VENT (AEROSOL / GAS)
78579
90
3000090
MYOCARDIAL PYP INFARCT SCAN
78466
90
3000095
SPLEEN SCAN-MULT VIE
78185
85
3000096
HEPATOBILI SYSTEM IMAGE W/DRUG
78227
75
3000097
TESTICULAR SCAN
78761
84
3000098
MECKELS DIVERT EXAM
78290
98
3000100
GALLIUM SCAN
78800
50
3000105
THERAPY HYPERTHYROID
79005
200
3000106
THERAPY THYROID CA
79005
400
3000107
BONE FLOW
78445
90
3000108
BRAIN FLOW
78610
30
3000110
HEPATOLITE (DISOFENIN)
60
3000111
KIT FOR VENTIL. SCAN
50
3000112
THALLIUM DOSE
150
3000113
RENAL FLOW
78709
100
3000114
PARATHYROID SCAN
78070
220
3000120
BONE BY 3 PHASE
78315
250
3000128
LIVER & SPLEEN SCAN
78215
170
3000131
MUGA SCAN CARDIAC BLOOD IMAGIN
78472
210
3000133
METASTRON TECH.COMP.
79101
190
3000138
WBC SCAN LIMITED AREA
78805
700
3000139
I-131 MIBG
78075
1800
3000140
LIVER DOSE (SULPHUR COLLOID)
80
3000141
LIVER IMAGING (SPECT)
78205
270
3000143
MEDRONATE (MDP)
50
3000144
BONE SCAN SPECT
78303
300
3000147
MYOCARD PERF REST SPECT SINGLE
78451
850
3000150
MYOCARD PERF REST SPECT MULT
78452
850
3000156
BRAIN SPECT
78607
440
3000159
RENAL SPECT
78710
390
3000167
GATED SPECT/REST DOS
78472
100
3000168
GATED SPECT
78472
400
3000171
GATED SPECT STRESS
78472
450
3000173
GASTRIC EMPTYING SCAN
78264
210
3000174
GASTROESOPHAGEAL REF
78262
210
3000201
CARDIOLITE(SESTAMIBI) DOSE
175
3000202
PERSANTINE / DIPYRIDAMOLE 10MG
100
3000203
GALLIUM GA67
180
3000205
CHOLETEC
38
3000207
KIT ULTRA TAG
70
3000208
TC99. DTPA
70
3000211
CERETEC
790
3000212
MACROAGREGADO (MAA)
20
3000213
MYOVIEW TETRO
110
3000214
I 131 (PASTILLA IODO) per MCI
25
3000215
PYROPHOSPHATE (TC PYP)
20
3000219
DMSA
15
3000220
NEUROLITE 25 Mci
850
3000221
INDIUM III OCTREOSCAN
A9548
2400
3000222
INDIUM IN-111 DTPA .500 Mci
990
3000223
ACUTE GI BLOOD LOSS IMAGING
78278
20
3000224
TECHNETIUM TC04-99M
45
3000225
CYSTERNOGRAPHY
78630
1490
3000227
RADIOPHARMA. LOC TUMOR/MULTIPL
78801
250
3000228
GALLIUM SCAN WHOLE BODY
78804
250
3000229
RADIOPHARMA. LOC TUMOR/TOMOGRA
78803
250
3000230
WBC SCAN WHOLE BODY
78806
700
3000231
I 131 DOSIS 15 MCI
391
3000245
I 131 DOSIS 29 MCI
657
3000252
I 131 DOSIS 100 MCI
2030.5
3000268
TUMOR IMAGING WHOLE BODY
78802
170
3000269
I131 DIAGNOSTIC CAP 0-25.0 uCi
37.5
3000270
KINEVAC / CCK
136
3000271
GLUCOSCAN GLUCO HEPTONATE 0-15
56
3000272
MAG-3 0-10 mCi
310
3000273
PYP KIT
30
3000274
TESTICULAR IMAGING W/VASC FLOW
78761
84
3000275
CSF SHUNT EVALUATION
78645
225
3000276
LYMPHATIC & LYMPH NODES IMAGIN
78195
260
3000277
SHUNTOGRAM
75809
180
3000278
NUCLEAR CYSTOGRAM
78740
330
3000279
SALIVARY GLAND IMAGING
78230
250
3000280
THYROID MET IMAGING BODY
78018
320
3000281
I131 DIAGNOSTIC CAP 0-50.0 uCi
100
3000283
CARDIAC STRESS W/TREADMILL
93017
195
3000284
LIVER IMAGING SPECT W/VASC FLW
78206
320
3000285
PET IMAGE W/CT FULL BODY
78816
964.95
3000286
FLUORODEOXYGLUCOSE F-18 FDG
A9552
500
3000287
TECHNETIUM TC-99M OXIDRONATE
121
3000288
LUNG VENTILAT & PERFUS IMAGING
78582
215
3000289
THYROID UPTAKE MEASUREMENT
78012
80
3000290
THYROID IMAGING W/BLOOD FLOW
78013
105
3000291
THYROID IMG W/BLOOD FLOW W/UPT
78014
160
3000292
PARATHYROID PLANAR W/SPECT
78071
222
2118055
ATTUNE PS FB INSRT SZ 4 5MM
540
2118056
ATTUNE FB TIB BASE SZ 3CEM
1792.8
2118057
ATTUNE MEDIAL DOME PAT 29MM
180
2118058
ATTUNE PS FEM LT SZ 3 CEM
1792.8
2118059
ATTUNE PS FB INSRT SZ 3 5MM
540
2118060
ATTUNE PS FEM RT SZ 4 CEM
1792.8
2118061
ATTUNE OS FEM RT SZ 5 CEM
1792.8
2118062
ATTUNE PS FB INSRT SZ 5 5MM
540
2118063
ATTUNE FB TIB BASE SZ 5 CEM
1792.8
2118064
ATTUNE PS FEM RT SZ 7 CEM
1792.8
2118065
ATTUNE FB TIB BASE SZ 7 CEM
1792.8
2118066
ATTUNE PS FB INSRT SZ 7 6MM
540
2118067
ATTUNE FB TIB BASE SZ 6 CEM
1792.8
2118068
ATTUNE PS FEM LT SZ 4 CEM
1792.8
2118069
ATTUNE PS FEM LT SZ 5 CEM
1792.8
2118070
ATTUNE PS FB INSRT SZ 5 6MM
540
2118071
ATTUNE PS FEM RT SZ 3 CEM
1792.8
2118072
ATTUNE PS FB INSRT SZ 3 7MM
540
2118073
ATTUNE PS FB INSRT SZ 8 6MM
540
2118074
ATTUNE PS FEM RT SZ 6 CEM
1792.8
2118075
4.5 NARROW LCP PL 11 H/206
660
2118076
4.5 CORT SCREW S-TAP 16
36
2118077
4.5 CORT SCREW S-TAP 18
36
2118078
4.5 CORT SCREW S-TAP 20
36
2118079
5.0 LCK SCR S-TPNG STDRV R 18
180
2118080
5.0 LCK SCR S-TPNG STDRV R 20
180
2118081
5.0MM LCK SCR S/TAP 22MM
180
2118082
ATTUNE PS FB INSRT SZ 4 7MM
540
2118083
ATTUNE PS FEM LT SZ 6 CEM
1792.8
2118084
ATTUNE PS FB INSRT SZ 4 6MM
540
2118085
ATTUNE PS FEM LT SZ 8CEM
1792.8
2118086
ATTUNE PS FB INSRT SZ 8 5MM
540
2118087
ATTUNE MEDIAL DOME PAT 35MM
600
2118088
2.4MM VA-LCP 2-CLMN DRP 8H
998.4
2118089
2.4MM VA LOCK SCREW 14MM STAR
139.2
2118090
2.4MM VA LOCK SCREW 16MM STAR
139.2
2118091
2.4MM VA LOCK SCREW 20MM STAR
139.2
2118092
COTREX SCREW STRDR 2.7 L 14MM
39.6
2118093
5.5 HEALIX TI ANCHOR W/OC+NDLS
364.8
2118094
6.5MM X 70 CANNULA
110.4
2118500
DJO TURON HUMERAL STEM
1800
2118501
HUMERAL NECK
576
2118502
DJO HUMERAL HEAD
1500
2118503
GLENOID
540
2118504
BIO-PULSE
109.2
2118505
PARCUS BRAID # 2
88.8
2118506
PARCUS BRAID # 5
120
2118507
HUMERAL STEM SZ 7 / SZ 8
3360
2118508
HUMERAL SOCKET INSERT
540
2118509
GLENOID BASEPLATE
126
2118510
GLENOID HEAD W/RETAINING SCREW
1056
2118511
GLENOID LOCKING BONE SCREW
126
2118512
VERSABOND AB 40 GRAM
120
2118513
VORTEX VACUUM SYSTEM
120
2118514
CLEARCUT CEMENT PLUG
150
2118515
PANTERA PLATE STAND LEFT 73MM
1567.2
2118516
22/24/30/35MM CORT LOCK SCREW
115.2
2118517
30/35/40/45MM POST W/CROSS ELE
181.2
2118518
K-WIRE 0.062
18
2118519
22/26/28MM 3.5MM DIA/COR SCREW
115.2
2118520
HUMERAL SOCKET SHELL
1080
2118521
RSP MONOBLOCK STEM
3360
2118522
HUMERAL STEM PRIMARY
3360
2118523
BONE CEMENT W/ANTIBIOTIC
120
2118524
28MM/CORTICAL LOCKING SCREW
115.2
2118525
30MM CROSS ELEMENT
115.2
2118526
20/24MM DIA/COR SCREW
115.2
2118527
K-WIRE 0.063
18
2118528
30MM POST W/CROSS ELEMENT
181
2118529
RSP BONE SCREW-LOCKING
126
2118530
SCREW LOCKING BONE RSP
126
2118531
DJO PLUG CEMENT
150
2118532
DJO RSP MONOBLOCK STEM SZ 12
3360
2118533
DJO SOCKET INSERT 32MM STD RSP
540
2118534
BASEPLATE GLENOID HA-COAT RSP
1260
2118535
5.5MM V-LOX PEEK CF
360
2118536
S&N CEMENT AB
120
2118537
BASEPLATE SL TREPEZOIDE NON-PO
1260
2118538
DOMED TRI-PEG PATELLA SIZE26MM
360
2118539
MOVATION S FEMUR-NON PORUS
1920
2118540
MOVATION PS INSERT E-PLUS
540
2118541
PARCUS BRAID 5 WHITE W NEEDLES
58.8
2118542
MOVATION TIBIA
840
2118543
ALL-POLY DOMED PATELLA/O+
240
2118544
REPLACE RETAIN SCREW FOR GLENO
126
2118545
ALL-POLY DOMED PATELLA E+
240
2118546
MOVATION PS FEMUR
L8699
1800
2118547
MOVATION DOWN-SIZED TIBIA
840
2118548
3-PANEL KNEE SPLINT 14''
120
2118549
E-PLUS INSERT/MOVATION 9MM
81.78
2118550
STANDARD HUMERAL SOCKET INSERT
540
2118551
PRIMARY HUMERAL STEM
3360
2118552
MIXING SYSTEM
150
2118553
CEMENT AB
120
2118554
QUICK-FIT SHOULDER IMMOBILIZER
65.5
2118555
HUMERAL NOZZEL
10
2118556
5.5MM V-LOX TIT SUTURE ANCHOR
319.2
2118557
PARCUS TRACTION KIT (SHOULDER)
180
2118558
CANULA 5 X 75
110.4
2118559
AMBIENT SUPER TURBO VAC 90
410.4
2118560
PARCUS BRAID 2 WHITE W NEEDLES
42
2118561
5.5MM IMPACT KNOTLESS ANCHOR
360
2118562
ALL POLY DOMED PATELLA
240
2118563
EMPOWR NONPOROUS TIBIA
1680
2118564
EMPOWR PS KNEETM FEMUR NONPORO
L8699
2400
2118565
EMPOWR PS KNEETM TIBIAL INS
540
2118566
MAX CAPACITY 120G 3UN HGH VISC
134.4
2118567
COBALT HV BONE CEMENT W GENTAM
216
2118568
LOQTEQA VA DISTAL RADIUS STRAI
1140
2118569
LOQTEQA VA DISTAL ULNA PLATE
1140
2118570
LOQTEQA VA CORTICAL SCREW L12
120
2118571
LOQTEQA VA CORTICAL SCREW L14
120
2118572
LOQTEQA VA CORTICAL SCREW L16
120
2118573
CORTICAL SCREW 2.5 / L12 TITA
103.2
2040446
STENT BX VELOCITY 2.5X13
2400
2040447
STENT BX VELOCITY 3.0X13
2400
2040448
STENT BX VELOCITY 2.25X18
2400
2040449
STENT BX VELOCITY 2.5X18
2400
2040450
STENT BX VELOCITY 3.0X18
2400
2040451
STENT BX VELOCITY 3.5X18
2400
2040452
STENT BX VELOCITY 4.0X18
2400
2040453
STENT BX VELOCITY 4.5X18
2400
2040454
STENT BX VELOCITY 2.25X23
2400
2040455
STENT BX VELOCITY 2.5X23
2400
2040456
STENT BX VELOCITY 3.0X23
2400
2040457
BALLON NINJA 1.5X20
1100
2040458
BALLON NINJA 2.0X20
1100
2040459
BALLON NINJA 2.25X20
1100
2040460
BALLON NINJA 2.50X20
1100
2040461
BALLON NINJA 3.0X20
1100
2040462
BALLON NINJA 3.5X20
1100
2040463
BALLON NINJA 3.0X15
1100
2040464
BALLON NINJA 3.5X15
1100
2040465
BALLON NINJA 4.0X20
1100
2040466
BALLON RAPTORAIL 30X30
1100
2040467
BALLON RAPTORAIL 2.5X20
1100
2040468
STENT BX VELOCITY 3.5X23
2400
2040469
STENT BX VELOCITY 2.5X28
2400
2040470
STENT BX VELOCITY 3.0X28
2400
2040471
STENT BX VELOCITY 3.5X28
2400
2040472
STENT BX VELOCITY 4.0X28
2400
2040473
STENT BX VELOCITY 3.0X33
2400
2040474
STENT BX VELOCITY 3.5X33
2400
2040475
STENT BX VELOCITY 4.0X33
2400
2040476
CATETER AL 75SH CM 8FR CORDIS
300
2040477
CATETER AL 1SH CM 8FR CORDIS
300
2040478
CATETER AL 1.5SH CM 8FR CORDIS
300
2040479
CATETER AL 2SH CM 8FR CORDIS
300
2040480
CATETER AR 1SH CM 8FR CORDIS
300
2040481
CATETER AR 2SH CM 8FR CORDIS
300
2040482
CATETER MPA 1SH CM 8FR CORDIS
300
2040483
CATETE H-STICK SH CM8FR CORDIS
300
2040484
CATETER JL4 SH CM 8FR CORDIS
300
2040485
JCR 3.5 SH 8FR GUIDING CATHETE
255
2040486
CATETER XB 3.0 SH CM 8FR CORDI
300
2040487
CATETER XB 3.5 SH CM 8FR CORDI
300
2040488
CATETER XB 4.0 SH CM 8FR CORDI
300
2040489
CATETER JR 4 SH CM 8FR CORDIS
300
2040490
CATETER JR 3.5 SH CM8FR CORDIS
300
2040491
CATETER JL 5 SH CM 8FR CORDIS
300
2040492
CATETER XB CM 7FR CORDIS
315
2040493
CATETER BIOP FORCEPS7FR CORDIS
825
2040494
GUIDE WIRE ATW .014X300 CORDIS
405
2040495
GDE WIRE B 7FR CATETER CORDIS
276
2040496
GDE WIRE RCB7FR CATETER CORDIS
48
2040497
GDE WIRE LCB7FR CATETER CORDIS
48
2040498
GDEWIRE CZCOND.2 7FR CAT CORDI
42
2040499
VASCULAR CLOSURE SYSTEM
540
2040500
GUIDE WIRE DUET
545
2040501
CATETER JL4 7FR CORDIS
50
2040502
CATETER JL 3.5 7FR CORDIS
50
2040503
CATETER JL5 7FR CORDIS
48
2040504
CATETER JL6 7FR CORDIS
48
2040505
CATETER JR5 7FR CORDIS
48
2040506
CATETER MPA-1 7FR CORDIS
48
2040507
CATETER ARMOD 7FR CORDIS
48
2040508
CATETER ALI 7FR CORDIS
48
2040509
CATETER ALII 7FR CORDIS
48
2040510
CATETER ALIII 7FR CORDIS
50
2040511
CATETER IM 7FR CORDIS
48
2040512
CATETE PIG TAIL 145 CORDIS 7FR
48
2040513
PRIOR PCK CPILOT QUIT IND ROT.
210
2040514
GUIDE WIRE BMW.014X300CM UNIV
300
2040515
GUIDE WIRE TRAVERSE .014X300CM
80
2040516
GUIDE WIRE CROSS IT .014X300CM
1300
2040517
MANIFOLD
7.25
2040518
CATETER JOVUS AVANAR ENDOSONIC
1750
2040519
HEMOSTATIC VALVE
120
2040520
CATE AL1.5SH 8FR VIKINS OPTIMA
325
2040521
CATE JR3.5SH 8FR VIKINS OPTIMA
270
2040522
GUIDE WIRE TERUMO ANGLED
175
2040523
GUIDE WIRE TERUMO STRAIGHT
175
2040524
BALLON 1.5X20 OPENSAIL
1100
2040525
BALLON 2.0X20 OPENSAIL
1100
2040526
BALLON 2.5X20 OPENSAIL
1100
2040527
BALLON 3.0X20 OPENSAIL
1100
2040528
BALLON 3.5X20 OPENSAIL
1100
2040529
BALLON 4.0X20 OPENSAIL
1100
2040530
CATHETER DIVICE ROTATIONAL
210
2040531
BALLON INTRA AORTICO 34 CC 8F
1600
2040532
BALLON INTRA AORTICO 40 CC 8F
1600
2040533
PRESSURE MONITOR KIT
105
2040536
CATH TERMODILUTION7F SWAN GANZ
175
2040537
SYRINGE INYECTOR 150 ML
35
2040538
INTRODUCER SHEATH
48
2040539
3IN1 CLEAR SITE GENZYME SYSTEM
450
2040540
CATETER JL 6 100CM 8FR CORDIS
300
2040541
CATE PERFO AL3 100CM8FR CORDIS
300
2040542
CAT MAM INT IM SH100CM8FR CORD
300
2040543
CATET JL4 100CM7FR LEFT CORDIS
300
2040544
CATETER JL 3.5 100CM 7FR LEFT
48
2040545
CATE JR4 100CM7FR RIGHT CORDIS
300
2040546
CATET JR3.5 100CM7FR R/CORDIS
300
2040547
CATE PERF AL.75 100CM7FR L/COR
300
2040548
CAT PERF AL1.5SH100CM7FR L/COR
300
2040549
CATE PERF AL1SH100CM7FR L/CORD
300
2040550
CATE PERF AL2SH100CM7FR L/CORD
300
2040551
CATE PERF AR1SH100CM7FR R/CORD
300
2040552
CATE PERF AR2SH100CM7FR R/CORD
300
2040553
CATE CURVA XB3.5SH100CM7FR COR
300
2040554
SAPHLITE FIBER OPTIC LIGHT PAN
150
2040555
PTA BALLOON 7X2 80CM
675
2040556
PTA BALLOON 7X4 80CM
645
2040557
PTA BALLOON 7X6 80CM
675
2040558
PTA BALLOON 7X6 80CM - OPTA
645
2040559
PTA BALLOON 7X8 80CM
675
2607174E
PSA FREE AND TOTAL
60
2607175E
OBSTETRIC PANEL
170
2607176E
WEST NILE VIRUS TITER
216
2607177E
GLUCOSE 6 PHOSPHATASE DEHYDROG
62
2607178E
MEM SERUM
1502
2607179E
PROTEIN C DEFICIENCY PROFILE
80
2607180E
PROTEIN S DEFICIENCY PROFILE
647
2607181E
ANTITHROMBIN III DEFICIEN PROF
426
2607182E
MOLECULAR NUCLEIC AMPLI 2 SEG
71
2607183E
LUPUS ANTICOAGULANT
258
2607184E
LDH ISOENZYMES
0
2607185E
FACTOR IX INHIBITOR
0
2607186E
T + B LYMPHOCYTE PANEL
0
2607187E
PROTEIN ELECTROPHORESIS CSF
0
2607188E
17 HYDROXY/17 KETOS
0
2607189E
5-HIAA
0
2607190E
AMIKIN PEAK + THROUGH
0
2607191E
CRYTOSPORIDIUM + ISOSPERA
0
2607192E
DRUG ABUSE SCREEN III URINE
0
2607193E
COXSACHIE A IgG IgM
0
2607194E
INSULIN (3 SAMPLES)
0
2607195E
DIBUCAINE # W PLASMA & RBC CHO
0
2607196E
CELIAC DISEASE PROFILE
0
2607197E
SACCHAROMYCES CEREVISIAE
0
2607198E
POLIOVIRUS SERUM
0
2607199E
POLIOVIRUS CSF
0
2607200E
TORCH PROFILE IgG
0
2607201E
HERPES SIMPLEX TYPE 1 + 2 IgM
0
2607202E
DRUG ABUSE SCREEN III URINE
20
2607203E
SACCHAROMYCES CEREVISIAE
98
2607204E
POLIOVIRUS SERUM
711
2607205E
CSF POLIOVIRUS
252
2607206E
HERPES VIRUS TYPE 1 & 2 IgM
145
2607207E
HERPES VIRUS 6 Ab IgM
250
2607208E
INSULIN (3 SAMPLE)
24
2607209E
DIBUCAINE # W PLASMA & RBC CHO
82
2607210E
PROTEIN S ANTIGEN
88
2607211E
ALKALINE PHOSPHATASE ISOENZYME
44
2607212E
AFB ANTIBIOTIC SUSCEPTIBILITY
248
2607213E
CHLAMYDIA/GONOR NUCLEIC ACID
425
2607214E
RSV / PCR
525
2607215E
B2 GLYCOPROTEIN IgM IgG IgA
74
2607216E
CATECHOLAMINE & VMA 24HR
111
2607217E
LEUKEMIA LYMPHOMA PROFILE
2633
2607218E
FISH ONCOLOGY CYTOGENETIC BLOO
3476
2607219E
FISH ONCO CYTOGENET BONE MARRO
2244
2607220E
FREE KAPPA/LAMBDA PLS RATIO QN
75
2607276E
CATECHOLAMINE & VMA 24HR
74
2607277E
LYME DISEASE AB (TOTAL & IgM)
115
2607278E
GTT-2HR
60
2607279E
GTT-3HR
80
2607280E
MACROPROLACTIN
201
2607281E
ABG & OXIMETRY & CHEMISTRY
160
2607282E
ABG & OXIMETRY
140
2607283E
ABG & CHEMISTRY
130
2607284E
OXIMETRY
30
2607285E
IgG SYNTHESIS RATE SERUM & CSF
419
2607286E
CSF SERUM IgG INDEX
150
2607287E
INFLUENZA A-B (IgM IgG)
266.25
2607288E
B.PERTUSSIS Ab IgA IgG IgM
597
2607289E
NATURAL KILLER CELLS CD19 LYM
347
2607290E
FOLATE RBC
69
2607291E
BLASTOMYCES DERMATITIDIS ANTIB
309
2607292E
GD1A Ab IgG IgM
230
2607293E
DRUG TOXICOLOGY (SERUM)
195
2607294E
C.PNEUMONIAE IgG IgM IgA
465
2607295E
CHLAMYDIA/GONOCOCCUS(MARRIED)U
60
2607296E
ASPERGILLUS Ab IgG
38
2607297E
BETA 2 GLYCOPROTEIN IgG IgM
195
2607298E
RAPID TEST FOR INFLUENZA A & B
45
2607299E
SHIGA TOXIN - STOOL
33
2607300E
ADENOVIRUS Ab IgG & IgM/ CSF
149
2607301E
HIV 1-2 AB DIFFERENTIATION
75
2607302E
FUNGUS CULTURE & STAIN
40
2607303E
RAPID TEST FOR INFLUE A&B(GOV)
0
2607304E
YEAST ID & SUSCEPTIB (5 DRUGS)
428
2607305E
CICLOSPORA/SMEAR/STOOL
122
2607306E
CBG WITH FREE CORTISOL
119
2607307E
LYME Ab/WESTERN BLOT REFLEX/SE
825
2607308E
HEPATITIS C VIRUS FIBROSURE
396
2607309E
CANDIDA Abs IgG/IgM/IgA/ELISA
233
2607310E
HEMATOLOGY OPEN HEART
0
2607311E
GLUCOSE 1 HOURS PP
40
2607312E
ALDOSTERONE/RENIN RATIO
0
2607313E
NON-TREPONEMAL VDRL/SEMI QUANT
160
2607314E
CML CHROMOSOME/FISH
1410
2607315E
L/S RATIO W CREAT/AMNIOCENTESI
252
2607316E
CHOMOSOME ANALY/AMNIOTIC FLUID
600
2607317E
CHOMO ANALY W REFLEX SNP MICRO
4362
2607318E
ANTI-HUMIRA Ab & HUMIRA CONCEN
605
2607319E
ENCEPHALITIS PANEL/CSF
1082
2607320E
HIV 1-2 Ab DIFFERENTIATI (EXPO
0
2607321E
MTB NAA+AFB SMEAR/CULT/ID/AST
4105
2607322E
NMDA RECEPTOR Ab
1650
2607323E
INFLIXIMAB(IFX)CONC + IFX Ab(R
600
2607324E
HSV 1/2 PCR/AMNIOTIC
447
2607325E
EARLY SJOGREN PANEL
791
2607326E
TOXOCARA IN SERUM
210
2607365E
REF ANAEROBIC & AEROBIC CULTUR
336
2607366E
CD 20
638
2607367E
FRANCISELLA TULARENSIS ABS
210
2607368E
CSF BARTONELLA HENSELAE Abs G/
157
2607369E
CSF BARTONELLA QUINTANA Abs G/
157
2607370E
HNK-1 (CD57) PANEL
178
2607371E
NASH FIBROSURE
587
2607372E
COLLAGEN BINDING ASSAY
375
2607373E
ENCEPHALIS PANEL SERUM
1082
2607374E
17-HYDROCORTICORTEROIDE
90
2607375E
INFLU A/B VIRUS Ab G/M SER CSF
266
2607376E
HEPATITIS B PROFILE
94
2607377E
CALCIUM/CREATININE RAT RAN UR
7
2607378E
PLATELET COUNT WITH REFLEX IPF
25
2607379E
CBC DIFF & PLATELETS W RFX IPF
25
2607380E
INSULIN FREE AND TOTAL
135
2607381E
LIPID PANEL + APO B
140
2604570
VITAMINA B-12
82607
20
2604571
A L P
84075
20
2604572
T-3 UPTAKE
84479
20
2604573
T-4 TOTAL
84439
25
2604574
PROSTATIC ACID PHOSPH
84066
60
2604601
CRYOGLOBULIN
82595
45
2604602
PHENOBARBITAL-LUMINA
80184
50
2604603
DILANTIN
80185
50
2604604
ANTIBODY TO ENA
86235
90
2604605
ANTITHYROID MICROSOMAL
86376
76.15
2604607
F.S.H.
83001
10
2604610
ADENOVIRUS
86603
56
2604611
ALBUMIN
82040
20
2604612
ALUMINUM SERUM
82108
39
2604613
ALUMINUM URINE
82108
120
2604614
ADH
84588
411
2604615
ANTI-PARIETAL CELLS
86256
65.55
2604616
ANGIOTENSIN CON-ENZY
82164
30
2604617
ANTI THROMBIN III LV
85300
40
2604618
BLOOD CULTURE ARD
87040
40
2604619
CALCIUM IONIZED
82330
40
2604620
CALCITONINA
82308
43
2604621
CA-125 ANTIGEN
86304
21.75
2604622
CAROTENE
82380
41
2604623
COXSACKIE A IgG
86658
252
2604624
COXSACHIE V AB B/SERUM
86658
454
2604625
C-PEPTIDE
84681
24
2604626
CSF INDIA INK
87210
15
2604627
CSF GLUCOSE
82947
20
2604628
CSF CULTURE
87070
30
2604630
DHEA - URINE
82626
97
2604631
DHEA - SERUM
82626
44
2604632
DHEA - SULFATE
82627
24
2604633
ECHOVIRUS TITER
86658
797
2604634
ERITHROPOIETIN
82668
35.25
2604635
ESTRADIOL
82670
20
2604636
FRUCTOSAMINE
82985
9.9
2604637
G. G. T.
82977
6
2604639
HEPATITIS C
86803
15
2604640
HGH-HUMAN GROW.(14)
83003
624
2604641
HGH-HUMAN GROW.(6)
83003
270
2604643
LEUKOCYTES ALKALINE
85540
31.5
2604644
LDH ISOENZYMES
83625
38
2604645
TIB LYMPHOCYTE PROFILE
86353
260
2604646
KLONOPIN (CLORAZEPAM)
80299
137
2604647
LUPUS ANTICOAGULANT
85705
270
2604648
METHADONE/URINE
80358
57
2604649
METANEPHRINE QUANT.
83835
95
2604650
MEXITIL BLOOD LEVEL
80299
70
2604651
MYOGLOBIN SERUM
83874
33
2604652
MYOGLOBIN URINE
83874
33
2604653
PKU-T4
84035
23
2604654
PSA-PROSTATIC SPECIF
84153
50
2604656
RENIN - 2 SAMPLES
84244
112
2604657
RHEUMATOID PROFILE
86430
64
2604658
ROTAZYME - ROTAVIRUS
86759
75
2604659
SJOGREN'S ANT. S.S.
86235
23.7
2604660
SOMATOMEDIN-C = IGFBP-1
84305
168
2604662
TBG
84442
114
2604663
THROMBIN TIME
85670
43
2604664
THIOCYNATE
80299
135
2604667
URINE CATECOLAMINAS
82382
110
2604668
URINE CHLORIDE
82436
20
2604669
URINE HEMOGLOBIN FREE/QUAL
81000
39
2604670
URINE PORPHIRINS(COPROPORPHIRI
84120
70
2604671
VANCOMYCIN
80202
68
2604672
ANTI-MITOCHONDRIAL
86256
16.5
2604673
ANTI-CARDIOLIPIN AB. IGAIGGIGM
86147
72
2604674
ANTI-SMOOTH MUSCLE
86256
25
2604675
ANTI PHOSP.AB=ANTICARDIOLIPIN
86147
51
2604676
CA-19-9
86301
23
2604677
C-ANCA-P-ANCA
86317
240
2604678
CIRCUNOVAL CYST
87197
45
2604679
CD4 (HELPER T LYMPH)
86361
170
2604680
CHLAMYDIA CULTURE
87110
78
2604681
C1-ESTERASE
85335
67
2604682
FACTOR IX/ ACTIVITY
85250
147
2604683
HELICOBACTER P. IGG
86677
69
2604684
HEPATITIS PRIFILE 7
80074
88.5
2604685
ACUTE HEPATITIS PANEL
80074
88.5
2604686
HEPATITIS DELTA AB IgM
86692
372
2604688
INFLUENZA ANTIBODIES A+B QT.
86710
41.58
2604689
PTT (50:50) MIXING STUDY
85335
123
2604690
PROTEIN C ANTIGEN
85303
67.5
2604691
PROTEIN S ANTIGEN
85305
87.3
2604692
T 3 FREE
84481
30
2604693
TORCH IGG-IGM TORCH AB PANEL
80090
405
2604696
TROPONIN T QUANTITATIVE
84484
55
2604697
OBSTETRIC PANEL
80055
170
2604698
GENERAL HEALTH PANEL
80050
180
3201893
GENOTROPIN 5.8 MG
346
3201894
HALOPERIDOL DECANOATE
2
3201895
B COMPLEX SOFTGEL
0.25
3201896
HALDOL DECANVATE 50 MG/ML VIAL
120
3201897
HALDOL 10 TAB
0.25
3201898
VISTARYL 25 MG/ML VIAL
1
3201899
MUCOMYST 10% VIAL
13.35
3201900
POLYMICIN B SULFATE VIAL
14.9
3201901
STREPTOKINASE1 500 000 IU VIAL
1080
3201902
STREPTOKINASE 250 000 IU VIAL
200
3201903
TOPROL XL 100 MG TAB
2
3201904
VANCOMYCIN 1 MG VIAL
9.6
3201905
PHENERGAN 25 MG TAB
0.25
3201906
POTASSIUM CL 10MEG/100ML PIGGY
2.65
3201907
POTASSIUM CL 20MEG/50ML PIGGY
5.4
3201908
SOLU-CORTEF 250 MG VIAL
7.75
3201909
ZOLOFT 25MG TAB
4.2
3201910
ALTACE 10 MG CAP
3.1
3201911
POTASSIUM 20 MEG/10ML
2
3201912
CLAFORAN 500 MG VIAL
8
3201913
CLARITIN D-24HR TAB
10.47
3201914
INTROPIN 200MG VIAL
3.9
3201915
CYTOTEC 200MG TAP
2.35
3201916
GILTRUSS PED.
6.5
3201917
LEVAQUIN 250MG TAB
13.2
3201918
TOPROL XL 25MG TAB
1.4
3201919
LEVAQUIN 500MG PIGGY
56.85
3201920
RIFAMPIN 600MG VIAL
155
3201921
TAGAMET 150/ML X 2ML VIAL
2.25
3201922
D-STAT VASCULAR SOLUTION VIAL
210
3201923
POTASS CHLOR 20MEG/100ML PIGGY
5.4
3140258
URETERAL EMBOLIZATION OR OCCLU
50705
2039.61
3140259
TRANSURETHRAL DESTRUC PROSTATE
53854
1900.99
3140260
BALLOON DILATION URETERAL STRI
50706
963.45
3140261
FOREIGN BODY RETRIEVAL
37197
1722.1
3140262
IVC FILTER INSERTION
37191
2426.58
3140263
IVC FILTER RESPOSITIONING
37192
1418.36
3140264
IVC FILTER RETRIEVAL (REMOVAL)
37193
1672.18
3140265
TUNNELED CATH W/PUMP -MED PORT
36563
1268.76
3140266
BREAST U/S GUIDANCE 1 LESION
19285
445.39
3140267
TUNNELED PORT CENTRALLY INSERT
36561
1119.66
3140268
CORE NEEDLE BIOPSY
32408
973.54
3150010
CT HEAD/BRAIN WO/CM
70450
300
3150011
CT HEAD/BRAIN W/CM
70460
300
3150012
CT HEAD/BRAIN WO/CM FCM
70470
300
3150013
CT SCAN ORBIT/EAR/FOSSA WO/DYE
70480
300
3150014
CT SCAN ORBIT/EAR/FOSSA W/DYE
70481
300
3150015
CT SC ORBIT/EAR/FOSSA WO&W/DYE
70482
300
3150016
CT SOFT TISSUE N WO/CM
70490
300
3150017
CT SOFT TISSUE N/W/CM
70491
300
3150018
CT THORAX WO/CM
71250
300
3150019
CT THORAX W/CM
71260
300
3150020
CT THORAX WO/CM F BY CM
71270
300
3150021
CT CERVICAL SPINE WO/CM
72125
300
3150022
CT CERVICAL SPINE W/CM
72126
300
3150023
CT CERV.SPINE WO/CM-FCM
72127
300
3150024
CT THORACIC SPINE WO/CM
72128
300
3150025
CT THORACIC SPINE W/CM
72129
300
3150026
CT LUMBAR SPINE WO/CM
72131
300
3150027
CT LUMBAR SPINE W/CM
72132
300
3150028
CT LUMBAR S. WO/CM F CM
72133
300
3150029
CT PELVIS WO/CONT MATER
72192
300
3150030
CT PELVIS W/CONTRAST MATERIAL
72193
300
3150031
CT PELVIS WO/CM F BY CM
72194
300
3150032
CT LOWER EXTREMITY WO/CM
73700
300
3150033
CT LOWER EXTREMITY W/CM
73701
350
3150034
CT LOWER EXTREMITY WO/CM F CM
73702
300
3150035
CT ABDOMEN WO/CONTRAST MATERIA
74150
300
3150036
CT ABDOMEN W/CONTRAST MATERIAL
74160
300
3150037
CT ABDOMEN WO/CM F CM
74170
300
3150038
CT LIMITED FOLLOW UP
77012
300
3150040
CT GUIDANCE/DRAINAGE
75989
300
3150041
CT SCAN BIOPSY/ASPIRATION
77012
300
3150042
CT SCAN BIOPSY/NEEDLE
71250
300
3150043
CT UPPER EXT W/O CON
73200
300
3150044
CT UPPER EXT W/CONT.
73201
300
3150045
CT ANGIOGRAPHY HEAD W/CM
70496
775
3150046
CT ANGIOGRAPHY NECK W/CM
70498
775
3150047
CT MAXILLOFACIAL W/CONT. MAT
70487
600
3150048
CT MAXILLOFACIAL W/O CONT.MAT.
70486
500
3150049
CT MAXIL.W/OCONT.MAT.FL/CNT.MA
70488
725
3150050
CT SFT TISS NECK W/OCONT.MAT&F
70492
750
3150051
CT ANGIOGRAPHY/CHEST W/CM
71275
975
3150052
CT THORACI SPINE WO/CM F BY CM
72130
1075
3150053
CT ANGIOGRAPH PELV W/O & W/DYE
72191
725
3150054
CT ANGIO UPR EXTRM W/O & W/DYE
73206
950
3150055
CT ANGIO LWR EXTR W/O & W/DYE
73706
985
3150056
CT UPP EXTR W/O CONT.MAT.FOL/C
73202
975
3150057
CT ANGIO ABDOMEN W/O & W/DYE
74175
400
3150058
CT ABD & PELVIS W/O CONTRAST
74176
215
3150059
CT ABD & PELVIS WITH CONTRAST
74177
330
3150060
CT ABD & PEL 1+ SECTION/REGNS
74178
370
3150061
CT ANGIO ABD & PELV W/O &W/DYE
74174
413
3150062
CT ANGIO ABDOMINAL ARTERIES
75635
241
3150063
AVAILABLE
3156666
CT SCAN OTHER CHARGE
0
3200002
BIAXIN SUSP 125MG
52.5
3200003
BIAXIN SUSP 250MG
81.7
3200004
BIAXIN 250MG TAB
9.84
3200005
BIAXIN 500MG
11.91
3200006
ERY PED 400 SUSP 400 MG
23.45
3200007
E.E.S. SUSP 200MG
15.4
3200008
ERY PED SUSP 200MG
15.6
3200009
E.E.S. 400MG TAB
0.45
3200010
ERYTHROCYN 250 MG
0.3
3200011
ERYTHROMYCIN 500MG
0.51
3200012
HYTRIN 1MG
2.95
3200013
HYTRIN 5MG
3.1
3200014
HYTRIN 2MG
3.1
3200015
IBERET FOLIC 500MG
1.4
3200016
PCE 333MG
1.95
3200017
PREVACID 30MG
6.3
3200018
INDERAL 10MG
0.7
3200019
INDERAL 20MG
0.9
3200020
INDERAL 40MG
1.2
3200021
INDERAL LA 60MG
1.76
3200022
INDERAL LA 80MG
4.05
3200023
INDERAL LA 120MG
2.4
3200024
INDERIDE LA 80\50
2.14
3200025
MYSOLINE 250MG
1.86
3200026
PREMARIN 0.3MG
1.77
3200027
PREMARIN .625MG
2.37
3200028
PREMARIN 1.25MG
2.43
3200029
PREMPRO .625MG
1.5
3200030
AMOXIL SUSP 125MG
2.9
3200031
AMOXIL SUSP 250MG
4.8
3200032
AMOXIL 250MG
0.25
3200033
AMOXIL 500MG
0.4
3200034
AUGMENTIN 250MG
3.86
3200035
AUGMENTIN 500MG
8.94
3200036
AUGMENTIN 875MG
8.1
3200037
AUGMENTIN SUSP 125MG
28.7
3200038
AUGMENTIN SUSP 250MG
54.7
3200039
TIGAN 250 CAP / DOSE
1.44
3200040
TIGAN 200MG / DOSE
15.81
3200041
ALUPENT / DOSE
54.72
3200042
ATROVENT INH / DOSE
105.82
3200043
ATROVENT SPRAY
68.45
3200044
CATAPRESS 0.1MG
1.2
3200045
CATAPRESS 0.2MG
1.85
3200046
CATAPRESS 0.3MG
2.3
3200047
CATAPRESS TTS-1
29.73
3200048
CATAPRESS TTS-2
49.15
3200049
CATAPRESS TTS-3
62.03
3200050
COMBIPRESS 0.1 MG
1.55
3200051
COMBIPRESS 0.2 MG
2.1
3200052
DULCOLAX 5MG
0.3
2115247
4.5MM CORTICAL SCREW SELFTAP L
180
2115248
SIX SHOOTER ARM SLING INMOBILI
69.96
2115249
8.0MM X 75MM THREADED CANNULA
152.64
2115250
ARM SLING GREY
190.8
2115251
DRY-DOC CANNULA 8.0MMX75MM RED
127.2
2115252
NEXGEN ALL POLY PATELLA 26MM
360
2115253
BIPOLAR SHELL 42MM OD
678
2115254
FLOSTEADY ARTHROSCOPY PUMP
52.8
2115255
GUIDE WIRE BULLET TIP 3X100CM
293.83
2115256
LAG SCR 12.7D X 85MM STND THRE
457.5
2115257
LAG SCR 12.7D X100MM STND THRE
457.5
2115258
VERSAFX II STDTUBE 135DX4 HOLE
750
2115259
NEXGEN LPS-FLEX OPT FEM D-RT
2208
2115260
NEXGEN PRECOAT STEM TIB PLATE
1454.59
2115261
BIPOLAR SHELL 49MM OD
678
2115262
4.0MM CANCELLOUS SCREW 40MM
105
2115263
4.0MM CANCELLOUS SCREW 12MM
84
2115264
4.0MM CANCELLOUS SCREW 20MM
84
2115265
MIXEVAC3 BONE CEMENT MIXER
180
2115266
M/L TAPER SIZE 9.0 STND OFFSET
1836
2115267
DELTA CERA FEM HEAD 36MM3.5MMS
1440
2115268
TRILOGY ACET SHELL 54MM OD
1748.4
2115269
NEXGEN LPS-FLEX OPT FEM E-RT
2040
2115270
SUTURE SLIDER
367.2
2115271
RESECTOR 4.0MM
139.2
2115272
NEXGEN A/P WEDGED PRCT TIB SZ4
1800
2115273
3.5MM COMPRESSION PLATE
434.06
2115274
NEXGEN ALL POLY PATELLA 29MM
360
2115275
M/L TAPER SIZE 10 STND OFFSET
2840.4
2115276
BONE SCREW 6.5 X 15 SELF-TAP
125.4
2115277
BIPOLAR LINER 42/43MM ID
522
2115278
5.0MM ALL THREAD TI ANCHOR SZ2
540
2115279
SERFAS ENERGY PROBE 90.S ACCEL
259.2
2115280
BARREL BUR 4.0MM 6 FLUTE
139.2
2115281
NEXGEN LCCK FEM SIZE E-LT
3780
2115282
VERSYS FM TAPER 10X115MM STD
1836
2115283
BIPOLAR LINER 42/43MM ODX22MM
900
2115284
TRILOGY ACET SHELL 52MM OD CLU
1720.8
2115285
M/L TAPER SZ 11.0 STAND OFFSET
1836
2115286
NEXGEN ALL POLY PATELLA 32MM
360
2115287
NEXGEN LCCK FEM SIZE D-RT
2550
2115288
NEXGEN LCCK ART SURF CD3-4/YEL
971.76
2115289
SLIMLINE HIP ABDUC PILLOW/UNIV
69.96
2115290
PS FEMORAL NARROW SZ 7 RT
1300.8
2115291
PS ARTICULAR SURFACE 10MM RT
834.6
2115292
STEMMED 5 DEGREE TIBIA SZ E RT
1454.59
2115293
ALL-POLY PATELLA 26MM X 7.5MM
180
2115294
ONE-THIRD TUB PLATE W/COLLAR/7
450
2115295
4.0MM CANC SCREW SM HEX 45MM
84
2115296
K-WIRES TROCAR POINT 1 END
76.32
2115297
NEXGEN LCCK ART SURF EF7-10/ST
971.76
2115298
NEXGEN LCCK FEM SIZE F-LT
2550
2115299
NEXGEN A/P WEDGED PRCT TIB SZ7
1800
2115300
VERSYS DISTAL CENTRALIZER 15MM
0
2115301
SAGITTAL SAW BLADE 90X12.5X1.2
186.98
2115302
MAGNA-FX CANN SCREW 7.0MM X75M
230.4
2115303
SAGITTAL SAW BLADE
186.99
2115304
TRILOGY ACET SHELL 56MM OD CLU
1720.8
2115305
MODULAR CUP LINER 56X36 NEUTRA
879.6
2115306
SAGITTAL SAW BLADE 90 X 19 1.2
186.98
2115307
T4 HOOD
66.14
2115308
SAGITTAL SAW BLADE 90X12.5X.99
84
2115309
SAGITTAL SAW BLADE 90X19X1.27
186.98
2115310
NEXGEN ALL POLY PATELLA 35MM
360
2115311
BIPOLAR SHELL 51MM OD
678
2115312
MINI MAGNA-FX WASHER
36
2115313
DVR ANATOMIC SHORT LT (3HOLE)
831.6
2115314
PEG SCREW FULL THRE N-L 2.5X20
117.52
2115315
SMOOTH PEG LOCKING 2.0MMX20MM
117.52
2115316
CORTICAL SCREW 3.5X12MM
60
2115317
CORTICAL SCREW 3.5X14MM
60
2115318
SAGITAL SAW BLAD 90X12.5X1.27
186.98
2115319
SAGITAL SAW BLADE 90X19X1.27
90
2115320
4.0MM CANCELLOUS SCREW 18MM
84
2115321
M/L TAPER SIZE 7.5 STND OFFSET
1836
2115322
MINI MAG-FX CANN SCW 5.0X36MM
230.4
2115323
ALL-POLY PATELLA 32MM X 8.5MM
360
2115324
SMALL WASHER FOR 3.5 4.0MM SCR
36
2115325
PRX HUM LO PLT LT 4H 83MM
1446
2115326
SCREW T15 LP CORT 3.5X24MM NS
108
2115327
SCREW T15 LP CORT 3.5X26MM NS
108
2115328
SCREW T15 LP CORT 3.5X28MM NS
108
2115329
3.2MM PEGS 26MM
108
2115330
3.2MM PEGS 30MM
108
2115331
3.2MM PEGS 32MM
108
2115332
3.2MM PEGS 34MM
108
2115333
3.2MM PEGS 40MM
108
2115334
3.2MM PEGS 44MM
108
2115335
NEXGEN LPS-FLEX OPT FEM F-RT
2208
2115336
3.2MM PEGS 36MM
108
2115337
3.2MM PEGS 48MM
108
2115338
ONE-THIRD TUB PLT WCOL 4H 49MM
240
2115339
4.0MM CANC LOCK SCREW 32MM
108
2115340
PRX HUM LO PLT LT 3H 73MM
1446
2115341
4.0MM CANC LOCK SCRW 40MM
108
2115342
3.2MM PEGS 38MM
108
2115343
FLEX TI NAIL 3.00X450MM T2KIDS
600
2115344
SCREW T15 LP CORT 3.5X20MM NS
108
2115345
2.MM K-WIRE ADAPTER LONG
30
2115346
3.2MM PEGS 28MM
108
2115347
MAGNA-FX CANN SCREW 7.0MM X80M
230.4
2115349
PRX HUM LO PLT LT 7H 133MM
1446
2115350
SCREW T15 LP CORT 3.5X22MM NS
108
2115351
3.2MM PEGS 22MM
108
2115352
3.2MM PEGS 42MM
108
2115353
S3 K-WIRE 2.0X152MM 6IN NS
36
2115354
NEXGEN LCCK FEM SIZE C-RT
1787.07
2115355
TROCHANTERIC NAIL SHORT 11X170
1560
2115356
5.00MM X 36MM CORTICAL SCREW
84
2115357
LAG SCREW TELESCOP KEYED 105MM
420
2115358
NAIL GUIDE WIRE BEAD TI 3.0X98
96
2315165E
TRACHEOSTOMY-CRICOTHYROID MEMB
31605
171
2315166
PERITONEAL LAVAGE
49084
96
2315166E
PERITONEAL LAVAGE
49084
96
2400005
PAT S/M-DISSECTION
88307
112
2400010
PAT SIMPLE
88304
56
2400016
BONE MARROW
88305
68
2400020
FROZEN -SINGLE
88331
112
2400024
CYTO-OTHER SOURCE
88160
50
2400026
CELL BLOCK ANY SOURCE
88305
56
2400027
CYTO-FLUIDS/WASH/BRU
88104
56
2400030
PAT GROSS ONLY
88300
28
2400033
SPECIAL STAIN-MICRO
88312
56
2400050
PAT S/M-COMPLICATED
88305
84
2400053
SPECIAL STAIN-IRON
88313
55
2400055
DECALCIFICATION
88311
68
2400057
PAT NEDDLE
10021
100
2400058
PAT FOR ID-NORMAL
88302
40
2400059
PAT COMPLEX/EXTENSIV
88309
150
2400060
PAP SMEAR
88150
25
2400062
AUTOPSY G/M-LIMITED
88036
450
2400063
CYTO-F-CONCENTRATION
88108
50
2400064
CYTO OVER 5 SLIDE
88162
56
2400066
FROZEN EACH ADD
88332
84
2400067
REVIEW - EXTERNO
88321
80
2400068
REVIEW CONSULTATION SLIDES
88323
80
2400069
PATHOL CONSULTATION DUR SURGER
88329
120
2400070
PATHOLOG CONSULTATION CLINICAL
80500
80
2400071
REVIEW PATHOL HISTORY/RECORD
80502
120
2400072
NEW GROSS DISSECTION
88300
20
2400073
DEEPER SECTIONS
88325
10
2400075
AUTOPSY G/M-GENERAL
88040
800
2400076
CYTOPATH SMEAR OTHER SOURCE
88161
22
2400077
CYTP DX EVAL FNA 1ST EA SITE
88172
22
2400078
INTRAOP CYTO PATH CONSULT 1
88333
22
2400079
INTRAOP CYTO PATH CONSULT 2
88334
22
2500012
RIGHT HEART CATH
93451
1750
2500013
INS/PLACE CATHETER (SWAN GANZ)
93503
1070
2500023
PTCA W/STENT - ADDITION VESSEL
92929
100
2500033
HISS BUNDLE
93600
3150
2500034
HEART RHYTHM PACING
93618
595
2500035
STREP INFUSSION/MI
92975
100
2500036
PTCA - FIRST VESSEL
92920
3085
2500040
US GUIDE PERICARDIOCENTESIS
76930
100
2500042
INS/REP TEMP ELECT/PPM TR SNG
33210
4445
2500043
CARDIOVERSION ELECT. INTERNAL
92961
320
2500045
CARDIOVERSION ELECT. EXTERNAL
92960
320
2500046
INTRA ATRIAL PACING
93610
3150
2500047
ANGIOGRAPHY BRACHIAL RETROGRAD
75710
1740
2500055
INS CATH RENAL ART 1ST UNILAT
36251
1740
2500056
INS CATH RENAL ART 1ST BILATER
36252
1740
2500058
ANGIOGRA VISCERAL SELECT/SUPRA
75726
3615
2500066
BIOPSY OF HEART LINING
93505
1070
2500067
TRANS BALL ANGIO PERIPH ARTERY
75962
100
2500068
CARDIAC OUTPUT MEASUREMENT
93561
100
2500070
PTCA - ADDITIONAL VESSEL
92921
100
2500071
TRANS BALL ANGIO PERIP ART ADD
75964
100
2500073
INTRAVENTRICULAR PAC
93612
3150
2500075
ROTABLATOR/ATHEREC ADD VESSEL
92925
100
2500076
IVUS FIRST VESSEL
92978
100
2500077
IVUS ADDITIONAL VESSEL
92979
100
2500079
THROMBOLYSIS BY INTRAVEN INFUS
92977
135
2500080
PRQ CARD ATHERECTOMY W/STENT
92933
10000
2500092
VALVULOPLASTY AORTA
92986
3085
2500093
PTCA W/STENT - FIRST VESSEL
92928
6535
2500098
CATH OBSERVATION ROOM /HOUR
100
2500100
PRQ CARD ANGIO/ATHREC 1 ART
92924
6535
3202939
UNASYN 3GM VIAL GENERIC
33
3202940
DOPAMINE 160MG/ML VIAL X 5ML
16.42
3202941
CEFTRIAXONE 2GM VIAL
27.8
3202942
PYRIDOXINE 25MG TAB
0.25
3202943
PROMETRIUM 200MG CAP
6.43
3202944
DOBUTAMINE 250MG/250ML DEXTROS
5.6
3202945
HYDROCHLOROTHIAZIDE 50MG TAB
0.3
3202946
NEURONTIN 300MG CAP. GENERIC
0.5
3202947
NEURONTIN 600MG CAP. GENERIC
2.73
3202948
NEURONTIN 400MG CAP. GENERIC
3.6
3202949
CILOXAN OPH SOL 5ML GENERIC
23.63
3202950
OSCAL 500MG TAB GENERIC
0.5
3202951
SEROQUEL 200MG TAB.
16.5
3202952
Z1DOVUDINE 300MG TAB
0.9
3202953
NALAXONE 0.4 MG/ML SYRINGE
31.24
3202954
PROPOFOL 200 MG/ML 20 ML VIAL
4
3202955
ALBUMINA 25% 50ML(BAG)
90
3202957
MEDROL 8MG TAB
2.35
3202958
SEROQUEL 50MG
2.4
3202959
VALCYTE 450 MG CAP
73.22
3202960
BALANCED SALT SOLUTION 500ML
48.55
3202961
CLOPIDOGEL 75MG TAB (PLAVIX)
8.4
3202962
DOXYCYCLINE 100MG TAB(VIBRAMYC
0.3
3202963
ALBUMINA (HUMAN) FLEXBUMIN 25%
90
3202964
HYDRODIURIL 12.5MG CAP
0.25
3202965
LAMICTAL 5MG TAB
4.7
3202966
IPRATROPIUM BROMIDE 0.02% INHL
0.3
3202967
ERYTHROCIN 500MG ADD-VANTAGE
13.2
3202968
CIPROFLOXACIN IV 400MG/40ML
5.5
3202969
PREVACID 15MG SOL TAB
7.17
3202970
AZITHROMYCIN 250MG
10.3
3202971
GLIMEPIRIDE 4MG
0.45
3202973
CIPROFLOXACIN 200MG/20ML VIAL
2.6
3202974
ATACAND 4MG TAB
5.5
3202975
GILTUSS HC
0.4
3202976
GLIMEPIRIDE 1MG
0.25
3202977
GLIMEPIRIDE 2MG
0.25
3202978
LOTREL 10/40MG
6.65
3202979
NEORAL ORAL SOLUTION
13.3
3202980
AVALIDE 300MG/25MG
8
3202981
NEXIUM 40MG
9.82
3202982
ETHEZYME 830
36.44
3202983
CUBICIN 500MG (DAPTOMYCIN)
389
3202984
RITUXAN 500MG/50ML VIAL
5700.82
3202985
KEFLEX 250MG/5ML
8.36
3202986
ZOFRAN 4MG/2ML
2
3202987
EVISTA 60MG TAB
6.26
2605123
D.PTEROSYSSINUS HOUSE DUST MIT
86003
17.25
2605124
STOOL FOR SODIUM
84302
144
2605125
STOOL FOR POTASSIUM
82190
144
2605126
STOOL FOR CHLORIDE
82438
155
2605127
INMUNOGLOBULIN IGD
82784
19
2605128
STOOL FOR CALCIUM 24 HRS
82310
404
2605129
STOOL FOR MAGNESIUM
83735
126
2605130
ANTI CENTROMER ANTIBODY
86256
70
2605131
ANTI NEUTROPHIL CYTO ANTIBODY
86255
117
2605132
ASPERGILLOS FOMIGATUS
86003
17.25
2605133
EPSTEIN B. VIRUS BY PCR
87799
618
2605134
SCLERODERMA 70
86235
50
2605135
PARVOVIRUS B19 TITER (IgG IgM)
86743
113
2605136
BIOTIN LEVELS/VIT B7
84591
311
2605137
RAST ASPIRIN
86003
44
2605138
RAST LATEX
86003
17.25
2605139
RAST FEATHERS CHICKEN
86003
40
2605141
PARANEOPLASTIC PROFILE CSF
86255
1116
2605142
SILVER
83018
185
2605143
COOPER FREE
82525
181
2605144
FACTOR XII
85280
375
2605145
ASPERFILLUS IgG - IgM
86603
459
2605146
TOXOPLASMA AB CSF
86777
207
2605147
S.PNEUMONIAE Ag(U/BLOOD/CSF)
87899
225
2605148
CSF FOR H-INFLUENZA B-Ag
87899
83
2605149
CSF PROTEIN INMUNOELECTROPHORE
84166
244
2605150
ANTI TPO AB (ANTIPEROXIDASE AB
86376
76.13
2605151
RAST PENICILLIUM NOTATUM
86003
11.5
2605152
RAST CLADOSPORIUM HERBARUM
86003
17.25
2605153
RAST ASPERGILLUS FUMIGATUS
86003
30
2605154
RAST COCKROACH
86003
17.25
2605155
RAST CAT DANDER
86003
17.25
2605156
RAST DOG DANDER
86003
17.25
2605157
RAST DOG EPITHELIUM
86003
17.25
2605158
RAST MOUNTAIN CEDAR
86003
17.25
2605159
RAST SHEEP SORREL (DOCK)
86003
17.25
2605161
RAST QUERCUS ALBA-DAK
86003
17.25
2605162
RAST MANGO TREE
86003
26
2605163
RAST LAMBS QUARTERS
86003
17.25
2605164
RAST PTERONYSSINUS
86003
17.25
2605165
RAST OAK
86003
17.25
2605166
RAST IGE SPECIFIC FOR SILVER
86003
17.25
2605167
LACTIC ACID CSF
83615
51
2605168
CALCIUM/CREATININE RATIO SPOT
82340
10
2605169
ANTIGLUTEN IgE
86003
11
2605170
BRUCELLA AGGLOTINATION
86003
6
2605171
ADENOSINE DEARSINASE TEST
84311
120
2605172
WET MOUNT(TRICHOMONAS/YEAST/SP
87210
10
2605173
INTERFERON (QUANTIFERON)
86849
285
2605174
PARANEOPLASTIC AUTO ANTIBODY E
83381
1836
2605175
PHILADELPHIA CHROMOSOME PERIPH
88237
891
2605177
5-HIAA HYDROXYINDOLATED ACID
83497
70.73
2605178
HEPATITIS BE AB (HBeAB)
86707
15
2605179
COCCIDIOIDES AB'S
86635
80
2605180
METHYLMALONIC ACID URINE
83921
83
2605181
BENCE JONES PROTEIN
81099
6
2605182
PAROXISMAL NOCTURNAL HEMOGLOBI
88180
133
2605183
HAM TEST
85475
123
2605184
PSA TOTAL AND FREE
84154
60
2605185
BRUCELLA IgG
86622
52.2
2605186
BRUCELLA IgM
86622
52
2605187
PAROXISMAL NOCTURNAL BONE MARR
88180
354
2605188
HIV IgG IN CFS
87390
324
2605189
EASTERN EQUINE ENCEPHALI ABIgG
86652
142
2605190
EASTERN EQUINE ENCEPHALI ABIgM
86652
45
2605191
6 MERCAPTOSPORINA METABOLITE
80299
270
2605192
CANDIDA ALBICAN AB
86628
186
2605193
CD19-B LYMPHOCYTE
88180
60
2605196
HEPATITIS A Y B PROFILE 5
80074
129
2605197
EBV VCA AB IG G
86665
44
2605198
EBV VCA AB IG M
86665
44
2605199
PERICARDIAL FLUID FOR ANA TEST
86038
268
2605200
STOOL FOR KLEBSIELLA
87045
30
2605201
LE CELL PREPARATION
86403
10
2605202
STOOL FOR ALPHA 1 ANTITRIPSIN
82103
284.25
2605203
PYRUVIC CSF
84210
223
2605204
FUNGUS MOUNT ( KOH )
87210
21
2605206
CULTURE FOR MRSA
87045
30
2605207
ASCIALO GM1 Ab IgG/ IgM
83520
250
2605208
FATTY ACIDS FREE
82775
46
2605209
LIPOPROTEIN ASSAY PLA2
83698
392
2605210
APOLIPOPROTEIN
82172
20
2605211
APC RESISTANCE ASSAY
85307
164
2605212
TOXOCASA EN SERUM
86317
210
2605213
VWF CLEARING PROLEASE ACTIVITY
85246
322
2605214
SULFATIDE AUTO ANTIBODIES
83912
498
2605215
EBV IGM CSF
86665
124
2605217
URINE SUCCINYL ACETONE
82570
525
2605218
BENZODIAZEPINE LEVEL
80346
114
2605219
RAST ORANGE
86003
17.5
2605220
RAST BAZELDER
86003
17.5
2605221
CEA ( FLUID )
82378
87
2605222
RA FACTOR IGM
86431
169
2605223
NMR LIPO PROFILE
80061
235
2605224
ESTRADIOL NICHOLS
83001
137
2605225
LEGIONELLA PNEUMOFILIA Ag URIN
87449
53
2605226
RAST CANDIDA ALBICAN
86003
17.5
2605227
MELATONIN
83519
405
2605228
SULFONYL UREA LEVELS IN SERUM
82542
260
2605229
YERSINIA CULTURE
87045
30
2605231
RAST PEAS
86003
17.5
2605232
BILI ACIDS FRACCIONADO
83789
431
2605233
BETAHYDROXILBUTIRIC ACID
82010
179
2605234
INSULIN GRWTH FACT III IgF-BP3
83520
130
2605235
LIPOPROTEINA A
83695
57
2605236
STOOL OSMOLALITY
83935
56
2605237
APO & GENOTYPE & INTERPRETATIO
81401
628
2605238
PNH PANEL
88180
354
2605239
HYPERSENSITIVITY PNEUMON PANEL
86606
360
2605241
INSULIN LIKE GRWTH BIN IgF-BP1
83520
125
2605242
OLIGASACHARIDES URINE
84376
272
2605243
FSH Y LH ER GENERATION CHILD
83002
192
2060303
SECURA AF GREASELESS 2OZ
7.5
2060304
DURAFIBER AG 4X4 3/4
17.17
2060305
IODOSORB 1.4 OZ
90
2060306
SECURA MOISTERIZING 3OZ
5.66
2060307
ALLEVYN LIFE SACRUM 8 X 7
34.38
2060308
ALLEVYN GENTLE BORDER 3 X 3
7
2060309
ALLEVYN GENTLE BORDER SACR 6X6
17.8
2060310
ALLEVYN CLASSIC 6 X 9
29.8
2060311
ALLEVYN LIFE SACRUM 6X6
20
2060312
ACTICOAT 7 4X5
24.28
2060313
SOLOSITE CONF GEL 4X4
6.38
2060314
COVER TABLE 50" X 90
4
2060315
COVER TABLE 44'' X 75''
2
2060316
PRIMAFIX PLUS 4IN X 10 YDS
17.84
2060317
ALLEVYN TRACHEOSTOMY 3.5X3.5
10
2060318
ACTICOAT SITE 1"
12.16
2060319
ALLEVYN AG ADHESIVE 3X3
18
2060320
ALLEVYN AG ADHESIVE 7X7
33.2
2060321
ACTICOAT SITE 1" DISC
15
2060322
SECURA AF GREASELESS 2OZ
7.5
2060323
SECURA AF EXTRA THICK 3.25OZ
10.96
2060324
ACTICOAT POST OP DRESSING 4X13
48
2060325
ACTICOAT POST OP DRESSIN 10X25
97.2
2060326
OPSITE POST OP VISIBLE 30X10CM
8.78
2060327
OPSITE POST OP VISIBLE 35X10CM
9.98
2060328
ALLEVYN GENTLE BRD SACRU CTN10
17.8
2060329
ACTICOAT SURGIC 10X20CM
80
2060330
ACTICOAT SURGIC 10X25CM
97.2
2060331
OPSITE POST OP VISIBLE 30X10CM
8.8
2060332
OPSITE POST OP VISIBLE 30X10CM
10
2060333
GOFLO INFLOW TUBE SET
184.32
2060334
KNEE ARTROSCOPY
239.38
2060335
ALLEVYN GENTLE BORDER 7IN X7IN
18
2060336
INTRASITE GEL APLLIPACK 8G USA
3.84
2060337
ALLEVYN ADHESIVE 12.5 X 12.5CM
5.54
2060338
SECURA TOTAL BODY FOAM
6.17
2060339
ALLEVYN GENTLE BORDER 5IN X5IN
9.6
2060340
PRIMAFIX PLUS 2IN X 10 YDS
5.07
2060341
ALLEVYN AG SACRUM LARGE
21.48
2060342
IV3000 SHAPED 12 X 9 CM
1.97
2060343
OPSITE FLEXFIX 10CM X 10M
45.2
2060344
RENASYS CANISTER TOUCH
190
2060345
RENASYS G MEDIUM
174.74
2060346
RENASYS TCH 300ML CANISTER
90
2060347
LAPAROSTOMY PACK PEDIATRIC
75.9
2060348
CHLORHEXIDINE GLUCONATE WIPE
21.18
2060349
RENASYS F MEDIUM FOAM KIT
90
2060350
ALLEVYN DRESSING 6X6"
15
2060351
STERI DRAPE CON IODO
16.96
2060352
COVERSITE PLUS 6X6
6.8
2060353
ALLODERM TISSUE CM1520P
5006.4
2060354
NATRELLE SMOOTH SCF-450
1920
2060355
KOOL KIT NEONATE
286.8
2060356
INTEGRA DERMAL BILAYER 4"X 5"
1050
2060357
THERALTHONEY GEL
20.84
2060358
THERALTHONEY FOAM 4 X 4
18.16
2060359
AQUACEL AG EXTRA 4 X 5
21.74
2060360
ALLODERM TISSUE CL1520P
5006.4
2060361
NATRELLE SMOOTH SCF-560
1620
2060362
INTEGRA DERMAL REGENTEMP 8X10
8252
2080010
2 HOLES NEURO MED PLATE01-7345
81.5
2080011
2 HOLES NEURO LON PLATE01-7347
81.5
2080012
4 HOLES STRAIGHT LONG 01-7047
129.8
2080013
16 HOLES STRT PLATE1.5 01-7066
281.6
2080014
6HOLES DOBL PLT REG1.5 01-7110
257.4
2080015
5 HOLES Y PLATES 1.5 01-7100
231
2080016
8 HOLES ORBIT PLATE1.5 01-7128
222.25
2080017
NEURO GAP PLATE SMALL 01-7351
184.9
2080018
NEURO GAP PLATE MEDIUM 01-7353
228.9
2080019
NEURO GAP PLATE LARGE 01-7355
290.5
2080020
T.BURR HOLE COVER FAN BLADE
338.3
2080021
BURR HOLE COVER MEDIUM 01-7308
323.5
2080022
BURR HOLE COVER LARGE 01-7309
323.5
2080023
SHUNT PLATE 01-7305
323.5
2080024
NEURO SQUARE PLATE 01-7357
228.9
2080025
RECTANGLE PLATE 4HOLES 01-7359
228.9
2080026
X PLATE TIMESH
300.9
2080027
8 HOLES SUB TEMP NEURO 01-7363
554.5
2080028
NEU SUB-TEMP PLATE SMLL01-7361
462
2080029
TIMESH SELF DRLL SCREW
561
2080030
SDXDRVE1.5X4MMBONE SCRW99-7294
85.8
2080031
SDXDRVE1.5X3.5BONE SCRW99-7293
81.4
2080032
X DRVE EMER1.8X5.0BONE 99-7025
88
2080033
X DRIVE EMER1.8X3.5BONE 99-702
88
2080034
DISSECTING TOOL 8TD158
178.5
2080035
DISSECTING TOOL T12MH25
236.3
2080036
DISSECTING TOOL 9AC75
176
2080037
DISSECTING TOOL 14CY50
246.5
2080038
DISSECTING TOOL 14BA40
263.5
2080039
DISSECTING TOOL T12MH25D
198.4
2080040
DISSECTING TOOL 14BA60
263.5
2080041
DISSECTING TOOL 9BA40
185.6
2080042
DISSECTING TOOL 9BA60
185.6
2080043
DISSECTING TOOL 14MH30
243.1
2080044
DISSECTING TOOL 14MH30D
275.4
2080045
DISSECTING TOOL F2/8TA23
195.5
2080046
DISSECTING TOOL 14AC60
241.4
2080047
DISSECTING TOOL MC 30
268.8
2080048
DISSECTING TOOL MC 254
219.2
2080049
CLIP STAND 8.0STR.7MM07-940-01
396
2080050
CLIP STAND9.0STR.10MM07-940-02
396
2080051
CLIP STAND9.0BAYO 7MM07-940-03
396
2080052
CLIP STAND8.0BENT 8MM07-940-04
396
2080053
CLIPSTAND9.0S/BENT8MM07-940-05
396
2080054
CLIP STAND9.0S/CVD9MM07-940-06
396
2080055
CLIP STAND9.0S/CVD6MM07-940-07
396
2080056
CLIP STAND8.0CVD 9MM 07-940-08
396
2080057
CLIP STAND7.0S/CVD9MM07-940-09
396
2080058
CLIP LRGE11.0STR.12MM07-940-10
396
2080059
CLIPLRG11.0S/BENT12MM07-940-11
396
2080060
CLIP LRG11.0BENT12MM07-940-12
396
2080061
CLIP LRG11.0BAYO10MM07-940-13
396
2041349
XPOSE 4 DEVICE
0
2041350
POLAR CATH .035 5/100/80
1020
2041351
ATTAIN DELIVERY SYS 6216 6218A
390
2041352
STENT PROMUS 4.0 X 08
3650
2041353
STENT PROMUS 4.0 X 12
3650
2041354
STENT PROMUS 4.0 X 15
3650
2041355
STENT PROMUS 4.0 X 18
3650
2041356
STENT PROMUS 4.0 X 23
3650
2041357
STENT PROMUS ELEMENT
3650
2041358
INFUSION SYSTEM UNI-FUSE
585
2041359
SNARE MICROELITE 18 CM .014
7260
2041361
LEAD RIATA 7001 ST. JUDE
3380
2041362
INTRODUCER 405108 ST. JUDE
180
2041364
LEAD VENTRICULAR 6947 MEDTRONI
2265
2041366
QUICK CROSS CATHETER
477
2041367
BALLOON FIRE STAR
900
2041370
INTRACARDIAC ELECTRODE (TORQR)
675
2041371
PERIPHERAL CATH FOR S-L ARTERI
3990
2041373
STENT TAXUS EXPRESS-ATOM
3800
2041374
STENT TAXUS LIBERTE
3650
2041375
SPIDER FX 3MM - EV3
3000
2041376
EQUALIZER BALLON CATHETER
612
2041377
MICRO ELITE SNARE .014 X180 CM
3630
2041379
SILVER HAWK MSM
4590
2041380
SILVER HAWK SS+
3990
2041381
PERIPHERAL INFUSION SYSTEM
4190
2041382
PROTEGE EVERFLEX
2490
2041383
LEAD ATTAIN OTW 4193-4194 MEDT
1500
2041384
SHEAT INTRODUCER 18FR COOK
555
2041385
VALVULOTOME 1.8MM
2250
2041386
LEAD VENOGRAM BALLOON 6215
225
2041387
FLEXTOME CUTTING BALLON DEVICE
1950
2041388
BALLOON CATHETER APEX MENORAIL
960
2041390
WALLSTENT 14X 90X 75 9FR-313
3488
2041391
WALLSTENT 16 X 90 9FR-333
3488
2041392
WALLSTENT 12 X 90 8FR-213
2901.6
2041393
WALLSTENT 14 X 20 9FR-310
2901.6
2041394
WALLSTENT 14 X 40 9FR-312
3488
2041395
WALLSTENT 16 X 20 9FR-330
2901.6
2041396
WALLSTENT 16 X 40 9FR-331
2901.6
2041397
WALLSTENT BOSTON
3283.2
2041398
COMPRESSION SLEEVE T/L-SMALL
34
2041399
COMPRESSION SLEEVE T/L-MEDIUM
34
2041400
COMPRESSION SLEEVE T/L-LARGE
57
2041401
A/EMBOLISM STOCKING T/L M/SHOR
23.33
2041402
A/EMBOLISM STOCKING T/L S/REG
23.33
2041403
A/EMBOLISM STOCKING T/L M/REG
23.33
2041404
A/EMBOLISM STOCKING T/L XL/REG
23.33
2041405
A/EMBOLISM STOCKING K/L M/REG
12
2041406
A/EMBOLISM STOCKING K/L L/REG
23.33
2041407
LEAD DEXTRUS4087-4136-4137 GUI
1425
2041408
DOUBLE PLAY HEMOSTASIS VALVE
63
2041409
DIAGNOSTIC CATHETER SIMS 3.4
51
2041410
BALLON STERLING/COYOTE ES
1068
2041411
HEMASHIELD GRAFT STRAIGHT TUBE
2224
2041412
ANNULOPLASTY RING TRICUSPID 26
5380
2041413
ANNULOPLASTY RING MITRAL 26-30
4100
2041414
MITRAL BIOPROSTHES VALVE 25-33
8198
2041415
AORTIC BIOPROSTHES VALVE 19-29
11780
2041417
CAROTID WALLSTENT #6 #8 #10
3992
2041418
BALLOON STERLI/COYOTE MONORAIL
1068
2041419
BALLOON STERLING / COYOTE OTW
1068
2041420
STENT SET ENDOURETEROTOMY 7FR
380
2041421
PACEMAKER ALTRUA 40 DUAL BOSTO
3648
2041428
CATETHER VENTURE WIRE CONTROL
2577
2041429
CATHETER RF CONDUCTOR MC
2085
2041430
CATHETER RF MARINER MC
2085
2041431
CATHETER RF MARINER MCXL
2085
2041432
CATH TORQ DIAGN JOSEPHSON TYPE
450
2041433
CATH TORQ DIAGN COURNARD TYPE
450
2041434
CATH TORQ R CS CORONARY SYNUS
675
2041435
CATHETER MARINER CS
1050
2041436
DIAGN CONNECTING CABLE 4 PINS
246
2041437
DIAGN CONNECTING CABLE 10 PINS
246
2041438
ABLATION CONNECTING CABLES
300
2041440
CATHETER EP REC. SYST. BYPASS
93
2041441
LOCALISA SURFACE ELECTRODE KIT
105
2041442
GUIDE WIRE J-STRAIGHT.038X27.6
17.5
2041443
PRESSURE WIRE CERTUS
1185
2041444
LOCKING HUB 12CM SHEATH 12FR
315
2041445
TRANSEPTAL INTRODUCER 63CM 8FR
307.5
2041446
GUIDING INTRODUCER 63CM 8FR
315
2041447
HEMO INTRODUCER 60CM 8FR
315
2041448
BRAIDED TRANSSEPTAL INTRODUCER
307.5
2041449
BRAIDED TRANSSEPTAL GI / SL2
315
2041450
TRANSSEPTAL INTRODUCCER KIT
1875
2041451
TRANSSEPTAL NEEDLE ADULT
315
2041452
QUADRIPOLAR CATHETER 5MM/120CM
165
2041453
BIPOLAR QUADRIPOLAR 150CM
120
2041454
DECAPOLAR CATHETER 5FR 65CM
172.5
2041455
OCTAPOLAR DECAPOLAR CABLES
135
2041456
DUO DECAPOLAR SUPER LG CURL 7F
1342.5
2041457
HEXAPOLAR OCTAPOLAR DECAPOLAR
150
2041458
SAFIRE BIDIRECTIONAL MED CURL
1042.5
2041459
SAFIRE EXTENSION CABLE
292.5
2041460
THERAPY 7FR DUAL 8 CATHETER
1042.5
2041461
THERAPY CONNECTING CABLE
1042.5
2041462
REFLEXION SPIRAL DEFLECT CATH
1875
2041463
RESPONSE ST JUDE
540
2041464
REFLEXION CABLE ADAPTER
247.5
2041465
SAFIRE BIDIRECT CATHET QUADRIP
1042.5
2041466
SAFIRE EXTENTION CABLE
292.5
2041467
IRRIGATION ABLATION CATHE COOL
1500
2041468
CARDIOVERSION SKIN PADS
11.25
2041469
ENSITE NAV X PATCH
750
2041470
VASCULAR GRAF 8X70 RING HEAD G
4098
2041471
VASCULAR GRAF 10X70 RING HEAD
3987
2041473
CATHETER CLASSIC CROWN STEALTH
5590
2041474
CATHETER SOLID CROWN STEALTH
6790
2041475
GUIDEWIRE FIRM
470
2041476
VIPERSLIDE LUBRICAN
240
2110807
CORTICAL SCREWS 5645-1-XXX
15
2110808
FEMORAL NAIL
550
2110809
TIBIAL NAIL 3518-X-XXX
590
2110810
SCREWS 351X-X-XXX
120
2110811
HUMERAL LOCKING NAIL3520-9-XX0
900
2110812
SPREADING SCREW 3520-9-945
160
2110813
CAP SCREW 5230-7-1XX
160
2110814
TRANSVERSE SCREWS 52X0-3-XXX
15
2110815
SOFT TISSUE 3910-0-0X0
250
2110816
SOFT TISSUE W/SUTURE3910-0-0XX
250
2110817
FIBULA NAIL (24461X - BIOMET)
950
2110818
INTRMED HIP N(HN3012SMITH&NEPH
850
2110819
BI-ANG SHO POR COAT(1140XX BIO
1900
2110820
BI-ANG/BI-P SHO INN H(1131XX B
950
2110821
ABSL BI-POL SHO SHL(1131XX BIO
950
2110822
ABSL BI-POL SHO LIN(1131XX BIO
320
2110900
ASNIS II GUIDED SCREW 6.5MM
198
2110901
ASNIS II CANCELOUS WASHER
30
2110902
ASNIS II GUIDED SCREW 4.5MM
198
2110903
ASNIS II GUIDED SCREW 5.0MM
198
2110904
ASNIS II CANCELOUS WASH SMLL
30
2110905
ACETABULAR MESH 6512-X-XXX
1100
2110906
OH HARRIS PROT SHELL6951-0-0XX
1200
2110907
TROCANTER MESH 6509-X-XXX
1050
2110908
BONE PLATE 3704-3-1X0
590
2110909
CABLE 2.0MM / 1.6MM
300
2110910
CABLE SLEEVE 6704-4-0XX
214
2110911
CABLE GRIP 6704-X-0XX
580
2110912
SET SLEEV&CABLE BEAD6704-0-X20
490
2110913
SET GRIP & CABLE 6704-0-X10
790
2110914
SET SLEEVE & CABLE 6704-0-X10
596
2110915
GROOVED BUTTON 6704-6-110
380
2110916
MINI CLEAT 6704-8-030
248
2110917
ROUNDFASTCUTBUR4.0-5.5-6.3-7.0
248
2110918
INTERPULSE IRRIG SIS
248
2110919
ASNIS 2 GUIDED SCREW 35MM
248
2110920
ASNIS 2 GUIDED SCREW 40MM
248
2110921
ASNIS 2 GUIDED SCREW 45MM
248
2110922
ASNIS 2 GUIDED SCREW 50MM
248
2110923
ASNIS 2 GUIDED SCREW 55MM
248
2110924
ASNIS 2 GUIDED SCREW 60MM
248
2110925
ASNIS 2 GUIDED SCREW 65MM
248
2110926
ASNIS 2 GUIDED SCREW 70MM
248
2110927
ASNIS 2 GUIDED SCREW 75MM
248
2110928
ASNIS 2 GUIDED SCREW 80MM
248
2110929
ASNIS 2 GUIDED SCREW 85MM
248
2110930
ASNIS 2 GUIDED SCREW 90MM
248
2110931
ASNIS 2 GUIDED SCREW 95MM
248
2110932
ASNIS 2 GUIDED SCREW 100MM
248
2110933
ASNIS 2 GUIDED SCREW 105MM
248
2110934
ASNIS 2 GUIDED SCREW 110MM
248
2110935
ASNIS 2 GUIDED SCREW 115MM
248
2110936
ASNIS 2 GUIDED SCREW 120MM
248
2110937
ASNIS 2 GUIDED SCREW 125MM
248
2110938
ASNIS 2 GUIDED SCREW 130MM
248
2110939
CANCELLOUS WASHER LARGE
248
2110940
LONG GAMMA LOCKIN NAIL130RIGHT
1700
2110941
LAG SCREW
400
2110942
GAMMA SYSTEM
248
2110943
G/K SYSTEM
120
2110944
FEMORAL CANAL TIP
248
2110945
UNIVERSAL CLAVICLE SPLINT
31
2110946
SHOULDER IMMOBILIZATION
15.26
2110947
GUIDEROD BALLTIP (3212-3-010)
133.3
2110948
GUIDEROD SMOOTHTIP (3212-3-020
126.7
2110949
ARTICULATED NASAL SPLINT
54.4
2110950
GUIDEROD DRILL TIP(3212-3-030)
150.8
2110951
INFLOW TUBING SET
97.5
2110952
MIXEVAC II ASSY (206010000)
124
2110953
PORTOVAC COMPL.STER.(X.X UNIT)
40
2110954
KNEE INMB DUCK FOAM(EW40819LG)
120
2110955
IC NAIL TIBIA D9XLXXX(3790XXS)
1200
2110956
IC-LOCK SCREW W/SHFT D5XL40 (3
120
2110957
IC-LOCKING SCRW D5XL30(376030)
120
2110958
S PROFPL T-F90G ST7LO(57-05260
193.2
2110959
SPBOH1.4MNL27MNL94MMST60-14126
138
2110960
XSPRF PLT-F90GSCHM5LO(57-05140
170
2110961
TIKNSCR-FTSS1 2X6MM5P(59-12006
81.2
2110962
TIKNSCR-FTSS1 2X7MM5P(59-12007
81.2
2110963
TI KNSCR-FITSS1 2X8MM5P(59-120
81.2
2110964
IC-LOCKING SCRW D5XL40(375040)
120
2110965
IC-LOCKING SCRW D5XL45(376045)
120
2110966
15MMCARBTU2XX-3XXMM L(515023XX
400
2110967
M/T TRI PINCLA15MMYEL(51503065
850
2110968
M H PIN3X110 22CNTTHR(50385110
100
2110969
INRPLS HP W/BO CLEAN TIP S-TB
121.66
2110970
M H PIN4X150 40CT THR(50235150
100
2110971
M H PIN4X120 35CT THR(50235120
100
2110972
IC-PROTECTION SCREW (375001)
120
2110973
QUICK USE FEMORAL KIT
145
2110974
HALF PIN3MM DRILLI NG(50385080
100
2110975
GAM NAIL DIST SCRW 6.(33705030
150
2110976
GAM NAIL SET SCREW(33701000)
150
2110977
ACM W/FEMO NOZLE6/P(0306563000
225
2110978
FEM CAN BRU SUC IRR(0207054000
84
2110979
TIKNSCR-FTSS1 7X07M5P(59-17007
67.2
2110980
TIKNSCR-FTSS1 7X08M5P(59-17008
67.2
2110981
REPLANTATION PLATE 4X(57-05295
401
2110982
SGEBLATT GRAE I F.MO L75 X B24
50
2110983
HEAVY OSC BLA3ML134(5300501034
92
2110984
S+KIT W/MULT-ORIF.TIP & SC-6
138
2110985
PULSAVAC PLUS IRRIGATION KIT
150
2110986
ARTHROSCOPY BLADE
299.72
2110987
STEINMAN PIN
29.9
2110988
BONE CEMENT HIGH/LOW VISCOSITY
200
2110989
FEMORAL PREP KIT
150
2110990
VAC CEMENT BOWL
100
2110991
CEMENT MIXING CARTRIDGE
140
2110992
COCR FEMORAL HEAD
400
2110993
BIPOLAR COMPONENT
820
2110994
CEMEX SYSTEM GUN APPLICATOR
2000
2607382E
ANTIPHOSPHATIDYLSERINE IgG/M/A
0
2607383E
IG A (SUBCLASSES 1-2)
0
2607384E
MERCURY URINE (24 HOURS)
52.5
2607385E
LEAD URINE (24 HOURS)
36
2607386E
ARSENIC URINE (24 HOURS)
87.15
2607387E
STREPTOCOCCUS PNEUMO IgG 23 SE
0
2609910
DIGOXIN LEVEL
80162
30
2609911
CD4 & CD8
86360
75
2609913
DEPAKENE - VALPROIC ACID
80164
30
2609914
LEGIONELLA
86713
30
2609915
LIDOCAINE / XILOCAINE
80176
144
2609917
RENAL FUNCTION PANEL
80069
120
2609918
SEMEN ANALYSIS
89320
40
2609920
EPSTEIN B.VIRUS PROFL(IGM&IGG)
86665
127
2609922
C-REACTIVE PROTEIN CARDIAC
86141
20
2609923
TROPONIN I HIGH-SENSITIVITY
84484
55
2609924
GASTRIC ANALYSIS
88112
33.63
2609926
ARSENIC (SERUM)
82175
193.58
2609927
NUCLEAR MATRIX PROTEIN 22 (NMP
86316
215.87
2609928
HIV-GENOTYPE (PCR)
87901
1160
2609929
HIV-PENOTYPE
87903
496.88
2609930
FACTOR XI (PTA)
85270
375
2609931
ANTI DNA DOUBLE STRANDED
86225
44
2609933
LEUKOCYTE ASSESSMENT FECAL
89055
35
2609934
B CELLS TOTAL COUNT
86355
60
2609935
SUGARS (OLIGOSACCHARIDES)
84376
10
2609936
HIV-1 HIV-2 RAPID
86703
25
2609937
MHATP SYPHILIS CONFIRM
86780
30
2609938
IMMUNFIX E-PHORSIS CSF
86335
147
2609940
RAST HORNET WHITE FACE
86003
36
2609941
PANCREATIC ELASTASE FECAL
82656
370
2609942
RAST BEE
86003
17.25
2609943
RAST HAMSTER
86003
17.25
2609944
RAST MANGO FRUIT
86003
17.25
2609945
RAST ACACIA
86003
17.25
2609946
RAST QUEEN PALM
86003
17.25
2609947
RAST AUSTRALIAN PINE
86003
17.25
2609948
RAST MUCOR RACEMOSUS
86003
17.25
2609949
RAST A. TENUIS
86003
17.25
2609950
RAST FUSARIUM MONILIFORME
86003
17.25
2609951
RAST PHOMA BETAE
86003
17.25
2609952
RAST D. FARINAE
86003
17.25
2609953
RAST WESTERN RAGWEED
86003
17.25
2609954
RAST ENGLISH PLANTAIN
86003
17.25
2609955
RAST MEXICAN TEA
86003
17.25
2609956
RAST COMMON PIGWEED
86003
17.25
2609957
RAST D. PTERONYSSINUS
86003
17.25
2609958
RAST SOYA BEAN
86003
17.25
2609959
RAST SWEET VERNAL GRASS
86003
17.25
2609960
RAST JOHNSON GRASS
86003
17.25
2609961
RAST FENNEL SEED
86003
17.25
2609962
RAST SOGE BRUSH
86003
17.25
2609963
PROCALCITONIN
84145
392
2609964
ASSAY OF DIBUCAINE NUMBER
82638
27
2609965
AFB ANTIBIOTIC SUSCEPTIBILITY
87190
260
2609966
ASSAY RBC CHOLINESTERASE
82482
16.5
2609967
RAST RED SNAPPER
86003
12
2609968
RAST SARDINES
86003
30
2609969
IgG EGG WHITE
86003
29
2609970
IgG WHEY
86003
29
2609971
COXSACKIE A IgM
86658
195
2609972
RAST AVOCADO
86003
26
2609973
RAST KIDNEY BEAN
86003
30
2609974
RAST CORIANDER
86003
63
2609975
RAST SULFAMETHOXAZOLE
86003
26
2609976
RAST PECAN NUT
86003
26
2609977
NUCLEIC ACID HIGH RESOLUTE
83909
25
2609978
MUTATION IDENT OLA/SBCE/ASPE
83914
0
2609979
ANTI DNA SINGLE STRANDED
86226
54
2609980
PLATELET AUTOANTIBODY EACH
86022
127
2609981
LISTERIA ANTIBODIES SERUM
86609
246
2609982
ANTIPANCREATIC ISLET CELL AB
86341
47
2609983
CHLAMYDIA PSITTACI AB IgG
86631
141
2609984
KAPPA/LAMBDA/FREE LGT CHAIN UR
83883
120
2609985
CHLAMYDIA PSITTACI AB IgM
86632
146
2609986
KLEIHAUER-BETKE
85460
107.25
2609987
HTLV I/II
86790
134
2609988
TOBRAMYCIN (PEAK)
80200
84
2609989
TOBRAMYCIN (THROUGH)
80200
84
2609990
VANCOMYCIN (PEAK)
80202
34
2609991
VANCOMYCIN (THOUGH)
80202
34
2609992
AMIKIN (PEAK)
80150
50
2609993
AMIKIN (THROUGH)
80150
50
2609994
CHROMOGRANIN A
86316
297
2609995
PROTEIN ELECTROPHOR URINE RAN
84166
65
2609996
SACCHAROMYCES CEREVISIAE PROFI
86671
98
2609997
HERPES I II IgM CSF
86694
75
2609998
URINE BETA 2 MICROGLOBULIN
82232
188
2609999
STOOL FOR CRYTOSPORIDIUM
87328
184
2700005
ANTIGLOBULIN INDIRECT
86885
25
2700010
ANTIGLOBULIN DIRECT
86880
15
2700020
BLOOD FROM CORD (DNA)
0
2700030
BLOOD TYPING A.B.O.
86900
30
2700035
COMPABILITY TEST EACH UNIT
86922
50
2700050
RED BLOOD CELLS/ LEUKOCY-CR
315
2700055
BLOOD(WHOLE) FOR TRANSFUSION
400
2700058
PLATELETS
220
2700065
FRESH FROZEN PLASMA-CR
150
2700066
PHLEBOTOMY THERAPEUTIC
99195
60
2700085
CRYOPRECIPITATED
125
2700086
BLOOD TYPING R.H.(D)
86901
25
2700087
RH TYPE
86901
25
2700089
RED BLOOD CELLS/ EACH UNIT
400
2700090
UNLISTED SPECIAL SERVICE
99199
100
2700091
PUSH TRANS BLOOD2YRS OR UND-CR
36440
400
2700092
EXCHANGE TRANS BLOOD NEWBOR-CR
36450
400
2700094
PLASMA POOLED MULTIPLE DONOR
300
2700097
PLATELETS LEUKCYTE REDUC-CR
220
3593572
SM INTES END ENT DUOD ABLATION
44369
850
3593573
PROCTOSIGMOIDOSCOPY W/DILATIO
45303
565
3593574
PROCTOSIGMOIDOSCOPY W/BIOPSY
45305
565
3593575
PROCTOSIGMOIDOSCOPY REMOVE F/B
45307
1125
3593576
PROC REM LESION SING HBX/CAUTE
45308
565
2140561
MONOCRYL Y 415
9.9
2140562
MONOCRYL Y 495
17.38
2140563
POLYSORB CL-11 MG
22.5
2140564
PROLENE 8713
15.95
2140565
PROLENE MESH 3 X 6
192.46
2140566
PROLENE MESH 6 X 6
166
2140567
PROLENE MESH 12 X 12
609.5
2140568
VICRYL J212
6.5
2140569
VICRYL J213
7.22
2140570
VICRYL J214
7
2140571
VICRYL J357
7.71
2140572
SURGIPRO 8-0 VP-900 X
78
2140573
MONOCRYL Y 682
14
2140574
VERSASTEP 5MM
175
2140575
VERSASTEP 11MM
180
2140576
VERSASTEP 12MM
191.5
2140577
INSUFFLATION ACCESS NEEDLE
58.63
2140578
POLYSORB UL-879
6
2140579
PROXIMATE TRH 60 MM
145.5
2140580
VISIPORT PLUS
235
2140581
ENDOCLOSE
84
2140582
MULTIFIRE GIA 30-3.5
985.5
2140583
GIA 50 PREMIUM 3.8
224.79
2140584
ETHILON 2829
77.5
2140585
VICRYL 2-0 375
5.4
2140586
SILK SA 74
7
2140587
ETHILON 1714G
28
2140588
ENDOPATH UTERINE MANIPULAT 7CM
230.96
2140589
HERNIA MESH PLUG
417
2140590
CHROMIC 0 802H
4.56
2140591
PROLENE 8824
12.8
2140592
MONOSOF SN-673
4.67
2140593
PDS Z881
19.35
2140594
PDS Z991
22.74
2140595
DUALMESH PLUS 8CM X 12CM
1143
2140596
DUALMESH PLUS 15CM X 19CM
1736
2140597
DUALMESH PLUS 18CM X 24CM
3753
2140598
TLC75 RELOADABL LINEAR CUT C/3
1082
2140599
TLC75 LIN CUT RELOAD 75MM C/12
270
2140601
VERSAPORT TROCAR V25-12MM
210
2140602
VERSAPORT PLUS 5-10 MM
244.76
2140603
ENDOPATH TROCAR-BLUNT TIP
295
2140604
ENDOPATH TROCAR 5MM-L
218
2140605
VERSAPORT TROCAR 10-15
350
2140606
ENDOPATH TROCAR-BLADELESS 5MM
203.5
2140607
VERSAPORT 5MM-12MM
167.4
2140608
VERSAPORT KIT 5MM-10MM
416
2140609
SURGICAL NEEDLE 15MM
50
2140610
ENDUCATH 15MM
366
2140611
ENDOCLIP 5MM
645
2140612
ENDOSCOPIC MULTIFEED STAPLER
650
2140613
ENDOSCOPIC CURVED INTRALUMINAR
1230
2140614
ENDO BABCOCK 5MM
423
2140615
SURGIWAND II WITH HOOK
225
2140616
ENDO GIA UNIVERSAL INSTRUMENT
465
2140617
ENDO GIA 30-3.5
393
2140618
ENDO GIA 45-2.5
411
2140619
ROTICULATOR 55-4.8
846
2140620
ARTICULATING STAPLER 55 THICK
910
2140621
LIGASURE A X S
412.5
2140622
LIGASURE LAP
735
2140623
PREMIUM PLUS CEEA 21 MM
950
2140624
PREMIUM PLUS CEEA 28 MM
950
2140625
PREMIUM PLUS CEEA 31 MM
950
2140626
SURGICLIP S 9.0
193
2140627
SURGICLIP S 11.5
204
2140628
LIGACLIP - LARGE
225
2140629
ENDOPATH TROCAR-DILATING TIP K
357.95
2140630
ENDOPATH TROCAR-BLADELES 10-12
226.3
2140631
HEMO-LOCK-ML
109.61
2140632
HEMO-LOCK-MLX
84.64
2140633
ENDOSTICH SURGICAL O 7"
217
2140634
ETHIBOND EXCEL 2M X 69G
57
2140636
ENDO GIA UNIV STRAIGHT 45-3.5
295.66
2140638
VERSAPORT PLUS V2 5MM-12MM
144
2140639
OPTICAL BLADELESS 5MM LONG FIX
46.8
2140640
OPTICAL BLADELESS 11MM LONG FI
66
2140641
OPTICAL BLADELESS 12MM LONG FI
68
2140642
VENTRALIGHT ECHO 5990015
1320
2140700
ENDO GIA UNIV 12MM
385.32
2140744
SURGICAD D-1764
27.05
2140745
ETHIBOND - MB66G
32.75
2140746
ETHIBOND - VD943
7.5
2140747
MONOSOF - 697
6.75
2140748
MONOSOF - 4-0 SN1699
10.39
2140749
MONOSOF - 3-0 SN1663
6.75
2140750
MONOSOF - 5-0 SN1666
6.75
2140751
MONOSOF - 3-0 SN1669
6.5
2140752
MONOSOF - 4-0 SN672
2.5
2140753
MONOSOF - 3-0 SN673
3
2140754
SURGIPRO - 0 CP-92M
24.8
2140755
SURGIPRO - 0 3CP-444
20
2140756
SURGIPRO - 2-0 CP-423
4.1
2140757
SURGIPRO - 0 CP-424
4.3
2140758
SURGIPRO - 2-0 CP-453
4.1
2140759
SURGIPRO - 2-0 XP-543
6.2
2140760
SURGIPRO - 5-0 XP-556X
7.15
2140761
SURGIPRO - 4-0 XPF-557X
7.15
2140762
SURGIPRO - 3-0 SP-662
3.8
2140763
SURGIPRO - 4-0 SP-683
3.9
2140764
PROLENE - 5-0 8555H
6.9
2140765
PROLENE - 6-0 8697G
8.1
2140766
SURGIPRO II 7-0 VPF702X
19.4
2140767
SURGIPRO II 6-0 VPF706
12.05
2140768
SURGIPRO - 5-0 XPF720
11.6
2140769
PROLENE--2-0 8843H
10.8
2140770
SURGIPRO II 8-0 XP900X
58.08
2140771
VICRYL J504G
8.65
2140772
POLYSORB CL10MG
14.1
2140773
POLYSORB CL-811
3.55
2140774
POLYSORB CL-812
3.55
2140775
SOFSILK S-318
4
2140776
PROLENE HERNIA SYSTEM MESH
246
2140777
SILK 4-0 C084D
17.63
2140778
ENDO GIA UNIV ROTICULATOR 30-2
519
2140779
GIA UNIVERSAL
430
2140780
POLYSORB 2-0 UL-878
6.77
2140781
VICRYL 0 J418
6.6
2140782
VICRYL 0 J603
8.43
2140783
SILK 7 1733
33.3
2140784
CHROMIC 2.0 CG 833
5.4
2140785
ENDO GIA II 45-3.5
411
2140786
AUTOSUTURE PREMIUM 28MM
686
2140787
VICRYL 2-0 VCP345H
7.78
2100028
LIGHT HANDLE COVER
3.45
2100029
MAG. SHARP DISP.
3.62
2100030
URINE BAG
1.69
2100031
SIGMOIDOSCOPE SPEC.
6.72
2100032
INTRAOCULAR LENS
334
2100033
SCLERAL BUCKLING-ALL
36.6
2100034
EMESIS BASIN
0.16
2100035
DISPOSABLE URINAL
1.16
2100036
ANESTHESIA PUMP
12
2100037
LACRIMAL INTUBATION
155
2100038
DISP. SANI-SPEC
3
2100039
CALCULLY STRAINER
1.57
2100040
INFANT EYE SHIELD
6.6
2100041
DISP. LINERS
3.52
2100042
UNIV. FEED ADAPTER
18
2100043
EYE KNIFE N D C
12
2100044
DRAINABLE POUNCH
3.65
2100045
UROSTOMY POUCH
2.44
2100046
PED. NASAL CANNULA
0.83
2100047
STOMAHESIVE WAFER
4.09
2100048
PATIENT BAG
0.28
2100049
CLIPPER BLADE
5.75
2100050
GLYCERINE SWAPS
0.09
2100051
DURAPREP
13.14
2100052
DISPOSABLE AMBU
23.35
2100053
URINARY BAG -STERILE
2
2100054
SURGICAL LOOP
5.12
2100055
DISP. LARYNG. BLADES
14.4
2100056
DISP. HYPO. COVER
18.1
2100057
OB KIT
10.18
2100058
DENTURE CUP
0.21
2100059
BETADINE SWABS
0.18
2100060
UNIV. LIGHT SHIELD
0.81
2100061
INST. JAW COVER
8.8
2100062
TRACHEAL TUBE HOLDER
6.05
2100063
PEDR. PROBE COVER
1
2100064
BITE PROTECTOR
8
2100065
PHACO CAUTERY PENCIL
25
2100066
PORT VITRECTOMY CUTT
350
2100067
GOLD TUBINE PACK
190
2100068
EYE BLADE ALL
44.34
2100069
PHACO SILICONE SLEEV
36
2100070
HEAT REFLECTING PATC
2.8
2100071
DISP.AIRWAY INTUBATO
11
2100072
LAMELLAR BLADE
26.5
2100073
IOL GLIDE
2.6
2100074
NEONATAL PERCUSSOR
7.63
2100075
CUT ELECTRODE
76.67
2100076
POUCH CLAMP
2.57
2100077
FEEDING TUBE DEVICE
6.9
2100078
SPIRAL ELECTRODE
11.2
2100079
ANESTH. CIRCUIT KIT
64.5
2100080
FALLOPIAN RING
20
2100081
DISP. AMBU. BAG
53
2100082
PHACO CASSETTE
170
2100083
EYE CAUTERY BRUSH
18.6
2100084
EYE SPARE MICRO KIT
55.68
2100085
CONTRACEPTION CLIP
294
2100086
MULTI-BAND LIGATOR
344
2100087
OBS GLOVES
5.5
2100088
NIPPLE SHIELD
7
2100089
UMB. CATH. HOLDER
12.1
2100090
OXI-HOOD DISP.
26
2100091
ATIO PROBE OCCUTOME
210
2100092
SPUTUM COLLECTION TUBE
4.82
2100093
BIOPSY FORCEPS
28.5
2100094
ERCP CANNULA
100
2100095
FOREING BODY HOOD PROTECTION
49.38
2100096
INFINITI CENTURION FMS
330
2100097
INTRAOCULAR LENS AKREOS
190
2100098
INTRAOCULAR LENS 22.50D AKREOS
230
2100099
INTRAOCULAR LENS TORIC TFNT
1990
2100100
ADDITIVE CAP FOR VIAFLEX
0.16
2100450
SURGICAL GLOVES PAIR
1.2
2100451
GRANUFOAM LARGE SENSATRAC
68
2100455
GLOVES SINGLE
0.4
2100456
GLOVES - NON STERILE
0.17
2100500
SITZ BATH
3.49
2100501
DISPOSABLE AIRWAY
0.48
2100750
MULTI FUNTION ELECTRODE
52.08
2100810
ALCOWIPE - CLINI-PAD
0.56
2100811
MEDICINE CUP
0.01
2100840
SHAVE KIT
1.83
2100865
BLOOD COLLEC. NEEDLE
2
2100870
PILORIC TEST KIT
14
2100875
TIN OINTMENT
0.25
2100920
TONGUE DEPRESSOR
0.02
2100930
PLASTIC EYE SHIELD
1.25
2100940
GLUCOLA
2.31
2100945
ICE COLLAR BAG
15
2100965
MORTUARY BAG
3.84
2100966
AIRWAY EXCHANGE CATH.
73
2100967
CRUISER SET
190
2101135
DISPOSABLE TOWELS
2
2101175
BLADES
0.31
2101295
SCRUB BRUSH
0.76
2101305
AMMIOHOOK
2.51
2101395
FOOT PRINTER
1.12
2101490
COLOSTOMY BAG
2
2101510
DERMATOME BLADES
51.93
2101575
HEMOVAC
32
2101585
K-Y JELLY
2.45
2101705
SPECIMEN CUP
0.25
2101706
STERILE SPECIMENTRAP
2.5
2101707
INTREPID BALNC TIP .9MM 45 ABS
162
2101762
THERMOMETER SET
2.5
2101908
THERMOMETER EACH
2.2
2101909
DILATERIA JAPONICA
30
2101910
CANNULATOME 11 PC
209
2101911
ESCORT 11 BALLOON EXTRACTOR
209
2101912
POLYPECTOMY SNARE SMALL
55
2101913
POLYPECTOMY SNARE JUMBO
41.8
2101914
MOUTHPIECE WITH STRAP
3.94
2101915
CHLORAPREP SURGICAL 3ML
2.58
2101916
SURGICAL SLOVE SENSICARE
4.08
2101917
SURGICAL PREP CHG 26ML-OR
17.4
2101918
SURGICAL PREP CHG 4 % BTL 4 OZ
4.78
2105514
DISPOSABLE ICE BAG
1.82
2105533
ANTI-EMBOLISM STOCKING
11
2105534
LAPIZ CAUTERIO OPHTALMICO
46.6
2105536
NEOFOTHO EYE SHIELD
9
2105537
NEO-B END TUBE HOLDER
13.12
2105538
SKIN TEMPERATURE INDICATOR
2.46
2105539
COMPRESSAR DISK
12.5
2105540
INFLATABLE FACE MASK
4.58
2105541
NEO PROVER COVER
2.15
2105542
DISP AMBU NEONATAL
27.5
2105543
HUMIDIFICATION CHAMBER
25.53
2105544
EYE PROTECTOR
10.8
2040560
PTA BALLOON 7X8 80CM - OPTA
645
3200624
VITRAX 0.65 ML
88.65
3200625
MANNITOL INJ. 25% / DOSE
4.5
3200626
MAGNESIUM INJ. 500MG/DOSE 50MG
3.35
3200627
CALCIUM GLUCONATE DOSE
3.66
3200628
SODIUM CHLORIDE 23.4% VIAL
2
3200629
BETA VAL 45 GM
4.25
3200630
SODIUM PHOSPHATE 5ML
2.52
3200631
INTEGRILIN 20MG BOLUS/DOSE 5MG
144.8
3200632
KCL 40 MEQ / DOSE 2MEQ
1
3200633
KCL 20 MEQ INJ. / DOSE 2MEQ
1
3200634
EPINEPHRINE 1MG / DOSE
1
3200635
MAGNESIUM CITRATE ORAL SOL
5.3
3200636
FLEET-PHOSPHOSODA 45ML
1.8
3200637
XYLOCAINE HCL 2% 50ML / DOSE
1.3
3200638
XYLOCAINE 1% 30 / DOSE
1.2
3200639
XYLOCAINA 2GM
11.45
3200640
XYLOCAINA 1GM
8.6
3200641
XYLOCAINA 100MG
3
3200642
NESACAINE 3% / DOSE
44
3200643
XYLOCAINA 2 % JELLY 20MG
12
3200644
XYLOCAINA C EPINEPHRINA 2 %
4
3200645
XYLOCAINA - MPF 4 %
11.65
3200646
XYLOCAINA 10%
90.82
3200647
XYLOCAINA 4%
30.5
3200648
XYLOCAINA VISCOUS 100ML
32.8
3200649
SENSORCAINA .25%
12.5
3200650
SENSORCAINA .5%
7.1
3200651
SENSORCAINA - MPF .75%
4.8
3200652
FLEET ENEMA MINERAL OIL 133ML
2.9
3200653
FLEET ENEMA ADULTO 133ML
2
3200654
FLEET ENEMA CHILD 66ML
3.96
3200655
ERYTHROMYCIN IV500MG/DOSE500MG
12.5
3200656
AGUA ESTERIL 10ML/DOSE
1
3200657
ROMAZICON 0.5MG
136.03
3200658
PROGESTERONE INJ. 50MG / DOSE
8.91
3200659
FLUOTHANE 125ML
46.44
3200660
TRIDIL 50MG
24
3200661
MEDROL 4MG
0.9
3200662
DILANTIN 100MG / DOSE 50MG
7.52
3200663
DILANTIN 250MG / DOSE 50MG
7.1
3200664
DEPOMEDROL INY 40MG/1ML
15.5
3200665
VANCOMYCIN 500MG / DOSE 500MG
5
3200666
NAFCILLIN 2GM
13
3200667
ELASE OINTMENT 30GM
65.05
3200668
NAFCILLIN 1GM
8
3200669
FORTAZ 1GM
28.45
3200670
FORTAZ 2GM
46
3200671
HEPATITIS B IMMUNE GLOBULIN
0
3200672
ANCEF 1GM
4
3200673
DOBUTREX 250MG / DOSE
5
3200674
CIPRO IV 400MG
48
3200675
PIPRACIL 3GM
30.93
3200676
PIPRACIL 2GM
9
3200677
CLEOCIN 300MG
12.2
3200678
CLEOCIN 600MG
7
3200679
CLEOCIN 900MG
10.5
3200680
CEFIXOX 2GM
45.65
3200681
AMPICILLIN 125MG / DOSE 125MG
1.44
3200682
AMPICILLIN 250MG / DOSE 250MG
3.5
3200683
AMPICILLIN 500MG
4.5
3200684
AMPICILLIN 1 GM
8.5
3200685
SUPRANE 240ML
146.6
3200686
FORANE 100MG
172.8
3200687
TIMENTIN 3.1GM
18
3200688
SOLUCION SALINA T.RESP .9% 3ML
0.25
3200689
BETADINE SOLUTION
6.5
3200690
PHISODERM
6.26
3200691
ZEPHIRAN RED 1GAL
287.65
3200692
ZEPHIRAN CLEAR 1GAL
110
3200693
PROVENTIL SOL / DOSE
1.65
3200694
ALBUMINA 50ML 25% 50ML
300
3200695
ZOSYN 3.375 GM VAIL
26.5
3200696
ZOSYN 4.5GM INJ. / DOSE 1.25GM
41.07
3200697
DIABINASE 100MG
1
3200698
PROVENTIL / DOSE
42.85
3200699
PROPULSID 10MG
1.9
3200700
ALCOHOL ISOPROPILICO
2.5
3200701
AGUA OXIGENADA 8 OZ.
1.5
3200702
DIFLUCAN IV 200MG / DOSE
63
3200703
FLAGYL 500MG/100ML
4
3200704
MIOCHOL E UNI-VIAL 2ML
49
3200705
ATROPINE 0.4MG / DOSE
1.5
3200706
BRETHINE 1MG / DOSE
6.75
3200707
BRETILOL 500MG
22.85
3200708
ILOPAN 250MG
17.7
3200709
VITAMIN B-12 1000 MG INJ./DOSE
1.63
3200710
CELESTONE SOLUSPAN 4MG
59.85
3200711
BENTYL 20 MG / DOSE
34.44
3200712
EPHEDRINA 50MG
1.5
3200713
HEPARIN 5000U / DOSE 1000U
1.5
3200714
INTROPIN 200MG
8.15
3200715
INFED 50MG INJ. / DOSE 25MG
75.41
3200716
INDERAL INY. 1MG / DOSE
7
3200717
PAPAVERINA 30MG INJ. / DOSE
5
3200718
PRISCOLINE 100MG /DOSE 25MG
33.02
3200719
TAGAMET 300MG
24.7
3200720
THIAMINE 100MG
8.7
3200721
THIAMINE 100MG
1.8
3200722
ATROPISOL 1%
4.85
3200723
BETAGAN 0.25%
12.5
3200724
PHENYLEPHRINE DROPPERETES 10%
10
3200725
TETRACAINE DROPPERETTES 1/2%
10
3200726
ATROPISOL 1%
1.5
3200727
REGRANEX GEL 0.01%
756
3200728
BETAGAN 0.5%
5.5
3200729
BETOPTIC S 0.25%EYE DROPS 10ML
44.04
3200730
BETOPTIC S 0.25%EYE DROPS 5ML
49.5
3200731
CILOXAN 0.3%
50.8
3200732
DACRIOSE
14.4
3200733
ERYTHROMYCIN OPH OINT
3
3200734
GONIOSOL
31
3200735
GARAMYCIN OPHTALMIC SOLUTION
3
3200736
ARTIFICIAL TEARS
5.4
3200737
GARAMYCIN OPHTALMIC OINTMENT
14
3200738
IOPIDINE 0.5%
79.6
3200739
LACRI-LUBE
17.3
3200740
MAXITROL
9
3200741
MAXITROL OPHTALMIC OINTMENT
55.6
3200742
MIDFRIN 2.5%
5.5
3200743
MYDRIACIL 1%
46.7
3200744
NESOPORIN OPHTALMIC SOLUTION
7.2
3200745
PHENYLEPHRINE 10%
5.7
3200746
NEOSPORIN OPHTALMIC SOLUTION
9.4
2115359
SHORT NAIL 130 11MMX180MM
1560
2115360
95MM LAG SCREW 10.5MM
420
2115361
DISTAL SCREW 5MMX36MM
84
2115362
3.2MM PEGS 50MM
108
2115363
TROCHANTERIC NAIL LONG 11X340
1560
2115364
5.0MMX46MM CORTICAL SCREW
84
2115365
LAG SCREW SOLD SLIDING 100MM
420
2115366
4.0 CANCELLOUS SCREW 45MM P-TH
84
2115377
CABLE READY LONG GTR
3420
2115378
CABLE READY CERC COCR 1.8X635
714
2115379
PRX HUM HI PLT LT 3H 80MM
1446
2115380
3.2MM PEGS 46MM
108
2115381
PS FEMORAL STANDARD SZ 8 RT
2208
2115382
PS ARTICULAR SURFACE 11MM RT
1800
2115383
***DISPONIBLE***
2115384
***DISPONIBLE***
2115385
***DISPONIBLE***
2115386
CANCELLOUS CHIPS 4-10MM 15CC
720
2115500
POSTERIOR STABILIZED FEMORAL
2760
2115501
PRIMARY TIBIAL BASEPLATE
1920
2115502
TIBIAL BEARING INSERT PS
894
2115503
SYMETRIC PATELLA
420
2115504
FEMORAL DISTAL FIXATION PEG
1610.4
2115505
DVR ANATOMIC SHORT RT (3HOLE)
1089.6
2115506
MIXING BOWL
60
2115507
SLOTTED WHISKER 4.0MM
139.2
2115508
TOMCAT SHAVER BLADE 4.0MM
139.2
2115509
PS ARTICULAR SURFACE 10MM LT
834.6
2115510
STEMMED 5 DEGREE TIBIA SZ C LT
1524.6
2115511
LEFT STAND 3 HOLE VOLAR PLATE
600
2115512
CORTICAL SCREW 2.4 X 14
105
2115513
CORTICAL SCREW 2.4 X 15
105
2115514
CORTICAL SCREW 2.4 X 18
105
2115515
SMOOTH PEG LOCKING 2.0MMX18MM
60
2115516
CORTICAL SCREW 2.4 X 10
60
2115517
CORTICAL SCREW 2.4 X 16
60
2115518
LOCKING PEG 1.8X18
60
2115600
SERFAS 3.5MM SUPER 90-S MAX
259.2
2115601
WATER PUMP KIT ARTHOSCOPY PUMP
52.8
2115602
RESECTOR 4.0MM
367.2
2115603
BARREL BUR 12-FLUTE 4.0MM
139.2
2115604
TOMCAT SHAVER BLADE 4.0MM
139.2
2115605
SERFAS ENERGY 50-S 3.5MM
259.2
2115606
SLOTTED WHISKER 4.0MM
139.2
2115607
PROX LATERAL HUMERUS TS PLATE
1558.08
2115608
4.0MM X 42 LOCK SCREW SELF TAP
108
2115609
4.0MM X 40 LOCK SCREW SELF TAP
108
2115610
3.5MM X 24 CORT SCREW SELF TAP
108
2115611
4.0MM X 44 LOCK SCREW SELF TAP
108
2115612
4.0MM X 26 CANCELLO SCREW FULL
108
2115613
GAMMA3 LAG SCREW TI 10.5X85MM
540
2115614
GAMMA3 TROCH NAIL 11X180MMX130
1800
2115615
GUIDE WIRE BALL TIP D3 X L1000
120
2115616
T2 F/T LOCKING SCREW 5MMX35MM
150
2115617
GAMMA3 LAG SCREW TI 10.5X90MM
540
2115618
T2 F/T LOCKING SCREW 5MMX30MM
150
2115619
GAMMA3 LAG SCREW TI 10.5X105MM
540
2115620
GAMMA3 LAG SCREW TI 10.5X100MM
540
2115621
GAMMA3 LAG SCREW TI 10.5X95MM
540
2115622
T2 F/T LOCKING SCREW 5MMX40MM
150
2115623
PROX LAT HUMERUS TS PLTE 3H LT
1558.08
2115624
3.5MM X 26 CORTICAL SCREW SELF
96
2115625
4.0MM X 34 LOCK SCREW SELF TAP
108
2115626
4.0MM X 36 LOCK SCREW SELF TAP
108
2115627
4.0MM X 38 LOCK SCREW SELF TAP
108
2115628
WASHER 6.5MM/8.0MM
0
2115629
CANCELLOUS CHIPS (4-10MM) 15CC
720
2115630
BIO READY DBM PUTTY 5CC
1200
2115631
DRI-LOCK CANNULA 6.5X75MM FULL
144
2115632
AGGRESSIVE PLUS SHAVER BLADE
139.2
2115633
SHOULDER SUSPENSION KIT
139.2
2115634
SERFAS ENERGY PROBE 90.S ACCEL
259.2
2115635
PROX LAT TIB TS PLATE 2HOLE LT
1586.88
2115636
3.5MM X 32 CORTICAL SCREW SELF
108
2115637
3.5MM X 65 CORTICAL SCREW SELF
108
2115638
3.5MM X 70 CORTICAL SCREW SELF
108
2115639
4.0MM X 65 LOCKING SCREW SELF
108
2115640
4.0MM X 70 LOCKING SCREW SELF
108
2115641
BIO READY DBM PUTTY 5CC
1020
2115642
FORCE FIBER 5 38" W 3/8 CIRCLE
90
2115643
5.0MM WEDGE ANCHOR II W/NEEDLE
540
2115644
SERFAS ENERGY SUPER 90-S 3.5MM
259.2
2115645
FORCE FIBER 2 38" W 1/2 CIR TA
90
2115646
FLOSTEADY DISPOSABLE TUBE SET
52.8
2115647
STAND LAG SCREW 13MM L90
360
2115648
OMEGA3 KEYED HIP PLATE STAN 4H
720
2115649
COMPRESSION SCREW
144
2115650
CORTICAL SCREWS 4.5MM X 46MM
72
2115651
CORTICAL SCREWS 4.5MM X 44MM
72
2115652
K-WIRE 3.2 X 450MM
96
2115653
3.5MM X 34 CORTICAL SCREW SELF
86.4
2115654
4.0MM X 46 LOCKING SCREW SELF
108
2115655
4.0MM X 55 LOCKING SCREW SELF
86.4
2115656
4.0MM X 45 CANCELLO SCREW FULL
86.4
2115657
4.0MM X 50 CANCELLO SCREW FULL
86.4
2115658
PROXIMAL LATERAL TIBA TS PLATE
1558.08
2115659
SUP MIDSHAFT PLATE DICR CURVAT
1440
2115660
BONE SCREW 3.5X12MM VAR ELBOW
150
2115661
BONE SCREW 3.5X14MM VAR ELBOW
150
2115662
BONE SCREW 3.5X16MM VAR ELBOW
150
2115663
BONE SCREW 3.5X18MM VAR ELBOW
150
2115664
ORTHO DALL MILLES STAINLESS
540
2115665
DISTAL LATERAL FEMUR LEFT
1983.6
2115666
CABLE PLUG
756
2115667
6.5MM X 70 CANCELLO SCREW FULL
108
2115668
5.0 X 60/70/75 LOCK SCREW SELF
108
2115669
BARREL BUR 6-FLUTE 4.0MM
139.2
2115670
GAMMA3 LAG SCREW TI 10.5X80MM
540
2115671
UNIVERSAL WEDGE 7MMX20MM
330
2115672
GAMMA3 TROCH NAIL 11X180MMX125
2160
2115673
K WIRE STERILE 3.2X450MM
96
2180573
ADVANTAGE FIT SYSTEM SLING URE
758.1
2180574
CATHETER & STENT 14FR KAYE NEP
822
2180575
SURESCAN MRI LEAD KIT 978A128
2400
2180576
INTERSTIM MICRO NEUROST 97810
10080
2180577
RECHARGER KIT RS5200
1620
2200001
I.V. SOL. & EQUIPMT
0
2200410
DW 5% 50 ML
1.75
2200411
DW 5% 100 ML
2.2
2200412
DEXTROSE 5% 100CCADD
6
2200413
DW 5% 250 ML
2.25
2200414
DW 5% BOTELLA 250 ML
5.65
2200415
DW 5% 500 ML / DOSE
2.3
2200416
DW 5% 1000 ML / DOSE
3
2200417
DW/SC 0.45 500 ML
2.5
2200418
DW/SC 0.45% 1000 ML
2.5
2200419
DW 5% 0.9 500 / DOSE
2.55
2200420
DW/SC 0.9% 1000 ML
2.6
2200421
DEX 5% SC.225% 500CC
3.6
2200422
DEX 5% LR 500CC
4
2200423
DW/RL 1000 ML
2.9
2200424
DW 10% 500 ML
2.35
2200425
DW 10% 1000 ML
2.5
2200426
SC .9% 50 ML
1.32
2200427
SC .9% 100 ML
2.6
2200428
SC .9% 100ML ADD-VANTAGE
6
2200429
SC .9% 250 ML
6.25
2200430
SC .9% 250 ML
6.4
2200431
SC .9% 500 ML
2.3
2200432
SC .9% 1000 ML
2.8
2200432E
SC .9% 1000 ML
2.8
2200433
SC .45% 500 ML
6.25
2200434
SC .45% 1000 ML
2.1
2200434E
SC .45% 1000 ML
2.1
2200436
RINGER'S LACTATED 500CC / DOSE
6.25
2200437
RINGER'S LACTATED 1000CC / DOS
6.5
2200438
IONOSOL B 250CC
5
2200439
IONOSOL B(TRAVERT2) 500 ML
2.95
2200440
IONOSOL MB 250CC
5.15
2200441
IONOSOL MB(TRAVERT4) 500 ML
3.6
2200442
AGUA IRRIGAR 1000 ML
3
2200443
SC IRRIGAR 1000 ML
3
2200444
AMINOSYN 3.5% BOTELLA 1000ML
37.25
2200445
AMINOSYN 5% 1000CC
75.6
2200446
NUTRIMIX 7% C 10%
133
2200447
NUTRIMIX 7% C 50%
133
2200448
LIPOSYN 10% 500 ML
40.7
2200449
LIPOSYN 20% 500 ML
45.15
2200450
MANNITOL 20% 500 ML
34
2200451
GENTRAN / DOSE
43.65
2200452
C-LINK C-FLO MINIDRIP 105"
5.38
2200453
IV PUMP SET
22.5
2200454
SET IV PUMP MICRO
35.25
2200455
SET IV PUMP PRIMARIO
26.4
2200456
C-LINK NITRO SET
13.6
2200457
NONVENTED VENOSET
4
2200458
C-LINK CONTROL A-FLOW SET
13.2
2200459
C-LINK C-FLO SET 109" 3 SITE
5.6
2200460
IRRIGATION SET
6.3
2200461
SOLUSET 100 X 60
10
2200462
SET CVP
28.6
2200463
BUTTERFLY 21 G
1.4
2200464
BUTTERFLY 23 G
1.4
2200465
BUTTERFLY 25 G
1.4
2200466
SS ENEMA SET
2.5
2200467
URINE COLECTOR
2.25
2200468
RL 500 ML
6
2200469
RL 1000 ML
7.55
2200470
SC 3% SC 500 ML
4.75
2200471
BAXTER 5% SC 500CC
15.35
2200472
DIANEAL 1.5% 2000CC
45
2200473
DIANEAL 4.25% 2000CC
55.2
2200474
DIASOL 3.43 LIT
25
2200475
BAXTER SOL SET
3.75
2200476
Y-TYPE BLOOD SOL SET CLEARLINK
12
2200477
SET SANGRE
21.65
2200478
DW 2.5% 1000 ML
6.4
2200479
SOD CHL 0.45% BAX500
5.25
2200480
SOD CHL0.45% BAX1000
6.3
2200481
PRERETROL 150 ML 3 INJ SITE
9.6
2200482
BAX STERILE WATER
10.5
2200483
SOD CL 0.45% 50CCADD
6.45
2200484
SOD CL 0.45% 50CC PB
4.5
2200485
DEX 5%W.225%SC 250CC
5.7
2200486
HESPAN 500 ML
174
2200487
DW 2.5 1000ML BAG NUTRIX
69.5
2200495
PLEGISOL
55.15
2200496
DIANEAL 2.5% 2000CC
46
2200497
DW/SC 0.22 500 ML
10
2200498
SET OMNIFLOW PRIMARIO
108
2200499
O F SECONDARY SET
4
2200500
SOD CHL 0.9% 500ML B
6
2200501
SET PLUMP
50
2200502
SET PLUMP ENTERAL
36
2200503
AC C DEX SOL
26
2200504
STERILE SC 75 ML
2
2200505
PLASMA LYTE PH 7.4
6.7
2200506
EXTENSION SET
5.95
2200507
TRIDIL 50MG / 250ML
30
2200508
SC .9% 50ML MBP
3.25
2200509
SC .9% 100ML MINIBAG PLUS
5
2200510
AGUA IRRIGAR 3000 ML
9.45
2200511
SC IRRIGAR 3000 ML
11.5
2200512
GLYCINA IRRIGAR
13.95
2200516
SC 0.9% 100 ML MBP
3.25
2200517
DW 5 % 100 ML MINI BAG
3.25
2200518
DW 5 % 50 ML MINI BAG
3.25
2200519
SC .45% 50 ML
2
2200520
SC .45% 250 ML
2
2200521
LIPOSYN 10% 250 ML
12.92
2200522
AGUA IRRIGAR 500 ML
2.65
2200523
DW 5% BOTELLA 500 ML
3.74
2200525
AGUA ESTERIL INYECTABLE 1000ML
25
2200950
I.V. EMER. ROOM
0
2200951
BUTTERFLY 19
1.4
2200952
C-LINK C-FLO SET 112" 2 SITE
3.8
2200953
C-LINK SECUNDARY MED SET
1.3
2201119
ANTICOAGULANT CITR. SOL. 750ML
22.5
2201128
IONOSOL MB (TRAVERT 4) 500 ML
7.55
2201129
SET PRIMARY INTERLINK
6.25
2201130
SET SECONDARY INTERLINK
4.5
2201131
SET ANESTHESIA INTERLINK
8.95
2201132
SET FILTRO INTERLINK
11.1
2201133
TPN MICRO 1.2 FILTER
12.48
2201134
TIP CAMERA DRAPE 12CM X 243CM
13.75
2201201
I.V. I.C.U. UNIT
0
2201308
SC IRRIGAR 3000ML
8.74
2150219
BLOOD BANK LEUKO FILTER RBC P
27
2150220
BONE MARROW NEDDLE DIN1515X
14.8
2150221
MICROKNIFE XL
250
2150222
ALLIANCE INFLATION SYRINGE
60
2150223
SURGIFLO
200
2150224
REGIONAL BLOCK NEEDLE HN3S-80
33
2150225
RUTNER PERC.BALLON CATH 14FR
220
2150226
RUTNER PERC.BALLON CATH 16FR
220
2150227
SAFETY IV CATHETER 20 X 1
3.16
2150228
SPROTLE NEEDLE 27GX4 STD 14115
20
2150229
SPROTLE NEEDLE 25GX4 16115129A
19.6
2150230
SPROTLE NEEDLE 25GX31/2 511157
19.6
2150231
REGIONAL NEEDLE 27GX31/2 12115
20
2150232
SPROTTE NEEDLE 25GX4 16115129A
19.6
2150233
SPROTTE NEEDLE 25GX31/2 511151
19.6
2150234
CONNECTOR/BASIC
2.4
2150235
ROTH NET FOREING BD RETRIEVAL
82.38
2150236
SOFT TISSUE BIOPSY NEEDLE
50
2150237
NEEDLE REGIONAL BLOCK 44 MM
21.2
2150238
NEEDLE BLUNT COUDE 20G X 4.5
35.16
2150239
NEEDLE SPINAL CHIBA 22 X 6
180.87
2150240
TUN-L-XL / 24 CATHETER
180.88
2150241
COUDE BLUNT NERVE BLOCK NEEDLE
35.16
2150242
SELECT CORE BIOPSY DEVICE
73
2150243
FRANSEEN BIOPSY NEEDLES MARKED
29
2150244
WESTCOTT BIOPSY NEEDLES
29
2150245
BONE BIOPSY NEEDLE 16 X 12.5
90
2150246
CO AXIAL INTRODUC NEEDLE 18X10
29
2150247
CO AXIAL INTRODUC NEEDLE 18X15
17
2150248
GUIDEWIRE INTREO NEEDLE
5
2150249
DOUBLE LUMEN PEDIATRICO
160
2150250
CUTTING LOOP ELECTRODE 24 FR
216.66
2150251
VESSEL DILATOR (DIL-600-XX)
17
2150252
INSULANTE CANNULA OWL 21 GA RF
47.4
2150253
MINI ACCESS KIT NON VASCULAR
265
2150254
RADIAL ARTERY CATH 3X5
70
2150255
ONE-LINK MICROBORE CATH CT
6
2150256
ONE-LINK MICROBORE CATH STANDA
4.1
2150257
ONE-LINK MICRO POWER INJECT CT
6
2150258
MAX CORE DISPO BIOPSY NEEDLE
60
2150259
CO AXIAL BARD
30
2150260
BONOPTY BONE BIOPSY NEEDLE
380
2150261
TRUETOME JAGWIRE
500
2150262
M DRAIN DRAINAGE CATH LOCK PIG
170
2150263
M DRAIN NEPHROST CATH LOCK PIG
170
2150264
CESAR PRO BIOPSY DEVICE
102
2150265
FLUENT MICRO INTRODUCER KIT
59.7
2150266
ECHOBLOCK FACE TIP
22.22
2150267
ORAL/ENT SYRINGE 60W/SELF RT
2.72
2150268
ENTERAL EXT SET 60 ORANGE M/F
3
2150269
TRANSBROCHIAL ASPIRATION NEEDL
199.6
2150270
MISSION BIOPSY INSTRUMENT KIT
120
2150271
M DRAIN INTROD SYS W/PLATINUM
198
2150272
GANGI SOFT GUARD COAXIA NEEDLE
86
2150273
BX NEEDLE W MARK & NEEDLE STOP
30
2150274
CENTEZE CESTESIS CATHETER
50
2150275
M DRAIN CENTESIS CATHETER
60
2150276
BX NEEDLE W MARK & NEE STO ECH
34
2150277
AMPLATZ EXTRA STIFF GW .35X90C
90
2150278
EZ-IO NEEDLE SET
159.6
2155333
ENDOSCOPY CLEAN KIT
14.56
2155622
OSTEOSITE BONE BX NEEDL G36407
340
2155623
VAMP 306-BLOOD MANAG SYST NICU
65
2155624
AMNIOCENTESIS NEEDLE 20GA ECHO
30
2155625
MAHURKER ELITE KIT 12FR X 16CM
210
2155626
INJE TAK ADJUSTABLE TIP NEEDLE
164
2155627
NEEDLE SPINAL 18GA 3-1/3
5.88
2155628
NITINOL MARKER SPRING-WIRE
18.56
2155629
SPINAL NEEDLE 27 X 3.5 (QUINCK
8.72
2155630
ADSON DRESSING FORCEP 4 3/4
7.8
2155631
SPINAL NEEDLE 27 X 3.5 (WHITAC
12.8
2155632
CENTRAL LINE
39
2155633
ENDOSCOPY CLEAN KIT
14.56
2155634
I- RING PUPIL EXPANDER
190
2155635
ACCU CORE BIOPSY DEVICE
67
2155636
INTRODUCER ILS
394
2155637
VITREQ 25GA INJECTION NEEDLE
51.2
2155638
SMALL BORE EXT SET W/NO INJEC
5.52
2155639
PROGREAT MICROCATH
700
2155640
IMPRESS BRAIDED MOD HOOK ANGIO
47.6
2155641
IMPRESS BRAIDED BERENSTEIN
47.6
2155642
M-DRAIN BILLARY CATH 40CM
170
2155643
SELECTIVE SOFT-VU SOS OMNI
50
2160010
LUMBAR PUNCTURE TRAY
25.39
2160011
STERILIZATION TRAY
25
2160012
D & C TRAY
25
2160013
MICROSURGERY TRAY
35
2160014
BONE TRAY
165
2160015
PEDIATRICS TRAY
35
2160016
THORACIC TRAY
40
2160017
A-V SHUNT TRAY
35
2160018
CUT DOWN TRAY
26
2160019
THORACENTESIS TRAY
35.6
2160020
NEUROSURGERY TRAY
125
2160021
CRANEOTOMY TRAY
125
2160022
CARDIOVASCULAR TRAY
35
2160023
HEART TRAY I
50
2160024
MIELOGRAM TRAY
35
2160025
CESAREAN TRAY
40
2160026
BONE MARROW TRAY
56
2160028
TRACHEOTOMY TRAY
58.5
2160029
COMPLETE TRAY
40
2160031
INTESTINAL TRAY
25
2160032
HEMORROIDECTOMY TRAY
25
2160033
ARTERIOGRAM TRAY
26
2160035
PERITONEAL DIAL.TRAY
78.4
2160036
PARACENTESIS TRAY
84
2160037
PARACENTHESIS TRAY 60435
106
2160038
CIRCUMSCISION TRAY
26
2160040
T & A TRAY
25
2160041
AMPUTATION TRAY
25
2160042
PACEMAKER TRAY
35
2160043
GALLBLADER TRAY
40
2160044
SUTURE TRAY
25
2160045
SUTURE REMOVAL TRAY
1.24
2160046
MC'KENSIE TRAY
25
3200053
MEXITIL 150MG
1.95
3200054
MEXITIL 200MG
1.95
3200055
PERSANTINE 25MG
0.55
3200056
PERSANTINE 50MG
0.85
3200057
PERSANTINE 75MG
1.15
3200058
AMPICILLIN 250MG
0.25
3200059
AMPICILLIN 500MG
0.25
3200060
AMPICILLIN SUSP 125MG
4.4
3200061
QUESTRAN LIGHT PACK
1.65
3200062
ACTIFED
0.45
3200063
SUDAFED 30MG
0.2
3200064
DARAPRIM 25MG
1.5
3200065
IMURAN 50MG / DOSE
3.22
3200066
LANOXIN UNIT DOSE .125MG
0.35
3200067
LANOXIN UNIT DOSE .25MG
0.35
3200068
LANOXICAPS 0.1MG
0.4
3200069
LANOXICAPS 0.2MG
0.5
3200070
LANOXIN ELIXIR .05MG
48.86
3200071
LANOXIN .5MG / DOSE
1.85
3200072
SEPTRA DS
2.55
3200073
ZYLOPRIM 100MG
0.35
3200074
ZYLOPRIM 300MG
0.9
3200075
ZOVIRAX 200MG
2.3
3200076
ZOVIRAX 800MG
8.7
3200077
ZOVIRAX INY 500MG
109.85
3200078
APRESOLINE 10MG
0.45
3200079
APRESOLINE 25MG
0.65
3200080
APRESOLINE IV / DOSE 20MG
37.5
3200081
LOTENSIN 10MG
1.6
3200082
LOTENSIN HCT 20/12.5 MG
1.44
3200083
SLOW FE 160MG
0.5
3200084
SLOW K 8 MEQ
0.3
3200085
COUMADIN 1MG
1.9
3200086
COUMADIN 2MG
1.89
3200087
COUMADIN 2.5MG
2.07
3200088
COUMADIN 5MG
1.95
3200089
COUMADIN 7.5MG
2.88
3200090
COUMADIN 10MG
3.3
3200091
NARCAN PED .02 / DOSE
3.9
3200092
NARCAN .4MG / DOSE
3
3200093
PERCOGESIC
0.15
3200094
TESSALON PERLES 100MG
1.55
3200095
SYMETREL
1.35
3200096
ENTEX
0.85
3200097
ENTEX LA
1.65
3200098
ENTEX PSE
1.5
3200099
MACRODANTIN 50MG
1.5
3200100
MACROBID 100MG
2.7
3200101
BRETHINE 2.5 MG
0.96
3200102
BRETHINE 5 MG
1.38
3200103
LOPRESSOR 50MG
1.2
3200104
LOPRESSOR 100MG
1.8
3200105
TEGRETOL 200MG
1.56
3200106
TOFRANIL 10MG
0.6
3200107
TOFRANIL 25MG
0.75
3200108
LEVSINEX .375MG
1.22
3200109
KUTRASE
1.04
3200110
LEVSIN .125MG
0.66
3200111
LEVSIN SL .125MG
1.86
3200112
CLAFORAN 1GM / DOSE 1GM
20.03
3200113
ALTACE 2.5MG
1.65
3200114
DUADACIN
0.35
3200115
LASIX INY 20MG / DOSE
1.5
3200116
LASIX INY 40MG / DOSE 20MG
2.5
3200117
LASIX 20MG
0.25
3200118
LASIX 40MG
0.25
3200119
STREPTOKINASE 750 000 IU VIAL
561.12
3200120
TRENTAL 400MG
1.25
3200121
TETRACYCLINE HCI
0.1
3200122
AMICAR 250MG
5.5
3200123
ARTANE 2MG
0.4
3200124
CALTRATE 600
0.2
3200125
COLCHICINE 0.6MG
0.25
3200126
DIAMOX 250MG
0.85
3200127
DIAMOX 500MG / DOSE
39
3200128
DECLOMYCIN 300MG
12.96
3200129
LEUCOVORIN 5MG
3.15
3200130
FIBERCON
0.3
3200131
MATERNA
0.6
3200132
MAXIDE-25 MG
0.92
3200133
MINOCIN 100MG
1.3
3200134
MINOCIN INY 100MG
70.95
3200135
MYAMBUTOL 100MG
1.05
3200136
MYAMBUTOL 400MG
5.7
3200137
PYRAZINAMIDE 500MG
2.35
3200138
PTU 50MG
0.25
3200139
TRIHEMIC 600MG
1.8
3200140
ZIAZ 2.5MG
2
3200141
ZIAC 5MG
2
3200142
CECLOR 250MG
3.8
3200143
CECLOR 500MG
4.3
3200144
CECLOR SUSP 125 MG
28.65
3200145
CECLOR SUSP 250MG
56.35
3200146
DIETHYLSTILBESTROL 1MG
0.2
3200147
MOL-IRON 324MG
0.15
3200148
GLUCAGON INY. / DOSE
198.5
3200149
NEBCIN 40 MG / DOSE
12.48
3200150
PROZAC 10 MG
4.75
3200151
PROZAC 20 MG
4.85
3200152
TAPAZOLE 10 MG
0.94
3200153
QUINIDINA 200 MG
0.15
3200154
ISONIAZIDA 100 MG
0.25
3200155
NEPTAZANE 50 MG
1.7
3200156
PROTEGRA
0.35
3200157
VANCOMYCIN HCL 125 MG
10.76
3200158
VANCOMYCIN HCL 250 MG
20.45
3200159
CARAFATE 1 GM
1.6
3200160
CARDIZEM 30 MG
0.95
3200161
CARDIZEM 60 MG
1.45
3200162
CARDIZEM CD 300 MG
6.21
3200163
CARDIZEM SR 60 MG
1.7
3200164
BUSPAR 5 MG
1.3
3200165
DESYREL 150 MG
4.45
3200166
DITROPAN 5 MG
1.15
3200167
PAVABID 150 MG
0.15
3200168
NITROBID 2.5 MG
0.2
3200169
NITROBID 6.5 MG
0.1
3200170
OSCAL 250 MG
0.15
3200171
OSCAL 500 MG
0.3
3200172
DURICEF SUSP 125 MG
25.7
3200173
DURICEF SUSP 250 MG
24.15
3200174
DURICEF 500 MG CAP
6.45
3200175
MONOPRIL 10 MG
2.67
3200176
MONOPRIL 20 MG
2.67
3200177
K-LYTE 25 MEQ
2.1
3200178
POLY-VI-SOL
15.5
3200179
POLY-VI-SOL-IRON
15.5
3200180
TRI-VI-SOL 50ML
14
3200181
FER-IN-SOL
19.3
3200182
PENTASA 250 MG
0.75
3200183
GAVISCON
0.15
3200184
BENTYL 10 MG
0.35
3200185
BENTYL 20 MG
0.5
3200186
VASODILAN 10 MG
0.65
3200187
RIFADIN 300 MG
4.25
3202988
MICARDIS 80MG TAB
4.16
3202989
NEUROTIN 100MG CAP
0.3
3202990
PERSANTINE 5MG/ML 10ML IV
21.48
3202991
CLOTRIMAZOLE/BETAMETHASONE
29.7
3202992
GABAPETIN 100MG
0.5
3202993
TETATONUS TOXAD 0.5ML
60
3202994
PREDNISOLONE 5MG/5ML
0.5
3202995
GOLDEN AGE
0.5
3202996
TRASYLOL 200ML
1198.5
3202997
PROGRAF 5MG
17
3202998
CADUET 5/2O
10.2
3202999
BUMEX 2MG GENERICO
0.35
3203000
IMMUNE GLOBULIN 12 MG
1560
3203001
FLUARIX SYRINGE
31.8
3203002
MALOX CUP
0.9
3203003
TIGAN 200MG/2ML VIAL
15.8
3203004
SANDOSTATIN 500MCG/ML VIAL GEN
60.7
3203005
ORPHENADRINE CITRATE 60MG/2ML
19.2
3203006
HEMATRON LIQUIDO
0.25
3203007
LEVOTHROID 137 MCG
0.5
3203008
LEVOTHROID 50 MCG
0.5
3203009
LEVOTHROID 88 MCG
0.5
3203010
CUBICIN 500 MG
J0878
389
3203011
HEP-LOCK 100U/10ML
1.5
3203012
ZOVIRAX 5% CREMA 5G
220.2
3203013
TISSEEL 1
568
3203014
LYMPHAZURIN
200
3203015
ROBITUSIN 200MG/10M
0.5
3203016
DIOVAN 320/12.5MG
6.5
3203017
CALCIUM CARBONATE 500MG CHEWAB
0.1
3203018
MILK OF MAGNESIUM CUP 10ML
0.5
3203019
MILK OF MAGNESIUM CUP 30ML
0.5
3203020
ROBITUSSIN DM CUP 10ML
0.5
3203021
NORFLEX 60MG/2ML AMP.
30.2
3203022
DURAGESIC 75MCG/ML
30
3203023
LYRICA 50MG
4
3203024
VERSED 5MG/ML 5ML VIAL
7.5
3203025
MORPHINA 20MG/120ML
1
3203026
XOPENEX 0.63MG
6.5
3203027
XOPENEX 1.25MG
6.5
3203028
PRIMAXIN 250MG VIAL
19
3203029
TRICOR 48MG TAB
3
3203030
XOPENEX 0.31MG
6.5
3203031
SOLUCION SALINA T.RESP .9% 5ML
4.5
3203032
SOLUMEDROL 40MG/DOSE GENERIC
5.68
3203033
BACWAT
3
3203034
SEROQUEL 300MG TAB
13.8
3203035
HUMATE P
1792.08
3203036
PROTEINEX TAB
0.3
3203037
SOLUMEDROL 125MG/DOSE GENERIC
5.62
3203038
ESTRADIOL 1MG TAB
0.25
3203039
ACTIDOSE W/SORBITOL
46
3203040
SOLUMEDROL 1 GM VIAL GENERICO
38.4
3203041
PROAIR HFA INHALER
71.64
3203042
VERDED 5MG/ML X 1ML
2.5
3203043
CHLORASEPTIC TAB
0.5
3203044
BACTERIOSTATIC WATER VIAL
3.5
3203045
MACRODANTIN 100 MG
1
3203046
MOTRIN 200 MG
0.5
3203047
TISSEAL 4ML.
1528.8
3203048
TEKTURNA 300MG TAB
5.84
3203049
TETRACAINE OFT. SOL/BOTTLE 2ML
13.42
3203050
TAZICEF 1GM
13
3203051
TAZICEF 2GM
23
3203052
CEPHULAC 30ML CUP
1.14
3203053
OMNISCAN 287MG/ML VIAL 20ML
43.2
3203054
OMNISCAN 287MG/15ML
46
3203055
MAGNESIUM SULFATE 10MG/100ML B
9.78
3203056
LIDOCAINE 1% VIAL 20ML
1.63
3203057
LIDOCAINE 2% VIAL 20ML
1
3203058
XYLOCAINE 2% JELLY U/D SOBRE
11.63
3203059
LEVOTHROID 25 MCG TAB
0.5
3203060
VIAGRA 100 TAB
25.5
3203061
NEUROTIN 800MG TAB
1.3
3203062
LIORESAL 20MG TAB
0.7
3203063
SULAR 40MG TAB
6
3203064
SPIRIVA 18MCG INHALATOR
279.56
3203065
LIPOCHOL PLUS
1.6
3203066
TRAVAFAN 2.5 ML
142.56
3203067
TISSEEL 4ML
1529
3203069
LOTREL 5/40MG
6.5
3203070
FLUVIRIN 0.5ML
50
3203071
AGUA ESTERIL 250ML BOT
2.5
3203072
THROMBIN - JMI - 5000 UNITS
164.5
3203073
SANDOSTATIN 5000/5ML
589
3203074
LEUKINE 250 MCG/ML
327
3203075
ARTANE 5MG TAB
0.5
3203076
WELLBUTRIN XL 150MG TAB
2.3
3203077
TROMBONEX CAP
0.7
3203078
OMNISCAN 287MG/5ML VIAL
22.5
3203079
HD 200 PLUS BOTTLE
5.82
3203080
CHEETAH BOTTLE
7.5
3203081
SILVER NITRATE APPLICATOR
0.16
3203082
AVANDARYL 4MG/2MG
8.5
3203083
MAGNESIUM OXIDE 500MG TAB
0.1
3203084
BETADINE SCRUB GALON
36.42
3203085
NYSTATIN CUP 5ML
1.5
3203086
ZYRTEC 1MG/ML
0.7
3203087
PROSTIGMIN 1MG/ML
3.44
3203088
EMTRIVA 200MG CAP
24.6
3203089
LEVEMIR VIAL 10 ML
85.45
3203090
FLOSEAL
200
3203091
OMNIPAQUE 350 MG/200 ML
74
3203092
A&D OINTMENT U.D. 5 GM
0.25
3203093
CEPHULAC 480ML
0.4
3203094
BENADRYL 25MG/10ML
0.65
3203095
CARVIDILOL 6.25MG TAB
0.1
3203096
ROMAZICON 0.5MG 110ML
27.9
3203097
CARVIDILOL 25MG TAB
0.1
3203098
AGUA DESTILADA GALON
2.5
3203099
SILVADENE CREAM 25GM
5
3203100
NEXIUM 40MG PO
9.05
3203101
MUCIDEX DM 600MG/30MG TAB
1
3203102
LUGOL'S STRONG IODINE
0.5
3203103
EXELON 3
6.77
3203104
FOSAMAX 35MG TAB
42.4
3203105
CRESTOR 20MG TAB
7.26
3203106
ADENOCARD 6MG/2ML SYR GEN
41.26
3203107
CELEXA 40MG TAB
8.5
3203108
TORADOL 30MG/1ML SYR
4
3203109
TORADOL 60MG/1ML SYR
4
3203110
VIT.B COMPLEX/VIT C/FOLIC ACID
0.25
3203111
NIMODIPINE 30MG
12.7
3203112
HIDROXYZINE PAMOASTE
0.6
3203113
AK-DILATE 10% 5ML
3
2080062
CLIP LRG13.0BAYO12MM07-940-14
396
2080063
CLIP LRG13.0STR.15MM07-940-15
396
2080064
CLIPLRG10.0S/CVD.12MM07-940-16
396
2080065
CLIPLRG12.0S/CVD.18MM07-940-17
396
2080066
CLIP LRG14.0STRAI18MM07-940-18
396
2080067
CLIP LRG8.0L-SHAPE5MM07-940-20
396
2080068
CLIP LRG8.0L-SHA7.5MM07-940-21
396
2080069
CLIPLRG8.0L-SHA10.0MM07-940-22
396
2080070
CLIP LRG8.0J-SHAP 6MM07-940-23
396
2080071
CLIP LRG8.0J-SHA7.5MM07-940-24
396
2080072
CLIP LRG8.0J-SHAP 9MM07-940-25
396
2080073
CLIP LRG8.0 45ANG5MM 07-940-47
414
2080074
CLIPLRG9.0 45ANG7.5MM07-940-48
414
2080075
CLIPLRG10.0 45ANG10MM07-940-49
414
2080076
CLIP LARGE CVD. 14MM 07-940-50
414
2080077
CLIP TEMP 8.0STR.7MM 07-940-51
414
2080078
CLIP TEMP 9.0STR.10MM07-940-52
414
2080079
CLIP TEMP9.0BAYO 7MM 07-940-53
414
2080080
CLIP TEMP 8.0 BENT8MM07-940-54
414
2080081
CLIP TEMP CVD. 11MM 07-940-55
414
2080082
CLIPTEMP MI5.0STR.6MM07-940-56
414
2080083
CLIP TEMP MI4.0BEN5MM07-940-57
414
2080084
CLIPTEMP MISTR.TIP6MM07-940-58
414
2080085
CLIPL6.0L-S CVD.7.5MM07-940-60
414
2080086
CLIPLRG6.0L-SCVD.10MM07-940-61
414
2080087
CLIPL7.0 1/4CVD.7 7MM07-940-62
414
2080088
CLIPL7.0 1/4CVD.8 7MM07-940-63
414
2080089
CLIPSTD8.0SLI B8MM07-940-64 4B
396
2080090
CLIP STDSIDE CVD.11MM07-940-65
414
2080091
CLIP STAND CVD. 11MM 07-940-66
414
2080092
CLIPSTD8.0S/CD.9MM07-940-68 8B
396
2080093
CLIP STANDARD CVD.9MM07-940-69
414
2080094
CLIP LARGE CVD. 11MM 07-940-73
414
2080095
CLIP MINI STR. 4MM 07-940-80
414
2080096
CLIP MINI 5.0 STR. 6MM 07-940-
414
2080097
CLIP MINI 3.5 CVD. 4MM 07-940-
414
2080098
CLIP MINI 4.0 BENT 5MM 07-940-
414
2080099
CLIP MINI 3.5 CVD.4MM07-940-85
414
2080100
CLIP MINI5.0S/CVD.7MM07-940-86
414
2080101
CLIP MINI 4.0CVD.5MM 07-940-87
414
2080102
CLIP MINI4.0CVD.7MM07-940-88
414
2080103
CLIP MINI 5.0 BAYO5MM07-940-89
414
2080104
CLIPMINISTR.SLMTIP4MM07-940-95
424.8
2080105
CLIPMINISTR.SLMTIP6MM07-940-96
424.8
2080106
CLIPMINICVD.SLMTIP4MM07-940-97
424.8
2080107
CLIPMICVD.SLMTIP5.6MM07-940-98
424.8
2080108
CLIPMINICVD.SLMTIP4MM07-940-99
424.8
2080109
STD CRANKSHAFT 3 07-943-01
424.8
2080110
STD CRANKSHAFT 4 07-943-02
424.8
2080111
STD CRANKSHAFT 5 07-943-03
424.8
2080112
CLIP TEMP11.0STR.12MM07-939-10
471.6
2080113
CLIP TEMP13.0STR.15MM07-939-15
471.6
2080114
CLIP TEMP LRGCVD.14MM07-939-50
471.6
2080115
BURRHOLESHUNTKITLOW12834-12300
620
2080116
BURRHOLESHUNTKITMED12835-12301
620
2080117
BURRHOLESHUNTKITHIG12836-12302
620
2080118
STD VENTRICULAR CATHETER VC-1
88
2080119
PERITONEAL CATH STD OPEN 90CM
203.2
2080120
BURR HOLE 12 MM
1448
2080121
BURR HOLE V ONLY12MM M BHU-12M
421
2080122
BURR HOLE V ONLY12MM H BHU-12H
421
2080123
COUNTOUR FLEX V REG(KIT)14161
1073
2080124
COUNTOUR FLEX V REG(KIT)14162
1073
2080125
COUNTOUR FLEX V REG H PR.CFR-H
421
2080126
COUNTOUR FLEX V REG L PR.CFR-L
421
2080127
COUNTOUR FLEX V REG M PR.CFR-M
421
2080128
SKULL PIN DISPOS ADULT A-1083
790
2080129
SKULL PIN DISPOS CHILD A-1084
790
2080130
NERVE LOCATOR VARI-STIM III
70.4
2080131
EXTERN DRAINAGE SYST II CODMAN
350
2080132
SPINAL SURGERY FRAME KIT
114
2080133
CONTOUR FLEX VALVE
421
2080134
PERITON CATHE BARIUM STRIPED
123
2080135
Y TUBING CONNECTOR
53
2080136
SNAP SHUNT VENTRICULAR CATH ST
248
2080137
MICROSENSOR BASIC KIT
675
2080138
EXTERNAL DRAINAGE MONITORING K
547.4
2080139
CRANIAL ACCESS KIT
2050
2080140
MICROSENSOR SKULL BOLT KIT
630
2080141
MICROSENS VENTRICULAR CATH.KIT
696
2080142
ULTRASONIC SURGICAL ASPIRATOR
1304
2080143
BURRHOLE V16MM MED.PRES BHV-16
454
2080144
SHUNT VALVE SYSTEM
671
2080145
DURA GRAFT MATRIX 4 X 5
2682
2080146
DURA GRAFT MATRIX 1 X 1
382
2080147
PLEURAL EFFUSION SHUNT
1800
2080148
TITAN SHEET01-7340 85X50X0.2MM
579
2080149
STRAIGHT PLATE 6 HOLES 01-7050
141
2080150
SQUARE PLATE TIMESH
300.9
2080151
ATRIAL CATHETER
70
2080152
STRAIGHT CATH. CONNECTOR
99.2
2080153
SELF DRILLING SCREW 1.6MM X3.5
492
2080154
DOUBLE Y PLATE
288
2080155
CRANIOTOMY KIT
310
2080156
SQUARE PLATE 4 HOLES
288
2080157
STRAIGHT PLATE 1 HOLE 1HOLE 8.
70
2080158
BURR HOLE CONVER FAN BLADE 14M
324
2080159
BURR HOLE COVER FAN BLADE 18MM
324
2080160
SMALL X PLATE
288
2080161
STRAIGHT PLATE 2 HOLE 2HOLE 5.
176
2080162
Y PLATE 3 HOLE 3 HOLE 2.5
288
2080163
T PLATE 3 HOLE 3 HOLE
288
2080164
FLEX MESH 113X1.7X.6 THICKNESS
2122
2080165
RELINE MAS TI ROD 5.5X50MM LOR
532
2080166
SELF DRILLING SCREW 1.6MM X 4M
492
2080167
VENTRICULAR CATH STD BA 23 CM
176
2080168
PERITONEAL CATH STD OPEN 120CM
192
3201924
LANOXIN 0.1MG/ML PED.(AMP)
0
3201925
ATROPINE .4MG/ML VIAL(20ML)
1.75
3201926
BENADRYL 25MG TAB
0.3
3201927
LOPRESOR 5MG/5ML AMP.
1
3201928
CLEOCIN 900MG/50ML PIGGY
20.25
3201929
DEXTROSE 50% VIAL (50ML)
3.6
3201930
PULMICORT .25MG RESPULES
10
3201931
PULMICORT .5MG RESPULES
10
3201932
TUMS REGULAR STREGTH
0.25
3201933
OMEGA-3 EPA/DHA 1000MG
0.25
3201934
COZAAR 100MG
3.3
3201935
LOTREL 10/20
4.8
3201936
NEPHROCAPS
1
3201937
PAXIL 40MG
4.6
3201938
SOLUCORTEF 500MG
15.2
3201939
VANCOMYCIN 1GM
12
3201940
TROPOL XL 100MG
2
3201941
HALDOL 10 MG
0.25
3201942
VISIPAQUE 270 MG / 100 ML
36
3201943
HYPAQUE-CYSTO 30% 250 ML
23
3201944
OMNISCAN 5 ML
25
3201945
OMNISCAN 15ML PS
50
3201946
PEPCID 20MG/50ML
4
3201947
PROSCAR 5MG TABLET
5.2
3201948
EFFEXOR 75MG TABLET
3.46
3201949
ALPHAGAN 0.2% EYE DROPS
139.18
3201950
ZOLOFT 100MG TABLET
4.2
3201951
ZOLOFT 25MG TABLET
4.2
3201952
GLYCERINE PED SUPPOSITORY
1.7
3201953
DOXEPIN 10MG CAPSULE
1.94
3201954
ZETIA 10MG TABLET
4.84
3201955
LOTENSIN 20MG TABLET
2.1
3201956
EFFEXOR 37.5MG TABLET
2.96
3201957
PREDNISONE 1MG TABLET
0.5
3201958
DIOVAN HCT 160/25MG TABLET
4.22
3201959
MONOPRIL 40MG TABLET
2.38
3201960
MEDROL 4MG DOSE PACK
6.16
3201961
TRIPLE ANTIBIOTIC OINT 284E
2.36
3201962
KLONOPIN 2MG
4
3201963
DOXEPIN 75MG CAPSULE
0.5
3201964
LUMINAL INY GR 1 65MG/ML
30.5
3201965
ZINC CHELATE 25MG TABLET
0.5
3201966
DILTIAZEM 120MG TABLET
0.5
3201967
SYNTHROID 300MCG TABLET
1.58
3201968
SELENIUM 50MCG TABLET
0.5
3201969
INTRALIP 20% 100ML
25.84
3201970
PEPCID 40MG/4ML VIAL
2
3201971
REFLUDAN 50MG/ML VIAL
301.42
3201972
ATROPINE 0.1MG/ML ABBOJECT
0.56
3201973
INTRALIPID 10% 250ML
19.38
3201974
MAGNESIUM SULFATE 50%/2ML
1.18
3201975
TEQUIN 10MG/ML VIAL
76.08
3201976
ANTILLIRIUM 1MG/2ML AMP
23.82
3201977
EDECATE CALCI DISODIUM INJ AMP
10.5
3201978
THIOCYL 100MG/2ML
45.09
3201979
PROTOPAM 1GM/20ML
162.57
3201980
MASTISOL
25.02
3201981
CUPRIME 250MG CAP
3.18
3201982
ERYTROMICIN OPH OINT 0.5% 1 GM
4.32
3201983
MAXITROL 5ML
6.78
3201984
PREMARIN 25MG VIAL
135.72
3201985
REVEX 0.1MG/ML AMP 2ML
10.5
3201986
AMIKACIN 100MG/2ML
16.2
3201987
AMIKACIN 1GM/4ML
30.36
3201988
AZACTAM 500MG VIAL
24.33
3201989
CEFUROXIME 750MG
9
3201990
CIPRO 200MG/20ML
24.57
3201991
CIPRO 400MG/200ML DW
42.63
3201992
DIFLUCAN 400MG/200ML VIAL
206.13
3201993
ERYTROMICIN 1GM VIAL
15
3201994
LEVAQUIN 500MG VIAL
36.5
3201995
LEVAQUIN 750MG VIAL
93.75
3201996
PENICILLIN POTASICA 5M/U VIAL
9.9
3201997
PENTAM 300MG VIAL
188.1
3201998
PIPRACIL 3GM VIAL
30.93
3201999
PRIMAXIN 500MG VIAL
75.45
3202000
ROCEPHIN 2GM VIAL
69.69
3202001
SEPTRA INJ VIAL 10ML
1.13
3202002
VANCOMICIN 1GM VIAL
14.7
3202003
ZOSYN 2.25GM VIAL
22.86
3202004
AGUA ESTERIL 100ML VIAL
4.44
3202005
AGUA ESTERIL 20ML
1.44
3202006
BAL IN OIL AMP 3ML
149.52
3202007
CALAN 2.5MG/ML 4VIAL
2.85
3202008
CARDIZEM 25MG/5ML VIAL
16.5
3202009
DECADRON 4MG/ML VIAL 30ML
2.65
3202010
DEPO MEDROL 40MG/ML 5ML VIAL
15.48
3202011
HEPARIN 10000U/ML VIAL
1.6
3202012
HEPARIN 25000U/250DW
6
3202013
HEPARIN 25000U/500DW
6
3202014
HEPARIN FLUSH LOCK
1.14
3202015
KENALOG 40MG/ML VIAL
15.5
3202016
LANOXIN 0.1MG/ML AMP
20.04
3202017
LEVOTHYROXINE SOD 200MCG VIAL
12
3202018
LOPRESSOR 5MG/5ML AMP
10.11
3202019
LOVENOX 100MG/1ML SYRINGE
112.5
3202020
MAGNESIUM SULFATE 50%VIAL 10ML
1.68
3202021
METHERGINE 0.2MG/ML AMP
23.85
3202022
MUCOMYST 10% VIAL 30ML
27.75
3202023
MUCOMYST 20% VIAL 30ML
36.21
3202024
NALBUFINE 10MG/ML VIAL 10ML
1.61
3202025
DOPAMIME 400MG/250ML DEX
11.52
3202026
NEOSTIGMINE 1:1000 VIAL 10ML
2.55
3202027
NEOSTIGMINE 1:2000 VIAL 10ML
J2710
2.55
3202028
NEO-SYNEPHRINE 10MG/ML AMP
1.8
3202029
NITROGLYCERIN 50MG/10ML VIAL
6.5
3202030
PEPCID 20/50MLNSS GENERICO
6
3202031
PITOCIN 10U/ML VIAL
3.99
3202032
PRIMACOR 50MG-50ML GENERICO
112.5
3202033
PROPOFOL 500MG/50ML
60
3202034
PRIMACOR 10MG/10ML GENERICO
90
3202035
POTASIUM CHLOR20MEQ/1000ML NSS
2.82
3202036
POTAS CHLOR20M/1000MLDW/NSS.45
2.82
3202037
POTAS CHLORIDE 20MEQ/10ML VIAL
1.02
3202038
POTAS CHLORIDE 30MEQ/1000ML DW
2.82
3202039
POTAS CHLOR 40M/1000MLW/NSS.45
2.82
3202040
POTAS CHLOR 40ME/1000MLW/NSS.9
2.82
3202041
POTAS CHLORIDE 40MEQ/1000ML DW
2.82
3202042
POTASIUM CHLORIDE40MEQ/1000NSS
2.82
3202043
POTASIUM CHLOR 40MEQ/100ML H2O
5.1
3000294
BRAIN PET CT SCAN
78814
926.4
3000295
BONE MARROW WHOLE BODY SCAN
78104
332.65
3000296
INDIUM III OXYQUINOLNE
A9547
4338
3000297
INDIUM IN-111 PENTETREOTIDE
1709
3006372
INJ THER/PROPH/DIAG SC/IM
96372
40
3006374
INJ IV PUSH THER/PROPH/DIAG
96374
75
3006375
IV PUSH SEQUENT ADD NEW DRUG
96375
25
3006376
IV PUSH SEQUENT ADD SAME DRUG
96376
10
3009999
METASTRON DRUGS
4000
3050010
MRI TEMPOROMANDIBULAR JOINT
70336
850
3050011
MRI ORBIT/FACE & NECK WO/CONTR
70540
750
3050012
MRI ORBIT/FACE & NECK W/CONTRA
70542
800
3050013
MRI ORB/FCE&NCK WO/DYE FL B DY
70543
1300
3050014
MRA HEAD WO/CONTRAST
70544
750
3050015
MRA HEAD W/CONTRAST
70545
800
3050016
MRA HEAD WO/DYE FOLLOWD BY DYE
70546
1300
3050017
MRA NECK WO/CONTRAST
70547
750
3050018
MRA NECK W/CONTRAST
70548
800
3050019
MRA NECK WO/DYE FOLLOWD BY DYE
70549
1300
3050020
MRI BRAIN WO/CNTR(INCL BRAIN S
70551
850
3050021
MRI BRAIN W/CONTR(INCL BRAIN S
70552
875
3050022
MRI BRAIN W/DYE F BY D(BRAIN S
70553
1400
3050023
MRI CHE WO/CONT(EVAL.HIL&M LYM
71550
850
3050024
MRI CHE W/CONT(EVL.HIL&M LYMP)
71551
975
3050025
MRICHE WO/DYE FL BY D(EVL.H&M
71552
1600
3050026
MRA CHEST W/WO/CONT(EXCL MYOC)
71555
900
3050027
MRI CERVICAL SPINE W/O CONTRAS
72141
850
3050028
MRI CERVICAL SPINE W/CONTRAST
72142
975
3050029
MRI SPIN CANL&CONT/THOR WO/CON
72146
900
3050030
MRI SPIN CANL&CONT/THOR W/CONT
72147
950
3050031
MRI SPIN CANL&CONT/LUMB WO/CON
72148
900
3050032
MRI SPIN CANL&CONT LUMB W/CONT
72149
950
3050033
MRI CERV.SPINE W/O FOLL W/CONT
72156
1600
3050034
MRI THORACIC WO/FOLL W/CONTRAS
72157
1600
3050035
MRI LUMBAR WO/FOLL W/CONTRAST
72158
1600
3050036
MRA SPIN CANL&CONT W R WO/CONT
72159
850
3050037
MRI PELVIS WO/CONTRAST
72195
800
3050038
MRI PELVIS W/CONTRAST
72196
850
3050039
MRI PELVIS WO/DYE FOLLO BY DYE
72197
1450
3050040
MRA PELVIS W OR WO/CONTRAST
72198
800
3050041
MRI UPPER EXT. WO/CONTRAST
73218
850
3050042
MRI UPPER EXT. W/CONTRAST
73219
975
3050043
MRI UPPER EXT. WO & W/CONTRAST
73220
1450
3050044
MRI UPPER JOINT WO/CONTRAST
73221
850
3050045
MRI UPPER JOINT W/CONTRAST
73222
975
3050046
MRI UPPER JOINT WO & W/CONTRAS
73223
1600
3050047
MRA UPPER EXT.W/ WO CONTRAST
73225
925
3050048
MRA UPPER EXT. W/CONTRAST
73225
975
3050049
MRI LOW EXT.OTH THN JOIN WO/CO
73718
775
3050050
MRI LOWER EXT. W/CONTRAST
73719
825
3050051
MRI LOWER EXT. WO & W/CONTRAST
73720
1200
3050052
MRI LOWER JOINT WO/CONTRAST
73721
750
3050053
MRI LOWER JOINT W/CONTRAST
73722
800
3050054
MRI LOWER JOINT WO & W/CONTRAS
73723
1300
3050055
MRA LOWER EXT.W OR WO/CONTRAST
73725
750
3050056
MRI ABDOMEN WO/CONTRAST
74181
800
3050057
MRI ABDOMEN W/CONTRAST
74182
925
3050058
MRI ABDOMEN WO/DYE FOLL BY DYE
74183
1600
3050059
MRA ABDOMEN W OR WO/CONTRAST
74185
850
3050060
MRI (CARDIAC) FOR MORPH WO/CO
75557
925
3050064
MRI(CARDIAC)FOR VELOC FLOW MAP
75565
750
3050065
MRI BREAST W/WO/CONTR-UNILATER
77048
850
3050066
MRI BREAST W OR WO/CONTR-BILAT
77049
1100
3050067
MAGNETIC RESONANCE SPECTROSCOP
76390
650
3050068
MRI BONE MARROW BLOOD SUPPLY
77084
700
3050069
MRI BREAST WO/CONTR-UNILATERAL
77046
461
3050070
MRI BREAST WO/CONTR-BILATERAL
77047
461
3050071
MRI 3D RENDERING
76377
64
3050513
MRI LOWER JOINT WO/CONTRAST RT
73721
750
3050514
MRI LOWER JOINT WO/CONTRAST LT
73721
750
3050515
MRV INTRACRANEAL HEAD WO/DYE
70552
300
3050516
MRV INTRACRANEAL HEAD W/WO DYE
70553
350
3056372
INJ THER/PROPH/DIAG SC/IM
96372
40
3056374
INJ IV PUSH THER/PROPH/DIAG
96374
75
3056375
IV PUSH SEQUENT ADD NEW DRUG
96375
25
3056376
IV PUSH SEQUENT ADD SAME DRUG
96376
10
3100010
CHEST X-RAY SPECIAL VIEWS
71048
85
3100011
FACIAL COMPLETES
70150
100
3100012
ARTHOGRAM KNEE
73580
325
3100013
ARTHOGRAM SHOULDER
73040
275
3100015
FISTULOGRAM
76080
100
3100016
BREAST SPECIMEN EXAM
76098
50
3100017
BREAST NEEDLE GUIDE
19281
125
3100018
E.R.C.P.
74330
350
3100101
EYE FOR FOREING BODY
70030
65
3100102
EYE FOR LOCAL F B
70030
65
3100103
FACIAL BONES-WATERS
70140
85
3100105
MANDIBLE PARTIAL
70100
70
3100111
MASTOIDS COMPLETE
70130
110
3100114
NASAL BONES
70160
70
3100116
NECK SOFT TISSUE
70360
60
3100117
OPTIC FORAMINA
70190
85
3100119
ORBIT COMPLETE
70200
110
3100122
PARANASAL SINUSES
70210
80
3100125
SALIVARY GLANDS CALC
70380
85
3100128
SELLA TURCICA
70240
60
3100135
SIALOGRAM
70390
200
3100137
SKULL AP & LATERAL
70250
85
3100140
SKULL SERIES
70260
125
3100150
T M J /UNILATERAL
70328
70
3100155
T M J /BILATERAL
70330
110
3100530
CHEST P A
71045
65
3100540
CHEST P A - LATERAL
71046
80
3100542
CHAMBER ANALYSIS
71048
110
3100543
DIAPHRAGM FLUOROSCOPY MOTION
76000
134
3100544
CHEST FLUOROSCOPY
76000
125
2110995
SMALL RESTRICTOR
150
2110996
ACUMAT L-SER FEM.CEM.S 3 135MM
650
2110997
STEM CENTRALIZER 12MM DIAMETER
100
2110998
SAGITTAL SAW BLADE
74
2110999
ARTHROCARE CO-VACK 45-90
400
2111000
BONE CEMENT LOW VISCOSITY
120
2111001
ARTICULATED NASAL SPLINT-SMALL
27
2111002
SMALL OSCILATING SAW 25CM X 9
42
2111003
SMALL OSCILATING SAW 30CM X 9
42
2111004
SMALL OSCILATING SAW 30CM X 13
45
2111005
SMALL OSCILATING SAW 10CM X 9
45
2111006
ACCUFORM NASAL SPLINT LARGE
38
2111007
TURBO TRIMMER BLADE 4.5 MM
165
2111008
FEMORAL STEM
6288.42
2111009
FEMORAL HEAD VERSYS (ZIMMER)
240
2111010
MULTIPOLAR BIPOLAR SHELL
500
2111011
MULTIPOLAR BIPOLAR LINER
300
2111012
DISTAL CENTRALIZER(ZIMMER)
100
2111013
ARTHROWAND COVAC 50
434
2111014
ARTHROWAND SABER 3.0MM 30 DEG.
366
2111015
PRISM VACCUM MIXING CARTRIDGE
220
2111016
BARRIER HOOD
20
2111017
TURBO WHISKER 4.5MM
100
2111018
BIPOLAR HEAD
800
2111019
TAPERED HIP STEM W/POROCOAT
2100
2111020
FEMORAL HEAD
640.08
2111021
SAGGITAL BLADE FINE M.5044-145
32.48
2111022
SUPER BOWL (ZIMMER)
60
2111023
VERSA-FX PLATE 135MM X 5 HOLES
410
2111024
DYONICS VULCAN
370
2111025
HIP PREPARATION KIT
140
2111026
BI-METRIC FEMORAL-C 7.0X115
2200
2111027
RINGLOC BI-POLAR CUP 28X471MM
1000
2111028
MODULAR HEAD DIA CORD 28MM
500
2111029
INTRAMEDULLARY PLUG SM
130
2111031
BLADE ACL COARSE 5023-185
44
2111032
BLADE ACL FINE 5023-183
42
2111033
SAGITAL BLADE MICRO 5023-138
36
2111034
SAGITAL BLADE MICRO FINE 5044
36
2111035
TI-SCR BUTTRESS THD
410
2111036
LAG SCREW SOLID SLIDING
820
2111037
TROCHATERIC NAIL EXTRA SHORT
2360
2111038
GUIDE WIRE LAG SCREW
200
2111039
GUIDE WIRE BEAD TIP
200
2111040
END CAP 0MM
330
2111041
LAG SCREW ASSY TELESCOPING
1100
2111042
PLACA RADIO DISTAL ACU LOC
2000
2111043
PLACA MEDIAL DISTAL 8 SLUTS
2800
2111044
RADIAL HEAD STEM
3000
2111045
RADIAL HEAD
1900
2111046
COBALT BONE CEMENT
300
2111047
MODULAR HEAD COMP.STD.NECK
700
2111048
BIPOLAR CUP
1000
2111049
BIMETRIC STEAM CONNECTED
3000
2111050
FEMORAL CENTRING SLEEV
384
2111051
INTRAMEDULAR BONE PUG
328
2111052
PTN NAIL EXTRA SHORT
2360
2111053
GUIDE WIRE
200
2111054
SMOOTH LOCKING PEG ACU LOC
160
2111055
CORTICAL SCREW NON TOG
160
2111056
BI-METRIC COLLARLESS STEM
3000
2111057
CURETTES DISPOSABLE
15
2111058
SPOT ENDOSCOPIC MARKER G15-44
43.8
2111059
INTERPULSE HP W/BONE CLEANING
125
2111060
OSCILLATING SAW BLADE KM-451
26
2111061
SAGITAL BLADE K2000 HALL
74
2111062
ELEVADOR DE PERIOSTO (ea)
136
2111063
CEMENTED STEM
6288.42
2111064
BONE CEMENT INJECTOR
500
2111065
PREPARATION KIT & BONE PLUG
500
2111066
PULSAVAC PLUS DEBRID.SYS HIP K
1000
2111067
ABDUCTION PILLOW (ORTHOPEDIC)
150
2111068
VDR LK PL STD HD 3H L 62mm
L8699
1790
2111069
CORTEX SCREW S/T 2.5 X 24MM
110
2111070
CORTEX SCREW S/T 2.5 X 22MM
110
2111071
CORTEX SCREW S/T 2.5 X 20MM
110
2111072
CORTEX SCREW S/T LK 2.5 X 20MM
110
2111073
OPTIVAC
400
2111074
CBC II CONSTAVAC BLOOD CON KIT
400
2111075
FEMORAL COMPONENT
2901.64
2111076
TIBIAL COMPONENT
2701.96
2111077
ALL POLY PATELLA
452.96
2111078
ARTICULAR SURFACE
1350.5
2111079
KNEE INMOBILIZER
150
2111080
ADULT VISTA COLLAR UNIV PROCAV
138
2111081
ARTHROSCOPIC WAND VAPR 50 PREM
360
2111082
PERC DLR CONV. PACK
2116.8
2111083
SUTURE ANCH HEALIX Ti5.5 W/NDL
480
2111084
FASTIN RC 5.0 MM W/ORTHOCORD
480
2111085
T4 HOOD
33.34
2111086
SML BONE BLADE OSCILLAT & SAGI
40
2111087
LARGE BONE BLADE RECIP KM-277R
64
2111088
STERNUM BLADE STANDARD LENGTH
61.6
2111234
DYONICS RF HOOK 30 DEGREE
540
2111235
CERVICAL COLLAR VISTA ADLT SET
110
2111236
ARTHROSCOPY SURGERY BLADE #4MM
220
2111237
LARGE BONE SAW BLADE
54
2111238
PERCRESECTOR
1020
2111239
SAGITAL BLADE 18.0X1.27X90
48
2112010
3 LEVEL 50MM PLATE
1668.96
2112011
LINEUM HF PLUG
154.8
2112012
8MM LORDOTIC CERVICAL
905.62
2112013
TL PLUS FULL RING 180MM
960
2112014
7MM LORDOTIC CERVICAL
905.62
2112015
TL PLUS HALF RING 180MM
1440
2112016
9MM LORDOTIC CERVICAL
1138.8
2112017
TL PLUS FOOTPLATE 180MM
1680
2112018
4 X 14/SELF-DRILL SCREW
198.24
2112019
TL PLUS FOOTPLATE EXT 5 HOLE
960
2112020
DBM PUTTY 1ML
292.8
2112021
TL BOLT WIRE FIXATION UNIVERSA
12
2112022
10MM LORDOTIC CERVICAL
905.62
2112023
115MM THREADED ROD
90
2112024
3 LEVEL 56MM PLATE
1668.96
2112025
TL PLUS THRE HEX END ROD 200MM
90
2112026
5 X 16/SELF-DRILL SCREW
243.5
2115674
K WIRE STERILE 3.2X400MM
96
2115675
ASNIS III CANNULA SCREW 4.0X46
216
2115676
ASNIS III CANNULA SCREW 4.0X50
216
2115677
WASHER 2.7/3.5/4.0MM
36
2115678
K WIRE 1.25
96
3593577
PROC REMOVE LESION SINGL SNARE
45309
565
3593578
PROCTOSIGMOID W/CONTROL BLEEDI
45317
565
3593579
PROCTOSIGMOIDOS DECOM VOLVULUS
45321
1125
3593580
ESOPHA FLX LESION REMOV HOT BX
43216
1300
3593581
SIGMO LESION REMOVE HOT BIOPSY
45333
340
3593582
SIGMO DIR SUBMUCOSAL INJECTION
45335
340
3593583
SIG W/TNDSC BALLOON DILATION
45340
565
3593585
COLONOSCOPY W/FB REMOVAL
45379
540
3593586
ESOPHAGO FLEX TRNSO INJ SCLERO
43204
510
3593587
ESOPHAGO FLEX TRNSO W/BAND LIG
43205
725
3593588
ESOPHAGOS FLX LESION REM SNARE
43217
725
3593589
SM INTEST ENDO ENT ILEUM BX
44377
850
3593590
COLONOSCOPY STOMA W/ABLATION
44401
540
3593591
SM INTEST ENDO ENT ILEUM BLEED
44378
850
3593592
ILEOSCOPY THROUGH STOMA DIAGNO
44380
580
3593593
ILEOSCOPY THROU STOMA W/BIOPSY
44382
850
3593594
EGD W/TRANSMURAL DRAIN CYST
43240
1300
3593596
ESOPHAGOSCOPY RIGID TRNSO DX
43191
510
3593597
ESOPHAGOSCOPY RIG TRNSO INJECT
43192
725
3593598
ESOPHAGOSCOPY RIG TRNSO BIOPSY
43193
725
3593599
ESOPHA RIG TRNSO REM FRGN BODY
43194
725
3593600
ESOPHAGOSCOPY RIGID BALLOON DI
43195
725
3593601
ESOPHAGOS RIG GUIDE WIRE DILAT
43196
725
3593602
ESOPHAGOSCOPY FLEX TRNSNASA DX
43197
510
3593603
ESOPHAGOSCOPY FLEX TRNSNASA BX
43198
510
3593604
ESOPHAGOSC FLX TRNSO MUC RESEC
43211
725
3593605
ESOPHAGOSCOPY FLEX STENT PLCMT
43212
2155
3593606
ESOPHAGOSCOPY FLX BALLOON DILA
43213
725
3593607
ESOPHAG FLX DILAT BALLOON 30/>
43214
725
3593608
ESOPHAGOS FLEX LESION ABLATION
43229
1300
3593609
EGD BALLOON DIL ESOPH 30MM / >
43233
725
3593610
EGD US TRANSMURAL INJXN/MARK
43253
725
3593611
EGD ENDO MUCOSAL RESECTION
43254
725
3593612
ERCP REMOVE FRGN BODY/STE DUCT
43275
1330
3593613
ERCP STENT EXCHANGE W/DILATE
43276
2155
3593614
ESOPHAGOS RIG TRNSOR DIVERTICU
43180
1325
3593615
ILEOSCOPY STOMA W/BLLOON DILAT
44381
580
3593616
ESOPHAGOSCOPY FLEX REMOVE FB
43215
725
3593617
ILEOSCOPY STOMA W/ENDOSC STENT
44384
580
3593618
COLONOSCOPY STOMA STENT PLCMT
44402
540
3593619
COLONOSCOPY STOMA W/RESECTION
44403
540
3593620
COLONOSCOPY STOMA W/ INJECTION
44404
540
3593621
COLONOSCOPY STOMA W/DILATION
44405
540
3593622
COLONOSCOPY STOMA W/ULTRASOUND
44406
540
3593623
COLONOSCPY STOMA W/NDLE ASP/BX
44407
540
3593624
COLONOSCOPY STOMA W/DECOMPRESS
44408
540
3593625
ENDOSCOPY OF BOWEL POUCH
44385
540
3593626
ENDOSCOPY BOWEL POUCH/BIOPSY
44386
540
3593627
SIGMOIDOSCOPY & DECOMPRESSION
45337
565
3593628
AVAILABLE
0
3593629
SIGMOIDOS ENDOSCOP STENT PLCMT
45347
565
3593630
SIGMOIDOSCOPY W/RESECTION
45349
565
3593631
SIGMOIDOSCOPY W/BAND LIGATION
45350
565
3593632
COLONOSCOPY ENDOSC STENT PLCMT
45389
540
3593633
COLONOSCOPY W/ENDOSC RESECTION
45390
540
3593634
COLONOSCOPY W/ENDOSCOPE US
45391
540
3593635
COLONOSCOPY W/ENDOSCOPIC FNB
45392
540
3593636
COLONOSCOPY W/DECOMPRESSION
45393
540
3593637
COLONOSCOPY W/BAND LIGATION
45398
540
3593638
EGD W/SUBMUCOSAL INJECTION
43236
510
3593639
EGD W/ENDOSCOPIC US (EUS)
43237
3500
3593640
EGD US FINE NEDLE BX/ASP LIMIT
43238
725
3593641
EGD TUBE/CATH INSERTION
43241
510
3593642
EGD US FINE NEEDLE BX/ASPIRATI
43242
725
3593643
EGD W/OPTICAL ENDOMICROSCOPY
43252
725
3593644
EGD US EXAM DUODENUM/JEJUNUM
43259
725
3593645
COLONOSCOPY STOMA W/BIOPSY
44389
540
3593646
PROCTOSIGMOIDOSCOPY W/ABLATION
45320
1125
3593647
PROCTOSIGMOIDOSC W/STENT PLCMT
45327
2155
3593648
SIGMOIDOSCOPY W/END ULTRASOUND
45341
565
3593649
SIGMOIDOSCOPY W/US NDLE ASP/BX
45342
565
3593650
SM INTE END ENT ILEUM DX
44376
580
3593651
SM INTE END ENT ILEUM STENT PL
44379
2155
3593652
ESOPH FLX TRNSOR OPT ENDOMICRO
44379
725
3593653
ESOPHAGOSC FLX TRNSO W/US
43231
725
3593654
ESOPHAGO FLX US FINE NEEDLE BX
43232
725
3593655
GASTRIC MOTILITY STUDIES
91020
287.17
3593656
ESOPHAGEAL IMPED FUCTION TEST
91037
159.15
3596372
INJ THER/PROPH/DIAG SC/IM
96372
40
3596374
INJ IV PUSH THER/PROPH/DIA
96374
75
3596375
IV PUSH SEQUENT ADD NEW DRUG
96375
25
3596376
IV PUSH SEQUENT ADD SAME DRUG
96376
10
3600010
IRIDECTOMY
240
3600011
PHOTOCOAGULATION
240
3600012
SUBSEQUENT
120
3600013
TRABECULOPLASTY
240
3740006
IMMUNIZATION ADMINISTRATION
90471
31
3740007
IMMUNIZATION ADMIN EACH ADD
90472
5
3740008
IMMUNIZATION ADMIN ORAL/NASAL
90473
31
3740009
IMMUNE ADMIN ORAL/NASAL ADDL
90474
5
3740010
HEPATITIS A VACCINE ADULT IM
90632
124
3740011
HEP A VACCINE PED/ADOL 2 DOSE
90633
45
3740012
HIB VACCINE PRP-OMP IM
90647
45
3740013
HIB VACCINE PRP-T IM
90648
73
3740014
HPV VACCINE 4 VALENT IM
90649
284
3740015
HPV VACCINE 2 VALENT IM
90650
222
3740016
FLU VACCINE NO PRESERV 3 & >
90656
25
3740017
PNEUMOCOCCAL VACC 13 VALENT IM
90670
280
3740018
FLU VACCINE 4 VALENT NASAL
90672
48
3740019
ROTAVIRUS VACCINE 3 DOSE ORAL
90680
143
3740020
ROTAVIRUS VACCINE 2 DOSE ORAL
90681
180
3740021
DTAP-IPV VACCINE 4-6 YR IM
90696
108
2080169
FLEXMESH 113 X 77 X 6 MM
2215.1
2080170
BONE MILL BM210
438.4
2080171
METAL CUTTER 25 4MM LEGEND
287.3
2080172
METAL CUTTER 3MM LEGEND
348.5
2080173
VENTRICULOSTOMY KIT
404.8
2080174
EDM DRAINAGE BAG
60.52
2080175
CATH CONNECTOR RIGHT ANGLE
83.2
2080176
3 - WAY CONNECTOR
275.2
2080177
DELTA SNAP SHUNT ASS. 5 ML
1920
2080178
NEURAY SURG. PATT 1/4
14.88
2080179
NEURAY SURG. PATT
11.8
2080180
DUREPAIR 2 X 2
690.2
2080181
DUREPAIR 3 X 3
1258
2080182
CLIP GUN MAGAZINE (KIT)
120.7
2080183
DELTA VALVE REG. PERF
1560
2080184
STRAIGHT PLATE 1X1 HOLE 8.0MM
73.1
2080185
STRAIGHT PLATE 2X2 HOLE 5.0MM
183.6
2080186
Y PLATE 3X3 HOLE 2.5MM
301.47
2080187
STRAIGHT PLATE 20 HOLE
348.5
2080188
CRANEOTOMY T DRAPE
47.87
2080189
CLIP GUN MAGAZINE LAOD U.
24.82
2080190
V/P SUBCUT CATH PASSER 60 CM
1288
2080191
THREE LEVEL PLATE
3945
2080192
TWO LEVEL PLATE
3572
2080193
SELF DRILLING SCREWS
65.6
2080194
MULTIAXIAL SCREW
2310
2080195
LORDOTIC CERVICAL SPACER
2140.2
2080196
RODS
642
2080197
DBM PUTTY 1 CC
349.2
2080199
FIBULA SEGMENT
1440
2080200
INTER GRO DBM 5ML
1828
2080201
HELICAL PLUG
204.8
2080202
OCCIPITAL PLATE 30-40 MM
5225.6
2080203
OCCIPITAL BONE SCREW
417.6
2080204
ONE LEVEL CERVICAL PLATE
2629.8
2080205
INTERGRO DBM PUTTY 10ML
2532.6
2080206
SELF TAPPING SCREW
566
2080207
CANCELLOUS CUBES 20 ML
666
2080208
CANCELOUS CUBES 15ML
520
2080209
PLUGS
569.6
2080210
PRE-BENT ROD
726.4
2080211
COMPOSITE CERVICAL SPACER 7MM
2799
2080212
CERVICAL PLATE 16MM
2629.8
2080213
CERVICAL PLATE 2 LEVEL
2214.8
2080214
PLATFORM DBM 10 X 2.5
2930.4
2080215
CANCELLOUS CUBES 30ML
900
2080216
BMA KIT
991.8
2080217
ESL PEEK SPACER
6543.3
2080218
CRANIOPLASTIC KIT
1010
2080219
LUMBAR PERITONEAL SHUNT VALVE
910
2080220
VENTRI. RESERVOIR 6MM (NEURO)
288
2080221
STRATA SHUNT VALVE REG #27815
7518
2080222
VENTRICULAR CULLER #41101
174
2080223
VERTEX-MAX MAS 3.5
900
2080224
VERTEX-MAX PRE-BENT ROD
840
2080225
VERTEX SET SCREW
240
2080226
EXPRESS TRAY ADD FRAC KPE1004
2400
2080227
GRAFTON PLUS DBM PASTE 1ML
400
2080228
GRAFTON PLUS DBM PASTE 10ML
3300
2080229
VENTURE CERVICAL PLATE
1410
2080230
VENTURE SELF DRILLING 4.5
500
2080231
CORNERSTONE L-ASR 7 X 14 X 11
2010
2080232
MAX CROSSLINK
1800
2080233
PROGENIX PLUS DBM PUTTY 10ML
2610
2080234
EON 16 CHANNEL IPG 3688/3788
15000
2080235
OCTRODE LEAD KIT 3186/3189
2640
2080236
PATIENT PROGRAMMER 3851
1970
2080237
CHARGING SYSTEM MEDTRONIC
1440
2080238
KYPHOPAK EXP TRAY XPAN KPE1001
4080
2080239
EXPRESS BONE BIOPSY DEVIC F07A
336
2080240
KYPHX EX LATITUDE CURETTE A13A
696
2605244
PLASMA ORGANIC ACIDS
83918
477
2605245
ANTI MYELOPEROXIDASE
83516
98
2605246
CRYSTAL SYNOVIAL FLUID
89060
22
2605247
RUBEOLA ABIgM
86762
80
2605248
SUGARS MULTIPLE GUAL
84377
16.1
2605250
ASSAY OF TYROSINE
84510
30.4
2605252
ASSAY NEPHELOMETRY NOT SPEC
83883
39.7
2605253
CHROMOSOME ANALYSIS 20-25
88245
227.55
2605254
ASSAY OF ESTRIOL
82677
70.65
2605255
MYELOPEROXIDASE
83876
67
2605256
ENCEPHALITIS ST LOUIS
86653
38.5
2605257
ENCEPHALITIS WESTERN EQUINE
86654
38.5
2605258
HERPES SIMPLEX NON-SPECIFIC
86694
42.05
2605259
MOL DIAG NUCLEIC ACID PROBE EA
83896
22
2605260
VASO ACTIVE INTESTINAL POLYPEP
84586
382
2605261
EUGLOBIN LYSIS TEST
85360
135
2605262
NEURO SPECIFIC ENOLASE SERUM
83519
264
2605263
RAST YELLOW HORNET
86003
36
2605264
ENDOTRACHEAL CULTURE
87070
30
2605267
ASPERGILLUS PRECIPITIN PANEL Q
86606
210
2605268
VAGINAL CULTURE (N. GONORRHOA)
87075
40
2605270
ANTI CALCIUM CHANNEL AB
83519
400
2605271
BLOOD COUNT RBC - AUTOMATIC
85041
50.75
2605272
FACTOR 13 ACTIVITY
85290
248
2605273
ZINC URINE 24 HRS
82570
61
2605274
MOL DIAG DOT/SLOT/BLOT EA
83893
22
2605275
DENGUE TITER (DEPTO. SALUD)
86790
0
2605277
GLUCOSE 6 PHOS. DHYDROG QUAN
82955
62
2605278
GROUTH HORMONE HUMAN(HGH)AB
82677
87
2605279
ROCKY MOUNTAIN SPOTD FEVER IGG
86757
180
2605280
RAST STRING BEANS
86003
56
2605281
RAST TURKEY
86003
26
2605282
RAST POTATO WHITE
86003
26
2605283
RAST YEAST
86003
26
2605284
M.PNEUMONIAE DNA PCR CSF
87581
605
2605285
N. MENINGITIDIS AG GRP B E CSF
86403
260
2605286
CSF GRAM STAIN
87205
15
2605287
EBV-EBNA IGM
86665
161
2605288
RAST SALMON
86003
26
2605289
RAST FISH MIX
86003
73
2605290
RAST TUNA
86003
26
2605291
RAST CRAB
86003
26
2605292
RAST COD FISH
86003
26
2605293
RAST CLAM
86003
26
2605294
BARBITURATE URINE
80345
36
2605295
ALCOHOL ETHYL BLOOD QUANT
80320
43
2605296
METHEHEMOBLOBIN
82657
30
2605297
MIXED NUTS PANEL 1
86003
37
2605298
RAST ACARUS MITE
86003
26
2605299
RAST GARLIC
86003
26
2605300
RAST KIWI
86003
26
2605301
RAST ONION
86003
26
2605302
RAST BLACK PEPPER
86003
26
2605303
ANTI STRIATED MUSCLE
86255
67
2605304
ACETILCHOLINE RECEPT MODULA AB
83519
76
2605305
RAST VANILLAE
86003
26
2605306
RAST APPLE
86003
26
2605307
RAST MIDGE
86003
26
2605308
RAST GRAPE
86003
26
2605309
MOLECULAR NUCLEIC AMPLI ADDON
83901
0
2605310
MOLECULAR DIAGNOSTICS
83892
0
2605311
VIRUS INOCULTION SHELL VIA
87254
41
2605312
HEPATITIS B SURFACE AG EIG
87340
22
2605313
ANTINUCLEAR ANTIBODIES (ANA)
86039
100
2605314
ASSAY OF FOR HVA
83150
0
2605315
ASSAY OF HOMOCYSTINE
83090
0
2605316
CHROMOSOME ANALYSIS 15-20
88262
257
2605317
CYTO/MOLECULAR REPORT
88291
0
2605318
MOLECULAR NUCLEIC AMPLI/EACH
83898
0
2605319
MOLECULAR MUTATION IDENTIFY
83904
0
2605320
MOLECULAR GEL ELECTROPHOR
83894
0
2605321
CHROMOSOME KARYOTYPE STUDY
88280
52
2605322
ASSAY OF FOR HVA
83150
40
2605323
LEUKOCUTE PHAGOCYTOSIS
86344
17
2605324
IMMUNOFLUORESCENT STUDY
88347
0
2605325
CELL MARKER STUDY
88182
0
2605326
ASSAY OF ASCORBIC ACID
82180
0
2605327
CHROMOSOME COUNT ADDITIONAL
88288
0
2605328
HEMOPHILUS INFLUENZA
86684
0
2605329
HERPES SIMPLEX TYPE 2
86696
23
2605330
EPSTEIN-BARR ANTIBODY
86663
28
2605331
FRANCISELLA TULARENSIS
86668
22
2605332
GTT-ADDED SAMPLES
82952
9
2605333
ASSAY OF LEADS
83655
0
2605334
CREATININE CLEARANCE TEST
82575
0
2605335
ASSAY OF MERCURY
83825
34
2605336
HEMOGLOBIN-OXYGEN AFFINITY
82839
0
2605337
ASSAY OF URINE ALBUMIN
82042
11
2605338
WEST NILE VIRUS AB IGM
86788
35
2605339
WEST NILE VIRUS ANTIBODY
86789
30
2605340
MOLECULAR NUCLEIC AMPLI 2 SEG
83900
0
2605341
CHROMOSOME ANALYSIS 50-100
88248
358
2605342
CHROMOSOME ANALYSIS 100
88249
358
2605343
FLOW CYTOMETRY/FC ADD-ON
88185
0
2605344
FLOW CYTOMETRY/READ 16 & >
88189
0
2605345
STREP B ASSAY W/OPTIC
87802
23
2605346
INTRINSIC FACTOR ANTIBODY
86340
32
2605347
CYTOGENETICS 10-30
88273
60
2605348
ASSAY OF GLUCAGON
82943
30
2605349
ONCOPROTEIN DCP
83951
133
2605350
MOLECULAR NUCLEIC TRANSFER
83897
0
2605351
CHROMOSOME COUNT ADDITIONAL
88285
40
2605352
ASSAY OF NICOTINE
80323
0
2605353
URINE CULTIVE/ COLONY COUNT
87086
0
2605354
ASSAY OF SERUM ALBUMIN
82040
0
2605355
COAG FACTOR II(FACT II ACTIVI)
85210
290
2605356
CHROMATOGRAPHY QUANT SINGLE
82542
60
2605357
ECHINOCOCCUS AB
86682
367
2605358
PLASMINOGEN ACTIVITY
85415
217
2605359
ANTITHROMBIN III Ag
85301
106
2605360
CRYOGLOBULIN QUANT. REFLEX
82585
278
3203114
APRESOLINE 100MG TAB
1
3203115
CARBEDILOL 12.5 MG TAB
0.25
3203116
HYDROCORTISON 1% OINT 30 MG
2.1
3203117
QTAPP 240 ML (8OZ)
0.4
3203118
TUSNEL 6OZ
3
3203119
TRACIUM 5ML VIAL
9
3203120
HIBICLENS 4OZ
91.5
3203121
CARBEDILOL 3.125MG TAB
0.3
3203122
BENADRYL 12.5MG/5ML
0.6
3203123
DEMADEX 20MG
0.3
3203124
KALETRA 200/50
14.5
3203125
KALETRA ORAL SOLUTION
5.25
3203126
BAROSPERSE BOT.
7
3203127
TRAVATAM PFT. SOL. 2.5ML
152.64
3203128
DERMOCREAM 2 OZ.
10
3203129
CEFEPIME 1GM
30
3203130
CEFEPIME 2GM
82
3203131
PROTONIX 40MG ORAL SUSP.
8.75
3203132
NICOTINE PARCHO 14MG
5
3203133
VISIPAQUE 270 MG / 50ML
18.5
3203134
MONSELS SOLUTION
0.5
3203135
THYROGEN KIT
2700
3203136
HEPARINA 5000 UNIT/ML 10ML
4.1
3203137
IMODIUM 1MG/5ML CUP
1.8
3203138
DEBROX EAR DROPS
2.8
3203139
AMPHOTEC 100MG
288.5
3203140
HEPARINA 5000MG SYRINGE
1
3203141
ARIMIDEX 1MG TAB
10.56
3203142
ENDOSOL (BSS) 15ML
13.35
3203143
TUSNEL PED 4OZ
0.25
3203144
LOTRISONE 45GM CR
11.2
3203145
COREG CR 40MG TAB
8.1
3203146
GLUMETZA 500MG TAB
2.67
3203147
EXFORGE 5/160 TAB
5.5
3203148
RELPAX 20MG
37.36
3203149
BAROS GRANULS PACK
3.3
3203150
MUCINEX 600MG TAB
0.08
3203151
CIPROFLOXACIN 400MG/200ML/DW
7
3203152
CIPROFLOXACIN 200MG/100ML/DW
3.7
3203153
KETALAR 200MG/20ML/VIAL
25.35
3203154
PLAVIX 300MG
39
3203155
NEOPROFEN 20MG/2ML VIAL
J1741
1367.5
3203157
ROBINUL 0.4MG/2ML
0.57
3203158
ROBITUSSIN DM CUP 5ML
0.35
3203159
PROGRAF 0.5MG
5
3203160
VITAMINA E CAP 1000 1U
0.5
3203161
ULTANE (SEVOFLURANCE) (HCR)
1
3203162
DECON A DROPS 30ML - FRASCO
15.3
3203163
GEODON 20MG/ML VIAL
23
3203164
TRIESCENCE INY 40MG/ML VIAL
248
3203165
BENTYL CUP 5ML
1.5
3203166
SORBITOL SOLUTION / ML
0.5
3203167
BETAPACE 120MG
0.5
3203168
FLEBOGRAMA 20GM
3300
3203170
FLEBOGRAMA 5GM
825
3203171
FLEBOGRAMA 2.5GM
412.5
3203172
GAMMAGARD LIQUIDA 1GM
280
3203173
ATIVAN 2MG /ML 10M/ VIAL
2.5
3203174
VISTARYL 100MG /2ML VIAL
0.8
3203175
WALBOTRIN 75 MG TABLET
50
3203176
SYSTANE LUBRICANT DROPS
13.14
3203177
TENECTEPLASE 50MG KIT
27.2
3203178
TISSEAL 10 ML
1430
3203179
IBUPROFEN 100MG/5ML CUP
1.1
3203180
EPIVIR 10MG/ML
0.6
3203181
FLUORESCEIN SODIUM
0.25
3203182
KEPPRA 500MG IV
37.15
3203183
KEPPRA 750 MG TAB
9.2
3203184
KEPPRA 1000MG
15
3203185
KEPPRA SOLUTION 100MG/ML X ML
1.3
3203186
XIFAXAN 200MG
10.45
3203187
VFEND IV 200MG
214.25
3203188
VFEND IV 200MG TAB
72.8
3203189
MEDISCA POWER
0.5
3203190
CALCITRIOL 1MCG /ML
15.5
3203191
VASELINE (PETROLATUM)
0.75
3203192
NEXIUM 20MG IV
28.5
3203193
NEXIUM 40MG IV
28.5
3203194
IMMUNE GLOBULIN 20GM
3200
3203195
ALPHAGAN 2% GENERICA
13.5
3203196
COSOPT GENERICA
152.5
3203197
NITRO BID OINT UNIT DOSE
0.5
3203198
HUMALOG MIX 50/50
0.5
3203199
J & J WASH 30 ML
1.5
3203200
VYTORIN 10/80MG
7.5
3203201
NEXIUM 10MG ORAL/SUSP
10
3203202
TOBRADEX 2.5ML GENERICA
72.5
3203203
TAMBOCOR 50MG
0.5
3203204
TAMBOCOR 100MG
0.5
3203206
MUCINEX DM 1200MG
1.5
3203207
LEUCOVORIN 100MG VIAL
8
3203208
MUCINEX 1200 MG
1.5
3203209
PREMARIN 0.9MG
4
3203210
TAPAZOLE 5MG
0.5
3203211
PLENDIL ER 10MG
3
3203212
COSEAL 2
384
3203213
COSEAL 4
768
3203214
COSEAL 8
1538
3203215
EFFIENT 10 MG TABLET
10.94
3203216
EFFIENT 5 MG
12
3203217
CLEVIPREX EMULSION
198
3203218
VFEND SUSPENSION
19
3203219
ERYOPOIN
12.2
3203220
FLOSEAL VH 5ML KIT
200
3203221
HUMULIN N PEN 1000/ML
8.5
3203222
HUMULIN 70/30 PEN 1000/ML
8.5
3203223
MEGACE 20MG TAB
0.5
3203224
LEUCOVORIN 10MG
14.5
3203225
DIABETIC TUSSIN
0.5
3203226
ZOVIRAX CREAM 5 GM
294
3203227
CLEVIPREX 0.5MG/ML 1000ML
395.5
3203228
LIDEX 30GM OINT
11.5
3203229
GENETOSS 2 / ML
0.5
3203230
LIDOCAINA 1% 10ML INY
2
3203231
LIDOCAINA 2% 10ML INY
5
3203232
EMLA 5G CREMA
15.5
3203233
MOLTAG 400MG
9
3203234
PROTEINEX 18 BAG
0.5
3203235
ANALPRAM 1% 4GM TUBE
1.5
3203236
ANALPRAM 2.5% 4GM TUBE
1.5
3203237
BUMEX 0.5MG / 2ML VIAL
2
3203238
BUMEX 2MG GEN TAB
0.5
3203239
HYRICA 150 MG
4
3203240
KEPPRA 250 MG
7.5
3203241
VASELINE TANO 1 OZ
4.5
3203242
VASELINE TANO 3.75 OZ
4.5
3203243
URECHOLINE 10 MG
1
3100545
RADIOLOGIC EXAM CHEST SINGLE
71045
80.8
3100546
BRONCHOGRAPHY UNILAT
76499
210
3100548
BRONCHOGRAPHY BILAT
76499
300
3100550
RIBS UNILATERAL
71100
80
3100555
RIBS BILATERAL
71110
100
3100560
STERNUM
71120
80
3100570
STERNOCLAVICULAR JNT
71130
90
3100571
RADIOLOGIC EXAM CHEST 2 VIEWS
71046
80.8
3100572
RADIOLOGIC EXAM CHEST 3 VIEWS
71047
40.4
3100573
RADIOLOGIC EXAM CHEST 4+ MORE
71048
148.88
3100574
ABDOMEN 3 OR MORE VIEWS
74021
148.88
3101010
CERVICAL AP &LATERAL
72040
85
3101015
CERVICAL COMPLETE
72052
150
3101016
HIP AP & EXT OBLIQUE
73502
80
3101017
HIP IN O/R
73503
90
3101019
HIP & PELVIS
73521
100
3101020
THORACI AP & LATERAL
72070
85
3101021
HIP & PELVIS 3-4 VIEWS
73522
100
3101022
HIP & PELVIS MIN OF 5 VIEWS
73523
275
3101023
FEMUR 1 VIEW
73551
80
3101024
FEMUR MINIMUM 2 VIEWS
73552
40
3101025
THORACIC COMPLETE
72074
110
3101026
THORACIC-LUMBAR
72080
50
3101028
SCOLIOSIS SERIES X-RAY
72081
55
3101030
LUMBAR AP & LATERAL
72100
90
3101040
LUMBO SACRAL COMPLETE
72110
125
3101050
PELVIS A P
72170
55
3101060
PELVIS COMPLETE
72190
70
3101070
SACRUM - COCCYX
72220
60
3101080
SACROILIAC PA OBLIQ.
72200
70
3101510
CHOLANGIOGRAPHY OPE.
47544
220
3101515
CHOLANGIOGRAPHY POST OPER.
74305
110
3101520
CHOLECYSTROGRAPHY
74290
100
3101525
COLON BARIUM ENEMA
74270
200
3101530
COLON ENEMA WITH AIR
74280
275
3101540
ESOPHAGUS
74220
150
3101545
BARIUM SWALLOW
74246
150
3101560
INTRAVENOUS CHOLANG
47532
310
3101570
SMALL BOWEL SERIES
74250
160
3101590
UPPER GASTRO INT/SER
74240
200
3102030
KIDNEY URETER BLADDER
74240
200
3102520
SCANOGRAM
77073
65
3102530
FETAL BONE AGE ABDOM
74018
70
3102540
HYSTEROSALPINOGRAM
74740
180
3102560
PELVIMETRY
74710
130
3102570
PLACENTA LOCALIZATIO
74710
125
3103015
MYELOGRAMS CERVICAL
72240
425
3103020
MYELOGRAM COMPL 3 AR
72270
550
3103060
MYELOGRAM LUMBAR
72265
375
3103080
MYELOGRAN THORACIC
72255
400
3103510
ACROMIOCLAVICULAR JOINTS
73050
90
3103515
CLAVICLE COMPLETE
73000
70
3103520
ELBOW AP & LAT.
73070
70
3103525
ELBOW COMPLETE OBLIQUOS
73080
80
3103530
FOREARM
73090
70
3103535
FINGERS
73140
60
3103540
HAND
73120
70
3103543
HAND 3 VIEWS
73130
40
3103545
HUMERUS
73060
80
3103550
SCAPULA COMPLETE
73010
75
3103560
SHOULDER 1 VIEW ONLY
73020
65
3103565
SHOULDER COMPLETE
73030
80
3103590
WRIST
73100
70
3104505
ANKLE 2 VIEWS
73600
70
3104507
ANKLE COMPLETE
73610
75
3104510
FEMUR
73551
80
3104515
FOOT AP & OBLIQUOS
73620
70
3104517
FOOT COMPLETE
73630
75
3104520
HIP UNILATERAL
73501
75
3104525
HIP & FROG POS. UNILATERAL
73502
80
3104530
KNEE AP & LATERAL
73560
70
3104535
KNEE COMPLETE OBLIQUOS
73564
90
3104550
LEG
73590
75
3104560
OS CALCIS (HEEL)
73650
70
3104580
TOES
73660
60
3105010
ABDOMEN AP
74018
75
3105025
ABDOMEN 2 POSITION
74019
95
3105030
ABDOMEN 3 POSITIONS
74022
110
3105040
CYSTOGRAM
74430
200
3105050
I.V.P.
74400
200
3105054
URETROCYSTOGRAM
74455
180
3105055
NEPHROTOMOGRAM
74415
225
3105060
RETROGRADE PYELOGRAM
74420
270
3105070
VOIDING CYSTOGRAM
74430
130
3105072
URETHROCYSTOGRAPHY RETROGRADE
74450
125
3105090
CHOLANGIOGRAPHY PERC
47532
300
3105091
DENSITOMETRIA OSEA
77080
200
3105092
BONE AGE
77072
60
3105093
BOTH KNEES STANDING ANTEROPOST
73565
70
3105096
AORTOGRAPHY THOR W/O SERIALOGR
75600
425
3105220
RIBS UNILATERAL W/PA CHEST
71101
100
3105221
RIBS BILATERAL W/PA CHEST
71111
100
3105222
ABLATION PERC. LIVER TUMOR
47382
6500
3105237
COMPUTE AIDED DETECTION ICAD
77065
40
3105242
NEPHROURETERAL STENT PLAC DB J
50693
1200
3105243
TUNNELED PORT CENTRALLY INSERT
36561
1000
3105244
TUNNELED PORT CENTRALLY REPLAC
36597
1000
3105245
TUNNELED PORT CENTRALLY REMOVA
36590
150
3105247
TUNNELED PORT PERIPHER REPLACE
36585
1000
3105248
TUNNELED PORT PERIPHER REMOVAL
36590
150
3105249
ULTRASONIC GUIDANCE RADIOELEME
76965
94.45
3105250
GUIDANCE FOR RADIAJ TX DLVR
77387
94.45
3105251
INTERSTITIAL RAD.SOURCE APPLIC
77778
1400
3105252
TEMPLATE
77332
169
3105253
FLUOROSCOPE EXAMINATION
76000
256
3105254
PERCUT/NEEDLE INSERT PROS
55875
2302
3105255
SPECIAL RADIATION DOSIMETRY
77331
200
3105256
RADIOELEMENT APPLICATION
77470
750
3105257
SET RADIATION THERAPY FIELD
77290
510
3105258
MANDIBLE COMPLETE
70110
32
3105259
CERVICAL AP & LAT & OPEN MOUTH
72050
54
3105260
LUMBAR CMP AP&LAT&OBLQ FLX-EXT
72114
54
3105261
BX BREAST 1ST LESION STRTCTC
19081
495
3105262
BX BREAST ADD LESION STRTCTC
19082
10
3105263
BX BREAST 1ST LESION US IMAG
19083
495
3740022
DTAP VACCINE < 7 YRS IM
90700
45
3740023
MMR VACCINE SC
90707
110
3740024
POLIOVIRUS IPV SC/IM
90713
69
3740025
TDAP VACCINE 7 YRS /> IM
90715
85
3740026
CHICKEN POX VACCINE SC
90716
183
3740027
DTAP-HEP B-IPV VACCINE IM
90723
126
3740028
PNEUMOCOCCAL VACCINE 23 VAL IM
90732
136
3740029
MENINGOCOCCAL VACCINE IM
90734
135
3740030
ZOSTER (SHINGLES) VACCINE SC
90736
348
3740031
HEP B VACC PED/ADOL 3 DOSE IM
90744
35
3740032
HEP B VACC ADULT 3 DOSE IM
90746
85
3750010
ADM. INFLUENZA VIRUS VACCINE
25
3750012
INFLUENZA VIRUS VACCINE
90656
9
3750014
ADM COVID 19 VACCINE - 1 DOSIS
0001A
20
3750015
ADM COVID 19 VACCINE - 2 DOSIS
0002A
30
3800010
AMBULANCE GROUND SERVICE
300
3800011
AMBULANCE MILEAGE-GROUND
2
3800012
AMBULANCE GROUND NON CHARGE
300
3800013
AMBU MILEAGE-GROUND NON CHARGE
2
3800020
AMBULANCE AIR SERVICE-ROTARY
4500
3800021
AMBULANCE MILEAGE-AIR ROTARY
4
3800022
AMBULANCE AIR SERVICE-FIXED W.
9500
3800023
AMBULANCE MILEAGE-AIR FIXED W.
8
3910000E
MINO-LOK THERAPY (MLT) TRIAL
0
3910001
MLT HOSP COMPLETE STUDY
2000
3910002
MLT RESIDENCY COMPLETE STUDY
800
3910003
MLT PHARMACY START UP
700
3910004
MLT PHARMACY CLOSE OUT
300
3910005
MLT LABORATORY SET UP
700
3910006
MLT LABORATORY CLOSE OUT
200
2118574
CORTICAL SCREW 2.5 / L14 TITA
103.2
2118575
CORTICAL SCREW 2.5 / L16 TITA
103.2
2118576
CANNULA 6.5X75
110.4
2118587
S&N VORTEX VACUMM MIXING SYSTE
150
2118588
DJO GLENOID HEAD W/RETAINING
1056
2118589
DJO NEUTRAL HUMERAL NECK
480
2118590
TURON GLENOID PEGGED SZ38
480
2118591
5.0MM TITANIUM ANCHOR W/PARCUS
C1713
319.2
2118592
4.5MM PEEK CF PUSH -IN ANCHOR
367.2
2118593
DJO RSP MONOBLOCK STEM SZ8
3360
2118594
MOVATION PS FEMUR NARROW
480
2118595
MIX EVAC III
72
2118596
CEMENT WITH ANTIBIOTIC
139.2
2118597
3-PANEL KNEE SPLINT 16''
81.78
2118598
4.5MM IMPACT KNOT ANC SUT PASS
360
2118599
CEMENT RESTRICTOR
150
2118600
RSP MONOBLOCK SPACER
840
2118601
COBALT MV BONE CEMENT
120
2118602
40G SINGLE MIX
134.4
2118603
CANULA 6.5 X 75
110.4
2118604
MONOBLOCK HUMERAL STEM
3360
2118605
RSP GLENOID BASE PLATE
1260
2118606
3.3MM BIPOLAR ABLATOR 90
410.4
2118607
OPTIVAC KIT SINGLE MIS 40 GM
134.4
2118608
GLENOID B/PLATE LOCK BONE SCRW
126
2118609
OPTIVAC KIT DOUBLE MIX 80GM
134.4
2118610
HYDROXYAPATITE CTD GLEN B/PLT
1260
2119010
2.5MM LOCK SCREW #18/20/22/24
210
2119012
3.5MM LOCKING SCREW #12/14/16
210
2119014
2.7MM LOCKING PEG #22/24
210
2119016
DISTAL VOLAR RADIUS PLATE
2040
2119018
K-WIRE
120
2119019
PROXIMAL HUMERAL PLATE
4200
2119020
MULTIDIRECTIONAL SCREW
224.4
2119021
STANDARD SMOOTH PEG
224.4
2119022
STERMAN PIN
21.6
2119023
CORTICAL SCREW 3.5 X 14
210
2119024
CORTICAL SCREW 3.5 X 16
210
2119025
CORTICAL SCREW 2.5 X 22
210
2119026
CORTICAL SCREW 2.5 X 24
210
2119027
2.7MM X 22MM PEGS
210
2119028
2.7MM X 24MM PEGS
210
2119029
CORICAL SCREW 3.5 X 12
210
2119030
2.7MM X 18MM PEGS
210
2119031
2.7MM X 20MM PEGS
210
2119032
PIN 2.0
120
2119033
HUMERAL RECONSTRUCT FLEXI-NAIL
4194
2119034
CORTICAL SCREW 3.5 X 12
210
2119035
CORTICAL SCREW 2.4 X 18
210
2119036
CORTICAL SCREW 2.4 X 20
210
2119037
CORTICAL SCREW 2.0 X 16
210
2119038
CORTICAL SCREW 2.0 X 18
210
2119039
CORTICAL SCREW 2.0 X 20
210
3209543
EXELON PATCH 9.5MG
18.5
3209544
LOVAZA 1MG CAP
3
3209545
AGUA OXIGENADA .237ML
1
3209546
FLEBOGAMA 5% 5GM
750
3209547
FLEBOGAMA 5% 10GM
1500
3209586
VIT K 100MCG BOT
0.5
3209587
NEBUSAL
0
3209588
SODIUM CHLORIDE 15 ML VIAL
2
3209589
NAMENDA 5 MG TAB
7.5
3209590
EXELON PATCH 9.5 MG PATCH
18.5
3209591
LOVAZA 1 MG CAP
3
3209592
HYDROGEN PEROXIDE 237 ML
1
3209593
FLEBOGAMA 5% 5 GM
750
3209594
FLEBOGAMA 5% 10 GM
1500
3209595
MERREM 500 MG
35
3209596
MERREM 1 GM
70
3209597
JANUMET 50/500MG TAB
6.5
3209598
POTASSIUM CHLORIDE 20/15ML CUP
0.5
3209599
RITUXAN 500MG VIAL
J9310
7189
3209600
RITUXAN 100MG VIAL
1438
3209601
VFEND 200MG TAB
92
3209602
LO/OVRAL 28
4.5
3209603
GAMONEX 10GM
1738.5
3209604
GAMONEX 5GM
869.5
3209605
OSELFAMIVIR 45MG (TAMIFLU)
22.5
3209606
GAMUNEX 20MG
3240
3209607
RANEXA 500MG
8.5
3209608
ROBITUSSIN DM 5ML CUP
0.5
3209609
TEFLAROL(CEFTAROLINE) 600MG
92
3209610
FLU VACCINE NO PRESERV 3 & >
90656
23.7
3209610E
FLU VACCINE NO PRESERV 3 & >
0
3209611
ACTIGAL 60MG/ML SOLUCION
1
3209612
ALDACTONE 1MG/ML SOLUCION
0.5
3209613
VASOTEC 1MG/ML SOLUCION
0.5
3209614
VIAGRA 2.5MG/ML SOLUCION
5
3209615
VANCOMYCIN 500MG/30ML SOLUCION
24
3209616
V6 SOLUTION 300ML
58.5
3209617
ZOVIRAX 30MG OINT 5%
803
3209618
CALADRYL LOTION CLEAR
5
3209619
TEFLARO 600MG VIAL
J0712
92
3209620
MIRAPEX 1.5MG TAB
8
3209621
RILUTEK 50MG TAB
38.5
3209622
FENTANYL 250 MCG / 5 ML AMP
3
3209623
SANDOSTATIN 200MCG VIAL 5ML
124
3209624
XENADERM 1 GM
2.1
3209625
PREDNISONA 2.5MG
0.5
3209626
CYMBALTA 30MG
12
3209627
LAMICTAL SOLUTION
0.5
3209628
GENTEAL GEL
8
3209629
LIQUITEARS
4
3209630
TRILEPTAL 150MG TAB
4
3209631
FENTANYL 25MCG PARCHO
14.5
3209632
BUTRANS 10MG
102
3209633
VERAPAMIL 50MG/ML SOL
1
3209634
ELMIRON 100MG CAP
10
3209635
INDIGO CARMINE SOL. 8MG/ML
7.5
3209636
KPO4 250ML 0.45 IV ROOM
5
3209637
MgSO4-2 100ML 0.9 IV ROOM
4
3209638
SINGULAIR 4MG ORAL GRANULES
10.5
3209639
SENSISPAR 30MG
33
3209640
DANAZOL 200MG TB
6.5
3209641
NEUMEGA 5MG SYRINGE
586
3209642
STROMECTOL 3 MG TAB
11.5
3209643
ALBENZA 200 MG
6
3209644
ZOFRAN 8 MG TAB
0.5
3209645
DORIBAX 250MG VIAL
50.6
3209646
XARELTO 10MG (RIVAROXABAN)
14.8
3209647
LEVOTHYROXINE 100MCG IV
183.5
2201801
I.V. LABOR/DELIVERY
0
2201802
SEPACELL LEUKOCYTE PLT A4C2497
125
2201803
SEPACELL LEUKOCYTE PLT F4C2495
125
2201804
SEPACELL LEUKOCY FILTER 4C2468
60
2201805
AGUA IRRIGAR 1500 ML
6
2201806
LACTATED RINGER'S IRRIGAR 3000
12
2201807
AGUA ESTERIL INHALATIO RTS1000
6
2201808
EXTENSION SET/FILTER
8.5
2201809
Y-TYPE BLOOD/WITH PRES. PUMP
36
2201810
POTASS 20MEG/.9NSS1000ML PIGGY
2
2201811
POTASS 20MEG/DW5%1000ML PIGGY
2
2201812
POTASS20MEG/.45NSS1000ML PIGGY
2
2201813
INTRALIPID 20% 250ML BAG
20.5
2201814
OMNIPAQUE 300 100 ML
50
2201815
OMNIPAQUE 350 50 ML
25
2201816
SC 0.9% 1000 IRRIGATION BAG
62.5
2201817
SOD CL 0.9% 25 ML
2.7
2201818
SET SANGRE W PUMP. ANESTESIA
5
2201819
DEXTROSA 5% 500ML
5.65
2201820
C-LINK C-FLO W/REGUL 96"2 SET
8.5
2201821
REGULATOR IV SET (HOSPIRA)
6
2201822
KCL 20 MEQ / .9 NSS 1000ML
3
2201823
KCL 40 MEQ / .9 NSS 1000ML
3
2201824
KCL 20 MEQ / .45 NSS 1000ML
4.85
MTC P/C
DESCRIPTION
ALT C 1-CPT4
0
PR NU DIFF
NATURAL BIRTH UNIT DIFFERENCE
250
PR NU XPL
NATURAL BIRTH UNIT EXPLOSION
500
PR RM DIF1
PRIVATE ROOM DIFF.MED C
150
PR RM DIF2
PRIVATE ROOM DIFF.MED C
125
PR RM DIFA
PRIVATE ROOM DIFF. - MED A
125
PR RM DIFB
PRIVATE ROOM DIFF. - MED B
125
PR RM DIFC
PRIVATE ROOM DIFF. - CARDIO
125
PR RM DIFD
PRIVATE ROOM DIFF. - MED D
125
PR RM DIFF
PRIVATE ROOM DIFFERENTIAL
60
PR RM DIFI
PRIVATE ROOM DIFF. - L.INTE
125
PR RM DIFM
PRIVATE ROOM DIFF. - MED C
175
PR RM DIFO
PRIVATE ROOM DIFF. OB/GYN
125
PR RM DIFP
PRIVATE ROOM DIFF. PEDIATRICS
125
PR RM DIFR
PRIVATE ROOM DIFF. - ROOMING
75
PR RM DIFS
PRIVATE ROOM DIFF. SURGERY
125
PR RM DIFT
PRIV ROOM DIFF COURTESY MED C
175
PR RM DIFU
PRIVATE ROOM DIFF.-UD
175
PR RM PDLX
M & S PVT ROOM-PAT PREF DELUXE
250
PR RM PVT
M & S PRIVATE ROOM - PAT PREF.
250
PR RM PVTA
M & S PVT ROOM-PAT PREF- MED A
250
PR RM PVTB
M & S PVT ROOM-PAT PREF- MED B
250
PR RM PVTC
M & S PVT ROOM-PAT PREF-CARDIO
250
PR RM PVTD
M & S PVT ROOM-PAT PREF- MED D
250
PR RM PVTI
M & S PVT ROOM-PAT PREF-L.INTE
250
PR RM PVTM
M & S PVT ROOM-PAT PREF- MED C
250
PR RM PVTO
M&S PVT ROOM-PAT PREF OB/GYN
250
PR RM PVTP
M&S PVT ROOM-PAT PREF PEDIATRI
250
PR RM PVTR
M & S PVT ROOM-PAT PRF-ROOMING
250
PR RM PVTS
M&S PVT ROOM-PAT PREF SURGERY
250
PR RM PVTU
M & S PVT ROOM-PAT PREF-UD
250
PR RM XPL
PRIVATE ROOM CHARGE EXPLOSION
310
PR RM XPL1
PRIVATE ROOM CHG EXPL. MED C
400
PR RM XPL2
PRIVATE ROOM CHG EXPL. MED C
375
PR RM XPLA
PRIVATE ROOM CHG EXPL. MED A
375
PR RM XPLB
PRIVATE ROOM CHG EXPL. MED B
375
PR RM XPLC
PRIVATE ROOM CHG EXPL.-CARDIO
375
PR RM XPLD
PRIVATE ROOM CHG EXPL. MED D
375
PR RM XPLI
PRIVATE ROOM CHG EXPL.-L.INTE
375
PR RM XPLM
PRIVATE ROOM CHG EXPL. MED C
425
PR RM XPLO
PRIVATE ROOM CHG EXPL OB/GYN
375
PR RM XPLP
PRIVATE ROOM CHG EXPL PEDIATRI
375
PR RM XPLR
PRIVATE ROOM CHG EXPL. ROOMING
310
PR RM XPLS
PRIVATE ROOM CHG EXPL SURGERY
375
PR RM XPLT
PR CHG EXPL. COURTESY MED C
425
PR RM XPLU
PRIVATE ROOM CHG EXPL. UD
425
PR XPLA TE
PVT RM CHG EXP TELEMETRY MED A
435
PR XPLB TE
PVT RM CHG EXP TELEMETRY MED B
435
PR XPLC TE
PVT RM CHG EXP TELEMETRY CARDI
435
PR XPLD TE
PVT RM CHG EXP TELEMETRY MED D
435
PR XPLI TE
PVT RM CHG EXP TELEMETRY INTE
435
PR XPLJ TE
PVT RM CHG EXP TMTRY EJE MED C
485
PR XPLM TE
PVT RM CHG EXP TELEMETRY MED C
485
PR XPLO TE
PVT RM CHG EXP TELEMETRY OBGYN
435
PR XPLP TE
PVT RM CHG EXP TELEMETRY PEDIA
435
PR XPLS TE
PVT RM CHG EXP TELEMETRY SURGE
435
3105264
BX BREAST ADD LESION US IMAG
19084
10
3105265
BX BREAST 1ST LESION MR IMAG
19085
1735
3105266
BX BREAST ADD LESION MR IMAG
19086
10
3105267
PERC DEVICE BREAST 1ST IMAG
19281
70
3105268
PERC DEVICE BREAST EA IMAG
19282
10
3105269
PERC DEVICE BREAST 1ST STRTCTC
19283
70
3105270
PERC DEVICE BREAST ADD STRTCTC
19284
10
3105271
PERC DEVICE BREAST 1ST US IMAG
19285
70
3105272
PERC DEVICE BREAST ADD US IMAG
19286
10
3105273
PERC DEVICE BREAST 1ST MR GUID
19287
731
3105274
PERC DEVICE BREAST ADD MR GUID
19288
10
3105275
UROGRAPHY-ANTEGRADE(LOOPOGRAM)
74425
185
3106372
INJ THER/PROPH/DIAG SC/IM
96372
40
3106374
INJ IV PUSH THER/PROPH/DIAG
96374
75
3106375
IV PUSH SEQUENT ADD NEW DRUG
96375
25
3106376
IV PUSH SEQUENT ADD SAME DRUG
96376
10
3109907
ARTHOGRAM HIP
73525
275
2112027
TL PLUS THRE HEX END ROD 300MM
90
2112028
1 LEVEL CERVICAL PLATE
1332
2112029
TL PLUS ONE HOLE POST
270
2112030
SCREWS
878.94
2112031
TL NUT STAINLESS STEEL 10MM
12
2112032
LORDOTIC SPACER
1084.2
2112033
12MM BOLT
120
2112034
RODS
244.19
2112035
TL WIRE W/STOPPER 1.8MMX400MM
6
2112036
SET SCREW
216
2112037
TL WIRE BAYONET 1.8MMX400MM
180
2112038
CROSS CONNECTOR
904.25
2112039
TL UNI HLF PIN FIX BOLT4MM-6MM
120
2112040
INTERGRO 5ML
1377.6
2112042
INTERGRO 10ML
2120.4
2112044
3.5 X 14 MULTI-AX SCREW
878.94
2112046
3.5 X 12 MULTI-AX SCREW
878.94
2112048
HELICAL FLANGE PLUG
97.81
2112050
TELE ARCH CROSS CONN (L)
904.25
2112052
12CM CURVED ROD
244.19
2112054
3.5 X 10 MULTI-AX SCREW
1005.48
2112055
DBM PASTE 1CC/INTERGRO
313.2
2112056
4 LEVEL 68MM PLATE
2034.22
2112057
5 X 14/SELF-DRILL SCREW
121.75
2112058
4 X 16/SELF-DRILL SCREW
243.5
2112059
LATERAL CONNECTOR
255.15
2112060
CANCELLOUS 15ML
327.6
2112061
6.5 X 50 HF CANULATED
1247.4
2112062
GUIDEWIRE .062" X 51CM
99.36
2112063
50 CURVED PERCUTANEOUS ROD
543.6
2112064
14MM X 14MM CANCELLOUS SPONGE
1380
2112065
25MM X 1/3 ILLUM. BLADE
344.64
2112066
18MM X 1/3 ILLUM. BLADE
344.64
2112067
STRAIGHT SPACER 16Hx25Lx11W CO
3888
2112068
2 LEVEL 36MM PLATE
1183.14
2112069
DBM PASTE 5 CC/INTERGRO
238.8
2112070
1 LEVEL 16MM PLATE
968.22
2112071
2 LEVEL 34MM PLATE
1708.98
2112073
4 LEVEL 64MM PLATE
1770.66
2112074
3.5 X 28 MULTI-AX SCREW
930.96
2112075
3.5 X 16 MULTI-AX SCREW
878.94
2112076
3.5 X 18 MULTI-AX SCREW
878.94
2112077
OFFSET LATERAL CONN
510.3
2112078
DBM PUTTY 10ML/INTERGRO
2017.2
2112079
25MM X 1/3 BLADE TIP
281.34
2112080
40 CURVED PERCUTANEOUS ROD
544.32
2112081
STRAIGHT SPACER 12HX25LX10W CO
3629
2112083
1 LEVEL 14MM PLATE
903.84
2112084
6.5 X 45 HF CANULATED
1164.48
2112085
6.5 X 40 HF CANULATED
1164.48
2112086
45 CURVED PERCUTANEOUS ROD
507.84
2112087
STRAIGHT SPACER 14HX30LX11W
3629.26
2112088
STRAIGHT SPACER 10HX25LX10W CO
3629.26
2112089
6.5 X 35 HF CANULATED
1164.49
2112090
3.5 X 10MM CC SCREW
1689.84
2112091
3.5 X 12MM CC SCREW
1689.84
2112092
LINEUM 3.5 X 80MM TI ROD
302.4
2112093
3.5 X 14MM CC SCREW
1689.84
2112094
3.5 X 16MM CC SCREW
1689.84
2112095
CANCCRUSH 15CC FD IRR
351.6
2112096
6.5 X 40/MULTI-AX SCREW
1032.36
2112097
6.5 X 45/MULTI-AX SCREW
1032.36
2112098
40MM TI PRE-CURVED ROD
349.29
2112099
SCREW POLY CANNULAT 6.5MMX45MM
2277
2112100
ROD MEDIUM CURVED PERC TI
657
2112101
18MM X 60MM X 10 0 LORDOSIS
6687
2112102
K WIRE
108
2112103
LATERAL ACCESS KIT GEN 2
2043
2112104
LATERAL MONITORING KIT GEN 2
1683
2112105
STRAIGHT SPACER 8HX25LX10W CO
3629.26
2112106
JAMSHIDI NEEDLE 8 GAGE
279
2112107
8MM COMPOSITE CERVICAL
908
2112108
9MM COMPOSITE CERVICAL
908
2112109
3 LEVEL 48MM FIXED PLATE GREEN
1324.06
2112110
4.0 X 14 VARIA SELF-DRIL SCREW
243.29
2112111
2 LEVEL 34MM FIX PLATE (GREEN)
1201.98
2112112
12MM DISTRACTION PINS (QTY. 2)
139.45
2112113
7MM COMPOSITE CERVICAL
908
2112114
1 LEVEL 12MM FIXED PLATE GREEN
1100.02
2112115
4.5 X 14 VARIA SELF-DRIL SCREW
243.23
2112116
18MM X 60MM X 10 0 LORDOSIS
6345
2112117
FULL PLATE (4-HOLE) 10MM
4185
2112118
SCREW SELF-TAPPING VARIABLE TI
742.5
2112119
FULL PLATE (4-HOLE) COVER
1354.5
2112120
CERCLAGE WIRE D-1.50MM. 5M/PCS
600
2105545
3.2 KNIFE 2361
63.51
2105546
CRESENT KNIFE 1134
51.95
2105547
SKIN GRAFT CARRIENS
40.5
2105548
FEMALE FOLEY CONNECTOR
26
2105549
RABINOV SIALOGRAPHY SET
46
2105550
GLOVES-ORTHOPEDICS
2.99
2105551
MEDI-VAC
5.97
2105552
KELMAN ABS MICROTIP
150
2105553
ST. FLOW WARMING SET
40
2105555
FINGER CONTROL MITTS
49
2105556
ECLIPSE PROBE COVER
1.2
2105557
BRONCHIAL CYTOLOGY BRUSH
23.45
2105558
NASAL CANNULA CO2
8.8
2105559
LOOP OSTOMYBRIDGE
6.9
2105560
ABDUCT PILL WH/FDAM(EW040005M)
150
2105561
INTRASITE GEL
7.27
2105562
GLOVES - NEOLON PF SURGICAL
6.1
2105563
SCAPEL BLADES
62
2105564
MAMMARY PROSTHESES EXPANDER
780
2105565
COLOSTOMY BAG-CLOSED POUCH
2.95
2105566
BIOPSY FORCEP TOOTHED CUP
590
2105567
BIOPSY FORCEP OVAL CUP JUMBO
670
2105568
CLEANING BRUSH DOYBLE ENDED
6
2105569
ADVANTAGE FIT SYSTEM SLING URE
798
2105570
VARICES INJECTOR
66
2105571
PILLOW CASE (DISPOSABLE)
0.45
2105572
COLOSTOMY BAG-ONE PIECE
3.05
2105573
COLOR PRINTING PACK
2
2105574
TRANSDUCER COVERS
15.8
2105575
NEEDLE GUIDE COVER KIT
40
2105576
TRANSDUCER SHEATH KIT
5
2105577
DISPOSABLE CUFF-NEONATAL
8.13
2105578
DISPOSABLE CUFF-ADULT
11.91
2105579
BODY HOLDER
45
2105580
HEAD & FOOT WARMER
5.25
2105581
ILLUMINATED LASER PROBE
355
2105582
PERFLUORON 5 ML PORC KIT
300
2105583
SOFT TIP NEEDLE
20
2105584
FLEXIBLE IRIS RETRACTOR
44
2105585
GUIDE WIRE TRACERHYBRID
189
2105586
TRIPLE LUMEN EXT. BALLON TRI-E
239
2105587
NEEDLE KNF PAPILLOT HUIBREGTSE
214
2105588
SPHINCTEROTOME TRIPLE LUMEN
247
2105589
COLD PACK
1.75
2105590
HIP ABDUCTION PILLOW
190
2105591
SAW BLADE
120
2105592
PINWORM PADDLE
2.1
2105593
HOLE PUNCHER
57
2105594
STOMAHESIVE PASTE 1/2 OZ
0.88
2105595
STOMAHESIVE POWDER 1/2/ OZ
7.8
2105596
RADIATION REDUCTION GLOVE #7
176
2105597
RADIATION REDUCT GLOVE#7 1/2
63.81
2105598
GLOVE ALOA MICROTHIN
1.64
2105599
DISP. ENDORECTAL COIL
234
2105600
SERRATED BLADE 3.5MM C/5
270
2105601
SERRATED BLADE 4.0MM
290
2105602
VISCOUS FLUID CONTROL PAK
122
2105603
SYRGICAL GLOVE-MICROTHIN 1 1/2
1.64
2105604
SYRGICAL GLOVE-MICROTHIN 8
1.87
2105605
SYRGICAL GLOVE-NEOLON 6 1/2
3.18
2105606
SYRGICAL GLOVE-NEOLON 7
3.18
2105607
SYRGICAL GLOVE-NEOLON 7 1/2
3.18
2105608
SYRGICAL GLOVE-NEOLON 8
3.18
2105609
GLOVES-ORTHOPEDIC 8
2.88
2105610
DURAPREP 6 ML
8.11
2105611
SLIT KNIFE
42.3
2105612
SCALPEL BLADES #10
157.92
2105613
TURBOSONIC BASIC-ACCURRUS
150
2105614
SKIN GRAFT CARRIER 3 TO 1
20
2105615
SCLERAL BUCKLE 240
24
2105616
SCLERAL BUCKLE 270
18
2105617
3-LITER BREATHING BAGAMT
11.5
2105618
RESERVOIR FOR AMBU BAG
40
2105619
PEEP VALVE FOR HOPE RESUSITATI
270
2105620
TVT OBTURATOR SYSTEM
900
2105622
OBSTETRICAL VACUUM DELIVERY
110
2105623
SURGERY GLOVE NEOLON 8 1/2
3.7
2105624
ORTHOPEDIC GLOVES 8 1/2
2.9
2105625
MICRONIFE XL
280
2105626
DSP MINI GRASPING FORCEPS
300
2105627
V.A.C. CANISTER
92
2105628
VGFI TUBING SET
200
2105629
SCLERAL BUCKLE 505
94
2105630
SURGICAL GLOVE BIOGEL
5
2105631
ABSOLUTE FILTER
47.6
2105632
DISPOSABLE LINER 2000
21
2105633
BIOPSY FORCEP LARGE 160CM
40
2105634
BIOPSY FORCEP LARGE 240CM
40
2105635
MOLDABLE CONVEX SKIN BARRIER
16.3
2105636
CLOSED POUNCH WITH FILTER
2.6
2105637
DISPOSABLE DUAL MODE CANNULA
180
2105638
SCALPEL DISPOSABLE 11
3.62
2105639
SURGICAL GLOVE RADIATION 8.5
63.81
2105640
ENTERAL PUMP DELIVERY SET (BAG
6
2105641
EL CAMINO A RECUPERACION (BOOK
10
2105642
RESOLUTION CLIP
240
2105643
HEMOSTATIC CLIPPING DEVICE 235
240
2105644
POLYPOP LIGATING DEVICE
172.8
2105645
STERIS 20
18
2105646
SPECIMEN CONTAINER 64 OZ.
1.2
2105647
SPECIMEN CONTAINER 165 OZ.
2.45
2105648
PHOTO PAPER
0.85
2105649
ENDO OCULAR LASER PROBE
220
2105650
XTRACT TISSUE MORCELATOR
1000
2105651
PREVIOUS PELVIC FLOOR REPAIR
1590
2140788
VICRYL 2-0 VCP339H
8.12
2140789
VICRYL 0 VCP358H
8.33
2140790
VICRYL 0 VCP340H
7.02
2140800
GIA 80 3.8 8038L
183.66
2140801
MULTIFIRE GIA 60 3.8
241.32
2140802
GIA 60 3.8 6038-5
375.32
2140804
GIA 80 3.8 8038-5
375.32
2140806
ENDOGIA UNIVERSAL 12MM
385.32
2140807
ENDO RETRACT HOOK
474
2140808
ENDO CLINCH
277.5
2140809
ENDO DISSECT
272.5
2140810
AUTOSUTURE PREMIUM 21MM
686
2140811
PDS 6-0 Z489G
17.63
2140812
SURGIGUT CHROMIC L. DEL.SYSTEM
79.2
2140813
PDS 4-0 Z-494
16.5
2140814
VICRYL 5-0 VR834
19.4
2140815
ETHIBOND 2-0 X853
7
2140816
PROLENE 6-0 8695
16.3
2140817
PDS 6-0 Z432
11.3
2140818
ETHILON 5-0 1895
16.9
2140819
ETHIBOND 3-0 X832
7.5
2140820
CHROMIC 5-0 687
14
2140821
PDS 2-0 Z259
8.5
2140822
PDS 4-0 Z504
19.5
2140823
CURVED CUTTER STAPLER 3.0X3.5
1200
2140824
CURVED CUTTER STAPLER 3.0X4.7
1200
2140825
CURVED CUTTER RELOAD 3.0X3.5
550
2140826
CURVED CUTTER RELOAD 3.0X4.7
550
2140827
MONOCRYL Y427
16
2140828
MONOCRYL Z432
14
2140829
ETHILON 1714
40.75
2140830
PDS Z496
16
2140831
PDS Z432
11.25
2140832
SILK 684
8
2140833
SILK K852
5.9
2140834
PDS Z338
8.39
2140835
LIGASURE LS 1500 5MM
1155
2140836
COUNTOUR CUTTER STAPER 1.5 ML
1200
2140837
COUNTOUR CUTTER STAPER 2 ML
1200
2140838
COUNTOUR CUTTER RELOAD 1.5 ML
550
2140839
COUNTOUR CUTTER RELOAD 2 ML
550
2140840
HARMONIC SCALPEL PISTOL/C 23CM
1250
2140841
HARMONIC SCALPEL PISTOL/C 36CM
1250
2140842
HARMONIC SCAL.CURVED PISTOL GR
995
2140843
LAPAROSONIC DISSECTING HOOK 5M
565
2140844
PDS II Z497
18.75
2140845
VICRYL J347
6.75
2140846
POLYGLYTONE 2-0 6211
57
2140847
VICRYL COATED 6-0 556 G
22.04
2140848
CURVED BLADES 5MM-32CM
537
2140849
CURVED BLADES/GRIP 14CM
508.5
2140850
GORE-TEX SUTURE CV-4
54.75
2140851
VICRYL 5-0 J 421H
6.84
2140852
LIGASURE L51120
895
2140853
PARIETEX COMPOSITE 37X28CM
3015
2140854
MAXON 2-0 6233-51
13.35
2140855
LAPRA TY ABSORBABL SUTURE CLIP
343
2140856
LIGASURE LF 1212 SMALL JAW
1335
2140857
MAXON 4-0
7.34
2140858
UTERINE MANIPULATOR COMED VCAR
222
2140859
VENTRALIGHT ST MESH 6 BARD
720
2142503
ECHELON STAPLER 60
1440.51
2142504
FLEXDEX NEEDLE HOLDER
1100
2145060
TA PREMIUM 55-4.8
153.36
2145061
NUROLON C521D
41
2145062
BIOSYN 0-CM 844GS
13.06
2145063
MAXON 0 6267-61 GREEN
5.68
2145064
MAXON 0 6269-71 GREEN
6.96
2145065
PROCEED MESH 12 X 12
3450
2145066
ETHIBON 2-0 X 513H
17.67
2145067
MF GI 60-38 DLU 030678L
126
2145068
MERSELENE R832
8.15
2145069
MERSELENE R691
18.75
2145070
SURGILON 1971-61
5
2145071
LIGASURE LS 1520
1335
2145072
BIOSYN CM-558
15.42
2145073
MONOCRYL Y 494
18.6
2041477
UNIDIRECCIONAL 2-5 7FR/115 MED
1342.5
2041478
ENSITE ARRAY CATHETER
1575
2041479
COOL POINT TUBING SET
240
2041480
INTERGARD KNITTED 10X40
1860
2041481
AMPLATZER VASCULAR PLUG II 6MM
3300
2041482
AMPLATZER VASCULAR PLUG II 8MM
3300
2041483
AMPLATZER VASCULAR PLUGII 10MM
3300
2041484
AMPLATZER VASCULAR PLUGII 12MM
3300
2041485
AMPLATZER VASCULAR PLUGII 14MM
3300
2041486
QUICK CATH R0X
1185
2041488
BALLOON STERLING / COYOTE SL
1368
2041490
AORTIC VALVED W/GRAFT ST JUDE
11990
2041491
EZ STEER THERMOCOOL 3.5MM CURV
2250
2041492
LASSO VAR 20 ELECTRODE 25-15MM
2925
2041493
COOLFLOW TUBING SET
135
2041494
BARD PTFE FELP
162
2041495
DIAGNOSTIC CATH 3DRC 4FR
48
2041496
HEMOSTASIS INTRODUCER 12FR
210
2041497
EXTRACTION STYLET LLD EZ
1450
2041498
EXTRACTION STYLET LLD #3
1300
2041499
GUIDE WIRE - VIPER .014 / .023
450
2041500
GUIDE WIRE ASAIH FLEZDER XT
285
2041501
EVOLUTION LEAD EXTRAC 11/13 FR
3040
2041502
AORTIC EXTENDER ENDOPROSTHESIS
2142
2041503
GORE ENDOPROSTHESIS PLC201400
3530.4
2041504
TRUNK-IPSIL LEG END 31x14.5x17
12000
2041505
GORE DRYSEAL SHEATH 20F INTRO
354
2041506
12 FR INTRODUCER
750
2041507
18 FR INTRODUCER
885
2041508
GUIDING CATH RUNWAY W/O HOLES
285
2041509
HEMAHIELD CARDIOVAS PATCH 2X6"
1362
2041510
GORE TAG THORACIC ENDOPROSTHES
13990.8
2041511
GORE TRI-LOBE BALLOON CATHETER
662.4
2041512
STENT ENDEAVOR
3500
2041513
BALLOON SPRINTER LEGEND
975
2041514
DOC EXT .014/0.18X145 HITORQUE
300
2041515
IRON MAN SINGLE .014X190 GUIDE
285
2041516
IRON MAN EXCH SNG .014X300CM
285
2041517
IRON MAN J TIP SINGLE .014X190
285
2041518
BMW UNIV 300CM J TIP GUIDEWIRE
285
2041519
WHISPER EXTRA SUPPOR 190CM GUI
285
2041520
MIRACLEBROS 3-180CM GUIDEWIRE
285
2041521
MIRACLEBROS 6-180CM GUIDEWIRE
285
2041522
MIRACLEBROS 3-300CM GUIDEWIRE
285
2041523
MIRACLEBROS 6-300CM GUIDEWIRE
285
2041524
GRAND SLAM 300CM GUIDEWIRE
285
2041525
WIGGLE .014X190CM GUIDEWIRE
285
2041526
WIGGLE .014X300CM GUIDEWIRE
285
2041527
ASAHI EXT WIRE .014X150CM
300
2041528
GUIDE WIRE STEEL CORE .018
225
2041529
GUIDE WIRE H-T SUPRA CORE
225
2041530
STENT ABS PRO BIL SELF EXPANDI
2550
2041531
BALLON FDA FOXCROSS .035
690
2041532
GUIDING CATH MPA 2
55.5
2041533
GUIDING CATH TORQUE PLUS MPA 1
52.5
2041534
DOUBLE LUMEN 13.5 X 35CM TEMP
1425
2041535
IM DIAGNOSTIC CATHETER
55.5
2041537
LEAD ATTAIN ABILITY 4196
3000
2041538
D-STAT RAD BAND HEMOSTAT
135
2041539
STENT ION MR
3750
2041540
SHEATH INTRODUCER TRANSRADIAL
55.5
2041541
GUIDE WIRE JOURNEY STRAIGHT
360
2041542
GUIDE WIRE JOURNEY CURVE
360
2041543
RE-PRO QUADRIPOLAR CATHETER
67.5
2041544
RE-PRO DECAPOLAR CATHETER
82.5
2041545
RE-PRO DIAG LIVEWIRE STEERABLE
223.5
2041546
RE-PRO DIAG SUPREME CATHETER
82.5
2041547
ENDOPROSTHESIS 8mmX10cm VIABAH
3300
2041548
VASCULAR GRAFT 26X30 COLLAGEN
2670
2041549
INTERGARD WOVEN 10X30
2160
2041550
AORTIC VALVE ST JUDE MEDICAL
8180
2041551
MITRAL VALVE ST JUDE MEDICAL
6400
2041552
PPM ZEPHYR DUAL CHAM DDDR 5820
3456
2041553
DURATA ABBOTT
2394
2041554
VENTR. CABLE 5086 MRI 52/58 CM
1050
2041555
ENDOPROSTHESIS 7mmX5cm VIABAHN
4000
2041556
GORE TRUNK-IPSILAT LEG ENDOPRO
9180
2041557
GORE EXCLUDER ENDOPROS ILIAC
3883.2
2041558
GORE DRYSEAL SHEATH 12-14F
504
2041559
GORE DRYSEAL SHEATH 18F
441.6
2041560
CONQUEST HIGH PRESS BALLOON
240
2041563
GORE EXCLUDER ENDOPR PXC141200
3530.4
2041564
TENDRIL ELECTRODES
570
2041565
CORONARY SINUS-CPS KIT
750
2041566
SHEATH INTRODUCER
60
2041567
SURGICAL CABLE
30
2041568
INTRODUCER
150
2041569
DEXTRUS 4135/4136/4137
541.2
2041570
ENDOTAK RELIANCE
100
2041571
ACUITY STEERABLE
2622
2041572
EXPLORER COURNAND CURVE/DECAPO
100
2041573
FINELINE BIPO ENDO PACING LEAD
541.2
2041574
ENDURANT STENT GRFT BIFURCATED
5760
2041575
ENDURANT STENT CNTRL LIMB 1613
5040
2041576
ENDURANT STENT GRFT ILIAC EXT
4200
2041577
RELIANT BALLOON CATHETER
360
2041578
TALENT THORACIC PROXIMAL STENT
15000
2041579
TALENT THORACIC DISTAL STENT
14000
2041580
GUIDEWIRE ARCHER SUPER STIFF
375
2041581
CAPELLA COAXIAL MICROINTRO KIT
42
2041582
CPS DIRECT SLII GUIDE CATHETER
554.4
2041583
CPS AIM CATHETER
750
2041584
VENOGRAM BALLOON 601296 ABBOTT
228
2041585
CPS UNIVERSAL SLITTER
90
2041586
GUIDEWIRE 0-014 ST JUDE
270
2041593
FLEXTEND LEAD 4087/4088
541.2
2041594
EPICARDIAL LEAD 4046/4047
541.2
2041595
EASYTRAK 2 LEAD
2622
2041596
EASYTRAK 3 LEAD
2622
2041597
ACUITY SPIRAL LEAD
2622
2041598
ENDOTAK RELIANCE G 0184/0185
1710
3202044
POTASIUM CHLOR 40MEQ/20ML VIAL
2.28
3202045
POTASIUM PHOSPHATE VIAL 15ML
15
3202046
POTASIUM PHOSPHATE VIAL 5ML
1.53
3202047
PROTAMINE 50MG/5ML AMP
6
3202048
RETROVIR 10MG/20ML VIAL
17.73
3202049
SODIUM BICARBONATE4.2%10ML SYR
7.35
3202050
SODIUM BICARBONAT8.4%10ML SYR
11.64
3202051
SODIUM THIOSULFATE 10%VIAL10ML
20.28
3202052
SOLUCORTEF 250MG VIAL
6.3
3202053
STREPTOKINASE 1500000U/VIAL
586.2
3202054
TAGAMET 150MG/ML VIAL 8ML
10.41
3202055
THORAZINE 25MG/ML AMP
12.54
3202056
TIGAN 100MG/ML VIAL 20ML
7.46
3202057
TIGAN 200MG/2ML AMP
5
3202058
XYLOCAINE 1GM/25ML VIAL
3.48
3202059
XYLOCAINE 2GM/50ML VIAL
7.59
3202060
DANTRIUM 20MG VIAL
160.38
3202061
ETHYL-CHLORIDE FRASCO 103.2ML
49.41
3202062
ETHYL-CHLORIDE FRASCO 120ML
49.41
3202063
ETOMIDATE 2MG/ML VIAL 20ML
52.5
3202064
LIDOCAINE 1% VIAL 50ML
1.5
3202065
LIDOCAINE 2% VIAL 50ML
1.5
3202066
LIDOCAINE 4% TOP 50ML VIAL
7
3202067
NITRAT DE PLATA APLICADOR X100
22.8
3202068
SENSORCAINE 0.25% VIAL 50ML
6.27
3202069
SENSORCAINE0.50% MPF VIAL 10ML
5.22
3202070
SENSORCAINE 0.50% VIAL 50ML
5.55
3202071
SANTYL COLLAGENASE OINT 30GM
113.88
3202072
SANTYL COLLAGENASE OINT 15GM
64.2
3202073
ACTIVASE 100MG VIAL
5710.32
3202074
XIGRIS 5MG VIAL
335.1
3202075
ADVAIR 50/500 (X28)
130.95
3202076
COVERT 0.1MG-ML VIAL 10ML
633.66
3202077
PREPIDIL 0.5MG/3GM VAG GEL
229.49
3202078
TRACIUM 50MG/5ML
6.5
3202079
XYLOCA2%C EPI1:100000 V 500ML
19.41
3202080
XYLOCAINE MPF 1% AMP 5ML
6.09
3202081
XYLOCAINE MPF 2% AMP 10ML
9.45
3202082
XYLOCAINE MPF 2% VIAL 10ML
17.46
3202083
XYLOCAINE MPF 4% AMP 5ML
13.62
3202084
ZEMURON 10MG/ML
47.91
3202085
AMINO CERV 77.96GM TUBE
33.78
3202086
ENEMA DE JABON DE CASITLLA
3
3202087
FLEET ENEMA BISACODYL
9.36
3202088
DIPROSONE 0.05% OINT.45GM TUBE
4.35
3202089
DIPROSONE CR 0.05% CR15GM TUBE
3.66
3202090
DIPROSONE CR 0.05% CR45GM TUBE
5.79
3202091
ASPIRIN 325MG TAB U/D
0.25
3202092
ALDOMET 500MG TAB
0.36
3202093
ACETONA EN SOBRE
0.3
3202094
DOMEBORO POWDER SOBRE
1.05
3202095
VIROPTIC
247.55
3202096
HYDROCORTISONE 0.5%CR30GM TUBE
2.61
3202097
HYDROCORTIS 0.5%OINT30GM TUBE
2.61
3202098
HYDROCORTISONE 0.5% CR 15GM
2.55
3202099
HYDROCORTISONE 1% CR 30GM TUBE
3.24
3202100
HYDROCORTISONE 1% OINT 15GM
3.3
3202101
HYDROCORTISONE2.5%OINT 20GM CR
6.45
3202102
LIDOCAINE 2% JELLY 30ML TUBE
30.45
3202103
NYSTATIN CON TRIAM CR 30GM
5.79
3202104
NYSTATIN CON TRIAM CR15GM TUBE
3.24
3202105
NYSTATIN CR 15GM TUBE
2.94
3202106
NYSTATIN CR 30GM TUBE
3.72
3202107
LOTRISONE MIX 30GM
8.7
3202108
LOTRISONE MIX 90GM
64.86
3202109
TRIPLE ANTIBIOTIC OINT 30GM
3.33
3202110
TRIPLE ANTIBIOTIC OINT 15GM
3
3202111
TRIPLE ANTIBIOTIC PLUS OINT
3.06
3202112
VALISONE 0.1% OINT 15GM TUBE
2.97
3202113
XYLOCAINE 5% OINT 35GM TUBE
26.34
3202114
ZINC OXIDE OINT 30GM TUBE
2.34
3202115
ZINC OXIDE OINT 60GM TUBE
3.36
3202116
ZOVIRAX 5% OINT 15GM TUBE
171.44
3202117
ZOVIRAX 5% OINT 3GM TUBE
63.63
3202118
ALCOHOL ETILICO 95%
0.12
3202119
CALADRYL FCO
5.01
3202120
DERMASOFT 18OZ FCO
18.48
3202121
BETADINE SCRUB 16OZ
13
3202122
BETADINE SCRUB 32OZ
18.15
3202123
HIBICLEAN 16OZ
23.19
3202124
TINTURA VIOLET 1% FCO
3
3202125
TRIPLE DYE 15ML FCO
0.96
3202126
CAPOZIDE 25/25MG TAB
0.54
3202127
CAPOZIDE 50/15MG TAB
0.48
3202128
CHROMAGEN FORTE CAP
2.07
3202129
COUMADIN 6MG TAB U-D
3.15
3202130
CUPRIME 125MG CAP
2.34
3202131
DERAPRIM 25MG TAB
1.23
3202132
DEPAKOTE 250MG TAB
2.4
3202133
DEPAKOTE 500MG TAB
5.31
3202134
ELAVIL 50MG TAB
0.25
3202135
GANTRISIN 500MG TAB
0.3
3202136
INDERAL 80MG TAB
0.25
3202137
KEFLEX 250MG TAB
0.36
3202138
LIORESAL 10MG TAB
0.3
3202139
LITHIUM 300MG TAB
0.25
3202140
MELLARIL 50MG TAB
0.87
3202141
MYLICON 125MG TAB
0.25
3202142
OSCAL 500MG CON VIT D TAB
0.25
3202143
PAMELOR 50MG CAP
0.3
3202144
PREDNISONE 10MG TAB
0.25
3202145
PREDNISONE 50MG TAB
0.51
3202146
PREMARIN 0.625MG TAB
2.37
3202147
PRENATAL TAB
0.33
3202148
PROCAINAMIDE 500MG CAP
0.81
3202149
PROCAN 500MG ER TAB
1.05
3202150
RETROVIR 300MG TAB
9.09
3202151
RIFAMPIN 300MG CAP
3
3202152
SINEMET 50/200MG SR TAB
5.01
3202153
QUINIDEX 200MG ER TAB
0.78
3202154
SULFADIAZINE 500MG TYAB
3.39
3202155
SUPRAX 400MG TAB
20.1
3202156
SYMMETREL 100MG CAP
0.51
3202157
SYNTHROID 200MCG
1.65
3202158
SYNTHROID 25MCG
0.9
3202159
TAPAZOLE 5MG TAB
1.11
3202160
THEOPHILLIN 300MG CR CAP
2.07
3202161
ZANTAC 300MG TAB
0.39
2605361
VON WILLEBRAND MULTIMERES
85247
268
2605362
CAP RAST COW MILK
86003
56
2605363
CAP RAST CASEIN
86003
56
2605364
CAP RAST WHEY
86003
73
2605365
HEPARIN INDUCED ANTI XA
85520
372
2605366
TRANSFERIN SOLUBLE RECPT ASSAY
83520
230
2605368
URINE FOR FREE EXTR. BICARBONA
82374
103
2605369
ANTI SOLUBLE LIVER AG ANTI-SLA
83520
203
2605370
B LYMPHOCITE COUNT
86355
60
2605371
PLATELET FACTOR 4 AB
83520
330
2605372
REACTIVE PROTEIN CRP QUANT.
86140
20
2605373
COMPLEMENT C1 Q
86160
28
2605374
DEXAMETHASONE LEVEL
82533
142
2605375
TAMBOCOR ( FLECAINIDE )
89354
175
2605376
APT TEST ( STOOL )
83033
6
2605377
NATURAL KILLER CELL SURF AG CD
86357
278
2605378
ID & SENS AEROBIC GR.POS BACIL
87077
203
2605380
GFR (GLOMERULAR FILTRAT RATE
82565
17
2605381
CLONIDINE (CATAPRESS)
82384
376
2605382
YEAST IDENTIFICATION
87106
53
2605383
ANTI-FUNGAL SUSCEPT FLUCONAZOL
87186
75
2605384
RAST WORM WOOD
86003
26
2605385
RAST HORSE DANDER
86003
26
2605387
RAST BARLEY
86003
26
2605388
EBV VIRUS PCR
87798
375
2605389
CMV PCR QUALITATIVE
87496
438
2605390
URINE ETHANOL
80320
16
2605391
OLIGOCLONAL BANDING
83916
72
2605392
METHANOL BLOOD
84600
123
2605393
ADENOSINE DEAMINASE
84311
263
2605394
PINP OF TYPT I PROCOLLAGEN
82523
301
2605395
N TELEPEPTYDE URINE
82523
111
2605396
ESTRADIOL/SENSITIVE
82670
260
2605397
METANEPHRINES PLASMA
83835
408
2605398
HISTOPLASMA URINE
87385
123
2605399
HEPATITIS C RNA BY PCR GENOTYP
87522
552
2605400
FATTY ACID PROFILE PER C22-C26
82726
340
2605401
HTLV - CSF
86790
98
2605403
ORGANISM ID YEAST
87106
53
2605404
RAST FEATHER FINCH
86003
17.25
2605405
RAST THYME
86003
17.25
2605406
HEMOGLOBIN FRACTIONATED PROFIL
83021
81
2605407
THERMOACT CANDIDA AB
86602
104
2605408
RAST MUSTARD
86003
17
2605409
RAST BANANA
86003
17
2605410
RAST OLIVES
86003
17
2605411
RAST PEAR
86003
17
2605412
RAST OREGANO
86003
17
2605413
RAST SESAME SEED
86003
17
2605414
RAST PARSLEY
86003
17
2605415
RAST GREEN PEPPER BELL
86003
17
2605416
RAST MALT
86003
17
2605417
RAST OYSTER
86003
17
2605418
RAST PLUMS
86003
17
2605419
RAST FLOUNDER
86003
17
2605420
RAST PAPAYA
86003
17
2605421
RAST CHERRY
86003
17
2605422
RAST COFFEE
86003
17
2605423
RAST BRAZILIAN NUT
86003
17
2605424
RAST CILANTRO
86003
17
2605425
RAST VINEGAR
86003
17
2605426
CHROMOSOME ANALYSIS TISSUE BIO
88233
1445
2605427
CHOLINESTERASE
82480
38
2605428
URINE FOR OVA-PARASITE SPT STO
87177
18
2605429
ARBOVIRAL ENCEPHALITIS AB IGG
86651
120
2605430
ARBOVIRAL ENCEPHALITIS AB IGM
86651
184
2605431
AEROBIC BACT + SENSITIVITY
87077
41
2605432
HEMOGLOBIN SOLUBILITY(SICKLE C
85660
11
2605433
SJOGRENS ANTI SSA
86235
12
2605434
SJOGRENS ANTI SSB
86235
12
2605435
Q FEVER AB IGG (COXIELLA BURN
86638
55
2605436
HEREDITARY HEMOCHROMATOSIS
81256
165
2605437
RAST IGE RAPE SEED
86003
94
2605438
ANA QUANT ( WITH TITER )
86039
50
2605439
IBU PROFEN
82542
115
2605440
NORMEPERIDINE/MEPERIDINE
80362
185
2605441
RAST EGG YOLK
86003
18
2605442
ANTIMIOCARDIAL AB
86256
60
2605444
BERDETELLA PERTUSSIS CULTURE
87070
142
2605445
HISTOPLASMA CAPSULATUM ABS
86698
38
2605446
RAST LETTUCE
86003
17
2605447
OCCULT BLOOD GASTRIC
82271
80
2605448
HERPES VIRUS 6 AB IGG QUANT
86790
184
2605450
EBV IGG CSF
86665
86
2605452
ALPHA I ANTITRIPSIN CLEAR F-S
82103
304
2605453
ETHYLENE GLYCOL SERUM
82693
175
2605454
ANTIMULLERIAN HORMONE
83516
116
2605455
INSULIN ( 4 SPECIMENS)
83525
115
2605456
INSULIN ( 2 SPECIMENS )
83525
58
2605457
VITAMIN A & E
84446
85
2605458
H. PYLORI CULTURE
87081
106
2605459
E-COLI 0157:H7 AGGLUTINATION
87335
16
2605460
BENADRYL BLOOD
82542
132
2605461
ANAEROBIC CULTURE
87075
45
2605462
TESTOSTERONE/ SERUM
84403
20
2605463
IgG RICE
86003
29
2605464
IgG WHEAT
86003
29
2605465
IgG CASEIN
86003
29
2605466
IgG CHICKEN
86003
29
2605467
IgG TOMATO
86003
29
2605468
IgG OAT
86003
29
2605469
IgG CORN
86003
29
2605470
IgG SOY
86003
29
2605471
IgG COW MILK
86003
29
2605472
CMV QUANTITATIVE DNA PCR URINE
87497
552
2605473
ASPERGILLUS Ag BALL SERUM
87305
311
2605474
RAST RYE
86003
26
2605475
ORGANISM ID MYCOBACTERIA
87118
289
2605476
CHOLESTEROL CRYSTALS
89060
93
2605477
HERPES SIMPL VIRUS (CUL & TYP)
87255
85
2605479
THIOPURINE METHYLTRANITERASE
82542
458
2605480
VITAMINA D 25 HYDROXY D2 + D3
82306
255
2605481
ANTI GIARDIA LAMBLIA IgG
86674
161
2605482
PANCREATIC POLYPEPTIDE SERUM
83519
143
3203244
ATRACURIUM (TRACIUM) 10MG/ML
15
3203245
VENCURONIUM BROMIDE 10MG/10ML
9.35
3203246
BUPIVACAINE HCHL .5% 50MG/10ML
43.75
3203247
PULMICORT 0.25 GENERICO
10.5
3203248
PULMICORT 0.5 GENERICO
12.5
3203249
COZAAR 50 MG GENERICO
3.5
3203250
COZAAR 100 MG GENERICO
6.5
3203251
FLOMAX 0.4 MG GENERICO
3.5
3203252
NIMBEX 10MG/5ML
63
3203253
AUGMENTIN 250MG/5ML 50ML
10
3203254
METAMUCIL SUGAR FREE
9.5
3203255
EURAX LOT 480ML
643.5
3203256
ULTANE GENERICO
240
3203257
BREBIBLODE GENERICO
16.5
3203258
VENOFER 100MG/5ML VIAL
94.5
3203259
IMITREX GENERICO 20MG
2.8
3203260
DORIBAX 500MG
92
3203261
TRILIPIX 135MG
8.5
3203262
HEPARINE/25000/250ML .45 HBAG
8.5
3203263
BUMEX 0.25MG/ML 10ML/VIAL
3.5
3203264
TEKTURNA 150.MG
6
3203265
TEKTURNA 300.MG
7.5
3203266
CALCITRIOL 1MCG/ML AMPOLS
15
3203267
TRILIPIX 45 MG CAP
3.5
3203268
SEPTRA 400 / 80MG
0.5
3203269
ANCEF 1GM PREP IV ROOM
3.5
3203270
CLAFORAN 1GM PREP IV ROOM
1.5
3203271
CLAFORAN 2GM PREP IV ROOM
2
3203272
FORTAZ 1GM PREP IV ROOM
2
3203273
FORTAZ 2GM PREP IV ROOM
3
3203274
ROCEPHIN 1GM PREP IV ROOM
1.5
3203275
MEFOXIN 1GM PREP IV ROOM
2
3203276
NAFCIL 1GM PREP IV ROOM
9.5
3203277
PENICILLINA G POTASICA IV ROOM
5.5
3203278
TIMENTIN 3.1GM PREP IV ROOM
2.5
3203279
VANCOMYCIN 500MG PREP IV ROOM
2
3203280
ZINACET 750 MG
1
3203281
ZINACEF 1.50 GM PREP IV ROOM
1
3203282
ZITHROMAX 500MG PREP IV ROOM
4
3203283
TUSSI-PRESS 5ML SYRINGE
0.5
3203284
TYLENOL 10ML SYRINGE
0.5
3203285
LYSIPLEX PLUS 15ML SYRINGE
0.5
3203286
REGLAN 1ML SYRINGE
0.5
3203287
CARNITOR 3ML SYRINGE
0.5
3203288
DIURIL 1ML SYRINGE
0.5
3203289
ZANTAC 5ML SYRINGE
0.5
3203290
DILANTIN 5ML SYRINGE
1
3203291
LASIX 1ML SYRINGE
0.5
3203292
LANOXIN 1ML SYRINGE
1
3203293
KEPPRA 5ML SYRINGE
0.5
3203294
ROBITUSSIN DM 5ML SYRINGE
0.5
3203295
CARAFATE 5ML SYRINGE
0.5
3203296
CLARITIN 5ML SYRINGE
0.5
3203297
MAALOX 5ML SYRINGE
0.5
3203298
GAVISCON 5ML SYRINGE
0.5
3203299
SYMBICORT 160/4.5 10.2GM
426.5
3203300
SYMBICORT 80/4.5 10.2GM
373.5
3203301
ZOZYN 3.375GM GENERICO
11
3203302
ZOZYN 2.25GM GENERICO
7.5
3203303
ZOZYN 4.5GM GENERICO
14
3203304
VAGIFEM VAGINAL TAB 10 MCG
15
3203305
LYSIPLEX PLUS CUP
0.5
3203306
TUSSIORGANIDIN DM CUP
0.5
3203310
BIOGAIA (DROP)
0.27
3203332
EMLA 5GM CREAM
11
3203333
DOXYCYCLINE 50MG CAP
0.5
3203334
INTELENCE 200MG TAB
41
3203335
POTASSIUM CHLORIDE 40MEQ/15ML
6
3203336
ETOMIDATE 40MG/20ML VIAL
17.5
3203337
SUFENTANIL 50MCG/ML 5ML
48
3203338
PROPARACAINE DROP 0.5% 15ML OP
74.98
3203339
ACTIDOSE W SORBITOL SUSP 120ML
30.26
3203340
ZOSYN 2.25GM GA 50ML
11.34
3203341
ZOSYN 4.5GM GA 100ML
18.54
3203342
MERREM 1GM PREP IV ROOM
2.5
3203343
CONCERTA 54MG CR TAB
19.4
3203344
MIRALAX 17GM U/D
3.5
3203345
MIRALAX 119GM BTL
7.5
3203346
MIRALAX 238GM BTL
20.5
3203347
AGGRASTAT 3.75MG/15ML
354.5
3203348
LAMISIL AT CREAM
13.5
3203349
BREO ELLIPTA 200/25MCG BTL
230
3203350
DESCOVY 200MG/25MG TAB
126.5
3203351
AQUASOL E 15 IU 0.3ML BTL 30ML
81.5
3203352
LEUCOVORIN 200 MG VIAL
111.5
3203353
EFFEXOR 100 MG TAB
0.5
3203354
VIMPAT 10MG/ML SOLUTION
4
3203355
NIVESTYM 300MCG/0.5ML SYRENGE
378.5
3203356
NIVESTYM 480MCG/0.8ML SYRENGE
606
3203357
OMNIPAQUE 12MGML ORAL500ML BTL
13.5
3203358
CIPRO 50MG/ML EXTEMPORANEA
1
3203359
TRANEXAMIC 1000MG/10ML
9.76
3203360
HIBICLENS 32OZ
13.84
3203361
MIRALAX 17.9OZ
9.12
3203362
ZYVOX 100MG/5ML (150ML) BTL
1101
3203363
CLARISCAN 7.5 MMOL/15ML BTL
55
3203364
SEPTRA INY 5ML
18
3203365
VITAMINA B-12 250 MCG TAB
0.5
3203366
SUSTIVA 50 MG CAP
6
3203367
KENALOG 0.025% 15GM TUBE
5
3206169
FLEBOGRAMA 10GM
1650
3206170
NARCAN 2MG/2ML
27.28
3206171
APPLICATOR SILVER NITRATE EACH
0.5
3206172
BACTROBAN 1GM EACH
6
3206173
GENTAMYCIN 1GM EACH
0.5
3206174
HYDROGEN PEROXIDE (PER OZ)
0.5
3206175
LOTRISONE CREAM 1GM EACH
5
3206176
NEOSPORIN 1GM EA TRIPLE ANTIBI
0.5
3206177
SALINE SOLUTION .9% 250ML
3
3206178
SANTYL COLLAGENASE 1GM EACH
6.5
3206179
SILVADENE CREAM 1GM EACH
0.5
3206180
TEMOVATE (CLOBETASOL) 1GM EACH
0.5
3206181
TYLENOL X-STRENGTH 500MG EACH
1
3206182
XYLOCAINE 1% INJEC (PER 1ML)
3
3206183
XYLOCAINE 2% INJEC (PER 1ML)
0.5
3206184
XYLOCAINE 2% JELLY (PER 1ML)
3
3206185
XYLOCAINE 4% 4% TOPIC(PER 1ML)
0.5
3200188
SINGLET
1
3200189
QUINAMM 260 MG
1.77
3200190
HALDOL INY. 5MG / DOSE
16.3
3200191
HALDOL ORAL SOLUTION 2 MG
8.8
3200192
HALDOL 5 MG
0.9
3200193
HALDOL 2 MG
1.45
3200194
HALDOL .5 MG
3
3200195
PARAFON FORTE DSC 500MG
2.15
3200196
TYLENOL 325MG TAB
0.25
3200197
TYLENOL 500MG
0.5
3200198
CEPASTAT LOZENGE
4.9
3200199
CEPASTAT
0.54
3200200
ADALAT CC 30MG
1.95
3200201
CIPRO 250MG
9.6
3200202
CIPRO 500MG
11.28
3200203
CIPRO 750MG
14.4
3200204
MYCELEX TROCHES 10MG
4.62
3200205
IMODIUM 2MG
1.55
3200206
IMODIUM AD 1MG
3.36
3200207
HISMANAL 10MG
3.75
3200208
NIZORAL 200MG
5.6
3200209
TRIPLE DYE
0.96
3200210
PROPULSID 20MG
2.4
3200211
SPORANOX 100MG
10.1
3200212
VERMOX 100MG
10.44
3200213
AZACTAM 1GM
43.18
3200214
AZACTAM 2GM
140.5
3200215
CAPOTEN 12.5M
1.05
3200216
CAPOTEN 25M
1.1
3200217
CAPOTEN 50MG
2.2
3200218
CAPOZIDE 25/15
1.48
3200219
CAPOZIDE 50/25
2.44
3200220
CORZIDE 40/5
2.62
3200221
CORGARD 40MG
2.1
3200222
CEFZIL SUSP 125MG
26.2
3200223
CEFZIL SUSP 250MG
48.25
3200224
CEFZIL 500MG
11.6
3200225
HYDREA 500MG
2.75
3200226
KENALOG 40MG/2M / DOSE
16.15
3200227
NYSTATIN ORAL SUSP
2.94
3200228
NYSTATIN 500000 U
0.2
3200229
PROVACHOL 20MG
3.85
3200230
PRONESTYL-SR 500MG
1.3
3200231
VELOSEF 500MG
5.22
3200232
VELOSEF SUSP 250MG
34
3200233
AFRIN NASAL
2.5
3200234
AFRIN REGULAR
9.1
3200235
CHLORTRIMETRON 8 HR 8MG
0.4
3200236
CHLORTRIMETRON 4 HR 4MG
0.3
3200237
VANCENASE AQ
84.15
3200238
CLARITIN 10MG
3.8
3200239
CLARITIN-D
2.25
3200240
EULEXIN 125MG
3.15
3200241
GARAMYCIN 20MG
1.5
3200242
GARAMYCIN 80MG / DOSE
11.52
3200243
IMDUR 60MG
2.6
3200244
K-DUR 20MEQ
0.9
3200245
NORMODYNE 100MG
1.1
3200246
NORMODYNE 300MG
1.65
3200247
NORMODYNE 10 MG/ML
5.5
3200248
PROVENTYL 2MG
0.8
3200249
PROVENTYL 4MG
1.15
3200250
PROVENTYL REPETABS 4MG
1.4
3200251
CELESTONE 4MG
13.5
3200252
VANCERIL / DOSE
87.72
3200253
PROVENTYL INHALER
51.4
3200254
THEO-DUR 200MG
65
3200255
THEO-DUR 300MG
0.65
3200256
ALDACTAZIDE 25/25
0.9
3200257
ALDACTONE 25MG
2.94
3200258
ALDACTONE 50MG
1.89
3200259
ALDACTONE 100MG
3.48
3200260
CALAN 40MG
0.6
3200261
CALAN 80MG
0.85
3200262
CALAN 120MG
1.8
3200263
CALAN SR 120MG
1.1
3200264
CALAN SR 180MG
1.6
3200265
CALAN SR 240MG
1.7
3200266
CALAN (VERAPAMIL) INY. 5MG
2
3200267
COVERA HS 180MG
2.15
3200268
COVERA HS 240MG
2.95
3200269
CYTOTEC 100MG
1.98
3200270
ZARAXOLYN 2.5MG
3.69
3200271
ZARAXOLYN 5MG
3.51
3200272
ZARAXOLYN 10MG
4.23
3200273
DRAMAMINE 50MG
0.35
3200274
DRAMAMINE INY 2ML TUBEX 50MG
5
3200275
KERLONE 10MG
1.66
3200276
KERLONE 20MG
2
3200277
FLAGYL 250MG
2.85
3200278
FLAGYL 500MG
5.2
3200279
ACTIGALL 300MG
4.5
3200280
TRANSDERM NITRO .1MG
3.28
3200281
TRANSDERM NITRO .2MG
1.5
3200282
TRANSDERM NITRO .4MG
1.5
3200283
NORPACE CR 100MG
1.4
3200284
NORPACE CR 150MG
1.3
3200285
SLOW MAG
0.3
3200286
COMPAZINE 10MG / DOSE
9.46
3200287
COMPAZINE 5MG TAB / DOSE
1.19
3200288
CYTOMEL 5MG
0.3
3200289
DYAZIDE
0.85
3200290
PAXIL 20MG
6.3
3200291
ASA 325MG
0.1
3200292
RELAFEN 500MG
2.1
3200293
RELAFEN 750MG
2.45
3200294
TAGAMET 300MG
1.9
3200295
TAGAMET 400MG
3.15
3200296
TAGAMET 800MG
5.55
3200297
TAGAMET ORAL SOLUTIONS 300MG
2.98
3200298
STELAZINE 2MG
0.55
3200299
THORAZINE 25MG TAB. / DOSE
1.21
3200300
THORAZINE 25MG INJ. / DOSE
17.48
3200301
URISPAS
1.6
3200302
NYLLICON 80MG
0.25
3200303
STUARTNATAL PLUS
0.55
3200304
NOLVADEX 10MG
2.8
3200305
ISORDIL 5MG
0.55
3200306
ISORDIL 10MG
0.6
3200307
ISORDIL 20MG
0.95
3200308
ISORDIL 30MG
1.1
3200309
ISORDIL 40MG
1.15
3200310
TENORMIN 25MG
1.8
3200311
TENORMIN 50MG
1.85
3200312
TENORETIC 50
2.16
3200313
TENORETIC 100
2.95
3200314
ZESTRIL 5MG
1.6
3200315
ZESTRIL 10MG
1.65
3200316
ZESTRIL 20MG
1.75
3200317
ZESTORETIC 20/12.5 MG
2
3200318
ZESTORETIC 20/25
1.95
3200319
CARDENE 20MG
0.85
3200320
CARDENE 30MG
1.16
3200321
CARDENE SR 30MG
1.3
3200322
CARDENE INY 25MG
36.15
3209648
SODUIM THIOSULFATE 250 MG
17.5
3209649
BUTRANS 20 MG
182
3209650
LUMINAL 97.2 MG TAB
0.5
3209651
TRACEER 125 MG TAB
191
3209652
SALICYLIC ACID POWDER
0.5
3209653
DAFLONEX SR 900 MG
1
3209654
VASOFLEX TAB
0.5
3209655
REGATAZ 200 MG CAP
39.5
3209656
LIDOCAINA 2% 5ML VIAL
3.5
3209657
NAPROXEN 125MG/5ML
1.5
3209658
XYLOCAINA MPF 190 30ML
16
3209659
REMERON 15MG
0.5
3209660
REMERON 7.5MG
0.5
3209661
VASELINE TARRO 3.75 ONZA
4
3209662
APNESOLINE 20MG/5ML SOLUCION
3
3209663
CAPOTEN 1MG/ML SOLUCION
1
3209664
CATAPNESS 0.1MG/ML SOLUCION
1.5
3209665
CONEG 1.67MG/ML
0.5
3209666
FLAGYL SOLUCION 50MG/ML
0.5
3209667
MEGACE 40MG TAB
0.5
3209668
PIN X SUSPENSION (FRASCO 60ML)
35.5
3209669
CLAFORAN 40MG/ML
0.5
3209670
ZONEGRAN 100MG CAPS
0.5
3209671
MALARONE 250/100MG TAB
2.5
3209672
EPZICOM 600MG TAB
78
3209673
MOBIC 15 MG TAB
0.5
3209674
ZONEGRAN 25 MG TAB
0.5
3209675
DIBENZYLINE 10MG TAB
20
3209676
BRILINTA 90MG TAB
9
3209677
SYNAGIS 50MG/0.5ML VIAL
0
3209678
GEODON 40MG TAB
19
3209679
GEODON 60MG TAB
24.5
3209680
GEODON 80MG TAB
24.5
3209681
ROBITUSSIN DM SUGAR FREE 120ML
0.5
3209682
ROBITUSSIN SUGAR FREE CUP
0.5
3209683
TOBI TOBRAMYCIN INHALATION SOL
217.5
3209684
ATIVAN 2MG VIAL 10ML
28
3209685
FENTANYL 250 MCG / 5 ML VIAL
2.5
3209686
TUSSIONEX 1ML GENERICA
1
3209687
SUFENTANYL 50MCG
9.5
3209688
PERCOCET (ORIGINAL)
0.5
3209689
ATIVAN 2MG CARPUJECT
2.5
3209690
MORPHINE SULFATE 30MG
1
3209691
LIDOCAINA/EPINEFRINA 190 30ML
3
3209692
ASPIRINE 300MG SUPP
4.5
3209693
TRADJENTA 5 MG TAB
17.5
3209694
LANACANE SPRAY (LANACONE)
11.5
3209695
HAEMOPHILUS B (ACT HiB)
76.5
3209696
MENINGOCOCCAL POLYSACC VACEINE
329.5
3209697
FOSAMAX 70MG TABLETAS
1
3209698
REVLIMID 25MG CAPSULAS
908
3209699
PHYFONADIONE 1MG/0.5ML SYRINGE
7.8
3209700
TROLSTAR DEPOT MIX JERT 3.75MG
364
3209701
ELOCON CREAM 45GM
14
3209702
FELBUTOL 600MG 15ML SUSP
6
3209703
METHOTREXATE 50MG/2ML VIAL
3.3
3209704
METHOTREXATE 250MG/10ML VIAL
11.44
3209705
HEMATRON DROPS
37
3209706
SURVANTA 4ML VIAL
919.5
3209707
AQUADEKS CAP
0.5
3209708
MIRAPEX .025MG
0.5
3209709
FENTANYL 50MCG PATCH DORAGESIC
15.5
3209710
VIMPAT 100MG TAB (CONTROLADO)
17
3209711
FENTANYL 12 MCG PATCHES
20.5
3209712
PHENYLEPHRINA 2.5% 2 ML DROPS
10.5
3209713
PREDNISONE 5MG/5ML SOLUTION
0.5
3209714
ERYTHROMYCIN 1GM ADDVANTAGE VL
23.5
3209715
ADRUCIL 1 GM (FLUOROURACIL)
50.5
3209716
FERRLECIT 62.5 MG/5ML VIAL
76.5
3209717
BETADINE SURGICAL SCRUB 7.5 %
4.5
3209718
ONGLYZA 5MG TAB
18
3209719
TEGRETOL 400MG XR TAB
0.5
3209720
VIT D3 400 MG
0.5
3209721
ZOFRAN 4MG SL TAB
0.5
3209722
MESTINON 60 MG/5ML SYRUP
1.5
3209723
CELEXA 20 MG TAB
0.5
3209724
MUCINEX D 600 MG / 60 MG TAB
1.5
3209725
PROMACTA 25 MG TAB
121.5
3209726
VINCRISTINE 1MG/ML
72
3209727
MUCOMYST 20 % 4ML VIAL
7.5
3209728
CALCIUM CARBONATE 500ML (BTL)
0.5
3209729
RECOMBIVAX HB 5MCG/0.5ML VACCI
25
3209730
ULTIVA 1MG/3ML VIAL CONTROL II
92.5
3209731
NARCAN 0.4MG/4ML VIAL 10ML
112.5
3209732
ATIVAN CONCENTRATE SOLUTION
1
3209733
PULMOZYME 2.5 MG/2.5 ML
177.5
3209734
PITOCIN 10UNI 500ML RL IV ROOM
9.5
3209735
PITOCIN 10UN 500ML NSS IV ROOM
9.5
3209736
ATIVAN 4MG/ML VIAL 10 ML(40MG)
35
3209737
PAPAVERINE HCL 30MG/ML 2MLVIAL
6
3209738
NORVASC 1MG/ML SOLUTION
0.5
3209739
PERIDEX MOUTHWASH 473 ML
6
3209740
ZOFRAN ODT 4MG TAB
0.5
3209741
ZOFRAN ODT 8MG TAB
1
3209742
CALCIUM GLUCONATE 10% 50ML VIA
7.5
3209743
ADENOSCAN 60MG / 20 ML VIAL
J0153
523
3209744
AMPHOGEL SUSPENSION
0.5
3209745
GENTEAL SEVERE LUBRIC GEL 0.3%
24.5
3209746
MUCOMYST 20 % 3 ML SYRINGE
16.5
3209747
ZINECARD 500 MG VIAL
585
3209748
AREDIA 30 MG / 10 ML VIAL
26
3209749
DEXTROSE 25% 50ML SYRINGE
11
3209750
ZOVIRAX PREP EXTEMPORANEA
13.5
3209751
DEXTROSE 50% 500ML BAG
10
3209752
CALCIUM GLUCONATE 10% 10ML SYR
8
3209753
ASACOL HD TAB 800MG
10.5
3209754
SODIUM PHOSPHATE 30MM/250ML.45
6
3209755
DOBUTREX 1GM/250ML DW 5%
26.5
3209756
MAGNESIUM SULPHA 2GM 40ML/50CC
19.5
3209757
XARELTO 15MG TABLETA
17
3209758
SODIUM PHOSPHATE 3MM/ML VIAL50
0.5
3209759
VITAMIN D3 1000 iu CAPSULES
0.5
3209760
NALBUPHINE 20MG/ML VIAL 10ML
43.76
3209761
TPN BAXTER 2000 (S2K150) ML
124.5
3209762
TPN BAXTER (S2K2000H) 150 ML
195.5
3209763
TPN BAXTER (S2K2000P10) 150 ML
195.5
3200747
NEOSPORIN OPHTALMIC OINTMENT
4
3200748
PILOPINE HS GEL 4%
98.4
3200749
PILOCAR 1%
4
3200750
PILOCAR 2 %
22.95
3200751
PILOCAR 4 %
24.6
3200752
POLY-PRED
39.6
3200753
PRED FORTE 1 %
16.1
3200754
TIMOPTIC 0.25 %
5.9
3200755
TIMOPTIC 0.5 %
30.6
3200756
TOBREX OPHTALMIC OINT
48
3200757
TOBREX
5
3200758
TOBRADEX OPHTALMIC OINTMENT
117.75
3200759
TOBRADEX OPHTALMIC SOLUTION
46.8
3200760
TRUSOFT OPHTALMIC SOLUTION 5ML
38.6
3200761
VASOCON OPHTALMIC SOLUTION
9.3
3200762
VASOCON REG
7.8
3200763
VASOCON A
15.87
3200764
VASOSULF
22.16
3200765
VASOCIDIN OPHTALMIC SOLUTION
33
3200766
AMERICAINE OTIC SOLUTION
28.55
3200767
CORTISPORIN OTIC SUSPENSION
11.4
3200768
OCUFLOX OPHTALMIC SOLUTION
51.15
3200769
VOSOL OTIC SOLUTION
72.4
3200770
ACTIFED
0.45
3200771
TYLENOL DROPS 80MG
1.95
3200772
TYLENOL ELIXIR 160 MG
9.8
3200773
CHILDREN'S ADVIL 100 MG
2.15
3200774
AGORAL
1.77
3200775
ALBATUSSIN PEDIATRIC
7.94
3200776
ALBATUSSIN NN
8.5
3200777
ALBA-LYBE
4.78
3200778
AMPHOJEL 320 MG
1.32
3200779
CARBOTRON 25 G
16.3
3200780
CARBOTRON
1.45
3200781
CELESTONE 0.6 MG
19.98
3200782
COLIDROPS
19
3200783
CORTISPORIN HC OTIC SUSPENSION
26.46
3200784
CORTISPORIN HC SOLUTION
23.7
3200785
VOSOL HC OTIC SOLUTION
8
3200786
AMERICAINE OTIC DROPS
29.22
3200787
AURALGAN OTIC DROPS
27.7
3200788
CITRUCEL
1.8
3200789
DECADRON .5 MG
4.1
3200790
DONNATAL ELIXIR
3.35
3200791
DELSYM 90 ML
4.2
3200792
DIASORB 4 ONZ
4.53
3200793
DIMETAPP 120 ML
1.35
3200794
MAALOX TC 12 ONZ
1.36
3200795
MILK OF MAGNESIA
0.39
3200796
METAMUCIL 13 ONZ
0.5
3200797
ACEITE MINERAL 16 ONZ
0.6
3200798
MILKINOL 12 ONZ
1.95
3200799
NALDECON DX 4 ONZ
8.1
3200800
NALDECON DX SENIOR 4 ONZ
10.15
3200801
NALDECON DX PEDIAT DROPS 1 ONZ
8.45
3200802
APETIGEN 8 ONZ
1.8
3200803
APETIGEN PLUS 120 ML
2.8
3200804
ATARAX 10 MG
6.85
3200805
ATARAX SYRUP 10 MG
6.85
3200806
BENYLYN SYRUP
1.8
3200807
BENADRYL ELIXIR
0.84
3200808
BENTYL SYRUP
0.5
3200809
BENYLIN PEDIATRIC 4 ONZ
1.3
3200810
BETADINE MOUTHWASH 6 ONZ
2.75
3200811
BICITRA 16 ONZ
0.9
3200812
CARAFATE SUSPENSION 14 ONZ
7.35
3200813
CEPHULAC 10 GM/15 ML
1.2
3200814
DEPAKENE 250 MG/5 ML
1.98
3200815
DONNAGEL SUSPENSION 4 ONZ
2.34
3200816
ENTEX LIQUID
4.15
3200817
FUROXENE 50 MG/5 ML
0
3200818
FUROXENE 50 MG/15 ML
11.8
3200819
IBERET - 500 8 ONZ
5.32
3200820
GLYROL 4 ONZ
18
3200821
GAVISCON 12 ONZ
1
3200822
KAOPECTATE
0.48
3200823
LUFYLLIN GG ELIXIR
3
3200824
NALDECON EX PEDIATRIC DROPS
9
3200825
NALDECON EX
7.7
3200826
NIFEREX
3.3
3200827
ORGANIDIN NR
9.52
3200828
PEPTO-BISMOL 8 ONZ
0.95
3200829
PEDIAPRED 5 MG/ 5 ML
7.75
3200830
PERIACTIN 2 MG/5 ML
1.6
3200831
PHENERGAN SYRUP
1.5
3200832
PHENERGAN VC 16ONZ
2.95
3200833
PHENERGAN DM 16ONZ
1.08
3200834
KAOCHLOR SF 20 MEQ/15 ML 10%
1.35
3200835
KAON 20 MEQ/15 ML 10%
1.3
3200836
KAON - CL 40 MEQ/15 ML 20%
3.5
3200837
PRELONE SYRUP15MG/5 ML/DOSE5MG
1.41
3200838
PRE-PROTEIN
3.75
3200839
PROTEC PLUS LIQUID
3.8
3200840
PROVENTIL SYRUP
1.8
3200841
REGLAN 5 MG/5 ML
6.35
3200842
RIOPAN
0.75
3200843
RIOPAN PLUS
1.05
3200844
RYNATAN
14
3200845
RYNATAN S
13.02
3200846
SORBUTUSS
2.25
3200847
SEPTRA
4.68
3200848
SIDEROL
4.24
3200849
SIMETYL
3.5
3200850
SLO-PHYLLIN GG SYRUP
5.58
3200851
SENOKOT
5.4
3200852
SUDAFED
0.57
3200853
SUPPORT
3.2
3200854
THEO-CLEAR 80
0.4
3200855
SUPLEVIT
2.5
3200856
THEOFYLLINE ELIXIR 80MG
0.38
3200857
TUSSAR DM
6.8
3200858
TUSSILAN
3.3
3200859
THEO-ORGANIDIN ELIXIR
10.7
3200860
TUSSIORGANIDIN DM
0.46
3200861
VITALAN
1.9
3200862
VITALAN PLUS
2.5
3200863
VITAMIN C
3.64
3200864
ZANTAC 15MG
22.65
3200865
ZOVIRAX
17.25
3200866
IPECAC SYRUP 30ML
3.84
3200867
DALYDINE 30ML
10.3
3200868
BUCALSEP SPRAY
13.9
3200869
AVEENO BAR 3OZ
4.1
3200870
AVEENO BATH TREATMENT 6OZ
11.85
3200871
OILATUM SOAP 3.5OZ
4.9
3200872
SASTID SOAP 3.5OZ
6.85
3200873
CALAMINE LOTION 6OZ
5.85
3200874
CEPACOL MOUTHWASH 4OZ
6.9
3200875
CARMOL-10 6OZ
12.55
3200876
LISTERINE 8.5OZ
5.4
3200877
CHLORASEPTIC SPRAY 6OZ
35.65
2160047
PLACENTA BASIC TRAY
10
2160048
I & D TRAY
8.12
2160049
CORONARY TRAY
25
2160050
HEART TRAY II
45
2160051
WOUND CLOSURE SET
A4550
12.14
2160052
GYNECOLOGY TRAY
15
2160053
VAGINAL SPECULUM
0.72
2160054
UMBILICAL CATH TRAY
126.52
2160055
GASTRIC ALIMENTATION
20
2160056
KIDNEY NEEDLE B.TRAY
30
2160057
INTUBATION TRAY
25
2160058
CATARACT TRAY #1
25
2160059
OPHTALMIC TRAY #2
25
2160060
OPHTALMIC TRAY #3
25
2160061
AMNIOCENTESIS TRAY
27
2160063
ANEURYSM TRAY
30
2160064
EPIDURAL TRAY
31.59
2160065
JAMSHIDI BIOPSY NEED
10
2160067
SOFT TISSUE BX TRAY
52.35
2160068
SADDLE BLOCK TRAY
28.92
2160069
CHEMIO ADM. KIT
25.8
2160070
MAXI DRIVER TRAY
50
2160071
FEM-POP TRAY
40
2160072
RADICAL PROSTAT TRAY
25
2160073
PLASTIC SURGERY TRAY
40
2160074
CURATION KIT
22.66
2160075
GASTROSTOMY TUBE TRAY
195
2160076
T.P.N. TRAY
6.9
2160077
PHACO TRAY
40
2160078
SMALL FRAGMENT TRAY
80
2160079
ALL PURPOSE INT. TRAY
6.3
2160080
TRACK SUCTION TRAY
10.5
2160081
SPINAL TRAY 27 GA
29
2160083
EXCHANGE TRANSFUSION
104
2160084
ABDOMINAL BELT
6.16
2160085
PUDENDAL BLOCK TRAY
10
2160086
LAMINECTOMY TRAY
125
2160087
LARGE FRAGMENT TRAY
90
2160088
MICROSENSOR SKULL BOLT KIT
630
2160090
GENERAL BIOPSY TRAY
27.8
2160091
STERIL YELL MONOTUB TRAY(ORTHO
1800
2160092
ARTHROSCOPY TRAY # 1
40
2160093
PERICARDIOCENTESIS SET
232
2160094
STERILE YELLOW MONOTUBE KIT II
2500
2160095
EPIDURAL PUMP SET
25.2
2160096
SINGLE LUMEN BROVIAC CATH.4.2F
300
2160097
SINGLE LUMEN BROVIAC CATH.2.7F
250
2160098
INTERVENTIONAL RADIOLOGY PACK
83.64
2160099
ARTHROSCOPIC IRRIGATION SET
89.9
2160100
H/S PROCEDURE TRAY
136
2160101
H/S CATHETER SET
57
2160102
LIVER ACCESS & BIOPSY SET
1052
2160103
BLOOD FLUID WARMING SET B.H.
132.6
2160104
DEBRITMEN TRAY DYND 71200
4.81
2160105
DEBRITMEN TRAY DYNJ 08835
12.25
2160106
UROL TRAY OBST URETHERAL
330
2160107
SPINAL TRAY BUPIVACAINE
33.96
2160108
URETHERAL CATH TRAY
4.5
2160109
CONE TRAY
100
2160110
RECTAL TRAY
100
2160111
GOLD PROBE 7FR TRAY
300
2160112
DUAL /TRIPLE LUMEN PICC TRAY
453.33
2160113
PRECAUTION CANTRAL LINE PACK
41.06
2160114
SPINAL TRAY EPIDURAL AK05503
42.79
2160115
RETRO PERITONIAL TRAY
40
2160116
PERCUTANEOUS TRACHEOSTOMY SET
707
2160117
GELPORT LAPA C8XX2NONCE
930
2160118
MIDLINE DUAL LUMEN INTER TRAY
164
2160119
MICRO VASCULAR TRAY
25
2160120
VALVE TRAY
25
2160121
MITRAL RETRACTOR TRAY
25
2160122
METER VALVE TRAY SAN JUDAS
25
2160123
METER VALVE TRAY EDWARDS
25
2160124
RING GAUGE TRAY
25
2160125
CHEST RETRACTOR TRAY
25
2160126
TUNNELS TRAY
25
2160127
VALVULOTOME TRAY
25
2160128
BOWLS SET TRAY
25
2160129
CAROTID TRAY
25
2160131
OMNITRACK TRAY
25
2160133
PERITONEAL DIAL TRAY W/CANNULA
260
2160134
AV FISTULA TRAY
40
2160135
CERCLAGE OR CONE TRAY
25
2160136
ANTERIOR CERVICAL TRAY
125
2160137
CURETTE KARLIU TRAY
0
2160138
RHINOPLASTY TRAY
25
2160139
SUCTION TRAY (NEURO)
0
2160140
TRANSFENOIDAL TRAY
25
2160141
TRANSFENOIDAL TRAY (NEURO)
25
2160142
GALLBLADDER LAPAROSCOPY TRAY
40
2160143
NASAL ENDOSCOPY TRAY
25
2160144
HYSTEROSCOPY TRAY
25
2160145
VASCULAR GYNECOLOGY TRAY
25
2160146
KARLIN TRAY (NEURO)
40
2160147
MICRO SCISSORS TRAY (NEURO)
25
2160148
COMMON CURETTE TRAY
0
2160149
BOOK WALTER TRAY
25
2160150
LONG INSTRUMENTS TRAY
40
2160151
CHEST TRAY
25
2160152
DERMATOME TRAY
25
2160153
CRANIOTOME TRAY
40
2160154
SULLIVAN O'CONNOR TRAY
25
2160155
VITRECTOMY TRAY
40
2160156
MIDAS REX TRAY
25
2160157
CRANIAL FIXATION SYSTEM TRAY
40
2160158
EAR TRAY
25
2160159
UROLOGY DILATORS TRAY
25
2160160
CADWELL LOC TRAY
25
2160161
PROSTHESIS TRAY
40
2160162
TONSIL TRAY
25
2160163
PERCUTANEOUS TRAY
40
2160164
VASOVASECTOMY TRAY
25
2160165
TOTAL KNEE TRAY
40
2160166
NEURO MICRO CURETTES TRAY
25
2160167
LAPAROSCOPY TRAY
40
2160168
UROLOGY LAPAROSCOPY TRAY
40
2160169
FACE LIFT TRAY
25
2160170
BREAST TRAY
25
2160171
KELLYSON TRAY
25
2160172
ENDOSCOPY TRAY
40
2160173
WEIGH LANDER (NEURO) TRAY
25
2160174
FULL VASCULAR TRAY
40
2160175
FRAZZIER SUCTIONS TRAY
25
2160176
COBLATOR TRAY
25
3202162
ZEPHREX LA 120-600 TAB
0.25
3202163
ZINC 100MG TAB
0.25
3202164
ZOVIRAX 400MG TAB
0.36
3202165
FER IN SOL DROPS FCO/50ML
0.25
3202166
FUROSEMI DROPS10MG/ML FCO/60ML
0.25
3202167
POLY VI FLOR 0.25-ML FCO/50ML
0.25
3202168
POLY VI FLORCFE0.25/MLFCO/50ML
0.25
3202169
POLY VI SOL FCO 50ML
0.25
3202170
RONDECDM(CARDEC)DROPS FCO/30ML
0.25
3202171
TRI VI SOL DROPS 50ML
0.25
3202172
CARNITOR
24.66
3202173
CEPHALEXIN 250MG/5ML 100ML
7.5
3202174
EMETROL LIQ.
4.23
3202175
DIMETAPP ELIXIR
3.72
3202176
ERYTROMYCIN 125MG/5ML
4.38
3202177
EVA Q KWIK
8.85
3202178
INTROL
6.75
3202179
NUTRIVIT
0.84
3202180
PEN VEE K 125G 5ML 100ML
4.38
3202181
PROTEINEX
1.86
3202182
REGLAN SYRUP
0.75
3202183
RONDEC DM SYRUP
0.63
3202184
SLOPHILLIN 80MG/15ML
0.48
3202185
CILOXAN OPH SOL
115.65
3202186
CORTISPORIN OPH SUSP 7.5ML
115.53
3202187
BAY-TEST SYRINGE
300
3202188
EPOGEN 10.000U-ML VIAL
269.2
3202189
SANDOSTATIN 200MCG/ML VIAL 5ML
409.32
3202190
RHO GAM SYRINGE
190.73
3202191
NEOPOGEN 300MCG/ML
312.48
3202192
REVEX 1MG/ML AMP 2ML
104.93
3202193
SULFATE FERROUS ELIXIR
0.45
3202194
TAGAMET ORAL SOL
3.96
3202195
TEGRETOL SUSP
5.19
3202196
THEOLATE LIQ
1.59
3202197
TUSNEL ADULT
0.84
3202198
TUSNEL PED
0.84
3202199
TPN2:1CLINIMIX2.75%-10DEX2000M
70
3202200
TPN2:1CLINIMIX2.75%-10DEX1000M
0.01
3202203
INTRALIPID 20% 500ML
42.96
3202204
TPN2:1CLINIMIX4.25-10DEX1000ML
42
3202206
TPN2:1CLINIMIX4.25%-10DEX1000M
39.99
3202207
ATROPINE SULFT 1% 5ML
5.82
3202208
ATROPINE SULFT 1% OINT 3.5GM
4.98
3202209
ENDOSOL (BSS) 500ML
46.43
3202210
EYE WASH
4.5
3202211
NEO SYNEPHRIN10%5ML(AK-DILATE)
13.14
3202212
PILOPINE HS GEL 4% 4GM
86.98
3202213
TETRACAINE HC 1/2% U/D
11.82
3202214
VASOCON A (OPCHON A)
15.87
3202215
PONTOCAINE 1% AMP 2ML
4.25
3202216
PNEUMOVAX VACCINE 23
45
3202217
ISUPREL 0.2MG/ML AMP
17.07
3202218
BICILLIN CR 600000U TUBEX
39
3202219
BICILLIN LA 1200000U TUBEX
47.4
3202220
CACITON SALM200I.U./ML VIAL2ML
42.28
3202221
CARDIZEM 25MG/5ML VIAL
3.4
3202222
CELESTONE SOLUSPAN6MG/5ML VIAL
60.15
3202223
ALBUTEROL SOL 20ML (PROVENTIL)
8.1
3202224
ALBUTEROL INH 17GM (PROVENTIL)
36
3202225
AMMONIA INH B/12
4.2
3202226
NSS 0.9% 3ML
17.4
3202227
ASTRAMORFINE 1MG/ML VIAL 2ML
18.94
3202228
KLONOPIN 0.5 MG
0.5
3202229
CLORAZEPAM 1MG TAB
0.45
3202230
KETALAR 50MG/10ML VIAL
20.88
3202231
LORAZEPAM 2MG TAB
1.95
3202232
MORPHINE SULFATE 5MG/ML VIAL
1.7
3202233
MIDAZOLAM 5MG/ML VIAL 10ML
23.4
3202234
MS CONTIN 15MG TAB
3.06
3202235
EMLA CREMA 30GM TUBE
108.28
3202236
DEPO PROVERA 150MG SYR
128.5
3202237
MERREM 1GM VIAL
129.5
3202238
AGGRENOX
5.7
3202239
AQUASOL A INJ. VIAL
66.51
3202240
ASACOL 400MG TAB
2.82
3202241
BUMETADINE 2MG TAB
0.87
3202242
BUMEX 0.25MG/ML VIAL 2ML
3.96
3202243
CARRASYN GEL 3OZ
34.89
3202244
CLARITIN REDI TAB
9.69
3202245
CLEOCIN 75MG/ML 100ML
69.39
3202246
COLD CREAM
0.25
3202247
COLESTID 5GM SOBRE
4.8
3202248
COLYTROL DROPS
26.7
3202249
COQUINONE 30 TAB
2.28
3202250
DIURIL SUSP
4.41
3202251
EMPTY STERILEXED VIALS 10ML
1.68
3202252
FLUOROURACIL 50MG/ML VIAL 10ML
21.3
3202253
GLYTROL
2.52
3202254
HUMATIN 250MG CAP
8.73
3202255
LAMICTAL 150MG TAB
5.52
3202256
LAMICTAL 200MG TAB
5.78
3202257
LESCOL 40MG CAP
4.02
3202258
LO OVRAL 28
81.93
3202259
MAG-SR TAB
0.18
3202260
MEGACE (MEGESTROL SUPP)
49.11
3202261
MERREM 500MG VIAL
77.76
3202262
MINOXIDIL 2.5ML TAB
0.78
3202263
NEOSPORIN PLUS CR 15GM
11.04
3202264
NUBASIC VAINLLA
3.45
3202265
NUTREN JR VANILLA
3.24
3202266
PHERENILIN FORTE
1.32
3202267
PRESTIGE LANCETS X 100
7.2
3202268
PRESTIGE LX GLUCOSE METER
75
3202269
PRESTIGE TEST STRIPS X 50
52.5
3202270
PREVNAR VIAL
154.13
3202271
PROGESTERONE SUPP
12
3202272
PULMICORT RESPULES 0.25G2ML
12.6
3202273
QUESTRAN POWDER(CHOLESTYRAMIN)
1.2
3202274
RENAGEL 800MG CAP
3.93
3202275
RISPERDAL 2MG TAB
8.28
3202276
ROCATROL 0.25MG CAP
3.81
3202277
ROCATROL 0.5MG
6.09
3202278
SCHILLERS SOL 100ML
0.6
3202279
SINGULAIR 4MG TAB CHEW
8.52
3202280
SULFAMYLON CR 85MG-GM 60
75.69
3202281
TEGRETOL XR 200MG
1.62
3202282
TUBEX
13.8
3202283
VIRACET 250MG TAB
6.87
3202284
ZERIT 40MG CAP
16.68
3202285
ZETIA 10MG TAB
7.23
3202286
ZOFRAN 8MG TAB
86.73
3202287
TROPICACYL 1%
24.6
3206186
XYLOCAINE 4% TOPIC (PER 1ML)
0.5
3206187
VANCOMYCIN 1GM ADDV
10.25
3206188
CEFUROXIME AXELIL 500MG TAB
7.4
3206189
SPIRIBAS 18MCG CAP IHN (5CAPS)
177.2
3206190
LIDOCAINE HGL 1% 5ML AMP
3.1
3206191
LIPIDS 20% 100ML REPACK
100.6
3206193
REGIMEN ANCEF HERNIA INGUINAL
1
3206194
REGIMEN CLEOCIN HERNIA INGUINA
7
3206195
REGIMEN ANCEF COLORECTAL
3.6
3206196
REGIMEN MEFOXIN COLORECTAL
7.5
3206197
REGIMEN UNASYN COLORECTAL
7
3206198
REGIMEN CIPRO COLORECTAL
2
3206199
ZOSYN 3.375 BAG
15
3206200
PHENERGAN DM CUP 15 ML
3
3206201
PITOCIN 10 UNIT / 1 ML 10 ML
13.5
3206202
PITOCIN 10 UNIT / 1 ML IV ROOM
4.65
3206203
IMODIUM 15 ML CUP
2.6
3206204
GAVISCON 30 ML CUP
2.8
3206205
METAMUCIL SINGLE DOSE PACKET
1
3206206
AQUASOL D 400 ID / ML DROPS
4.5
3206207
HALDOL 50 MG / 10 ML VIAL
22.5
3206208
HUMULIN 70/30 3 ML VIAL
8.4
3206209
NALBUPHINE 10MG/ML VIAL 10ML
63.5
3206210
ELAVIL 100MG TAB
2.5
3206211
MAGNESIO 20GM/50ML 0.9NSS IV
5
3206212
MAGNESIO 20GM/500ML DSW IV
14
3206213
PROGRAF 5 MG / 1 ML AMP
300
3206214
ISENTRESS 400 MG TAB
50
3206215
PREZISTA 800 MG TAB
101
3206216
AUGMENTIN 200MG/5ML SUSP
10.6
3206217
MORPHINE 10MG/5ML 100ML
18.1
3206218
KLONOPIN 0.1MG/ML (100 ML) SOL
22
3206219
DIURIL 250MG / 5ML SOL
2
3206220
LIDOCAINE/EPINEPHRINE 1% 20 ML
4.3
3206221
INDERAL LA 160 MG CAP
6.05
3206222
TOPAMAX 6MG/ML SOL.
0.8
3206223
CLAFORAN 500MG (50MG/ML) IV RO
3
3206224
ACTIGAL 20 MG/ML SOL
0.6
3206225
ROCEPHIN 1GM ADD-VANTAGE
4.12
3206226
METHADONE (LIQUID)
0
3206227
RETROVIR 300 MG TAB
15.5
3206228
KCL 20MEQ/D5W 1000ML CONNECTED
4.6
3206229
SILVAKLENZ SPRAY 60 ML
33
3206230
SILVION SPRAY 60 ML
36.5
3206231
QUINIDINE 300 MG TAB
0.45
3206232
TIVICAY 50 MG TAB
106.5
3206233
TANDEM PLUS CAPS
1
3206234
TPN BAXTER PROSOL 20%
50
3206235
TPN BAXTER PREMASOL FEE 10%
40
3206236
COMPLERA TAB
177
3206237
OMNIPAQUE 350MG/100ML
36
3206238
ACETADOTE 6000MG/30ML VIAL INJ
467.5
3206239
DEX4 TAB
0.5
3206240
KENALOG 1 % OINTMENT 15 GM
8.5
3206241
BANZEL 200 MG TAB
13
3206242
BACITRACIN OPHT OINT 3.5 GM
18.5
3206243
SLEEP AID 25MG TAB
0.5
3206244
MD-GASTROVIEW 30ML
19
3206245
VISIPAQUE 320MG / 100ML
18
3206246
ETOMIDATE 40MG / 20ML
17.5
3206247
BETADINE SCRUB 32 OZ
13
3206248
MIRALAX 255 GM
13
3206249
PITOCIN 10 UNIT / 500 ML 0.45%
9.5
3206250
RIFAMPIN 10 MG / ML SOL
46
3206251
CENTRUM TAB
0.5
3206252
VITAMIN D-2 50000 UNIT CAP
0.5
3206253
COLACE 100 MG / 10 ML CUP
1.5
3206254
CEPACOL MOUTHWASH 8 OZ
6.5
3206255
NAROPIN 0.5% 100MG/20ML
33
3206256
DERMOCREM 60 GM CREAM
13
3206257
DOXYCYCLINE HYCLATE 50 MG CAP
0.5
3206258
SODIUM THIOSULFATE 12.5GM/50ML
319.54
3206259
FML OPT SUS 1% 5ML
9
3206260
SUBOXONE 8MG/2MG SL FILM
0
3206261
GLUCOSE 4GM TAB
0.5
3206262
FLEXBUMIN 25% 25GM BAG(100ML)
124.5
3206263
HIBICLENS BOT 3840 ML
91.5
3206264
INDERAL 80MG TAB
0.5
3206265
J & J HEAD TO TOE BABY WASH
0.53
3206266
QUINIDINE 10MG/ML SOLUCION
1
3206267
ZERBAXA 1.5GM VIAL
167.5
3206268
SYNAGIS 100MG VIAL
0
3206269
KALETRA 100MG/25MG TAB
9
3206270
ALDOMET 50MG/ML LIQ
1
3206271
REQUIP 0.25MG TAB
0.5
3206272
XYLOCAINE VISCOUS 15ML CUP
2
3206273
SELSUN BLUE 1% SHAMPOO
9
3206274
ORAJE GEL 7GM
12.5
3206275
OCELLA TAB
4
3206276
PROVERA 2.5MG TAB
0.5
3206277
LYPOSIN 20% 50ML IV ROOM
20
3206278
HUMATE-P VIAL
1627.92
3206279
SUSTIVA 600MG TAB
68
3206280
REYATAZ 150MG CAP
52
3206281
ZOFRAN 40MG/20ML VIAL
3
3206282
LUGOL'S 8ML UD
24.5
3206283
PREVNAR-13 0.5ML SYRINGE
397.32
3206284
AVYCAZ 2GM VIAL
J0714
647.5
3206285
PROCARDIA 4MG/ML (PREPARACION)
0.5
3206286
PRADAXA 75MG CAP
11.5
3206287
PREZCOBIX 800MG/150MG TAB
124.5
3206288
IVERMECTIN 3MG TAB
9
3206289
TAMIFLU 6MG/ML (EXTEMPORANEA)
4
3206290
CREON CAP DELAYED RELEASE
3.5
3206291
CETAPHIL MOISTURIZING LOTION
18.5
3206292
XYLOCAINE MPF 1% VIAL 2ML
2.5
3206293
SOTRADECOL 3% 60MG/2ML VIAL
188
3206294
GRANULEX SPRAY
27.5
3206295
MITOMYCIN 400MG/ML PPH 5%
115
3206296
ENTRESTO 24MG/26MG TAB
0
3206297
ENTRESTO 49MG/51MG TAB
0
3206298
SAVAYSA 60MG TAB
0
3206299
PROTONIX 20MG TAB
0.5
3206300
ALPHANATE (PER UNIT)
1.84
3206301
VIRAMUNE 50MG/5ML SUSP (PER ML
1.5
3206302
FENTANYL 1000MCG/20ML AMP
24.5
3206303
ABACAVIR 300MG TAB
22.5
3206304
CORDARONE 5MG/ML BTL 60ML
6
2605484
RAST NUTMEG
86003
26
2605485
RAST HAZELNUT
86003
26
2605486
RAST MACADAMIA NUT
86003
26
2605487
RAST PECAN NUT
86003
26
2605488
IGE FOR SULFAMETHOXAZOLE
86003
26
2605489
AMEBIASIS AB
86753
75
2605490
AMINOLEVULINIC ACID DELTA 24HR
82135
97
2605491
AMIODARONE(CORDARONE) SERUM
82542
60
2605492
INMUNOGLOBULIN G SUBUNIT 4
82787
23
2605493
SPECIFIC GRAVITY (PLEURAL FLUI
81003
78
2605494
N. GONORRHOEAE URINE
87521
171
2605495
AMITRIPTYLINE LEVELS
80335
62
2605496
CHROMAGRANIN A
86316
377
2605497
URINE BICARBONATE (HC03)
82374
71
2605498
GAMMA HIDROXYBUTIRIC ACID
82542
272
2605499
ANTI-DNASE B AB (STREPTOCCAL)
86215
164
2605500
NEUTROPHIL PHAGOCYTOSIS
86344
642
2605502
MYCOPHENOLIC ACID & METABOLITE
82542
200
2605503
BORDETELLA PERTUSSIS IgGIgAb
86615
380
2605504
CSF SODIUM
84302
41
2605505
CSF ADENOVIRUS/ PCR
87798
605
2605506
CSF HZV (VARICELLA ZOSTER DNA)
87798
604
2605507
CSF MEASLES Ab IgM
86765
93
2605508
CSF POLIOVIRUS
86658
711
2605509
CSF POLIOVIRUS AB
86658
252
2605510
NMO IgG AUTOANTIBODY
83520
750
2605511
UREOPLASMA MYCOPLASMA HOMINIS
87109
184
2605512
CHLAMYDIA TRACHOMATIS/NUC ACID
87491
163
2605513
HERPES VIRUS 6 Ab IgM
86790
250
2605514
RAST WALNUT
86003
7.5
2605515
VOLTAGE GATED CALCIUM CANNEL
83519
375
2605516
AFP FLUID
86316
146
2605517
MYCOPLASMA HOMINIS TITERS
87798
270
2605518
EBV EARLY ANTIGEN IgG
86663
44
2605519
C1 ESTERASE INHIBITOR FUNCT
86161
92
2605520
ALPHA 2 MACROGLOBULIN
83883
133
2605521
ANTICHROMATIN AB
86235
55
2605522
STOOL FOR VIBRIO SPS.
87046
76
2605523
STRONGYLOIDES Ab IgG
86682
138
2605524
FILARIA IgG 4 Ab
86682
343
2605525
PORPHIRINS IN STOOL
84126
744
2605526
PORPHOBILINOGEN DEAMINASE
82657
350
2605527
CSF AMINOACIDS
82139
1048
2605528
ROCKY MOUNTAIN SPOTD FEVER IgM
86757
180
2605529
ACETYLCHOLENESTERASE RBC
82482
37
2605530
ORGANOPHOSPHATE PESTICIDE
82542
264
2605531
MYCOPLASMA PNEUMONIAE DNA PCR
87581
549
2605533
ESTRIOL
82677
24
2605534
ANAEROBIC CULTURE (REF LAB)
87075
200
2605535
PARVOVIRUS B19 DNA PCR
87798
660
2605536
HUMAN HERPES 6 PCR DNA
87532
450
2605537
LYME TITER/CSF PCR (B.BURDORFE
87476
375
2605538
NEURONTIN (GABAPETIN)
82542
51
2605539
ZONISAMIDE
82542
153
2605540
IGRA (FOR TB)
86480
284
2605541
FELBAMATE LEVEL SERUM
82542
157
2605542
HSV TYPE 1 SPECIFIC
86695
23
2605543
HCV Ab VERIFICATION
86804
159
2605544
BONE SPEC ALKALINE PHOSPHATASE
84080
55
2605545
PARATHYROID HORM RELATED PEPTI
82397
227
2605546
M.PNEUMONIA CULTURE
87109
261
2605547
RAST BLACKBERRY
86003
30
2605548
RAST BLUEBERRY
86003
30
2605549
LIVER CYTOSOL PROTEIN 1
86376
280
2605550
TETANUS ANTITOXOID AB
86317
18
2605551
VISCOSITY/SERUM
85810
109
2605552
GLUTAMINE - PLASMA
82131
868
2605553
TCELL GENE REARRANG PCR BONE M
81342
455
2605554
TCELL GENE REARRANG PCR PERIPH
81342
455
2605555
GQ1b ANTIBODY IgG
83520
230
2605556
MI-2 ANTIBODIES
86235
250
2605557
PORPHIRINS SERUM
84311
113
2605558
STOOL FOR LACTOFERIN
83631
199
2605559
CANCER ANTIGEN G1 FLUID
86301
128
2605560
CADMIUM BLOOD
82300
204
2605561
UGT 1 A 1 IRINOTECAN TOXICITY
81350
551
2605562
H.INFLUENZA B IgG
86684
255
2605563
CHINKUNGUNYA (DEPTO. SALUD)
86849
0
2605564
HYPOCHONDROPLASIA 2 MUTATIONS
81401
412
2605565
URINE HOMOCYSTEINE
83090
95
2605566
RAST HONEY
86003
7.5
2605567
JAK2 V617F MUTATION
81270
675
2605569
HEPATITIS B (HBV) GENOTYPE
87912
375
2605570
PNEUMOCYSTIS CARINII SPEC STAI
88312
193
2605571
RAST IgE ACREMONUIM KILIENSE
86003
36
2605572
URINE UREA RANDOM
84540
20
2605573
CLOPIDOGREL CYP2C19 GENOTYPING
81225
460
2605574
CALIFORNIA ENCEPHALITI Abs IgG
86651
142
2605575
CALIFORNIA ENCEPHALITI Abs IgM
86651
45
2605576
ST LOUIS ENCEPHALITIS Abs IgG
86653
142
2605577
ST LOUIS ENCEPHALITIS Abs IgM
86653
45
2605578
ALBUMIN/CSF
82042
84
2605579
GD1b
83520
230
2605580
LYME IgM/EARLY TEST/REFLEX
86618
115
2605581
LYME/TOTAL Ab TEST/REFLEX
86618
104
2605582
HIV-1 AB SUPPLEMENTAL TEST
86701
25
2605583
HIV-2 AB SUPPLEMENTAL TEST
86702
25
2605584
RAST YELLOW JACKET
86003
36
2605585
BETA STREP(GROUP B) AG
87802
228
2605586
MUSK AB
83516
2113
2605587
LACOSAMIDE LEVELS (VIMPAT)
80339
279
2605588
SNP MICROARRAY-PED (REVEAL)
81229
3150
2605589
ZIKA VIRUS (GOV)
36415
0
2605590
RETINOL BINDING PROTEIN
83883
40
2605591
ARYLSULFATASE A/URINE
84311
753
2605592
ANTI-NEUTROPHIL ASSOCIATED Ab
86021
192
2605593
ENTEROVIRUS RT-PCR (STOOL)
87498
263
2605594
GLUCOSA 1HRPP (EMBARAZADA)
82950
20
2605595
BLOOD CULTURE ANAEROBIC ARD
87040
40
2605596
D-DIMER HIGH SENSITIVITY
85379
150
3209764
TPN BAXTER (S2K2000S) 150 ML
132.5
3209765
TPN BAXTER (S2K2001H) 250 ML
210
3209766
TPN BAXTER (S2K2001P10) 250 ML
210
3209767
TPN BAXTER (S2K2001S) 250 ML
150
3209768
TPN BAXTER (S2K2002H) 500 ML
215
3209769
TPN BAXTER (S2K2002P10) 500 ML
215
3209770
TPN BAXTER (S2K2002S) 500 ML
160
3209771
TPN BAXTER (S2K2003H) 1000 ML
225
3209772
TPN BAXTER (S2K2003P10) 1000ML
225.5
3209773
TPN BAXTER (S2K2003S) 1000 ML
162
3209774
TPN BAXTER (S2K2004H) 1500 ML
235.5
3209775
TPN BAXTER (S2K2004P10) 1500ML
235.5
3209776
TPN BAXTER (S2K2004S) 1500 ML
204
3209777
TPN BAXTER (S2K2005H) 2000 ML
244
3209778
TPN BAXTER (S2K2005P10) 2000ML
244
3209779
TPN BAXTER (S2K2005S) 2000 ML
226
3209780
TPN BAXTER (S2K2006S) 2500 ML
193
3209781
TPN BAXTER (S2K2008) 3500 ML
206
3209782
TPN BAXTER (S2K2009) 4000 ML
216
3209783
TPN BAXTER (S2K2614) 1500 ML
210
3209784
TPN BAXTER (S2K2615) 2000 ML
214
3209785
TPN BAXTER (S2K2623) 1000 ML
255
3209786
TPN BAXTER (S2K2624) 1500 ML
275.5
3209787
TPN BAXTER (S2K2625) 2000 ML
296
3209788
TPN BAXTER (S2K2626) 2500 ML
316.5
3209789
TPN BAXTER (S2K2627) 3500 ML
337
3209790
ENTOCORT 3 MG CAPSULES
26.5
3209791
IODOSORB GEL 1 GM
2.75
3209792
XARELTO 10 MG TAB
29.5
3209793
ALIGN 4 MG CAP
2.5
3209794
ASTELIN NASAL SPRAY
314.5
3209795
BYSTOLIC 5 MG TAB
5.5
3209796
CATAFLAM 50 MG TAB
0.5
3209797
CYTOXAN 1000 MG
1227.5
3209798
DICLOFENAC 1% 2.5ML DROPS
11
3209799
LIMBREL 500 MG CAP
3.5
3209800
HUMULIN R 500UNI/ML CONCENTRAT
0.5
3209801
DOLOGESIC CAPLET
0.5
3209802
SINGULAIR 4MG PACK GRANULES
12.5
3209803
STARLIX 120 MG TAB
5.5
3209804
TAPASAR 20 MG / ML
11.5
3209805
VINCRISTINE 2 MG / 2 ML
40
3209806
ZYPREXA 15 MG (ZYDIS)
67
3209807
ZYPREXA 10 MG (ZYDIS)
45.5
3209808
LIDOCAINE 2% VIAL 2 ML
4
3209809
CLINIMIX E 4.25/DW 5% 2000ML
80
3209810
DOBUTREX 500 MG/ 40 ML VIAL
53.5
3209811
BACITRACIN OINTMENT 30GM TUBE
5.5
3209812
VASOLEX OINTMENT
35
3209813
NORMOSOL R N SOLUTION
7.5
3209814
MULTIVIT PED LYOPHYLIZADAS
14.5
3209815
OBSTETRIX DHA
2
3209816
CARDENE 30MG/200ML BAG
228.5
3209817
AMILORIDE HCL 5 MG
1
3209818
INFASURF 3ML
J3490
621.5
3209819
INFASURF 6ML
1100
3209820
AGGRASTAT 12.5 MG / 250 ML BAG
J3246
1250.5
3209821
AGGRASTAT 5 MG / 100 ML BAG
597.5
3209822
MOTRIN 100MG / 5 ML SYRINGE
3
3209823
FAT 20 % 100 ML BAXTER S2K2121
77
3209824
FAT 20 % 150 ML BAXTER S2K2122
79.5
3209825
FAT 20 % 250 ML BAXTER S2K2123
91
3209826
FAT 20 % 50 ML BAXTER S2K2120
101
3209827
FAT 20 % 500 ML BAXTER S2K2124
118
3209828
ANCEF 1GM PREP ADD-VANTAGE VIA
4.5
3209829
PRILOSEC 40 MG
0.5
3209830
ACETAMINOPHEN 80 MG SUPPOSITOR
2
3209831
DEXAMETHASONE 4MG/ML VIAL 30ML
20
3209832
REVATIO 20 MG TAB
0.5
3209833
LUMINAL 32.4 MG TAB
1
3209834
LUMINAL 16.2 MG TAB
0.5
3209835
LUMINAL 64.8 MG TAB
1
3209836
VANCOMYCIN 1 ML IV ROOM
1
3209837
DOPAMINA 800 MG/250 ML DW 5%
23
3209838
PROVENTIL 0.42% CLAVE NARANJA
0.5
3209839
RECOTHROM 20000 UNITS
473.5
3209840
RANEXA 1000MG (NO CHARGE)
0
3209841
MULTIVITAMIN LYOPHILIZED PEDIV
14.5
3209842
MIDAZOLAM 1 MG/ML 5ML
1
3209843
SODIUM BICARBONATE 650 MG
0.5
3209844
VASELINE 13 OZ (390 GM)
5.5
3209845
MYDRIACYL 1%X2ML (TROPICAMIDE)
18
3209846
PHOS - NAK PACK
1.5
3209847
ELIQUIS 5 MG (NO CHARGE)
0
3209848
REVATIO ORAL SUSPENSI 2.5MG/ML
0.5
3209849
DIURIL 250 MG TABLETS
0.5
3209850
HUMIRA 40MG / 0.8 ML
3021.5
3209851
AGORAL EMULSION U D CUP 15ML
0.5
3209852
ZAROXOLYN 1MG/ML SOLUTION
0.5
3209853
GELOCAST BANDAGE
20
3209854
SODIUM CHLORIDE 23.4% (4MEG/ML
7
3209855
TEMOVATE 60MG CREAM
25.5
3209856
SC 3% IVR (IV ROOM)
15
3209857
ALDADONE 2.5MG/ML SOLUTION
0.5
3209858
DIGIFAB 40MG VIAL
J1162
4769
3209859
LEUCOVORIN 25 MG TAB
14.5
3209860
DEPAKOTE 250MG DR ORIGINAL
6.5
3209861
DEPAKOTE 500MG DR ORIGINAL
12
3209862
VIT D3 10000 U CAP
0.5
3209863
DIFICIT 200 MG TAB (NO CHARGE)
0
3209864
PILOCARPINE 1% 15 ML BTL.
193.5
3209865
NAROPIN 0.2MG (40MG/20ML)
20.5
3209866
VIT D3 5000 IU
0.5
3209867
ADVAIR 21 MCG/45 MCG INH PUMP
220
3209868
LASIX 100MG/10ML SYRINGE
32.5
3209869
DEPACON 500MG /5ML VIAL
6
3209870
ERAXIS 100 MG VIAL
135.5
3209871
ROBINUL 2MG TAB
0.5
3209872
ULTRAN 50 MG (TRAMADOL)
0.5
3209873
STERILE POWDER 5GM VIAL
216
3209874
PROTAMINE 250 MG / 25 ML
61.5
3209875
RISPERDAL 1MG / ML SOLUTION
0.5
3209876
SUMMER S EVE MEDICATED DOUCHE
3
3209877
HIBLICLEANS 473 ML (16 ONZ)
22.5
3200323
CARDENE 45MG CAP.
2.25
3200324
NAPROSYN 250MG
0.7
3200325
ANAPROX 275MG
1.65
3200326
NAPROSYN 375MG
0.85
3200327
NAPROSYN 500MG
1.05
3200328
ANAPROX 550MG
2.55
3200329
TICLID 250MG
3.6
3200330
TORADOL 10MG
1.8
3200331
ANSAID 50MG
1.25
3200332
ANSAID 100MG
2.45
3200333
CLEOCIN HCL 150MG
1.95
3200334
CLEOCIN HCL 300MG
4.05
3200335
CORTISONE ACETATE 25MG
2.52
3200336
CORVERT 1MG / DOSE
464.8
3200337
GLYNASE 3MG
0.9
3200338
GLYNASE 6MG
1.6
3200339
LINCOCIN INJ 300MG / DOSE
17.87
3200340
LONITEN 10MG
2.15
3200341
MEDROL TAB / 4MG DOSE
1.06
3200342
MEDROL. 16 MG
5.67
3200343
MICRONASE 2.5 MG
0.7
3200344
MICRONASE 5 MG
1.15
3200345
MOTRIN 400 MG
0.25
3200346
MOTRIN 600 MG
0.3
3200347
MOTRIN 800 MG
0.4
3200348
PROVERA 10 MG
1.45
3200349
CORDARONE 200 MG
6.4
3200350
CORDARONE 150MG / DOSE 30MG
6.3
3200351
ISMO 20 MG
1.5
3200352
LODINE 400 MG
2.85
3200353
PEN VEE K 250 MG
0.25
3200354
PEN VEE K 500 MG
0.25
3200355
PHENERGAN 12.5MG TAB. / DOSE
0.58
3200356
PHENERGAN 25MG / DOSE
7.14
3200357
PHENERGAN 50MG / DOSE
2.75
3200358
SECTRAL 200 MG
1.3
3200359
SECTRAL 400 MG
2.75
3200360
WYTENSIN 4 MG
1.5
3200361
BILOPAQUE SODIUM 750 MG
9.5
3200362
BABY ASA 81 MG
0.15
3200363
BABY ASA ENTERIV COATED 81 MG
0.1
3200364
DANOCRINE
7.35
3200365
ISUPREL INY. 1MG / DOSE
39.14
3200366
KAYAXALATE POWDER 30 DRM
54
3200367
KAYAXALATE ORAL SUSP 15 G
5.13
3200368
NEOSYNEPHRINE 10MG / DOSE
1.5
3200369
PLAQUENIL 200 MG
0.92
3200370
LEVOPHED 4 MG
38.25
3200371
LUFYLLIN 200 MG
2.4
3200372
LUFYLLIN GG 200 MG
3.2
3200373
ORGANIDIN NR 200 MG
0.55
3200374
RYNATAN
0.15
3200375
SOMA 350 MG
3.25
3200376
EPIVIL 150 MG
7.5
3200377
INVIRASE 200 MG
11.75
3200378
RETROVIR 100 MG
5.04
3200379
VIDEX 100 MG
3.1
3200380
AZULFIDINE 500 MG
0.45
3200381
BICARSIM
0.45
3200382
DIPENTUM 250 MG
1.25
3200383
FOLIC ACID 1 MG
0.25
3200384
DILOR G 200 MG
0.85
3200385
HUMIBID DM
1.55
3200386
HUMIBID LA 600 MG
1
3200387
HUMIBID SPRINKLE
1
3200388
MAGONATE 500 MG
0.2
3200389
SUPPORT-500
0.7
3200390
NEUTRA-PHOS
1.32
3200391
NEOMYCIN 500MG
2.61
3200392
NIFEREX FORTE-150
0.5
3200393
PREVENT
0.7
3200394
PROTEC PLUS GEL CAPS
1
3200395
PHAZYME 95MG
0.35
3200396
PHAZYME 125MG
0.5
3200397
PREDRISONE 5 MG TAB. / DOSE
0.25
3200398
PREDNISONE 20MG TAB./DOSE 5MG
0.5
3200399
QUINAGLUTE 324 MG
1.05
3200400
RYTHMOL 150MG
2.32
3200401
SENOKOT
0.3
3200402
SENOKOT S
0.7
3200403
SENOKOT XTRA
0.75
3200404
SINULIN
0.45
3200405
SKELAXIN
1.06
3200406
SIDEROL
1.6
3200407
TIADOCE SR
2.2
3200408
TRINSICON
1.35
3200409
TRILISATE 500 500MG
1.3
3200410
UNIPHYLL (T-PHYLL) 200MG
0.9
3200411
UNIPHYLL 400MG
1.6
3200412
URETRON DS
0.81
3200413
UNISOM
0.85
3200414
UROCIT K 540MG
0.35
3200415
VASOFLEX
0.5
3200416
VITAMIN A 10000 UNITS
0.05
3200417
VITAMIN B1 100MG
0.05
3200418
VITAMIN B-6 50MG
0.06
3200419
VITAMIN B-12 0.1MG
0.05
3200420
VITAMIN C 500MG
0.1
3200421
VITAMIN E 200 UNITS
0.1
3200422
VITAMIN E 400 UNITS
2
3200423
ZINC 50MG
0.25
3200424
CEFTIN 250MG
3.05
3200425
CEFTIN 500MG
5.9
3200426
ZANTAC 50MG / DOSE 25MG
3.5
3200427
ZANTAC 150MG
2.3
3200428
ZOFRAN 4MG INJ. / DOSE 1MG
51.3
3200429
VAPONEFRIN
33.45
3200430
AEROBID INHALER SYSTEM
113.6
3200431
AYR NASAL DROPS
6.4
3200432
MAXAIR / DOSE
93.6
3200433
NEOSYNEPHRIN PEDIAT DROPS.25%
7.25
3200434
NEOSYNEPHRINE X-STRENGHT 1%
8
3200435
NASALCROM NASAL SOLUTION
16.8
3200436
NASAREL
73.1
3200437
TILADE INHALER
57.8
3200438
INTEGRILIN 75MG INFUSI/DOSE5MG
453
3200439
INTAL U/D / DOSE
1.4
3200440
ALDOMET 250MG
0.65
3200441
ALDOMET INY 250MG / DOSE
95.52
3200442
ELAVIL 10MG
0.4
3200443
ARAMINE 10MG
37.35
3200444
COGENTIN 2MG
0.55
3200445
COZAAR 50MG
4.35
3200446
CLINORIL 150MG
1.4
3200447
CLINORIL 200MG
1.7
3200448
DECADRON 4MG
5.97
3200449
DECADRON 4MG / DOSE
1.5
3200450
DOLOBID 500MG
2.35
3200451
DIURIL 500MG
0.45
3200452
VITAMIN K-1 10MG
10.5
3200453
INDOCIN 25MG
1.05
3200454
INDOCIN 50MG
1.75
3200455
INDOCIN INY. 1MG
72.45
3202288
A-K DILATE 10%
0.1
3202289
CALCIUM CHLORIDE 10% VIAL 10ML
3
3202290
ACCUZIME OINTMENT
102.15
3202291
ACTIDOSE AGUA
20
3202292
CLINIMIX E 4.25/DW 10%
44.1
3202293
CLINIMIX 4.25/DW 10%
44.1
3202294
COGENTIN 2MG/2ML AMPULE
18.95
3202295
DDAVP 4MCG/ML VIAL
290.4
3202296
DOXEPIN 150MG CAPSULE
0.65
3202297
LONITER 2.5MG TABLET
0.4
3202298
MEDROL 4MG TABLET
0.8
3202299
MEDROL 4MG DOSE PACK
2.05
3202300
MORPHINE 10MG/ML X 1ML
1.5
3202301
NEORAL 100MG CAPSULE
12.25
3202302
NYSTATIN 10.000GM CREAM 15GM
2.1
3202303
PRE-PROTEIN TABLET
0.6
3202304
SANTYL OINTMENT 30
127.05
3202305
SINEMET 50/200 TABLET
2.75
3202306
TESSALON PEARLE 200MG CAP
1.2
3202307
THORAZINE 200MG TABLET
0.9
3202308
TOPROL XL 25MG TABLET
1.4
3202309
ZELNORM 2MG TABLET
5.2
3202310
ZELNORM 6MG TABLET
5.2
3202311
ZOFRAN 2MG
25.65
3202312
VANCOMYCIN 500MG
2.4
3202313
LINASYN 3GM
13.96
3202314
TYLENOL LIQ.
0.2
3202315
ANCEF 1GM/100 ML NSSPB
8.25
3202316
DOBUTREX 500MG / DOSE 250MG
16.45
3202317
INTROPIN 400MG
21.7
3202318
DESFERAL 500MG VIAL
32.5
3202319
VISTARIL 50MG/ML VIAL 1ML
1
3202320
ZOCOR 5MG TAB
3.85
3202321
DOPAMINE 40.G/ML 400MG VIAL
6
3202322
DIPRALENE LOTION 0.05%
145.3
3202323
NOVOLOG 100U/ML 10ML VIAL
85.35
3202324
PROZAC 40MG PULVULE
4.35
3202325
ZIAC 10/6 .25MG TABLET
0.5
3202326
MICONAZOLE CREAM 15GM
5.2
3202327
SULFAMETHOXAZOLE W/TMP5ML VIAL
5.9
3202328
HEMATRON - AF
2.05
3202329
INDERAL 60MG TABLET
0.5
3202330
QVAR 40MCG INHALER
190.9
3202331
ACTOS 15MG TABLET
6.4
3202332
MYSOLINE 50MG TABLET
2
3202333
PRIMACOR 1MG/ML 20ML VIAL
17.9
3202334
CARDIZEN CD 360MG CAP SA
3.5
3202335
PAXIL 30MG TABLET
4.15
3202336
ZORIRAX 1000MG VIAL
12.5
3202337
ABELCET IV 5MG/ML VIAL
460
3202338
ANCEF 1GM INJ.PREMIX
7.35
3202339
RUCEPHIN 1GM PREMIX
27.3
3202340
PRIMACOR 1MG/ML 20ML VIAL
17.9
3202341
LEVAQUIN 750MG TABLET
35.6
3202342
BETAGAN 0.25%
5.75
3202343
BRETYLIUM TOSYLATE 500MG/10ML
17.9
3202344
CHLURIRIMETRON 4HR ALLERGY D
0.5
3202345
CITRASSIN
6
3202346
DEPAKATE ER 500MG
3.85
3202347
EFFEXOR XR 150MG CAP
6.25
3202348
LEVAQUIN 250MG TAB
17
3202349
LUTRUMIN CREAM 45GM
35
3202350
LUTRUMIN SOL. 10ML
11.7
3202351
SYNTHROID 137MG TAB
1.25
3202352
NEURONTIN 250MG/ML LIQ 16 ONZ
149.5
3202353
VERSED 50MG/ML X 10ML
15.5
3202354
MS CONTIN 15MG TAB
2.05
3202355
BECONASE AQ NASAL SPRAY
116.5
3202356
SANDDSATIN 100MCG/ML
42.84
3202357
PROTAMINE 50MG/5ML VIAL
6.88
3202358
PRIMAXIN 500MG
62.78
3202359
ETOMIDATE 40MG/20ML
24.54
3202360
CILDXAN DPH SOL 5ML
79.02
3202361
NEDSYNEFRINE 10% 5ML AKADILATE
8.76
3202362
ENDOSOL 18 ML
11.12
3202363
ROCEPHIN 1GM/50ML
52
3202364
PROPDFOL 1% 10MG/ML 20ML/VIAL
12
3202365
PHETEDLAMINE 5MG/2ML
54.54
3202366
PEPCID 20MG/50ML IV PIGGY
3.6
3202367
ATACAND HCT 32/12.5MG TAB
7.5
3202368
VERAPAMIL HCL 2.5MG/ML 10ML
2.1
3202369
PROPOFOL 100MG/10ML
10
3202370
PANCURONIUM 2MG
3.14
3202371
DIMENHYDRINATE 50MG/ML
6
3202372
ADTHAR GEL 80V/ML VIAL X5ML
2690
3202373
CLARITIN 5MG-5ML LIQUID
5
3202374
COLASE 50MG-5ML LIQUID
0.5
3202375
FAT EMULISION 20% X 100ML VIAL
19.2
3202376
IODOSORB GEL 40GM
109.1
3202377
CIPRODER SUSPENSION FCO 7.5ML
170.4
3202378
PAVULOR 4MG-2ML FCO X 2ML
2
3202379
PENICILINA G 20 MILLONES VIAL
20
3202380
XENADERM 60GMS TUBE
40
3202381
ACCUZYME 30GMS TUBE
81
3202382
ZYVOX 600MG TABS
109
3202384
TPN BAXTER 2001
126
3202385
TPN BAXTER 2002
136
3202386
TPN BAXTER 2003
155
3202387
TPN BAXTER 2004
180
3202388
TPN BAXTER 2005
202
3202389
TPN BAXTER 2006
186
3202390
TPN BAXTER 2007
196
3202391
TPN BAXTER 2023
63.5
3202392
TPN BAXTER 2026
60
3202393
TPN BAXTER 2613
162
3202394
TPN BAXTER 2615
178
3202395
TPN BAXTER 2625
205
3202396
AVANDIA 8MGS
3.8
3202397
AVELOX 400MG TABS
17.5
3202398
TPN BAXTER 2021
20
3202399
TPN BAXTER 2120
56
3202400
TPN BAXTER 2121
60
3202401
TPN BAXTER 2605
178
3202402
TPN BAXTER 2614
169.5
3202403
TPN BAXTER 2616
198
3202404
ADEK
9.8
3202405
BUSPIRONE 10 MGS
0.25
3202406
DEPOPROVERA 40MGS
203.45
3202407
DIFLUCAN 10 MG-ML
65.6
3202408
DIURIL 250 MGS-5ML
2.95
3202410
LUMINAL 15MG
0.5
3202411
PRAZOSIN HCL 2MGS
0.45
3202412
PRAZOSIN HCL 5MGS
0.75
3202413
MORPHINE 2MG/ML TUBEX
2.5
3200878
CETACORT LOTION 1 %
35.65
3200879
DOME PASTE
30.95
3200880
LACTICARE LOTION 7.5OZ
13.8
3200881
LAVACOL 16 ONZ
4.55
3200882
LUBRIDERM LOTION 2.5 OZ
3.55
3200883
K WELL 2 ONZ
4.5
3200884
LINDANE LOTION 1 %
18.72
3200885
PRAX LOTION 4 ONZ
18.8
3200886
XOVITO LINIMENTO 3 ONZ
5.6
3200887
YODO FUERTE 1 ONZ
2.4
3200888
MAALOX X-TRA STRENGHT 5 ONZ
3
3200889
A & D OINTMENT 2 ONZ
2.61
3200890
ACID MANTLE CREAM 1 ONZ
7.55
3200891
ANALPRAM HC CREAM 1% 1 ONZ
47.35
3200892
ANALPRAM HC CREAM 2.5 % 1 ONZ
55.4
3200893
BACTROBAN OINTMENT 15 GM
56.95
3200894
BACITRACIN OINTMENT 1/2 ONZ
3
3200895
BENADRYL GEL 4 ONZ
8.4
3200896
BENADRYL SPRAY 2 ONZ
9.2
3200897
BENADRYL CREAM 2 % 1/2 ONZ
7
3200898
BETADINE OINTMENT
14.85
3200899
DESOWEN CREAM 15 G
29.04
3200900
DIPROLENE AF CREAM 0.05% 15 G
51.9
3200901
DIPROLENE AF 0.05% 15 G
53.2
3200902
DIPROSONE OINTMENT 0.05% 15 G
4
3200903
DIPROSONE OINTMENT 0.05% 15 G
55
3200904
ELASE OINTMENT 10 G
32.55
3200905
COREG 6.25
4.95
3200906
ELASE-CHLOROMYCETIN 10 G
33.9
3200907
EIIMITE CREAM 60 G
52.5
3200908
ELOCON LOTION 0.1 % 30ML
38.2
3200909
ELOCON CREAM 15 G
34
3200910
EMLA CREAM 5 G
15.5
3200911
EXELDREM CREAM 15 G
21.9
3200912
GARAMYCIN CREAM 15 G
2.5
3200913
GARAMACYN OINTMENT 15 G
4
3200914
HYDROCORTISONE CREAM 1 % 1 ONZ
1.85
3200915
KENALOG CREAM 15 G
1.62
3200916
LOTRIMIN CREAM 15 G
6.95
3200917
LOVENOX 60MG / DOSE 10MG
67.5
3200918
LOTRISONE CREAM 15 G
39.35
3200919
MYOFLEX CREAM 2 ONZ
7.65
3200920
MYCOSTATIN OINTMENT 15 G
23.25
3200921
MYCOLOG II OINTMENT 15 G
30.35
3200922
NEOSPORIN OINTMENT UNIT DOSE
0.25
3200923
NEOSPORIN OINTMENT 1/2 ONZ
3
3200924
NITROL OINTMENT 20 G
17.8
3200925
NITROL OINTMENT 2 % 30 GM
18
3200926
NIZORAL CREAM 15 G
28.2
3200927
ORABASE PLAIN DENTAL PASTE 5GM
6.6
3200928
KENALOG ORAL BASE 5 G
6.4
3200929
POLYSPORIN OINTMENT 14.2 G
7.4
3200930
PRAMASONE CREAM 1% 1OZ
21.5
3200931
PROCTO-CREAM 2.5% 30G
43.45
3200932
PROCTO - FOAM 15G
33.65
3200933
POLYSPORIN POWDER 10G
19.4
3200934
SILVADENE CREAM 50G
10
3200935
TOPICORT CREAM .25% 15G
38.55
3200936
TEMOVATE CREAM 0.05 %
46.9
3200937
CLOBETASOL 15G
26.45
3200938
TINACTIN CREAM 15G
10.75
3200939
TINACTIN SOLUTION 10ML
3.3
3200940
ULTRAVETE CREAM 15G
45.4
3200941
ULTRAVATE OINTMENT 15G
45.4
3200942
VALISONE CREAM 15G
2.7
3200943
VALISONE OINTMENT 15G
2.9
3200944
SPECTAZOLE CREAM 15G
27.85
3200945
WESTCORT CREAM .2% 15G
29.94
3200946
ZINC OXIDE OINTMENT 28G
1.95
3200947
ZOVIRAX OINTMENT 5% 15G
85.23
3200948
TUCKS
7.7
3200949
DERMOPLAST SPRAY
18.12
3200950
EMER. RM. MEDICINES
0
3200951
DOMEBORO
1.5
3200952
EPSOM SALT 16OZ
1.6
3200953
DIFLUCAN 200MG
35.22
3200954
DIFLUCAN 100MG
22.59
3200955
UROKINASE 5000 UNITS 1ML
95.34
3200956
PENTAM INJ. 300MG / DOSE
936
3200957
EURAX LOTION 60GM
26.15
3200958
AMIKIN 500MG
9
3200959
LOVENOX 80MG / DOSE 10MG
90
3200960
ROCEPHIN 1GM / DOSE 250MG
14.5
3200961
DDAVP 4MCG
11.5
3200962
HEPATITIS A VACCINE
114
3200963
SANDOSTATIN .1MG
39.7
3200964
SANDOSTATIN 50MG
10.74
3200965
TORADOL 60MG / DOSE 15MG
6.9
3200966
TORADOL 30MG / DOSE 15MG
2
3200967
YUTOPAR 150MG
193.75
3200968
YUTOPAR ADDITIVE SYRINGE 150MG
345
3200969
LLETIN I NPH 100U
28.15
3200970
HUMULIN R 100U /DOSE
28.5
3200971
HUMULIN U 100U / DOSE
28.5
3200972
HUMULIN L 100U / DOSE
4.8
3200973
LLETIN II NPH PORK 100U
45.9
3200974
NOVOLIN R 100U / DOSE
4.8
3200975
NOVOLIN 70/30 100U / DOSE
4.8
3200976
NOVOLIN N 100U / DOSE
4.8
3200977
BICILLIN CR 300000 UNITS
30.65
3200978
THROMBINA 20.000 UNITS
679.5
3200979
BICILLIN CR 1.200.000U / DOSE
36.36
3200980
BICILLIN CR 300000U / DOSE
5.25
3200981
PROTAMINA 50 MG
7
3200982
ANECTIN 200MG / DOSE 20MG
1.95
3200983
ANECTIN 1000MCG / DOSE 20MG
135
3200984
CHLORPACTIN WCS-90
10
3200985
ABBOKINASE 250 000 UNITS/DOSE
932.33
3200986
HUMULIN N 100 U / DOSE
4.8
3200987
HUMULIN 70/30 100 U / DOSE
4.8
3200988
IIETIN IR 100 U
28.15
3200989
PREPIDIL GEL 0.5 MG
458.97
3200990
LOVENOX 30MG / DOSE 10MG
34
3200991
TRIMO-SAN
31.35
3200992
TERAZOL 3 80 MG
18.1
3200993
TERAZOL 3 0.8 %
50.86
3200994
PREMARIN VAGINAL CREAM .625
73.55
3200995
TETANOU TOXOID(LEDERJECT)0.5MG
60
3200996
TIGAN 200 MG
3.75
3200997
ANUSOL
0.95
3200998
ANUSOL HC 25 MG
4.4
3206305
INDERAL 2MG/ML (PREPARACION)
0.5
3206306
METHOTREXATE SODIUM 2.5MG
0.5
3206307
ABACAVIR SULFATE 300MG TAB
202.5
3206308
VITAMINA C 500MG/ML VIAL 50ML
166.5
3206309
MORPHINE SULFATE 8MG SYR
4
3206310
CYTOXAN 500MG
614
3206311
BRIDION 200MG VIAL
229.5
3206312
BRIDION 500MG VIAL
J3490
420.5
3206313
VISIONBLUE 0.06% OPHT SOL
165
3206314
EMEND 40MG CAP
236
3206315
GARDASIL 9
90651
175.93
3206316
ZESTRIL 2.5MG TAB
0.5
3206317
VARIVAX 1350 PFU/ 0.5ML VIAL
245
3206318
VERSED 2MG/ML SYRUP 118ML
2
3206319
ELTA HYDROGEL 114 GM
23
3206320
SANTYL COLLAGENASE 15GM
254.5
3206321
POLY-VI-SOL/IRON 50ML FCO
13
3206322
POLY-VI-SOL/IRON 1ML SYR
1
3206323
POLY-VI-SOL 1ML SYR
1
3206324
FER-IN-SOL 1ML SYR
1
3206325
VIGAMOX .5% EYE DROP
2
3206326
TIKOSYN 500MCG CAP
11.5
3206327
VALISONE 45GM TUBE
56.5
3206328
MALETIN CIRUGIA BARIATRICA
860
3206329
HYPER HEP B 0.5ML SYRINGE
185.5
3206330
TAMIFLU 30MG CAP
17.5
3206334
REFRESH LIQUIDGEL EYE 15ML/BTL
17
3206335
TETRACAINE OPHT SOL 4ML BTL
23.5
3206336
PROVAYBLUE 0.5% 50MG/10ML
446.5
3206337
VALGANCICLOVIR 60MG/ML BTL
1106.5
3206338
A AND D OINT
6
3206339
ZARXIO 300MG/0.5ML SYR
551.5
3206340
ZARXIO 480MG/0.8ML SYR
878
3206341
VIMPAT 200MG INJECTABLE
86
3206342
RIFABUTIN 150MG CAP
32
3206343
PAXIL 30MG TAB
0.5
3206344
BREO ELLIPTA 100/25MCG BTL
242.5
3206345
ERAXIS 50MG VIAL
51.5
3206346
HALOPERIDOL DECANOATE 100MG/ML
179
3206347
BOTOX 100 UNIT VIAL
1398.5
3206348
ACTIGAL 500MG TAB
3
3206349
SIMPLE SYRUP BTL 473ML
0.5
3206350
DURICEF 500MG/5ML BTL 75ML
49.5
3206351
FEIBA 2340 UNIT/VIAL
J7198
6318
3206352
FEIBA 996 UNIT/VIAL
J7198
2689.5
3206353
FEIBA 522 UNIT/VIAL
J7198
1409.5
3206354
DIAPER RASH OINT
3.5
3206355
FEIBA 2406 UNIT/VIAL
6496.5
3206356
FEIBA 498 UNIT/VIAL
1345
3206357
MYFORTIC 360MG TAB
10.5
3206358
ODEFSEY 200/25/25MG TAB
202
3206359
POTASSIUM CHLORIDE 12.7GM PACK
3
3206360
VIMPAT 150MG TAB
30.5
3206361
SODIUM CHLORIDE 0.9% 10ML VIAL
1.5
3206362
NYAMYC TOPICAL POWDER BTL 15GM
11.5
3206363
PULMICORT FLEXHALER 90MCG
0
3206364
FLUZONE (PED) 0.25ML SYR
34.5
3206365
GENVOYA TAB
222
3206366
ZOMETA 4MG VIAL
91
3206367
WELLBUTRIN 100MG TAB
1
3206368
MORPHINE 2MG/ML
0.5
3206369
ATRIPLA TAB
205.5
3206370
MYCAMINE 50MG VIAL
187
3206371
ATROPINE OPHT OINT 1%TUB 3.5GM
29
3206372
NAPHCON A EYE DROPS BTL 5ML
11.5
3206373
NAPHCON A EYE DROPS BTL 30ML
16
3206374
DEMECLOCYCLINE HCL 300MG TAB
8.5
3206375
TEMOVATE 30GM OINT
151
3206376
ONFI 10MG TAB
44.5
3206377
VALISONE 45GM OINT
36
3206378
MESTINON ER 180MG TAB
19.5
3206379
CYKLOKAPRON 1000MG/10ML VIAL
19
3206380
MITOMYCIN 5MG VIAL
294
3206381
AREDIA 60MG VIAL
61
3206382
LABETALOL 20MG/4ML SYR
14
3206383
AK-FLUOR 10% 500MG/5ML VIAL
4
3206384
TRUVADA 100MG/150MG TAB
135
3206385
TROPICAMIDE OPH SOL 1% 3ML BTL
5
3206386
ACTEMRA 400MG/20ML VIAL
5032
3206387
DILTIAZEM 100MG IV
25.5
3206388
KETOROLAC TROMETHAMINE
8
3206389
HYDREA SUSP 40MG/ML
0.1
3206390
BUPIVACAINE SPINAL 2ML AMP
26
3206391
GLYDO 2% 120MG/6ML JELLY SYR
8.5
3206392
TENCON 50MG/325MG TAB
2
3206393
ELITEK 1.5MG VIAL
1999
3206394
LEXAPRO 5MG 5ML ORAL SOL
1.5
3206395
DOPAMINE 200MG/250ML BAG
15
3206396
KAYAXELATE 15GM/4TSP POWDER
4
3206397
ENTACAPONE 200MG TAB
1.5
3206398
CYCLOGYL 1% OPHT 2ML
10
3206399
BRILINTA 60MG TAB
13.5
3206400
AZILECT .5MG TAB
17.5
3206401
EDURANT 25MG TAB
84
3206402
LITHIUM 300MG TAB ER
0.5
3206403
SODIUM BICARBONATE 454GM POWDE
2
3206404
XARELTO 2.5 MG TAB
17
3206405
CELLCEPT 500MG TAB
2.5
3206406
PEPCID 8MG/ML LIQ
0.5
3206407
COLY-MYCIN M PARENT 150MG VIAL
28
3206408
CUBICIN 350 MG VIAL
776.5
3206409
HUMALOG JR KWIK PEN 100U/ML3ML
51
3206410
NIACIN 100MG TAB
0.5
3206411
BRILLIANT BLUE G.125MG/.5ML VI
50
3206412
LOVENOX 120MG/0.8ML SYR
34.5
3206413
VASELINE 1.75 ONZ (49GM) JAR
3
3206414
GLYBURIDE 1MG/ML PREPARACION
0.5
3206415
MYFORTIC 180 MG TAB
3.5
3206416
HEMABATE 250MCG/ML AMP
851
3206417
TOPAMAX 20MG/ML SOL
0.5
3206418
VELETRI 1.5MG VIAL
0
3206419
VELETRI 0.5MG VIAL
0
3206420
TRIUMEQ 600MG/50MG/300MG TAB
233
3206421
LEVOCARNITINE 330MG TAB
1.5
3206422
GLUTOSE 15 TUBE
8
3206423
KENALOG OINT 80GM TUBE
19
3206424
PIFELTRO 100MG TAB
111.5
3206425
BIKTARVY 50MG/200MG/25MG TAB
249
2605597
MDMA/SCREEN AND CONFIRMATORY
180
2605598
REPTILASE TIME
85635
195
2605599
FSH PEDIATRIC
83001
35
2605600
LUTEINIZING HORMONE (PED)
83002
39
2605601
5 HIAA/PLASMA
83497
107
2605602
RAST SQUID IgE
86003
37
2605603
INSULIN FREE AND TOTAL
83527
19.43
2605604
COVID-19 (DEPTO. SALUD)
87635
0
2605605
COVID-19 NAA (REFERENCE LAB)
U0002
77
2605606
COVID-19 RT (DEPTO. SALUD)
86318
0
2605607
COVID-19 RAPID TEST
86328
25
2605608
ZIKA-PCR
87798
82.5
2605609
SARS-COV-2 TOTAL
86769
25
2605610
EMPLEADOS SARS-COV-2 TOTAL
86769
0
2605611
SARS-COV-2 ANTIGEN
87426
0
2605612
SARS-COV-2 ANTIGEN EMPLEADO
87426
0
2605910
SARS-COV-2/RNA (COVID-19)
87635
0
2606010
LIPID PANEL
80061
30
2606011
ASSAY OF SERUM ALBUMIN
82040
20
2606012
ASSAY OF URINE ALBUMIN
82042
20
2606013
MICROALBUMIN QUANTITATIVE
82043
17
2606014
ALPHA FETOPROTEIN SERUM
82105
36
2606015
ASSAY OF ALUMINUM
82108
54
2606016
BILIRUBIN TOTAL
82247
15
2606017
BILIRUBIN DIRECT
82248
15
2606018
ASSAY OF CALCIUM IN URINE
82340
13
2606019
ASSAY OF COPPER
82525
37
2606020
TOTAL CORTISOL
82533
35
2606021
ASSAY OF URINE CREATININE
82570
20
2606022
ASSAY OF ESTRIOL
82677
52
2606023
ASSAY IGA/IGD/IGG/IGM EACH
82784
40
2606024
ASSAY GLUCOSE BLOOD QUANT
82947
20
2606025
GLUCOSE TOLERANCE TEST (GTT)
82951
28
2606026
GTT-ADDED SAMPLES
82952
20
2606027
ASSAY OF FOR HVA
83150
41
2606028
ASSAY OF LIPOPROTEIN
83718
18
2606029
MOLECULE ISOLATE
83890
9
2606030
MOLECULE ISOLATE NUCLEIC
83891
9
2606031
MOLECULAR DIAGNOSTICS
83892
9
2606032
MOLECULE DOT/SLOT/BLOT
83893
9
2606033
MOLECULAR GEL ELECTROPHOR
83894
9
2606034
MOLECULAR DIAGNOSTICS
83896
9
2606035
MOLECULAR NUCLEIC AMPLI 2 SEG
83900
71
2606036
MOLECULAR NUCLEIC AMPLI ADDON
83901
36
2606037
NUCLEIC ACID HIGH RESOLUTE
83909
36
2606038
GENETIC EXAMINATION
83912
9
2606039
MUTATION IDENT OLA/SBCE/ASPE
83914
36
2606040
OLIGOCLONAL BANDS
83916
43
2606041
ASSAY OF BLOOD OSMOLALITY
83930
14
2606042
ASSAY OF PROTEIN SERUM
84155
20
2606043
ASSAY OF PROTEIN URINE
84156
20
2606044
PROTEIN E-PHORESIS SERUM
84165
23
2606045
PROTEIN E-PHORESIS/URINE/CSF
84166
116
2606046
ASSAY OF TESTOSTERONE
84402
54
2606047
ASSAY OF TOTAL TETOSTERONE
84403
55
2606048
ASSAY OF TRANSCORTIN
84449
39
2606049
ASSAY OF TRYGLICERIDES
84478
13
2606050
ASSAY OF BLOOD/URIC ACID
84550
20
2606051
ASSAY OF VASOPRESSIN
84588
72
2606052
ASSAY OF ZINC
84630
25
2606053
CHORIONIC GONADOTROPIN TEST
84702
32
2606054
BLOOD CLOT FACTOR V TEST
85220
38
2606055
FACTOR INHIBITOR TEST
85335
28
2606056
PROTHOMBIN TIME
85610
30
2606057
PROTHOMBIN TEST
85611
30
2606058
THROMBOPLASTIN TIME PARTIAL
85730
20
2606059
PLATELET ANTIBODIES
86022
39
2606060
ANTINUCLEAR ANTIBODIES
86038
26
2606061
C-REACTIVE PROTEIN
86140
20
2606062
CARDIOLIPIN ANTIBODY
86147
60
2606063
COMPLEMENT ANTIGEN
86160
26
2606064
DNA ANTIBODY
86225
54
2606065
NUCLEAR ANTIGEN ANTIBODY
86235
38
2606066
FLUORESCENT ANTIBODY SCREEN
86255
26
2606067
FLUORESCENT ANTIBODY TITER
86256
26
2606068
IMMUNOFIX E-PHORESIS SERUM
86334
48
2606069
INHIBIN A
86336
33
2606070
LEUKOCUTE PHAGOCYTOSIS
86344
17
2606071
MICROSOMAL ANTIBODY
86376
76.15
2606072
PARTICLE AGGLUTINATION TEST
86403
22
2606073
RHEUMATON FACTOR TEST
86430
12
2606074
RHEUMATOID FACTOR QUANT
86431
24
2606075
LYME DISEASE ANTIBODY
86617
33
2606076
CMV ANTIBODY
86644
31
2606077
CMV ANTIBODY IGM
86645
36
2606078
ENCEPHALITIS ANTIBODY
86651
28
2606079
ENTEROVIRUS ANTIBODY
86658
28
2606080
EPSTEIN-BARR ANTIBODY
86663
28
2606081
EPSTEIN-BARR ANTIBODY
86664
33
2606082
EPSTEIN-BARR ANTIBODY
86665
39
2606083
HERPES SIMPLEX TEST
86694
31
2606084
HEP B CORE ANTIBODY TOTAL
86704
26
2606085
HEP B CORE ANTIBODY IGM
86705
25
2606086
HEP B SURFACE Ab QUANT
86706
36
2606087
HEPATITIS BE ANTIBODY
86707
25
2606088
HEP A ANTIBODY TOTAL
86708
27
2606089
HEPATITIS A ANTIBODY IGM
86709
12
2606090
LYMPHO CHRORIOMENINGITIS AB
86727
28
2606091
MUMPS ANTIBODY
86735
28
2606092
PARVOVIRUS ANTIBODY
86747
113
2606093
RUBELLA ANTIBODY
86762
31
2606094
TOXOPLASMA ANTIBODY
86777
31
2606095
THYROGLOBULIN ANTIBODY
86800
34
2606096
HEPATITIS C AB TEST
86803
12
2606097
SPECIMEN CONCENTRATION
87015
15
2606098
HEPATITIS B SURFACE AG EIA
87340
22
2606099
HEPATITIS BE AG EIA
87350
25
2606100
HEPATITIS C RNA QUANT
87522
91
2606101
STREP B ASSAY W/OPTIC
87802
24
2606102
AGENT NOS ASSAY W/OPTIC
87899
24
2606103
TISSUE CULTURE LYMPHOCYTE
88230
44
2160177
AV FISTULA (HEAD & NECK) TRAY
40
2160178
PITUITARY RETRACTION TRAY
40
2160179
LAPARASCOPY TRAY
25
2160180
PEDIATRIC VASCULAR TRAY
40
2160181
SELF RETRACTOR TRAY
25
2160182
CYSTOSCOPY INSTRUMENTS TRAY
40
2160183
HARMONIC TRAY
25
2160184
VASECTOMY TRAY
25
2160185
MAXI DRIL TRAY
25
2160186
MINI DRIL TRAY
25
2160187
FOOT SET TRAY
25
2160188
IMPLANT TRAY
25
2160189
RETINA TRAY
40
2160190
PERCUTANEOUS PINNING SET TRAY
25
2160191
HAND SET TRAY
25
2160192
TUR INSTRUMENTS TRAY
40
2160193
AV FISTULA C-VASCULAR
25
2160194
PERIPHERAL VASCULAR FEM-POP
40
2160195
BIOM LENS TRAY
25
2160196
LARINGOSCOPY TRAY
25
2160197
HEAD & NECK TRAY
25
2160198
CERVICAL TRAY
25
2160199
MINOR SURGERY TRAY
25
2160200
MICRO CURETTES TRAY
25
2160201
UROLOGY INSTRUMENTS TRAY
40
2160202
VALVES MEASUREMENT TRAY
15
2160203
MITRAL RETRACTOR TRAY
25
2160204
ENUCLEATION TRAY
25
2160205
INTRODUCER KIT GALTSTICK
198
2160206
ARTHROSCOPY TRAY # 2
40
2160207
HALO TRAY
40
2160208
GONCO TRAY
25
2160209
CHALIZION TRAY
25
2160210
PTERIGIUM TRAY
25
2160211
FULL SET TRAY
25
2160212
VERTEBROPLASTY TRAY
25
2160213
VASCULAR SUCTION TRAY
25
2160214
VASCULAR CLAMP TRAY
25
2160215
COLPOSCOPY TRAY
25
2160216
UMBILICAL TRAY WITH CATH 5FR
139.6
2160217
PERCUTANEOUS ACCESS SET
247
2160218
POWERLINE POLYURETHA CATH DUAL
380
2160219
POWERLINE POLYURETHA CATH TRIP
380
2160220
SINGLE VASCU PICC BASIC SET
200
2160221
PEDIATRIC PROCED INSERT TRAY
192
2160222
PERCUTANEOU ACCESS SET MALECOT
276
2160223
WOUND CARE KIT
9.92
2160224
PNEUMOTHORAX KIT
192.68
2160225
MAROMAX BONE ASPIRATION KIT
4200
2160226
RADIAL ARTERIAL CATH SET 22 GA
28.4
2160227
RADIAL ARTERIAL CATH SET 24GA
58
2160228
PERIPHERAL INSERT CATH1 4FR
188.4
2160229
ARGYLE CAROTID ARTERY SHUNT KI
54.18
2160230
TRAN LIVER ACC ST ROSCH UCHIDA
1400
2170010
ANDERSEN T. 10/11/20
11.8
2170011
ENDOTRACHEAL TUBE
2.95
2170012
ENDOTRACHEAL T W/CUF
2.9
2170013
SURGICAL CONN. TUBE
1.15
2170014
FEEDING TUBE
2.12
2170015
ENTRIFLEX TUBE W/BAG
238
2170016
BLEAKMORE TUBE
140
2170017
LEVINE TUBE
1.43
2170018
COLANGIOCATH
30
2170019
NASAL TUBE
11.8
2170020
DE LEE SUCTION CATH.
2.96
2170021
RECTAL TUBE
20.67
2170022
MALECOT MUSHROOM
10.75
2170023
OROPHARYNGEAL AIRWAY
27
2170024
RADIAL JAW B. NEEDLE
150
2170025
PEZZER
7.8
2170026
MALE/MALE PRESS LINE
6.5
2170027
TRACHEOTOMY TUBE
90
2170028
T TUBE
17.95
2170029
YANKAWER
1.1
2170030
POOL TUBE
4
2170031
ESOPHAGEAL STETHOSCO
10.8
2170032
CUT DOWN CATHETER
6
2170033
UMBILICAL CATHETER
26
2170034
NASAL CANNULA ADULTO
0.95
2170035
UNDERWATER CHEST DRA
30
2170036
BLUE SHEPARD DRAIN T
20.75
2170037
EXTENSION TUBE
7.47
2170038
3 WAY STOP COCK
4.85
2170039
INFLATE FACE MASK TODDLER 1032
11.5
2170040
ALL PURPOSE CATHETER 8 FR.
19.21
2170041
SUCTION CATHETER 5 FR.
2
2170042
THORACIC CATHETER
17.14
2170043
INGRAM TROCAR CATHET
44
2170044
MINITRACH CARE KIT
2.7
2170045
ENTRIFLEX EXT. TUBE
3
2170046
FLEXIFLO III FEEDING
10
2170047
ANDERSEN TUBE AN-30
22
2170048
OTOLOGICAL VANT TUBE
15.6
2170049
PRESSURE TRANS. SET
7
2170050
SALEM SUMP TUBE
4.47
2170051
SHILEY TRACT TUBE
68
2170052
BRONCHO CATH.
170
2170053
REINFORCED TRACH.TUB
25.8
2170054
DISP. VEIN STRIPPER
22
2170055
JEJUNOSTOMY TUBE
274.8
2170056
BILE BAG
12.2
2170057
PENROSE TUBE
0.9
2170058
THORA DRAIN III
121.25
2170059
THORA EXTENSION SET
15
2170060
NON-CON.ANES.CIRCUIT
8.4
2170061
WATER TRAP CARTRIDGE
10
2170062
WATER TRAP KIT
48.17
2170063
HUMID-VENT 2
8.75
2170064
STRAIGHT SAMPLING616
7.2
2170065
MASK ELBOW SAMP. 617
10
2170066
24 HR CLOSED SUCTION
28.3
2170067
HUMID VENT-MINI
10
2170068
ANESTHESIA FILTER
7.7
2170069
CUFF PRESSURE CONTRL
21
2170070
SUCTION TRAY - ALL
8
2170071
MOSS GASTRO. TUBE
454
2170072
BLAKE DRAIN 10FR.
46.2
2170073
BLAKE DRAIN 15FR.
46.2
2170074
BLAKE DRAIN 19FR.
64.15
2170075
J-VAC RESERVOIR
42.2
2170076
ORAL SUCTION
4.74
2170077
OXYGEN MASK
1.32
2170078
HUMIDIFIER 350ML
3.3
2170079
NEBULIZER W/STERILE WATER 440
6.45
2170080
O2 CONNECTING TUBE
0.65
2170081
VENTURI MASK
3.19
3209878
CLAFORAN 100 MG/ML BAG
4.5
3209879
CLAFORAN 200 MG/ML BAG
9
3209880
IFOSFAMIDE 9400 MG
1254
3209881
MESNA 9400 MG
389
3209882
ETOPOSIDE 190 MG
368.5
3209883
CARBOPLATIN 600 MG
216
3209884
WELLBUTRIN 100 MG EXT RELEASE
0.5
3209885
ROBINOL 0.1 MG / ML SUSPENSION
4
3209886
ROCEPHIN 250 MG
2
3209887
ALBUTEROL 0.63 MG / 3 ML
2
3209888
DIFLUCAN 100 MG / 50 ML
16
3209889
FENOFIBRATE 160MG TAB-TRIGLIDE
3
3209890
MAGNESIUM OXIDE 250 MG
0.5
3209891
VIT B 12 1000 MCG SUBLINGUAL
0.5
3209892
ALBUTEIN 25% 50 ML VIAL
130.5
3209893
PROCTO-PACK 1 % 30 GM CREAM
55.5
3209894
MULTIVITAMINS LIQUID CUP
1
3209895
NEPHRONEX TABLET
1
3209896
ELIQUIS 5MG (APIXABAN)
0
3209897
APIXABAN 2.5MG (ELIQUIS)
0
3209898
KPO 4100ML IV ROOM
22.5
3209899
SODIUM BICARBONATE 4.2% 5ML VI
6.5
3209900
RID LICE TREATMENT SHAMPOO
7.45
3209901
NYSTATIN 5ML SYR
1
3209902
HIBICLENS 240ML (8ONZ)
29
3209903
NIACIN 500MG TAB
0.5
3209904
ZYPREXA 20 MG TAB
0.5
3209905
MELATONIN 10MG CAP
0.5
3300001
ANESTHESIA - DRUGS
0
3300006
CARBOCAINE
15
3300010
CICLOPROPENE
15
3300015
ANESTHESIA /MINUTE
1.5
3300017
XYLOCAINE 4%
15
3300020
FLUOTHANE
20
3300025
XYLOCAINE 1%
5
3300026
XYLOCAINE VISCOSA
15.25
3300027
XYLOCAINE JELLY 2%
10
3300028
LIDOCAINE
6.9
3300029
XYLOCAINE 2%
5
3300030
PENTRANE MASK
35
3300035
OTHER ANESTHESIA
50
3310016
ANESTH./MIN.-CARDIOV
3
3350014
ANESTH./MINUTES OB-GYN
1.5
3400005
OXYGEN 1@6HRS -EMER.
94799
22
3400010
OXYGEN 7 @ 12 HRS.
94799
24
3400015
OXYGEN 13 @ 24 HRS.
94799
36
3400020
OXYGEN STAND-BY CHRG
10
3400046
POLYSOMNOGR1@3ADDT.PARAM SLEEP
95808
1150
3400047
POLYSOMNOGR4OR MOR ADD PAR SLE
95810
1150
3400048
POLYSOMNOGR4OR MOR AIRW THERAP
95811
1150
3400049
MULTIPLE SLEEP LATENCY
95805
1150
3400055
O2 CROUPETTE 1@12HR
25
3400060
O2 CROUPETTE 13@24HR
50
3400064
BRONCHO/CYTO. BRUSH
31623
250
3400065
BRONCHOS/DX W/BRONCHIAL ALVEOL
31624
350
3400091
CHEST TAPPING SUBS.
94668
5
3400093
OXYGEN 1 @ 6 HRS.
94799
15
3400095
CPAP
94660
20
3400096
IPPB INITIAL THERAPY
94640
40
3400097
IPPB THERAPY SUB
94640
20
3400098
SVN THERAPY SUB
94640
20
3400099
PFT PRE
94010
75
3400100
PFT PRE-POST
94060
120
3400101
BRONCH BRUSH W/BIOPSY
31625
269
3400102
BRONCHOS DIAGNOSTIC
31622
250
3400103
BRONCHOS/DX & BX
31625
250
3400104
BRONCHOS TRANSBRONCH
31628
250
3400105
BRONCHOS NEEDLE ASP
31629
250
3400106
BRONCHOS REMOVAL F.B
31635
250
3400108
TRACHEOBRONCHOSCOPY
31615
250
3400109
OXYGEN SET-UP KIT
10
3400114
CIRCUIT FOR BIPAP
46.5
3400115
TRACH T ADAPTER
0.5
3400119
HUMIDIFIERS ONLY
4
3400120
DX BRONCHOSCOPE BRUSH
31622
550
3400121
ENDO TUBE HOLDER
10
3400122
PFT MS PLETHYSMOGRAPHY
94726
100
3400123
EXHALED AIR ANALYSIS
94690
66
3400124
BREATHING RESPONSE TO CO-2
94400
66
3400126
BRONCHIAL CLOSED BIOPSY
31625
447
3400127
P.F.T. M.V.V.
94200
55
3400128
P.F.T. VITAL CAPACITY TOTAL
94150
55
3400129
P.F.T. LUNG NITROGEN WASHOUT
94727
87
3400130
BRONCHOSPAM EVALUATION
94060
87
3400131
INHAL.BRONCHIAL CAHALLENGE TST
95070
232
3400132
PROL.POST-EXPOSURE BRONCO. EV.
94070
232
3400133
PULMONARY COMPLIANCE STUDY
94750
55
3400134
THORACIC GAS VOLUME
94727
87
3400135
PFT OSCILLOMETRY
94728
55
3400136
PULMONARY STRESS TEST/SIMPLE
94618
87
3400137
O2 UPTAKE & CO2 OUTPUT
94681
87
3400139
PULSE OXIMETRY SINGLE
94760
20
3400140
PULSE OXIMETRY MULTIPLE
94761
20
3400141
PULSE OXIMETRY CONTINUO 24HRS
94762
20
3400142
TRACHEOSTOMY CARE
25
3400143
PULMONARY STRESS TESTING CPLEX
230
3400144
TILT TABLE EVALUATION
93660
171.43
3400145
VITAL GAUZE MANOMETER
6.7
3400148
CONTINUOS INHAL. TREAT. ADD +1
94645
155
3400149
EVALUATION DEMOST. PT TREAT.
94664
15
3400150
CONTINOUS INHA TREAT W/AEROSOL
94644
95
3400155
VENTILATOR CIRCUIT VERSAMED
32.85
3400156
VENTILAT CIRCUIT VERSAMED MRI
75
3400157
THORACENTESIS FOR ASP W/O IMAG
32554
390
3400158
VERSAMED MRI CIRCUIT
50
3400159
VERSAMED REGULAR CIRCUIT
22
3400160
EZPAP THERAPY SUB
94640
20
3400161
EZPAP INITIAL THERAPY
94640
50
3400162
PRE VENT FLOW SENSORS
18
3406372
INJ THER/PROPH/DIAG SC/IM
96372
40
3406374
INJ IV PUSH THER/PROPH/DIAG
96374
75
3406375
IV PUSH SEQUENT ADD NEW DRUG
96375
25
3409001
SPECTRUM FACE MASK S-M-L
78
3409015
SVN INITIAL THERAPY
94640
30
3409075
PRESSURE VENT 1@12 H
80
3409080
PRESSURE VENT 13@24H
160
3200456
HYDRODIURIL 25MG
0.25
3200457
FLEXERIL 10MG
1.95
3200458
MEFOXIN 1GM
12.5
3200459
MEFOXIN 2GM
24.5
3200460
HYZAAR 50MG
4.35
3200461
MEVACOR 20MG
3.72
3200462
MEVACOR 40MG
6.7
3200463
MODURETIC 5/50
0.8
3200464
NOROXIN 400MG
4.4
3200465
PEPCID 20MG
3.1
3200466
PEPCID 40MG
5.3
3200467
PLENDIL 2.5MG
1.88
3200468
PLENDIL 5MG
1.95
3200469
PLENDIL 10MG
3.1
3200470
PRILOSEC 20MG
12.18
3200471
PRIMAXIN 500MG
79.05
3200472
SINEMET 10/100
1.15
3200473
SINEMET 25/100
1.59
3200474
SINEMET 25/250
1.4
3200475
SINEMET CR 25/100
1.22
3200476
TONOCARD 400MG
1.7
3200477
URECHOLINE 25MG
1.7
3200478
VASERETIC 10/25
2.3
3200479
VASOTEC 2.5MG
2.4
3200480
VASOTEC 5MG
1.7
3200481
VASOTEC 10MG
1.8
3200482
VASOTEC INY. 1.25 MG/VIAL
4.75
3200483
ZOCOR 10MG
3.5
3200484
ZOCOR 20MG
6.1
3200485
ZOCOR 40MG
7.3
3200486
BENADRYL 25MG / DOSE
0.22
3200487
BENADRY 50 MG / DOSE CAP
0.27
3200488
BENADRYL 50MG / DOSE
3.15
3200489
ACCUPRIL 5MG
1.7
3200490
ACCUPRIL 10MG
1.8
3200491
ACCUPRIL 20MG
1.85
3200492
ACCUPRIL 40MG
1.8
3200493
KETALAR 50MG/ML 10ML
12
3200494
DILANTIN ORAL SUSP. 125MG
7.65
3200495
DILANTIN 50MG
1.65
3200496
DILANTIN 100MG
0.78
3200497
PERIACTIN 4MG
0.4
3200498
LOPID 600MG
2.3
3200499
NITROSTAT SL 1/150 .4MG
9.1
3200500
PYRIDIUM 200MG
2.15
3200501
NEURONTIN 300MG
3.51
3200502
MECLOMEN 100MG
0.6
3200503
PITRESSIN IY. ACUOSO 1ML
2.5
3200504
PONSTEL 250MG
3.05
3200505
PENICIL G POTAS5MILLO 5 M/DOSE
20.08
3200506
ANTIVERT 12.5M
0.27
3200507
ANTIVERT 25MG
0.75
3200508
ATARAX 10MG
1.15
3200509
ATARAX 25MG
1.7
3200510
CARDURA 1MG
1.8
3200511
CARDURA 2MG
1.85
3200512
CARDURA 6MG
1.9
3200513
CARDURA 8MG
2
3200514
DIABINASSE 250MG
1.45
3200515
FELDENE 20MG
5.3
3200516
GLUCOTROL XL 5MG
0.99
3200517
GLUCOTROL XL 10MG
1.98
3200518
GLOCOTROL 5MG
0.65
3200519
GLUCOTROL 10MG
1.2
3200520
MINIPRESS 1MG
1.2
3200521
NORVASC 2.5MG
3.96
3200522
NORVASC 5MG
3.96
3200523
NORVASC 10MG
5.91
3200524
PROCARDIA 10MG
0.5
3200525
PROCARDIA 20MG
2.2
3200526
PROCARDIA XL 30MG
2.58
3200527
PROCARDIA XL 60MG
5.91
3200528
PROCARDIA XL 90MG
6.99
3200529
ADAPIN (SINEGUAN) 25MG
0.45
3200530
ADAPIN (SINEGUAN) 50MG
0.65
3200531
VISTARYL 25MG / DOSE
1.98
3200532
VISTARYL 50MG / DOSE 25MG
2.42
3200533
VIBRAMYCIN 100MG
7
3200534
ZITHROMAX 250MG
19.56
3200535
ZOLOFT 50MG
6.9
3200536
UNASYM 1.5GM / DOSE 1.5GM
15.8
3200537
UNASYM 3GM / DOSE 1.5GM
28.9
3200538
LASIX INY. 100MG
7.5
3200539
NORFLEX INY. 60MG / DOSE
41.82
3200540
NORFLEX 100MG
3.8
3200541
TITRALAC
0.1
3200542
MULTIVITAMINAS(BERROCA)
0.25
3200543
DOPRAM
42
3200544
MICRO K 8 MEQ 600MG
0.35
3200545
MICRO K 10 MEQ 750MG
0.4
3200546
MITROLAN
0.3
3200547
QUINIDEX EXTENTABS 300MG
1.5
3200548
TETRACICLINA 500MG
0.25
3200549
REGLAN 5MG
0.9
3200550
REGLAN 10MG
1.4
3200551
REGLAN INY. 10MG / DOSE
0.95
3200552
TENEX 1MG
1.96
3200553
TENEX 2MG
2.58
3200554
ROBAXIN 500MG
0.9
3200555
ROBAXIN INY. 10ML / DOSE
31.54
3200556
ROBITUSSIN PEDIATRIC
7.15
3200557
ROBITUSSIN CF
7.65
3200558
ROBITUSSIN DM
7.65
3200559
ROBITUSSIN PLAIN
5.55
3200560
NIPRIDE 50MG
J3490
793.97
3200561
HEPA-LOCK 10 / DOSE
2.57
3200562
Z-BEC
0.3
3200563
AZMACORT / DOSE
124.4
3200564
BUMEX 1MG
0.75
3200565
BUMEX INY. 1MG
2.5
3200566
LIBRAX 5/2.5
1.4
3200567
MESTINON 60MG
0.88
3200568
MESTINON TIMESPAN 180MG
1.75
3200569
SEPTRA (BACTRIM) 80/16
1.9
3200570
PROSTIGMIN INJ. .05MG / DOSE
8.02
3200571
DILACOR XR 120MG
2.05
3200572
DILACOR XR 180MG
2.4
3200573
DILACOR XR 240MG
2.55
3200574
LEVOXYL 25 MCG .025M
0.51
3200575
LEVOXYL 50 MCG .050M
0.3
3200576
LEVOXYL 75 MCG .075M
0.84
3200577
LEVOXYL 88 MCG .088M
0.33
3200578
SYNTHROID 88 MCG .88MG
0.5
3200579
LEVOXYL 100 MCG .1MG
0.66
3200580
LEVOXYL 112 MCG .112M
0.81
3200581
SYNTHROID 112 MCG .112M
0.6
3200582
LEVOXYL 125 MCG .125M
0.39
3200583
SYNTHROID 125 MCG .125M
0.64
3200584
LEVOXYL 150 MCG .150M
0.84
3200585
LEVOXYL 175 MCG .175M
1.08
3200586
LEVOXYL 200 MCG .2MG
0.69
3200587
SYNTHROID 200 MEG .2 MG
0.7
3200588
LEVOXYL 300 MCG .3 MG
1.5
3200590
LOZOL 2.5 MG
1.55
3200591
LOZOL 1.25 MG
1
3200592
NITROLINGUAL SPRAY
28.2
3200593
SLOBID 50 MG
0.35
3200594
SLOBID 75 MG
0.5
3200595
SLOBID 100 MG
0.6
3200596
SLOBID 125 MG
0.6
3200597
SLOBID 200 MG
0.65
3200598
SLOBID 300 MG
1
3200599
D.H.E. 45 / DOSE 1MG
84.8
3200600
DYNACIRC 2.5 MG
1.05
3200601
DYNACIRC 5 MG
1.75
3200602
PAMELOR 25 MG
2.25
3200603
FIORICET
1.1
3200604
MELLARIL 10 MG
0.65
3200605
MELLARIL 25 MG
0.95
3200606
MELLARIL 200 MG
1.85
3200607
LESCOL 20 MG
4.23
3200608
METHERGINE .2 MG
12
3200609
METHERGINE . 2 MG INY
23.85
3200610
PARLODIL 2.5 MG
7.86
3200611
TAVIST 1
0.92
3200612
TAVIST 2.68 M
2.58
3200613
VISKEN 5 MG
1.55
3200614
CLEANSING ENEMA SET
2.2
3200615
PITOCINA INJ. 10 U / DOSE
4.5
3200616
CORTENEMA
33.51
3200617
COLYTE GAL.
32.43
3200618
SOLUMEDROL 500 MG
26.5
3200619
SOLUCORTEF 100MG / DOSE
4.5
3200620
SOLUMEDROL 40MG / DOSE
5
3200621
AMINOPHYLLINE 500MG/DOSE 250MG
2.64
3200622
AMINOPHYLLINE 250MG / DOSE 250
1.95
3200623
METHYLENE BLUE 1%
14.5
2606104
TISSUE CULTURE BONE MARROW
88237
55
2606105
CHROMOSOME ANALYSIS 50-100
88248
366
2606106
CHROMOSOME ANALYSIS 100
88249
366
2606107
CHROMOSOME ANALYSIS 15-20
88262
535
2606108
CHROMOSOME ANALYSIS 20-25
88264
264
2606109
CYTOGENETICS DNA PROBE
88271
39
2606110
CYTOGENETICS 10-30
88273
62
2606111
CYTOGENETICS 100-300
88275
85
2606112
CHROMOSOME KARYOTYPE STUDY
88280
53
2606113
CHROMOSOME STUDY ADDITIONAL
88289
73
2606114
NUCLEIC ACID SIGNAL AMPLI
83908
36
2606115
ASSAY OF PROTEIN OTHER
84157
20
2606116
LIPOPROTEIN BLD BY NMR
83704
67
2606117
IMMUNOASSAY QUANT NOS NONAB
83520
28
2606118
Q FEVER ANTIBODY
86638
26
2606119
IMMUNFIX E-PHORSIS/ URINE/ CSF
86335
62
2606120
FLOWCYTOMETRY/TC 1 MARKER
88184
10
2606121
FLOWCYTOMETRY/TC ADD-ON
88185
10
2606122
EHRLICHIA ANTIBODY
86666
22
2606123
ASSAY ALKALINE PHOSPHATASE
84075
20
2606124
ASSAY ALKALINE PHOSPHATASES
84080
32
2606125
CYTO/MOLECULAR REPORT
88291
30
2606126
DETECT AGENT NOSDNA AMP
87798
75
2606127
CHLAMYDIA
86631
33.28
2606128
CHLAMYDIA IgM
86632
27
2606129
THROMBOPLASTIN TIME PARTIAL
85732
14
2606130
HERPES SIMPLEX
87529
75
2606131
TOXOPLASMA IgM
86778
31
2606132
ENCEPHALITIS/EASTERN EQUINE
86652
28
2606133
ENCEPHALITIS ST LOUIS
86653
28
2606134
ENCEPHALITIS WESTERN EQUINE
86654
28
2606135
MOLECULAR NUCLEIC TRANSFER
83897
9
2606136
FLOW CYTOMETRY 2 TO 8 MARKERS
88187
10
2606137
FLOW CYTOMETRY 9 TO 15 MARKERS
88188
10
2606138
BETA-2 MICROGLOBULIN
82232
35
2606139
SIALIC ACID
84275
123
2606140
PROTEIN WESTERN BLOT
84181
36
2606141
IMMUNOGLOBULIN SUBCLASS IgG
82787
17
2606142
LEGIONELLA
86713
33
2606143
IMMUNOFLUORESCENT INDIRECT
88347
10
2606144
MOLECULAR DIAGNOSTICS AMPLI
83898
36
3202414
LABETALOL 200MG-40MLS
7.95
3202415
ORAPLUS
1.8
3202416
ORA SWEET
1.8
3202417
PANCURONIUM 2MG
2
3202418
PROPYLENE GLICOL
0.9
3202419
RETROVIR 10MG-ML SYRUP
10.65
3202420
ROCALTROL .5MCG
3.35
3202421
VERSED 25MGS-5ML
7.8
3202422
ZINACEF 750MGS
6
3202423
ACTOS 30MG
10.25
3202424
ACTOS 45MG
11.1
3202425
DOXEPIN 100MG
0.25
3202426
LISIPLEX LIQ. .05 ML
3
3202427
AVAPRO 75MG TAB
6.25
3202428
LEVOTHROID 200MCG TAB
1
3202429
LEVOTHROID 100MCG TAB
0.75
3202430
LEVOTHROID 125MCG TAB
0.75
3202431
CLINIMIX 4.25/DW 5%
44.1
3202432
LEVOTHROID 75MCG TAB
0.35
3202433
RETADOR TROCISCOS
0.3
3202434
LEVOTHROID 150MCG TAB
0.4
3202435
VECURONIUM BROMIDE 10MG/10ML
8.7
3202436
PANCURONIUM BROMIDE 10MG/10ML
3.15
3202437
XENADERM 60GM
133.4
3202438
HEMATRON LIQUIDO
6.5
3202439
CIPRODEX OTIC SUSPENSION
170.25
3202440
CLINIMIX 4.25/DW 25%
44.1
3202441
BALANCED SALT SOLUTION 18ML
39
3202442
CLINDAMYCIN LIQ 100ML
46.56
3202443
CEPHALEXIN 125MG/5ML X 100ML
13
3202444
LEVOFLOXACIN 750MG/30ML
45.5
3202445
REFROVIR LIQ./ML
0.36
3202446
NICOFINIC ACID 500MG
0.52
3202447
SENSORCAINE 0.25 /30ML
15.1
3202448
SENSORCAINE 0.5/10ML
9
3202449
SENSORCAINE 0.75/10ML
9.5
3202450
SENSORCAINE 0.25/10ML
3.72
3202451
TRIPLE ANTIBIOTIC 4D
0.24
3202452
VIAGRA 50MG
17.98
3202453
CARCIFEROL 200 MCG/ML
2.4
3202454
DEMEROL 75 MG / 1.5 ML
1.5
3202455
DEPO-PROVERA 400 MG/ML 2.5ML
203.46
3202456
DEPO-PROVERA 150 MG/ML 1 MLVIA
99.68
3202457
DURAGESIC 50 MCG
19.5
3202458
CEPHALEXIN 125 MG/5 ML
0.13
3202459
LUMINAL 60 MG SYRINGE
6.4
3202460
MORPHINE 10MG/ML 10ML
9
3202461
ACYCLOVIR 400MG TAB
0.25
3202462
CIPRO 200MG IV
12.54
3202463
LAMICTAL TAB 25MG
4.94
3202464
LAMICTAL TAB 100 MG
5.24
3202465
ARICEPT 10 MG
9.5
3202466
OXYCONTIN 20 MG
6
3202467
OXYCONTIN 10 MG
3.34
3202468
OXYCONTIN 40 MG
11.3
3202469
OXYCONTIN 160 MG
35.36
3202470
OXYCONTIN 80 MG
21.28
3202471
TACROLIMUS 1 MG CAPS
7.64
3202473
NOVOLOG MIX 70/30
0.9
3202474
XYLOCAINE 2% ABBJ 5ML
4.6
3202475
TOPAMAX 15MG
3.35
3202476
TOPAMAX 25MG
3.25
3202477
TOPAMAX 100MG
11.1
3202478
ASACOL 400MG
2.15
3202479
SEROQUEL 25MG
3.6
3202480
TUSSIPRESS
0.25
3202481
DIOVAN 320MG
4.55
3202482
TRILEPTAL LIQ.
0.85
3202483
SUPLEVIT LIQ. X ML
0.25
3202484
LOPRESSOR 25MG TAB
0.27
3202485
PRE-PROTEIN X ML
0.25
3202486
LYSIPLEX X ML
0.25
3202487
NEUTRA-PHOS
1.05
3202488
DRAMAMINE 50 MG
14
3202489
PANAFIL OPINT. 30 GMS
168
3202490
TPN BAXTER 2616 3:1 20% 2500ML
198
3202491
ZYRTEC D-12
2
3202492
BALSANG
7.2
3202493
NASONEX SPRAY
109
3202494
ALDOMET 500 MG
0.45
3202495
DEPAKOTE SPRINKLE 125MG
1.4
3202496
DEPAKOTE 125MG DR
1.3
3202497
TOBRAMYCIN 1.2GMS VIAL
395
3202498
SINGULAR 5MG
6.1
3202499
SINGULAR 4MG
6.1
3202500
DIFLUCAN 150 MG TAB
0.65
3202501
FERROUS SULFATE ELIXIR X ML
0.25
3202502
LUFYLLIN 400MG TAB
1.65
3202503
NEURONTIN 600MG
3.3
3202504
DAPSONE 25MG
0.4
3202505
ALTACE 10MG
40
3202506
ANCEF 500MG IV
2.38
3202507
ATARAX 50MG
1.05
3202508
MYDRIACYL 1% FCO 15ML
6.5
3202509
SEROQUEL 100MG TABS
6.25
3202510
NESCAINE 3% X 20MG
20
3202511
CASODEX TABS
29.2
3202512
NOVOLOG VIAL 10ML
85.4
3202513
ERY PED DROPS 100MG 2.5X50ML
15
3202514
SKELAXIN 800MGS
5
3202515
ACTIVASE 2MG VIAL
156
3202516
ROBINUL FORTE 2MG TABS
2.8
3202517
ZITHROMAX 100MG - 5ML SUSPEN.
60
3202518
ALINIA 100MG - 5ML FCO X 60ML
124
3202519
AMIODARONE HCL 900MG 18ML
34.7
3202520
CLINIMIX 4.25/DW 10% 2000ML
84
3202521
ALBUTEROL 0.083% 2.5ML/3ML
0.75
3202522
ALBUTEROL 0.042% 1.25ML/3ML
3.2
3202523
SANDOSTATIN VIAL 5ML 1000MCGS
476.6
3202524
ZERIT 20 MGS
11.4
3202525
ZERIT 30 MGS
12
3202526
ANTIHEMOPHILIC FACTOR 1 UNIT
1.5
3202527
FOLIC ACID .4MGS TABS
0.25
3202528
SODIUM BENZONTE 100MGS-ML
0.25
3202529
LEVOCARNITINE 1000MGS-5ML
50
3202530
CALCIUM GLUBIONATE LIQ. ML
0.25
3202531
KEPRA 500MGS TAB
6.8
3202532
TROPICAMIDE .5% 15ML
18
3202533
LEVOTHROID 175MCG TAG
0.45
3202534
FLOVENT HFA 110 MG
151.8
3202535
BICITRA 30ML CUP
0.66
3202536
FLOVENT HFA 220 MCG
276.75
3202537
FLOVENT HFA 44 MCG
63
3202538
VYTORIN 10/20 TAB
5.75
3202539
CRESTOR 10MG TAB
6
3202540
VYTORIN 10/40 TAB
5.75
3206426
SPINRAZA 12MG/5ML VIAL
0
3206427
SYRUP SIMPLE 15GM/15ML CUP
0.5
3206428
DROGA INVESTIGACIONAL
0
3206429
SC. 9% FLUSH SYRINGE
2
3206430
VIMP 200MG
32.5
3206431
SMOFLIPID 20% 20GM/100ML BAG
40.5
3206432
GRISEOFULVIN (MICROSIZE) 500MG
12
3206433
SMOFLIPID 50ML IV ROOM
40
3206434
CORTEF SOLUCION
0.15
3206435
RYTHMOL 300 MG TAB
1
3206436
ISENTRESS HD 600 MG TAB
63.5
3206437
BICARBONATO 8.4% PED VIAL
39
3206438
RYANODEX 250MG VIAL
4881.5
3206439
GLYDO 2% 220MG/11ML JELLY SYR
10
3206440
HYDROGEN PEROXIDE 118ML BTL
1
3206441
POLYTRIM OPH DROPS 10ML BTL
8
3206442
OMNIPAQUE 9MG/ML ORAL 500ML BT
13
3206443
SUPREP BOWEL SOL PRE KIT 354ML
234.5
3206444
BOTOX 200 UNITS VIAL
2902.5
3206445
ALINIA 500MG TAB
265.5
3206446
CICLOPIROX OLAM 6.6ML 8%BTL
20.5
3206447
UROXATRAL 10MG TAB
1
3206448
BACLOFEN 1MG/ML SOL
0.5
3206449
NOVOSEVEN 1MG POWDER VIAL
5660.5
3206450
SENSIPAR 60MG TAB
130
3206451
REMDESIVIR
0
3206452
VIRACEPT 625 MG TAB
24.5
3206453
RAPAMUNE 1MG TAB
19
3206454
INFLECTRA 100 MG VIAL
1260.5
3206455
RECTICARE 30GM CREAM (GEN)
24.5
3206456
COREG 0.1MG/ML
0.5
3206457
LOPRESOR 10MG/ML EXTEMPORANEA
0.5
3206458
NAMENDA XR 28MG CAP
2
3209300
T. P. N.
5
3209301
NUTRIMIX 3.5/5 % 1000 ML
133
3209302
NUTRIMIX 4.25/10 1000 ML
133
3209303
NUTRIMIX 4.25/25 1000 ML
133
3209304
NUTRIMIX 4.25/5 1000 ML
133
3209305
NUTRIMIX 5/25 1000 ML
133
3209306
NEURONTIN 400 MG CAP.
4.32
3209307
AVANDIA 2 MG TAB.
4
3209308
AVANDIA 4 MG TAB.
8
3209309
SYNTHRAD 25 MCG TAB.
0.5
3209310
CELEBREX CAP.
2.9
3209311
AMIKIN 100 MG RIAL
16.2
3209312
AVAPRO 150 MG TAB.
2.4
3209313
AVAPRO 300 MG TAB.
4.8
3209314
TISSELL - VH 2ML
373
3209315
COMBIVIR TABS.
17.8
3209316
EPOGEN 40.000 UNITS
1170
3209317
ALUMBRE POLVO/SOLN
6
3209318
LEVAQUIN 500MG TABS
19
3209319
BLEOMYCIN 15U / DOSE
584.93
3209320
ZITHROMAX 500 IV / DOSE 500
59.05
3209321
PRAVACHOL 40MG/TAB
6
3209322
ZITHROMAX SUSP. 200MG
52
3209323
TENORMIN 100MG TAG
0.75
3209324
ADAPIN 100MG/CAP
0.5
3209325
PREVACID 15MG CAP
7.5
3209326
FER-IN-SOL ELIXIR
0.5
3209327
HUMALOG 75/25 PEN / DOSE 5
37.34
3209328
CELEBREX 200 MG CAP
4.9
3209329
LOTREL 5/10 CAPS
7.41
3209330
LOTREL 5/20 CAPS
3.75
3209331
BACLOFEN 10 MG
0.75
3209332
DECADRON 0.1% EYE DROPS
20
3209333
ZINACEF 1.5GM
20
3209334
TPN 150 ML(NO FAT)
195
3209335
TPN 150 ML 3:1 FAT 10%
210
3209336
TPN 150 ML 3:1 FAT 20%
210
3209337
TPN 250 ML NO FAT
195
3209338
TPN 250 ML 3:1 FAT 10%
210
3209339
TPN 250 ML 3:1 FAT 20%
210
3209340
TPN 500 ML(NO FAT)
195
3209341
TPN 500 ML 3:1 FAT 10%
185
3209342
TPN 500 ML 3:1 FAT 20%
225
3209343
TPN 1000 ML NO FAT
135
3209344
TPN 1000 ML 3:1 FAT 10%
270
3209345
TPN 1000 ML 3:1 FAT 20%
270
3209346
TPN 1500 ML NO FAT
225
3209347
TPN 1500 ML 3:1 FAT 10%
285
3209348
TPN 1500 ML 3:1 FAT 20%
285
3209349
TPN 2000 ML NO FAT
225
3209350
TPN 2000 ML 3:1 FAT 10%
285
3209351
TPN 2000 ML 3:1 FAT 20%
285
3209352
TPN 2500 ML NO FAT
255
3209353
TPN 2500 ML 3:1 FAT 10%
315
3209354
TPN 2500 ML 3:1 FAT 20%
315
3209355
TPN 3000 ML NO FAT
285
3209356
TPN 3000 ML 3:1 FAT 10%
330
3209357
TPN 3000 ML 3:1 FAT 20%
330
3209358
TPN 3500 ML NO FAT
315
3209359
TPN 3500 ML 3:1 FAT 20%
375
3209360
TPN 4000 ML NO FAT
375
3209361
TPN 4000 ML 3:1 FAT 10%
450
3209362
TPN 4000 ML 3:1 FAT 20%
450
3209363
TPN 3500 ML 3:1 FAT 10%
285
3209364
COREG 25 MG TAB
4.95
3209365
NEURONTIN 100 MG CAP.
1
3209366
DIOVAN 80 MG/12.5 MG
3
3209369
DIOVAN 160 MG
2.85
3209370
PLETAL 100 MG
3.25
3209371
VASOTEC INY 2.5 MG/VIAL
5.7
3209372
NEORAL 25MG / DOSE
3.06
3209373
TEGRETOL XR 400MG
2
3209374
ZANTAC 150MG / DOSE 25MG
14.2
3209375
LOTREL 2.5/10 CAPS
5.94
3209376
HYZAAR 100/25 MG
4
3209377
LEVAQUIN 750MG PIGGY
100
3209378
GLUCOPHAGE 500 MG XR TAB
1.4
3209379
HALDOL DECANOATE 50MG / DOSE
54
3209380
FLOMAX 0.4 MG/CAP
3.2
3209381
GENOTROPIN 5.8 MG / DOSE 1MG
478.95
3209382
ELAVIL 25 MG/TAB
0.36
3209383
DIPRIVAN 10 MG/ML 100 ML/VIAL
150
3209384
EFFEXOR XR 37.5 MG/CAP
4.3
3209385
CARDIZEM 90 MG/TAB
2
3209386
DIOVAN 160MG/12.5MG
3
3209387
AMARYL 4MG TAB
1.6
3209388
ZYPREXA 10 MG TAB
18
3209389
ATACAND 16 MG TAB
5.5
3409095
VOL. VENT. SET-UP
25
3409105
VENT MGMT INPAT/ INITIAL DAY
94002
100
3409110
VENT MGMT INPAT/ SUBQ DAY
94003
200
3409130
A.BLOOD GAS ANALYSIS
82803
100
3409162
OXYGEN/MASK 1@ 6HRS
15
3409163
OXYGEN/MASK 7@12HRS
25
3409164
OXYGEN/MASK 13@24HRS
50
3409179
O2 I.M.V. SET-UP KIT
25
3409180
O2 CROUPETTE SET-UP
20
3409184
C.P.R. RESUCITATION
92950
50
3409189
EFFECT COMPL TEST
10
3409190
TRACHEAL SUCTION
20
3409191
POSTURAL DRAINAGE
15
3409193
CHEST TAPPING -INIT.
94667
5
3409196
INCENTIVE SPIROMETRY
5
3409198
O2 UNIVERSAL SET-UP
10
3409205
O2 CORRUGATED TUBE
5
3409206
OXYGEN CANULA
1.5
3409213
V/D - V/T TEST
25
3409215
PFT FLOW VOLUME
94375
65
3409217
PFT MS - DLCO
94729
45
3409218
PFT BY GAS
94727
30
3409223
VENTILATOR MONITORING
20
3409225
VENTILATORS STAND-BY
35
3409227
PEAK FLOW
22
3409230
CLOSE TRACHEOTOMY SUCTION #16
29
3409231
BACTERIAL FILTER
12.75
3409233
ARTERY PUNCTURE (CE)
36600
15
3409234
INFANT BREATHIN CIRCUIT(#2030)
16
3409235
EZ FLOW CONTINUOS NEBULIZER
94640
31
3409236
INHALED NITRIC OXIDE PER HOUR
95012
130
3409237
FILTER LINE H SET
42.06
3409238
SMART CAPNO LINE H PLUS O2
38.72
3409240
PULSE OXIMETRY NB SCREENING
94760
20
3409241
EXHALED CARBON DIOXIDE TEST
94770
130
3409242
MECHANIAL CHEST WALL OSCILL
94669
40
3490010
HYPERBARIC OXIGEN
G0277
110
3490011
TRANSCUTANEOUS OXYGEN TENSION
93922
74
3490012
KIT HYPERBARIC OXYGEN CHAMBER
25
3500010
PHYSICAL THERAPY
97039
20
3500011
HOT OR COLD PACKS
97010
15
3500012
ULTRASONIDO
97035
15
3500013
INFRAROJO
97026
9
3500014
E.E. SIN ASISTENCIA
G0283
16
3500015
E.E. MANUAL Y MUSCULAR
97032
20
3500016
DIATERMIA
97024
12
3500017
PARAFINA
97018
15
3500018
JOBS
97016
17
3500019
WHIRPOOL BATH
97022
25
3500020
TRACCION MECANICA
97012
20
3500021
TRACCION MANUAL
97140
23
3500022
MASAJE
97124
15
3500023
EJERCICIOS ACTIVOS
97530
23
3500024
EJERCICIO AUMEN. ROM & FM
97110
23
3500025
EJERCICIO DE COORDINACION
97112
23
3500026
SELF CARE MANAGEMENT TRAINING
97535
24
3500027
ENTRENAMIENTO AMBULACION
97116
21
3500028
ENTRENAMIENTO PROPULSION SR
97542
17
3500029
ENTRENAMIENTO PROSTETICO
97761
23
3500030
EVALUACION TERAPIA FISICA
97161
55
3500031
RE-EVALUACION TERAPIA FISICA
97164
27
3500032
EVALUACION TERAPIA OCUPACIONAL
97165
54
3500033
RE-EVALUAC TERAPIA OCUPACIONAL
97168
25
3500034
ULTRAVIOLETA
97028
12
3500035
IONTOPHORESIS
97033
27
3500036
CONTRAST BATH
97034
15
3500037
GROUP THERAPY
97150
19
3500038
ORTHOTIC FITT. & TRAINING
97760
23
3500039
NERVE CONDUCTION STUDIES MO/SE
95905
121.22
3500040
PHYSICAL THERAPY TREATMENT
97039
17
3500041
HYDROTHERAPY
97036
36
3500042
PHYSICAL MEDICINE PROCEDURE
97139
25
3500043
WOUND CARE SELECTIVE
97527
120
3500044
CHECKOUT ORTHO/PROSTHETIC USE
97763
39
3500045
SPECIAL TEST EVALUATION
97750
40
3500046
ACTIVE WOUND CARE > 20 CM
97598
100
3500047
WOUND CARE NON SELECTIVE
97602
100
3500048
NEG PRESS WOUND TX < 50 CM
97605
55
3500049
NEG PRESS WOUND TX > 50 CM
97606
100
3500050
INITIAL VISIT LEVEL I
99201
60
3500051
INITIAL VISIT LEVEL II
99202
70
3500052
INITIAL VISIT LEVEL III
99203
95
3500053
INITIAL VISIT LEVEL IV
99204
120
3500054
INITIAL VISIT LEVEL V
99205
155
3500055
ESTABLISHED PATIENT LEVEL I
99211
60
3500056
ESTABLISHED PATIENT LEVEL II
99212
70
3500057
ESTABLISHED PATIENT LEVEL III
99213
70
3500058
ESTABLISHED PATIENT LEVEL IV
99214
95
3500059
ESTABLISHED PATIENT LEVEL V
99215
120
3500060
I&D ADSCESS-SINGLE
10060
100
3500061
I&D ABSCESS-MULTIPLE
10061
100
3500062
I&D HEMATOMA SEROSA
10140
810
3500063
PUNCTURE ASPIRATION OF ABSCESS
10160
100
3500064
I&D POST-OP WOUND
10180
1285
3500065
PARING BENIGN LESION ONE
11055
60
3500066
PARING BENIGN LESION 2-4
11056
60
3500067
PARING BENIGN LESION > 4
11057
105
3500068
BIOPSY SKIN ONE LESION
11102
60
3500069
BIOPSY SKIN > 1
11103
60
3500070
ABRASION SINGLE LESION
15786
60
3500071
APPLY UNNA BOOT/COM WRAP
29580
80
3500072
APPLY TOTAL CONTACT LEG CAST
29445
165
3500073
BILATER. BOOT/COMPRESSION WRAP
29580
80
3500074
TRIM NON DYSTROPHIC NAIL
11719
60
3500075
DEBRIDEMENT OF NAIL 1 TO 5
11720
60
3500076
DEBRIDE SKIN PARTIAL THICKNESS
97597
105
3500077
DEBRIDE SKIN FULL THICKNESS
97597
105
3500078
DEBRIDE/SKIN/SUB TISSUE
11042
190
3500079
DEBRIDE SKIN TISSUE / MUSCLE
11043
190
3500080
DEBRIDE TISSUE/ MUSCLE/ BONE
11044
485
3500081
CHEMICAL CAUTERIZATION TISSUE
17250
105
3500082
SITE PREP 100 SQ CM
15004
320
3500083
1RST APPLI APLIGRAFT 25 SQ CM
Q4101
150
3200999
PHENERGAN 25 MG
5.7
3201000
TIGAN 100 MG
7.04
3201001
PHENERGAN 12.5 M
5.3
3201002
TRIPLE SULFA VAGINAL CREAM
8.7
3201003
BACITRACIN 5.000 UNITS
18
3201004
SURFAK 240 MG
0.3
3201005
ENGERIX - B(PEDIATRICO) 10 MCG
56
3201006
ENGERIX - B 20 MCG
117.66
3201007
DOXIDAN
0.4
3201008
BACID TABS
0.7
3201009
COLACE 100 MG CAPSULE
0.6
3201010
FUNGIZONE 50MG / DOSE
39.75
3201011
METRO GEL- VAGINAL 0.75 %
64.6
3201012
GYNELOTRIMIN
11.76
3201013
CLEOCIN VAGINAL CREAM 2 %
67.55
3201014
M.V.I. PEDIATRICO
19.2
3201015
NIMBEX 20 MG
27.5
3201016
PAVULON 1 MG
6.5
3201017
PROSTIN E 2 20 MG
511.83
3201018
HYPER-TET 250 U /DOSE
300
3201019
WYDASE 150 U / DOSE
43.33
3201020
M.V.I.
9.5
3201021
PROCAN 100MG / DOSE
23.22
3201023
ACETAMINOPHEN 325 MG SUPP
0.66
3201024
ACETAMINOPHEN 120 MG
0.5
3201025
ACETAMINOPHEN 650 MG
0.66
3201026
GLYCERIN SUPPOSITORIES
0.3
3201027
PREMARIN IV 25MG / DOSE
131.83
3201028
DULCOLAX SUPP 10MG
0.95
3201029
ASPIRINA 300MG
0.35
3201030
INDOCIN 50MG
3.2
3201031
AQUAMEPHYTON 1MG
3.8
3201032
AQUAMEPHYTON 10MG
39.2
3201033
PEPCID IV 20MG
9.5
3201034
ATIVAN (LORAZEPAM) 2MG
23.1
3201035
SURVANTA
1056.04
3201036
ALBAFORT
80
3201037
TIA-DOCE
60.96
3201038
DIGIBIND 38MG / DOSE
5484
3201039
EPOETIN ALFA PROCRIT 2 2000U
45.6
3201040
EPOETIN ALFA EPOGEN 2000U
52.6
3201041
EPOETIN ALFA PROCRIT 4 4000U
105.1
3201042
PERICOLACE
0.7
3201043
INOCOR 100MG
80
3201044
PRIMACOR 200 MCG 100ML
66.15
3201045
PRIMACOR 10MG 10ML
132
3201046
ENDOSOL
9.3
3201047
ADENOCARD 6MG
33.7
3201048
DIPRIVAN 1%
56
3201049
ENLON 10MG
15.8
3201050
ENLON PLUS UNIT DOSE AMP 5ML
14.15
3201051
INAPSIN 2.5MG / DOSE
22
3201052
HEPARINA 1000 UNITS
1
3201053
HEPARIN LOCK 100U
2.41
3201054
ROBINUL / DOSE
31.5
3201055
NUROMAX 5ML 1MG
30.2
3201056
MIVACRON 5ML 2MG
31.92
3201057
DEPOMEDROL 80MG / DOSE
25.5
3201058
COUMADIN 5MG
30
3201059
BICARBONATO4.2%INFANT JER
15
3201060
CLORURO DE CALCIO 10%
1.65
3201061
DEXTROSA 50% JER. 50ML
6
3201062
BICARBONATO 8.4% 50 ML
5
3201063
ENDOSOL
16.68
3201064
ENDOSOL EXTRA 515ML
91.7
3201065
SET SECUNDARIO
3.3
3201075
SET PRIMARIO
5.25
3201076
SET NITROGLICERINA
44.4
3201077
SET IV PUMP PRIMARIO
22.5
3201078
SET IV PUMP MICRO
35.25
3201080
SET CVP
20
3201081
MANNITOL 20% 500ML
34
3201082
BUTTERFLY 25G
1.4
3201083
BUTTERFLY 23G
1.4
3201084
BUTTERFLY 21G
1.4
3201085
SET SOLUSET 150
10.8
3201086
SET ANESTESIA
7.5
3201087
SET DIAL-A-FLOW
9.85
3201088
SET OMNIFLOW PRIMARIO
75
3201089
SET OMNIFLOW SECUNDARIO
4.5
3201092
SET SANGRE
20.7
3201118
SET PLUMP
37.5
3201120
LAC-HYDRIN 12%
54.1
3201123
NEPHROSOL 3000ML
0
3201126
ISOFLURANCE
150
3201127
ULTANE ( SEVOFLURANCE )
408
3201129
SEREVENT / DOSE
145.99
3201130
AQUAMEPHYTON 10MG / DOSE 1MG
9.6
3201131
PERIACTIN 4 MG
0.4
3201132
PYRIDIUM 100 MG
1.65
3201133
THORAZINE 50 MG
14.65
3201134
CRIXIVAN 200 MG
4
3201135
DDAVP 1MCG / DOSE
4.93
3201136
LYPHOLITE II 20 ML
8
3201137
BETADINE VAGINAL DOUCHE
5.2
3201138
TUBERCULINA 5 ML
61.55
3201139
XALATAN
105.6
3201140
COREG 12.5
3.85
3201141
MAALOX RS MINT
0.05
3201142
BETADINE SCRUB
25.3
3201143
BETADINE SCRUB
4.32
3201144
BENZOTIC
3.03
3201145
SILVADENE CREAM
5
3201146
VISTARYL 50MG / DOSE 25MG
2.42
3201147
PROTAMINA 25 ML 250 MG
3
3201148
TRACE ELEMENTS
7.95
3201149
SODIUM ACETATE
3
3201150
LACTICARE-HC LOTION 1%
40.9
3201151
MAXIPIME 1 MG
45.9
3201152
MAXIPIME 2 MG
77.13
3201153
SET PLUMP ENTERAL
27.24
3201154
SET ENETERAL
24
3201155
TYLENOL CON CODEINA 300 MG
0.3
3201156
AMBIEN 5 MG
0.5
3201157
AMBIEN 10 MG
0.5
3201158
ATIVAN 1MG
0.5
3201159
DARVOCET N-100
0.22
3201160
DALMANE 15 MG
0.25
3201161
HALCION 0.125 MG
1
3201162
HALCION 0.25 MG
0.5
3201163
LOMOTIL
0.5
3201164
LUMINAL 30 MG TAB
0.5
3201165
LUMINAL 60MG
0.5
3201166
PROSOM 1 MG
0.5
3201167
PROSOM 2 MG
1
3201168
LUMINAL 97.2MG
0.5
3201169
TRANXENE 3.75 MG
0.5
3201170
RESTORIL 15 MG
0.5
3201171
RESTORIL 30 MG
0.5
3201172
VALIUM 2 MG
0.02
3202541
ATACUND 8 MG TAB
5.5
3202542
LEVOTHROID 112MCG TAB
0.5
3202543
BICARBONATO 8.4% 50 MEQ/50ML V
6.25
3202544
PAMIDRONATE 90MG / 20ML
330
3202545
CAPTOPRIL 100MG TAB
0.25
3202546
CRESTOR 5MG TAB
5.95
3202547
TRIPHASIL 28 TAB
4.05
3202548
FORADIL AEROLIZER 12MCG X 12
53
3202549
VYTORIN 10/20 TABLET
6
3202550
ADVAIR 50/100 (X28)
75.45
3202551
EPOGEN 3000 UNITS/ML
96.48
3202552
FAT EMULISION 10% X 200ML VIAL
16.15
3202553
LOTRIMIN CREAM 30GM
8.1
3202554
POTASIUM CHLOR 20MEQ/1000ML DW
2.82
3202556
HYDROCORTISONE LOTION 1% 4 ONZ
10.25
3202557
SODIUM CHLORIDE SOLUTION 3ML
0.25
3202560
VAPONEFRINA (S2)
2.4
3202561
CALADRYL LOTION
9.4
3202562
A&D ZINC OXIDE CREAM 42.5G
4.4
3202563
VITAMINA B-12 100MCG TABS
0.25
3202564
CATHFLO ACTIVASE
162.25
3202566
CEFTRIAXONE 500MG VIAL
5.5
3202567
CEFTRIAXONE 1GM VIAL
9.5
3202568
CEFAZOLIN 500MG VIAL
4.16
3202570
GENTAMYCIN 80MG/50ML
5.63
3202572
CLINDAMYCIN 600MG/50ML
36.96
3202573
CLINDAMYCIN 900MG/50ML
45.15
3202574
VYTORIN 10/20
5.95
3202575
TUSSI-PRES PEDIATRIC
0.25
3202576
FORADIL IHLR. 12MCG
52.85
3202577
CYTOVENE 500MG
89.65
3202578
PYRIDOXINE 100MG
7
3202579
DANAZOL 100MG
48.9
3202580
VITAMIN B COMPLEX
0.25
3202581
NEOMYCIN/POLYMYXIN/BACT. 306MG
5.9
3202582
CRESTOR 10MG
5.95
3202583
PLAN B 750MG TAB
27.75
3202584
AGUA ESTERIL 20ML / DOSE
1.3
3202585
NATACILLIN 2G BAG 100ML
16.4
3202586
VANCOMYCIN 500MG BAG 100ML
16.4
3202587
BIOGLUE SURGICAL ADHESIVE
380
3202588
BIOGLUE APPLICATOR TIPS
37
3202589
ADVAIR 50MG/250MG DISK
74.48
3202590
CALAN 2.5MG/ML SYRINGE
9.6
3202591
CALCIUM CHLORIDE 10% SYRINGE
8.56
3202700
GLUCOPHAGE 1.000MG
0.53
3202710
TUSSAR DM PED DROPS
9
3202720
PREDNISONE 50MG
0.63
3202730
POTASIUM CHLORIDE 20MEQ-DW 5%
2.35
3202731
TUSNEL PED DROPS
9
3202732
ALBUTEROL 2.5MG/0.5ML 5%
0.8
3202733
SODIUM CHLORIDE INH. 0.9% 5ML
0.3
3202734
CIPRO 200MG BAG
31.16
3202735
LASIX 40/4ML SYRINGE
5.48
3202736
ADENOCARD 32ML/ML SYRINGE
49.12
3202737
CARNITOR 1GM 10ML/120ML
69.1
3202738
ZOVIRAX 5% CREMA 2G
74.65
3202739
SODIUM POLYSTYRENE 15G/60ML
8
3202740
LACTULOSE 20G/30ML CUP
2.75
3202741
POTASSIUM CHLOR.10% 20MEQ/15ML
0.85
3202742
MINERAL OIL 30ML CUP
1
3202743
GUAIFENESIN SYROP 200/10ML CUP
0.4
3202744
GUAIFENESIN DM 200MG/20MG/10ML
0.7
3202745
VANCOMYCIN 1G BAG
23.85
3202746
CLEOXIN 900MG BAG
24
3202747
CIPRO 400MG BAG
39.8
3202748
TETANUS TOXOID 0.5ML
56.9
3202749
ANGIOMAX 250MG IV
1390
3202750
ZINC SULFATE 220MG CAP
0.25
3202751
VISIPAQUE 320MG / 50ML
18
3202752
VALIUM 10MG/ML X 2ML
6
3202753
URECHOLINE 50MG
3
3202754
NITROGLYCERIN 0.3 MG TDSY
2.5
3202755
CLINIMIX E 4.25/DW 5% 1000ML
28
3202756
CLINIMIX E 4.25/DW 25% 1000ML
28
3202757
SEPTRA INY 30 ML
15
3202758
RISPERDAL .5MG TAB
7
3202759
RISPERDAL .25MG TAB
6.5
3202760
PRAMASONE LOTION 2.5%
118
3202761
NORMADYNE 200MG TAB
0.4
3202762
MAXIZIDE .75/50 TAB
0.25
3202763
LIBRIUM 10MG
0.25
3202764
ISORDIL 5MG SUBLINGUAL
0.25
3202765
LEUKINE 500MCG/ML
651
3202766
INDERIDE 40/25 TAB
0.25
3202767
INDERIDE 80/25 TAB
0.35
3202768
CORGARD 20MG TAB
0.25
3202769
CORGARD 80MG TAB
0.35
3202770
CAFCIT 20MG 3ML ORAL SUL.
93.75
3202771
CAFCIT 20MG 3ML INY
93.75
3202772
BUCALSEP ORAL SOL.
17.7
3202773
ATIVAN 0.5 MG
1.5
3202774
COMPAZINE 10 MG/2ML INY
7
3202775
DESYREL 100 MG
0.25
3202776
L-ARGININE 500MG
0.25
3202777
LIPITOL 80MG
6.45
3202778
CORDARONE 450MG/9ML
14.65
3202779
MULTIVITAMIN LIQ.
0.65
3202780
CORTEF 5MG TAB
0.45
3202781
HYDROCORTISONE LOTION 2.5%
41
3202782
KALETRA
8.5
3202783
LEXAPRO 10MG
5
3202784
LEXIVA 700MG
10.55
3202786
MEPHYTON 5MG TAB
1.3
3202787
NAMENDA 10MG TAB
5
3202788
NATACYN 5% OPHT. SOL.
329.2
3202789
NORVIR 100MG INY SOL.
10.3
3202790
OPTICAINE EAR DROPS
20
3202791
REMICADE 100MG INY
1325.4
3202792
SUPRESS DX PED. DROPS
15.98
3202793
TRISPEC PSE DROPS
23
3202794
TRIZIVIR 300/150/300 TAB
39
3202795
TRUVADA 200/300
27.8
3202796
VITAMIN B-12 1MG TAB
0.25
3202797
ADALAT CC 60MG TAB
27.3
3202798
ACTICIN CR. 5% 60G
59.5
3202799
ERYTHROMYCIN 400MG SUSP.(REFRI
0.25
3202800
MIVACRON 10ML
30.7
3202801
ALLEGRA 180MG TAB
3.4
3202802
CARIMUNE 6GM
950.44
3202803
HYZAAR 100/12.5MG TAB
4.66
3202804
PHENABAD DM TAB
3.18
3500084
ADDITION APLIGRAFT 25 SQ CM
Q4101
150
3500085
1RST APPL DERMAGRAFT 100 SQ CM
Q4106
150
3500086
ADDITION DERMAGRAFT 100 SQ CM
Q4106
150
3500087
APPLICATION OASIS 100 SQ CM
Q4124
150
3500088
AVULSION OF NAIL PLATE 1
11730
60
3500089
AVULSION OF NAIL PLATE > 1
11732
60
3500090
EXCISION NAIL PARTIAL/COMPLETE
11750
305
3500091
DEBRIDE NAIL (5'S)
11721
60
3500100
APLIGRAFT PRODUCT PER 1 SQ CM
35
3500101
DEMAGRAFT PRODUCT PER 1 SQ CM
45
3500102
OASIS PRODUCT PER 1 SQ CM
35
3500103
WOUND PREPARATION TRK-ARM-LEG
15002
320
3500104
WOUND PREPARATION ADD 100CM
15003
320
3500105
WOUND PREP F/N/HF/G ADD 100CM
15005
320
3500106
ACELULLAR DERMAL LEG 100 SQCM
320
3500107
ACELULLAR DERMAL ADD 100 SQCM
220
3500108
ACELULLAR DERMAL FEET 100 SQCM
320
3500109
ACELULLAR DERMAL ADD 100 SQCM
320
3500110
ALLOGRAFT SKIN TEM 100 SQCM
320
3500111
ALLOGRAFT SKIN TEM ADD 100SQCM
320
3500112
ACELLULAR DER ALLO LEG 100SQCM
320
3500113
ACELULLAR DER ALLO ADD 100SQCM
320
3500114
ACELULLAR DER ALLO FT 100 SQCM
320
3500115
ACELULLAR DER ALLO ADD 100SQCM
320
3500116
APPLY SKIN XENOGRAFT ADD 100CM
Q4124
320
3500117
ABRASION LESIONS ADD-ON
15787
65
3500118
DRESS/DEBRI P-THICK BURN SMAL
16020
105
3500119
DRESS/DEBRI P-THICK BURN MED
16025
105
3500120
DRESS/DEBRI P-THICK BURN LARGE
16030
105
3500121
INITIAL INCISION OF BURN SCAB
16035
105
3500122
DESTRUCT PREMALIGNANT LES 2-14
17003
30
3500123
APPLY MULTI-LAYER VENOUS WOUND
29581
80
3500124
EXTREMITY STUDY LIMITED BILATE
93922
70
3500125
EXTREMITY STUDY COMPLETE BILAT
93923
110
3500126
DEBRIDEMENT OPEN WOUND CARE
97597
105
3500127
DESTRUCT PREMALIGNANT LESIONS
17000
65
3500128
INITIAL FOOT EXAM PT LOPS
55
3500129
FOLLOW UP EVAL FOOT PT LOPS
80
3500130
ROUTINE FOOT CARE PT W LOPS
65
3500131
DEB SUBQ EA ADD 20 SQ CM
11045
190
3500132
DEB MUSCLE/FASCIA EA ADD 20 SQ
11046
190
3500133
DEB BONE EA ADD 20 SQ CM
11047
585
3500134
NEG PRESS WOUND THERAPY PUMP
60
3500135
NEG PRES WOUND THER DRSG SET
20
3500136
DISPOSABLE CANISTER FOR PUMP
20
3500200
PRESSURE ULCER RISK ASSESSMENT
16
3500201
PRESSURE ULCER RISK RE-ASSESSM
12
3500202
SKIN ASSESSMENT
16
3500203
SKIN RE-ASSESSMENT
16
3500204
INITIAL WOUND EVALUTION
48
3500205
WOUND RE-EVALUATION
99213
24
3500206
LOCAL CARE/DRESSING CHARGE
16
3500207
SECONDARY DRESSING CHARGE
8
3500208
NPWT DRESSING
32
3500209
POST OP EVALUATION
16
3500210
POST OP RE-EVALUATION
16
3500211
COLOSTOMY CARE
16
3500212
ILEOSTOMY CARE
16
3500213
UROSTOMY CARE
16
3500214
3-4 LAYER COMPRESSION APPLICAT
20
3500215
UNNA BOOT APPLICATION
20
3500216
DOPPLER PULSES
12
3500217
ABI INDEX
24
3500218
LOWER EXTREMITY EDEMA ASSESSME
12
3500219
DEBRIDEMENT ASSISTANCE
12
3500220
I & D ASSISTANCE
12
3500221
OSTOMY MARKING
12
3500222
INTERDISCIPLINARY MEETING
8
3500223
INITIAL PATIENT EDUCATION
12
3500224
FOLLOW UP PATIENT EDUCATION
4
3500225
HEALTHCARE PROFESSIONAL EDUCAT
4
3500226
BURN CARE LESS THAN 5% TBSA
16
3500227
BURN CARE 5% - 10% TBSA
32
3500228
BURN CARE GREATER THAN 10%TBSA
48
3500229
SKIN SUB GRAFT TRNK/ARM/LEG
15271
162
3500230
SKIN SUB GRAFT T/A/L ADD-ON
15272
60
3500231
SKIN SUB GRFT T/ARM/LG CHILD
15273
248
3500232
SKN SUB GRFT T/A/L CHILD ADD
15274
162
3500233
SKIN SUB GRAFT FACE/NK/HF/G
15275
162
3500234
SKIN SUB GRAFT F/N/HF/G ADDL
15276
60
3500235
SKN SUB GRFT F/N/HF/G CHILD
15277
248
3500236
SKN SUB GRFT F/N/HF/G CH ADD
15278
162
3500400
MOBILITY CURRENT STATUS
1
3500401
MOBILITY GOAL STATUS
1
3500402
MOBILITY DISCHARGE STATUS
1
3500403
BODY POS CURRENT STATUS
1
3500404
BODY POS GOAL STATUS
1
3500405
BODY POS DISCHARGE STATUS
1
3500406
CARRY CURRENT STATUS
1
3500407
CARRY GOAL STATUS
1
3500408
CARRY DISCHARGE STATUS
1
3500409
SELF CARE CURRENT STATUS
1
3500410
SELF CARE GOAL STATUS
1
3500411
SELF CARE DISCHARGE STATUS
1
3500412
LOW FREQUENCY NON-THERMAL US
97610
87
3520001
HEMODIALYSIS TREATMENT
90935
250
3520002
PERITONEAL HEMODIA TREATMENT
90945
250
3520003
IRRIGATION (DIALYSIS)
90999
250
3590010
ERCP SPHINCTEROTOM/PAPILLOTOMY
43262
1330
3590011
ERCP REMOVAL DUCT CALCULI/DEBR
43264
1330
3590012
COLO LESION REMOVAL HOT BIOPSY
45384
540
3590013
COLONOSCOPY W/ABLATION
45388
540
3590014
COLONOSCOPY WITH BIOPSY
45380
540
3590015
PROCTO REMOVE MULT LESIONS ANY
45315
565
3590016
EGD PLACE PERC GASTRSTOMY TUBE
43246
725
3590017
COLONOSCOPY STOMA DIAG/CLEANIN
44388
540
3593500
ESO-GAST-DUO-SCOPY DIAGNOSTIC
43235
510
3593501
COLONOSCOPY DIAGNOSTIC
45378
540
3209390
LIPITOR 40 MG/TAB
6
3209391
PROTONIX 40 MG/TAB
6
3209392
ATACAND 32 MG/TAB
7
3209393
PROTONIX IV 40 MG
13.2
3209394
KEFLEX 500 MG/CAP
2.8
3209395
COUMADIN 3 MG
1.98
3209396
ARICEPT 5 MG TAB
9
3209397
AVALIDE 150/12.5 MG TAB
7.5
3209398
FLOVENT 110
102.21
3209399
FLOVENT 220
147.6
3209400
FLOVENT 44
73.96
3209401
COGENTIN IV / DOSE
15.31
3209402
ACIDO ACETICO 5% (VINAGRE)
3.9
3209403
TEQUIN 10 MG/ML VIAL
76.1
3209404
LIPITOR 20MG TABLET
8.25
3209405
MUMPS SKIN TEST ANTIGEN
268.5
3209406
CANDIDA SKIN TEST 1:100
32
3209407
PROCRIT 10000 U/ML VIAL
271.4
3209408
LEVOXYL 137 MCG TABLET
1.02
3209409
DILTIAZEM 5 MG/ML VIAL
6.75
3209410
FLONASE 0.05 % NASAL SPRAY
118.8
3209411
GLUCOTROL XI 2.5 MG TAB SA
0.7
3209412
KLONOPIN 1MG
0.5
3209413
METAPROLOL 1 MG/ML AMPUL
15
3209414
ZYVOX 600 MG/ 300 ML IV SOLN
153.9
3209415
ZYPREXA 2.5 MG TABLET
9.1
3209416
ZYPREXA 5 MG TABLET
10.8
3209417
PHOSLO 667 MG TABLET
0.45
3209418
TAMIFLU 75 MG GELCAP
20.5
3209419
FLUPHENAZINE 5 MG TABLET
0.2
3209420
LANTUS 100 U/ML VIAL
147.48
3209421
VASOTEC 20MG TABLET
0.25
3209422
ALTACE 5MG CAP
2.35
3209423
FLOXIN 0.3% EAR DROP
76.8
3209424
CYTOMEL 25 MG TABLET
1.2
3209425
ATACAND HCT 16/12.5MG TAB
7
3209426
COZAAR 25MG TABLET
3.93
3209427
REVEX 1.1 MG/ML AMPUL
83.95
3209428
PLETAL 50 MG TAB
3.6
3209429
TPN 1000 ML 2:1 (NO FAT)
56
3209430
TPN 2500 ML 2:1 (NO FAT)
237
3209431
TPN 500 ML 3:1 FAT 20%
185
3209432
TPN 2000 ML 2:1 NO FAT
225
3209433
NALBUPHINE 10MG/ML VIAL 10ML
1.35
3209434
FILTRO TPN 0.22 MICRONES
8.95
3209435
FILTRO TPN 1.2 MICRONES
9.45
3209436
ZOSYN 2.25 MG VIAL
16.3
3209437
FORMALYDE 10 %
88.5
3209438
PHOSLO 667 MG CAPSULE
1.5
3209439
DIOVAN 320/25MG
8
3209440
PCA KIT
16
3209441
MMR VACCINE 0.5 ML VIAL
0
3209443
HEPARINE 25000 DW 500 ML
10.5
3209444
CARAFATE 5 ML SYRINGE
0.5
3209445
VIT B12 1000MCG/ML 1ML
5.5
3209446
VIT D 50000 UNIDADES
3
3209447
DIFLUCAN 40MG/1ML SUSP
38
3209448
CALCITRIOL 100MCG AMPOLLETA
15
3209449
COLLAGENASE SANTYL 30GM
163.5
3209450
TUSSIPNESS UNIT DOSE 10ML BAG
50
3209451
KIONEX UNIT DOSE 15GM/60ML
19.5
3209452
ALBUTEIN 5% BAG 250ML
96
3209453
BUMINATE 5% 250ML BTL
120
3209454
ZOSYN 3.375GM GENERICO
11
3209455
ZOSYN 4.5GM GENERICO
14
3209456
ZOSYN 2.25GM GENERICO
7.5
3209457
TYLENOL 5ML CUP
0.5
3209458
NEUPOGEN 480MCG/1.6ML
848
3209459
AMICAR 500MG TAB
3
3209460
GENTEAL LUBRICANT EYE GEL
16.5
3209461
DECADRON 10MG/1ML VIAL
3
3209462
TAMIFLU 12MG/U SUSP
4.5
3209463
OMNIPAQUE 300MG/100ML
36
3209464
OMNIPAQUE 300MG/50ML
19
3209465
OMNIPAQUE 350MG/50ML
18
3209466
KAOPECTATE 15ML CUP
0.5
3209467
MONSEL 8 GM BTL
50.5
3209468
ZOSYN 2.25 GM IV
3
3209469
MAXIPIME 1 GM IV
2
3209470
DIURIL 500 mg IV VIAL
642.5
3209471
METAMUCIL POWDER SUGAR FREE
0.5
3209472
BIOTIN 300 mcg
0.5
3209473
FEXOTENADINE HCL 180MG
2
3209474
ALLEGRA 180MG TAB
3.5
3209475
AMITIZA 24MCG CAP
8
3209476
ANAGRELIDE 0.5MG CAP
0.5
3209477
ABILIFY 10MG TAB
41
3209478
ABILIFY 15MG TAB
41
3209479
ABILIFY 5MG TAB
41
3209480
ACIPHEX 20MG TAB
16.5
3209481
ACTONEL 35MG TAB
59.5
3209482
ADRYAMYCIN 50MG/25ML VIAL
80
3209483
LYMPHOCYTE IMMUNE GLOB 250MG V
1402.5
3209484
AVANDARIL 4MG/4MG TAB
8.5
3209485
AVIANE TAB
1.5
3209486
AVODARTO .5MG CAP
7
3209487
AZOPT 1% OPTALMIC DROPS
251
3209488
LOCION BALSANG OTC
21.5
3209489
BARACLUDE 1MG TAB
67.5
3209490
BENICAR 20MG/12.5MG TAB
6.5
3209491
BENICAR 20MG TAB
6.5
3209492
BENICAR 40/25MG TAB
8.5
3209493
BLEOMYCIN 30 UNI VIAL
278
3209494
CADUET 2.5/40 TAB
10
3209495
CADUET 2.5/10MG TAB
7
3209496
CADUET 2.5MG/20MG TAB
10
3209497
CADUET 5/20MG TAB
14.5
3209498
CADUET 10/10MG TAB
10.5
3209499
CADUET 10/20MG TAB
14.5
3209500
CADUET 10/40MG TAB
14.5
3209501
CADUET 5/10MG TAB
10.5
3209502
CADUET 5/40MG TAB
14.5
3209503
CADUET 5/80MG TAB
14.5
3209504
CANASA SUPOSITORIO
33
3209505
CELCEPT 500MG TAB
2
3209506
CELEXA 10MG TAB
4
3209507
CELLCEPT 250MG CAP
1
3209508
CISPLATIN 50MG VIAL
49
3209509
CLARINEX 2.5MG TAB
3.5
3209510
CUPRIMINE 250MG CAP
14.5
3209511
CYMBALTA 60MG CAP
12
3209512
CYTOXAN 50MG TAB
5
3209513
DEPAKENE 100MG/ML VIAL
7.5
2170082
AUTOTRANSFUSION KIT
90
2170083
EIGTH FT SAMPLE LINE
6.93
2170084
MIC GASTROSTOMY TUBE
90
2170085
FREE FLOW NEBULIZER SET-AD/PED
2.17
2170086
NEO-VAC MECONIUM SYS
18.53
2170087
LIETZ LOOP ELECTRODE
44.25
2170088
LIETZ BALL ELECTRODE
46
2170089
UMBILICAR CATH. 5.0
26.07
2170091
VALLELVAC TUBBINGSET
66.17
2170092
VALLEYVAC SUCTION PR
15
2170093
INFANT NASAL CANULAE
37.5
2170094
ILUMINATED PICK
83.6
2170095
VAGINAL SPC SHEATH
5.4
2170096
TRANSPORT ADAPTER KT
10
2170097
PARASOL VENT TUBE
35.6
2170098
GASTRO TUBE REPLACE
75
2170099
INSUFFLATION TUBING
15.6
2170100
THORA III REPL. BOT.
40
2170101
LAP. CHOLANGIO CATH.
110
2170102
ACC 3 PAPILLOTOME
384
2170103
DIALYSIS SLIT CATH
790
2170104
INTERNAL JUGULAR CAT
150
2170105
INFUSION LINE GFX
57
2170106
ANESTESIA EXT SER
18
2170107
CONTINUOS FLASH DIVI
46
2170108
IV FAT EMULSION SET
7
2170109
EXT.SET. 1.2 MIC FILT
8.32
2170110
TUBE ALL FR
9
2170111
THERMODIL CATH 7F 4L
724
2170112
PERIPHERALCATH 2 LUM
22.96
2170113
PEDIATRIC E.T. TUB HO
8.88
2170114
FAIL CLOSURE PINZA
0.3
2170115
RIORDAN FIXATRIAL PI
55.9
2170116
CVP CATHETER
8.04
2170117
ROBISON CATH ALL FR
2
2170118
TUBBING CONNE 5 IN 1
0.74
2170119
VENTILATOR CIRCUIT ADULT
7.96
2170120
AEROSOL MASK ADULTO
1.04
2170121
AEROSOL MASK S-ADULT
1.8
2170122
TRAQUEOTOMY MASK ADULTO
1.88
2170123
TRAQUEOTOMY MASK PEDIATRIC
3.5
2170124
VENTILATOR CIRCUIT NEONAT/PED
19.4
2170125
OXYSENSOR II
19.06
2170126
ANEST. DISP. MASK AMAC
12.5
2170127
TRACK CARE SUCT #14
30.5
2170128
TRACK CARE SUCT #16
58
2170129
NON BREATHING MASK
2.55
2170130
INTUBATING STYLET
4
2170131
TRAQUEAL TUBE 7.5
37.6
2170133
IPPB SET
8.75
2170134
HEMOCOIL FLUID WARM
27.54
2170135
THERMOVENT
8.32
2170136
BIPOLAR CATHETER
130
2170137
FALCON TUBE
0.2
2170138
ENTERAL F TUBE
24.07
2170139
AGUA PACK 760 ML
9.96
2170140
INFANT CANULA NASAL
3.92
2170141
AEROSOL KIT PEDIATRIC
23.16
2170142
TENT CANOPY 12 X 12
25.67
2170143
TRACK CARE NEONATAL
32.2
2170144
HUMI VENT FILTER PEDIATRIC
16
2170145
ARTERIAL EMBOLE CATH
70
2170146
AGUA PACK 440 ML
8.98
2170147
HUMIDIFIER SILENT AD
11.8
2170148
ABDOMINAL SESOR
29.16
2170149
INFANT OXIGEN SHORT
24.58
2170150
INFANT OXIGEN LARGE
25.56
2170151
ANESTH. CIRCUIT KIT
68
2170152
BAIN BREATHING CIR-P
12.33
2170153
INFANT OXIGEN HOOD
25.56
2170154
PT SET UP BAG
0.45
2170155
PERITONEAL CATHETER
150
2170156
FLEXIMA BILIARY
351
2170157
MICROSENS VENTRICULAR CATH.KIT
696
2170158
TRACHEOSTOMY TUBE BIVONA TEMP
180.94
2170159
MODIFIED T-TUBE
48
2170160
GEN.DRAINAGE CATHETE MEDIT.8FR
170
2170161
EMBOLECTOMY CATH 4 FR X80
226
2170162
EMBOLECTOMY CATH 5 FR X80
244
2170163
OXISENSOR MAX-N-25
20.58
2170164
NASAL MASK LARGE
33.6
2170165
FULL FACE MASKE-ADULT (S/M/L)
64
3209514
DETROL LA 4MG TAB
11.5
3209515
GENOTROPIN .4MG PQT 7 JERIN
68.5
3209516
GENOTROPIN .2MG SYRINGE
239.5
3209517
IMITREX 6MG/.5ML SYRINGE
372
3209518
JANUVIA 100MG
16
3209519
MIDODRINE 10MG TAB(PROAMATINE)
1.5
3209520
MIDODRINE 5MG TAB
1
3209521
OMEGA CAP
0.5
3209522
PANCREASE MT 4 CAP
2
3209523
PANCREASE MT 16 CAP
6.5
3209524
PREZISTA 600MG TAB
39
3209525
PRIMAQUINE 15MG (26.3MG)
3.5
3209526
RELISTOR 12MG/.6ML VIAL
110.5
3209527
RENVELA 800MG TAB
6
3209528
RID LICE TREATMENT
13.5
3209529
SEROQUEL 400MG
35
3209530
SPRYCEL 100MG TAB (DUSATINIB)
631
3209531
TAXOL CONC 100MG/16.7ML VIAL
1193
3209532
TIKOSYN 250MG
8.5
3209533
TORSEMIDE 20MG TAB
0.5
3209534
UROCIT - K10
2.5
3209535
VALTURNA 30MG TAB
8.5
3209536
VALTURNA 150MG TAB
7
3209537
VIROPTIC 1% OPH SOL
306.5
3209538
VIT K 100MCG BOT
0.5
3209539
XYZAL 5MG TAB
0.36
3209540
KPO4 50ML VIAL (POTASSIUM PHO)
16
3209541
SODIUM CHLORIDE AMPOLLETA 15ML
2
3209542
NAMENDA 5MG TAB
7.5
3202805
LYRICA 75MG
5
3202806
CYMBALTA 30MG CAP
12
3202807
AVANDAMET TAB
4.5
3202808
LOTREL 25/10 CAPS
5
3202809
TYGACIL 50MG VIAL
96.45
3202810
GILTUSS TR TAB
1.92
3202811
TRICOR 145MG
7.25
3202812
TPN BAXTER 2021
21
3202813
VITAMIN C 500MG LIQ.
0.1
3202814
VALTREX 1GM
11.3
3202815
PROSTIN ER SUPP
1084.61
3202816
ARGATROBAN 250MG/2.5ML
J0883
1877.5
3202817
MAGOX 400MG
0.22
3202818
GUAIFENESIN 400MG TAB
0.3
3202819
AVANDAMET 4MG/500MG
7.5
3202900
VISCOAT(NON CHARGE)
0
3202901
OPTIMARK 0.5MMOL/ML 20ML
66
3202902
MAGNESIUM SULFATE 4MG/100ML
12.2
3202903
MAGNESIUM SULFATE 20MG/500ML
9.5
3202904
GARAMYCIN 80MG 100ML
3.4
3202905
MAGNESIUM SULFATE 5MG/10ML
6.7
3202906
NEUROTIN 800MG TAB.
2.7
3202907
LEVOTHYROXINE 500MG 5ML
20
3202908
HYTRIN 10MG CAP
0.5
3202909
HYDROCORTISONE LOT 2.5% 60ML
37.5
3202910
ADENOSINE 90MG/30ML
605.5
3202911
ERYTHROMYCIN 400MG TAB.
0.5
3202912
ARIXTRA 2.5MG 0.5ML
50
3202913
PHOSLO GEL CAPS 667MG
0.65
3202914
LUBRIDERM LOTION 3.3 OZ
4.7
3202915
RENAGEL 800MG TABS
3.25
3202916
HYDROCORTISONE CREMA 2.5%
4.5
3202917
LYSIPLEX PLUS 6 ONZAS
3.4
3202918
NICODERM PATCH (NICOTINA) 21MG
7.5
3202919
TPN #10 NUTRIX 20%
215.8
3202920
RIMSO - 50
106.5
3202921
LYSIPLEX PLUS
0.5
3202922
TPN #2 NUTRIX
88
3202923
TPN #3 NUTRIX
136.6
3202924
TPN #4 NUTRIX
176.2
3202925
TPN #5 NUTRIX 10%
160
3202926
TPN #6 NUTRIX 10%
176.2
3202927
TPN #7 NUTRIX 10%
215.8
3202928
TPN #8 NUTRIX 20%
160
3202929
TPN #9 NUTRIX 20%
176.2
3202930
PROPOFOL 1% 200MG/20ML
9.8
3202931
NICOTINE POLACRILEX GUM 4MG
0.75
3202932
PREVACID 15MG PACKET
4.7
3202933
SELENIUM SULFIDE LOT 2.5%
5.4
3202934
INDERAL 20MGL 5ML
0.55
3202935
DIFULCAN 100MG GENERIC
0.25
3202936
DIFULCAN 200MG GENERIC
0.35
3202937
UNASYN 1.5MG GENERIC
12
3202938
ZITHROMAX 500MG IV GENERIC
17
3593502
GASTRIC INTUBATION& ASPIRATION
43753
90
3593503
PROCTOSIGMOIDOSCOPY DX
45300
340
3593504
EGD W/BIOPSY SINGLE/MULTIPLE
43239
510
3593505
BIOPSY OF LIVER NEEDLE PERCUTA
47000
715
3593506
ESOPHAGOSCOPY FLEX TRNSORA INJ
43201
725
3593507
EGD LESION REMOVAL SNARE TECHN
43251
725
3593510
EGD W/BAND LIGATION (VARICES)
43244
725
3593511
CHANGE GASTROSTOMY TUBE (PEG)
43762
135
3593512
EGD W/FOREING BODY REMOVAL
43247
510
3593513
COLONOSCOPY STOMA W/FB REMOVAL
44390
540
3593514
ESOPHAGOS FLX BALLOON DIL <30
43220
725
3593515
EGD INJ SCLERO ESO/GAS VARICES
43243
510
3593516
COLONOSCOPY W/CONTROL BLEEDING
45382
540
3593517
ERCP DIAGN W/SPECIMEN COLLECTI
43260
1330
3593518
ERCP W/BIOPSY
43261
1330
3593519
ERCP DESTRUCT CALCULI ANY METH
43265
1330
3593521
ERCP DUCT STENT PLACEMENT
43274
2155
3593523
ERCP EA DUCT/AMPULLA DILATE
43277
1330
3593524
ERCP LESION ABLATE W/DILATE
43278
1330
3593525
SIGMOIDOSCOPY FLEX DIAGNOSTIC
45330
340
3593526
SIGMOIDOSCOPY WITH BIOPSY
45331
340
3593527
SIGMOIDOSCOPY W/FB REMOVAL
45332
565
3593529
SIGMO LESION REMOVE SNARE TECH
45338
565
3593530
EGD CONTROL BLEEDING ANY METHO
43255
725
3593533
EGD W/ABLATION (TUMOR/POLYP)
43270
725
3593536
SIGMOIDOS W/CONTROL BLEEDING
45334
565
3593537
SIGMOIDOSCOPY WITH ABLATION
45346
565
3593538
EGD W/ENDOSCOPIC STENT PLCMT
43266
2155
3593539
COLO LESION REMOVAL SNARE TECH
45385
540
3593540
COLONOSCOPY SUBMUCOUS INJ
45381
540
3593541
COLONOSCOPY W/BALLOON DILATION
45386
540
3593542
ESOPHAGOSCOPY FLEX TRNSORAL DX
43200
510
3593543
EGD BALL DILATION OF ESOPH <30
43249
725
3593544
ENDOSCOPIC PANCREATOSCOPY
43273
1450
3593545
SM INTEST ENDO ENT DUODENO BX
44361
580
3593548
ABD PARACENTESIS W/O IMAGING
49082
335
3593549
ABD PARACENTESIS W/IMAGING
49083
335
3593551
ESOPHAGOS FLX DILAT/GUIDE WIRE
43226
725
3593552
ESOPHAGOS FLX CONTROL/BLEEDING
43227
725
3593553
EDG DILATI GAST/DUO STRICTURES
43245
725
3593554
EGD GUIDE WIRE INSERTION
43248
510
3593556
EGD LESION REMOVAL HOT BIOPSY
43250
725
3593557
EGD W/THRML ENERGY TXMNT GERD
43257
1300
3593558
ESOPHAGOSCOPY FLEX TRNSNORA BX
43202
510
3593559
ERCP SPHINCTER PRESSURE MEASUR
43263
1330
3593561
SM INTESTINE ENDO ENT DUODE DX
44360
580
3593562
SM INTESTI ENDO ENT DUO REM FB
44363
580
3593563
SM INTESTI ENDO ENT DUOD SNARE
44364
850
3593564
SM INTES END ENT DUODEN HOT BX
44365
850
3593565
SM INTES END ENT DUOD BLEEDING
44366
850
3593566
SM INTE END ENT DUO STENT PLCM
44370
2155
3593567
SM INTE END ENT DUO JEJUN TUBE
44372
850
3593568
SM INTE END ENT DUO GASTR/JEJU
44373
850
3593569
COLONOSCOPY STOMA FOR BLEEDING
44391
540
3593570
COLO STOMA LESION REMOV HOT BX
44392
540
3593571
COLONOSCOPY STOMA W/SNARE TECH
44394
540
3201173
FENTANYL 100 MCG/2ML
1
3201174
PENTOTHAL 500MG/20ML 2.5% KIT
26.5
3201175
AMBENYL C
3.2
3201176
NOCTEC LIQ ORAL
1
3201177
XANAX 0.5 MG
0.5
3201178
NUBAIN 10MG/ML
2.5
3201179
LUMINAL INY. 2GR 130 MG/ML
80
3201180
VALIUM IV 5MG / DOSE
5.63
3201181
LOMOTIL LIQ.
6
3201182
PAREGORIC ELIXIR
0.5
3201183
NOVAHISTINE DH
0.5
3201184
NOVAHISTINE DH
0.92
3201185
LUMINAL ELIXIR 20MG/5ML
1
3201186
PHENERGAN CON CODEINA LIQ
1
3201187
ROBITUSSIN DAC
5.25
3201188
TYLENOL CON CODEINA #3
0.5
3201189
TYLENOL CON CODEINA ELIXIR
1
3201190
TUSSAR SF
9.33
3201191
TUSSIONEX SUSP. 1 ML
1.5
3201192
TUSSIORGANIDIN CON CODEINA LIQ
1
3201193
VERSED 1MG/ML
10
3201194
VERSED 5MG/ML 2ML VIAL
2
3201195
ALFENTA
33.57
3201196
DEMEROL 25 MG/ 0.5 ML
1
3201197
DEMEROL TUBEX 50 MG
1.15
3201198
MORPHINE 15 MG/ML X 1ML
2.5
3201199
PERCOCET 5/325
1
3201200
SUFENTA 2ML
13.5
3201201
VALIUM 10 MG
0.04
3201202
VALIUM 5 MG
0.5
3201203
XANAX 0.25 MG
0.5
3201204
XANAX .5 MG
1.24
3201205
HYPAQUE MEGLUMINE 60% 150 ML
24.7
3201206
CONRAY 60% 50 ML
26
3201207
MD-GASTROVIEW 4 OZ
24
3201208
CYSTO-CONRAY 250 ML
56.5
3201209
OPTIRAY 320MG I/50ML / DOSE
19
3201210
OPTIRAY 350MG I/50ML / DOSE
118.75
3201211
OPTIRAY 350MG I/100ML / DOSE
238
3201212
OPTIRAY 320MG I/100ML / DOSE
216
3201213
MD-76
34
3201214
ATROPISOL 1% DROPPERERTTES
10
3201215
TUBEX INJECTION
0
3201216
FOSFATO DE POTASIO
2.1
3201217
MOTRIN SUSPENSION
0.09
3201218
GLUCOPHAGE 500 MG
2.34
3201219
REZULIN 200 MG
6
3201220
PRONESTYL
45.8
3201221
INTESTINEX
0.9
3201222
IMDUR 30 MG
2.6
3201223
PIPRACIL 3 MG
15
3201224
SILVER NITRATE
0.25
3201225
HYGROTON 25 MG
0.7
3201226
COLACE 50 MG CAPSULE
0.5
3201227
COUMADIN 4 MG
1.95
3201228
STREPTOKINASE KIT
977
3201229
PROVISC
80
3201231
MUCOMYST 20% / DOSE 10%
6
3201232
BENTYL 20 MG
0.4
3201233
LIDEX
4.8
3201234
HALDOL 1 MG
0.85
3201235
MELLARIL 100 MG
1.4
3201236
LINDANE SHAMPOO
15.9
3201237
PRAMASONE LOTION 1% 4 OZ
57
3201238
PRAMASONE CREAM 2.5%
67.25
3201239
SILVER NITRATE APPLICATOR
0.25
3201240
PROTOPAM 1 MG INJ. / DOSE
325.14
3201241
TINACTIN LOTION
9.75
3201242
CETAPHIL LOTION
15.75
3201243
TERAZOL 7 0.4 %
52.55
3201244
GLYCINE IRRIGAR INY.
9
3201245
BALMEX 57 GM
4.05
3201246
PRURIX LOTION 150 ML
12.5
3201247
CRUEX SPRAY
9.3
3201249
NAROPIN 7.5MG/ML INJ. / DOSE
106.85
3201250
NAROPIN 5MG/ML INJ. / DOSE
21.4
3201251
PLASMA LYTE PH 7.4
5
3201252
SET PLUM NITRO
19
3201253
EXTENSION SET
1.8
3201254
CETACAINA SPRAY
56.1
3201255
MEXITIL 250 MG
0.56
3201256
SYNTHROID INY. 200 MC
11.5
3201257
ETHAMOLIN 100MG / DOSE
83.65
3201258
VASOPRESSIN 20 U
14.4
3201259
AEROBID-M
124.25
3201260
ALUPENT INH SOLN
31.4
3201261
NEO-SYNEPHRINE .5%
7.6
3201262
RYNATUSS
14
3201263
AMINOCERV
36.32
3201264
BICILLIN LA 1200 U / DOSE
45.61
3201265
PNEUMOVAX-23
91.25
3201266
SYNTHROID INY 500 MCG 500MC
10
3201267
HYPAQUE 60 % 50 ML
6.4
3201268
SYNTHROID 75 MCG 75 MCG
0.48
3201269
DEMEROL 50 MG
1
3201270
MORPHINE 4MG/ML TUBEX
2.5
3201271
MS CONTIN 30MG
5
3201272
MYLLICON DROPS
6
3201273
PAMELOR 10MG
0.1
3201274
EMPTY VIALS 10ML
0.82
3201275
PLAVIX 75MG
11.37
3201276
NIMOTOP 30MG
113.4
3201277
TRASYLOL 100ML
216
3201278
TRANSDERM SCOP 1.5MG
0
3201279
BREVIBLOC VIALS 100MG
42.66
3201280
AMARYL 2MG
1
3201281
CLORURO DE CALCIO
1.3
3201282
CARDIZEM CD 120MG
1.8
3201283
CARDIZEM CD 180MG
3.27
3201284
CARDIZEM CD 240MG
4.59
3201285
SYNTHROID 50MCG
0.5
3201286
LANOXICAPS 0.05MG
0.48
3201287
HUMULIN 50/50 / DOSE
4.8
3201288
GILTUSS
3.06
3201289
CAFFEINE&SODIUM BENZOATE 0.5MG
47.44
3201290
LOVENOX 40MG / DOSE 10MG
45
3201291
TROVAN IV 200MG
61.95
3201292
TROVAN IV 300MG
93.5
3201293
TROVAN 200MG
13.8
3201294
TROVAN 100MG
11.4
3201295
EPINEFRINA 1MG/10ML JER.
5
3201296
ATROPINA 1MG/10ML JER.
9.7
3201297
BICARBONATO 8.4% PED. JER.
12.15
3201298
NIMBEX 10MG/ML ICU VIAL
335.15
3201299
HUMALOG INJ. 100 U / DOSE
8.35
3201300
CARDIZEM 25MG
14.7
3201301
PROSTIN VR INJ 1.25MCG / DOSE
360
3201302
THROMBINA 5000U
21.4
3201303
COMPAZINE 25MG
5
3201304
CALCITONIN 400U / DOSE
78
3201305
ABELCET / DOSE
417.66
3201306
NEUPOGEN 300MCG / DOSE
516.17
3201307
ATIVAN 2MG/ML INY X 1ML
3
3201309
DALMANE 30MG
0.25
3201310
NUBAIN 10MG / DOSE 1MG
4.47
3201311
TRANXENE 7.5MG
1.86
3201312
VERSED 2MG/2ML
1
3201313
PHISOHEX GAL.
217.7
3201314
ALCOHOL 70% GALON
8.02
3201315
ANUSOL HC 2.5%
10
3201316
BACTROBAN CREAM
48.5
3201317
CALADRYL
9.48
3201318
CETAPHIL MOISTURE CREAM
9.52
3201319
CETAPHILL BAR
7.4
3201320
CUTIVATE OINT 0.005%
38.64
3201321
NIZORAL SHAMPOO
33.9
3201322
NIX SHAMPOO
18.36
3201323
NYSTATI VAG TABS 100000U 100MU
1.32
3201324
TAVIST LIQ
4.76
3201325
PROPULSID 1MG/ML
5.8
3201326
AQUASOL DROPS
61.7
3201327
DOMEBORO OTIC SOL
56.31
3201328
DOXYCYCLINE INY 100MG
28.23
3201329
NAROPIN 2MG/ML INJ. / DOSE
39.2
3201330
XYLOCAINA C EPINEPHRINE 1%
8.9
3201331
XYLOCAINE 2% JELLY
5.1
3201332
BABY LAX (GLICERINA)
6.24
3201333
THEOPHYLLINE INY 500MG
1.26
3201341
TRIDIL 50MG/250ML 50ML
7.25
3201342
PRANDIN 1MG
1.5
3201343
SINGULAIR 10 MG TAB.
4.9
3201344
LIPITOR 10MG
6.3
3201345
NORFLEX ORIGINAL 2ML 60MG
41.82
3201346
GLUCOPHAGE 850MG
2.05
3201347
DRAMAMINA 50MG / DOSE
13.45
3201348
CENTRUM LIQUID 1 ML
0.1
3201349
CRINONE 8%
18.18
3201350
PROVENTIL U10 / DOSE
2.4
3201352
C-LINK C-FLO W/.22FILT 104-2
10
3201353
SUFENTA
43.3
3201354
BICARBONATO DE SODA POLVO 4 OZ
2.2
3201355
ATIVAN 2MG TAB
1
3201356
TEN K 10MEQ TAB
0.15
3201357
FACTOR 9 PROFILNINE 520UNIT VI
1498
3201358
ONFI 2.5 MG/ML SUSP
26
3201410
APRESOLINE 50 MG TAB.
0.25
3201411
AMPICILLIN 250 MG SUSP.
4.9
3201412
ESKALITH 300 MG CAP.
0.5
3201413
COREG 3.125 MG TAB.
4.95
3201414
FLORINEF 1 MG TAB.
1.1
3201415
SYNTHROID 100 MCG TAB.
0.6
3201416
SYNTHROID 150 MCG TAB.
0.7
3201417
ISONIAZIDA 300 MG TAB.
0.8
3201418
LEUCOVORIN INJ. 50MG/DOSE 25MG
79.7
3201419
PRILOSEC 10 MG CAP.
5.8
3201420
PAXIL 10 MG TAB.
1.2
3201422
SUDAFED 60 MG TAB.
0.25
3201423
TIGAN 200 MG VIAL
58.4
3201424
VITAMINA B-6 TAB.
0.1
3201425
AYR NASAL MIST 15 ML FCO
4
3201426
NEO SYNEPHRINE NASAL 15 ML FCO
4
3201427
HEXABRIX 20 ML VIAL
36
3201430
XILOCAINA2%W/EPINEFRI50ML VIAL
10.1
3201431
XYLOCAINA1%W/EPINEPHRI50ML VIA
4
3201432
MEDICINES - LB. RM
0
3201433
TRIDIL 25 MG VIAL
10.8
3201434
CORTISPONN OPH. OINT 3.5 MG
8.31
3201435
FLEET FOSFO SODA 3 OZ FCO
3.75
3201436
MICONAZOLE-7 2% CREAM
10.95
3201437
LOCOID 1% CREAM
32.85
3201439
PROCTO FOAM HC FCO.
81.4
3201440
SILVADENE 400 GM CREAM
36.4
3201441
ZOSTRIX CREAM
23.95
3201442
CLEOCIN-T 1 % GEL
45.1
3201443
LEVAQUIN IV 250MG / DOSE
45.5
3201444
TETANUSAN DIPTERIA VIAL
61.7
3201445
INTERFERON ALFA-2A INJ. / DOSE
73.44
3201446
IMMUNE GLOBULIN 5GM / DOSE 1GM
900
3201447
IMMUNE GLOBUL 500MG/DOSE 10MG
41.62
3201448
IMMUNE GLOBULIN 1GM / DOSE 1GM
180
3201449
GARAMYCIN 80 MG
1.5
3201450
CLAFORAM 2GM
20
3201451
POLYMYXIN B SULF 500000 U VIAL
14.9
3201452
RHOGAM VACC. INY. / DOSE
216
3201453
PENTOTAL 2.5% KIT 5 GR INY.
51.75
3201454
AMOSAN SOBRES
0.5
3201455
IMMUNE GLOBULIN 10GM / DOSE1GM
J1569
1800
3201456
ROWASA RECTAL ENEMA FCO
32.7
3201457
PROVACHOL 10 MG TAB.
3.85
3201458
MICRO-R 8 MG CAP.
0.35
3201492
ACCUPRIL 40 MG TAB.
1.9
3201493
ALBAFORT SIMPLE 5 ML
38
3201494
COSOPT OPH 5 ML
40
3201495
DEPAKOTE 250 MG
178
3201496
DEPAKOTE 500 MG
314
3201497
WELBUTIN SR 150 MG
3
3201498
DIOVAN 80 MG
2.7
3201499
LUPRON DEPOT 3.75 MG
1930.5
3201500
ROCEPHIN 2GM / DOSE 250MG
119.9
3201501
SOLUMEDROL 125MG / DOSE
8.88
3201502
XIGRIS 20MG / DOSE
1431.83
3201503
XIGRIS 5MG / DOSE
357.96
3201504
SYNERCID 500MG(150/350)/DOSE
161.13
3201505
AZACTAM 500MG
24.33
3201506
INSPRA 25MG TAB
2.26
3201507
KCL 10 MEQ /50ML PIGGY
4.5
3201800
MEDICINES - OP. RM
0
3201801
CASTILE SOAP CONCENTRATE
0.5
3201802
ERYTROMYCIN 1GM TUBE
4.53
3201803
LIBRIUM 25MG CAPSULE
0.25
3201804
DIOVAN 40 MG
2.5
3201805
FOLIC ACID 5MG/ML VIAL
12
3201806
INVANZ 1 MG VIAL
112
3201807
HUMALOG MIX 75/25 VIAL
1
3201808
LEVAQUIN 750 MG IV
45.46
3201809
LEVAQUIN 250 MG IV
18.5
3201810
LIDOCAINA 1 GM/250 ML
7.15
3201811
LIDOCAINA 2 GM/500 ML
9.45
3201812
LOVENOX 100 MG
106.9
3201813
LYSIPLEX SYRUP
0.07
3201814
MAGONATE LIQUID
0.08
3201815
MEGACE 40 MG/ML
1.33
3201816
MIGRALAM
3.6
3201817
NASACORT AQ
127.14
3201818
NEOSTIGMINE 1: 2000
1.8
3201819
NEUTRA-PHOS K
1.23
3201820
PENICILLIN G SODIUM
67.5
3201821
PHAZYME 180 MG
0.3
3201822
POLYMYXIN B 500.000 U
14.9
3201823
PRANDIN 0.5 MG
1.75
3201824
PRANDIN 2 MG
1.75
3201825
PROCRIT 20.000 U/ML
525.55
3201826
RENAGEL 400 MG
1.2
3201827
RISPERDAL 1MG
4.8
3201828
RISPERDAL 2MG
8
3201829
RISPERDAL 3MG
9.4
3201830
ROCALTROL 0.25 MCG
2
3201831
SANDOSTATIN 0.05 MG
15.6
3201832
SELENIUM 100 MCG
0.25
3201833
SOLUMEDROL 1 GM
33.6
3201834
SOLUMEDROL 125 MG
6.5
3201835
STELAZINE 5 MG
0.3
3201836
SYNERCID 500 MG
200
3201837
TEGRETOL XR 100 MG
0.55
3201838
THEO-DUR 100 MG
0.25
3201839
THIORICLAZINE 50 MG
2
3201840
THORAZINE 100 MG
0.6
3201841
THORAZINE 50 MG
0.5
3201842
TISSEEL 5 ML
1911
3201843
TOPROL XL 50 MG
0.25
3201844
TRILEPTAL 300 MG
3.5
3201845
TUSSI-PRES
0.09
3201846
ULTRACET 37.5/325
1.8
3201847
VASOTEC 20 MG
0.35
3201848
VITAMINA A 8000 IU
0.25
3201849
VITAMINA E 600 IU
0.25
3201850
WELLBUTRIN SR 150 MG
3.5
3201851
XIGRIS 20 MG
2426.5
3201852
XIGRIS 5 MG
606.65
3201853
ZESTORETIC 10/12.5
2
3201854
ZURTEC 10 MG
3.3
3201855
ACTIVASE 50 MG
3464.85
3201856
ACTOS 30 MG
15.33
3201857
ACTOS 45 MG
10.6
3201858
XANAX 1MG
0.5
3201859
ALPRAZOLAM 2 MG
0.25
3201860
AMPICILLIN 2 MG
3.25
3201861
AVALIDE 300-12.5 MG
8
3201862
AVELOX 400 MG
27.5
3201863
BETA CAROTENO
0.25
3201864
BETAMETHASONE DIP. CREAM
2.1
3201865
BETAPACE 80 MG
4.5
3201866
CALTRATE - 600 PLUS
0.25
3201867
CALTRATE - 600 T D
0.25
3201868
CANCIDAS - 50 MG
576
3201869
CANCIDAS - 70 MG
742
3201870
CARDIZEM - 90 MG
0.25
3201871
CEPHALEXIN 500 MG
0.25
3201872
CHLOR-TRIMETON 4 MG
0.45
3201873
CHROMIUM PICOLINATE
0.25
3201874
CIMETIDINE 150 MG/ML 2ML
3.3
3201875
CIPRO HC OTIC 50 MG
226.8
3201876
COGENTIN 1 MG
0.25
3201877
DEPALCOTE 500 MG
3.4
3201878
DESYREL 50 MG
0.25
3201879
DIFLUCAN 400 MG/200ML
63
3201880
DILTIAZEM 90 MG
0.25
3201881
DIOVAN HCT 160/12.5
3.1
3201882
DYAZIDE 50/25
0.25
3201883
EFFEXOR XR 75 MG
5.2
3201884
ELOCON CREAM 45 MG
35
3201885
ESKALITH 100 MG
0.3
3201886
FAMVIR 500 MG
14.1
3201887
FLOVENT 110 MCG
85.18
3201888
FLOVENT 220 MCG
143.3
3201889
FLOVENT 44 MCG
50.8
3201890
FLUPHENAZINE 2.5 MG
0.25
3201891
FLUPHENAZINE 10 MG
0.3
3201892
FOSAMAX 10 MG
4.3