Stroud Regional Medical Center uses a chargemaster to determine its standard charge for services and supplies associated with patient care/treatment. The "chargemaster" is a comprehensive list of prices established by the hospital for services and supplies used during individual patient treatment. This list reflects standard charges and may not reflect actual patient balance since payment rates are negotiated with health plans, predetermined by the federal government for Medicare or set by the state government for Medicaid participants. Further, uninsured patients are not generally expected to pay the hospitals standard charges in the chargemaster and may be eligible for financial assistance. For more information regarding financial assistance, please review our Charity Care Policy and Procedures listed on the home page of this website.

           
Description Standard Charge
02 AQUA PAK WATER 340ML 9.75
02 MASK PEDIATRIC 5.50
02 SENSOR ADULT 36.50
02 SENSOR ADULT NIHON KHODEN 40.46
02 TUBING 7FT 5.50
12 LEAD EKG ULTRA II ELECTRODES 5.50
1ST STEP BEDSIDE KIT 354.00
20 Fr Replacement G-Tube Curved 105.08
20 Fr Safety Peg Kit Pull 291.44
20% LIPIDS 250ML BAG 74.89
3% SODIUM CHLORIDE 500 ML IV BAG 24.13
3/4 SHEET 29350 12.06
5-HIAA 24 HOUR URINE 126.45
ABD PAD 5 X 9 5.50
ABD PAD 8 X 10 5.50
ABDOMEN XRAY 1 VIEW 248.48
ABDOMEN XRAY 2 VIEW 457.84
ABDOMEN XRAY 3 OR MORE VIEWS 457.84
ABDOMINAL BINDER LARGE 12 INCH 54.96
ABDOMINAL BINDER MEDIUM 12 INCH 59.07
ABDOMINAL BINDER SMALL 12INCH 77.70
ABDOMINAL BINDER XLG 12IN 40.50
ABDOMINAL BINDER XXLG 12IN 40.50
ABDOMINAL SERIES 3 VIEW 457.88
ABILIFY (ARIPIRAZOLE) LEVEL 365.25
ABO TYPING 82.50
AC JOINTS BILATERAL W/WO WEIGHTS 275.00
ACAPELLA BLUE VIBRATORY PEP 150.30
ACAPELLA GREEN VIBRATORY PEP 150.30
ACARBOSE 25 MG TAB 5.50
ACE WRAP 2 INCH 5.50
"ACE WRAP 2"" STERILE" 5.00
ACE WRAP 3 INCH 5.50
"ACE WRAP 3"" STERILE" 5.00
ACE WRAP 3INCH - DUPLICATION 8.13
ACE WRAP 4 INCH 5.50
"ACE WRAP 4"" STERILE" 5.00
ACE WRAP 6 INCH 5.50
"ACE WRAP 6"" STERILE" 5.00
ACETAMINOPHEN 160MG/5ML SUSP 5.50
ACETAMINOPHEN 325 MG TAB 5.50
ACETAMINOPHEN 500 MG TAB 5.50
ACETAMINOPHEN 650MG/5ML SUSP 5.50
ACETAMINOPHEN LEVEL 208.78
ACETAMINOPHEN SUPP 120MG 5.50
ACETAMINOPHEN SUPP 325 MG 5.50
ACETAMINOPHEN SUPP 650 MG 5.50
ACETAMINOPHEN/CODEINE #3 TAB 21.95
ACETAMINOPHEN/CODEINE ELIXIR (DOSE) 5.50
ACETAZOLAMIDE 500MG TAB 24.42
ACETYLCHOLINE RECEPTOR BINDING AB 320.75
ACETYLCHOLINE RECEPTOR BLOCKING AB 198.00
ACETYLCHOLINE RECEPTOR MODULATING AB 675.00
ACETYLCYSTEINE (MUCOmyst) 10% vial 19.90
ACHILLES SPEEDBRIDGE IMPLANT W/JUMPSTART 5,985.00
ACID FAST BACILLI STAIN 76.80
ACIDOPHILUS 175 MG CAP 6.49
ACTH 233.44
ACTION F 90.03
Active Cord for Snares and Hot Forceps 243.27
ACTIVE WOUND MGMNT/NON-SEL DEBRIDEMENT 334.92
ACTOS 30 MG 54.59
ACULAR 4% 5 ml octic 977.43
ACUTE HEPATITS PANEL 197.00
ACYCLOVIR 200 MG TAB 5.50
ACYCLOVIR 400 MG TAB 18.69
ACYCLOVIR 50 MG / ML 10 ML VIAL 7.98
ACYCLOVIR 800 MG TAB ZOVIRAX 21.04
ACYLGLYCINES QUANTITATIVE URINE 1,110.45
ADAPTER AIRWAY EMMA ADULT/PED 36.96
ADAPTER CUFF 15MM ID 1.00
ADAPTER CUFF 22MM ID 1.00
ADAPTER MASK INTUBATION 15MMX22MM 5.00
ADAPTER NEBULIZER 031-28 7.02
ADAPTER PRESSURE LINE 1.08
ADDERALL 306.00
ADENOCARD 6MG/2ML IV 107.88
ADENOSINE 12 MG / ML 38.92
ADH 670.95
ADL HOME TRAINING 92.85
ADMIN OF FLU VACC 60.00
ADMIT KIT 9.00
"ADSON FORCEP STANDARD 4.75"" DISP" 5.00
ADVAIR 500/50 DISKUS 105.77
ADVAIR DISKUS 100/50 64.90
ADVAIR DISKUS 250/50 DISKUS 64.90
AEROB/ANAER CULTURE OR ID 9.00
AEROB/ANAER CULTURE SUSC I 9.00
AEROSOL DRAINAGE SYSTEM W/WYE 2.22
AEROSOL MASK ADULT 5.50
AEROSOL MASK PEDIATRIC 5.50
AFB (TB) SMEAR (01) 200.52
AFB (TB) SMEAR (02) 200.52
AFP TUMOR MARKER 385.86
AIRWAY CRNA MEDICARE 8.00
ALBUMIN 230.40
ALBUMIN 25% 50 ML IV 173.72
ALBUMIN 25% / 100 ML BAG 347.44
ALBUMIN OTHER SOURCE QUANTITATIVE EACH 123.90
ALBUMIN URINE MICROALBUMIN QUANTITATIVE 85.69
ALBUTE/IPRATROPIUM 2.5MG/0.5MG FOR HHN 5.50
ALBUTEROL INHALER 17GM 17.88
ALBUTEROL LIQUID (DOSE) 9.98
ALBUTEROL SULFATE INHALENT 5.50
ALDOLASE-227 29.10
ALDOSTERONE-SERUM 202.50
ALENDRONATE NA 70MG TAB 191.38
ALIGINATE DRESSING 35.50
ALK PHOS 49.50
ALLERGEN SPEC IGE 25.86
ALLERGY PANEL, MOLD 05 29.75
Alliance Inflation Handle 1,382.85
Alliance Inflation Syringe 99.54
ALLOPURINOL 100 MG TAB 5.50
ALLOPURINOL 300 MG TAB 5.50
ALLOWRAP 4X8 DS WET 21,597.00
ALLOWRAP DS WET 9,447.00
ALPHA 1 ANTITRYPSIN 90.98
ALPRAZOLAM 517.14
ALPRAZOLAM 0.25 MG TAB 5.50
ALPRAZOLAM 0.5 MG TAB 5.50
ALPRAZOLAM 1 MG 5.50
ALT 49.50
ALTEPLASE 2 MG POWDER VIAL 575.80
ALUM HYDROX/MAG/SIM 30 ML 5.50
ALUMAFOAM FINGER SPLINT 5.50
AMANTADINE 100 MG CAP 11.76
AMANTADINE HCL 5.50
AMBU RESUC INFANT 89.04
AMBU RESUSCITATOR ADULT 61.75
AMIKACIN 500MG/2ML 36.69
AMIKACIN PEAK 80.88
AMIKACIN SULFATE 250 mg / 2 ml 48.35
AMIKACIN TROUGH 80.88
AMINO ACID 15% 500 ML IV BAG 5.50
AMINO ACID ANALYSIS 767 1,667.70
AMINOPHYLLINE 5.86
AMIODARONE 150 MG/3 ML SYRINGE 25.95
AMIODARONE 200MG TAB 39.64
AMIODARONE 450MG/9ML 5.50
AMIODARONE HCI PREMIX 150MG/100ML 5.50
AMIODARONE LEVEL 590.40
AMITRIPTYLINE 100 MG TAB 12.67
AMITRIPTYLINE 25 MG TAB 5.50
AMITRIPTYLINE 50 MG TAB 5.50
AMLODIPINE 5MG TAB 8.20
AMMONIA 104.07
AMOXICILLIN 500 MG CAP 5.50
AMOXICILLIN SUSP 250 MG/5ML 100 5.50
AMOXICILLIN/CLAV 875MG/125MG tab 5.50
AMOXICILLIN/POTASSIUM CLA 500MG/125MG 18.88
AMOXIL 400MG 50ML SUSP 22.00
AMOXIL PED 50 MG/ML 5.50
AMPICILLIN / SULBACTAM IV 1.5 GM 23.29
AMPICILLIN 1 GM VIAL 28.69
AMPICILLIN 500 MG CAP 5.50
AMPICILLIN/SULBACTAM 1.5GM 85.90
AMYLASE-SERUM 95.33
ANA 161.21
ANA TITER 172.49
ANA W/RFX 100.62
ANAL FISTULA PLUG 3,075.84
ANCA SCREEN 183.95
ANCEF/CEFAZOLIN NA 1GM 23.00
ANCHORAGE 2.5MMX110MM CALIBRATED REAMER 992.00
ANCHORAGE LAPIDUS PLATING LS STEP 0MM 7,600.00
ANCHORAGE LOCKING SCREW 3.5MM X 20MM 913.00
ANCHORAGE LOCKING SCREW 3.5MM X 30MM 913.00
ANCHORAGE LOCKING SCREW 3.5MM X 32MM 913.00
ANCHORAGE STD SCREW 3.5MM X 12MM 630.00
ANCHORAGE STD SCREW 3.5MM X 32MM 630.00
ANDROSTENEDIONE 541.95
ANES PRO FEE/ALL OTHER 49.64
ANES PRO FEE/MEDICARE 6.85
ANES PRO FEE-PER MIN 6.85
ANESTHESIA CIRCUIT 33.22
ANGIOTENSIN - COVERTING ENZYME 130.94
ANKLE 2V 265.93
ANKLE COMPLETE MINIMUM 3V 284.80
ANKLE SPLINT LG 35.40
ANKLE SPLINT MD 35.40
ANKLE SPLINT SM 35.40
ANKLE SPLINT XL 35.40
ANKLE SPLINT XS 35.40
ANKLE SPLINT XXL 35.40
ANOSCOPE 9/10 DIAMETER DISP 5.00
ANTI DNA DS 106.76
ANTI DNA SS 201.25
ANTI PHOSPHOLIPID AB 01 175.00
ANTI PHOSPHOLIPID AB 02 175.00
ANTI PHOSPHOLIPID AB 03 175.00
ANTI SCL-70 84.61
ANTI SMOOTH MUSCLE ANTIBODY 292.02
ANTIBODY SCREEN 119.20
ANTI-DSDNA AB EIA 60.00
ANTIFUNGAL CREAM 14.46
ANTIFUNGAL POWDER 9.99
ANTIGEN TYPING 01 184.02
ANTIGLIADIN IGA 45.00
ANTIGLIADIN IGG 247.20
ANTIPYRINE/BENZOCA SOLN 10ML 5.50
ANTI-REFLUX FILTER 13.50
ANTI-REFLUX VALVE 19.50
ANTITHROMBIN III 589.50
ANTITHROMBIN III ACTIVITY 589.00
ANUCORT HC SUPPOSITORY 71.98
ANZEMET PER 10 MG 86.00
APIXABAN 2.5 MG TAB 189.96
APIXABAN 5 MG TAB 189.96
APP MODALITY 1/> AREA EL MA STI EA 15MIN 75.00
APP MODALITY 1/> AREA HUBBARD TANK EA15M 75.00
APP MODALITY 1/> AREA MECHANICAL TRACTIO 180.00
APP MODALITY 1/> AREA ULTRASOUND EA15MIN 75.00
APP MODALITY 1/> AREA VASOPNEUMAT DEVICE 180.00
APPLICATE MULTILAYER VENOUS WND COMP 400.84
APPLICATE MULTILAYER VENOUS WND COMP RT 400.84
APPLICATION OF UNNA BOOT-LEFT 553.24
APPLICATION OF UNNA BOOT-RIGHT 553.24
APPLICATION SHORT LEG SPLINT CALF FOOT 625.75
APPLY SKIN GRAFT FEET; 1ST 100 CM 7,138.90
APPLY SKIN GRAFT FEET; EA ADD 100 CM 1,784.70
APPLY SKIN GRAFT FEET; EA ADD 25 CM UP T 1,784.70
APPLY SKIN GRAFT FEET;1ST 25 CM OR LESS 7,138.90
APPLY SKIN GRAFT LEGS; 100 CM OR LESS 7,138.90
APPLY SKIN GRAFT LEGS; EA ADD 100 CM 1,784.70
APPLY SKIN GRAFT LEGS; EA ADD 25 CM UP T 1,784.70
APPLY SKIN GRAFT LEGS;1ST 25 CM OR LESS 7,138.90
APTT 39.00
AQUAPAK 700 STERILE WATER 760ML 037-00 2.79
AQUAPHOR 14 OZ JAR 51.75
AQUATIC THERAPY W/EXERCISE EA15 MIN 75.00
ARFORMOTEROL 15MCG 2ML 14.12
ARIPIPRAZOLE 5 MG TAB 5.55
ARM BOARD ADULT 5.50
ARM SLING EXTRA EXTRA SMALL 8.22
ARM SLING EXTRA LARGE 8.22
ARM SLING EXTRA SMALL 8.22
ARM SLING LARGE 8.22
ARM SLING MEDIUM 8.22
ARM SLING SMALL 8.22
ARMBOARD BENDABLE LARGE 20.16
ARMBOARD BENDABLE MEDIUM 16.05
ARMBOARD BENDABLE SMALL 14.34
ARMBOARD, INFANT 5.00
ARMOUR THYROID 120 MG 8.40
ARSENIC (DO NOT USE) 55.14
ARTERIAL BLOOD GASES 190.11
ARTERIAL PUNCTURE 96.00
ARTERIAL STRESS TEST REST/TREADMILL BIL 508.40
ARTHROCENTESIS INTERMEDIATE JOINT W/O US 914.00
ARTHROCENTESIS INTERMEDIATE JOINT W/O US 149.50
ARTHROCENTESIS LG JOINT W/O ULTRASOUND 1,155.00
ARTHROCENTESIS MAJOR JOINT W/O US 914.00
ARTHROCENTESIS MAJOR JOINT W/O US 169.50
ASACOL 400MG TAB 5.50
ASEPTO BULB SYRINGE 60 cc 5.00
ASHERMAN CHEST SEAL 46.72
ASO TITER 53.82
ASORBIC ACID 500 MG TAB 5.50
ASPIRIN 325 MG TAB EC 5.50
ASPIRIN EC 81 MG 5.50
ASSESS APHASIA W/INTERP & REPORT PER HR 270.00
AST 53.31
ATENOLOL 25MG TAB 5.50
ATENOLOL 50 MG TAB 5.50
ATOMIZER MUCOSAL DEVICE W/3ML SYRINGE 26.91
ATORVASTATIN 20 MG TAB 5.50
ATORVASTATIN 40MG 5.50
ATROPINE (PEDS) 0.05MG/ML 0.00
ATROPINE (PEDS) 0.25 MG / ML 75.89
ATROPINE 1 MG / 10 ML PREFILLED SYRINGE 5.50
ATROPINE 1 MG/ ML INJ VIAL 68.61
ATROPINE 1% 15 ML BOTTLE 31.69
ATROPINE SULF PER 0.3MG 13.75
ATROVENT MDI/IPRATROPIUM MDI 17MCG 9.81
AUGMENTIN 250MG TAB 29.53
AUGMENTIN 400/5 ML BOTTLE 5.50
AUGMENTIN 500MG TAB 18.32
AURALGAN/AUROTO EAR DROPS 21.00
AUTOSUTURE ENDOMETZ SCISSORS 709.08
AVAFLEX BALLOON 11GX15MM AFB1115 7,200.00
AVALIDE 300 12.5MG 11.40
AVAMAX PLUS KIT VMX00CT 2,400.00
AVULSION NAIL PLATE EACH ADDITIONAL 382.80
AVULSION NAIL PLATE PARTIAL/COMPLETE 259.50
AVULSION NAIL PLATE PARTIAL/COMPLETE 259.50
AVULSION NAIL PLATE SIMPLE SINGLE 765.60
AVYCAZ 2.5 GM VIAL 1,962.14
AZITHROMYCIN 250 MG TAB 38.80
AZITHROMYCIN 500 MG POWDER VIAL 98.80
AZITHROMYCIN/BOTTLE 100MG/5ML SUSP 34.81
AZITHROMYCIN/BOTTLE 200MG/5ML SUSP 34.81
AZTREONAM 1 GM VIAL 163.53
B12 102.10
BABCOCK 360.00
BABY BUNTING FOIL 12.78
BACITRACIN 15 GM TUBE 5.50
BACITRACIN OPHT OINT 19.50
BACK TABLE COVER 8377 6.63
BACLOFEN 10 MG TAB 5.50
BACLOFEN 20MG TAB 5.50
BACTRIM SUSP/SULFAMETHOXAZOLE 800MG-160/ 5.50
BAG URINEMETER 25.98
BANDAGE COHESIVE 6INX5YD NONSTERILE 12.09
"BANDAGE, COHESIVE 2""" 5.50
BANDATE COHESIVE 4INx5YD NONSTERILE 7.26
BARD G-TUBE 58.50
BARD WIRE GUIDE 117.27
BARI REHAB PLATFORM 2 BED 244.80
BARI-2 PLATFORM W/HERCULES REPOSITIONER 375.00
BARIATRIC BED TRAPEZE PER DAY 45.00
BARIATRIC COMMODE PER DAY 30.00
BARRIER CREAM 15.54
BASIC METABOLIC PANEL 144.00
BASIN WASH DISPOSABLE 5.50
BED ALARM SENSORMAT 104.00
BED PAN 5.00
BEDPAN BARIATRIC 22.26
BEDPAN FRACTURE 7.05
BEDSIDE COMMODE 5.50
BEHAVIORAL QUAL ANALYSIS OF VOICE RESONA 270.00
BENAZEPRIL HCL 10MG (LOTENSIN) 5.50
BENEFIBER PER DOSE POWDER 5.50
BENEPROTIEN POWDER 0.25 OZ 5.50
BENSODIAZOPINE PANEL 30959 519.00
BENZOCAINE 20% 57GM 11.10
BENZOIN TINCTURE 5.00
BENZONATATE PERLES 100 MG 5.50
BENZONATATE PERLES 100MG 5.50
BENZTROPINE 1 MG TAB 5.99
BEPHAROPLASTY, UPPER EYELID W/EXCESSIVE 7,842.15
BETADINE 5% STERIL OPTH PREP SOLUTION 5.50
BETADINE PAINT/SCRUB 7.53
BETADINE SOAK 11.00
BETA-HYDROXYBUTYRATE 37065 174.00
BETASEPT 14.52
BETHANECHOL 10 MG 5.00
BILIRUBEN - DIRECT 56.15
BILIRUBIN - TOTAL 44.00
BIMATOPROST 0.01% 2.5 ML BOTTLE 43,085.66
BIOFREEZE 4 OZ TUBE 16.50
BIO-K PROBIOTIC 50 MIL CULTURES CAP 5.50
BIOPATCH 1INCH 26.25
BIOPSY BREAST INCISIONAL 12,497.40
BIOPSY PUNCH 3MM SKIN 6.75
BIOPSY SKIN SUBQ 585.00
BIPAP EQUIPMENT RENTAL PER DAY 29.61
BIPAP FULL FACE LARGE MASK 863.97
BIPAP FULL FACE ONE SIZE MASK 1,049.97
BIPAP FULL FACE SMALL MASK 863.97
BIPAP MASK W/HEADGEAR LARGE 294.00
BIPAP MASK W/HEADGEAR MEDIUM 294.00
BIPAP MASK W/HEADGEAR SMALL 294.00
BIPIVACAINE 0.5% 50 ML VIAL 9.16
BISACODYL SUPP 5.50
BISACODYL TAB 5.50
BISMUTH SUBSALICATE 262 MG TAB 5.50
BIVONA TRACH TUBE 6.0 383.97
BIVONA TRACH TUBE 6.0 ADJUSTABLE 893.97
BIVONA TRACH TUBE 7.0 ADJUSTABLE 893.97
BIVONA TRACH TUBE 8.0 ADJUSTABLE 893.97
BK VIRUS, QUANTITATIVE, REAL-TIME PCR 158.70
BLADE STRYKER 2296-033-115 MD LONG 237.00
BLADES 5.00
BLANKET UPPER BODY 34.00
BLEPHAROPLASTY LOWER LID 7,138.85
BLEPHAROPLASTY UPPER LID 7,138.85
BLOOD BANK ADMIN (1 PER DAY) 1,218.00
BLOOD CULTURE ORG ID1 9.00
BLOOD CULTURE SUSC 1 9.00
BLOOD PRESSURE MONITOR (BP) 53.25
BLOOD PROCESSING/STORAGE 70.00
BLOX BITE BLOCKS 60 FR 5.00
BNP 201.10
BONE MARROW NEEDLE 182.25
BONE SCAN NOSE TO RECTUM CHILD 192.50
BONE WAX 57.00
BORDER GAUZE 2X2 5.00
BORDER GAUZE 4X4 5.00
BORDER GAUZE 6X6 5.00
BORDETELLA PERTUSSIS 68.00
BOTH KNEES STANDING ANTEROPOSTERIOR 179.20
BP CUFF DISP ADULT LONG 8.13
BP CUFF DISP ADULT REGULAR 7.50
BP CUFF DISP PEDIATRIC 6.36
BP CUFF DISP THIGH 11.55
BP MONITOR DISPOSABLE 56.75
BREATHING TX 486.24
BREO ELLIPTA INHALER 200 / 25 MCCG 28.10
BRETHINE 2.5MG TAB 27.15
BREVI-KATH MINI KITH 257.61
BRIMONIDINE 0.15% EYE DROPS 186.52
BRIMONIDINE 0.2% EYE DROPS 162.92
BRIMONIDINE TARTRATE OPTH SOL 23.10
BSS PLUS 352.24
BUDESONIDE RESPULES 0.5/2ML FOR HHN 27.64
BULB EAR SYRINGE 5.50
BUMETANIDE 0.5 MG / 2ML INJ 14.97
BUMETANIDE 1MG TAB 5.50
BUN-SERUM 55.17
BUPIVACAINE 0.25% 50 ML VIAL 10.94
BUPIVACAINE IN DEXTROSE 7.5MG/ML 6.95
BUPROPION ER 100 MG TAB 5.91
BUPROPION IR 100 MG TAB 53.79
BUPROPION XL 150 MG TAB 5.50
BURETROL ADD-ON SET 18.07
BURN FIRST DEGREE ONLY LOCAL TREATMENT 307.00
BURN FIRST DEGREE ONLY LOCAL TREATMENT 70.50
BURN MEDIUM 5% TO 10% DRESS/DEBRIDE 524.00
BURN MEDIUM 5% TO 10% DRESS/DEBRIDE 203.50
BURN SHEET 60IN X 96IN 14.19
BURN SMALL LESS THAN 5% DRESS/DEBRIDE 524.00
BURN SMALL LESS THAN 5% DRESS/DEBRIDE 182.25
BUSPIRONE 5 MG TAB 5.50
BUSPIRONE HCL 15 MG TAB 5.50
BUTT PASTE 2OZ/CREAM 5.50
BX, SOFT TISSUE LEG/ANKLE AREA 6,183.10
C PEPTIDE 135.39
C4 COMPLEMENT 262.35
CA 19-9 192.50
CA-125 151.74
CA15-3 148.95
CA27-29 139.08
CADMIUM (DO NOT USE) 55.14
CALCANEOUS 2V 287.99
CALCIFEROL 8,000 UNITS/ML 1.90
CALCITONIN 466.20
CALCITONIN 3.7 MLNASAL SPRAY BOTTLE 159.87
CALCITROL 0.25 MG TAB 6.04
CALCIUM 52.18
CALCIUM 24 HR URINE 120.15
CALCIUM ACETATE 667 CAP 32.00
CALCIUM CARBONATE500 MG TAB 5.50
CALCIUM CHLORIDE 10 % 10 ML SYR INJ 406.29
CALCIUM CITRATE 400 MG TAB 5.50
CALCIUM GLUCONATE 10ML AMP IV 420.36
CALCIUM/VITAMIN D 600MG TAB 5.50
CALMOSEPTINE OINTMENT 4OZ 15.78
CAMERA COVER 7.50
CANNULA NASAL 02 25 FT 5.50
CANNULA NASAL 02 7 FT 5.50
CANOPY 02 CROUP TENT 11.50
CAPNOGRAPHY FILTER LINE INTUBATED 28.02
CAPNOGRAPHY FILTER LINE NON-INTUBATED 36.90
CAPTOPRIL 12.5 MG TAB 5.50
CAPTOPRIL 25 MG TAB 5.50
CAPTOPRIL/HYDROCHLOROTHIAZIDE 50/25 TAB 8.00
CARBAMAZEPINE 200 MG TAB 7.98
CARBIDOPA / LEVODOPA 25/100 TAB 5.50
CARBIDOPA/LEVODOPA 10MG/100MG TAB 5.72
CARBOXYHEMOGLOBIN QUANTITATIVE 112.20
CARDIAC MONITORING 164.36
CARDIAC MONITORING ER ONE PER DAY 164.36
CARDIO IQ LIPID 111.87
CARDIOLIPIN AB SCREEN (1 OF 4) 18.75
CARDIOLIPIN AB SCREEN (2 OF 4)) 18.75
CARDIOLIPIN AB SCREEN (3 OF 4) 18.75
CARDIOLIPIN AB SCREEN (4 OF 4) 18.75
CARISOPRODOL 350MG TAB 5.50
C-ARM DRAPE 9.96
C-ARM FOR PORTA CATH PLACEMENT 263.00
CARRYING/MOVING/HANDLE OBJECT CURRENT 0.01
CARRYING/MOVING/HANDLE OBJECT DISCHARGE 0.01
CARRYING/MOVING/HANDLE OBJECT GOAL 0.01
CARVEDILOL 6.25 MG TAB 10.49
CARVEDILOL 25 MG TAB 10.49
CARVEDILOL 3.125 MG TAB 10.49
CARVEDIOLOL 12.5 MG TAB 10.49
CASSETTE COVER 16.14
"CASTING SYSTEM 3"" NO BOOT" 912.00
"CASTING SYSTEM 4"" NO BOOT" 912.00
CATAPRESS-TT/CLONIDINE PATCH 1,392.90
CATARACT REMOVAL W/INSERT OF LENS 9,121.75
CATECHOLAMINES-24HR. FRACT 247.20
CATECNOLAMINES, URINE, RANDOM 247.20
CATH SECURE TUBE HOLDER 5.50
CATH SET 30.00
CATH TRAY URETHERAL 22.00
CATHETER - EXTERNAL - TEXAS 5.50
CATHETER COUDE TIP 16FR 5CC 49.50
CATHETER FR 5CC - 3 WAY 59.50
CATHETER KIT URETHRAL 5FR 6.90
CATHETER LEG STRAP 11.49
CATHETER PLUG 5.50
CATHETER STRAP 8.64
CATHETER URETHRAL 14FR ROBINSON 5.00
CATHETER URETHRAL ROBINSON 10FR 1.89
CATHETER URETHRAL ROBINSON 12FR 1.89
CATHETER URETHRAL ROBINSON 16FR 1.89
CATHETER URETHRAL ROBINSON 18FR 1.89
CATHETER, UMBILICAL VESSEL 32.34
CAUTERY - LECTROVAC 61.50
CAUTERY PENCIL 28.07
CAUTERY TIP CLEANER 5.00
CAUTERY TIP EXTENSION 8INCH 26.49
CAUTERY-HIGH TEMP CORDLESS 32.00
CAUTERY-LOW TEMP CORDLESS 38.52
CBC 94.59
CBC MANUAL DIFFRENTIAL 20.88
C-COLLAR ADULT ADJUSTABLE 31.32
C-COLLAR BABY NO NECK 33.36
C-COLLAR LOW CONTOUR LG FIRM DENSITY 8.64
C-COLLAR LOW CONTOUR LG MEDIUM DENSITY 8.64
C-COLLAR LOW CONTOUR MED FIRM DENSITY 8.64
C-COLLAR LOW CONTOUR MED MEDIUM DENSITY 8.64
C-COLLAR LOW CONTOUR SM FIRM DENSITY 8.64
C-COLLAR LOW CONTOUR SM MEDIUM DENSITY 8.64
C-COLLAR PED #2 18.78
C-COLLAR PEDIATRIC ADJUSTABLE 31.32
C-COLLAR PEDIATRIC MED DENSITY 21.90
C-COLLAR SERPENTINE LARGE 18.51
C-COLLAR SERPENTINE MEDIUM 18.51
C-COLLAR SERPENTINE SMALL 18.51
CCP ANTIBODY-11173 270.00
CD4 1,023.12
CEA 212.98
CEFAZOLIN I GM POWDER VIAL 6.59
CEFDINIR 300MG CAP 25.52
CEFEPIME 1 GM VIAL IV 23.10
CEFEPIME 2 GM VIAL 39.06
CEFOXITIN 2 GM VIAL 31.08
CEFTAROLINE 600 MG VIAL 681.69
CEFTAROLINE 600 MG VIAL 1,050.61
CEFTAZIDIME 1 GM VIAL 12.89
CEFTRIAXONE 1GM IVPB 8.98
CEFTRIAXONE 2 GM INJ 17.07
CEFTRIAXONE 500 MG / ML vial 5.69
CEFTRIAXONE PER 250MG INJ 5.50
CEFUROXIME 500 MG TAB 5.50
CELECOXIB 200 MG CAP 37.82
CELEXA (CITALOPRAM) LEVEL 341.00
CELIAC DISEASE PANEL 02 80.00
CELL COUNT PLEURAL FLUID 108.60
CELL COUNT-BODY FLUID (01) 43.00
CENTRAL LIN DRESS CHNG W/BIOPATCH 37.31
CENTRAL LINE PLACEMENT 5YRS OR OLDER 3,939.00
CENTRAL LINE PLACEMENT ER 3,939.00
CENTRAL LINE PLACEMENT ER 472.25
CENTRAL LINE TRI-LUMEN 366.69
CENTROMERE AB SCREEN 1 19.75
CENTURY 1400 LAL MATTRESS PER DAY 45.00
CEPHALEXIN 125MG/5ML (DOSE) 5.50
CEPHALEXIN 500 MG CAP 6.10
CERULOPLASMIN 79.50
CETACAINE SPRAY 14% - 2% - 2% (DOSE) 7.04
CETIRIZINE 10 MG TAB 12.10
CETIRIZINE 5 MG / 5 ML ELIXER 5.50
CEVIMELINE HCL 13.72
CHANGING/MAINTAINING POSITION CURRENT 0.01
CHANGING/MAINTAINING POSITION DISCHARGE 0.01
CHANGING/MAINTAINING POSITION GOAL 0.01
CHARCOAL 25 GM 5.50
CHARCOAL 25G PER DOSE 62.00
CHARCOAL W/SORBITOL 25 GM 5.50
CHEMICAL CAUTERIZATION GRANULATED TISSUE 585.00
CHEMILUMINESCENT ASSAY 393.51
CHEST DRAIN 131.25
CHEST DRAIN VALVE HEIMLICH 70.50
CHEST PHYSIOTHERAPY, EA ADD 89.13
CHEST PHYSIOTHERAPY, INITIAL 89.13
CHEST TUBE INSERTION ER 1,927.00
CHEST TUBE INSERTION ER 662.50
CHEST TUBE SET 321.00
CHEST XRAY 1 VIEW 248.48
CHEST XRAY 2 VIEW 248.48
CHEST XRAY 3 VIEW 248.48
CHEST XRAY 4 OR MORE VIEWS 457.84
CHEWABLE ASPIRIN 81 MG TAB (ASA) 5.50
CHILDRENS CHEWABLE VITAMIN 5.50
CHILEY TRACH TUBE SZ 5XLT CUFFED 344.58
CHLAMYDIA / GC DNA PROBE 227.24
CHLAMYDIA/APTIMA 156.82
CHLORAHEXADINE GLUCONATE 473 ML BOTTLE 8.90
CHLORAPREP 5.00
CHLORAPREP WITH TINT 22.80
CHLORASEPTIC SPRAY 180 ML BOTTLE 5.50
CHLORDIAZEPOXIDE 25 MG CAP 5.50
CHLORDIAZEPOXIDE 25MG TABS 5.50
CHLORDIAZEPOXIDE/CLIDINIUM 5.50
CHLORIDE 48.97
CHLORIDE-URINE 48.50
CHLOROQUINE 200MG TAB 14.59
CHLOROSEPTIC SPRAY 180ML 5.50
CHOLESTEROL-TOTAL 52.92
CHROMOSOME ANALYSIS 01 880.00
CHROMOSONE ALALYSIS 03 880.00
CHROMOSONE ANALYSIS 02 880.00
CI INHIBITOR FUNCTIONAL-297 203.25
CILASTATIN PER 250MG IV 167.84
CILOSTAZOL 100 MG 11.23
CINACALCET HCL 30 MG TAB 26.37
CIPRO 500 MG TAB 25.45
CIPRO IV PER 200 MG 5.50
CIPROFLOXACIN HYDROCHLORIDE OP SOLN 2.5M 69.25
CIRCUIT BIPAP VISION 20.13
CIRCUIT VENT ADULT ACTIVE NO WATER TRAP 79.80
CIRCUMCISION, USING CLAMP OR OTHER DEVIC 8,478.40
CITALOPRAM 20 MG TAB 13.44
CITRIC ACID 24HR URINE W/CREATININE 504.48
CK 80.40
CK-MB 131.15
CLARITHROMYCIN 125MG/5ML SUSP 13.37
CLARITHROMYCIN 500 MG TAB 30.62
CLAVICAL 349.47
CLAVICLE STRAP LG 18.24
CLAVICLE STRAP MED 18.24
CLAVICLE STRAP SM 18.24
CLAVICLE STRAP XL 18.24
CLAVICLE STRAP XS 18.24
CLEANSER ANTIMICROBIAL 5.94
CLINDAMYCIN 150 MG CAP 6.98
CLINDAMYCIN 300 MG CAP 6.48
CLINDAMYCIN 600MG/4ML VIAL FOR IVPB 5.50
CLINIMIX 5/15 % 1000 ML TPN BAG 271.32
CLINIMIX 5/15% 2000 ML TPN BAG 281.97
CLINIMIX 5/20% 2000 ML TPN BAG 275.59
CLINIMIX E 2.75/5 % 1000 ML TPN BAG 271.32
CLINIMIX E 4.25 / 5 % 1000 ML TPN BAG 242.08
CLINIMIX E 4.25/5 % 2000 ML TPN BAG 5.50
CLINIMIX E 5/20 % 1000 ML TPN BAG 271.32
CLINIMIX E 5/25 % 1000 ML TPN BAG 458.85
CLIPPER BLADE 12.21
CLO TEST 64.07
CLOATRIMAZOLE/BETAMETHASONE 1 % / 0.05 % 228.91
CLOBETASOL PROPINATE 0.05% 60GM TUBE 16.83
CLOBETASOL PROPIONATE 51,846.08
CLOG ZAPPER 88.50
CLONAZEPAM 0.5 MG ODT TAB 6.47
CLONAZEPAM 0.5MG 5.50
CLONAZEPAM 1 MG TAB 5.50
CLONIDINE 0.1 MG TAB 5.50
CLONIDINE 100 MCG 76.28
CLOPIDOGREL 75 MG TAB 33.99
CLORTIMAZOLE 15GM CREAM 5.50
CLOSED ET SUCTION W/T-PIECE 14FR BALLARD 46.59
CLOSED TRACH SUCTION W/T-PI BALLARD 14FR 39.54
CLOSED TX INTERPHALANG JOINT DISLOCATION 525.00
CLOSED TX INTERPHALANG JOINT DISLOCATION 883.75
CLOSED TX METACARPAL DISLOCATION 534.00
CLOSED TX METACARPAL DISLOCATION 883.75
CLOSTRIDIUM DIFF. TOXIN A 93.50
CLOSTRIDIUM TOXIN A/B 158.89
CLOTRIMAZOLE 10 MG LOZG 7.13
CLOTRIMAZOLE/BETHAMETHASONE 1-0.5%045GM 9.73
CMP COMP METOBOLIC PANEL 176.00
CMV IGG 111.36
CO2 ADAPTER NK 48.27
CO2 AIRWAY ADAPTER NK 35.42
CO2 NASAL ADAPTER NK 33.18
CODE BLUE CART 344.75
CO-ENZYME Q10 100 MG CAP 5.50
COFLEX TLC SYSTEM 32.22
COHESIVE BANDAGE STERILE 3X5YD 6.09
COHESIVE BANDAGE STERILE 4X5YD 7.86
COLCHICINE 0.6 MG TAB 29.04
COLD BIOPSY 170.85
COLD PACK INSTANT 1.65
COLLAGENASE 30GM OINTMENT 45.06
COLLECTOR FMS W/FILTER 18.60
COLLECTOR OSTOMY DRAINABLE POUCH 45MM 5.00
COLLES SPLINT LEFT LARGE 11.64
COLLES SPLINT LEFT MEDIUM 11.64
COLLES SPLINT LEFT SMALL 11.64
COLLES SPLINT LEFT X-SMALL 11.64
COLLES SPLINT RIGHT LARGE 11.64
COLLES SPLINT RIGHT MEDIUM 11.64
COLLES SPLINT RIGHT SMALL 11.64
COLLES SPLINT RIGHT X-SMALL 11.64
COLONOSCOPY FLX ABLATION TUMOR POLYP OT 4,388.00
COLONOSCOPY W/BAND LIGATION HEMORRHOIDS 4,388.00
COLONOSCOPY W/BIOPSY 4,388.00
COLONOSCOPY W/HOT BIOPSY 4,388.00
COLONOSCOPY W/SNARE 4,388.00
COLONSCOPY DIAGNOSTIC 3,338.35
COLOSTOMY ONE PIECE CUT TO FIT POUCH 5.00
COLOSTOMY POUCH 45MM DRAINABLE SPOUT 8.73
COLOSTOMY POUCH 70MM W/FILTER 5.00
COLOSTOMY RING 2.0MM MOLDABLE 97.83
COLOSTOMY RING 4.2 MM MOLDABLE 11.76
COLOSTOMY WAFER DURAHESIVE 45MM 8.85
COLOSTOMY WAFER DURAHESIVE 70MM 10.71
COLPOCLEISIS (LE FORT TYPE) 20,559.05
COMBITUBE 45.12
COMBIVENT INH 14.7GM 88.11
COMMON BILE DUCT EXP SET 2,102.73
COMMUNITY/WORK REINTEGRATION TRNG EA15MI 75.00
COMP C3 C4 262.35
COMPATIBILITY TEST AHG 160.27
COMPATIBILITY TEST INCUBATING 114.12
COMPATIBILITY TEST IS 177.39
CONNECTING TUBE 6 FT 5.50
CONNECTOR TUBING 5 IN 1 5.50
CONNECTOR VENT OMNIFLEX 2.04
CONS SEDATION <5YRS 1ST 15MINS SAME PHYS 265.00
CONS SEDATION 5/>YRS 1ST 15MINS SAME PHY 165.00
CONS SEDATION EACH ADD 15MIN SAME PHYS 66.45
CONS SEDATION OTHER PHY EA ADD 15 MIN 111.00
CONS SEDATION OTHER PHY INIT 15MIN <5YR 304.40
CONS SEDATION OTHER PHY INIT 15MIN 5>YR 204.40
CONTINUOUS PASSIVE MOTION DEVICE PER DAY 16.62
CONTRAST ISOVUE 200 38.70
CONTRAST ISOVUE 370 5.85
CONTRAST ISOVUE-300 100 ML IV BOTTLE 5.50
CONTRAST LOW OSMOLAR 400 OR > ML PER ML 15.40
CONTRAST VISIPAQUE 320 6.66
COPPER-SERUM 241.95
CORR HALLUX VALGUS W/SESMDC W/1METAR MED 26,107.85
CORRECTION HAMMERTOE 12,191.20
CORRUGATED TUBING 5.50
CORTICOTROPIN RELEASING HORMONE-36589 677.25
CORTISOL, FREE, 24 HR 152.80
CORTISOL, FREE, SERUM 66.00
CORTISOL-SERUM AM OR PM 108.00
CORTISOL-SERUM, RANDOM 129.99
COVER HIP ABDUCTION WEDGE PILLOW 89.25
C-PAP DAILY RENTAL UHS 6.36
CPM PADDING 109.08
CPR PER EVERY 15 MINUTES ER 734.40
CPR PER EVERY 15 MINUTES ER 940.75
CRE 10-11-12mm Fixed Wire Dilation Ballo 598.50
CRE 12-13.5-15mm Fixed Wire Dilation Bal 598.50
CRE 15-16.5-18mm Fixed Wire Dilation Bal 598.50
CRE 18-19-20 Fixed Wire Dilation Balloon 598.50
CRE 8-9-10mm Fixed Wire Dilation Balloon 598.50
C-REACTIVE PROTEIN 69.70
C-REACTIVE PROTEIN/CARDIAC 165.00
CREATININE CLEARANCE 141.52
CREATININE SERUM 58.69
CREATININE-URINE 87.00
CRITICAL CARE 1ST 30 TO 74 MINUTES 1,547.21
CRITICAL CARE 1ST 30-74 MIN PROVIDER 787.00
CRITICAL CARE EACH ADDITIONAL 30 MIN 345.42
CRITICAL CARE EACH ADDL 30MIN PROVIDER 352.25
CRIXIVAN 7.60
CRNA SERVICES - ANESTHESIA PER UNIT 49.25
CRUTCHES MEDIUM 36.63
CRUTCHES CHILD 36.63
CRUTCHES TALL 36.63
CRUTCHES YOUTH 36.63
CRYSTAL EXAM JOINT FLUID 213.90
C-SPINE 1V SPECIFY LEVEL 134.40
C-SPINE 2V OR 3V 349.21
C-SPINE 4V OR 5V 495.95
CT ABD W/ & W/O CONTRAST 2,137.72
CT ABD W/ CONTRAST 1,831.20
CT ABD W/O CONTRAST 1,697.83
CT ABD/PELVIS W/ & W/O CONTRAST 2,358.52
CT ABD/PELVIS W/ CONTRAST 2,358.52
CT ABD/PELVIS W/O CONTRAST 2,057.55
CT ADRENAL GLAND W-W/O CONTRAST 1,121.60
CT CHEST W/ & W/O CONTRAST 2,137.72
CT CHEST W/ CONTRAST 1,831.20
CT CHEST W/O CONTRAST 1,695.63
CT C-SPINE W/ & W/O CONTRAST 2,137.72
CT C-SPINE W/O CONTRAST 1,695.63
CT HEAD/BRAIN W/ & W/O CONTRAST 2,129.53
CT HEAD/BRAIN W/ CONTRAST 1,831.20
CT HEAD/BRAIN W/O CONTRAST 1,691.44
CT LOWER EXTREMITIES W/O CONTRAST 1,691.54
CT L-SPINE W/ & W/O CONTRAST 2,898.04
CT L-SPINE W/O CONTRAST 1,890.78
CT MAXILLOFACIAL W/ & W/O CONTRAST 2,035.92
CT MAXILLOFACIAL W/O CONTRAST 1,662.00
CT ORBIT W/ & W/O CONTRAST 2,137.72
CT ORBIT W/O CONTRAST 1,756.96
CT PELVIS W/ & W/O CONTRAST 2,155.37
CT PELVIS W/O CONTRAST 1,600.10
CT SOFT TISSUE NECK W/ & W/O CONTRAST 2,475.96
CT SOFT TISSUE NECK W/O CONTRAST 1,695.63
CT T-SPINE W/ & W/O CONTRAST 2,389.25
CT T-SPINE W/O CONTRAST 1,695.63
CT UPPER EXTREMITY W/O CONTRAST 1,551.03
CULTURE - AEROBIC 42.25
CULTURE - ANAEROBIC 190.24
CULTURE - BLOOD 168.99
CULTURE - E. COLI 0157 155.25
CULTURE - FUNGUS 174.00
CULTURE - NP 141.96
CULTURE - ROUTINE 84.75
CULTURE - SPUTUM/RESPIRATORY (01) 42.25
CULTURE - STOOL (01) 129.86
CULTURE - STOOL (02) 60.77
CULTURE - THROAT 84.75
CULTURE - URINE 109.90
CULTURE FUNGAL - 01 16.50
CULTURE FUNGAL - 02 16.50
CULTURE FUNGAL - 03 16.50
CULTURE FUNGAL (01) NOT H,S,B 15.40
CULTURE FUNGAL(02) NOT H,S,B 15.40
CULTURE FUNGAL(03) NOT H,S,B 15.40
CULTURE FUNGAL(04) NOT H,S,B 15.40
CULTURE FUNGAL(05) NOT H,S,B 15.40
CULTURE FUNGAL(06) NOT H,S,B 15.40
CULTURE STREP A 44.00
CULTURE YEAST/ID (01) 63.75
CULTURE, GENITAL 72.50
CULTURE, HERPES SIMPLEX WITH TYPING 191.88
CULTURE, TUBERCLE OR OTHER BACILLI 200.52
CULTURE, YEAST/ID 02 63.75
CULTURE, YEAST/ID 03 63.75
CULTURE, YEAST/ID 04 63.75
CURETTE 4MM DISP 5.00
CURETTE DERMAL 7MM DISP 6.33
CURLIN TUBING/PCA PUMP 36.12
CUSTOM TPN 2000 ML PREMIX 518.70
CUSTOM TPN 4.25%/10% L BAG 458.85
CUSTOM TPN 5%/25% L BAG 458.85
CV CATH KIT MULTI LUMEN 434.25
CVAD DECLOTTING 807.00
CVAD/PICC BLOOD COLLECTION 61.38
CYANOCOBALAMIN 1000 MCG INJ 43.61
CYCLOBENZAPRINE 10 MG TAB 6.04
CYCLOPENTOLATE HCL 79.67
CYCLOSPORIN OPTH 0.05% 0.4 ML AMP 1,016.60
CYCLOSPORINE LEVEL 75.69
CYSTIC FIBROSIS SCREEN 3,600.00
CYSTIC FIBROSIS SCREEN 5.00
CYSTIC FIBROSIS SCREEN 5.00
CYSTIC FIBROSIS SCREEN 5.00
CYSTIC FIBROSIS SCREEN 5.00
CYSTIC FIBROSIS SCREEN 5.00
CYSTOURETHROSCOPY 2,369.00
CYTOCHROME P450 SD6 GENO-FAM2-SUBFAM-D 621.00
CYTOPATH FLUIDS, NONGYN SMEARS 103.89
CYTOPATH, CONCENTRATION, SMEARS 126.63
D5 1/2 NS 1000 ML IV BAG 146.20
D5 1/2 NS WITH 20 KCL1000 ML 149.04
D5 1/2 NS WITH 40 KCL 1000 ML 149.04
D5 LR 1000 ML BAG 5.50
D5 NS 1000 ML 146.20
D5 NS W 20KCL 1000ML 4.71
D5 NS W 40 KCL 1000ML 20.06
D5 W 40 KCL 1000ML 4.70
D5W 100 ML IV BAG 5.50
D5W 1000 ML 5.50
D5W 250ML 5.00
DAILY BED ALARM (1 PER DAY) 33.00
DANTRIUM 20 MG POWDER VIAL 530.78
DANTRIUM/DANTROLENE 20MG 0.00
DAPTOMYCIN IV PER 500 MG 2,667.55
DARBEPOETIN ALFA 100 MCG / 1 ML INJ 4,634.71
DARCO HEEL WEDGE SHOE LG 75.27
DARCO HEEL WEDGE SHOE SM 75.27
DARCO HEEL WEDGE SHOE XL 75.27
DARCO HEEL WEDGE SHOE XS 75.27
DARCO HEEL WEDGE SHOW MD 75.27
DASATINIB 100 MG TAB 1,604.70
D-DIMER 165.00
D-DIMER (SEND OUT ONLY) 227.22
DEBRIDE BONE EACH ADDITIONAL 20CM 388.32
DEBRIDE BONE FIRST 20CM 2,563.64
DEBRIDE DEVITALIZED TISSUE ADD 20CM 240.00
DEBRIDE DEVITALIZED TISSUE FIRST 20CM 585.00
DEBRIDE MUSCLE/FASCIA EA ADDITIONAL 20CM 217.72
DEBRIDE MUSCLE/FASCIA FIRST 20CM 1,099.24
DEBRIDE SUBQ TISSUE EACH ADDITIONAL 20CM 240.00
DEBRIDE SUBQ TISSUE FIRST 20CM 1,099.24
DEBRIDE/REMOVE ECZEMATOUS TISSUE 1ST 10% 1,099.24
DEBRIDE/REMOVE ECZEMATOUS TISSUE ADD 10% 240.00
DEBRISOFT WOUND LOLLY 36.39
DECALCIFICATION 18.24
DECLOGGER BLUE ENTERAL FEEDING 14.61
DECLOGGER BROWN ENTERAL FEEDING TUBE 14.61
DECLOGGER GREEN ENTERAL FEEDING TUBE 14.61
DECLOGGER ORANGE ENTERAL FEEDING 14.61
DECLOGGER YELLOW ENTERAL FEEDING TUBE 14.61
DEFIB PAD, MULTI, ADULT 43.59
DEFIB PAD, MULTI, PED 60.69
DEFIBRILLATION PADS 13.75
DEFIBRILLATION PADS (QUICK PACE) 141.50
DEFIBRILLATION/CARDIOVERSION ER 1,085.31
DEFIBRILLATION/CARDIOVERSION ER 967.75
DELSYM 30MG/5ML 5.50
DELTA AMINOLEVULINIC ACID 24HR URINE 349.35
DEMECLOCYCLINE HCL 150 MG TAB 32.13
DEMEROL 100MG INJ 34.49
DEMEROL/MEPERIDINE 75MG/ML 34.49
DEPAKOTE (VALPROIC ACID) 143.40
DEPO MEDROL 40MG 10.05
DEPO-MEDROL 40 MG INJ 31.10
DEPO-MEDROL 80MG INJ 109.83
DERMABOND 86.25
DERMPLAST/BENZOCAIN-MENTHOL 20-0.5% 5.50
DESITIN 16 OZ TUBE 5.50
DESITIN 4 OZ TUBE 9.40
DESMOPRESSIN 0.2 MG TAB 74.37
DETEMIR INSULIN PER 5 UNITS 87.95
DEVELOP COG SKILLS DIRECT CONTACT DAILY 75.00
DEXAMETHASONE 10MG/ML IV 6.49
DEXAMETHASONE 4 MG TAB 6.01
DEXAMETHASONE PER 1MG 13.17
DEXAMETHASONE SUPRESSION TEST 278.40
DEXAMETHASONE/DECADRON 0.5MG/5ML 5.50
DEXROSE 10 % / WATER [ 250 ML ] 5.50
DEXTROSE 5% NS W/40MEQ POTASSIUM 17.12
DEXTROSE 5% W/20MEQ POTASSIUM 5.50
DEXTROSE 5% W/40MEQ POTASSIUM 17.12
DEXTROSE 5%LR W/20MEQ POTASSIUM 17.12
DEXTROSE 500 ML GLASS 163.36
DEXTROSE(PEDI)/D 25% 5.50
DEXTROSE/WATER 50% ML SYRINGE 5.50
DHEA 122.00
DHEA-S 149.62
DIAGNOSTIC LAPAROSCOPY 13,815.00
DIAPER DISP ADULT EXTRA LARGE 5.00
DIAPER DISP ADULT LARGE 5.00
DIAZEPAM (VALIUM) LEVEL 298.05
DIAZEPAM 10 MG TAB 6.50
DIAZEPAM 5 MG INJ 163.77
DIAZEPAM 5 MG TAB 5.50
DICLOFENAC 1% TOPICAL GEL 36.54
DICYCLOMINE 10 MG CAP 5.50
DICYCLOMINE 20MG TAB (BENTYL) 5.50
DICYCLOMINE UP TO 20 MG (BENTYL) 57.75
DIFLUCAN 200MG 55.50
DIG THERMOMETER DISPOSABLE 13.50
DIGOXIN 0.125MG TAB 8.41
DIGOXIN 0.25 MG TAB 51.07
DIGOXIN 0.5MG/2ML INJ 37,300.25
DIGOXIN LEVEL 106.23
DILANTIN/PHENYTION SUSP 100MG/4ML 5.50
DILANTIN-LEVEL 119.99
DILTIAZEM 120 MG 14.39
DILTIAZEM 180 MG 5.50
DILTIAZEM 5MG/ML IV 5.50
DILTIAZEM CD 300MG TAB 21.65
DILTIAZEM ER 120 MG 12.21
DILTIAZEM ER 120 MG 12.21
DILTIAZEM HCL 30MG TAB 5.50
DIMETAPP ELIZIR (DOSE) 5.50
DIPHENHYDRAMINE 25 MG TAB 5.50
DIPHENHYDRAMINE 50MG/ML INJ 16.47
DIPHENHYDRAMINE ELIXIR (DOSE) 15.57
DIPHENOXYLATE/ATROPINE 2.5/0.025MG 5.50
DIPHENOXYLATE/ATROPINE TAB (LOMOTIL) 5.50
DIRECT COOMBS 77.00
DISOPYRAMIDE 278.40
DISPOSABLE BITE BLOCK 5.00
DISPOSABLE LARYNGOSCOPE 12.12
DISPOSABLE SCISSOR TIP 688.74
DIVALPROEX ACID 250 MG 8.79
DOBHOFF 12FR FEEDING TUBE 37.20
DOBUTAMINE PER 250MG 5.50
DOCUSATE SODIUM 100 MG CAP 5.50
DOCUSATE SODIUM 150MG/10ML SUSP 5.50
DONEPEZIL 10 MG TAB 5.50
DONEPEZIL 5 MG TAB 38.84
DONNATAL ELIXIR (DOSE) 5.50
DOPAMINE HCL 40 MG 5.50
DOXAZOSIN 2 MG TAB 5.50
DOXEPIN 25 MG CAP 21.99
DOXEPIN 50 MG CAP 5.83
DOXERCALCIFEROL 2 MCG / ML INJ VIAL 24.46
DOXYCYCLINE 100 MG INJ 144.67
DOXYCYCLINN 100 MG CAP 27.88
DRAIN JACKSON-PRATT ROUND 19FR 37.17
DRAINAGE BAG 10.50
DRESS-DUIDERM XTRA THIN 4X6 10.68
DRESS-DUODERM BORDER 4X4 10.71
DRESS-DUODERM TAPER EDGE 5.5X5.5 17.52
DRESS-DUODERM XTRA THIN 3X3 6.27
DRESS-DUODERM XTRA THIN 4X4 6.00
DRESS-HYDROCOLLOID 4X4 3/4 8.46
DRESSING 4X8 9.12
DRESSING ACTICOAT AG 4X4 33.03
DRESSING ADAPTIC NON-ADHERING 3X3 5.00
DRESSING ALGISITE M 4X4 CA W/O SILVER 22.47
DRESSING ALLEVYN TRACH NON-ADHESIVE 10.17
DRESSING AQUACEL AG 3.5INx10IN 157.83
DRESSING AQUACEL AG 3.5X6 95.31
DRESSING AQUACEL AG 4X4 35.34
DRESSING AQUACEL FOAM NON-ADHESIVE 10X10 52.68
DRESSING AQUACELL AG 0.39INX18IN 37.56
DRESSING AQUACELL AG 0.75INX18IN 37.56
DRESSING AQUACELL AG 6X6 94.50
DRESSING BIATAIN SILICON 5X5 18.87
DRESSING CALCIUM ALGINATE W/SILVER 23.85
DRESSING CHANGE KIT 41.70
DRESSING DERMAGEL 4X4 21.16
DRESSING ENLUXTRA 4X4 HUMIFIBER 32.01
DRESSING EXUDERM SATIN 4X4 9.28
DRESSING EXU-DRY 6X9 8.70
DRESSING FIBRACOL PLUS 4X4 3/8 21.15
DRESSING FOR PORT 8.64
DRESSING GAUZE 2X2 STERILE 5.00
DRESSING HYDROCELLULAR 2X2 7.68
DRESSING HYDROFERA BLUE 2.5 X 2.5 45.15
DRESSING HYDROGEL W/SILVER 5X5 38.73
DRESSING INTERDRY 10INX144IN 1-12INCHES 18.00
DRESSING INTERDRY 10INX144IN 12-24INCHES 36.00
DRESSING IODOFLEX 1 1/2 X 2 3/8 37.95
DRESSING IV3000 CENTRAL LINE 4X4.75 5.00
DRESSING IV3000 PORITED 3.5X4.75 5.00
DRESSING IV3000 PORTED 3.5X.75 5.00
DRESSING MAXORB AG 4X4.75 21.48
DRESSING MAXORB AG ROPE 1X12 18.93
DRESSING MAXORB II 4X4 6.27
DRESSING MAXORB II ROPE 1X2 7.02
DRESSING MEDIHONEY 4X5 34.50
DRESSING MEPILEX AG BORDER 4IN x 10IN 125.85
DRESSING MEPILEX AG BORDER 4X4 41.88
DRESSING MEPILEX AG SILICONE 8X8 179.52
DRESSING MEPILEX AG TRANSFER 4X5 70.08
DRESSING MEPILEX AG TRANSFER 6X8 78.57
DRESSING MEPILEX BORDER 6IN X 6IN 22.80
DRESSING MEPILEX SACRUM 18CM 29.13
DRESSING MEPILEX SACRUM 23CM 75.63
DRESSING MEPILEX SOFT FOAM 4X4 22.88
DRESSING MEPILEX SOFT FOAM 6X6 40.68
DRESSING MEPILEX THIN 3X3 8.88
DRESSING MEPITEL ONE 4X7 28.17
DRESSING MEPITEL ONE 4X7 28.17
DRESSING MEPLIX 4X4 BORDER 13.44
DRESSING MEPLIX 4X4 BORDER 13.44
DRESSING MESALT 4X4 5.00
DRESSING OPTICEL 0.75X18 33.09
DRESSING OPTIFOAM AG 4X4 BORDER 25.08
DRESSING OPTIFOAM AG 6X6 47.49
DRESSING OPTIFOAM AG GENTLE 4X4 BORDER 27.09
DRESSING OPTIFOAM BASIC 3X3 4.80
DRESSING OPTIFOAM BASIC TRACH 3X3 5.28
DRESSING OPTIFOAM BORDER 4X4 9.00
DRESSING OPTIFOAM BORDER 4X4 9.60
DRESSING OPTIFOAM BORDER 6X6 15.24
DRESSING OPTIFOAM BORDER 6X6 17.04
DRESSING OPTIFOAM HEEL 23.76
DRESSING OPTIFOAM LITE 4X4 8.67
DRESSING OPTIFOAM LITE 6X6 BORDER GENTLE 16.11
DRESSING OPTIFOAM SACRUM 7X7 18.63
DRESSING OPTIFOAM SACRUM 9X9 29.28
DRESSING OPTIFOAM SACRUM LIQUITRAP 7X7 19.29
DRESSING OPTILOCK 4X4 12.84
DRESSING PROMOGRAN MATRIX 4.34 SQ IN 20.82
DRESSING PROMOGRAN PRISMA MATRIX 19.1SQI 73.20
DRESSING PROMOGRAN PRISMA MATRIX 4.75 IN 27.48
DRESSING PURACOL PLUS AG 4X4 91.08
DRESSING PURACOL PLUS AG 4X4 87.60
DRESSING SILVERLOIN PACKING STRIP 1X12 36.15
DRESSING SURESITE 2.4X2.8 5.00
DRESSING SURESITE 4X4.8 5.00
DRESSING SURESITE 8X12 5.58
DRESSING TRIACT 4X5 36.93
DRESSING ULCER TEGASORB 7.26
DRESSING, ALLEVYN 3X3 BORDER GENTLY 8.49
DRESSING/DEBRIDE PART THICK BURN LARGE 585.00
DRESSING/DEBRIDE PART THICK BURN MEDIUM 585.00
DRESSING/DEBRIDE PART THICK BURN SMALL 585.00
DRESSING; AMD 3X5X3, FOAM BORDER 18.54
DRESSING; AMD 4X4, COPA 15.27
DRESSING; AQUACEL AG EXTRA 4X5 31.86
DRESSING; XEROFORM 1X8 1.14
DRESSING; XEROFORM 5X9 2.04
DRESS-REPLICARE HYDROCOLLOID 4X4 9.69
DRESS-REPLICARE HYDROCOLLOID 6X6 23.16
DRILL BIT 1.9MM CANNULATED 1,347.00
DRILL, CANNULATED 2.7MM AO FITTING 1,445.00
DRONABINOL 2.5 MG GELCAP 5.50
DRUG ABUSE PANEL WITH ETHANOL 159.96
DRUG LEVEL 547.65
DRUG SCREEN - PANEL 10 66.00
DRUG SCREEN - SERUM (X5) 64.50
DRUG SCREEN 9 SERUM(X9) 207.45
DRUG SCREEN HYDROCODONE-SERUM 300.00
DRUG SCREEN OXYCODONE (SERUM) 213.30
DULOXETINE 20 MG CAP 8.72
DULOXETINE 30 MG CAP 29.57
DUODERM BANDAGE 2 X 4 14.25
DUODERM THIN DRESSING 21.50
DUONEB 5.50
DUPLEX SCAN ARTERIAL FLOW COMPLETE 903.64
DUPLEX SCAN ARTERIAL FLOW LIMITED 450.92
DUPLEX SCAN VASCULAR COMPLETE 903.64
DUPLEX SCAN VASCULAR UNILATERAL/LIMITED 450.92
DURAGESIC PATCH 25MG 258.45
DURAGESIC PATCH 50MG 472.52
DURAMORPH PER 10MG/ML 36.48
DURAPREP 13.20
DUTASTERIDE 0.5 MG TAB 60.36
EAKIN SEAL 2INX48MM COHESIVE BARRIER 11.46
EAR CURETTE 5.00
EAR WAX REMOVAL/CARBAMID PEROXIDE 6.5% 5.50
EAR WICK 7.25
EASI LAV 209.00
EASY CAP II C02 DETECTOR ADULT 35.50
EB VIRUS AB SCREEN 150.75
EBV IGG 150.75
EBV IGM 150.75
EBV PANEL 01 67.14
ECG TRANSTHORACIC COMPLETE W/SPEC-COLOR 1,798.72
ECG TRANSTHORACIC REST/STRESS TEST 1,798.72
ECHO COMPLETE 1,798.72
ECHO LIMITED 903.64
ECOLI SHIGA TOXIN 154.50
EDROPHONIUM CL 10MG/ML IV 33.36
EES GRAN 200/MG//ERYTHROMYCIN//E-MYCIN 22.53
EGD DIAGNOSTIC 3,498.95
EGD W/ BIOPSY 3,498.95
EGD W/DILATION 6,674.15
EGD W/HOT BIOPSY 6,674.15
EGD W/PLACEMENT GASTROSTOMY TUBE 6,674.15
EGD W/REMOVAL FOREIGN BODY 3,498.95
EGD W/SNARE 6,674.15
EKG, WITHOUT INTERPRETATION 93005 204.25
ELBOW / HEEL PROTECTOR LG 8.75
ELBOW 2V 291.98
ELBOW COMPLETE 3V 150.00
ELECTRIC STIM UNATTENDED 55.00
ELECTRODE-4 PACK/ROUND 2INCH 12.00
ELECTRODES (ADULT) 5.50
ELECTROLYTES 158.00
ELETRIPTAN 40MG TAB 88.36
ELTA SILVERGEL 1.5OZ ANTIMICRO WOUND GEL 37.05
EMERGENCY CRICOTHYROTHOMY SET 330.00
EMERGENCY ENT TRAY 82.50
EMERGENCY EYE TRAY 38.50
EMLA CREAM (DOSE) 9.90
ENALAPRIL 10 MG TAB 8.09
ENALIPRIL 1.25 MG/ML INJ 18.42
ENALIPRIL 5 MG TAB 7.71
ENCLOSURE BED UHS DAILY RENTAL 120.00
ENDO ANTI-FOG FOG1001 5.25
ENDO CATCH 10MM ECATCH10G 715.14
ENDO LG CATERPILLAR BRUSH / CAT-1 6.48
ENDO SHEAR AUTOSUTURE 709.08
ENDO TUBE HOLDER THOMAS ADULT 10.50
ENDO-CLOSE 326.00
ENDOPACK EPI-5 G 5.67
ENDOSCOPE BEDSIDE PRE-WASH KIT/EP-3 1.18
ENDOSCOPIC IRRIGATION BOTTLE 30.60
ENDOSCOPIC LIGACLIP APPLIER ER320 296.40
ENDOTRACH TUBES CRNA MEDICARE 6.00
ENDOTRACHEAL TUBE EXCHANGER 2.0 22.26
ENDOTRACHEAL TUBE EXCHANGER 6.0 31.38
ENEMA BUCKET 5.50
ENEMA SALINE 5.50
ENEMA WITH SALINE 5.50
ENOXAPARIN 100MG/ML 89.82
ENOXAPARIN 30MG/ML 445.17
ENOXAPARIN 40MG/0.4ML 14.92
ENOXAPARIN 60MG/ML 89.82
ENOXAPARIN 80MG/ML 89.82
ENT PACK CUSTOM 102.75
ENTERAL PISTON SYRINGE 5.00
ENTEROVIRUS C&S 828.54
EPHEDRINE 50MG / ml AMP 64.95
EPIDIDYMECTOMY UNILATERAL 8,223.30
EPIDURAL ANES TRAY 39.75
EPIDURAL NEEDLE BRAUN TUSHY 20 25.80
EPIDURAL SAFETY TRAY 18G TUOHY NEEDLE 33.80
EPIDUROGRAPHY 263.00
EPIMED BLUNT NERVE BLOCK 41.25
EPIMED BREVI-XL MINI KIT 277.41
EPIMED COUDE BLUNT NEEDLE 20 44.55
EPIMED COUDE BLUNT NERVE 22 41.25
EPIMED COUDE DAY NEEDLE 20 34.65
EPIMED COUDE EPIDURAL NEEDLE 14 132.00
EPIMED COUDE EPIDURAL NEEDLE 16 44.55
EPIMED DOUBLE EXT ON CATH SET 231.18
EPIMED DOUBLE NELSON EXT SET 22.50
EPIMED STEALTH COUDE 20 44.55
EPIMED STEALTH COUDE 22 41.25
EPINEPHRINE 1:1000 30ML 5.50
EPINEPHRINE 1MG/10ML IV 35.93
EPINEPHRINE 1MG/ML AMP IV 12.57
EPIPEN/EPINEPHRINE 0.3MG/ML 0.00
EPIVIR/IAM VUDINE 150M/3ML 40.75
EPLERENONE 25 MG TAB 14.71
EPOTEIN 40,000 UNIT (PROCRIT) INJECTION 6,160.82
EPSTIEN -BARR NUCLEAR ANTIGEN 108.78
EPTIFIBATIDE 0.75MG/ML IV 3,257.77
EPTIFIBATIDE 2MG/ML IV 104.10
ER FACILITY LEVEL I 173.16
ER FACILITY LEVEL II 256.14
ER FACILITY LEVEL III 445.75
ER FACILITY LEVEL IV 761.96
ER FACILITY LEVEL V 1,259.18
ER PROVIDER LEVEL I 68.75
ER PROVIDER LEVEL II 102.75
ER PROVIDER LEVEL III 145.25
ER PROVIDER LEVEL IV 291.00
ER PROVIDER LEVEL V 438.25
ERGOCALCOFEROL 1.25 MG CAP 35.99
ERLICHIA IGA 244.25
ERLICHIA IGG 244.25
ERTAPENEM PER 500 MG IV 770.42
ERYTHROMYCIN 250MG TAB 44.06
ERYTHROMYCIN OPTH OINT 12.39
ERYTHROMYCIN/SULFISOXAZOLE 200MG/600MG/5 22.53
ESCITALOPRAM 10 MG TAB 21.86
ESCITALOPRAM 10MG TAB 12.68
ESMARK BANDAGE 6X12 9.93
ESMOLOL 100 MG / 10 ML VIAL 10.18
ESOMEPRAZOLE MAG 40MG IV 122.60
ESOMEPRAZOLE MAGNESIUM 40MG TAB 23.48
ESOPHAGEAL DILATOR 375.00
ESTABLISHED PATIENT VISIT LEVEL 1 200.00
ESTABLISHED PATIENT VISIT LEVEL 2 300.00
ESTABLISHED PATIENT VISIT LEVEL 3 400.00
ESTABLISHED PATIENT VISIT LEVEL 4 500.00
ESTABLISHED PATIENT VISIT LEVEL 5 600.00
E-STIM ATTENDED 78.78
ESTIM ELECTRODE 11.00
ESTRADIOL 199.02
ESTRADIOL 0.1MG PATCH 54.75
ESTRADIOL 0.5 MG TAB 5.50
ESTRIOL 385.86
ESTROGEN - SERUM 181.50
ET TUBE HOLDER NEONATAL TRANSPORT 28.86
ETHANOL BLOOD 170.82
ETOMIDATE 2MG/ML IV 37.25
EUCERIN CREAM 16 OZ JAR 49.24
EVACUATION HEMATOMA SUBUNGUAL 162.72
EVACUATION HEMATOMA SUBUNGUAL 162.72
EVAL ORAL/PHARYNGEAL SWALLOWING FUNCTION 270.00
EVAL SPEECH SOUND PRODUCTION W/LANGUAGE 270.00
EVALUATION OF SPEECH FLUENCY 270.00
EVALUATION OF SPEECH SOUND PRODUCTION 270.00
EVOLUTION PULSATE BED AND MATTRESS 132.48
EVOLUTION PULSATE MATTRESS ONLY 51.84
EX MAL LESION F/E/E/N/L 0.6-1.0CM 2,864.25
EX MAL LESION; TRUNK/ARMS/LEGS >4CM 6,740.15
EXC B9 LESION MRGN XCP SK TG T/A/L 2.1-3 2,864.25
EXC BENIGN LES MRGN EX SKIN TAG->4.0CM 6,740.15
EXC BENIGN LES, MRGN EXC SKIN TAG 6,740.15
EXC BENIGN LESION F/E/E/N/L 0.6-1.0CM 2,695.55
EXC BENIGN LESION F/E/E/N/L 1.1-2.0 CM 2,695.55
EXC BENIGN LESION MARGIN XCP SK TG S/N/H 6,183.10
EXC BENIGN LESION T/A/L 0.5CM OR LESS 2,695.55
EXC LESION TONGUE W/CLOSURE ANT 2 THIRD 10,868.45
EXC OF BEN OR MAL TUMOR, BREAST, MALE 13,639.20
EXC, BENIGN LES, 2.1-3 CM-F/E/EL/N/L/M 6,740.15
EXCISE, BENIGN SKIN LESION, F/E/EYELIDS/ 6,740.20
EXCISION GANGLION CYST 6,087.10
EYE BAG 14.40
EYE PADS-SMALL 5.50
EYE SHIELD ALUMINUM 5.00
EYE WASH 120ML 5.50
EYTHROPOIETIN 164.07
EZETIMIBE 10 MG TAB 61.85
EZPAP POSITIVE PRESSURE AIRWAY SYSTEM 82.83
FACIAL BONES COMPLETE MIN 3V 204.75
FACTOR V LEIDEN (05) 196.50
FACTOR V LEIDEN MUTATION ANALYSIS 576.54
FACTOR VII (PROCONVERTIN) 102.25
FACTOR VIII ACTIVITY 220.50
FAMOTIDINE 20 MG TAB 5.50
FAMOTIDINE 20MG / 2ML 5.50
FAN, SINGLE PATIENT USE 44.04
FEBUXOSTST 40 MG TAB 9.23
FECAL COLLECTION POUCH LARGE 17.94
FECAL FATS QUALITATIVE 66.33
FECAL LEUKOCYTES 65.36
FECAL MANAGEMENT SYSTEM BAG 26.13
FECAL MANAGEMENT SYSTEM KIT 821.64
FEEDING TUBE 6.50
FEMALE CATH KIT 6.50
FEMUR 2V 331.68
FENOFIBRATE 145 MG TAB 25.70
FENOFIBRATE 160 MG TAB 35.58
FENTANYL 12 MCG PATCH 37.95
FENTANYL 150 MCG / 2 ML 1 VIAL INJ 8,742.48
FENTANYL CITRATE 50 MCG / ML IV 5.50
FERRITIN 99.26
FERRLECIT/NA FERRIC GLUE CPLX 12.5MG/ML 38.08
FERROUS SULFATE 325 MG 5.50
FERROUS SULFATE/FERROUS-220MG/5ML 5.50
FEXOFENADINE 60 MG TAB 7.56
FIBERCON TAB 5.50
FIBERLOOP 4-0 150.00
FIBERWIRE 2-0 66.00
FIBERWIRE 4-0 66.00
FIBRIN SPLIT PRODUCT 191.85
FIBRINOGEN 174.71
FILTER 5 MICRON INLINE 5.82
FILTER BACTERIAL/VIRAL 2.01
FILTER EXPIRATORY 36.24
FINASTERIDE 5 MG TAB 15.60
FINGER SPLINT 4 PRONG 57.63
FINGER SPLINT 4 PRONG LARGE 5.00
FINGER SPLINT 4 PRONG MEDIUM 5.00
FINGER SPLINT 4 PRONG SMALL 5.00
FINGER(S) MINIMUM 2V 242.78
FINGOLIMOD 0.5 MG CAP 3,136.54
FIORICET/APAP/BUTAL/CAF 325/50/40 8.42
FIRST DEGREE BURN(S)-INITIAL TREATMENT 243.32
FISH OIL 1050 MG CAP 5.50
FISTULA FUNNEL 255.00
FISTULA ISOLATER STRIP 270.00
FISTULA MAX WOUND MANAGEMENT SYSTEM 559.80
FISTULA MID WOUND MANAGEMENT SYSTEM 535.98
FISTULA MINI WOUND MANAGEMENT SYSTEM 327.75
FISTULA WOUND CROWN 210.00
FLATUS BAGS 5.50
FLECAINIDE ACETATE 50 MG TAB 20.22
FLEETS PHOSPHO-SODA ORAL (DOSE) 8.96
FLEX ENDO EVAL OF SWALLOW BY CINE OR VID 270.00
FLEX ENDO EVAL SWALL/LARYN SENSORY TEST 270.00
FLEX RPF2 BARI PLATFORM BED 299.70
FLORANEX TAB 5.50
FLORASTOR 250MG CAP 5.50
FLOURESCIEN STRIPS 5.00
FLOVENT/FLUTICASONE 44MCG 5.50
FLU VACCINE > 3 YRS OF AGE 46.68
FLU VACCINE< 3 YRS OF AGE 175.87
FLUCONAZOLE 100 MG TAB 48.45
FLUCONAZOLE 200 MG TAB 71.50
FLUCONAZOLE 200 MG TAB 71.50
FLUCONAZOLE 200MG/100ML IV 93.96
FLUCONAZOLE 50 MG TAB 27.80
FLUCONAZOLE 50MG TAB 27.80
FLUCONAZOLE INJ. 400 MG /2OO ML 15.28
FLUDROCORTISONE 0.1 MG TAB 5.50
FLUFFS 5.00
FLUID WARMER SET 33.25
FLUMADINE 100 MG TAB 7.32
FLUMAZENIL 0.5MG/5ML IV 8.11
FLUNISOLIDE 250MCG INH 376.12
FLUOROSCOPY UP TO 1 HOUR 263.00
FLUOXETINE 20 MG TAB 12.40
FLUPHENAZINE 5 MG TAB 5.50
FLUROGUIDE FOR SPINE INJECTION 263.00
FLURO-I-STRIP OPTH 5.50
FLUTICASONE 110MCG INH 5.50
FLUTICASONE 220MCG INH 5.50
FLUTICASONE 50MCG NASAL SPRAY 104.00
FNA EVAL, INTERP/REPORT 182.55
FNA IMMED EVAL 1ST EA SITE 48.81
FOAM TAPE 6INCH 19.95
FOLATE (FOLIC ACID) SERUM 103.07
FOLEY CATH TRAY 16FR BACTIGUARD 35.00
FOLEY CATH TRAY 18 FR BACTIGUARD 66.72
FOLEY CATHETER 12FR 2-WAY 5CC 5.50
FOLEY CATHETER 14FR 5CC 32.00
FOLEY CATHETER 16FR 30CC 3 WAY 72.75
FOLEY CATHETER 16FR 5CC 2 WAY 27.63
FOLEY CATHETER 18FR 30CC 72.75
FOLEY CATHETER 18FR 5CC 27.63
FOLEY CATHETER 20FR 5CC 27.63
FOLEY CATHETER 22FR 30CC 2 WAY 29.94
FOLEY CATHETER 22FR 5CC 27.63
FOLEY CATHETER COUDE 14FR 2WAY 80.79
FOLEY CATHETER COUDE 16FR 5CC 80.79
FOLEY CATHETER COUDE 18FR 5CC 80.79
FOLIC ACID 1 MG IV 27.02
FOLIC ACID 1 MG TAB 5.50
FOOD ALLERGY PROFILE 288.00
FOOT COMPLETE MINIMUM 3V 291.66
FOOT DEBRIDEMENT TRAY 11.50
FORANE/ISOFLURANE 5.50
FORCEPS SPLINTER 5.00
FOREARM 2V 265.89
FORMOTEROL FUMARATE 20 MG / 2 ML AMP 17.84
FOSINOPRIL 40MG TAB 5.50
FOSPHENYTOIN PER 50MG IV 28.44
FREE STANDING TRAPEZE 36.00
FRESH FROZEN PLASMA - THAWING PROC 44.00
FRESH FROZEN PLAZMA 237.00
FRUCTOSAMINE 114.00
FSBS/GLUCOMETER 78.75
FSH - SERUM 126.07
FULL BODY BLANKET 27.00
FULL BODY BLANKET CRNA MEDICARE 27.00
FUNGAL STAIN 90.60
FUROSEMIDE 20 MG INJ 20.18
FUROSEMIDE 20 MG TAB 5.50
FUROSEMIDE 40 MG TAB 5.50
FUROSEMIDE PER 20MG IV 18.81
G.I. COCKTAIL 5.50
GABAPENTIN 100 MG TAB 5.50
GABAPENTIN 300 MG TAB 6.64
GABAPENTIN 800 MG TAB 14.50
GAIT BELT 12.15
GAIT BELT LONG 15.81
GAIT TRAINING 89.54
GAIT TRAINING/INCL STAIR CLIMB EA 15MIN 75.00
GASTRIC LAVAGE TRAY 34FR 22.05
GASTRIC TUBE PLACEMENT/LAVAGE 232.00
GASTRIC TUBE PLACEMENT/LAVAGE 275.00
GASTRIN - SERUM 165.00
GASTROCNEMIUS 12,191.70
GAUZE 4X4 STERILE 1.00
GAUZE STERILE 4 X 4 10 COUNT TRAY 5.00
GC LCX 155.83
GC/APTIMA 162.75
GEBAUERS PAIN EASE/PAIN EASE 105ML 5.50
GEMFIBROZIL 600 MG TAB 5.80
GENERAL HEALTH PANEL NOT FOR MCR 430.00
GENOTYPE, QUALITATIVE 429.00
GENTAK/GENTAMICIN OPTH 143.00
GENTAMICIN 80 MG INJ 9.67
GENTAMICIN LEVEL 82.50
GENTAMICIN OPTH-SULFATE 0.10% 164.27
GENTAMYCIN 0.1% 15 GM OINT TUBE 164.27
GENTIAN VIOLET 5.50
GGTP 49.50
GIARDIA 301.74
GIARDIA ANTIGEN 92.25
GLASSIA 950 UNITS / 50 ML VIAL 1,895.25
GLIMEPIRIDE 2 MG TAB 6.14
GLIMEPIRIDE 4MG TAB 6.09
GLIPIZIDE 10 MG TAB 5.50
GLIPIZIDE 2.5 MG TAB 5.83
GLIPIZIDE 5 MG TAB 5.50
GLIPIZIDE 5MG TAB 5.50
GLIPIZIDE XL 10 MG TAB 5.50
GLOVE STERILE BIOGEL SURGEON 6.5 5.00
GLUCAGON 375.00
GLUCAGON 1 MG INJ HCL 1,681.43
GLUCOMETER 70.05
GLUCOSE - SERUM 45.23
GLUCOSE-PLEURAL FLUID 88.50
GLUTEN ALLERGEN IGG 132.00
GLYBURIDE 2.5 MG TAB 5.50
GLYBURIDE 5MG TAB 5.50
GLYCERIN SUPP 5.50
GLYCERIN SUPP (PED) 5.50
GLYCOMARK 82.50
GLYCOPYRROLATE 1 MG TAB 27.97
GLYCOPYRROLATE PER 1GM/ML IV 41.92
GOLYTELY 5.50
GOWN EXTRA LARGE 90142 11.43
GRAFT, AMNIOFIX 6X16CM 21,980.00
GRAFT; AFFINITY AF1250 2.5X2.5 3,980.00
GRAFT; AMNIOCORD 2X3CM 2,985.00
GRAFT; AMNIOCORE 16MM ROUND 1,470.00
GRAFT; AMNIOCORE 2X3CM 2,985.00
GRAFT; AMNIOCORE 3X3CM 3,690.00
GRAFT; AMNIOCORE 4X4CM 4,290.00
GRAFT; AMNIOCORE 4X6 CM 6,525.00
GRAFT; AMNIOCORE 6X16 CM 16,485.00
GRAFT; AMNIOCORE 9x20 32,985.00
GRAFT; AMNIOFIX 2X3 3,980.00
GRAFT; AMNIOFIX 3X3 4,920.00
GRAFT; AMNIOFIX 4X4 5,720.00
GRAFT; PURAPLY AM 2X4 COMMERCIAL 2,850.00
GRAFT; PURAPLY AM 5X5 COMMERCIAL 3,885.00
GRAFT; PURAPLY AM 8X16 COMMERCIAL 11,250.00
GRAFT; PURAPLY AM 8X16 COMMERCIAL 11,256.00
GRAFT; PURPLY AM 6X9 COMMERCIAL 8,100.00
GRAM STAIN 68.88
GRANISETRON 0.1MG/1ML IV 48.12
GRANULEX/TRYPSIN-CASTOR OIL PERU BALSAM 5.50
GROUNDING PAD E7506 11.34
GROWTH HORMONE 50.50
GTT 1 SPECIMEN 49.50
GTT 3 SPECIMENS 209.64
GTT EACH ADDTL HOUR 46.84
GUAIFENESIN 400 MG TAB 5.50
GUAIFENESIN 600 MG TAB 5.50
GUIDE WIRE UNTHREADED 1.4MMX150MM 697.00
H I V ANTIBODY 100.40
H PYLORI AG-STOOL 435.00
H1N1-16807 X 2 894.00
HALOPERIDOL (HALDOL) 426.00
HALOPERIDOL 1 MG TAB 5.50
HALOPERIDOL 10 MG TAB 5.50
HALOPERIDOL 5 MG TAB 5.50
HALOPERIDOL 5MG/ML INJ 47.90
HAND MINIMUM 3V 278.79
HANGER LEG BRACE 1,988.00
HAPTOGLOBIN 161.48
HARMONIC ACE 36E 1,781.40
HCG - SERUM 148.37
HCG - URINE 98.72
HCG-QUANTITATIVE 385.86
HCT 41.57
HEAD REST 2 LAYER 20.22
HEALON 14MG/ML .55ML 609.38
HEALON 5 23MG/ML .6ML 703.14
HEALON GV 656.28
HEAT MOISTURE EXCHANGER- HME 5.01
HEEL LIFT 26.85
HEEL PROTECTOR ALIGEL WRAP 227.85
HEEL RAISER PROTECTOR 68.07
HEEL RAISER PROTECTOR LG DELUXE 121.56
HEEL RAISER PROTECTOR MD DELUXE 121.56
HEEL RAISER PROTECTOR ONE SIZE 68.07
HEEL RAISER PROTECTOR SM DELUXE121.56 121.56
HEEL RAISER STABILIZING WEDGE 34.14
HEEL STICK 9.00
HEEL WARMER 5.50
HEEL/ELBOW PROTECTOR ONE SIZE 12.78
HELICOBACTER PYLOR QUALAT (02) 113.65
HELICOBACTER PYLORI-BREATH 412.50
HEMODIALYSIS W/REPEATED EVALUATIONS 2,486.61
HEMODIALYSIS W/SINGLE EVALUATION 1,657.74
HEMOGLOBIN FRACTIONATION 56.00
HEP B CORE ANTIBODY 21.00
HEP B SURFACE ANTIGEN 78.75
HEP C AB W/REFLEX TO RIBA 113.56
HEP C GENOTYPE RNA 1,230.00
HEP C QUANT RNA (TMA) 1,266.00
HEP C RNA BY PCR QUALITATIVE 408.00
HEPARIN 1,000 UNITS/ ML 10 ML VIAL 5.50
HEPARIN 1000UNITS 41.14
HEPARIN 30000 UNITS / 30 ML VIAL 16.12
HEPARIN FLUSH 10 UNITS PER ML (CHG 10) 5.50
HEPARIN FLUSH 100 UNITS PER ML(X30) 18.51
HEPARIN SODIUM 20,000U/5% DEXTROSE 500ML 5.50
HEPARIN SODIUM 5000 UNITS 8.08
HEPATIC FUNCTION 117.00
HEPATITIS A AB, TOTAL 187.37
HEPATITIS B SURFACE ANTIBODY QUALITATIVE 143.98
HEPATITIS B/ENGERIX B 20MCG/ML 17.10
HEPATITIS C ANTIBODY 24.00
HEREDITARY HEMOCHROMATOSIS GENE MUTATION 1,202.58
HERNIA MESH SMALL OVAL 848.70
HERPES SIMPLEX 1 86.48
HERPES SIMPLEX 2 86.48
HERPES SIMPLEX VIRUS 1-2 BY PCR 855.00
HERPES SIMPLEX VIRUS CULTURE W/RFL 80.13
HESPAN/HETASTARCH 6-.09% 5.50
Hex Snare 15mm 41.82
HGB 35.56
HGB A1C 82.18
HHN TEACHING/DEMONSTRATION 486.24
HHN TREATMENT 486.24
HIBICLENS 4OZ 19.75
HIP ABDUCTION WEDGE PILLOW 90.24
HIP ABDUCTION WEDGE PILLOW FOAM 37.77
HIP COMPLETE MINIMUM 2V 278.70
HIP KIT 116.91
HIP UNILATERAL 1V 211.55
HIPS BILATERAL MINIMUM 2V 179.20
HIPS/PELVIS INFANT OR CHILD MINIMUM 2V 182.00
HISTAMINE 24 HR URINE 617.40
HIV 1 RNA QL TMA 750.00
HIV 2 DNA/RNA QUAL REAL TIME PCR 618.60
HIV RNA QUANTITATIVE 1,112.31
HIV-1 GENOTYPE 1,507.02
HLA-B-27 156.25
HME/FILTER BACTERIAL VIRAL 7.89
Home RX KEY 0.00
HOMOCYSTEINE LEVEL 86.40
HOPE NEBULIZER KIT ADULT 44.70
HOPE NEBULIZER KIT PEDIATRIC 44.70
HOSPICE GENERAL IP 686.96
HOSPITAL DISCHARGE DAY MANAGEMENT >30MIN 600.00
HOSPITAL DISCHARGE DAY MANAGEMENT 30MIN< 300.00
HOT BIOPSY 0.00
HOT PACK 8.00
HOT PACK INSTANT 1.20
HPV DNA HIGH RISK 290.70
HSV 1 27.50
HSV 1/2 IGG 64.86
HSV 1/2 IGG 64.86
HSV 2 27.50
HTLV 1/2 327.60
HUBER NEEDLE 0.5IN 12.42
HUBER NEEDLE 0.75IN 11.64
HUBER NEEDLE 1.5IN 11.64
HUBER NEEDLE 1IN 11.64
HUMALOG INSULIN 100UNITS/ML 164.49
HUMERUS MINIMUM 2V 286.71
HUMIDIFIER BUBBLE 12.75
HUMULIN 70/30 89.04
HUMULIN N/HUMULIN N INSULIN 100UNITS/ML 44.52
HYDRALAZINE 10 MG TAB 5.50
HYDRALAZINE 20 MG VIAL 56.14
HYDRALAZINE HCL 25 MG TAB 5.50
HYDRO SURGE PLUS IRRIGATOR 0026870 145.20
HYDROCHLORTHIAZIDE 25 MG 5.50
HYDROCODONE 10/500 5.50
HYDROCODONE/APAP 10 - 325 MG 5.00
HYDROCODONE/APAP 5 - 325 MG 5.00
HYDROCODONE/APAP 5/500 TAB 5.50
HYDROCODONE/APAP 7.5 - 325 MG 5.00
HYDROCODONE/APAP 7.5 MG TAB 5.50
HYDROCORTISON OTIC DROPS 16.50
HYDROCORTISONE 1% CREAM 30 GM 5.50
HYDROCORTISONE 20MG TAB 5.50
HYDROCORTISONE 5MG TAB 5.50
HYDROCORTISONE NA 250MG TAB 5.50
HYDROCORTISONE/HYDROCORTISONE 5.50
HYDROGEL 4OZ TUBE 18.00
HYDROGEN PEROXIDE 4 OZ 5.00
HYDROMORPHONE 2 MG TAB 5.50
HYDROMORPHONE UP TO 4 MG IVP 16.41
HYDRO-SURG PLUS IRRIGATOR 0026870 145.20
HYDROXYCHLOROQUINE 200 MG TAB 58.21
HYDROXYPROGESTERONE 17-D 204.45
HYDROXYUREA 500 MG TAB 6.61
HYDROXYZINE (VISTARIL) 50MG INJ 133.23
HYDROXYZINE 10MG/5ML 5.50
HYDROXYZINE 25 MG TAB 5.50
HYDROXYZINE 25MG INJ 16.50
HYDROXYZINE 50MG TAB 5.50
HYOSCYAMINE SULFATE 0.125 MG TAB 5.50
HYZAAR 100/25 17.05
I & D ABSCESS SIMPLE/SINGLE 765.60
I&D ABSCESS COMPLICATED/MULTIPLE 504.70
I&D ABSCESS COMPLICATED/MULTIPLE 509.50
I&D ABSCESS SIMPLE/SINGLE 504.70
I&D ABSCESS SIMPLE/SINGLE 103.50
I&D ASCESS COMPLICATED/MULTIPLE 509.50
I&D DRAINAGE HEMATOMA/SEROMA/FLUID COLL. 3,378.20
I&D OF ABSCESS COMPLICATED OR MULTIPLE 496.90
I&D PILONIDAL CYST SIMPLE 487.00
I&D PILONIDAL CYST SIMPLE 487.00
I&D VULVA/PERINEAL ABSCESS 443.20
I&D VULVA/PERINEAL ABSCESS 306.66
IBUPROFEN 200MG TAB 5.50
IBUPROFEN 400MG TAB 5.50
IBUPROFEN 600MG TAB 5.50
IBUPROFEN 800 MG TAB 5.50
IBUPROFEN SUSP (CHILD'S DOSE) 5.50
ICG - BIOIMPEDANCE-THORACIC (BIO-Z) 90.25
ICG SENSOR AND CABLE 42.25
IGE 25.86
IGF-1 839 1,643.25
ILOPERIDONE 12 MG TAB 141.19
IMITREX PER 6 MG 287.42
IMMERSE MATTRESS 90.00
IMMERSION AIR FLUIDIZATION MATTRESS 135.00
IMMUNOCYTOCHEMISTRY EA ANTIBODY 165.96
IMMUNOFIXATION SERUM 39.50
IMMUNOGLOBULIN A (IGA) 48.50
IMMUNOGLOBULIN E (IGE) 72.00
IMMUNOGLOBULIN G (IGG) 104.57
IMMUNOGLOBULIN M (IGM) 48.50
IMPLANTATION OF MESH 7,156.85
INCENTIVE SPIROMETRY TREATMENT 285.97
INCISION AND DRAINAGE ABSCESS SIMPLE 638.64
INCISION REMOVAL FB SUBQ TISSUE COMPL 6,041.85
INCISION REMOVAL FB SUBQ TISSUE COMPL 248.50
INCISION REMOVAL FB SUBQ TISSUE SIMPLE 980.20
INCISION REMOVAL FB SUBQ TISSUE SIMPLE 393.00
INCISION THROMBOSED HEMORRHOID EXTERNAL 545.52
INCISION THROMBOSED HEMORRHOID EXTERNAL 397.20
INDAPAMIDE 1.25 MG TAB 5.50
INFANT GAS RELIEF/SIMETHICONE 40MG/0.6ML 5.50
INFECTION PREVENTION KIT W/VALVES 61.95
INFLAMM BOWEL DISEASE PANEL (1) X2 205.75
INFLAMM BOWEL DISEASE PANEL (2) X2 205.75
INFLIXIMAB PER 10 MG IV 147.28
INFLUENZA ANTIBODIES 351.60
INFLUENZA A 101.87
INFLUENZA B 101.87
INFLUENZA VACCINE FLUZONE 0.500ML INJ 197.56
INHALATION WATER 1000ML BAG 5.76
INHIBIN A 385.86
INITIAL HOSPITAL CARE/DAILY 30 MINUTES 300.00
INITIAL HOSPITAL CARE/DAILY 50 MINUTES 300.00
INITIAL HOSPITAL CARE/DAILY 70 MINUTES 600.00
INITIAL OBSERVATION CARE/DAY 30 MINUTES 300.00
INITIAL OBSERVATION CARE/DAY 50 MINUTES 300.00
INITIAL OBSERVATION CARE/DAY 70 MINUTES 600.00
INITIAL SWINGBED CARE/DAILY 25 MINUTES 300.00
INITIAL SWINGBED CARE/DAILY 35 MINUTES 300.00
INITIAL SWINGBED CARE/DAILY 45 MINUTES 300.00
INJ DIAG/THER PARAVERTABRAL FACET, SEC L 1,223.50
INJ PARAVERT FACET JNT C/T 1ST LEVEL 1,597.35
INJ PARAVERT FACET JNT C/T 2ND LEVEL 3,194.65
INJ PARAVERT FACET JNT C/T 3RD/ADD LEVEL 1,597.35
INJ SI JOINT ARTHRGRPHY & ANES STEROID 2,716.90
INJ SO JOINT ARTHROG & ANES/STER W/IMAGE 2,716.90
INJ TRANSFORAMIN EPIDURAL L/S 1ST LEVEL 3,194.65
INJ TRANSFORAMIN EPIDURAL L/S EA ADD LVL 1,597.35
INJ, DIAG/THER PARAVERTABRAL, THIRD OR M 1,223.50
INJ, DIAG/THER PARAVERTEBRAL FACET JOINT 3,360.90
INJECTION CELIAC PLEXUS 3,194.65
INJECTION FILTER 1.2 MICRON 5.50
INJECTION SUBQ OR IM 55.86
INJECTION SUBQ OR IM 141.44
INJECTION TETNUS VACCINATION 33.00
INSERTION FOLEY CATHETER SIMPLE 289.50
INSITU HYBRIDIZATION AUTO-MANUAL 410.70
INSITU HYBRIDIZATION EA PROBE 280.47
INSITU HYDRIDIZATION AUTO-COMP ASSIT 523.44
INSUFFLATION NEEDLE 120 61.71
INSUFFLATION NEEDLE 150 58.20
INSUFFLATION TUBING 22.05
INSUFFLATION TUBING 60-6050-098 23.91
INSUFFLATION TUBING 6120 66.93
INSULIN (HUMULIN) PER 5 UNITS 44.52
INSULIN BLOCKING ANTIBODY 189.25
INSULIN DRIP 5.50
INSULIN LANTUS PER 50 UNITS 80.70
INSULIN LIKE GROWTH FACTOR I 547.75
INSULIN SYRINGE 5.50
INSULIN, RANDOM 86.15
INTERJECT NEEDLE 25G 97.21
INTERLEUKIN 6 HIGH SENSITIVE 623.70
INTRINSIC FACTOR BLOCKING AB 283.50
INTROCULAR LENS 414.75
INTRODUCER ET ADULT BOUGIE 18.27
INTRODUCER TRACHEAL TUBE INTERGUIDE BOUG 12.78
INTRODUCER TRACHEAL TUBE INTERGUIDE BOUG 12.78
INTRODUCER TRACHEAL TUBE INTERGUIDE BOUG 12.78
INTUBATION ENDOTRACHEAL EMERGENCY 793.00
INTUBATION ENDOTRACHEAL EMERGENCY 360.00
INTUBATION ENDOTRACHEAL EMERGENCY 793.00
INVALID RING VINYL 14.5IN INFLATABLE 4.50
IODAFORM PACKING 11/2INCH 6.75
IODINE LEVEL- RANDOM URINE 162.79
IODOFORM PACKING 1/2IN X 5YD 9.39
IODOFORM PACKING 1/4IN X 5YD 13.59
IONIZED CALCIUM 61.20
IONIZED CALCIUM 61.20
IONTO ELECTRODE 11.00
IONTOPHOR TIMED 133.02
IOPICAMIDE (MYDRIACYL) 5.88
IP/OBS ADMIT/DISCHARGE SAME DAY 40 MIN 300.00
IP/OBS ADMIT/DISCHARGE SAME DAY 50 MIN 300.00
IP/OBS ADMIT/DISCHARGE SAME DAY 55 MIN 300.00
IPECAC FOR EMESIS 155.50
IPECAC SYRUP 30ML 16.84
IPRATROPIUM BROMIDE 26.35
IPRATROPIUM BROMIDE 2.5 ML INH 5.50
IRBESARTAN 150 MG TAB 15.63
IRON - SERUM 62.66
IRON / FOLIC ACID / VITAMIN / PROBIOTIC 5.50
IRON SUCROSE 20 MG / ML INJ 97.68
IRRIGATION FLUID NORMAL SALINE 1000ML 5.00
IRRIGATION FLUID NORMAL SALINE 3000ML 15.00
IRRIGATION FLUID NORMAL SALINE 500ML 9.36
IRRIGATION FLUID WATER 1000ML 5.00
IRRIGATION IMPLANTED VENOUS ACCESS DEVIC 279.70
IRRIGATION OF EAR 146.75
IRRIGATION OF EAR 32.03
IRRIGATION TRAY 5.50
IRRIJET 19.25
ISENTRESS CHEWABLE 100MG TAB 13.80
ISOLATION GOWNS (1 PACK) 5.50
ISOLATION MASK 11.00
ISOLATION SET UP 54.50
ISOSORBIDE DINITRATE 5.50
ISOSORBIDE MONONITRATE 30 MG TAB 8.37
ISOVUE CONTRAST 300-15ML BOTTLE (CHG 15) 588.53
ITRACONAZOLE LEVEL 570.00
IV BURETOL ADD ON SET 15.25
IV CATHETER 14G 5.00
IV CATHETER 16G 5.00
IV CATHETER 18G 5.00
IV CATHETER 20G 5.00
IV CATHETER 22G 5.00
IV CATHETER 24G 5.00
IV CATHETER EXTENSION SET 8.00
IV CONTROLLER PER DAY 8.50
IV EXT SET FILTERED 0.2 MICRON 10.32
IV EXT SET FILTERED 1.2 MICRON 12.63
IV EXTENSION SET 6.25
IV HYDRATION EACH ADDITIONAL HOUR 42.81
IV HYDRATION EACH ADDITIONAL HOUR 108.70
IV HYDRATION INITIAL FIRST 31-60 MINS 145.47
IV HYDRATION INITIAL FIRST 31-60 MINS 295.36
IV INFUSION ADD SEQU DRUG UP TO 1 HOUR 90.42
IV INFUSION ADD SEQU DRUG UP TO 1 HOUR 130.51
IV INFUSION CONCURRENT 54.21
IV INFUSION CONCURRENT 54.21
IV INFUSION EACH ADD HOUR 111.09
IV INFUSION EACH ADD HOUR 171.80
IV INFUSION INITIAL UP TO 1 HOUR 177.39
IV INFUSION INITIAL UP TO 1 HOUR 303.90
IV NS 1000 ML BAG 34.93
IV PUSH EACH ADDITIONAL NEW DRUG 61.35
IV PUSH EACH ADDITIONAL NEW DRUG 141.44
IV PUSH EACH ADDITIONAL SAME DRUG 61.35
IV PUSH EACH ADDITIONAL SAME DRUG 126.01
IV PUSH START SINGLE OR INITIAL 140.82
IV PUSH START SINGLE OR INITIAL 141.44
IV SECONDARY SET 5.50
IV SOLUTION SET 9.25
IV START KIT 5.50
IV START KIT W/EXTENSION 6.75
IV TUBING 60 DROP 5.00
IV TUBING GRAVITY 7.14
IV TUBING PRIMARY 15 DROP 5.00
JACKSON PRATT 10MM 30.60
JACKSON PRATT 7MM 93.69
JACKSON PRATT RESERVOIR 58.35
JACKSON-PRATT FLAT SUCTION DRAIN 76.00
JUVEN 24 GM PACKET 9.89
KANGAROO FEEDING BAG 12.25
KANGAROO FEEDING BAG W/FLUSH 17.16
KANGAROO FEEDING PUMP 14.75
KAPPA/LAMBDA LIGHT CHAIN FREE W/ RATIO 357.50
KAYEXALATE 15GM LIQUID 5.50
KCI BED / MATRESS 264.00
KCL 8MEQ 5.50
KENALOG PER 10 MG 56.04
KEPPRA 85.14
KERLIX Duplication 5.00
KERLIX 2 X 3 5.50
KERLIX 4 X 4 7.50
KETAMINE - GENERAL ANESTH 46.00
KETAMINE 500 MG / 10 ML VIAL 10.61
KETORALAC TROMETHAMINE 0.5% octic 213.31
KETOROLAC 15 MG / 0.5 ML INJ 5.50
KETOROLAC 30 MG VIAL 5.50
KETOROLAC PER 15MG INJ 34.43
KETOROLAC TROMETHAMINE 34.43
KETOTIFEN FUMARATE EYE GTT 5 ML BOTTLE 633.93
KLEEN SPEC 5.50
KLING 2 INCH 5.50
KLING 3 INCH 5.50
KLING 4 INCH 5.50
KLING 6 INCH 8.00
KLONOPIN LEVEL (CLONAZEPAM) 354.00
KNEE 1V OR 2V 277.34
KNEE 3 VIEWS 983.31
KNEE COMPLETE 4 OR MORE VIEWS 247.50
KNEE IMOBILIZER 97.25
KOH PREP 54.45
KPHOS NO. 2 250 MG TAB 5.50
K-THERM PUMP SET UP 30.25
K-THERM PUMP/PAD 14.75
K-WIRE 0.9MM NON-THREADED 192.00
KY GEL 5.50
LAB TEST-DRUG LEVEL 182.55
LABETALOL 100 MG TAB 11.38
LABETALOL 5MG/ML 20.31
LABETALOL100 MG / 20 ML VIAL 5.50
LAC REPAIR COMPLEX S/A/L 2.6CM-7.5CM 683.40
LAC REPAIR COMPLEX S/A/L 2.6CM-7.5CM 683.40
LAC REPAIR COMPLEX S/A/L EA ADDL 5CM/< 250.65
LAC REPAIR COMPLEX S/A/L EA ADDL 5CM/< 250.65
LAC REPAIR INTERM F/E/E/N/L 2.6CM-5.0CM 1,157.00
LAC REPAIR INTERM F/E/E/N/L 2.6CM-5.0CM 703.75
LAC REPAIR INTERM F/E/E/N/L 5.1CM-7.5CM 1,157.00
LAC REPAIR INTERM F/E/E/N/L 5.1CM-7.5CM 398.25
LAC REPAIR INTERM F/E/E/N/L 7.6CM-12.5CM 424.00
LAC REPAIR INTERM F/E/E/N/L 7.6CM-12.5CM 827.00
LAC REPAIR INTERMED F/E/E/N/L 2.5CM/< 1,157.00
LAC REPAIR INTERMED F/E/E/N/L 2.5CM/< 672.25
LAC REPAIR INTERMED N/H/F 2.5CM/< 424.00
LAC REPAIR INTERMED N/H/F 2.5CM/< 580.75
LAC REPAIR INTERMED N/H/F 2.6CM-7.5CM 1,157.00
LAC REPAIR INTERMED N/H/F 2.6CM-7.5CM 704.50
LAC REPAIR INTERMED N/H/F 7.6CM-12.5CM 1,157.00
LAC REPAIR INTERMED N/H/F 7.6CM-12.5CM 548.75
LAC REPAIR INTERMED S/A/T/E 2.6CM-7.5CM 1,463.10
LAC REPAIR INTERMED S/A/T/E 2.6CM-7.5CM 1,157.00
LAC REPAIR INTERMED S/A/T/E 2.6CM-7.5CM 732.50
LAC REPAIR INTERMED S/A/T/E 7.6CM-12.5CM 1,157.00
LAC REPAIR INTERMED S/A/T/E 7.6CM-12.5CM 722.75
LAC REPAIR INTERMEDIATE S/A/T/E 2.5CM/< 1,157.00
LAC REPAIR INTERMEDIATE S/A/T/E 2.5CM/< 524.25
LAC REPAIR MOUTH VESTIBULE 2.5CM/< 1,089.00
LAC REPAIR MOUTH VESTIBULE 2.5CM/< 617.00
LAC/SIMPLE F/E/E/N/L 2.5CM/< 424.30
LAC/SIMPLE F/E/E/N/L 2.5CM/< 458.75
LAC/SIMPLE F/E/E/N/L 2.6CM-5.0CM 424.30
LAC/SIMPLE F/E/E/N/L 2.6CM-5.0CM 503.50
LAC/SIMPLE F/E/E/N/L 5.1CM-7.5CM 424.30
LAC/SIMPLE F/E/E/N/L 5.1CM-7.5CM 596.75
LAC/SIMPLE F/E/E/N/L 7.6CM-12.5CM 280.50
LAC/SIMPLE S/N/A/T/E/H/F 12.6CM-20.0CM 501.30
LAC/SIMPLE S/N/A/T/E/H/F 12.6CM-20.0CM 501.30
LAC/SIMPLE S/N/A/T/E/H/F 2.5CM/< 434.50
LAC/SIMPLE S/N/A/T/E/H/F 2.5CM/< 434.50
LAC/SIMPLE S/N/A/T/E/H/F 2.5CM-7.5CM 424.30
LAC/SIMPLE S/N/A/T/E/H/F 2.5CM-7.5CM 462.00
LAC/SIMPLE S/N/A/T/E/H/F 20.1CM-30.0CM 501.30
LAC/SIMPLE S/N/A/T/E/H/F 20.1CM-30.0CM 501.30
LAC/SIMPLE S/N/A/T/E/H/F 7.6CM-12.5CM 424.30
LAC/SIMPLE S/N/A/T/E/H/F 7.6CM-12.5CM 541.63
LACERATION TRAY STERILE 33.00
LACOSAMIDE 200 MG TAB 13.08
LACTATED RINGERS 1000 ML IV BAG 169.88
LACTIC ACID 91.80
LACTIC ACID IN HOUSE 63.30
LACTOBACILLUS - SUPPL 5.50
LACTOFERRIN, QUALITATIVE 375.00
LACTOFERRIN, QUANITATIVE 555.00
LACTULOSE 10G/15ML SUSP 90G 5.50
LACTULOSE 20 GM/30 ML UNIT DOSE 5.50
LAMOTRIGINE 25 MG TAB 5.50
LAMOTRIGINE 25MG TAB 20.76
LAMOTRIGINE TROUGH (22060) 224.85
LANSOPRAZOLE 30 MG CAP 5.50
LANTISEPTIC 12 OZ JAR 41.62
LANTISEPTIC SKIN PROTECTANT 5.50
LAP CHOLECYSTECTOMY W/CHOLANGIOGRAM 20,995.65
LAPAROSCOPIC CHOLECYSTECTOMY 20,995.65
LAPAROSCOPY PACK 29245 52.86
LAPAROSCOPY REMOVE INTESTIONAL ADHESIONS 20,995.65
LAPAROTOMY DRAPE DYNJP3003 17.13
LAPAROTOMY DRAPE W/POUCH 89235 duplicati 30.03
LAPAROTOMY SPONGE 5.00
LARGE EYE PAD 5.50
LASIX/FUROSEMIDE 10MG/ML 100.72
LATANOPROST 0.005% PER DOSE 189.62
LDH 58.46
LDL-DIRECT-8293 222.75
LE ARTERIAL DUPLEX BILATERAL COMPLETE 903.64
LE ARTERIAL DUPLEX UNILATERAL OR LTD 450.92
LE/UE BILATERAL ARTERIAL LIMITED 400.08
LE/UE VENOUS DUPLEX BILATERAL COMPLETE 903.64
LE/UE VENOUS DUPLEX UNILATERAL/LIMITED 450.92
LEAD - BLOOD 72.50
LEAD (DO NOT USE) 217.50
LEFLUNOMIDE 10 MG TAB 81.95
LEFLUNOMIDE 20 MG TAB 15.00
LEG BAG 18.25
LEGIONELLA PNEUMOPHILIA AB 423.00
LEPTIN 229.50
LEPTOSPERMUM HONEY 1.5 OZ TUBE 61.13
LETROZOLE 2.5 MG TAB 5.50
LEUKEMIA/LYMPHOMA EVAL 136.08
LEUKEMIA/LYMPHOMA EVAL 136.08
LEUKEMIA/LYMPHOMA EVAL 136.08
LEVALBUTEROL 0.63MG INH 16.33
LEVAQUIN/LEVOFLOXACIN 500MG/100ML 5.50
LEVETIRACETAM 100 MG /1 ML ELIXER 5.50
LEVETIRACETAM 500 MG TAB 8.09
LEVETIRACETAM 500 MG VIAL 209.20
LEVOFLOXACIN 250 MG TAB 73.48
LEVOFLOXACIN 500 MG TAB 83.94
LEVOFLOXACIN 750MG/150ML INJ 5.50
LEVOFLOXACIN PER 250 MG IV 317.09
LEVOPHED 4ML 52.40
LEVOTHYROXINE .112 5.50
LEVOTHYROXINE 100 MCG TAB 7.26
LEVOTHYROXINE 112 MCG TAB 5.50
LEVOTHYROXINE 125 MCG TAB 5.50
LEVOTHYROXINE 137MCG TAB 5.50
LEVOTHYROXINE 150MCG TAB 5.50
LEVOTHYROXINE 25 MCG TAB 12.81
LEVOTHYROXINE 50 MCG TAB 5.50
LEVOTHYROXINE 75 MCG 5.50
LEVOTHYROXINE 88 MCG TAB 5.50
LIDOCAIN HCL URJT-SYRINGE 5.50
LIDOCAINE 1% 10 MG / ML 5 ML VIAL 6.78
LIDOCAINE 1% 20 ML VIAL 8.50
LIDOCAINE 2% 20 ML VIAL 16.35
LIDOCAINE 2% 5MG MPF INJ 40.60
LIDOCAINE 2% JELLY 23.70
LIDOCAINE 2% JELLY 30 ML 5.50
LIDOCAINE 2% OINT (35.44GM TUBE) 8.45
LIDOCAINE 2% PER 10MG 5.50
LIDOCAINE 2% WITH EPI 20 ML 19.08
LIDOCAINE HCL 4% 50 ML VIAL 39.10
LIDOCAINE INJ SYR 100MG/5ML 18.44
LIDOCAINE JELLY 2% 5ML 19.46
LIDOCAINE PATCH 4% (ASPERCREME) 5.50
LIDOCAINE PRE-MIX 5.50
LIDOCAINE W/EPINEPHRINE 1% 20 ML VIAL 11.23
LIDOCAINE W/EPINEPHRINE 2% 20 ML VIAL 5.50
LIFT SLING DISP MD 143.07
LIFT SLING DISP XL 157.50
LIFT SLING DISP XXL 173.70
LIGHT HANDLE COVER 5.00
LIMB HOLDER 19.50
LINACLOTIDE 145 MCG TAB 77.26
LINAGLIPTIN 5 MG TAB 82.13
LINAGLIPTIN 5 MG TAB 82.13
LINCOLN COUNTY HD CHEST XRAY 1 VIEW 49.00
LINCOLN COUNTY HD CHEST XRAY 2 VIEW 80.00
LINCOMYCIN 300MG/ML IV 131.31
LINEAR CUTTER (GIA) ATW35 793.68
LINEAR CUTTER RELOAD TR345W 316.62
LINEAR RELOAD CUTTER 55MM TLC55 341.91
LINEAR STAPLER RELOAD 30MM TX30B 299.46
LINEZOLID 600 MG / 300 ML 123.89
LINEZOLID 600 MG / 300 ml IV 123.89
LINEZOLID 600 MG TAB 43.23
LIOTHYRONINE 25 MCG 5.50
LIPASE 103.40
LIPID PANEL 113.00
LIQUID VITAMIN C 500MG 5ML 5.50
LIRAGLUTIDE INSULIN 6 ML / ML 289.55
LISINOPRIL 10 MG TAB 5.50
LISINOPRIL 20 MG TAB 5.50
LISINOPRIL 40 MG TAB 5.50
LISINOPRIL 5 MG TAB 5.50
LISTERIA ANTIBODY 411.00
LITHIUM 86.43
LITHIUM CARBONATE 150 MG CAP 5.67
LITHOTOMY PACK 36.21
LMA SZ 3-LARYNGEAL MASK AIRWAY 29.85
LMA SZ 4-LARYNGEAL MASK AIRWAY 29.85
LMA SZ 5-LARYNGEAL MASK AIRWAY 29.85
LOPERAMIDE 2MG/15 ML 5.50
LOPERAMIDE 2MG/15ML SUSP 5.00
LOPERAMIDE HCL 2 MG TAB 5.50
LOPEZ VALVE 4.95
LORATADINE 10 MG TAB 5.50
LORATADINE 5MG/5ML SUSP 5.50
LORAZEPAM 1MG TAB 5.50
LORAZEPAM 2MG/ML INJ 5.89
LORTAB 5MG/TAB 5.50
LOSARTAN 50 MG TAB 5.50
LOSARTAN K+ HCTZ 100/25 MG TAB 17.05
LOTRISONE CREAM 53.38
LOVASTATIN 20 MG TAB 5.50
LOW AIR LOSS MATTRESS PER DAY 36.00
LOWER EXTREMITY INFANT MINIMUM 2 VIEWS 224.00
LOXAPINE 10 MG CAP 5.50
L-SPINE 1V SPECIFY LEVEL 134.40
L-SPINE 2V OR 3V 325.45
L-SPINE MINIMUM 4V 354.25
LUBIPROSTONE 24 MCG CAP 37.04
LUMBAR PUNCTURE DIAGNOSTIC 1,636.44
LUMBAR PUNCTURE DIAGNOSTIC 1,636.44
LUMBAR PUNCTURE TRAY ADULT 62.75
LUMBAR TRAY PEDIATRIC 29.25
LUPUS ANTICOAG 01 54.00
LUPUS ANTICOAG 02 54.00
LUPUS PANEL 02 264.00
LUPUS PANEL 03 (X7) 16.00
LUPUS PANEL 06 (X5) 22.25
LUTEINIZING HORMONE SERUM 126.72
LYMES TITER SCREEN 111.18
LYMES-WESTERN BLOT 247.50
LYSOZYME 289.05
MAD NASAL 20.01
MAG SULFATE PER 500 MG 5.50
MAGNESIUM CITRATE 296 ML 5.50
MAGNESIUM HYDROXIDE 5.50
MAGNESIUM LEVEL - SERUM 74.88
MAGNESIUM OXIDE 400 MG TAB 5.50
MALE INCONTINENCE LINER 5.00
MANDIBLE COMPLETE MINIMUM 4V 204.75
MANNITOL/MANNITOL 500ML 5.50
MANUAL THERAPY 120.87
MARCAINE / BUPIVICAINE 0.25% / DOSE 196.61
MARCAINE 0.5% 23.13
MARCAINE W/ EPI 0.5% 10 ML VIAL 12.05
MARCAINE/BUPIVACAIN 5MG/ML 60.48
MASK 02 MED CONCENTRATION 5.50
MASK CPAP #5 50.76
MASK CPAP #6 50.76
MASK NON-REBREATHING W/O SAFETY VENT 5.50
MASK NON-REBREATHING W/TUBING PEDIACTRIC 5.50
MASK PEDIATRIC O2 HIGH CONCENTRATION 5.00
MASTECTOMY PARTIAL, LUMPECTOMY, TYLECTOM 13,639.20
MASTECTOMY, PARTIAL 13,639.20
MASTETCTOMY, MOD RAD,W/AXILLARY LYMPH NO 24,059.40
MASTISOL 5.00
MAXCORE BIOPSY DISPOSABLE NEEDLE MC1825 156.15
MAYO ENEMA 5.00
MAYO STAND COVER DYNJP2500 5.00
MECLIZINE 25 MG TAB 5.50
MEDICAL ADHESIVE 29.46
MEDROXYPROGESTERONE ACE 10 MG TAB 8.36
MEDTRONIC ACCESSORY KIT 600.00
MEDTRONIC ANTENA TELEMETRY 240.00
MEDTRONIC NEURO STIMULATOR 2,700.00
MEGESTEROL ACETATE 40 MG TAB 6.82
MEGESTROL ORAL SUSP 40MG ML 10ML UD 5.50
MELATONIN 3 MG TAB 6.94
MELKER TANSCRIOCOTHYROTOMY KIT 510.00
MELOXICAM 15 MG TAB 23.85
MEMANTINE 10 MG TAB 30.45
MEMANTINE 28 MG TAB 76.24
MEPERIDINE 25MG/ML INJ 12.57
MEPERIDINE 50 MG/ ML 36.83
MEPERIDINE PER 100MG INJ 234.92
MERCAPTOPURINE 50 MG TAB 40.84
MERCURY, QUANT (DO NOT USE) 55.14
MEROPENEM 1GM VIAL 65.87
MEROPENEM IV PER 500 MG IV 21.23
MESALAMINE 1.2 GM TAB 50.45
MESH 1DLMC03 1,698.00
MESH COMPOSIX 0113810 8X10 458.88
MESH DUAL 1DLMC04 GORTEX 15X19 3,387.00
MESH KUGAL 43BQD283 3X4.6 848.70
MESH MARLEX 0112660 10X14 371.49
MESH OVAL FOR HERNIA REPAIR 1,417.75
MESH ULTRAPRO HERNIA SYS UHSOV CE0086 1,385.22
MESH, BARD 10 X 14 357.93
MESH, DUAL 1DLMC03 1,698.00
METANEPHRINES, 24 HOUR URINE 357.30
METANEPHRINES, FRACTIMATED 555.00
METFORMIN 500 MG TAB 5.50
METHADONE 10 MG TAB 5.50
METHAMPHETAMINE SCREEN-QUANT 438.00
METHENAMINE HIPPURATE 1 GM TAB 6.38
METHIMAZOLE 10MG TAB 5.50
METHIMAZOLE 5 MG TAB 5.50
METHLPHENIDATE (RITALIN) 205.02
METHOCARBAMOL 500 MG TAB 5.50
METHOTREXATE-648 332.70
METHYLENE BLUE 10,047.71
METHYLENE BLUE 0.5% INJ VIAL 111.64
METHYLMALOMIC ACID-SERUM 510.09
METHYLMALONIC ACID 59.25
METHYLNALTREXONE BROMIDE 12 MG / 0.6 ML 1,087.82
METHYLPHENIDATE HCL 5 MG TAB 5.50
METHYLPREDNISOLONE 4 MG TAB 46.96
METHYLPREDNISOLOON PER 125ML INJ 58.01
METOCLOPAMIDE 5 MG / 5 ML ELIXER 5.50
METOCLOPRAMIDE 10 MG TAB 5.50
METOCLOPRAMIDE 10MG/2ML IV 6.65
METOLAZONE 5 MG TAB 18.63
METOPROLOL SUCCINATE 100 MG TAB 8.36
METOPROLOL SUCCINATE 25 MG TAB 5.56
METOPROLOL SUCCINATE 50 MG TAB 5.56
METOPROLOL TARTRATE 25 MG 5.50
METOPROLOL TARTRATE 5 mg / 5 ml vial 5.50
METOPROLOL TARTRATE 50 MG TAB 5.50
METRONIDAZOLE 250 MG TAB 5.50
METRONIDAZOLE 500 MG 5.50
MICARDIS 40MG 27.55
MICARDIS 80 MG / 12.5 MG 10.08
MIC-KEY BUTTON 12 IN EXTENSION SETS 54.30
MIC-KEY BUTTON 24 IN EXTENSION SETS 56.85
MIC-KEY G TUBE LOW PROFILE 20FR 3.0CM 727.56
MICONAZOLE CREAM 2% 1 OZ TUBE 5.50
MICONAZOLE POWDER 2% 2.5OZ 5.50
MICROFOAM TAPE 1INCH BOX 12 EACH 5.00
MICROFOAM TAPE 2: BOX 6 EACH 7.14
MICROFOAM TAPE 3INCH BOX 4 EACH 10.74
MICROFOAM TAPE 4INCH BOX 4 EACH 10.74
MIDAZOLAM 2 MG / 2 ML VIAL INJ 5.50
MIDAZOLAM 5MG/ML INJ 5.50
MIDODRINE 10 MG TAB 9.72
MIDODRINE HCL 5 MG TAB 21.15
MIDRIN 65 MG / 100 MG / 325 MG 22.98
MIGHTY AIR MATTRESS 103.68
MILK THISTLE 1000 MG CAP 5.50
MINOCYCLINE 100 MG TAB 7.96
MINOXIDIL 2.5 MG TAB 8.46
MIOCHOL-E 1:100 28.20
MIOSTAT 0.01% 13,445.00
MIRAGERON 50 MG TAB 42.97
MIRALAX 17GM 5.50
MIRTAZAPINE 15 MG TAB 14.27
MIRTAZAPINE 30 MG TAB 6.44
MITOCHONDRIAL AB W/REFLEX TITIER 43.50
MITT SURGICAL PREP DISPOSABLE / SPM100 5.00
MITTS MESH BACK/NO FINGER SEPERATORS 56.10
MOBILITY: WALKING AND MOVING CURRENT 0.01
MOBILITY: WALKING AND MOVING DISCHARGE 0.01
MOBILITY: WALKING AND MOVING GOAL 0.01
MODAFINIL 100MG TAB 54.55
MONO SCREEN 105.39
MONO TITER 38.50
MONTELUKAST CHEWABLE 4 MG TAB 18.26
MONTELUKAST SODIUM 10 MG TAB 24.86
MORGAN LENS 80.01
MORGAN LENS DELIVERY TUBING SET 17.13
MORPHINE 2 MG / ML SYRINGE 8.02
MORPHINE 4MG/ML 15.75
MORPHINE EXTENDED RELEASE 15MG TAB 5.50
MORPHINE INJ PCA 30MG/30ML 5.50
MORPHINE SULFATE IMMEDIATE RELEASE 30 MG 16.61
MORPHINE UP T0 10 MG INJ 11.26
MORPHOMETRIC ANALYSIS; TUMOR 86.40
MOUTHKOTE SPRAY 59 ML 23.18
MSE - NON EMERGENT 0.00
MSLT ATTENDED 1,500.00
MUCOMIST 20% FOR NEBS PER 1 GM 375.25
MUCOUS SPECIMAN TRAP 40CC 5.00
MUCOUS SPECIMAN TRAP 80CC 5.00
MUCOUS TRAP PEDIATRIC 12.25
MULTI VITAMIN WITH IRON 5.50
MULTIVITAMIN ELIXER 237 ML BOTTLE 24.46
MULTIVITAMIN IV 6.06
MULTIVITAMIN LIQ 16.79
MULTIVITAMIN TAB 5.50
MUMPS AB IGG 60.00
MUMPS IGM 134.85
MUMPS TITER 111.56
MUPIROCIN 0.9GM SING DOSE 5.50
MUPIROCIN 2.0% OINT 5.50
MUSCOUS TRAP ADULT 9.50
MYCAMINE 100 MG IV 1,119.76
MYCOBACTERIUM COMPLEX PCR 200.52
MYCOPHENOLATE 500 MG TAB 39.55
MYLEOPEROXDASE ANITBODY 120.00
MYOGLOBIN 846.24
NA CITRATE AND NA ACID 15CC SUSP 5.50
NAFCILLIN 1 GM VIAL 72.36
NAIL CLIPPER 9.72
NALBUPHINE 10MG IV 23.00
NALBUPHINE PER10MG INJ 43.37
NALOXONE 1MG/ML IV 94.79
NALOXONE NEONATAL INJ (AMP) 197.60
NALTREXONE 50 MG TAB 7.87
NAMENDA/MEMANTINE 10MG 0.00
NAPHCON EYE GTT 15 ML BOTTLE 5.50
NAPROXEN 500 MG TAB 5.50
NAPROXEN 500 MG TAB 6.11
NAROPIN 5.50
NASAL BONES COMPLETE MINIMUM 3V 204.75
NASAL CANNULA CRNA MEDICARE 5.50
NASAL CANNULA O2 HIGH FLOW 7FT 5.67
NASAL CANNULA PEDIATRIC 5.50
NASAL DECONGESTION 14.00
NASAL HEMORRHAGE CONTROL COMPLEX 375.00
NASAL HEMORRHAGE CONTROL COMPLEX 492.00
NASAL HEMORRHAGE CONTROL SIMPLE 375.00
NASAL HEMORRHAGE CONTROL SIMPLE 303.75
NASAL SPECULUM 5.00
NASOGASTRIC SUMP TUBE 10FR 7.14
NASOGASTRIC SUMP TUBE 12FR 7.14
NASOGASTRIC SUMP TUBE 14FR 7.14
NASOGASTRIC SUMP TUBE 16FR 7.14
NASOGASTRIC SUMP TUBE 18FR 7.14
NASOGASTRIC SUMP TUBE 8FR 16.35
NASOPHARYNGEAL AIRWAY 22FR 17.50
NATURAL TEARS EYE DROPS 5.50
NEB SOLUTION NS 3ML 5.50
NEBIVOLOL 10 MG TAB 17.46
NEBULIZER ADAPTER 5.50
NEBULIZER HAND HELD 5.50
NEBULIZER PEDIATRIC 18.50
NECK SOFT TISSUE 2 VIEWS 384.32
NEEDLE ASPIRATION/INTRAOSSEOUS INF 35.19
NEEDLE CADDY 5.00
NEEDLE EZ-IO ADULT 25MM 324.00
NEEDLE EZ-IO BARIATRIC 45MM 345.00
NEEDLE EZ-IO PED 15MM 324.00
NEEDLE FILTER 5.50
NEEDLE QUINCKE 22GX3.5 IN ACCUTIP 5.00
NEEDLE QUINCKE 22GX5IN ACCUTIP 14.37
NEEDLE TIP CAUTERY 0.00
NEEDLE-DECOMPRESSION 14GX3.25 42.41
NEEDLE-GENERAL 2.50
NEOMYCIN / POLYMYXIN / DEXAMETH OPTH 135.37
NEOMYCIN 500MG 5.50
NEOMYCIN/POLYM OINT 15GM 14.84
NEOMYCIN/POLYMYXIN B SULFATES OTIC SOL 50.24
NEOSPORIN/TRIPLE ANTIBIOTIC OINT 15GM TU 5.50
NEOSTIGMINE PER 250MG IV 85.09
NEO-SYNEPHRINE/PHENULEPHRINE 1% 15ML 5.50
NEULASTA 6MG/.06 ML 62,185.96
NEUOPGEN 300MCG 913.00
NEUPOGEN PER 300 MCG 875.73
NEUROMUSCULAR RE-EDUCATION 100.11
NEURONTIN (GABAPENTIN) 312.45
NEUROSTIMULATOR 29,940.00
NEVANAC/NEPAFENAC 5,114.75
NEW PATIENT VISIT LEVEL 1 400.00
NEW PATIENT VISIT LEVEL 2 500.00
NEW PATIENT VISIT LEVEL 3 600.00
NEW PATIENT VISIT LEVEL 4 700.00
NEW PATIENT VISIT LEVEL 5 800.00
NIACIN 250MG CAP 5.50
NIACIN ER (B-3) 500 MG CAP 93.41
NICARDIPINE 25 MG / 10 ML VIAL 63.04
NICOTINE PATCH 14 MG 14.25
NICOTINE PATCH 21MG EACH 12.57
NICOTINE PATCH 7 MG 14.60
NICOTINE, URINE 236.50
NICOTINE/COTININE LC/MS/MS 234.00
NIFEDIPINE 10 MG CAP 9.80
NIFEDIPINE XL 30 MG 6.61
NIMODIPINE 30 MG TAB 5.50
NITRO 0.2 MG / HR PATCH 40.34
NITRO 0.4MG/HR 9.21
NITRO PRESS/NITROPRUSSIDE 25MG/ML 5,274.73
NITROFURANTION 100 MG CAP 34.43
NITROGLYCERIN DRIP 200 MCG PREMIX 38.15
NITROGLYCERINE 25MG/5ML AMP 56.00
NITROGLYCERINE 6.5 MG TAB 5.50
NITROGLYCERINE PASTE 6.87
NITROGLYCERINE TUBING SET 32.80
NITROLINGUAL SPRAY 571.48
NITROSTAT 0.4 MG TAB 5.50
NORCO 7.5MG/325MG ELIXER - PER15ML 6.42
NORTRIPTILINE LEVEL 159.45
NORTRIPTYLINE 25 MG TAB 5.50
NORVASC 10MG 5.50
NORVASC 2.5 MG TAB 5.50
NOVOLIN 70/30 44.52
NOVOLIN N INSULIN 100UNITS/ML 41.23
NOVOLOG INSULIN 100UNITS/ML per 50 units 86.63
NP CULTURE ORG ID1 9.00
NP CULTURE SUSC 1 9.00
NPWT 334.92
NPWT >/= TO 50SQ CM - WOUND VAC APP 589.56
NS 0.45 % WITH 20 KCL 149.72
NS 0.45% 1000ML IV 25.95
NS 0.9% 100ML IVPB 12.90
NS 0.9% 10ML VIAL 5.50
NS 0.9% 250ML IV 5.50
NS 0.9% 500ML IV 21.95
NS 0.9% 50ML IV 5.50
NS 20ML VIAL 21.95
NS 3000 ML 115.50
NS 50 ml bag 5.50
NS FLUSH 0.9% 10 ML SYRINGE 5.50
NS MINIBAG 0.9% 100ML FOR IVPB 5.50
NS W/KCL 20MEQ 1000ML IV 21.95
NS W/KCL 40MEQ 1000ML BAG 21.95
NUBAIN/NALBUPHRINE 20MG/ML 37.29
NURSING HOME MILAGE 1.00
NYSTATIN CREAM 5.50
NYSTATIN CREAM 15GM 5.82
NYSTATIN ORAL SUSP UD 5 ML CUP 7.68
NYSTATIN POWDER 100MU/GM 8.98
NYSTATIN/TRIAMICIN 60GM 18.90
O2 MASK CRNA MEDICARE 5.50
O2 SENSOR NELLCOR 21.57
O2 SENSOR NIHON KOHDEN 27.00
O2 SET UP 58.25
O2 TUBING W/ETCO2 SAMPLING CANNULA 7.56
O2< 5 LITERS/HOUR CRNA MEDICARE 15.50
O2> 5 LITERS/HOUR CRNA MEDICARE 27.50
OASIS WOUND MATRIX 88.00
OB BRIEFS 9.75
OB PADS PACKAGE 5.50
OB PANEL 454.00
OB TRAY 119.07
OBSERVATION CARE DISCHARGE MANAGEMENT 300.00
OBSERVATION DIRECT ADMIT 1ST HOUR ROOM 200.00
OBSERVATION PER HOUR ROOM 32.50
OBSERVATION W/TELEMETRY ROOM 42.50
OCCULT BLOOD 40.48
OCCUPATIONAL THERAPY EVAL HIGH COMPLEX 300.00
OCCUPATIONAL THERAPY EVAL LOW COMPLEXITY 270.00
OCCUPATIONAL THERAPY EVAL MOD COMPLEXITY 285.00
OCCUPATIONAL THERAPY RE-EVALUATION 270.00
OCEAN SPRAY (NASAL SALINE) 0.65% 1.5 OZ 5.50
OCTREOTIDE ACETATE 100MCG/ML INJ 263.24
OCUVITE TAB (VITAMIN) 5.50
OFLOXACIN 0.3% BOTTLE 570.55
OFLOXIN/OFLOXACIN OPTH 0.3% 140.28
OLANZAPINE 10 MG TAB 65.95
OLANZAPINE 10 MG VIAL 205.84
OLANZAPINE 2.5 MG 11.09
OLANZAPINE 7.5MG TAB 45.80
OMEPRAZOLE 2 MG / ML / 90 ML BOTTLE 144.84
OMEPRAZOLE 20MG CAP 15.89
OMI JUG 85.89
OMNIPRED 52.69
ON CARE HARMONY HI-LO BED FRAME PER DAY 84.00
ONDANSETRON 1MG IV 5.50
ONDANSETRON 4 MG TAB 5.50
ONDANSETRON 4 MG TAB 115.34
OP-SITE DRESSING 13.25
OPTICAL LARYNGOSCOPE 276.75
OPTICAL LARYNGOSCOPY 276.75
ORAL BALANCE PASTE 5.50
ORAL CARE KIT 24 HOUR 46.14
ORAL CARE KIT 24 HR CHLOHEXADINE 70.83
ORAL RINSE CHG 0.12% 15 ML 7.11
ORBITS OPTIC FORAMINA 204.75
ORPHENADRINE CITRATE PER 60MG INJ 110.80
ORTHO GLASS 1INCH/1-12 IN 12.69
ORTHO GLASS 1INCH/12-24 IN 25.38
ORTHO GLASS 2INCH/1-12 INCHES 16.25
ORTHO GLASS 2INCH/12-24 INCHES 32.50
ORTHO GLASS 3INCH/1-12 INCHES 22.25
ORTHO GLASS 3INCH/12-24 INCHES 44.25
ORTHO GLASS 4INCH/1-12 INCHES 26.50
ORTHO GLASS 4INCH/12-24 INCHES 53.00
ORTHO GLASS 5INCH/1-12 IN 35.43
ORTHO GLASS 5INCH/12-24 IN 70.86
ORTHO GLASS 6INCH/1-12 INCHES 38.75
ORTHO GLASS 6INCH/12-24 INCHES 77.25
OSELTAMIVIR 12MG/ML SUSP 45.14
OSELTAMIVIR 75 MG TAB 77.13
OSMOLALITY - SERUM 65.54
OSTECTOMY, CALCANEUS 12,191.70
OSTECTOMY, PARTIAL EXCISION 5TH METATARS 12,191.20
OSTOMY SUPPLY DRAIN KIT 15.00
OTHER PT PRIMARY FUNCTION CURRENT 0.01
OTHER PT PRIMARY FUNCTION DISCHARGE 0.01
OTHER PT PRIMARY FUNCTION GOAL 0.01
OTHER PT SUBSEQUENT FUNCTION CURRENT 0.01
OTHER PT SUBSEQUENT FUNCTION DISCHARGE 0.01
OTHER PT SUBSEQUENT FUNCTION GOAL 0.01
OVA & PARASITES STOOL 125.56
OXALIC ACID 24HR URINE W/O CREATININE 57.63
OXYBUTYNIN 10 MG TAB 16.40
OXYCODONE / APAP 10/325 MG TAB 121.95
OXYCODONE / APAP 7.5 MG / 325 MG TAB 13.55
OXYCODONE 5 MG TAB 5.50
OXYCODONE ER 10 MG TAB 150.06
OXYCODONE HCL 20MG TAB 42.10
OXYCODONE IMMEDIATE RELEASE 10 MG TAB 5.50
OXYCODONE/ACETAMIN 5/325 MG TAB 6.83
OXYGEN LESS THAN 5 LITERS (PER HOUR) 15.50
OXYGEN MORE THAN 5 LITERS (PER HOUR) 27.50
OXYMIZER CANNULA TUBING 71.25
OYSTER SHELL 500 MG 5.50
PACKING STRIP 1/2IN x 1 YD 5.00
PACKING STRIP 1/2IN X 1YD AMD 5.00
PACKING STRIP 1/4IN X 1YD AMD 5.00
PACKING STRIP AMD 1/4 X 1 YD 5.00
PAIN PUMP TUBING-DUAL 825.00
PAIN PUMP TUBING-SINGLE 360.00
PALIPERIDONE 6 MG TAB 49.36
PALM PROTECTOR W/CYLINDER ROLL & FINGER 179.25
PANCREATIC ELASTASE -1 672.00
PANCREAZE 42K / 246K / 142 K USP CAP 5.50
PANCRELIPASE [ 6,000 USP UNITS ] CAP 5.50
PANCRELIPASE 6000 USP UNITS CAP 5.50
PANTOPRAZOLE (PER 40 MG) IV 38.92
PANTOPRAZOLE 40 MG TAB 20.39
PANTOPRAZOLE GRANULES 40 MG 34.71
PANTOPRAZOLE SODIUM 40 MG GRANULES 46.16
PARASITE ID 163.05
PARASITE ID, INTESTINAL 200.52
PARATHYROID HORMONE (01) 215.50
PARATHYROID HORMONE (02) 37.50
PARICALCITOL 2 MCG / ML INJ VIAL 13.29
PARING/CUTTING BEN HYPERKER LESION 2-4 844.75
PARING/CUTTING CALLOUS 844.75
PAROCALCITROL 1 MCG CAP 5.50
PAROXETINE 20 MG TAB 5.50
PARTIAL EXCISION, BONE; TARSA/METATARASA 12,191.20
PARVOVIRUS B19 IGA 88.00
PARVOVIRUS B19 IGM 194.70
PASNCRELIPASE 24K/76K/120K CAP 20.91
PASSY-MUIR SPEAKING VALVE AQUA 389.97
PATH CONSULT EA ADD FROZ SEC 29.58
PATH CONSULT INTRAOP 1 FROZ SEC 86.40
PATH CONSULT INTRAOP-TOUCH PRE EA ADD 60.18
PATH CONSULT INTRAOP-TOUCH PREP 95.16
PATH CONSULT INTROP 99.36
PATH CONSULT W/SLIDE PREP 143.22
PATH CONSULT-COMP W/REV OF REC 370.74
PATIENT PROGRAMMER 3,570.00
PCN VK 500 MG TAB (PENICILLIN) 164.67
PEAK FLOW METER 33.57
PEANUTES/KITNERS 5.00
PEANUTES/KITNERS 5.00
PEDIA-LYTE 22.50
PEDIATRIC DEXTROSE 25% 19.95
PEDIATRIC EPINEPHRINE 6,073.85
PEDIATRIC LIDOCAINE 1% 7.61
PEDIATRIC URINE COLLECTOR 5.00
PEDI-CAP C02 DETECTOR 35.50
PEG ASSIST INSOLE MD 40.28
PEG ASSIST INSOLE XL 40.28
PEG ASSIST INSOLRE LG 40.28
PEG TUBE 588.00
PEG TUBE 14 FR-NESTLE 132.51
PEG TUBE 14FR 133.29
PEG TUBE 16 FR-NESTLE 112.86
PEG TUBE 18 FR-NESTLE 112.86
PEG TUBE 18FR 76.28
PEG TUBE KIT 20FR MIC PULL 328.62
PEG TUBE KIT 20FR PONSKY PULL 1,036.71
PEG TUBE MIC 18FR 211.80
PEG TUBE STABILIZER VERTICAL DRAIN 15.09
PELVIC EXAM 18.25
PELVIS 1V OR 2V 269.28
PENICILLIN G POTASSIUM 6.39
PENROSE 5.00
PENTOXYLLINE 400 MG TAB 7.48
PERIPHERAL BLOOD SMEAR (CONSULT) 80.27
PERMETHRIN LOTION 5.50
PEROXIDE 8OZ BTL 5.50
PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANN 28,032.10
PERQ VERTEBRAL AGMENTATION, LUMBAR CAVIT 28,032.10
PERTUSSIS CONFIRMATION CULTURE 383.31
PERTUSSIS IGA 43.75
PERTUSSIS IGG 132.50
PETROLATUM DRESSING 3 X 9 5.50
PETROLATUM DRESSING 5 X 9 5.50
PHENAZOPYRIDINE 100 MG TAB 5.50
PHENERGAN 25 MG SUPP 88.35
PHENOBARBIRAL 65 MG INJ 18.00
PHENOBARBITAL 105.68
PHENOBARBITAL 5.94
PHENOBARBITAL 32.4 MG TAB 5.50
PHENTOLAMINE/PHENTOLAMIN MESYLATE 5MG 898.20
PHENYLEPHRINE 1%-10MG/ML 71.86
PHENYLPHRINE HCL 10%OPTH 5.50
PHENYTOIN ER 100 MG CAP 5.50
PHENYTOIN ORAL SUSP. [ 100 MG / 4 ML ] 16.28
PHOS-NAK PACKET 5.50
PHOSPHATE 24HR URINE W/O CREATININE 31.53
PHOSPHORUS-SERUM 46.68
PH-VENOUS 110.00
PHYLEPHRINE 2.5% EYE DROPS 40.55
PHYTONADIONE 10ML INJ 288.87
PICC ACCESS BLOOD DRAW 217.00
PICC INSERTION TRAY 265.50
PICC LINE KIT 4FR X 60CM 257.10
PICC LINE PLACEMENT 1,030.75
PICC LINE PLACEMENT 5YR OR OLDER 3,420.65
PICC LINE PLACEMENT OUTPATIENT 3,939.00
PICC LINE REMOVAL 2,207.00
PICC REPL CONNECTOR 47.67
PICO DRESSING KIT 4X8 693.66
PICO DRESSING KIT 6X6 693.66
PICO DRESSINGKIT 6X8 693.66
PILL SPLITTER/CRUSHER 16.17
PILOCARPINE HCL 5 MG TAB 51.79
PINWORM PREP 18.75
PIOGLITAZONE 15 MG 32.88
PIOGLITAZONE HCL TAB 5.59
PIPERACILLIN / TAZOBACTAM 3.375MG INJ 108.56
PIPERACILLIN/TAZOBACTAM ZOSYN 4.5 GM IV 8.75
PITAVASTATIN 1 MG TAB 8.00
PLACEMENT PORTA CATH 5YRS OLDER 11,803.00
PLAIN PACKING 1/4INCH 6.15
PLAIN PACKING ANY SIZE 27.00
PLATELET COUNT 43.00
PLATLET PHERESIS LR 1,669.75
PNEUMOCOCCAL VACCINE INJ (ADULT) 1,131.90
PNEUMOTHORAX KIT 293.22
PODIATRY PACK 243.00
PODUS BOOT MD/LG 196.74
PODUS BOOT SM/MD 196.74
POLOCAIN 1%/MEPIVACAINE 10MG/ML 5.50
POLOCAIN 2%/MEPIVACAINE 20MG/ML 517.96
POLOCAIN1% MPF 14.84
POLOCAINE MPF 1% 14.84
POLYETHYLENE GLYCOL POWDER 17 GM DOSE 5.71
POLYPECTOMY SNARE 60.00
POLYSOMNOGRAPHY,1-3 PARA, ATTENDED 1,800.00
POLYSOMNOGRAPHY,4+ PARA,ATTENDED 2,100.00
POLYSOMNOGRAPHY,4+ W/CPCP;ATTENDED 3,854.82
POLYSPORIN/BACITRACIN/POLYMYXIN 15 GM 50 5.50
POLYTRIM 10 ML BOTTLE 18.51
POOLE SUCTION TIP 10.65
PORPHYRINS 24 HR URINE 394.00
PORPHYRINS PLASMA 329.00
PORT A CATH DEVICE 1,714.74
PORT ACCESS 217.00
PORT KIT #6360 27.50
PORT, POWERPORT VUE TITANIUM IMPLANT 1,562.40
PORTA CATH INTRODUCER KIT 175.29
PORTA CATH STANDARD 1,714.77
POSITION/TURN SYSTEM XXL 826.80
POSITIONER HEAD 2 LAYER FOAM 42.18
POST OP SHOE 27.25
POST OP SHOE FEMALE LG 14.31
POST OP SHOE FEMALE MED 14.31
POST OP SHOE FEMALE XS 14.31
POST OP SHOE MALE LG 14.31
POST OP SHOE MALE MED 14.31
POST OP SHOE MALE SM 14.31
POST OP SHOE MALE XL 18.18
POST OP SHOE MALE XS 13.53
POST OP SHOW FEMALE SM 14.31
POTASSIUM - SERUM 49.44
POTASSIUM - URINE 43.00
POTASSIUM BICARBONATE EFFER. 25 mEq TAB 5.00
POTASSIUM CHL 20 MEQ TAB 5.50
POTASSIUM CHLORIDE 10 MEQ 5.50
POTASSIUM CHLORIDE 2 MEQ 7.50
POTASSIUM CHLORIDE 2 MEQ 10 ML VIAL 27.75
POTASSIUM CHLORIDE 2 MEQ INJ 27.75
POTASSIUM CHLORIDE 20MEQ/100ML 9.34
POTASSIUM CHLORIDE 20MG/15ML SUSP 5.50
POTASSIUM CHLORIDE/KCL 0.00
POTASSIUM PHOSPHATE 15ML VIAL 5.82
POTASSIUM PHOSPHATES 3 MM P/ ML 76.04
PRAMIPEXOLE 0.125 MG TAB 8.98
PRAMIPEXOLE 0.5 MG TAB 5.50
PRASUGREL 5 MG TAB 359.18
PRAVASTATIN 40 MG TAB 23.81
PRAZOSIN 2 MG CAPSULE 12.43
PRE-ALBUMIN 91.71
PRED FORTE 1% / 1ML GTT 226.56
PREDNISOLONE SYRUP 15MG/5ML (DOSE) 5.50
PREDNISONE 1 MG 5.00
PREDNISONE 1 MG TAB 5.50
PREDNISONE 10 MG TAB 5.50
PREDNISONE 20 MG TAB 5.50
PREDNISONE 5 MG TAB 5.50
PREDNISONE 50MG TAB 5.50
PREGABALIN 100MG CAP 67.88
PREGABALIN 25 MG CAP 44.50
PREGABALIN 50 MG CAP 48.95
PREGABALIN 75 MG CAP 48.95
PRELONE SYRUP 15MG 5ML 240ML 7.25
PRESSURE INFUSER BAG 500CC 30.12
PRESSURE INFUSER, DISPOSABLE 33.75
PRIMAXIN/IMIPENEM/CILASTATIN 500MG 58.14
PRIMIDONE (MYSOLINE) 94.04
PRIMIDONE 50 MG TAB 13.29
PRIVATE ISOLATION 900.00
PRIVATE ROOM 780.00
PRIVATE ROOM W/TELEMETRY 1,020.00
PROAMATINE 2.5MG 11.00
PROBENECID TAB 5.50
PROCAINAMIDE 500 MG/ML 73.01
PROCAINAMIDE 500MG/ML 214.62
PROCARDIA/NIFEDIPINE 10MG 0.00
PROCEDURE TRAY-PAIN MGMT 108.28
PROCHLORPERAZIME 10MG 2ML 110.78
PROCHLORPERAZINE 10 MG TAB 5.50
PROCHLORPERAZINE TAB 10MG 5.50
PROCRIT 10,000 UNIT VIAL 1,540.23
PROCRIT 20,000 U/ML INJECTION 3,080.40
PROCTOZONE 2.5% 30 GM CREAM 5.81
PROGESTERONE 90.10
PROLACTIN 92.37
PROLAYER 4X8 ACELLULAR DERMAL MATRIX 10,383.00
PROMETHAZINE 12.5 MG SUPP 88.35
PROMETHAZINE 25 MG / ML VIAL 7.90
PROMETHAZINE 25 MG TAB 5.50
PROMETHAZINE 50MG / ML VIAL 11.08
PROMETHAZINE GEL 12.5MG 12.00
PROMETHAZINE GEL 25 MG / 0.5 ML 5.50
PROMETHAZINE SUPP PHENERGAN 25MG 17.80
PROMOD 5.50
PROPAFENONE 150 MG TAB 8.40
PROPANOLOL/INDERAL 40MG/0.6ML 5.50
PROPARACAINE HCL 0.5% 15 ML BOTTLE 29.19
PROPOFOL 10MG/ML 20 ML VIAL IV 14.37
PROPOXYPHENE NAPSYLATE 6.50
PROPRANOLOL 10MG TAB 5.50
PROPRANOLOL/INDERAL 1MG/ML 47.90
PROTACK 174006 1,697.31
PROTAMINE SULFATE 10 MG / ML INJ 23.90
PROTECTA-GEL REG SKIN BARRIER 42.87
PROTECTA-GEL SMALL SKIN BARRIER 42.87
PROTEIN C ANTIGEN 267.54
PROTEIN C/S ACTIVITY W/REFLEX 764.52
PROTEIN ELECTRO - URINE (01) 96.00
PROTEIN ELECTRO - URINE (02) 135.13
PROTEIN PLEURAL FLUID 36.00
PROTEIN S ACTIVITY 267.54
PROTEIN S ANTIGEN 267.54
PROTEIN TOTAL - SERUM 39.50
PROTEIN-24 HOUR URINE 63.00
PROTEINASE 3 ANTIBODY 120.00
PROTEIN-URINE RANDOM 52.75
PROTIEN C ACTIVITY 267.54
PROVERA 2.5MG 5.50
PROXI-STRIP 5.00
PSA (SCREENING) 91.25
PSA TOTAL 123.09
PSEUDOEPHEDRINE 30 MG TAB 5.50
PSEUDOPHEDRINE 30 MG TAB 5.50
PSYLLIUM INSTANT MIX (DOSE) 5.50
PT EVALUATION HIGH COMPLEXITY 323.99
PT EVALUATION LOW COMPLEXITY 223.99
PT EVALUATION MODERATE COMPLEXITY 273.99
PT MODALITIES HOT OR COLD PACKS 31.85
PT RE-EVALUATION 99.00
PTH C-TERMINAL 220.00
PTH RELATED PROTEIN 227.75
PT-PROTHROMBIN TIME 55.84
PTT 39.60
PULL UP EXTRA LARGE 6.24
PULL UP LARGE 5.00
PULL UP MEDIUM 5.00
PULL UP SMALL 5.00
PULSE OX , MULTIPLE 71.50
PULSE OX , SINGLE 55.52
PULSE OXIMETER CRNA MEDICARE 58.25
PULSE OXIMETRY 58.25
PYRIDOSIGMINE BROMIDE ER 180 MG TAB 41.01
PYRIDOSTIGMINE BROMIDE TAB 86.26
PYRIDOSTIGMINE INJ (DOSE) 5MG 2ML 25.50
PYRIDOXINE 50 MG TAB 5.50
QUANTIFERON-TB GOLD 782.85
QUESTRAN 4 GM PACKET 5.63
QUETIAPINE FUMARATE 100 MG TAB 5.50
QUETIAPINE FUMARATE 25 MG TAB 5.50
QUINAPRIL 10MG TAB 5.50
QUINAPRIL 20MG TAB 29.00
QUINIDINE 324 MG 5.00
QUININE 255.00
QUININE LEVEL 255.00
QUININE SULFATE 5 GR CAP 39.21
QUNAPRIL 20 MG TAB 173.17
RABEPRAZOLE SODIUM 20MG TAB 23.23
RACEPINEPHRINE 0.5 8.98
RADIOFREQUENCY NEEDLES 18 G 69.00
RALLY PACK 330.48
RALTEGRAVIR [ 100 MG ] CHEW TAB 22.66
RAMIPRIL 2.5 MG CAP 5.50
RAMIPRIL 2.5 MG TAB 9.01
RAMIPRIL 5 MG TAB 9.46
RANITIDINE 150 MG TAB 7.91
RANITIDONE HCI 50MG INJ 38.60
RANOLAZINE 500 MG TAB 35.61
RAPID RHINO 5.5CM LUMEN ANTERIOR 113.10
RAPID RHINO 7.5CM LUMEN ANT/POST 113.10
RAPID RHINO 9CM POSTERIOR 2 BALLOON 213.90
RASP LARGE TEAR CROSS CUT 940.00
RASP SMALL TEAR CROSS CIT 940.00
RAYTEC GAUZE 5.00
RECLAST PER 1 MG 64.90
RECONSTRUCTION ADDITIONAL VIEWS 560.25
RECOVERY ROOM, 1ST HOUR 528.00
RECOVERY ROOM, EACH ADD 15 MINS 105.50
RECTAL TUBE 5.00
RED BLOOD CELLS, LR EACH UNIT 670.50
RED BLOOD CELLS-IRRADIATED 808.50
REDROBBIN CATHETER 40.71
REDUCTION OF TOE(S) OTHER THAN GREAT TOE 1,602.00
REDUCTION OF TOE(S) OTHER THAN GREAT TOE 374.97
REGLAN 5 MG 5.00
REMOVAL FB CORNEAL W/O LAMP 160.50
REMOVAL FB CORNEAL W/O LAMP 160.50
REMOVAL FB EXTERNAL AUDITORY CANAL 231.75
REMOVAL FB EXTERNAL AUDITORY CANAL 356.75
REMOVAL FB EXTERNAL EYE CONJUNCTIVAL 160.00
REMOVAL FB EXTERNAL EYE CONJUNCTIVAL 160.00
REMOVAL FB FOOT SUBQ 2,894.00
REMOVAL FB FOOT SUBQ 622.25
REMOVAL FB INTRANASAL 228.00
REMOVAL FB INTRANASAL 634.75
REMOVAL IMPLANT DEEP 10,744.55
REMOVE IMPLANTED CONTRACEPTIVE CAPSULES 2,695.55
REMOVER LOTION 3M 10.59
RENAL PANEL 153.00
RENAVITE SOFTGEL CAP 5.50
RENIN LEVEL - PLASMA 165.00
REPAIR BROW PTOSIS (SUPRACILIARY/MID-FOR 9,056.75
REPAIR CREAM (OLIVAMINE) 4OZ 13.00
REPAIR INCISION/VENTRAL HERNIA INCARCERA 14,313.70
REPAIR INCISION/VENTRAL HERNIA REDUCIBLE 14,313.70
REPAIR, SECONDARY ACHILLES TENDON W/WO G 26,107.85
REPEAT EKG - SAME DAY 85.75
REPLACEMENT OF GASTRO-JEJUNOSTOMY 3,498.95
RESCUE GRASPERS 255.00
RESCUE NETS 255.00
Resolution 360 Clip 675.00
RESPIRATORY ALLERGY PROFILE 248.48
RESTORIL 30 MG 5.00
RESTRAINT VEST (ANY SIZE) 31.25
RESUSCITATOR CYCLONE POCKET 148.89
RESUSCITATOR MANUAL PEDIATRIC 28.95
RETAVASE 18.2 U 5,887.48
RETAVASE HALF KIT 2,943.74
RETENTION BRIDGE RSB-5 50.49
RETICULOYCTE COUNT 63.15
RETROVIR 100 MG 74.65
RETROVIR/ZIDOVUINE 100MG 12.36
REVERSE T3 791.73
RH TYPING 77.00
RHEUM FACTOR 65.78
RHEUMATOID FACT 24.00
RHINO ROCKET 36.18
RIB BELT FEMALE UNIVERSAL 9.54
RIB BELT MALE UNIVERSAL 9.54
RIBOSOMAL P AB 165.00
RIBS BILATERAL 3V 115.83
RIBS UNILATERAL 2V 329.08
RIFAMPIN 300 MG CAP 25.82
RIFAXIMIN 550 MG TAB 379.65
RISPERDAL 2 MG TAB 23.50
RISPERDONE 1 MG TAB 22.66
RITONAVIR 100 MG TAB 51.33
RITUXAN (CD20) 180.00
RIVAROXABAN 10 MG TAB 379.53
RIVAROXABAN 15 MG TAB 83.65
RJ4 HOT BIOPSY FORCEPS 55.91
RJ4 LC BIOPSY FORCEPS W/NEEDLE 29.14
ROBISTUSSIN DM 100MG/ML 5.00
ROBITUSSIN DM/GUAIFEN DM 100MG/10ML 5.50
ROBITUSSIN SYRUP/DOSE SUSP 5.50
ROCKY MT SPOTTED FEVER 324.45
ROCURONIUM 10MG/ML IV 5.50
ROFLUMILAST 500MCG TAB 84.11
ROHO CUSHION HIGH PROFILE 16X18 833.97
ROPINIROLE 0.5MG TAB 8.22
ROPINIROLE 1 MG TAB 5.50
ROSIGLITAZONE MALEATE 4MG TAB 16.00
ROSUVASTATIN CALCIUM 5MG TAB 34.00
Rotatable Snare 20mm 30.41
ROTAVIRUS ANTIGEN TEST 121.00
RPR 66.66
RPR UMBILICAL HERNIA INCARCERATE 5YR/OLD 14,313.70
RPR UNMILICAL HERNIA REDUCIBLE 5YR/OLD 14,313.70
RSV - RAPID 67.96
RUBELLA ANTIBODY (IGG) 98.20
RUBEOLA ANTIBODY IGM 73.00
RUBEOLA IGG 27.50
SA EC/ASPIRN EC 325MGG 0.00
SACIBITRIL / VALSARTAN [ 97 / 103 MG ] 27.97
SACROILIAC JOINTS 1V OR 2V 294.53
SACRUM/COCCYX MINIMUM 2V 294.53
SACUBITRIL/VALSARTAN 24/26 MG TAB 6.61
SALEM SUMP 61.20
SALICYLATE 198.00
SALINE DRESINGS - WET 7.75
SALINE NASAL SPRAY 1.5 OZ BOTTLE 7.06
SALMONELLA, TOTAL AB 134.25
SAM SPLINT 44.00
SAM SPLINT 5.5X36 94.08
SAND BED-CLINITRON PER DAY 285.00
SAND BED-ENVELLA PER DAY 420.00
SAXAGLIPTIN 5 MG TAB 48.32
SCALPEL #10 5.00
SCALPEL #11 5.00
SCALPEL #15 5.00
SCAPULA COMPLETE 203.50
SCD EXP SLEEVE THIGH LG 180.60
SCD EXP SLEEVE THIGH MD 150.81
SCD EXP SLEEVE THIGH SM 143.13
SCD- SEQUENTIAL COMPRESSION DEVICE 17.85
SCD SLEEVES KNEE LARGE 179.82
SCD SLEEVES KNEE MEDIUM 126.51
SCD SLEEVES KNEE XL 277.17
SCL-70 100.62
SCOPALAMINE 1.5 PATCH 71.19
SCOPOLAMINE ISOPTO HYOSCINE 0.25% OPTH 154.25
SCREENING COLONOSCOPY HIGH RISK 3,338.35
SCREENING COLONOSCOPY NOT HIGH RISK 3,338.35
SCREW 2.5MM X20 HEADED 1,071.00
SCREW 2.5MMX16 HEADED 1,071.00
SCREW, HEADLESS COMPRESSION 4.0MM/L34MM 1,649.20
SCROTAL SUPPORT-SUSPENSORY LARGE 24.50
SED RATE (ESR) 69.33
SELF CARE 105.33
SELF CARE CURRENT STATUS 0.01
SELF CARE DISCHARGE STATUS 0.01
SELF CARE HOME MGMT EACH 15 MIN 75.00
SELF CARE PROJECTED GOAL STATUS 0.01
SENNA GEN 5.50
SENTINEL II BARIATRIC LO BED PER DAY 135.00
SERTRALINE 50MG TAB 5.50
SERUM DRUG SCREEN 67.50
SERUM GAMMA GLOBULIN LEVEL 525.69
SERUM PROTEIN ELECTROPHORESIS/SPEP 84.00
SET-UP PACK I KC/88171 20.19
SEVELAMER 800 MG POWDER PACKET 60.09
SEVELAMER HCL 800 MG CAP 123.85
SEVOFLURANE PER 15MIN INCREMENTS 5.50
SEX HORMONE BINDING 230.40
SHAMPOO CAP NO RINSE 7.80
SHILEY INNER CANNULA DISP SIZE 4 13.89
SHILEY INNER CANNULA DISP SIZE 6 13.89
SHILEY INNER CANNULA DISP SIZE 8 13.89
SHILEY INNER CANNULA SZ 5XL 27.69
SHILEY INNER CANNULA SZ 7XL EXT LENGTH 26.79
SHILEY INNER CANNULA SZ6XL EXT LENGTH 20.16
SHILEY INNER CANNULA SZ8XL EXT LENGTH 32.16
SHILEY RED CAP DECANNULATION PLUG 15.81
SHILEY TRACH TUBE SZ 4 CUFFED 162.57
SHILEY TRACH TUBE SZ 4 UNCUFFED 146.22
SHILEY TRACH TUBE SZ 5XLT CUFFED PROXIMA 344.58
SHILEY TRACH TUBE SZ 6 CUFFED 162.57
SHILEY TRACH TUBE SZ 6 UNCUFFED 146.22
SHILEY TRACH TUBE SZ 7XL EXT LENGTH CUFF 333.06
SHILEY TRACH TUBE SZ 8 CUFFED 162.57
SHILEY TRACH TUBE SZ 8 UNCUFFED 146.22
SHILEY TRACH TUBE SZ6XL EXT LENGTH CUFF 250.86
SHILEY TRACH TUBE SZ8XL EXT LENGTH CUFF 349.74
SHOE-DARCO ORTHOWEDGE LG 59.00
SHOE-DARCO ORTHOWEDGE MD 59.00
SHOE-DARCO ORTHOWEDGE XL 59.00
SHORT LEG SPLINT 165.00
SHOULDER 1V 167.36
SHOULDER COMPLETE MINIMUM 2V 309.27
SHOULDER DISLC CLOSED TX W/MANIPULATION 844.75
SHOULDER DISLC CLOSED TX W/MANIPULATION 844.75
SHOULDER IMMOBILIZER 24.75
SHOULDER IMMOBILIZER PEDIATRIC XS 40.92
SHOULDER STRAPPING 401.00
SHOULDER STRAPPING 183.25
SICKLE CELL SCREEN 30.75
SILDENAFIL 20 MG TAB 100.82
SILDENAFIL 50 MG TAB 331.65
SILODOSIN 8 MG CAP 49.75
SILVA SORB 4 X 4 45.75
SILVER HYDROCOLLIODAL DRESSING 61.00
SILVER NITRATE APPLICATORS 5.50
SILVER SULFADIAZINE CREAM 1% 20 GM TUBE 5.50
SILVER SULFADIAZINE CREAM 50 GM JAR 5.50
SILVERCEL DRESSING 4 1/4 X 4/1/4 24.60
SIMETHICONE 2.5 ML BOTTLE 5.50
SIMETHICONE 80 MG TAB 69.97
SIMETHICONE 80MG TAB 5.00
SIMVASTATIN 20 MG 21.50
SINEMET 10MG/100MG 5.00
SINEMET CR 25/100 PO 5.50
SINERGY KIT 2,250.00
SINUS COMPLETE MINIMUM 3V 407.50
SIROLUMUS (RAPAMYCIN) 211.25
SITAGLIPTIN 50 MG TAB 85.75
SITZ BATH 11.73
SJORGENS SSA & SSB 81.50
SKIN BIOPSY SUBQ/MUCOUS MEMBRANE SIMPLE 583.00
SKIN BIOPSY SUBQ/MUCOUS MEMBRANE SIMPLE 103.50
SKIN CLEANSING KIT 2% CHG 14.40
SKIN MARKER 5.00
SKIN PINCH GRAFT UP TO 2CM 1,464.60
SKIN STAPLE REMOVAL KIT 6.00
SKIN STAPLER DISPOSABLE - 15 17.75
SKIN STAPLER PGX35W 0.00
SKIN STAPLER PGX-35W 28.86
SKIN STAPLES - PSW-35 74.75
SKULL COMPLETE MINIMUM 4V 306.64
SKULL LESS THAN 4V 476.92
SLIPPER SOCK EXTRA LARGE 5.00
SLIPPER SOCK LARGE 5.00
SLIPPER SOCK MEDIUM 5.00
SLIPPER SOCK SMALL 5.00
SLIPPER SOCK XXL 1.86
SMOOTH MUSCLE ANTIBODIES-QUANT 143.70
SNAP CARTRIDAGE 125MMHG W/RESET 450.45
SNAP DRESSING 10X10 165.84
SNAP DRESSING 15X15 176.88
SNAP WC STRAP LARGE 31.50
SNS LEAD 9,120.00
SODIUM - SERUM 56.57
SODIUM - URINE 49.50
SODIUM BICARB 5.50
SODIUM BICARB 1MEQ/ML BTT 6.91
SODIUM BICARB 50MEQ INJ 10MLl 6.91
SODIUM BICARB TAB 0.18
SODIUM BICARBONATE 650 MG TAB 5.50
SODIUM BICARBONATE 8.4MG/ML IV 7.13
SODIUM CHLOR 7% SOLUTION FOR INH 4ML 5.50
SODIUM CHLORIDE 50ml MINIBAG 5.50
SODIUM CHLORIDE TABLET 6.45
SODIUM HYPOCHLORITE 0.125% 16 OZ BOTTLE 35.67
SOFT CAST 3 INCH 13.25
SOLU-CORTEF 100 MG 5.00
SOLUCORTEF/HYDROCORTISONE SOD 100MG 80.41
SOLUCORTEF/HYDROCORTISONE SOD 250MG 148.75
SOLU-MEDROL 500 MG 33.55
SOLUMEDROL/METHYLPREDNISOLON 500MG 138.42
SONCI ANCHOR KIT 2.5X10MM 1,908.00
SONIC ANCHOR SYS DRILL 1,806.00
SORBSAN 4 X 4 DRESSING 15.00
SOTALOL 80MG TAB 12.79
SPE (01) 126.44
SPE 02 47.54
SPECIAL STAINS GRP 1 173.82
SPECIAL STAINS GRP 2 138.87
SPECIMEN PAN 5.50
SPINAL ANESTHESIA TRAY 146.25
SPINAL KIT 249.75
SPINAL NEEDLE BD 18G 3.5INCH 12.30
SPINAL NEEDLE BD 20G 3.5INCH 12.09
SPINAL NEEDLE BD 22G 3.5INCH 5.00
SPINAL NEEDLE BD 22G 5.00 INCH QUINCKE 9.21
SPINAL NEEDLE BD 25G 3.5INCH 5.00
SPINAL NEEDLE WHITACRE 5.00
SPINAL TRAY 24 G 48.66
SPINE ENTIRE INCLUDING SKULL 1V 339.14
SPINE ENTIRE SURVEY AP/LAT 699.50
SPIRIVA HANDIHALER 79.37
SPIRIVA INHALER 1.25 MCG / DOSE 476.24
SPIROMETER INCENTIVE 18.75
SPIRONOLACTONE 25 MG TAB 5.50
SPIRONOLACTONE 25MG TAB 10.78
SPLINT APPLICATION LONG ARM ABOVE ELBOW 401.00
SPLINT APPLICATION LONG ARM ABOVE ELBOW 247.50
SPLINT APPLICATION LONG LEG ABOVE KNEE 394.00
SPLINT APPLICATION LONG LEG ABOVE KNEE 169.50
SPLINT APPLICATION SHORT ARM BELOW ELBOW 401.00
SPLINT APPLICATION SHORT ARM BELOW ELBOW 187.50
SPLINT APPLICATION SHORT LEG BELOW KNEE 401.00
SPLINT APPLICATION SHORT LEG BELOW KNEE 189.75
SPLINT FINGER APPLICATION 401.00
SPLINT FINGER APPLICATION 116.25
SPLINT KNEE 3 PANEL 93.99
SPLINT METACARPAL LEFT LARGE 16.53
SPLINT METACARPAL LEFT MEDIUM 16.53
SPLINT METACARPAL LEFT SMALL 16.53
SPLINT METACARPAL RIGHT LARGE 16.53
SPLINT METACARPAL RIGHT MEDIUM 16.53
SPLINT METACARPAL RIGHT SMALL 16.53
SPONGE GAUZE IV DRAIN 4X4 9.75
SPONGE STICKS (POVIDONE-IODINE) 5.79
STAPLE RELOAD PROX TCR 55/75 150.00
STAPLER CUTTER RELOAD 155.67
STAPLER PTACK30 5MM 1,653.18
STAPLER RELOAD TX30V 327.81
STAPLER RELOAD XR30V 146.31
STAPLER ROTICULATOR 55 POLY 13601 2,102.73
STAPLER SKIN 3M VISTA 35R 28.08
STAPLER TX30V 300.00
STATLOCK FOLEY STABILIZATION DEVICE 9.33
STATLOCK PICC STABILIZATION DEVICE 12.99
STERI STRIP R1540 5.00
STERI-DRAPE 1018 5.01
STERILE 02 ADAPTER 5.50
STERILE 2X2 5.00
STERILE 4X8 5.00
STERILE GLOVES BIOGEL 5.00
STERILE GLOVES PROTEX 6.5 5.00
STERILE MARKING PEN 4.25
STERILE SCRUB 14.50
STERILE SLEEVE 5.00
STERILE TOWELS 10.71
STERILE WATER 10ML 5.50
STERILE WATER 20ML 5.50
STERILE WATER 20ML 5.00
STERILE WATER 3000ML 52.00
STERILE WATER 50ML 5.50
STERILE WATER 50ML BOTTLE 5.00
STERILE WATER FOR INHALATION 4.14
STERNUM MINIMUM 2V 227.50
STETHOSCOPE DISPOSABLE 5.50
STOMAHESIVE PASTE 2OZ 15.90
STOMAHESIVE POWDER 10.89
STOMAHESIVE WAFER 45MM 6.09
STOMAHESIVE WAFER 5X5 6.09
STONE ANALYSIS 142.02
STOPCOCK 3 - WAY 7.47
STRAIGHT CATH OF BLADDER FOR URINE 235.25
STRATTERA (ATOMOXETINE) LEVEL 78.75
STREP GROUP B CULTURE 56.94
STREP SCREEN 80.32
STRESS ECHO TEST CONTINUOUS MONITORING 1,798.72
STYLET 10FR 6.15
STYLET 14FR 6.60
STYLET6FR 5.91
STYLETS 10.00
SUBSEQUENT HOSPITAL CARE/DAILY 15 MIN 300.00
SUBSEQUENT HOSPITAL CARE/DAILY 25 MIN 300.00
SUBSEQUENT HOSPITAL CARE/DAILY 35 MIN 300.00
SUBSEQUENT OBSERVATION CARE/DAY 15 MIN 300.00
SUBSEQUENT OBSERVATION CARE/DAY 25 MIN 300.00
SUBSEQUENT OBSERVATION CARE/DAY 35 MIN 300.00
SUBSEQUENT SWINGBED CARE/DAILY 10 MIN 300.00
SUBSEQUENT SWINGBED CARE/DAILY 15 MIN 300.00
SUBSEQUENT SWINGBED CARE/DAILY 25 MIN 300.00
SUBSEQUENT SWINGBED CARE/DAILY 35 MIN 300.00
SUCCINYLCHOLINE 20MG/ML INJ 19.25
SUCCINYLCHOLINE 20MG/ML IV 11.48
SUCRALFATE 1 GM TAB 5.50
SUCRALFATE 1 GM/ 10 ML SUSP UD CUP 20.76
SUCTION CANISTER 1200CC 5.00
SUCTION CANISTER 2000CC 5.00
SUCTION CANISTER 3000CC 5.00
SUCTION CANISTER LINER 1500 5.01
SUCTION CANISTER LINER 3000 5.01
SUCTION CATHETER KIT 10FR 5.00
SUCTION CATHETER KIT 12FR 5.00
SUCTION CATHETER KIT 14FR 5.50
SUCTION CATHETER KIT 5FR 5.49
SUCTION CATHETER KIT 6FR 5.49
SUCTION CATHETER KIT 8FR 5.50
SUCTION LINERS 3.00
SUCTION SET UP 17.00
SUCTION TUBING 5.00
"SUCTION TUBING 1/4"" X 12 FT SCALLOPED CO" 5.00
"SUCTION TUBING 1/4""x12 FT STRAIGHT CONNE" 5.00
SULFACETAMIDE OPHTH SOLN 15 ML 20.32
SULFASALAZINE 500MG TAB 5.50
SUMATRIPTAN 100 MG TAB 125.45
SUMATRIPTAN 6MG/0.5ML 5.00
Super 7 Variceal Bander 466.15
SUPRAGLOTTIC AIRWAY 45.12
SUPRANE 240ML 592.79
SUPRANE/DESFLURANE 240ML 5.50
SURGIAL PATH LEVEL II-GROSS/MICRO 126.63
SURGICAL ABSORABLE HEMOSTAT 111.00
SURGICAL PAH LEVEL III-GROSS/MICRO 130.98
SURGICAL PATH LEVEL I-GROSS ONLY 61.05
SURGICAL PATH LEVEL II-GROSS/MICRO 130.98
SURGICAL PATH LEVEL IV-GROSS/MATCH 179.07
SURGICAL PATH LEVEL IV-GROSS/MICRO 179.07
SURGICAL PATH LEVEL V-GROSS/MICRO 399.66
SURGICAL PATH LEVEL VI-GROSS/MICRO 555.54
SURGICEL 2X3 247.86
SURGICELE 2 X 3 107.40
SURGICELE 4 X 8 196.17
SURGILUBE 4.75
SUTURE - VICRYL 4-0 12.25
SUTURE - VICRYL 5-0 5.50
SUTURE 0 CHROMIC 802H 5.37
SUTURE 0 CHROMIC 888H 5.85
SUTURE 0 CHROMIC 914H 6.30
SUTURE 0 CHROMIC S114H 5.31
SUTURE 0 ETHIBOND CX21D 29.34
SUTURE 0 ETHILON L880G 10.11
SUTURE 0 NUROLON C521D 29.55
SUTURE 0 NUROLON C541D 31.26
SUTURE 0 NUROLON C545D 31.23
SUTURE 0 VICRYL J334H 5.00
SUTURE 0 VICRYL J496H 5.00
SUTURE 0 VICRYL VCP334H 5.00
SUTURE 1-0 CHROMIC 813H 5.85
SUTURE 1-0 CHROMIC 885H 5.82
SUTURE 1-0 CHROMIC 915H 6.39
SUTURE 1-0 CHROMIC L115G 6.45
SUTURE 1-0 VICRYL J335H 5.00
SUTURE 1-0 VICRYL J371H 5.00
SUTURE 2-0 CHROMIC 811H 5.61
SUTURE 2-0 CHROMIC 883H 5.82
SUTURE 2-0 CHROMIC 893H 6.03
SUTURE 2-0 CHROMIC G181H 6.00
SUTURE 2-0 ETHILON 664G 5.00
SUTURE 2-0 PLAIN GUT 8534 5.52
SUTURE 2-0 PROLENE 5.91
SUTURE 2-0 SILK 853H 5.19
SUTURE 2-0 SILK A305H 5.76
SUTURE 2-0 SILK SA65H 5.19
SUTURE 2-0 VICRYL J259H 5.00
SUTURE 2-0 VICRYL J323H 5.00
SUTURE 3-0 ETHILON 669H 5.00
SUTURE 3-0 ETHILON 673G 5.00
SUTURE 3-0 NUROLON C563D 108.63
SUTURE 3-0 PROLENE 8410H 5.91
SUTURE 3-0 PROLENE 8675H 6.42
SUTURE 3-0 PROLENE 8684G 6.42
SUTURE 3-0 PROLENE 8832H 5.55
SUTURE 3-0 SILK CO135 14.82
SUTURE 3-0 SILK SA844 5.19
SUTURE 3-0 VICRYL J232H 5.00
SUTURE 3-0 VICRYL J322H 5.00
SUTURE 3-0 VICRYL J416H 5.00
SUTURE 3-0 VICRYL J497G 31.08
SUTURE 3-0 VICRYL J944H 5.00
SUTURE 3-0 VICRYL VCP3164 5.00
SUTURE 3-0 VICRYL VCP683H 10.77
SUTURE 4-0 ETHILON 699H 5.50
SUTURE 4-0 SILK 9.25
SUTURE 4-0 SILK 683G 5.00
SUTURE 4-0 SILK CO18T 25.50
SUTURE 4-0 VICRYL J214H 5.00
SUTURE 4-0 VICRYL J496H 10.14
SUTURE 5-0 CHROMIC GUT 8.26
SUTURE 5-0 PLAIN GUT H820G 6.00
SUTURE 5-0 VICRYL J213H 12.81
SUTURE 6-0 ETHILON 1665G 11.00
SUTURE 6-0 PROLENE 8695G 11.40
SUTURE BONE WAX W31G 9.99
SUTURE CHROMIC GUT 2-0 637H 25.98
SUTURE ETHILON 2-0 5.50
SUTURE ETHILON 3-0 5.50
SUTURE ETHILON 4-0 5.50
SUTURE ETHILON 4-0 1667G 29.85
SUTURE ETHILON 5-0 30.75
SUTURE ETHILON 6-0 11.00
SUTURE ETHILON 6-0 26.70
SUTURE MONOCRYL 3-0 MCP427H 26.64
SUTURE MONOCRYL 4-0 MCP426H 5.00
SUTURE PLAIN GUT 3-0 7.65
SUTURE PLAIN GUT 5-0 20.25
SUTURE PROLENE 4-0 13.75
SUTURE PROLENE 5-0 13.75
SUTURE PROLENE 6-0 13.50
SUTURE REMOVAL KIT 5.50
SUTURE REMOVAL KIT W/FP SCISSORS 10.77
"SUTURE SILK 2-0 BLK FSLX 30"" 1689H" 15.27
SUTURE SILK 6-0 780G 104.01
SUTURE VICRYL 2-0 5.75
SUTURE VICRYL 5-0 8.16
SUTURE VICRYL 6-0 13.25
SWALLOWING FUNCTION W/RADIOGRAPH CIN/VID 450.92
SWANSON INCISION DRAIN 357.00
SWING BED ROOM 702.00
SWINGBED DISCHARGE DAY MANAGEMENT >30MIN 600.00
SWINGBED DISCHARGE DAY MANAGEMENT 30MIN< 300.00
SYRINGE 3 CC 5.50
SYRINGE 5CC, 10CC, 23 G 5.50
SYRINGE 60 CC 5.00
SYRINGE CATH TIP 60CC 5.00
SYRINGE, TB 5.50
SYSTANE 5.50
T- UPTAKE 68.38
T3 FREE-34429 178.89
T3 TOTAL 101.29
T4 FREE 90.86
T4 THYROXINE 72.74
TACROLIMUS 0.5 MG TAB 11.13
TACROLIMUS 1 MG CAP 22.25
TAMIFLU 75MG/10TABS 297.75
TAMIFLU/OSELTAMIVIR 6MG/ML 12.04
TAMSULOSIN HCL TAB 21.00
TAPAZOLE 10 MG 5.50
TAPE MEDIPORE 3IN 17.13
TAPE MEDIPORE 4IN 22.89
T-CELL CD4 ABSOLUTE COUNT 416.40
TEARGEN II/EYE DROPS 7.00
TED HOSE KNEE LG REGULAR 6.48
TED HOSE KNEE MD REGULAR 6.48
TED HOSE KNEE SM REGULAR 6.48
TED HOSE KNEE XL REG 8.61
TED HOSE THIGH LG LONG 13.11
TED HOSE THIGH LG REGULAR 13.11
TED HOSE THIGH LG SHORT 13.11
TED HOSE THIGH MD LONG 13.11
TED HOSE THIGH MD REGULAR 13.11
TED HOSE THIGH MD SHORT 13.11
TED HOSE THIGH SM LONG 13.11
TED HOSE THIGH SM REGULAR 13.11
TED HOSE THIGH SM SHORT 13.11
TED HOSE THIGH XL LONG 13.11
TED HOSE THIGH XL REGULAR 13.11
TED HOSE THIGH XL SHORT 13.11
TED HOSE THIGH XXL LONG 22.14
TED HOSE THIGH XXL REGULAR 22.14
TED HOSE XL LONG 8.91
TEGADERM 5.00
TEGADERM 2 3/8 X 2 3/4 1620 5.50
TEGADERM 4 X 4 5.50
TEGADERM 6 X 8 7.00
TEGADERM 8X12 7.32
TEGADERM IV 3.81
TEGADERN 4X5 (DO NOT USE-NOT AVAILABLE) 5.50
TEGRETOL (CARBAMAZEPINE) 142.25
TELFA 3 X 4 5.50
TELFA 3 X 8 5.00
TEMAZEPAM 15 MG CAP 5.50
TEMAZEPAM/RESTORIL 30MG 5.50
TEMNO BX NEEDLE 96.00
TEMPORARY TRANSCUTANEOUS PACING 850.00
TEMPORARY TRANSCUTANEOUS PACING 850.00
TENOTOMY, OPEN, TENDON FLEXOR, TOE SINGL 6,749.70
TERAZOSIN 1 MG TAB 5.50
TERAZOSIN 2 MG TAB 8.03
TERAZOSIN 5 MG TAB 7.21
TERBINAFINE HCL 1% CREAM 24.22
TERBINAFINE OINT 15GM 32.60
TERBINIFINE 250MG TAB 5.50
TERBUTALINE SULFATE 107.72
TESTOSTERONE - FREE 117.36
TESTOSTERONE - TOTAL 691.20
TETANUS DIPTHERIA(ADULT)TUBEX 390.89
TETANUS DIPTHERIA(CHILD)TUBEX 107.96
TETRACAINE 0.5% 17.43
TETRACAINE 0.5% OP SOLN 55.03
TETRACYCLINE 500 MG CAP 5.50
TETRCAINE OPTH 5.50
THEOPHYLLINE - LEVEL 82.50
THEOPHYLLINE 200 MG TAB 17.78
THEOPHYLLINE 80 MG / 15 ML UD CUP 5.50
THEOPHYLLINE SR TAB 300 MG 21.44
THERAP ACTIVITY DIRECT CONTACT EA 15MIN 75.00
THERAPEUTIC ACTIVITIES 106.54
THERAPEUTIC ACTIVITY DIRECT CONTACT E15M 75.00
THERAPEUTIC EXCERCISE 1/> AREA EA 15MIN 75.00
THERAPEUTIC EXERCISE 94.58
THERAPEUTIC NEUROMUSC RE-EDUCATION EA15M 75.00
THERAPEUTIC PHLEBOTOMY 255.87
THERAPEUTIC PROCEDURE GROUP 66.33
THERMAZINE 400 GM 77.92
THIAMINE 100 PO 5.50
THIAMINE 100MG INJ 31.03
THIAMINE LEVEL 218.18
THIGH PADS 36.00
THIN HYDROCOLLOID WOUND DRESSING 9.84
THORACENTESIS TRAY W/CATHETER 84.96
THORACENTESIS/PARACENTESIS TRAY 157.75
THUMB SPICA LG/XLG LEFT 34.11
THUMB SPICA LG/XLG RIGHT 34.11
THUMB SPICA SM/MD LEFT 34.11
THUMB SPICA SM/MD RIGHT 34.11
THYROGLOBIN 39.90
THYROGLOBIN ANTIBODIES 85.72
THYROID PEROX AB 99.23
THYROID PEROXIDASE ANTIBODY 98.88
THYROTROPIN RECEPTOR ANTIBODY 517.29
TIBC 72.39
TIBIA/FIBULA 2V 282.82
TICAGRELOR 90 MG TAB 35.22
TIGAN 250MG 5.50
TIGECYCLINE IV PER 50 MG 493.84
"TISSUE FORCEP ADSON 1X2, 4.75"", 12CM" 30.87
TIZANIDINE 4MG TAB 18.00
TNKASE KIT 35,100.86
TOBRADEX OPHT SUSP 189.66
TOBRAMYCIN 300 MG / 5 ML AMPULE FOR HHN 160.62
TOBRAMYCIN 40 MG / ML **IV** 10.15
TOE(S) MINIMUM 2V 248.10
TOLTERODINE 1 MG TAB 5.50
TOLTERODINE 1MG TAB 9.84
TOLTERODINE 2 MG CAP 262.98
TOLTERODINE 4 MG CAP 73.60
TOLTERODINE 4 MG CAP 120.52
TOPBERAMYCIN OPTH DROPS 0.3% 42.69
TOPERAMYCIN/TOBRAMYCIN SULFATE OFLOXACIN 14.66
TOPIRAMATE 182.55
TOPIRAMATE 50 MG TAB 25.44
TOPIRAMATE 50 MG TAB 5.50
TORESMIDE 20MG TAB 5.50
TORIC EYE LENS 650.00
TORSEMIDE 100MG TAB 15.17
TORSEMIDE PER10MG INJ 5.50
TPMT ACTIVITY 1,119.96
TPMT GENOTYPE 429.00
TPN 4.25% / 10 % 2000 ML BAG 5.50
TPN KABIVEN 1540 ML 5.50
TPN KABIVEN 3.3 / 10% 2053 ML 5.50
TRACE MINERALS 1 ML VIAL FOR TPN USE 29.01
TRACH INSERT TRAY 228.48
TRACH TIE LARGE 1.95
TRACH TIE MEDIUM 1.95
TRACH TIE SMALL 1.95
TRACH TUBE 2.5 UNCUFFED 6.78
TRACH TUBE 3.0 UNCUFFED 5.00
TRACH TUBE 4.0 UNCUFFED 5.00
TRACH TUBE 4.5 UNCUFFED 5.00
TRACH TUBE 5.0 UNCUFFED 5.43
TRACH TUBE 5.5 UNCUFFED 5.43
TRACH TUBE 6.0 CUFFED 7.47
TRACH TUBE 6.5 CUFFED 7.47
TRACH TUBE 7.0 CUFFED 7.47
TRACH TUBE 7.5 CUFFED 7.47
TRACH TUBE 8.0 CUFFED 7.47
TRACH TUBE 8.5 CUFFED 7.47
TRACH TUBE 9.0 CUFFED 7.65
TRACH TUBE 9.5 CUFFED 7.47
TRACH TUBE W/DISP CANNULA 132.33
TRACHEOSTOMY CARE KIT 5.50
TRACHEOSTOMY EMERGENCY CRICOTHYROID 2,610.00
TRACHEOSTOMY EMERGENCY CRICOTHYROID 1,100.00
TRACHEOSTOMY MASK ADULT 5.50
TRACHEOSTOMY MASK PEDIATRIC 2.40
TRACHVOX 16.50
TRACTION MECHANICAL 49.50
TRAMADOL 50MG TAB 5.50
TRANSDERM SCOP PATCH 23.25
TRANSFERRIN 137.70
TRAPEASE QUAD CHAMBER POLY TRAP 13.50
TRAPEZE 28.80
TRAUMA GLOVES 2.25
TRAZODONE 100 MG TAB 9.00
TRAZODONE 150 MG TAB 17.04
TRAZODONE 50 MG TAB 5.50
TREPONEMA PALLIDIUM ANTIBODY 66.00
TRIAMCINOLONE 10% CREAM 15GM 194.11
TRIAMTERENE/HCTZ 37.5/25 MG TAB 5.50
TRICHEMONAS VAGINALIS 420.00
TRICOR 145 MG TAB 3.10
TRIGGER POINT INJECTION 159.33
TRIGLYCERIDES 82.50
TRIHEXPHENIDYL 2 MG TAB 5.50
TRILEPTAL LVL (10-HYDROXY CARBAZEPINE) 66.00
TRIMETHOBENZAMIDE 200 MG INJ 18.00
TRIMETHOBENZAMIDE HC2 SUPP 100 MG 5.75
TRIMETHOPRIM 100 MG TAB 15.44
TRIMETHOPRIM SULFAMETHOXAZOLE 9.13
TRIMETHOPRIM SULFAMETHOXAZOLE 50.52
TRIPLE ANTIBIOTIC OINT 15 GM TUBE 10.97
TRIPLE ANTIBOTIC OINT PACKET 5.50
TROCAR 12 MM X CEL B12XT 233.34
TROCAR 12MM XCEL B12LT 201.18
TROCAR 5MM SLEEVE XCEL CB5LT 88.74
TROCAR 5MM XCEL B5LP 151.98
TROCAR CATHETER 10FR 45.36
TROCAR CATHETER 12FR 45.36
TROCAR CATHETER 16FR 45.36
TROCAR CATHETER 20FR 45.36
TROCAR CATHETER 24FR 45.36
TROCAR CATHETER 28FR 45.36
TROCAR CATHETER 32FR 45.36
TROCAR CATHETER 8FR 45.36
TROCARS 5MM X CEL B5XT 176.31
TROPICAMIDE OPTH DROPS 1% 9.37
TROPICAMIDE/TRPICAMIDE OPTH SOLU 1% 15.83
TROPONIN 153.24
TROSPIUM CHL 20 MG TAB 5.50
TRTMT S/L/V/C AND/OR AUD PROCESS DISORDE 180.00
TRTMT SWALLOWING DYSFUNCTION &/OR ORAL 180.00
TRYFLURIDINE EYE DROPS 550.02
TSH 125.73
TSI THYROID STIM IMMUNOGLOBILINS 921.21
T-SPINE 1V SPECIFY LEVEL 134.40
T-SPINE 2V 313.64
TTG 255.00
TUBE FEED REPAIR KIT 412.35
TUBERSOL FOR PPD 9.28
TUBIGRIP SIZE D 90.93
TUBIGRIP SIZE E 10M 102.90
TUBIGRIP SIZE E 1-12 INCHES 2.34
TUBIGRIP SIZE E 12-24 INCHES 4.68
TUBIGRIP SIZE F 10M 112.17
TUBIGRIP SIZE F 1-12 INCHES 2.54
TUBIGRIP SIZE F 12-24 INCHES 5.08
TUBIGRIP SIZE G 10M 129.63
TUBIGRIP SIZE G 1-12 INCHES 2.99
TUBIGRIP SIZE G 12-24 INCHES 5.98
TUBING O2 SUPPLY 25FT 5.00
TUBING, STER DISP IRR 32.10
TULAREMIA TITER 189.00
TUMOR IMMUNO EA ANITBODY-COMP ASSIST 245.49
TUMOR IMMUNO EA ANTIBODY-MANUAL 178.20
TUOHY 18 GAUGE NEEDLE 12.30
TUOHY 20 GAUGE NEEDLE 12.09
TUR CYSTO IRRIGATION TUBING 19.68
TURN AND POSITION SYSTEM 2.0 343.20
TUSSICAPS 10MG/8MG 218.05
TUSSIONEX 5 ML SUSP 24.40
TYLENOL SUPP 120MG 5.50
TYPHUS IGG, IGM W/ REFLEX 324.45
U DRAPE 48X52 12.78
UA COMPLETE 68.89
UA DIP/SG 34.44
UDS - ETHANOL 165.00
UDS - SPECIAL 55.00
UDS PANEL (15) 274.05
UE ARTERIAL DUPLEX BILATERAL COMPLETE 903.64
UE ARTERIAL DUPLEX UNILATERAL OR LTD 450.92
UHS BARIATRIC BEDFRAME PER DAY 75.00
ULTRASITE VALVE 5.50
ULTRASOUND 83.63
UNDERPAD DISPOSABLE 5.50
UNDERPAD EXTRASORB 30X36 12.30
UNDERPAD ULTRASORB 30X36 PER PACK 63.87
UNIVERSAL NERVE BLOCK ACCUTRAY 20.37
UNIVERSAL VIAL ADAPTER 8.00
UNLISTED DX RADIOGRAPHIC PROCEDURE 38.50
UNNA BOOT 25.50
UPPER EXTREMITY INFANT MINIMUM 2 VIEWS 134.40
URIC ACID 52.15
URINAL 5.50
URINAL FEMALE W/LID 19.47
URINALYSIS - MICROSCOPIC 31.22
URINE CULTURE ORG ID 9.00
URINE CULTURE PRESUMPTIVE ID 9.00
URINE CULTURE SUSC 1 9.00
URINE DRUG SCREEN/CHAIN OF CUSTODY 112.49
URINE DRUG SCREEN/COLLECT ONLY 22.00
URINE MANAGMENT URINE SYSTEM FEMALE EXTE 51.99
URINE OSMOLALITY 71.50
URINE STRAINER 5.50
URINE, BICARD SPECIMEN 237.00
URISED TAB 22.00
UROGRAPHY IV W/ OR W/O KUB OR TOMOGRAPHY 272.97
US ABDOMINAL AORTA SCREEN FOR AAA 450.92
US ABDOMINAL COMPLETE 450.92
US BREAST UNILATERAL COMPLETE 450.92
US BREAST UNILATERAL LIMITED 239.44
US CAROTID DUPLEX BILATERAL COMPLETE 903.64
US CAROTID DUPLEX UNILATERAL OR LIMITED 450.92
US CHEST W/MEDIASTINUM 450.92
US EXTREMITY NONVASCULAR COMPLETE 450.92
US EXTREMITY NONVASCULAR LIMITED 239.44
US OB <14 WEEKS EACH ADD GESTATION 225.48
US OB <14 WKS 1ST TRIMESTER SINGLE FETUS 450.92
US OB >/=14 WEEKS ADDITIONAL FETUS 225.48
US OB >/=14 WEEKS SINGLE/FIRST GESTATION 450.92
US OB DETAILED EACH ADDITIONAL FETUS 225.48
US OB DETAILED SINGLE FETUS OR 1ST GEST 450.92
US OB FETAL BIOPHYSICAL PROFILE W/NON-ST 450.92
US OB FOLLOW-UP PER FETUS 450.92
US OB LIMITED 450.92
US OB NUCHAL MEASURE 1ST TRIMES 1ST GEST 450.92
US OB NUCHAL MEASURE EACH ADDL FETUS 225.48
US PELVIC/NON-OBSTETRIC COMPLETE 450.92
US PELVIC/NON-OBSTETRIC LIMITED 450.92
US RETROPERITONEAL COMPLETE 450.92
US RETROPERITONEAL LIMITED 450.92
US SCROTUM AND CONTENTS 450.92
US SINGLE ORGAN 450.92
US SOFT TISSUE HEAD/NECK/THYROID 450.92
VAC CANISTER W/GEL 110.01
VAC CANNISTER 1000ML 163.74
VAC CANNISTER 1000ML 163.74
VAC DRAPE 20.84
VAC DRESSING BLACK SM GRANUFOAM SENSATRA 106.95
VAC DRESSING GRANUFOAM LARGE 162.50
VAC DRESSING GRANUFOAM MEDIUM 132.71
VAC DRESSING SILVER GRANUFOAM MEDIUM 207.29
VAC DRESSING VERAFOLO MEDIUM 345.00
VAC DRESSING WHITEFOAM LARGE 39.15
VAC PRONTO SAN 224.94
VAC SENSATRAC PAD ONLY 55.55
VAC TRAC PAD DOUBLE LUMEN 225.00
VAC TRAC PAD DOUBLE LUMEN 225.00
VAC ULTRA VERALINK CASSETTE 165.00
VAC VERAFLO CLEANSE CHIOCE MED DRESSING 414.00
VAC Y-CONNECTOR 5.10
VAGINAL DELIVERY ONLY 7,221.05
VAGINAL DELIVERY ONLY 2,303.22
VALACYCLOVIR 500 MG TAB 36.05
VALACYCLOVIR 500MG TAB 0.00
VALPROIC ACID 250 MG CAP 6.90
VALPROIC ACID SOLUTION [ 250 MG / 5 ML ] 5.50
VALSARTAN 160/12.5MG TAB 11.00
VALSARTAN 80 MG TAB 23.20
VALSARTAN/HCTZ 80/12.5MG TAB 10.08
VANCOMYCIN 125 MG CAP 8.13
VANCOMYCIN 250 MG CAP 79.80
VANCOMYCIN ELIXER 50 MG / ML 150 ML BOTT 203.17
VANCOMYCIN LEVEL 162.05
VANCOMYCIN PER 500 MG 5.50
VANCOMYCIN PER 500 MG INJ 96.05
VAP - CHOLESTEROL 01 104.79
VAP - CHOLESTEROL 02 82.50
VAPO THERM AND AIR COMPRESSOR 85.35
VAPOTHERM CIRCUIT 446.58
VAPOTHERM HIGH FLOW CANNULA 19.14
VARENICLINE 1 MG TAB 42.91
VARENICLINE 1 MG TAB 42.91
VARICELLA IGG 27.50
VARICELLA-ZOSTER IGG&IGM X2 117.30
VASCULAR LINEAR CUTTER RELOADS TVR55 551.06
VASELINE OINT 1 OZ TUBE 5.50
VASOLEX-BALSAM PERU/TRYPSIN/CASTOR OIL 54.03
VASOPRESSIN 200 UNITS / 10 ML 25.87
VECURONIUM 20 MG 53.02
VENELEX (BALSAM PERU / CASTOR OIL) 30 gm 15.93
VENIPUNCTURE 15.00
VENLAFAXINE 37.5 MG TAB 5.50
VENLAFAXINE 75 MG TAB 20.94
VENOFER IV 20 mg/mL 59.88
VENT CIRCUIT ADULT/PEDI 24.60
VENT CIRCUIT INFANT 33.75
VENTED SPIKE 9.50
VENTILATOR CIRCUIT 38.50
VENTILATOR INSTILATION 165.00
VENTILATOR RENTAL PER DAY 59.61
VENTURI MASK 7.68
VERAPAMIL 180 MG TAB 12.44
VERAPAMIL 2.5MG/ML IV 86.65
VERAPAMIL 240 MG TAB 12.65
VERAPAMIL 80 MG TAB 5.50
VERSED/MIDAZOLAM 5.50
VERSED/MIDAZOLAM 2MG/ML 7.19
VIAL MATE ADAPTER 5.50
VIBRIO CULTURE 79.35
VIDEO LARYNGOSCOPE SHEATH SIZE 3 30.00
VIDEO LARYNGOSCOPE SHEATH SIZE 4 30.00
VIGAMOX 0.5% 655.72
VIMPAT 50MG TAB 86.82
VIRAL CULTURE GENERAL (FA5) 294.00
VISCOAT 0.50 ML 13.77
VISCOAT 0.75 ML 18.07
VISCOUS LIDOCAINE 2% 20 ML (EACH) 5.50
VISCOUS LIDOCAINE SWISH (DOSE) 5.50
VISIPAQUE/IODIXANOL 270MG/ML 67.00
VITAMIN A 49.50
VITAMIN B-12 5.50
VITAMIN B3 1,548.00
VITAMIN B6 (PYRIDOXINE) 82.50
VITAMIN D 1/25 DI-OH 264.48
VITAMIN D ELIXER 400IU/2GTT 8.30
VITAMIN D, 25 165.83
VITAMIN D3 1000U TAB 5.50
VITAMIN D3 400 UNIT TAB 5.50
VITAMIN D3 50,000 UNIT GELCAP 5.50
VITAMIN D3 5000 IU GELCAP 5.50
VITAMIN E 49.50
VITAMIN E 5.50
VITAMIN E 200 UNITS GELCAP 14.48
VITAMIN K 149.50
VITAMIN K (MEPHYTON) 215.57
VITAMIN K (PHYTONIDIONE) 10MG/ML AMP 205.83
VITAMIN K/PHYTONADIONE 1MG/0.5ML 68.43
VITRASE 200 U/ML 16.87
VITRASE/JYALURONIDASE 20 UNITS/ML 316.46
VON WILLEBRAND COMP PANEL 94.66
VON WILLEBRAND COMP PANEL 423.66
VON WILLEBRAND COMP PANEL 423.66
VON WILLEBRAND COMP PANEL 423.66
VON WILLEBRAND COMP PANEL 423.66
VOSPIRE ER TAB 4 MG 5.50
VRE CULTURE 282.30
WALKING BOOT LARGE 94.41
WALKING BOOT MEDIUM 94.41
WALKING BOOT SMALL 94.41
WALL SUCTION 14.50
WARFARIN 1MG TAB 12.35
WARFARIN 2 MG TAB 5.50
WARFARIN 5 MG TAB 5.50
WARFARIN 7.5MG TAB 18.46
WATER STERILE 1000ML BAG 3.90
WEST NILE VIRUS 247.50
WET MOUNT 77.72
WET SKIN PREP TRAY 22.75
WHEAT DEXTRIN PACKET 5.50
WHEELCHAIR MANAGEMENT EACH 15 MINUTES 75.00
WHEELCHAIR RENTAL PER DAY 42.00
WIPE BARRIER CREAM CLOTH 23.04
WOUND CLEANSER 8OZ SPRAY 15.63
WOUND CLOSURE STRIP 1/4X3 5.50
WOUND CLOSURE STRIP 1/4X3 5.00
WOUND CLOSURE STRIP 1/8X3 5.00
WOUND DRESSING TRIAD 2.5OZ 23.28
WOUND DRESSING TRIAD 6OZ 37.05
WOUND VAC MACHINE PER DAY 174.57
WRIST COMPLETE MINIMUM 3V 284.78
WRIST SPLINT LEFT LG 21.24
WRIST SPLINT LEFT MD 21.24
WRIST SPLINT LEFT SM 21.24
WRIST SPLINT LEFT XL 21.24
WRIST SPLINT LEFT XS 21.24
WRIST SPLINT RIGHT LG 21.24
WRIST SPLINT RIGHT MD 21.24
WRIST SPLINT RIGHT SM 21.24
WRIST SPLINT RIGHT XL 21.24
WRIST SPLINT RIGHT XS 21.24
WRIST SPLINT UNIVERSAL LG ELASTIC 13.56
WRIST SPLINT UNIVERSAL MD ELASTIC 13.56
WRIST SPLINT UNIVERSAL SM ELASTIC 13.56
WRIST/THUMB SPLINT 61.25
XEROFORM 1IN X 8IN 5.00
XEROFORM 5IN X 9IN 5.00
XYLOCAINE 2% JELLY 37.75
XYLOCAINE MPF 2%/LIDOCAIN MPF 2% 20MG 34.13
Y TYPE TUR IRRIGATION SET 26.75
YANKAUER SUCTION SET 8.00
YANKAUER SUCTION TIP 1.56
YANKAUER SUCTION TUBE 5.50
Y-TYPE BLOOD/SOLUTION SET 31.50
Z STAT FLU TEST 73.75
ZAFIRLUKAST 20MG TAB 6.72
ZANTAC LIQUID / 10ML 20.25
ZESTRIL 10MG TAB 5.50
ZESTRIL 40MG TAB 6.75
ZIAC 2.5MG TAB 5.75
ZINC LEVEL 93.50
ZINC OXIDE OINT 60 GM 12.25
ZINC SULFATE 220 MG CAPSULE 5.50
ZIPRASIDONE 20 MG CAP 86.71
ZOLPIDEM 5 MG TAB 5.50
ZOLPIDEM 10 MG TAB 23.05
ZONEGRAN 718.02
ZOSYN 3.375 VIAL 92.49
ZOVIRAX 5% OINT 15 GM 502.75
ZYMAR EYE DROPS 2,514.24
ZYPREXA 2.5MG TAB 25.75
ZYRTEC SYRUP DOSE 5.50