docCharge Master Prices - NorthCrest Medical Center
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Charge Master Prices - NorthCrest Medical Center
ChargePrices 2016 Dept 727 727 727 727 727 727 727 727 727 727 727 727 727 727 727 727 727 727 727 727 727 727 728 728 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 Dept Description DIABETES ED DIABETES ED DIABETES ED DIABETES ED DIABETES ED DIABETES ED DIABETES ED DIABETES ED DIABETES ED DIABETES ED DIABETES ED DIABETES ED DIABETES ED DIABETES ED DIABETES ED DIABETES ED DIABETES ED DIABETES ED DIABETES ED DIABETES ED DIABETES ED DIABETES ED LACTATION LACTATION OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED Charge Code Charge Description 7620007 DOSMT GROUP 30M 7620008 DOSMT INDIVIDUAL 30M 7620028 OUTPATIENT VISIT EXT 7620034 SELF CARE TRAINING 1 7660550 CANISTERS 7660605 CARRASYN CARRINGTON 7660606 CARRINGTON PRIMARY D 7660851 COBIDERM 5X5 7660882 COMBIDERM ACD 4X4 7660883 COMBIDERM ACD 5 1/4X 7660884 COMBIDERM NON-ADHESI 7660885 COMBIDERM 3X3 7660886 COMFEEL TRANS DRESSI 7661187 DRAIN POUCH HOLLISTE 7661226 DUODERM CGF EXTRA TH 7661979 LG BLK DRESSING FOR 7663561 VAC LG DRESSING KIT 7663562 VAC MED DRESSING KIT 7663564 VAC SMALL DRESSING K 7663566 VAC WOUND SUCTION UN 7663567 VAC. PLUD TUBE 8.5ML 7663757 WOUND VAC CANNISTER 7280001 BRIEF LACTATION PROB 7360054 SYMPHONY 2 PUMPING S 7410001 ACE WRAP 7410003 ACE 4" BANDAGE LATEX 7410004 ACE 6" BANDAGE LATEX 7410005 ADAPTIC 3X3 7410006 ADAPTIC 3X8 7410010 ALLERGY INJECTION 1 7410011 ALLERGY INJECTION 2+ 7410013 ANKLE AIRCAST 7410014 ANKLE BRACE LG. 7410015 ANKLE BRACE MED 7410016 ANKLE BRACE SM 7410017 ANKLE BRACE XL 7410018 ANKLE STABILIZER WRA 7410019 ARM (SHORT) APPL 7410020 ARM SHORT CAST 7410021 SPORTS/SCHOOL PHY 7410022 ARM SLING CHILD 7410024 ARM SLING MED 7410025 ARM SLING SMALL 7410026 ASPIRATION/INJECTION 7410028 AUDIOGRAM ADDIT 15 M 7410029 AUDIOGRAM INITIAL 60 7410030 AVULSION NAIL PLATE 7410032 BENADRYL 7410033 BICILLIN CR PER 1.2M Page 1 Price 49 100 392 104 528 64 34 29 23 31 29 21 15 32 3 229 186 156 131 341 29 73 40 117 1 32 39 2 9 83 83 24 24 24 24 56 7 272 43 43 15 15 15 544 12 303 279 6 33 CPT G0109 G0108 99215 97535 96150 95115 95117 29125 20605 92621 92620 SURG ChargePrices 2016 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED 7410034 7410035 7410037 7410038 7410039 7410040 7410041 7410042 7410043 7410044 7410045 7410047 7410048 7410049 7410050 7410051 7410052 7410053 7410055 7410056 7410057 7410058 7410059 7410060 7410061 7410062 7410064 7410065 7410066 7410067 7410068 7410069 7410070 7410071 7410072 7410073 7410074 7410075 7410078 7410079 7410080 7410081 7410082 7410083 7410084 7410086 7410087 7410088 7410089 7410090 BICILLIN PER 0.6MU BOOT PLANTER PROFEE EST BRIEF PT PROFEE NEW BRIEF PT CATHETER FEMALE CATHETER TRAY 16F CATHETER TRAY 18F CAUTERY DISP CBC W/O DIFF CEFAZOLIN PER 500MG CERVICAL COLLAR CLAFORAN PER Q GM CLAVUCLE SPLINT MED CLONIDINE PER 1MG COMPAZINE INJ PER 10 PROFEE EST COMPLX PT PROFEE NEW COMPLX PT PROFEE EST COMPRV PT CORTISPORIN OTLC COVER DRESSING CRUTCHES ADULT CRUTCHES ADULT TALL CYANOCOBALAMIN 1000M DALLAS MAVIS GLOBAL DECADRON PER 1 MG DEPO-MEDROL PER 40MG PROFEE EST DETAIL PT PROFEE NEW DETAIL PT DOT DRUG SCREEN DOT DRUG SCREEN UNIT DOT PHYSICAL DOT PHYSICAL DOT PHYSICAL DRESSING UP TO 48" DRESSING SPONGE 4X4 DRESSING 48" + DRG. BLOOD UNDER NAI DRS/DEBR. MED BURN EAR SYRINGE EKG CARE CENTER ELASTIC BANADGE 4" ELASTIC BANADGE 6" ELASTIC BANDAGE 2" A ELASTIC BANDAGE 3" ELECTRODES ADULT EPI 1:1000 EYE PADS EYE PATCH EYE TRAY FINGER SPLINT Page 2 16 176 46 80 23 34 34 35 38 31 11 27 33 1 11 188 201 104 36 1 28 28 6 105 13 28 67 121 36 37 68 81 101 9 1 12 167 279 1 101 2 3 1 2 1 6 1 11 36 2 99211 99201 85027 J0690 J0698 J0735 J0780 99215 99205 99214 J3420 99450 J1094 J1030 99213 99203 99450 99450 99450 11740 16025 93000 ChargePrices 2016 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED 7410091 7410092 7410095 7410097 7410098 7410100 7410101 7410102 7410105 7410106 7410107 7410108 7410109 7410110 7410111 7410112 7410113 7410115 7410116 7410117 7410118 7410119 7410120 7410121 7410122 7410123 7410124 7410125 7410126 7410127 7410128 7410129 7410130 7410131 7410132 7410133 7410134 7410135 7410136 7410137 7410138 7410139 7410140 7410141 7410142 7410143 7410144 7410145 7410146 7410147 FINGER SPLINT 2 5/8 FINGER SPLINT 6" GAUZE BANDAGE 3" GAUZE BANDAGE 6" GAUZE 2X2 STERILE GENTAMYCIN OPH SOL GLOVES 6.5 GLOVES 7.5 HEP B VACCINE ADULT HEP B VACCINE PED HEPATITIS A INJECTIO HGB HOLLEY PRE-EMP PHYS HOLLINGSWORTH EMP DR HOLLINGSWORTH INDUST HOLLINGSWORTH OIL CO HOT PACK I&D OTHER FLUID I&R FB SQ SIMPLE INCISION & DRANIGE T INCONTINENT PAD IND DOT PHY UNITED S INDUSTRIAL PKG DIALY INDUSTRIAL PRE EMP P INDUSTRIAL PRE-EMP P INJECTION FEE INJECTION INTRA MUSC INSURANCE PHYSICAL PROFEE EST INTRMD PT PROFEE NEW INTRMD PT IODOFORM 1/2" IODOFORM 1" IRRIGATION TRAY ISOLATION GOWNS IV CONTROLLER IV PRIMARY SET IV SECONDARY IV START PACK JELCO 18 JELCO 20 JELCO 22 KENALOG PER 10 MG KETOROLAC PER 15MG I KLING FLUFF ROLLS KLING FLUFF 5'S KNEE IMMOBILIZER KNEE IMMOBILIZER 12" KNEE IMMOBILIZER 16" KNEE IMMOBILIZER 19" KNEE IMMOBILIZER 22" Page 3 6 6 1 3 1 29 6 1 75 87 93 14 59 37 94 94 2 184 413 4 2 94 94 288 155 83 137 62 48 84 22 24 36 2 22 27 6 3 10 10 10 2 11 2 4 20 20 20 21 21 90746 90744 90632 85018 99450 80300 99450 MANUL 10120 99450 95115 96372 99450 99212 99202 J3301 J1885 ChargePrices 2016 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED 7410149 7410150 7410151 7410152 7410153 7410154 7410155 7410156 7410157 7410158 7410159 7410160 7410161 7410162 7410163 7410164 7410165 7410166 7410168 7410169 7410170 7410171 7410172 7410173 7410175 7410176 7410177 7410178 7410179 7410180 7410181 7410182 7410183 7410184 7410185 7410186 7410187 7410188 7410189 7410190 7410191 7410192 7410193 7410194 7410195 7410196 7410197 7410198 7410200 7410201 KY GEL 5 GM KY 10CC SYRINGES LACERATION TRAY LACERATION 0-2.5 CM LACERATION 0-2.5 CM LACERATION 2.5-7.5 C LACERATION 2.6-7.5 C LACERATION 5.1-7.5 C LACERATION 7.6-12.5 LACERATIONS 2.6-5.0 LACTATED RINGERS LANOXIN 0.125 MG LANOXIN 0.25 MG LASIX 40MG TAB LEG (SHORT) APPL. LEG SHORT CAST LEVAQUIN 500 MG TAB LIDOCAINE 1% EPI 20M LIDOCAINE 2% EPI 30M LIDOCAINE 2% PLAIN 3 LIPID PANEL LOWES MATERNITY PADS MENINGITIS VACCINE MISC. NCC MONOSPOT NERVE BLOCK,PERIPH NITROSTAT NS 1000CC LVL OP EST PT BRIEF LVL OP EST PT COMPRV LVL OP EST PT COMPLX LVL OP EST PT DETAIL LVL OP EST PT INTERM LVL OP NEW PT COMPRV LVL OP NEW PT BRIEF LVL OP NEW PT COMPLX LVL OP NEW PT DETAIL LVL OP NEW PT INTERM OPTH.ANTIBIOTIC ORTHO GLASS 1" OWENS ANNUAL PHYSICA PARTIAL SKIN DEBRIBE PATIENT CARE BASIN PELVIC EXAM PEROXIDE PERSONAL DOT PHYS PHENEGRAN PER 50MG POST-OP SHOE PRE-EMP FLEETLINE Page 4 1 1 4 328 436 436 436 436 436 356 93 1 1 1 272 57 33 20 28 6 54 20 2 274 89934 32 534 20 10 28 110 188 71 62 165 54 233 115 82 7 1 444 422 2 221 1 101 20 6 348 SURG SURG SURG SURG SURG SURG SURG J7120 29515 80061 90733 86308 MANUL 99211 99214 99215 99213 99212 99204 99201 99205 99203 99202 SURG G0101 99450 J2550 99450 ChargePrices 2016 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL OCCUPATIONAL MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED 7410202 7410203 7410204 7410205 7410206 7410208 7410209 7410210 7410212 7410213 7410215 7410216 7410217 7410218 7410219 7410221 7410222 7410226 7410227 7410228 7410229 7410230 7410231 7410233 7410234 7410235 7410237 7410238 7410240 7410242 7410243 7410244 7410245 7410246 7410247 7410248 7410249 7410250 7410251 7410252 7410253 7410254 7410255 7410259 7410260 7410261 7410262 7410263 7410264 7410265 PRE-EMPL PHYS PRECISE DS5 SKIN STA PREGNANCY-URINE PRELONE 15MG/5ML SYR PREPLACEMENT SCREENI QUICK TEST REM IMPCT CERUMEN REM. FB EYE ROCEPHIN PER 250MG RUBBING ALCOHOL SCAPLES #11 SHOULDER IMMOBILIZER SILVADENE DRESSING SKIN TAG REMOVAL UP SOLUCORTEF PER 100MG SPORTS/SCHOOL PHYS STAPLE REMOVER STREP RAPID SURGICAL GLOVES SURGICAL TRAY FOR TO SUTURE ETHILON 4-0 SUTURE ETHILON 5-0 SUTURE ETHILON 6-0 SUTURE VICRYL 4-0 SUTURE VICRYL 5-0 SUTURE VICRYL 6-0 TELFA ADHESIVE PADS TELFA OUCHLESS 2X3 TENNIS ELBOW BRACE TKA OFFICE PRE-EMP P TKA PLANT PRE-EMP PH TOENAIL DRESSING TOENAIL REMOVAL TORODAL PER 15MG TRIGGER INJ. BURL/L TUBE GAUZE SZ O 5/5 TUBE GAUZE SZ1 1" U/A DIPSTICK MICRO U/A DIPSTICK W/O MIC UA DIPSTICK UNNA BOOT URINALS URINE FILTER VENIPUNCTURE OP VENIPUNCTURE/STICK VISTARIL PER 25 MG VIT B-12 PER 1000MCG WRIST & FOREARM SPLI WRIST SPLINT WRIST SPLINT LT LG Page 5 56 31 38 38 43 22 155 359 32 64 3 6 48 279 20 43 4 46 1 93 6 6 6 6 6 6 1 1 7 95 160 35 1021 11 544 2 2 21 15 10 9 1 7 24 24 6 2 7 7 9 99450 81025 99450 69210 MANUL J0696 11200 J1720 99450 87430 99450 99450 SURG J1885 20550 81000 81002 81002 36415 36415 J3410 J3420 ChargePrices 2016 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 730 733 733 733 733 733 733 733 733 733 733 733 733 733 733 733 733 733 733 733 733 733 733 733 733 733 733 733 733 733 733 734 OCCUPATIONAL MED OCCUPATIONAL MED OCCUPATIONAL MED OCCUPATIONAL MED OCCUPATIONAL MED OCCUPATIONAL MED OCCUPATIONAL MED OCCUPATIONAL MED OCCUPATIONAL MED OCCUPATIONAL MED OCCUPATIONAL MED OCCUPATIONAL MED OCCUPATIONAL MED OCCUPATIONAL MED OCCUPATIONAL MED OCCUPATIONAL MED OCCUPATIONAL MED OCCUPATIONAL MED OCCUPATIONAL MED MS2 MS2 MS2 MS2 MS2 MS2 MS2 MS2 MS2 MS2 MS2 MS2 MS2 MS2 MS2 MS2 MS2 MS2 MS2 MS2 MS2 MS2 MS2 MS2 MS2 MS2 MS2 MS2 MS2 MS2 WOUND CARE CENTER 7410266 7410267 7410268 7410269 7410270 7410271 7410272 7410273 7410274 7410275 7410276 7410277 7410279 7410280 7410281 7410282 7410284 7410489 7410490 7330001 7330002 7330003 7330005 7330006 7330010 7330012 7330013 7330014 7330015 7330016 7330017 7330018 7330019 7330020 7330021 7330022 7330023 7330024 7330025 7330027 7330028 7330029 7330030 7330031 7330032 7330033 7330034 7360004 7360005 7340060 WRIST SPLINT LT MED WRIST SPLINT LT SM WRIST SPLINT RT LG WRIST SPLINT RT MED WRIST SPLINT RT SM WRIST SPLINT XL LEFT WRIST SPLINT XL RIGH XEROFORM GAUZE 5X9 ZITHROMAX 250 MG TAB FLU VAC PANL PNEMOCOCCAL VAC BENICMP-TRIC WELLNES IRVING USE7410278 NORTH MAIN TOW NDOT INGRAM DOT PHYSICAL INGRAM DOT DRUG COLL SAIA BURGESS DOT PHY LVL OP NEW PT INTER FUNCTIONAL TESTING MS2 ROOM AND BOARD MS2 SEMI PRIVATE MS2 ROOM AND BOARD OBSERVATION RM PEDS OBSERVATION RM MS2 OBS DIRECT ADMIT PICC LINE INSERT GT5 COLL BLOOD VEN DEVC COLL BLOOD FRM PICC ARTERIAL BLOOD DRW INST STRT CATHER INST STRT FOLEY CAT CYSTOSTMY TUBE CHG IMMUNIZ INJ SINGLE IMMUNIZATION EA ADD I/M INJ DRUG DELIV INJ I.V. PUSH INJ IV PUSH ADD DRUG INJ IV PUSH SAME DRU INTRAV CORNRY THRMB INV INF HYD 1 HR INV INF HYD ADD HR INV INF DRUG 1 HR INV INF DRUG ADD HR INV INF DRUG2 INT HR SUB INF DRUG 1 HR SUB INF DRUG ADD HR US URINE CAPACTY PED ROOM AND BOARD PED SEMI PRIVATE R/B I&D ABCESS SIMPLE Page 6 9 9 9 9 9 27 52 4 21 14 31 44 23 37 104 24 92 82 54 484 456 484 93 93 74 2171 203 203 339 339 339 382 137 42 137 278 100 10 439 278 83 374 83 137 374 100 135 484 456 342 90658 90732 99450 99450 99450 99450 99450 99450 99202 99450 G0378 G0378 G0379 36569 36591 36592 36600 51701 51702 51705 90471 90472 96372 96374 96375 96376 92977 96360 96361 96365 96366 96367 96369 96370 51798 10060 ChargePrices 2016 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER 7340061 7340220 7340225 7340240 7340245 7341042 7341043 7341044 7341055 7341100 7341101 7341300 7341421 7341422 7341719 7341720 7341721 7341730 7341750 7342001 7342002 7342031 7342032 7342034 7343922 7343923 7343924 7343925 7343926 7343927 7343928 7343929 7343930 7343931 7343932 7343933 7343934 7343935 7343936 7343937 7343938 7343939 7343940 7343941 7343942 7343943 7343944 7343945 7343946 7343947 I&D ABCESS MULTI COM BIO BONE NEEDL SUPER BIOP BONE TROCAR NED BIOP BONE EXCIS SUP BIOP BONE EXCIS DEEP DEB SUBQ TISS 20SCM< DEB MUSC/FASCIA 20S< DEB BONE 20 SQ CM/< TRIM SKIN LESION BIO SKIN SUB Q LESIO BIO SKIN SUB Q AD LE HYPERBARIC O2 30MIN EXC B LESION .6-1 CM EXCN LESIN 1.1-2.0CM TRIM NONDYSTRPH NAIL DEBRIDE NAIL ANY 1-5 DEBRID NAIL ANY >6 AVULSN NAIL PLATE REMOVAL NAIL BED REPAIR SUPERFIC WND REPAIR SUPERF WND LAYR CLOSUR WND<2.5 LAYR CLOS WND2.6-7.5 LAYR CLOSWND7.6-12.5 UPR/L XTREMITY ART 2 UPR/LXTR ART STDY 3+ MISC PROCEDURE AVULSION NAIL ADDTIO APP OF DERMAGRAFT EXC TREXT B9+1.1-2CM MAJOR ASPIRATION VAC DRESSING BRIDGE VAC DRESSING BRIDGE SENSURA FLEX TRANSPA SENSURA FLEX BARRIER SENSURA FLEX CONVEX SENSURA 1 PIECE CONV ACTICOAT 7 4X5 DRESS CLOTH INTRDRY 10X12 TEGADERM OVAL 90614 TEGADERM WRAP 90615 DRESSG TUBIGRIP 1472 DRESSG TUBIGRIP 1473 DRESSG TUBIGRIP 1474 DRESSING TUBIPAD 4MM UROSTOY POUCH LG SY UROSTOY POUCH MED HOLLISTR UROSTMY POU SIMPLACE SMALL DRESS DRESSG WND MEDI HONE Page 7 342 973 1618 4766 4767 641 1700 2282 253 376 244 739 1618 1406 184 184 184 259 973 353 353 353 353 353 478 1020 741 202 2256 501 468 232 217 16 25 35 39 111 274 22 22 33 33 33 106 22 22 22 198 64 10061 20220 20225 20240 20245 11042 11043 11044 11055 11100 11101 G0277 11422 11422 11719 11720 11721 11730 11750 12001 12002 12031 12032 12034 93922 93923 MANUL 11732 MANUL 11402 20605 ChargePrices 2016 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER 7343948 7343949 7343950 7343951 7343952 7343953 7343954 7343955 7343956 7343957 7346020 7347250 7347340 7347341 7347342 7347343 7347344 7347597 7347598 7347602 7347605 7347606 7349201 7349202 7349203 7349204 7349205 7349210 7349211 7349212 7349213 7349214 7349215 7349580 7349581 7349582 7349583 7349584 7349585 7349586 7349587 7349588 7349589 7349590 7349591 7349592 7349593 7349594 7349595 7349596 ASSURA AC SKIN BARR ASSURA AC 3 1/2 BARR ASSURA EXTRA LARGE P ASSURA AC CONVEX LIG POUCH DRAINABLE EASI TTL CONTACT CASTIN 3 TTL CONTACT CASTIN 4 PREVNA INCISN 5 DRES BARIER WAFR5/8X2 3/4 ESTEEM SYN OSTM RT2 DRESS OR DEBRD SMALL CHEM CAUTER GRAN TIS APLIGRAF PER SQ CM OASIS PER SQ CM DERMAGRAF PER SQ CM XENOGRAFT PER SQ CM ALLOGRAFT PER SQ CM RMVL DEVITAL TIS 20< ACTV WND CARE >20CM NON SELECT DEBRID NEG PRESS WND 50CM< NEG PRES WND >50CM NEW PATIENT LEVEL 1 NEW PT LEVEL 2 NEW PT LEVEL 3 NEW PT LEVEL 4 NEW PT LEVEL 5 REMOV IMPACT CERUMNS EST PT LEVEL 1 EST PT LEVEL 2 EST PT LEVEL 3 EST PT LEVEL 4 EST PT LEVEL 5 STRAPPING UNNA BOOT ELASTIC #2 TUBE BAND ELASTIC #6 TUBE BAND ELASTIC #8 TUBE BAND ELASTIC #10TUBE BAND CALCIUM ALGINATE4X4 CHARCOAL DRESSNG 4X4 FECAL INCONT COLL SY HEEL WEDGE SHOE 1 PIECE OUTPUT POUCH 1 PIECE DRAINABL POU PREMIER DRAINBLE POU 1 1/2 MICRODERM PULS CLEAR 11" POUCH TEGADERM SQ 5 7/8X6 VAC INSTILL PADS ATS CANNISTER W/GEL Page 8 38 126 216 36 16 409 450 1652 54 11 259 259 108 31 56 73 174 486 259 376 263 259 196 233 324 408 519 145 197 234 234 324 408 252 3 9 14 102 23 29 36 118 63 15 35 52 25 35 68 219 A4415 A4425 A4415 16020 17250 Q4101 Q4102 Q4106 Q4105 Q4106 97597 97598 97602 97605 97606 G0463 G0463 G0463 G0463 G0463 69210 G0463 G0463 G0463 G0463 G0463 29580 ChargePrices 2016 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER 7349597 7349598 7349599 7349600 7349601 7349602 7349603 7349604 7349605 7349606 7349607 7349608 7349609 7349610 7349611 7349612 7349613 7349614 7349615 7349616 7349617 7349618 7349619 7349622 7349623 7349624 7349625 7349626 7349627 7349628 7349629 7349630 7349631 7349632 7349633 7349634 7349636 7349637 7349638 7349639 7349640 7349641 7349642 7349643 7349644 7349645 7349646 7349647 7349648 7349649 TEGADERM OVAL DRESSG TEGADERM SQUAR DRESS COLOPLAST MEPILEX TITE 6X2 BOR MEPILEX 2X5 BORDER VAC TUBING CAP T.R.A.C GRANUFOAM MEPILEX 6X6 VAC DRAPE FELT ADHESIVE WOUND POUCH W DRAIN DRAIN POUCH 11" WFIL DRAIN POUCH 9" WBARR MICROSKIN PL BARR 21 DRAINBL POUCH 11" 2P TEGADERM DRESS SQ4X4 ORTHOWEDGE HEALG SHO COLOPLAST POST OP PO UROSTOMY POUCH CL 9" ASSURA 100MM POUCH C A.R.D PADS WOUND DRAINAGE COLLE HYDROFERA BLUEE TCOM MULTI LEVEL ABDML BINDR 9"73-82 ABDMNL BNDR 12"73-82 MICRO ADHESV BARR2PC VERSAFOAM LARGE DRES FISTLA WND POUCH4.3X FISTLA WND POUCH1.8X FISTLA WND POUCH6.9X ABDOML BINDR 26-70" 7" DRAINABL W\BARRIR DEBRID MISC TYPE CAST TTL CONTACT APP WND PREP TRK/ARM/LG WND PREP CH F/N/HF/G WND PREP F/N/HF/G+CM EXC TR-EXT B9+MARG>4 EXC TR-EXT MLG+2.1-3 EXC TR B9+MARG .6-1C EXC TR B9+MARG 1.1-2 EXC TR B9+MARG 2.1-3 EXC TR B9+MARG 3.1-4 EXC TR MLG+MARG .6-1 EXC TR MLG+MARG1.1-2 EXC TR MLG+MARG3.1-4 EXC TR MLG+MARG >4C DRAINAGE OF HEMATOMA VENOUS WOUND COMPRES Page 9 28 72 261 11 29 14 250 58 54 1 122 48 27 49 27 35 106 54 46 80 2 105 48 520 85 101 6 79 56 37 68 80 34 304 364 1921 2320 720 1707 2128 974 974 2128 1707 974 974 2128 1707 2428 611 SURG 29445 15002 15004 15005 11406 11603 11401 11402 11403 11404 11601 11602 11604 11606 10140 29581 ChargePrices 2016 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER 7349651 7349653 7349654 7349655 7349656 7349657 7349658 7349659 7349660 7349661 7349662 7349663 7349664 7349665 7349666 7349667 7349668 7349669 7349670 7349671 7349672 7349673 7349674 7349675 7349676 7349677 7349678 7349679 7349680 7349681 7349682 7349683 7349684 7349686 7349688 7349689 7349690 7349691 7349692 7349693 7349694 7349695 7349696 7349697 7349698 7349699 7349700 7349701 7349702 7349703 TRIM LESIONS 2 TO 4 TCCS LARGE BOOT TCCS XLG BOOT SILBASORB GEL.25 TUB DEBIDMT TISSU 20CM+A DEBIDMT MUSCL 20CM+A DEBIDMT BONE 20CM AD PARING CORN/CALLU>1 ASSURA 1PC CONVEX LI ASSURA AC ADHESIVE E AC CONVEX LIGHT ASSU GRANUFOAM SILVER MED FLEXISEAL SIGNAL FMS FLEXISL COLLECT BAG PREMIER 1 PIECE OSTO DRESSG MEPITEL 1 3X4 DRESSG MEPITEL 1 2X3 DRESSG WND AQUAC 2X2 DRESSG MEPITEL 1 4X7 PASTE TUBE MEDIHONEY DRESSG MEPILX 395290 DRESSG MEPILX 395390 DRESSG FOAM ADH5.5X6 VAC CANISTER 500ML W POUCH OSTOMY 1#15860 APP TRUNK 100CM-25CM APPL SKIN TRUNK +25C APP SKIN TRUNK 100CM APP SKIN TRUNK+100CM APP SKIN FACE TO 100 APP SKIN FACE +25CM APP SKIN FACE >100CM APP SKIN FACE ADD100 COLOPLAST POUCH 1PC GRAFIX CORE GRAFIX PRIME MEPILEX DRESSING 8X2 MEPILEX DRESSING 4X4 EAKIN COHESIVE SLIMS EAKIN FISTULA9.7X6.3 MEDIHONEY HCS HYDROG XTRASPRB FOAM ANTI-EMBO KNEE XXXL EPIFIX OASIS LEG 1ST 25CM L OASIS LEG ADD 25CM L OASIS FT 1ST 25CM LE OASIS FT ADD 25CM LE OASIS LEG 1ST100CM G OASIS LEG+100CM GTR1 Page 10 376 344 362 337 640 698 759 376 49 16 36 294 694 40 8 33 25 31 62 72 44 64 34 196 33 2898 285 4741 768 2898 285 3624 768 22 258 343 143 16 21 98 54 21 28 552 1264 451 1264 451 4239 451 11056 11045 11046 11047 11056 15271 15272 15273 15274 C5275 15276 15277 15278 Q4132 Q4133 Q4131 C5271 C5272 C5275 C5276 C5273 C5274 ChargePrices 2016 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER 7349704 7349705 7349707 7349708 7349709 7349710 7349711 7349712 7349713 7349714 7349715 7349716 7349717 7349718 7349719 7349720 7349721 7349722 7349723 7349724 7349725 7349726 7349727 7349728 7349729 7349730 7349731 7349732 7349733 7349734 7349735 7349736 7349737 7349738 7349739 7349740 7349741 7349742 7349743 7349744 7349745 7349746 7349747 7349748 7349749 7349750 7349751 7349752 7349753 7349754 OASIS FT1ST 100CM G1 OASIS FT+100CM GT100 SORBACT COMPRESS 4X6 GRAFTJACKET APPLY SHORT LEG CAST ENDOFOAM FENESTR 2X2 ELASTOMULL 1" ISOBAND 15 ELASTOMULL 2" ETHILON NYLON 3-0 62 EAKIN FISTULA 1.8X1. EAKIN FISTULA 4.3X3. CYMED 7" FISTULA POU SORBACT COMPRESS 7X9 POUCH UROSTOMY ASSUR POUCH SUR FIT UROSTO ISOBAND 15 ISOBAND 20 TRICOFIX 10 SZ F7 TRICOFIX 12 SZ G9 ELASTOMULL 1" ELASTOMULL 2" ARTIFLEX 10CM ARTIFLEX 15CM COMPRILAN 10" COMPRILAN 12" COMPRILAN 6" COMPRILAN 8" POUCH UROSTOMY ASSUR POUCH SUR FIT UROSTO ETHILON NYLON 3-0 62 SORBACT COMPRESS 7X9 CYMED 7" FISTULA POU EAKIN FISTULA 1.8X1. EAKIN FISTULA 4.3X3. ENDOFOAM FENESTRATED HYDROFERA BLUE TUNNE OSTOMY DRESSING 2.5 TCC-EC LG CHARCOT BO TCC-EC XL CHARCOT BO SAW REPLACEMENT BLAD MEDE-KAST 4" FIBERGL 4" CASTING SYSTEM CAROLON COMPRESSION CAROLON COMPORESSI M CAROLON COMPRESSI LG ULTRA CARE CASTING S MEDI-KAST PLASTER 4X EAKIN COHESIVE SEAL4 COMPLEX DRAINAGE WOU Page 11 4239 451 15 222 366 59 1 35 1 4 28 39 33 20 41 4 35 46 74 88 1 1 11 15 24 28 19 21 41 4 4 20 33 28 56 59 21 33 346 364 106 49 254 77 77 77 274 30 12 3399 C5277 C5278 Q4107 29405 10180 ChargePrices 2016 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER 7349755 7349756 7349757 7349758 7349759 7349760 7349761 7349762 7349763 7349764 7349765 7349766 7349767 7349768 7369635 7649687 7660001 7660002 7660005 7660007 7660009 7660012 7660022 7660023 7660024 7660025 7660026 7660027 7660028 7660029 7660030 7660032 7660033 7660034 7660036 7660037 7660039 7660040 7660041 7660043 7660044 7660045 7660051 7660053 7660055 7660057 7660069 7660070 7660187 7660188 EPIDRM AUTOGRFT TRNK EPIDRM AUTOGRFT TADD EPIDRM A-GRFT FACE/N EPIDRM A-GRFT F/ADD REMOVE FOREIGN BODY MEPORE 4X10 NEG PRESS WND</= 50C NEG PRESS WOUNDTX>50 SNAP VAC 75MMHG CART SNAP VAC 125MMHG CAR SNAP VAC BRIDGE DRES SNAP VAC DRES KIT 10 SNAP SECURRING HYDRO SNAP VAC BRIDGE DRES WND PREP CH/INF+100C ALTRAZEAL .75ML GM MEDICAL/SURGICAL SUP MEDICAL/SURGICAL SUP MEDICAL/SURGICAL SUP 0 PROLENE 8690H 1 VICRYL CPX J569H #2/12MM STEM "ADHESIVE DRESSING 4 "ARTHRITIS SUPPORT "BLADE "BLADE "BLADE "BLADE "BODY WEDGE 5""X11"" "BODY WEDGE 8""X11"" "BRACE "COBAN 2""" "COLLONA 10CM (4"")" "CONVEX WAFER 1 1/2" "ELECTRODES 2"" " "ELECTRODES 3""" "HANDSPLINT "HYPAFIX 2"" ROLL" NEEDLE "O2 CELL WITH ""O"" POUCH "POUCH A.V.SEG PACING CATHE ABDOMINAL BINDER 30ABDOMINAL BINDER 46ABDOMINAL WOUND POUC ACCUSET PUMP TUBING ACE BANDAGE 3" LATEX AQUACEL DRESSING 4X4 AQUACEL ROPE Page 12 1240 618 4057 618 3869 6 376 376 492 492 260 181 29 285 424 94 526 526 47 38 14 2654 3 165 57 57 57 57 75 101 68 15 23 34 44 43 111 37 1 131 35 67 634 71 72 25 44 29 31 38 15110 15111 15115 15116 10121 97607 97608 15003 C1713 ChargePrices 2016 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 734 WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER 7660549 7660746 7660876 7660930 7660931 7660932 7660933 7661111 7661136 7661249 7661482 7661745 7661936 7662063 7662132 7662149 7662258 7662259 7662445 7662471 7662620 7662662 7662684 7662693 7662805 7662806 7662807 7662808 7662907 7663009 7663021 7663034 7663036 7663059 7663066 7663162 7663231 7663358 7663524 7663527 7663559 7663563 7663565 7663753 7663884 7663911 7663925 7663936 7664044 7664045 CANISTER W/O GEL FOR CELLONA 15CM COLOPLAST STRIP PAST CONVATEC OPTIPORE SP CONVATEC TUBIGRIP SZ CONVATEC TUBIGRIP SZ CONVATEC TUBIGRIP SZ DERMAGEL 4X4 HYDROGE DEXON 7276-51 2-0 TEAKIN COHESIVE SEALS FIBRACOL PLUS 4X4 IDEALBINDE 15CM KOMPREX SZ 0 LYOFOAM EXTRA 7X4 MEDIUM BLACK FOAM DS MESALT RIBBON MULTIDEX GEL 1/2 OZ MULTIDEX POWDER 6GM OSTOMY DRAINABLE POU PAD FOR WOUND VAC POST OP DRAINABLE PO PROFORE DRESSING PROLENE 5-0 TAPER CPROMOGRAN ROSIDAL K 10CM ROSIDAL K 12CM ROSIDAL K 6CM ROSIDAL K 8CM SENSICARE CONVATEC P SILVASORB GEL SIMPULSE VERICARE WO SKIN BARRIER SKIN GEL PRETECTIVE SOF FOAM 4X5 VAC VERSAFM DRESS SM SUCTION DIVERTER TIP SUTURE CHROMIC GUT 3 THORACIC ENDO LINEAR UNNA BOOT URETERAL CATH 6FR OP VAC CANISTER VAC ROUND FOAM DRESS VAC THIN FOAM DRESSI WOUND IRRIGATION SHI 3.5MM CUTTER 36FR. ST. THORACIC C 4.0MM ROUND FLUTED B 4X4 ODOR ABSORBENT D FLEXISEAL FECAL MGT FLEXISEAL REPLCMT BG Page 13 170 31 7 7 22 25 26 25 22 214 73 75 22 44 238 16 38 44 21 115 7 77 43 59 62 75 43 52 38 134 160 27 63 8 62 121 15 519 58 62 281 288 288 22 239 47 269 25 1049 38 ChargePrices 2016 734 734 734 734 734 734 734 734 734 734 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND WOUND MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER CENTER 7664046 7664047 7664048 7664049 7664051 7664052 7664053 7664054 7664055 7664056 7349685 7349706 7350001 7350002 7350003 7350006 7350009 7350010 7350011 7350012 7350013 7350014 7350015 7350016 7350017 7350018 7350019 7350020 7350021 7350022 7350023 7350025 7350026 7350027 7350028 7350029 7350030 7350031 7280003 7280004 7280005 7280006 7280007 7280008 7280010 7360001 7360002 7360003 7360006 7360007 ADHSIV SKIN SPRAY BA SKINCARE OSTOMY ADHV OASIS WND DRESS 3X7 PROMOGRAN PRISMA MAT ARGAES FILM 4X5 ARGLAES POWDER 10GR ARGLES POWDER 5GR MEDFIX DRESSG RET SH NO STING BARRIR SPRY VAC GRANFOAM SILV SM MEDIHONEY PASTE TUBE XTRASORB DRESSNG 6X9 MS3 ROOM AND BOARD MS3 SEMI PRIVATE MS3 ROOM AND BOARD OBSERVATION RM MS3 PICC LINE INSERT GT5 US URINE CAPACITY COLL BLOOD VEN DEVC COLL BLOOD FRM PICC ARTIAL BLOOD DRW INST STRT CATHER INST STRT FOLEY CAT CYSTOSTMY TUBE CHG IMMUNIZ INJ SINGLE IMMUNIZ INJ ADD I/M INJ DRUG DELIV INJ IV PUSH INITIAL INJ IV PUSH ADD DRUG INJ IV PUSH SAME DRU INTRAV CORNRY THRMB INV INF HYD 1 HR INV INF HYD ADD HR INV INF DRUG 1 HR INV INF DRUG ADD HR INV INF DRUG2 INT HR SUB INF DRUG 1 HR SUB INF DRUG ADD HR CONTACT NIPPLE SHIEL CONTACT NIPPLE SHIEL CSF BAG DOUBLE PUMPING ADAPT HABERMAN FEEDER 80ML NEW PATIENT LACATION STARTER SNS NURSERY ROOM AND BOA NURSERY INT LVL R&B INT NUR 2 ROOM AND B WS ROOM AND BOARD WS SEMI PRIVATE R/B Page 14 85 64 636 80 132 138 127 84 60 281 33 27 484 470 484 96 2171 135 203 203 339 339 339 382 137 42 137 278 100 10 439 278 83 374 83 137 374 100 23 6 1 32 77 48 12 368 597 597 484 456 G0378 36569 51798 36591 36592 36600 51701 51702 51705 90471 90472 96372 96374 96375 96376 92977 96360 96361 96365 96366 96367 96369 96370 96150 ChargePrices 2016 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 7360008 7360009 7360010 7360011 7360012 7360013 7360014 7360015 7360017 7360018 7360019 7360021 7360022 7360023 7360024 7360025 7360026 7360027 7360028 7360029 7360030 7360031 7360032 7360033 7360034 7360035 7360036 7360038 7360039 7360040 7360041 7360042 7360043 7360044 7360045 7360046 7360047 7360048 7360050 7360051 7360052 7360053 7360055 7360056 7360057 7360058 7360059 7360060 7360061 7360062 AS50 TUBING CHEST TUBE INSERT CIRCUMCISION DELIVERY ROOM GEN ANESTHESIA SUPPL KIWI VACUUM DELIVERY MINOR PROCEDURE NON-STRESS OB US 1ST TRIM OB US 2ND 3RD TRIM OBSERVATION RM WS OR DEL LVL 1 ADDTL 1 OR DEL LVL 1 1ST 30 OR DEL LVL 2 ADDTL 1 OR DEL LVL 2 1ST 30 OR DEL LVL 3 ADDTL 1 OR DEL LVL 3 1ST 30 PACU DEL ADDTL 15 MI PACU DEL CRITICAL AD PACU DEL CRITICAL 30 PACU DEL 30 MIN PER/HR LABOR CHARGE STRESS TEST SUTURE VICRYL 1 CTX SUTURE VICRYL 3-0 CT SUTURE VICRYL 4-0 SH SWEET EASE OB MEDIAL SCREENING EPIDURAL TUBING CADD YELLOW CASSETTE BAKRI POSTPARTUM BAL CIRVICAL RIPENING BA WS ER LEVEL 1 WS ER LEVEL 2 WS ER LEVEL 3 WS ER LEVEL 4 WS ER LEVEL 5 UMBILICAL CATH TRAY 60MM MASK W/CIRC TUB PICC LINE INSERT GT5 INFANT PED WATERSEAL SYMPHONY 1 PUMPING S SUTUR VICL 4-0J662H SUTUR VICRL CT2J270H SUTUR VICRL CT1J346H NEONATAL ANESTH BAG OB/MOBIUS RETRACTOR CATH REPLOGE 10FR SU COMBINED EPIDURAL/SP PECAN SPINAL 25GX3.5 Page 15 11 630 226 1658 419 143 522 380 458 458 93 828 1357 905 1658 981 2411 143 180 452 362 54 380 16 16 15 6 381 15 59 801 1153 370 513 654 1127 1803 242 63 2171 170 117 10 10 10 92 531 49 85 34 MANUL MANUL SURG 59025 76801 76805 G0378 SURG SURG SURG SURG SURG SURG 59020 99281 99281 99282 99283 99284 99285 36569 ChargePrices 2016 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 735 738 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 MS3 PC3 7360063 7360064 7360065 7360066 7360067 7360068 7360069 7360070 7360071 7360072 7360073 7360074 7360075 7360076 7360077 7360078 7360079 7360080 7360081 7360082 7360083 7360084 7360085 7360086 7360087 7360088 7360089 7360090 7360092 7360093 7360094 7360095 7360096 7360097 7360098 7660135 7660443 7661170 7661212 7661214 7661553 7662318 7663000 7663042 7663089 7663403 7663492 7663629 7664067 7350004 PECAN SPINAL 25X5 PECAN SPINAL 24X4 SORBAVIEW SHIELD DRE SUTURE CHROMC 1 905H SUTURE VICRYL CT-2 E PARACERVICAL/PUDENDA PARACERVICLE/PUDENDA MONOCRYL2-0 TIES6X18 MONOCRYL 0 CTX 36" SUTURE MONOCRYL 3-0 AQUACEL AG 3.5X9.75 ROUTINE VENIPUNCTURE SMEAR WET MOUNT SALI ASSAY PH BODY FLUID US URINE CAPACITY COLL BLOOD VEN DEVC COLL BLOOD FRM PICC ARTIAL BLOOD DRW INST STRT CATHER INST STRT FOLEY CAT CYSTOSTMY TUBE CHG IMMUNIZ INJ SINGLE IMMUNIZ INJ ADD I/M INJ DRUG DELIV INJ IV PUSH INITIAL INJ IV PUSH ADD DRUG INJ IV PUSH SAME DRU INTRAV CORNRY THRMB INV INF HYD 1 HR INV INF HYD ADD HR INV INF DRUG 1 HR INV INF DRUG ADD HR INV INF DRUG2 INT HR SUB INF DRUG 1 HR SUB INF DRUG ADD HR AMNIHOOKS BREAST PUMP SYSTEM H DISPOSABLE DBL BREAS DUAL LUMEN UMBIL. AR DUAL LUMEN UMBILICLE FOOT PRINTER NEBULIZER ADAPT AL20 SILK 4-0 PS-2 1677H SKIN STAPLER 25W ETH SPIRAL ELECTRODE QC TRANSDUCER STRAPS UMBILICAL CATH 3.5FR VICRYL 0 TAPER J270H BILI CHECK TIPS PC3 ROOM AND BOARD Page 16 34 34 23 10 11 40 43 25 10 67 149 32 15 10 135 203 203 339 339 339 382 137 42 137 278 100 10 439 278 83 374 83 137 374 137 171 57 59 138 131 31 96 8 147 20 6 171 6 35 484 36415 87210 83986 51798 36591 36592 36600 51701 51702 51705 90471 90472 96372 96374 96375 96376 92977 96360 96361 96365 96366 96367 96369 96370 C1751 ChargePrices 2016 740 740 740 740 740 740 740 740 740 740 740 740 740 740 740 740 740 740 740 740 740 740 740 740 740 740 740 740 740 740 740 740 740 740 740 740 740 740 740 740 740 740 740 740 741 741 741 741 741 741 OP SURG OP SURG OP SURG OP SURG OP SURG OP SURG OP SURG OP SURG OP SURG OP SURG OP SURG OP SURG OP SURG OP SURG OP SURG OP SURG OP SURG OP SURG OP SURG OP SURG OP SURG OP SURG OP SURG OP SURG OP SURG OP SURG OP SURG OP SURG OP SURG OP SURG OP SURG OP SURG OP SURG OP SURG OP SURG OP SURG OP SURG OP SURG OP SURG OP SURG OP SURG OP SURG OP SURG OP SURG NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST CARE CARE CARE CARE CARE CARE CENTE CENTE CENTE CENTE CENTE CENTE 7400001 7400003 7400004 7400005 7400006 7400007 7400008 7400009 7400010 7400011 7400012 7400013 7400014 7400015 7400017 7400018 7400019 7400020 7400021 7400022 7400023 7400024 7400026 7400027 7400029 7400030 7400032 7400033 7400034 7400035 7400036 7400037 7400039 7400040 7400041 7400140 7400146 7400147 7404063 7410256 7410257 7551309 7600090 7664063 7400042 7400043 7400044 7400045 7400046 7400047 CHEMO ADMIN I.V. PUS CHEMO INFUSION 1ST H CVL INSERTION G TUBE INSERT/CHANGE INF\HYD EA HR INFUSION THERPY 1ST INJECTION IM ANTIBIO INJECTION IV PUSH INJECTION SQ/IM INTRAVENOUS INFUSION LESION REMOVAL SKIN LUMBAR PUNCTURE EVIVA HANDPIECE SECURMARK SITE MARKE PARACENTESIS PHLEBOTOMY EVIVA NEEDLE GUIDE REMOVAL OF PORT A CA SDS RAD/CATH REC EA. SDS RAD/CATH REC 1ST SDS-POSTOP EA ADDITI SDS-POSTOP FIRST HOU THORACENTESIS TREATMENT ROOM VACUUM CANNISTER REMOVAL OF BREST LES INF\HYD EA HR INF\HYD INIT HR INF\PROPHYLAX INT HR INF\PROPHYLAX EA HR INF\SEQ UP TO 1 HR INF EACH ADD HR EPIDURAL TRAY SINGLE PICC LINE INSERT GT5 COLLECT BLOOD PICC CHEST APICAL VIEW 2V BX BREAST 1ST LES ST BX BREAST ADD LES ST PICC/CENT/PORT FLUSH VACCINE INJECTION EA VACCINE INJECTION 1S PLATELET INJ APHERES BLOOD ADMINISTRATION PICC LINE DRESS TRAY RT ANKLE 4/MORE X-RAY ABDOMEN ABD 2 OR MORE VIEWS ABD SINGLE AP ABDOMEN DECUBITUS ACROMINOCLAVICULAR J Page 17 314 832 465 445 83 247 137 244 137 254 372 557 933 299 531 203 61 268 57 203 57 203 557 372 131 876 83 278 553 83 553 77 106 2171 203 437 2169 2169 204 31 137 1273 1067 68 217 217 493 493 493 217 96409 96413 SURG SURG 96361 96360 96372 96374 96372 99201 SURG SURG SURG 99195 SURG SURG MANUL SURG 96361 96360 96365 96366 96367 96368 36569 36592 71021 19081 19082 96523 90472 90471 36513 36430 73610 74020 74022 74000 74000 73050 ChargePrices 2016 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST NORTHCREST CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE 7400048 7400049 7400050 7400051 7400052 7400053 7400054 7400055 7400056 7400057 7400058 7400059 7400060 7400061 7400062 7400063 7400064 7400065 7400066 7400067 7400068 7400069 7400070 7400071 7400072 7400073 7400074 7400075 7400076 7400077 7400078 7400079 7400080 7400081 7400082 7400083 7400084 7400085 7400086 7400087 7400088 7400089 7400090 7400091 7400092 7400093 7400094 7400095 7400096 7400097 BIL EYE F.B. BIL MASTOIDS BIL ORBITS BIL RIBS BILATERAL HIP BONE SURVEY COMPLETE BOTH KNEES STANDING CERVIAL SPINE (3 VI CERVICAL SPINE 4 OR DR CHEST 2V W OBLI FACIAL BONES (3 OR M FACIAL BONES 1 VIEW FINGER/S FLEX AND EXT C-SPINE LT ANKLE LT ANKLE 4/MORE LT CALCANEOUS MIN 2 LT CLAVICLE COMPLETE LT ELBOW COMPLETE LT ELBOW 2 VIEW LT EYE F.B. LT FEMUR LT FOOT 2 VIEW LT FOOT,COMPLETE LT FOREARM LT HAND COMPLETE LT HAND 2 VIEWS LT HIP LT HUMERUS LT KNEE 2 VIEWS LT KNEE 3 VIEWS LT KNEE 4 OR MORE VI LT ORBIT LT RIBS LT SCALPULA,COMPLETE LT SHOULDER 1 VIEW LT SHOULDER 3 VIEWS LT SHOULDER 5 VIEWS LT TIB FIB LT WRIST COMPLETE LT WRIST 2 VIEW LUMBAR SACRAL W/OBLI LUMBAR SPINE W/BENDI LUMBOSCRAL SPINE MANDIBLE (BOTH SIDES MESTATASTIC SURVEY NASAL BONES PARANASAL SINUSES PELVIS PELVIS,COMPLETE-INL Page 18 217 1106 474 1106 493 1106 493 493 274 217 471 471 378 493 378 754 378 445 437 378 217 217 254 217 437 1106 437 437 437 874 995 1117 437 437 437 437 874 1117 437 437 437 509 509 437 437 509 437 437 437 437 70030 70130 70200 71111 73521 77075 73565 72040 72050 71022 70150 70140 73140 72082 73600 73610 73650 73000 73080 73070 70030 73551 73620 73630 73090 73130 73120 73501 73060 73560 73562 73564 70200 71101 73010 73020 73030 73030 73590 73110 73100 72110 72114 72100 70100 77075 70160 70220 72170 72190 ChargePrices 2016 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 741 744 744 744 744 NORTHCREST CARE NORTHCREST CARE NORTHCREST CARE NORTHCREST CARE NORTHCREST CARE NORTHCREST CARE NORTHCREST CARE NORTHCREST CARE NORTHCREST CARE NORTHCREST CARE NORTHCREST CARE NORTHCREST CARE NORTHCREST CARE NORTHCREST CARE NORTHCREST CARE NORTHCREST CARE NORTHCREST CARE NORTHCREST CARE NORTHCREST CARE NORTHCREST CARE NORTHCREST CARE NORTHCREST CARE NORTHCREST CARE NORTHCREST CARE NORTHCREST CARE NORTHCREST CARE NORTHCREST CARE NORTHCREST CARE NORTHCREST CARE NORTHCREST CARE NORTHCREST CARE NORTHCREST CARE NORTHCREST CARE NORTHCREST CARE NORTHCREST CARE NORTHCREST CARE NORTHCREST CARE NORTHCREST CARE NORTHCREST CARE NORTHCREST CARE NORTHCREST CARE NORTHCREST CARE NORTHCREST CARE NORTHCREST CARE NORTHCREST CARE NORTHCREST CARE PLEASANT VIEW PLEASANT VIEW PLEASANT VIEW PLEASANT VIEW CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE CENTE 7400098 7400099 7400100 7400101 7400102 7400103 7400104 7400105 7400106 7400107 7400108 7400109 7400110 7400111 7400112 7400113 7400114 7400115 7400116 7400117 7400118 7400119 7400120 7400121 7400122 7400123 7400124 7400125 7400126 7400127 7400128 7400129 7400130 7400131 7400132 7400133 7400134 7400135 7400136 7400137 7400138 7400139 7400141 7400142 7400143 7410114 7220236 7440000 7440001 7440002 RT ANKLE RT CALCANEOUS MIN 2 RT CLAVICLE,COMPLETE RT ELBOW COMPLETE RT ELBOW 2 VIEW RT EYE F.B. RT FEMUR RT FOOT COMPLETE RT FOOT 2 VIEW RT FORARM RT HAND COMPLETERT RT HAND 2 VIEWS RT HIP RT HUMERUS RT KNEE 1-2 VIEWS RT KNEE 3 VIEWS RT KNEE 4 OR MORE VI RF MASTOID RT ORBIT RT RIBS RT SCALPULA COMPLETE RT SHOULDER 1 VIEW RT SHOULDER 3 VIEWS RT SHOULDER 5 VIEWS RT TIB FIB RT WRIST COMPLETE RT WRIST 2 VIEW SACRAO-ILIAC JOINTS SACRUM AND COCCYX2 SCOLIOSIS SERIES SKULL LESS THAN 4 VI SKULL 4 OR MORE VIEW SOFT TISSUE NECK SPINE ONE VIEW STERNOCLAVICULAR JOI STERNUM THORACIC SPINE THORACOLUMBAR SPINE TOE/S WATER VIEW SINUS X-RAY FULL BODY CHIL XRAY BONE SURVEY LIM CHEST DECUBITUS CHEST PA & LAT CHEST X-RAY 1 VIEW I&D ABC./CYST/FURU RT ANKLE 4/MORE ABDOMINAL W/CONTRAST ABD COMPLT W/CHEST V ABDOMINAL W/OCONTRAS Page 19 437 437 437 437 437 437 437 437 437 437 437 874 437 437 437 874 995 437 437 437 437 437 874 995 437 437 874 437 437 509 437 509 437 437 437 437 437 437 437 437 437 509 437 437 437 111 217 1339 378 2208 73600 73650 73000 73080 73070 70030 73551 73630 73620 73090 73130 73120 73501 73060 73560 73562 73564 70120 70200 71101 73010 73020 73030 73030 73590 73110 73100 72202 72220 72081 70250 70260 70360 72020 71130 71120 72072 72080 73660 70210 76010 77074 71035 71020 71010 SURG 73610 74160 74022 74150 ChargePrices 2016 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW 7440003 7440004 7440005 7440006 7440007 7440008 7440009 7440012 7440013 7440014 7440024 7440025 7440026 7440027 7440029 7440030 7440031 7440035 7440036 7440038 7440039 7440041 7440042 7440044 7440045 7440051 7440054 7440058 7440059 7440060 7440065 7440066 7440067 7440068 7440069 7440070 7440071 7440082 7440083 7440085 7440086 7440087 7440088 7440089 7440090 7440091 7440092 7440093 7440094 7440095 ABD SINGLE AP ABDOMEN DECUBITUS ADRENAL W/O CONTRAST ACROMINOCLAVICULAR J BIL LOWER EXTREM W/O BIL UPPER EXTREMITY BIL UPPER EXTREMITY CHEST W/CONTRAST CHEST W/O CONTRAST CHEST W/WO CONTRAST BIL EYE F.B. BIL MASTOIDS BIL ORBITS BIL RIBS BILATERAL HIP CT BIL LOW EXT W WO CT BIL UP EXT W WO BONE SURVEY COMPLETE BOTH KNEES STANDING CERVIAL SPINE (2 OR CERVICAL SPINE 4 OR CHEST APICAL VIEW 2V CHEST DECUBITUS CHEST PA & LAT CHEST X-RAY 1 VIEW CT CERVICAL SPINE CT FACIAL BONES WO CT LOWER EXT W WO CT LUMBAR SPINE CT MAX FACIAL W WO CT PULMONARY VESSELS CT SCAN HEAD (W/CONT CT SINUSES-SCREENING CT THORACIC SPINE (W CT TUBE THORACOST CT UPPER EXT W WO CT URINARY TRACT W/O HEAD (W/O CONTRAST) HEAD (W/WO CONTRAST) IAC (W/O CONTRAST) LT LOWER EXTREMITY W LT LOWER EXTREMIT W0 LT UPPER EXTEMITY W LT UPPER EXTREMIT W0 MEDIASTINUM DR CHEST 2V W OBLI NECK W/O CONTRAST NECK W/WO CONTRAST ORBITS/POSTERIOE FOS ORBITS/POSTERIOR FOS Page 20 217 217 1339 474 1339 1339 1339 1339 2092 2101 217 471 471 378 493 3226 3226 378 445 437 752 217 217 254 217 2099 1339 1584 2686 1584 1339 1339 1339 1825 935 1584 1964 1339 1584 1339 1339 1339 1339 1339 1848 278 957 1584 1339 1339 74000 74000 74150 73050 73700 73201 73200 71260 71250 71270 70030 70130 70200 71111 73521 73702 73206 77075 73565 72040 72050 71021 71035 71020 71010 72125 70486 73702 72131 70488 71260 70460 70486 72128 MANUL 73202 72192 70450 70470 70480 73701 73700 73201 73200 71250 71022 70490 70492 70480 70481 ChargePrices 2016 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW 7440096 7440097 7440098 7440099 7440100 7440101 7440102 7440104 7440105 7440106 7440107 7440108 7440109 7440110 7440129 7440130 7440131 7440138 7440179 7440180 7440181 7440182 7440183 7440184 7440185 7440186 7440187 7440188 7440189 7440190 7440191 7440192 7440193 7440194 7440195 7440196 7440198 7440199 7440200 7440201 7440202 7440203 7440204 7440205 7440206 7440209 7440210 7440211 7440212 7440213 ORBITS/POSTERIOR FOS PANCREAS W/CONTRAST PANCREAS W/O CONTRAS PARACENTESIS PELVIS W/CONTRAST PELVIS W/O CONTRAST PELVIS W/WO CONTRAST RT LOWER EXTREMITY W RT LOWER EXTREMITY W RT UPPER EXTREMITY W RT UPPER EXTREMITY W SELLA W/WO CT MAXILL-SINUS FL W CT MAXILL-SINUSES W FACIAL BONES (3 OR M FACIAL BONES 1 VIEW FINGER/S FLEX AND EXT C-SPINE LT ANKLE LT ANKLE 4/MORE LT CALCANEOUS MIN 2 LT CLAVICLE COMPLETE LT ELBOW COMPLETE LT ELBOW 2 VIEW LT EYE F.B. LT FEMUR LT FOOT 2 VIEW LT FOOT,COMPLETE LT FOREARM LT HAND COMPLETE LT HAND 2 VIEWS LT HIP LT HUMERUS LT KNEE 2 VIEWS LT KNEE 3 VIEWS LT KNEE 4 OR MORE VI LT ORBIT LT RIBS LT SCALPULA,COMPLETE LT SHOULDER 1 VIEW LT SHOULDER 3 VIEWS LT SHOULDER 5 VIEWS LT TIB FIB LT WRIST COMPLETE LT WRIST 2 VIEW LUMBAR SACRAL W/OBLI LUMBAR SPINE W/BENDI LUMBOSCRAL SPINE MANDIBLE (BOTH SIDES MESTATASTIC SURVEY Page 21 1584 1339 1339 935 1339 1339 1584 1339 1339 1339 1339 1584 1339 1339 543 217 217 378 217 217 217 217 217 217 217 217 217 217 217 217 217 432 217 217 217 388 432 217 217 217 217 465 217 217 217 378 378 437 526 378 70482 74160 74150 SURG 72193 72192 72194 73701 73700 73201 73200 70482 70486 70487 70150 70140 73140 72052 73600 73610 73650 73000 73080 73070 70030 73551 73620 73630 73090 73130 73120 73501 73060 73560 73562 73564 70200 71101 73010 73020 73030 73030 73590 73110 73100 72110 72114 72100 70100 77075 ChargePrices 2016 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 744 PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW VIEW 7440216 7440224 7440227 7440228 7440235 7440237 7440238 7440239 7440240 7440241 7440242 7440243 7440244 7440245 7440246 7440247 7440248 7440249 7440250 7440251 7440252 7440253 7440254 7440255 7440256 7440257 7440258 7440259 7440260 7440262 7440263 7440264 7440265 7440266 7440270 7440271 7440274 7440276 7440278 7440279 7440282 7440283 7440284 7440338 7440339 7440345 7440346 7440347 7440348 7440349 NASAL BONES PARANASAL SINUSES PELVIS PELVIS,COMPLETE-INL RT ANKLE RT CALCANEOUS MIN 2 RT CLAVICLE,COMPLETE RT ELBOW COMPLETE RT ELBOW 2 VIEW RT EYE F.B. RT FEMUR RT FOOT COMPLETE RT FOOT 2 VIEW RT FORARM RT HAND COMPLETE RT HAND 2 VIEWS RT HIP RT HUMERUS RT KNEE 2 VIEWS RT KNEE 2 VIEWS RT KNEE 4 OR MORE VI RF MASTOID RT ORBIT RT RIBS RT SCALPULA COMPLETE RT SHOULDER 1 VIEW RT SHOULDER 3 VIEWS RT SHOULDER 5 VIEWS RT TIB FIB RT WRIST COMPLETE RT WRIST 2 VIEW SACRAO-ILIAC JOINTS SACRUM AND COCCYX2 SCOLIOSIS SERIES SKULL LESS THAN 4 VI SKULL 4 OR MORE VIEW SOFT TISSUE NECK SPINE ONE VIEW STERNOCLAVICULAR JOI STERNUM THORACIC SPINE THORACOLUMBAR SPINE TOE/S WATER VIEW SINUS X-RAY FULL BODY CHIL XRAY BONE SURVEY LIM ABDOMINAL W/WO CONTR ADRENAL W & W/O CONT BIL LOWER EXTREMIT W CT APPENDIX Page 22 437 543 217 474 217 217 217 217 217 217 217 217 217 217 217 217 432 217 217 217 447 217 432 217 217 217 217 465 217 217 217 217 432 378 217 378 217 217 217 476 432 217 217 217 217 244 1584 1584 1339 2096 70160 70220 72170 72190 73600 73650 73000 73080 73070 70030 73551 73630 73620 73090 73130 73120 73501 73060 73560 73562 73564 70120 70200 71101 73010 73020 73030 73030 73590 73110 73100 72202 72220 72081 70250 70260 70360 72020 71130 71120 72072 72080 73660 70210 76010 77074 74170 74150 73701 72192 ChargePrices 2016 744 744 744 744 744 744 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT PLEASANT CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU VIEW VIEW VIEW VIEW VIEW VIEW 7440350 7440351 7440352 7440353 7440354 7440355 7500001 7500002 7500004 7500007 7500008 7500009 7500010 7500011 7500012 7500013 7500014 7500015 7500016 7500017 7500018 7500019 7500020 7500021 7500022 7500023 7500024 7500025 7500027 7500028 7500029 7500030 7500031 7500032 7500033 7550001 7550002 7550003 7550004 7550005 7550006 7550007 7550008 7550009 7550010 7550011 7550012 7550013 7550014 7550015 NECK W/CONTRAST CT ABD &PELVIS WO/C CT ABD &PELVIS W/C CT ABD &PELVIS WWO/C X-RAY EXAM OF ABDOME X-RAY EXAM OF HIP 2V ICU ROOM AND BOARD ICU REG ROOM BOARD CCU ROOM & BOARD INVASIVE PRESSURE MO OBSERVATION RM CCU PICC LINE INSERT GT5 EXT SET .22 MICRON CIAGLIA BLUE RHNO G2 US URINE CAPACITY COLL BLOOD VEN DEVC COLL BLOOD FRM PICC ARTIAL BLOOD DRW INST STRT CATHER INST STRT FOLEY CAT CYSTOSTMY TUBE CHG IMMUNIZ INJ SINGLE IMMUNIZ INJ ADD I/M INJ DRUG DELIV INJ IV PUSH INITIAL INJ IV PUSH ADD DRUG INJ IV PUSH SAME DRU INTRAV CORNRY THRMB INV INF HYD 1 HR INV INF HYD ADD HR INV INF DRUG 1 HR INV INF DRUG ADD HR INV INF DRUG2 INT HR SUB INF DRUG 1 HR SUB INF DRUG ADD HR #2/12MM STEM ADVANTA VXT GRAFT ALLOMATRIX ALLOMATRIX C BONE PU APHERISIS,CELL EXCHA ARTHROWAND 90 TURBO ATRIUM GRAFT 12X30 ATRIUM GRAFT 12X6X40 ATRIUM GRAFT 16X30 ATRIUM GRAFT 18X9X40 ATRIUM GRAFT 22X30 ATRIUM GRAFT 24X30 AUTOCUF PROCEDURE KI AUTOLAGOUS GEL APPLI BIFURCATED 14X7X40 G Page 23 1339 2678 3843 4203 486 170 1052 484 1084 210 93 2171 11 460 135 203 203 339 339 339 382 137 42 137 278 100 10 439 278 83 374 83 137 374 137 11614 3507 3211 4745 3584 466 1954 2643 2049 2643 2049 2049 9631 474 2127 70491 74176 74177 74178 74020 73521 G0378 36569 51798 36591 36592 36600 51701 51702 51705 90471 90472 96372 96374 96375 96376 92977 96360 96361 96365 96366 96367 96369 96370 C1776 C1768 SURG C1768 SURG ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7550016 7550017 7550018 7550020 7550021 7550022 7550023 7550024 7550025 7550026 7550027 7550028 7550029 7550030 7550031 7550032 7550033 7550034 7550035 7550036 7550037 7550038 7550039 7550040 7550041 7550042 7550043 7550044 7550045 7550046 7550047 7550048 7550049 7550050 7550051 7550052 7550053 7550054 7550055 7550056 7550057 7550058 7550059 7550060 7550061 7550062 7550063 7550064 7550065 7550066 BIXCUT REAMER 830X45 BRONCHOSCOPY C TIP SWAN CANNU SCREW 4.5 34MM CANNU SCREW 4.5 48MM CATIO SUTURE COAGULATING ELECTROD COAGULATING ELECTROD COLONOSCOPY COMPOSIX EX 7X9 MESH COMPOSIX 7X9 CORTICAL SCREW 4.5 3 CORTICAL SCREW 4.5 3 CORTICAL SCREW 4.5 4 CRURA SOFT MESSH LAR DHS COMPRESSION PLAT DHS COMPRESSION PLAT DHS COMPRESSION SCRE DHS SCREW 85MM DHS SCREW 90MM DHS 2.5 GUIDE DILATION OF ESOPHAGU DR. GATE'S CUSTOM PA DR. GOODMAN'S EYE PA EGD ENDO DRAPE SHEET EPIDURAL/STEROID THR ETHIBOND 2 X-496T EX-PORT LOW PROFILE FILTERLINE SET ADULT FISH MEDIUM FLEX SIGMOIDOSCOPY GUIDE PIN THREADED 2 GUIDE WIRE 400MM GYNECARE PS 4X6 GYNECARE TVT GYNECARE TVTO HELICAL BASKETS IMPAD RIGID SOLE FOO INTRAOCULAR LENS KUGEL 10X13 LAG SCREW 85MM LAG SCREW 95 LAPAROSCOPIC MESH IN LCP PLATES W/COLLAR LITHOTRIPSY LOCKING PLATE 7 HOLE LOCKING SCREW 3.5 14 LOCKING SCREW 3.5 18 LOCKING SCREW 3.5 22 Page 24 1168 2653 650 616 616 152 482 482 2653 3573 3573 111 111 111 1677 1658 1658 1082 939 1082 225 2353 615 662 2653 14 403 22 1095 72 127 2653 178 318 960 2566 2950 686 277 666 6978 853 785 464 636 12572 651 459 538 538 SURG SURG SURG SURG 20610 SURG C1780 SURG C1713 C1713 C1713 C1713 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7550067 7550068 7550069 7550070 7550071 7550072 7550073 7550074 7550075 7550076 7550077 7550078 7550079 7550080 7550081 7550082 7550083 7550084 7550085 7550086 7550087 7550088 7550089 7550090 7550091 7550092 7550093 7550095 7550096 7550097 7550098 7550099 7550100 7550101 7550102 7550103 7550104 7550105 7550106 7550107 7550108 7550109 7550110 7550111 7550113 7550115 7550116 7550117 7550118 7550119 MED OVAL KUGEL MICROWAVE THERMOTHER MINOR SURGERY MODIFIED KUGEL LG MODIFIED KUGEL MESH NEBULIZER CAP 1000ML NITRAX V40 SLEEVE OR LVL 1 ADDTL 15 MI OR LVL 1 1ST 30MIN OR LVL 2 ADDTL 15 MI OR LVL 2 1ST 30 MIN OR LVL 3 ADDTL 15 MI OR LVL 3 1ST 30 MIN OR LVL 4 ADDTL 15 MI OR LVL 4 1ST 30 MIN OR LVL 5 ADDTL 15 MI OR LVL 5 1ST 30 MIN PDS SUTURE 0 PDS Z33 PDS SUTURE 2-0 Z333H PPH SET PROLENE 2-0 8559H PTFE FELT REPLIFORM 5CMX10CM SAW BLADE DOUBLE SID SLIDE PLATE 4 HOLE 1 SOFTSILK SCREW 9MMX2 SPONGE COUNTER RAYTE STEINMANN PIN 1/8" STEINMANN PIN 5/32" STEINMANN PIN 9/64" STERILE COBAN 6" STRIUM GRAFT 14X30 STRYKER K WIRE 035 STRYKER K WIRE 062 STYKER K WIRE 045 SURGIS TISSUE GRAFT SUTURE CL 13M SUTURE OVIC J946H T ROM BRACE BIOGLUE 5ML TISSEEL VH KIT-2ML TISSOMAT SPRAY SET TITTANIUM RETRIEVAL TOGA UNITRAX MODULAR ENDO VICRYL 2-0 CT-1 739D VICRYL 833-213 V010 COHESIVE GRAFT 1.7MM CABLE WITH CRI 1/3 SEMI TUB LOCK PL Page 25 963 13012 264 808 808 20 660 828 1357 905 1658 981 2411 1055 2562 1137 2714 14 14 1431 28 119 3055 349 1346 614 3 374 374 374 32 2049 21 21 21 1884 92 14 436 2122 478 193 748 247 1238 81 112 19889 1358 636 SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7550120 7550121 7550122 7550123 7550124 7550125 7550126 7550127 7550128 7550129 7550130 7550131 7550132 7550133 7550134 7550135 7550136 7550137 7550138 7550139 7550140 7550141 7550142 7550143 7550144 7550145 7550146 7550147 7550148 7550149 7550150 7550151 7550152 7550153 7550154 7550155 7550156 7550157 7550158 7550159 7550160 7550161 7550162 7550163 7550164 7550165 7550166 7550167 7550168 7550169 1/3 TUBULAR PLATE 8 10 HOLE LOCKING PLAT 11.0MM DRILL BIT CAN 11MM 130 DEGCANN TRA 12LTR CANISTER LVC 16MM THD 7.3 CANNU S 2.8 LOCKING DRILL BI 2.8MM GUIDE WIRE 300 2-0 CHROMIC 1878H 2X8CM SURGICAL MATRI 3.0MM REAMIN W ST BA 3.2 MM QC DRILL BIT 3.5 CORTEX SCREW ST 3.5 LOCKING CORTEX S 3.5 LOCKING CORTEX S 3.5 LOCKING CORTEX S 3.5 LOCKING SCREW 20 3.5 LOCKING SCREW 24 3.5 LOCKING SCREW 32 3.5 LOCKING SCREW16M 3.5MM CORTEX SCREW S 3.5MM CORTEX SCREW S 3.5MM QC DRILL BIT 3-0 MONOCRYL PS-1 38MM PLATE STABILIZA 4.0MM DRILL BIT RADI 4.0MM THREE-FLUTED D 4.3MM DRILL BIT 4.5 CANNU SCREW 56MM 4.5 CORTICAL SCREW 5 4.5MM LCP PLATE 4.5MM THREADED CERLA 4X7 REPILFORM TISSUE 40MM THREE FLUTED DR 5.0 LOCKING SCREW 16 5.0 LOCKING SCREW 38 5.0LOCKING SCREW 18 5.0MM CANNULATED DRI 5.0MM TI LOCKING SCR 5.0MM TI LOCKING SCR 6.5 CANN SCREW 16MM 6.5MM CANN SCREW 16M 6.5MM CANNULATED 16M 7.3MM CANN SCREW 16M 7.3MM CANNU SCREW 16 7.3MM CANNU SCREW 16 7.3MM CANNU SCREW 16 80MM LAG SCREW EXCEL 5M-LONGX150MM HERNIA TACKER 10 SCR Page 26 296 1018 1324 4466 132 936 482 227 14 1630 482 410 102 459 424 502 538 415 504 538 115 102 412 27 1371 655 645 439 660 99 2080 578 1827 1210 531 531 531 1202 627 627 922 922 922 874 936 936 936 878 258 837 C1713 C1769 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7550170 7550171 7550172 7550173 7550174 7550175 7550176 7550177 7550178 7550179 7550180 7550181 7550182 7550183 7550184 7550185 7550186 7550187 7550188 7550189 7550190 7550191 7550192 7550193 7550194 7550195 7550196 7550197 7550198 7550199 7550200 7550201 7550202 7550203 7550204 7550205 7550206 7550207 7550208 7550210 7550211 7550212 7550213 7550214 7550215 7550216 7550217 7550218 7550219 7550220 HERNIA TACKER 20 SCR HERNIA TACKER PERMAS CO2 CARTR./NOVASURE FLEXIPATH TROCAR PAK SUPER TURBO WAND STABLECUT SAWBLADE OBTRYX TRANSORB.SLIN ETHILON 10-0 6.5MM CATH.FOLEY 16FR 3WAY INAHARA INLYING CARO 305 LOCK.SCREW 50MM 305 LOCK SCREW 30MM2 305 LOCK.SCREW 60MM NOVASURE DISP.DEVICE EPIDURAL NEED.18GX6 2X12 SCREW GUIDE WIR 5.0MM LOCK.SCREW 30M 5.0MM LOCK.SCREW 32M WRISTFIX SYSTEM BSS PLUS 4.5MM LCP PLATE 6.5MM CANUL.SCR.16MM 6.5MM CANU.SCR.16MM CAN SCREW 32MMT 60 A CAN SCREW 32MMT 70AS CAN SCREW 32MM 75ASI CAN SCREW 32MMT 80AS CAN SCREW 32MMT 85.6 CAN SCREW 4.0 14MM CAN SCREW 4.0 16MM P CAN SCREW 4.0 20MM P CAN SCREW 4.0 40MM P CAN SCREW 4.0 FT36MM VICRYL 3-0 TIE J104T PLAIN GUT 4-0 1627G SUCTION VALVE(MAJ209 CANCELLS BONE 1-4MM WRIST JACK SYSTEM PROLENE 4.0 RANFAC PUNCTURE DEVI OBTRYX SLING 7 HOLE T-PLATE EXCEL 5M LONG X150MM TOBRAMYCIN BONE CEME PERISION PASS MESH I 2-0 CHROMIC N878H 10-0 ETHI.6.5MM 9060 3"CAST TAPE-BLUE 3"CAST TAPE-RED 3"CAST TAPE-GREEN Page 27 1117 2182 76 383 715 352 2639 74 64 994 451 538 451 3521 52 165 504 504 2407 269 1359 936 724 160 160 160 160 174 106 94 106 106 106 54 26 49 1693 4625 29 482 3207 1171 334 1139 465 14 74 35 35 36 C1713 C1713 C1771 C1713 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7550221 7550222 7550223 7550224 7550225 7550226 7550227 7550228 7550229 7550230 7550231 7550232 7550233 7550234 7550235 7550237 7550238 7550239 7550240 7550241 7550242 7550243 7550244 7550245 7550246 7550247 7550248 7550249 7550250 7550251 7550252 7550253 7550254 7550255 7550256 7550257 7550259 7550260 7550261 7550262 7550263 7550264 7550265 7550266 7550267 7550268 7550269 7550270 7550271 7550272 3"CAST TAPE-PINK 3"CAST TAPE-BLACK CATH.FOLEY 16FR 3WAY QUINTON CURL CATH 62 COMPRESSION DHS SCRE 6X11 ELASTIC BANDAGE TROCAR 12MM CANNULA 5MM TROCAR 5MM PAIN PUMP 3000 PAIN PUMP 6X11 ELASTIC BANDAGE Y ACCESSORY KIT BONE CEMENT MIXER 5-0 CHROM.U203H SUTU ANGLED TIP CATHETER ALLODERM 3X7 ALLODERM 2X4 MRI DUAL PORT 10FR STERILE WRIST KIT 46MM ENDO MODULE EXTENSION LARGE BORE IOBAN 2 SHORT SHILEY 8DCFN IOBAN 2 LG DUAL LUMEN 10FR CATH CONTOR STENT 7X22X30 Y-PORT ADAPTER 18GA WIDESTROKE BIPO CANNULA 12MM LONG 3.5 LCP T-PLATE 3 HO TROCAR KIT 8MM SLEEVES, STERILE FILSHIE CLIPS CROSSEAL W/ 45CM CAT CROSSEAL SEALANT 2ML VISION BLUE DYE PADS STERILE FOR LEG ENDOSCOPIC ELECTROSU NEPTUNE MANIFOLD LIGASURE ATLAS 20CM BERKLEY SAFE TOUCH C COLLECTION TUBING DI BERKLEY VACUTAINER C LIGASURE PRECISE LIGHTMAT ULTRA THIN LIGASURE ATLAS LIGASURE XTD GREENBAUM CANNULAS DISCO VICC Page 28 36 36 64 279 878 34 298 148 253 653 603 33 217 239 9 166 1812 864 1222 4313 1238 7 47 162 81 723 603 45 75 202 1197 261 6 598 2113 960 1536 184 231 90 1183 99 59 36 1575 291 1401 692 44 392 Q4116 Q4116 C1788 C1788 C1758 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7550274 7550275 7550278 7550279 7550280 7550281 7550282 7550283 7550284 7550285 7550286 7550287 7550289 7550290 7550292 7550293 7550294 7550295 7550296 7550297 7550298 7550299 7550300 7550301 7550302 7550303 7550304 7550305 7550306 7550307 7550308 7550309 7550310 7550311 7550312 7550313 7550314 7550315 7550316 7550317 7550318 7550319 7550320 7550321 7550322 7550323 7550324 7550325 7550326 7550327 COBAN 3" FOR PODIATR SAWBLADE FOR PODIATR LUMBAR DISC EA ADDIT INJ LUMBAR EA ADDIT SUPRAFILM SPINAL NEEDLE 18GX8 COLONIC BALLON 10-12 COLONIC BALLON 12-15 COLONIC BALLON 15-18 COLONIC BALLON 18-20 ESSUR BIRTHCONTL SYS VERSAJET 15D-14MM CER/THORAC DISCGM SI CER/THORC DISCGM INJ CER/THRC DISCGM SI>1 CER/THRC DISCGM IJ>1 RADIAL JAW 3 HOT EYEGUARD EYE COVERS ARTER CHMBR CANN 30G ADAPT 14MM D&C SUCTN POLAR CARE 500 LITE PROVISC ET TUBE PROFILE CUFF BIOPSY VALVE UNIV CEMENT REST FAST FIX AB FAST FIX ETHIBOND EXCEL X496T MARDIS STENT 8X26 MARDIS STENT 8X24 ENDO FIX 9X25 VICRYL 4-0 J218H POLYFORM SYNTETIC ME TRACH CUFF 6FR 6DFEN BERKLEY CANN ST 7 VICRYL 4-0 TIES CHROMIC 4-0 U203H TROCAR 12MM 5MM LIGASURE BIOPOLR BRUSH WCORD DIGIT TRAP SMALL DIGIT TRAP LARGE GUIDEWIRE .032 GUIDEWIRE .035 GUIDEWIRE .038 7FR OPEN END CATH 7FR CONE CATHETER SILK O 59OH VICRYL 3-0 J471H MORCELLEX TISSUE MOR Page 29 11 162 8581 390 829 68 724 724 724 918 4704 1791 8581 1921 8581 390 115 7 33 39 578 170 170 152 488 820 370 20 579 579 596 9 1254 172 32 47 9 285 1516 72 67 79 183 185 751 64 64 22 10 1788 72295 62290 72285 62290 72295 SURG C2625 C2625 C1769 C1769 C1769 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7550328 7550329 7550330 7550331 7550332 7550333 7550334 7550335 7550336 7550337 7550339 7550340 7550341 7550342 7550343 7550344 7550345 7550346 7550347 7550348 7550349 7550351 7550352 7550354 7550355 7550356 7550357 7550358 7550359 7550360 7550361 7550362 7550363 7550364 7550365 7550367 7550368 7550369 7550370 7550371 7550372 7550373 7550374 7550375 7550376 7550377 7550378 7550379 7550380 7550381 VICRYL PLUS 1 347H CHROMIC 5-0 U202H CAPIO SUTURE 883-137 TURBINATE BLADE SER TURBO SNC ABS MIC 30 ATRAU RAPTOR GRASP T GYRUS BIOPOLR CUT HERNIA TACKER SAL 2 7.3MM SCREW 16-75MMT VICRYL PLUS 1 347H LONG 2.8 DRILL BIT 3.5 CORTICL LOCKG ST MAGNUM KNOTLESS DEVI ADVANTA GRAFT 6X45 GI CLIP (ENDO) DHS SCREW 110MM GELPORT LOOP OSTOMY BRIDGE 3.5 CORTICAL LOCKING COLLAMEND IMPLANT (B 4.5CORTICL SCRW 30MM CANNULATD SCRW 4.5MM 3.5 CORTICAL LOCKING 4.5 CANNLTD SCRW PAR 3.5 LOCKG SCRW 55MM 7.3 CAN SCRW 16MM-90 MORCELLEX TISSUE MOR 3.5MM LC-DCP PLATE 6 BALLOON DIALATR 30MM BALLOON DIALATR 35MM BALLOON DIALATR 40MM 2.0 DRILL BIT TRACHEAL TUBE INTROD 7.3 CAN SCRW 32MM 85 7.3 CAN SCRW 32MM 75 MAGNUM WIRE SUTURE 7.3MMCAN SCRW 32MM80 8 HOLE 1/3 TUB PLATE BABCOCK DBL 5MM ACTN MASTISOL LIQ ADHESVE MAX CORE 14GX16CM CONTOR RLOAD GRN 40G CONTOR RLOAD BLU 40B 4.5 CANNLTD SCREW PT ALLOMAX SURG GRAFT CORTIC SCRW 3.5 34MM SUTURE SILK 3-0 7.3MMCAN SRW16MM50MM 6.5MMCAB SCR32MM90MM 6.5MMCAB SCR32MM95MM Page 30 11 9 132 512 299 226 1265 2167 874 11 605 538 1347 1854 1031 1082 1745 7 538 14938 99 602 512 714 432 912 1788 615 1973 1973 1973 348 340 769 887 119 887 598 1969 14 236 580 580 602 7583 116 43 769 769 769 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7550382 7550383 7550384 7550385 7550386 7550387 7550390 7550391 7550392 7550393 7550394 7550395 7550396 7550397 7550398 7550399 7550400 7550401 7550402 7550403 7550404 7550405 7550406 7550407 7550408 7550409 7550410 7550411 7550412 7550413 7550414 7550415 7550416 7550417 7550418 7550419 7550420 7550421 7550422 7550423 7550424 7550425 7550426 7550427 7550428 7550429 7550430 7550431 7550432 7550433 MIX-E-VAC PERMA CATH LEFT PALINDOM PERM CATH R PROX PRES SM PROX PRES LG CAN SCRW32MM95ASF6.5 HARMONIC FOCUS HARMONIC ACE LAP HARMONIC ACE OPEN LG BONE RECIP BL LIN RECIPTOR BLADEáLINVA HARMONIC 10CM HOOK B PLATE 2MML TI OPEN W PLATE 2.5MM L TI OPE PLATE 3MM L TI OPEN PLATE 3.5MM L TI OPE PLATE 4MM L TI OPEN PLATE 4.5MM L TI OPE PLATE 5MM L TI OPEN PLATE 5.5MM L TI OPE PLATE 6MM L TI OPEN PLATE 7MM L TI OPEN PLATE 2MM R TI OPEN PLATE 3MM R TI OPEN PLATE 2.5MM R TI OPE PLATE 3.5MM R TI OPE PLATE 4MM R TI OPEN PLATE 4.5MM R TI OPE PLATE 5MM R TI OPEN PLATE 5.5MM R TI OPE PLATE 6MM R TI OPEN PLATE 7MM R TI OPEN SCREW 2.3 X 10MM TI SCREW 2.3 X 12MM TI SCREW 2.3 X 14MM TI SCREW 2.3 X 16MM TI SCREW 2.3 X 18MM TI SCREW 2.3 X 20MM TI SCREW 2.3 X 22MM TI SCREW 2.3 X 24MM TI SCREW 2.3 X 28MM TI SCREW 2.3 X 26MM TI SCREW 2.3 X 30MM TI DHS SCREW 105MM BIO-COMP SCRW 20MM BIO-COMP SCRW 22MM BIO-COMP SCRW 24MM SML OSCILLTG SAW BLD PERIOSTEAL ELEVATOR TRELIX BONE PTY 1CCT Page 31 198 1305 C1751 1290 C1751 90 104 99 1442 1804 1226 123 46 961 1652 1652 1652 1652 1652 1652 1652 1652 1652 1652 1652 1652 1652 1652 1652 1652 1652 1652 1652 1652 277 277 277 277 277 277 277 277 277 277 277 949 1168 1168 1168 49 769 667 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7550434 7550435 7550436 7550437 7550438 7550439 7550440 7550441 7550442 7550443 7550444 7550445 7550446 7550447 7550448 7550449 7550450 7550451 7550452 7550453 7550454 7550455 7550456 7550457 7550458 7550459 7550460 7550461 7550462 7550463 7550464 7550465 7550466 7550467 7550468 7550469 7550470 7550471 7550472 7550473 7550474 7550475 7550476 7550477 7550478 7550479 7550480 7550481 7550482 7550483 TRELIX BONE PUTTY 1C SURGICL HEMOSTAT FIB SUTURE RELOD UNIT VI SUTURE RELOD UNIT EX BLUE RELOAD GOLD RELOAD GREEN RELOAD WHITE RELOAD ENDOSCOPIC SUTURING ECHELON 45 LAPRASCOP ECHELON 45 OPEN SML OSCILLATG SAW BL SFT TISS PTCH10X15X1 SFT TISS PTCH 20X30 HI PERF BONE DRILL B FORCE FIBER SUTR WIR SORBFX DAVL TACKR HE IRRIGTION TUBING OLY STD WAL GRAFT RING A 19FR BLAKE DRAUB ROU PROLEN 7-0 SUTR 8703 PROLEN 7-0 SUTR 9702 ARTEGRAFT 7MMX45 COL LOOP ELECTRODE 3MM ARTEGRAFT 6MMX45 COL MONOCRL 5-0SUTR Y493 ARTEGRAFT 6MMX50 COL VICRYL PLUS 2 RESERVR WLD DRAIN BU RUTNER BALLOON DIALT SCD EXPRESS KAMBIA S THORC TROCAR 10/12MM CAROTID SHUNT KIT PLASMA WAND COABLATO INTRACAP PLASMA WAND STAMMBERGER SINUS DR GYRUS PK SUPERLP TUR DOYLE NASAL SPLINT OMNI SURE UROLGY SLI DHS STARD 2 HOLE 135 DHS STAND 3 HOLE 135 SIDEPLATE 3 HOLE OMEGA +LAG SCEW 50MM SILHOUTTE STENT 6X24 3.0MM GOLD ELSTC NAI COMFORT 4.6 FX LCP PLATE 6 HOLE 3.5 XTRAFLW STENT 6FX26C GUIDEWR WR 035X150CM DRAIN BLAKE 15FR W/T Page 32 67 524 112 100 457 457 462 457 561 658 544 46 2015 1824 628 121 1791 95 2034 186 54 68 3639 584 3639 25 3639 21 115 741 202 115 169 707 631 285 1331 195 2428 1658 1658 1637 1016 509 929 509 1053 509 121 186 C1768 C1768 C1768 C1768 C1771 C1713 C2625 C2625 C1713 C2625 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7550484 7550485 7550486 7550487 7550488 7550489 7550490 7550491 7550492 7550493 7550494 7550495 7550496 7550497 7550498 7550499 7550500 7550501 7550502 7550503 7550504 7550505 7550506 7550507 7550508 7550509 7550510 7550511 7550512 7550513 7550514 7550515 7550516 7550517 7550518 7550519 7550520 7550521 7550522 7550523 7550524 7550525 7550526 7550527 7550528 7550529 7550530 7550531 7550532 7550533 BRONCHIAL DBL LUM LF BLAKE DRAIN 7FR FLUT DBX BONE PUTTY 5CC DBX BONE PUTTY 10CC SNARE SYSTEM HEXAGON MURPHY NASAL SPLT SM MURPHY NASAL SPLT M SUPER 7 BAND LIGATOR PINS FOR NAVIGATION SEPA MESH 8X12 COMPO SEPRA MESH 6X8 SEPRA MESH 4X8 ANCHOR TISSUE RETRIE DRAIN PLAKE 10MM FLA BIOPSY NEEDLES 18GX2 DRILL BIT 3.2MM 1/3 TUBULAR LC PLATE 7X30 SOFT SILK SCREW TAPS 2.0MM CORTICAL SCREW CORTICAL 6MM 1 SCREW CORTICAL 7MM 1 SCREW CORTICAL 8MM 1 SCREW CORTICAL 6MM 4 SCREW CORTIC 10MM1.3 SCREW CORTIC 9MM 1.5 SCREW CORTIC 10MM1.5 SCREW CORTIC 14MM1.5 SCREW CORTIC 16MM1.5 SCREW CORTIC 18MM1.5 PLATE 3.5MM LCP 14 H LOCKNG SCRW 3.5 35MM LOCKNG SCRW 3.5 32MM FEMORAL TEMP PLATE RANGER IRRIGATION SE NARROW BLADE 4 KNEEE PERMAFIX 30 SHOT ALLOX SKIN GRF 10CMX ALLOX SKNGRF 10CMX15 ALLOMX SKNGRFT 5CM8C VENTRIO HERN PATCH M VENTRIO HERN PATCH S VENTR HERN PTH CIR S VENTR HERN PTH CIR L VENTR HERN PTH OVL L UPHOLD VAGINL SYSTEM XENFORM BIOLOGC MESH LIGASURE IMPACT 18CM ARTEGRAFT 7X50 OSCULATING BLAD 19.5 OSCULT BLAD 25X90X1. Page 33 350 231 2807 4324 424 130 130 985 1648 4732 2778 2049 277 76 121 1417 592 531 410 310 310 310 325 325 228 228 228 228 228 1827 538 538 858 196 239 1520 14455 3793 3032 2358 1597 4696 3992 2985 5307 3248 2268 4306 140 140 C1781 C1781 C1781 C1713 C1713 C1781 C1781 C1781 C1781 C1781 C1763 C1763 C1768 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7550534 7550535 7550536 7550537 7550538 7550539 7550540 7550541 7550542 7550543 7550544 7550545 7550546 7550547 7550548 7550549 7550550 7550551 7550552 7550553 7550554 7550555 7550556 7550557 7550558 7550559 7550560 7550561 7550562 7550563 7550564 7550565 7550566 7550567 7550568 7550569 7550570 7550571 7550572 7550573 7550574 7550575 7550576 7550577 7550578 7550579 7550580 7550581 7550582 7550583 LOCKING SCREW 12MM LOCKING SCREW 14MM LOCKING SCREW 16MM FIBULA PLATE RT 3HOL ENDOBRNCHL BLK L37FR ENDOBRNCHL BLK L39FR ENDOBRNCHL BLK R37FR ENDOBRNCHL BLK R39FR ENDOBRNCHL BLK R41FR SOLYX POWER PORT THERMAL ABLATION KIT SHILEY TRACH 6CFN 4.5 CANN SCREW 52MM 7.3MMCAN SCEW16MM105 SWIVEL LOCK 5.5 BIOCOMP PUSH LOC 2.9 STRYKER K-WIRE 045 PLATE 4 HOLE 2.7MM DRILL BIT 140MM 4.0 DRILL BIT 60MM ARTICULATING EC 60MM WHITE RELOAD 60MM BLUE RELOAD ENDOBRONL BLOCK35 LT ENDOBRONL BLOCK35 RT TAPS 4.0MM TIGHT ROPE SCREW BONE 18MM PLATE 4 HOLE 5MM PAIN MANGMT INJECTN 8X25 BIOTENDESIS SCR BIOTENDESIS DISPOSAB GUIDE WIRE PIN 3.2MM ROTH POLYP RETRIEVEL GREEN RELOAD 60MM MICRO SAG BLADE 9.5X 2.7 CORTICL SCRW 22M SCREW BONE 8MM SCREW BONE 11MM SCREW BONE 12MM EPIDURAL 24GA CATH S TUOHY EPIDURAL NDL20 20G SINGLE DOSE EPID SPINAL NEEDLE 22GX7" WEISS EPIDURAL 18GX5 SPINAL NEEDL 25GX2.5 XPRESS DEVICE ENDO RETRACT PADDLE 3.5 CORTICAL LOCK ST Page 34 486 486 486 1789 214 214 271 271 271 4021 1536 3793 176 650 974 1269 1269 47 1816 892 792 979 462 462 214 271 482 1652 521 1863 1154 1135 2655 386 362 462 36 116 228 228 228 52 47 84 20 54 15 4400 1173 512 C1713 C1771 C1788 C1713 C1713 SURG C1713 C1713 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7550584 7550585 7550586 7550587 7550588 7550589 7550590 7550591 7550592 7550593 7550594 7550595 7550596 7550597 7550598 7550599 7550600 7550601 7550602 7550603 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CERVICL/THORAC,1SHOT LUMBAR/CAUDAL1SHOT BLOOD PATCH LUMBAR - 1ST LEVEL LUMBAR INJ 2ND LVL CERVITHORAC 1ST LEVL CERVITHORAC 2ND LVL TRIGGER PT INJ 1-2 DESTROY CERV/THR 1ST DESTROY C/TH FACT AD NEUROLYS PERPL NERVE Page 35 4817 486 5459 399 399 1898 486 119 111 119 119 214 214 214 214 350 1138 592 380 2507 1082 119 119 1637 1637 75 233 254 27 27 110 209 535 509 509 662 508 639 804 1921 1921 1921 1921 1921 1921 1921 726 2582 1921 1410 C1776 C1763 62310 62311 62273 64493 64494 64490 64491 20552 64633 64634 64640 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7550636 7550637 7550638 7550639 7550640 7550641 7550642 7550643 7550644 7550645 7550646 7550647 7550648 7550649 7550650 7550651 7550652 7550653 7550654 7550655 7550656 7550657 7550658 7550659 7550660 7550661 7550662 7550663 7550664 7550665 7550666 7550667 7550668 7550669 7550670 7550671 7550672 7550673 7550674 7550675 7550676 7550677 7550678 7550679 7550680 7550681 7550682 7550683 7550684 7550685 NEUROLYS INTERL NERV GRTR OCCIPITL NERV 1 GRTR OCCIPITL NER BI INTERCSTAL NERV 1+ INTERCSTAL NERV >1+ TRIGEMINAL NERVE FEMORAL NERVE OTHER PERIPHERL NERV NERVE ROOT INJ-CERV NERVE ROOT INJ-LUMB/ JOINT MAJOR SINGLE JOINT MAJOR BILAT JOINT WRIST-ANKLE 1 JOINT WRIST ANKLE BI JOINT SACROILIAC 1 JOINT SACROILIAC BIL CELIAC PLEXUS LUMBR SYMPATIC UNILA LUMBR SYMPATIC BILAT STELLATE GANGLION SPHENOPLATIN GANGLIN IV FUSION THER 1STHR CERVICL\THROAC DISOG PLASTC OR 1ST HOUR PLASTIC OR ADD 1/2HR CERVITHORAC 3RD +LVL LUMBAR INJ 3RD+LVL NERVE ROOT INJ-CRV+1 NERVE ROOT INJ-LMB+1 VERSAJET SMALL 15DEG 8FR SUCTION BOVIE LIGASURE 5MM LIGASURE ADVANCE SEPRAMESH LIGHT 4.5" SEPRAMESH LIGHT 4X6 SEPRAMESH LIGHT 6X8 DISTAL FIBULA PLT3H .035 18CM STIFF GUID .035 260CM STIFF GUI TERUMO 7FRX 10CM TERUMO 8FR X 10CM TERUMO 9FR X 10CM TERUMO 10FR X 10CM TERUMO 11FRX10CM LEMAITRE EXPAND VALV 2-0 CHROMIC GUT TIE STANDRD LAG SCW125MM STANDRD LAG SCW130MM OMEGA PLUS STD LAG S CORTICL SCRW 4.5MM42 Page 36 1921 733 1100 1921 1921 2709 1921 1921 2582 1921 726 1089 726 1089 1921 2880 1921 1921 2880 1921 1921 553 1921 827 138 1921 1921 2582 1921 1863 31 1651 2338 1418 1202 2322 1789 227 242 65 65 65 65 65 3789 40 1053 1053 1053 109 64620 64405 64405 64420 64421 64400 64447 64450 64479 64483 20610 20610 20605 20605 G0260 G0260 64530 64520 64520 64510 64505 96365 62291 64492 64495 64480 64484 C1781 C1781 C1781 C1887 C1887 C1894 C1894 C1894 C1894 C1894 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7550686 7550687 7550688 7550689 7550690 7550691 7550692 7550693 7550694 7550695 7550696 7550697 7550698 7550699 7550700 7550701 7550702 7550703 7550704 7550705 7550706 7550707 7550708 7550709 7550710 7550711 7550712 7550713 7550714 7550715 7550716 7550717 7550718 7550719 7550720 7550721 7550722 7550723 7550724 7550725 7550726 7550727 7550728 7550729 7550730 7550731 7550732 7550733 7550734 7550735 CORTICL SCRW 4.5MM44 CORTICL SCRW 4.5MM38 3.5 LCO PLATE 8 HOLE 7.3 CAN SCREW 32MM T PK BUTTON GREAT WHT SHAVER 5.5 CERCLAGE WIRE 291.06 STERI STRIP 1X5 ACCUMETER DEVICE AMBIANT SUPERT TURBO COLONIC OVER TUBE PROLENE 10-0 CS140-6 SCHANZ SCREW 110-200 UNIVERSAL JNT DBL PN EXTERNAL FIX ROD EXTERNAL FIXATR TUBE ADJUSTABLE CLAMP SIN LLETZ LOOP 10MMX10MM LLETZ LOOP 15MMX8MM LLETZ LOOP 15MMX12MM LLETZ LOOP 20MMX15MM LLETZ BALL ELECT 5MM BARD STENT 6X24 BARD STENT 6X26 CONE TIP CATH 10FR 035 180CM BENSTON GU .035 180CM 3MM J GUI 16FR 35CM SHEATH 40MM CODA BALLOON 32MM CODA BALLOON 14FR COOK DILATOR 16FR &18FR COOK DILA INFLATION DEVICE ECTRA II PROCEDURE K ADANTAGE FIT SLING PINNACLE ANTERIOR ME 5FR 21 BAND SIZING O K-WIRE .045 X 6 VISCO SHEILD TOPICAL ISOVUE 10ML VIAL GENESYS HTA ABLATION 6.5MM CAN SCRW 32MM 6.5MM CAN SCREW 16MM 6.5MM CAN SCREW 16MM 4.5 CAN SCREW PARTIL 7.3MM CAN SCRW 32MM BOVIE CAUTERY HIGH T 3.5MM RECONSTN PLAT 6.5MM CAN SCREW 16MM FILIFRM SPIRL TIP 4F Page 37 109 119 1210 874 1564 5 279 11 534 833 638 94 402 2241 846 846 1423 68 68 59 68 59 542 542 50 101 88 426 1392 1392 557 584 218 570 2566 4946 595 27 79 68 3793 936 874 874 682 874 56 1627 874 147 C1713 C2617 C2617 C1758 C1769 C1769 C1771 C1763 C1887 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7550736 7550737 7550738 7550739 7550740 7550741 7550742 7550743 7550744 7550745 7550746 7550747 7550748 7550749 7550751 7550752 7550753 7550754 7550755 7550756 7550757 7550758 7550759 7550761 7550762 7550763 7550764 7550765 7550766 7550767 7550768 7550769 7550770 7550771 7550772 7550773 7550774 7550775 7550776 7550777 7550778 7550779 7550780 7550781 7550782 7550783 7550784 7550785 7550786 7550787 SFTSK 2.0 SCRW 7X30M SFTSK 2.0 SCRW 9X20M SFTSK 2.0 SCRW 9X25M 6.5 CAN SCRW 16MM 75 STONE BASKET OMNEX SURGICAL SEALA TUOHY EPIDURAL 18GX3 HEAD POSITIONER ADUL #2 FORCE FIBER 39MM ADVANTA VS GRAFT 6MM SURGIFLO THROMBIN KI LUMBR INJ 2RD+LVL BI LUMBR INJ 3RD+LVL BI LUMBR INJ 1ST+LVL BI LAP GYN PACK TOTAL KNEE PACK GEN LAPAROSCP PACK 3.5 36MM LOCKING SCR 3.5 38MM LOCKING SCR 2.7 DRILL BIT 5MM X 4CM UROMAX ULT NAVICATOR 11/13 46CM 4.5 TAP OMNEX SURGICAL SEALA LAPRA TY ABSORBABLE ETHIBOND 5-0 ULTRAMAX 20 FIF23520 ULTRA THIN DIAMOND 1 WIDE LABE FOR KNEE SOFTSILK 2.0SCW 7X25 5 HOLE MINI PLATE ST 3.2 DRILL BIT KELMAN 45DEGREE 9MM FRONT LOADING SUPER ULTRA THIN 10MM X4CM 2.8MM CALIBRATED DRI ADIANA CONTRACEPTION MONSEL DURASEAL PROPATEN GRAFT 6X80 ALLOMAX GRAFT 8CM X OVAL BURR 5.0 3.5 LCP RECONSTRUCTI 10FR ROUND HUBLESS F ARTHROSCOPY CANNULA HEMORRAGE OCCLDR PIN DUAL LUMEN URE CATH6 PROPATN GRFT 4-7X45C PROPATEN GRAFT 50CM8 PROPATEN GRAFT 40CM6 Page 38 534 534 534 917 569 584 36 12 129 1854 698 3843 3843 3843 99 90 77 512 512 555 832 470 478 584 2667 79 1637 534 239 534 272 302 303 1670 1670 529 1973 82 2168 7835 10098 233 1580 90 121 383 171 3578 5097 3016 C1713 C1713 C1768 64494 64495 64493 C1713 C1713 C1726 C1768 C1725 C1725 A4364 C1768 Q4100 C1713 C1758 C1768 C1768 C1768 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7550788 7550789 7550790 7550791 7550792 7550793 7550794 7550795 7550796 7550797 7550798 7550799 7550800 7550801 7550802 7550803 7550804 7550805 7550806 7550807 7550808 7550809 7550810 7550811 7550812 7550813 7550814 7550815 7550816 7550817 7550818 7550819 7550820 7550821 7550822 7550823 7550824 7550825 7550826 7550827 7550828 7550829 7550830 7550831 7550832 7550833 7550834 7550835 7550836 7550837 10 X 14 MARLEX MESH PROTATEN GRAFT 6MM X 2-0 VICRYL UNDYED JJ 1 VICRYL CTX 6" J371 O VICRYL UR5 27"J376 SMARTSET GMC BONECEM TIBIAL INSERT ROTATI OVAL DOME PATELLA 3 FEMORAL POSTERIOR ST TIBIAL ROTATING PLAT 2.0MM DRILL BIT 2.6MM DRILL BIT 18MM 2.7 SCREW 2.7MM SCREW 22MM 2.7 BONE SCREW 16MM 3.5 BONE SCREW 16MM 3.5 LOCKING SCR 20MM 3.5 LOCKING SCR 24MM 3.5 LOCKING SCR 6 HOLE RT OLECRANON TRIATHLON X3 36MM 10 TRIATHLON BASEPLAT 6 TRIATHLON CRUCIATE 6 TRIATHLON BEARING 6 TRIATHLON TRIATHLON CEMENT KNE TRIATHLON HYBRID KNE TRIATHLON PA FEMUR TRIATHLON X3 INSERT TRIATHLON X3 PATELLA TRIATHLON JUGGERKNOT 1.4MM SIGMA LCS THREAD PIN 5.5 PEEK ANCHOR 5.5 PEEK KNOTLESS AN PRO TOE PINNACLE GRIPTION AC BIOLOX FEMORAL HEAD FEMORAL STEM PINNACLE ACETABULAR TURNLOC FT SCRW 9MM TURNLOC SCRW7MMX25MM TOGGELOC BTB KIT STANDARD HEAD LEFT PLATE SYSTEM PEG SMH THREADED PEGS 18MM K-WIRE 062 PEG DRIVER FAST ZIPTIGHT ANKLE SYNDE LOCKING SCREW 18MM Page 39 379 5097 64 10 12 1069 2960 1485 5919 5368 610 394 122 394 122 122 448 448 448 2720 638 10745 2124 1153 2276 9685 10745 2124 1153 638 2276 1168 1523 1348 1382 1721 4947 8603 9594 4211 898 898 5047 1670 594 759 142 330 2931 362 C1781 C1768 A4364 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1776 C1776 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1776 C1776 C1713 C1713 C1713 C1713 C1776 C1713 C1713 C1713 C1713 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7550838 7550839 7550840 7550841 7550842 7550843 7550844 7550845 7550846 7550847 7550848 7550849 7550850 7550851 7550852 7550853 7550854 7550855 7550856 7550857 7550858 7550859 7550860 7550861 7550862 7550863 7550864 7550865 7550869 7550870 7550871 7550872 7550873 7550874 7550875 7550876 7550877 7550878 7550879 7550880 7550881 7550882 7550883 7550884 7550885 7550886 7550887 7550888 7550889 7550890 LOCKING SCREW 20MM LOCKING SCREW 22MM CORING TREPHINES WASHERLOC TISSUE FIX EZLOC WASHERLOC EZLOC FEMORAL FIXATI WASHERLOC CANCELLOUS BOW PLATE 4MM TEMP FIXATION PIN ALLOMATRIZ ANALYSIS ONLY ANALYSIS & REPROGRAM IMPLANT ELECTRD ARRA REMOV NEUR ELECTRDE REMOVE NEUR PLATE/PA REVISE /REPLACE ELEC PLACEMENT RECIEVER/G REVISE/ REMOVE RECIE BRACHIAL PLEXUS CERVICAL PLEXUS SUPRASCAPULAR NERVE SPINAL ACESSORY NERV PUMP ANALYSI, REPROG PUMP ANALYSIS, NO RE IMPLANT / REVISE TUN REMOVE TUNNELED IT I IMPLANT 1 REVISE NO IMPLANT / REVISE REP LUMBAR 1ST SEGMENT LUMBAR ADD SEGMENT GANGLION IMPAR BLOCK CERVICAL THORACIC CO LUMBAR/ CAUDIL, CONT POROUS HIP BASE TRITANIUM SHELL HIP MODULAR NECK HIP BIOLOX HEAD HIP LFIT FEMERAL HEAD HI MIC BOLUS 22FR GASTR DILATOR SHEATH 24FR T-TRANSFER SET BURR 4.0 4.0MM DRILL BIT 25MM 4.0MM DRILL BIT 40MM 4.0MM DRILL BIT 60MM CORKSCREW SUTURE ANC DRILL BIT 4.2MM SUTURE LASSO 25 CURV SUTURE LASSO 25 CURV SUTURE LASSO 90 STRA Page 40 362 362 1949 1263 1387 1479 567 4910 438 918 306 409 10825 5334 5334 10825 53894 5334 991 991 991 991 608 608 7080 3285 16386 16386 8641 8641 666 1901 3285 13608 1670 3125 2276 667 141 394 458 344 535 535 535 1085 776 595 595 595 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 95970 95971 63650 63661 63662 63664 63685 63688 64415 64413 64418 64999 62368 62367 62350 62355 62361 62362 63056 63057 64999 62318 62319 C1776 C1713 C1776 C1776 C1713 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7550891 7550892 7550893 7550894 7550895 7550896 7550897 7550898 7550899 7550900 7550901 7550902 7550903 7550904 7550905 7550906 7550907 7550908 7550909 7550910 7550911 7550912 7550913 7550914 7550915 7550916 7550917 7550918 7550919 7550920 7550921 7550922 7550923 7550924 7550925 7550926 7550927 7550928 7550929 7550930 7550931 7550932 7550933 7550934 7550935 7550936 7550937 7550938 7550939 7550940 90 DEGREE LASSO QUIC SLIT KNIFE 2.75MM #2 FIBERWIRE #2 FIBERSTICK #2LMA VICRYL PLUS 2-0 8-18 VICRYL PLUS 1-0 8-18 VICRYL PLUS 1 8-18 C VICRYL+ 4-0 J1714D AMBIENT COVAC 70 DEG CORTICAL SCREW 22MM 1.3MM DRILL BIT RESOLUTION CLIP 11MM 25G X 2.5 QUINCKE PO PINNACLE BONE SCREW 9-10 EZLOC LONG 18MM WASHERLOC WASHE 4X12MM FIXED SCREW 26MM 1 LEVEL PLATE OSPREY CERVICAL 7MM I/E INSERT I/E CUP HYDROSET SPEEDLOCK SPEEDSCREW 4.5 ML SURG VITAGEL VITA GEL CELLPACKER BOLT 7.75X40 BOLT 7.25 X 40 BOLT 7.25X50 PLATE 40MM NUT MDM LINER MDM 3X INSERT PLEXUR M 1.5IN. REG WEDGE PLATE 4MM CORTICAL SCREW 2.3 MINI HOOK PLATE 2.3MM CANNULATED SCR INTERFERCE SCRW 9X25 HUNERAL NAIL 8.0 LOCKING SCREW 4 BIOCLEANSE PATELLAR 22X120 MAIN BODY 28X115 AORTIC EXTENS .038 GLIDEWIRE ANGLE TORQUE VISE ESCAPE 1.9FR NITINOL GEMINI BASKET NO FIL SIS FIBERS 550 MICRO Page 41 534 113 112 222 116 81 15 81 62 1399 214 581 581 34 402 2061 1760 854 3814 3871 3558 5168 3979 1536 1436 1569 163 1223 1223 1223 1894 610 3945 3945 4454 5058 424 2535 1217 898 4629 617 10923 34271 11515 183 62 822 615 1407 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1769 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7550941 7550942 7550943 7550944 7550945 7550946 7550947 7550948 7550949 7550950 7550951 7550952 7550953 7550954 7550955 7550956 7550957 7550958 7550959 7550960 7550961 7550962 7550963 7550964 7550965 7550966 7550967 7550968 7550969 7550970 7550971 7550972 7550973 7550974 7550975 7550976 7550977 7550978 7550979 7550980 7550981 7550982 7550983 7550984 7550985 7550986 7550987 7550988 7550989 7550990 SIS FIBER 200 MICRON SIS FIBERS 365 MICRO CANN SCREW 4.5 38MM 4.5 INCISOR PLUS PLA NOTCHBLASTER ABR 4.0 ACROMIBOLASTER 4.0MM LIGHT PIPE 6.5MM CAN SCREW 32MM CANNULA 7X85 METAL SUTURE ANCHOR BIO COMPOSITE TENODE FIBERTAPE TIGERTAPE LEVEL PLATE 39MM MENTOR CPX 3 EXPADER ALLODERM 8X12 STEM .038 GLIDEWIRE ANGLE TORQUE VISE ESCAPE 1.9FR NITINOL GEMINI BASKET NO FIL SIS FIBERS 550 MICRO SIS FIBER 200 MICRON SIS FIBERS 365 MICRO CANN SCREW 4.5 38MM 4.5 INCISOR PLUS PLA NOTCHBLASTER ABR 4.0 ACROMIBOLASTER 4.0MM LIGHT PIPE 6.5MM CAN SCREW 32MM CANNULA 7X85 METAL SUTURE ANCHOR BIO COMPOSITE TENODE FIBERTAPE TIGERTAPE PEG TUBE 24FR X 4.4C 20FR X 4CM BALLOON L LOCKING SCRE FULLY T TROCHANLRIC NAIL LAG SCREW TI 6.75 X 40 BOLT 6.75 X 45 BOLT 7.25X 35 BOLT 5 HOLE FIBULA PLATE 16MM 3.5SCRW40-35016 18MM 3.54 BONE SCREW 20MM 3.5 BONE SCREW 16MM 3.5 LOCKING SCR 14MM 3.5 LOCKING SCR 10MM 3.5 LOCKING SCR Page 42 1347 1071 730 319 180 180 667 936 156 951 1052 218 218 3988 3942 9558 3226 183 62 832 615 1407 1347 1238 730 319 180 180 667 936 156 951 1052 218 218 537 487 629 4006 1635 1223 1223 1223 1602 266 266 266 575 575 575 C1713 C1713 C1713 C1713 C1713 C1713 C1781 C1713 C1769 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7550991 7550992 7550993 7550994 7550995 7550996 7550997 7550998 7550999 7551000 7551001 7551002 7551003 7551004 7551005 7551006 7551007 7551008 7551009 7551010 7551011 7551012 7551013 7551014 7551015 7551016 7551017 7551018 7551019 7551020 7551021 7551022 7551023 7551024 7551025 7551026 7551027 7551028 7551029 7551030 7551031 7551032 7551033 7551034 7551035 7551036 7551037 7551038 7551039 7551040 TIBIAL INSERT 4-10MM IRRISEPT 48M 2 LEVEL PLATE OSPREY SPACER 8MM OSPREY SMALL RING OSPREY CERVICAL CORT OSPREY SMALL CORTICA LCP LATERAL FIB 3H R ANGLED HEAD LEFT 22M RADIAL STEM COMPONEN GRAFIX CORE OSPRAY BIOMEDICAL 22MM 1 LEVEL PLATE 9X11MM PEEK 25MM DUTFRESS PLATE 4.5X20 ROUND SCREW 4.5 X 20 LOCKING SCR 4X12 MM SCREW 3.5X12 MM SCREW SET SCREW 120MM ROD SEMI-T HAMSTRING ALL TENDESIS SCREW HEMICAP 9.5MM TAPER HEMICAP 15MM RESURFA PRO TOE SMALL IMPLAN HAND MODULE PLATE 1. SUTURE SILK 4-0 P-3 PROXIMAL HUMERUS PLA LINDEMAN DRILL BLADE LINDERMANN DRILL BLA 4.0 BURR 530-20-511 4.0 BURR 1608-6-137 EXTRA SIMPLUS TIP 21 RECIPROCATING SAW BL WASHER FOR 4.5 CANNU 4.0MM ROUND FLUTED B BENDING TEMPLATE CANCELLOUS 4.0 55MM 6.5MM CAN SCREW 16MM 7.3MM CAN SCREW 32MM 7.3MM CAN SCREW 32MM 7.3MM CAN DRILL BIT 15.5MM/13MM WASHER S TROCAR BLADELESS 12M #2.5 LMA DEFENDO Y-DPSY ENDOGATOR KIT CUSTOM GI KIT BUTTON KIT Page 43 3144 254 3988 3871 3871 3871 3871 2071 8155 4964 464 2586 2547 4054 4054 487 487 1458 1458 182 365 5260 826 977 5688 1988 761 20 4971 222 204 148 181 56 138 134 330 158 104 936 887 936 1542 761 225 116 33 194 73 61 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 Q4132 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 L8699 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7551041 7551042 7551043 7551044 7551045 7551046 7551047 7551048 7551049 7551050 7551051 7551052 7551053 7551054 7551055 7551056 7551057 7551058 7551059 7551060 7551061 7551062 7551063 7551064 7551065 7551066 7551067 7551068 7551069 7551070 7551071 7551072 7551073 7551074 7551075 7551076 7551077 7551078 7551079 7551080 7551081 7551082 7551083 7551084 7551085 7551086 7551087 7551088 7551089 7551090 1.5 HEADED NAIL COMBITUDE SZ 32FR TRANSTRACHEAL CATH A HALTER HEAD UNIV FOA MULTI USE PAS INTELL ANKLE PAD INTELLIFLO UNIVERSAL IRRIGATION OSPRAY SMALL RING 8M OSPRAY SMALL RING 7M 68MM LEVEL PLATE 6.5MM 35MM CANCELLOU BREAST EXPANDER 700C MENTOR SM MPPS DV 20 RESURFACING SYTM 9.5 RESURFAC SYSTM 15MM 70MM PLATE ACHILLES SUTURE BRID C-TAPER LFIT HEAD 28 #12 HIP STEM 45MM 2 LEVEL PLATE TISSUEMEND TROCH REATTACH DEVIC 8X22X50MM XL WIDE PL ALLOGRAFT BONE 15CC TITANINM NAIL 975.92 CON EXTRON SCRW 3.5M CON EXTRON SCRW 4.9M DHS LAG SCREW 115MM DISP CUFF 42" LAP CHOL CATH 11" BRONCH CATH 37FR L W MAYFIELD DISP SKULL CASPAR DISTRACTION P TITNINUM ELAST NAIL 6.5MM CAN SCREW 16MM 4.5 CAN SCRW 52MM FU 4.5 CAN SCRW 40MM FU 3.2MM DRILL BIT ULTRAMAX 14-7X40 BIF ULTRAMAX 22-11X40 BI 800 ML HIGH FLOW TUB CPX3 EXP 250CC M CPX3 EXP 350CC M CPX3 EXP 450CC M CPX3 EXP 550CC M CPX3 EXP 650CC M EPIDURAL/STERD DIAG CORK SCREW PRE BENT ROD POLYAXIL SCRW 6.5X45 Page 44 560 560 434 21 156 156 107 3871 3871 4161 448 2426 1664 1610 8515 3471 5204 2192 14141 3624 9399 7785 18114 14544 872 281 281 1079 115 144 217 122 309 934 890 694 694 773 1487 1487 264 3583 3583 3583 3583 3583 403 1028 1545 4728 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1762 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1768 C1768 A4649 A4649 A4649 A4649 A4649 27093 C1713 C1713 C1713 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7551091 7551092 7551093 7551094 7551095 7551096 7551097 7551098 7551099 7551100 7551101 7551102 7551103 7551104 7551105 7551106 7551107 7551108 7551109 7551110 7551111 7551112 7551113 7551114 7551115 7551116 7551117 7551118 7551119 7551120 7551121 7551122 7551123 7551124 7551125 7551126 7551127 7551128 7551129 7551130 7551131 7551132 7551133 7551134 7551135 7551136 7551137 7551138 7551139 7551140 STRYKER KNEE BASE PO OVATION SMALL CONTINOUS COMPRESSIO SPEED IMPLNT 9X10X10 XEM MATRIX 19X35CM FLEXIB OSTETM 12MM TIBIAL INSERT 2.5 15 MODULAR STEM 13MMX30 UNIVERSAL STE75MMX14 POSTERIOR AUGME2.5 4 UNIVERSAL FEMORAL20M FEMORAL TC3 2.5 LEFT MBT REVISION 2.5 CEM PFC SIGMA DISTAL 2.5 PFC SIGMA FEMORAL 5 PCF SIGMA FEMORAL AD HOOK PLATE 8 HEX CORTICAL 3.2 12 LOCKING SCREW 3.2-16 LOCKING SCREW 3.2-12 DISTAL BICEPS REPAIR CAN SCREW 3.5MM 45MM TRIGGER PT INJ 3+ BRONCHO CATH 39FR LE 2.4MM CORTEX 14MM SC 2.4MM CORTEX 16MM SC 2.4MM CORTEX 18MM SC DRILL BIT 1.5MM 2.4MM 8 HOLE LC-DCP DRILL BIT 1.8MM 5.0MM ROUND FLUTED B AMBENT MEGAVAC WAND 28MM LEVEL PLATE 1 10X22X50 WIDE PEEK 8X22X45 WIDE PEEK 8 HOLE PLATE 427008S 24MM 3.5 CORTICAL SC 18MM 3.5 CORTICAL SC 20MM 3.5 CORTICAL SC 16MM 3.5 CORTICAL SC LOCKING INSRT 371002 16MM 4.0 LOCKING SCR 12 HOLE PLATE 22MM 3.5 CORTICAL SC 22MM 4.0 LOCKING SCR 14MM 4.0 LOCKING SCR HYDRO SET 10CC BENT ROD 2.5X75MM 6.5X40 POLAXIAL SCRE 4.25 X12MM FIX SCREW Page 45 9950 4138 530 2276 28830 1346 4503 3381 3016 2304 6680 9930 8280 2304 5214 591 2179 276 224 224 3353 1107 1058 217 341 341 341 309 1316 311 313 618 2365 18115 18115 573 94 94 94 94 170 474 573 94 474 474 7169 681 4728 777 C1713 J7178 C1713 C1713 C1781 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 20553 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7551141 7551142 7551143 7551144 7551145 7551146 7551147 7551148 7551149 7551150 7551151 7551152 7551153 7551154 7551156 7551157 7551158 7551159 7551160 7551161 7551162 7551163 7551164 7551165 7551166 7551167 7551168 7551169 7551170 7551171 7551172 7551173 7551174 7551175 7551176 7551177 7551178 7551179 7551180 7551181 7551182 7551183 7551184 7551185 7551186 7551187 7551188 7551189 7551190 7551191 NARROW SHORT PLATE 10MM CORTICAL SCREW 12MM CORTICAL SCREW 18MM FULL THREAD PEG 20MM FULL THREAD PEG 16MM FULL THREAD PEG 4MM BOW II PLATE 2.7 X 22 LOCK SCREW 2.7 X 14 LOCK SCREW 2.7X18 LOCK SCREW 2.7X16 NONLOCK SCREW 2.0 DRILL TEMPFX PIN CANN SCREW 3.0 22MM GRAFTBOLT TIBIAL 8MM ACL TIGHTROPE RT 2.3MM 18MM CANNULATE 30.MM 20MM CAN SCREW 2.7X20 LOCKING SCREW 2.7X18 NONLOCK SCREW 2.7X20 NONLOCK SCREW HYDROSET 15CC TIBIAL AUGMENT #3 5M UNIVERSAL TIBIA BASE TOTAL STABILIZER TIB FEMORAL LEFT #3 5MM TRIATHLON OFFSET 4MM TRIATHLON FLUTED STE TOTAL FEMORAL #3 IMPLATE NAIL 4.0 MET IMPLATE NAIL DISTL L IMPLNT NAIL 2MMX22.5 3.0MM X 2.0MM SCREW 2.8MM X 7.0MM UNICOR 2.8MM X 8.0MM UNICOR 2.8MMX10.0MM UNICORT K-WIRE 1.5MMX100MM S IMPLATE DRILL 3MMX41 IMPLATE REAM 2.7MMX8 IMPLATE REAM3.4MMX87 IMPLATE REAM4.0MMX87 2.8MMX6.0MM UNICORTI DEFIBRILLATOR, DUAL LEAD CAPSUREFIX NOVU LEAD, SPRINT QUATTRO INDTRODUCER, SAFESHE EASYCLIP ALLOMATRIX D R BONE BOW II PLATE 5MM EASYCLIP Page 46 1517 231 231 246 256 256 5208 686 686 686 437 553 424 1107 2112 1193 1107 1107 686 437 437 10291 2974 7133 7521 3584 3584 3712 18837 1801 1801 956 344 414 414 414 110 414 414 414 414 414 41513 1627 12965 201 2582 2525 5209 2582 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1721 C1898 C1895 C1713 C1713 C1713 C1713 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7551192 7551193 7551194 7551195 7551196 7551197 7551198 7551199 7551200 7551201 7551202 7551203 7551204 7551205 7551206 7551207 7551208 7551209 7551210 7551211 7551212 7551213 7551214 7551215 7551216 7551217 7551218 7551219 7551220 7551221 7551222 7551223 7551224 7551225 7551226 7551227 7551228 7551229 7551230 7551231 7551232 7551233 7551234 7551235 7551236 7551237 7551238 7551239 7551240 7551241 ALLOMATRIX D R BONE T-PLATE 6 HOLE 2.0X8 LOCK SCEW 2.0X12MM LOCK SCREW 2.0X8MM NON LOCK SCR 2.0X10MM NONLOCK SCR 2.0X12 NON LOCK SCER GRAFIX PRIME BIOPSY NEEDLE GUIDE PLEURX CATH PLACEMEN PLEURX PT STARTER KI #1 LMA NEEDLE GUIDE TRACH TUBE CUFFED SZ BRONCHO CATH 35FR LE PROPATEN GRAFT 8X80 6.5MM 25MM CANCELLOU 6.5MM 20MM CANCELLOU 62MM 3 LEVEL CERVICA 240 CERVICAL ROD INCONIX 2 ANCHOR INCONIX 2 DRILL JUGGERKNOT 2.0MM (AN FLEXIBL OSTEO 6MMX67 FLEXIBLE OST8MMX80MM BIOLOX CERAMIC FEMOR RESTRAN MOD HIP 23MM RESTRN MOD HIP 155MM DISTAL PLATE 3-HL RT SMOOTH PEG 2MMX20MM SMOOTH PEG 2MMX23MM COMPRESION PEG2.7X18 COMPRESION PED2.7X22 COMPRESION PEG2.7X24 SCR LCK CAN 2.5X24MM SCREW LCK COR3.5X12M SCREW LOCK 3.5X14MM SCR COR NLCK3.5X12MM SCR COR NLCL3.5X14MM K-WIRE 9MMX152MM DRILL 2.0X40MM COMPRE LOCK 2.7X18MM DRILL 2.0MM NECK HIP 30MMX140MM HEMISPHRCL CLUST52MM POLYETHYL INSRT 36MM CAN BONE SCRW6.5X30 CERMIC C-TAPR FEM36M BOW II 3MM LOCK SCREW 2.7 X18MM Page 47 2525 2209 837 837 437 437 437 343 67 2184 828 106 67 111 217 7556 408 408 3782 579 911 484 1147 1481 1481 5627 7104 8158 1477 232 232 232 232 232 518 232 232 232 232 94 254 232 254 12372 1379 1048 408 2069 5208 686 C1713 C1713 C1713 C1713 C1713 C1713 C1713 Q4133 C1768 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7551242 7551243 7551244 7551245 7551246 7551247 7551248 7551249 7551250 7551251 7551252 7551253 7551254 7551255 7551256 7551257 7551258 7551259 7551260 7551261 7551262 7551263 7551264 7551265 7551266 7551267 7551268 7551269 7551270 7551271 7551272 7551273 7551274 7551275 7551276 7551277 7551278 7551279 7551280 7551281 7551282 7551283 7551284 7551285 7551286 7551287 7551288 7551289 7551290 7551291 LOCK SCREW 2.7 X20MM LOCK SCREW 2.7 X22MM NON LOCK SCRW 2.7X20 HYDORSET BONE SUB HEMI CLUSTER HOLE 56 X3 ECCENTRIC INS 36M X3 POLYETHYLE INS 36 CERAMIC C-TAPER 36MM NECK ANGLE HIP 10-35 PARAGON WAND 3.5 7 HOLE RECON PLT 3.5 X 18MM LOCKING S 4.0 X 40MM CANN. SCR 4.0 X 40MM CANN. SCR 2.7MM CANNULATED DRI 4.0MM GUIDE WIRE 2.6MM X 122MM DRILL NEURO PATTIES 1/2X1 NEURO PATTIES 1/2X3 STRAIGHT COLD KNIFE MENI VAC ASC5500-01 SHORT BEVEL WAND AC2 SABOR ARTHROWAND AC4 TOPAZ ACH4040-01 PRINTD DERMABOND 2BX RECIP BLADE DOUBLESI 3 HOLE VARIAX FIBULA 3 HOLE VARIAX FIB PL 3.5 OVERDRILL 3.5 X 34MM NLOCK SCR EXTRACORPOREAL SHOCK RIGHT DISTAL PLATE 18MM 2.7 SCREW BONE 18MM 2.7 LOCKING SCR 16MM 2.7 LOCKING SCR 18MM 2.0 LOCKING PEG SMOOTH RND 600CC GEL SALINE 630CC IMPLANT 14MM 1 LEVEL PLATE 12MM 1 LEVEL PLATE 5M SIDEWINDER PLATE 3.233 16 HEX CORTICA 3.8MM 14 CANCELLOUS 3.8MM 18 CANCELLOUS VOLAR PEG 16MM THREA VOLAR PEG 18MM THREA VOLAR PEG 16MM UNTHR 3.7 VOLAR BEARING PL CALCAN MESH PLATE 69 LOCK SCREW T10 3.5X4 Page 48 686 686 553 7169 12372 1379 1048 2069 4170 595 1180 247 552 552 988 430 173 252 273 953 665 451 665 1280 438 110 1498 1426 269 247 6686 2205 200 546 546 406 1306 47 1635 1635 1513 164 188 188 187 187 187 2167 1087 227 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1769 C1713 C1713 28890 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7551292 7551293 7551294 7551295 7551296 7551297 7551298 7551299 7551300 7551301 7551302 7551303 7551304 7551305 7551306 7551307 7551308 7551310 7551311 7551312 7551313 7551314 7551315 7551316 7551317 7551318 7551319 7551320 7551321 7551322 7551323 7551324 7551325 7551326 7551327 7551328 7551329 7551330 7551331 7551332 7551333 7551334 7551335 7551336 7551337 7551338 7551339 7551340 7551341 7551342 LOCK SCREW T10 3.5X3 LOCK SCREW T10 3.5X4 LOCK SCREW T10 3.5X3 BONE SCREW T10 3.5X4 ADM ACETABULAR CUP 6 HOLE PLAT 40-20906 14MM 3.5 LOCKING SCR 50MM 4.0 CANNULATED 38MM 4.0 CANNULATED 3.2 5MM LOCKING SCRE NAIL KIT TI 5 HOLE LOCKING PLATE 3.0 14MM LOCKING SCR 3.0 16MM LOCKING SCR 6 HOLE LOCKING PLATE 4.0 18MM LOCKING SCR 4.0 20MM LOCKING SCR OPEN WEDGE PLATE 3MM 3.5 22MM T8 LOCK SCR 3.5 26MM T8 LOCK SCR PERCISION OSCILLATIN 14FR SUPRA PUBIC CAT 6.5 CAN SCREW 16MM T 22FR GASTRIC JEJUNOS 20FR PEG KIT INTRODU FIBULA 5 HOL PLAT RT 2.7MM CONICAL EXTRAT FOOT PAD REGULAR SCD 6.5MM CAN SCREW 32MM C02 CAPNOGRAPHY NASA VARIAX 4 HOLE PLATE TIB AUGMENT 1/2 #4 FEMORAL DISTAL FIXAT 10MM X 83MM MINI STE 42MMX18MMX46MM MODUL 4MM SMALL GLENOID BA PT HYBRID GLENOID PO PETELLA LIGAMNT HEMI FELTS POLYES 3MMX8MM GUARDUS OVERTUBE ESO ELLIPSE 10X13 VENTRA 3.5 CORTICAL SCREW S 6.5MM CAN SCREW 32MM BIOSURE HA SCREW 8MM OPEN WEDGE PLATE 4MM 3.0 22MM T8 LOCKING 3.0 16MM T8 NONLOCKI 3.018MM T8 NONLOCKIN 3.0 18MM T8 LOCKING AQUACELL AG HYDRO 42 Page 49 227 227 227 105 2126 888 227 298 298 316 2223 238 145 145 754 201 201 2141 304 304 510 244 917 622 557 1814 279 99 856 11 854 1735 653 8895 3602 3324 1228 3116 4 543 4562 119 917 622 2141 305 209 209 305 161 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1781 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7551343 7551344 7551345 7551346 7551347 7551348 7551349 7551350 7551351 7551352 7551353 7551354 7551355 7551356 7551357 7551358 7551359 7551360 7551361 7551362 7551363 7551364 7551365 7551366 7551367 7551368 7551369 7551370 7551371 7551372 7551373 7551374 7551375 7551376 7551377 7551378 7551379 7551380 7551381 7551382 7551383 7551384 7551385 7551386 7551387 7551388 7551389 7551390 7551391 7551392 DISTAL LOCKING PLATE 2.7 18 LOCKING SCREW 3.5 16 NON LOCKING S CLAVICLE BUTTON BR TACK 2.7 14 LOCKING SCREW 3.5 18 NON LOCKING S 3.5 18 LOCKING SCREW BUTTON DOG BONE FUSION BIOLINE VASCU IMPLANT SYSTEM BIOCO HEALICOIL RG SA 4.75 FOOTPRINT ULTRA 4.5 PASSING PIN 2.4X381M BIOSURE HA 7MMX25MM HELIX PLATE 42MM 2-L HELIX R SCREW 4X11MM HIP SYSTEM 21MM BIOLX FEMOR HEAD36MM BEADED CABLE AND SLE 3.5 22MM NON LOCKING 46MM LEVEL 2 PLATE CANNULA THREAD8.0X72 BIORAPTOR KNOTLESS S SALINE SIZER 500CC BREAST EXPANDER 500C 3.0MM 16MM CANNULATE 3.0MM 18MM CANNULATE 3.0X20MM T8 LOCKING 3.0X14MM T8 LOCKING NERVE ROOT INJLUMB+1 PIN TO ROD CLAMP OPEN RING 150MM OPEN RING 180MM RING CLAMP WIRE POST PIN POST OLIVE WIRE 2.0MM 5X120MM AOEX PIN 5X150MM APEX PIN 8X250MM CARBON ROD 8X250MM MR CONNECTIN CANNUL THREAD 8.5X72 HEALICOIL RG SA 5.5M FOOTPRINT ULTRA 5.5 PIN PASSNG 2.4X381MM 1.5MM GUIDE WIRE BIOSURE HA 7MMX25MM BIOSURE HA 9MMX25MM ENDOBUTTON CL ULTRA Page 50 786 71 56 551 78 71 56 180 551 1383 2736 1065 970 133 335 2016 643 4050 3207 860 101 2016 128 850 45 1257 621 621 305 315 960 916 890 949 721 492 645 227 216 216 390 525 128 1094 970 312 400 622 622 967 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1768 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 64484 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7551393 7551394 7551395 7551396 7551397 7551398 7551399 7551400 7551401 7551402 7551403 7551404 7551405 7551406 7551407 7551408 7551409 7551410 7551411 7551412 7551413 7551414 7551415 7551416 7551417 7551418 7551419 7551420 7551421 7551422 7551423 7551424 7551425 7551426 7551427 7551428 7551429 7551430 7551431 7551432 7551433 7551434 7551435 7551436 7551437 7551438 7551439 7551440 7551441 7551442 PASSISNG PIN 13.5X2. FAST-FIX 360 CURVED FAST-FIX 360 KPSC & ACCUPASS SHUTTL 45 L ACCUPASS SHUTTL 45 R ACCU-PASS SHUTTLE 70 TRUPASS NEDDLE ULTRABRAID II #2 SUT ULTRABRAID #2 SUTURE 9X25 SOFT SILK SCREW 9X20 SOFT SILK SCREW UHR UNIVERSAL HEAD B BIOLOX CERAMIC V40 F MODULAR HIP SYSTM 19 MODULAR HIP SYST 155 BTB PATELLAR LIGAMEN SOFTSILK 9X20 1.5 SC ADVINCULA ARCH / KOH PROPATEN 8X40 STRAIGHT HOOK KNIFE ARNDT ENDOBRONCHIAL BERKELEY SAFE-TOUCH SOFTSILK SCREW 7X20 LEVER EDGE CONTRAST VICRYL 0 CT2 VCP727D INTRODUCER PEDI BOUG SUREFIRE SCORPION NE 2.5CC BONE PUTTY MUSTANG 8.0X40 75CM MUSTANG 9.0X40 75CM MUSTANG 12.0X40 75CM MUSTANG 9.0X20 75CM MUSTANG 10.0X20 75CM POLYMER I/A TIP INFINITI ANTERIOR VI SHOULDER STABILIZATI 10 HOLE PROC TIBIA P 3.5 30MM NON LOCKING 3.5 32MM NON LOCKING 3.5 36MM NON LOCKING 3.5 48MM NON LOCKING 3.5 60MM NON LOCKING 3.5 70MM NON LOCKING SMARTTOE II 15MM NEU SMARTTOE DIP 13MM OSTEOCEL CELLULAR BO 3.5 24MM LOCKING SCR HET BIPOLAR FORCEP K TRIATHLON X3 SYMMETR TRIATHLON CEMENTLESS Page 51 423 1372 471 401 401 401 505 104 88 485 485 1324 2909 4050 4649 3116 206 334 2687 98 518 41 485 580 56 34 520 1167 525 525 525 525 525 56 419 220 1957 34 34 34 34 34 34 1415 1415 6756 2186 1385 1313 7689 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1768 C1713 C1725 C1725 C1725 C1725 C1725 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7551443 7551444 7551445 7551446 7551447 7551454 7551462 7551463 7551464 7551465 7551466 7551467 7551468 7551469 7551470 7551471 7551472 7551473 7551474 7551475 7551477 7551478 7551479 7551480 7551481 7551482 7551483 7551484 7551485 7551486 7551487 7551488 7551489 7551490 7551491 7551492 7551493 7551494 7551495 7551496 7551497 7551498 7551499 7551500 7551501 7551502 7551503 7551504 7551505 7551506 TRIATHLON CEMENTED F TRIATHLON X3 TIBIAL TRIATHLON PRIMARY TI TRIATHLON TOTAL KNEE TRIATHLON TOTAL KNEE 2.5X12 NC EUPHORA 4 HOLE LOCKING PLATE 4.0 LOCKING SCREW 80 4.0 LOCKING SCREW 75 3.5 CORTICAL 38MM SC 4.0 CANCELLOUS FT 60 4.0 CANCELLOUS FT 55 FIXATION PIN PHALANGEAL INSERT 2. ORTHOSPHERE CERAMIC ANCHOR SWIVELLOCK TE ANCHOR SWIVELLOCK C ANCHOR SWIVELLOCK C FIXATION COMP PHALANGEAL INSERT MAIN BODY BA28-80/I1 ILLIAC ECTENSION I20 OPEN WEDGE PLATE 5MM MULTI-BAG IRRIGATING MINOR LAP PACK TOTAL HIP PACK E. T. TUBE AGT 6.5 DYONIC 25 INFLOW ONL CANNULA 4.5MM OBTURATOR 4.5MM LOOP OSTOMY 2" ROD W LOOP OSTPMY 3" ROD W POLAR DRESSING MULTI OBTRUX 2 HALO TEN FOOT TUBING WITH DERMABOND PRINEO SKI MAX CORE GUN 18X20 C DYONICS 25 LUER-TOCU CLEARTRAC SCEW CANN WOUND PROTECTOR X-LG OXYGEN MASK LG MED C AIRWAY ORAL 70MM TRIDENT X3 INSERT HIP STEM 132 NECK AN BREAST IMPLANT 4000 BREAST IMPLANT 1000 3.5X14MM LOCKING SCR 3.5X12MM NON-LOCKING 3.5.12MM LOCKING SCR 3.5X16MM NON-LOCKING Page 52 4907 1206 2652 4774 2003 520 1957 193 193 34 34 34 1622 3915 4087 684 740 629 1576 3677 17111 5000 2524 89 82 97 46 203 423 423 57 57 38 2525 93 276 187 15 97 285 2 1 1526 3969 1258 1258 190 113 190 113 C1713 C1713 C1776 C1776 C1713 C1725 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1771 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7551507 7551508 7551509 7551510 7551511 7551512 7551513 7551514 7551515 7551516 7551517 7551518 7551519 7551520 7551521 7551522 7551523 7551524 7551525 7551526 7551527 7551528 7551529 7551530 7551531 7551532 7551533 7551534 7551535 7551536 7551537 7551539 7551540 7551541 7551542 7551543 7551544 7551545 7551546 7551547 7551548 7551549 7551550 7551551 7551552 7551553 7551554 7551555 7551556 7551557 6 HOLE PLATE CONE TIP 8FR CATH 12F X 13CM SHEATH 12FX30CM SHEATH 14FX30CM SHEATH SILVERLON FLEX 4X11 SILVERLON DRESSG 4X1 42" TOURNIQUET CUFF 34" DISP CUFF 18" DUAL PORT DUAL B TALC POWDER SCLEROSO OPEN WEDGE PLATE 5MM 3.5 16MM T8 LOCKING 3.5 20MM T8 LOCKING 3.5 24MM T8 LOCKING TOTAL STABILZR FEM#4 FEMORAL DISTAL #4 LT FEMORAL POSTERIOR #4 FLUTED STEM TOTAL STABILZR TIB#3 2.3 STR PLATE 571530 2.3 8MM LOCKING SCRE 2.3 9 MM LOCKING SCR 2.3 10MM LOCKING SCR 127 ANGLED HIP STM3 ADM X3 INSERT REUNION HA FRACTURE REUNION SHOULDER HUM 3.2 GUIDEPIN 6.5 CANNULATED SCREW WASHER TI HEM LIGAT INT GRPS SWIVELOCK ANCHOR MUSTANG 8.0X20MM 75C MUSTANG 10.0X40MM 75 KING LARYNGAL TUBE 4 PALINDROME 33CM CATH T-TUBE 8MM X 5.6MM M-FLEX MALONEY BOUGI LATERAL DR PLATE 44M 2.3 LOCKG SCREW 20MM 2.3 LOCKG SCREW 24MM 2.7 BONE SCREW 16MM 2.7 BONE SCREW 18MM 2.7 LOCKING SCR 14MM 2.7 LOCKING SCR 20MM 2.7 BONE SCREW 14MM LEFT STD SHORT PLATE 26MM HELIX R PLATE CR ALLOGRAFT 9X11X14 Page 53 1212 40 190 214 214 124 184 709 57 124 454 2524 359 359 359 11868 2116 2224 2339 4466 308 129 129 129 3969 1985 6776 2251 165 265 31 5599 1526 510 510 1 955 101 885 205 131 131 114 114 131 131 114 1065 1654 2221 C1713 C1894 C1894 C1894 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 SURG C1713 C1725 C1725 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7551558 7551559 7551560 7551561 7551562 7551563 7551564 7551565 7551566 7551567 7551568 7551569 7551570 7551571 7551572 7551573 7551574 7551575 7551576 7551577 7551578 7551579 7551580 7551581 7551582 7551583 7551584 7551585 7551586 7551587 7551588 7551589 7551590 7551591 7551592 7551593 7660008 7660010 7660011 7660016 7660018 7660019 7660020 7660021 7660046 7660049 7660052 7660058 7660059 7660060 6 HOLE RT PROXTIB PL 3.5 80MM CORTICAL SC 4.0 50MM LOCKING SCR 4.0 65MM LOCKING SCR 4.0 55MM CANNULATED 4.0 60MM CANNULATED 6.5MM 16MM BONE SCRE PARIETEX 4.6CM COMPO FIRST PASS ST PASSER SPRINGS KNEE POSITIO BRUSH BIOPDSY SET 3. TUBING SET W/2 PUNTU SURGIFLO ENDOSCOPIC KING LARYNGEAL SZ5 KING LARYNGEAL SZ3 EXTENTION TUBE #21 V SNAREMASTER SPINAL S PVPM PROCEED VENTRAL 1.7MM 14MM CAN SCREW 5 HOLE LATERAL PLATE 3.5 18 LOCKING SCREW VOLAR PLATE NARROW L 2.7 16MM BONE SCREW GLENOSPHERE GLENOID BASEPLATE 6.5 28MM CENTER SCRE 4.5 28MM PERIPHERAL 4.5 24MM PERIPHERAL HUMERAL CUP HUMERAL INSERT HUMERAL STEM TOTAL STABILIZER FEM SPEEDBRG IMP SYS W.B HEALICOIL 5.5MM W US PVPS PROCEED VENTRAL MAIN BODY 1 PROLENE 8425H #10 HIP STEM #11 HIP STEM #5 HIP STEM #6 HIP STEM #7 HIP STEM #8 HIP STEM #9 HIP STEM "SILK-0 30""PSL 590H "SUTURE ABBOTT INSUFFLATION ABDUCTION PILLOW ABDUCTION PILLOW ABDUCTION PILLOW LG Page 54 1557 22 167 394 204 204 152 866 709 81 334 219 260 79 79 4 107 629 641 1650 204 1065 114 2948 3243 296 296 296 2948 2359 8015 12579 2656 839 527 16379 14 1840 1840 1840 1840 1840 1840 1840 26 36 98 178 7 206 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1781 C1781 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7660061 7660062 7660063 7660064 7660065 7660068 7660073 7660074 7660075 7660076 7660077 7660078 7660080 7660091 7660125 7660126 7660128 7660131 7660146 7660147 7660148 7660169 7660182 7660207 7660227 7660230 7660232 7660233 7660234 7660235 7660236 7660239 7660240 7660241 7660242 7660243 7660244 7660245 7660246 7660247 7660248 7660249 7660250 7660251 7660252 7660253 7660254 7660262 7660264 7660265 ABDUCTION PILLOW MED ABRADER BLADE 4.0MM ABRADER 5.5MM ABRAMSOM TRIPLE LUME ABRAMSON TRIPLE LUME ACCU-GRIDS ACL GRAFT KNIFE 10MM ACORN BUR 4.0 ACORN BUR 5.0 ACORN CUTTING BUR 5. ACORN CUTTING BURR 2 ACORN CUTTING BUR3.7 SHAVER BR VORTX4.5MM ADENOID BALDE ALCON CRESCENT KNIFE ALCON PHACO PACKS ALCON VITRECTOMY SET ALLPORT ANCHOR NEEDLES STERI ANCHOR SUTURE SZ. 2. ANCHOR SUTURE SZ. 5. ANTERIOR VITRECTOMY APLIGRAF TISSUE PATC ARNDT ENDOBRONCHIAL ARTHO CUTTER 3.5MM ARTHROSCOPIC CANNULA ARTHROWAND 30 DEGREE ARTHROWAND 60 DEGREE ARTHROWAND 90 DEGREE ARTICULATING LINEAR ARTICULATING LINEAR ASIF 4.5 CORTICAL SC ASIF 4.5 CORTICAL SC ASIF 4.5 CORTICAL SH ASIF 4.5 CORTICAL SH ASIF 4.5 CORTICAL SH ASIF 4.5 CORTICAL SH ASIF 4.5 CORTICAL SH ASIF 4.5 CORTICAL SH ASIF 4.5 CORTICAL SH ASIF 4.5 CORTICAL SH ASIF 4.5 CORTICAL SH ASIF 4.5 CORTICAL SH ASIF 4.5 CORTICAL SH ASIF 4.5 CORTICAL SH ASPIRATION NEEDLE NA MRI DUAL PORT ASSIF 4.5 CORTICAL S ATRIUM 6MM X 40CM GR ATRIUM 8MMX70CM THIN Page 55 203 271 313 74 157 115 453 299 299 108 81 59 313 598 140 480 575 1575 9 457 457 410 5592 613 193 31 680 680 680 698 753 68 64 67 67 67 71 71 71 71 68 68 68 68 890 319 919 64 1527 1835 C1883 C1883 Q4101 C1768 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7660266 7660267 7660268 7660269 7660270 7660271 7660272 7660273 7660274 7660275 7660276 7660277 7660278 7660279 7660280 7660281 7660282 7660283 7660284 7660286 7660290 7660296 7660300 7660306 7660315 7660316 7660317 7660318 7660319 7660325 7660330 7660331 7660332 7660364 7660365 7660375 7660376 7660377 7660378 7660379 7660380 7660381 7660382 7660383 7660384 7660385 7660386 7660387 7660388 7660389 ATRIUM 8MMX80CM RING ATRUM SURGICAL MESH AUSTIN MOORE FEM ST AUSTIN MOORE FEM ST AUSTIN MOORE FEN ST. AUSTIN MOORE FEN ST. AUSTIN MOORE 38MM AUSTIN MOORE 40MM AUSTIN MOORE 42MM AUSTIN MOORE 44MM AUSTIN MOORE 54MM AUSTIN MOORE 57MM AUSTIN MOORE 60MM AUTO SUTURE CURVED E AUTO SUTURE CURVED E AUTO SUTURE ENDO CLI AUTO SUTURE PREM. CE AUTO SUTURE PURSTRIN AUTOMATIC 18GA CORE AUTOTRANSFUSION FILT B-D LEVEAN SHUNT BAG-A-JET BAKER J TUBE BALLOON TROCAR BEAVER BLADE EYE BEAVER BLADE MINI BEAVER BLADES CERVIC BEAVER EYE BLADE SLI BEAVER MYRINGTOMY BL BENDING TEMPLATE 22 BICOAG CUTTING FORCE BILAP L HOOK BILATERAL BALLOON BIOPSY VALVE BIOPSY VALVE (MAJ-21 BIPOLAR CUP 44-28 BIPOLAR CUP 45-28 BIPOLAR CUP 46-28 BIPOLAR CUP 47-32 BIPOLAR CUP 48-32 BIPOLAR CUP 49-32 BIPOLAR CUP 50-32 BIPOLAR CUP 51-32 BIPOLAR CUP 52-32 BIPOLAR CUP 53-32 BIPOLAR CUP 54-32 BIPOLAR CUP 54-32 BIPOLAR CUP 55-32 BIPOLAR CUP 57-32 BIPOLAR CUP 58-32 Page 56 2410 337 1311 1003 988 988 2226 2226 2226 1891 2226 1891 2226 1891 974 493 974 587 243 73 1902 34 473 422 112 6 92 75 113 76 1191 359 1246 20 21 1666 1336 1769 1637 1637 1637 1637 1910 1910 1910 1771 1771 1608 1529 1771 C1768 C1781 C1726 C1776 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7660390 7660391 7660392 7660398 7660399 7660400 7660401 7660402 7660403 7660404 7660417 7660418 7660420 7660423 7660424 7660426 7660427 7660430 7660447 7660448 7660449 7660450 7660451 7660452 7660453 7660454 7660455 7660456 7660457 7660458 7660462 7660464 7660466 7660468 7660475 7660482 7660483 7660484 7660485 7660486 7660487 7660488 7660489 7660490 7660491 7660492 7660493 7660494 7660495 7660496 BIPOLAR CUP 60-32 BIPOLAR CUTTING FORC BIPOLAR FORCEPS 3600 BLACK & BURS 9.5 X 2 BLADE & BURR 6.5X25. BLADE & BURS 12.5 X BLADES & BURS 19.5 X BLADES & BURS 3 MM BLAKE DRAIN 15FR BLAKEMORE ESOPHAGEAL BLUE MINI VESSEL LOO BLUNT VERSAPORT TROC BONANNO SUPRAPABIC C BONE CEMENT BONE CEMENT CARTRIDG BONE WAX W316 BONE-TENDON-BONE GRA BOVIE TIP CLEANER BROAD SCP PLATE 10 H BROAD SCP PLATE 11 H BROAD SCP PLATE 12 H BROAD SCP PLATE 13 H BROAD SCP PLATE 14 H BROAD SCP PLATE 15 H BROAD SCP PLATE 18 H BROAD SCP PLATE 5 HO BROAD SCP PLATE 6 HO BROAD SCP PLATE 7 HO BROAD SCP PLATE 8 HO BROAD SCP PLATE 9 HO BRONK DISP BIOPSY FO BSS PLAIN 500CC BUR FOR THE STRYKER BURR 5.5 NOTCHED BLA C V P MANOMETER CALIBRATED GUIDE PIN CANCELLOUS BLOCK TIS CANCELLS BONE 4-10MM CANCELLOUS FULL TRED CANCELLOUS FULL TRED CANCELLOUS SCREW CANCELLOUS SCREW FT CANCELLOUS SCREW FT CANCELLOUS SCREW FT CANCELLOUS SCREW FT CANCELLOUS SCREW FT CANCELLOUS SCREW FT CANCELLOUS SCREW FT CANCELLOUS SCREW FT CANCELLOUS SCREW FT Page 57 1771 776 485 44 83 49 99 72 163 1240 14 375 94 106 C1713 334 23 3557 2 239 208 256 225 278 251 276 176 295 193 748 239 302 38 352 220 31 92 1077 1685 39 39 354 C1713 160 160 160 21 119 C1713 106 106 106 22 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7660497 7660498 7660499 7660500 7660501 7660502 7660503 7660504 7660505 7660506 7660507 7660508 7660509 7660510 7660511 7660512 7660513 7660514 7660515 7660516 7660517 7660518 7660519 7660520 7660521 7660522 7660523 7660524 7660525 7660526 7660527 7660528 7660529 7660530 7660531 7660532 7660533 7660534 7660535 7660536 7660537 7660538 7660539 7660540 7660541 7660542 7660543 7660544 7660545 7660546 CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS CANCELLOUS Page 58 SCREW SCREW SCREW SCREW SCREW SCREW SCREW SCREW SCREW SCREW SCREW SCREW SCREW SCREW SCREW SCREW SCREW SCREW SCREW SCREW SCREW SCREW SCREW SCREW SCREW SCREW SCREW SCREW SCREW SCREW SCREW SCREW SCREW SCREW SCREW SCREW SCREW SCREW SCREW SCREW SCREW SCREW SCREW SCREW SCREW SCREW SCREW SCREW SCREW SCREW FT FT FT FT FT FT 16M 16M 16M 16M 16M 16M 16M 16M 16M 16M 16M 16M 16M 16M 16M 16M 32 32 32 32 32 32 32 32 32 32M 32M 4.0 4.0 4.0 4.0 4.0 4.0 4.0 4.0 4.0 4.0 4.0 4.0 4.0 4.0 4.0 4.0 4.0 106 106 482 22 106 119 160 160 160 160 160 160 160 160 160 160 160 174 174 174 174 174 160 160 44 160 45 62 67 46 174 856 174 59 106 106 25 23 106 106 106 106 106 57 119 119 119 106 119 129 C1713 C1713 C1713 C1713 C1713 C1713 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7660547 7660548 7660551 7660552 7660553 7660554 7660555 7660556 7660557 7660558 7660559 7660560 7660561 7660562 7660563 7660564 7660565 7660566 7660567 7660568 7660569 7660570 7660571 7660572 7660573 7660574 7660575 7660576 7660577 7660578 7660579 7660580 7660581 7660582 7660583 7660584 7660585 7660586 7660587 7660588 7660589 7660590 7660591 7660592 7660593 7660594 7660595 7660597 7660598 7660599 CANCELLOUS SCREW 4.0 CANCELLOUS 16MMT 95 CANNULA LONG 5MM W/O CANNULA LONG 5MM W/S CANNULA SET DISP 3.5 CANNULA SET 4.5 MED CANNULATED SCREW TAP CANNULATED SCREW 4.0 CANNULATED SCREW 3.0 CANNULATED SCREW 4.0 CANNULATED SCREW 4.0 CANNULATED SCREW 4.0 CANNULATED SCREW 4.0 CANNULATED SCREW 4.0 CANNULATED SCREW 4.0 CANNULATED SCREW 4.0 CANNULATED SCREW 4.0 CANNULATED SCREW 4.0 CANNULATED SCREW 4.0 CANNULATED SCREW 4.0 CANNULATED SCREW 4.0 CANNULATED SCREW 4.0 CANNULATED SCREW 4.0 CANNULATED SCREW 4.0 CANNULATED SCREW 4.0 CANNULATED SCREW 4.0 CANNULATED SCREW 4.0 CANNULATED SCREW 4.0 CANNULATED SCREW 4.0 CANNULATED SCREW 4.0 CANNULATED SCREW 4.0 CANNULATED SCREW 4.0 CANNULATED SCREW 4.0 CANNULATED SCREW 4.0 CANNULATED SCREW 4.0 CANNULATED SCREW 4.0 CANNULATED SCREW 4.0 CANNULATED SCREW 4.0 CANNULATED SCREW 4.0 CANNULATED SCREW 4.0 CANNULATED SCREW 4.0 CANNULATED SCREW 4.0 CANNULATED SCREW 4.0 CANNULATED SCREW 4.0 CANNULATED SCREW 4.0 CAPIO DIVICE NON-ABS CAPIO SUTURE DEVICE CARDIO VAS PATCH 20M CARDIO VAS PATCH 25M CARDIO VASCULAR PATC Page 59 106 174 802 889 119 119 391 1318 1217 363 363 363 670 363 363 363 363 363 670 680 363 670 363 698 670 363 363 363 363 363 363 363 363 363 718 363 363 698 698 719 363 718 363 363 670 133 1226 543 573 733 C1713 C1713 C1713 C1713 C1713 C1713 C1768 C1768 C1768 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7660600 7660602 7660603 7660604 7660607 7660608 7660609 7660610 7660611 7660614 7660638 7660747 7660748 7660749 7660750 7660790 7660796 7660797 7660798 7660803 7660805 7660814 7660815 7660817 7660839 7660840 7660841 7660845 7660846 7660848 7660888 7660889 7660890 7660891 7660892 7660893 7660894 7660895 7660896 7660897 7660898 7660899 7660900 7660901 7660902 7660903 7660904 7660905 7660906 7660907 CARDIOVASCULAR PATCH CAROTID SHUNT 12FR CAROTID SHUNT 14FR CAROTID SHUNT 16FR CARSON ZERO TIP W/GL CARSON ZERO TIP W/GU CARTOID BYPASS SHUNT CARTOID SHUNT 12FR CARTOID SHUNT 14FR CAST PADDING 3 INCH CATH CONE TIP 5FR CEMENT BOWL CEMENT CANNAL PRESSU CEMENT CANNAL PRESSU CEMENT CANNAL PRESSU CHOLANGIOGRAPHY CATH CHROMIC GUT 0 CT-2 8 CHROMIC GUT 0 TIE SG CHROMIC GUT 0 47T CHROMIC GUT 1 915H CHROMIC GUT 2-0 TAPE CHROMIC 2-0 801 CHROMIC 4-0 U203H CHROMIC 5-0 U202H CLIP APPLIERS LG CLIP APPLIERS MED CLIP APPLIERS SMALL CLOVERLEAF PLATE 3 H CMT GUN BOWL COBAN SELF ADH WRAP COMPOSIX KUGEL LG. C COMPOSIX KUGEL LG. C COMPOSIX KUGEL MED. COMPOSIX KUGEL SM. C COMPRESSION LAG SCRE COMPRESSION LAG SCRE COMPRESSION LAG SCRE COMPRESSION LAG SCRE COMPRESSION LAG SCRE COMPRESSION LAG SCRE COMPRESSION LAG SCRE COMPRESSION LAG SCRE COMPRESSION TUBE PLA COMPRESSION TUBE 135 COMPRESSION TUBE 135 COMPRESSION TUBE 135 COMPRESSION TUBE 135 COMPRESSION TUBE 135 COMPRESSION TUBE 135 COMPRESSION TUBE 135 Page 60 644 C1768 58 58 174 854 854 178 48 60 6 83 81 58 62 58 162 15 57 34 7 14 15 8 8 285 304 282 296 439 22 2197 1332 2789 1071 929 1016 446 929 1125 929 929 728 378 753 752 334 981 753 1041 655 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7660908 7660909 7660910 7660911 7660912 7660913 7660914 7660915 7660916 7660917 7660918 7660919 7660920 7660921 7660922 7660927 7660939 7660941 7660942 7660943 7660944 7660952 7660953 7660954 7660955 7660956 7660957 7660958 7660959 7660960 7660961 7660962 7660963 7660964 7660965 7660966 7660967 7660968 7660969 7660970 7660971 7660972 7660973 7660974 7660975 7660976 7660977 7660978 7660979 7660980 COMPRESSION TUBE 135 COMPRESSION TUBE 135 COMPRESSION TUBE 135 COMPRESSION TUBE 140 COMPRESSION TUBE 140 COMPRESSION TUBE 145 COMPRESSION TUBE 145 COMPRESSION TUBE 150 COMPRESSION TUBE 150 COMPRESSION TUBE 150 COMPRESSION TUBE 150 COMPRESSION TUBE 150 COMPRESSION TUBE 150 COMPRESSION TUBE 150 COMPRESSSION TUBE 15 CONTOUR VL STENT 6FR COR SCREW 64 ASIF 4. CORE SEAL CORITCAL SCREW 2.0 C CORITCAL SCREW 2.7 1 CORKSCREW ANCHOR SUT CORT SCREW 4.5 SELF CORT SCREW 4.5 SELF CORT SCREW 4.5 SELF CORT SCREW 4.5 SELFCORTICAL CREW ST 3.5 CORTICAL SCREW ST 3. CORTICAL SCREW ST 3. CORTICAL SCREW ST 3. CORTICAL SCREW ST 3. CORTICAL SCREW ST 3. CORTICAL SCREW ST 3. CORTICAL SCREW ST 3. CORTICAL SCREW ST 3. CORTICAL SCREW ST 3. CORTICAL SCREW 1.5 C CORTICAL SCREW 1.5 C CORTICAL SCREW 1.5 C CORTICAL SCREW 1.5 C CORTICAL SCREW 1.5 C CORTICAL SCREW 1.5 C CORTICAL SCREW 1.5 C CORTICAL SCREW 1.5 C CORTICAL SCREW 18 4. CORTICAL SCREW 2.0 C CORTICAL SCREW 2.0 C CORTICAL SCREW 2.0 C CORTICAL SCREW 2.0 C CORTICAL SCREW 2.0 C CORTICAL SCREW 2.0 C Page 61 776 1470 1532 655 1119 859 1041 334 1011 362 655 438 534 560 334 575 C1713 37 101 22 116 534 C1883 59 59 59 59 39 21 39 39 39 39 39 39 39 39 166 22 22 113 22 22 113 113 99 59 25 22 116 116 115 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7660981 7660982 7660983 7660984 7660985 7660986 7660987 7660988 7660989 7660990 7660991 7660992 7660993 7660994 7660995 7660996 7660997 7660998 7660999 7661000 7661001 7661002 7661003 7661004 7661005 7661006 7661007 7661008 7661009 7661010 7661011 7661012 7661013 7661014 7661015 7661016 7661017 7661018 7661019 7661020 7661021 7661022 7661023 7661024 7661025 7661026 7661027 7661028 7661029 7661030 CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL CORTICAL Page 62 SCREW 2.0 C SCREW 2.7 1 SCREW 2.7 1 SCREW 2.7 1 SCREW 2.7 1 SCREW 2.7 2 SCREW 2.7 2 SCREW 2.7 2 SCREW 2.7 6 SCREW 2.7 8 SCREW 20 4. SCREW 22 47 SCREW 24 4. SCREW 26 4. SCREW 28 4. SCRW 3.5 12 SCRW 3.5 14 SCREW 3.5 1 SCRW 3.5 16 SCREW 3.5 1 SCRW 3.5 20 SCREW 3.5 2 SCREW 3.5 2 SCREW 3.5 2 SCREW 3.5 2 SCREW 3.5 3 SCREW 3.5 3 SCREW 3.5 4 SCREW 3.5 4 SCREW 3.5 5 SCREW 3.5-1 SCREW 3.5MM SCREW 30 4. SCREW 32 4. SCREW 34 4. SCREW 36 4. SCREW 38 4. SCREW 40 4. SCREW 42 4. SCREW 44 4. SCREW 46 4. SCREW 48 4. SCREW 50 4. SCREW 52 4. SCREW 54 4. SCREW 56 4. SCREW 58 4. SCREW 60 4. SCREW 62 4. SCREW 64 4. 25 25 101 116 22 22 22 115 101 116 99 21 99 122 99 137 144 137 131 22 137 116 122 99 99 99 115 21 99 99 72 39 99 111 122 111 122 116 122 21 92 23 122 23 21 23 99 23 99 21 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7661031 7661032 7661033 7661048 7661049 7661050 7661051 7661052 7661053 7661054 7661055 7661056 7661068 7661069 7661070 7661071 7661072 7661073 7661074 7661075 7661076 7661077 7661078 7661079 7661084 7661086 7661087 7661088 7661089 7661094 7661095 7661096 7661097 7661098 7661099 7661100 7661110 7661112 7661118 7661119 7661120 7661121 7661124 7661125 7661126 7661127 7661128 7661130 7661131 7661133 CORTICAL SCREW 66 4. CORTICAL SCREW 68 4. CORTICAL SCRW 70 4.5 CRE BALLOON DIL. CAT CRE BALLOON DIL. CAT CRE BALLOON DIL. CAT CRE 10-11-12MM BALLO CRE 12-13.5-15 BALLO CRE 15-16.5-18 BALLO CRE 18-19-20MM BALLO CRESCENTIC BLADE .06 CRESCENTIC BLADE .07 CURVED FULL RADIUS 4 SHAVER BUR OVAL 4.MM CURVED MOVABLE WIRE CURVED STAPLER 25 CURVED STAPLER 29 CURVED STAPLER 33 CUTTER 4.5MM CUTTING FORCEP 27 FR CUTTING FORCEP 28.9 CUTTING LOOP 24FR CV-0 GORTEX QU01B CV-3 GORTEX 3N02A CYSTOMANOMETER CYTOLOGY BRUSH D&G EMBOLECTOMY CATH D&G EMBOLECTOMY CATH D&G EMBOLECTOMY CATH DCP PLATE 2.7 DCP PL DCP PLATE 2.7MM PL/6 DEBAKEY KNITTED DACR DEBAKEY VASCULAR GRA DEBAKEY Y GRAFT 16 X DEBAKEY Y GRAFT 20X1 DEBAKEY Y GRAFT 22X1 DERMACARRIER IT 1X1 DERMATOME BLADE DEXON T010-41 3-0 TI DEXON 3-0 TIE 9010-4 DEXON 3-0 7232-41 DEXON 4-0 CE-4 7612DEXON 7010-31 4-0 TI DEXON 7010-51 2-0 TI DEXON 7010-61 0TIE DEXON 7206-31 4-0 TDEXON 7206-31 4-0 TDEXON 7228-41 3-0 TDEXON 7232-41 3-0 TDEXON 7266-51 2-0 T Page 63 23 21 99 632 632 550 787 787 787 787 381 381 341 341 101 942 821 826 168 168 168 146 206 36 73 216 158 158 158 276 127 622 827 957 956 1036 102 81 229 31 6 15 25 38 37 10 14 174 8 10 C1726 C1726 C1726 C1768 C1768 C1768 C1768 C1768 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7661134 7661138 7661139 7661140 7661162 7661163 7661165 7661166 7661172 7661173 7661176 7661183 7661188 7661200 7661201 7661202 7661203 7661204 7661205 7661206 7661207 7661215 7661216 7661217 7661236 7661243 7661244 7661246 7661248 7661255 7661266 7661270 7661284 7661285 7661286 7661287 7661288 7661289 7661290 7661291 7661292 7661293 7661294 7661295 7661296 7661297 7661298 7661299 7661300 7661301 DEXON 7266-61 0 T-12 DEXON 7612-31 4-0 CE DEXON 7618-31 4-0 CE DEXON 7618-41 3-0 CE DISP BANANA KNIFE DISP HOOK KNIFE DISP. CUFF 18" DUAL DISP. CUFF 24IN DISPOSABLE EXTERNAL DISPOSABLE OVAL SNAR DISSECTING FORCEP BI DOYLE SPLINT DRAIN W/BULB, SMALL DRILL BIT SYNTHES DRILL BIT SYNTHES DRILL BIT SYNTHES AD DRILL BIT 1.1MM DRILL BIT 1.5MM DRILL BIT 2.0MM DRILL BIT 2.5MM DRILL BIT 4.5MM DUAL MESH 10CM X 15C DUAL MESH 15CM X 19C DUAL MESH 18CM X 24C DURA HOOKS E.T. TUBE AGT 5.5 E.T. TUBE AGT 6.0 E.T. TUBE AGT 8.0 E-Z CLEAN CAUTERY TI EHTIBOND 2-0 X411H ELECTRODE COATED 2.7 ELECTRODES COATED 6' ENDO STAPLER RELOAD ENDO "FOUR" PRINT FI ENDO APPY KIT ENDO BABCOCK ENDO BABCOCK ENDO CARPAL TUNNEL R ENDO CATH, SPECIMEN ENDO CHOLEY KIT ENDO DISSECT ENDO DISSECT 5 MM ENDO GIA 3.5 MULTIFI ENDO GIA 30 3.5 ENDO GIA 30 30V ENDO GIA 30V 30V MUL ENDO GLASE DIAP SUTU ENDO GRASP ENDO HERNIA SHORT RO ENDO HERNIA STAPLER Page 64 14 8 8 10 64 72 105 217 2123 85 351 46 156 320 238 315 146 140 132 325 258 1809 C1781 3357 C1781 2613 C1781 36 48 48 48 38 14 36 43 379 11 1525 528 541 263 383 1417 526 461 751 508 220 792 168 359 121 233 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7661302 7661303 7661304 7661305 7661306 7661307 7661308 7661309 7661310 7661311 7661312 7661313 7661314 7661315 7661316 7661317 7661318 7661319 7661320 7661321 7661322 7661323 7661324 7661325 7661335 7661336 7661337 7661338 7661339 7661340 7661341 7661342 7661343 7661344 7661345 7661346 7661372 7661381 7661382 7661383 7661384 7661385 7661386 7661387 7661388 7661389 7661392 7661393 7661394 7661396 ENDO HERNIA UNIV 65D ENDO HERNIA 4MM ENDO LENEAR CUTTER S ENDO LINEAR CUTTER T ENDO LINEAR CUTTER V ENDO LINEAR STAPLER ENDO LINEAR STAPLER ENDO LINEAR STAPLER ENDO LINEAR STAPLER ENDO MULTISEAL REDUC ENDO PATH BLUNT TIP ENDO PEANUT ENDO POUCH ENDO RETRACT ENDO RETRACT II 10MM ENDO SHEARS ENDO SIZ ENDO SPECIMEN BAG ENDO STAPLER RELOADI ENDO STAPLER RELOADS ENDO STAPLER RELOADS ENDO STAPLER RELOADS ENDO SURG TROCAR 10/ ENDO SURG TROCAR 12M ENDOCLINCH 5MM ENDOKNOT ENDOLOOP CHROMIC ENDOLOOP LIGATURE ENDOLOOP PDS II 18" ENDOPATH CLIP APPLIE ENDOPATH ROTICALING ENDOPATH SCISSORS DI ENDOPATH SURGICAL TR ENDOSCOPE BRUSH 0006 ENDOSCOPIC CARPAL TU ENDOSHEARS ENT KWICK KIT ES-MARK BANDAGE 4" ESMARK BANDAGE ESMARK BANDAGE LATEX ESOPHAGEAL BALLOON D ESOPHAGEAL STETHOSCO ESOPHIGIAL DIALATOR ESOPHOGEAL DILATOR 1 ESOPHOGEAL DILATOR 1 ESOPHOGEAL DILATOR 1 ETHIBOND CT-1 2-0 ETHIBOND CTX 1 ETHIBOND 0 CX21D ETHIBOND 0 TAPER M07 Page 65 456 655 732 578 714 541 555 536 835 67 342 170 243 723 475 305 245 364 188 376 410 379 490 461 745 166 56 150 106 557 567 584 403 34 3751 SURG 365 85 36 43 73 579 49 54 403 437 403 142 165 74 119 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7661397 7661398 7661399 7661400 7661401 7661402 7661407 7661410 7661413 7661414 7661416 7661419 7661420 7661422 7661424 7661426 7661434 7661444 7661451 7661465 7661476 7661479 7661481 7661502 7661509 7661510 7661511 7661512 7661513 7661525 7661526 7661527 7661528 7661529 7661530 7661531 7661532 7661533 7661534 7661555 7661556 7661562 7661563 7661564 7661566 7661567 7661568 7661572 7661573 7661574 ETHIBOND 0 X424H ETHIBOND 1 CUTTING X ETHIBOND 1 X425H ETHIBOND 2 MX69G ETHIBOND 2-0 490T ETHIBOND 3-0 C-X13T ETHILON "NYLON" 0 L8 ETHILON O L-880G ETHILON 2 RETENTION ETHILON 2-0 CUTTING ETHILON 3-0 CUTTING ETHILON 3-0 CUTTING ETHILON 3-0 FS-1 663 ETHILON 3-0 PC-5 199 ETHILON 4-0 FSL 1670 ETHILON 4-0 PC-1 185 ETHILON 6-0 P-3 1698 EXTENSION SET HIGH F EXTRA VIEW BALLOON FAGARTY EMBOLECTOMY FEMORAL IRRIGATION & FEMORAL SURGICAL WIC FIBERWIRE 5 METRIC # FLAT SILICONE DRAIN FLEXIFLO COMPANION P FLEXIFLO GASTROSTOMY FLEXIFLO GASTROSTOMY FLEXIFLO GASTROSTOMY FLEXIPATH 20MM TROCA FOGARTY BIL. BALLOON FOGARTY BILIARY BALL FOGARTY EMBOLECTOMY FOGARTY EMBOLECTOMY FOGARTY EMBOLECTOMY FOGARTY EMBOLECTOMY FOGARTY EMBOLECTOMY FOGARTY EMBOLESTOMY FOGARTY JAW COVERS FOGARTY 4F FRAZIER SUCTION DIS FRAZIER SUCTION TUBE SHAVR BLAD GW 4.2MM FULL RADIUS SYN. RES SHAVR BLD FULL 4.2MM G TUBE PEGS G-TUBE PEG 22FR G-TUBE 20FR GASTROSTOMY KIT INVE GASTROSTOMY TUBE 12F GASTROSTOMY TUBE 18F Page 66 14 14 14 624 10 37 26 21 8 8 8 6 3 39 8 31 32 11 1239 242 101 610 110 95 31 146 130 143 408 169 C1729 210 242 242 263 263 229 263 162 305 7 95 233 313 313 719 121 146 445 113 655 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7661575 7661576 7661577 7661578 7661596 7661597 7661598 7661599 7661600 7661601 7661602 7661603 7661604 7661605 7661606 7661607 7661608 7661609 7661610 7661611 7661612 7661613 7661614 7661615 7661620 7661621 7661624 7661626 7661627 7661629 7661631 7661632 7661633 7661635 7661636 7661638 7661640 7661641 7661657 7661665 7661668 7661669 7661670 7661684 7661686 7661687 7661688 7661689 7661690 7661692 GASTROSTOMY TUBE 18F GASTROSTOMY TUBE 22F GASTROSTOMY TUBE 26F GASTROSTOMY TUBES 18 GELFOAM SIZE 100 GELFOAM SIZE 50 GELSOFT BIFURACTION GELSOFT VAS GRAFT 14 GELSOFT VAS. GRAFT 1 GELSOFT VAS. GRAFT 1 GELSOFT VAS. GRAFT 1 GELSOFT VAS. GRAFT 2 GELSOFT VASCULAR GRA GELSOFT Y-GRAFT 22 X GELSOFT 14X7MM GELSOFT 16X8MM GEMINI BASKET STONE GEMINI BASKET 3-WIRE GEMINI BASKET 4 WIRE GENERAL LAP INST. TR GI CYTOLOGY BRUSH GIA 50 PREMIUM STAPL GIGLI SAW BLADE GII QUICK ANCHOR #2 GOLD PROBE: BIPOLAR GOODE T-TUBE GORE TEX CV-O GORE TEX CV-0 0U01B GORE TEX CV-2 GORE TEX CV-3 3N02A GORE TEX SUTURE CV-O GORE TEX SUTURE CV-4 GORE TEX SUTURE CV-5 GORETEX CV-2 THX-26 GORETEX SUTURE CV-6 GORTEX C-V6 PT-13 PI GRASPERS GRASPING FORCEPS 2.5 GUIDE PINS 2.0 GYN LAP INST TRAY HARMONIC SCALPEL BLA HARMONIC SCALPEL 23C HARMONIC SCALPEL 36C HELICAL BASKET RETRI HELICAL COIL 6X3 HELICAL COIL 7X70 HELICAL STONE BALLOO HELICRL STONE EXTRAC HEMACAROTID PATCH 14 HEMOCLIP MED Page 67 133 133 170 166 147 143 1539 1054 1054 1054 1054 1054 1539 1537 1539 1539 434 655 753 931 77 378 119 1105 2124 112 73 73 92 45 108 81 110 100 111 133 490 573 119 779 384 963 528 421 254 254 579 409 409 24 C1768 C1768 C1768 C1768 C1768 C1768 C1768 C1768 C1768 C1768 C1768 C1768 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7661693 7661694 7661695 7661697 7661698 7661699 7661700 7661703 7661704 7661705 7661708 7661709 7661710 7661711 7661712 7661713 7661714 7661715 7661716 7661723 7661731 7661749 7661751 7661752 7661753 7661754 7661755 7661756 7661757 7661758 7661759 7661760 7661761 7661762 7661763 7661765 7661766 7661767 7661783 7661784 7661785 7661787 7661791 7661796 7661797 7661800 7661806 7661811 7661812 7661870 HEMOCLIPS LARGE HEMOCLIPS MED LARGE HEMOLOK CLIPS HEMOVAC MINI 100CC HEMOVAC 400CC HEMPCLIP SMALL HENSON SUTURE RETRIE HERNIA MED. PLUG HERNIA STAPLER ETHIC HEX HEAD ZIMMER COMP HICKMAN CATH INTRODU HICKMAN CATHETER HICKMAN CATHETER 10F HICKMAN CATHETER 12F HICKMAN CATHETER 9FR HICKMAN INTRODUCER HICKMAN REPAIR KIT 1 HICKMAN REPAIR KIT 1 HICKMAN REPAR KIT 9F HORIZON ENDOSCOPIC C HUMI IMED PUMP SET IMPRA GRAFT 6 X 70 IMPRA STR THNWL VAS. IMPRA VAS GRAFT FLEX IMPRA VAS GRAFT RING IMPRA VAS GRAFT STR IMPRA VAS GRAFT THIN IMPRA VAS GRAFT THIN IMPRA VAS GRAFT THIN IMPRA VAS GRAFT THIN IMPRA VAS GRAFT THIN IMPRA VAS GRAFT THIN IMPRA VAS GRAFT THIN IMPRA VAS THIWL STD INCISOR BLADE 3.5MM SHAVR BLD GATR 4.2MM INCISOR BLADES 5.5MM INSUFFLATION NEEDLE INSUFFLATION NEEDLE INSUFFLATION NEEDLE INSUFFLATION TUBING INTERCEED ADHESION B INTRAMEDULLARY BRUSH INTRAMEDULLARY BRUSH INTRODUCER KIT 12 FR INTUBATING STYLET IRRIGAATING TUBE SET IRRIGATION & ASPIRAT JAVID CAROTID SHUNT Page 68 32 25 111 137 62 25 404 551 836 140 263 158 605 605 605 233 409 409 409 134 148 27 1138 1350 1379 1415 1311 1135 958 1544 1982 2056 1544 2056 958 165 220 313 176 6 331 87 870 92 92 145 29 131 210 445 C1781 C1752 C1753 C1751 C1768 C1768 C1768 C1768 C1768 C1768 C1768 C1768 C1768 C1768 C1768 C1768 C1768 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7661872 7661873 7661890 7661891 7661892 7661893 7661894 7661895 7661896 7661897 7661898 7661899 7661900 7661921 7661922 7661923 7661924 7661925 7661926 7661927 7661928 7661929 7661930 7661931 7661932 7661933 7661934 7661935 7661938 7661946 7661949 7661950 7661951 7661952 7661959 7661960 7661961 7661967 7661968 7661969 7661970 7661978 7661980 7661981 7661982 7661983 7661984 7661985 7661986 7661987 JEJUNAL FEEDING TUBE JEJUNAL FEEDING TUBE K-WIRE TROCAR BOTH E K-WIRE TROCAR BOTH E K-WIRE TROCAR BOTH E K-WIRE TROCAR BOTH E K-WIRE TROCAR BOTH E K-WIRE 0.6 K-WIRE 0.8 K-WIRE 1.0 K-WIRE 1.25MM K-WIRE 1.6MM K-WIRE 2.0MM KNOWLES PIN 2 1/2 IN KNOWLES PIN 2 3/4 IN KNOWLES PIN 3 IN KNOWLES PIN 3 1/4" KNOWLES PIN 3 3/4 IN KNOWLES PIN 4 1/2 IN KNOWLES PIN 4 1/4 IN KNOWLES PIN 4 3/4 IN KNOWLES PIN 5 IN KNOWLES PIN 5 1/2 IN KNOWLES PIN 5 1/4 IN KNOWLES PIN 5 3/4 IN KNOWLES PIN 6 IN KNOWLES PINS 3 1/2" KNOWLES PINS 4" KUGEL PATCH MESH LAPAROSCOPIC SUCTION LARGE BONE BLADE .07 LARGE BONE BLADE .09 LARGE BONE PLATE LARGE MESH PLUG LCDCP PLATE 11 HOLE LCDCP PLATE 11 HOLE LDS 15W SURGICAL STA LEGEND ACL BRACE LEVEEN INFLATOR KIT LEVEEN INFLATOR 10CC LEVEEN INFLATORS 10C LFIT V40 FEMORAL HEA LG CANNULATED SCREW LG CANNULATED SCREW LG CANNULATED SCREW LG CANNULATED SCREW LG CANNULATED SCREW LG CANNULATED SCREW LG CANNULATED SCREW LG CANNULATED SCREW Page 69 277 310 29 29 34 34 34 20 21 20 58 319 381 75 72 87 71 72 92 82 82 82 94 94 94 100 60 60 634 213 131 146 99 535 489 379 753 722 76 130 171 1482 254 182 182 182 182 182 182 197 C1713 C1713 C1713 C1781 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7661988 7661989 7661990 7661991 7661992 7661993 7661994 7661995 7661996 7661997 7661998 7661999 7662000 7662001 7662002 7662003 7662004 7662005 7662006 7662007 7662008 7662009 7662010 7662011 7662012 7662013 7662014 7662015 7662016 7662017 7662018 7662019 7662028 7662029 7662030 7662031 7662032 7662034 7662037 7662038 7662039 7662040 7662041 7662042 7662043 7662044 7662045 7662046 7662047 7662048 LG CANNULATED SCREW LG CANNULATED SCREW LG CANNULATED SCREW LG CANNULATED SCREW LG CANNULATED SCREW LG CANNULATED SCREW LG CANNULATED SCREW LG CANNULATED SCREW LG CANNULATED SCREW LG CANNULATED SCREW LG CANNULATED SCREW LG CANNULATED SCREW LG CANNULATED SCREW LG CANNULATED SCREW LG CANNULATED SCREW LG CANNULATED SCREW LG CANNULATED SCREW LG CANNULATED SCREW LG CANNULATED SCREW LG CANNULATED SCREW LG CANNULATED SCREW LG CANNULATED SCREW LG CANNULATED SCREW LG CANNULATED SCREW LG CANNULATED SCREW LG CANNULATED SCREW LG CANNULATED SCREW LG CANNULATED SCREW LG CANNULATED SCREW LG CANNULATED SCREW LG ROUND SILICONE DR LG. ROUND SILICONE D LIGACLIP LG LT400 LIGACLIP MCM20 MED. LIGACLIP MED LT200 LIGACLIP ML LT 300 LIGACLIP SM LT100 LINDEMAN DRILL 2.2MM LISTER BANDAGE SCISS LITHOTRIPTOR PROBE 2 LITHOTRIPTOR PROBE 5 LITHOTRIPTOR PROBE 9 LITHOTRITOR PROBE 3. LMGN 90CM ANG-HC 9FR LONE STAR RETRACTOR LONE STAR RETRACTOR LONG PIN ASSEMBLY LOOP ELECTRODE 27040 LOOP ELECTRODE 27040 LOOP RETRIEVER 60 CM Page 70 197 614 614 614 614 614 531 353 254 254 254 306 182 306 197 197 182 194 306 306 531 531 306 210 276 254 254 254 254 254 108 31 10 306 39 27 34 279 31 595 580 496 595 495 204 225 77 384 384 132 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7662052 7662053 7662061 7662064 7662065 7662066 7662069 7662070 7662071 7662072 7662073 7662074 7662075 7662076 7662077 7662078 7662079 7662083 7662084 7662086 7662090 7662091 7662092 7662093 7662116 7662121 7662122 7662127 7662143 7662144 7662145 7662146 7662147 7662148 7662152 7662156 7662157 7662158 7662160 7662161 7662162 7662163 7662171 7662172 7662173 7662174 7662175 7662176 7662177 7662178 LR CANNULATED SCREW LT BUTTRESS PLATE 4 LYMPHAZURIN 1% MACRO JAW BIPOLAR FO MACROBORE PLUS PHACO MAGILL FORCEPS-ADULT MAL 4.5 SCREW 16 MAL 4.5 SCREW 25 MAL 4.5 SCREW 30 MAL 4.5 SCREW 35 MAL 4.5 SCREW 40 MAL 4.5 SCREW 45 MAL 4.5 SCREW 50 MAL 4.5 SCREW 55 MAL 4.5 SCREW 60 MAL 4.5 SCREW 65 MAL 4.5 SCREW 70 MARDIS SOFT W/GLIDEW MARDIS STENT SET 7FR MARDIS STENT SET 8FR MARLEX MEASH 3X6 011 MARLEX MESH 1 X 4 MARLEX MESH 10X14 MARLEX MESH 2 X 4 MAX CORE WITH 16GX10 MAXXON 6269-51 2-0 T MAXXON 6269-61 0T-12 MED ROUND DRAIN 3/16 MERILENE 3-0 R832H MERSILENE 2 R4967 MERSILENE 2-0 R423H MERSILENE 2-0 SR-65H MERSILENE 4-0 R691G MERSILENE 5MM RS-20 MESH 2X12 MIC FEEDING TUBE 18F MIC GASTROSTOMY TUBE MICRO BIOLOGY BRUSH MICRO SAG./OSC. BLAD MICRO SAG./OSC. BLAD MICRO SAG./OSC. BLAD MICRO SAG./OSC. BLAD MINI BLADE BEAVER 67 MINI BLADE 6900 MINI DRILL BIT 1.1 MINI DRILL BIT 1.5 MINI DRILL BIT 2.0 MINI HEMOVAC EVACUTO MINI HEMOVAC FLAT DR MINI HEMOVAC NO TUBI Page 71 182 319 2250 334 263 23 99 36 148 148 148 148 148 148 148 148 148 872 691 542 228 325 753 428 236 29 15 132 11 14 6 6 22 115 476 622 233 121 152 133 133 133 54 38 252 252 288 48 95 95 C2617 C2617 C2617 C1781 C1781 C1781 C1781 C1781 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7662179 7662180 7662181 7662182 7662183 7662184 7662187 7662188 7662189 7662190 7662191 7662192 7662193 7662194 7662195 7662196 7662197 7662198 7662207 7662242 7662253 7662260 7662261 7662262 7662263 7662264 7662265 7662266 7662267 7662268 7662269 7662270 7662271 7662274 7662275 7662276 7662279 7662280 7662281 7662282 7662283 7662284 7662285 7662286 7662287 7662288 7662289 7662290 7662291 7662292 MINI HEMOVAC WITH DR MINI L PLATE EPIPHYS MINI L PLATE EPIPHYS MINI L PLATE OBLIQUE MINI L PLATE OBLIQUE MINI LAPS 4X18 MINI QUARTER TUBULAR MINI QUARTER TUBULAR MINI QUARTER TUBULAR MINI QUARTER TUBULAR MINI QUARTER TUBULAR MINI QUICK ANCHOR #0 MINI STRAIGHT PLATE MINI STRAIGHT PLATE MINI STRAIGHT PLATE MINI SYNDER HEMOVAC MINI T PLATE 2-2 MINI T-PLATE 2-3 MIXING BOWL MODIFIED MID EAR IMP MRI 6.6FR SINGLE LUM MULTIFIRE GIA 60 MULTIFIRE GIA 60 LOA MULTIFIRE TA 23 35 L MULTIFIRE TA 30 3.5 MULTIFIRE TA 30 3.5 MULTIFIRE TA 30 4.8 MULTIFIRE TA 30 4.8 MULTIFIRE TA 55 3.5 MULTIFIRE TA 55 4.8 MULTIPIE TA 55 3.5 L MULTIPIE TA 55 4.8 MULTIPLE CLIP APPLIE MYRINGOTOMY KNIFE MYRINGOTOMY SPEAR BL M8X27MM SET SCREW NARROW PLATE SCP 16 NARROW SCP PLAE 14 H NARROW SCP PLATE 10 NARROW SCP PLATE 11 NARROW SCP PLATE 12 NARROW SCP PLATE 13 NARROW SCP PLATE 15 NARROW SCP PLATE 18 NARROW SCP PLATE 2 H NARROW SCP PLATE 3 H NARROW SCP PLATE 4 H NARROW SCP PLATE 5 H NARROW SCP PLATE 6 H NARROW SCP PLATE 7 H Page 72 34 222 48 52 52 11 58 67 67 72 76 288 140 62 63 117 57 48 81 727 630 616 299 162 416 263 203 551 528 496 263 263 508 26 38 335 343 188 186 157 180 157 188 211 111 111 127 137 145 555 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7662293 7662294 7662300 7662327 7662381 7662386 7662402 7662403 7662417 7662418 7662419 7662420 7662438 7662441 7662453 7662482 7662484 7662485 7662488 7662490 7662493 7662499 7662500 7662501 7662505 7662527 7662528 7662529 7662533 7662546 7662547 7662548 7662588 7662604 7662605 7662615 7662617 7662643 7662659 7662669 7662672 7662673 7662675 7662676 7662677 7662687 7662689 7662692 7662694 7662701 NARROW SCP PLATE 8 H NARROW SCP PLATE 9 J NASAL SEPTAL SPLINT NEEDLE RIZA-RIBE NUROLON 1 CT-1 5425H OBLIQUE T PLATE 4 HO ONE THIRD TUBLAR PLA ONE THIRD TUBULAR PL OPEN ENDED URETERAL OPERATIVE CHOLANGIOG OPERATIVE CHOLANGIOG OPERATIVE CHOLANGIOG OSCILATING SAW BLADE OSCILLATING SAW BLAD OVERHEAD IRRIGATION PDS #1 Z879G PDS II 2-0 Z775D PDS VIL MONO 2-0 PDS 1 TAPER CT-1 834 PDS 1 TAPER TP1 8879 PDS 2-0 TAPERED Z339 PDS 5-0 CUTTING P3 Z PDS 5-0 TAPER RBI Z3 PEANUT SPONGES PED ELECTROSURGICAL PENROSE DRAIN PENROSE DRAIN 1 IN PENROSE DRAIN 1/2 IN PERCUFLEX URET. SENT PERMA CATH KIT 36CM PERMA CATH TRAY 36CM PERMA CATH 40CM PLAIN GUT 3-0 TIE S1 POLYP TRAP POLYPROPYLENE 10-0 8 PORT A CUL PORTACATH MRI COMPAT PREMIUM 25W PRO OSTEON IMPLANT 5 PROLENE 1 TP-1 8824G PROLENE 2 TP-1 8825G PROLENE 2-0 CV TAPER PROLENE 3-0 KEITH 86 PROLENE 3-0 TAPER SH PROLENE 3-0 8632G PROLENE 6-0 CV C-1 D PROLENE 6-0 TAPER CPROLENE 7-0 CV CI DA PROTACK TACKER PROX PRES MED Page 73 585 158 100 206 6 456 558 306 63 147 199 127 95 151 8 20 29 194 8 14 14 23 7 50 60 15 2 13 502 608 700 753 15 72 134 39 838 247 1702 21 34 25 6 27 32 43 43 35 1654 127 C1713 C1713 C1713 C1713 C1758 C2617 C1751 C1788 C1713 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7662702 7662703 7662704 7662728 7662733 7662738 7662739 7662740 7662752 7662753 7662754 7662755 7662756 7662757 7662761 7662769 7662771 7662797 7662798 7662809 7662810 7662811 7662814 7662815 7662822 7662828 7662829 7662851 7662852 7662853 7662854 7662855 7662856 7662857 7662860 7662861 7662862 7662863 7662864 7662865 7662866 7662867 7662868 7662869 7662870 7662871 7662872 7662873 7662874 7662875 PROXIMATE LINEAR CUT PROXIMATE RH SKIN ST PROXIMATE SKIN STAPL QUICK ANCHOR #2 SUTU QUINTON CATH 11.5 FR RADIAL JAW 3 HOT RADIAL JAW 3 160CM D RADIAL JAW 3 240CM D RECONSTRUCTION PLATE RECONSTRUCTION PLATE RECONSTRUCTION PLATE RECONSTRUCTION PLATE RECONSTRUCTION PLATE RECTAL TUBE 28FR FUB RED MINI VESSEL LOOP RENOGRAFIN-60 RESECTOSCOPPE LOOP D RINGED THIN WALL VAS RINGED VASCULAR GRAF ROTICULATOR 30 V3 AU ROTICULATOR 55 POLY ROTULAR EDO GRASPER ROUND SILICONE DRAIN ROUND SILICONE DRAIN RUTNER BALLOON-DILA SAG SAW BLADES SAGITTAL BLADE THIN SCLERO THERAPY NEEDL SCLERO THERAPY NEEDL SCLERO THERAPY NEEDL SCP PLATE 3.5 10 HO SCP PLATE 3.5 6 HOLE SCP PLATE 3.5 7 HOLE SCP PLATE 3.5 8 HOLE SCREW LAG LG 110MM SCREW LAG LG 115MM SCREW LAG LG 120MM SCREW LAG LG 125MM SCREW LAG LG 130MM SCREW LAG LG 60MM SCREW LAG LG 65MM SCREW LAG LG 80MM LG SCREW LAG LG 75MM SCREW LAG STD 105MM SCREW LAG STD 115MM SCREW LAG STD 120MM SCREW LAG STD 125MM SCREW LAG STD 130MM SCREW LAG STD 35MM SCREW LAG STD 60MM Page 74 564 49 157 1128 181 170 162 162 420 560 456 339 380 38 14 22 422 2212 2018 666 592 918 31 28 1064 63 110 119 170 222 624 130 251 177 505 505 505 505 505 411 411 929 929 1016 341 633 341 341 341 633 C1713 C1713 C1713 C1713 C1713 Q9958 C1768 C1768 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7662876 7662877 7662878 7662879 7662880 7662881 7662882 7662885 7662893 7662894 7662895 7662896 7662897 7662898 7662899 7662900 7662901 7662902 7662903 7662904 7662905 7662906 7662927 7662968 7662971 7662975 7662981 7662982 7662983 7662985 7662986 7662991 7662992 7662994 7663001 7663003 7663004 7663005 7663006 7663008 7663011 7663020 7663022 7663024 7663038 7663052 7663097 7663112 7663113 7663116 SCREW LAG STD 65MM SCREW LAG STD 70MM SCREW LAG STD 75MM SCREW LAG STD 80MM SCREW LAG STD 85MM SCREW LAG STD 90MM SCREW LAG STD 95MM SEAMGUARD SEMI TUBE PLATE 4 HO SEMI TUBE PLATE 5 HO OBLIQUE TUBE PLT 3 SEMI TUBULAR PLATE O SEMI TUBULAR PLATE R SEMI TUBULAR PLATE 3 SEMI TUBULAR PLATE 4 SEMI TUBULAR PLATE 5 SEMI TUBULAR PLATE 6 SEMI TUBULAR PLATE 7 SEMI TUBULAR PLATE 8 SEMI-TUBE PLATE 6 HO SEMI-TUBE PLATE 7 HO SEMITUBULAR PLATE RT SHEEHY TYPE COLLAR B SHOWERHEAD IRRIGATIO SIGMOIDOSCOPIC SUCTI SILICONE BLUE SEAL SILK O TIE 30 SA86G SILK TIE 3-0 SA64H SILK TIE 3-0 SA84H SILK 0 709H SILK 1 SA77 SILK 2-0 KEITH 623H SILK 2-0 TAPER SH K8 SILK 2-0 TIE 30 IN S SILK 4-0 TIE A303H SILK 4-0 8065-1845-0 SILK 5-0 640G SILK 6-0 MICRO 765G SILK 7-0 766G SILK2-0 CO12D SIMI-TUBULAR PLATE 9 SIMPULSE SUCTION/IRR SINGLE ACTION PUMP S SINGLE HOOK STAYS SKIN GRAFTING MESH SMALL MESH PLUG SPLINTING SYSTEM 4 X SR5 DEVICE SR5 QUICKLOAD POLY O STAMEY SUPERAPUBIC C Page 75 378 391 633 437 1066 1066 1066 595 62 71 667 210 462 58 295 240 306 162 92 72 118 448 76 25 15 48 10 6 6 32 8 8 6 7 21 36 23 27 58 59 77 134 199 38 102 445 48 660 182 172 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1781 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7663136 7663137 7663139 7663147 7663148 7663150 7663159 7663160 7663166 7663167 7663168 7663181 7663182 7663183 7663184 7663185 7663186 7663187 7663188 7663190 7663194 7663204 7663205 7663208 7663209 7663212 7663230 7663246 7663250 7663251 7663252 7663259 7663276 7663278 7663279 7663280 7663281 7663282 7663283 7663284 7663285 7663286 7663287 7663288 7663289 7663290 7663307 7663330 7663333 7663334 STOMEY SUPRAPUBIC CA STONE BASKET STONE EXTRACTOR 5WIR STREACH VASCULAR GRA STRETCH GRAFT 14X08X SUCTION BUTTON (NEW SUCTION COAGULATOR 1 SUCTION COAGULATOR 1 SUCTION VALVE (MAJ-2 SUPER ANCHOR GIV SUPER QUICK ANCHOR P SURGI PRO MESH SURGI WOUND TIP SPAT SURGI-PAWS WHITE MED SURGICAL BLADES 10 SURGICAL BLADES 11 SURGICAL BLADES 12 SURGICAL BLADES 15 SURGICAL BLADES 20 SURGICAL STEEL 4-0 5 SURGILON #1 1928-72 SURGILON 1928-71 1 T SURGILON 1958-42 3-0 SURGILON 1962-72 1T1 SURGILON 1969-52 2-0 SURGILON 1972-73 1T1 SUTURE BOOTS SUTURE PLAIN GUT 4-0 SUTURE SILK 2-0 C012 SUTURE SILK 2-0 C016 SUTURE SILK 5-0 640G SUTURE 0 UR5 J376H SYRINGE WITH GAUGE T PLATE 4 HOLE T PLATE 6 HOLE T PLATE 8 HOLE T TUBE T TUBE CATTELL RUB 2 T TUBE 12FR T TUBE 14 FR T TUBE 14FR T TUBE 16 FR T TUBE 18FR T TUBE 18FR 5"X12 X T TUBE 20FR T TUBE 22 FR TEETH GUARD TENEKHOFF DOUBLE CUF TESIO LEFT SIDE CATH TESIO RIGHT SIDE CAT Page 76 178 299 121 1701 1572 319 62 64 45 650 1275 420 355 37 16 16 16 16 16 90 45 85 118 34 34 32 10 15 57 109 14 7 184 202 261 416 127 49 32 25 58 40 29 75 34 32 7 197 827 827 C1768 C1768 C1713 C1781 C1713 C1713 C1713 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7663335 7663338 7663343 7663344 7663345 7663346 7663359 7663361 7663364 7663365 7663366 7663372 7663373 7663374 7663375 7663376 7663380 7663381 7663384 7663388 7663389 7663397 7663406 7663426 7663427 7663428 7663432 7663433 7663445 7663447 7663449 7663453 7663454 7663455 7663460 7663461 7663505 7663506 7663507 7663508 7663509 7663510 7663511 7663512 7663513 7663514 7663515 7663516 7663526 7663538 TESTICLE IMPLANT THERMAL ABLATION SET THIN WALL VASCULAR G THIN WALL VASCULAR G THIN WALL VASCULAR G THINWALL VASCULAR GR THORACIC ENDOSCOPIC THREADED GUIDE PIN 1 TI-CRON #1 3026-71 TICRON 2 3174-51 TICRON 5 3027-79 TIT. VASCULAR UNIT E TITANIUM WEDGE LOOP TITAVIUM RELOADING U TK5 DEVICE TK5 RELOADS TORCAR CORE WITH SPI TORCAR 12MM LONG TOTAL MID EAR IMPLAN TPS RASP .043 TPS RASP .055 TRACKER 10 155CM/15C TRANSGASTRIC FEEDING TROCAR KIT 5MM TROCAR PROCEDURE KIT TROCAR THORACIC CATH TRU-CLOSE THORACIC V TRU-CLOSE THORACIC V TUBAL BANDS TUBING 10K ARTHO TUBULAR PLATE 1/3 8 TUR PUMP TUBING TUR Y-SET TURBO WHISKER 4.5MM TUTOPLAST TUTOPLAST PERICARDIU UNIPOLAR FEMORAL HEA UNIPOLAR FEMORAL HEA UNIPOLAR FEMORAL HEA UNIPOLAR FEMORAL HEA UNIPOLAR FEMORAL HEA UNIPOLAR FEMORAL HEA UNIPOLAR FEMORAL HEA UNIPOLAR FEMORAL HEA UNIPOLAR FEMORAL HEA UNIPOLAR FEMORAL HEA UNIPOLAR FEMORAL HEA UNIPOLAR HEAD 44MM + URETERAL CATH 5FR OP URETEROSOPIC STONE B Page 77 1877 1514 1812 2212 1812 1333 1495 238 25 38 59 440 485 440 671 149 222 325 372 459 459 748 634 118 130 95 751 811 183 524 77 57 61 171 1543 666 634 580 698 698 640 828 698 640 640 691 691 1088 64 579 C1713 C1768 C1768 C1768 C1768 C1713 C1713 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7663542 7663543 7663583 7663584 7663585 7663586 7663587 7663589 7663599 7663603 7663607 7663619 7663620 7663621 7663623 7663624 7663625 7663628 7663631 7663635 7663636 7663640 7663641 7663642 7663643 7663645 7663648 7663652 7663680 7663685 7663691 7663692 7663715 7663716 7663717 7663719 7663720 7663721 7663726 7663754 7663755 7663778 7663779 7663780 7663781 7663782 7663783 7663784 7663786 7663787 URO DRAIN BAG DISP URO DRAIN BAGS VARI-STEM VAS. GRAFT TAPERED 4 VAS. GRAFT TW RING F VAS. RELOAD UNIT 30M VAS. STAPLER 30MM TL VASCULAR GRAFT GELSO VEIN STRIPPER VERSAPORT RT TROCAR VESSELOOPS VICRYL #0 J106T VICRYL #0 J752G VICRYL #0 J764G VICRYL KNITTED MESH VICRYL O TIE 18 J106 VICRYL RAIDE 5-0 VR8 VICRYL 0 TAPER CT-1C VICRYL 1 CT-1 CR J55 VICRYL 1 TAPER CTX C VICRYL 1 TIE J107T VICRYL 2-0 POPOFF VICRYL 2-0 TAPER SH VICRYL 2-0 TIES J105 VICRYL 3-0 CT-1 CR J VICRYL 3-0 GC CT-1 J VICRYL 3-0 J 772G VICRYL 3-0 PSI J683G VISCHRA RETCINEC VISISTAT STAPLER RH VITAL VUE VIVONEX JEJUNOSTOMY WASHER CAN 80MM WASHER 7.0MM WASHER-7MM WEBIEL 4" STERILE WEBIER 3" STERILE WECK-CEL SURGICAL SP WHITE MINI VESSEL LO WOUND PROTECTOR WOUND PROTECTOR 11 I ZIMER HEXHEAD COMP S ZIMER HEXHEAD COMP S ZIMER HEXHEAD COMP S ZIMER HEXHEAD COMP S ZIMMER DERMATINE BLA ZIMMER HEMOVAC LG ZIMMER HEXHEAD COMP 0 PROLENE 8424H 0 SILK SA86G Page 78 77 90 240 2056 1982 243 452 1539 138 197 22 14 36 55 3085 22 190 73 48 137 34 113 7 57 110 7 95 21 115 118 300 94 32 71 127 26 2 15 14 20 110 48 133 52 48 134 140 130 14 10 C1768 C1768 C1768 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7663788 7663791 7663792 7663794 7663795 7663796 7663798 7663799 7663800 7663801 7663802 7663803 7663804 7663805 7663806 7663807 7663808 7663809 7663810 7663811 7663812 7663813 7663814 7663815 7663816 7663817 7663818 7663819 7663820 7663821 7663822 7663826 7663827 7663828 7663829 7663830 7663835 7663836 7663837 7663838 7663839 7663841 7663842 7663843 7663844 7663845 7663846 7663847 7663852 7663853 0 VICRYL ENDOLOOP 1.0MM PIN CUTTER 1.25 THREADED GUIDEW 1.5 GUIDE WIRE (ACL) 1.6 THREADED GUIDE W 1.8MM NEURO CUTTER 1/2"X36" PENROSE DRA 1"X3" SURGICAL PATTY 10-0 NYLON 12" ALCON 10/12 512HT 100MM 10/12MM 512NT TROCAR 10CMX15CM SOFT TISSU 10FR CONE TIP URETER 10FR PERCUTANIOUS IN 10MM BALLON TROCAR 10MM VERSAPORT RT TR 10MM/12MM CANNULA VA 10MM/12MM CORE TROCA 10X14 COMPOSIX E/X M 100ML MINI HEMOVAC K 100ML MINI HEMOVAC 1 11MM ACL GRAFT KNIFE 11MM BLUNT TIP TROCA 11MM TROCAR W/UNIVER 11MM VERSAPORT RT. T 11MMX135 GAMMA NAIL 12FR CONE TIP URETER 12FR INTRODUCER KIT 12FR INTRODUCER KIT 12FR SIMPLASTIC SUPR 12MM ENDOPATH TROCAR 12MM TROCAR W/UNIVER 12MM VERSAPOPRT TROC 12MM VERSAPORT BLUNT 12MMX100MM LAG SCREW 14MM DISTAL STEM CEN 18MMX30CM ATRIUM GRA 19G ONE WALL NEEDLE 19GA. PRE-VIEW CHOL. 2 IN WEBRIL STERILE 2.4MMX305MM GUIDE WI 2.7MM CANNULATED DRI 2.7MMX381MM PASSING 2.8 STIENMAN PIN 2.85MM SLIT KNIFE 2.9 FULL RADIUS MINI 2.9 TURBOWHISKER BLA 2.9MM ABRADER MINIBL 20CM X 30CM DUAL MES 20CMX30CM SOFT TISSU Page 79 150 272 631 131 169 331 10 39 123 211 217 1236 77 353 627 318 71 130 3992 199 234 217 34 44 318 1495 32 113 199 168 323 44 190 261 624 318 1897 23 178 7 250 1539 314 44 112 220 220 220 4536 7240 C1769 C1769 C1769 C1769 C1713 C1713 C1769 C1894 C2627 C1713 C1713 C1768 C1769 C1713 C1713 C1781 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7663856 7663859 7663864 7663866 7663867 7663871 7663874 7663876 7663877 7663878 7663879 7663880 7663885 7663886 7663887 7663888 7663889 7663890 7663891 7663892 7663893 7663894 7663895 7663896 7663897 7663901 7663907 7663908 7663916 7663917 7663918 7663919 7663920 7663921 7663923 7663928 7663929 7663930 7663931 7663932 7663933 7663935 7663941 7663950 7663951 7663952 7663953 7663954 7663957 7663959 20FR. PULL PEG KIT 20MMX30CM ATRIUM GRA 240CMX2.8MM HOT BIOP 26CM X 34CM DUAL MES 27FR. BALL ELECTRODE 28FR. RECTAL TUBE 3.0MM DIAMOND BALL 3.0MM ROUND BURR CAPSURE 3.0MM 3.0MMX750MM GUIDE WI 3.0X1000 GUIDEWIRE 3.2 DRILL BIT 4.5 3.5MM SHAFT SCREW 3 3.5MM SHAFT SCREW 16 3.5MM SHAFT SCREW 18 3.5MM SHAFT SCREW 20 3.5MM SHAFT SCREW 22 3.5MM SHAFT SCREW 24 3.5MM SHAFT SCREW 26 3.5MM SHAFT SCREW 28 3.5MM SHAFT SCREW 30 3.5MM SHAFT SCREW 32 3.5MM SHAFT SCREW 34 3.5MM SHAFT SCREW 36 3.5MM TAPS 3FR WHISTLE URETERAL 32FR. ANGLED THORACI 32FR. ST. THORACIC C 4.0MM DIAMOND BURR B 4.0MM DIAMOND BURR S 4.0MM DIAMOND BURR V 4.0MM FULL THREAD 10 4.0MM FULL THREAD 12 4.0MM FULL THREAD 30 4.0MM ROUND FLUTED B 4-0 VICRYL RAPIDE 4-7MMX40CM RINGED AT 4-7MMX45CM ATRIUM 4-7MMX70CM ATRIUM GR 4"X6" COMPOSIX E/X M 4FR WHISTLE URETERAL 4MM STRT SERR IRRIGA 48MM UNIVERSAL HEAD 5.5MM DRILL BIT SHAVR BUR CYCL 5.5MM 5-0 VICRYL RAPIDE 5-10 LG. VERSAPORT 5-8MMX70CM ATRIUM TH 5FR OLIVE TIP URETER 5FR WHISTLE URETERAL Page 80 329 1258 541 5987 384 73 261 254 1212 459 605 756 73 113 73 73 73 73 73 73 115 73 75 73 419 34 59 39 277 247 261 119 119 57 241 29 1589 1638 1914 1002 36 589 2940 379 243 29 445 1914 52 44 C1713 C1781 C1769 C1769 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1768 C1768 C1768 C1713 C1713 C1768 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU 7663960 7663961 7663962 7663963 7663965 7663966 7663967 7663969 7663970 7663971 7663976 7663977 7663978 7663982 7663984 7663985 7663989 7663990 7663991 7663992 7663993 7663994 7663995 7663996 7664009 7664010 7664011 7664012 7664013 7664024 7664025 7664026 7664028 7664029 7664030 7664031 7664032 7664035 7664036 7664037 7860054 7860061 7860062 7860063 7860066 7860116 7860197 7860543 7860549 7860550 5FR. SPIRAL FILIFORM 5MM DISPOSABLE CANNU 5MM PLUS SECONDARY S 5MM SECONDARY SEAL 5MM YELLOW CORE REDU 5MM 25NLT TROCAR 5MM 35NST 75MM 5MMX100MM DISP. TROC 5MMX100MM SPARTAN W/ 5MMX70CM THIN WALL R 6/12 NOTTINGHAM DILA 6" COBAN 6"X8" COMPOSIX E/X M 6FR OLIVE TIP URETER 6FR WHISTLE URETERAL 6FRX70CM CONE TIP CA 6MMX40CM ATRIUM STAN 6MMX70CM ATRIUM STAN 6MMX70CM ATRIUM THIN 6MMX80CM THIN WALL A 6MMX80CM THIN WALL R 6X6 ALLDRESS 6X6 VICRYL MESH 6X75MM CAROTID PATCH 7FRX26CM MARDIS STEN 7MMX20MM SOFTSILK SC 7MMX25MM SOFTSILK SC 7MMX25MM SOFTSILK SC 7MMX30MM SOFTSILK SC 8"X10" COMPOSIX E/X 8"X10" COMPOSIX MESH 8FR CONE TIP URETERA 8FR. WHISTLE TIP URE 8MM CORNERSTONE BONE 8MMX70CM ATRIUM STAN 8MMX70CM RINGED ATRI 9.6FR. SINGLE-LUMEN 9MMX20MM SOFTSILK SC 9MMX30MM BIOABSORBAB 9MMX30MM SOFTSILK SC BONE TUNNEL PLUG CANNULATED SCREW 4.0 CANNULATED SCREW 4.5 CANNULATED SCREW 4.5 CAROTID BYPASS SHUNT LUMBAR DISC S/I LUMBAR DGRAM 130 3 HOLE COMPRESSI 2.0MM CABLE & SLEEVE 2.0MM HOLES CABLE SL Page 81 211 95 140 112 44 217 211 34 11 2410 558 14 2701 63 52 73 1527 1543 1943 2410 2864 15 1591 3657 608 521 521 494 521 37 2631 32 23 1271 1385 2108 644 521 580 521 110 363 556 735 213 3312 390 981 1015 602 C1713 C1768 C1768 C1768 C1713 C1768 C2617 C1713 C1713 C1713 C1713 C1781 C1758 C1713 C1760 C1768 C1751 C1713 C1713 C1713 C1713 C1713 C1713 C1713 72295 62290 C1713 C1713 C1713 ChargePrices 2016 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 756 756 756 756 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU CICU RECOVERY ROOM RECOVERY ROOM RECOVERY ROOM RECOVERY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM 7860562 7860565 7860568 7860569 7860575 7860577 7860591 7860592 7861163 7861164 7861166 7861167 7861169 7861170 7990209 7560001 7560002 7560003 7560004 7360049 7410007 7410008 7410214 7580001 7580002 7580003 7580004 7580006 7580008 7580009 7580010 7580011 7580012 7580013 7580014 7580015 7580016 7580017 7580018 7580019 7580020 7580021 7580022 7580024 7580025 7580026 7580027 7580028 7580029 7580030 4.5 CANNULATED SCREW 4X4CM VENTRALEX HERN 41MM UNIVERSAL HEAD 42MM & 0 UNIPOLAR HE 45MM & 0 UNIPOLAR HE 46MM & 0 UNIPOLAR HE 50MM & 0 UNIPOLAR H 50MM UNIVERSAL HEAD FLUTED STEM 16MMX150 FEMORAL POSTR AUG 5M STABILR TIBIAL#6 13M UNIVERSL TIB BASE #6 OFFSET ADAPTOR 2MM FLUTED STEM 12MMX150 MED/LG MULTIFIRE CAR PACU ADDTL 15 MIN PACU CRITICAL ADDTL PACU CRITICAL 30 MIN PACU 30 MIN 5.0 SNG LUMEN UMB CA ADMIN OF FLU VACCINE ADMIN OF PNEUMONIA V SCAPLES #10 REAGENT STRIP/BLOOD CATH INSERTION COMPL CATH INSERTION FOLEY CATH INSERTION STRAI CORONARY THROMBOLYSI ER BLOOD COLLECTION ER CRITICAL CARE ER EKG ER LEVEL 1 ER LEVEL 2 ER LEVEL 3 ER LEVEL 4 ER LEVEL 5 ER PROCEDURE GROUP 1 ER PROCEDURE GROUP 2 ER PROCEDURE GROUP 3 ER PROCEDURE GROUP 4 ER PROCEDURE GROUP 5 ER PROCEDURE GROUP 6 INJ IV PUSH EA ADD D GASTRIC INTUBATION GUIAC STOOL I/M INJECTION IM ANTIBIOTICS IMMUNIZATION EA ADD IMMUNIZATION SINGLE INFUSION THER EA HR Page 82 682 1216 2940 1757 1757 1757 1757 2940 4235 3863 7759 7133 3815 4235 232 143 180 452 362 68 22 22 3 23 291 339 339 718 32 2481 241 370 513 653 1127 1803 112 415 567 865 1168 1470 244 471 23 137 137 59 137 83 C1713 C1781 C1713 C1713 C1713 C1713 C1713 C1713 G0008 G0009 82948 51703 51702 51701 92977 36415 99285 93005 99281 99282 99283 99284 99285 SURG SURG SURG SURG SURG SURG 96375 43753 82270 96372 96372 90472 90471 96366 ChargePrices 2016 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 758 EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY EMERGENCY ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM 7580031 7580032 7580034 7580035 7580036 7580037 7580038 7580039 7580040 7580041 7580042 7580043 7580044 7580045 7580046 7580054 7580055 7580056 7580057 7580058 7580059 7580060 7580061 7580062 7580063 7580064 7580065 7580066 7580067 7580068 7580069 7580070 7580071 7580072 7580073 7580074 7580075 7580076 7580077 7580078 7580079 7580080 7580081 7580082 7580083 7580084 7580085 7580086 7580087 7580088 INFUSION THER INT HR INJ I.V. PUSH STRT CATH INSRT/SPEC ARTERIAL BLOOD DRW INFUSIN HYDRAT EA HR INFUSN HYDRAT INT HR INFUS PROPHYX INT HR INFUS PROPHYX EA HR INFUS PROPHYX ADD 1 INFUS PROPHX CCURRT INSERT STRAGHT CATH INSERT FOLEY CATH INSERT TEMP CATH COM INTRACATH VEIN PLACM ECG TRACING COLLECT BLOOD VENOUS BLOOD ADMIN ER DX INJ SAME DRUG ADD DRAW BLOOD VENOS DEV ER SCREENING ONLY COLLECT BLOOD PICC L ER P ROOM AND BOARD ER SEMIP RM AND BOAR ER ICU ROOM N BOARD ER OBS ROOM PICC LINE INSERT GT5 EZ IO 15GX25MM NEEDL EZ IO 15GX15MM NEEDL EZ IO 15GX45MM NEEDL EZ-IO STABILIZER STIFNECK COLLAR BABY STIFNECK COLLAR ADUL STAT PED CO2 DETECTO PLAIN GUT 5-0 FAST A YANKUER PEDIATRIC CATH 16FR FOLEY TEMP PICC LINE INSERT UN5 SM/MED RAPR-ROUND VE LG/MED RAPR-ROUND VE RAPR-ROUND LEG WRAP SILICONE EPISTAXIS C MEDICAL SCREEN ONLY ELECTROD QCK CMB PED BOUGIE TRACH 15X70CM INJ IV PUSH SAME DRU SUB INF DRUG 1 HR SUB INF DRUG ADD HR US URINE CAPACITY CADAVER BAG ADULT CADAVER BAG INFANT Page 83 447 244 35 339 83 278 447 83 137 108 339 339 291 34 135 203 590 79 203 251 203 514 484 1084 93 2171 433 421 489 77 119 129 54 24 3 157 2171 243 215 119 404 259 127 54 10 374 137 135 24 9 96365 96374 P9612 36600 96361 96360 96365 96366 96367 96368 51701 51702 51703 36000 93041 36591 36430 96376 36591 99281 36592 G0378 36569 36568 99218 96376 96369 96370 51798 ChargePrices 2016 758 758 758 758 759 759 759 759 759 759 759 759 759 759 759 759 759 759 759 759 759 759 759 759 759 759 759 759 759 759 759 759 759 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM ANESTHESIA ANESTHESIA ANESTHESIA ANESTHESIA ANESTHESIA ANESTHESIA ANESTHESIA ANESTHESIA ANESTHESIA ANESTHESIA ANESTHESIA ANESTHESIA ANESTHESIA ANESTHESIA ANESTHESIA ANESTHESIA ANESTHESIA ANESTHESIA ANESTHESIA ANESTHESIA ANESTHESIA ANESTHESIA ANESTHESIA ANESTHESIA ANESTHESIA ANESTHESIA ANESTHESIA ANESTHESIA ANESTHESIA LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY 7580089 7580090 7580091 7662690 7590001 7590002 7590003 7590004 7590005 7590006 7590007 7590008 7590009 7590010 7590012 7590013 7590014 7590015 7660014 7660017 7660048 7661242 7661245 7662305 7662835 7662929 7662930 7662931 7662932 7662933 7662934 7663725 7663727 760692 760910 7410046 7410076 7410085 7410103 7410104 7410148 7600001 7600002 7600004 7600005 7600006 7600007 7600008 7600009 7600010 CADAVER BAG CHILD HEART/LUNG RESUS CPR TTE F-UP OR LMTD PROLENE 6-0 8695G ANES EA ADD 15 MIN ANES FIRST 30MIN ANESTHESIA SUPPLIES CATH STRAIGHT 18FR S E.T. TUBE AGT 4.0 E.T. TUBE AGT 5.0 HME HOT LINE IV SET PREATTACHED LTA KIT TRACHL TUBE 7.0 GLID CLEARLINK 3 PORT MAN Y-TYPE EXTENTION SET 3 PORT ADAPTER CLEAR BITE BLOCK #4 LMA #5 LMA "STYLET E.T. TUBE AGT 4.5 E.T. TUBE AGT 7.0 NASOPHARYNGEAL AIRWA SALTER DIVIDED CANNU SHERI BRONCH 35FR LT SHERI-BRONCH 35FR RT SHERI-BRONCH 37FR LT SHERI-BRONCH 37FR RT SHERI-BRONCH 39FR LT SHERI-BRONCH 39FR RT WHITACRE NEEDLE 27G WHITEACRE NEEDLE 26G CLINICAL TRIAL CYTOPATH C/V INTERPR CHOLESTEROL TEST DRUG SCREEN COLL FEE EMPLOYMENT DRUG SCRE GLUCOSE FINGER HEP B TITER KOH PREP ABID PANEL ABO GROUP ABUSED DRUGS SCREEN ACETAMINOPHEN ACETONE, QUALITATIVE ACETYLCHOLINE ACID PHOSPHATASE, TO ACTIVATED CLOTTING T ACUTE HEPATITUS PANE Page 84 14 761 546 27 73 354 328 1 48 48 16 100 35 24 49 55 18 8 118 118 21 158 48 16 22 271 458 568 376 568 353 52 48 61 50 27 24 31 44 72 27 473 196 304 280 32 146 54 158 196 92950 93308 88141 82465 99000 82962 86705 87220 86870 86900 G6039 82009 83518 84060 85347 80074 ChargePrices 2016 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY 7600011 7600012 7600013 7600014 7600015 7600017 7600018 7600019 7600020 7600021 7600022 7600023 7600024 7600025 7600026 7600027 7600028 7600029 7600030 7600031 7600032 7600033 7600034 7600035 7600036 7600037 7600038 7600039 7600040 7600041 7600042 7600043 7600044 7600045 7600046 7600047 7600048 7600049 7600050 7600051 7600052 7600053 7600054 7600055 7600056 7600057 7600059 7600060 7600061 7600062 ADRENOCOTICOTROPIC ADSORPTION AFB CULTURE AFB STAIN ALBUMIN ALBUMIN,INFUSION,25% ALDOLASE ALDOSTERONE ALKALINE PHOS. ISO ALKALINE PHOSPHATASE ALLERGEN SPECIFIC IG ALPHA-FETOPROTEIN 1 ALPHA-1-ANTITRYPSIN ALPHA-1-FETOPROTEIN, ALT/SGPT AMIKACIN AMINOLEVULINIC ACID AMITRIPTYLINE AMMONIA, BLOOD AMPHET/METAMPHETAMIN AMYLASE AMYLASE ISOENZYMES AMYLASE, URINE ANAEROBE I D ANGIOTENSIN-1 CONV. ANIT THROMBIN ANITGEN TYPING UNIT ANTI DNA SINGLE STRA ANTI-DIURETIC HORMON ANTI-DNA DOUBLE STRA ANTI-NUCLEAR ANTIBOD ANTI-RNP(EIA) FLUORESCENT NONINFEC ANTI-SS A&B ANTIBODY IDENTIFICAT ANTIBODY SCREEN ANTIBODY,BACTERIUM,N ANTIGEN TYPING PT ANTIGEN TYPING UNIT ANTIGEN TYPING UNIT ANTIGEN TYPING UNIT ANTIGEN TYPING UNIT ANTIGEN TYPING UNIT ANTIHEMOPHILIC FACTO NEUROMYELITIS ANTIBO ANTINEUTROPHIL CYTOP APTT, PATIENT ARC ELUTION ARC ENZYME PANEL ARC GLYCINE TREATMEN Page 85 276 196 76 37 35 259 71 288 106 108 37 118 95 118 72 108 115 129 102 94 60 244 149 117 105 83 196 85 242 99 254 76 85 81 473 196 93 196 196 196 196 196 196 967 530 85 50 321 321 321 82024 86978 87116 87206 82040 P9047 82085 82088 84080 84075 86003 82105 82103 82106 84460 80150 82135 G6030 82140 G6042 82150 82664 82150 87076 82164 85300 86902 86226 84588 86225 86038 86235 86255 86235 86870 86850 86609 86905 86902 86902 86902 86902 86902 J7190 86255 86256 85730 86860 86971 86971 ChargePrices 2016 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY 7600063 7600064 7600065 7600066 7600067 7600068 7600069 7600070 7600071 7600072 7600073 7600074 7600075 7600076 7600077 7600078 7600079 7600080 7600081 7600082 7600083 7600084 7600085 7600086 7600087 7600088 7600089 7600091 7600092 7600094 7600095 7600096 7600097 7600098 7600099 7600100 7600101 7600102 7600103 7600104 7600105 7600106 7600107 7600108 7600109 7600110 7600111 7600112 7600113 7600114 ARC PEDI-PACS ARC REFERENCE CHARGE ARC 50 BLOOD SET #3 ARC 50 BLOOD SET #4 ARSENIC, BLOOD ARTERIAL BLOOD GASSE ASCORBIC ACID, VITAM ASO TITER ASPERGILLUS ANTIBODI ASPERGILLUS,ANTIBODY AST/SGOT AUTOLOGOUS UNIT 1 AUTOLOGOUS UNIT 2 B.PERTUSSIS LAB CORP BACTERIAL AG ID BACTERIAL ID-NON-URI BACTERIAL ID-URINE BASIC METABOLIC PANE BENZODIAZEPINES BENZODIAZEPINES CONF BETA STREP VAG/REC BETA 2 MICROGLOBULIN BETA-HYDROXYBUTYRIC BILIRUBIN, DIRECT BILIRUBIN, TOTAL BIOTINIDASE NB BLASTOMYCES ANTIBODY BLOOD COLLECTION ON BLOOD COLLECTION OUT BNP BODY FLUID AMYLASE BODY FLUID LDH BONE MARROW CELLS BORDETELLA PERTUSSIS BREATH ALCOHOL BUSPAR C PEPTIDE C. DIFFICILE TOXIN C-REACTIVE PROTEIN CA 15-3 CA 19-9 CA 27.29 CA-125 CALCITONIN CALCIUM CALCIUM, 24 HR. URIN CALCIUM,URINE RANDOM CALCULUS (STONE) ANA CANDIDA ANTIBODIES CANNABINOIDS CONFIRM Page 86 2339 121 49 49 134 137 71 146 76 108 36 264 264 60 222 67 58 50 132 204 83 113 117 36 65 118 68 32 32 227 149 43 895 83 85 192 147 277 123 147 147 147 147 190 72 43 85 239 83 204 86077 82175 82803 82180 86060 86606 86606 84450 86890 86890 87070 86403 87071 87088 80048 G6031 G6043 87449 82232 82010 82248 82247 82261 86612 36415 36415 83880 82150 83615 88237 87265 82075 80299 84681 87324 86140 86300 86301 86300 86304 82308 82310 82340 82340 82360 86628 80349 ChargePrices 2016 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY 7600115 7600116 7600117 7600118 7600120 7600121 7600122 7600123 7600125 7600126 7600127 7600128 7600129 7600130 7600131 7600132 7600133 7600134 7600135 7600136 7600137 7600138 7600139 7600140 7600143 7600144 7600145 7600146 7600147 7600148 7600149 7600151 7600152 7600153 7600154 7600155 7600156 7600157 7600158 7600159 7600160 7600161 7600162 7600163 7600164 7600165 7600166 7600167 7600168 7600169 CARBAMAZEPINE (TEGRE CARBON DIOXIDE CARBOXYHEMOGLOBIN CARCINOEMBRYONIC ANT CARDIOLIPIN AB CAROTENE CATECHOLAMINES,FRACT CBC NO PLATELET CD4/CD8 PANEL CELL COUNT W/DIFF BO CELL COUNT,BODY FLUI CELL SEPARATION,ARC CERULOPLASMIN CHLAMYDIA CULTURE CHLAMYDIA TRACHOMATI CHLAMYDIA TRACHOMATI CHLAMYDIA/GC GEN PRO CHLORIDE CHLORIDE, CSF CHLORIDE, 24 HR URIN CHLORIDE,URINE RANDO CHOLESTEROL CHOLINESTERASE SERUM CHROMOSE ANALYSIS 15 CITRATE CK MB BIO SITE CK-NAC CULTURE SCN CLO-TEST CLOMIPRAMINE CMV SCREENING BY ARC AMIODARONE (CARDARON COCAINE CONFIRMATION COCCIDIODES ANTIBODY COCCIDIOIDES ANTIBOD COLD AGGLUTININ,TITE COLLAGEN/ADP COLLAGEN/EPINEPHRINE COMPLEMENT, CH50 TOT COMPREHENSIVE METABO COPPER LEVEL, SERUM COPPER,URINE CORTISOL CREATININE CREATININE CLEARANCE CREATININE,URINE RAN CREATININE,24 HR. UR CROSSMATCH 1ST UNIT CROSSMATCH 2ND UNIT CROSSMATCH 3RD UNIT CROSSMATCH 4TH UNIT Page 87 102 35 87 134 182 64 180 71 334 108 100 243 76 138 83 142 142 34 35 36 36 137 57 884 197 81 108 121 96 102 350 204 60 81 58 43 152 145 57 87 87 115 72 67 85 100 321 321 321 321 80156 82374 82375 82378 86147 82380 82384 85018 86360 89051 89050 86972 82390 87110 87270 87490 87797 82435 82438 82436 82436 82465 82480 88262 82507 82553 82550 87081 80299 86644 80299 G6044 86635 86635 86157 85730 85576 86162 80053 82525 82525 82533 82565 82575 82570 82570 86922 86922 86922 86922 ChargePrices 2016 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY 7600170 7600171 7600172 7600173 7600174 7600175 7600176 7600177 7600178 7600179 7600180 7600181 7600182 7600183 7600184 7600185 7600186 7600187 7600188 7600189 7600190 7600191 7600192 7600193 7600194 7600195 7600196 7600197 7600198 7600199 7600200 7600201 7600202 7600203 7600204 7600205 7600206 7600207 7600208 7600210 7600211 7600212 7600213 7600214 7600215 7600217 7600218 7600219 7600220 7600221 CROSSMATCH 5TH UNIT CROSSMATCH 6TH UNIT CRP CARDIAC CRYO POOL 3 CRYO POOL #2 CRYO POOL 1 CRYO SET # 2 CRYO SET #1 CRYO SET #3 CRYPTOCOCCUS ANTIGEN CSF CULTURE & GRAM S GLUCOSE FINGER STK CSF GLUCOSE BODY FLU CSF PROTEIN CULTURE BLOOD CULTURE FUNGUS SKIN CULTURE, BODY FLUIDS CULTURE, EAR CULTURE, EYE CULTURE, NASOPHARYNG CULTURE, NOSE CULTURE, STOOL--S, S CULTURE, THROAT CULTURE, URINE CULTURE,ANAEROBIC & CULTURE,ANY SOURCE CULTURE,WOUND,ABSCES CUTTER BLOOD SET 1 CUTTER BLOOD SET 2 CUTTER BLOOD SET 3 CUTTER BLOOD SET 4 CYCLOSPORINE A BLOOD CYTOMEGALOVIRUS C1 ESTERASE QUNNT C2 COMPLEMENT C3 COMPLEMENT C4 COMPLEMENT LEVEL C5 COMPLEMEMT D-DIMER DEGLYCEROLIZED RED C DEHYDROEPIANDOSTERON DEHYDROEPIANDROSTERO DEPAKENE (VALPROIC A DESIPRAMINE LEVEL DESYREL LEVEL DIAZEPAM (VALIUM) DIFFERENTIAL-AUTOMAT DIFFERENTIAL-MANUAL DIGITOXIN DIGOXIN Page 88 321 241 65 240 240 240 7 16 10 102 137 21 108 111 74 56 147 234 220 137 118 137 123 137 137 137 137 34 32 34 39 130 102 83 83 185 83 83 52 1469 158 180 96 121 96 132 39 20 96 94 86922 86922 86141 P9012 P9012 P9012 86641 87070 82962 82945 84157 87040 87101 87070 87070 87070 87070 87070 87045 87070 87086 87070 87070 87070 80158 86644 86160 86160 86160 86160 86160 85378 P9039 82627 82626 80164 G6032 80299 G6051 85004 85007 80299 80162 ChargePrices 2016 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY 7600222 7600223 7600224 7600225 7600226 7600227 7600228 7600229 7600230 7600232 7600233 7600235 7600236 7600237 7600239 7600240 7600241 7600242 7600243 7600244 7600245 7600246 7600247 7600248 7600249 7600250 7600251 7600252 7600253 7600254 7600255 7600256 7600257 7600258 7600259 7600260 7600261 7600262 7600264 7600265 7600266 7600267 7600269 7600270 7600271 7600272 7600273 7600275 7600276 7600277 DILANTIN DIRCTED DONATION, UN DIRECT COOMBS DIRECTED DONATION, U DIRECTED DONATION, U DIRECTED, DONATION, DISOPYRAMIDE (NORPAC DNA ANALYSIS-S PHASE DOXEPIN DRUG NOT SPECIFIED,Q DRUG SCRN MECONIUM DU TYPE ELECTROLYTE PANEL ELUTION,ANTIBODY (RB EOSINOPHIL COUNT,URI EPINEPHRINE EPSTEIN BARR VIRUS,( ERYTHROPOIETIN ESTRADIOL LEVEL ESTRIOL ESTRIOL,UNCONJUGATED ESTROGENS,TOTAL ESTRONE ETHANOL ETHOSUXIMIDE ETHYLENE GLYCOL FACTOR IX FACTOR V,LEIDEN FACTOR VIII FECAL FAT, QUALITATI FELBATOL/FELBAMATE FERRITIN FETAL CELL STAIN FETAL SCREEN FFP THAWING EACH FFP THAWING 2 FIBRIN DEGRADATION P FIBRINOGEN FLOW CYTOMERTY.EACH FOLIC ACID FOLIC ACID,RBC FOLLICLE STIMULATING FREE T3 FRESH FROZEN PLASMA FRESH FROZEN PLASMA FRUCTOSAMINE FTA-ABS YEAST ID FUNGUS OTHER THAN SK FUNGUS SMEAR Page 89 94 264 321 264 264 264 96 757 110 96 129 196 47 321 59 180 130 133 197 171 171 155 176 259 115 106 134 109 129 36 190 96 119 119 278 278 48 60 473 105 121 132 84 314 314 108 94 74 59 132 80185 86890 86880 86890 86890 86890 80299 88182 G6034 80299 86905 80051 86860 81015 82384 86665 82668 82670 82677 82677 82672 82679 G6050 80168 82693 85250 81241 85240 82705 80299 82728 85460 85460 86927 86927 85362 85384 88184 82746 82747 83001 84481 P9017 P9017 82985 86780 87106 87102 87206 ChargePrices 2016 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY 7600278 7600279 7600280 7600281 7600282 7600283 7600284 7600285 7600286 7600287 7600288 7600289 7600290 7600291 7600292 7600293 7600294 7600295 7600296 7600297 7600299 7600300 7600301 7600302 7600303 7600304 7600305 7600306 7600307 7600308 7600309 7600310 7600311 7600312 7600313 7600314 7600315 7600316 7600317 7600318 7600319 7600320 7600321 7600322 7600323 7600324 7600325 7600326 7600327 7600328 GALACTOSE SCREEN GALACTOSE,NB GASTRIN GENTAMICIN GGT GLUCOSE GLUCOSE 2 HR PP GLUCOSE, FINGERSTICK GRAM STAIN GRAM STAIN GROUP B STREP SCREEN G6PD H PYLORI SEROLOGY H. PYLORI QUANTITATI HALOPERIDOL HANDLING FEE HAPTOGLOBIN HCG QUANTITATIVE HCT & HGB HCT-SPUN HEAVY METAL SURVEY ( HEAVY METAL SURVEY S HEMATOCRIT HEMATOCRIT, SPUN NEO HEMO/PLT HEMO/PLT/DIFF HEMOGLOBIN HEMOGLOBIN A1C HEMOGLOBIN FRACTIONA HEMOGLOBINOPATHY EVA HEMOSIDERIN URINE HEP B CORE IGM HEPATIC FUNCTION PAN HEPATITIS A ANTIBODY HEPATITIS A, IGM ANT HEPATITIS B CORE ANT HEPATITIS B SURFACE HEPATITIS B SURFACE HEPATITIS C VIRUS AN HEPATITIS C VIRUS AB HEPATITIS C,RNA BY P HERPES SEMPLEX I HERPES SIMPLEX VIRUS HERPES VIRUS TYPE 1 HERPES VIRUS TYPE 1, HERPES VIRUS TYPE 2 HERPES VIVUS TYPE 2 HIGH DENSITY LIPOPRO HISTOPLASMA ANTIBODI HISTOPLASMA ANTIBODY Page 90 59 80 239 115 52 45 34 16 31 31 83 145 102 102 102 31 90 108 16 16 134 134 39 36 40 46 16 80 93 130 71 82 49 87 80 85 168 76 101 227 304 94 185 94 94 137 137 192 90 65 82776 82760 82941 80170 82977 82947 82950 82962 87205 87205 87899 82955 86677 86677 80173 99001 83010 84702 85018 85013 83015 83015 85014 85013 85027 85025 85018 83036 83020 83021 83070 86705 80076 86708 86709 86704 87340 86706 86803 86804 87522 86695 87255 86695 86695 86696 86696 83718 86698 86698 ChargePrices 2016 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY 7600329 7600330 7600331 7600332 7600333 7600334 7600335 7600336 7600337 7600339 7600340 7600341 7600342 7600343 7600344 7600345 7600346 7600347 7600348 7600349 7600350 7600351 7600352 7600353 7600355 7600356 7600357 7600359 7600360 7600361 7600362 7600363 7600364 7600365 7600366 7600367 7600368 7600369 7600370 7600371 7600372 7600373 7600374 7600375 7600377 7600378 7600379 7600380 7600381 7600382 HISTOPLASMA ANTIGEN, HISTOPLASMA TITER HIV FLEX HIV-1 P24 ANTIGEN HIV-1 RNA BY PCR QUA HLA B27 HLA TYPING HOMOCYSTEINE,TOTAL,U HOMOCYSTINE LEVEL HYDROXYPROGESTERONE HYDROXYZINE IGE IMIPRAMINE IMMUNOELECTROPHORESI IMMUNOFIXATION URINE IMMUNOGLOBULIN A IMMUNOGLOBULIN G IMMUNOGLOBULIN M IGM IMMUNOGLOBULINS, QUA IND PHLEBOTOMY CHARG INDIVIDUAL CRYO INFU INDUSTRIAL DRUG SCRE INDUSTRIAL ETHANOL INFLUENZA A & B INFLUENZA VIRUS A&B INSULIN ANTIBODIES INSULIN LEVEL INTRINSIC FACTOR ANT IONIZED CALCIUM IRON IRON BINDING CAPACIT IRRADIAITON FEE 5 IRRADIATION FEE IRRADIATION FEE 2 IRRADIATION FEE 3 IRRADIATION FEE 4 IRRADIATION FEE 6 ISLET CELL ANTIBODY ISOENZYMES CK ISOENZYMES LDH KLONOPIN L/S RATIO AND PG UDS LAB HANDLING FEE LACTIC ACID LDH LDL CHOLESTEROL,DIRE LEAD 24 HR URINE LEAD, BLOOD LEGIONELLA ANTIBODIE LEGIONELLA,ANTIGEN,U Page 91 245 90 110 127 604 131 183 359 348 193 653 115 121 158 158 67 202 67 67 3 240 102 76 96 83 152 81 108 96 45 62 196 196 196 196 196 196 140 95 192 132 361 59 75 43 142 85 85 109 83 87385 86698 86701 87390 87536 86812 86812 82615 83090 83498 80299 82785 G6036 86334 86335 82784 82784 82784 82784 36415 P9012 G6040 86710 87400 86337 83525 86340 82330 83540 83550 86945 86945 86945 86945 86945 86945 86341 82552 83625 G6051 83663 99001 83605 83615 83721 83655 83655 86713 87449 ChargePrices 2016 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY 7600383 7600384 7600385 7600386 7600387 7600388 7600389 7600390 7600391 7600392 7600393 7600394 7600395 7600396 7600398 7600399 7600400 7600401 7600402 7600403 7600404 7600405 7600406 7600407 7600408 7600409 7600411 7600412 7600413 7600414 7600415 7600416 7600418 7600420 7600421 7600423 7600424 7600426 7600427 7600428 7600429 7600430 7600431 7600433 7600434 7600436 7600437 7600439 7600440 7600441 LEUKOCYTE ALKALINE P LEUKOCYTE POOR PRBCS LEUKOCYTE POOR PRBCS LEUKOCYTE POOR PRBCS LEUKOCYTE POOR PRBCS LEUKOCYTE POOR PRBCS LEUKOCYTE POOR PRBCS LIBRIUM LIGHT CHAIN PROTEIN, LIPASE LIPID PANEL APOLIPOPRPTEIN LITHIUM LOROZEPAM (ATIVAN) LUTEINIZING HORMONE LYME DISEASE,IGM AB LYSOZYME (MURAMIDASE M.AVIUM,PROBE M.INTRACELLULARE,PRO M.TUBERCULOSIS,AMPLI MAGNESIUM MG MARRO KIT MECONIUM DRUG TEST S MELLARIL MEPHENYTOIN METHOTREXATE MIC #2 MIC #3 MIC #4 MIC FIRST CHARGE MICRO ALBUMIN,URINE MICROSOMAL ANTIBODIE MONO-SPOT MUMPS VIRUS(VIRAL AG MURINE TYPHUS,AB MYCOBACTERIA,AMPLIFI MYCOPLASMA,LGM ANIBO MYCROBACTERIA DNA BY MYELIN BASIC PROTEIN MYOGLOBIN MYOGLOBIN BIO SITE MYOGLOBIN URINE NASAL SMEAR FOR EOSI NICOTINE NITRITE NORTRIPTYLENE (PAMEL HEMOCHROMATISIS DNA OCCULT BLOOD STOOL OCCULT BLOOD, MISC. OPIATES Page 92 60 818 818 818 818 818 818 132 158 60 106 110 118 132 132 268 133 249 249 249 48 100 182 96 94 96 62 62 62 62 39 102 146 93 49 249 302 319 121 93 93 93 71 168 16 96 188 23 23 138 85540 P9016 P9016 P9016 P9016 P9016 P9016 G6051 86335 83690 80061 82172 80178 G6051 83002 86618 85549 87561 87561 87556 83735 80301 80299 80185 80299 87186 87186 87186 87186 82043 86376 86308 86735 86757 87551 86738 87581 83873 83874 83874 83874 89190 G6055 81003 G6037 81256 82272 82271 G6056 ChargePrices 2016 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY 7600442 7600443 7600444 7600445 7600446 7600447 7600448 7600449 7600450 7600451 7600452 7600453 7600455 7600456 7600457 7600458 7600460 7600461 7600462 7600463 7600464 7600465 7600466 7600467 7600468 7600469 7600470 7600471 7600472 7600473 7600474 7600475 7600476 7600477 7600478 7600479 7600480 7600481 7600482 7600483 7600484 7600485 7600486 7600487 7600488 7600489 7600490 7600491 7600492 7600493 OPIATES CONFIRMATION OSMOLALITY SERUM OSMOLALITY,URINE OVA & PARASITES OXALATE PARATHYROID HORMONE PARATHYROID HORMONE PARATHYROID HORMONE, PENTAZOCINE (TALWIN) PERPHENAZINE PH, BODY FLUIDS PHASE MICROSCOPE FOR PHENCYCLIDINE CONF. PHENOBARBITOL PHLEBOTOMY BAG PHLEBOTOMY, 500 MLS. PHOSPHORUS PHOSPHORUS URINE PINWORM EXAMINATION PKU, T4 SCREEN ON NE PLASMA.POOLED,SOL/DE PLASMA,POOLED,SOL/DE PLATELET ANTIBODIES PLATELET COUNT PLATELET FUNCTION AS PLATELET PHERESIS PLATELETS 6 PK PLT INFUSION SET PLT NEUTRALIZATION PNEUMOCYSTIS CARINII POOLING OF CRYO POOLING OF PLTS PORPHOBILINOGEN,URIN PORPHYRINS,FRACTIONA POTASSIUM POTASSIUM,URINE RAND POTASSIUM,24 HR URIN PREALBUMIN PREGANCY TEST, URINE PREGNANCY TEST SERUM PREGNANETRIOL PRENATAL PROFILE PRIMIDONE PROCAINAMIDE (PRONES PROCESSING FEE PROGESTERONE PROGRAF (TACROLIMUS) PROINSULIN PROLACTIN, SERUM PROSTATIC ACID PHOS Page 93 204 46 48 168 93 294 294 294 96 96 26 108 94 81 32 203 34 99 77 133 385 385 131 32 190 2339 882 10 130 83 321 321 60 130 71 31 59 105 146 188 134 343 117 118 54 147 276 129 137 68 G6056 83930 83935 87177 83945 83970 83970 83970 80299 80299 83986 89060 G6035 80184 99195 84100 84105 87172 84030 P9023 P9023 86022 85049 85055 P9035 P9031 85597 87299 86965 86965 84110 84132 84133 84133 84134 81025 84703 84138 80055 80188 80192 84144 80197 84206 84146 84066 ChargePrices 2016 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY 7600494 7600495 7600496 7600497 7600498 7600499 7600500 7600501 7600502 7600505 7600506 7600507 7600509 7600510 7600511 7600512 7600513 7600514 7600515 7600516 7600517 7600518 7600519 7600520 7600521 7600522 7600523 7600524 7600525 7600526 7600527 7600528 7600529 7600530 7600531 7600532 7600533 7600534 7600535 7600536 7600537 7600538 7600540 7600541 7600542 7600543 7600544 7600545 7600546 7600547 PROTEIN C ACTIVITY PROTEIN C ANTIGEN PROTEIN ELECTRO SERU PROTEIN ELECTRO URIN PROTEIN S PROTEIN, BODY FLUIDS PROTEIN, URINE PROTEIN,TOTAL PROTIME WITH INR PSA,DIAGNOSTIC PSA,FREE PSA,SCREENING PTT MIX/CORRECTION D-DIMER QUANTITATIVE QUANTITATIVE HCG QUINIDINE RANDOM URINE CATECHO RAPID GR. A STREP SC RAPID HIV RAPID PLASMA REAGIN RARE DONOR REGISTRY RBC AG PHENOTYPE RBC ANTIBODY TITER RBC,NON-LEUKOREDUCED RBC,NON-LEUKOREDUCED RECTAL GROUP B STREP RED BLOOD CELLS WASH RED BLOOD CELLS WASH RENAL FUNCTION PANEL RENIN RESP SYNCYTIAL VIRUS RETICULOCYTE COUNT & RH PHENOTYPING RH TYPE RHEUMATOID FACTOR RIA,NOT OTHERWISE SP RISTOCETIN COFACTOR RNP ANTIBODY ROCKY MT SPOTTED FEV ROTAVIRUS RUBELLA TITER RUBEOLA AB IGM RUBEOLA ANTIBODY RUSSELL VIPER VENOM SALICYLATE SCLERODERMA ANTIBODY SEDIMENTATION RATE SELECTED CELL PANEL, SEMEN ANALYSIS SERUM NICOTINE Page 94 205 85 76 76 254 111 81 26 43 131 131 44 281 193 204 105 121 192 57 68 196 196 473 560 560 168 959 959 52 156 83 29 196 196 146 322 327 129 49 221 102 93 93 68 167 129 76 473 282 168 85303 85302 84165 84166 85306 84157 84156 84155 85610 84153 84154 G0103 85732 85379 84702 80194 82382 87430 86701 86592 86999 86906 86886 P9021 P9021 87071 P9022 P9022 80069 84244 87420 85045 86906 86901 86431 83520 85245 86235 86757 87425 86762 86765 86765 85613 G6038 86235 85651 86870 89320 G6055 ChargePrices 2016 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY 7600548 7600549 7600550 7600551 7600552 7600553 7600554 7600555 7600556 7600557 7600558 7600559 7600560 7600561 7600562 7600565 7600566 7600567 7600568 7600569 7600570 7600571 7600572 7600573 7600574 7600575 7600576 7600577 7600578 7600579 7600580 7600582 7600583 7600584 7600585 7600586 7600587 7600588 7600589 7600591 7600592 7600593 7600594 7600595 7600603 7600604 7600605 7600607 7600608 7600609 SICKLE CELL SCREEN SJOGRENS AB (SS-A) SJOGRENS AB (SS-B) SMITH ANTIBODY SODIUM SODIUM,URINE RANDOM SODIUM,24 HR URINE SOMATOMEDIN SPECIAL TYPING,ARC SPECIFIC GRAVITY SPERM COUNT, ONLY SPINAL FLUID VDRL SPLITING OF BLOOD SPUTUM CULTURE & GRA SUSCEPTIBILITY,DISK TEMPLATE BLEEDING TI TESTOSTERONE,FREE TESTOSTERONE,TOTAL THEOPHYLLINE THIOCYANATE THROMBIN TIME THYROGOLBULIN ANTIBO THYROID ANTITHYROGLO THYROID PEROXIDASE A THYROID STIMULATING THYROXIN BINDING GLO THYROXINE THYROXINE FREE TOBRAMYCIN TOTAL METANEPHRINES TOTAL VOLUME-URINE TOXOPLASMA LGG TOXOPLASMA,IGG TOXOPLASMA,IGM TRANSFER PACK TRANSFERRIN TRICYCLIC ANTIDEPRES TRICYCLIC EVAL TRIGLYCERIDES TROPONIN TROPONIN TROPONIN BIO SITE TSH,NB TULAREMIA AGGLUTININ T3 TOTAL T3 UPTAKE UREA NITROGEN URIC ACID URIC ACID, URINE URINALYSIS Page 95 168 129 129 129 72 35 35 149 196 20 130 108 264 137 48 60 182 183 101 82 176 112 112 74 113 106 54 122 113 119 22 73 102 102 43 92 129 99 101 71 71 71 118 138 331 54 60 108 100 44 85660 86235 86235 86235 84295 84300 84300 84305 86902 81002 89310 86592 86985 87070 87184 85002 84402 84403 80198 84430 85670 86800 86800 86376 84443 84442 84436 84439 80200 83835 81050 86777 86777 86778 84466 80302 G0432 84478 84484 84484 84484 84443 86668 84480 84479 84520 84550 84560 81001 ChargePrices 2016 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY 7600610 7600611 7600612 7600613 7600614 7600615 7600616 7600617 7600618 7600619 7600620 7600621 7600622 7600623 7600624 7600625 7600626 7600627 7600628 7600629 7600630 7600631 7600632 7600633 7600634 7600635 7600636 7600638 7600639 7600640 7600641 7600642 7600643 7600644 7600645 7600646 7600647 7600648 7600649 7600650 7600651 7600652 7600653 7600654 7600655 7600656 7600657 7600658 7600659 7600660 URINE CORTISOL (FREE URINE DIPSTICK URINE FOR AFB URINE PORPHYRINS URINE PROTEIN & GLUC VAGINAL/URETHRAL CUL VANCOMYCIN VANCOMYCIN PEAK VANILLYLMANDELIC ACI VARICELLA-ZOSTER AB VASECTOMY CAUTERY DI VENIPUNCTURE DRAW FE VIRAL CULTURE VITAMIN A VITAMIN B1 (THIAMINE VITAMIN B12 VITAMIN B6 VITAMIN D 25 DIHDROX VITAMIN E WET PREP WHITE BLOOD CELL COU ZINC, SERUM ZOLOFT METABOLITE 1 HR POST DOSE GLUCO 17-HYDROXY CORTICOST 17-HYDROXY&KETOSTERI 2ND SUSCEPTIBILITY D 3HR GLUCOSE TOLERANC 3HR GLUCOSE TOLERANC 3RD SUSCEPTIBILITY,D 4TH SUSCEPTIBILITY,D 5HIAA, SEROT, METAB. 5TH SUSCEPTIBILITY,D B CELLS TOTAL COUNT FACTOR II, DNA ANALY PHENYTOIN FREE CROSS MATCH IS HERPES SIM TYP1/11 ANTI-MYLEOPRIXIDS AB ANTI-PROTEINASE AB CAT SCRATCH ANTIBODY EHRLICIA AB PANEL GIARDIA AG EIA GLUTAMIC ACID DECAR VITAM D 25 HYDROXY ACETYLCHLN RECP BIND HERPES SIM VIRS 1/11 PROTHRMBIN TIME MIXG CRYOGLOBIN QUL W/REF PORPHYRNS QUANT URIN Page 96 118 37 132 60 59 137 121 96 247 93 39 27 185 59 149 130 199 272 72 83 20 81 204 123 123 208 102 476 73 102 131 298 131 23 109 59 321 77 965 62 57 57 63 74 161 83 274 28 43 76 82530 81003 87206 84119 81003 87070 80202 80202 84585 86787 36415 87252 84590 84425 82607 84207 82652 84446 87210 85048 84630 80299 82950 83491 83586 87184 82951 82952 87184 87184 83497 87184 86355 81240 80186 86920 86694 83516 83516 86611 86666 87329 83519 82306 83519 87801 85611 82595 84120 ChargePrices 2016 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY 7600661 7600662 7600663 7600664 7600665 7600666 7600667 7600668 7600669 7600670 7600671 7600672 7600673 7600674 7600675 7600676 7600677 7600678 7600679 7600680 7600681 7600682 7600683 7600684 7600685 7600686 7600687 7600688 7600689 7600690 7600691 7600692 7600699 7600700 7600701 7600702 7600703 7600704 7600705 7600706 7600707 7600708 7600709 7600710 7600711 7600712 7600713 7600714 7600716 7600717 METHANOL BLOOD ACTIVTED PROTEIN C R WEST NILE VIRUS ANTI BETA-2 GLYCOPROTN AB PARATHYRD HORM PEPTD ADENOSINE 5MONO CYCL PROTEIN S ANTIGEN INHIBIN A LYME DIS W WEST BLOT THYROGLOBIN QUANTITA CONCENRATION SPECIMN PROTPPORPHYRIN CYANIDE BLOOD CHROMOGRANIN A WEST NILE VIRUS PCR C DIFFICILE TOXIN B CD4 COUNT OLIGOCLONAL BANDING METHYLMALONIC ACID ORGANIC ACID URINE LAB FEE FED EX ONLY METHADONE, DOLOPHINE WORKFRCE ESS DRUGSCR FETAL LUNG PHOSPHATD THYROID STIM IMMUNGL CULTURE STOOL ADD PA CULTURE ANAEROBIC SACCHAROMYCES CERVIS THIOPURINE METHY ERY CYCLIC CITRULLIN PEP METHEMOGLOBIN MYOTONIC DSYTROPHY N-TELOPEPTIDE X LINK CHLAMYDIA TACH NUC A BRUCELLA ANTIBODY BARTONELLA DNA PCR CHLAMYDIA ANTIBY 1GG ENTEROHEMORRG E COIL TOPIRAMATE COOMBS CROSSMATCH RED BLOOD CELL AUTOM NEISSERIA GONORR NUC ANTI-DNASE B ANTIBOD FACTOR XI ACTIVITY LACTOFERRIN STOOL TETANUS ANTIBODY HISTOPLASMA CAP PCR MUSCLE SPEC TYROSINE PARVOVIRUS AB MOLD ID Page 97 83 83 75 87 74 149 67 87 71 68 43 77 105 117 196 108 146 110 83 92 19 92 31 92 133 92 92 67 202 72 16 23 80 192 26 196 64 63 65 321 16 183 73 99 109 81 196 74 82 57 84600 85307 86790 86146 86617 84432 87015 84202 82600 86316 87798 87230 86361 83916 83921 83919 99001 G6053 84081 84445 87046 87075 86671 82542 86200 83050 81401 82523 87491 86622 87471 86631 87427 80201 86922 85041 87591 86215 85270 83630 86317 87798 83519 86747 87107 ChargePrices 2016 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY 7600718 7600719 7600720 7600721 7600722 7600723 7600724 7600725 7600728 7600729 7600732 7600733 7600734 7600741 7600742 7600744 7600749 7600750 7600751 7600752 7600753 7600754 7600755 7600757 7600758 7600759 7600760 7600761 7600762 7600765 7600766 7600767 7600768 7600769 7600770 7600771 7600772 7600773 7600774 7600775 7600776 7600777 7600779 7600780 7600781 7600783 7600784 7600785 7600786 7600787 WEST NILE AB IGM WEST NILE AB IGG LEPTOSPIRA ANTIBODY AMEBIASIS ANTIBODIES ASPERGILLUS GLACTOMA ADENOVIRUS AB PROFIL ENTEROVIRUS EA ADD 7 ENTEROVIRUS 1ST PROF GENERAL HEALTH PNL 1 GENERAL HEALTH PNL 2 ALLERGEN SPECIFIC IG ALLERGEN SPECIFIC IG ALLERGN SPEC IGE MOD HLA-B27 HIV-1 PCR W/HIV AB CFTR GENE COM VARIAN NUC ANTIGEN ANTB ADD SYSTEMIC LUPUS POFIL RHEUMATOID FACTOR HEPATITIS B EVELOPE CYSTINE QUANTITV URN TISSUE CULTURE LYMPL CHROMOSOME STUDY EPSTEIN-BARR ANTIGEN FETAL FINRONECTIN FLOWCYTOMETRY/TC ADD FLOWCYTOMETRY/READ 2 ASSAY OF SEROTONIN FIBRINOLYTIC PLASMIN FACTOR II ACTIVITY FACTOR VII ACTIVITY FACTOR XII ACTIVITY BORDETELLA PERTS IGM ALLERGEN PROFILE NAT LYME DISEASE PCR H.PYLORI STOOL ANTIG VARICELLA-ZOSTER VIR ANDROSTENEDIONE LIPOPROTN FRACTN HI CANDIDA DNA DIR PROB LEGION PNEUMO DNA D TRICHOMONAS VAGIN DI SEX HORMONE BIND GLO IMMUNE GLOBULIN PARASITE IDENTIFICAT DETECT AGENT NOS DNA CYTOMEG, DNA, QUANT ENTEROVIRUS DNA AMP BERKELEY HEART LAB C REPTILASE TIME Page 98 82 82 47 47 63 71 71 71 453 352 28 28 28 103 192 23 76 35 31 63 92 633 185 111 306 56 56 56 165 62 84 93 63 26 182 73 73 147 147 102 102 102 109 850 25 180 145 121 25 36 86788 86789 86720 86753 87305 86603 86658 86658 80050 80050 86003 86005 86003 81374 87535 81220 86235 86431 86707 82131 88230 88289 86664 82731 88185 88187 84260 85415 85210 85230 85280 86615 86003 87476 87338 87290 82157 83701 87480 87510 87660 84270 J1566 87169 87799 87497 87498 99001 85635 ChargePrices 2016 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY 7600788 7600789 7600790 7600792 7600793 7600795 7600796 7600797 7600798 7600799 7600800 7600801 7600802 7600803 7600804 7600805 7600807 7600808 7600809 7600810 7600811 7600812 7600816 7600817 7600818 7600819 7600820 7600821 7600822 7600823 7600824 7600825 7600826 7600827 7600828 7600829 7600830 7600831 7600832 7600833 7600834 7600835 7600836 7600837 7600838 7600839 7600840 7600841 7600842 7600843 PORPHYRINS, SERUM GROWTH HORMONE (HGH) CHLAMYDIA LGM QUANT SCREEN METALS ASSAY OF MANGANESE DIHYDROTESTOSTERONE SUGARS SINGLE QUANT VISCOSITY SERUM HEPATITIS B DNA QUAN METHEMOGLOBIN REDUCT FACTOR V ACTIVITY TISSUE CULTR SKIN BX HCV RNA BY PCR QUAL LYMPHOCYTE TRANSFORM ACTINOMYCES AB GEL IMMUNODIFFUSION, CRYOFIBRINOGEN ASSAY SUGARS MULTIPLE QUAL TISSUE EXAM BY PATHO CHROMOSM ANALYS PLAC CHROMOSM ANALYSIS 5 CHROMOSOME KARYOTYPE HEMOLYSIS/AGGLUTININ LP-PLA2 HOMOVANILLIC ACID VERICELLA VIRAL CULT EPSTEIN-BARR ANTIBOD BLOOD CLOT FACTOR 8 LIPOPROTEIN A CULTURE, BLOOD, FUNG THROMBOPLASTIN INHIB PYRUVIC ACID, BLOOD UREA NITROGEN URINE GONADOTROPIN REL HOR HAEMONPHILUS INFLUEN NEISSERIA MENINGITID HELMINTH, ANTIBODY SIROLIMUS BILE ACIDS INFECTAGENT NUCLI AC HEPATITIS DELTA ANTI HEPATITIS BE ANTIGEN OSTEOCALCIN ARC AHG INDIRECT QUL CARNITINE QUANTITATE CALPROTECTIN, FECAL H PYLORI(C-13)BREATH RIBOFLAVIN VITAMN B2 HIV-2 ANTIBODY SELENIUM Page 99 36 71 52 109 123 132 59 59 291 92 48 748 182 213 45 52 44 29 139 796 783 111 32 118 104 83 61 77 48 36 36 36 23 77 73 61 62 67 67 194 83 36 134 321 29 31 285 67 65 95 84311 83003 86632 83018 83785 G6047 84378 85810 87517 82657 85220 88233 87521 86353 86602 86331 82585 84377 88305 88267 88261 88280 86941 83698 83150 87254 86663 85246 83695 87102 85705 84210 84540 83727 86684 86741 86682 80195 82239 87800 87380 87350 83937 86885 82379 83993 83013 84252 86702 84255 ChargePrices 2016 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY 7600844 7600845 7600846 7600847 7600848 7600849 7600850 7600851 7600852 7600855 7600858 7600861 7600862 7600863 7600864 7600868 7600870 7600871 7600872 7600873 7600874 7600876 7600877 7600878 7600879 7600880 7600881 7600882 7600884 7600885 7600886 7600888 7600889 7600890 7600891 7600893 7600894 7600895 7600898 7600899 7600901 7600902 7600903 7600904 7600905 7600906 7600907 7600908 7600909 7600910 ALUMINUM ASSAY FREE INSULIN CARBAMAZEPINE, FREE FECAL FAT, QUANTITAT FLUORESCENT NONINFAC PARASITE EXAM, BLOOD PLASMINOGEN ACTIVITY PLASMINOGEN ANTIGEN SHIGATOXIN CYP2C19 GENE COM VAR LIPOPROTEIN BLD NMR COLD AGGLUTININ SCRN MERCURY BLOOD VASOACTIVE INTES PEP ALPHA1ANTIRYPSINPHEN HEXAGNAL PHOSPH PLTL PLACENTAL ALPHA MICR ASSAY PLASMA HEMOGLO MYCOBACTERIA IDENTIF BLOOD CLOT FACTOR X FACTOR INHIBITR TEST VITAMIN K1 PANCREATIC ELASTASE VITAMIN ASSY NOS TRIODOTHYRONINE (T3) MONONUCLEAR CELL AG, MONONUCLEAR CELL 91M T-CELLS, TOTAL COUNT LONG CHAIN FATTY ACI CYTOGENETICS DNA PRO CYTOGENETICS 10-30 B-12 BINDING CAPACIT CYSTATIN C HUMAN EPIDIDYMIS PRO NICKEL FAGILE X MENTAL REDA JANUS KINASE 2 CFTR GENE COM TRANSF REACTION INVE HEPARIN ASSAY ASSAY NEPHELOMETRY N ASSAY OF CHROMIUM HEPATITIS B DNA AMP CALCULUS SPECTROSCOP BLOOD SMEAR INTERPRE BONE MARROW INTERPRE HPV DNA AMP PROBE CYTOPATH FL NONGYN S CYTOPATH CELL ENHANC CYTOPATH C/V INTERPR Page 100 98 61 64 81 59 33 35 56 83 600 157 36 81 36 25 61 121 39 56 92 73 65 56 56 75 126 126 180 56 68 153 73 48 101 118 109 258 48 473 65 43 43 158 62 50 757 169 135 153 50 82108 83527 80157 82710 86256 87207 85420 85421 87899 81225 83704 86156 83825 84586 82104 85598 84112 83051 87118 85260 85335 84597 82656 84591 84482 86356 86356 86359 82726 88271 88273 82608 82610 86305 83885 81243 81270 81220 86078 85520 83883 82495 87516 82365 85060 85097 87624 88104 88112 88141 ChargePrices 2016 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY 7600911 7600912 7600913 7600914 7600915 7600916 7600917 7600918 7600919 7600920 7600921 7600922 7600923 7600924 7600925 7600926 7600927 7600928 7600929 7600930 7600931 7600932 7600933 7600934 7600935 7600936 7600937 7600940 7600942 7600943 7600944 7600946 7600947 7600948 7600949 7600950 7600951 7600952 7600953 7600954 7600955 7600957 7600958 7600959 7600960 7600961 7600962 7600963 7600964 7600965 CYTOPATH SMEAR OTHER CYTP DX EVAL FNA 1ST CYTOPATH EVAL FNA RE CYTOPATH C/V AUTO FL SURGICAL PATH GROSS TISSUE EXAM BY PATHO TISSUE EXAM BY PATHO TISSUE EXAM BY PATHO TISSUE EXAM BY PATHO TISSUE EXAM BY PATHO DECALCIFY TISSUE SPECIAL STAINS GRP 1 SPECIAL STAINS GRP 2 MICROSLIDE CONSULTAT PATH CONSULT INTROP PATH CONSULT INTRAOP PATH CONSULT INTRAP+ INTRAOP CYTO PATH 1 INTRAOP CYTO PATH C2 IMMUNOHISTOCHEMISTRY TUMOR IMMUNOHISTOCHE SCR C/V CYTO,THINLAY IMMUNOFLUORESCENT ST ELECTRON MICROSCOPY CANDIDA DNA AMP PROB CANDIDA DNA AMP PROB DETECT AGENT NOS DNA MASS SPECTROMETRY QU TRYPSIN, FECES CHROMOSOM 20-25 CELL CYTOGENETICS 100-300 PROTHROMBIN ANTIBODY CELL FUNCTION ASSAY ASSAY OF TRANSCORTIN EMPLOY NICOTINE TEST FLOW CYTOMETRY, INTE INSITU HYBRIDIZATION F2 GENE F5 GENE UNLIST MOLECULAR PAT SERPINA1 GENE MOLECULAT PATH 4 UNLISTED ONCO (OVARIAN) BIOCH Q FEVER ANTIBODY INSITU HYBRIDIZATION INTERFERON-GAMMA TB IGVH SOMATIC HYPERMU STYPVEN TIME MACROAMYLASE Page 101 109 139 234 50 77 163 167 231 518 1071 25 225 180 75 75 473 37 757 77 214 319 50 473 2039 74 74 196 196 36 535 173 48 582 92 2 170 473 194 171 66 66 23 23 843 54 139 263 1031 39 56 88161 88172 88173 88175 88300 88302 88304 88305 88307 88309 88311 88312 88313 88321 88329 88331 88332 88333 88334 88342 88361 G0145 88346 88348 87481 87481 87798 83789 84488 88264 88275 86849 86352 84449 88189 88368 81240 81241 81479 81332 81403 84999 81503 86638 88365 86480 81263 85612 84999 ChargePrices 2016 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 760 761 761 761 761 761 761 761 761 761 761 761 761 761 762 LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY EKG EKG EKG EKG EKG EKG EKG EKG EKG EKG EKG EKG EKG SP OT DN WND THERPY 7600966 7600968 7600969 7600971 7600972 7600973 7600974 7600975 7600976 7600979 7600982 7600983 7600985 7600986 7600987 7600989 7600990 7600991 7600992 7600993 7600994 7600995 7600996 7600997 7600998 7600999 7601000 7601001 7601004 7601005 7601006 7601007 7601008 7601009 7601010 7601011 7610002 7610005 7610008 7610014 7610015 7610016 7610017 7610018 7610019 7610020 7661720 7662730 7662731 7620001 DESMOGLN ANTIB SEND AB LEUKOCYTE ANTIBOD PORPHYRINS FECES QUA HISTAMINE INDUST PHLEBOTOMY DETECT AGNT MULT DNA C DIFF AMPLIFIED PRO UREA-N CLEARANCE TES NK CELLS TOTAL COUNT ACYLCARNITINES QUANT C DIFF AMPLIFIED PRO DETECT AGENT NOS DNA HLA II TYPING 1 ALLE HBA1/HBA2 AMINO ACID PROFILE TUMOR IMMUNOHISTOCHE SOMATOSTATIN AEROBIC BACTERIA IDE IMMUNOHISTO ANTIBODY PROSTATE BIOPSY ANY OPIATES, 1 OR MORE DRUG SCREEN SINGLE D PRETREATMENT OF RBCS PRETREATMENT OF SERU PRETREATMENT OF SERU PRETREATMENT OF SERU HEMOLYSINS AND AGGLU IGG 1 2 3 OR 4 EACH M/PHMTRC ALYS ISHQUA ASSAY OF GLUCAGON CLOT FACTOR XIII FIB CHEMILUMINESCENT ASS DNA/RNA SEQUENCINGDN ASSAY OF NUCLEOTIDAS GENOTYPE HEPATITIS C TRICHOMONAS VAGINALI CARDIAC STRESS TEST TTE WO/DOPPLER, COMP HOLTER MONITOR RECOR SCAN HOLTER MONITER STRESS ECHO TILT TABLE TEST TRANS-ESOPHOGEAL ECH BIOIMPEDANCE THORAC TTE W/DOPPLER, COMPL TTE W/CONTRAST OR W/ HOLTER KIT QUICK PREP APPLICATO QUICK PREP ELECTRODE AQUATIC PER 15 MIN Page 102 331 66 108 131 8 398 160 38 151 27 160 196 849 212 90 473 64 67 592 592 54 54 84 362 219 219 32 32 62 56 46 58 453 43 705 138 1323 1638 614 286 918 1239 1720 202 1638 1324 261 1 440 145 83516 86021 84126 83088 36415 87801 87493 84545 86357 82017 87493 87798 81383 81257 82139 88360 84307 87077 88341 G0416 G6056 G6056 86970 86975 86977 86976 86940 82787 88377 82943 85290 82397 87153 83915 87902 87661 93017 93307 93225 93226 93350 93660 93312 93701 93306 C8923 97113 ChargePrices 2016 762 762 762 762 762 762 762 762 762 762 762 762 762 762 762 762 762 762 762 762 762 762 762 762 762 762 762 762 762 762 762 762 762 762 762 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 SP OT SP OT SP OT SP OT SP OT SP OT SP OT SP OT SP OT SP OT SP OT SP OT SP OT SP OT SP OT SP OT SP OT SP OT SP OT SP OT SP OT SP OT SP OT SP OT SP OT SP OT SP OT SP OT SP OT SP OT SP OT SP OT SP OT SP OT SP OT MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI DN DN DN DN DN DN DN DN DN DN DN DN DN DN DN DN DN DN DN DN DN DN DN DN DN DN DN DN DN DN DN DN DN DN DN WND WND WND WND WND WND WND WND WND WND WND WND WND WND WND WND WND WND WND WND WND WND WND WND WND WND WND WND WND WND WND WND WND WND WND THERPY THERPY THERPY THERPY THERPY THERPY THERPY THERPY THERPY THERPY THERPY THERPY THERPY THERPY THERPY THERPY THERPY THERPY THERPY THERPY THERPY THERPY THERPY THERPY THERPY THERPY THERPY THERPY THERPY THERPY THERPY THERPY THERPY THERPY THERPY 7620002 7620003 7620006 7620009 7620010 7620011 7620016 7620017 7620018 7620019 7620020 7620022 7620023 7620024 7620026 7620032 7620033 7620036 7620038 7620039 7620040 7620041 7620042 7620043 7620044 7620045 7620046 7620047 7620051 7620103 7620104 7620105 7620106 7620107 7620108 7630001 7630002 7630003 7630004 7630005 7630006 7630007 7630008 7630009 7630010 7630011 7630012 7630013 7630014 7630015 AURAL REHAB CONTRAST BATH PER 15 DEBRIDE SKIN PARTIAL SPEECH BED/SWALLOW JOINT MOBILIZATION P MASSAGE PER 15 MIN MNT REASSESS INDIVID NEUROMUSCULAR RE ED ORTHOTIC FIT/TRAIN P OT COLD PACK OT ELECTRICAL STIM P OT FLUIDOTHERAPY OT HOT PACK OT IONTOPHORESIS PER OT WORK HARDENING EA PARAFFIN BATH PHYSICAL PERFORM TES SPEECH FLUOR/SWALLOW AURAL RHB EX ADD15 ACCESS APHASIA EA HR SPEECH TREATMT THERP STA FOREARM HAND SPL THERAPEUTIC ACT DIRE THERAPEUTIC EXER.PER THERAPEUTIC PROC GRO TREAT/ORAL FUNC. FOR TRIM TOENAILS UNLISTED SERVICE WND THR NEG PR 50CM< EVAL SPEECH FLUENCY EVAL SPEECH PRODUCTI EVAL LANG COMPREHEN BEHAV AND QUAL ANALY SPEECH SOUND LANG CO COGNITIVE TEST BY HC MRI C SPINE W/WO MR ANGIO ABD W/CON MR ANGIO ABD W OR WO MR ANGIO ABD WO CON MR ANGIO NECK,CAR WO MR ANGIO NECK,CART W MR ANGIOGRPH HEAD WO MR ANGIOGRPHY HEAD W MR ANGIOGRPH HED WWO MR ANGIOGRPHY UP WWO MR ANGIOGRAPHY UPPER MRA CHEST W/CON MRA CHEST W/WO CON MRA CHEST WO/CON MRA LT LWR EXT W/CON Page 103 264 62 171 208 115 96 64 129 82 31 54 52 43 92 108 29 127 542 71 71 269 313 129 129 76 355 192 72 253 208 208 208 208 542 542 2584 1910 2584 1778 1546 1910 1778 1910 2584 3080 3080 1910 2584 1778 1910 92626 97034 97598 92610 97140 97124 97803 97112 97760 97010 97014 97039 97010 97033 97545 97018 97750 92611 92627 96105 92507 29125 97530 97110 97150 92526 11719 97799 97605 92521 92522 92523 92524 92523 96125 72156 C8900 74185 C8901 70547 70548 70544 70545 70546 C8936 C8936 C8909 C8911 C8910 C8912 ChargePrices 2016 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI 7630016 7630017 7630018 7630019 7630020 7630021 7630022 7630023 7630024 7630025 7630026 7630027 7630028 7630029 7630030 7630031 7630032 7630033 7630034 7630035 7630036 7630037 7630038 7630039 7630040 7630041 7630042 7630043 7630044 7630045 7630046 7630047 7630048 7630049 7630050 7630051 7630052 7630053 7630054 7630055 7630056 7630057 7630058 7630059 7630060 7630061 7630062 7630063 7630064 7630065 MRA LT LWR EXT W/WO MRA LT LWR EXT WO/CO MR ANGI NECK,CAR WWO MRA RT LWR EXT W/CON MRA RT LWR EXT W/WO MRA RT LWR EXT WO/CO MRI - BONE MARROW BL MRI C SPINE NECK WO MRI LUMBAR SPINE WO MRI - PELVIS W CONTR MRI - THORACIC SPINE MRI ABDOMEN W CONTRA MRI ABDOMEN W W/O CO MRI BRAIN W/CONTRAST MRI BRAIN W/O AND W/ MRI CHEST W CONTRAST MRI CHEST W/O W CONT MRI-LOW EXT JT LT W MRI LW EXT LT JT WWO MRI LOWER EXT LT W C MRI LOWER EXT LT W W MRI-LOW EXT JT RT W MRI LW EXT RT JT WWO MRI LOWER EXT RT W C MRI LOWER EXT RT W W MRI LUMBAR SPINE W/C MRI TEMPERO MANDIBUL MRI THORACIC SPINE W MRI UPR EXT JT LT WO MRI UPR EXT JT RT WO MRI UPPR EXT JT RT W MRI UPPR EXT JT LT W MRI UP EXT LT JT WWO MRI UPPER EXT LT W W MRI UP EXT RT JT WWO MRI UPPER EXT RT W W MRI UPPER EXTR LT W MRI UPPER EXTR RT W MRI-ABDOMEN W/O CONT MRI-BRAIN W/O CONTRA MRI-BRAINSTEM WO MRI-CERVICAL SPINE W MRI-CHEST W/O CONTRA MRI-INTERNL AUDTR WW MRI-LOW EXT JT LT WO MRI LOW EXT JT RT WO MRI-LOWER EXT LT W/O MRI-LOWER EXT RT W/O MRI-LUMBAR W/WO CONT MRI-ORBT,FAC,NCK WWO Page 104 2584 1778 2584 1910 2584 1778 1703 1778 1778 1910 1778 1910 2584 2678 2584 2678 2584 2678 2584 1910 2584 2678 2584 1910 2584 2678 1703 2678 1778 1778 2678 1910 2584 2584 2584 2584 1910 1910 1778 2678 1778 2678 1778 2584 1778 1778 2678 1778 2584 2584 C8914 C8913 70549 C8912 C8914 C8913 77084 72141 72148 72196 72146 74182 74183 70552 70553 71551 71552 73722 73723 73719 73720 73722 73723 73719 73720 72149 70336 72147 73221 73221 73222 73222 73223 73220 73223 73220 73219 73219 74181 70551 70551 72142 71550 70553 73721 73721 73718 73718 72158 70543 ChargePrices 2016 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI 7630066 7630067 7630068 7630069 7630070 7630071 7630072 7630073 7630074 7630075 7630076 7630077 7630078 7630079 7630080 7630081 7630082 7630083 7630084 7630085 7630086 7650132 7662067 7640001 7640002 7640003 7640004 7640006 7640007 7640008 7640009 7640010 7640011 7640012 7640013 7640014 7640015 7640016 7640017 7640018 7640021 7640022 7640023 7640024 7640025 7640026 7640027 7640028 7640029 7640030 MRI-ORBT,FACE,NECK W MRI-ORBT,FACE,NCK WO MRI-THORACIC W/WO CO MRI-UPPER EXT LT W/O MRI-UPPER EXT RT W/O MRI PITUITARY WWO MRI PELVIS W/WO CONT MRI PELVIS WO CONTR MAGNEVIST 10ML EOVIST CONTRAST 10ML MAGNEVIST 5CC GADAVIST 7.5ML GADAVIST 10ML GADAVIST 15ML 10FR DIALATOR 14FR DILATOR MAGNEVIST 5CC GADAVIST 7.5ML GADAVIST 10ML GADAVIST 15ML MRI LOW EXT JT WO BI MAGNEVIST 15ML MAGNEVIST 20ML ABD COMPLETE W/DECUB ABD 2 OR MORE W/CHES ABD. SINGLE AP ABDOMEN DECUBITUS ACROMINOCLAVICULAR J AIR CONTRAST UGI AIR CONTRAST UGI W/S ARTHROGRAM LT ELBOW ARTHROGRAM LT HIP ARTHROGRAM LT KNEE ARTHROGRAM LT WRIST ARTHROGRAM RT ELBOW ARTHROGRAM RT HIP ARTHROGRAM RT KNEE ARTHROGRAM RT WRIST ARTHROGRAM SHOULDER ARTHROGRAM SHOULDER BE W/AIR CONTRAST BE W/O AIR CONTRAST BI TM JOINTS CLOSED BIL EYE F.B BIL MASTOIDS BIL ORBITS BIL RIBS BIL TM JOINTS OPEN BILATERAL HIP BONE AGE STUDY Page 105 2678 1778 2584 1778 1778 2678 1928 1910 102 553 63 153 204 269 36 36 63 153 204 269 2667 153 204 486 378 217 217 474 446 686 988 988 988 988 988 988 988 988 988 988 686 446 515 217 471 471 378 515 493 217 70542 70540 72157 73218 73218 70553 72197 72195 A9581 73721 A9579 Q9958 74020 74022 74000 74000 73050 74246 74249 73085 73525 73580 73115 73085 73525 73580 73115 73040 73040 74280 74270 70330 70030 70130 70200 71111 70330 73502 77072 ChargePrices 2016 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI 7640032 7640033 7640034 7640035 7640036 7640037 7640038 7640039 7640040 7640041 7640042 7640043 7640044 7640045 7640076 7640077 7640078 7640079 7640080 7640081 7640082 7640083 7640084 7640085 7640086 7640087 7640088 7640089 7640090 7640091 7640092 7640093 7640094 7640095 7640096 7640097 7640098 7640099 7640100 7640101 7640102 7640103 7640104 7640105 7640106 7640107 7640108 7640109 7640110 7640111 BONE DENSITY AXIAL BONE DENSITY PERIPHE BONE DENSITY VERT FX BONE SURVEY COMPLETE BOTH KNEES STANDING C-ARM FLUOROSCOPY CERVIAL SPINE ( 3 VI CERVICAL SPINE 4 OR CHEST AP PORTABLE CHEST APICAL VIEW 2V CHEST DECUBITUS CHEST FLOURO W/2 VIE CHEST PA & LAT CHEST X-RAY 1 VIEW DR ABD AP AND OBLI DR BX ABD/RETROPERIT DR BX BONE DEEP DR BX BONE SUPER DR BX EPIDIDYMIS DR BX LIVER DR BX LUNG/MEDIAS DR BX LYMPH NODE DR BX MUSCLE DR BX NECK THORAX DR BX PANCREAS DR BX PROSTATE DR BX RENAL DR BX SPINAL CORD DR BX THYROID DR CHEST 2V W OBLI XR CYSTOGRAM XR CYSTOGRAM CATH PL DR FLUORO PLEURA DR HYSTEROSALPING DR HYSTEROSALPING DR INJ CERVICAL DR INJ THORACIC DR INJ VENO UNI DR INJECTION ANKLE DR INJECTION CERVICA DR INJECTION THORACI DR LOOPOGRAM DR LOOPOGRAM DR LOW EXT INFANT 2V DR NEPHRO EXIST TUBE DR NEPHRO EXSIST TUB DR NEPHROSTOGRAM DR NEPHROSTOGRAM DR NEPHROSTOM TBE CH DR NEPHROSTOMY DIL Page 106 359 569 526 378 445 390 437 752 217 217 217 390 254 217 486 1657 2149 1174 920 1657 1657 1054 1054 4195 1657 1169 1657 1657 920 278 803 920 1657 963 920 487 372 489 988 1929 1772 803 2243 217 803 2243 803 1657 2335 3538 77080 77081 77086 77075 73565 76000 72040 72050 71010 71021 71035 71023 71020 71010 74010 SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG 71022 74430 51600 SURG 74740 SURG SURG SURG 36005 73615 72240 72255 74425 SURG 73592 74425 SURG 74425 SURG SURG 74485 ChargePrices 2016 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI 7640112 7640113 7640114 7640115 7640116 7640117 7640118 7640119 7640120 7640121 7640122 7640123 7640124 7640125 7640126 7640127 7640128 7640129 7640130 7640131 7640132 7640133 7640134 7640137 7640138 7640153 7640154 7640155 7640157 7640158 7640160 7640162 7640163 7640164 7640165 7640166 7640167 7640168 7640169 7640170 7640171 7640172 7640173 7640174 7640175 7640176 7640177 7640179 7640180 7640181 DR NEPHROSTOMY DIL DR PERC NEPHROSTOMY DR PERC NEPH NEW ACC DR RETRO URETHRO DR SIALOGRAM DR SIALOGRAM DR TETRO URETHROGRAM DR TTUBE CHOLANG DR TTUBE CHOLANGIO DR UGI AIR W KUB DR UP EXT INFANT 2V DR URETERAL STENT PL DR URETERAL STENT PL DR VCUG ENTERO TUBE PLACEMEN ESOPHAGRAM EXTREMITY ARTERIOGRA FACIAL BONES (3 OR M FACIAL BONES 1 VIEW FINGER/S FISTULAGRAM FL GUIDE LUM DRAIN FL GUIDE LUM PUNC FLORO GUIDE C-SPINE FLEX AND EXT FLUORO CV DEVICE FLUORO NEEDLE GUIDE FLUORO GUIDE PICC LI FLUOROSCOPY UP TO 1 GB HIP PINNING IN OR I V PYELOGRAM WITH T INFUSION IVP INJ LUMBAR INJ MYELOGRAM INJ PROCEDURE INJ PROCEDURE INJ KIDNEY X-RAY INJ PROCEDURE INJ PROCEDURE INJ PROCEDURE INJ PROCEDURE INJ PROCEDURE ELBOW INTRAOPERATIVE EXT A INTRO G-TUBE IV COLANGIOGRAM IVP W/O TOMO LT ANKLE LT ANKLE 4/MORE LT CALCANEOUS MIN 2 Page 107 5040 3538 5040 920 972 162 803 417 972 446 217 3538 5040 920 390 474 7384 543 217 217 1435 614 614 920 378 206 1376 1087 390 446 378 985 803 450 390 99 110 194 170 186 170 160 295 7384 644 803 803 217 217 217 SURG 50432 51610 70390 42550 74450 74247 73092 SURG 51600 74340 74220 75710 70150 70140 73140 76080 SURG SURG 77003 72052 77001 77002 SURG 76000 74290 74400 74410 SURG 62284 SURG 51600 SURG SURG SURG SURG SURG 75710 SURG 74415 74400 73600 73610 73650 ChargePrices 2016 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI 7640182 7640183 7640184 7640185 7640186 7640187 7640188 7640189 7640190 7640191 7640192 7640193 7640194 7640195 7640196 7640197 7640198 7640199 7640200 7640201 7640202 7640203 7640204 7640205 7640206 7640207 7640208 7640209 7640210 7640211 7640212 7640213 7640216 7640223 7640224 7640225 7640226 7640227 7640228 7640230 7640231 7640233 7640234 7640235 7640236 7640237 7640238 7640239 7640240 7640241 LT CLAVICLE COMPLETE LT ELBOW COMPLETE LT ELBOW 2 VIEW LT EYE F.B. LT FEMUR LT FOOT 2 VIEW LT FOOT,COMPLETE LT FOREARM LT HAND COMPLETE LT HAND 2 VIEWS LT HIP LT HUMERUS LT KNEE 2 VIEW LT KNEE 3 VIEWS LT KNEE 4 OR MORE VI LT MASTOID LT ORBIT LT RIBS LT SCALPULA,COMPLETE LT SHOULDER 1 VIEW LT SHOULDER 3 VIEWS LT SHOULDER 5 VIEWS LT TIB FIB LT WRIST COMPLETE LT WRIST 2 VIEW LUMBAR FACET INJ. SI LUMBAR MYELOGRAM LUMBAR SACRAL W/OBLI LUMBAR SPINE W/BENDI LUMBOSCRAL SPINE MANDIBLE (BOTH SIDES MESTATASTIC SURVEY NASAL BONES INTRAOPERATIVE CHOLA PARANASAL SINUSES PED BE W/AIR CONTRAS PED IVP PELVIS PELVIS, COMPLETE-INL PORT-A-CATH PLACEMEN PULMONARY ARTERIOGRA RETROGRADE PYELOGRAM RETROGRADE URETHROCY RT ANKLE RT ANKLE 4/MORE RT CALCANEOUS MIN. 2 RT CLAVICLE,COMPLETE RT ELBOW COMPLETE RT ELBOW 2 VIEW RT EYE F.B. Page 108 217 217 217 217 217 217 217 217 217 217 432 217 217 217 388 217 432 217 217 217 217 465 217 217 217 1938 1772 378 378 437 526 378 437 2345 543 686 803 217 474 3027 7384 803 803 217 217 217 217 217 217 217 73000 73080 73070 70030 73551 73620 73630 73090 73130 73120 73551 73060 73560 73562 73564 70120 70200 71101 73010 73020 73030 73030 73590 73110 73100 64520 72265 72110 72114 72100 70100 77075 70160 74300 70220 74280 74400 72170 72190 SURG 75710 74420 74450 73600 73610 73650 73000 73080 73070 70030 ChargePrices 2016 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI 7640242 7640243 7640244 7640245 7640246 7640247 7640248 7640249 7640250 7640251 7640252 7640253 7640254 7640255 7640256 7640257 7640258 7640259 7640260 7640261 7640262 7640263 7640264 7640265 7640266 7640267 7640269 7640270 7640271 7640272 7640273 7640274 7640275 7640276 7640277 7640278 7640279 7640280 7640281 7640282 7640283 7640284 7640285 7640286 7640288 7640289 7640292 7640329 7640331 7640332 RT FEMUR RT FOOT COMPLETE RT FOOT 2 VIEW RT FORARM RT HAND COMPLETE RT HAND 2 VIEWS RT HIP RT HUMERUS RT KNEE 2 VIEW RT KNEE 3 VIEWS RT KNEE 4 OR MORE VI RT MASTOID RT ORBIT RT RIBS RT SCALPULA COMPLETE RT SHOULDER 1 VIEW RT SHOULDER 3 VIEWS RT SHOULDER 5 VIEWS RT TIB FIB RT TM JOINT RT WRIST COMPLETE RT WRIST 2 VIEW SACRAO-ILIAC JOINTS SACRUM AND COCCYX 2 SCOLIOSIS SERIES SELLA TURCICA SINOGRAM SKULL LESS THAN 4 VI SKULL 4 OR MORE VIEW SM BOWEL ENTEROCLYSI SMALL BOWEL SOFT TISSUE NECK SPECIAL TRAY SPINE ONE VIEW STENT PLACEMENT IN O STERNOCLAVICULAR JOI STERNUM SWALLOWING FUNCTION THERAPUTIC BE THORACIC SPINE THORACOLUMBAR SPINE, TOE/S TOMOGRAM TOTAL MYELOGRAM UPPER G I SERIES UPPER GI - SMALL BOW UROGRAPHY,ANTEGRADE VCUG RADIOLOGY S&I VENIPUNCTURE INTRO C VENOGRAM Page 109 217 217 217 217 217 217 432 217 217 217 388 217 432 217 217 217 217 465 217 217 217 217 217 432 378 217 972 217 378 686 446 217 109 217 3538 217 476 446 446 432 217 217 723 2447 446 827 803 764 81 2387 73630 73620 73090 73130 73120 73501 73060 73560 73562 73564 70120 70200 71101 73010 73020 73030 73030 73590 70328 73110 73100 72202 72220 72081 70240 76080 70250 70260 74251 74250 70360 72020 74485 71130 71120 74230 74283 72072 72080 73660 76100 72270 74240 74245 74425 74455 SURG 75820 ChargePrices 2016 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 763 765 765 765 765 765 765 765 765 765 765 765 765 765 765 MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI MRI CT SCANNING CT SCANNING CT SCANNING CT SCANNING CT SCANNING CT SCANNING CT SCANNING CT SCANNING CT SCANNING CT SCANNING CT SCANNING CT SCANNING CT SCANNING CT SCANNING 7640337 7640338 7640339 7640340 7640341 7640343 7640344 7640345 7640347 7640348 7640349 7640350 7640351 7640352 7640353 7640354 7640355 7640356 7640358 7640359 7640360 7640361 7640364 7640365 7640366 7650123 7650166 7660355 7660356 7661571 7661728 7661729 7662563 7663028 7663906 7664106 765121 7640019 7650001 7650002 7650003 7650004 7650005 7650006 7650007 7650008 7650009 7650012 7650013 7650014 VENOGRAPHY,CAVAL,INF WATER VIEW SINUS X-RAY FULL BODY CHIL XRAY BONE SURVEY LIM FLUOROGUIDE VEIN DEV FLUORGUIDE SPINE INJ XRAY FOR BONE AGE XRAY BONE SURVEY LIM DXA BONE DENSITY PER EPIDURAL 1 SHOT TRAY EPIDURAL INJECTION PEDS PELVIS\HIP XRAY PORT CHECK W/FLUOR XRAY INFANT BONE SUR ASPIRATION/INJECTION GI TUBE INJECTION OMNIPAQUE 300MG 10ML REPLACE G-J TUBE PER 22G WHITACRE SPINAL 24G WHITACRE SPINAL MAXICELL BX NDL22X15 XRAY BONE LENGTH STU ANCILARY SURG PROCED X-RAY EXAM OF HIP- 2 LT TM JOINT ABSCESSN GEN CATH 8F OMNIPAQUE 300 50CC BIOPSY NEEDLE 18X10C BIOPSY NEEDLE 18X15C GASTROGRAFIN 37% 120 HSG CATHETER 5F HSG CATHETER 7F PICC SELDINGER 4FR SINOGRAFIN 38% 10ML 30G ENDPORT SIALOGRA OMNIPAQUE M 200 NDC PERCUSTAY SM NEEDLE ASPIRATION MJ JOINT ABDOMINAL W/CONTRAST ABDOMINAL W/OCONTRAS ABDOMINAL W/WO CONTR ADRENAL W & W/O CONT ADRENAL W/O CONTRAST CT BIL LWR EXTRMT W CT BIL LWR EXTRMT WO CT BIL UPR EXTRMT W CT BIL UPR EXTRMT WO CHEST W/CONTRAST CHEST W/O CONTRAST CHEST W/WO CONTRAST Page 110 1312 217 217 378 206 146 274 244 152 185 716 145 562 227 304 318 196 1475 57 27 149 220 1357 170 217 529 85 322 322 79 131 140 243 121 105 106 73 614 1921 1339 2101 1584 1339 1339 1339 1339 1339 1921 1339 2101 SURG 70210 76010 77074 77001 77003 77072 77074 77081 MANUL 73502 36598 77076 MANUL 49465 Q9967 49452 77073 SURG 73521 70328 C1729 Q9967 Q9967 SURG 74160 74150 74170 74170 74150 73701 73700 73201 73200 71260 71250 71270 ChargePrices 2016 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING 7650015 7650016 7650017 7650018 7650019 7650020 7650021 7650022 7650023 7650024 7650025 7650026 7650027 7650028 7650029 7650030 7650031 7650032 7650033 7650034 7650035 7650036 7650038 7650039 7650040 7650041 7650042 7650043 7650044 7650045 7650046 7650047 7650048 7650049 7650050 7650051 7650054 7650055 7650056 7650057 7650058 7650059 7650060 7650061 7650062 7650063 7650064 7650066 7650067 7650068 CHIBA NEEDLE 22GX15C CT ABCESS DRAIN CT ABS DRAIN HEMA CT ABS DRAIN LYMPH CT ABS DRAIN NCK THO CT ABS DRAIN OVARIAN CT ABS DRAIN PERIANA CT ABS DRAIN PERIREC CT ABS DRAIN PERIVES CT ABS DRAIN SUBCU CT APPNDX AB & PELVI CT ASP REN PEL CYST CT ASP SPINAL CYST CT ASP THYROID CYST CT ASPIRATION CT BIL LOW EXT W WO CT BIL UP EXT W WO CT BIOPSY CT BIOPSY KIT CT BX ABD/RETROPERIT CT BX BONE DEEP CT BX BONE SUPER CT BX EPIDIDYMIS CT BX LIVER CT BX LUNG/MEDIA CT BX LYMPH NODE CT BX MUSCLE CT BX NECK THORAX CT BX PANCREAS CT BX PLEURA CT BX PROSTATE CT BX RENAL CT BX SALIVARY GLAND CT BX SPINAL CORD CT BX THYROID CT CERVICAL SPINE WO CT FACIAL BONES WO CT GUIDANCE FOR NEED CT GUIDANCE NEEDLE P CT GUIDE BX CT LOWER EXT W WO CT LUMBAR SPINE WO CT MAX FACIAL W WO CT CERVICAL SPINE WI CT LUMBAR WITH CONTR CT POST THORAC MYE W CT ABCESS DRAIN CT SCAN HEAD (W/CONT CT SINUSES-SCREEN WO CT THORACIC SPINE WO Page 111 73 1849 3507 5453 5453 7454 1214 5003 4717 920 2096 3035 1937 920 920 3226 3226 920 134 3035 2383 2383 1406 3035 3035 3035 3035 1406 3035 3035 4217 3035 1406 3035 1406 2099 1339 1339 1339 1339 1584 1154 1584 2686 2185 2686 1849 1339 1339 1825 75989 10140 38300 21501 58820 46050 46040 51080 10060 72192 50390 62268 SURG SURG 73702 73206 SURG 49180 20225 20220 54800 47000 32405 38505 20206 42400 48102 32400 55700 50200 42400 62269 60100 72125 70486 77012 77012 77012 73702 72131 70488 72126 72132 72129 75989 70460 70486 72128 ChargePrices 2016 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING 7650069 7650070 7650072 7650073 7650074 7650075 7650076 7650077 7650078 7650079 7650080 7650081 7650082 7650083 7650084 7650085 7650086 7650087 7650088 7650089 7650090 7650091 7650092 7650093 7650094 7650095 7650096 7650097 7650098 7650099 7650100 7650101 7650102 7650103 7650104 7650105 7650106 7650107 7650108 7650109 7650110 7650111 7650112 7650113 7650114 7650115 7650116 7650118 7650121 7650122 CT TUBE THORACOST CT UPPER EXT W WO CTA ABD AORTA/BIL IL CTA ABDOMIN W/WO CON CTA CHEST&PULM VESSL CTA HEAD W/WO CONTRA CTA LOWER EXT LT W/W CTA LOWER EXT RT W/W CTA NECK W/WO CONTRA CTA PELVIS W/WO CONT CTA UPPER EXT LT W/W CTA UPPER EXT RT W/W HEAD (W/O CONTRAST) HEAD (W/WO CONTRAST) HEART VIEW IAC (W/O CONTRAST) LT LOWER EXTREMITY W LT LOWER EXTREMIT W0 LT UPPER EXTREMITY W LT UPPER EXTREMIT W0 MEDIASTINUM WO NECK W/CONTRAST NECK W/O CONTRAST NECK W/WO CONTRAST CT ORBT/POS FOS/M WO CT ORBT/POS FOSS/M W CT ORBT/POS FOS/M WW PANCREAS W/CONTRAST PANCREAS W/O CONTRAS PARACENTESIS PELVIS W/CONTRAST PELVIS W/O CONTRAST PELVIS W/WO CONTRAST PERC ABCESS DRAIN RT LOWER EXTREMITY W RT LOWER EXTREMTY WO RT UPPER EXTREMITY W RT UPPER EXTREMTY WO SELLA W/WO CT MAXILL-SINUS FL W CT MAXILL-SINUSES W 16GX10CM HAWKINS BLU 16GX15CM HAWKINS BLU CTA CIRCLE OF WILLIS CTA BRAIN PERFUSIN CTA CAROTIDS BIL CTA RENALS BIL CTA CT ANGIO ABDOM W/O W PERCUSTAY SM NEEDLE CT SCAN NEEDLE BIOPS Page 112 1411 1584 1582 1582 1582 1582 1582 1582 1582 1582 1582 1582 1339 1584 72 1339 1339 1339 1339 1339 1848 1339 1339 1584 1339 1339 1584 1339 1339 935 1921 1339 2101 2632 1339 1339 1339 1339 1584 1339 1339 130 130 1339 1339 1339 1339 1582 73 1339 32551 73202 75635 74175 71275 70496 73706 73706 70498 72191 73206 73206 70450 70470 70480 73701 73700 73201 73200 71250 70491 70490 70492 70480 70481 70482 74160 74150 SURG 72193 72192 72194 SURG 73701 73700 73201 73200 70482 70487 70486 70496 70496 70498 74175 74175 77012 ChargePrices 2016 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT CT SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING SCANNING 7650124 7650125 7650126 7650127 7650128 7650129 7650130 7650131 7650133 7650134 7650135 7650136 7650137 7650138 7650139 7650140 7650142 7650143 7650144 7650145 7650146 7650148 7650149 7650150 7650151 7650152 7650153 7650154 7650155 7650156 7650157 7650158 7650159 7650160 7650161 7650162 7650163 7650164 7650165 7650167 7660777 7660778 7660779 7660780 7660782 7661060 7661061 7661062 7662117 7662118 ABSCESSN GEN CATH10F BONE MARROW BX/ASP S TRUGUIDE NDL15GX13.8 ISOVUE 370 100CC POWER LOCK MAX INFUS ABSCESSN DRG CTH 6.5 ABSCESS GEM CTH 12FR 12FR PEEL AWAY SHEAT MULTIHANCE 20ML CT ABD &PELVIS WO/C CT ABD &PELVIS W/C CT ABD &PELVIS WWO/C HEARTVIEW W/ ABI SCR MAXCOR GUN16X16 13.8 JAMSHIDI BONE MARROW RECON CTA AORTA PREO CT HRT W/3D IMAGE CT HRT W/3D IMAGE CG CT ANGIO HRT W/3D IM UREFLEX HYDROPHILIC CT LUMBAR W/WO MAX CORE GUN 20X20 ( CT ANGIO ABD&PEV W/W CT BIL UPPR EXT W WO CTA BIL LWR EXT W/W 10FR DIALATOR 14FR DIALATOR GELFOAM SG 12 12-7 GUIDEWORE 60CM X.018 TEMNO BIOPSY 22X11CM BARD BIOPSY 18X6 BARD BIOPSY 20X16 TEMNO BIOPSY 20X20CM CT LUNG CA SCREEN 3D RECON CT INTERCSTAL NERV 1 INTERCSTAL NERV >1+ OMNIPAQUE 300 100ML VISIPAQUE 100CC CT THORACIC SPI W/WO CHIBA BIOPSY NEEDLE CHIBA BIOPSY NEEDLE CHIBA BIOPSY NEEDLE CHIBA NEEDLE 22GX10C CHIBA NEEDLE 22GX6M CROWN NEEDLE 11GX4 CROWN NEEDLES 20 CROWN NEEDLES 20 8 MAX CORE WITH 18GX10 MAX CORE WITH 18GX16 Page 113 580 222 112 85 39 5 580 186 241 3260 3843 4203 50 218 190 54 674 947 1820 370 3277 220 1340 3226 3226 36 36 57 172 218 202 202 214 76 106 1921 1921 124 314 779 56 56 56 72 64 156 138 133 231 220 C1729 Q9965 74176 74177 74178 G0288 75572 75573 75574 C1729 72133 74174 73202 73706 C1769 76377 64420 64421 Q9967 Q9965 72130 ChargePrices 2016 765 765 765 765 765 765 765 765 765 765 765 765 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 CT SCANNING CT SCANNING CT SCANNING CT SCANNING CT SCANNING CT SCANNING CT SCANNING CT SCANNING CT SCANNING CT SCANNING CT SCANNING CT SCANNING CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR 7662119 7662120 7662398 7663440 7663441 7663442 7663443 7663444 7664108 7664111 7664113 7681644 7349652 7660031 7660038 7660042 7660047 7660054 7660056 7660066 7660071 7660079 7660081 7660085 7660086 7660087 7660088 7660090 7660092 7660101 7660102 7660103 7660110 7660111 7660113 7660114 7660115 7660116 7660117 7660119 7660120 7660121 7660122 7660123 7660129 7660130 7660132 7660133 7660134 7660149 MAX CORE WITH 20GX10 MAX CORE 20G X 16CM OMNIPAQUE 350 150ML TRUGUIDE NEEDLE 15GX TRUGUIDE NEED 17GX8 TRUGUIDE NEED 17GX13 TRUGUIDE NEED 19GX8 TRUGUIDENEE 19GX13.8 OMNIPAQUE 300 150CC OMNIPAQUE 350 100CC OMNIPAQUE 300 125ML BARIUM ORAL RTH PETROL FEED PUMP "COBAN 1""" "EXTENTION SET WITH "OSTOMY BELT "SPACER MIDI AREOCHA ABDOMINAL BINDER 30" ABDOMINAL BINDER 46" ACCESS PORT TRAY ACE BANDAGE 4" LATEX ACRAR 911 ADULT LUNG ACTIVE LIFE COLOSTOM ADAPTER DBL. MALE LU ADAPTIC 3 X 8 ADAPTIC 3X16 ADAPTIC 3X3 ADD A FOLEY TRAY ADMINISTRATION SET, ADULT/PEDIATRIC FILT ADVIL TAB HOSP PK ADVIL TAB 200MG AHMED VALVE LARGE AIR CONTRAST ENEMA AIR STRIP WARD AIR STRIP WOUND AIR SUSPENSION THERA AIRCAST ANKLE BRACE AIRCAST LEFT ANKLE B AIRWAY CHILD 60MM AIRWAY INFANT 40MM AIRWAY LG ADULT 100M AIRWAYS MED ADULT 90 AIRWAYS SM ADULT 80M ALEVE 24/BX ALLEVYN ADHESIVE 5X5 ALP REGULAR THIGH SL ALP 300 ML HUMIDIFIE AMBU MASK ADULT ANGELCHIK ANTI-REFLU Page 114 231 220 622 112 112 77 104 104 184 85 114 3 8 8 6 29 74 57 45 68 35 1 6 7 8 7 2 56 21 56 5 8 1392 203 6 3 294 102 82 1 1 1 1 1 3 36 188 52 123 2049 Q9967 Q9967 Q9967 Q9967 ChargePrices 2016 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR 7660152 7660153 7660154 7660157 7660158 7660159 7660162 7660163 7660164 7660165 7660166 7660167 7660170 7660171 7660172 7660173 7660174 7660175 7660176 7660177 7660178 7660179 7660180 7660181 7660183 7660184 7660186 7660189 7660190 7660191 7660192 7660193 7660194 7660199 7660200 7660201 7660203 7660204 7660205 7660206 7660208 7660209 7660210 7660211 7660212 7660213 7660214 7660215 7660216 7660217 ANGIOCATH 18 X 1 1/4 ANGIOCATH 18GA 1 3/4 ANGIOCATH 20GA 2 IN ANGIOPLAST BALLOON C ANGIOPLASTY BALLOON ANGLED ELBOW CONNECT ANIT-EMBOLISM SM REG ANKLE BRACE LG ANKLE BRACE MEDIUM ANKLE BRACE SMALL ANKLE BRACE STIRRUP ANKLE BRACE X-LRG ANTI-EMBOLISM KNEE L ANTI-EMBOLISM KNEE L ANTI-EMBOLISM KNEE M ANTI-EMBOLISM KNEE M ANTI-EMBOLISM KNEE X ANTI-EMBOLISM KNEE X ANTI-EMBOLISM KNEE X ANTI-EMBOLISM KNEE X ANTI-EMBOLISM THIGH ANTI-EMBOLISM THIGH ANTI-EMBOLISM THIGH ANTI-EMBOLISM THIGH AQUA GURNISH PADS AQUA PAK 760ML STERI AQUA 750ML H2O W/O A AQUACEL STRIPS 0086 AQUACEL WOUND DRESSI AQUACEL WOUND RIBBON AQUACEL 4X4 AQUACEL 5X5 AQUACEL 6X6 AQUAPLAST BLUSH AQUASORB 7.5X7.5 ARI SURF FLT EF/GREE ARM SLING INFANT ARM SLING PED YOUTH ARMSTRONG BEVEL GROM ARMSTRONG TUBES 1.10 ART A/PL CD/YELLOW 9 ART A/PL EF/GREEN 13 ART A/PL GHJK/BLUE 1 ART A/PL GHJK/BLUE 1 ART A/PL GHJK/BLUE 9 ART SURF FLT CD/YELL ART SURF FLT CD/YELL ART SURF FLT CD/YELL ART SURF FLT CD/YELL ART SURF FLT EF/GREE Page 115 7 6 10 475 C1725 514 C1725 37 15 119 119 119 94 119 23 15 23 15 25 15 15 15 34 34 34 27 34 22 26 36 239 197 29 16 152 44 95 1142 20 20 72 37 1142 1142 1142 1142 1142 1142 1142 1142 1142 1142 ChargePrices 2016 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR 7660218 7660219 7660220 7660221 7660222 7660223 7660224 7660225 7660226 7660228 7660229 7660255 7660257 7660258 7660259 7660260 7660261 7660263 7660292 7660293 7660294 7660295 7660297 7660298 7660299 7660301 7660303 7660304 7660307 7660309 7660310 7660312 7660313 7660320 7660321 7660322 7660323 7660324 7660333 7660341 7660346 7660347 7660348 7660349 7660350 7660351 7660353 7660354 7660357 7660358 ART SURF FLT EF/GREE ART SURF FLT GHJK/BL ART SURF FLT GHJK/BL ART SURF FLT GHJK/BL ART SURF FLT GHJK/BL ART SURFFLT EF/GREEN ART SURFLT CD/YELLOW ARTERIAL CATH SET ARTERIAL CATHETERIZA ARTHOSCOPIC SUCTION ARTHRITIS MITT SPLIN ASPIRATION NEEDLE 18 ASPRIN BABY 81MG ASPRIN CHILD CHEW ASPRIN EC TAB ASPRIN EC TAB UD ASPRIN 5GR ATRACTION CREAM 5OZ BACK BRACE MED-LARGE BACK BRACE XXLARGE BACK-UP BONE ANCHOR BACKSTOP BAIR HUGGER FULL BOD BAIR HUGGER UPPER BO BAIR HUGGER WARMING BALL HAND EXERCISORS BALLARD SUCTION 2205 BALLOON CATHETER BALLOON 12FR BAND ITS BANDIT 3.5 NC BARD FRAZIER SUCTION BARIUM ENEMA BECKLEY MARKERS S-SP BECKLEY MARKSER N-SP BEEKLEY A-SPOTS BEEKLEY O-SPOT LITE BEEKLEY S-SPOT BILE BAG BILICOMBI ADJUSTABLE BIOCLUSIVE 2X3 BIOCLUSIVE 4X10 BIOCLUSIVE 4X5 BIOCLUSIVE 5X7 BIOPATCH DRESSING BIOPSY BIOPSY NEEDLE BIOPSY NEEDLE BIOPSY NEEDLE 18X10 BIOPSY NEEDLE 19.5 X BIOPSY NEEDLE 19.5X1 Page 116 1236 1142 1142 1142 1142 1142 1142 76 75 23 231 71 8 1 2 2 1 63 130 130 634 59 57 85 100 20 496 921 605 131 987 15 160 96 92 92 92 43 74 73 1 21 6 20 40 82 147 82 206 206 ChargePrices 2016 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR 7660359 7660360 7660361 7660363 7660374 7660393 7660394 7660396 7660397 7660405 7660406 7660407 7660408 7660409 7660410 7660411 7660412 7660421 7660422 7660425 7660428 7660429 7660431 7660432 7660433 7660434 7660435 7660437 7660438 7660439 7660440 7660441 7660442 7660444 7660445 7660446 7660459 7660460 7660467 7660469 7660470 7660471 7660472 7660473 7660474 7660476 7660596 7660612 7660613 7660615 BIOPSY NEEDLE 21X10C BIOPSY NEEDLE 21X15C BIOPSY NEEDLE 22G CL BIOPSY TRAY BIPOLAR CORD BISACODYL SUPP. 10MG BISACODYL TAB 5MG BITE GUARD BIVONA LARYNJECTOMY BLOOD ADM SET BLOOD CONSERVATION R BLOOD GLUCOSE SENSOR BLOOD PRESSURE CUFF BLOOD PRESSURE CUFF BLOOD PRESSURE CUFF BLOOD PRESSURE CUFF BLOOD PUMP SET BONE BIOPSY NEEDLE 1 BONE BIOPSY NEEDLE 1 BONE MARROW TRAY BOVIE GROUNDING PAD BOVIE PENCIL BP CUFF ADULT LATEX BP CUFF ADULT LF OR BP CUFF ADULT LG LAT BP CUFF ADULT OR LAT BP CUFF CHILD LATEX BP CUFF INFANT LATEX BRACE, NEC-LOCK LARG BRACE, NEC-LOCK PED BRACE, NEC-LOCK SMAL BREAST BIOPSY PROCED BREAST PUMP MANUALEC BREAST PUMP SYSTEM S BRENTWOOD EKG ELECTR BRIDGE BROMANATE ELXR 120ML BROMANATE ELXR 480ML BURN WHEELS BUTTERFLY 19GA BUTTERFLY 21 X 3/4 BUTTERFLY 23 X 3/4 BUTTERFLY 25 X 3/4 BUTTON HOOK C TUBE-2 CONNECTING C-FLEX MULTI-LENGTH CAPNOXYGEN MASK CASH BRACE CAST PADDING 2 INCH CAST PADDING 4 INCH Page 117 206 206 108 95 210 1 1 118 63 14 473 100 31 1 60 26 64 374 374 398 22 38 75 90 90 87 75 72 118 111 102 131 147 94 8 6 1 3 71 1 1 1 22 52 72 232 29 3668 3 9 ChargePrices 2016 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR 7660616 7660617 7660618 7660619 7660620 7660621 7660622 7660623 7660624 7660625 7660641 7660642 7660643 7660644 7660645 7660646 7660647 7660648 7660649 7660650 7660651 7660652 7660653 7660654 7660655 7660656 7660657 7660667 7660670 7660678 7660680 7660681 7660682 7660683 7660684 7660685 7660686 7660687 7660688 7660710 7660711 7660712 7660713 7660717 7660725 7660726 7660727 7660728 7660729 7660730 CAST PADDING 6 INCH CAST PLASTER X-FAST CAST PLASTER X-FAST CAST PLASTER X-FAST CAST PLASTER X-FAST CAST PLASTER X-FAST CAST TAPE 2" CASTING TAPE 3" CASTING TAPE 4" CASTING TAPE 5" CATH FOLEY 12F 5CC 2 CATH FOLEY 14F 5CC 2 CATH FOLEY 16F 30CC CATH FOLEY 16F 5CC 2 CATH FOLEY 18F 30CC CATH FOLEY 18F 30CC CATH FOLEY 18F 5CC 2 CATH FOLEY 18F 5CC 3 CATH FOLEY 20F 30CC CATH FOLEY 20F 5CC 2 CATH FOLEY 20F 5CC 3 CATH FOLEY 22F 30CC CATH FOLEY 22F 5CC 2 CATH FOLEY 24F 5CC 2 CATH FOLEY 26F 30CC CATH FOLEY 26F 5CC 3 CATH HAWKINS SHEPARD CATH MOTARJEME 5FR . CATH PACKS CATH SECURE CATH SYSTEM OLBERT P CATH TRAY 16F LATEX CATH URETHRAL 10F CATH URETHRAL 12F CATH URETHRAL 14F CATH URETHRAL 16F CATH URETHRAL 18F CATH URETHRAL 8F CATH URETHRAL20F CATH/MUCOUS TRAP 10F CATH/MUCOUS TRAP 6 1 CATH/MUCOUS TRAP 8FR CATHETER ADAPTOR CATHETER FEMALE CATHETER KET 3-LUMEN CATHETER MALE CATHETER MALE LG CATHETER MALE MED CATHETER MALE SMALL 5FR A1 MULTIPURPOSE Page 118 15 2 10 3 6 22 22 26 32 39 16 16 63 16 21 63 16 60 67 16 75 63 16 15 54 60 34 113 217 8 677 93 6 6 6 6 7 6 6 8 8 8 3 26 334 6 7 7 7 61 C1758 C1758 C1758 C1758 C1758 C1758 ChargePrices 2016 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR 7660733 7660734 7660735 7660736 7660737 7660741 7660743 7660744 7660745 7660751 7660752 7660753 7660754 7660755 7660756 7660757 7660758 7660759 7660760 7660761 7660762 7660763 7660764 7660765 7660766 7660767 7660768 7660769 7660770 7660771 7660772 7660773 7660774 7660775 7660776 7660781 7660783 7660784 7660785 7660792 7660793 7660794 7660795 7660799 7660800 7660801 7660802 7660804 7660806 7660807 CATHETER PLUG CATHETER SET 2-LAMEN CATHETER TRAY A CATHETER TRAY 16FR CATHETER TRAY 18FR CATHETR 3CC 6F CAUTERING PINS CAVITY DRAINAGE CCU ELECTRODES CENTRAL VENOUS CATH CERVICAL COLLAR LARG CERVICAL COLLAR MED CERVICAL COLLAR NARR CERVICAL COLLAR NARR CERVICAL COLLAR NARR CERVICAL COLLAR NARR CERVICAL COLLAR NARR CERVICAL COLLAR SMAL CERVICAL COLLAR X-LA CERVICAL COLLAR X-NA CERVICAL COLLAR X-NA CERVICAL COLLAR X-NA CERVICAL COLLAR XNAR CERVICAL COLLAR XNAR CERVICAL COLLAR XWID CERVICAL ROLL CHECK FLO III 7FR BL CHECK FLO INTRODUCER CHECKMATE CHEETAH BARIUM CHEST DRAIN VALVE CHEST DRAIN 12FR. CHEST DRAIN 14FR. CHEST TUBE TRAY CHIBA ASPIRATION BIO CHIBA NEEDLE 22GX20C CHIBA NEEDLE 22X9 CHIBA TYPE NEEDLE 22 CHIBA-TYPE NEEDLE NC CHROMIC GL30G CHROMIC GUT SUTURE CHROMIC GUT 0 CP 964 CHROMIC GUT 0 CT-1 8 CHROMIC GUT 1 CT-1 8 CHROMIC GUT 1 TIE SG CHROMIC GUT 1 TIE S1 CHROMIC GUT 1 594-71 CHROMIC GUT 2-0 CT-1 CHROMIC GUT 2-0 TIE CHROMIC GUT 2-0 963H Page 119 1 250 21 43 39 54 59 435 7 99 C1751 57 57 54 54 57 54 54 57 54 57 57 57 54 54 54 67 177 130 43 23 135 361 361 261 11 72 56 10 25 26 10 10 21 14 20 3 46 8 22 21 ChargePrices 2016 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR 7660808 7660809 7660810 7660811 7660812 7660813 7660816 7660818 7660819 7660821 7660822 7660823 7660824 7660825 7660826 7660827 7660828 7660829 7660830 7660831 7660832 7660833 7660834 7660835 7660836 7660837 7660838 7660843 7660844 7660847 7660857 7660858 7660859 7660860 7660873 7660874 7660875 7660877 7660878 7660879 7660880 7660881 7660887 7660923 7660924 7660925 7660928 7660929 7660935 7661034 CHROMIC GUT 3-0 TAPE CHROMIC GUT 3-0 TAPE CHROMIC GUT 3-0 TAPE CHROMIC GUT 3-0 TIE CHROMIC GUT 4-0 PS-2 CHROMIC 2 814H CHROMIC 4-0 1654G CHROMIC 5-0 723G CICA DRESSING CISION DRESSING CITRATE MAGNESIUM CITRATE MAGNESIUM CLAVE CONNECTOR ADAP CLAVE EXTENTION SET CLAVE INTERMITENT IN CLAVE MICRO PIGGYBAC CLAVE NEEDLELESS CON CLAVE PED SETCLAVE P CLAVE PORT EXTENTION CLAVE PRIMARY SET CLAVE PRIMARY SET CLAVE PUMP SET CLAVICLE SPLINT MEDI CLAVICLE SPLINT SMAL CLAVICLE SPLINT X-SM CLEVICLE SPLINT LARG CLEVICLE SPLINT X-LA CLIP-ON PLATE GUARD CLOSER S SUTURE MCS CO SETTES CODMAN SURGICAL PATT CODMAN SURGICAL PATT CODMAN SURGICAL PATT CODMAN SURGICAL PATT COLAGEN SHIELDS COLOPLAST BASE PLATE COLOPLAST OSTOMY BAG COLOSET BAG COLOSTOMY DRESSING COLOSTOMY KIT 102MM COLOSTOMY/ILLEOSTOMY COMB CONE/TUBE IRRIG COMFORT BATH CONDUCTIVE INHALER R CONDUCTIVE INHALER R CONNECTOR 5 IN 1 CONTROLLABLE STONE E CONTROLLER SUB PK CONVERDERM PLUS 4 X COUDE CATH STRAIGHT Page 120 15 32 20 6 25 10 25 14 31 4 1 6 20 27 14 34 22 123 22 20 32 60 119 119 119 72 72 59 706 113 38 2 37 7 158 10 25 2 22 54 39 45 14 45 45 6 422 72 6 26 ChargePrices 2016 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR 7661035 7661036 7661037 7661038 7661039 7661040 7661041 7661044 7661045 7661046 7661047 7661057 7661058 7661063 7661067 7661080 7661081 7661082 7661085 7661091 7661092 7661093 7661102 7661103 7661106 7661107 7661108 7661109 7661113 7661114 7661115 7661116 7661117 7661122 7661123 7661129 7661132 7661135 7661137 7661141 7661142 7661144 7661145 7661146 7661147 7661148 7661149 7661153 7661154 7661155 COUDE CATH STRAIGHT1 COUDE CATH 5CC 12 COUDE CATH 5CC 14 COUDE CATH 5CC 18FR COUDE CATHETER 14FR COUDE CATHETER 16FR COUDE CATHETER 16FR COVADERM PLUS 6X8 COVADERM 4X8 COVER ROLL ADHESIVE COVERLET DRESSING CRITOSEAL CRIZLLENE CROWN NEEDLES 22 CUFFLESS FENESTRATED CYSTO-AID 1000ML CYSTO/IRRIGATION SET CYSTOGRAPHIN CYSTOTOME 27GA X 5/8 DATASCOPE LG ADULT C DATASCOPE SENSOR CAB DATASENSOR WITH 12' DEFIB PAD DEFIB PADS ER DERMA BOND DERMA BOND CHISLE PO DERMABOND DERMABOND DHV12 DERMOPLAST DEXON #1 7269-71 DEXON "S" 2-0 9008-5 DEXON S #2 7314-83 DEXON S 3-0 7233-41 DEXON 5263-71 1 T-58 DEXON 5302-61 0 T-20 DEXON 7228-41 3-0 TDEXON 7233-41 3-0 TDEXON 7269-51 2-0 TDEXON 7314-83 2 T-60 DEXON 7618-41 3-0 CE DHD COACH 22-4000 DIALYSIS CATH 56 CM DIALYSIS CATH 6OCM DIALYSIS 2 LUMEN TRA DIALYSIS 2-LUMEN CUR DILATOR TD-10/.038 4FR DILATOR DIMETAPP ELXR 480ML DIMETAPP EX TAB DIMETAPP EX TAB UD Page 121 62 59 62 62 38 36 49 8 3 92 1 15 8 133 167 35 29 99 26 34 319 352 29 26 131 123 131 130 22 7 22 27 57 46 14 23 8 8 25 7 258 305 305 372 436 38 28 22 10 15 C1752 C1752 C1752 C1752 ChargePrices 2016 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR 7661156 7661157 7661158 7661159 7661160 7661161 7661164 7661167 7661168 7661169 7661174 7661175 7661178 7661180 7661181 7661182 7661184 7661185 7661186 7661189 7661190 7661191 7661192 7661193 7661194 7661195 7661196 7661197 7661198 7661199 7661208 7661209 7661210 7661211 7661213 7661218 7661219 7661220 7661221 7661222 7661223 7661224 7661227 7661228 7661229 7661230 7661231 7661232 7661233 7661235 DIPHENHUDRM 50MG (BE DIPHENHYDRM CAP 25MG DIPHENHYDRM CAP 25MG DIPHENHYDRM CAP 50MG DISK ELECTRODES DISKARD HEAD HALTER DISP NU-TIP CURVED M DISP. PRESSURE BAG 5 DISP. SHEATH WITH NE DISPOS-A-PROBE DISPOSABLE POUCH DISPOSABLE SUCTION DOUBLE ADAPTOR DOUBLE PIGTAIL URETE DOUBLE PIGTAIL URETE DOULBE PIGTAIL URETE DRAIN CATH 10.3FR AL DRAIN CATH 12FR ALL DRAIN CATH 8.3FR ALL DRAINABLE POUCHES ( DRAINAGE BAG DRESSING CHANGE TRAY DRESSING CHARGE - SM DRESSING CHARGE-LARG DRESSING CHARGE-MEDI DRESSING L DRESSING M DRESSING S DRESSING TRAY NO SUT DRESSING TRAY W/SUTU DROMALINE ELX 16OZ ( DS 1 LOOP Z880G DSTAT FLOWABLE HEMOS DUAL CANNULA O2 SENS DUAL LUMEN UMBIL. AR DUALOK LOCAL. SYS 20 DUCK BILL VOICE PROS DUCK BILL VOICE PROS DUCK BILL VOICE PROS DUCK BILL VOICE PROS DUCK BILL VOICE PROS DUCK BILL VOICE PROS DUODERM SIGNA 5.5X5. DUODERM SIGNAL 8X8 DUODERM SIGNAL 8X9 S DUODERM XTHIN 3X3 DUODERM XTHIN 6X6 DUODERM 4 X 4 DUOFLEX SPRING WIRE DUPLOCATH 35 Page 122 3 2 3 2 147 14 147 75 147 62 7 2 8 225 225 225 286 437 296 39 76 25 10 25 20 16 14 10 46 60 7 29 342 108 132 115 44 48 44 44 44 44 67 110 111 15 27 16 21 115 C2617 C2617 C2617 C1729 C1729 C1751 ChargePrices 2016 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR 7661240 7661241 7661247 7661250 7661251 7661252 7661256 7661257 7661258 7661259 7661260 7661261 7661262 7661263 7661264 7661265 7661267 7661268 7661269 7661271 7661272 7661273 7661274 7661275 7661276 7661277 7661278 7661279 7661280 7661281 7661326 7661327 7661328 7661329 7661330 7661331 7661332 7661333 7661334 7661347 7661348 7661349 7661350 7661351 7661352 7661353 7661354 7661355 7661356 7661357 DUROFLEX SPRING WIRE DYCEM ROLL E.T.TUBE SAFETY CLEA EDLICH GASTRIC LAVAG EDM INFUS. CATH 18CM EDM INFUS. CATH 30CM EHTILON 5-0 PC-1 185 ELACTIC BANDAGE 2" ELASTIC BANDAGE 3" ELASTIC BANDAGE 4" ELASTIC BANDAGE 6" ELASTOPLAST ELBOW ARM SPLINT ELBOW FREEDON SPLINT ELBOW FREEDON SPLINT ELECTRO SURGICAL PRO ELECTRODE 5FR W/BALL ELECTRODE 5FR W/BALL ELECTRODES ADULT ELECTRODES PEDIATRIC ELECTRODES, QUICK CO ELLISON ARCHED STAPL ELLISON ARCHED STAPL ELLISON FLAT STAPLE ELLISON FLAT STAPLE ELLISON FLAT STAPLE ELLISON TISSUE RETAI ELLISON TISSUE RETAI ELLISON TISSUE RETAI EMBOLECTOMY CATH 6 F ENDO TUBE 10 LATEX F ENDO TUBE 5.0 LATEX ENDO TUBE 6.0 LATEX ENDO TUBE 6.5 LATEX ENDO TUBE 7.0 LATEX ENDO TUBE 7.5 LATEX ENDO TUBE 8.0 LATEX ENDO TUBE 8.5 LATEX ENDO TUBE 9.0 LATEX ENDOTRACH TUBE 4.0 U ENDOTRACHE TUBE HIGH ENDOTRACHE TUBE 2.5 ENDOTRACHE TUBE 5.0M ENDOTRACHE TUBE 5.5 ENDOTRACHEAL TUBE ENDOTRACHEAL TUBE 3. ENDOTRACHEAL TUBE 3. ENDOTRACHEAL TUBE 4. ENDOTRACHEAL TUBE 4. ENDOTRACHEAL TUBE 6. Page 123 211 193 29 45 585 622 31 3 6 6 8 32 82 100 100 112 608 445 3 6 127 166 166 263 147 263 105 112 112 119 C1757 21 21 21 21 22 21 21 21 21 158 20 15 16 15 8 20 20 20 16 20 ChargePrices 2016 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR 7661358 7661359 7661360 7661361 7661362 7661363 7661364 7661365 7661366 7661367 7661371 7661373 7661374 7661375 7661376 7661377 7661378 7661379 7661380 7661390 7661395 7661403 7661404 7661405 7661406 7661408 7661409 7661411 7661412 7661415 7661417 7661418 7661421 7661423 7661425 7661427 7661428 7661429 7661430 7661431 7661432 7661433 7661435 7661437 7661443 7661445 7661446 7661447 7661448 7661449 ENDOTRACHEAL TUBE 6. ENDOTRACHEAL TUBE 7. ENDOTRACHEAL TUBE 7. ENDOTRACHEAL TUBE 8. ENDOTRACHEAL TUBE 8. ENDOTRACHEAL TUBE 9. ENEMA CHILDREN ENEMA OIL ENEMA PHOSPHATE ENEMA SET ENSURE IV DRESSING ENTROKIT W/ENTEROCLY EPIDURAL TUBING PCA EPIDURAL CATHETER EPIDURAL NEEDLE 17G EPIDURAL TRAY EPISEAL 1/2 X 4 EPISEAL 1/4 X 3 ER PREP KIT ETCHED VESSEL TIP ETHIBOND 0 CX45D ETHIBOND 3-0 TAPER S ETHICON CLIP APPLIER ETHICON HERNIA STAPL ETHICON REDUCER 5.5M ETHILON "NYLON" 4-0 ETHILON "NYLON" 4-0 ETHILON PC-1 1856G ETHILON 10-0 MICRO 7 ETHILON 2-0 KEITH 62 ETHILON 3-0 CUTTING ETHILON 3-0 CUTTING ETHILON 3-0 PC-5 189 ETHILON 4-0 CUTTING ETHILON 4-0 FS2 662G ETHILON 4-0 PS-2 166 ETHILON 5-0 CUTTING ETHILON 5-0 CUTTING ETHILON 5-0 PS-2 166 ETHILON 5-0 PS3 1668 ETHILON 6-0 CUTTING ETHILON 6-0 CUTTING ETHJIBOND 2 X0997G EVACUATED FLASK 2000 EXTENDED BLADE ELECT EXTENSION SET 6" EXTENSION TUBING EXTENTION SET 20" LL EXTENTION SET 45" 2 EXTERNAL NASAL KIT Page 124 20 20 20 20 20 20 6 8 3 7 10 605 85 45 87 239 8 6 3 36 85 39 355 596 22 26 8 22 73 3 20 34 21 32 6 34 16 20 34 7 34 22 132 27 14 11 8 7 64 76 ChargePrices 2016 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR 7661450 7661452 7661453 7661454 7661455 7661457 7661458 7661466 7661467 7661468 7661473 7661474 7661475 7661480 7661483 7661485 7661486 7661487 7661488 7661489 7661490 7661491 7661492 7661493 7661495 7661496 7661497 7661498 7661499 7661500 7661501 7661503 7661504 7661505 7661506 7661507 7661508 7661514 7661515 7661519 7661520 7661521 7661522 7661523 7661535 7661536 7661537 7661538 7661539 7661540 EXTRA STRENGTH GROSP EXU-DRY 6X9 EXU-DRY 6X9 EXU-DRY 9X15 EYE TRAY DR BREGMAN EZ HD (XRAY) EZ JUGS BARIUM FARIDEX FAT EMULSION IV SET FAT EMULSION PUMP SE FEMORAL HEAD LONG NE FEMORAL HEAD MED NEC FEMORAL HEAD SHORT N FEP-RINGED GRAFT 4-7 FIBRIJEY 102 FIBULA WEDGE 10MM X1 FILIFORM OLIVE TIP 3 FILIFORM OLIVE TIP 4 FILIFORM OLIVE TIP 5 FILIFORM OLIVE TIP 6 FILIFORM SPIRAL TIP FILIFORM SPIRAL TIP FILIFORM SPIRAL TIP FILIFORM STRAIGHT TI FILTER NITENAL IVC FILTER PACK FILTER SLEEVES FINGER CONTROL MITT FINGER SPLINT 2 5/8" FINGER SPLINT 6" ZIM FIRST RESPONDER COMB FLATUS BAG FLEX CUFF EZ EM FLEX THINWALL TAPERE FLEX THINWALL TAPERE FLEX 6MM X 70CM F700 FLEX 8MM X 70CM F700 FLEXISENSOR SD ADULT FLEXON 4-0 2543-31 FLUFF GAUZE FLUID DISPENDING SYS FLUTED DRUM BIT, LON FLUTED DRUM BIT, LON FLUTED DRUM BIT, MED FOLEY CATH 22FR 5CC FOLEY CATH 10FR 3CC FOLEY CATH 20FR 30CC FOLEY CATH 22FR 30CC FOLEY CATH 22FR 5CC FOLEY CATH 24FR 30CC Page 125 143 25 20 27 660 101 96 567 6 130 1055 846 856 1659 119 568 10 36 10 68 10 49 10 123 4986 54 10 95 10 10 302 8 185 1618 1619 1379 1608 10 26 20 213 334 363 315 10 52 21 21 68 21 C1776 C1776 C1776 C1768 C1880 C1768 ChargePrices 2016 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR 7661541 7661542 7661543 7661544 7661545 7661546 7661547 7661548 7661549 7661550 7661551 7661552 7661554 7661557 7661558 7661559 7661560 7661565 7661569 7661580 7661581 7661582 7661583 7661584 7661585 7661586 7661595 7661617 7661623 7661625 7661628 7661630 7661634 7661639 7661642 7661645 7661646 7661647 7661650 7661651 7661652 7661672 7661673 7661674 7661677 7661681 7661682 7661683 7661702 7661717 FOLEY CATH 24FR 30CC FOLEY CATH 24FR 5CC FOLEY CATH 26FR 5CC FOLEY CATH 8FR 3CC 2 FOLEY CATHETER SILIC FOLEY CATHETER 28FR FOLEY CATHETER 30FR FOLEY 30F 30CC 2WAY FOLLOWERS 24 FR FOME CUFF TRACH TUBE FOOT CRADLE FOOT DROP BOOT FOOT/HAND CRADLE DIS FREEDOM SPLINT LG FREEDOM SPLINT SMALL FREEDON SPLINT MED FRILIFORM STRAIGHT T FURACIN GAUZE GADOLINIUM GAUZE BANDAGE 2" GAUZE BANDAGE 3" GAUZE BANDAGE 4" GAUZE BANDAGE 6" GAUZE V PACKING 72" GAUZE VASELINE 3X9 GAUZE XEREFORM 5 X 9 GELFILM GLIDEWIRE GOLD .016 GOR-TEX MESH SOFT TI GORE TEX CV-0 0N07B GORE TEX CV-2 2PO8A GORE TEX CV-3 3N20A GORE-TEX CV-2 2 PORT GORTEX CV-5 T-13 TAP GRATUATED CONTAINERS GRIPPER NEEDLE 19G P GRIPPER NEEDLE 20X1 GRIPPER 12MM GROSHONG PIC LINE 5F GROSHUNG PIC LINE 4F GSS ANGLED GLIDE 145 HAWKINS II LOCALEZAT HAWKINS II 42-527 HAWKINS II 42-531 HAWKINS 20G X 7.5CM HEEL & ELBOW PROTECT HEEL/ELBOW PROTECTOR HEELIFT SMOOTH BOOT HEPARIN CATHETER 7 F HIGH DENSITY LINER Page 126 63 64 15 52 31 31 31 26 108 243 101 270 68 83 83 83 118 20 486 1 2 2 3 7 6 6 36 682 1481 73 43 99 93 118 1 36 37 21 580 434 243 205 205 205 93 45 44 143 204 85 C1758 C1768 C1768 C1751 C1751 ChargePrices 2016 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR 7661719 7661724 7661725 7661730 7661732 7661733 7661734 7661735 7661736 7661737 7661738 7661739 7661740 7661741 7661742 7661743 7661744 7661746 7661764 7661768 7661769 7661770 7661776 7661778 7661779 7661781 7661782 7661786 7661788 7661789 7661792 7661793 7661794 7661795 7661798 7661799 7661802 7661804 7661805 7661807 7661808 7661813 7661814 7661815 7661816 7661817 7661818 7661820 7661821 7661822 HIGH PRESSURE FILTER HORIZONTAL DRAIN HOSPI TAK MDI HUBER NEEDLE HUMID VENT 2/PORT HUMIDIFIER ADAPT ALP HUMIDIFIER APL 500ML HYDROCORTISONE CREAN HYPAQUE MEGLIMINE 60 HYPAQUE ORAL POWDER HYPAQUE 30% 250ML HYPAQUE 30% 250ML HYPAQUE 50% 50ML HYPAQUE 50% 50ML HYPO/HYPER THERMIA B H2O W/O ADAPT ID 60 INFLATION PEVI ILUIM TRICORTICAL BL INCISION AND DRAINAG IODOFORM GAUZE 1 IODOFORM GAUZE 1/2 IODOFORM GAUZE 2 INFUSION CATH SINGLE INJECTING TUBING B-D INJECTING TUBING 230 INJECTOR TUBING CLEA INRAD CHIBA NEEDLES INSUFFLATION TUBING INSUFFLATOR BULB & T INSUL-EZE SYRINGE MA INTERMITTENT FEMALE INTERMITTENT FEMALE INTERMITTENT INF. PL INTRADUCER - PPERITO INTRO SET CHECK FLO INTRODUCER INTRODUCER SET INTRODUCER 12F INTRODUCER 4.0 INTUBATING STYLET 14 IODOFORM GAUZE 1/4" IRRIGATION H20 1500 IRRIGATION KIT IRRIGATION SLEEVE 2 IRRIGATION SLEEVE 2 IRRIGATION SLEEVES IRRIGATION TRAY ISOVUE M 1411-25 ISOVUE M 1412-15 ISOVUE 300 100ML Page 127 22 35 162 31 25 96 16 7 2 72 15 90 20 2 117 14 174 1815 33 27 26 38 167 25 71 20 85 6 7 38 294 2 3 111 117 169 202 199 140 21 26 10 96 21 21 2 7 106 102 149 C1894 C1894 Q9967 Q9967 Q9967 ChargePrices 2016 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR 7661823 7661824 7661825 7661826 7661827 7661828 7661829 7661830 7661831 7661832 7661833 7661834 7661835 7661836 7661837 7661838 7661839 7661840 7661841 7661842 7661843 7661844 7661845 7661846 7661847 7661848 7661849 7661850 7661851 7661852 7661853 7661854 7661855 7661856 7661857 7661858 7661859 7661860 7661861 7661862 7661864 7661865 7661866 7661867 7661868 7661869 7661874 7661875 7661876 7661877 ISOVUE 300 100ML PFS ISOVUE 300 150ML ISOVUE 300 150ML PFS ISOVUE 300 150ML PFS ISOVUE 300 50ML ISOVUE 300 75ML ISOVUE 300 75ML ISOVUE 370 150ML ISOVUE 370 50MM ISOVUE 370 75ML IUP CATHETER IV CONTROLLER IV DRESSING IV DUAL LUER COVER IV D1OW 500 IV D10W 1000 IV D5 0.225% KCL 20 IV D5 0.225% 250 IV D5 0.225% 500 IV D5 45% SC 1000 IV D5 45% SC 250 IV D5 45% SC 500 IV D5 9% SC 1000 IV D5 9% SC 500 IV D5W 1000 IV D5W 250 BAGS IV D5W 500 IV EVACUATED FLASK 1 IV EXTENSION SET IV FERAMINE HBC IV LR 1000 IV PRIMARY SET IV PUMP SET IV SECONDARY SET IV START PACK NO NEE IV 4% LIDOCAINE IV 45% SC 1000 IV 45% SC 500 IV 45% SC 500 IV 510 W 250 GLASS IV 9% SC 1000 IV 9% SC 250 IV 9% SC 500 JACKSON TRACH TUBE S JACKSON TRACH TUBE S JACKSON TRACH TUBE S JELCO 14 JELCO IV CATH 14X2 1 JELCO 16 JELCO IV CATH 16X2 1 Page 128 461 184 269 259 85 138 131 168 94 138 169 38 2 1 23 2 3 3 2 2 3 2 2 2 3 2 2 44 3 136 3 10 49 7 7 8 3 3 2 2 2 3 2 681 603 610 10 3 10 3 Q9967 Q9967 Q9967 Q9967 Q9967 Q9967 Q9967 Q9967 Q9967 Q9967 ChargePrices 2016 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR 7661878 7661879 7661880 7661881 7661882 7661883 7661884 7661889 7661901 7661902 7661903 7661904 7661905 7661906 7661907 7661908 7661909 7661910 7661911 7661912 7661913 7661914 7661915 7661916 7661917 7661918 7661919 7661920 7661937 7661939 7661940 7661942 7661943 7661944 7661945 7661947 7661953 7661954 7661955 7661956 7661957 7661958 7661962 7661964 7661965 7661966 7661971 7661972 7661973 7661974 JELCO 218 JELCO 20 JELCO IV CATH 20X2 1 JELCO 22 JELCO 24 JELCO 22X1 JELCO 24X3/4 K PAD 18"X26" KALTOSTAT ROPE KANGAROO PUMP SET KA2 HUMIDIFIERS 1800 KLEENSPEC EAR SPECUL KLEENSPEC EAR SPECUL KLEENSPEC EAR SPECUL KLEENSPEC 2.5MM SPEC KLEENSPEC 4MM SPECUL KLING FLUFF ROLL KLING FLUFF 10'S KLING FLUFF 5"S KNEE BRACE LONG SLIM KNEE BRACE UNIVERSAL KNEE IMMOBILIZER 12" KNEE IMMOBILIZER 16" KNEE IMMOBILIZER 19 KNEE IMMOBILIZER 22" KNEE LENGTH SLEEVES KNEE SLEEVE KNEE SPLINT KOMPREX SZ 1 L&T ELECTRODES LACERATION TRAY LAP CHOLECYSTECTOMY LAP CHOLEY TRAY LAP SPONGES LAP. CBDE KIT LAPRA TY LATEX FREE CIRCUITS LATEX FREE ELECTRODE LAVAGE KIT LAVAGE KIT WITH 32F LAVAGE TUBE 32F LAVH KIT LEAD WIRES LEG BAG LEG HOLDER PADS DISP LEG PLATE DISPOSABLE LEVINE TUBE 10FR LEVINE TUBE 12F LEVINE TUBE 16F LEVINE TUBE 18F Page 129 10 10 3 10 10 7 7 46 31 32 381 29 29 29 1 1 8 21 6 205 118 85 106 95 95 263 118 67 34 136 26 258 302 16 1398 194 36 7 115 127 34 1926 1 14 121 29 7 3 3 3 ChargePrices 2016 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR 7661975 7661976 7662020 7662024 7662026 7662027 7662033 7662049 7662050 7662051 7662055 7662056 7662057 7662058 7662059 7662060 7662062 7662068 7662080 7662081 7662085 7662089 7662094 7662097 7662098 7662099 7662126 7662128 7662134 7662135 7662136 7662137 7662138 7662139 7662140 7662141 7662142 7662150 7662151 7662154 7662155 7662159 7662167 7662168 7662169 7662185 7662186 7662200 7662201 7662202 LEVINE TUBE 5F LEVINE TUBE 8FR LG. SCROTAL SUPPORT LIDOPAIN PATCH LIFEVAC PICC KIT 3FR LIFEVAC PICC KIT 4FR LIMB RESTRAINT W/BUC LOOP-LOC KIT LOW PRESS. CONN. TUB LOW PROFILE "G" TUBE LUMBAR PUNCTURE INFA LUMBAR PUNCTURE KIT LUMBAR SUPPORT LARGE LUMBAR SUPPORT MED 3 LUMBAR SUPPORT SMALL LUMBAR SUPPORT XLARG LYOFAOM EXTRA 4X4 MAGNI GUIDE BECTON D MALE CATHETER LATEX MAMOMETER MARDIS STENT SET 8 F MARLEN POST-OP URINA MARSEN M-IRR-SET MASIMO ADULT SENSOR MASON ALLEN SPLINT L MASON ALLEN SPLINT S MECONIUM ASPIRATIOR MED. SCROTAL SUPPORT MEMORY BASKETS 2-4 MEMORY BASKETS 3-6 MEPILEX BORDER 4X4 D MEPILEX BORDER 6X6 D MEPITEL 4X7 MEPORE 3X3 MEPORE 4X14 MEPORE 4X6 MEPORE 4X8 MESH DIGITAL CAP MESH FOR HERNIA-SM MG IT CD/YELLOW 11 MGI KNEE PAT COMP 10 MICRO FEATHER KNIFE MICROSAMPLER KIT W/A MICROVASIVE INFLATOR MICROVASIVE LEVEEN I MINI PORT DISP. SLEE MINI PORT INTRODUCER MINI VIBRATORS MINI WASHER MINICATH 19 Page 130 2 2 29 21 279 243 38 75 20 375 75 83 146 130 130 127 23 54 8 81 542 C2617 7 81 101 123 123 21 26 742 742 52 36 166 3 15 7 16 27 282 C1781 1142 732 121 134 288 188 204 251 C1769 147 26 6 ChargePrices 2016 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR 7662203 7662204 7662244 7662246 7662247 7662249 7662250 7662251 7662254 7662257 7662272 7662273 7662277 7662278 7662295 7662297 7662298 7662299 7662301 7662302 7662303 7662304 7662306 7662307 7662315 7662316 7662317 7662320 7662321 7662322 7662323 7662324 7662325 7662331 7662333 7662334 7662335 7662336 7662337 7662339 7662340 7662343 7662344 7662345 7662370 7662375 7662376 7662377 7662378 7662379 MINICATH 21 MINICATH 23 MOLLELAST 4X4 MONOCRYL 3-0 Y497 MONOJECT OR/ER NEEDL MONTGOMERY STRAP MORGAN LENS MEDIFLO MOSS NASAL TUBE MUITIBITE BIOSPY FOR MULTI LUMEN HEMODIAL MYELOGRAM TRAY MYLANTA DS LIQ 5 OZ N D TRUMPET VALVE NACL 15ML NASAL AIRWAY 7.5 NASAL FILTER LINE NASAL FILTER LINE O2 NASAL FILTER PED O2/ NASOPHARYGEL AIRWAY NASOPHARYNGEAL AIRWA NASOPHARYNGEAL AIRWA NASOPHARYNGEAL AIRWA NASOPHARYNGEL AIRWAY NASOPHARYNGEL AIRWAY NE STORAGE CAN 35MM NE U-CORE 35MM NEB AQUAPAK W/ADAPTO NEC-LOCK INFANT NEC-LOCK PED NECK LOCK SMALL NEEDLE COUNT NEEDLE ELECTRODES NEEDLE NEONATAL LUMB NEEDLE, HAWKINS I NEOMATAL VENTILATOR NEONATAL CANNULA NEONATAL O2 SAT PROB NEONATAL RECUSSOR NEONATAL SPECI-CATH NEOSPORIN ONT 1 OZ NEOSPORIN UD NEURO DRILL BIT NEURO DRILL BIT, LON NG TUBE HOLDER LF NITROGLYCERINE PUMP NU GAUZE PLAIN 1/2" NU GAUZE PLAIN 1/4" NU GAUZE PLAIN 1" NU GAUZE PLAIN 2' NU GEL HUDROGEL Page 131 6 6 111 31 11 21 106 306 251 342 C1750 250 1 202 32 29 45 68 68 258 29 32 26 258 258 16 3 49 121 121 72 22 7 32 111 43 22 121 22 20 1 2 279 315 7 39 23 23 26 36 49 ChargePrices 2016 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR 7662380 7662382 7662383 7662387 7662389 7662390 7662391 7662392 7662393 7662394 7662395 7662396 7662397 7662399 7662400 7662401 7662404 7662429 7662430 7662431 7662432 7662433 7662434 7662435 7662436 7662437 7662439 7662440 7662442 7662443 7662444 7662446 7662447 7662448 7662449 7662450 7662451 7662452 7662454 7662455 7662456 7662457 7662466 7662467 7662469 7662473 7662474 7662475 7662479 7662480 NU-TRAKE NUROLON 4-0 PS-3 568 NUROLON 4-0 5681G OCCLUS.& STONE REMOV OCUCOAT OLIVE TIP URETERAL C OMNIPAQUE OMNIPAQUE 180MG 20ML OMNIPAQUE 300 125ML OMNIPAQUE 300MG 50ML OMNIPAQUE 300MG 50ML OMNIPAQUE 300MG/ML 3 OMNIPAQUE 300MG/ML 5 OMNIPAQUE 350MG OMNISCAN 20ML OMNIPAQUE 180MG/ML 2 ONE WAY VALVES 1800 ORIGIN TACKER SYSTEM ORTHO GLASS 1" ORTHO IRRIGATION ORTHO 2" ROLL SPLINT ORTHO 3" ROLL SPLINT ORTHO 4" ROLL SPLINT ORTHO 6" ROLL SPLINT OSCIL BLACE CURVED 9 OSCIL BLADE CURVED 1 OSCILLATING BLADE 19 OSCILLATING BLADE 32 OSTOMY BAG 4" OSTOMY BELT OSTOMY CONV KIT 120M OSTOMY DRAINABLE POU OSTOMY GASKETS OSTYCUT HANDGRIP OSTYCUT NEEDLE 14.5G OSTYCUT NEEDLE 14.5X OSYOMY CLAMP OTT INSUFFLATOR FILT OVERHEAD TRACTION KI OXISENSOR D-25 OXISENSOR II - NEONA OXY TIP SENSOR P.I. PERCUTANEOUS IN PACE PORT CATHETER 7 PACING ELECTRODES (Q PASSPORT PORT BALLON PAT COMP 10MM X32 MM PAT COMP 10MM X35 MM PCA CORD PCA SET Page 132 741 45 10 394 168 54 305 131 226 111 127 60 68 204 375 68 82 735 1 263 1 2 2 3 171 263 112 48 6 29 83 8 7 193 263 263 8 118 131 76 158 1 157 486 186 636 732 732 22 75 C2628 Q9965 Q9965 Q9967 Q9967 C1713 C1713 ChargePrices 2016 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR 7662481 7662483 7662486 7662487 7662489 7662491 7662492 7662494 7662495 7662496 7662497 7662498 7662502 7662503 7662504 7662507 7662508 7662509 7662510 7662512 7662521 7662522 7662530 7662531 7662532 7662534 7662535 7662536 7662537 7662543 7662544 7662545 7662549 7662550 7662551 7662552 7662553 7662554 7662555 7662556 7662557 7662558 7662559 7662562 7662565 7662566 7662567 7662574 7662577 7662578 PDS #0 Z346H PDS II 0 ZB370 PDS 0 TAPER CT-1 234 PDS 0 TAPER CTX Z370 PDS 1 TAPER CTX Z371 PDS 2-0 CUTTING CP-1 PDS 2-0 TAPER UCL Z1 PDS 4-0 CUTTING P-3 PDS 4-0 TAPER RBI Z3 PDS 4-0 TAPER SH-1 Z PDS 4-0 Z420G PDS 4-0 Z496G PEARLS 7MM PEARLS 8MM PEARLS 9MM PED RESUSATATOR BAG PED. BOVIE PAD PED-PUMP SET BURETTE PEDI-NEB NASAL NEBUL PEDIATRIC O2 SAT PRO PEEP VALVE PEEP VALVE 30MM PERCFLEX URETERAL ST PERCUFLEX TAIL PLUS PERCUFLEX TAIL PLUS PERCUFLEX URETER. ST PERCUFLEX URETERAL S PERCURLEX PLUS 6 X 2 PERCURLEX PLUS 6 X 2 PERCUTEX PLUS STENT PERCUTANEOUS SHEATH PERITONEAL LAVAGE TR PERMANENT LEAD INTRO PHILLIPS FOLLOWER 10 PHILLIPS FOLLOWER 12 PHILLIPS FOLLOWER 14 PHILLIPS FOLLOWER 16 PHILLIPS FOLLOWER 18 PHILLIPS FOLLOWER 20 PHILLIPS FOLLOWER 26 PHILLIPS FOLLOWER 28 PHILLIPS FOLLOWER 8F PHILLIPS FOLLOWERS 2 PICC LINE 5FR PICC/CENTRAL VENOUS PIGGYBACK LL PIGGYBACK MICRODRIP PIN GUARD PINK K WIR PK OPEN FORCEP PLACO MODULE PT CHAR Page 133 7 21 22 10 48 22 15 39 14 6 16 20 245 245 245 96 27 85 46 109 34 43 502 545 545 578 96 585 585 567 73 76 92 90 107 101 177 107 101 108 90 90 108 243 73 11 14 2 1011 140 C2617 C1729 C1729 C2617 C2617 C1729 C1729 C2617 C1751 C1751 ChargePrices 2016 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR 7662579 7662580 7662581 7662582 7662583 7662584 7662585 7662586 7662587 7662589 7662590 7662591 7662592 7662593 7662594 7662596 7662597 7662598 7662599 7662600 7662601 7662602 7662603 7662606 7662607 7662609 7662610 7662611 7662613 7662614 7662616 7662618 7662619 7662621 7662622 7662623 7662624 7662625 7662626 7662627 7662628 7662629 7662630 7662631 7662632 7662633 7662634 7662635 7662636 7662637 PLAIN GUT SUTURE PLAIN GUT 0 TAPER SH PLAIN GUT 0 TIE S104 PLAIN GUT 2-0 FS-1 H PLAIN GUT 3-0 CXT 87 PLAIN GUT 3-0 DT-1 8 PLAIN GUT 3-0 PCD 19 PLAIN GUT 3-0 PS-2 1 PLAIN GUT 3-0 TIE SG PLAIN GUT2-0 TIE SG PLAIN 3-0 612H PLAIN 3-0 852H PLAIN 4-0 1828H PLAIN 5-0 772G PLAIN 6-0 775G PLAZN GUT 4-0 1644G PLN GUT 4-0 CUTTING PN GUT 4-0 M-1 DA 74 PN GUT 5-0 CUTTING F PNEUMOTHORAX KIT ARR PNEUMOTHORAX KIT 8F POLIBAR PLUS POLYMEM WOUND CARE P POLYSORB 55.060 POR FEMCOMP SIZE 6LT PORT A CATH GRIPPER PORT A CATH NEEDLE 1 PORT A CATH P.A.S. P PORT A CATH 19X1 SAF PORT A CATH 19X1 1/4 PORT-A-CATH 20GA STR POST OP BOOT CHILD M POST OP BOOT WOMENS POST OP SHOE FEMALE POST OP SHOE MALE CH POST OP SHOE MENS LA POST OP SHOE MENS ME POST OP SHOE MENS SM POST OP SHOE MENS XPOST OP SHOE PED POST OP SHOE WOMENS POST OP SHOE WOMENS POUCH 3806 POUCH 5 1/4 X 10 POUCH 57MM FOR FILTE POUCH 70MM FOR FILTR PRC ST TIB PLT SZ J PRC ST TIB PLT SZ K PRC ST TIR PLT SZ C PRC STTIB PLT SZ 0 Y Page 134 24 7 7 6 15 7 21 25 32 29 8 10 8 59 73 21 34 6 10 254 384 165 38 375 4101 34 43 1884 43 43 16 26 37 62 62 37 37 36 37 68 35 37 10 25 15 15 2276 2276 2464 2279 C1776 C1788 C1750 C1713 C1713 C1713 C1713 ChargePrices 2016 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR 7662639 7662640 7662641 7662642 7662644 7662645 7662646 7662647 7662648 7662649 7662650 7662651 7662652 7662653 7662654 7662655 7662656 7662658 7662660 7662661 7662663 7662664 7662665 7662666 7662667 7662668 7662670 7662671 7662674 7662678 7662679 7662680 7662681 7662682 7662683 7662685 7662686 7662688 7662691 7662695 7662696 7662697 7662698 7662699 7662700 7662705 7662706 7662707 7662708 7662715 PRECISOR DISP. BX. PRECISOR DISP. BX. F PRECUTANEOUS 21X20CM PREMIER DRAINAGLE PO PREMIUN CEEA 311 PRESET BIOPSY NEEDLE PRESET BIOPSY NEEDLE PRESSURE INFUSION DI PRESSURE TRANSDUCER PRESSURE TUBING PRESURE TUBING W/3WA PRO FEM COMP SIZE 3L PRO FEM COMP SZ 3 RT PRO FEM COMP SZ 4 LT PRO FEM COMP SZ 4 RT PRO FEM COMP SZ 5 LT PRO FEM COMP SZ 5 RT PRO OSTEM 5B040 PRO ST TIB PLT-SZ E PROBE PLUS LEFT HOOK PROHANCE 20ML PROLENE #0 8823G PROLENE #2 8825G PROLENE 0 C841G PROLENE 0 TP-1 8823G PROLENE 1 TAPER CTX PROLENE 10-0 788G PROLENE 2 CUTTING LR PROLENE 3.0 FS1 NEED PROLENE 4-0 CUTTING PROLENE 4-0 CV TAPER PROLENE 4-0 8682G PROLENE 5.0 W/PS2 NE PROLENE 5-0 CV C-1 D PROLENE 5-0 P3 8698G PROLENE 5-0 8686H PROLENE 5-0 8686H PROLENE 6-0 CV CC1 D PROLENE 7.0 PS 1 NEE PROTECTIVE CAPS PROTEX TRACH TUBE 10 PROTEX TRACH TUBE 5. PROTEX TRACH TUBE 6. PROTEX TRACH TUBE 7. PROTEX TRACH TUBE 9. PS THERMOPLASTIC NAS PSEUDOEPHD TAB 30MG PSEUDOEPHD TAB 30MG( PSEUDOEPHD TAB 60MG PULMOGUARD Page 135 127 127 56 20 988 131 115 75 85 64 14 4101 4101 4101 4101 4101 4101 1375 2276 385 259 10 10 73 20 7 117 8 14 8 14 27 43 21 22 27 23 25 27 16 63 63 63 63 71 36 2 3 2 140 C1776 C1776 C1776 C1776 C1776 C1776 C1713 ChargePrices 2016 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR 7662720 7662721 7662722 7662723 7662724 7662725 7662726 7662727 7662729 7662732 7662734 7662736 7662737 7662741 7662745 7662746 7662747 7662748 7662751 7662758 7662759 7662760 7662762 7662764 7662765 7662766 7662767 7662768 7662770 7662772 7662773 7662774 7662775 7662776 7662777 7662778 7662779 7662780 7662782 7662783 7662784 7662785 7662786 7662787 7662788 7662789 7662790 7662791 7662792 7662793 PUMOGUARD BATERIAL V PUTTY PVA200 PVA300 100MG PVA500 PVA700 Q BRACE QRTS543 QUICK LOCK TUBING QUICK PRESSURE MONIT R ANGLE CHEST TUBE RADIAL ARTERY CATH 2 RADIAL ARTERY CATH 2 RADIANCE GEL SHEET RANFAC CATH 18FR. RAPID FLOW Y-TYPE BL RAZOR CUT BLADE 4.5M RAZOR CUT BLADE 5.5M REA STAPLES & GUN RED LATEX CATH 18 RED LATEX CATH 20 RED LATEX CATH 22 RED RUBBER CATH 14FR RENOGRAFIN 10ML RENOGRAFIN 100ML RENOGRAFIN 50ML RENOGRAFIN 76% 100ML RENOGRAFIN 76% 50ML RENOGREFIN 76 RESTORE CALCICARE 12 RESTORE CALCICARE 4X RESTORE HYDROGEL 4 O RESTORE PLUS TAPERED RESTORE WOUND CARE D RESTORE WOUND CLEANS RESTORE 17 SQ INCH F RESTORE 6X8 RESTORE 8X8 RESTRAINT, ANKLE CUF RESTRAINT, WRIST CUF RESUSCITATOR RETROMAX ENDOPYELOTO REUTER BIVALVE INTRA REUTER BOBBIN TUBE REYNOLDS INFUSION CA RHINO ROCKET LG RHINO ROCKET MED RHINO ROCKET SM RIB BELT MENS RIB BELT WOMENS Page 136 142 71 354 354 354 354 217 31 77 390 57 49 27 38 115 46 165 165 294 76 82 76 6 21 39 22 59 31 11 23 22 72 21 8 108 23 63 67 286 286 63 803 117 95 C1713 130 36 145 36 23 23 ChargePrices 2016 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR 7662794 7662795 7662796 7662799 7662800 7662801 7662804 7662812 7662813 7662816 7662817 7662818 7662819 7662820 7662823 7662824 7662825 7662826 7662827 7662830 7662831 7662832 7662833 7662834 7662837 7662838 7662840 7662841 7662843 7662845 7662846 7662847 7662848 7662850 7662859 7662884 7662886 7662887 7662888 7662889 7662890 7662891 7662892 7662909 7662910 7662911 7662928 7662936 7662937 7662938 RICE ANKLE LG RICE ANKLE MED RICE ANKLE SMALL ROBITUSSIN DM SYP 48 ROBITUSSIN SYP 480ML ROSCH INFERIOR MESEN ROSETTE STRAIGHT 3MM ROUND FLUTED BUR, LO ROUND GRIP SPONGE ROUND TIP MENISCECTO RT ANGLE THORACIC CA RT ANGLE THORACIC CA RT ANGLE THORACIC CA RT L-BUTTRESS PLATE RX PERFUSION 2.5 RX PERFUSION 3.0 RX PERFUSION 3.5/20 RX PREFUSION 4.0 SAFETY BUTTERFLY 21 SALEM SUMP ANTI-REFL SALEM SUMP 14FR SALEM SUMP 16FR SALEM SUMP 18FR SALTER CANNULA SALTER NASAL CANNULA SALTER NASAL CANNULA SAPHENOUS VEIN HARVE SCALPELS #20 SCEPTOR .014 GUIDE W SCHUKNECHT TELWIRE P SCHUKNECHT TELWIRE P SCHUKNECHT TELWIRE P SCHUKNECHT TELWIRE P SCIMED 7F FL4SH SCREW CAP ADAPTOR SEAL UP CONVERTER SEEKER GUIDE WIRE 17 SEEKER GUIDE WIRE 17 SEEKER GUIDE WIRE 19 SEEKER 16 FLEX. 175C SEEKER 16 FLEX. 195C SEIZURE BITE STICK SELOPOE DRESSING SEQURA SERRATED BANANA STRA SERRATED FLAT MENISC SHEET ADOLESCENT LAP SHILEY CANNULA 10DFE SHILEY CANNULA 8DCT SHILEY DISP INNER CA Page 137 77 73 73 3 3 96 68 352 37 59 44 29 29 476 C1713 1778 1778 1778 1778 6 45 8 8 8 29 28 10 1129 10 456 132 118 118 118 279 32 39 567 567 567 567 567 4 1 660 60 59 57 231 112 14 ChargePrices 2016 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR 7662939 7662940 7662941 7662942 7662943 7662944 7662945 7662946 7662947 7662948 7662949 7662950 7662951 7662952 7662953 7662954 7662955 7662956 7662957 7662958 7662959 7662960 7662961 7662962 7662963 7662965 7662966 7662967 7662969 7662970 7662972 7662973 7662974 7662976 7662977 7662978 7662979 7662980 7662984 7662987 7662988 7662989 7662990 7662993 7662995 7662996 7662997 7662998 7662999 7663002 SHILEY LARYNGECTOMY SHILEY LARYNGECTOMY SHILEY LARYNGECTOMY SHILEY PED 0PT SHILEY PED 00PT SHILEY PED 1PT SHILEY 4.5 PEDS SHILEY PED 3PT SHILEY PED 4PT SHILEY SPARE CANNULA SHILEY SPARE CANNULA SHILEY TRACE 10LPC SHILEY TRACE 4CFS SHILEY TRACH 8DFEN SHILEY TRACH 8FEN SHILEY TRACHE 10CFS SHILEY TRACHE 10DCFN SHILEY TRACHE 4LPC SHILEY TRACHE 6CFS SHILEY TRACHE 6LPC SHILEY TRACHE 8LPC SHILEY 10FEN SHOLDER IMMOBILIZE S SHORT CATHETER 5FR S SHORT PIN ASSEMBLY SHOULDER IMMOBILIZER SHOULDER IMMOBILIZER SHOULDER IMMOBILIZER SIDE CUTTING DRILL 2 SIGMOIDASCOPE DISP S SIGNA DRESS SIL CATH 16 SILICOME EPISIAXIS C SILICONE CATH 14F 5C SILICONE CATH 18FR 2 SILICONE 16F 5CC CAT SILICONE 22F FOLEY C SILICONE 24FR FOLEY SILK 0 K834H SILK 2-0 CO16T SILK 2-0 CUTTING 685 SILK 2-0 CUTTING 685 SILK 2-0 FSLX 1689H SILK 2-0 TIE 18IN SA SILK 3-0 FS-1 684G SILK 3-0 K963H SILK 3-0 TAPER SH PO SILK 3-0 TAPER SH-1 SILK 4-0 C014T SILK 4-0 683G Page 138 211 211 211 125 125 99 146 129 165 342 29 250 108 231 229 108 193 243 108 241 241 240 34 101 81 36 36 36 279 34 29 34 43 56 29 56 26 26 8 60 14 3 3 7 3 7 74 31 52 3 ChargePrices 2016 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR 7663007 7663010 7663019 7663023 7663026 7663027 7663029 7663030 7663032 7663033 7663035 7663037 7663039 7663041 7663043 7663044 7663045 7663046 7663047 7663048 7663049 7663050 7663051 7663053 7663054 7663060 7663061 7663062 7663063 7663064 7663065 7663067 7663070 7663071 7663072 7663073 7663074 7663076 7663077 7663078 7663080 7663081 7663082 7663083 7663084 7663085 7663086 7663087 7663088 7663090 SILK 8-0 7752G SILVASORB SHEET SIMPLEX P CEMENT FUL SINGLE CANNULA O2 SE SINGLE USE BLADE ELE SINOGRAFIN 38% SINUS PAK SLIM PROFI SITE CASSETTE & ADM SKIN BARIER W/FLANG SKIN BARIER W/FLANG SKIN BARRIER FLANGE SKIN GEL WIPE SKIN RET AUTOMATIC SKIN STAPLER PRECISE SKINTEGRITY WOUND CL SLEEVE THIGH LENTGH SLEEVE 5MM AUTO SUTU SLING AND SWATH, LAR SLING AND SWATH, SMA SLOTTED RICHARD HEAD SM BLK FOAM DRESSING SM EXTERNAL APEX PIN SM. SCROTAL SUPPORT SMALL PIN CLAMP SMOKE ASPIRATION TIP SOF-SET SUB-Q-NEEDLE SOFSORB CUSTOM SOFT BLOODLESS NEEDL SOFT CUFF TRACHEOTOM SOFT NET CLEANERS SOFT SPLASH SHIELD W SOFTECH BIO-FLO CANN SOLO PACK BARIUM SORBAVIEW 4.5" DRESS SORBSAN SORBSAN 12" PACKING SPACELAB MEOMATAL EL SPECIALTY ARM SLINGSPECIALTY ARM SLINGSPECIALTY ARM SLINGSPEEDBAND HEEL GUARD SPINAL ANESTA NEEDLE SPINAL ANESTHESIA TR SPINAL FILIFORM TIP SPINAL NEEDLE 18G SPINAL NEEDLE 22GA 5 SPINAL NEEDLE 25 3 1 SPINAL NEEDLE 25GA SPLINT IN-LINE SMALL Page 139 72 73 288 A4364 49 7 39 73 249 20 20 23 100 99 36 38 234 263 75 63 90 152 232 25 1137 71 21 35 62 263 8 71 26 105 14 31 37 761 20 20 22 706 306 8 101 94 8 83 8 7 74 ChargePrices 2016 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR 7663091 7663092 7663093 7663094 7663095 7663096 7663098 7663099 7663100 7663101 7663102 7663103 7663104 7663105 7663106 7663107 7663108 7663109 7663110 7663111 7663114 7663115 7663125 7663126 7663127 7663128 7663129 7663130 7663131 7663132 7663133 7663134 7663135 7663138 7663140 7663141 7663142 7663151 7663152 7663153 7663154 7663155 7663156 7663157 7663158 7663161 7663163 7663164 7663169 7663170 SPLINT LINER W/THUMB SPLINT RITE MED SPLINT STRAP PACK SPLINTING SYSTEM 3 X SPLINTING SYSTEM 3X5 SPLINTING SYSTEM 4 X SPLINTING SYSTEM 4X1 SPLINTING SYSTEM 5X3 SPLINTRITE XLRG SPLINTS RITE SMALL SPLINTSRITE LRG SPLINTSRITE PED SPONGE COUNTER LAP SPONGE COVER 4 X 4 SPONGE COVER 4X4 STE SPONGE DRAIN SPONGE RAYTEX SPONGE STERILE 2X2 SPONGES & DRESSINGS SPOON PLATE 5 HOLE STABILIZER PLUS WIRE STAMEY CATH 16FR STER.SING.USE SUCT V STERILE TUBING STERILE Y CONNECTORS STERISTRIP LG LATEX STERISTRIP SM LATEX STERISTRIPS 1/2 X 4 STERISTRIPS 1/4 X 3 STETHOSCOPE DISPOSAB STETHOSCOPE DUAL HEA STOMA-ADH STOMAHESIVE SKIN BAR STONE DISPLACEMENT C STONE RETRIEVAL W/ F STONE RETRIEVAL/HELI STOPCOCK NAMIC MORSE SUCTION CANNISTER 15 SUCTION CATH KIT 10F SUCTION CATH KIT 6.5 SUCTION CATH KIT 8FR SUCTION CATH 12 FR SUCTION CATH 14 FR SUCTION CATH 18 FR SUCTION COAGULATOR SUCTION COAGULATORS SUCTION LINER OR SUCTION LINER REG SUPRAPUBIC CATH, ING SUR CLENS Page 140 22 162 43 73 2 39 2 3 140 162 232 119 2 1 3 1 6 1 32 381 C1713 475 C1769 146 38 6 8 26 38 7 3 22 8 7 15 208 446 512 7 20 3 3 22 6 10 3 44 64 14 8 101 7 ChargePrices 2016 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR 7663171 7663172 7663173 7663174 7663175 7663176 7663177 7663178 7663179 7663180 7663189 7663191 7663192 7663193 7663195 7663196 7663197 7663198 7663199 7663200 7663201 7663202 7663203 7663206 7663207 7663210 7663211 7663213 7663214 7663215 7663216 7663217 7663218 7663219 7663220 7663221 7663222 7663223 7663224 7663225 7663226 7663227 7663228 7663229 7663232 7663233 7663234 7663235 7663236 7663237 SUR-FIT DRAINABLE PO SUR-FIT DRAINALBE PO SUR-FIT FLEXIBLE 1 3 SUR-FIT IRRIGATION B SUR-FIT IRRIGATION W SUR-FIT POUCH W/FLAN SUR-FIT WAFER PLAIN SURFIT WAFER W/FLANG SURFIT WAFER W/FLANG SURGEVIEW BLUNT TROC SURGICAL DRESSING SURGICAL STRIP SURGICEL SURGILON #1 1827-71 SURGILON TIE 2-0 191 SURGILON 1827-71 1 T SURGILON 1918-31 4-0 SURGILON 1918-41 3-0 SURGILON 1918-51 2-0 SURGILON 1919-41 3-0 SURGILON 1919-51 2-0 SURGILON 1926-41 3-0 SURGILON 1926-42 3-0 SURGILON 1962-61 OT1 SURGILON 1962-62 0TSURGILON 1972-52 2-0 SURGILON 1972-52 2-0 SURGILON 2-0 1962-52 SURGILON 3.0 TIE 190 SURGILON 3-0 TIE 190 SURGILON 3-0 1962-42 SURGILON 4-0 TIES 19 SURGILON 4-0 1958-32 SURGINEEDLE 120MM SURGIPORT CONVERTER SURGIPORT REDUCERS 3 SURGIPORT REDUCERS 5 SURGIPORT 10MM LONG SURGIPORT 10MM TROCA SURGIPORT 11MM TROCA SURGIPORT 4.5 MM CON SURGIPORT 5MM TROCAN SURGIPORT 7MM TROCAR SURGIUIP SUTURE LIGA SUTURE CHROMIC GUT 4 SUTURE CHROMIC GUT 5 SUTURE COATED VICRYL SUTURE COATED VICRYL SUTURE COATED VICRYL SUTURE COATED VICRYL Page 141 7 7 7 3 3 6 7 7 7 268 29 20 343 29 14 29 6 3 3 6 6 31 32 15 26 29 6 71 6 3 27 3 25 140 23 23 36 282 299 302 25 263 288 155 14 23 16 25 26 36 ChargePrices 2016 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR 7663238 7663239 7663240 7663241 7663242 7663243 7663245 7663247 7663249 7663253 7663254 7663255 7663256 7663257 7663258 7663260 7663263 7663264 7663265 7663266 7663267 7663274 7663291 7663292 7663293 7663294 7663300 7663301 7663302 7663303 7663304 7663305 7663306 7663309 7663310 7663311 7663312 7663313 7663314 7663315 7663317 7663318 7663319 7663320 7663321 7663322 7663323 7663325 7663326 7663327 SUTURE COATED VICRYL SUTURE MONCRYL 2-0 U SUTURE MONCRYL 5-0 Y SUTURE MONOCRYL O Y2 SUTURE MONOCRYL 2-0 SUTURE MONOCRYL 4-0 SUTURE PLAIN GUT 4-0 SUTURE PROLENE 6-0 8 SUTURE SILK 1639G SUTURE SILK 6-0 1675 SUTURE SILK 6-0 1936 SUTURE SURGILON O 19 SUTURE VICRYL 0 UR6 SUTURE VICRYL 3-0 TI SUTURE VICRYL 5-0 J5 SUTURE 2-0 Y259H SWAN GANZ THERMODILU SWIMMER SUPPORTER LG SWIMMER SUPPORTER ME SWIMMER SUPPORTER SM SWIVEL ADAPTERS SYNOVATOR BLADE 5.5M TA LONG 90 3.5 TA LONG 90 4.8 TA PREMIUM 30 V3 LOA TA 30 PREMIUM V3 TAPERED GRAFT W/REMO TAPERED RINGED GRAFT TAPERED THINWALL 8-5 TAVIST D TAVIST 1 TECA NEEDLE ELECTROD TED KNEE XLARGE REG TEGADERM TEGADERM HP TEGADERM I.V. DRESSI TEGADERM 6 X 8 TEGODERM DRESSING TEGODERM DRESSING 8X TELEDYNE SPLASH SHIE TELEPAQUE TELFA ADHESIVE PAD 2 TELFA ADHESIVE PAD 3 TELFA ADHESIVE PADS TELFA PAD 3X4 2132 TELFA PADS 2X3 IN TELFA PADS 3IN X 4IN TENDER CAVITY 3X3 TENDER WET 3X3 TENDER WET 4X4 Page 142 16 7 31 7 46 21 7 54 14 14 16 34 22 155 16 7 318 C1730 47 47 32 131 220 561 270 270 420 2480 C1768 1619 1618 C1768 10 10 131 44 3 7 234 14 3 20 8 6 1 1 1 1 2 2 27 32 37 ChargePrices 2016 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR 7663328 7663329 7663331 7663332 7663336 7663337 7663339 7663340 7663341 7663342 7663347 7663348 7663349 7663350 7663351 7663352 7663353 7663354 7663355 7663356 7663357 7663360 7663363 7663367 7663369 7663377 7663378 7663382 7663386 7663387 7663390 7663391 7663393 7663394 7663395 7663396 7663400 7663401 7663404 7663405 7663407 7663410 7663421 7663422 7663423 7663424 7663425 7663429 7663430 7663434 TENDERWET CAVITY 4X4 TENDERWET 2X2 TENNIS ELBOW STRAP TENNIS ELBOW STRAP THERMACHOICE BALLOON THERMADILUTION CATH THERMAL HEATER CANIS THIGH LENGTH SLEEVE THIGH LENGTH SLEEVES THIGH LENGTH SLEEVES THORACENTESIS SET THORACENTESIS TRAY THORACIC CATH 32F RT THORACIC CATH 32FR THORACIC CATH 36F RT THORACIC CATH #10 THORACIC CATHETER 16 THORACIC CATHETER 20 THORACIC CATHETER 28 THORACIC CATHETER 36 THORACIC CATHETER 40 THORACIE CATHETER 24 THUMB LOOP ADULT TIM MIST 3000 METERE TING TRANSJUGULAR IN TODDLER RESCUITATION TONSIL SPONGES TORQUE DEVICE TOURNIQUE AVCOR TOURNIQUET DISP. TRACHE CARE TRAY TRACHE LIGHT WAND TRACHE TUBE UNCUFF 6 TRACHEAL TUBE EXCHAN TRACHEAL TUBE EXCHAN TRACHEAL TUBE 5.0 TRACTION BOOT TRACTION CORD TRANSDUCER TP4 WITH TRANSELAST 2' TRAPPER 7FR AL 1 SH GUIDE TRIMMER 4.5MM TRIP PSEIDP TAB (ACT TRIPROLDN PSEUD TAB TROCAR ARYLE CATH CH TROCAR ARYLE CATH CH TRU LINK LEAD WIRES TRU LINK LEAD WIRES TRU-CUFF BP ADULT DI Page 143 34 26 43 46 1759 446 192 236 259 381 34 234 58 29 67 75 29 21 29 29 29 29 71 112 1288 158 47 67 105 45 20 140 149 8 36 22 147 16 73 6 342 243 C1725 156 3 3 39 36 26 26 46 ChargePrices 2016 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR 7663435 7663436 7663437 7663438 7663446 7663448 7663450 7663451 7663456 7663457 7663458 7663459 7663462 7663463 7663464 7663465 7663466 7663467 7663468 7663469 7663470 7663471 7663472 7663477 7663478 7663491 7663493 7663494 7663521 7663523 7663525 7663528 7663529 7663530 7663531 7663532 7663534 7663539 7663540 7663541 7663544 7663545 7663546 7663547 7663548 7663549 7663550 7663551 7663552 7663553 TRU-CUFF BP ADULT LG TRU-CUFF BP THIGH DI TRU-CUT 14G 15MM BIO TRU-LINK LEAD WIRES TUBING HIGH PRESSURE TUBING 100 1427 TUNGSTEN TIP FEEDING TUNGSTEN TIP FEEDING TURTLE NECK LG-REG C TURTLE NECK LG-SHORT TURTLE NECK MED-SHOR TURTLE NEXK MED-REG TWIN LUMEN IV CATH 1 TWIN LUMEN IV CATH 2 TYLENOL CAPLT X UD 3 TYLENOL CAPLT XSTR TYLENOL DROPS 15ML TYLENOL DROPS 15ML TYLENOL DROPS 30ML TYLENOL PM TYLENOL SUSP LIQ CH TYLENOL SUSP LIQ CH TYLENOL SUSP LIQ CH ULTRA FUSE X ULTRA FUSE 4 UMBIBLICAL CATH 5.0F UMBILICAL TAPE UNDERWATER DRAINAGE UNITED U-IRR-SET UNIVERSAL CATHETER A UPPER BODY BLANKET URETERAL CATHETER CO URETERAL CONNECTING URETERAL FILIFORM OL URETERAL FILIFORM OL URETERAL STENT PERCU URETERAL STENT 6FRX2 URETHERAL CATH TRANS URINARY DRAIN BAG LA URINE METER URO DUAL 7FR CATH URO ELECTRODE URO MAX II W/GLIDEWI URO MAX II W/GLIDEWI URO MAX II W/GLIDEWI URO RECTAL 12F BALLO URO TRANSDUCER DOME URO-MAX II KIT W/GLI URO-MOX II KIT W/GLI UROSTOMT POUCH 2 1/4 Page 144 59 73 146 26 77 23 73 75 210 193 193 210 59 59 6 11 6 1 10 11 1 3 7 1001 1001 27 3 304 71 44 45 8 27 80 16 343 521 27 14 75 96 26 732 634 732 131 96 657 657 134 C1758 C1758 C1758 C1758 C2617 C2617 C1758 C1887 C1887 C1887 ChargePrices 2016 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR 7663554 7663558 7663560 7663568 7663569 7663570 7663571 7663572 7663579 7663580 7663581 7663582 7663588 7663598 7663600 7663604 7663606 7663608 7663609 7663610 7663611 7663612 7663613 7663614 7663615 7663616 7663617 7663622 7663626 7663627 7663630 7663632 7663633 7663634 7663637 7663638 7663639 7663644 7663646 7663647 7663649 7663650 7663651 7663653 7663654 7663655 7663656 7663657 7663658 7663659 UROSTOMY DRAIN TUBE V-SHAPED MENISCOTOME VAC GRANUFOAM HEEL D VACUUM MOTOR ADVANCE VAGINAL SPECULUM MED VAGINAL SPECULUM SMA VALVE HEMOSTATIC DUO VALVE ROTATING HEMOS VAN SONNENBERG SUMP VAN SONNENBERG 12F 3 VAN TEC HIGH PRES IN VANTEC LEVEEN PRES I VAS-CATH CANNULA 15C VEIN DILATOR VENA CAVA FILTER VERSASCOPE SHEATHS VESICA BLADDER NECK VEST RESTRAINET SM L VEST RESTRAINT LG LA VEST RESTRAINT LGR VEST RESTRAINT MED L VEST RESTRAINT SMALL VEST RESTRAINT X LAR VEST RESTRAINT XLG L VEST RESTRAINT XSMAL VEST RESTRAINT XXL VEST RESTRANT MEDIUM VICRYL #0 J840G VICRYL 0 J00JG VICRYL 0 TAPER CT-1 VICRYL 1 CT-1 CR VICRYL 1 CT-1 CR J74 VICRYL 1 J265H VICRYL 1 TAPER CT-1 VICRYL 2-0 CT-1 J259 VICRYL 2-0 J266H VICRYL 2-0 J339H VICRYL 3-0 CUTTING C VICRYL 3-0 GC TAPER VICRYL 3-0 GI TAPER VICRYL 3-0 J460H VICRYL 3-0 J772G VICRYL 3-0 PC5 J824G VICRYL 3-0 PSI J936H VICRYL 4.0 J494G VICRYL 4-0 CUTTING P VICRYL 4-0 CUTTING P VICRYL 4-0 J214H VICRYL 4-0 RBI J304H VICRYL 5-0 CUTTING P Page 145 10 67 72 169 3 3 585 147 438 605 56 162 534 6 2348 C1880 365 1946 C1713 131 131 77 131 75 75 131 131 96 75 34 119 6 52 48 37 14 10 14 10 39 14 7 7 100 56 21 25 36 45 6 7 27 ChargePrices 2016 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR 7663660 7663661 7663662 7663663 7663664 7663665 7663666 7663667 7663668 7663669 7663670 7663671 7663672 7663681 7663684 7663693 7663694 7663695 7663696 7663697 7663698 7663699 7663706 7663718 7663722 7663723 7663724 7663747 7663748 7663749 7663750 7663751 7663752 7663756 7663758 7663759 7663760 7663761 7663762 7663763 7663764 7663765 7663766 7663767 7663768 7663769 7663770 7663771 7663772 7663773 VICRYL 5-0 CUTTING P VICRYL 5-0 CUTTING P VICRYL 5-0 J495H VICRYL 5-0 J579G VICRYL 5-0 TAPER RBI VICRYL 5-0 TF TAPER VICRYL 6-0 TAPER TF VICRYL 8-0 548G VIERYL TIE 5-0 J612H VIGILON PRIMARY WOUN VIKING 5F GUIDE CATH VIKING 8F AL2 GUIDE VIKING 8F AR2 GUIDE VISIPAQUE 10CC SYRIN VISISTAT SKIN STAPLE VOICE PROSTHESIS SZ VOICE PROSTHESIS SZ VOICE PROSTHESIS SZ VOICE PROSTHESIS SZ VOICE PROSTHESIS SZ VON SOMNENBERG KIT 1 VON SONNENBERG SUMP WAFERS NEW IMAGE 2 1 WATER TRAP WECPREP BLADES WEDGE RESECTION WHITACRE NEEDLE 22X3 WORD BARTHOLIN GLAND WOUND CLEANSER SKIN WOUND CLIPS WOUND DRAINAGE COLLE WOUND GEL WOUND HEAVY DRAINAGE WOUND PROTECTOR 9 IN WOUND WASH SALINE SO WRIST BRACE D RING WRIST BRACE W/MCP SU WRIST FOREARM CHILD WRIST HOLDER ADULT WRIST SPLINT LARGE R WRIST SPLINT LARGE R WRIST SPLINT MEDIUM WRIST SPLINT MEDIUM WRIST SPLINT PEDIATR WRIST SPLINT PEDIATR WRIST SPLINT SMALL L WRIST SPLINT SMALL R WRIST SPLINT X-LARGE WRIST SPLINT X-LRG L WRIST/FOREARM W/THUM Page 146 21 37 23 68 3 8 20 81 14 131 281 281 281 15 76 132 94 85 85 85 605 514 136 109 3 508 C1713 92 90 38 29 45 67 15 73 31 121 147 75 37 44 44 44 44 43 44 44 44 44 44 48 ChargePrices 2016 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR 7663774 7663775 7663776 7663777 7663785 7663789 7663797 7663823 7663824 7663825 7663832 7663833 7663834 7663848 7663849 7663850 7663851 7663854 7663855 7663857 7663858 7663860 7663861 7663862 7663863 7663865 7663875 7663881 7663882 7663883 7663898 7663900 7663902 7663910 7663912 7663913 7663914 7663915 7663922 7663924 7663926 7663927 7663934 7663937 7663940 7663942 7663943 7663947 7663948 7663958 XLG SCROTAL SUPPORT Y-CONNECTOR FOR WOUN YANKAUER PLAN TIP YANKAUER SUCTION INS 0 CHROMIC U246H 0.38 MED AGGRESSIVE 1.8MM VALVULOTOME 12MM R-MED PLUG 12MM SHARP VESAPORT 12MM SURGIPORT 16FR INTRODUCER KIT 16FR SIMPASTIC SUPRA 18FR. COUNCILL CATH. 2-0 NON ABSORBABLE G 2-0 PROLENE 8571G 2-0 VICRYL J869H 2-0 VIRCYL J428H 20FR. COUNCILL CATH. 20FR. GASTRO-ENTERIC 20GA. 1 1/4" ANGIOCA 20GA. 2IN. ANGIOCATH 200MM CARBON ROD 22FR. COUNCILL CATH. 24FR. GASTRO-ENTERIC 24FR. ST. THORACIC C 250MM CARBON ROD 3.0MM KIRSCNER WIRES 3.2 STIENMAN PIN 3.2MM K-WIRE 3.5 CUFFED ENDOTRACH 3.6 STIENMAN PIN 3-PRONG GRASPING FOR 3FR. SPIRAL FILIFORM 36FR. ANGLED THORAC 4 WIRE URETOSCOPE ST 4.0 ADJUSTABLE CLAMP 4.0 STIENMAN PIN 4.0MM CARBON FIBER R 4.0MM PARTIAL THREAD 4.0MM ROUND FLUTED B 4.0MMX3.0MM SCHANZ S 4.5MM CANN. SET W/DI 4FR. SPIRAL FILIFORM 40CC BALLOON CATHETE 48" BELT 5 FR COURIER BALLOON 5 FR COURIER BALLOON 5 IN 1 CONNECTOR 769 5.5 DISPOSABLE CANNU 5FR TRANSPARENT URET Page 147 25 15 2 26 10 155 1271 76 101 315 113 146 119 184 35 11 23 119 639 10 20 425 119 639 39 425 48 56 232 16 58 434 211 59 188 1285 58 123 54 254 399 82 211 1820 67 639 558 6 64 14 C1769 C2627 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 C1713 ChargePrices 2016 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR 7663968 7663972 7663973 7663974 7663986 7663997 7663998 7664000 7664001 7664014 7664015 7664017 7664018 7664019 7664020 7664021 7664040 7664041 7664042 7664043 7664050 7664057 7664058 7664059 7664060 7664061 7664062 7664064 7664065 7664066 7664068 7664069 7664070 7664071 7664072 7664073 7664074 7664075 7664076 7664077 7664078 7664079 7664080 7664081 7664082 7664083 7664084 7664085 7664086 7664087 5MMX100MM DISP. CANN 54" BELT 6 X 6 STERIL 10 6.28MMX35MM CROSS SC 6MM CORNERSTONE BONE 60" BELT 60FR. ANASTOMOTIC DI 7.0MM FLEX-TIP ETT 7.5 NASAL AIRWAY 72" BELT 75FR. ANASTOMOTIC DI 8.0MMX200MM CARBON R 8.0MMX220MM CARBON R 8.0MMX240MM CARBON R 8-0 SILK TG 140-8 8-0 VICRYL J548G NGT KIT MISC-NON CORNARY STE MISC PERPH BALL CATH MISC-TRCTH OCC GUIDE MEPILEX 4X4 DEFIB PAD PED HEARTS DEFIB PAD ADULT HEAR MEPLX BORDER 6X8 DRE CATHETER TRAY 14FR BIOIMPLANT TISSUE MONOCRYL O CT-1 ARMBOARD 1X3 ARMBOARD 6X9 FOOTPRINTERS PEDIATRIC URINE BAG CORD CLAMP INNER CANNULA 6DIC ADAPTER TUBE UROSTOM CENTRAL LINE KIT 60MM MASK CPAP NEONA DECLOGGR 16-18FR YEL DECLOGGR 20-22FR GRE BAIR PAWS FLEX GOWN BAIR PAWS XL GOWN VASCATH 15FR STR TRY VASCATH 15FR CURV TR VASCATH 20FR CURV TR INNER CANNULA 8DIC COBAN 2 LITE CATH TRAY 14FR LATEX CATHETER KIT 16CM 3 CRITIC AID CLEAR 2.5 CRITIC AID CLEAR ANT VENTED SPIKE ADAPTER Page 148 7 67 8 399 1271 73 557 607 56 73 557 402 402 402 313 31 7 5347 1048 279 27 134 141 52 33 9392 14 28 21 6 6 8 21 9 47 32 47 32 92 107 651 684 684 21 84 45 226 37 32 6 C1713 C1713 C1726 C1726 C1713 C1713 C1713 C1876 C1725 C1763 C1752 C1752 C1752 ChargePrices 2016 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 766 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR CSR PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY 7664088 7664089 7664090 7664091 7664092 7664093 7664094 7664095 7664096 7664097 7664098 7664099 7664100 7664101 7664102 7664103 7664104 7664105 7664107 7664109 7664110 7664112 7664114 7860060 7860065 7860182 3 7330011 7381729 7410009 7680006 7680007 7680008 7680009 7680010 7680011 7680012 7680013 7680014 7680016 7680017 7680018 7680019 7680020 7680021 7680022 7680023 7680024 7680025 7680027 MEPILEX BORDER SACRU SCD KNEE SLEEVES MEPILEX 10CM X 10 CM WOUND PROTR M 5-9CM WOUND PROTR LG 9-14C V-LOC 2-0 WOUND CLOU 10X40X80 ILIAC STENT CAPNOGRAPHY CANNULA FINGER SPLINT STRIP CONVEEN OPTIMA CON21 CONVEEN OPTIMA CON25 CONVEEN OPTIMA CON35 CONVEEN OPTIMA CO35S CONVEEN OPTIMA CONDO CONVEEN OPTIMA CO30S CONVEEN OPTIMA CON40 17G EPIDURAL SET STYLETS GUIDE OMNIPAQUE M 300 OMNIPAQUE 350 50CC OMNIPAQUE 350 75CC OMNIPAQUE 350 150CC OMNIPAQUE 300 75ML CANCELLOUS 4.0 40MM CARBO COATED GRAFT 6 GELSOFT VAS. GRAFT 2 TRIAMCIN 0.1% PASTE RHO(D)IMMUNE GLOBULI CYKLOKAPRON ALBUTEROL NEBULIZER APAP/COD LIQ 5ML APAP 16OMG/5ML SUSP APAP 160MG/5ML 20.3M VANCOMYCIN 125 MG SU ACEPHEN 650MG SUPP TYLENOL 80MG/0.8ML ACETAMINOPHEN 120MG ACETAZOLAMIDE 250 T ACETAZOLAMIDE 500 MG ACETYLCHOLINE (MIOCH ACETYLCYSTEINE 20% COMPOUNDED MED ACTIVATED CHARCOAL/S ACTOS 15 MG TAB ACULAR 0.5% OPTH SOL ACYCLOVIR 200MG CAP ZOVIRAX 5% OINT ACYCLOVIR 1000 MG IN ADENOCARD 12MG/4ML ADRENALIN CHLORIDE 3 Page 149 42 91 20 162 303 132 1857 62 5 8 8 8 8 8 8 8 64 138 102 94 138 168 40 26 1835 1054 1 27 316 42 6 5 5 20 5 34 3 5 123 150 15 30 62 38 118 5 1109 1 86 1 C1876 Q9967 Q9967 Q9967 Q9967 Q9967 C1713 J1561 J1120 J0133 J0153 J0171 ChargePrices 2016 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY 7680031 7680032 7680033 7680035 7680036 7680037 7680040 7680041 7680042 7680043 7680044 7680045 7680046 7680047 7680048 7680049 7680050 7680051 7680052 7680053 7680054 7680055 7680056 7680059 7680060 7680061 7680062 7680063 7680065 7680067 7680069 7680070 7680071 7680073 7680075 7680078 7680079 7680080 7680081 7680082 7680083 7680084 7680085 7680086 7680087 7680088 7680089 7680091 7680092 7680093 AGGRENOX 200-25 CAP MUPIROCIN 2% TOP 0.9 ALBUTEROL 4MG TAB ALBUTEROL SUL 0.083% TEGRETOL XR 100 MG ALBUTEROL 0.5% 2.5 M ALKA-SELTZER GOLD EF FEXOFENADINE 60 MG ALLEGRA 180 MG TAB ALLOPURINOL 100MG T MAXIPIME 1 GM INJ ARIMIDEX 1 MG TAB ALPRAZOLAM 0.25MG T ALPRAZOLAM 1MG TAB ALPROSTADIL 500MCG ALTACE 1.25 MG CAP ALTACE 5 MG CAP ZINC SULFATE 220 MG AMANTADINE 100MG CAP AMARYL 2 MG TAB ZOLPIDEM 5 MG TAB AMIDATE 20 MG/10 ML AMIKACIN SULFATE 500 AMINOPHYLLINE25MG/ML AMIODARONE 200MG TAB AMIODARONE 50MG/ML I AMITRIPTYLINE 10MG T AMITRIPTYLINE 25MG T AMLODIPINE 5MG AMMONIA AROMATIC INH AMOXICILLIN 250MG C AMOXICILLIN250MG/5ML DELTA D3 400 IU TAB AUGMENTIN 250MG TAB AUGMENTIN 500MG TAB AMPHOTERICIN B 50MG UNASYN 3 GM UNASYN 1.5G AMPICILLIN SODIUM 1G AMPICILLIN SODIUM 2G AMPICILLIN SODIUM 50 AMPICILLIN 250MG CAP CLOMIPRAMINE 25MG CA ANTIVENIN LATRODECTU ANTIVENIN POLYVALENT ANUSOL-HC 25MG SUPP ANUSOL SUPP ARICEPT 5 MG TAB CLEOCIN 600 MG PMB ASACOL 400MG TABLETS Page 150 24 64 2 5 3 4 2 7 14 5 18 10 5 5 1 12 9 2 13 5 23 76 8 5 18 6 2 5 8 5 5 38 5 29 19 112 23 32 33 29 14 2 4 123 4718 11 3 38 90 11 J0692 J0270 J0278 J0280 J0282 J0285 J0295 J0295 J0290 J0290 J0290 J0840 ChargePrices 2016 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY 7680094 7680096 7680097 7680098 7680099 7680100 7680102 7680104 7680105 7680106 7680108 7680110 7680111 7680112 7680114 7680115 7680116 7680117 7680118 7680119 7680120 7680121 7680122 7680123 7680124 7680127 7680129 7680135 7680136 7680137 7680138 7680139 7680140 7680141 7680142 7680143 7680145 7680146 7680147 7680148 7680149 7680151 7680153 7680155 7680157 7680158 7680159 7680160 7680162 7680163 ASCORBIC ACID 500MG ASPIRIN (BABY) 81MG ASPIRIN (5 GRAIN) 32 ASPIRIN EC 325MG TAB ASPIRIN 300 MG SUPP ASTELIN NASAL SPRAY ATENOLOL 50MG TAB ATROPINE 0.1MG/ML S ATROPINE SULFATE 1% ATROPINE 0.4MG/ML ATROVENT 0.2MG/ML SO AUGMENTIN 875 MG TAB CLEOCIN 900 MG PMB AVANDIA 4 MG TAB BISOPROLOL 5 MG TAB AZACTAM 1 GRAM B & O 15 A SUPP B & O 16 A SUPP BACITRACIN OP OINT BACITRACIN 500U/GM O BACITRACIN 50000U IN BACLOFEN (LIORESAL) BACTERIOSTATIC 0.9% BACTROBAN NASAL 2% O COLISTIN 150MG DURACLON 100MCG INJ BELLADONNA 16.2MG/5M SULINDAC 200 MG TAB BENZTROPINE (COGENTI BENZTROPINE (COGENTI BETADINE 5% OPTH SOL BETAMETHASONE (CELES BETAMETHASONE VALERA BETAPACE 80MG TABLET BETAXOLOL (BETOPTIC) BETHANECHOL (URECHOL ACTHIB VACCINE BIAXIN XL 500 MG TAB BICILLIN CR 2.4 MU T BISACODYL (DULCOLAX) BISACODYL (DULCOLAX) KETOCONAZOLE 2% CR FUROSEMIDE 40MG ORAL BREVIBLOC 10MG/ML 10 BRIMONIDINE 0.2% OPT BUMETANIDE (BUMEX) 0 BUMETANIDE (BUMEX) 1 BUPIVACAINE 0.5% MPF BUPIVACAINE 0.5% BUPIVACAINE SPINAL I Page 151 5 5 2 5 7 110 4 1 95 2 6 25 71 26 6 129 85 104 128 26 54 6 9 58 108 58 23 6 3 69 64 6 105 11 123 10 117 25 200 5 5 61 9 63 121 10 5 10 16 11 J0461 J0461 J0770 J0735 J0515 J0702 J0558 ChargePrices 2016 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY 7680164 7680166 7680167 7680169 7680172 7680173 7680174 7680176 7680177 7680178 7680179 7680181 7680182 7680184 7680185 7680186 7680187 7680188 7680189 7680191 7680192 7680195 7680196 7680197 7680198 7680199 7680202 7680203 7680204 7680205 7680206 7680207 7680208 7680209 7680210 7680211 7680212 7680213 7680215 7680216 7680217 7680222 7680223 7680224 7680225 7680226 7680228 7680229 7680231 7680232 BUPROPION (WELLBUTRI BUSPIRONE (BUSPAR) 5 BUTORPHANOL (STADOL) CALCIUM CARBONA TABS CALCITRIOL 0.25 MCG CALCIUM ACET 667MG C CALCIUM/VITD 250/125 CALCIUM CHLORIDE 100 CALCIUM GLUCONATE 0. CALCIUM POLYCARBOPHI CANDIDA ALBICANS CAPTOPRIL (CAPOTEN) CARAFATE 1 GM/10ML S CARBAMAZEPINE (TEGRE CARBAMIDE PEROXIDE ( CYCLOSPORINE 25 MG CARDIZEM INJECTABLE CARDURA 4MG CARISOPRODOL (SOMA) CASTOR OIL (NEOLOID) CATHFLO ACTIVASE 2 M CEFACLOR (CECLOR) 25 CEFAZOLIN SODIUM 100 URSODIOL 300 MG CAP AZATHIOPRINE 50 MG T CEFOTAXIME SODIUM 10 BYSTOLIC 5 MG TAB CEFOXITIN SODIUM 1GM CEFOXITIN SODIUM 2GM CEFTAZIDIME SODIUM 1 CEFTAZIDIME SODIUM 2 CEFTIN 125 MG/5ML 10 CEFTRIAXONE (ROCEPHI CEFTRIAXONE (ROCEPHI CEFTRIAXONE SODIM 1G CEFTRIAXONE SODIUM 2 CEFUROXIME 250 MG CEFUROXIME SODIUM 75 CEPHALEXIN (KEFLEX) CEPHALEXIN (KEFLEX) CEPHALEXIN (KEFLEX) CHLORASEPT CHERRY SP CHLORASEPTIC LOZ RABIES IMM GLOB 150U CHLORDIAZEPOXIDE (LI CHLORDIAZEPOXIDE (LI CHLORHEXIDINE GLUCON CHLOROTHIAZIDE SODIU CHLORPROMAZINE 10MG CHLORPROMAZINE 25MG Page 152 5 5 9 6 6 5 5 24 12 5 70 4 12 5 12 7 14 5 5 20 366 9 21 14 7 9 13 56 50 35 27 170 9 9 45 13 22 13 3 44 70 14 13 606 5 3 40 1030 2 8 J0595 J0610 J7515 J2997 J0690 J7500 J0698 J0694 J0694 J0713 J0713 J0696 J0696 J0696 J0696 J0697 90675 J1205 Q0161 ChargePrices 2016 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY 7680233 7680236 7680237 7680239 7680242 7680243 7680246 7680247 7680249 7680250 7680251 7680252 7680253 7680254 7680255 7680257 7680259 7680260 7680261 7680262 7680263 7680264 7680265 7680266 7680267 7680268 7680270 7680273 7680274 7680276 7680278 7680279 7680281 7680282 7680283 7680285 7680286 7680287 7680289 7680290 7680291 7680292 7680293 7680296 7680297 7680298 7680299 7680300 7680301 7680302 CHLORPROMAZINE 25MG/ CHOLESTYRAMINE 4GM P PATANOL 0.1% OPTH PROVOCHOLINE 100 MG CIPROFLOXACIN (CIPRO CIPROFLOXACIN HCL (C CITALOPRAM 20 MG TAB CITRATES (BICITRA (S CITRUCEL 500 MG TAB FLUOCINONIDE 0.05% C CLARITIN 1 MG/ML SYR CLARITIN 10 MG TAB MIACALCIN 200UNIT/ML CLINDAMYCIN (CLEOCIN CLINDAMYCIN 600 MG A CLINDAMYCIN 900 MG S CLONAZEPAM (KLONOPIN CLONAZEPAM (KLONOPIN CLONIDINE (CATAPRES CLONIDINE (CATAPRES CLONIDINE (CATAPRES CLONIDINE (CATAPRES) CLOTRIMAZOLE (GYNE-L CLOTRIMAZOLE (MYCELE CLOTRIMAZOLE /BETAME CLOZARIL 100 MG TAB COCAINE HCL 4% TOP S HYDROCODONE/APAP 10COLCHICINE 0.6MG TAB COLLAGENASE 250UN/GM PREMARIN 25MG INJ PREMARIN 0.3MG TAB ACETADOTE 20% INJ COREG (CARVEDILOL) 2 COREG 3.125MG TAB CORTISPORIN DROPS 7. HEPARIN 2 U/ML 500ML CORTISPORIN OTIC SUS IBUTILIDE 1 MG/10ML COSOPT OPTH SOLN 5 M COSYNTROPIN (CORTROS COUMADIN 1 MG TAB COZAAR 50MG TAB CYANOCOBALAMIN (VIT CYCLOBENZAPRINE (FLE CYCLOGYL 1% OPTH SOL NA ACETATE 2MEQ/ML CYPROHEPTADINE (PERI CYTOTEC 100 MCG TAB D.H.E. 45 Page 153 81 10 272 1 27 88 12 5 2 59 3 5 3215 8 26 79 5 5 123 103 192 5 30 8 109 46 102 7 29 7 290 14 7 10 10 114 67 114 687 226 236 7 11 10 5 62 11 2 5 145 J3230 J7674 J0630 J1410 J0132 J1644 J1742 J0834 J3420 J1110 ChargePrices 2016 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY 7680303 7680305 7680310 7680315 7680316 7680319 7680322 7680323 7680325 7680326 7680327 7680328 7680329 7680330 7680331 7680332 7680333 7680335 7680337 7680338 7680339 7680342 7680343 7680344 7680345 7680346 7680347 7680348 7680349 7680350 7680352 7680354 7680355 7680356 7680357 7680358 7680359 7680361 7680362 7680363 7680364 7680365 7680367 7680370 7680371 7680372 7680373 7680375 7680376 7680378 DAKINS SOLN DAPSONE 100 MG TABLE DECLOMYCIN 150 MG TA DEMEROL 25 MG INJ DEPACON 500 MG INJ DERMOPLAST 2 OZ CAN DESMOPRESSIN 4 MCG/M DESMOPRESSIN 4MCG/ML DETROL LA 2 MG CAP DETROL 2 MG TAB LAMICTAL 25MG TAB ZEMPLAR 5 MCG INJ PITOCIN30UNITS/NS500 DEXAMETHASONE 1 MG DEXAMETHASONE 4MG TA DEXAMETHASONE 4MG/ML DEXAMETHOSONE 0.5 MG DEXTROSE 50% 50ML D5W/.45NACL 500ML D5W/NACL 1000ML DEXTROSE 25% PFS DIAZEPAM 5MG/ML 2ML PROTOPAM 1 GM SDV DIAZEPAM (VALIUM) 2M DIAZEPAM (VALIUM) 5M CHLORPHENIRAMINE 4MG DIBUCAINE 1% OINT 30 DICLFENAC EC 75 MG T DICYCLOMINE (BENTYL) DICYCLOMINE (BENTYL) DIFLUCAN 10 MG/ML SU DIGOXIN (LANOXIN PED DIGOXIN .25MG/ML IJ DIGOXIN 0.125MG DIGOXIN 0.25MG DIGOXIN IMMUNE FAB ( DIGOXIN 0.1MG/ML MINOXIDIL 10 MG TAB ATENOLOL 25 MG TAB DILTIAZEM (CARDIZEM) DILTIAZEM E.R. 180 M DILTIAZEM ER 120 MG CAFFEINE/NA BENZOATE DIOVAN 80 MG CAP DIPHENHYDRAMINE (BEN DIPHENHYDRAMINE HCL DIPHENHYDRAMINE 25MG DIPHENOXYLATE /ATROP DANTRIUM 25MG CAP DIPRIVAN (PROPOFOL) Page 154 48 6 46 9 318 26 9 9 34 21 21 15 22 5 5 9 12 54 95 100 30 24 192 5 5 5 32 9 100 5 244 9 13 5 5 1650 35 6 5 5 6 5 62 20 5 16 5 5 5 322 J2175 J2597 J2597 J2501 J2590 J8540 J1100 J8540 J3360 J2730 J0500 J1160 J1162 J1160 Q0163 J1200 ChargePrices 2016 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY 7680379 7680380 7680383 7680384 7680385 7680386 7680387 7680389 7680390 7680393 7680394 7680395 7680397 7680398 7680399 7680400 7680401 7680402 7680404 7680405 7680406 7680409 7680412 7680413 7680414 7680416 7680417 7680418 7680419 7680420 7680421 7680422 7680423 7680425 7680426 7680427 7680428 7680430 7680432 7680433 7680434 7680435 7680438 7680439 7680440 7680441 7680442 7680443 7680444 7680445 DIPRIVAN 1% 20ML PF DIPYRIDAMOLE (PERSAN DITROPAN XL 5 MG TAB DIVALPROEX SODIUM (D DIVALPROEX SODIUM (D DOBUTAMINE (DOBUTREX DOBUTAMINE 250 MG PR DOCUSATE SODIUM (COL DOCUSATE SODIUM (COL DONNATAL 16.2MG TAB DOPAMINE (INTROPIN) DOPAMINE .8MG/ML DOXAZOSIN MESYLATE ( DOXEPIN (SINEQUAN) 1 DOXEPIN (SINEQUAN) 2 GLUCOTROL XL 2.5 MG DOXYCYCLINE (VIBRAMY DOXYCYCLINE HYCLATE LAMISIL 250MG TAB DURAGESIC PATCH 50 M DESIPRAMINE 50MG TAB D5.2NS 1000 ML D5.45 500ML D5.45NS W/20 MEQ KCL D5.45NS 1000 ML D5LR 1000ML D5LR 500ML D5NS W/ 20 MEQ KCL 1 D5W 250ML D5W 100ML D5W 1000ML D5W 500ML COMTAN 200MG TAB EFFEXOR XR 150 MG CA EFFEXOR XR 37.5 MG C EFFEXOR 25 MG TAB EFFEXOR 75MG TAB ELDEPRYL 5MG TABLETS EMLA 5GM TUBE MAALOX (GENERIC)30ML MAVIK 1 MG TAB VFEND I.V. 200 MG SD ENALAPRIL 5 MG TAB DURAGESIC 12 MCG PAT ENALAPRILAT (VASOTEC AMOX 200/5 50 ML BOT ASPIRIN EC 81MG TAB EPHEDRINE 50MG/ML IN UREA 40% CREAM EPINEPHRIN 2.25% NEB Page 155 203 3 16 9 18 21 53 5 5 2 2 6 4 2 5 2 7 71 64 112 12 103 74 100 95 100 80 10 69 100 95 88 22 29 19 9 10 11 95 5 6 15 5 71 10 23 5 19 146 6 J1250 J1250 J1265 J1265 J3480 J3480 J7070 J3465 ChargePrices 2016 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY 7680447 7680448 7680450 7680452 7680453 7680454 7680456 7680458 7680460 7680461 7680462 7680463 7680467 7680468 7680472 7680474 7680475 7680477 7680479 7680480 7680481 7680482 7680483 7680486 7680487 7680489 7680490 7680491 7680493 7680494 7680496 7680498 7680499 7680501 7680502 7680503 7680504 7680505 7680506 7680507 7680508 7680509 7680510 7680511 7680512 7680513 7680515 7680517 7680521 7680523 EPIPEN 1:1000 EPINEPHRINE 1MG/10ML FLUOCINOLONE 0.01% S CYMBALTA 30MG CAP ERYPED 200 SUSP 100 ERYTHROMYCIN (ILOTYC GEODON 20 MG INJ ERYTHROMYCIN BASE 25 ERYTHROMYCIN ETHYLSU ERYTHROMYCIN LACTOBI TIMOLOL 0.5% SOLN. ESGIC TAB LEVAQUIN 250 MG TAB NYSTATIN 5 ML SUSP DAPTOMYCIN (CUBICIN) ETHAMBUTOL 400 MG TB RIFAMPIN 600 MG INJ EVISTA 60 MG TAB EXELON 1.5 MG CAP LEVAQUIN 750 MG TAB FLUVOXAMINE 50 MG TB EYE LUBRICANT 3.5 GM EYE STREAM OPTH SOLN PEPCID 10MG/ML INJ FAMOTIDINE 20MG TAB FAMVIR 500 MG TAB FAT EMULSION 10% 250 FELODIPINE 5MG TAB FENTANYL (SUBLIMAZE) FENTANYL 100 MCG PAT FENTANYL 25 MCG PATC FERROUS SULFATE 325 FERREX 150 CAP FERROUS SULF DROPS 5 FERROUS SULFATE 300M INJ, FILGRASTIM G-CS KEPPRA 100 MG/ML SOL FLEET PHOS-SODA 45 M FLOMAX 0.4 MG FLONASE 16 GM NASAL FLOVENT 110 MCG INH FLOVENT HFA 220 MCG FLOVENT 44 MCG 7.6 G FLUCONAZOLE (DIFLUCA FLUCONAZOLE 200 MG I FLUCONAZOLE 400 MG I FLUDROCORTISONE (FLO FLUMAZENIL 0.1MG/ML FLUORESCEIN OPTH STR FLUOXETINE 10 MG TAB Page 156 182 1 78 49 91 50 37 12 192 59 63 5 85 18 1 8 256 32 21 196 12 19 67 9 8 69 65 7 19 113 62 5 5 34.5 3 1188 14 16 21 139 341 518 183 81 54 31 7 40 5 12 J0171 J0171 J3486 J1364 J0878 J3010 J1442 J1450 J1450 ChargePrices 2016 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY 7680525 7680527 7680528 7680529 7680531 7680533 7680535 7680536 7680537 7680538 7680539 7680540 7680541 7680542 7680545 7680546 7680548 7680549 7680550 7680551 7680552 7680553 7680554 7680555 7680557 7680558 7680559 7680560 7680563 7680565 7680566 7680567 7680568 7680569 7680570 7680571 7680573 7680574 7680576 7680577 7680578 7680579 7680580 7680582 7680584 7680585 7680588 7680589 7680593 7680594 FLURAZEPAM (DALMANE) FOLIC ACID (FOLVITE) FOLIC ACID 1MG TAB U FOLTX TAB CANCIDAS 50 MG INJ PERPHENAZINE 2 MG TB FUROSEMIDE (LASIX) 1 LASIX 20 MG INJ LASIX 20MG TAB LASIX 40MG INJ LASIX 40MG TAB WELLBUTRIN SR 100MG GABAPENTIN 100 MG CA GABAPENTIN 300 MG CA GAVISCON 20-80 TAB GEMFIBROZIL (LOPID) GENT 80MG PREMIXED GENTAMICIN 15GM OINT GENTAMICIN 0.3% SOLN GENTAMICIN SULFATE 2 GENTAMICIN SULFATE 3 GENTAMICIN 40MG/ML GENTAMICIN 40MG/ML 2 GENTIAN VIOLET 1% SO GLIPIZIDE (GLUCOTROL GLUCAGON 1MG INJ GABAPENTIN 400 MG CP GLUCOPHAGE 500 MG SENSIPAR 30MG TAB GLUCOTROL XL 5MG TAB GLYBURIDE (DIABETA) GLYCERIN ADULT RECTA GLYCERIN INFANT & CH GLYCINE IRRIGATION 3 GLYCOLAX 17 GM PACKE GLYCOPYRROLATE (ROBI GOLYTELY PWDR POVIDONE/IODINE OINT GUAIFENESIN (ROBITUS GUAIFENESIN /COD (RO VENTOLIN HFA 18GM GUAIFENESIN-DM LIQ MUPIROCIN 2% OINT 22 ROPIVACAINE 0.25% EP SILVER NITRATE 0.5% HALDOL 5MG INJ HALOPERIDOL (HALDOL) HALOPERIDOL 1MG TAB LICE TX SHAMPOO HEPARIN FLUSH 10 UNI Page 157 3 15 5 3 747 5 5 15 5 8 5 8 5 8 2 12 38 58 80 9 72 5 12 16 5 243 10 7 63 5 3 3 5 60 5 82 84 34 5 3 70 5 162 220 94 36 5 5 34 10 Q0175 J1940 J1940 J1940 J1580 J1580 J1580 J1580 J1610 J1630 J1642 ChargePrices 2016 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY 7680595 7680596 7680598 7680599 7680600 7680601 7680602 7680603 7680604 7680606 7680609 7680610 7680612 7680613 7680614 7680615 7680621 7680622 7680623 7680624 7680625 7680627 7680628 7680629 7680630 7680631 7680632 7680633 7680635 7680636 7680638 7680639 7680640 7680641 7680642 7680643 7680644 7680645 7680646 7680647 7680648 7680649 7680650 7680652 7680655 7680657 7680659 7680660 7680661 7680662 HEPARIN LOCK 10UNIT/ HEPARIN SODIUM 1000U HEPARIN SODIUM 5000U HEPARIN 1000U/ML 10M HEPARIN 50U/.45 500M HEPATITIS B IMMUNE G HEPATITIS B VACCINE HESPAN 500ML (IV) ZOSYN 4.5 GM SDV HUMALOG MIX 75/25 IN HC 1% 1.5 GM CR (WC) CLOTRIMAZOLE 1% (WC) HYDRALAZINE HCL (APR HYDRALAZINE 10MG TAB HYDRALAZINE 25MG TAB HYDROCHLOROTHIAZIDE IODOSORB 5 GM (WC) HYDROCORTISONE 1% FM SOLU-CORTEF 100MG FLUOCINONIDE 5GM (WC HYDROCORTISONE 1% CR DILAUDID 2MG TAB DILAUDID 2MG/ML INJ HYDROMORPHONE 4 MG HYDROXYCHLOROQUINE ( HYDROXYZINE HCL 10MG HYDROXYZINE HCL 25MG HYDROXYZINE HCL 50MG HYDROXYZINE 10 MG/5M HYOSCYAMINE 0.125MG BIAFINE 5 GM (WC) CLOTR/BETAM 5MG (WC) IBUPROFEN (CHILDREN' IBUPROFEN (MOTRIN) 4 IBUPROFEN (MOTRIN) 6 IMDUR 30 MG TAB IMIPRAMINE 25MG TAB IMITREX 0.5ML VIAL IMITREX 25 MG TAB LID 4% TOP 5ML (WC) INDAPAMIDE (LOZOL) 2 INDIGOTINDISULFONATE INDOMETHACIN (INDOCI POLY-VITAMIN GTT 50M INJECTION, ADENOSINE INSPRA 25 MG TAB INSULIN (NOVULIN 70/ INSULIN (NPH HUMAN) INSULIN (REG HUMAN) INTEGRELIN 5 MG INJ Page 158 7 27 5 4 2 1482 151 57 192 1 3 7 66 5 5 5 18 156 26 18 35 5 13 6 6 3 5 10 3 4 9 27 9 5 5 5 4 112 123 9 4 42 2 54 106 29 157 168 5 179 J1644 J1644 J1644 J1644 J1644 90371 90743 J2543 J1815 J0360 J1720 J1170 J3410 J3030 J0153 J1815 J1327 ChargePrices 2016 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY 7680664 7680665 7680670 7680671 7680672 7680674 7680675 7680676 7680679 7680680 7680681 7680682 7680683 7680684 7680685 7680688 7680689 7680690 7680692 7680693 7680694 7680695 7680696 7680698 7680703 7680705 7680706 7680708 7680709 7680710 7680711 7680712 7680713 7680714 7680715 7680716 7680717 7680718 7680719 7680722 7680723 7680724 7680726 7680727 7680728 7680729 7680730 7680731 7680732 7680733 METRONIDAZOLE 0.75% IODOSORB GEL 10 GM METROGEL (WC) 5 GM ISMO (ISOSORBIDE MON ISONIAZID 100MG TAB ISOPTO HOMATROPINE 5 ISORDIL 20MG ISOSORBIDE DINITRATE KCL 10 MEQ/100 ML PR KEPPRA 250 MG TAB KETAMINE (KETALAR) 1 KETOCONAZOLE 200 MG FLECAINIDE 50 MG TAB KETOROLAC (TORADOL) KETOROLAC 60 MG/2ML LABETALOL 20 MG/4ML LABETALOL 200 MG LABETALOL 5 MG/ML 20 LACTATED RINGERS 100 LACTATED RINGERS 500 LACTULOSE (CHRONULAC LAMICTAL 100 MG TABS LAMISIL CREAM 1% 30G LANSINOH CREAM DEPAKOTE ER 250 MG T LEUPROLIDE 7.5 MG LEVAQUIN 250 MG PREM LEVAQUIN 500 MG VITAMIN D 50000 UN C LEVAQUIN 500 MG PREM LEVAQUIN 750 MG PREM LEVOBUNOLOL (BETAGAN LEVOTHROID 0.05 MG T LEVOTHROID 0.088 MG LEVOTHROID 0.1 MG TA LEVOTHROID 0.112 MG LEVOTHROID 0.125 MG LEVOTHROID 0.15 MG T LEVOTHROID 200MCG IN LIDOCAINE 5% OINT LIDOCAINE 2% INJ LIDOCAINE 100MG SYR LIDOCAINE (XYLOCAINE LIDOCAINE 4% TOP SOL LIDOCAINE VISCOUS 2% LIDOCAINE 0.5% SDV 5 LIDOCAINE 1% W/ EPI LIDOCAINE 1% 5 ML IN LIDOCAINE 2 GRAMS IV LIDOCAINE 2% / EPINE Page 159 315 124 15 4 2 113 1 5 8 14 59 15 8 5 7 19 5 9 101 11 7 24 49 8 8 1433 85 101 7 102 98 100 16 15 15 15 5 6 201 133 1 21 22 45 8 19 11 6 6 27 J3480 J1885 J7120 J9217 J1956 J1956 J1956 J2001 J2001 ChargePrices 2016 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY 7680734 7680735 7680736 7680737 7680738 7680740 7680741 7680742 7680743 7680744 7680745 7680746 7680747 7680748 7680750 7680751 7680752 7680754 7680755 7680756 7680757 7680762 7680763 7680764 7680765 7680770 7680771 7680773 7680774 7680777 7680778 7680779 7680780 7680781 7680782 7680783 7680784 7680785 7680787 7680789 7680790 7680793 7680794 7680795 7680796 7680797 7680798 7680799 7680802 7680805 LID 2% W/ EPI MPF LIDOCAINE 4% 40MG/ML LIDOCAINE 5% /7.5% G LIDODERM 5% PATCH LIDOCAINE 1% (WC) LIDOCAINE/EPI (WC) LIPITOR 10 MG TAB LIPITOR 40 MG TAB LIQUI-CHAR 25GM 120M LISINOPRIL 20 MG TAB LISINOPRIL 5 MG TAB LIDOCAINE 2% (WC) LITHIUM (LITHOBID) 3 TRIFLURIDINE OPTH. LODINE 400MG LOPERAMIDE 2MG CAP LOPERAMIDE (IMODIUM) SANTYL (WC) LORAZEPAM 0.5MG TAB LORAZEPAM 1MG TAB LORAZEPAM 2MG INJ LOTRIMIN CREAM LOTRISONE 45 GM CREA TAMIFLU 12MG/ML SUSP LOVASTATIN (MEVACOR) CLAFORAN 500 MG INJ LR IRRIGATION 3000ML LUMIGAN 0.03% OPTH S M-M-R II VAC SDV MACROBID 100 MG CAPS MAGNESIUM CITRATE SO MAGNESIUM OXIDE 400M MAGNESIUM SULFATE 1G FLORASTOR CAPS MAGNESIUM 40MG/ML 10 MANNITOL 20% 500ML MANNITOL 25% INJ SOL PITOCIN 40 MG/1000ML VFEND 200 MG TAB MAXITROL OP SUSP MECLIZINE 12.5 MG TA MEDROL DOSE 4MG PAK METHYLPREDNISOLONE MEDROXYPROGESTERONE DEPO-PROVERA 150MG MEDROXYPROGESTERONE MEGACE SUSP MEGESTROL (MEGACE) 4 OXYCODONE IR 5MG TAB MEPERIDINE 50 MG TAB Page 160 46 21 34 44 6 6 20 28 44 5 6 6 5 313 7 5 15 68 5 5 16 30 117 95 11 12 66 214 118 15 6 5 8 3 8 103 7 22 110 108 5 138 7 1 214 2 23 5 5 3 J2060 J0698 J3475 J3475 J2150 J2590 J7509 J7509 J1050 ChargePrices 2016 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY 7680808 7680812 7680816 7680817 7680818 7680819 7680820 7680821 7680822 7680823 7680825 7680826 7680829 7680830 7680831 7680832 7680833 7680834 7680835 7680836 7680837 7680838 7680839 7680840 7680841 7680842 7680843 7680845 7680847 7680848 7680849 7680850 7680851 7680853 7680854 7680856 7680857 7680859 7680861 7680863 7680866 7680868 7680870 7680871 7680872 7680874 7680875 7680878 7680880 7680881 CHLORHEXIDINE 0.12% MESALAMINE 4GM ENEMA METHADONE 5 MG TAB CYTOMEL 25 MCG METHOCARBAMOL 500MG METHOCARBAMOL 1G INJ METHOTREXATE 2.5 MG PREDNISONE 5MG TAB METHOTREXATE 50 MG I SULAR 8.5 MG ER TAB INTRALIPID 20% 250ML METHYLDOPA (ALDOMET) METHYLENE BLUE 1% IN METHYLERGONOVINE MAL METHYLERGONOVINE 0.2 DEPO-MEDROL 40MG INJ SOLU-MEDROL 40MG SOLU-MEDROL 125MG REGLAN 10MG/2ML INJ METOCLOPRAMIDE 10MG METOCLOPRAMIDE 1MG/M METOLAZONE (ZAROXOLY METOPROLOL 5MG INJ METOPROLOL 25 MG TAB METROGEL-VAG GEL 0.7 FLAGYL 500MG IV FLAGYL 250MG TAB MIACALCIN 200 IU NAS MICONAZOLE 2% CR MICONAZOLE 2% VAG CR HYDROCODONE 5 ML SYR MICONAZOLE (MONISTAT MIDAZOLAM 1MG/ML 2 M MIDAZOLAM 5 MG/ML 1 MIDODRINE 2.5 MG TAB FLUOROMETHOLONE 0.1% MILK OF MAGNESIA (CO MINERAL OIL LIQ UD MINOXIDIL (LONITEN) MIRAPEX 0.25 MG TAB MOBIC 7.5 MG TAB MOMETASONE 0.1% OINT MORPHINE CR 30 MG TA MORPHINE IR 15 MG TA MORPHINE SULFATE PF MORPHINE SULFATE 5MG ACETYLCYSTEINE 20% MORPHINE 50 MG SYRIN MORRHUATE 5% SOLN 30 MUCINEX 600 MG TAB Page 161 77 90 5 7 5 103 20 5 2 70 118 2 9 38 38 44 39 67 9 5 5 8 14 5 122 72 5 190 34 57 4 32 14 9 6 49 5 5 3 14 15 68 8 5 26 14 41 21 155 5 J2800 J8610 J9250 J2210 J1030 J2920 J2930 J2765 J2250 J2250 J2274 J2270 J2270 ChargePrices 2016 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY 7680882 7680883 7680884 7680885 7680886 7680887 7680890 7680891 7680892 7680893 7680894 7680895 7680897 7680898 7680899 7680904 7680906 7680907 7680908 7680909 7680910 7680911 7680912 7680913 7680914 7680915 7680916 7680918 7680920 7680921 7680922 7680923 7680924 7680925 7680926 7680927 7680928 7680929 7680931 7680933 7680934 7680935 7680937 7680938 7680939 7680940 7680941 7680942 7680943 7680944 MULTI -VITAMIN TAB SYMBICORT 160-40 MUPIROCIN (BACTROBAN MVI -12 (||) 10ML IV MYDRIACYL 1% OPTH SO NADOLOL (CORGARD) 40 NALBUPHINE 10MG/ML HEMABATE 250MCG INJ COUMADIN 3 MG TAB NALOXONE 0.4MG/ML NALOXONE 1MG/ML INJ NAMENDA 5MG TABS NAPROXEN 250MG TABS NAROPIN 0.5% 5 MG/ML NIACIN 50 MG TAB NATURAL TEARS II 15M NEOMYC/POLY B/GRAM O NEOMYCIN SULF 500MG TRIPLE ABX OINT NEOMYCIN/POLYB/DEX 1 NEOSPORIN OPTH OINT NEOSPORIN GU SOLN IR NEOSPORIN (GEN) OINT NEOSTIG METH .5MG/ML CEFEPIME 2000 MG INJ NEPHRO-VITE 1MG TAB NEUTRA PHOS CAP NIACIN 500MG TAB NIASPAN 500 MG NICARDIPINE 20MG CAP NICARDIPINE 30MG CAP NICODERM 14 MG/DAY ( NICODERM 7 MG/DAY (N LEXISCAN 0.4 MG PFS NICOTINE TRANS 21MG NIFEDIPINE 10MG CAP LIDOCAINE 5% 5 GM WC NIFEDIPINE ER 30 MG NIMBEX 2MG/ML INJ NITRO OINT 2% U/D NITRO-DUR 0.3 MG/HR NITROFURANTOIN 50MG NITROGLYCERIN 2.5MG NITROGLYCERIN 6.5MG NITROGLYCERIN SPRAY NITRO DRIP 250ML NITRO .1MG/HR PT24 NITRO .2MG/HR PT24 NITRO .4MG/HR PT24 NITROLINGUAL .4MG SL Page 162 2 328 130 32 71 5 8 279 8 72 85 24 4 2 2 16 111 7 47 108 105 71 5 9 14 5 5 2 18 3 4 18 19 255 21 5 8 6 28 7 23 10 6 6 345 66 12 8 9 5 J2300 J2310 J2310 J2795 J2710 J0692 J2785 ChargePrices 2016 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY 7680945 7680949 7680951 7680952 7680953 7680954 7680955 7680956 7680957 7680958 7680959 7680961 7680962 7680963 7680967 7680968 7680969 7680970 7680977 7680978 7680980 7680981 7680982 7680983 7680984 7680985 7680987 7680989 7680990 7680991 7680993 7680994 7680996 7680999 7681005 7681014 7681015 7681016 7681017 7681019 7681022 7681023 7681024 7681027 7681028 7681029 7681030 7681031 7681032 7681033 NITROPRUSSIDE 25MG/M NOREPINEPHRINE 1MG/M NORTRIPTYLINE 10 MG NORTRIPTYLINE 25 MG NOVOLOG 100UNITS/ML NOVOLOG MIX 70/30 IN NS W/ 20 KCL 1000 ML NS W/ 40 KCL 1000 ML NYSTATIN /TRIAM CRM NYSTATIN ORAL SUSP 1 NYSTATIN POWDER NYSTA 100000U/GM OIN NYSTA 100000U/GM CRM OCTRETIDE ACE .1MG/M OP EYE MEDS OR ATX EYE CHARGE ORAMORPH SR 100 MG T ORAMORPH SR 15 MG TA OXYBUTYNIN 5MG TAB OXYCODONE/APAP 5/325 OXYCONTIN 10MG OXYCONTIN 20 MG TAB OXYCONTIN 40 MG TABL OXYMETAZOLINE .05% S PITOCIN 30 MG/500 ML PAMIDRONATE 30 MG VI PANCURONIUM 1MG/ML I PAPAVERINE 30MG/ML I PAXIL CR 12.5 MG PAXIL 20MG TAB PEN G BENZATHINE (BI PEN G. BICILLIN CR 9 PENICILLIN VK 250MG PENTASA 250 MG CAP PENTOXIFYLLINE (TREN PHENADOZ 12.5 MG SUP PHENADOZ 25 MG SUPPO PHENAZOPYRIDIN 100MG PHENOBARB 130MG INJ PHENOBARBITAL 32.4 M PHENTOLAMINE 5MG INJ PHENYLEPHRINE 10% OP PHENYLEPHRINE 0.25% PHENYLEPHRINE 2.5% S PHENYLEPHRINE 10MG/M PHENYTOIN (DILANTIN PHENYTOIN 100MG CAP PHENYTOIN 100MG/4ML PHENYTOIN 50 MG/ML 2 PHENYTOIN 50 MG/ML 5 Page 163 3434 50 2 4 313 324 95 10 165 60 102 65 65 22 123 123 24 10 3 8 12 19 41 23 9 89 9 16 25 13 124 14 5 8 5 20 22 5 128 3 332 54 39 67 83 5 5 8 3 2 J3480 J3480 J2354 J2590 J2430 J2440 J0561 J0558 J2560 J2760 J2370 J1165 J1165 ChargePrices 2016 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY 7681036 7681037 7681038 7681039 7681040 7681041 7681042 7681044 7681045 7681046 7681048 7681050 7681052 7681053 7681054 7681055 7681056 7681057 7681062 7681064 7681065 7681066 7681068 7681070 7681071 7681072 7681076 7681080 7681082 7681083 7681084 7681085 7681086 7681087 7681088 7681089 7681091 7681094 7681095 7681096 7681098 7681099 7681100 7681101 7681104 7681105 7681106 7681107 7681108 7681109 PHYTONADIONE 2MG/ML VIT K 10MG/ML INJ PHYTONADIONE 5MG TAB PILOCARPINE 2% PILOCARPINE 4% OPTH PILOCARPINE 1% GTTS PINDOLOL 10MG PLAVIX 75 MG TAB PLETAL 50 MG TAB PNEUMOCOCCAL VACCINE POLYM B SULF 500000U KCL ACE 2MEQ/ML 40ME KCL 10MEQ/50ML KCL 10MEQ CAP KCL CHL 2MEQ/ML 20ME KCL LIQ 10% KCL CHL 2MEQ/ML 40ME KCL PHOS DIB 3MM/ML PRAVACHOL 20 MG TAB PREDNISOLONE 1% SUSP PREDNISOLONE 15MG/5M PREDNISONE 1MG TAB U PREDNISONE 20MG TAB PRENAVITE TABS PREVACID 15 MG PLAN B PRIMIDONE 50 MG TAB PROCAINAMIDE 500MG/M COMPAZINE 5MG TAB COMPAZINE 25MG SUPP PROCHLORPERAZ 5MG/ML PROCRIT 10,000 U/ML PROCRIT 4000 U/ML SD PROCTOZONE-HC 2.5% C PROMETHAZINE 25MG IN PROMETHAZINE 25MG TA PROMETHA 6.25MG/5ML PROPAFENONE 150 MG T PROPARACAINE 0.5% OP PROPOFOL 1% 1000 MG PROPRANOLOL 1MG/ML I PROPRANOLOL LA 80MG PROPRANOLOL (INDERAL PROPRANOLOL 20MG TAB PROSCAR 5 MG TABLETS PROTAMINE SULFATE 50 PROTONIX 40 MG INJ PANTOPRAZOLE 40MGTAB PROVIGIL 100 MG TAB PSEUDOEPHEDRINE 30MG Page 164 55 6 71 156 141 132 6 38 9 133 57 11 3 8 7 5 21 8 16 116 13 2 2 5 34 68 2 77 3 22 14 41 41 92 14 5 3 8 102 186 37 6 37 5 15 9 40 33 109 2 J3430 J3430 90732 J3480 J3480 J3480 J7510 J2690 Q0164 J0780 J0885 J0885 J2550 Q0169 J1800 J2720 C9113 ChargePrices 2016 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY 7681111 7681115 7681116 7681117 7681118 7681120 7681128 7681133 7681134 7681135 7681136 7681137 7681138 7681143 7681144 7681145 7681146 7681149 7681152 7681154 7681155 7681156 7681157 7681158 7681159 7681161 7681162 7681163 7681164 7681165 7681166 7681167 7681169 7681170 7681172 7681173 7681174 7681175 7681176 7681177 7681178 7681182 7681183 7681184 7681185 7681186 7681187 7681188 7681189 7681190 PSYLLIUM HYDROCOLLOI PYRAZINAMIDE 500MG PYRIDOSTIGMINE (REGO PYRIDOXINE 50MG TAB PYRIDOXINE 100 MG/ML QUINIDINE GLUC 324MG RABIES VACCINE WITH RELAFEN 500 MG TABLE REMERON SOLTAB 15 MG RAZADYNE 4 MG RENAGEL 400 MG REQUIP 0.5 MG TAB REQUIP 2 MG TAB RHO(D)IMMUNE GLOBULI RIFAMPIN 300MG CAP RISPERDAL 0.25 MG TA RISPERIDONE 1MG TAB ROBINUL 1 MG TABS SALSALATE 500MG RHINALL NASAL 0.25% SENNA 8.6MG TAB SENNA /DOCU 8.6/50M SENSORCAINE EPI 0.25 SENSORCAINE W EPI 0. BUPIVACAINE 0.25% IN SEPTRA DS TAB UD SEPTRA SUSP UD SEPTRA 10ML IV SOLN SEREVENT DISKUS 50 M SEROQUEL 100 MG TAB SEROQUEL 25 MG TAB SERTRALINE HCL (ZOLO SILVER NITRATE APPLI SSD 50GM SIMETHICONE 40MG/0.6 SIMETHICONE 80MG TAB CARBIDOPA/LEVODOPA C SINEMET 10/100 TAB U SINEMET 25/100 TAB U SINEMET 25/250 TAB U SINGULAIR 10 MG SOD. CHLORIDE 0.9% I SODIUM BICARB 4.2% SOD BICARB 8.4% SYR SODIUM BICARB 650MG SOD BICARB 8.4% VIAL SOD CL 3% 3ML NEB SODIUM CHLORIDE SPRA SODIUM CHLORIDE 250 SODIUM CHLORIDE 1GM Page 165 5 6 3 2 56 J3415 7 521 90675 6 12 15 13 12 12 24 J2790 9 10 11 6 5 11 5 5 47 1 34 7 20 39 232 34 22 13 5 73 25 5 8 5 6 8 31 9 33 37 5 12 3 10 27 5 ChargePrices 2016 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY 7681191 7681192 7681194 7681195 7681196 7681198 7681199 7681200 7681202 7681204 7681208 7681211 7681213 7681214 7681216 7681218 7681219 7681223 7681225 7681226 7681227 7681228 7681229 7681231 7681232 7681235 7681241 7681242 7681244 7681245 7681246 7681251 7681256 7681257 7681260 7681261 7681262 7681263 7681264 7681265 7681266 7681269 7681271 7681272 7681273 7681274 7681275 7681276 7681277 7681278 SODIUM CHLORIDE 25ML SODIUM CHLORIDE 4MEQ SODIUM PHOSPHATE(3MM SODIUM POLYSTYRENE S SOLU MEDROL 1 GM INJ SPIRIVA 18 MCG INHAL SPIRONOLACTONE (ALDA SPORANOX 100 MG CAP STARLIX 120 MG TAB STERILE WATER 1000ML SUCRALFATE (CARAFATE SUFENTANIL CITRATE ( SULFACETAMIDE (BLEPH SULFASALAZINE (AZULF SURVANTA TAMIFLU 75 MG CAP TAMOXIFEN 10MG TAB TEMAZEPAM (RESTORIL) TENORETIC 50 TERAZOSIN 1 MG CAP TERAZOSIN 5 MG CAP TERBUTALINE 2.5MG TERBUTALINE 1MG/ML TESSALON PERLES TET/DIPH/ADULT VIAL TETRACAINE 2% THEOPHYLLINE 300MG THEOPHYLLINE (THEO-D THERAGRAN LIQUID THIAMINE 100MG TAB THIAMINE 100MG/2ML THROMBIN-JMI 5,000 U TIMOLOL 0.25% DROPS TIMOLOL (TIMOPTIC) 0 TIZANIDINE 4 MG TAB TOBRAMYCIN 0.3% OINT TOBRAMYCIN 0.3% DROP TOBRA/DEX OPTH SOLN TOBRAMYCIN /DEXA (TO TOBRAMYCIN SULFATE 8 TOBRAMYCIN 1.2 GM PW TOPAMAX 25 MG TAB TOPROL XL 25 MG TAB TOPROL XL 50MG TAB TRACE ELEMENTS (||) TRAMADOL 50 MG TAB TRANSDERM-SCOP 1.5 M TRAZADONE (DESYREL) TRAZODONE 150 MG TAB TRIAMCINOLINE 0.1% C Page 166 56 11 25 45 12 194 5 65 8 12 6 18 112 5 1499 60 11 5 4 8 8 2 79 5 93 70 2 2 22 5 31 159 68 108 7 109 72 241 139 21 12 12 5 5 7 5 59 5 7 69 J2930 J3105 90714 J3411 J3260 J3260 ChargePrices 2016 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY 7681280 7681282 7681283 7681285 7681287 7681291 7681302 7681303 7681304 7681306 7681307 7681309 7681318 7681320 7681326 7681327 7681331 7681332 7681333 7681336 7681337 7681338 7681339 7681340 7681341 7681346 7681347 7681348 7681349 7681350 7681351 7681352 7681354 7681355 7681356 7681357 7681358 7681359 7681360 7681361 7681362 7681370 7681371 7681375 7681376 7681378 7681380 7681381 7681382 7681385 KENALOG 40MG/ML TRIAMCINOLONE 0.025% TRIAMCINOLONE 0.1% O TRIAMTERENE 75 /HCTZ TRICOR 48 MG TAB TRILEPTAL 150 MG TAB TROPICAMIDE (MYDRIAC TRUSOPT 2% OPTH SOLN TUBERCULIN SKIN TEST TUSSIONEX SUSP TYLENOL 325MG TAB TYLENOL #3 TAB UD UROBLUE VALPROIC ACID (DEPAK VANCOMYCIN 1000 MG VANCOMYCIN 500MG INJ VASOPRESSIN (PITRESS VECURONIUM 1 MG/ML I VENOFER 1 MG/5ML S VERAPAMIL (ISOPTIN) VERAPAMIL E.R. 120 M VERAPAMIL ER 180 MG VERAPAMIL 5MG/2ML IN VERELAN PM 100 MG CA VIGAMOX 0.5% OPTH SO VITAMIN A&D OINTMENT VITAMIN B-12 VITAMIN B-12 500MCG VITAMIN E 1000 IU VITAMIN E 200 UNITS VOLTAREN 0.1% OPTH S VOLTAREN 50 MG TABLE WARFARIN 2MG TAB WARFARIN 2.5MG TAB WARFARIN 5MG TAB WARFARIN 7.5MG TAB WATER FOR IRRIG 2L WATER IRRIGATION 100 WELLBUTRIN SR 150 MG WELLBUTRIN XL 150 MG XALATAN 0.005% OPTH XYLOCAINE 2% JELLY 3 ZANTAC SYRUP ZEMURON 10 MG/ML INJ ZETIA 10 MG TAB ZINC OXIDE OINT ZITHROMAX (AZITHROMY ZITHROMAX SUSP ZITHROMAX 500 MG INJ ZOFRAN 1 MG/1.25ML O Page 167 14 1 30 7 10 7 49 123 22 32 5 5 6 10 28 28 258 53 2 2 5 6 41 9 198 16 5 5 2 2 110 7 7 8 8 10 59 90 9 44 175 115 34 99 28 37 36 129 76 30 J3301 J3370 J3370 J1756 Q0144 J0456 Q0162 ChargePrices 2016 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY 7681386 7681387 7681390 7681391 7681392 7681395 7681396 7681397 7681398 7681399 7681400 7681401 7681402 7681403 7681404 7681405 7681406 7681407 7681408 7681409 7681411 7681412 7681414 7681415 7681420 7681421 7681423 7681427 7681428 7681431 7681433 7681439 7681440 7681441 7681442 7681446 7681447 7681448 7681449 7681450 7681452 7681455 7681457 7681458 7681459 7681460 7681461 7681462 7681463 7681464 ONDANSETRON 4 MG INJ ZOFRAN 4MG TAB ZONEGRAN 100 MG CAP ZOSYN 2.25GM INJ ZOSYN 3.375 GM INJ ZYPREXA 5MG TAB ZYRTEC 1 MG/ML SYRUP ZYRTEC 10 MG TAB ZYVOX 600 MG TAB 0.45% NACL W/ 20 KCL 0.45% NS 1000ML 0.9% NACL IRR 3000 M 0.9% NACL MINIBAG+ 1 0.9% NACL MINIBAG+ 5 0.9% NACL 100 ML ADV 0.9% NACL 50 ML 0.9% NS IRRIG. 1000M 0.9% NS 100ML 0.9% NS 1000ML 0.9% NS 250ML 0.9% NS 500ML 0.9% SALINE 50ML ADD 10% DEXTROSE 1000 ML 10% DEXTROSE 250 ML 3% NACL 500ML 5% DEXTROSE & 20 MEQ 5%DEXTROSE 50ML AURODEX OTIC SOLN ACTIVASE 50 MG INJ ALPHAGAN 0.15% OPTH B-COMPLEX W/ C,E,ZN DEXTROSE 50% PFS DIFLUCAN 100MG TAB GLUCOSE GEL HYDROCORTISONE 2.5% CLORAZEPATE 7.5MG NEOM/POLY/HC OPHTH NUTRALYTE II CONC 0.45% 500ML STERILE WATER 10ML NABI-HB IMMUNE GLOB LYRICA 75 MG CAP ZYVOX 600 MG PMB LYRICA 25 MG CAP 0.9% NACL 250ML ADV VANCOMYCIN 1 GM ADV DILAUDID PCA 10MG HYGIENIC TUCKS PADS EPINEPHRINE 1MG AMP DANTROLENE 20MG INJ Page 168 15 10 10 90 142 65 3 12 235 104 95 113 102 102 62 71 113 70 101 101 77 10 148 90 95 60 100 64 198 182 5 15 43 8 55 8 234 18 48 9 339 20 173 18 70 38 143 47 21 196 J2405 S0119 J2543 J2543 J2997 J1571 J2020 J3370 J1170 J0171 ChargePrices 2016 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY 7681465 7681466 7681467 7681468 7681469 7681470 7681471 7681473 7681474 7681475 7681478 7681481 7681482 7681483 7681484 7681485 7681486 7681488 7681489 7681490 7681491 7681492 7681493 7681494 7681495 7681496 7681498 7681499 7681500 7681501 7681503 7681505 7681506 7681507 7681508 7681510 7681511 7681512 7681515 7681516 7681520 7681521 7681522 7681524 7681525 7681526 7681527 7681528 7681529 7681530 INTEGRILIN 75MG INJ EPINEPHRINE 1MG AMP MIDAZOLAM 5MG/ML SOLU-CORTEF 250MG IV HYDROXYUREA 500MG TYLENOL ES 500MG ACTICIN 5% CREAM 0.45% NACL W/ 20 KCL TRIPLE DYE PEN G POTASSIUM 5MU PTU 50 MG TAB METFORMIN XR 500 MG FLORANEX TAB INVANZ 1 GM INJ ABILIFY 5MG TAB GEODON 20MG CAP MAXALT MLT 5MG PNEMOCCAL VAC ADMIN PNEUOMIA VAC PANEL FLUZONE VAC ADMIN OF FLUZONE VAC MULTAQ 400 MG EFFIENT 5 MG TAB EFFIENT 10 MG TAB ELITEK 7.5 MG INJ RANEXA 500MG TAB MIDAZOLAM 5 MG/ML IV MAGNESIUM 1 GM IVPB CIPROFLOXACIN 400 MG NTG 100 MCG/ML SDV ACYCLOVIR 5 MG INJ GAMMAGARDLIQUID GAMMAGARDLIQUID GAMMAGARDLIQUID SWEET-EASE COCAINE 4% SOL. 10ML NICARDIPINE IV DECADRON 10MG/ML MDV BUMETANIDE (BUMEX) HEP LOCK SYRINGE SYMBICORT 80/4.5 BUDESONIDE 0.5MG/2ML SALINE FLUSH 10ML MORPHINE 10MG/5ML PLAVIX 300MG TAB ALBUMIN 25% 50ML ALBUMIN 5% 50ML PREVACID SOLTAB 30MG AZITH. 500MG IV FTV BREVITAL 100MG INJ Page 169 177 8 16 22 6 5 141 95 3 43 4 6 5 136 84 49 91 30 21 62 21 29 37 41 6770 23 6 29 20 19 1 134 134 134 8 457 192 216 30 2 248 50 9 4 128 207 109 41 128 95 J1327 J0171 J1720 J3480 J2540 J1335 90732 G0009 90658 G0008 J2783 J2250 J3475 J0744 J0133 J1560 J1560 J1560 J1100 J1642 P9047 P9041 J0456 ChargePrices 2016 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY 7681531 7681532 7681533 7681534 7681535 7681536 7681537 7681538 7681539 7681542 7681544 7681547 7681548 7681549 7681550 7681551 7681552 7681553 7681554 7681555 7681556 7681557 7681558 7681561 7681562 7681563 7681565 7681566 7681567 7681568 7681569 7681570 7681571 7681573 7681575 7681576 7681577 7681578 7681581 7681582 7681584 7681585 7681586 7681587 7681588 7681589 7681590 7681591 7681592 7681593 VITAMIN D 5000 UNITS FLUZONE MULTIVITAMIN LANTUS PEN INJECTOR CAFFIENE BENZONATE OXYCODONE IR 15MG HYDRO/APAP 7.5/325 HYDRO/APAP 5/325 OXYCONTIN 15MG NUCYNTA FLUOXITINE 20MG SYNAGIS 50MG/0.5ML CEFDINER 125MG/5ML KCL 20MEQ TAB LEUCOVORIN 5MG NEOSTIGMINE 1MG/ML SULFADIAZINE 500MG DAKINS HALF-STRENGTH DEXAMETHASONE10MG/ML FENOFIBRATE 67MG FENOFIBRATE 200MG DEXAMETHASONE 0.1% PRADAXA 75MG CEFDINIR 300MG ARIXTRA 10MG/0.8ML DIGIFAB 40MG LEVETIRACETAM 500MG ORPHENADRINE 60MG/ML DEXAAMETHASONE 1MG/M PYRIMETHAMINE 25MG SEROQUEL XR 50MG HYDROCHLOROTHIAZIDE TYLENOL INFANT CYMBALTA 20MG ROPIVACAINE 2MG/ML CHLOROPROCAINE INJ DURAMORPH 1MG/ML ROPIVACAINE 0.5% MITOMYCIN 40MG PHENYLEPHRINE SYRING EPHEDRINE ANES SYR SUCCINYLCHOLINE ANES FENTANYL 250MCG/5ML PANCREAZE CAP KETAMINE ANES SYR MISOPROSTOL 200MCG ADACEL 0.5ML PREMARIN VAG. CREAM DILTIAZEM 125MG/25ML DAKINS QUARTER STR. Page 170 5 150 5 2 43 5 5 5 19 19 12 5480 94 10 11 1 16 48 1 5 15 78 22 25 297 2202 1 83 100 61 34 5 20 45 1 59 45 3 553 8 49 33 4 15 73 6 121 493 54 48 Q2038 J1815 J2710 J1100 J1652 J1162 J1953 J2360 J2795 J2400 J2270 J2795 J2370 J0330 J3010 90715 ChargePrices 2016 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY 7681594 7681596 7681597 7681598 7681600 7681601 7681602 7681603 7681604 7681605 7681606 7681608 7681609 7681610 7681611 7681612 7681613 7681614 7681615 7681616 7681617 7681618 7681619 7681620 7681621 7681622 7681623 7681624 7681625 7681626 7681627 7681628 7681629 7681630 7681631 7681632 7681633 7681634 7681635 7681636 7681639 7681640 7681641 7681642 7681643 7681646 7681647 7681648 7681649 7681650 CYCLOSPORIN 100MG/ML CASODEX 50MG RETROVIR IV KETOROLAC 30MG INJ. SYNTHROID 25MCG CLINDAMYCIN 75MG/ML XARELTO 10MG TAB BUTORPHANOL 1MG/ML NEOSTIGMINE SYRINGE DIFICID 200MG LIDOCAINE 1% 30ML HEPARIN 50U/ML D5W DICLOFEN SODIUM 50MG HYDROXYZINE 25MG/ML MIOCHOL-E XARELTO 15MG TAB XARELTO 20MG TAB BUPIV/EPI 0.5% 10ML MARCAINE PF0.5% 10ML MORPHINE 10MG/10ML LEVOTHYROXIN 100MCG NAROPIN 400MG/200ML SENNA LIQUID 5ML VIT K 1MG MINIJET ONDANSETRON 40MG/20M BUPIVICAINE.25%10ML DILTIAZEM ADDVANTAGE CARDIZEM INJECTION SUFENTA 100MCG/2ML BRILINTA FLUZONE PEDIATRIC BUPIVACAINE 0.5% 10M XYLOCAINE MPF 2% 5ML LIDOCAINE 2% MDV LIDOCAINE 0.5% MDV LIDOCAINE 2% 2ML CEFOXITIN 1G PREMIX METHADONE 5MG/5ML OFIRMEV AZTREONAM 2GM INJ HUMULIN N PEN HUMULIN 70/30 PEN NOV. MIX 70/30 PEN APIDRA PEN 3ML AMIKACIN 1000MG INJ RABIES IMMUNE GLOB. PROPOFOL 1% 15ML SYR THIORIDAZINE MAGNEVIST CYSTOGRAFIN Page 171 552 69 2 11 5 114 45 13 31 310 14 5 7 19 135 45 45 11 18 29 319 1 5 26 46 8 47 21 44 23 116 10 16 9 16 9 2 2 18 200 2 2 122 2 8 651 276 5 183 116 J7502 J3485 J1885 J0595 J2710 J1644 J3410 J2795 J3430 90655 J0694 J0131 J1815 J1815 J1815 J0278 90375 A9579 ChargePrices 2016 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY 7681651 7681652 7681653 7681654 7681655 7681656 7681657 7681658 7681659 7681660 7681661 7681662 7681663 7681664 7681665 7681666 7681667 7681668 7681669 7681670 7681671 7681672 7681673 7681674 7681675 7681676 7681677 7681679 7681681 7681682 7681683 7681684 7681685 7681686 7681687 7681688 7681689 7681690 7681691 7681693 7681694 7681695 7681700 7681701 7681702 7681703 7681705 7681706 7681707 7681708 ISOVUE-M ISOVUE-M-300 ISOVUE 300 ISOVUE 300 100ML ISOVUE 300 150ML ISOVUE 370 50ML ISOVUE 370 75ML ISOVUE 370 100ML ISOVUE 370 150ML GASTROGRAFIN 120 ML E-Z-DISK 700MG TAB E-Z-HD 135 ML E-Z-PAQUE 2000ML LIQUID POLIBAR PLUS E-Z-PASTE 60% PASTE EZ-GAS II POLIBAR ACB SINOGRAFIN 10 ML ROCURONIUM 50MG/5ML GLYCOPYRROLATE 0.2MG LIDOCAINE 2% PF SYNG ENOXAPARIN 40MG INJ. ENOXAPARIN 60MG ENOXAPARIN 80MG ENOXAPARIN 100MG ENOXAPARIN 30MG TRANEXAMIC ACID SAMSCA 15MG TAB LIDOCAIN/EPI 1% 30ML MIDAZOLAM 2MG/ML CUP 5% DEXTROSE AVIVA DUONEBS BENZOCAINE 20% SPRAY NACL 3% INHALATION FLUOXETINE 20MG/5ML ADENOSINE 3MG/ML30ML AMIN/DEX 4.25/25 2L AMIN/DEX 4.25/5 2L PROPOFOL 10ML ANETH CEFAZOLIN 2GM PREMIX EPINEPHRINE 1MG/10ML MORPHINE PF 30MG CRITIC-AID AF SOD BICARB 4.2% 5ML FONDAPARINUX 7.5MG MIRACLE MOUTH WASH CIALIS 10 MG MYCAMINE 100MG FONDAPARINUX 2.5MG FOMEPIZOLE 1.5GM Page 172 136 181 100 195 284 108 163 216 299 140 10 35 30 117 107 15 55 118 242 208 89 31 31 31 31 28 52 598 22 23 83 20 98 7 217 144 101 122 122 40 49 15 44 12 396 54 107 4 331 2738 Q9966 Q9967 Q9967 J2001 J1650 J1650 J1650 J1650 J1650 J0153 J0690 J2274 J1652 J2248 J1652 J1451 ChargePrices 2016 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY 7681709 7681710 7681711 7681712 7681713 7681714 7681715 7681716 7681717 7681718 7681719 7681720 7681721 7681722 7681723 7681724 7681725 7681726 7681727 7681728 7681729 7681730 7681731 7681733 7681734 7681735 7681738 7681739 7681740 7681741 7681743 7681744 7681745 7681746 7681747 7681748 7681749 7681750 7681751 7681753 7681754 7681755 7681756 7681757 7681758 7681759 7681760 7681763 7681764 7681765 MURI-LUBE STERILE STERILE WATER 50ML ACETYLCYSTEINE CYTOGAM 2.5GM/50ML RASBURICASE 1.5 MG ABATACEPT 10MG RITUXIMAB 100MG/10ML ZOLEDRONIC ACID INFLIXIMAB 100MG RASBURICASE 7.5MG PRIVIGEN 5GM PRIVIGEN 10GM PRIVIGEN 20 GM PRIVIGEN 40GM HEPAGAM B 1ML HIZENTRA 1GM/5ML HEPAGAM B 5ML HIZENTRA 2GM/10ML HIZENTRA 4GM/20ML RITUXIMAB 500MG/50L CYKLOKAPRON MEROPENEM 500MG VIAL MEROPENEM 1GM VIAL CLOMIPRAMINE 50 MG GAMMAGARD 10% 5GM PITOCIN 15UN/NS250 TAMIFLU 6MG/ML 60ML ARGATROBAN 50MG/50ML MAGNEVIST 46.9% 15ML SODIUM THIOSULFATE HYDROCODONE/APAP SOL APIXABAN 2.5MG TAB NIACIN ER CAP 500MG BUPIV/EPI 0.25% PF QUETIAPINE 100MG TAB GRANIX 300MCG/0.5ML PEGLOTICASE 8MG/ML TOCILIZUMAB 20MG/ML PROLASTIN-C ENALAPRILAT 2.5 MG BUPRENORPHINE 2MG CYCLOMYDRIL 0.2%/1% VECURONIUM 20MG/20ML CAFFEINE 200MG TAB NIMBEX 10MG/ML 20 ML ELIGARD 22.5 MG INJ FENTANYL2500MCG/50ML FENTANYL 75MCG/HR BETAMETHASONE 12MG/ MIRENA 52 MG Page 173 56 29 69 3371 2134 83 2029 546 303 10225 228 228 228 16095 530 296 2320 592 1183 10142 316 15 21 5 1961 42 371 843 149 378 21 31 5 53 40 35 2863 34 9 20 24 61 97 5 72 1433 1 103 20 2575 J0850 J2783 J0129 J9310 J3489 J1745 J2783 J1459 J1459 J1459 J1459 J1571 J1559 J1571 J1559 J1559 J9310 J2185 J2185 J1569 J2590 J2507 J3262 J0256 J9217 J3010 J0702 ChargePrices 2016 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 768 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY PHARMACY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY 7681766 7681767 7681768 7681769 7681770 7681771 7681772 7681773 7681774 7681775 7681776 7681777 7681778 7681779 7681780 7681781 7861524 7610001 7610006 7610007 7610013 7660098 7660099 7660100 7660104 7660105 7660106 7660108 7660109 7660124 7660185 7660237 7660302 7660367 7660368 7660369 7660370 7660371 7660373 7660791 7661179 7661254 7661391 7661436 7661524 7661666 7661772 7662124 7662153 7662319 VANCOMYCIN 750MG INJ VANCOMYCIN 5GM INJ VANCOMYCIN 10GM INJ VANCOMYCIN 750MG VENELEX 60GM TUBE VENELEX 5GM UD AMILORIDE ORBACTIV OMNIPAQUE 300MG/ML OMNIPAQUE 350MG/ML METHIMAZOLE 5 MG TAB MORPHINE 8MG/ML VIAL THEOPHYLLINE SOLN LITHIUM 150MG CAPSUL CLOZAPINE 25MG TAB PRASUGREL 5MG TABLET MORPHINE 10MG/5ML ALBUNEX EEG EKG SA ECG ADULT SP O2 SENSOR ADULT TRACH MASK ADULT W/AMBU MASK 13 AERO ECLIPSE AEROCHAMBER WITH MAS AEROCHAMBERS AEROSOL MASK AERSOL MASK 1083 AIRZONE PEAK FLOW ME AQUA PAK 760ML 32800 ARTIFICIAL NOSES BALLARD CLOSED TRACH BIPAP CIRCUITS BIPAP CIRCUITS BIPAP HUMIDIFIER BIPAP MASK BIPAP MASK LARGE BIPAP MASK MEDIUM/WI CHRESTMAS TREE ADAPT DOUBLE FLOW METER EEG PEN SET ETCO2 ADAPTOR ETT TUBE HOLDER FLUTTER VALVE HAND HELD NEB 2038 INFANT VENT CIRCUIT MDI SPACER WITH MASK METER, PEAK FLOW NEBULIZER HEART Page 174 28 28 28 28 135 5 5 133 9 9 5 9 5 5 5 74 4 239 642 241 861 96 60 254 43 232 629 32 34 56 39 110 64 129 59 87 74 94 105 60 119 308 76 59 245 118 113 94 74 96 J3370 J3370 J3370 J3370 Q9967 Q9967 J2270 95816 93005 93278 ChargePrices 2016 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY 7662428 7662458 7662459 7662460 7662461 7662464 7662465 7662506 7662514 7662716 7662743 7662744 7662836 7662839 7663068 7663075 7663117 7663277 7663392 7663439 7663601 7663602 7663700 7664002 7690001 7690002 7690003 7690004 7690005 7690006 7690007 7690008 7690009 7690010 7690011 7690012 7690019 7690020 7690021 7690022 7690023 7690024 7690025 7690026 7690027 7690028 7690030 7690031 7690032 7690034 OPTIHALER OXYGEN TUBING OXYSENSOR PROBE O2 ANALYZER O2 CELL O2 EMRICHMENT ATTACH O2 SENSOR PED ET TUBE HOLDER PEDIATRIC PALM PERCU PULSE OX WRAP RAIN TRAP RAIN TRAP SALTER EZ WRAP SALTER 25' CANNULA SOFTSNUG NOSECLIP SPEAKING VALVE STAT CO2 END-TIDAL C T ADAPTOR TRACHE TUBE EXCHANGE TRUE ZONE VENTI MASK 1240 VENTILATOR CIRCUIT VORTRAN RESUCITATOR 7' O2 TUBING ABG KIT ADULT AMBU. BAG AEROCHAMBER AEROSOL KIT AEROSOL TREATMENT ARTIFICIAL NOSE BI PAP MANAGEMENT BRONCHODILATOR VENT CANOPY CAPNOMETER CODE 2000 COMPRESSOR ACAPELL FLUTTER VALV ACAPELLA INST/INIT PLETHYSMOGRAPHY FOR HUMIDIFIER/NEB. INCENTIVE SPIROMETRY INFANT AMBU BAG INITIAL AEROSOL TREA INITIAL CPPD TREATME INITIAL IPPB/EZPAP IPPB UNIT MASK (ALL) BRONCHIAL ALLERGY TS NASAL CANNULA GAS DILUTION WASHOUT Page 175 94 45 140 549 270 145 305 32 23 3 16 140 15 20 54 241 48 1 37 177 137 25 217 29 23 113 31 37 423 10 325 45 166 63 761 132 203 423 639 25 115 90 423 423 182 43 21 774 29 415 C1876 94640 94660 92950 94667 94726 94640 94667 94640 95070 94727 ChargePrices 2016 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 769 RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY RESPIRATORY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY THERAPY 7690035 7690036 7690037 7690038 7690039 7690040 7690041 7690042 7690044 7690045 7690047 7690048 7690049 7690051 7690052 7690053 7690054 7690055 7690056 7690057 7690058 7690059 7690060 7690061 7690062 7690063 7690064 7690065 7690066 7690067 7690068 7690069 7690070 7690071 7690072 7690073 7690074 7690075 7690076 7690077 7690078 7690079 7690080 7690081 7690082 7690083 7690084 7690085 7690088 7690089 OXIMETRY OXYGEN (PIPED) OXYGEN, ER/OB/NUR/RR OXYHOOD PER DAY OXYHOOD S/U O2 TENT O2 VIA RESPIRATOR PENTAMIDINE AEROSOL RESPIRATOR CIRCUIT SENSOR-END TIDAL MON SPIROMETRY-BRONCHODI SPIROMETRY-SIMPLE STATE PFT SUBSEQ. AEROSOL TX S SUBSEQUENT CPPD TREA SUBSEQ IPPB/EZPAP SUBSEQUENT VENTILATO SUCTION TUBING VENTILATOR INITIATIO VITAL CAPACITY 24 HOUR OXIMETRY 24HR USAGE-END TIDAL METER DOSE INH/INSTR CBT 1ST HOUR CBT EA ADD HR EZPAP W/MOUTHPC INTUBATION OROTRACHE TRACH TUBE CHANGE SURFACTANT ADMN TUBE EEG AWAKE AND ASLEEP EEG AWAKE AND DROWSY EEG EXTENDED 41-60 M EEG EXTEND GTR 1HR EEG COMA OR ASLEEP VENTOLIN HFA 108 (90 AEROBID 250MCG/ACT I COMBIVENT 14.7 GM IN FLOVENT 44MCG MDI FLOVENT 110MCG MDI FLOVENT 220MCG MDI SYMBICORT 80-4.5MCG SYMBICORT 160-4.5MCG COUGH ASSIST INITIAL COUGH ASSIST SUBSEQU METERED DOSE INHALER DIFFUSING CAPACITY ATROVENT HFA E.T. TUBE TG 6.0 E.T. TUBE TG 6.5 Page 176 74 8 132 26 20 272 27 423 210 165 610 415 415 423 135 423 684 208 6 684 415 289 487 423 339 45 105 437 334 423 364 364 364 364 364 6 6 6 6 6 6 6 6 423 135 423 268 6 102 102 94760 94642 94060 94010 94010 94640 94668 94640 94003 94002 94150 94762 94664 94644 94645 31500 31502 94610 95819 95816 95812 95813 95822 94667 94668 94640 94729 ChargePrices 2016 769 769 769 769 769 769 769 769 769 769 769 769 770 770 770 770 770 770 770 770 770 770 770 770 770 770 770 770 770 770 770 770 770 770 771 771 771 771 771 771 771 771 771 771 771 771 771 771 771 771 RESPIRATORY THERAPY RESPIRATORY THERAPY RESPIRATORY THERAPY RESPIRATORY THERAPY RESPIRATORY THERAPY RESPIRATORY THERAPY RESPIRATORY THERAPY RESPIRATORY THERAPY RESPIRATORY THERAPY RESPIRATORY THERAPY RESPIRATORY THERAPY RESPIRATORY THERAPY LYMPHEDEMA LYMPHEDEMA LYMPHEDEMA LYMPHEDEMA LYMPHEDEMA LYMPHEDEMA LYMPHEDEMA LYMPHEDEMA LYMPHEDEMA LYMPHEDEMA LYMPHEDEMA LYMPHEDEMA LYMPHEDEMA LYMPHEDEMA LYMPHEDEMA LYMPHEDEMA LYMPHEDEMA LYMPHEDEMA LYMPHEDEMA LYMPHEDEMA LYMPHEDEMA LYMPHEDEMA PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY 7690090 7690091 7690092 7690093 7690094 7690095 7690097 7690098 7690099 7690100 7690101 7690102 7700001 7700002 7700003 7700004 7700005 7700006 7700007 7700008 7700015 7700016 7700017 7700018 7700019 7700020 7700021 7700022 7700023 7700024 7700025 7700026 7700027 7700028 7710001 7710002 7710003 7710004 7710005 7710006 7710008 7710009 7710010 7710011 7710012 7710013 7710014 7710015 7710016 7710017 E.T. TUBE TG 7.0 E.T. TUBE TG 7.5 E.T. TUBE TG 8.0 E.T. TUBE TG 8.5 E.T. TUBE TG 9.0 NEBULIZER CONVENIENC LMA SZ 1 SINGLE USE LMA SZ 1.5 SINGLE US LMA SZ 2 SINGLE USE LMA SZ 2.5 SINGLE US OPTICHAMBER MEDIUM M OPTICHAMBER ADULT JG FUNCTIONAL ACT DIREC MANUAL LYMPH DRAINAG ORTHOTIC FIT/TRN PER PHYSICAL PERFORM TES SELF CARE/ADL TRAIN THERAPEUTIC EXER 15 UNLISTED SERVICE OT EVALUATION ORTHOTIC MGMT AND TR COMPRILAN 8" COMPRILAN 6" COMPRILAN 12" COMPRILAN 10" TRICOFIX 12 SZ G9 TRICOFIX 10 SZ F7 ISOBAND 20 ARTIFLEX 15CM ARTIFLEX 10CM GENTAL FOAM 10CM X 2 GENTAL FOAM 12CM X 2 UBER WRAP 15CM 5M UBER WRAP 20CM X 5M CRUTCH FITTING/MEASU EXTREMITY-WHIRLPOOL FULL BODY FUNCTIONAL ACTIVITY GAIT TRAINING (1-15) GAIT TRAINING (16-30 MANUAL MUSCLE TEST PARAFFIN BATH PT AQUATIC THERAPY P PT COLD PACK PT ELEC STIM UNATTEN PT ELECT STIM 15 MIN PT EVAL PT GAIT TRAINING PER PT HOT PACK PT HUBBARD TANK 15 M Page 177 102 102 102 102 102 210 65 65 65 65 27 33 129 115 134 127 133 129 63 331 129 29 25 39 33 88 74 46 14 10 31 35 30 40 109 194 217 129 109 109 102 29 145 31 63 71 325 109 43 100 97530 97140 97760 97750 97535 97110 97799 97003 97760 97116 97022 97022 97530 97116 97116 95831 97018 97113 97010 97014 97032 97001 97116 97010 97036 ChargePrices 2016 771 771 771 771 771 771 771 771 771 771 771 771 771 771 771 771 771 771 771 771 771 771 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY NUCLEAR MEDICINE NUCLEAR MEDICINE NUCLEAR MEDICINE NUCLEAR MEDICINE NUCLEAR MEDICINE NUCLEAR MEDICINE NUCLEAR MEDICINE NUCLEAR MEDICINE NUCLEAR MEDICINE NUCLEAR MEDICINE NUCLEAR MEDICINE NUCLEAR MEDICINE NUCLEAR MEDICINE NUCLEAR MEDICINE NUCLEAR MEDICINE NUCLEAR MEDICINE NUCLEAR MEDICINE NUCLEAR MEDICINE NUCLEAR MEDICINE NUCLEAR MEDICINE NUCLEAR MEDICINE NUCLEAR MEDICINE NUCLEAR MEDICINE NUCLEAR MEDICINE NUCLEAR MEDICINE NUCLEAR MEDICINE NUCLEAR MEDICINE NUCLEAR MEDICINE 7710018 7710019 7710020 7710021 7710022 7710023 7710024 7710025 7710026 7710027 7710028 7710029 7710030 7710031 7710032 7710033 7710034 7710035 7710036 7710037 7710038 7710039 7730001 7730002 7730003 7730004 7730005 7730006 7730007 7730008 7730010 7730011 7730012 7730015 7730016 7730017 7730018 7730019 7730021 7730023 7730024 7730025 7730026 7730027 7730028 7730029 7730030 7730031 7730032 7730033 PT ICE MASSAGE PT IONTOPHORESIS PER PT ISOKINETIC TESTIN PT MASSAGE PER 15 MI PT MOBILIZATION PER PT NEURO RE-ED PER 1 PT ORTHOTICS FIT/TRA PT PROSTHETICS TRAI PT RANGE OF MOTION E PT RE-EVAL 15 MIN PT SELF CARE/HOME MG PT THERAPEUTIC ACTIV PT THERAPEUTIC EX PE PT THERAPEUTIC GROUP PT TRACTION PT ULTRASOUND PER 15 PT WHIRLPOOL PT WORK HARDENING EA PT WORK HARDENING FI THERAPEUTIC EXERCISE THERAPEUTIC EXERCISE TRACTION RE-CHECKED ACE INHIBITOR RENOGR BONE SCAN - LIMITED BONE SCAN TOMOGRAPHI BONE SCAN-WHOLE BODY BRAIN FLOW BRAIN SCAN WITH FLOW BRAIN-SCAN STATICS O MYOCARDIL IMAG SINGL CERETEC SCAN LIMITED CHOLETEC CISTERNOGRAM GALLIUM GALLIUM INF LOCALIZA GALLIUM SCAN - WHOLE GALLIUM TMOR LOCALZA GASTRIC EMTYING SCAN GI BLEED IN 111 ISOTOPE INDIUM INDIUM ABSCESS LIM A INJ FOR I.D SENTINEL INJ PERITONEAL VEN S ISOTOPE CHARGE NEOTE ISOTOPE DTPA ISOTOPE MAA ISOTOPE SESTAMIBI ISOTOPE SULFUR COLLO I123 Page 178 31 92 127 96 115 129 134 121 85 173 133 129 129 76 64 56 64 121 245 129 129 67 1258 1183 1183 1183 1607 1607 1469 3289 1183 94 3080 134 975 8218 2038 1124 1124 2242 2038 2170 809 49 1719 205 43 526 94 166 97010 97033 97750 97124 97140 97112 97760 97761 95851 97002 97535 97530 97110 97150 97012 97035 97022 97546 97545 97110 97110 78708 78300 78320 78306 78610 78601 78600 78451 78300 A9537 78630 A9556 78801 78806 78802 78264 78278 A9548 78805 78805 38792 49427 A9536 A9539 A9540 A9500 A9541 A9516 ChargePrices 2016 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 773 NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR NUCLEAR MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE MEDICINE 7730034 7730035 7730036 7730037 7730041 7730042 7730043 7730044 7730045 7730046 7730047 7730048 7730049 7730050 7730051 7730052 7730055 7730056 7730057 7730058 7730059 7730060 7730061 7730063 7730064 7730065 7730066 7730067 7730068 7730069 7730071 7730072 7730075 7730078 7730080 7730082 7730083 7730085 7730086 7730087 7730088 7730089 7730090 7730091 7730092 7730093 7730094 7730095 7730096 7730097 I131 PER MCI I131 PER UCI LIVER S.P.E.C.T. RBC LIVER/SPLEEN SCAN LYMPHATICS & LYMPHGL MAG 3 MDP ISOTOPE MECKELS MIBG MUGA CARDIAL BLOOD P NEOTECT SCAN NM GASTROLSOPHAGEAL NUCLEAR MEDICINE CYS OCTREO SCAN PARATHYROID IMAGING PERITONEAL VENOUS SH RENAL SCAN W/FLOW ST RENAL SCAN NO DRUG RENOGRAM RENOGRAM-CAPTOPRIL MYOCARDIAL IMAG MULT SALIVARY GLAND IMAGI SPINAL PUNCTURE,LUMB TC99M LABEL RBC TESTICULAR SCAN W/FL THALLIUM PER MCI THALLIUM SCAN THREE PHASE BONE STU THYROID I131 WHODE B THYROID SCAN TC99 THYROID UPTAKE & SCA THYROID UPTAKE & SCA VENOGRAM (FLOW) BLOOD VOLUME ANALYS IODINATED1-131 ISOTP MYOVIEW ISOTOPE NUCLEAR RX, ORAL ADM TUMOR IMAGING WHOLE IN 111 PEMETREOT ISO LUNG VENTILAT W IMAG LUNG PERFUSION DIFFE LUNG PERF&VENTILAT D HEPATOBILIARY SYSTEM HEPATOBIL SYST W/DRU PET LMT CHST,HD/NECK PET SKULL BASE 2 MID PET WHOLE BODY PET BRAIN MTBL EVAL PET W/CT;CHST,HD/NCK PET W/CT SKULL BASE Page 179 379 72 1294 1294 1179 726 63 1124 3428 1303 2122 1124 859 2170 931 1124 1112 1112 2038 1258 3289 1124 1075 74 1112 92 3289 1183 1276 817 817 1735 972 1812 908 218 765 3428 5189 1270 912 1270 997 997 3709 4244 4244 3709 3709 5517 Q9965 A9517 78205 78216 78195 A9562 A9503 78290 78075 78472 78800 78262 78730 78806 78070 78291 78701 78707 78806 78708 78452 78230 62270 A9560 78761 A9505 78452 78315 78018 78013 78014 78014 78458 78122 A9524 A9502 79005 78804 A9572 78582 78597 78598 78226 78227 78811 78812 78813 78608 78814 78815 ChargePrices 2016 773 773 773 773 773 773 780 780 783 783 783 783 783 783 783 783 783 783 783 783 783 783 783 783 783 783 783 783 783 783 783 783 783 783 783 784 784 784 784 784 784 784 784 784 784 784 784 784 784 784 NUCLEAR MEDICINE NUCLEAR MEDICINE NUCLEAR MEDICINE NUCLEAR MEDICINE NUCLEAR MEDICINE NUCLEAR MEDICINE HOSPICE HOSPICE CARDIO REHAB CARDIO REHAB CARDIO REHAB CARDIO REHAB CARDIO REHAB CARDIO REHAB CARDIO REHAB CARDIO REHAB CARDIO REHAB CARDIO REHAB CARDIO REHAB CARDIO REHAB CARDIO REHAB CARDIO REHAB CARDIO REHAB CARDIO REHAB CARDIO REHAB CARDIO REHAB CARDIO REHAB CARDIO REHAB CARDIO REHAB CARDIO REHAB CARDIO REHAB CARDIO REHAB CARDIO REHAB CARDIO REHAB CARDIO REHAB MAMMO MAMMO MAMMO MAMMO MAMMO MAMMO MAMMO MAMMO MAMMO MAMMO MAMMO MAMMO MAMMO MAMMO MAMMO 7730098 7730099 7730100 7730101 7730102 7730103 7660480 7660481 7650147 7830001 7830002 7830003 7830004 7830005 7830006 7830007 7830008 7830009 7830010 7830011 7830012 7830013 7830014 7830015 7830016 7830017 7830018 7830019 7830020 7830021 7830022 7830023 7830024 7830025 7830026 7640217 7640218 7661671 7661675 7661676 7840003 7840013 7840015 7840017 7840020 7840021 7840022 7840023 7840026 7840034 PET W/CT; WHOLE BODY PET MYOCARD META EVL PET MYOCARD PERF SGL PET MYOCARD PERF > 1 FDG, PER DOSE LIVER AND SPLEEN IMA CADD CASSETTE 100CC CADD CASSETTE 50CC ABI SCRN DISC 4 PANE AEROSOL INHALER CARDIAC MONITOR EX. CARDIOPULMONARY RESU CHEST WALL CLAPPING CHEST WALL CLAPPING EVALUATION PUL REHAB FLUTTER TRAINING SUB FLUTTER VALVE TRAINI I S BREATHING TRAINI INCENTIVE SPIROMETRY MONIT.THERAPY EXERC/ MONTHLY MAINTENANCE OPTIHALER MDI SPACER PRESCRIBED CONS. & T PRESCRIBED CONS. & T PULMONARY REHAB EXER PULMONARY STRESS TES PULSE OXIMETRY SINGL SUPERVISED EXERCISE 6 MIN . WALK EXCERCISE OXIMETRY PULMONARY REHAB GRP UPR/L XTREMITY ART 2 UPR/L XTREMTY ART 3+ LWR XTR VASC STDY BI ABI SCREEN PT NDLE LOC BREAST LES NDLE LOC BREAST LES HAWKINS III 20X12.5 HAWKINS III 20X10 HAWKINS III 20X7.5 BREAST SPECIMEN MAMMO BX BREAST NDL MAMMO CYST ASP BREAS MAMMO CYST BREAST EA MAMMOGRAM - BILATERA MAMMOGRAM SCREEN TO MAMMO DX-UNI RT MAMMO DX-UNILAT LT SCREENING MAMMOGRAM WIRE PLACEMENT Page 180 5517 3709 3709 3062 479 1075 397 270 33 423 266 761 423 135 152 135 684 76 74 129 52 38 266 146 63 268 39 25 266 15 121 478 1020 370 53 2094 2094 127 134 121 972 1054 482 482 279 174 236 236 197 110 78816 78459 78491 78492 A9552 78215 94664 93798 92950 94667 94668 94668 94662 97530 93798 94620 94760 93798 94761 G0239 93922 93923 93924 SURG MANUL 76098 SURG SURG SURG 77056 77056 77055 77055 77057 SURG ChargePrices 2016 784 784 784 784 784 784 784 784 784 784 784 784 784 784 784 784 784 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 MAMMO MAMMO MAMMO MAMMO MAMMO MAMMO MAMMO MAMMO MAMMO MAMMO MAMMO MAMMO MAMMO MAMMO MAMMO MAMMO MAMMO CATH LAB CATH LAB CATH LAB CATH LAB CATH LAB CATH LAB CATH LAB CATH LAB CATH LAB CATH LAB CATH LAB CATH LAB CATH LAB CATH LAB CATH LAB CATH LAB CATH LAB CATH LAB CATH LAB CATH LAB CATH LAB CATH LAB CATH LAB CATH LAB CATH LAB CATH LAB CATH LAB CATH LAB CATH LAB CATH LAB CATH LAB CATH LAB CATH LAB 7840035 7840036 7840037 7840041 7840042 7840043 7840044 7840045 7840046 7840047 7840048 7840049 7840051 7840052 7840053 7840054 7840057 7500003 7550094 7551451 7551452 7551453 7551455 7551456 7551457 7551458 7551459 7551460 7551461 7660136 7660137 7660138 7660139 7660140 7660141 7660142 7660143 7660144 7660145 7660150 7660151 7660156 7660160 7660161 7660195 7660196 7660197 7660202 7660238 7660287 INJ MAMMRY DUCTOGRAM MAMMRY DUCTOGRAM SIG MAMMRY DUCTOGRAM MUL XRAY MAMMARY DUCT XRAY MAMMARY DUCT(S) MAMMO DIGIT DX BILAT MAMMO DIGIT DX UNILA MAMMO DIGIT SCREEN MAMMO CAD DX MAMMO CAD SCREEN HAWKINS III 20GX3CM HAWKINS III 20GX5CM PLACMT BRST CLIP MAM PLACMT BRST CLIP+1MA PLACMT BRST CLIP STR PLACMT BRST CLIP+STE HAWKINS II 20G X 12. CARDIO VERSION STANDARD GLIDEWIRE 3.0X18 MICROTRAC 3.0X9 INTEGRITY EB30 6FR LA 100CM 2.5X15 NC EUPHORA 3.0X8 NC EUPHORA 3.0X12 NC EUPHORA 3.25X12 NC EUPHORA 3.25X15 NC EUPHORA 3.5X12 NC EUPHORA 3.5X15 NC EUPHORA AMPLATZ NEEDLE 40827 AMPLATZ RENAL DILATO 6FR AR MOD 6FR AR 1 6FR AR11 SOFT TIP AMPLATZ STRAIGHT SUP AMPLTZ SPR STIF J3MM AMPLTZ SPR STF J145C .035X145 AMPLATZ WIR AMPLATZ 5FR AR-1 RT 5FR 80CM OMNI FLUSH ANGIOCATH LAP. CHOLA ANGIOGRAPHIC SYRINGE 4FR ANGLED PIGTAIL ANGLED TYPE GUIDE WI .035X150 AQUALINER AQUALNR035X150 A STF AQUALNR.035X260A STF 5FR ARI AR2 5F CORDIS AVE CORON STNT 3X24M Page 181 16 972 972 972 972 340 275 306 25 45 121 121 331 331 331 331 144 1372 163 3514 1591 186 520 520 520 520 520 520 520 29 470 59 59 59 856 180 133 112 61 130 84 44 67 98 269 190 408 62 71 6555 SURG 77054 77053 77053 77054 G0204 G0206 G0202 77051 77052 19281 19282 19283 19284 92960 C1769 C1874 C1874 C1887 C1725 C1725 C1725 C1725 C1725 C1725 C1725 C1726 C1769 C1769 C1769 C1769 C1876 ChargePrices 2016 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB 7660289 7660327 7660328 7660329 7660335 7660336 7660337 7660338 7660340 7660343 7660344 7660345 7660413 7660414 7660416 7660465 7660479 7660627 7660628 7660629 7660630 7660631 7660632 7660633 7660635 7660636 7660637 7660639 7660640 7660658 7660659 7660660 7660661 7660662 7660663 7660664 7660665 7660666 7660668 7660671 7660672 7660673 7660674 7660676 7660677 7660689 7660690 7660691 7660692 7660693 AVE05386 BENTSON WIRE .021 4FR 65CM BERENSTEIN 5FR 135CM BERENSTEIN BILIARY SYSTEM VTCB BILIARY SYSTEM VTCB1 BILIARY SYSTEM VTCB8 BILIARY SYSTEM VTCDB BILRY WALL10-42-70ST BIO RANGER 20MM 1.5 BIO RANGER 20MM 2.0 BIO RANGER 20MM 2.25 BLUE MAX BALLOON 5-4 BLUE MAX 6-4 BALLOON BLUE MAX 8-3 75CM BULB SYRINGE CABLE PACING DISP. CATH AMPLATE 6F RT M CATH BALLN PE-MT 6-4 CATH BALLN PE-MT 6-2 7X2X75 SDS BALLON CATH BALLN PE-MT 7-4 CATH BALLOON PE-MT 8 CATH CHUANGE CHG A V CATH CHUANGE CHG C V CATH CHUANGE CHG D V CATH CHUANGE CHG E V .035X145 J WIRE .035X260 J EXCHANGE CATH JB2 5FR 5FR AL 1 5FR JL3.5 5FR JL5 5FR JR3.5 5FR JR5 5FR JL4 5FR PIGTAIL 5FR JR4 ST CATH NAMIC ANGIO CATH PEMT 4-4 CATH PEMT 5-4 5 75 CATH PEMT 6-3 BALLOO 5FR 135CM PIGTAIL CATH RADIOLOGY PACKS CATH ROY.FLUSH N4.03 .025X145 J WIRE CATH USCI AMPLATE LE CATH USCI AMPLATE LF CATH USCI AMPLATE RT CATH USCI AMPLATE XT Page 182 28 105 525 117 288 288 288 295 4256 907 907 946 872 872 577 4 145 101 858 525 858 743 743 109 117 85 113 48 118 96 48 65 65 65 65 98 65 65 75 531 525 448 117 343 96 54 112 112 96 112 C1876 C1725 C1725 C1726 C1726 C1725 C1769 C1769 C1769 ChargePrices 2016 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB 7660694 7660695 7660696 7660697 7660698 7660699 7660700 7660701 7660702 7660703 7660704 7660705 7660706 7660707 7660708 7660709 7660714 7660715 7660716 7660718 7660719 7660720 7660722 7660723 7660731 7660739 7660740 7660786 7660787 7660788 7660789 7660853 7660854 7660855 7660856 7660861 7660863 7660864 7660865 7660866 7660867 7660937 7660940 7660945 7660947 7660948 7660949 7660950 7661043 7661101 5FR LCB 5FR RCB 6FR IM CATH USCI MULTI A-1 CATH USCI MULTI A-2 6FR JL3.5 6FR JR3.5 6FR JL4 6FR JR4 ST 6FR JL5 6FR JR5 CATH USCI 7F XT KIT CATH 6-2 BALLOON 80C CATH 6F ST JR4.0 100 CATH 6F ST- JL4.0 10 6FR PIGTAIL 5FR AL2 CATHETER AL2 6F CATHETER AR2 6F 4FR IM 4FR JL4.5 4FR JL3.5 4FR JL5 CATHETER JR4 ST 4F CATHETER OMNI FLUSH CATHETER 5F STRAIGHT CATHETER 6FR LCB SH CHOICE EXCHANGE CHOICE PLUS FLOPPY CHOICE PLUS INTERM. CHOICE PT FLOPPY WIR COBRA II COBRA II .038 COBRA III COBRT 2 CATH 5F COIL PUSHER 16 COIL 10MM COIL 15MM COIL 20MM COIL 5MM COIL 8MM COOK C WIRE 15MM 4FR SHEATH CORONRY ANGIOPLS KIT CORONRY STNT 2.5X18M 2.5X15 S660 STENT CORONARY STENT 3.0MM CORONARY STENT 3.0X1 COURIER BALLOON 5FR DECANTER BAG Page 183 47 47 226 96 112 379 63 65 65 54 54 63 858 59 59 65 61 59 61 67 67 142 67 67 84 83 225 629 1782 356 1104 88 85 85 88 492 152 152 152 211 152 83 59 2 5704 5535 6555 5704 555 27 C1725 C1769 C1876 C1876 C1876 C1876 ChargePrices 2016 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB 7661143 7661225 7661282 7661283 7661438 7661439 7661440 7661441 7661442 7661459 7661460 7661461 7661462 7661463 7661464 7661469 7661470 7661471 7661472 7661478 7661516 7661561 7661587 7661589 7661590 7661591 7661592 7661593 7661594 7661616 7661618 7661637 7661644 7661649 7661653 7661654 7661655 7661656 7661658 7661659 7661660 7661661 7661662 7661663 7661664 7661678 7661691 7661706 7661707 7661718 DIAGNOSTIC DUETT PRO DUETT PRO ENCORE ADVANTAGE KIT INDOFLATOR CARDIOLOG EXPRESS BALLON 4-0 EXPRESS PLUS 20/2.0 EXPRESS PLUS 20/2.5 EXPRESS PLUS 20/3.0 EXPRESS PLUS 20/3.5 FABR TIP STENT 7X24 FABR TIP STENT 7X26 FABERTIP STENT 6 X 2 FADER TIP STENT 6X26 FADER TIP URETL 6X24 FADER TIP URETL 6X26 FEM STOP PUMP FEMORAL ANGIO DRAPE FEMORAL FILTER BIRDN GREENFIELF IVC FILTE FEM STOP FLO SWITCH FR4SH 6FR GC 7F .078 JL4 GC 7F .078 JR4 GC 7F .078 JR4SH 6FR XB 3.5 SH GUIDE GC 7F .078 XB 3.5 10 GC 7F .078 XBLAD 3.5 GC 7F .079 XBLAD 3.5 GLIDE WIRE .018/150C GLIDEWIRE STIFF .035 GORLLMAN CATHETER CO GREENFIELD STIFF WIR GROLLMAN PIGTAIL 6.7 6FR H STICK SH GUIDE 7FR JR3.5SH GUIDE 7FR JR5 SH GUIDE 6FR XB 4.5SH GUIDE GUIDE WIRE COATED BE GUIDE WIRE FLEX TIP GUIDE WIRE M .025X15 GUIDE WIRE M .032X15 GUIDEWIRE ACCESSORY GUIDEWIRE AMPLATZ 18 GUIDEWIRE STRAIGHT R 5 FR HEAD HUNTER 6FR SHEATH HI TORQUE FLOPPY WHO WHOLEY WIRE HIGH PRESSURE CONNEC Page 184 525 541 211 208 858 1165 858 1165 1165 405 465 405 489 647 647 438 96 3892 3705 447 26 376 3 211 211 243 211 211 211 218 990 88 94 83 243 180 180 180 88 63 79 68 415 198 54 130 65 228 250 96 C2617 C2617 C2617 C2617 C2617 C1880 C1880 C1887 C1769 C1769 C1887 C1725 C1887 C1894 C1769 ChargePrices 2016 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB 7661722 7661747 7661748 7661773 7661774 7661775 7661777 7661780 7661801 7661885 7661887 7661888 7661941 7661977 7662025 7662082 7662087 7662088 7662095 7662096 7662109 7662111 7662112 7662113 7662114 7662115 7662129 7662130 7662131 7662133 7662166 7662170 7662208 7662209 7662210 7662211 7662212 7662213 7662214 7662215 7662216 7662217 7662218 7662219 7662220 7662221 7662222 7662223 7662226 7662227 HOOK 4FR IMA 5F CATHETER CORD IMAGER TENNIS RAQUET INFINITI ANGLED MULT INFINITI MULTIPACK INDOFLATOR RADIOLOGY INFUSION WIRE 12CM K INJECTING TUBING INTRODUCER PINNACLE 4FR JL4 JR4.0SH 7F GLIDING S JUGULAR FEMORAL IVC LAMAITE RADIOPAQUE A LEV2 8FR GUIDING CAT LIFE SHIELD CONNECTO MANIFOLD MARKING PIGTAIL MARKING PIGTAIL 5FR MARSHAL BALLOON 8X4 10X4X75 SDS BALLON MAVERICK 10-4 MAVERICK 3.0 X 20 MAVERICK 5-2 120 BAL MAVERICK 5-4 120 BAL 7X4X75 SDS BALLON MAVERICK 9-4 10CC MEDALLION SYRIN 20CC MEDALLION SYRIN MEDITECH .025 GLIDE MEDRAD INJECTORS MICROPUNCTURE SET,4 MICROVASIVE SNARE CHOICE 300CM EXTRA S MODEL CHOIC 300 ES 182CM LUGE 300 LUGE MODEL 6F WISEGUIDE A MODL 6F WISEGD FR3.5 MODEL 6F WISEGD FR4 MODEL 6F WISEGD FR5 MOD 6F WISE GD FL3.5 MOD 6F WISE GD FL4 MOD 6F WISE GD FL5 MODEL 6F WISEGUIDE I MODEL 6F WISEGUIDE L MODEL 6F WISEGUIDE R 7FR AL2 SH GUIDE MODEL 7F MAX FL3.5 G MODEL 7F MAX FL5 GUI MODEL 7F MAX FR3.5 G Page 185 281 59 95 133 133 328 525 57 135 67 92 3136 297 415 4 130 687 315 531 638 871 687 525 525 638 1544 12 16 256 71 112 73 315 1385 399 356 274 423 274 274 274 274 274 274 274 274 243 243 243 243 C1880 C1725 C1725 C1769 C1769 C1769 C1769 C1769 C1887 C1887 C1887 C1887 C1887 C1887 C1887 C1887 C1887 C1725 ChargePrices 2016 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB 7662228 7662229 7662231 7662233 7662234 7662235 7662236 7662237 7662238 7662239 7662240 7662241 7662243 7662309 7662311 7662314 7662326 7662329 7662330 7662341 7662342 7662347 7662353 7662354 7662355 7662356 7662357 7662358 7662359 7662360 7662372 7662373 7662388 7662421 7662423 7662424 7662425 7662468 7662470 7662472 7662478 7662518 7662519 7662523 7662524 7662525 7662526 7662538 7662539 7662540 MODEL 7F MAX FR4 GUI MODEL 7F MAX FR4 SH 6FR LCB SH GUIDE 7FR RCB SH GUIDE MODEL 7F MAX RC3.5 S MODELQ RNGR 15MM 2.5 MODELQ RNGR 15MM2.75 MODELQ RNGR 15MM 3.0 MODELQ RNGR 15MM3.25 MODELQ RNGR 15MM 3.5 MODELQ RNGR 15MM3.75 MODELQ RNGR 15MM 4.0 CHOICE PT FLOPPY WIR NC RANGER 2.75 15MM NC RANGER 3.25 15MM NC RNAGER 3.75 15MM CATH NEEDLE NEEDLE SINGLE WALL 1 NEEDLE 19GA COOK NEPHROSTOMY KIT NEPHROST TRCT DI SET NINJA BALLOON 2.0X20 NIR ON RANGER 16MM 2 NIR ON RANGR 16MM3.0 NIR ON RANGR 16MM3.5 NIR ON RANGER 16MM 4 NIR ON RANGR 25MM3.0 NIR ON RANGR 25MM3.5 NIRON RANGER STENT 1 NIROYAL ELITE 12MM 2 NO TORQUE RIGHT CATH N5FR NTR OCCLUSION BALLOON DI OPTA 12-3 BALLOON OPTA 5-2 BALLOON 5X4X90 SDS BALLON 7X4X90 SDS BALLON PACEMAKER INTRODUCER PACING WIRE W/BALLOO PALMAZ STENT P308M PBP BALLOON CATH 6FR 7FR PEEL AWAY SHEATH 9FR PEEL AWAY SHEATH PEMT 12-3 BALLOON PEMT 12-4 BALLOON PEMT 5-2 BALLOON PEMT 5-2 120CM BALLO PERCUTANEOUS INTRODU PERCUTANS SHETH K6FR PERCUTANS SHETH K7FR Page 186 243 243 243 243 243 1385 1385 1385 1385 1385 1385 1385 1416 907 1183 1183 20 54 27 198 803 541 3240 5542 3240 3240 5542 5542 6236 4910 59 61 412 761 858 858 858 118 480 2969 213 217 215 681 681 525 496 228 117 157 C1887 C1887 C1725 C1725 C1725 C1725 C1725 C1725 C1725 C1769 C1725 C1725 C1725 C1726 C1713 C1876 C1876 C1713 C1876 C1876 C1876 C1876 C1725 C1725 C1725 C1725 C1876 C2629 C2629 ChargePrices 2016 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB 7662541 7662542 7662561 7662564 7662568 7662569 7662570 7662571 7662572 7662573 7662575 7662657 7662709 7662710 7662711 7662712 7662713 7662717 7662718 7662719 7662742 7662749 7662750 7662821 7662883 7662916 7662917 7662918 7662919 7662920 7662922 7662924 7662925 7662926 7662935 7662964 7663013 7663031 7663055 7663056 7663057 7663058 7663069 7663118 7663119 7663120 7663121 7663122 7663123 7663124 PERCUTANS SHTH K8.5F PERCUTANEOUS TRACHEO PICC LINE 5F PICC SLEDINGER 5FR 5 FR ANGLED PIGTAIL PIGTAIL 4FR 65 CM PIGTAIL 4FR 90CM 5FR 65CM PIGTAIL 5 FR 90CM PIGTAIL PIGTALE CATH 5F .035 6FR PINNACLE PRO FLO XT 6 KIT PTA BALLN DIL CAT 5M PTA BALLN DIL CAT 6M PTA DILATATION CATHE PTCA - DILATATION CA PTEM 8-3 BALLOON 135X30 UNIFUSE 135X10 UNIFUSE PULSE SPRAY 5F/90CM/ RADIOLUCENT ELECTROD RB-RAABE 7F 90CM INT 5FR 3DRC RUBIN LUMAZ GUIDING SDS ULTRATHIN BALLOO SHEATH OBTURATOR 7FR SHEATH 10FR 15.5CM P SHEATH 12FR 15.5CM P SHEATH 14FR 15.5CM P 5FR CORDIS SHEATH 7FR CORDIS SHEATH SHEATH 8FR 15.5CM PE SHEATH, PINNACLE 25C SHEATH, PINNACLE 5 F SHIELDED NEEDLE SHORT STOP SIMMONS 1CURVE 5FR 1 5FR MARKING PIGTAIL GOOSENECK SNARE SNARE 15FR SNARE 25FR SNARE 5FR SOFTWIRE 0.035 GUIDE STENT BALLOON 2.5MMX STENT PALMAZ P154M STENT PALMAZ P394M STENT PALMAZ 9294M STENT SET 4.8FR 100STENT SET 6FR STENT 4.0 PS1540 Page 187 160 747 372 404 61 84 116 152 123 44 155 133 414 381 504 727 525 586 715 541 33 227 70 354 534 21 168 168 168 65 47 168 142 106 44 252 312 492 902 651 478 684 100 1578 2969 2873 2969 403 403 2852 C1725 C1894 C1887 C1887 C1894 C1887 C1894 C1894 C1769 C1876 C1876 C1876 C1876 ChargePrices 2016 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB 7663144 7663145 7663146 7663261 7663262 7663269 7663270 7663271 7663272 7663273 7663275 7663299 7663308 7663324 7663383 7663408 7663409 7663411 7663412 7663414 7663415 7663416 7663417 7663418 7663419 7663420 7663431 7663452 7663474 7663481 7663482 7663483 7663484 7663485 7663487 7663488 7663489 7663490 7663495 7663496 7663497 7663498 7663499 7663500 7663501 7663502 7663503 7663504 7663535 7663555 4FR PIGTAIL STRAIGHT WIRE STRAIGHT 6MM X 70CM SWAN GANZ CATH 7F S TIP SWAN SYMMETRY SV 2.0-2 4T SYMMETRY SV 3.0-2 4T SYMMETRY SV 3.0-4 4T SYMMETRY SV 4.0-4 4T SYMMETRY SV 4.3-2 4T MEDRAD SYR TAPER GUIDE WIRE 175 TEFLON COATED GUIDE TEMP PACING ELECTROD TORQUE DEVICE TRI-GUIDE LITE FR4 TRIFECTA MULTIPURPOS 6FR AL 1 SH GUIDE 6FR JL3.5 SH GUIDE 6FR JL5 SH GUIDE TRIGUIDE FR3.5 TRIGUIDE FR4SH TRIGUIDE FR5 TRIGUIDE F14SH TRIGUIDE STANDARD 02 TRIGUIDE STANDARD 07 TRU TRAC PTA BALLON TOURY BORST UDS BALLOON 8X4X75 5X2X75 SDS BALLON 8X4X90 SDS BALLON ULTRA THIN 4-2 9X2X75 SDS BALLOON ULTRA THIN 9-4 BALLO ULTN SDS BAL 8X3 60C 8X2X90 SDS BALLOON 8X3X90 SDS BALLOON ULTN SDS BAL 4MMX60C UNI FUSE 40CM UNI FUSE 5FR 135X30 UNI FUSE 5FR 135X50 UNI FUSE 50CM UNIFUSE 135X10 135X40 UNIFUSE 90X10 UNIFUSE 90X20 UNIFUSE 90X40 UNIFUSE 90X50 UNIFUSE URETERAL STENT 8FR./ USCI .014 EXCHANGE W Page 188 67 79 991 254 243 1241 1241 1241 1241 1241 32 457 138 335 44 245 705 243 194 245 245 263 245 245 245 245 504 105 534 638 638 858 858 858 645 638 645 534 707 577 577 707 577 577 587 715 577 715 557 567 C1769 C1725 C1725 C1725 C1725 C1725 C1725 C1887 C1887 C1725 C1725 C1725 C1725 C1725 C1725 C1887 C1887 C1887 C1887 C1887 C2617 ChargePrices 2016 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB 7663556 7663557 7663574 7663575 7663577 7663591 7663592 7663593 7663594 7663595 7663596 7663597 7663605 7663618 7663673 7663674 7663675 7663676 7663677 7663678 7663679 7663682 7663683 7663687 7663688 7663689 7663690 7663701 7663702 7663703 7663705 7663707 7663708 7663711 7663713 7663728 7663729 7663730 7663731 7663732 7663733 7663734 7663735 7663736 7663737 7663738 7663739 7663740 7663741 7663742 USCI .014 HYPER FLEX USCI 5FR. BIPOLAR PA VAN ANDEL CATH 6F VAN ANDEL 6FR VAN ANDEL 8FR. VASOSEAL KIT 1 VASOSEAL KIT 2 VASOSEAL KIT 3 VASOSEAL KIT 4 VASOSEAL KIT 5 VASOSEAL KIT 6 VASOSEAL KIT 7 5FR VERT VIAL-A-JET VIPER 2.0-2.0 VIPER 2.5-2.0 VIPER 3.0-2.0 VIPER 3.0-4.0 VIPER 3.5-2 VIPER 4-2 VIPER 4-4 VISIPAQUE 100CC VISIPAQUE 320 50ML 6FR JL4 SH GUIDE VISTA BRITE JL4 ST S VISTA BRITE JR4 SH 6FR JR 3.5 SH GUIDE VTC BILLARY FIRM 10F 8FR NEPHROSTOMY SET VTC NEPHROSTOMY 10FR 8FR NEPHROSTOMY TUBE WALL STENT 12-60 WALL STENT 14-60 WALL STENT, SCHNEIDE WALLSTENT RP 6MM 20M WIRE .018X40 WIRE GUIDE BENTSON 3 WIRE INFUSION KATZEN .035 BENTSON WIRE WISEGUIDE AR1 WISEGUIDE 7F AL1 WISEGUIDE 7F AL2 WISEGUIDE 7F AR1 WISEGUIDE 7F AR4 WISEGUIDE 7F AR5 WISEGUIDE 7F FL4 WISEGUIDE 7F FL4M ST WISEGUIDE 7F FL5 WISEGUIDE 7F FR3.5 6FR IM SH GUIDE Page 189 457 449 112 106 106 693 693 693 693 693 693 693 115 23 858 858 858 858 858 858 858 314 135 243 234 180 243 288 512 288 525 4256 4256 4648 4648 36 99 525 95 228 228 228 274 274 274 228 228 228 274 274 C1760 C1760 C1760 C1760 C1760 C1760 C1760 Q9965 Q9965 C1887 C1887 C1729 C1729 C1876 C1876 C1876 C1876 C1769 C1887 C1887 C1887 C1887 C1887 C1887 C1887 C1887 ChargePrices 2016 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB 7663743 7663744 7663745 7663746 7663872 7663909 7663938 7663944 7663945 7663946 7663956 7663979 7663980 7663981 7663987 7663988 7664004 7664007 7664016 7860001 7860002 7860003 7860004 7860005 7860006 7860007 7860008 7860009 7860010 7860011 7860012 7860016 7860017 7860025 7860026 7860032 7860033 7860035 7860037 7860038 7860039 7860041 7860045 7860046 7860047 7860048 7860049 7860050 7860064 7860070 WISEGUIDE 7F LCB WISEGUIDE 7F Q4 WISEGUIDE 7F RCB WISEGUIDE 7F RC3.5 S 3 WAY STOPCOCK 34CC 8FR FIDELITY 40CC 8FR FIDELITY 5FR IM 5FR 65CM STRAIGHT FL 5FR 90CM STRAIGHT FL 5FR MICROPUNCTURE 6FR BALKIN CONTRA. I 6FR FL4 SH 6FR FR4 SH GUIDE 6MMX10CM UROMAX BALL 6MMX4CM UROMAX BALLO 7FR FL3.5 SH 7FR SHEATH 80CM 8 FR MPB GUIDING CAT 0/10MM STEM #1/11MM STEM #3/13MM STEM #4/14MM STEM #5/15MM STEM #6/16MM STEM #7/17MM STEM "POPE VENT. TUBE 1.1 AV SHUNT CHOLEY PERC ABD AORTA W/RO(AORO) ABDOMINAL AORTA ABD/PEL ADD ORD SEL PTA-ADD VESSEL S/I VIS SEL EACH ADD ART SEL NEPHRO/LOOP S/I PTA AORTA THORACIC ANGIO ATW MARKER WIRES MECH THROM AV SHUNT AVE STENT 3.0X15 EXTREM BILAT ANGIO ADRENAL VEN BIL SEL ADRENAL BILAT SEL PULM BIL ANGIO SEL REN VEIN BILAT SEL BIL DRAIN PERC S/I BIL STONE REMOVE S/I CAPSURE SP NOVUS VEN 1ST ORDER Page 190 228 228 274 274 7 1820 2655 62 79 79 149 221 225 243 928 918 225 221 338 2308 2308 2308 2308 2308 2308 2308 43 2806 327 4943 4943 885 1651 4943 2159 699 8025 4943 245 6880 2942 4943 3751 3751 4943 3751 1280 592 2276 849 C1887 C1887 C1887 C1725 C1713 36147 75989 75630 75625 36248 75964 75726 75774 74425 35472 75605 C1769 36870 75716 75842 75733 75743 75833 C1898 36011 ChargePrices 2016 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB 7860074 7860076 7860078 7860079 7860081 7860082 7860093 7860100 7860115 7860118 7860119 7860122 7860123 7860125 7860140 7860143 7860144 7860145 7860160 7860162 7860163 7860164 7860165 7860166 7860179 7860180 7860181 7860187 7860189 7860190 7860191 7860192 7860194 7860195 7860196 7860198 7860199 7860201 7860203 7860204 7860205 7860206 7860207 7860208 7860209 7860210 7860211 7860212 7860214 7860215 BIL DRAIN CHANGE CHOLANGIOGRAM COROID SHUNT 16 FR. CORONARY ANGIO SEL CORTICAL 3.5 26MM ST CORTICAL 4.5 40MM ST BIL DILITATION DRIVER 3.0X24 PERC DRUG-EL COR STE EXTRACRAN EMBOLIZE INTRACAN EMBOLIZE EPIDURAL VEN S/I ABCESSOGRAM S/I EXPRESS BILIARY 6.0X EXPRESS STENT 2.25X1 10X25X75 EXPRESS STE 10X37X75 EXPRESS STE 10X57X75 EXPRESS STE 8X27X75 EXPRESS STEN EXPRESS 5X20X75 6X27X75 EXPRESS STEN 8X17X135 EXPRESS STE EXPRESS 8X20X135 8X37X135 EXPRESS STE FLUORO GUIDANCE FLUORO UP TO 1 HOUR FLUROSCOPY GUIDANCE HEP VEN S/I IABP INSERTION ILIAC ANGIO NON SELE PTA ILIAC ARTERY INAHARA INLYING CARO THROMBOLYSIS INF LYMPHANGIO PYLO ANTEGRADE PERC VENO EXT INJECT CHOL THRU EXIST CATH REVEAL INSERTION LEFT HEART CATH RHC CVL PERI INSERT CVL PERI INS THORO TUBE INSERT L&RHC SVC/IVC INSERT CVP/PICC INSERT TEMP PACER INSERT TIPS INSERT INT MAM ANGIO SEL LUNG BIOPSY Page 191 2030 62 94 8860 115 23 3053 2974 16822 8025 2678 2037 453 3277 3337 3818 4066 4408 3640 3277 4066 3818 3818 3818 183 340 327 4943 2537 701 8025 1664 1048 492 1441 424 272 4571 8884 8884 2632 2496 813 8884 1140 2496 7235 2678 2159 1441 SURG 47605 93454 C1713 C1713 47555 C1876 C9600 61626 61624 75872 76080 C1876 C1876 C1876 C1876 C1876 C1876 C1876 C1876 C1876 C1876 77002 76000 71034 75889 SURG G0278 SURG SURG 38790 50390 36005 SURG SURG 93458 93451 36558 36556 SURG 93460 36010 36569 33210 37182 75756 32405 ChargePrices 2016 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB 7860216 7860217 7860218 7860219 7860220 7860221 7860222 7860223 7860224 7860225 7860226 7860227 7860229 7860230 7860231 7860234 7860241 7860242 7860243 7860244 7860245 7860246 7860247 7860248 7860249 7860250 7860259 7860261 7860264 7860285 7860288 7860290 7860297 7860304 7860305 7860308 7860309 7860310 7860312 7860314 7860315 7860317 7860320 7860321 7860323 7860325 7860330 7860331 7860332 7860333 INTRAVAS US EA ADDTI INTRAVAS US INITIAL NEEDLE INTRO CAR/VRT BRACH/AXILLARY ARTER PULM ARTERY CATH PL AORTA/TRANSLUMBAR CA URET CATH/STENT S/I EXT ART CATH URETER DILATION S/I GASTRO TUBE INSERT S HEPATIC STENT INTRO. STENT FOR DRA BILLIARY INT/EXT DRN NEPH PERC S/I AORTA FEMORAL/AXILLA LEAD,PM TRANSVENOUS LLIAC BILAT LFIT V40 FEMORAL HEA LFIT 26 MM FEMORAL H LFIT 26MM FEM HD REG LFIT 26MM FEM HD 3MM LFIT 26MM FEM HD 12M LFIT 26MM FEM HD 4MM LFIT 28MM FEM HD 4MM LFIT 28MM FEM HD12MM LFIT 28MM FEM HD16MM MAVERCK BALLN 2.5X20 MAVERCK BALLN 3.0X15 MESH 4X8 BARD COMPOS NEPHROSTOGRAM NEPH TUBE DILATION NEPH TUBE CHANGE LIBERT STNT 2.75X24 NIROYAL STENT 4.0X18 OCCULSN BLLON 17-103 ORBITAL VENO S/I PACEMAKER,DUAL PACEMAKER,SINGLE PELVIC SELECT EACH LUM/THOR VERT ADD VERTEBROPLASTY THORA VERTEBROPLASTY LUMBA CHOL TRANSHP PERC SI NEPH TUBE CHANGE S/I BIL STONE REM NEPH PERC PERICARDIOCENTESIS PTA S/I PPM DUAL INSERT PPM SING VENT INSERT Page 192 594 594 657 657 694 657 1398 887 2196 1979 3053 3053 3053 1280 647 2276 3751 1290 1290 1290 1290 1290 1290 1290 1290 1290 934 934 915 85 4382 2030 3337 2789 525 2037 15778 15778 4943 6028 6028 6028 837 453 3053 4382 813 6531 18205 29526 36100 36120 36013 36160 36140 74485 43246 SURG SURG SURG 36200 C1779 75716 C1876 C1876 C1876 C1876 C1876 C1786 C1786 50395 50435 C1876 75880 C1785 C1786 75736 22515 22510 22511 75984 47544 SURG SURG 75962 33208 33207 ChargePrices 2016 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB 7860334 7860336 7860341 7860344 7860346 7860349 7860351 7860353 7860356 7860357 7860360 7860363 7860368 7860373 7860374 7860375 7860376 7860381 7860385 7860386 7860387 7860388 7860389 7860391 7860392 7860393 7860394 7860395 7860396 7860403 7860408 7860410 7860411 7860412 7860413 7860414 7860415 7860416 7860417 7860418 7860420 7860422 7860423 7860425 7860426 7860427 7860428 7860429 7860430 7860434 PPM SING ATRIAL INS BILIARY DRAINAGE S/I POPE TUBE PORTAL VEIN ACCESS PORTOGRAPHY S/I PORTO CAVAL VEN ACC CHOL THRU EX CATH SI ANGIO THRU EXSTNG CA PTA BRACHIOCEPHALIC PTA VISC ADD S/I PTA REN/VIS S/I PTA VENOUS S/I PULM NON SELECT REVEAL REMOVAL REMOVAL CV DEVICE REMOVAL OBS CVL S/I REMOVAL INTRACATH SI RENAL BIOPSY VIA U.S PTA RENAL REPLACE CVL GEN REP SING PPM GEN REP DUAL PPM REPOSITION CVL RETRO BRACH S/I REVEAL RECORDER LEAD REV DUAL LEAD REV SINGLE TIPS REVISION REV TRANSHEP DRAIN SDS BALL CTHR9X2X135 5X4X75 SDS BALLOON 7X2X90 SDS BALLOON SECOUR ACRYLIC RESIN PULM ART SEGMENT THORAX ADD ORDER SEL PULM ART SELECT THORAX 1ST ORD SEL THORAX 2ND ORD SEL THORAX 3RD ORD SEL ABD/PEL ORD SEL SEL CATH 1ST ORDR BD SPINAL SEL ANGIO S/I VEN 2ND ORDER SIMON NITINOL FILTER JUG/SINUS VENO S/I SIS MESH 7X10 STENT ADDITIONAL VES STENT CRV CARTD WFIL STENT CRV CARTD NFIL STENT S660 2.5X15 Page 193 29526 1280 93 433 4943 582 453 453 8025 1651 6531 1651 2159 1842 945 453 453 293 8025 6287 22796 8059 945 3751 9997 7236 7236 2678 2030 779 736 723 453 657 887 800 887 887 887 787 595 3751 694 2177 2037 737 14940 4256 4256 2942 33206 36481 75885 37140 75898 35475 75968 75966 75978 75746 SURG 36590 75901 75902 76942 35471 36582 33212 33213 36597 75658 C1764 SURG 33216 37183 C1725 C1725 C1725 36015 36218 36014 36215 36216 36217 36245 36011 75705 36012 75860 C1781 MANUL MANUL MANUL ChargePrices 2016 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB 7860436 7860438 7860439 7860440 7860445 7860447 7860453 7860455 7860457 7860458 7860460 7860461 7860462 7860464 7860465 7860467 7860469 7860470 7860471 7860474 7860476 7860477 7860478 7860479 7860481 7860483 7860485 7860486 7860487 7860488 7860489 7860491 7860495 7860496 7860497 7860513 7860515 7860533 7860534 7860535 7860536 7860537 7860538 7860539 7860540 7860541 7860542 7860544 7860545 7860546 5FR JL6 SINUS STUDY SUP. SAGITTAL SINUS SVC VENOGRAPHY S7 AV2000 OTW 3.0X12 S7 AV2000 OTW 3.0X18 S7 3.5MMX15MM STRAIG THORACENTESIS ASPIRA THROMBIN INJECTION THROMBOLYSIS INF S/I PTA TIBIO TRACERS BONE CEMENT TRANSCATH INFUSION TRANSCATH BIOPSY S/I TRANSCATH BIOPSY HEPATIC PORTOGRPHY S CHOLANGIO TRANSHEP HEPATIC DILATION S/I TWINFE TI 5.0 SUTURE ILIAC UNI ADRENAL UNILAT SEL ADRENAL VENO UNI S/I PULM UNI ANGIO SEL 26CM URETERAL STENT UROLOGY STENT 6X24 CLOSURE DEV INS VENA CAVA RECON IVC VENOGRAPHY S/I EXTREM UNI VEN EXTREM BILAT VEN HEPATIC VENOGRPHY S/ REN VEIN UNI SEL VENOUS CATH BLD SAMP PTA VENOUS VENOUS SAMPLING S/I 2.5X18 VISION STENT 2.5X28 VISION STENT WALLSTENT 12X20X75 4 WALLSTENT 12X40X75 4 WALLSTENT 12X60X75 4 1.5MM TAP SCREW 10.0" 9-HOLE BROAD P 10MM DISTAL STEM CEN 11MM DISTAL STEM CEN 12.0" 11-HOLE BROAD 12MM DISTAL STEM CEN 13MM DISTAL STEM CEN 135X20 UNIFUSE 15MM DISTAL STEM CEN 16MM DISTAL STEM CEN Page 194 56 138 2037 2159 2759 3032 2942 813 594 1280 8025 1647 626 1651 1441 2159 184 1280 789 4943 4943 3751 3751 502 423 206 1349 3751 1767 1767 3751 3751 348 8025 3751 4097 4097 2162 2162 2162 410 878 277 277 878 277 277 582 277 277 SURG 75827 75827 SURG 36002 SURG A4364 75970 37200 75887 74363 75710 75731 75840 75741 C2625 G0269 34502 75825 75820 75822 75891 75831 SURG 35476 75893 C1876 C1876 C1713 C1713 C1713 C1887 ChargePrices 2016 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB 7860547 7860548 7860551 7860552 7860553 7860554 7860555 7860556 7860557 7860558 7860559 7860560 7860561 7860563 7860564 7860566 7860567 7860570 7860571 7860572 7860573 7860574 7860576 7860578 7860579 7860580 7860581 7860582 7860583 7860584 7860585 7860586 7860587 7860593 7860594 7860595 7860596 7860597 7860598 7860599 7860600 7860601 7860602 7860603 7860604 7860605 7860606 7860607 7860608 7860610 17MM DISTAL STEM CEN 18MM DISTAL STEM CEN 2.0MM STAINLESS STEE 2.5MM KIRSCHNER WIRE ABD/PEL 2ND ORD SEL 3D MAX LG. LEFT MESH 3D MAX LG. RIGHT MES 3D MAX MED. LEFT MES 3D MAX MED. RIGHT ME 3MM APEX PINS 60MM ABD/PEL 3RD ORD SEL 4.5 CANNULD SCRW24MM 4.5 CANNULD SCRW34MM 4.5CANNLD THREAD44MM 4.5CANNLD THREAD56MM 40MM & 0 UNIPOLAR HE 41MM & 0 UNIPOLAR HE 42MM UNIVERSAL HEAD 43MM & 0 UNIPOLAR HE 43MM UNIVERSAL HEAD 44MM & 0 UNIPOLAR HE 44MM UNIVERSAL HEAD 45MM UNIVERSAL HEAD 46MM UNIVERSAL HEAD 47MM & 0 UNIPOLAR HE 47MM UNIVERSAL HEAD 48MM & 0 UNIPOLAR HE 49MM & 0 UNIPOLAR HE 49MM UNIVERSAL HEAD 5FR PIC UNE 5FR PINNACLE SHETH 5FR MICROPUNCTURE KI 5X2X135 SDS BALLOON 51MM & 0 UNIPOLAR HE 51MM UNIVERSAL HEAD 52MM & 0 UNIPOLAR HE 52MM UNIVERSAL HEAD 53MM & 0 UNIPOLAR HE 53MM UNIVERSAL HEAD 54MM & 0 UNIPOLAR HE 54MM UNIVERSAL HEAD 55MM & 0 UNIPOLAR HE 55MM UNIVERSAL HEAD 56MM & 0 UNIPOLAR HE 56MM UNIVERSAL HEAD 58MM & 0 UNIPOLAR HE 58MM UNIVERSAL HEAD 6.5" 5-HOLE BROAD PL 6FR STRAIGHT CATH 6FR SHUNTOGRAM SHEAL Page 195 277 277 611 43 787 569 708 426 544 68 787 453 453 475 475 947 947 1570 947 1570 947 1570 1570 1570 947 1570 947 947 1570 921 106 218 828 947 1570 947 1570 947 1570 947 1570 947 1570 947 1570 947 1570 878 437 110 C1713 C1769 36246 C1781 C1781 C1781 C1781 C1713 36247 C1713 C1713 C1713 C1713 C1894 C1725 C1894 ChargePrices 2016 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB 7860611 7860612 7860617 7860618 7860619 7860622 7860623 7860626 7860627 7860628 7860629 7860630 7860631 7860632 7860633 7860637 7860642 7860646 7860651 7860652 7860653 7860654 7860656 7860658 7860660 7860661 7860662 7860663 7860665 7860666 7860667 7860668 7860669 7860670 7860671 7860675 7860679 7860680 7860681 7860682 7860683 7860685 7860686 7860688 7860689 7860691 7860692 7860693 7860694 7860696 6FR 3.0 JL SH 6X2X135 SDS BALLOON 6X6CM VENTRALEX HERN 61MM UNIVERSAL HEAD 7FR ALI GUIDE CATH 7FR LIMA RADIOLOGY G 7FR 45CM STRAIGHT SH 7MMX25MM SOFTSILK BI 8.0" 7-HOLE BROAD PL 8MM X 45CM CENTRAL H 9MM X 25MM SOFTSILK 9MMX20MM ENDO-FIX L 9MMX25MM SOFTSILK BI 9MMX30MM ENDO-FIX L FOGARTY 4FR VORTX COIL 4MM 6X27X135 XPRESS STEN 5X2X90 CUTTING BALLO 6X17X75 XPRESS STENT NIROYAL BILLARY 6X14 MAVERICK 2RX2.0X20MM 6CC ANGIO MANIFLD SY RECOVERY IVC FLTR FE MINI SAFEQUARD CARDIOVERSION STENT OPEN PRICE SYVEK PATCH GRAFTMASTER 3.5X19 O 6FR PINNC HOCKYSTK C 6FR JL6 6FR JL3.5SH GUIDE 135X20 UNIFUSE .035X260 AMPLATZ X S MINI SNARE GUIDEWIRE BASIN 4X2X135 SDS BALLOON SAFEGUARD BILIARY DUCT DILATIO CO2 CONTRAST ANGIO ANGIO FLUID MNGMT SY ANGIO COLLECTION BAG 5FR TEMP PACER NO BA VERTEBRAL PREP KIT 7FR JL6 GUIDE 7FR GROLLMAN PIG 6FR RADIOLOGY GUIDE ZIP WIRE FOGARTY .014 PT GRAPHIX WIRE 7FR CURVED RAD SHEAT REPOS OF PACEMK\DEFI Page 196 234 828 1489 1569 234 475 437 430 878 1119 471 439 430 439 274 332 3640 2428 3378 3378 827 28 4081 239 1372 4248 306 7268 272 243 243 617 199 1988 34 651 251 6554 61 320 50 436 383 220 119 404 206 356 383 3034 C1887 C1725 C1887 C1887 C1894 C1713 C1876 C1725 C1876 92960 C1876 C1876 C1887 C1769 C1887 C1887 C1769 C1769 C1769 C1725 47556 A9698 C1887 C1887 C1769 C1769 C1894 33215 ChargePrices 2016 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB 7860697 7860699 7860700 7860702 7860703 7860704 7860711 7860712 7860713 7860714 7860715 7860718 7860719 7860721 7860723 7860727 7860728 7860729 7860732 7860735 7860737 7860742 7860746 7860747 7860748 7860749 7860751 7860754 7860755 7860756 7860757 7860758 7860759 7860760 7860761 7860762 7860763 7860764 7860765 7860767 7860768 7860772 7860773 7860774 7860775 7860776 7860777 7860778 7860779 7860780 PERCUTANS CHOLECYSTY URETERAL CATH/ST PER TRANSCATH EMBOLZ S&I PERIPERAL RINSPORATO RINSPRTR LG VSS STIP RINSPRTR LG VES XTIP .035X260 ANGL GLIDWR .035X260 STRT GLIDWR 4FR 65CM STRAIGHT 4FR 65CM ANGLE 4FR 100CM STRAIGHT PROTECT 6MM BASKET PROTECT 7MM BASKET KYPHPLSTY 1STHOR FLO KYPHPLSTY ADD VERTBA BONE BX W/KYPHPLSTY FEM-POP 1 SITE TIBIA-POP 1 SITE ROTATIONAL CATH KYPHPLSTY 1STLUMB FL SILK 0 CT2 SUTR C027 AMPLATZ 260CM STAY FIX 10FR NEPHROTOMY TUBE 14FR NEPHROSOTMY TUB STATLOCK PT GRAPHIC WIRE KYPHON CEMENT EBU GUIDE CATH 3.5 EBU GUIDE CATH 3.75 EBU GUIDE CATH 4.0 EBU GUIDE CATH 5.0 WIPERS MS STRAGHT WIPERS MS CURVE WHISPER MS EXTRA STI EXPORT 7FR EXPORT 6FR XT EXPORT 6FR AP SPIDER FX 4MM SPIDER FX 5MM 16FR NEPHROSOTMY TUB 8FRX28 URETHERAL STE SILVERHAWK LS-C PARAMOUNT MINI GPS SHEATH 8FR 4FR FLUSH CONTRA NITREX 300 5FR AL3 5FR AR3 KYPHON EXP TRAY 10/2 Page 197 4231 4016 1020 4097 8784 8784 240 229 217 236 217 3945 3945 10759 5379 607 6936 6936 121 10759 49 199 63 319 319 106 95 584 220 220 220 220 331 331 541 1758 1758 1758 3414 3793 279 457 9998 2838 362 63 489 59 119 10630 SURG 75894 C1769 C1769 C1769 C1769 SURG SURG SURG SURG SURG SURG C1769 C1729 C1729 C1769 C1887 C1887 C1887 C1887 C1769 C1769 C1769 C1757 C1884 C1884 C1729 C2617 C1724 C1887 C1894 C1769 C1769 C1769 C1769 ChargePrices 2016 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB 7860781 7860783 7860797 7860798 7860799 7860829 7860831 7860832 7860833 7860835 7860836 7860837 7860838 7860839 7860841 7860842 7860843 7860845 7860847 7860848 7860849 7860852 7860854 7860855 7860856 7860857 7860859 7860861 7860862 7860863 7860875 7860876 7860881 7860883 7860885 7860887 7860891 7860892 7860893 7860895 7860896 7860897 7860898 7860899 7860900 7860902 7860903 7860904 7860905 7860906 KYPHON EXP TRAY 15/2 2.5X8 XIENCE XPEDITI SPIDER 3.0 SPIDER 7.0 PERCUT CORONRY THROM 10X2X75 SDS BALLOON 6X120 EVERCROSS BALL TURBO HAWK LONG CUTTER SILVERHA .035X90 TRAILBLAZRER TRAILBLAZER .014X150 TRAILBLAZER .035X135 6FR RCB SH 6FR JR4ST GUIDE GUIDE RBU35 GUIDE RBU40 GIUIDE RBU45 NANOCROSS 2.0X210 AV DIALYSIS SHUNT AD 5FR AR1 MOD 5FR AR MOD LOCK ABSCES DRAIN CT 6FR XB4 SH US/GUIDANCE VASCULAR ANGIO SEAL EVERCRSS 8X20X135 5FR SIZGOMNIFLUS70CM 5FR ANGLED TAPER 6FR IMA RENAL 55CM G 6FR MPSH GUIDE 6FR SHJR 4S BMW WIRE 8FR ANGIOSEAL 6FR SH JL4 VIKING EVERCROSS 7X40 6FR VIKING OPTM 100C 6FR GUIDE LINER 5FR TRENOTOLA ROTATOR DRIVE UNIT 6FR JL4 GUIDE 6FR JL5 GUIDE CORONARY ANGIO+GRAFT LEFT HEART CATH+GRAF LF/RT HEART CATH+GRA AORTIC ROOTááááááááá ILIAC ANGIO NS W/LHC PTA ILIAC (INITIAL) PTA ILIAC (ADDITIONA STENT ILIAC INT+-PTA STENT ILIAC ADD+-PTA Page 198 7268 4346 3793 3793 7586 638 584 10165 10165 584 2655 458 243 243 220 220 220 434 1039 59 59 554 243 116 824 584 691 236 220 234 234 331 824 234 584 234 1348 1654 493 243 243 9710 9710 9710 209 209 8025 1651 19833 1651 C1876 C1884 C1884 92973 C1725 C1725 C1714 C1725 C1887 C1887 C1887 C1887 C1887 C1887 C1887 C1887 C1725 36148 C1769 C1887 76937 C1760 C1725 C1887 C1887 C1887 C1887 C1725 C1725 C1760 C1887 C1725 C1887 C1887 C1757 C1769 C1769 93455 93459 93461 93567 G0278 37220 37222 37221 37223 ChargePrices 2016 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB 7860907 7860908 7860909 7860910 7860911 7860912 7860913 7860914 7860915 7860916 7860917 7860918 7860919 7860920 7860927 7860930 7860931 7860932 7860938 7860939 7860940 7860942 7860951 7860952 7860955 7860957 7860958 7860960 7860962 7860968 7860969 7860970 7860974 7860976 7860981 7860982 7860983 7860984 7860985 7860986 7860987 7860988 7860989 7860990 7860991 7860992 7860993 7860994 7860995 7860996 PTA FEM/POP UNILAT ATHRECTY FEM/POP UNI STENT FEM/POP UNI-+P ATHREC+STENT FEM/POP PTA TIB/PER UNI INTI PTA TIB/PER UNI E+VE ATHRECTY TIB/PER UNI ATHRECTY TIB/PER ADD STENT TIB UNI INITL STENT TIB UNI ADD+ ATHRECTY STENT TIB U ATHRECY+STENT TIB +A INSERT OF CANNULA FLUORO CV DEVICE 6X40 EVERCROSS I CAST 7X38X120 COVE I CAST 8X38X120 COVE I CAST 9X38X120 COVE 7FR 25CM SHEATH KYPHN EXPRSS TRY15/2 KYPHON EXPRSS SZ2 CU TURBOHAWK SX-C R HRT CORON ARTER AG GLLIDEWR ADVTG 260CM EVERFLX BILIRY STENT KYOHX HV-R CEMENT .035X145 AMPLATZ 8CM BALLOON PUMP REPLACE 6FR LCB SH 6FR EGB VISTA BRITE 6FR NPA SH VISTA BRI 6FR MPB1 VISTA BRITE 6FR 6CM PINNICLE TURBOHAWK LS-M UPGRADE OF PACEMAKER REPOSITN PACING-DEFI REPAR LEAD PACE ONE REPAR LEAD PACE TWO REVISE POCKET PACEMA IVC FILTER INSERTION IVC FILTER REPOSITIO IVC FILTER REMOVAL RENAL ANGIO 1ST UNIL RENAL ANGIO 1ST BILA RENAL ANGIO SUP UNI RENAL ANGIO SUP BI L EVERCROSS 8X40 EVERCROSS 7X20 EVERFLX STNT6X60X120 EVERFLX STNT7X60X120 Page 199 8025 19833 19833 30583 19833 1651 30583 1651 30583 1651 30583 1651 2671 206 584 7814 7814 7814 922 10853 1652 9694 9710 768 4021 424 111 451 236 236 236 236 105 9694 32230 5320 5320 5320 4028 10437 7221 7221 7087 7087 7087 7087 569 569 2959 2959 37224 37225 37226 37227 37228 37232 37229 37233 37230 37234 37231 37235 36800 77001 C1725 C1874 C1874 C1874 C1894 C1725 93456 C1769 C1876 C1769 C1887 C1887 C1887 C1887 C1894 C1714 33214 33215 33218 33220 33222 37191 37192 37193 36251 36252 36253 36254 C1725 C1725 C1876 C1876 ChargePrices 2016 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB 7861005 7861006 7861007 7861009 7861011 7861012 7861013 7861015 7861017 7861020 7861031 7861032 7861033 7861034 7861040 7861041 7861042 7861043 7861044 7861045 7861046 7861048 7861049 7861050 7861051 7861052 7861053 7861054 7861055 7861056 7861057 7861058 7861059 7861060 7861061 7861062 7861063 7861064 7861065 7861066 7861067 7861068 7861069 7861070 7861071 7861072 7861075 7861077 7861099 7861100 VENOUS MECH THROMBEC TR BAND STANDAR W/IN TR BAND LONG W.INFLA GLIDESHEATH 6F 10CM GLIDESHEATH 6FR SPRI OPTITORQUE 5FR 4.0 OPTITORQUE 5FR 4.5 OPTITORQUE 5FR SARAH OPTITORQUE 5FR JACKY MULTILINK OTW VISION 6FR AR1 SH CATHETER 6FR 3DRC SH 4FR JR4ST 7CM STRAIGHT EXCHANG 8FR 50CC INS BALLOON 7FR 34CC OAB BALLOON QUICKCLOT INTERVENTI HEARTFLOW RESVE MSUR HEARTFLOW RES ADD EVERFLEX 6X200 FFR PRESSURE WIRE175 EBU GUIDE CATH 4.5 CORONARY ANGIOPLASTY CORONARY ANGIOPLAS + CORONARY STNT(92928) CORONARY STNT(92929) PT REVASC (92937) PT REVASC (92938) PT REVASC (92941) PT REVASCULARIZATION PT REVASC (92944) CORONARY THROMB IC CORONARY THROMB IV AORTIC ARCH AND CERV CAROTID ANGIO UNILAT CEREBRAL ANGIO UNILA INTERNAL CAROTID ANG SUBCLAVIAN TO VIEW V VERTEBRAL ANGIO UNIL CAROTID ANGIO EXT. C CEREBRAL ANGIO INTRA TRANSCATHETER RETRIE TRANSCATHETER ARTERL TRANSCATHETER VENOUS TRANSCATH ART FOLLUP TRANSCATH ART FOLLUP 6FR IM SH CATHETER COIL 035 15X25 SWAN J TIP BMU 190CM Page 200 9366 227 227 379 194 190 190 190 190 2276 236 236 73 36 2913 2747 191 31 31 8481 2001 218 10703 10703 15998 15998 15998 15998 15998 15998 15998 220 441 6123 6123 6123 10013 6123 10013 220 220 6146 2168 2168 4838 4838 214 2433 227 294 37187 C1894 C1894 C1887 C1887 C1887 C1887 C1876 C1887 C1887 C1887 C1769 93571 93572 C1876 C1769 C1887 92920 92921 92928 92929 92937 92938 92941 92943 92944 92975 92977 36221 36222 36223 36224 36225 36226 36227 36228 37197 37211 37212 37213 37214 C1887 C1769 C1769 ChargePrices 2016 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB 7861101 7861102 7861103 7861113 7861114 7861115 7861116 7861117 7861118 7861120 7861121 7861122 7861123 7861124 7861125 7861127 7861128 7861130 7861132 7861133 7861134 7861135 7861136 7861137 7861138 7861139 7861140 7861141 7861142 7861143 7861155 7861156 7861157 7861158 7861159 7861160 7861161 7861162 7861165 7861168 7861171 7861172 7861173 7861174 7861175 7861176 7861177 7861178 7861179 7861180 BMW ELITE 190CM J TIP WHISPER 190CM 5FR EXOSEAL CLOSURE TRLUML PERIP ATHRC I DEFIBRILLATOR, DUAL LEAD CAPSUREFIX NOVU LEAD, SPRINT QUATTRO INDTRODUCER, SAFESHE NSERT PACE-DEFIB W/L 5X40 EVERCROSS 6FR 90CM SHEATH 7FR 90CM SHEATH 4X40X135 EVERCROSS 5X60X120 EVERFLEX 7X40X120 EVERFLEX 6FR XB 3.6 CATHETER 7X100X135 EVERCROSS MAGIC TORQUE 260 EXC 8X40X120 EVERFLEX CAUTERY TIP CLEANER ETHIBOND 2-0 MX563 VICRYL 2-0 J443H VICRYL 4-0 J935H COUGAR XTWIE.014X190 6FR MB2 CATHETER 6FR 23CM SHEATH W MA 9X2X75 SDS BALLOON .035 X 180 STRAIGHT 4X100X135 EVERCROSS 5X100X135 EVERCROSS I CAST 7X38X80 COVER PRIM ART MEC THROMB INST/REP/DUAL PACEMK DEFIB,NOT SINGL DUAL LEAD, CV 4194 ATTAIN EVERFLEX STENT 6X150 EVERFLEX 7X100X120 ASYMMTRC PATLA32X10M STABILIZER FEMORAL#6 TIBIAL AUGMT 1/2 #6 SUTURE VICRYL VT9580 STENT INITL VEIN+PTA STENT ADD VEIN+/-PTA TRANCA EMBLZE VENOUS TRANSCATH EMBOLZ ART TRANSC EMBOLZ TUMORS TRANSC EMBOLZ HEMMOR TRANSCATH PLCMT INTR IMAGE-GUIDED DRAIN B IMAGE DRAIN VISCERAL Page 201 294 294 497 15888 41513 1627 12965 201 63519 517 433 433 517 2690 2690 214 517 227 2690 3 72 8 19 448 205 130 579 201 517 517 7655 8971 21089 46969 5517 4055 3655 2861 20043 3043 37 15093 7299 14634 14634 14634 14634 19349 1784 3892 C1769 C1769 C1760 0238T C1721 C1898 C1895 33249 C1725 C1725 C1876 C1876 C1725 C1725 C1769 C1876 C1769 C1725 C1895 C1725 C1769 C1725 C1725 C1874 37184 33225 C1882 C1900 C1876 C1876 C1713 C1713 C1713 37238 37239 37241 37242 37243 37244 37236 10030 49405 ChargePrices 2016 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB 7861181 7861182 7861183 7861184 7861186 7861187 7861188 7861190 7861191 7861192 7861195 7861196 7861197 7861198 7861199 7861200 7861201 7861202 7861203 7861204 7861205 7861206 7861207 7861208 7861209 7861210 7861213 7861215 7861216 7861217 7861218 7861219 7861224 7861225 7861226 7861227 7861228 7861229 7861230 7861231 7861232 7861233 7861234 7861235 7861236 7861237 7861238 7861239 7861240 7861241 IMAGE DRAIN PERITONL 6FR 26CM URETHERAL S 6FR 24CM URETHERAL S 6FR 22CM URETHERAL S ETHIBOND 8 EXCEL SUT VICRYL 2-0 J502H SUT VICRYL 4-0 J682H SUT AICD, SINGLE CHAMBER WHISPER WIRE MS 190C ACCUSTICK II WITH JPERC DRUG-EL COR STE PROT+G 6FR.035 STENT PROT+G 6FR.035 STENT PROT+G 6FR.035 STENT EVERFLX 6FR.035 STEN EVERFLX 6FR.035 STEN EVERCROSS 9MM 20MM 1 EVERCROSS 9MM 40MM 1 EVERCROSS 10MM 20MM EVERCROSS 10MM 40MM G TUBE REPLACEMET 5FR MYNXGRIP GRAY 6FR/7FR MYNXGRIP GRE REVEAL LINQ11 CARDIA SEC ART M-THROMBECT REVEAL LINQ KIT 6MM 20CM COIL EVERFLEX STENT 6X20X 3.2 8 FLASH DUAL BAL 3.5 8 FLASH DUAL BAL 4.0 8 FLASH DUAL BAL 4.5 8 FLASH DUAL BAL GEN CHANGE - SINGLE REMV&REPLC CVD GEN S REMV&REPLC CVD GEN D REMV&REPLC CVD GEN M 4.5MM15MM LEGEND CRO 4.5MM 12MM LEGEND CR 4MM 20MM LEGEND SPRI 4MM 15MM LEGEND CROS 4MM 12MM LEGEND CROS 4MM 6MM LEGEND SPRIN 3.75MM 12MM LEGEND S 3.5MM 20MM LEGEND CR 3.5MM 20MM LEGEND CR 3.5MM 12MM LEGEND SP 3.5MM 10MM LEGEND SP 3.5MM 6MM LEGEND CRO 3.25MM 12MM LEGEND S 3MM 20MM LEGEND SPRI Page 202 3892 361 361 361 12 23 16 37450 282 276 11517 2586 2586 2586 2586 2586 496 496 496 496 1257 697 697 14044 5444 128 3780 2586 2650 2650 2650 2650 16974 39784 39784 39784 520 520 520 520 520 520 520 520 520 520 520 520 520 520 49406 C2617 C2617 C2617 C1722 C1769 C1894 C9601 C1876 C1876 C1876 C1876 C1876 C1725 C1725 C1725 C1725 49450 C1760 C1760 C1764 37186 C1713 C1876 C1725 C1725 C1725 33227 33262 33263 33264 C1725 C1725 C1725 C1725 C1725 C1725 C1725 C1725 C1725 C1725 C1725 C1725 C1725 C1725 ChargePrices 2016 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB 7861242 7861243 7861244 7861245 7861246 7861247 7861248 7861249 7861250 7861251 7861252 7861253 7861254 7861255 7861256 7861257 7861258 7861259 7861260 7861261 7861262 7861263 7861264 7861265 7861266 7861267 7861268 7861269 7861270 7861271 7861272 7861273 7861274 7861275 7861276 7861277 7861278 7861279 7861280 7861281 7861282 7861283 7861284 7861285 7861286 7861287 7861288 7861289 7861290 7861291 3MM 15MM LEGEND SPRI 3MM 12MM LEGEND SPRI 3MM 6MM LEGEND SPRIN 2.75MM 12MM LEGEND S 2.5MM 20MM LEGEND SP 2.5MM 15MM LEGEND SP 2.5MM 12MM LEGEND SP 2.5MM 6MM LEGEND SPR 2.25MM 12MM LEGEND S 2.25MM 6MM LEGEND SP 2MM 20MM LEGEND SPRN 2MM 15MM LEGEND SPRI 2MM 12MM LEGEND SPRI 2MM 6MM LEGEND SPRIN 1.5MM 20MM LEGEND SP 1.5MM 15MM LEGEND SP 1.5MM 12MM LEGEND SP 1.5MM 6MM LEGEND SPR 1.25MM 12MM LEGEND S 1.25MM 6MM LEGEND SP 4.0MM 34MM MICROTRAC 4.0MM 30MM MICROTRAC 4.0MM 38MM MICROTRAC 4.0MM 26MM MICROTRAC 4.0MM 22MM MICROTRAC 4.0MM 18MM MICROTRAC 4.0MM 18MM MICROTRAC 4.0MM 12MM MICROTRAC 3.5MM 26MM MICROTRAC 3.5MM 22MM MICROTRAC 3.5MM 18MM MICROTRAC 3.5MM 15MM MICROTRAC 3.5MM 12MM MICROTRAC 3.5MM 9MM MICROTRAC 3.0MM 38MM MICROTRAC 3.0MM 34MM MICROTRAC 3.0MM 30MM MICROTRAC 3.0MM 26MM MICROTRAC 3.0MM 22MM MICROTRAC 3.0MM 18MM MICROTRAC 3.0MM 15MM MICROTRAC 3.0MM 12MM MICROTRAC 3.0MM 9MM MICROTRAC 2.75MM 30MM MICROTRA 2.75MM 26MM MICROTRA 2.75MM 22MM MICROTRA 2.75MM 18MM MICROTRA 2.75MM 14MM MICROTRA 2.75MM 12MM MICROTRA 2.75MM 8MM MICROTRAC Page 203 520 520 520 520 520 520 520 520 520 520 520 520 520 520 520 520 520 520 520 520 3514 3514 3514 3514 3514 3514 3514 3514 3514 3514 3514 3514 3514 3514 3514 3514 3514 3514 3514 3514 3514 3514 3514 3514 3514 3514 3514 3514 3514 3514 C1725 C1725 C1725 C1725 C1725 C1725 C1725 C1725 C1725 C1725 C1725 C1725 C1725 C1725 C1725 C1725 C1725 C1725 C1725 C1874 C1874 C1874 C1874 C1874 C1874 C1874 C1874 C1874 C1874 C1874 C1874 C1874 C1874 C1874 C1874 C1874 C1874 C1874 C1874 C1874 C1874 C1874 C1874 C1874 C1874 C1874 C1874 C1874 C1874 ChargePrices 2016 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB 7861292 7861293 7861294 7861295 7861296 7861297 7861298 7861299 7861300 7861301 7861302 7861303 7861304 7861305 7861306 7861307 7861308 7861309 7861310 7861311 7861312 7861313 7861314 7861315 7861316 7861317 7861318 7861319 7861320 7861321 7861322 7861323 7861324 7861325 7861326 7861327 7861328 7861329 7861330 7861331 7861332 7861333 7861334 7861335 7861336 7861337 7861338 7861339 7861340 7861341 2.5MM 30MM MICROTRA 2.5MM 26MM MICROTRAC 2.5MM 22MM MICROTRAC 2.5MM 18MM MICROTRAC 2.5MM 14MM MICROTRAC 2.5MM 12MM MICROTRAC 2.5MM 8MM MICROTRAC 2.25MM 30MM MICROTRA 2.25MM 26MM MICROTRA 2.225MM 22MM MICROTR 2.25MM 18MM MICROTRA 2.25MM 14MM MICROTRA 2.25MM 12MM MICROTRA 2.25MM 8MM MICROTRAC 1.9-3F 4MM 12MM NC C 1.9-3F 8MM 8MM NC CA 3.75MM 15MM NC CATHE 3.75MM 12MM NC CATHE 3.5MM 138CM 15MM DUR 3.5MM 12MM 12MM SPRI 3.5MM 9MM 9MM SPRINT 3.25MM 15MM 15MM SPR 3.25MM 12MM 12MM SPR 6FR 15MM DURA-TRAC N 3MM 21MM NC SPRINTER 3MM 9MM CN SPRINTER 2.75MM 9MM 9MM SPRIN 2.5MM 21MM NC SPRINT 2.5MM 138CM 15MM DUR 2.5MM 138CM 12MM DUR 2.5MM 9MM 9MM SPRINT 4MM 30MM INTEGRITY S 4MM 26MM INTEGRITY S 4MM 22MM INTEGRITY S 4MM 18MM INTEGRITY S 4MM 15MM INTEGRITY S 4MM 12MM INTEGRITY S 4MM 9MM INTEGRITY ST 3.5MM 30MM INTEGRITY 3.5MM 26MM INTEGRITY 3.5MM 22MM INTEGRITY 3.5MM 18MM INTEGRITY 3.5MM 15MM INTEGRITY 3.5MM 12MM INTEGRITY 3.5MM 9MM INTEGRITY 3MM 30MM INTEGRITY S 3MM 26MM INTEGRITY S 3MM 22MM INTEGRITY S 3MM 18MM INTEGRITY S 3MM 15MM INTEGRITY S Page 204 3514 3514 3514 3514 3514 3514 3514 3514 3514 3514 3514 3514 3514 3514 520 520 520 520 520 5198 520 520 520 520 520 520 520 520 520 520 520 1591 1591 1591 1591 1591 1591 1591 1591 1591 1591 1591 1591 1591 1591 1591 1591 1591 1591 1591 C1874 C1874 C1874 C1874 C1874 C1874 C1874 C1874 C1874 C1874 C1874 C1874 C1874 C1874 C1725 C1725 C1725 C1725 C1725 C1725 C1725 C1725 C1725 C1725 C1725 C1725 C1725 C1725 C1725 C1725 C1725 C1876 C1876 C1876 C1876 C1876 C1876 C1876 C1876 C1876 C1876 C1876 C1876 C1876 C1876 C1876 C1876 C1876 C1876 C1876 ChargePrices 2016 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH CATH LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB LAB 7861342 7861343 7861344 7861345 7861346 7861347 7861348 7861349 7861350 7861351 7861352 7861353 7861354 7861355 7861356 7861357 7861358 7861359 7861360 7861361 7861362 7861363 7861364 7861365 7861366 7861367 7861368 7861369 7861370 7861371 7861372 7861373 7861374 7861375 7861376 7861377 7861378 7861379 7861380 7861381 7861382 7861383 7861384 7861385 7861386 7861387 7861388 7861389 7861390 7861391 3MM 12MM INTEGRITY S 3MM 9MM INTEGRITY ST 2.5MM 26MM INTEGRITY 2.5MM 22MM INTEGRITY 2.5MM 18MM INTEGRITY 2.5MM 14MM INTEGRITY 2.5MM 12MM INTEGRITY 2.5MM 8MM INTEGRITY 2.25MM 26MM INTEGRIT 2.25MM 22MM INTEGRIT 2.25MM 18MM INTEGRI 2.25MM 12MM INTEGIRT 2.25MM 8MM INTEGRITY GI TUBE CHECK W\ MI PERC VERTEBRAL AUG T PERC VERTEBRAL AUG L VERTEBROPLASTY ADD PT GRAPHIX 182CM .01 EVERFLEX STENT 6X40X 2.80X19 GRAFTMASTER 6FR PROGLIDE REPLACE G-J TUBE PER GEN CHANGE - DUAL THROMBECTOMY FEM/POP ENDOVASC EXTEND PROS GLIDEWIRE 180CM BABY GLIDESHEATH SL SINGL GLIDESHEATH SL DOUBL EVERFLEX 7X150 ANGLED GLIDER 035X15 34CC BALLOON PUMP CA PALMAZ STENT P4010 HAWK ONE STANDARD TI HAWK ONE EXTENDED TI REMOVAL PACEMAKER EL RELOCATION POCKET PA AV DIALYSIS SHUNT IM REPAIR BLOOD VESSEL 8FR TERUMO DESTINATI 5F 10CM COAXIAL MINI PALMAZ BL STENT 6X18 6FR PINNACLE SHEATH 5FR MPA1 CATH HPCIL TUBING ESSENTIALS KIT 4FR MPA 2 6FR IR 1.5 FLEXICEL HIGH PRESSU PRESTO INFLATION DEV VICRYL 4-0 SH-1 VCP2 Page 205 1591 1591 1591 1591 1591 1591 1591 1591 1591 1591 1591 1591 1591 318 13024 5852 5852 259 2511 6168 638 1475 24446 9270 2575 171 199 324 3785 127 2026 3569 8614 8614 4600 3419 2387 7328 267 91 2714 42 270 10 42 56 252 20 194 8 C1876 C1876 C1876 C1876 C1876 C1876 C1876 C1876 C1876 C1876 C1876 C1876 C1876 49465 22513 22514 22512 C1769 C1725 C1876 C1760 49452 33228 34201 34825 C1769 C1769 C1769 C1725 C1769 C1876 C1724 C1724 33235 33222 75791 35190 C1894 C1894 C1876 C1894 C1887 C1887 C1887 ChargePrices 2016 786 786 786 786 786 786 786 786 786 786 786 786 786 786 786 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 CATH LAB CATH LAB CATH LAB CATH LAB CATH LAB CATH LAB CATH LAB CATH LAB CATH LAB CATH LAB CATH LAB CATH LAB CATH LAB CATH LAB CATH LAB WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD 7861392 7861393 7861394 7861395 7861396 7861397 7861398 7861399 7861400 7861401 7861402 7861403 7861404 7861405 7861406 7870001 7870003 7870004 7870006 7870024 7870025 7870026 7870027 7870029 7870035 7870036 7870038 7870039 7870041 7870042 7870044 7870045 7870091 7870129 7870130 7870131 7870138 7870179 7870180 7870181 7870182 7870183 7870184 7870185 7870186 7870187 7870188 7870189 7870190 7870191 VICRYL 2-0 CT-2 J268 EUPHORA 2.0X12 EUPHORA 2.5X12 EUPHORA 3.0X6 EUPHORA 3.0X15 EUPHORA 3.5X6 EUPHORA 3.5X12 EUPHORA 3.5X15 EUPHORA 3.5X20 EUPHORA 4.0X12 EUPHORA 2.0 X 15 EUPHORA 2.0X20 EUPHORA 2.5X15 EUPHORA 2.5X20 EUPHORA 3.0X20 ABD COMPLT W/CHEST V ABD SINGLE AP ABDOMEN DECUBITUS ACROMINOCLAVICULAR J BIL EYE F.B. BIL MASTOIDS BIL ORBITS BIL RIBS BILATERAL HIP BONE SURVEY COMPLETE BOTH KNEES STANDING CERVIAL SPINE (3 VI CERVICAL SPINE 4 OR CHEST APICAL VIEW 2V CHEST DECUBITUS CHEST PA & LAT CHEST X-RAY 1 VIEW DR CHEST 2V W OBLI FACIAL BONES (3 OR M FACIAL BONES 1 VIEW FINGER/S FLEX AND EXT C-SPINE LT ANKLE LT ANKLE 4/MORE LT CALCANEOUS MIN 2 LT CLAVICLE COMPLETE LT ELBOW COMPLETE LT ELBOW 2 VIEW LT EYE F.B. LT FEMUR LT FOOT 2 VIEW LT FOOT,COMPLETE LT FOREARM LT HAND COMPLETE LT HAND 2 VIEWS Page 206 8 469 469 469 469 469 469 469 469 469 469 469 469 469 469 378 217 217 474 217 471 471 378 493 378 445 437 378 217 217 254 217 278 543 217 217 378 217 217 217 217 217 217 217 217 217 217 217 217 217 C1725 C1725 C1725 C1725 C1725 C1725 C1725 C1725 C1725 C1725 C1725 C1725 C1725 C1725 74022 74000 74000 73050 70030 70130 70200 71111 73521 77075 73565 72040 72050 71021 71035 71020 71010 71022 70150 70140 73140 72052 73600 73610 73650 73000 73080 73070 70030 73551 73620 73630 73090 73130 73120 ChargePrices 2016 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE WHITEHOUSE RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD RAD 7870192 7870193 7870194 7870195 7870196 7870198 7870199 7870200 7870201 7870202 7870203 7870204 7870205 7870206 7870209 7870210 7870211 7870212 7870213 7870216 7870224 7870227 7870228 7870235 7870236 7870237 7870238 7870239 7870240 7870241 7870242 7870243 7870244 7870245 7870246 7870247 7870248 7870249 7870250 7870251 7870252 7870253 7870254 7870255 7870256 7870257 7870258 7870259 7870260 7870262 LT HIP LT HUMERUS LT KNEE 2 VIEWS LT KNEE 3 VIEWS LT KNEE 4 OR MORE VI LT ORBIT LT RIBS LT SCALPULA,COMPLETE LT SHOULDER 1 VIEW LT SHOULDER 3 VIEWS LT SHOULDER 5 VIEWS LT TIB FIB LT WRIST COMPLETE LT WRIST 2 VIEW LUMBAR SACRAL W/OBLI LUMBAR SPINE W/BENDI LUMBOSCRAL SPINE MANDIBLE (BOTH SIDES MESTATASTIC SURVEY NASAL BONES PARANASAL SINUSES PELVIS PELVIS,COMPLETE-INL RT ANKLE RT ANKLE 4/MORE RT CALCANEOUS MIN 2 RT CLAVICLE,COMPLETE RT ELBOW COMPLETE RT ELBOW 2 VIEW RT EYE F.B. RT FEMUR RT FOOT COMPLETE RT FOOT 2 VIEW RT FORARM RT HAND COMPLETE RT HAND 2 VIEWS RT HIP RT HUMERUS RT KNEE 2 VIEWS RT KNEE 2 VIEWS RT KNEE 4 OR MORE VI RF MASTOID RT ORBIT RT RIBS RT SCALPULA COMPLETE RT SHOULDER 1 VIEW RT SHOULDER 3 VIEWS RT SHOULDER 5 VIEWS RT TIB FIB RT WRIST COMPLETE Page 207 432 217 217 217 447 432 217 217 217 217 465 217 217 217 378 378 437 526 378 437 543 217 474 217 217 217 217 217 217 217 217 217 217 217 217 217 432 217 217 217 447 217 217 217 217 217 217 465 217 217 73501 73060 73560 73562 73564 70200 71101 73010 73020 73030 73030 73590 73110 73100 72110 72114 72100 70100 77075 70160 70220 72170 72190 73600 73610 73650 73000 73080 73070 70030 73551 73630 73620 73090 73120 73120 73501 73060 73560 73562 73564 70120 70200 71101 73010 73020 73030 73030 73590 73110 ChargePrices 2016 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 787 789 789 789 790 790 790 790 790 790 790 790 791 791 791 792 792 792 792 792 792 792 792 792 792 792 792 792 792 792 792 792 WHITEHOUSE RAD WHITEHOUSE RAD WHITEHOUSE RAD WHITEHOUSE RAD WHITEHOUSE RAD WHITEHOUSE RAD WHITEHOUSE RAD WHITEHOUSE RAD WHITEHOUSE RAD WHITEHOUSE RAD WHITEHOUSE RAD WHITEHOUSE RAD WHITEHOUSE RAD WHITEHOUSE RAD WHITEHOUSE RAD WHITEHOUSE RAD WHITEHOUSE RAD WHITEHOUSE RAD WHITEHOUSE RAD RENAL DIALYSIS RENAL DIALYSIS RENAL DIALYSIS SLEEP DIAG SLEEP DIAG SLEEP DIAG SLEEP DIAG SLEEP DIAG SLEEP DIAG SLEEP DIAG SLEEP DIAG WHITE HOUSE SLEEP LAB WHITE HOUSE SLEEP LAB WHITE HOUSE SLEEP LAB WHITE HOUSE CARE CENT WHITE HOUSE CARE CENT WHITE HOUSE CARE CENT WHITE HOUSE CARE CENT WHITE HOUSE CARE CENT WHITE HOUSE CARE CENT WHITE HOUSE CARE CENT WHITE HOUSE CARE CENT WHITE HOUSE CARE CENT WHITE HOUSE CARE CENT WHITE HOUSE CARE CENT WHITE HOUSE CARE CENT WHITE HOUSE CARE CENT WHITE HOUSE CARE CENT WHITE HOUSE CARE CENT WHITE HOUSE CARE CENT WHITE HOUSE CARE CENT 7870263 7870264 7870265 7870266 7870270 7870271 7870274 7870276 7870278 7870279 7870282 7870283 7870284 7870338 7870339 7870344 7870345 7870346 7870347 7861047 7890001 7890002 7660082 7660083 7660084 7900001 7900002 7900003 7900006 7900008 7910001 7910002 7910003 7920060 7920061 7921042 7921043 7921044 7921045 7921055 7921100 7921101 7921720 7921721 7921730 7923922 7923923 7926020 7927250 7927340 RT WRIST 2 VIEW SACRAO-ILIAC JOINTS SACRUM AND COCCYX2 SCOLIOSIS SERIES SKULL LESS THAN 4 VI SKULL 4 OR MORE VIEW SOFT TISSUE NECK SPINE ONE VIEW STERNOCLAVICULAR JOI STERNUM THORACIC SPINE THORACOLUMBAR SPINE TOES WATER VIEW SINUS X-RAY FULL BODY CHIL XRAY FOR BONE AGE XRAY BONE SURVEY LIM X-RAY EXAM OF ABDOME X-RAY EXAM OF HIP 2V FFR PRESSURE WIRE300 INPATIENT DIALYSIS DIALYSIS ADAM'S CIRCUIT MED ADAM'S CIRCUIT SMALL ADAM'S CIRCUITS LARG COMP SLEEP W CPAP COMPREHENSIVE SLEEP MULTIPLE SLEEP LATEN HOME SLEEP TYPE/3 SLEEP STUDY UNATT&RE COMP SLEEP W CPAP COMPREHENSIVE SLEEP MULTIPLE SLEEP LATEN I&D ABCESS SIMPLE I&D ABCESS MULTI COM DEB SUBQ TISS 20SCM< DEB MUSC/FASCIA 20S< DEB BONE 20 SQ CM/< TRIM SKIN LESION TRIM SKIN LESION BIO SKIN SUB Q LESIO BIO SKIN SUB Q AD LE DEBRIDE NAIL ANY 1-5 DEBRID NAIL ANY >6 AVULSN NAIL PLATE UPR/L XTREMITY ART 2 UPR/LXTR ART STDY 3+ DRESS OR DEBRD SMALL CHEM CAUTER GRAN TIS APLIGRAF PER SQ CM Page 208 217 217 432 378 217 378 217 217 217 476 432 217 217 217 217 244 244 486 170 2001 878 1525 269 174 269 3274 3274 3274 618 618 3274 3274 3274 342 342 641 1700 2282 253 253 376 244 184 184 259 478 1020 259 259 108 73100 72202 72220 72081 70250 70260 70360 72020 71130 71120 72072 72080 73660 70210 76010 77072 77074 74020 73521 C1769 G0257 G0257 95811 95810 95805 95806 95806 95811 95810 95805 10060 10061 11042 11043 11044 11055 11055 11100 11101 11720 11721 11730 93922 93923 16020 17250 Q4101 ChargePrices 2016 792 792 792 792 792 792 792 792 792 792 792 792 792 792 792 792 792 792 792 792 792 792 792 792 792 792 792 792 792 792 792 792 792 792 792 792 792 792 792 792 792 792 792 793 793 793 793 793 793 793 WHITE HOUSE WHITE HOUSE WHITE HOUSE WHITE HOUSE WHITE HOUSE WHITE HOUSE WHITE HOUSE WHITE HOUSE WHITE HOUSE WHITE HOUSE WHITE HOUSE WHITE HOUSE WHITE HOUSE WHITE HOUSE WHITE HOUSE WHITE HOUSE WHITE HOUSE WHITE HOUSE WHITE HOUSE WHITE HOUSE WHITE HOUSE WHITE HOUSE WHITE HOUSE WHITE HOUSE WHITE HOUSE WHITE HOUSE WHITE HOUSE WHITE HOUSE WHITE HOUSE WHITE HOUSE WHITE HOUSE WHITE HOUSE WHITE HOUSE WHITE HOUSE WHITE HOUSE WHITE HOUSE WHITE HOUSE WHITE HOUSE WHITE HOUSE WHITE HOUSE WHITE HOUSE WHITE HOUSE WHITE HOUSE ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CARE CENT CENT CENT CENT CENT CENT CENT CENT CENT CENT CENT CENT CENT CENT CENT CENT CENT CENT CENT CENT CENT CENT CENT CENT CENT CENT CENT CENT CENT CENT CENT CENT CENT CENT CENT CENT CENT CENT CENT CENT CENT CENT CENT 7927341 7927342 7927343 7927344 7927597 7927598 7927602 7927605 7927606 7929201 7929202 7929203 7929204 7929205 7929211 7929212 7929213 7929214 7929215 7929633 7929649 7929656 7929657 7929658 7929659 7929677 7929678 7929679 7929680 7929681 7929682 7929683 7929684 7929685 7929686 7929687 7929688 7929689 7929690 7929691 7929692 7929693 7929694 7400148 7400149 7660342 7660362 7840055 7840056 7930001 OASIS PER SQ CM DERMAGRAF PER SQ CM XENOGRAFT PER SQ CM ALLOGRAFT PER SQ CM RMVL DEVITAL TIS 20< ACTV WND CARE >20CM NON SELECT DEBRID NEG PRESS WND 50CM< NEG PRES WND >50CM NEW PATIENT LEVEL 1 NEW PT LEVEL 2 NEW PT LEVEL 3 NEW PT LEVEL 4 NEW PT LEVEL 5 EST PT LEVEL 1 EST PT LEVEL 2 EST PT LEVEL 3 EST PT LEVEL 4 EST PT LEVEL 5 CAST TTL CONTACT APP VENOUS WOUND COMPRES DEBIDMT TISSU 20CM+A DEBIDMT MUSCL 20CM+A DEBIDMT BONE 20CM AD PARING CORN/CALLU>1 APP TRUN 25CM >100CM APPL TRK+25CM >100CM APP TRUN 1ST100CM>10 APP TRK+100CM GTR100 APPL UP 1ST 25CM<100 APP SKIN UP+25CM LES APP UP 1ST100CM GTR APP UP+100CM GTR100 GRAFIX CORE GRAFIX PRIME OASIS LEG 1ST 25CM L OASIS LEG ADD 25CM L OASIS FOOT 1ST 25CM OASIS FOOT ADD 25CM OASIS LEG 1ST 100CM OASIS LEG ADD 100CM OASIS FOOT 1ST 100CM OASIS FOOT ADD 100CM BX BREAST 1ST LES US BX BREAST ADD LES US BIO POLIMORS NEEDLE BIOPSY SYSTEM 43-207 PLACEMT BRST CLIP US PLACMT BRST CLIP+US ABDOMINAL Page 209 31 56 73 174 486 259 376 263 259 196 324 324 408 519 197 234 234 324 408 364 611 640 698 759 376 2898 285 4741 768 2898 285 3624 768 258 343 1264 451 1264 451 4239 451 4239 451 3035 2169 71 261 331 331 997 Q4102 Q4106 Q4105 Q4106 97597 97598 97602 97605 97606 G0463 G0463 G0463 G0463 G0463 G0463 G0463 G0463 G0463 G0463 29445 29581 11045 11046 11047 11056 15271 15272 15273 15274 15275 15276 15277 15278 Q4132 Q4133 C5271 C5272 C5275 C5276 C5273 C5274 C5277 C5278 19083 19084 19285 19286 76700 ChargePrices 2016 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND 7930002 7930004 7930005 7930006 7930007 7930008 7930009 7930010 7930011 7930012 7930013 7930014 7930015 7930016 7930017 7930018 7930020 7930021 7930022 7930023 7930025 7930026 7930027 7930028 7930029 7930030 7930033 7930035 7930036 7930038 7930039 7930040 7930041 7930042 7930043 7930044 7930048 7930050 7930051 7930052 7930053 7930054 7930055 7930057 7930058 7930062 7930063 7930064 7930065 7930066 AORTA US COMPLETE ART COM 3+ BILATERAL UPR/LXTR ART STDY 3+ ARTERIAL SCAN BIL (G ARTERIAL SCAN BIL(GR ARTERIAL SCAN UNI GR ARTERIAL SCAN UNI GR ARTERIAL SCAN UNI(GR ARTERIAL SCAN UNI(GR ASPIRATION SITE BIL BREAST U/S COMPL BIL HIPS U/S BIL INFANT HIPS U/S BIL VENOUS COMPLETE BIL RENAL U/S DUPLEX EXTRACRAN UNI CARTOTID & VERTEBRAL DEEP DOPPLER OF ABDO DUPLEX IMAGING/DIALY FETAL BIOPHYSICAL PR G B EXAMINATION HEAD ECHO EXAM INFANT SPINAL CANAL US BREAST L LT HIP U/S LT INFANT HIP U/S LT RENAL U/S US EXTREM NONVAS LIM NECK,U/S LIMITED ULTRASND PREG UTERUS OB LIMITED PENILE PRES W/ARM/PE PUNCTURE OF PLEURAL US BREAST R RT HIP U/S RT INFANT HIP U/S RT RENAL U/S SAPHENOUS VEIN MAPPI SCROTOL ULTRASOUND THORAX THYROID TRANSABD ULTRASOUND TRANSVAGINAL ULTRASO U/S SINGLE ABD ORGAN US GUIDANCE/ASPERIAT GUIDANCE FOR ABCESS US ABS DRAIN HEMA US ABS DRAIN HEMOTHO US ABS DRAIN LYMPH US ABS DRAIN NCK THO Page 210 458 1020 478 682 682 682 458 682 458 935 1051 458 893 458 458 434 1303 682 682 458 708 458 458 609 458 458 458 458 458 296 737 354 935 609 458 458 458 797 458 458 458 1075 931 458 1376 1376 3507 935 5453 5453 93978 93923 93923 93930 93925 93926 93931 93926 93931 SURG 76641 76886 76885 76881 76775 93882 93880 93975 93990 76819 76775 76506 76800 76642 76886 76886 76775 76882 76536 76816 76815 54240 SURG 76642 76886 76886 76775 MANUL 76870 76604 76536 76856 76830 76705 76942 75989 10140 MANUL 38300 21501 ChargePrices 2016 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND 7930067 7930068 7930069 7930070 7930071 7930072 7930073 7930074 7930075 7930076 7930077 7930078 7930079 7930080 7930081 7930082 7930083 7930084 7930085 7930086 7930087 7930088 7930089 7930090 7930091 7930092 7930093 7930094 7930095 7930096 7930097 7930098 7930099 7930100 7930101 7930103 7930104 7930105 7930106 7930107 7930109 7930110 7930111 7930112 7930113 7930114 7930115 7930116 7930117 7930118 US ABS DRAIN OVARIAN US ABS DRAIN PERIANA US ABS DRAIN PERIREC US ABS DRAIN PERIVES US ABS DRAIN SUBCU US AMNIOCENTESIS US ASP OF OVA US ASP OVARIAN CYST US ASP REN PEL CYST US ASP SPINAL CYST US ASP THYROID CYST US BX ABD/RETROPERIT US BX BONE DEEP US BX BONE SUPER US BX BREAST PANEL US BX EPIDIDYMIS US BX LIVER US BX LUNG/MEDIA US BX LYMPH NODEP US BX MUSCLE US BX NECK OR THORAX US BX PANCREAS US BX PLEURA US BX PROSTATE US BX RENAL US BX SPINAL US BX THYROID US CHORIONIC VILLUS US EXTREM NONVAS COM US GUIDANCE FOR THOR US GUIDE AMNIO US GUIDE ASP OVA US GUIDE BX ASP US GUIDE CHRIONIC US GUIDE PICC LINE US KIDNRY TRANSPLAN US OB >= 14 WKS SING US OB >14WKS EA ADDT US OB 1ST TRI ADD GE US OB 1ST TRI SGL/1S ABD PARACENTESIS W I US PERICARDIO INIT US PERICARDIO SUBS US RETROPERI COMPLET US THORACENTESIS US TRANSVAG PREG UT VEIN MAPPING VENOUS U/S BILAT(LEG LIMITED/UNI VENOS US UNI LIMITED VENOUS Page 211 7454 1214 5003 4717 920 1406 5386 5324 3035 1937 1406 3035 3868 2383 1402 1406 3035 3035 3035 3035 4195 3035 3035 4217 3035 3035 1406 1406 458 1376 1376 1376 1197 1376 2432 458 458 458 761 458 1411 1411 1411 458 935 458 682 682 434 682 58820 46050 46040 51080 10060 59000 58970 58800 50390 62268 60300 49180 20225 20220 SURG 54800 47000 32405 38505 20206 SURG 48102 32400 55700 50200 62269 60100 59015 76881 76942 76946 76948 76942 76945 36569 MANUL 76805 76810 76802 76801 49083 33010 33011 76770 SURG 76817 93971 93970 93971 93971 ChargePrices 2016 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 793 797 797 797 797 797 797 797 797 797 797 797 797 797 ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND INFUSION THERAPY INFUSION THERAPY INFUSION THERAPY INFUSION THERAPY INFUSION THERAPY INFUSION THERAPY INFUSION THERAPY INFUSION THERAPY INFUSION THERAPY INFUSION THERAPY INFUSION THERAPY INFUSION THERAPY INFUSION THERAPY 7930119 7930120 7930121 7930122 7930123 7930124 7930125 7930126 7930127 7930128 7930129 7930130 7930131 7930132 7930133 7930134 7930135 7930136 7930137 7930138 7930140 7930141 7930142 7930143 7930144 7930146 7930147 7930148 7930149 7930150 7930151 7930152 7930153 7930154 7930155 7930156 7930157 7970001 7970002 7970003 7970004 7970005 7970006 7970007 7970008 7970009 7970010 7970011 7970012 7970013 RT RENAL CYST GUIDAN RT RENAL CYS GUID BX LT RENAL CYST GUIDAN LT RENAL CYS GUID BX US NUCHAL MASS ADD US EXAM AAA SCREEN US K TRANSPL W/DOPPL US NUCHAL MEAS, 1GES US BREAST BIOPSY US EXAM, PELVIC, LIM CELERO-12 BIOPSY SSV 12G INTRO SUROS CELR BIOPSY SITE IDENTIFI CELRO BIOPSY SITE ID EZ-IO STABILIZER US SONO-HYSTERGRAM US GUIDE NEEDLE PLAC BARD MARQUEE 12GX10 SUROS CELERO MARK HYSTEROSONOGRAM ECHO CATHETR HYSTEROGRAPH VASCULAR SCAN PELVIC US BX MISC US BX THYROID 2+ US GUIDE BX ASP +2 YUEH CENTES DISP CAT 12G 2.7MMX12CM 20MM 9G 3.7MMX12CM 12MM H DUPX ARTL SCAN ABD/R FNA W IMAGE INRAD 18G 10CM BIOPS FNA W/IMAGE AAA ULTRSOUND BIOPSY OF BREAST OPE UPR/L XTREMITY ART 2 VENOUS COMP BI-LATER US URINE CAPACITY THER/PROPH/DIAG INIT THER/PROPH/IV IF ADD TX/PROPH/ADD SEQ IV THER/DIAG CONCUR INF PHLEBOTOMY THER/PROPH/DIAG INJ THER/PROPH/DIAG INJ TX/PRO/DX INJ NEW AD TX/PRO/DX INJ SAME D PICC LINE INSERT GT5 COLLECT BLOOD FM PIC PICC/CENT/PORT FLUSH CHEMO ADMIN I.V. PU Page 212 350 350 350 350 118 208 388 424 1054 236 784 115 319 319 24 546 2913 784 319 521 85 546 1054 1406 1197 104 684 684 526 121 176 1405 318 6251 478 308 135 553 83 553 77 160 137 244 110 28 2171 203 204 314 77012 SURG 77012 SURG 76814 G0389 76776 76813 SURG 76857 76831 76942 76831 58340 93976 SURG 60100 76942 93978 SURG 10022 G0389 19101 93922 93965 51798 96365 96366 96367 96368 99195 96372 96374 96375 96376 36569 36592 96523 96409 ChargePrices 2016 797 797 797 797 797 797 797 797 800 801 801 801 801 801 801 801 INFUSION THERAPY INFUSION THERAPY INFUSION THERAPY INFUSION THERAPY INFUSION THERAPY INFUSION THERAPY INFUSION THERAPY INFUSION THERAPY PULMONARY REHAB OCCUPATIONAL THERAPY OCCUPATIONAL THERAPY OCCUPATIONAL THERAPY OCCUPATIONAL THERAPY OCCUPATIONAL THERAPY OCCUPATIONAL THERAPY OCCUPATIONAL THERAPY 7970014 7970015 7970021 7970022 7970023 7970027 7970090 7974063 8000001 8010001 8010002 8010003 8010004 8010005 8010006 8010007 CHEMO INFUSN EA AD CHEMO INFUSION 1ST INTRAVENOUS INFUSIO INF\HYD EA HR INF\HYD INIT HR INF EACH ADD HR BLOOD ADMINISTRATION PICC LINE DRESS TRAY PULMONARY REHAB 1 HR OT EVALUATION MANUAL LYMPH DRAINAG THERAPEUTIC PROCEDUR THERAPEUTIC ACTIVITI ORTHOTICS FITTING SELF CARE MGT. PHYSICAL PERFORMANCE Page 213 305 832 254 83 278 77 1067 68 150 331 115 129 129 129 133 127 96415 96413 99201 96361 96360 96368 36430 G0424 97003 97140 97110 97530 97760 97535 97750
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