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.


              
Charge Code Description CPT Code Rate Self Pay Rate Aetna HMO Aetna POS Aetna PPO AARP Medicare Advantage BCBS Choice BCBS Preferred BCBS Traditional Blue Lincs Cigna PPO Choice Cigna Open Access Plus Generations Medicare Advantage Healthchoice Humana Medicare Advanatge Medicare Medicaid Preferred Community Choice United Health Care PPO United Health Care HMO United Health Care Medicare Advantage Minimum Rate Maximum Rate
4100561 VENIPUNCTURE 36415 $15.00 $12.00 $12.75 $12.75 $12.75 $15.15 $- $- $- $- $12.75 $10.20 $15.15 $4.95 $15.15 $12.12 $- $12.00 $10.50 $10.50 $15.15 $- $15.15
4108316 HEEL STICK 36416 $9.00 $7.20 $7.65 $7.65 $7.65 $9.09 $- $- $- $- $7.65 $6.12 $9.09 $- $9.09 $7.27 $- $7.20 $6.30 $6.30 $9.09 $- $9.09
4100523 PORT BLOOD COLLECTION 36591 $319.44 $255.55 $271.52 $271.52 $271.52 $322.63 $- $- $- $- $271.52 $217.22 $322.63 $207.16 $322.63 $258.11 $- $255.55 $223.61 $223.61 $322.63 $- $322.63
4100015 ETHANOL BLOOD 80320 $170.82 $136.66 $145.20 $145.20 $145.20 $172.53 $- $- $- $- $145.20 $116.16 $172.53 $- $172.53 $138.02 $- $136.66 $119.57 $119.57 $172.53 $- $172.53
4100012 ACETAMINOPHEN LEVEL 80329 $208.78 $167.02 $177.46 $177.46 $177.46 $210.87 $- $- $- $- $177.46 $141.97 $210.87 $- $210.87 $168.69 $- $167.02 $146.15 $146.15 $210.87 $- $210.87
4100853 NORTRIPTILINE LEVEL 80335 $100.89 $80.71 $85.76 $85.76 $85.76 $101.90 $- $- $- $- $85.76 $68.61 $101.90 $- $101.90 $81.52 $- $80.71 $70.62 $70.62 $101.90 $- $101.90
4405036 OXYCODONE 5 MG TAB 80365 $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 $- $- $- $- $4.68 $3.74 $5.56 $- $5.56 $4.44 $- $4.40 $3.85 $3.85 $5.56 $- $5.56
3503104 INJECTION TETNUS VACCINATION 90471 $33.00 $26.40 $28.05 $28.05 $28.05 $33.33 $- $- $- $- $28.05 $22.44 $33.33 $114.89 $33.33 $26.66 $48.93 $26.40 $23.10 $23.10 $33.33 $- $114.89
4401013 TETANUS DIPHTHERIA (ADULT) TOXOID 90714 $402.16 $321.73 $341.84 $341.84 $341.84 $406.18 $- $- $- $- $341.84 $273.47 $406.18 $31.33 $406.18 $324.95 $- $321.73 $281.51 $281.51 $406.18 $- $406.18
4400383 PNEUMOCOCCAL VACCINE INJ (ADULT) 90732 $1,259.81 $1,007.85 $1,070.84 $1,070.84 $1,070.84 $1,272.41 $- $- $- $- $1,070.84 $856.67 $1,272.41 $148.70 $1,272.41 $1,017.93 $112.28 $1,007.85 $881.87 $881.87 $1,272.41 $- $1,272.41
3500115 INJECTION SUBQ OR IM 96372 $55.86 $44.69 $47.48 $47.48 $47.48 $56.42 $- $- $- $- $47.48 $37.98 $56.42 $120.94 $56.42 $45.13 $48.93 $44.69 $39.10 $39.10 $56.42 $- $120.94
4410117 INJECTION SUBQ OR IM 96372 $141.44 $113.15 $120.22 $120.22 $120.22 $142.85 $- $- $- $- $120.22 $96.18 $142.85 $120.94 $142.85 $114.28 $48.93 $113.15 $99.01 $99.01 $142.85 $- $142.85
4600025 WOUND CARE INJECTION SUBQ/IM 96372 $302.35 $241.88 $257.00 $257.00 $257.00 $305.37 $- $- $- $- $257.00 $205.60 $305.37 $120.94 $305.37 $244.30 $48.93 $241.88 $211.65 $211.65 $305.37 $- $305.37
3500116 IV PUSH START SINGLE OR INITIAL 96374 $140.82 $112.66 $119.70 $119.70 $119.70 $142.23 $- $- $- $- $119.70 $95.76 $142.23 $367.48 $142.23 $113.78 $148.68 $112.66 $98.57 $98.57 $142.23 $- $367.48
4410118 IV PUSH START SINGLE OR INITIAL 96374 $141.44 $113.15 $120.22 $120.22 $120.22 $142.85 $- $- $- $- $120.22 $96.18 $142.85 $367.48 $142.85 $114.28 $148.68 $113.15 $99.01 $99.01 $142.85 $- $367.48
3500117 IV PUSH EACH ADDITIONAL NEW DRUG 96375 $61.35 $49.08 $52.15 $52.15 $52.15 $61.96 $- $- $- $- $52.15 $41.72 $61.96 $76.22 $61.96 $49.57 $30.84 $49.08 $42.95 $42.95 $61.96 $- $76.22
4410119 IV PUSH EACH ADDITIONAL NEW DRUG 96375 $141.44 $113.15 $120.22 $120.22 $120.22 $142.85 $- $- $- $- $120.22 $96.18 $142.85 $76.22 $142.85 $114.28 $30.84 $113.15 $99.01 $99.01 $142.85 $- $142.85
3500118 IV PUSH EACH ADDITIONAL SAME DRUG 96376 $61.35 $49.08 $52.15 $52.15 $52.15 $61.96 $- $- $- $- $52.15 $41.72 $61.96 $38.11 $61.96 $49.57 $- $49.08 $42.95 $42.95 $61.96 $- $61.96
4410120 IV PUSH EACH ADDITIONAL SAME DRUG 96376 $126.01 $100.81 $107.11 $107.11 $107.11 $127.27 $- $- $- $- $107.11 $85.69 $127.27 $38.11 $127.27 $101.82 $- $100.81 $88.21 $88.21 $127.27 $- $127.27
4510015 DEVELOP COG SKILLS DIRECT CONTACT DAILY 97127 $75.00 $60.00 $63.75 $63.75 $63.75 $75.75 $- $- $- $- $63.75 $51.00 $75.75 $- $75.75 $60.60 $- $60.00 $52.50 $52.50 $75.75 $- $75.75
4100541 UA DIP/SG 81003 $34.44 $27.55 $29.27 $29.27 $29.27 $34.78 $10.17 $10.17 $10.17 $10.17 $29.27 $23.42 $34.78 $3.71 $34.78 $27.83 $2.00 $27.55 $24.11 $24.11 $34.78 $2.00 $34.78
4100610 ABO TYPING 86900 $178.80 $143.04 $151.98 $151.98 $151.98 $180.59 $13.53 $13.53 $13.53 $13.53 $151.98 $121.58 $180.59 $190.80 $180.59 $144.47 $2.66 $143.04 $125.16 $125.16 $180.59 $2.66 $190.80
4100599 RH TYPING 86901 $178.80 $143.04 $151.98 $151.98 $151.98 $180.59 $13.53 $13.53 $13.53 $13.53 $151.98 $121.58 $180.59 $58.50 $180.59 $144.47 $2.66 $143.04 $125.16 $125.16 $180.59 $2.66 $180.59
4100601 COMPATIBILITY TEST IS 86920 $285.30 $228.24 $242.51 $242.51 $242.51 $288.15 $13.53 $13.53 $13.53 $13.53 $242.51 $194.00 $288.15 $251.13 $288.15 $230.52 $14.05 $228.24 $199.71 $199.71 $288.15 $13.53 $288.15
4100602 COMPATIBILITY TEST INCUBATING 86921 $114.12 $91.30 $97.00 $97.00 $97.00 $115.26 $13.53 $13.53 $13.53 $13.53 $97.00 $77.60 $115.26 $251.13 $115.26 $92.21 $18.72 $91.30 $79.88 $79.88 $115.26 $13.53 $251.13
4101540 UA COMPLETE 81001 $68.89 $55.11 $58.56 $58.56 $58.56 $69.58 $14.43 $14.43 $14.43 $14.43 $58.56 $46.85 $69.58 $5.23 $69.58 $55.66 $2.82 $55.11 $48.22 $48.22 $69.58 $2.82 $69.58
4100540 URINALYSIS - MICROSCOPIC 81015 $31.22 $24.98 $26.54 $26.54 $26.54 $31.53 $14.43 $14.43 $14.43 $14.43 $26.54 $21.23 $31.53 $5.03 $31.53 $25.23 $2.71 $24.98 $21.85 $21.85 $31.53 $2.71 $31.53
4100545 HCG - URINE 81025 $98.72 $78.98 $83.91 $83.91 $83.91 $99.71 $14.43 $14.43 $14.43 $14.43 $83.91 $67.13 $99.71 $14.21 $99.71 $79.77 $7.66 $78.98 $69.10 $69.10 $99.71 $7.66 $99.71
4100083 ALBUMIN URINE MICROALBUMIN QUANTITATIVE 82043 $85.69 $68.55 $72.84 $72.84 $72.84 $86.55 $14.43 $14.43 $14.43 $14.43 $72.84 $58.27 $86.55 $9.54 $86.55 $69.24 $5.14 $68.55 $59.98 $59.98 $86.55 $5.14 $86.55
4100295 PT-PROTHROMBIN TIME 85610 $55.84 $44.67 $47.46 $47.46 $47.46 $56.40 $17.83 $17.83 $17.83 $17.83 $47.46 $37.97 $56.40 $7.08 $56.40 $45.12 $3.82 $44.67 $39.09 $39.09 $56.40 $3.82 $56.40
4100300 PTT 85730 $39.60 $31.68 $33.66 $33.66 $33.66 $40.00 $17.83 $17.83 $17.83 $17.83 $33.66 $26.93 $40.00 $9.92 $40.00 $32.00 $5.35 $31.68 $27.72 $27.72 $40.00 $5.35 $40.00
4100011 ALBUMIN 82040 $230.40 $184.32 $195.84 $195.84 $195.84 $232.70 $23.81 $23.81 $23.81 $23.81 $195.84 $156.67 $232.70 $8.17 $232.70 $186.16 $4.40 $184.32 $161.28 $161.28 $232.70 $4.40 $232.70
4100040 BILIRUBIN - TOTAL 82247 $44.00 $35.20 $37.40 $37.40 $37.40 $44.44 $23.81 $23.81 $23.81 $23.81 $37.40 $29.92 $44.44 $8.28 $44.44 $35.55 $4.47 $35.20 $30.80 $30.80 $44.44 $4.47 $44.44
4100041 BILIRUBEN - DIRECT 82248 $56.15 $44.92 $47.73 $47.73 $47.73 $56.71 $23.81 $23.81 $23.81 $23.81 $47.73 $38.18 $56.71 $8.28 $56.71 $45.37 $4.47 $44.92 $39.31 $39.31 $56.71 $4.47 $56.71
4100490 OCCULT BLOOD, 1-3 SPECIMENS 82272 $40.48 $32.38 $34.41 $34.41 $34.41 $40.88 $23.81 $23.81 $23.81 $23.81 $34.41 $27.53 $40.88 $6.98 $40.88 $32.71 $3.76 $32.38 $28.34 $28.34 $40.88 $3.76 $40.88
4100060 CALCIUM 82310 $52.18 $41.74 $44.35 $44.35 $44.35 $52.70 $23.81 $23.81 $23.81 $23.81 $44.35 $35.48 $52.70 $8.51 $52.70 $42.16 $4.59 $41.74 $36.53 $36.53 $52.70 $4.59 $52.70
4100044 CHLORIDE-URINE 82436 $48.50 $38.80 $41.23 $41.23 $41.23 $48.99 $23.81 $23.81 $23.81 $23.81 $41.23 $32.98 $48.99 $9.49 $48.99 $39.19 $5.11 $38.80 $33.95 $33.95 $48.99 $5.11 $48.99
4100085 CK 82550 $80.40 $64.32 $68.34 $68.34 $68.34 $81.20 $23.81 $23.81 $23.81 $23.81 $68.34 $54.67 $81.20 $10.74 $81.20 $64.96 $5.79 $64.32 $56.28 $56.28 $81.20 $5.79 $81.20
4100090 CREATININE SERUM 82565 $58.69 $46.95 $49.89 $49.89 $49.89 $59.28 $23.81 $23.81 $23.81 $23.81 $49.89 $39.91 $59.28 $8.45 $59.28 $47.42 $4.55 $46.95 $41.08 $41.08 $59.28 $4.55 $59.28
4100092 CREATININE-URINE 82570 $87.00 $69.60 $73.95 $73.95 $73.95 $87.87 $23.81 $23.81 $23.81 $23.81 $73.95 $59.16 $87.87 $8.55 $87.87 $70.30 $4.61 $69.60 $60.90 $60.90 $87.87 $4.61 $87.87
4100120 GLUCOSE - SERUM 82947 $45.23 $36.18 $38.45 $38.45 $38.45 $45.68 $23.81 $23.81 $23.81 $23.81 $38.45 $30.76 $45.68 $6.48 $45.68 $36.55 $3.50 $36.18 $31.66 $31.66 $45.68 $3.50 $45.68
3500028 FSBS/GLUCOMETER 82962 $78.75 $63.00 $66.94 $66.94 $66.94 $79.54 $23.81 $23.81 $23.81 $23.81 $66.94 $53.55 $79.54 $5.41 $79.54 $63.63 $2.92 $63.00 $55.13 $55.13 $79.54 $2.92 $79.54
4100119 GLUCOMETER 82962 $70.05 $56.04 $59.54 $59.54 $59.54 $70.75 $23.81 $23.81 $23.81 $23.81 $59.54 $47.63 $70.75 $5.41 $70.75 $56.60 $2.92 $56.04 $49.04 $49.04 $70.75 $2.92 $70.75
4100128 GGTP 82977 $49.50 $39.60 $42.08 $42.08 $42.08 $50.00 $23.81 $23.81 $23.81 $23.81 $42.08 $33.66 $50.00 $11.88 $50.00 $40.00 $6.40 $39.60 $34.65 $34.65 $50.00 $6.40 $50.00
4100228 IRON - SERUM 83540 $62.66 $50.13 $53.26 $53.26 $53.26 $63.29 $23.81 $23.81 $23.81 $23.81 $53.26 $42.61 $63.29 $10.68 $63.29 $50.63 $5.75 $50.13 $43.86 $43.86 $63.29 $5.75 $63.29
4100165 LDH 83615 $58.46 $46.77 $49.69 $49.69 $49.69 $59.04 $23.81 $23.81 $23.81 $23.81 $49.69 $39.75 $59.04 $9.97 $59.04 $47.24 $5.37 $46.77 $40.92 $40.92 $59.04 $5.37 $59.04
4100179 LIPASE 83690 $103.40 $82.72 $87.89 $87.89 $87.89 $104.43 $23.81 $23.81 $23.81 $23.81 $87.89 $70.31 $104.43 $11.37 $104.43 $83.55 $6.13 $82.72 $72.38 $72.38 $104.43 $6.13 $104.43
4100186 MAGNESIUM LEVEL - SERUM 83735 $74.88 $59.90 $63.65 $63.65 $63.65 $75.63 $23.81 $23.81 $23.81 $23.81 $63.65 $50.92 $75.63 $11.06 $75.63 $60.50 $5.96 $59.90 $52.42 $52.42 $75.63 $5.96 $75.63
4101093 URINE OSMOLALITY 83935 $71.50 $57.20 $60.78 $60.78 $60.78 $72.22 $23.81 $23.81 $23.81 $23.81 $60.78 $48.62 $72.22 $11.25 $72.22 $57.77 $6.07 $57.20 $50.05 $50.05 $72.22 $6.07 $72.22
4100070 ALK PHOS 84075 $49.50 $39.60 $42.08 $42.08 $42.08 $50.00 $23.81 $23.81 $23.81 $23.81 $42.08 $33.66 $50.00 $8.55 $50.00 $40.00 $4.61 $39.60 $34.65 $34.65 $50.00 $4.61 $50.00
4100197 PHOSPHORUS-SERUM 84100 $46.68 $37.34 $39.68 $39.68 $39.68 $47.15 $23.81 $23.81 $23.81 $23.81 $39.68 $31.74 $47.15 $7.82 $47.15 $37.72 $4.22 $37.34 $32.68 $32.68 $47.15 $4.22 $47.15
4100200 POTASSIUM - SERUM 84132 $49.44 $39.55 $42.02 $42.02 $42.02 $49.93 $23.81 $23.81 $23.81 $23.81 $42.02 $33.62 $49.93 $7.85 $49.93 $39.95 $4.23 $39.55 $34.61 $34.61 $49.93 $4.23 $49.93
4100226 PROTEIN TOTAL - SERUM 84155 $39.50 $31.60 $33.58 $33.58 $33.58 $39.90 $23.81 $23.81 $23.81 $23.81 $33.58 $26.86 $39.90 $6.06 $39.90 $31.92 $3.26 $31.60 $27.65 $27.65 $39.90 $3.26 $39.90
4108063 PROTEIN-URINE RANDOM 84156 $52.75 $42.20 $44.84 $44.84 $44.84 $53.28 $23.81 $23.81 $23.81 $23.81 $44.84 $35.87 $53.28 $6.06 $53.28 $42.62 $3.26 $42.20 $36.93 $36.93 $53.28 $3.26 $53.28
4100208 SODIUM - SERUM 84295 $56.57 $45.26 $48.08 $48.08 $48.08 $57.14 $23.81 $23.81 $23.81 $23.81 $48.08 $38.47 $57.14 $7.94 $57.14 $45.71 $4.28 $45.26 $39.60 $39.60 $57.14 $4.28 $57.14
4100549 SODIUM - URINE 84300 $49.50 $39.60 $42.08 $42.08 $42.08 $50.00 $23.81 $23.81 $23.81 $23.81 $42.08 $33.66 $50.00 $8.35 $50.00 $40.00 $4.50 $39.60 $34.65 $34.65 $50.00 $4.50 $50.00
4100032 AST 84450 $53.31 $42.65 $45.31 $45.31 $45.31 $53.84 $23.81 $23.81 $23.81 $23.81 $45.31 $36.25 $53.84 $8.55 $53.84 $43.07 $4.61 $42.65 $37.32 $37.32 $53.84 $4.61 $53.84
4100034 ALT 84460 $49.50 $39.60 $42.08 $42.08 $42.08 $50.00 $23.81 $23.81 $23.81 $23.81 $42.08 $33.66 $50.00 $8.75 $50.00 $40.00 $4.71 $39.60 $34.65 $34.65 $50.00 $4.71 $50.00
4100235 TRIGLYCERIDES 84478 $82.50 $66.00 $70.13 $70.13 $70.13 $83.33 $23.81 $23.81 $23.81 $23.81 $70.13 $56.10 $83.33 $9.47 $83.33 $66.66 $5.11 $66.00 $57.75 $57.75 $83.33 $5.11 $83.33
4100055 BUN-SERUM 84520 $55.17 $44.14 $46.89 $46.89 $46.89 $55.72 $23.81 $23.81 $23.81 $23.81 $46.89 $37.52 $55.72 $6.52 $55.72 $44.58 $3.51 $44.14 $38.62 $38.62 $55.72 $3.51 $55.72
4100245 URIC ACID 84550 $52.15 $41.72 $44.33 $44.33 $44.33 $52.67 $23.81 $23.81 $23.81 $23.81 $44.33 $35.46 $52.67 $7.46 $52.67 $42.14 $4.02 $41.72 $36.51 $36.51 $52.67 $4.02 $52.67
4108203 CBC MANUAL DIFFRENTIAL 85007 $20.88 $16.70 $17.75 $17.75 $17.75 $21.09 $33.51 $33.51 $33.51 $33.51 $17.75 $14.20 $21.09 $6.27 $21.09 $16.87 $3.38 $16.70 $14.62 $14.62 $21.09 $3.38 $33.51
4100283 HGB 85018 $35.56 $28.45 $30.23 $30.23 $30.23 $35.92 $33.51 $33.51 $33.51 $33.51 $30.23 $24.18 $35.92 $3.91 $35.92 $28.73 $2.11 $28.45 $24.89 $24.89 $35.92 $2.11 $35.92
4100275 CBC 85025 $94.59 $75.67 $80.40 $80.40 $80.40 $95.54 $33.51 $33.51 $33.51 $33.51 $80.40 $64.32 $95.54 $12.82 $95.54 $76.43 $6.91 $75.67 $66.21 $66.21 $95.54 $6.91 $95.54
4100305 RETICULOYCTE COUNT 85045 $63.15 $50.52 $53.68 $53.68 $53.68 $63.78 $33.51 $33.51 $33.51 $33.51 $53.68 $42.94 $63.78 $6.58 $63.78 $51.03 $3.55 $50.52 $44.21 $44.21 $63.78 $3.55 $63.78
4100310 SED RATE (ESR) 85651 $69.33 $55.46 $58.93 $58.93 $58.93 $70.02 $33.51 $33.51 $33.51 $33.51 $58.93 $47.14 $70.02 $7.05 $70.02 $56.02 $3.80 $55.46 $48.53 $48.53 $70.02 $3.80 $70.02
4100075 FECAL LEUKOCYTES 89055 $65.36 $52.29 $55.56 $55.56 $55.56 $66.01 $33.51 $33.51 $33.51 $33.51 $55.56 $44.44 $66.01 $7.05 $66.01 $52.81 $3.80 $52.29 $45.75 $45.75 $66.01 $3.80 $66.01
4108315 GIARDIA 87015 $301.74 $241.39 $256.48 $256.48 $256.48 $304.76 $35.55 $35.55 $35.55 $35.55 $256.48 $205.18 $304.76 $11.02 $304.76 $243.81 $5.94 $241.39 $211.22 $211.22 $304.76 $5.94 $304.76
4100455 CULTURE - STOOL (01) 87045 $129.86 $103.89 $110.38 $110.38 $110.38 $131.16 $35.55 $35.55 $35.55 $35.55 $110.38 $88.30 $131.16 $15.58 $131.16 $104.93 $8.40 $103.89 $90.90 $90.90 $131.16 $8.40 $131.16
4100456 CULTURE - STOOL (02) 87046 $60.77 $48.62 $51.65 $51.65 $51.65 $61.38 $35.55 $35.55 $35.55 $35.55 $51.65 $41.32 $61.38 $15.58 $61.38 $49.10 $8.40 $48.62 $42.54 $42.54 $61.38 $8.40 $61.38
4100450 CULTURE - SPUTUM/RESPIRATORY (01) 87070 $42.25 $33.80 $35.91 $35.91 $35.91 $42.67 $35.55 $35.55 $35.55 $35.55 $35.91 $28.73 $42.67 $14.22 $42.67 $34.14 $7.67 $33.80 $29.58 $29.58 $42.67 $7.67 $42.67
4100460 CULTURE - THROAT 87070 $24.00 $19.20 $20.40 $20.40 $20.40 $24.24 $35.55 $35.55 $35.55 $35.55 $20.40 $16.32 $24.24 $14.22 $24.24 $19.39 $7.67 $19.20 $16.80 $16.80 $24.24 $7.67 $35.55
4100470 CULTURE - AEROBIC 87070 $42.25 $33.80 $35.91 $35.91 $35.91 $42.67 $35.55 $35.55 $35.55 $35.55 $35.91 $28.73 $42.67 $14.22 $42.67 $34.14 $7.67 $33.80 $29.58 $29.58 $42.67 $7.67 $42.67
4100425 CULTURE - ANAEROBIC 87075 $190.24 $152.19 $161.70 $161.70 $161.70 $192.14 $35.55 $35.55 $35.55 $35.55 $161.70 $129.36 $192.14 $15.63 $192.14 $153.71 $8.42 $152.19 $133.17 $133.17 $192.14 $8.42 $192.14
4100177 AEROB/ANAER CULTURE OR ID 87076 $51.00 $40.80 $43.35 $43.35 $43.35 $51.51 $35.55 $35.55 $35.55 $35.55 $43.35 $34.68 $51.51 $13.33 $51.51 $41.21 $7.19 $40.80 $35.70 $35.70 $51.51 $7.19 $51.51
4100465 CULTURE - URINE 87086 $109.90 $87.92 $93.42 $93.42 $93.42 $111.00 $35.55 $35.55 $35.55 $35.55 $93.42 $74.73 $111.00 $13.32 $111.00 $88.80 $7.18 $87.92 $76.93 $76.93 $111.00 $7.18 $111.00
4100500 OVA & PARASITES STOOL 87177 $125.56 $100.45 $106.73 $106.73 $106.73 $126.82 $35.55 $35.55 $35.55 $35.55 $106.73 $85.38 $126.82 $14.69 $126.82 $101.45 $7.92 $100.45 $87.89 $87.89 $126.82 $7.92 $126.82
4100475 GRAM STAIN 87205 $68.88 $55.10 $58.55 $58.55 $58.55 $69.57 $35.55 $35.55 $35.55 $35.55 $58.55 $46.84 $69.57 $7.05 $69.57 $55.66 $3.80 $55.10 $48.22 $48.22 $69.57 $3.80 $69.57
4100510 WET MOUNT 87210 $77.72 $62.18 $66.06 $66.06 $66.06 $78.50 $35.55 $35.55 $35.55 $35.55 $66.06 $52.85 $78.50 $9.60 $78.50 $62.80 $5.18 $62.18 $54.40 $54.40 $78.50 $5.18 $78.50
4100096 RSV - RAPID 87807 $67.96 $54.37 $57.77 $57.77 $57.77 $68.64 $35.55 $35.55 $35.55 $35.55 $57.77 $46.21 $68.64 $21.62 $68.64 $54.91 $11.65 $54.37 $47.57 $47.57 $68.64 $11.65 $68.64
4108220 THYROTROPIN RECEPTOR ANTIBODY 83519 $517.29 $413.83 $439.70 $439.70 $439.70 $522.46 $39.77 $39.77 $39.77 $39.77 $439.70 $351.76 $522.46 $30.36 $522.46 $417.97 $16.37 $413.83 $362.10 $362.10 $522.46 $16.37 $522.46
4100056 FOOD ALLERGY PROFILE 86003 $288.00 $230.40 $244.80 $244.80 $244.80 $290.88 $39.77 $39.77 $39.77 $39.77 $244.80 $195.84 $290.88 $8.61 $290.88 $232.70 $4.64 $230.40 $201.60 $201.60 $290.88 $4.64 $290.88
4100760 ANA W/RFX 86038 $100.62 $80.50 $85.53 $85.53 $85.53 $101.63 $39.77 $39.77 $39.77 $39.77 $85.53 $68.42 $101.63 $19.95 $101.63 $81.30 $10.75 $80.50 $70.43 $70.43 $101.63 $10.75 $101.63
4100095 C-REACTIVE PROTEIN 86140 $69.70 $55.76 $59.25 $59.25 $59.25 $70.40 $39.77 $39.77 $39.77 $39.77 $59.25 $47.40 $70.40 $8.55 $70.40 $56.32 $4.61 $55.76 $48.79 $48.79 $70.40 $4.61 $70.40
4100365 MONO SCREEN 86308 $105.39 $84.31 $89.58 $89.58 $89.58 $106.44 $39.77 $39.77 $39.77 $39.77 $89.58 $71.67 $106.44 $8.55 $106.44 $85.16 $4.61 $84.31 $73.77 $73.77 $106.44 $4.61 $106.44
4100022 RHEUM FACTOR 86431 $65.78 $52.62 $55.91 $55.91 $55.91 $66.44 $39.77 $39.77 $39.77 $39.77 $55.91 $44.73 $66.44 $9.36 $66.44 $53.15 $5.04 $52.62 $46.05 $46.05 $66.44 $5.04 $66.44
4100395 RPR W/REFLEX TO TITER 86592 $66.66 $53.33 $56.66 $56.66 $56.66 $67.33 $39.77 $39.77 $39.77 $39.77 $56.66 $45.33 $67.33 $7.05 $67.33 $53.86 $3.80 $53.33 $46.66 $46.66 $67.33 $3.80 $67.33
4103000 H I V ANTIBODY 86703 $100.40 $80.32 $85.34 $85.34 $85.34 $101.40 $39.77 $39.77 $39.77 $39.77 $85.34 $68.27 $101.40 $22.62 $101.40 $81.12 $7.91 $80.32 $70.28 $70.28 $101.40 $7.91 $101.40
4108302 HEP B CORE ANTIBODY 86705 $21.00 $16.80 $17.85 $17.85 $17.85 $21.21 $39.77 $39.77 $39.77 $39.77 $17.85 $14.28 $21.21 $19.42 $21.21 $16.97 $10.47 $16.80 $14.70 $14.70 $21.21 $10.47 $39.77
4100045 HEPATITIS B SURFACE ANTIBODY QUALITATIVE 86706 $143.98 $115.18 $122.38 $122.38 $122.38 $145.42 $39.77 $39.77 $39.77 $39.77 $122.38 $97.91 $145.42 $17.72 $145.42 $116.34 $9.55 $115.18 $100.79 $100.79 $145.42 $9.55 $145.42
4108031 HEPATITIS A AB, TOTAL 86708 $187.37 $149.90 $159.26 $159.26 $159.26 $189.24 $39.77 $39.77 $39.77 $39.77 $159.26 $127.41 $189.24 $20.44 $189.24 $151.40 $11.02 $149.90 $131.16 $131.16 $189.24 $11.02 $189.24
4100133 MUMPS TITER 86735 $111.56 $89.25 $94.83 $94.83 $94.83 $112.68 $39.77 $39.77 $39.77 $39.77 $94.83 $75.86 $112.68 $21.53 $112.68 $90.14 $11.61 $89.25 $78.09 $78.09 $112.68 $11.61 $112.68
4100400 RUBELLA ANTIBODY (IGG) 86762 $98.20 $78.56 $83.47 $83.47 $83.47 $99.18 $39.77 $39.77 $39.77 $39.77 $83.47 $66.78 $99.18 $23.74 $99.18 $79.35 $12.80 $78.56 $68.74 $68.74 $99.18 $12.80 $99.18
4101092 RUBEOLA IGG 86765 $27.50 $22.00 $23.38 $23.38 $23.38 $27.78 $39.77 $39.77 $39.77 $39.77 $23.38 $18.70 $27.78 $21.25 $27.78 $22.22 $11.46 $22.00 $19.25 $19.25 $27.78 $11.46 $39.77
4100975 SARS COV 2 COVID 19 ANTIBODY 86769 $195.00 $156.00 $165.75 $165.75 $165.75 $196.95 $39.77 $39.77 $39.77 $39.77 $165.75 $132.60 $196.95 $34.05 $196.95 $157.56 $42.13 $156.00 $136.50 $136.50 $196.95 $34.05 $196.95
4101091 VARICELLA IGG 86787 $27.50 $22.00 $23.38 $23.38 $23.38 $27.78 $39.77 $39.77 $39.77 $39.77 $23.38 $18.70 $27.78 $21.25 $27.78 $22.22 $11.46 $22.00 $19.25 $19.25 $27.78 $11.46 $39.77
4100552 ANTIBODY SCREEN 86850 $366.90 $293.52 $311.87 $311.87 $311.87 $370.57 $39.77 $39.77 $39.77 $39.77 $311.87 $249.49 $370.57 $86.57 $370.57 $296.46 $8.69 $293.52 $256.83 $256.83 $370.57 $8.69 $370.57
4100807 RESP VIRUS SCREEN DFA W/REFLEX TO ID 87300 $195.00 $156.00 $165.75 $165.75 $165.75 $196.95 $39.77 $39.77 $39.77 $39.77 $165.75 $132.60 $196.95 $19.77 $196.95 $157.56 $10.66 $156.00 $136.50 $136.50 $196.95 $10.66 $196.95
4100543 CLOSTRIDIUM DIFF. TOXIN A 87324 $93.50 $74.80 $79.48 $79.48 $79.48 $94.44 $39.77 $39.77 $39.77 $39.77 $79.48 $63.58 $94.44 $19.77 $94.44 $75.55 $10.66 $74.80 $65.45 $65.45 $94.44 $10.66 $94.44
4100016 H PYLORI AG-STOOL 87338 $435.00 $348.00 $369.75 $369.75 $369.75 $439.35 $39.77 $39.77 $39.77 $39.77 $369.75 $295.80 $439.35 $23.73 $439.35 $351.48 $12.79 $348.00 $304.50 $304.50 $439.35 $12.79 $439.35
4100153 HEP B SURFACE ANTIGEN 87340 $78.75 $63.00 $66.94 $66.94 $66.94 $79.54 $39.77 $39.77 $39.77 $39.77 $66.94 $53.55 $79.54 $17.04 $79.54 $63.63 $9.19 $63.00 $55.13 $55.13 $79.54 $9.19 $79.54
4100320 ECOLI SHIGA TOXIN 87427 $154.50 $123.60 $131.33 $131.33 $131.33 $156.05 $39.77 $39.77 $39.77 $39.77 $131.33 $105.06 $156.05 $19.77 $156.05 $124.84 $10.66 $123.60 $108.15 $108.15 $156.05 $10.66 $156.05
4100521 STREP SCREEN 87430 $80.32 $64.26 $68.27 $68.27 $68.27 $81.12 $39.77 $39.77 $39.77 $39.77 $68.27 $54.62 $81.12 $27.74 $81.12 $64.90 $14.95 $64.26 $56.22 $56.22 $81.12 $14.95 $81.12
4200130 EKG, WITHOUT INTERPRETATION 93005 93005 $204.25 $163.40 $173.61 $173.61 $173.61 $206.29 $43.53 $43.53 $43.53 $43.53 $173.61 $138.89 $206.29 $104.52 $206.29 $165.03 $7.18 $163.40 $142.98 $142.98 $206.29 $7.18 $206.29
4200200 REPEAT EKG - SAME DAY 93005 $85.75 $68.60 $72.89 $72.89 $72.89 $86.61 $43.53 $43.53 $43.53 $43.53 $72.89 $58.31 $86.61 $104.52 $86.61 $69.29 $- $68.60 $60.03 $60.03 $86.61 $- $104.52
4100116 URINE DRUG SCREEN/CHAIN OF CUSTODY 80305 $112.49 $89.99 $95.62 $95.62 $95.62 $113.61 $45.57 $45.57 $45.57 $45.57 $95.62 $76.49 $113.61 $20.79 $113.61 $90.89 $11.21 $89.99 $78.74 $78.74 $113.61 $11.21 $113.61
4100117 URINE DRUG SCREEN/COLLECT ONLY 80305 $22.00 $17.60 $18.70 $18.70 $18.70 $22.22 $45.57 $45.57 $45.57 $45.57 $18.70 $14.96 $22.22 $20.79 $22.22 $17.78 $11.21 $17.60 $15.40 $15.40 $22.22 $11.21 $45.57
4100573 DRUG SCREEN - PANEL 10 80305 $66.00 $52.80 $56.10 $56.10 $56.10 $66.66 $45.57 $45.57 $45.57 $45.57 $56.10 $44.88 $66.66 $20.79 $66.66 $53.33 $11.21 $52.80 $46.20 $46.20 $66.66 $11.21 $66.66
4100018 AMMONIA 82140 $104.07 $83.26 $88.46 $88.46 $88.46 $105.11 $45.57 $45.57 $45.57 $45.57 $88.46 $70.77 $105.11 $24.04 $105.11 $84.09 $12.96 $83.26 $72.85 $72.85 $105.11 $12.96 $105.11
4100020 AMYLASE-SERUM 82150 $95.33 $76.26 $81.03 $81.03 $81.03 $96.28 $45.57 $45.57 $45.57 $45.57 $81.03 $64.82 $96.28 $10.69 $96.28 $77.03 $5.76 $76.26 $66.73 $66.73 $96.28 $5.76 $96.28
4108221 IONIZED CALCIUM 82330 $61.20 $48.96 $52.02 $52.02 $52.02 $61.81 $45.57 $45.57 $45.57 $45.57 $52.02 $41.62 $61.81 $22.57 $61.81 $49.45 $12.17 $48.96 $42.84 $42.84 $61.81 $12.17 $61.81
4100215 STONE ANALYSIS 82365 $142.02 $113.62 $120.72 $120.72 $120.72 $143.44 $45.57 $45.57 $45.57 $45.57 $120.72 $96.57 $143.44 $21.29 $143.44 $114.75 $11.47 $113.62 $99.41 $99.41 $143.44 $11.47 $143.44
4100087 CK-MB 82553 $131.15 $104.92 $111.48 $111.48 $111.48 $132.46 $45.57 $45.57 $45.57 $45.57 $111.48 $89.18 $132.46 $19.06 $132.46 $105.97 $10.27 $104.92 $91.81 $91.81 $132.46 $10.27 $132.46
4100091 CREATININE CLEARANCE 82575 $141.52 $113.22 $120.29 $120.29 $120.29 $142.94 $45.57 $45.57 $45.57 $45.57 $120.29 $96.23 $142.94 $15.61 $142.94 $114.35 $8.41 $113.22 $99.06 $99.06 $142.94 $8.41 $142.94
4100122 FERRITIN 82728 $99.26 $79.41 $84.37 $84.37 $84.37 $100.25 $45.57 $45.57 $45.57 $45.57 $84.37 $67.50 $100.25 $22.49 $100.25 $80.20 $12.12 $79.41 $69.48 $69.48 $100.25 $12.12 $100.25
4100250 FOLATE (FOLIC ACID) SERUM 82746 $103.07 $82.46 $87.61 $87.61 $87.61 $104.10 $45.57 $45.57 $45.57 $45.57 $87.61 $70.09 $104.10 $24.26 $104.10 $83.28 $13.08 $82.46 $72.15 $72.15 $104.10 $13.08 $104.10
4100522 TTG 82784 $255.00 $204.00 $216.75 $216.75 $216.75 $257.55 $45.57 $45.57 $45.57 $45.57 $216.75 $173.40 $257.55 $15.35 $257.55 $206.04 $8.27 $204.00 $178.50 $178.50 $257.55 $8.27 $257.55
4108020 PH-VENOUS 82800 $110.00 $88.00 $93.50 $93.50 $93.50 $111.10 $45.57 $45.57 $45.57 $45.57 $93.50 $74.80 $111.10 $18.15 $111.10 $88.88 $9.78 $88.00 $77.00 $77.00 $111.10 $9.78 $111.10
4107100 ARTERIAL BLOOD GASES 82803 $190.11 $152.09 $161.59 $161.59 $161.59 $192.01 $45.57 $45.57 $45.57 $45.57 $161.59 $129.27 $192.01 $43.02 $192.01 $153.61 $23.19 $152.09 $133.08 $133.08 $192.01 $23.19 $192.01
4100131 GTT EACH ADDTL HOUR 82952 $46.84 $37.47 $39.81 $39.81 $39.81 $47.31 $45.57 $45.57 $45.57 $45.57 $39.81 $31.85 $47.31 $6.47 $47.31 $37.85 $3.49 $37.47 $32.79 $32.79 $47.31 $3.49 $47.31
4100143 HAPTOGLOBIN 83010 $161.48 $129.18 $137.26 $137.26 $137.26 $163.09 $45.57 $45.57 $45.57 $45.57 $137.26 $109.81 $163.09 $20.76 $163.09 $130.48 $11.19 $129.18 $113.04 $113.04 $163.09 $11.19 $163.09
4100066 HGB A1C 83036 $82.18 $65.74 $69.85 $69.85 $69.85 $83.00 $45.57 $45.57 $45.57 $45.57 $69.85 $55.88 $83.00 $16.02 $83.00 $66.40 $8.64 $65.74 $57.53 $57.53 $83.00 $8.64 $83.00
4100229 TIBC 83550 $72.39 $57.91 $61.53 $61.53 $61.53 $73.11 $45.57 $45.57 $45.57 $45.57 $61.53 $49.23 $73.11 $14.42 $73.11 $58.49 $7.77 $57.91 $50.67 $50.67 $73.11 $7.77 $73.11
4100972 LACTIC ACID IN HOUSE 83605 $63.30 $50.64 $53.81 $53.81 $53.81 $63.93 $45.57 $45.57 $45.57 $45.57 $53.81 $43.04 $63.93 $19.09 $63.93 $51.15 $10.29 $50.64 $44.31 $44.31 $63.93 $10.29 $63.93
4101070 MYOGLOBIN 83874 $846.24 $676.99 $719.30 $719.30 $719.30 $854.70 $45.57 $45.57 $45.57 $45.57 $719.30 $575.44 $854.70 $21.32 $854.70 $683.76 $11.49 $676.99 $592.37 $592.37 $854.70 $11.49 $854.70
4100976 CALPROTECTIN 83993 $420.00 $336.00 $357.00 $357.00 $357.00 $424.20 $45.57 $45.57 $45.57 $45.57 $357.00 $285.60 $424.20 $32.39 $424.20 $339.36 $17.46 $336.00 $294.00 $294.00 $424.20 $17.46 $424.20
4108032 PRE-ALBUMIN 84134 $91.71 $73.37 $77.95 $77.95 $77.95 $92.63 $45.57 $45.57 $45.57 $45.57 $77.95 $62.36 $92.63 $24.07 $92.63 $74.10 $12.98 $73.37 $64.20 $64.20 $92.63 $12.98 $92.63
4100299 PSA TOTAL 84153 $123.09 $98.47 $104.63 $104.63 $104.63 $124.32 $45.57 $45.57 $45.57 $45.57 $104.63 $83.70 $124.32 $30.34 $124.32 $99.46 $16.36 $98.47 $86.16 $86.16 $124.32 $16.36 $124.32
4108054 GLYCOMARK 84378 $82.50 $66.00 $70.13 $70.13 $70.13 $83.33 $45.57 $45.57 $45.57 $45.57 $70.13 $56.10 $83.33 $19.02 $83.33 $66.66 $10.26 $66.00 $57.75 $57.75 $83.33 $10.26 $83.33
4100322 TRANSFERRIN 84466 $137.70 $110.16 $117.05 $117.05 $117.05 $139.08 $45.57 $45.57 $45.57 $45.57 $117.05 $93.64 $139.08 $21.05 $139.08 $111.26 $11.35 $110.16 $96.39 $96.39 $139.08 $11.35 $139.08
4100237 TROPONIN 84484 $153.24 $122.59 $130.25 $130.25 $130.25 $154.77 $45.57 $45.57 $45.57 $45.57 $130.25 $104.20 $154.77 $20.58 $154.77 $123.82 $11.09 $122.59 $107.27 $107.27 $154.77 $11.09 $154.77
4108093 VITAMIN K 84597 $149.50 $119.60 $127.08 $127.08 $127.08 $151.00 $45.57 $45.57 $45.57 $45.57 $127.08 $101.66 $151.00 $22.64 $151.00 $120.80 $12.20 $119.60 $104.65 $104.65 $151.00 $12.20 $151.00
4100007 C PEPTIDE 84681 $135.39 $108.31 $115.08 $115.08 $115.08 $136.74 $45.57 $45.57 $45.57 $45.57 $115.08 $92.07 $136.74 $34.34 $136.74 $109.40 $18.51 $108.31 $94.77 $94.77 $136.74 $18.51 $136.74
4100074 BASIC METABOLIC PANEL 80048 $144.00 $115.20 $122.40 $122.40 $122.40 $145.44 $49.37 $49.37 $49.37 $49.37 $122.40 $97.92 $145.44 $13.96 $145.44 $116.35 $7.53 $115.20 $100.80 $100.80 $145.44 $7.53 $145.44
4100241 GENERAL HEALTH PANEL NOT FOR MCR 80050 $430.00 $344.00 $365.50 $365.50 $365.50 $434.30 $49.37 $49.37 $49.37 $49.37 $365.50 $292.40 $434.30 $78.98 $434.30 $347.44 $31.24 $344.00 $301.00 $301.00 $434.30 $31.24 $434.30
4101771 CMP COMP METOBOLIC PANEL 80053 $176.00 $140.80 $149.60 $149.60 $149.60 $177.76 $49.37 $49.37 $49.37 $49.37 $149.60 $119.68 $177.76 $52.58 $177.76 $142.21 $9.39 $140.80 $123.20 $123.20 $177.76 $9.39 $177.76
4100180 LIPID PANEL 80061 $113.00 $90.40 $96.05 $96.05 $96.05 $114.13 $49.37 $49.37 $49.37 $49.37 $96.05 $76.84 $114.13 $22.09 $114.13 $91.30 $11.91 $90.40 $79.10 $79.10 $114.13 $11.91 $114.13
4101074 RENAL PANEL 80069 $153.00 $122.40 $130.05 $130.05 $130.05 $154.53 $49.37 $49.37 $49.37 $49.37 $130.05 $104.04 $154.53 $14.32 $154.53 $123.62 $7.72 $122.40 $107.10 $107.10 $154.53 $7.72 $154.53
4108007 ACUTE HEPATITS PANEL 80074 $197.00 $157.60 $167.45 $167.45 $167.45 $198.97 $49.37 $49.37 $49.37 $49.37 $167.45 $133.96 $198.97 $78.59 $198.97 $159.18 $42.37 $157.60 $137.90 $137.90 $198.97 $42.37 $198.97
4100185 HEPATIC FUNCTION 80076 $117.00 $93.60 $99.45 $99.45 $99.45 $118.17 $49.37 $49.37 $49.37 $49.37 $99.45 $79.56 $118.17 $13.48 $118.17 $94.54 $7.27 $93.60 $81.90 $81.90 $118.17 $7.27 $118.17
4100068 D-DIMER 85378 $165.00 $132.00 $140.25 $140.25 $140.25 $166.65 $57.42 $57.42 $57.42 $57.42 $140.25 $112.20 $166.65 $16.04 $166.65 $133.32 $8.65 $132.00 $115.50 $115.50 $166.65 $8.65 $166.65
4100224 AMIKACIN PEAK 80150 $80.88 $64.70 $68.75 $68.75 $68.75 $81.69 $59.46 $59.46 $59.46 $59.46 $68.75 $55.00 $81.69 $24.88 $81.69 $65.35 $13.41 $64.70 $56.62 $56.62 $81.69 $13.41 $81.69
4100225 AMIKACIN TROUGH 80150 $80.88 $64.70 $68.75 $68.75 $68.75 $81.69 $59.46 $59.46 $59.46 $59.46 $68.75 $55.00 $81.69 $24.88 $81.69 $65.35 $13.41 $64.70 $56.62 $56.62 $81.69 $13.41 $81.69
4100217 TEGRETOL (CARBAMAZEPINE) 80156 $142.25 $113.80 $120.91 $120.91 $120.91 $143.67 $59.46 $59.46 $59.46 $59.46 $120.91 $96.73 $143.67 $24.04 $143.67 $114.94 $12.96 $113.80 $99.58 $99.58 $143.67 $12.96 $143.67
4100063 CYCLOSPORINE LEVEL 80158 $75.69 $60.55 $64.34 $64.34 $64.34 $76.45 $59.46 $59.46 $59.46 $59.46 $64.34 $51.47 $76.45 $29.78 $76.45 $61.16 $16.06 $60.55 $52.98 $52.98 $76.45 $16.06 $76.45
4100110 DIGOXIN LEVEL 80162 $106.23 $84.98 $90.30 $90.30 $90.30 $107.29 $59.46 $59.46 $59.46 $59.46 $90.30 $72.24 $107.29 $21.91 $107.29 $85.83 $11.81 $84.98 $74.36 $74.36 $107.29 $11.81 $107.29
4100279 DEPAKOTE (VALPROIC ACID) 80164 $143.40 $114.72 $121.89 $121.89 $121.89 $144.83 $59.46 $59.46 $59.46 $59.46 $121.89 $97.51 $144.83 $22.34 $144.83 $115.87 $12.04 $114.72 $100.38 $100.38 $144.83 $12.04 $144.83
4100183 LITHIUM 80178 $86.43 $69.14 $73.47 $73.47 $73.47 $87.29 $59.46 $59.46 $59.46 $59.46 $73.47 $58.77 $87.29 $10.91 $87.29 $69.84 $5.88 $69.14 $60.50 $60.50 $87.29 $5.88 $87.29
4100190 PHENOBARBITAL 80184 $105.68 $84.54 $89.83 $89.83 $89.83 $106.74 $59.46 $59.46 $59.46 $59.46 $89.83 $71.86 $106.74 $25.25 $106.74 $85.39 $13.61 $84.54 $73.98 $73.98 $106.74 $13.61 $106.74
4100105 DILANTIN-LEVEL 80185 $119.99 $95.99 $101.99 $101.99 $101.99 $121.19 $59.46 $59.46 $59.46 $59.46 $101.99 $81.59 $121.19 $21.86 $121.19 $96.95 $11.79 $95.99 $83.99 $83.99 $121.19 $11.79 $121.19
4100806 PHENYTOIN, FREE 80186 $73.50 $58.80 $62.48 $62.48 $62.48 $74.24 $59.46 $59.46 $59.46 $59.46 $62.48 $49.98 $74.24 $22.70 $74.24 $59.39 $12.24 $58.80 $51.45 $51.45 $74.24 $12.24 $74.24
4108341 TACROLIMUS 80197 $225.00 $180.00 $191.25 $191.25 $191.25 $227.25 $59.46 $59.46 $59.46 $59.46 $191.25 $153.00 $227.25 $22.65 $227.25 $181.80 $12.21 $180.00 $157.50 $157.50 $227.25 $12.21 $227.25
4100220 THEOPHYLLINE - LEVEL 80198 $82.50 $66.00 $70.13 $70.13 $70.13 $83.33 $59.46 $59.46 $59.46 $59.46 $70.13 $56.10 $83.33 $23.33 $83.33 $66.66 $12.58 $66.00 $57.75 $57.75 $83.33 $12.58 $83.33
4100134 VANCOMYCIN LEVEL 80202 $162.05 $129.64 $137.74 $137.74 $137.74 $163.67 $59.46 $59.46 $59.46 $59.46 $137.74 $110.19 $163.67 $22.34 $163.67 $130.94 $12.04 $129.64 $113.44 $113.44 $163.67 $12.04 $163.67
4100001 ANTI SCL-70 86235 $84.61 $67.69 $71.92 $71.92 $71.92 $85.46 $66.02 $66.02 $66.02 $66.02 $71.92 $57.53 $85.46 $29.58 $85.46 $68.36 $15.95 $67.69 $59.23 $59.23 $85.46 $15.95 $85.46
4108308 QUANTIFERON TB 86480 $396.00 $316.80 $336.60 $336.60 $336.60 $399.96 $66.02 $66.02 $66.02 $66.02 $336.60 $269.28 $399.96 $102.27 $399.96 $319.97 $55.13 $316.80 $277.20 $277.20 $399.96 $55.13 $399.96
4100021 LYMES TITER SCREEN 86618 $111.18 $88.94 $94.50 $94.50 $94.50 $112.29 $66.02 $66.02 $66.02 $66.02 $94.50 $75.60 $112.29 $28.10 $112.29 $89.83 $15.15 $88.94 $77.83 $77.83 $112.29 $15.15 $112.29
4105006 HELICOBACTER PYLOR QUALAT (02) 86677 $113.65 $90.92 $96.60 $96.60 $96.60 $114.79 $66.02 $66.02 $66.02 $66.02 $96.60 $77.28 $114.79 $27.80 $114.79 $91.83 $14.99 $90.92 $79.56 $79.56 $114.79 $14.99 $114.79
4100042 HEP C AB W/REFLEX TO RIBA 86803 $113.56 $90.85 $96.53 $96.53 $96.53 $114.70 $66.02 $66.02 $66.02 $66.02 $96.53 $77.22 $114.70 $23.55 $114.70 $91.76 $12.69 $90.85 $79.49 $79.49 $114.70 $12.69 $114.70
4108109 INFLUENZA A 87400 $101.87 $81.50 $86.59 $86.59 $86.59 $102.89 $66.02 $66.02 $66.02 $66.02 $86.59 $69.27 $102.89 $23.31 $102.89 $82.31 $12.57 $81.50 $71.31 $71.31 $102.89 $12.57 $102.89
4108110 INFLUENZA B 87400 $101.87 $81.50 $86.59 $86.59 $86.59 $102.89 $66.02 $66.02 $66.02 $66.02 $86.59 $69.27 $102.89 $23.31 $102.89 $82.31 $12.57 $81.50 $71.31 $71.31 $102.89 $12.57 $102.89
4100281 LEAD - BLOOD 83655 $72.50 $58.00 $61.63 $61.63 $61.63 $73.23 $67.59 $67.59 $67.59 $67.59 $61.63 $49.30 $73.23 $19.98 $73.23 $58.58 $10.77 $58.00 $50.75 $50.75 $73.23 $10.77 $73.23
4100036 B12 82607 $102.10 $81.68 $86.79 $86.79 $86.79 $103.12 $74.32 $74.32 $74.32 $74.32 $86.79 $69.43 $103.12 $24.88 $103.12 $82.50 $13.41 $81.68 $71.47 $71.47 $103.12 $13.41 $103.12
4100106 INSULIN, RANDOM 83525 $86.15 $68.92 $73.23 $73.23 $73.23 $87.01 $74.32 $74.32 $74.32 $74.32 $73.23 $58.58 $87.01 $18.86 $87.01 $69.61 $10.17 $68.92 $60.31 $60.31 $87.01 $10.17 $87.01
4100198 PROGESTERONE 84144 $90.10 $72.08 $76.59 $76.59 $76.59 $91.00 $74.32 $74.32 $74.32 $74.32 $76.59 $61.27 $91.00 $34.42 $91.00 $72.80 $18.55 $72.08 $63.07 $63.07 $91.00 $18.55 $91.00
4108004 T4 FREE 84439 $90.86 $72.69 $77.23 $77.23 $77.23 $91.77 $74.32 $74.32 $74.32 $74.32 $77.23 $61.78 $91.77 $14.88 $91.77 $73.41 $8.02 $72.69 $63.60 $63.60 $91.77 $8.02 $91.77
4100240 TSH 84443 $125.73 $100.58 $106.87 $106.87 $106.87 $126.99 $74.32 $74.32 $74.32 $74.32 $106.87 $85.50 $126.99 $27.72 $126.99 $101.59 $14.94 $100.58 $88.01 $88.01 $126.99 $14.94 $126.99
4108327 7444 84479 $22.12 $17.70 $18.80 $18.80 $18.80 $22.34 $74.32 $74.32 $74.32 $74.32 $18.80 $15.04 $22.34 $10.68 $22.34 $17.87 $5.75 $17.70 $15.48 $15.48 $22.34 $5.75 $74.32
4101080 T3 TOTAL 84480 $101.29 $81.03 $86.10 $86.10 $86.10 $102.30 $74.32 $74.32 $74.32 $74.32 $86.10 $68.88 $102.30 $23.40 $102.30 $81.84 $12.61 $81.03 $70.90 $70.90 $102.30 $12.61 $102.30
4100104 T3 FREE-34429 84481 $178.89 $143.11 $152.06 $152.06 $152.06 $180.68 $74.32 $74.32 $74.32 $74.32 $152.06 $121.65 $180.68 $27.95 $180.68 $144.54 $15.07 $143.11 $125.22 $125.22 $180.68 $15.07 $180.68
4100548 HCG-QUANTITATIVE 84702 $385.86 $308.69 $327.98 $327.98 $327.98 $389.72 $74.32 $74.32 $74.32 $74.32 $327.98 $262.38 $389.72 $24.83 $389.72 $311.77 $13.39 $308.69 $270.10 $270.10 $389.72 $13.39 $389.72
4510006 APP MODALITY 1/> AREA MECHANICAL TRACTIO 97012 $180.00 $144.00 $153.00 $153.00 $153.00 $181.80 $85.53 $85.53 $85.53 $85.53 $153.00 $122.40 $181.80 $25.11 $181.80 $145.44 $- $144.00 $126.00 $126.00 $181.80 $- $181.80
4500065 ELECTRIC STIM UNATTENDED 97014 $55.00 $44.00 $46.75 $46.75 $46.75 $55.55 $85.53 $85.53 $85.53 $85.53 $46.75 $37.40 $55.55 $19.64 $55.55 $44.44 $- $44.00 $38.50 $38.50 $55.55 $- $85.53
4500075 IONTOPHOR TIMED 97033 $133.02 $106.42 $113.07 $113.07 $113.07 $134.35 $85.53 $85.53 $85.53 $85.53 $113.07 $90.45 $134.35 $33.88 $134.35 $107.48 $- $106.42 $93.11 $93.11 $134.35 $- $134.35
4510009 APP MODALITY 1/> AREA ULTRASOUND EA15MIN 97035 $75.00 $60.00 $63.75 $63.75 $63.75 $75.75 $85.53 $85.53 $85.53 $85.53 $63.75 $51.00 $75.75 $23.75 $75.75 $60.60 $- $60.00 $52.50 $52.50 $75.75 $- $85.53
4500072 ULTRASOUND 97035 $83.63 $66.90 $71.09 $71.09 $71.09 $84.47 $85.53 $85.53 $85.53 $85.53 $71.09 $56.87 $84.47 $23.75 $84.47 $67.57 $- $66.90 $58.54 $58.54 $84.47 $- $85.53
4510005 THERAPEUTIC EXCERCISE 1/> AREA EA 15MIN 97110 $75.00 $60.00 $63.75 $63.75 $63.75 $75.75 $85.53 $85.53 $85.53 $85.53 $63.75 $51.00 $75.75 $50.42 $75.75 $60.60 $- $60.00 $52.50 $52.50 $75.75 $- $85.53
4500038 THERAPEUTIC EXERCISE 97110 $94.58 $75.66 $80.39 $80.39 $80.39 $95.53 $85.53 $85.53 $85.53 $85.53 $80.39 $64.31 $95.53 $50.42 $95.53 $76.42 $- $75.66 $66.21 $66.21 $95.53 $- $95.53
4510011 THERAPEUTIC NEUROMUSC RE-EDUCATION EA15M 97112 $75.00 $60.00 $63.75 $63.75 $63.75 $75.75 $85.53 $85.53 $85.53 $85.53 $63.75 $51.00 $75.75 $57.83 $75.75 $60.60 $- $60.00 $52.50 $52.50 $75.75 $- $85.53
4500033 NEUROMUSCULAR RE-EDUCATION 97112 $100.11 $80.09 $85.09 $85.09 $85.09 $101.11 $85.53 $85.53 $85.53 $85.53 $85.09 $68.07 $101.11 $57.83 $101.11 $80.89 $- $80.09 $70.08 $70.08 $101.11 $- $101.11
4500043 GAIT TRAINING 97116 $89.54 $71.63 $76.11 $76.11 $76.11 $90.44 $85.53 $85.53 $85.53 $85.53 $76.11 $60.89 $90.44 $49.88 $90.44 $72.35 $- $71.63 $62.68 $62.68 $90.44 $- $90.44
4500047 MANUAL THERAPY 97140 $120.87 $96.70 $102.74 $102.74 $102.74 $122.08 $85.53 $85.53 $85.53 $85.53 $102.74 $82.19 $122.08 $46.48 $122.08 $97.66 $25.60 $96.70 $84.61 $84.61 $122.08 $25.60 $122.08
4500011 PT EVALUATION LOW COMPLEXITY 97161 $223.99 $179.19 $190.39 $190.39 $190.39 $226.23 $85.53 $85.53 $85.53 $85.53 $190.39 $152.31 $226.23 $140.42 $226.23 $180.98 $77.34 $179.19 $156.79 $156.79 $226.23 $77.34 $226.23
4500010 PT EVALUATION MODERATE COMPLEXITY 97162 $273.99 $219.19 $232.89 $232.89 $232.89 $276.73 $85.53 $85.53 $85.53 $85.53 $232.89 $186.31 $276.73 $140.42 $276.73 $221.38 $77.34 $219.19 $191.79 $191.79 $276.73 $77.34 $276.73
4500009 PT EVALUATION HIGH COMPLEXITY 97163 $323.99 $259.19 $275.39 $275.39 $275.39 $327.23 $85.53 $85.53 $85.53 $85.53 $275.39 $220.31 $327.23 $140.42 $327.23 $261.78 $77.34 $259.19 $226.79 $226.79 $327.23 $77.34 $327.23
4500013 PT RE-EVALUATION 97164 $99.00 $79.20 $84.15 $84.15 $84.15 $99.99 $85.53 $85.53 $85.53 $85.53 $84.15 $67.32 $99.99 $96.00 $99.99 $79.99 $52.87 $79.20 $69.30 $69.30 $99.99 $52.87 $99.99
4510014 THERAP ACTIVITY DIRECT CONTACT EA 15MIN 97530 $75.00 $60.00 $63.75 $63.75 $63.75 $75.75 $85.53 $85.53 $85.53 $85.53 $63.75 $51.00 $75.75 $63.94 $75.75 $60.60 $35.21 $60.00 $52.50 $52.50 $75.75 $35.21 $85.53
4500034 THERAPEUTIC ACTIVITIES 97530 $106.54 $85.23 $90.56 $90.56 $90.56 $107.61 $85.53 $85.53 $85.53 $85.53 $90.56 $72.45 $107.61 $63.94 $107.61 $86.08 $35.21 $85.23 $74.58 $74.58 $107.61 $35.21 $107.61
4520009 THERAPEUTIC ACTIVITY DIRECT CONTACT E15M 97530 $75.00 $60.00 $63.75 $63.75 $63.75 $75.75 $85.53 $85.53 $85.53 $85.53 $63.75 $51.00 $75.75 $63.94 $75.75 $60.60 $35.21 $60.00 $52.50 $52.50 $75.75 $35.21 $85.53
4100182 CORTISOL-SERUM, RANDOM 82533 $129.99 $103.99 $110.49 $110.49 $110.49 $131.29 $98.66 $98.66 $98.66 $98.66 $110.49 $88.39 $131.29 $26.90 $131.29 $105.03 $14.50 $103.99 $90.99 $90.99 $131.29 $14.50 $131.29
4100212 CORTISOL-SERUM AM OR PM 82533 $108.00 $86.40 $91.80 $91.80 $91.80 $109.08 $98.66 $98.66 $98.66 $98.66 $91.80 $73.44 $109.08 $26.90 $109.08 $87.26 $14.50 $86.40 $75.60 $75.60 $109.08 $14.50 $109.08
4100025 ESTRADIOL 82670 $199.02 $159.22 $169.17 $169.17 $169.17 $201.01 $98.66 $98.66 $98.66 $98.66 $169.17 $135.33 $201.01 $46.10 $201.01 $160.81 $24.85 $159.22 $139.31 $139.31 $201.01 $24.85 $201.01
4100118 ESTROGEN - SERUM 82672 $181.50 $145.20 $154.28 $154.28 $154.28 $183.32 $98.66 $98.66 $98.66 $98.66 $154.28 $123.42 $183.32 $35.81 $183.32 $146.65 $19.30 $145.20 $127.05 $127.05 $183.32 $19.30 $183.32
4100563 FSH - SERUM 83001 $126.07 $100.86 $107.16 $107.16 $107.16 $127.33 $98.66 $98.66 $98.66 $98.66 $107.16 $85.73 $127.33 $30.66 $127.33 $101.86 $16.53 $100.86 $88.25 $88.25 $127.33 $16.53 $127.33
4100270 LUTEINIZING HORMONE SERUM 83002 $126.72 $101.38 $107.71 $107.71 $107.71 $127.99 $98.66 $98.66 $98.66 $98.66 $107.71 $86.17 $127.99 $30.56 $127.99 $102.39 $16.47 $101.38 $88.70 $88.70 $127.99 $16.47 $127.99
4108107 HYDROXYPROGESTERONE 17-D 83498 $204.45 $163.56 $173.78 $173.78 $173.78 $206.49 $98.66 $98.66 $98.66 $98.66 $173.78 $139.03 $206.49 $44.83 $206.49 $165.20 $24.17 $163.56 $143.12 $143.12 $206.49 $24.17 $206.49
4108018 PTH C-TERMINAL 83970 $220.00 $176.00 $187.00 $187.00 $187.00 $222.20 $98.66 $98.66 $98.66 $98.66 $187.00 $149.60 $222.20 $68.11 $222.20 $177.76 $36.72 $176.00 $154.00 $154.00 $222.20 $36.72 $222.20
4100265 PROCALCITONIN (PCT) 84145 $75.00 $60.00 $63.75 $63.75 $63.75 $75.75 $98.66 $98.66 $98.66 $98.66 $63.75 $51.00 $75.75 $44.91 $75.75 $60.60 $24.21 $60.00 $52.50 $52.50 $75.75 $24.21 $98.66
4100551 PROLACTIN 84146 $92.37 $73.90 $78.51 $78.51 $78.51 $93.29 $98.66 $98.66 $98.66 $98.66 $78.51 $62.81 $93.29 $31.98 $93.29 $74.64 $17.24 $73.90 $64.66 $64.66 $93.29 $17.24 $98.66
4100029 TESTOSTERONE - FREE 84402 $117.36 $93.89 $99.76 $99.76 $99.76 $118.53 $98.66 $98.66 $98.66 $98.66 $99.76 $79.80 $118.53 $42.03 $118.53 $94.83 $22.66 $93.89 $82.15 $82.15 $118.53 $22.66 $118.53
4100006 TESTOSTERONE - TOTAL 84403 $691.20 $552.96 $587.52 $587.52 $587.52 $698.11 $98.66 $98.66 $98.66 $98.66 $587.52 $470.02 $698.11 $42.59 $698.11 $558.49 $22.96 $552.96 $483.84 $483.84 $698.11 $22.96 $698.11
4300009 MANDIBLE COMPLETE MINIMUM 4V 70110 $204.75 $163.80 $174.04 $174.04 $174.04 $206.80 $99.99 $99.99 $99.99 $99.99 $174.04 $139.23 $206.80 $252.18 $206.80 $165.44 $24.84 $163.80 $143.33 $143.33 $206.80 $24.84 $252.18
4300004 FACIAL BONES COMPLETE MIN 3V 70150 $204.75 $163.80 $174.04 $174.04 $174.04 $206.80 $99.99 $99.99 $99.99 $99.99 $174.04 $139.23 $206.80 $252.18 $206.80 $165.44 $27.24 $163.80 $143.33 $143.33 $206.80 $27.24 $252.18
4300006 NASAL BONES COMPLETE MINIMUM 3V 70160 $204.75 $163.80 $174.04 $174.04 $174.04 $206.80 $99.99 $99.99 $99.99 $99.99 $174.04 $139.23 $206.80 $179.57 $206.80 $165.44 $23.05 $163.80 $143.33 $143.33 $206.80 $23.05 $206.80
4300126 ORBITS OPTIC FORAMINA 70190 $204.75 $163.80 $174.04 $174.04 $174.04 $206.80 $99.99 $99.99 $99.99 $99.99 $174.04 $139.23 $206.80 $179.57 $206.80 $165.44 $22.75 $163.80 $143.33 $143.33 $206.80 $22.75 $206.80
4300003 SINUS COMPLETE MINIMUM 3V 70220 $407.50 $326.00 $346.38 $346.38 $346.38 $411.58 $99.99 $99.99 $99.99 $99.99 $346.38 $277.10 $411.58 $179.57 $411.58 $329.26 $21.25 $326.00 $285.25 $285.25 $411.58 $21.25 $411.58
4300011 SKULL LESS THAN 4V 70250 $476.92 $381.54 $405.38 $405.38 $405.38 $481.69 $99.99 $99.99 $99.99 $99.99 $405.38 $324.31 $481.69 $252.18 $481.69 $385.35 $21.25 $381.54 $333.84 $333.84 $481.69 $21.25 $481.69
4300010 NECK SOFT TISSUE 2 VIEWS 70360 $384.32 $307.46 $326.67 $326.67 $326.67 $388.16 $99.99 $99.99 $99.99 $99.99 $326.67 $261.34 $388.16 $179.57 $388.16 $310.53 $17.96 $307.46 $269.02 $269.02 $388.16 $17.96 $388.16
4300028 CHEST XRAY 1 VIEW 71045 $248.48 $198.78 $211.21 $211.21 $211.21 $250.96 $99.99 $99.99 $99.99 $99.99 $211.21 $168.97 $250.96 $179.57 $250.96 $200.77 $13.77 $198.78 $173.94 $173.94 $250.96 $13.77 $250.96
4300029 CHEST XRAY 2 VIEW 71046 $248.48 $198.78 $211.21 $211.21 $211.21 $250.96 $99.99 $99.99 $99.99 $99.99 $211.21 $168.97 $250.96 $179.57 $250.96 $200.77 $18.26 $198.78 $173.94 $173.94 $250.96 $18.26 $250.96
4300507 LINCOLN COUNTY HD CHEST XRAY 2 VIEW 71046 $80.00 $64.00 $68.00 $68.00 $68.00 $80.80 $99.99 $99.99 $99.99 $99.99 $68.00 $54.40 $80.80 $179.57 $80.80 $64.64 $18.26 $64.00 $56.00 $56.00 $80.80 $18.26 $179.57
4300019 RIBS UNILATERAL 2V 71100 $329.08 $263.26 $279.72 $279.72 $279.72 $332.37 $99.99 $99.99 $99.99 $99.99 $279.72 $223.77 $332.37 $179.57 $332.37 $265.90 $20.35 $263.26 $230.36 $230.36 $332.37 $20.35 $332.37
4300035 RIBS BILATERAL 3V 71110 $115.83 $92.66 $98.46 $98.46 $98.46 $116.99 $99.99 $99.99 $99.99 $99.99 $98.46 $78.76 $116.99 $252.18 $116.99 $93.59 $23.65 $92.66 $81.08 $81.08 $116.99 $23.65 $252.18
4300024 STERNUM MINIMUM 2V 71120 $227.50 $182.00 $193.38 $193.38 $193.38 $229.78 $99.99 $99.99 $99.99 $99.99 $193.38 $154.70 $229.78 $179.57 $229.78 $183.82 $18.86 $182.00 $159.25 $159.25 $229.78 $18.86 $229.78
4300016 C-SPINE 1V SPECIFY LEVEL 72020 $134.40 $107.52 $114.24 $114.24 $114.24 $135.74 $99.99 $99.99 $99.99 $99.99 $114.24 $91.39 $135.74 $179.57 $135.74 $108.60 $13.47 $107.52 $94.08 $94.08 $135.74 $13.47 $179.57
4302120 L-SPINE 1V SPECIFY LEVEL 72020 $134.40 $107.52 $114.24 $114.24 $114.24 $135.74 $99.99 $99.99 $99.99 $99.99 $114.24 $91.39 $135.74 $179.57 $135.74 $108.60 $13.47 $107.52 $94.08 $94.08 $135.74 $13.47 $179.57
4302100 C-SPINE 2V OR 3V 72040 $349.21 $279.37 $296.83 $296.83 $296.83 $352.70 $99.99 $99.99 $99.99 $99.99 $296.83 $237.46 $352.70 $179.57 $352.70 $282.16 $22.45 $279.37 $244.45 $244.45 $352.70 $22.45 $352.70
4302106 C-SPINE 4V OR 5V 72050 $495.95 $396.76 $421.56 $421.56 $421.56 $500.91 $99.99 $99.99 $99.99 $99.99 $421.56 $337.25 $500.91 $252.18 $500.91 $400.73 $30.83 $396.76 $347.17 $347.17 $500.91 $30.83 $500.91
4300020 T-SPINE 2V 72070 $313.64 $250.91 $266.59 $266.59 $266.59 $316.78 $99.99 $99.99 $99.99 $99.99 $266.59 $213.28 $316.78 $252.18 $316.78 $253.42 $17.96 $250.91 $219.55 $219.55 $316.78 $17.96 $316.78
4308013 T-SPINE 2 VIEWS W/SWIMMERS 72072 $448.32 $358.66 $381.07 $381.07 $381.07 $452.80 $99.99 $99.99 $99.99 $99.99 $381.07 $304.86 $452.80 $252.18 $452.80 $362.24 $22.45 $358.66 $313.82 $313.82 $452.80 $22.45 $452.80
4300090 SPINE ENTIRE INCLUDING SKULL 1V 72081 $339.14 $271.31 $288.27 $288.27 $288.27 $342.53 $99.99 $99.99 $99.99 $99.99 $288.27 $230.62 $342.53 $179.57 $342.53 $274.03 $23.65 $271.31 $237.40 $237.40 $342.53 $23.65 $342.53
4302121 L-SPINE 2V OR 3V 72100 $325.45 $260.36 $276.63 $276.63 $276.63 $328.70 $99.99 $99.99 $99.99 $99.99 $276.63 $221.31 $328.70 $252.18 $328.70 $262.96 $22.45 $260.36 $227.82 $227.82 $328.70 $22.45 $328.70
4302110 L-SPINE MINIMUM 4V 72110 $354.25 $283.40 $301.11 $301.11 $301.11 $357.79 $99.99 $99.99 $99.99 $99.99 $301.11 $240.89 $357.79 $252.18 $357.79 $286.23 $29.63 $283.40 $247.98 $247.98 $357.79 $29.63 $357.79
4300055 PELVIS 1V OR 2V 72170 $269.28 $215.42 $228.89 $228.89 $228.89 $271.97 $99.99 $99.99 $99.99 $99.99 $228.89 $183.11 $271.97 $252.18 $271.97 $217.58 $16.46 $215.42 $188.50 $188.50 $271.97 $16.46 $271.97
4300023 SACRUM/COCCYX MINIMUM 2V 72220 $294.53 $235.62 $250.35 $250.35 $250.35 $297.48 $99.99 $99.99 $99.99 $99.99 $250.35 $200.28 $297.48 $179.57 $297.48 $237.98 $18.86 $235.62 $206.17 $206.17 $297.48 $18.86 $297.48
4300037 XRAY CLAVICLE COMPLETE 73000 $349.47 $279.58 $297.05 $297.05 $297.05 $352.96 $99.99 $99.99 $99.99 $99.99 $297.05 $237.64 $352.96 $179.57 $352.96 $282.37 $19.15 $279.58 $244.63 $244.63 $352.96 $19.15 $352.96
4301013 SHOULDER COMPLETE MINIMUM 2V 73030 $309.27 $247.42 $262.88 $262.88 $262.88 $312.36 $99.99 $99.99 $99.99 $99.99 $262.88 $210.30 $312.36 $179.57 $312.36 $249.89 $19.75 $247.42 $216.49 $216.49 $312.36 $19.75 $312.36
4300022 HUMERUS MINIMUM 2V 73060 $286.71 $229.37 $243.70 $243.70 $243.70 $289.58 $99.99 $99.99 $99.99 $99.99 $243.70 $194.96 $289.58 $179.57 $289.58 $231.66 $19.15 $229.37 $200.70 $200.70 $289.58 $19.15 $289.58
4300042 ELBOW 2V 73070 $291.98 $233.58 $248.18 $248.18 $248.18 $294.90 $99.99 $99.99 $99.99 $99.99 $248.18 $198.55 $294.90 $179.57 $294.90 $235.92 $16.76 $233.58 $204.39 $204.39 $294.90 $16.76 $294.90
4300043 ELBOW COMPLETE 3V 73080 $150.00 $120.00 $127.50 $127.50 $127.50 $151.50 $99.99 $99.99 $99.99 $99.99 $127.50 $102.00 $151.50 $179.57 $151.50 $121.20 $18.56 $120.00 $105.00 $105.00 $151.50 $18.56 $179.57
4300033 FOREARM 2V 73090 $265.89 $212.71 $226.01 $226.01 $226.01 $268.55 $99.99 $99.99 $99.99 $99.99 $226.01 $180.81 $268.55 $179.57 $268.55 $214.84 $17.06 $212.71 $186.12 $186.12 $268.55 $17.06 $268.55
4308019 WRIST (2V) 73100 $319.24 $255.39 $271.35 $271.35 $271.35 $322.43 $99.99 $99.99 $99.99 $99.99 $271.35 $217.08 $322.43 $179.57 $322.43 $257.95 $20.35 $255.39 $223.47 $223.47 $322.43 $20.35 $322.43
4300048 WRIST COMPLETE MINIMUM 3V 73110 $284.78 $227.82 $242.06 $242.06 $242.06 $287.63 $99.99 $99.99 $99.99 $99.99 $242.06 $193.65 $287.63 $179.57 $287.63 $230.10 $25.14 $227.82 $199.35 $199.35 $287.63 $25.14 $287.63
4308020 HAND (2V) 73120 $448.32 $358.66 $381.07 $381.07 $381.07 $452.80 $99.99 $99.99 $99.99 $99.99 $381.07 $304.86 $452.80 $252.18 $452.80 $362.24 $18.26 $358.66 $313.82 $313.82 $452.80 $18.26 $452.80
4301086 HAND MINIMUM 3V 73130 $278.79 $223.03 $236.97 $236.97 $236.97 $281.58 $99.99 $99.99 $99.99 $99.99 $236.97 $189.58 $281.58 $179.57 $281.58 $225.26 $21.85 $223.03 $195.15 $195.15 $281.58 $21.85 $281.58
4302035 FINGER(S) MINIMUM 2V 73140 $242.78 $194.22 $206.36 $206.36 $206.36 $245.21 $99.99 $99.99 $99.99 $99.99 $206.36 $165.09 $245.21 $179.57 $245.21 $196.17 $23.94 $194.22 $169.95 $169.95 $245.21 $23.94 $245.21
4300054 HIP COMPLETE MINIMUM 2V 73502 $278.70 $222.96 $236.90 $236.90 $236.90 $281.49 $99.99 $99.99 $99.99 $99.99 $236.90 $189.52 $281.49 $179.57 $281.49 $225.19 $28.44 $222.96 $195.09 $195.09 $281.49 $28.44 $281.49
4307010 HIPS BILATERAL MINIMUM 2V 73521 $179.20 $143.36 $152.32 $152.32 $152.32 $180.99 $99.99 $99.99 $99.99 $99.99 $152.32 $121.86 $180.99 $252.18 $180.99 $144.79 $23.94 $143.36 $125.44 $125.44 $180.99 $23.94 $252.18
4300063 FEMUR 2V 73552 $331.68 $265.34 $281.93 $281.93 $281.93 $335.00 $99.99 $99.99 $99.99 $99.99 $281.93 $225.54 $335.00 $179.57 $335.00 $268.00 $21.25 $265.34 $232.18 $232.18 $335.00 $21.25 $335.00
4300062 KNEE 1V OR 2V 73560 $277.34 $221.87 $235.74 $235.74 $235.74 $280.11 $99.99 $99.99 $99.99 $99.99 $235.74 $188.59 $280.11 $179.57 $280.11 $224.09 $20.95 $221.87 $194.14 $194.14 $280.11 $20.95 $280.11
4301035 KNEE COMPLETE 4 OR MORE VIEWS 73564 $247.50 $198.00 $210.38 $210.38 $210.38 $249.98 $99.99 $99.99 $99.99 $99.99 $210.38 $168.30 $249.98 $252.18 $249.98 $199.98 $27.24 $198.00 $173.25 $173.25 $249.98 $27.24 $252.18
4307009 BOTH KNEES STANDING ANTEROPOSTERIOR 73565 $179.20 $143.36 $152.32 $152.32 $152.32 $180.99 $99.99 $99.99 $99.99 $99.99 $152.32 $121.86 $180.99 $179.57 $180.99 $144.79 $25.14 $143.36 $125.44 $125.44 $180.99 $25.14 $180.99
4300018 TIBIA/FIBULA 2V 73590 $282.82 $226.26 $240.40 $240.40 $240.40 $285.65 $99.99 $99.99 $99.99 $99.99 $240.40 $192.32 $285.65 $179.57 $285.65 $228.52 $18.86 $226.26 $197.97 $197.97 $285.65 $18.86 $285.65
4300075 ANKLE COMPLETE MINIMUM 3V 73610 $284.80 $227.84 $242.08 $242.08 $242.08 $287.65 $99.99 $99.99 $99.99 $99.99 $242.08 $193.66 $287.65 $179.57 $287.65 $230.12 $21.85 $227.84 $199.36 $199.36 $287.65 $21.85 $287.65
4300069 FOOT COMPLETE MINIMUM 3V 73630 $291.66 $233.33 $247.91 $247.91 $247.91 $294.58 $99.99 $99.99 $99.99 $99.99 $247.91 $198.33 $294.58 $179.57 $294.58 $235.66 $20.35 $233.33 $204.16 $204.16 $294.58 $20.35 $294.58
4300077 CALCANEOUS 2V 73650 $287.99 $230.39 $244.79 $244.79 $244.79 $290.87 $99.99 $99.99 $99.99 $99.99 $244.79 $195.83 $290.87 $179.57 $290.87 $232.70 $16.76 $230.39 $201.59 $201.59 $290.87 $16.76 $290.87
4301067 TOE(S) MINIMUM 2V 73660 $248.10 $198.48 $210.89 $210.89 $210.89 $250.58 $99.99 $99.99 $99.99 $99.99 $210.89 $168.71 $250.58 $179.57 $250.58 $200.46 $17.96 $198.48 $173.67 $173.67 $250.58 $17.96 $250.58
4300079 ABDOMEN XRAY 1 VIEW 74018 $248.48 $198.78 $211.21 $211.21 $211.21 $250.96 $99.99 $99.99 $99.99 $99.99 $211.21 $168.97 $250.96 $179.57 $250.96 $200.77 $16.76 $198.78 $173.94 $173.94 $250.96 $16.76 $250.96
4301003 ABDOMEN XRAY 2 VIEW 74019 $457.84 $366.27 $389.16 $389.16 $389.16 $462.42 $99.99 $99.99 $99.99 $99.99 $389.16 $311.33 $462.42 $252.18 $462.42 $369.93 $20.35 $366.27 $320.49 $320.49 $462.42 $20.35 $462.42
4307008 ABDOMEN XRAY 3 OR MORE VIEWS 74021 $457.84 $366.27 $389.16 $389.16 $389.16 $462.42 $99.99 $99.99 $99.99 $99.99 $389.16 $311.33 $462.42 $252.18 $462.42 $369.93 $23.65 $366.27 $320.49 $320.49 $462.42 $23.65 $462.42
4100353 PATH CONSULT W/SLIDE PREP 88323 $143.22 $114.58 $121.74 $121.74 $121.74 $144.65 $106.72 $106.72 $106.72 $106.72 $121.74 $97.39 $144.65 $86.57 $144.65 $115.72 $104.63 $114.58 $100.25 $100.25 $144.65 $86.57 $144.65
4100430 CULTURE - BLOOD 87040 $168.99 $135.19 $143.64 $143.64 $143.64 $170.68 $129.09 $129.09 $129.09 $129.09 $143.64 $114.91 $170.68 $17.03 $170.68 $136.54 $9.18 $135.19 $118.29 $118.29 $170.68 $9.18 $170.68
4100236 HBV DNA QUANTITATIVE PER PLASMA 87517 $339.00 $271.20 $288.15 $288.15 $288.15 $342.39 $129.09 $129.09 $129.09 $129.09 $288.15 $230.52 $342.39 $70.69 $342.39 $273.91 $38.11 $271.20 $237.30 $237.30 $342.39 $38.11 $342.39
4100019 GC LCX 87591 $155.83 $124.66 $132.46 $132.46 $132.46 $157.39 $129.09 $129.09 $129.09 $129.09 $132.46 $105.96 $157.39 $57.90 $157.39 $125.91 $31.21 $124.66 $109.08 $109.08 $157.39 $31.21 $157.39
4100974 COVID-19 87635 $597.00 $477.60 $507.45 $507.45 $507.45 $602.97 $129.09 $129.09 $129.09 $129.09 $507.45 $405.96 $602.97 $73.40 $602.97 $482.38 $51.31 $477.60 $417.90 $417.90 $602.97 $51.31 $602.97
3500110 IV HYDRATION EACH ADDITIONAL HOUR 96361 $42.81 $34.25 $36.39 $36.39 $36.39 $43.24 $134.54 $134.54 $134.54 $134.54 $36.39 $29.11 $43.24 $76.22 $43.24 $34.59 $30.84 $34.25 $29.97 $29.97 $43.24 $29.11 $134.54
4410112 IV HYDRATION EACH ADDITIONAL HOUR 96361 $108.70 $86.96 $92.40 $92.40 $92.40 $109.79 $134.54 $134.54 $134.54 $134.54 $92.40 $73.92 $109.79 $76.22 $109.79 $87.83 $30.84 $86.96 $76.09 $76.09 $109.79 $30.84 $134.54
3500112 IV INFUSION EACH ADD HOUR 96366 $111.09 $88.87 $94.43 $94.43 $94.43 $112.20 $134.54 $134.54 $134.54 $134.54 $94.43 $75.54 $112.20 $76.22 $112.20 $89.76 $30.84 $88.87 $77.76 $77.76 $112.20 $30.84 $134.54
4410114 IV INFUSION EACH ADD HOUR 96366 $114.33 $91.46 $97.18 $97.18 $97.18 $115.47 $134.54 $134.54 $134.54 $134.54 $97.18 $77.74 $115.47 $76.22 $115.47 $92.38 $30.84 $91.46 $80.03 $80.03 $115.47 $30.84 $134.54
4510001 OCCUPATIONAL THERAPY EVAL LOW COMPLEXITY 97165 $270.00 $216.00 $229.50 $229.50 $229.50 $272.70 $136.58 $136.58 $136.58 $136.58 $229.50 $183.60 $272.70 $148.58 $272.70 $218.16 $81.83 $216.00 $189.00 $189.00 $272.70 $81.83 $272.70
4510002 OCCUPATIONAL THERAPY EVAL MOD COMPLEXITY 97166 $285.00 $228.00 $242.25 $242.25 $242.25 $287.85 $136.58 $136.58 $136.58 $136.58 $242.25 $193.80 $287.85 $148.04 $287.85 $230.28 $81.53 $228.00 $199.50 $199.50 $287.85 $81.53 $287.85
4510003 OCCUPATIONAL THERAPY EVAL HIGH COMPLEX 97167 $300.00 $240.00 $255.00 $255.00 $255.00 $303.00 $136.58 $136.58 $136.58 $136.58 $255.00 $204.00 $303.00 $148.04 $303.00 $242.40 $81.53 $240.00 $210.00 $210.00 $303.00 $81.53 $303.00
4510004 OCCUPATIONAL THERAPY RE-EVALUATION 97168 $270.00 $216.00 $229.50 $229.50 $229.50 $272.70 $136.58 $136.58 $136.58 $136.58 $229.50 $183.60 $272.70 $101.97 $272.70 $218.16 $56.16 $216.00 $189.00 $189.00 $272.70 $56.16 $272.70
4510016 SELF CARE HOME MGMT EACH 15 MIN 97535 $75.00 $60.00 $63.75 $63.75 $63.75 $75.75 $136.58 $136.58 $136.58 $136.58 $63.75 $51.00 $75.75 $55.85 $75.75 $60.60 $30.76 $60.00 $52.50 $52.50 $75.75 $30.76 $136.58
4510018 WHEELCHAIR MANAGEMENT EACH 15 MINUTES 97542 $75.00 $60.00 $63.75 $63.75 $63.75 $75.75 $136.58 $136.58 $136.58 $136.58 $63.75 $51.00 $75.75 $54.43 $75.75 $60.60 $29.88 $60.00 $52.50 $52.50 $75.75 $29.88 $136.58
4100196 VITAMIN D, 25 82306 $165.83 $132.66 $140.96 $140.96 $140.96 $167.49 $138.33 $138.33 $138.33 $138.33 $140.96 $112.76 $167.49 $48.84 $167.49 $133.99 $26.33 $132.66 $116.08 $116.08 $167.49 $26.33 $167.49
4100804 NT ProBNP 83880 $387.00 $309.60 $328.95 $328.95 $328.95 $390.87 $138.33 $138.33 $138.33 $138.33 $328.95 $263.16 $390.87 $64.78 $390.87 $312.70 $34.92 $309.60 $270.90 $270.90 $390.87 $34.92 $390.87
4101111 BNP 83880 $201.10 $160.88 $170.94 $170.94 $170.94 $203.11 $138.33 $138.33 $138.33 $138.33 $170.94 $136.75 $203.11 $64.78 $203.11 $162.49 $34.92 $160.88 $140.77 $140.77 $203.11 $34.92 $203.11
3500030 STRAIGHT CATH OF BLADDER FOR URINE 51701 $235.25 $188.20 $199.96 $199.96 $199.96 $237.60 $146.49 $124.51 $168.46 $104.63 $199.96 $159.97 $237.60 $207.16 $237.60 $190.08 $24.63 $188.20 $164.68 $164.68 $237.60 $24.63 $237.60
3503002 INSERTION FOLEY CATHETER SIMPLE 51702 $289.50 $231.60 $246.08 $246.08 $246.08 $292.40 $146.49 $124.51 $168.46 $104.63 $246.08 $196.86 $292.40 $207.16 $292.40 $233.92 $24.04 $231.60 $202.65 $202.65 $292.40 $24.04 $292.40
3503648 REMOVAL FB EXTERNAL AUDITORY CANAL 69200 $231.75 $185.40 $196.99 $196.99 $196.99 $234.07 $146.49 $124.51 $168.46 $104.63 $196.99 $157.59 $234.07 $207.16 $234.07 $187.25 $43.32 $185.40 $162.23 $162.23 $234.07 $43.32 $234.07
4520006 TRTMT S/L/V/C AND/OR AUD PROCESS DISORDE 92507 $180.00 $144.00 $153.00 $153.00 $153.00 $181.80 $179.75 $179.75 $179.75 $179.75 $153.00 $122.40 $181.80 $131.34 $181.80 $145.44 $72.34 $144.00 $126.00 $126.00 $181.80 $72.34 $181.80
4520002 EVALUATION OF SPEECH SOUND PRODUCTION 92522 $270.00 $216.00 $229.50 $229.50 $229.50 $272.70 $179.75 $179.75 $179.75 $179.75 $229.50 $183.60 $272.70 $152.81 $272.70 $218.16 $84.17 $216.00 $189.00 $189.00 $272.70 $84.17 $272.70
4520003 EVAL SPEECH SOUND PRODUCTION W/LANGUAGE 92523 $270.00 $216.00 $229.50 $229.50 $229.50 $272.70 $179.75 $179.75 $179.75 $179.75 $229.50 $183.60 $272.70 $319.84 $272.70 $218.16 $176.15 $216.00 $189.00 $189.00 $272.70 $176.15 $319.84
4520007 TRTMT SWALLOWING DYSFUNCTION &/OR ORAL 92526 $180.00 $144.00 $153.00 $153.00 $153.00 $181.80 $179.75 $179.75 $179.75 $179.75 $153.00 $122.40 $181.80 $144.13 $181.80 $145.44 $79.38 $144.00 $126.00 $126.00 $181.80 $79.38 $181.80
4520004 EVAL ORAL/PHARYNGEAL SWALLOWING FUNCTION 92610 $270.00 $216.00 $229.50 $229.50 $229.50 $272.70 $179.75 $179.75 $179.75 $179.75 $229.50 $183.60 $272.70 $143.29 $272.70 $218.16 $66.94 $216.00 $189.00 $189.00 $272.70 $66.94 $272.70
4100145 HLA-B-27 86812 $156.25 $125.00 $132.81 $132.81 $132.81 $157.81 $210.68 $210.68 $210.68 $210.68 $132.81 $106.25 $157.81 $42.59 $157.81 $126.25 $22.96 $125.00 $109.38 $109.38 $157.81 $22.96 $210.68
4100603 COMPATIBILITY TEST AHG 86922 $379.50 $303.60 $322.58 $322.58 $322.58 $383.30 $210.68 $210.68 $210.68 $210.68 $322.58 $258.06 $383.30 $251.13 $383.30 $306.64 $42.14 $303.60 $265.65 $265.65 $383.30 $42.14 $383.30
4413518 IRRIGATION IMPLANTED VENOUS ACCESS DEVIC 96523 $279.70 $223.76 $237.75 $237.75 $237.75 $282.50 $214.05 $214.05 $214.05 $214.05 $237.75 $190.20 $282.50 $110.02 $282.50 $226.00 $23.49 $223.76 $195.79 $195.79 $282.50 $23.49 $282.50
4601011 DEBRIDE DEVITALIZED TISSUE FIRST 20CM 97597 $585.00 $468.00 $497.25 $497.25 $497.25 $590.85 $214.05 $214.05 $214.05 $214.05 $497.25 $397.80 $590.85 $349.46 $590.85 $472.68 $34.37 $468.00 $409.50 $409.50 $590.85 $34.37 $590.85
4601012 DEBRIDE DEVITALIZED TISSUE ADD 20CM 97598 $240.00 $192.00 $204.00 $204.00 $204.00 $242.40 $214.05 $214.05 $214.05 $214.05 $204.00 $163.20 $242.40 $74.65 $242.40 $193.92 $24.04 $192.00 $168.00 $168.00 $242.40 $24.04 $242.40
4200010 INCENTIVE SPIROMETRY TREATMENT 94010 $285.97 $228.78 $243.07 $243.07 $243.07 $288.83 $216.55 $216.55 $216.55 $216.55 $243.07 $194.46 $288.83 $276.70 $288.83 $231.06 $22.75 $228.78 $200.18 $200.18 $288.83 $22.75 $288.83
3500109 IV HYDRATION INITIAL FIRST 31-60 MINS 96360 $145.47 $116.38 $123.65 $123.65 $123.65 $146.92 $272.12 $272.12 $272.12 $272.12 $123.65 $98.92 $146.92 $367.48 $146.92 $117.54 $148.68 $116.38 $101.83 $101.83 $146.92 $98.92 $367.48
4410111 IV HYDRATION INITIAL FIRST 31-60 MINS 96360 $295.36 $236.29 $251.06 $251.06 $251.06 $298.31 $272.12 $272.12 $272.12 $272.12 $251.06 $200.84 $298.31 $367.48 $298.31 $238.65 $148.68 $236.29 $206.75 $206.75 $298.31 $148.68 $367.48
3500111 IV INFUSION INITIAL UP TO 1 HOUR 96365 $177.39 $141.91 $150.78 $150.78 $150.78 $179.16 $272.12 $272.12 $272.12 $272.12 $150.78 $120.63 $179.16 $367.48 $179.16 $143.33 $148.68 $141.91 $124.17 $124.17 $179.16 $120.63 $367.48
4410113 IV INFUSION INITIAL UP TO 1 HOUR 96365 $303.90 $243.12 $258.32 $258.32 $258.32 $306.94 $272.12 $272.12 $272.12 $272.12 $258.32 $206.65 $306.94 $367.48 $306.94 $245.55 $148.68 $243.12 $212.73 $212.73 $306.94 $148.68 $367.48
3500113 IV INFUSION ADD SEQU DRUG UP TO 1 HOUR 96367 $90.42 $72.34 $76.86 $76.86 $76.86 $91.32 $272.12 $272.12 $272.12 $272.12 $76.86 $61.49 $91.32 $120.94 $91.32 $73.06 $48.93 $72.34 $63.29 $63.29 $91.32 $48.93 $272.12
4410115 IV INFUSION ADD SEQU DRUG UP TO 1 HOUR 96367 $181.41 $145.13 $154.20 $154.20 $154.20 $183.22 $272.12 $272.12 $272.12 $272.12 $154.20 $123.36 $183.22 $120.94 $183.22 $146.58 $48.93 $145.13 $126.99 $126.99 $183.22 $48.93 $272.12
3500114 IV INFUSION CONCURRENT 96368 $54.21 $43.37 $46.08 $46.08 $46.08 $54.75 $272.12 $272.12 $272.12 $272.12 $46.08 $36.86 $54.75 $33.25 $54.75 $43.80 $18.31 $43.37 $37.95 $37.95 $54.75 $18.31 $272.12
4200019 HHN TEACHING/DEMONSTRATION 94664 $486.24 $388.99 $413.30 $413.30 $413.30 $491.10 $275.27 $275.27 $275.27 $275.27 $413.30 $330.64 $491.10 $367.92 $491.10 $392.88 $14.96 $388.99 $340.37 $340.37 $491.10 $14.96 $491.10
4350373 US SOFT TISSUE HEAD/NECK/THYROID 76536 $450.92 $360.74 $383.28 $383.28 $383.28 $455.43 $352.02 $352.02 $352.02 $352.02 $383.28 $306.63 $455.43 $252.18 $455.43 $364.34 $73.94 $360.74 $315.64 $315.64 $455.43 $73.94 $455.43
4350372 US CHEST W/MEDIASTINUM 76604 $450.92 $360.74 $383.28 $383.28 $383.28 $455.43 $352.02 $352.02 $352.02 $352.02 $383.28 $306.63 $455.43 $252.18 $455.43 $364.34 $42.21 $360.74 $315.64 $315.64 $455.43 $42.21 $455.43
4350455 US BREAST UNILATERAL COMPLETE 76641 $450.92 $360.74 $383.28 $383.28 $383.28 $455.43 $352.02 $352.02 $352.02 $352.02 $383.28 $306.63 $455.43 $252.18 $455.43 $364.34 $59.57 $360.74 $315.64 $315.64 $455.43 $59.57 $455.43
4350107 US ABDOMINAL COMPLETE 76700 $450.92 $360.74 $383.28 $383.28 $383.28 $455.43 $352.02 $352.02 $352.02 $352.02 $383.28 $306.63 $455.43 $252.18 $455.43 $364.34 $69.15 $360.74 $315.64 $315.64 $455.43 $69.15 $455.43
4350110 US SINGLE ORGAN 76705 $450.92 $360.74 $383.28 $383.28 $383.28 $455.43 $352.02 $352.02 $352.02 $352.02 $383.28 $306.63 $455.43 $252.18 $455.43 $364.34 $52.09 $360.74 $315.64 $315.64 $455.43 $52.09 $455.43
4350326 US ABDOMINAL AORTA SCREEN FOR AAA 76706 $450.92 $360.74 $383.28 $383.28 $383.28 $455.43 $352.02 $352.02 $352.02 $352.02 $383.28 $306.63 $455.43 $252.18 $455.43 $364.34 $- $360.74 $315.64 $315.64 $455.43 $- $455.43
4350114 US RETROPERITONEAL COMPLETE 76770 $450.92 $360.74 $383.28 $383.28 $383.28 $455.43 $352.02 $352.02 $352.02 $352.02 $383.28 $306.63 $455.43 $252.18 $455.43 $364.34 $64.36 $360.74 $315.64 $315.64 $455.43 $64.36 $455.43
4350025 US RETROPERITONEAL LIMITED 76775 $450.92 $360.74 $383.28 $383.28 $383.28 $455.43 $352.02 $352.02 $352.02 $352.02 $383.28 $306.63 $455.43 $252.18 $455.43 $364.34 $25.14 $360.74 $315.64 $315.64 $455.43 $25.14 $455.43
4350117 US PELVIC/NON-OBSTETRIC COMPLETE 76856 $450.92 $360.74 $383.28 $383.28 $383.28 $455.43 $352.02 $352.02 $352.02 $352.02 $383.28 $306.63 $455.43 $252.18 $455.43 $364.34 $63.46 $360.74 $315.64 $315.64 $455.43 $63.46 $455.43
4351003 US PELVIC/NON-OBSTETRIC LIMITED 76857 $450.92 $360.74 $383.28 $383.28 $383.28 $455.43 $352.02 $352.02 $352.02 $352.02 $383.28 $306.63 $455.43 $252.18 $455.43 $364.34 $20.05 $360.74 $315.64 $315.64 $455.43 $20.05 $455.43
4350374 US SCROTUM AND CONTENTS 76870 $450.92 $360.74 $383.28 $383.28 $383.28 $455.43 $352.02 $352.02 $352.02 $352.02 $383.28 $306.63 $455.43 $252.18 $455.43 $364.34 $61.67 $360.74 $315.64 $315.64 $455.43 $61.67 $455.43
4351020 US EXTREMITY NONVASCULAR COMPLETE 76881 $450.92 $360.74 $383.28 $383.28 $383.28 $455.43 $352.02 $352.02 $352.02 $352.02 $383.28 $306.63 $455.43 $252.18 $455.43 $364.34 $38.91 $360.74 $315.64 $315.64 $455.43 $38.91 $455.43
4350039 US EXTREMITY NONVASCULAR LIMITED 76882 $239.44 $191.55 $203.52 $203.52 $203.52 $241.83 $352.02 $352.02 $352.02 $352.02 $203.52 $162.82 $241.83 $252.18 $241.83 $193.47 $27.54 $191.55 $167.61 $167.61 $241.83 $27.54 $352.02
4350322 US CAROTID DUPLEX BILATERAL COMPLETE 93880 $903.64 $722.91 $768.09 $768.09 $768.09 $912.68 $352.02 $352.02 $352.02 $352.02 $768.09 $614.48 $912.68 $442.78 $912.68 $730.14 $188.57 $722.91 $632.55 $632.55 $912.68 $188.57 $912.68
4350043 UE ARTERIAL DUPLEX UNILATERAL OR LTD 93931 $450.92 $360.74 $383.28 $383.28 $383.28 $455.43 $352.02 $352.02 $352.02 $352.02 $383.28 $306.63 $455.43 $212.95 $455.43 $364.34 $88.01 $360.74 $315.64 $315.64 $455.43 $88.01 $455.43
4320146 CT HEAD/BRAIN W/O CONTRAST 70450 $1,691.44 $1,353.15 $1,437.72 $1,437.72 $1,437.72 $1,708.35 $372.11 $372.11 $372.11 $372.11 $1,437.72 $1,150.18 $1,708.35 $336.24 $1,708.35 $1,366.68 $61.07 $1,353.15 $1,184.01 $1,184.01 $1,708.35 $61.07 $1,708.35
4320148 CT HEAD/BRAIN W/ CONTRAST 70460 $1,831.20 $1,464.96 $1,556.52 $1,556.52 $1,556.52 $1,849.51 $372.11 $372.11 $372.11 $372.11 $1,556.52 $1,245.22 $1,849.51 $546.66 $1,849.51 $1,479.61 $89.51 $1,464.96 $1,281.84 $1,281.84 $1,849.51 $89.51 $1,849.51
4320142 CT HEAD/BRAIN W/ & W/O CONTRAST 70470 $2,129.53 $1,703.62 $1,810.10 $1,810.10 $1,810.10 $2,150.83 $372.11 $372.11 $372.11 $372.11 $1,810.10 $1,448.08 $2,150.83 $546.66 $2,150.83 $1,720.66 $107.17 $1,703.62 $1,490.67 $1,490.67 $2,150.83 $107.17 $2,150.83
4350106 US OB >/=14 WEEKS SINGLE/FIRST GESTATION 76805 $450.92 $360.74 $383.28 $383.28 $383.28 $455.43 $372.96 $372.96 $372.96 $372.96 $383.28 $306.63 $455.43 $252.18 $455.43 $364.34 $76.04 $360.74 $315.64 $315.64 $455.43 $76.04 $455.43
4350029 US OB >/=14 WEEKS ADDITIONAL FETUS 76810 $225.48 $180.38 $191.66 $191.66 $191.66 $227.73 $372.96 $372.96 $372.96 $372.96 $191.66 $153.33 $227.73 $173.62 $227.73 $182.19 $35.62 $180.38 $157.84 $157.84 $227.73 $35.62 $372.96
4350030 US OB DETAILED SINGLE FETUS OR 1ST GEST 76811 $450.92 $360.74 $383.28 $383.28 $383.28 $455.43 $372.96 $372.96 $372.96 $372.96 $383.28 $306.63 $455.43 $524.34 $455.43 $364.34 $69.74 $360.74 $315.64 $315.64 $455.43 $69.74 $524.34
4350041 LE/UE BILATERAL ARTERIAL LIMITED 93922 $400.08 $320.06 $340.07 $340.07 $340.07 $404.08 $466.47 $466.47 $466.47 $466.47 $340.07 $272.05 $404.08 $207.16 $404.08 $323.26 $61.07 $320.06 $280.06 $280.06 $404.08 $61.07 $466.47
3503678 GASTRIC TUBE PLACEMENT/LAVAGE 43753 $232.00 $185.60 $197.20 $197.20 $197.20 $234.32 $479.32 $407.42 $551.22 $342.37 $197.20 $157.76 $234.32 $480.89 $234.32 $187.46 $21.14 $185.60 $162.40 $162.40 $234.32 $21.14 $551.22
3503113 SPLINT APPLICATION LONG ARM ABOVE ELBOW 29105 $401.00 $320.80 $340.85 $340.85 $340.85 $405.01 $550.52 $467.94 $633.09 $393.23 $340.85 $272.68 $405.01 $254.11 $405.01 $324.01 $39.23 $320.80 $280.70 $280.70 $405.01 $39.23 $633.09
3503680 SPLINT APPLICATION SHORT ARM BELOW ELBOW 29125 $401.00 $320.80 $340.85 $340.85 $340.85 $405.01 $550.52 $467.94 $633.09 $393.23 $340.85 $272.68 $405.01 $207.16 $405.01 $324.01 $35.70 $320.80 $280.70 $280.70 $405.01 $35.70 $633.09
3503681 SPLINT FINGER APPLICATION 29130 $401.00 $320.80 $340.85 $340.85 $340.85 $405.01 $550.52 $467.94 $633.09 $393.23 $340.85 $272.68 $405.01 $104.52 $405.01 $324.01 $27.32 $320.80 $280.70 $280.70 $405.01 $27.32 $633.09
3503683 SPLINT APPLICATION LONG LEG ABOVE KNEE 29505 $394.00 $315.20 $334.90 $334.90 $334.90 $397.94 $550.52 $467.94 $633.09 $393.23 $334.90 $267.92 $397.94 $254.11 $397.94 $318.35 $46.00 $315.20 $275.80 $275.80 $397.94 $46.00 $633.09
3503682 SPLINT APPLICATION SHORT LEG BELOW KNEE 29515 $401.00 $320.80 $340.85 $340.85 $340.85 $405.01 $550.52 $467.94 $633.09 $393.23 $340.85 $272.68 $405.01 $254.11 $405.01 $324.01 $45.26 $320.80 $280.70 $280.70 $405.01 $45.26 $633.09
3500159 DEBRIDEMENT SUBQ TISSUE 20 SQ CM/< 11042 $958.53 $766.82 $814.75 $814.75 $814.75 $968.12 $576.85 $490.32 $663.38 $412.04 $814.75 $651.80 $968.12 $607.07 $968.12 $774.49 $258.55 $766.82 $670.97 $670.97 $968.12 $258.55 $968.12
4601013 DEBRIDE SUBQ TISSUE FIRST 20CM 11042 $1,099.24 $879.39 $934.35 $934.35 $934.35 $1,110.23 $576.85 $490.32 $663.38 $412.04 $934.35 $747.48 $1,110.23 $607.07 $1,110.23 $888.19 $258.55 $879.39 $769.47 $769.47 $1,110.23 $258.55 $1,110.23
4601014 DEBRIDE SUBQ TISSUE EACH ADDITIONAL 20CM 11045 $240.00 $192.00 $204.00 $204.00 $204.00 $242.40 $576.85 $490.32 $663.38 $412.04 $204.00 $163.20 $242.40 $- $242.40 $193.92 $- $192.00 $168.00 $168.00 $242.40 $- $663.38
3500155 PARING/CUTTING BENIGN HYPERKERAT LESION 11055 $524.19 $419.35 $445.56 $445.56 $445.56 $529.43 $576.85 $490.32 $663.38 $412.04 $445.56 $356.45 $529.43 $331.99 $529.43 $423.55 $- $419.35 $366.93 $366.93 $529.43 $- $663.38
4601045 PARING/CUTTING CALLOUS 11055 $844.75 $675.80 $718.04 $718.04 $718.04 $853.20 $576.85 $490.32 $663.38 $412.04 $718.04 $574.43 $853.20 $331.99 $853.20 $682.56 $- $675.80 $591.33 $591.33 $853.20 $- $853.20
4601020 CHEMICAL CAUTERIZATION GRANULATED TISSUE 17250 $585.00 $468.00 $497.25 $497.25 $497.25 $590.85 $576.85 $490.32 $663.38 $412.04 $497.25 $397.80 $590.85 $331.99 $590.85 $472.68 $141.39 $468.00 $409.50 $409.50 $590.85 $141.39 $663.38
4350313 LE ARTERIAL DUPLEX BILATERAL COMPLETE 93925 $903.64 $722.91 $768.09 $768.09 $768.09 $912.68 $585.19 $585.19 $585.19 $585.19 $768.09 $614.48 $912.68 $442.78 $912.68 $730.14 $181.41 $722.91 $632.55 $632.55 $912.68 $181.41 $912.68
4350315 LE ARTERIAL DUPLEX UNILATERAL OR LTD 93926 $450.92 $360.74 $383.28 $383.28 $383.28 $455.43 $585.19 $585.19 $585.19 $585.19 $383.28 $306.63 $455.43 $212.95 $455.43 $364.34 $93.10 $360.74 $315.64 $315.64 $455.43 $93.10 $585.19
4350353 LE/UE VENOUS DUPLEX BILATERAL COMPLETE 93970 $903.64 $722.91 $768.09 $768.09 $768.09 $912.68 $585.19 $585.19 $585.19 $585.19 $768.09 $614.48 $912.68 $442.78 $912.68 $730.14 $135.61 $722.91 $632.55 $632.55 $912.68 $135.61 $912.68
4350354 LE/UE VENOUS DUPLEX UNILATERAL/LIMITED 93971 $450.92 $360.74 $383.28 $383.28 $383.28 $455.43 $585.19 $585.19 $585.19 $585.19 $383.28 $306.63 $455.43 $212.95 $455.43 $364.34 $84.12 $360.74 $315.64 $315.64 $455.43 $84.12 $585.19
3503670 AVULSION NAIL PLATE PARTIAL/COMPLETE 11730 $259.50 $207.60 $220.58 $220.58 $220.58 $262.10 $599.61 $509.67 $689.55 $428.30 $220.58 $176.46 $262.10 $331.99 $262.10 $209.68 $141.39 $207.60 $181.65 $181.65 $262.10 $141.39 $689.55
3503600 LAC/SIMPLE S/N/A/T/E/H/F 2.5CM/< 12001 $434.50 $347.60 $369.33 $369.33 $369.33 $438.85 $599.61 $509.67 $689.55 $428.30 $369.33 $295.46 $438.85 $331.99 $438.85 $351.08 $141.39 $347.60 $304.15 $304.15 $438.85 $141.39 $689.55
3503604 LAC/SIMPLE S/N/A/T/E/H/F 2.5CM-7.5CM 12002 $424.30 $339.44 $360.66 $360.66 $360.66 $428.54 $599.61 $509.67 $689.55 $428.30 $360.66 $288.52 $428.54 $331.99 $428.54 $342.83 $141.39 $339.44 $297.01 $297.01 $428.54 $141.39 $689.55
3503607 LAC/SIMPLE S/N/A/T/E/H/F 7.6CM-12.5CM 12004 $424.30 $339.44 $360.66 $360.66 $360.66 $428.54 $599.61 $509.67 $689.55 $428.30 $360.66 $288.52 $428.54 $331.99 $428.54 $342.83 $141.39 $339.44 $297.01 $297.01 $428.54 $141.39 $689.55
3500119 LAC/SIMPLE S/N/A/T/E/H/F 12.6CM-20.0CM 12005 $501.30 $401.04 $426.11 $426.11 $426.11 $506.31 $599.61 $509.67 $689.55 $428.30 $426.11 $340.88 $506.31 $607.07 $506.31 $405.05 $258.55 $401.04 $350.91 $350.91 $506.31 $258.55 $689.55
3503602 LAC/SIMPLE F/E/E/N/L 2.5CM/< 12011 $424.30 $339.44 $360.66 $360.66 $360.66 $428.54 $599.61 $509.67 $689.55 $428.30 $360.66 $288.52 $428.54 $331.99 $428.54 $342.83 $141.39 $339.44 $297.01 $297.01 $428.54 $141.39 $689.55
3503603 LAC/SIMPLE F/E/E/N/L 2.6CM-5.0CM 12013 $424.30 $339.44 $360.66 $360.66 $360.66 $428.54 $599.61 $509.67 $689.55 $428.30 $360.66 $288.52 $428.54 $331.99 $428.54 $342.83 $141.39 $339.44 $297.01 $297.01 $428.54 $141.39 $689.55
3503115 LAC/SIMPLE F/E/E/N/L 5.1CM-7.5CM 12014 $424.30 $339.44 $360.66 $360.66 $360.66 $428.54 $599.61 $509.67 $689.55 $428.30 $360.66 $288.52 $428.54 $331.99 $428.54 $342.83 $141.39 $339.44 $297.01 $297.01 $428.54 $141.39 $689.55
3500003 SIMPLE RPR F/E/E/N/L/M 7.6CM-12.5CM 12015 $529.35 $423.48 $449.95 $449.95 $449.95 $534.64 $599.61 $509.67 $689.55 $428.30 $449.95 $359.96 $534.64 $331.99 $534.64 $427.71 $141.39 $423.48 $370.55 $370.55 $534.64 $141.39 $689.55
3503623 LAC REPAIR INTERMED S/A/T/E 2.6CM-7.5CM 12032 $1,157.00 $925.60 $983.45 $983.45 $983.45 $1,168.57 $599.61 $509.67 $689.55 $428.30 $983.45 $786.76 $1,168.57 $607.07 $1,168.57 $934.86 $258.55 $925.60 $809.90 $809.90 $1,168.57 $258.55 $1,168.57
3700003 PERITONEAL DIALYSIS SINGLE EVALUATION 90945 $1,777.65 $1,422.12 $1,511.00 $1,511.00 $1,511.00 $1,795.43 $635.92 $635.92 $635.92 $635.92 $1,511.00 $1,208.80 $1,795.43 $668.40 $1,795.43 $1,436.34 $79.00 $1,422.12 $1,244.36 $1,244.36 $1,795.43 $79.00 $1,795.43
3503666 I&D ABSCESS SIMPLE/SINGLE 10060 $504.70 $403.76 $429.00 $429.00 $429.00 $509.75 $649.52 $552.09 $746.95 $463.94 $429.00 $343.20 $509.75 $331.99 $509.75 $407.80 $141.39 $403.76 $353.29 $353.29 $509.75 $141.39 $746.95
4601025 INCISION AND DRAINAGE ABSCESS SIMPLE 10060 $638.64 $510.91 $542.84 $542.84 $542.84 $645.03 $649.52 $552.09 $746.95 $463.94 $542.84 $434.28 $645.03 $331.99 $645.03 $516.02 $141.39 $510.91 $447.05 $447.05 $645.03 $141.39 $746.95
3103500 I&D OF ABSCESS COMPLICATED OR MULTIPLE 10061 $496.90 $397.52 $422.37 $422.37 $422.37 $501.87 $649.52 $552.09 $746.95 $463.94 $422.37 $337.89 $501.87 $607.07 $501.87 $401.50 $258.55 $397.52 $347.83 $347.83 $501.87 $258.55 $746.95
4600004 I&D ABSCESS COMPLICATED/MULTIPLE 10061 $1,597.55 $1,278.04 $1,357.92 $1,357.92 $1,357.92 $1,613.53 $649.52 $552.09 $746.95 $463.94 $1,357.92 $1,086.33 $1,613.53 $607.07 $1,613.53 $1,290.82 $258.55 $1,278.04 $1,118.29 $1,118.29 $1,613.53 $258.55 $1,613.53
3504700 INCISION REMOVAL FB SUBQ TISSUE SIMPLE 10120 $980.20 $784.16 $833.17 $833.17 $833.17 $990.00 $649.52 $552.09 $746.95 $463.94 $833.17 $666.54 $990.00 $607.07 $990.00 $792.00 $258.55 $784.16 $686.14 $686.14 $990.00 $258.55 $990.00
4601028 I&D DRAINAGE HEMATOMA/SEROMA/FLUID COLL. 10140 $3,378.20 $2,702.56 $2,871.47 $2,871.47 $2,871.47 $3,411.98 $649.52 $552.09 $746.95 $463.94 $2,871.47 $2,297.18 $3,411.98 $2,607.94 $3,411.98 $2,729.59 $1,110.70 $2,702.56 $2,364.74 $2,364.74 $3,411.98 $463.94 $3,411.98
4600055 I&D VULVA/PERINEAL ABSCESS 56405 $1,353.60 $1,082.88 $1,150.56 $1,150.56 $1,150.56 $1,367.14 $649.52 $552.09 $746.95 $463.94 $1,150.56 $920.45 $1,367.14 $514.37 $1,367.14 $1,093.71 $219.06 $1,082.88 $947.52 $947.52 $1,367.14 $219.06 $1,367.14
4320161 CT C-SPINE W/O CONTRAST 72125 $1,695.63 $1,356.50 $1,441.29 $1,441.29 $1,441.29 $1,712.59 $652.24 $652.24 $652.24 $652.24 $1,441.29 $1,153.03 $1,712.59 $252.18 $1,712.59 $1,370.07 $88.61 $1,356.50 $1,186.94 $1,186.94 $1,712.59 $88.61 $1,712.59
4320169 CT T-SPINE W/O CONTRAST 72128 $1,695.63 $1,356.50 $1,441.29 $1,441.29 $1,441.29 $1,712.59 $652.24 $652.24 $652.24 $652.24 $1,441.29 $1,153.03 $1,712.59 $252.18 $1,712.59 $1,370.07 $88.61 $1,356.50 $1,186.94 $1,186.94 $1,712.59 $88.61 $1,712.59
4320171 CT L-SPINE W/O CONTRAST 72131 $1,890.78 $1,512.62 $1,607.16 $1,607.16 $1,607.16 $1,909.69 $652.24 $652.24 $652.24 $652.24 $1,607.16 $1,285.73 $1,909.69 $252.18 $1,909.69 $1,527.75 $88.01 $1,512.62 $1,323.55 $1,323.55 $1,909.69 $88.01 $1,909.69
4520010 FLEX ENDO EVAL OF SWALLOW BY CINE OR VID 92612 $270.00 $216.00 $229.50 $229.50 $229.50 $272.70 $700.39 $700.39 $700.39 $700.39 $229.50 $183.60 $272.70 $317.00 $272.70 $218.16 $63.22 $216.00 $189.00 $189.00 $272.70 $63.22 $700.39
4320165 CT MAXILLOFACIAL W/O CONTRAST 70486 $1,662.00 $1,329.60 $1,412.70 $1,412.70 $1,412.70 $1,678.62 $784.59 $784.59 $784.59 $784.59 $1,412.70 $1,130.16 $1,678.62 $336.24 $1,678.62 $1,342.90 $80.83 $1,329.60 $1,163.40 $1,163.40 $1,678.62 $80.83 $1,678.62
4320149 CT MAXILLOFACIAL W/ & W/O CONTRAST 70488 $2,035.92 $1,628.74 $1,730.53 $1,730.53 $1,730.53 $2,056.28 $784.59 $784.59 $784.59 $784.59 $1,730.53 $1,384.43 $2,056.28 $546.66 $2,056.28 $1,645.02 $117.65 $1,628.74 $1,425.14 $1,425.14 $2,056.28 $117.65 $2,056.28
4320167 CT SOFT TISSUE NECK W/O CONTRAST 70490 $1,695.63 $1,356.50 $1,441.29 $1,441.29 $1,441.29 $1,712.59 $784.59 $784.59 $784.59 $784.59 $1,441.29 $1,153.03 $1,712.59 $252.18 $1,712.59 $1,370.07 $84.12 $1,356.50 $1,186.94 $1,186.94 $1,712.59 $84.12 $1,712.59
4320004 CT SOFT TISSUE NECK W/CONTRAST 70491 $2,085.80 $1,668.64 $1,772.93 $1,772.93 $1,772.93 $2,106.66 $784.59 $784.59 $784.59 $784.59 $1,772.93 $1,418.34 $2,106.66 $410.00 $2,106.66 $1,685.33 $111.96 $1,668.64 $1,460.06 $1,460.06 $2,106.66 $111.96 $2,106.66
4320250 CT SOFT TISSUE NECK W/ & W/O CONTRAST 70492 $2,475.96 $1,980.77 $2,104.57 $2,104.57 $2,104.57 $2,500.72 $784.59 $784.59 $784.59 $784.59 $2,104.57 $1,683.65 $2,500.72 $410.00 $2,500.72 $2,000.58 $137.11 $1,980.77 $1,733.17 $1,733.17 $2,500.72 $137.11 $2,500.72
4320153 CT CHEST W/O CONTRAST 71250 $1,695.63 $1,356.50 $1,441.29 $1,441.29 $1,441.29 $1,712.59 $784.59 $784.59 $784.59 $784.59 $1,441.29 $1,153.03 $1,712.59 $336.24 $1,712.59 $1,370.07 $84.12 $1,356.50 $1,186.94 $1,186.94 $1,712.59 $84.12 $1,712.59
4320155 CT CHEST W/ CONTRAST 71260 $1,831.20 $1,464.96 $1,556.52 $1,556.52 $1,556.52 $1,849.51 $784.59 $784.59 $784.59 $784.59 $1,556.52 $1,245.22 $1,849.51 $546.66 $1,849.51 $1,479.61 $112.26 $1,464.96 $1,281.84 $1,281.84 $1,849.51 $112.26 $1,849.51
4320151 CT CHEST W/ & W/O CONTRAST 71270 $2,137.72 $1,710.18 $1,817.06 $1,817.06 $1,817.06 $2,159.10 $784.59 $784.59 $784.59 $784.59 $1,817.06 $1,453.65 $2,159.10 $546.66 $2,159.10 $1,727.28 $137.11 $1,710.18 $1,496.40 $1,496.40 $2,159.10 $137.11 $2,159.10
4322124 CT UPPER EXTREMITY W/O CONTRAST 73200 $1,551.03 $1,240.82 $1,318.38 $1,318.38 $1,318.38 $1,566.54 $784.59 $784.59 $784.59 $784.59 $1,318.38 $1,054.70 $1,566.54 $252.18 $1,566.54 $1,253.23 $93.11 $1,240.82 $1,085.72 $1,085.72 $1,566.54 $93.11 $1,566.54
4320191 UPPER EXT W/O CONTRAST 73202 $1,772.08 $1,417.66 $1,506.27 $1,506.27 $1,506.27 $1,789.80 $784.59 $784.59 $784.59 $784.59 $1,506.27 $1,205.01 $1,789.80 $410.00 $1,789.80 $1,431.84 $151.18 $1,417.66 $1,240.46 $1,240.46 $1,789.80 $151.18 $1,789.80
4322126 CT LOWER EXTREMITIES W/O CONTRAST 73700 $1,691.54 $1,353.23 $1,437.81 $1,437.81 $1,437.81 $1,708.46 $784.59 $784.59 $784.59 $784.59 $1,437.81 $1,150.25 $1,708.46 $252.18 $1,708.46 $1,366.76 $88.01 $1,353.23 $1,184.08 $1,184.08 $1,708.46 $88.01 $1,708.46
3503640 ARTHROCENTESIS MAJOR JOINT W/O US 20610 $914.00 $731.20 $776.90 $776.90 $776.90 $923.14 $815.48 $693.16 $937.80 $582.49 $776.90 $621.52 $923.14 $497.36 $923.14 $738.51 $211.82 $731.20 $639.80 $639.80 $923.14 $211.82 $937.80
3200071 ARTHROCENTESIS LG JOINT W/O ULTRASOUND 20610 $1,155.00 $924.00 $981.75 $981.75 $981.75 $1,166.55 $815.48 $693.16 $937.80 $582.49 $981.75 $785.40 $1,166.55 $497.36 $1,166.55 $933.24 $211.82 $924.00 $808.50 $808.50 $1,166.55 $211.82 $1,166.55
4350331 ECHO COMPLETE 93307 $1,798.72 $1,438.98 $1,528.91 $1,528.91 $1,528.91 $1,816.71 $836.83 $836.83 $836.83 $836.83 $1,528.91 $1,223.13 $1,816.71 $442.78 $1,816.71 $1,453.37 $81.12 $1,438.98 $1,259.10 $1,259.10 $1,816.71 $81.12 $1,816.71
4350352 ECG TRANSTHORACIC REST/STRESS TEST 93350 $1,798.72 $1,438.98 $1,528.91 $1,528.91 $1,528.91 $1,816.71 $836.83 $836.83 $836.83 $836.83 $1,528.91 $1,223.13 $1,816.71 $915.00 $1,816.71 $1,453.37 $389.69 $1,438.98 $1,259.10 $1,259.10 $1,816.71 $389.69 $1,816.71
4601035 ACTIVE WOUND MGMNT/NON-SEL DEBRIDEMENT 97602 $334.92 $267.94 $284.68 $284.68 $284.68 $338.27 $876.17 $876.17 $876.17 $876.17 $284.68 $227.75 $338.27 $349.46 $338.27 $270.62 $23.64 $267.94 $234.44 $234.44 $338.27 $23.64 $876.17
4601033 NPWT 97605 $334.92 $267.94 $284.68 $284.68 $284.68 $338.27 $876.17 $876.17 $876.17 $876.17 $284.68 $227.75 $338.27 $349.46 $338.27 $270.62 $- $267.94 $234.44 $234.44 $338.27 $- $876.17
4601034 NPWT >/= TO 50SQ CM - WOUND VAC APP 97606 $589.56 $471.65 $501.13 $501.13 $501.13 $595.46 $876.17 $876.17 $876.17 $876.17 $501.13 $400.90 $595.46 $639.02 $595.46 $476.36 $- $471.65 $412.69 $412.69 $595.46 $- $876.17
4601015 DEBRIDE MUSCLE/FASCIA FIRST 20CM 11043 $1,099.24 $879.39 $934.35 $934.35 $934.35 $1,110.23 $902.09 $766.78 $1,037.40 $644.35 $934.35 $747.48 $1,110.23 $944.34 $1,110.23 $888.19 $402.19 $879.39 $769.47 $769.47 $1,110.23 $402.19 $1,110.23
4601016 DEBRIDE MUSCLE/FASCIA EA ADDITIONAL 20CM 11046 $217.72 $174.18 $185.06 $185.06 $185.06 $219.90 $902.09 $766.78 $1,037.40 $644.35 $185.06 $148.05 $219.90 $- $219.90 $175.92 $- $174.18 $152.40 $152.40 $219.90 $- $1,037.40
4200009 HHN TREATMENT 94640 $486.24 $388.99 $413.30 $413.30 $413.30 $491.10 $905.13 $905.13 $905.13 $905.13 $413.30 $330.64 $491.10 $312.73 $491.10 $392.88 $14.96 $388.99 $340.37 $340.37 $491.10 $14.96 $905.13
4200060 BREATHING TX 94640 $486.24 $388.99 $413.30 $413.30 $413.30 $491.10 $905.13 $905.13 $905.13 $905.13 $413.30 $330.64 $491.10 $312.73 $491.10 $392.88 $14.96 $388.99 $340.37 $340.37 $491.10 $14.96 $905.13
4530104 CHEST PHYSIOTHERAPY, INITIAL 94667 $89.13 $71.30 $75.76 $75.76 $75.76 $90.02 $905.13 $905.13 $905.13 $905.13 $75.76 $60.61 $90.02 $218.06 $90.02 $72.02 $20.94 $71.30 $62.39 $62.39 $90.02 $20.94 $905.13
3503660 SHOULDER DISLC CLOSED TX W/MANIPULATION 23650 $844.75 $675.80 $718.04 $718.04 $718.04 $853.20 $945.77 $803.91 $1,087.64 $675.55 $718.04 $574.43 $853.20 $409.72 $853.20 $682.56 $174.50 $675.80 $591.33 $591.33 $853.20 $174.50 $1,087.64
3507302 TREATMENT FINGER FRACTURE EACH 26725 $644.70 $515.76 $548.00 $548.00 $548.00 $651.15 $945.77 $803.91 $1,087.64 $675.55 $548.00 $438.40 $651.15 $409.72 $651.15 $520.92 $174.50 $515.76 $451.29 $451.29 $651.15 $174.50 $1,087.64
3500153 CL TX INTERPHALANGEAL JT W/MANIP 26770 $646.92 $517.54 $549.88 $549.88 $549.88 $653.39 $945.77 $803.91 $1,087.64 $675.55 $549.88 $439.91 $653.39 $409.72 $653.39 $522.71 $233.61 $517.54 $452.84 $452.84 $653.39 $233.61 $1,087.64
3700001 HEMODIALYSIS W/SINGLE EVALUATION 90935 $1,657.74 $1,326.19 $1,409.08 $1,409.08 $1,409.08 $1,674.32 $956.61 $956.61 $956.61 $956.61 $1,409.08 $1,127.26 $1,674.32 $1,216.06 $1,674.32 $1,339.45 $67.92 $1,326.19 $1,160.42 $1,160.42 $1,674.32 $67.92 $1,674.32
4320147 CT PELVIS W/O CONTRAST 72192 $1,600.10 $1,280.08 $1,360.09 $1,360.09 $1,360.09 $1,616.10 $963.59 $963.59 $963.59 $963.59 $1,360.09 $1,088.07 $1,616.10 $336.24 $1,616.10 $1,292.88 $76.34 $1,280.08 $1,120.07 $1,120.07 $1,616.10 $76.34 $1,616.10
4320178 CT PELVIS W/ & W/O CONTRAST 72194 $2,155.37 $1,724.30 $1,832.06 $1,832.06 $1,832.06 $2,176.92 $963.59 $963.59 $963.59 $963.59 $1,832.06 $1,465.65 $2,176.92 $410.00 $2,176.92 $1,741.54 $151.18 $1,724.30 $1,508.76 $1,508.76 $2,176.92 $151.18 $2,176.92
4320175 CT ABD W/O CONTRAST 74150 $1,697.83 $1,358.26 $1,443.16 $1,443.16 $1,443.16 $1,714.81 $963.59 $963.59 $963.59 $963.59 $1,443.16 $1,154.52 $1,714.81 $336.24 $1,714.81 $1,371.85 $75.14 $1,358.26 $1,188.48 $1,188.48 $1,714.81 $75.14 $1,714.81
4320001 CT ABD/PELVIS W/O CONTRAST 74176 $2,057.55 $1,646.04 $1,748.92 $1,748.92 $1,748.92 $2,078.13 $963.59 $963.59 $963.59 $963.59 $1,748.92 $1,399.13 $2,078.13 $524.34 $2,078.13 $1,662.50 $94.60 $1,646.04 $1,440.29 $1,440.29 $2,078.13 $94.60 $2,078.13
4320003 CT ABD/PELVIS W/ CONTRAST 74177 $2,358.52 $1,886.82 $2,004.74 $2,004.74 $2,004.74 $2,382.11 $963.59 $963.59 $963.59 $963.59 $2,004.74 $1,603.79 $2,382.11 $859.16 $2,382.11 $1,905.68 $198.18 $1,886.82 $1,650.96 $1,650.96 $2,382.11 $198.18 $2,382.11
4320002 CT ABD/PELVIS W/ & W/O CONTRAST 74178 $2,358.52 $1,886.82 $2,004.74 $2,004.74 $2,004.74 $2,382.11 $963.59 $963.59 $963.59 $963.59 $2,004.74 $1,603.79 $2,382.11 $859.16 $2,382.11 $1,905.68 $224.83 $1,886.82 $1,650.96 $1,650.96 $2,382.11 $224.83 $2,382.11
4320201 CTA CHEST (PE PROTOCOL) 71275 $911.10 $728.88 $774.44 $774.44 $774.44 $920.21 $1,059.00 $1,059.00 $1,059.00 $1,059.00 $774.44 $619.55 $920.21 $410.00 $920.21 $736.17 $151.18 $728.88 $637.77 $637.77 $920.21 $151.18 $1,059.00
3500158 INJ ANESTH OTHER PERIPHERAL NERVE/BRANCH 64450 $1,875.15 $1,500.12 $1,593.88 $1,593.88 $1,593.88 $1,893.90 $1,201.24 $1,021.05 $1,381.42 $858.03 $1,593.88 $1,275.10 $1,893.90 $1,187.60 $1,893.90 $1,515.12 $505.78 $1,500.12 $1,312.61 $1,312.61 $1,893.90 $505.78 $1,893.90
3500154 CL TX ELBOW DISLOCATION 24640 $646.92 $517.54 $549.88 $549.88 $549.88 $653.39 $1,264.81 $1,075.09 $1,454.53 $903.44 $549.88 $439.91 $653.39 $409.72 $653.39 $522.71 $72.42 $517.54 $452.84 $452.84 $653.39 $72.42 $1,454.53
3500042 CLOSED TX CARPOMETACARPL DISLC EA JNT 26670 $675.27 $540.22 $573.98 $573.98 $573.98 $682.02 $1,264.81 $1,075.09 $1,454.53 $903.44 $573.98 $459.18 $682.02 $409.72 $682.02 $545.62 $279.88 $540.22 $472.69 $472.69 $682.02 $279.88 $1,454.53
3500156 CLOSED TX PATELLAR DISLOC W/O ANESTH 27560 $675.27 $540.22 $573.98 $573.98 $573.98 $682.02 $1,264.81 $1,075.09 $1,454.53 $903.44 $573.98 $459.18 $682.02 $409.72 $682.02 $545.62 $174.50 $540.22 $472.69 $472.69 $682.02 $174.50 $1,454.53
3500152 CL TX MEDIAL MALLS FX W/MANIPULATION 27762 $3,940.02 $3,152.02 $3,349.02 $3,349.02 $3,349.02 $3,979.42 $1,264.81 $1,075.09 $1,454.53 $903.44 $3,349.02 $2,679.21 $3,979.42 $2,575.24 $3,979.42 $3,183.54 $1,096.77 $3,152.02 $2,758.01 $2,758.01 $3,979.42 $903.44 $3,979.42
3500005 CLOSED TX FX WT BEARING TIBIA W/TRAC MAN 27825 $3,940.02 $3,152.02 $3,349.02 $3,349.02 $3,349.02 $3,979.42 $1,264.81 $1,075.09 $1,454.53 $903.44 $3,349.02 $2,679.21 $3,979.42 $2,575.24 $3,979.42 $3,183.54 $1,096.77 $3,152.02 $2,758.01 $2,758.01 $3,979.42 $903.44 $3,979.42
3200001 EGD DIAGNOSTIC 43235 $2,487.00 $1,989.60 $2,113.95 $2,113.95 $2,113.95 $2,511.87 $1,463.95 $1,244.36 $1,683.54 $1,045.68 $2,113.95 $1,691.16 $2,511.87 $1,493.25 $2,511.87 $2,009.50 $635.96 $1,989.60 $1,740.90 $1,740.90 $2,511.87 $635.96 $2,511.87
3500120 LAC/SIMPLE S/N/A/T/E/H/F 20.1CM-30.0CM 12006 $501.30 $401.04 $426.11 $426.11 $426.11 $506.31 $1,593.80 $1,354.73 $1,832.87 $1,138.43 $426.11 $340.88 $506.31 $607.07 $506.31 $405.05 $258.55 $401.04 $350.91 $350.91 $506.31 $258.55 $1,832.87
3200600 PICC LINE PLACEMENT 5YR OR OLDER 36569 $3,420.65 $2,736.52 $2,907.55 $2,907.55 $2,907.55 $3,454.86 $1,593.80 $1,354.73 $1,832.87 $1,138.43 $2,907.55 $2,326.04 $3,454.86 $3,099.15 $3,454.86 $2,763.89 $1,319.90 $2,736.52 $2,394.46 $2,394.46 $3,454.86 $1,138.43 $3,454.86
3500150 INTUBATION ENDOTRACHEAL EMERGENCY 31500 $793.00 $634.40 $674.05 $674.05 $674.05 $800.93 $1,895.44 $1,611.13 $2,179.76 $1,353.89 $674.05 $539.24 $800.93 $386.92 $800.93 $640.74 $135.24 $634.40 $555.10 $555.10 $800.93 $135.24 $2,179.76
4110001 BLOOD BANK ADMIN (1 PER DAY) 36430 $1,218.00 $974.40 $1,035.30 $1,035.30 $1,035.30 $1,230.18 $2,038.47 $1,732.70 $2,344.24 $1,456.05 $1,035.30 $828.24 $1,230.18 $737.28 $1,230.18 $984.14 $314.00 $974.40 $852.60 $852.60 $1,230.18 $314.00 $2,344.24
4601017 DEBRIDE BONE FIRST 20CM 11044 $2,563.64 $2,050.91 $2,179.09 $2,179.09 $2,179.09 $2,589.28 $2,134.88 $1,814.65 $2,455.11 $1,524.92 $2,179.09 $1,743.28 $2,589.28 $2,607.94 $2,589.28 $2,071.42 $1,110.70 $2,050.91 $1,794.55 $1,794.55 $2,589.28 $1,110.70 $2,607.94
4530103 POLYSOMNOGRAPHY,4+ W/CPCP;ATTENDED 95811 $3,854.82 $3,083.86 $3,276.60 $3,276.60 $3,276.60 $3,893.37 $2,676.05 $2,676.05 $2,676.05 $2,676.05 $3,276.60 $2,621.28 $3,893.37 $1,817.90 $3,893.37 $3,114.69 $431.05 $3,083.86 $2,698.37 $2,698.37 $3,893.37 $431.05 $3,893.37
3500010 CPR PER EVERY 15 MINUTES ER 92950 $734.40 $587.52 $624.24 $624.24 $624.24 $741.74 $2,769.67 $2,769.67 $2,769.67 $2,769.67 $624.24 $499.39 $741.74 $480.89 $741.74 $593.40 $204.80 $587.52 $514.08 $514.08 $741.74 $204.80 $2,769.67
4601041 APPLY SKIN GRAFT LEGS;1ST 25 CM OR LESS 15271 $7,138.90 $5,711.12 $6,068.07 $6,068.07 $6,068.07 $7,210.29 $4,149.44 $3,527.03 $4,771.86 $2,963.89 $6,068.07 $4,854.45 $7,210.29 $3,083.21 $7,210.29 $5,768.23 $1,313.11 $5,711.12 $4,997.23 $4,997.23 $7,210.29 $1,313.11 $7,210.29
4601043 APPLY SKIN GRAFT LEGS; EA ADD 25 CM UP T 15272 $1,784.70 $1,427.76 $1,517.00 $1,517.00 $1,517.00 $1,802.55 $4,149.44 $3,527.03 $4,771.86 $2,963.89 $1,517.00 $1,213.60 $1,802.55 $- $1,802.55 $1,442.04 $2,409.20 $1,427.76 $1,249.29 $1,249.29 $1,802.55 $- $4,771.86
4601040 APPLY SKIN GRAFT LEGS; 100 CM OR LESS 15273 $7,138.90 $5,711.12 $6,068.07 $6,068.07 $6,068.07 $7,210.29 $4,149.44 $3,527.03 $4,771.86 $2,963.89 $6,068.07 $4,854.45 $7,210.29 $5,656.85 $7,210.29 $5,768.23 $2,409.20 $5,711.12 $4,997.23 $4,997.23 $7,210.29 $2,409.20 $7,210.29
4601042 APPLY SKIN GRAFT LEGS; EA ADD 100 CM 15274 $1,784.70 $1,427.76 $1,517.00 $1,517.00 $1,517.00 $1,802.55 $4,149.44 $3,527.03 $4,771.86 $2,963.89 $1,517.00 $1,213.60 $1,802.55 $- $1,802.55 $1,442.04 $2,409.20 $1,427.76 $1,249.29 $1,249.29 $1,802.55 $- $4,771.86
4601037 APPLY SKIN GRAFT FEET;1ST 25 CM OR LESS 15275 $7,138.90 $5,711.12 $6,068.07 $6,068.07 $6,068.07 $7,210.29 $4,149.44 $3,527.03 $4,771.86 $2,963.89 $6,068.07 $4,854.45 $7,210.29 $3,083.21 $7,210.29 $5,768.23 $- $5,711.12 $4,997.23 $4,997.23 $7,210.29 $- $7,210.29
4601039 APPLY SKIN GRAFT FEET; EA ADD 25 CM UP T 15276 $1,784.70 $1,427.76 $1,517.00 $1,517.00 $1,517.00 $1,802.55 $4,149.44 $3,527.03 $4,771.86 $2,963.89 $1,517.00 $1,213.60 $1,802.55 $- $1,802.55 $1,442.04 $1,313.11 $1,427.76 $1,249.29 $1,249.29 $1,802.55 $- $4,771.86
4600050 DEBRIDE OPEN FX/DISLC SUBQ T/M/F BONE 11012 $9,275.56 $7,420.45 $7,884.23 $7,884.23 $7,884.23 $9,368.32 $4,177.72 $3,551.06 $4,804.37 $2,984.08 $7,884.23 $6,307.38 $9,368.32 $4,405.89 $9,368.32 $7,494.65 $1,876.42 $7,420.45 $6,492.89 $6,492.89 $9,368.32 $1,876.42 $9,368.32
4601018 DEBRIDE BONE EACH ADDITIONAL 20CM 11047 $388.32 $310.66 $330.07 $330.07 $330.07 $392.20 $4,348.77 $3,696.46 $5,001.09 $3,106.27 $330.07 $264.06 $392.20 $- $392.20 $313.76 $- $310.66 $271.82 $271.82 $392.20 $- $5,001.09
4600053 TENOLYSIS FLXR/XTNSR TENDON LEQ/ANKLE 27680 $13,687.25 $10,949.80 $11,634.16 $11,634.16 $11,634.16 $13,824.12 $4,348.77 $3,696.46 $5,001.09 $3,106.27 $11,634.16 $9,307.33 $13,824.12 $5,201.16 $13,824.12 $11,059.30 $2,215.12 $10,949.80 $9,581.08 $9,581.08 $13,824.12 $2,215.12 $13,824.12
4600027 AMPUTATION TOE INTERPHALANGEAL JNT 28825 $13,687.25 $10,949.80 $11,634.16 $11,634.16 $11,634.16 $13,824.12 $4,978.13 $4,231.41 $5,724.85 $3,555.81 $11,634.16 $9,307.33 $13,824.12 $5,201.16 $13,824.12 $11,059.30 $2,215.12 $10,949.80 $9,581.08 $9,581.08 $13,824.12 $2,215.12 $13,824.12
3500160 RPR BLOOD VESSEL DIRECT LOWER EXTREMITY 35226 $1,830.03 $1,464.02 $1,555.53 $1,555.53 $1,555.53 $1,848.33 $5,279.73 $4,487.77 $6,071.68 $3,771.23 $1,555.53 $1,244.42 $1,848.33 $1,159.02 $1,848.33 $1,478.66 $493.61 $1,464.02 $1,281.02 $1,281.02 $1,848.33 $493.61 $6,071.68
3500157 ADJ TIS TRNSFR F/C/C/M/N/A/G/H/F 14040 $4,868.22 $3,894.58 $4,137.99 $4,137.99 $4,137.99 $4,916.90 $5,749.88 $4,887.40 $6,612.36 $4,107.06 $4,137.99 $3,310.39 $4,916.90 $3,083.21 $4,916.90 $3,933.52 $1,313.11 $3,894.58 $3,407.75 $3,407.75 $4,916.90 $1,313.11 $6,612.36
3400006 CONS SEDATION <5YRS 1ST 15MINS SAME PHYS 99151 $265.00 $212.00 $225.25 $225.25 $225.25 $267.65 N/A N/A N/A N/A $225.25 $180.20 $267.65 $117.59 $267.65 $214.12 $- $212.00 $185.50 $185.50 $267.65 $- $267.65
3400008 CONS SEDATION EACH ADD 15MIN SAME PHYS 99153 $66.45 $53.16 $56.48 $56.48 $56.48 $67.11 N/A N/A N/A N/A $56.48 $45.19 $67.11 $16.30 $67.11 $53.69 $- $53.16 $46.52 $46.52 $67.11 $- $67.11
4601006 ESTABLISHED PATIENT VISIT LEVEL 1 99211 $200.00 $160.00 $170.00 $170.00 $170.00 $202.00 N/A N/A N/A N/A $170.00 $136.00 $202.00 $36.58 $202.00 $161.60 $- $160.00 $140.00 $140.00 $202.00 $- $202.00
4601007 ESTABLISHED PATIENT VISIT LEVEL 2 99212 $300.00 $240.00 $255.00 $255.00 $255.00 $303.00 N/A N/A N/A N/A $255.00 $204.00 $303.00 $72.88 $303.00 $242.40 $- $240.00 $210.00 $210.00 $303.00 $- $303.00
3503401 ER FACILITY LEVEL I 99281 $173.16 $138.53 $147.19 $147.19 $147.19 $174.89 N/A N/A N/A N/A $147.19 $117.75 $174.89 $104.43 $174.89 $139.91 $56.33 $138.53 $121.21 $121.21 $174.89 $56.33 $174.89
3503402 ER FACILITY LEVEL II 99282 $256.14 $204.91 $217.72 $217.72 $217.72 $258.70 N/A N/A N/A N/A $217.72 $174.18 $258.70 $191.94 $258.70 $206.96 $103.55 $204.91 $179.30 $179.30 $258.70 $103.55 $258.70
3503403 ER FACILITY LEVEL III 99283 $445.75 $356.60 $378.89 $378.89 $378.89 $450.21 N/A N/A N/A N/A $378.89 $303.11 $450.21 $335.01 $450.21 $360.17 $180.72 $356.60 $312.03 $312.03 $450.21 $180.72 $450.21
3503404 ER FACILITY LEVEL IV 99284 $761.96 $609.57 $647.67 $647.67 $647.67 $769.58 N/A N/A N/A N/A $647.67 $518.13 $769.58 $527.69 $769.58 $615.66 $284.66 $609.57 $533.37 $533.37 $769.58 $284.66 $769.58
3503405 ER FACILITY LEVEL V 99285 $1,259.18 $1,007.34 $1,070.30 $1,070.30 $1,070.30 $1,271.77 N/A N/A N/A N/A $1,070.30 $856.24 $1,271.77 $756.77 $1,271.77 $1,017.42 $408.25 $1,007.34 $881.43 $881.43 $1,271.77 $408.25 $1,271.77
3503411 CRITICAL CARE 1ST 30 TO 74 MINUTES 99291 $1,547.21 $1,237.77 $1,315.13 $1,315.13 $1,315.13 $1,562.68 N/A N/A N/A N/A $1,315.13 $1,052.10 $1,562.68 $999.99 $1,562.68 $1,250.15 $539.45 $1,237.77 $1,083.05 $1,083.05 $1,562.68 $539.45 $1,562.68
3503412 CRITICAL CARE EACH ADDITIONAL 30 MIN 99292 $345.42 $276.34 $293.61 $293.61 $293.61 $348.87 N/A N/A N/A N/A $293.61 $234.89 $348.87 $205.21 $348.87 $279.10 $- $276.34 $241.79 $241.79 $348.87 $- $348.87
4109944 COLOSTOMY RING 4.2 MM MOLDABLE A4404 $11.76 $9.41 $10.00 $10.00 $10.00 $11.88 N/A N/A N/A N/A $10.00 $8.00 $11.88 $3.41 $11.88 $9.50 $- $9.41 $8.23 $8.23 $11.88 $- $11.88
4109946 DRESSING; AQUACEL AG EXTRA 4X5 A6197 $31.86 $25.49 $27.08 $27.08 $27.08 $32.18 N/A N/A N/A N/A $27.08 $21.66 $32.18 $33.43 $32.18 $25.74 $- $25.49 $22.30 $22.30 $32.18 $- $33.43
4109957 DRESSING OPTILOCK 6.5x10 A6198 $19.35 $15.48 $16.45 $16.45 $16.45 $19.54 N/A N/A N/A N/A $16.45 $13.16 $19.54 $- $19.54 $15.63 $- $15.48 $13.55 $13.55 $19.54 $- $19.54
4000364 MESH, BARD 10 X 14 C1781 $357.93 $286.34 $304.24 $304.24 $304.24 $361.51 N/A N/A N/A N/A $304.24 $243.39 $361.51 $- $361.51 $289.21 $- $286.34 $250.55 $250.55 $361.51 $- $361.51
4009972 HEEL RAISER PROTECTOR ONE SIZE E0191 $68.07 $54.46 $57.86 $57.86 $57.86 $68.75 N/A N/A N/A N/A $57.86 $46.29 $68.75 $- $68.75 $55.00 $- $54.46 $47.65 $47.65 $68.75 $- $68.75
4009973 HEEL RAISER PROTECTOR LG DELUXE E0191 $121.56 $97.25 $103.33 $103.33 $103.33 $122.78 N/A N/A N/A N/A $103.33 $82.66 $122.78 $- $122.78 $98.22 $- $97.25 $85.09 $85.09 $122.78 $- $122.78
4009974 HEEL RAISER PROTECTOR MD DELUXE E0191 $121.56 $97.25 $103.33 $103.33 $103.33 $122.78 N/A N/A N/A N/A $103.33 $82.66 $122.78 $- $122.78 $98.22 $- $97.25 $85.09 $85.09 $122.78 $- $122.78
4009975 HEEL RAISER PROTECTOR SM DELUXE121.56 E0191 $121.56 $97.25 $103.33 $103.33 $103.33 $122.78 N/A N/A N/A N/A $103.33 $82.66 $122.78 $- $122.78 $98.22 $- $97.25 $85.09 $85.09 $122.78 $- $122.78
4100035 PSA (SCREENING) G0103 $91.25 $73.00 $77.56 $77.56 $77.56 $92.16 N/A N/A N/A N/A $77.56 $62.05 $92.16 $31.86 $92.16 $73.73 $17.18 $73.00 $63.88 $63.88 $92.16 $17.18 $92.16
3100001 OBSERVATION PER HOUR ROOM G0378 $32.50 $26.00 $27.63 $27.63 $27.63 $32.83 N/A N/A N/A N/A $27.63 $22.10 $32.83 $45.00 $32.83 $26.26 $- $26.00 $22.75 $22.75 $32.83 $- $45.00
3100004 OBSERVATION W/TELEMETRY ROOM G0378 $42.50 $34.00 $36.13 $36.13 $36.13 $42.93 N/A N/A N/A N/A $36.13 $28.90 $42.93 $45.00 $42.93 $34.34 $- $34.00 $29.75 $29.75 $42.93 $- $45.00
3100002 OBSERVATION DIRECT ADMIT 1ST HOUR ROOM G0379 $200.00 $160.00 $170.00 $170.00 $170.00 $202.00 N/A N/A N/A N/A $170.00 $136.00 $202.00 $343.00 $202.00 $161.60 $- $160.00 $140.00 $140.00 $202.00 $- $343.00
4401173 ACYCLOVIR 50 MG / ML 10 ML VIAL J0133 $7.98 $6.38 $6.78 $6.78 $6.78 $8.06 N/A N/A N/A N/A $6.78 $5.43 $8.06 $0.06 $8.06 $6.45 $0.57 $6.38 $5.59 $5.59 $8.06 $0.06 $8.06
4400390 EPINEPHRINE 1:1000 30ML J0171 $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 $1.09 $5.56 $4.44 $- $4.40 $3.85 $3.85 $5.56 $- $5.56
4400391 EPINEPHRINE 1MG/10ML IV J0171 $52.40 $41.92 $44.54 $44.54 $44.54 $52.92 N/A N/A N/A N/A $44.54 $35.63 $52.92 $1.09 $52.92 $42.34 $- $41.92 $36.68 $36.68 $52.92 $- $52.92
4400015 EPINEPHRINE 1MG/ML AMP IV J0171 $12.58 $10.06 $10.69 $10.69 $10.69 $12.71 N/A N/A N/A N/A $10.69 $8.55 $12.71 $1.09 $12.71 $10.16 $0.88 $10.06 $8.81 $8.81 $12.71 $0.88 $12.71
4405001 AMIKACIN 500MG/2ML J0278 $36.69 $29.35 $31.19 $31.19 $31.19 $37.06 N/A N/A N/A N/A $31.19 $24.95 $37.06 $1.61 $37.06 $29.65 $- $29.35 $25.68 $25.68 $37.06 $- $37.06
4409534 AMIODARONE 150 MG/3 ML SYRINGE J0282 $25.95 $20.76 $22.06 $22.06 $22.06 $26.21 N/A N/A N/A N/A $22.06 $17.65 $26.21 $0.48 $26.21 $20.97 $- $20.76 $18.17 $18.17 $26.21 $- $26.21
4409635 AMPICILLIN 1 GM VIAL J0290 $28.69 $22.95 $24.39 $24.39 $24.39 $28.98 N/A N/A N/A N/A $24.39 $19.51 $28.98 $1.14 $28.98 $23.18 $- $22.95 $20.08 $20.08 $28.98 $- $28.98
4400380 AMPICILLIN / SULBACTAM IV 1.5 GM J0295 $23.29 $18.63 $19.80 $19.80 $19.80 $23.52 N/A N/A N/A N/A $19.80 $15.84 $23.52 $3.27 $23.52 $18.82 $- $18.63 $16.30 $16.30 $23.52 $- $23.52
4408334 AMPICILLIN/SULBACTAM 1.5GM J0295 $38.02 $30.42 $32.32 $32.32 $32.32 $38.40 N/A N/A N/A N/A $32.32 $25.85 $38.40 $3.27 $38.40 $30.72 $- $30.42 $26.61 $26.61 $38.40 $- $38.40
4406502 SUCCINYLCHOLINE 20MG/ML IV J0330 $11.48 $9.18 $9.76 $9.76 $9.76 $11.59 N/A N/A N/A N/A $9.76 $7.81 $11.59 $1.54 $11.59 $9.28 $- $9.18 $8.04 $8.04 $11.59 $- $11.59
4409535 HYDRALAZINE 20 MG VIAL J0360 $56.14 $44.91 $47.72 $47.72 $47.72 $56.70 N/A N/A N/A N/A $47.72 $38.18 $56.70 $4.19 $56.70 $45.36 $- $44.91 $39.30 $39.30 $56.70 $- $56.70
4408352 AZITHROMYCIN 500 MG POWDER VIAL J0456 $35.93 $28.74 $30.54 $30.54 $30.54 $36.29 N/A N/A N/A N/A $30.54 $24.43 $36.29 $5.00 $36.29 $29.03 $- $28.74 $25.15 $25.15 $36.29 $- $36.29
4400114 ATROPINE SULF PER 0.3MG J0461 $13.75 $11.00 $11.69 $11.69 $11.69 $13.89 N/A N/A N/A N/A $11.69 $9.35 $13.89 $0.11 $13.89 $11.11 $- $11.00 $9.63 $9.63 $13.89 $- $13.89
4409541 ATROPINE 1 MG/ ML INJ VIAL J0461 $72.34 $57.87 $61.49 $61.49 $61.49 $73.06 N/A N/A N/A N/A $61.49 $49.19 $73.06 $0.11 $73.06 $58.45 $- $57.87 $50.64 $50.64 $73.06 $- $73.06
4400143 DICYCLOMINE IM 20MG/2ML INJ J0500 $226.51 $181.21 $192.53 $192.53 $192.53 $228.78 N/A N/A N/A N/A $192.53 $154.03 $228.78 $41.63 $228.78 $183.02 $- $181.21 $158.56 $158.56 $228.78 $- $228.78
4400173 CALCIUM CHLORIDE 10 % 10 ML SYR INJ J0610 $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 $4.94 $5.56 $4.44 $- $4.40 $3.85 $3.85 $5.56 $- $5.56
4400303 CALCIUM GLUCONATE 10ML AMP IV J0610 $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 $4.94 $5.56 $4.44 $- $4.40 $3.85 $3.85 $5.56 $- $5.56
4400065 CEFAZOLIN I GM POWDER VIAL J0690 $6.59 $5.27 $5.60 $5.60 $5.60 $6.66 N/A N/A N/A N/A $5.60 $4.48 $6.66 $1.20 $6.66 $5.32 $- $5.27 $4.61 $4.61 $6.66 $- $6.66
4405098 CEFEPIME 1 GM VIAL IV J0692 $23.10 $18.48 $19.64 $19.64 $19.64 $23.33 N/A N/A N/A N/A $19.64 $15.71 $23.33 $2.10 $23.33 $18.66 $- $18.48 $16.17 $16.17 $23.33 $- $23.33
4405105 CEFEPIME 2 GM VIAL J0692 $39.06 $31.25 $33.20 $33.20 $33.20 $39.45 N/A N/A N/A N/A $33.20 $26.56 $39.45 $2.10 $39.45 $31.56 $- $31.25 $27.34 $27.34 $39.45 $- $39.45
4409910 CEFOXITIN 2 GM VIAL J0694 $31.08 $24.86 $26.42 $26.42 $26.42 $31.39 N/A N/A N/A N/A $26.42 $21.13 $31.39 $9.13 $31.39 $25.11 $- $24.86 $21.76 $21.76 $31.39 $- $31.39
4405386 CEFTOLOZANE/TAZOBACTAM 1.5 GM VIAL J0695 $749.82 $599.86 $637.35 $637.35 $637.35 $757.32 N/A N/A N/A N/A $637.35 $509.88 $757.32 $8.05 $757.32 $605.85 $6.49 $599.86 $524.87 $524.87 $757.32 $6.49 $757.32
4408303 CEFTRIAXONE PER 250MG INJ J0696 $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 $0.78 $5.56 $4.44 $- $4.40 $3.85 $3.85 $5.56 $- $5.56
4409547 CEFTRIAXONE 500 MG / ML vial J0696 $37.42 $29.94 $31.81 $31.81 $31.81 $37.79 N/A N/A N/A N/A $31.81 $25.45 $37.79 $0.78 $37.79 $30.24 $- $29.94 $26.19 $26.19 $37.79 $- $37.79
4409548 CEFTRIAXONE 1GM IVPB J0696 $2.24 $1.79 $1.90 $1.90 $1.90 $2.26 N/A N/A N/A N/A $1.90 $1.52 $2.26 $0.78 $2.26 $1.81 $- $1.79 $1.57 $1.57 $2.26 $- $2.26
4409549 CEFTRIAXONE 2 GM INJ J0696 $17.07 $13.66 $14.51 $14.51 $14.51 $17.24 N/A N/A N/A N/A $14.51 $11.61 $17.24 $0.78 $17.24 $13.79 $- $13.66 $11.95 $11.95 $17.24 $- $17.24
4405361 AVYCAZ 2.5 GM VIAL J0714 $2,148.55 $1,718.84 $1,826.27 $1,826.27 $1,826.27 $2,170.04 N/A N/A N/A N/A $1,826.27 $1,461.01 $2,170.04 $114.08 $2,170.04 $1,736.03 $- $1,718.84 $1,503.99 $1,503.99 $2,170.04 $- $2,170.04
4408159 CIPRO IV PER 200 MG J0744 $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 $1.24 $5.56 $4.44 $- $4.40 $3.85 $3.85 $5.56 $- $5.56
4400244 PROCHLORPERAZINE 10MG 2ML INJ J0780 $110.78 $88.62 $94.16 $94.16 $94.16 $111.89 N/A N/A N/A N/A $94.16 $75.33 $111.89 $6.32 $111.89 $89.51 $- $88.62 $77.55 $77.55 $111.89 $- $111.89
4405406 ANTIVENIN CROTALIDAE POLYVLNT (CROFAB) 1 J0840 $19,149.62 $15,319.70 $16,277.18 $16,277.18 $16,277.18 $19,341.12 N/A N/A N/A N/A $16,277.18 $13,021.74 $19,341.12 $3,774.25 $19,341.12 $15,472.89 $- $15,319.70 $13,404.73 $13,404.73 $19,341.12 $- $19,341.12
4405030 DAPTOMYCIN IV PER 500 MG J0878 $2,667.55 $2,134.04 $2,267.42 $2,267.42 $2,267.42 $2,694.23 N/A N/A N/A N/A $2,267.42 $1,813.93 $2,694.23 $0.20 $2,694.23 $2,155.38 $- $2,134.04 $1,867.29 $1,867.29 $2,694.23 $- $2,694.23
4405000 PROCRIT 20,000 UNIT INJ J0885 $160.03 $128.02 $136.03 $136.03 $136.03 $161.63 N/A N/A N/A N/A $136.03 $108.82 $161.63 $11.30 $161.63 $129.30 $8.93 $128.02 $112.02 $112.02 $161.63 $8.93 $161.63
4405131 PROCRIT 10,000 UNIT INJ J0885 $15.01 $12.01 $12.76 $12.76 $12.76 $15.16 N/A N/A N/A N/A $12.76 $10.21 $15.16 $11.30 $15.16 $12.13 $8.93 $12.01 $10.51 $10.51 $15.16 $8.93 $15.16
4408185 DEPO-MEDROL 80MG INJ J1040 $109.83 $87.86 $93.36 $93.36 $93.36 $110.93 N/A N/A N/A N/A $93.36 $74.68 $110.93 $13.88 $110.93 $88.74 $- $87.86 $76.88 $76.88 $110.93 $- $110.93
4400281 DEXAMETHASONE 10MG/ML IV J1100 $7.05 $5.64 $5.99 $5.99 $5.99 $7.12 N/A N/A N/A N/A $5.99 $4.79 $7.12 $0.16 $7.12 $5.70 $- $5.64 $4.94 $4.94 $7.12 $- $7.12
4400735 DEXAMETHASONE PER 1MG J1100 $14.37 $11.50 $12.21 $12.21 $12.21 $14.51 N/A N/A N/A N/A $12.21 $9.77 $14.51 $0.16 $14.51 $11.61 $- $11.50 $10.06 $10.06 $14.51 $- $14.51
4408222 DIGOXIN 0.5MG/2ML INJ J1160 $5.86 $4.69 $4.98 $4.98 $4.98 $5.92 N/A N/A N/A N/A $4.98 $3.98 $5.92 $6.99 $5.92 $4.73 $- $4.69 $4.10 $4.10 $5.92 $- $6.99
4400028 HYDROMORPHONE UP TO 4 MG IVP J1170 $16.41 $13.13 $13.95 $13.95 $13.95 $16.57 N/A N/A N/A N/A $13.95 $11.16 $16.57 $2.46 $16.57 $13.26 $- $13.13 $11.49 $11.49 $16.57 $- $16.57
4400139 DIPHENHYDRAMINE 50MG/ML INJ J1200 $16.47 $13.18 $14.00 $14.00 $14.00 $16.63 N/A N/A N/A N/A $14.00 $11.20 $16.63 $0.81 $16.63 $13.31 $- $13.18 $11.53 $11.53 $16.63 $- $16.63
4400346 DOPAMINE HCL 40 MG J1250 $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 $7.06 $5.56 $4.44 $- $4.40 $3.85 $3.85 $5.56 $- $7.06
4400540 ERTAPENEM PER 500 MG IV J1335 $770.42 $616.34 $654.86 $654.86 $654.86 $778.12 N/A N/A N/A N/A $654.86 $523.89 $778.12 $40.67 $778.12 $622.50 $- $616.34 $539.29 $539.29 $778.12 $- $778.12
4405226 FLUCONAZOLE INJ. 400 MG/200 ML J1450 $15.28 $12.22 $12.99 $12.99 $12.99 $15.43 N/A N/A N/A N/A $12.99 $10.39 $15.43 $4.25 $15.43 $12.35 $- $12.22 $10.70 $10.70 $15.43 $- $15.43
4400452 GLUCAGON 1 MG INJ HCL J1610 $1,681.43 $1,345.14 $1,429.22 $1,429.22 $1,429.22 $1,698.24 N/A N/A N/A N/A $1,429.22 $1,143.37 $1,698.24 $262.62 $1,698.24 $1,358.60 $- $1,345.14 $1,177.00 $1,177.00 $1,698.24 $- $1,698.24
4401676 HALOPERIDOL 5MG/ML INJ J1630 $47.90 $38.32 $40.72 $40.72 $40.72 $48.38 N/A N/A N/A N/A $40.72 $32.57 $48.38 $1.13 $48.38 $38.70 $- $38.32 $33.53 $33.53 $48.38 $- $48.38
4400463 HEPARIN FLUSH 100 UNITS PER ML(X30) J1642 $18.51 $14.81 $15.73 $15.73 $15.73 $18.70 N/A N/A N/A N/A $15.73 $12.59 $18.70 $0.01 $18.70 $14.96 $- $14.81 $12.96 $12.96 $18.70 $- $18.70
4409902 HEPARIN FLUSH 10 UNITS PER ML (CHG 10) J1642 $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 $0.01 $5.56 $4.44 $- $4.40 $3.85 $3.85 $5.56 $- $5.56
4405382 HEPARIN 1,000 UNITS/ ML 10 ML VIAL J1644 $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 $0.36 $5.56 $4.44 $- $4.40 $3.85 $3.85 $5.56 $- $5.56
4405107 ENOXAPARIN 40MG/0.4ML J1650 $3.73 $2.98 $3.17 $3.17 $3.17 $3.77 N/A N/A N/A N/A $3.17 $2.54 $3.77 $0.85 $3.77 $3.01 $- $2.98 $2.61 $2.61 $3.77 $- $3.77
4409622 ENOXAPARIN 30MG/ML J1650 $445.17 $356.14 $378.39 $378.39 $378.39 $449.62 N/A N/A N/A N/A $378.39 $302.72 $449.62 $0.85 $449.62 $359.70 $- $356.14 $311.62 $311.62 $449.62 $- $449.62
4409623 ENOXAPARIN 60MG/ML J1650 $89.82 $71.86 $76.35 $76.35 $76.35 $90.72 N/A N/A N/A N/A $76.35 $61.08 $90.72 $0.85 $90.72 $72.57 $- $71.86 $62.87 $62.87 $90.72 $- $90.72
4409624 ENOXAPARIN 80MG/ML J1650 $89.82 $71.86 $76.35 $76.35 $76.35 $90.72 N/A N/A N/A N/A $76.35 $61.08 $90.72 $0.85 $90.72 $72.57 $- $71.86 $62.87 $62.87 $90.72 $- $90.72
4409625 ENOXAPARIN 100MG/ML J1650 $89.82 $71.86 $76.35 $76.35 $76.35 $90.72 N/A N/A N/A N/A $76.35 $61.08 $90.72 $0.85 $90.72 $72.57 $- $71.86 $62.87 $62.87 $90.72 $- $90.72
4409601 SOLUCORTEF/HYDROCORTISONE SOD 100MG J1720 $80.41 $64.33 $68.35 $68.35 $68.35 $81.21 N/A N/A N/A N/A $68.35 $54.68 $81.21 $17.55 $81.21 $64.97 $- $64.33 $56.29 $56.29 $81.21 $- $81.21
4400239 INSULIN LANTUS PER 50 UNITS J1815 $84.90 $67.92 $72.17 $72.17 $72.17 $85.75 N/A N/A N/A N/A $72.17 $57.73 $85.75 $1.08 $85.75 $68.60 $- $67.92 $59.43 $59.43 $85.75 $- $85.75
4400526 INSULIN (HUMULIN) PER 5 UNITS J1815 $44.52 $35.62 $37.84 $37.84 $37.84 $44.97 N/A N/A N/A N/A $37.84 $30.27 $44.97 $1.08 $44.97 $35.97 $- $35.62 $31.16 $31.16 $44.97 $- $44.97
4405172 DETEMIR INSULIN PER 5 UNITS J1815 $92.26 $73.81 $78.42 $78.42 $78.42 $93.18 N/A N/A N/A N/A $78.42 $62.74 $93.18 $1.08 $93.18 $74.55 $- $73.81 $64.58 $64.58 $93.18 $- $93.18
4409522 HUMALOG INSULIN 100UNITS/ML J1815 $164.49 $131.59 $139.82 $139.82 $139.82 $166.13 N/A N/A N/A N/A $139.82 $111.85 $166.13 $1.08 $166.13 $132.91 $- $131.59 $115.14 $115.14 $166.13 $- $166.13
4409521 NOVOLOG INSULIN 100UNITS/ML per 50 units J1817 $86.63 $69.30 $73.64 $73.64 $73.64 $87.50 N/A N/A N/A N/A $73.64 $58.91 $87.50 $12.69 $87.50 $70.00 $- $69.30 $60.64 $60.64 $87.50 $- $87.50
4402354 KETOROLAC 15 MG / 0.5 ML INJ J1885 $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 $0.83 $5.56 $4.44 $- $4.40 $3.85 $3.85 $5.56 $- $5.56
4409607 KETOROLAC 30 MG VIAL J1885 $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 $0.83 $5.56 $4.44 $- $4.40 $3.85 $3.85 $5.56 $- $5.56
4400589 FUROSEMIDE PER 20MG IV J1940 $18.81 $15.05 $15.99 $15.99 $15.99 $19.00 N/A N/A N/A N/A $15.99 $12.79 $19.00 $0.98 $19.00 $15.20 $- $15.05 $13.17 $13.17 $19.00 $- $19.00
4401675 FUROSEMIDE 20 MG INJ J1940 $20.18 $16.14 $17.15 $17.15 $17.15 $20.38 N/A N/A N/A N/A $17.15 $13.72 $20.38 $0.98 $20.38 $16.31 $- $16.14 $14.13 $14.13 $20.38 $- $20.38
4409619 LASIX/FUROSEMIDE 10MG/ML J1940 $100.72 $80.58 $85.61 $85.61 $85.61 $101.73 N/A N/A N/A N/A $85.61 $68.49 $101.73 $0.98 $101.73 $81.38 $- $80.58 $70.50 $70.50 $101.73 $- $101.73
4405137 LEVETIRACETAM 100 MG /1 ML ELIXER J1953 $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 $0.15 $5.56 $4.44 $- $4.40 $3.85 $3.85 $5.56 $- $5.56
4405280 LEVETIRACETAM 500 MG VIAL J1953 $209.20 $167.36 $177.82 $177.82 $177.82 $211.29 N/A N/A N/A N/A $177.82 $142.26 $211.29 $0.15 $211.29 $169.03 $- $167.36 $146.44 $146.44 $211.29 $- $211.29
4409512 LEVOFLOXACIN 500MG/100ML J1956 $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 $0.50 $5.56 $4.44 $- $4.40 $3.85 $3.85 $5.56 $- $5.56
4409513 LEVOFLOXACIN 750MG/150ML INJ J1956 $1.81 $1.45 $1.54 $1.54 $1.54 $1.83 N/A N/A N/A N/A $1.54 $1.23 $1.83 $0.50 $1.83 $1.46 $- $1.45 $1.27 $1.27 $1.83 $- $1.83
4400062 LIDOCAINE 2% 5MG MPF INJ J2001 $81.20 $64.96 $69.02 $69.02 $69.02 $82.01 N/A N/A N/A N/A $69.02 $55.22 $82.01 $0.02 $82.01 $65.61 $- $64.96 $56.84 $56.84 $82.01 $- $82.01
4401142 LIDOCAINE 1% 20 ML VIAL J2001 $8.50 $6.80 $7.23 $7.23 $7.23 $8.59 N/A N/A N/A N/A $7.23 $5.78 $8.59 $0.02 $8.59 $6.87 $- $6.80 $5.95 $5.95 $8.59 $- $8.59
4401143 LIDOCAINE W/EPINEPHRINE 1% 20 ML VIAL J2001 $11.23 $8.98 $9.55 $9.55 $9.55 $11.34 N/A N/A N/A N/A $9.55 $7.64 $11.34 $0.02 $11.34 $9.07 $- $8.98 $7.86 $7.86 $11.34 $- $11.34
4401144 LIDOCAINE 2% 20 ML VIAL J2001 $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 $0.02 $5.56 $4.44 $- $4.40 $3.85 $3.85 $5.56 $- $5.56
4400345 LORAZEPAM 2MG/ML INJ J2060 $5.89 $4.71 $5.01 $5.01 $5.01 $5.95 N/A N/A N/A N/A $5.01 $4.01 $5.95 $0.93 $5.95 $4.76 $- $4.71 $4.12 $4.12 $5.95 $- $5.95
4408180 DEMEROL 100MG INJ J2175 $34.49 $27.59 $29.32 $29.32 $29.32 $34.83 N/A N/A N/A N/A $29.32 $23.45 $34.83 $10.35 $34.83 $27.87 $- $27.59 $24.14 $24.14 $34.83 $- $34.83
4409550 MEPERIDINE 25MG/ML INJ J2175 $35.63 $28.50 $30.29 $30.29 $30.29 $35.99 N/A N/A N/A N/A $30.29 $24.23 $35.99 $10.35 $35.99 $28.79 $- $28.50 $24.94 $24.94 $35.99 $- $35.99
4409551 MEPERIDINE 50 MG/ ML J2175 $36.83 $29.46 $31.31 $31.31 $31.31 $37.20 N/A N/A N/A N/A $31.31 $25.04 $37.20 $10.35 $37.20 $29.76 $- $29.46 $25.78 $25.78 $37.20 $- $37.20
4405031 MEROPENEM IV PER 500 MG IV J2185 $21.23 $16.98 $18.05 $18.05 $18.05 $21.44 N/A N/A N/A N/A $18.05 $14.44 $21.44 $1.07 $21.44 $17.15 $- $16.98 $14.86 $14.86 $21.44 $- $21.44
4405209 MEROPENEM 1GM VIAL J2185 $65.87 $52.70 $55.99 $55.99 $55.99 $66.53 N/A N/A N/A N/A $55.99 $44.79 $66.53 $1.07 $66.53 $53.22 $- $52.70 $46.11 $46.11 $66.53 $- $66.53
4409941 MIDAZOLAM 5MG/ML INJ J2250 $7.19 $5.75 $6.11 $6.11 $6.11 $7.26 N/A N/A N/A N/A $6.11 $4.89 $7.26 $0.16 $7.26 $5.81 $- $5.75 $5.03 $5.03 $7.26 $- $7.26
4400157 MORPHINE UP T0 10 MG INJ J2270 $11.26 $9.01 $9.57 $9.57 $9.57 $11.37 N/A N/A N/A N/A $9.57 $7.66 $11.37 $2.32 $11.37 $9.10 $- $9.01 $7.88 $7.88 $11.37 $- $11.37
4409503 MORPHINE 4MG/ML J2270 $17.19 $13.75 $14.61 $14.61 $14.61 $17.36 N/A N/A N/A N/A $14.61 $11.69 $17.36 $2.32 $17.36 $13.89 $- $13.75 $12.03 $12.03 $17.36 $- $17.36
4400714 NALOXONE 0.4MG/ML IV NEONATAL J2310 $98.80 $79.04 $83.98 $83.98 $83.98 $99.79 N/A N/A N/A N/A $83.98 $67.18 $99.79 $13.68 $99.79 $79.83 $- $79.04 $69.16 $69.16 $99.79 $- $99.79
4405090 OCTREOTIDE ACETATE 100MCG/ML INJ J2354 $263.24 $210.59 $223.75 $223.75 $223.75 $265.87 N/A N/A N/A N/A $223.75 $179.00 $265.87 $1.18 $265.87 $212.70 $- $210.59 $184.27 $184.27 $265.87 $- $265.87
4408256 ORPHENADRINE CITRATE PER 60MG INJ J2360 $110.80 $88.64 $94.18 $94.18 $94.18 $111.91 N/A N/A N/A N/A $94.18 $75.34 $111.91 $6.56 $111.91 $89.53 $- $88.64 $77.56 $77.56 $111.91 $- $111.91
4408356 ONDANSETRON 1MG IV J2405 $1.37 $1.10 $1.16 $1.16 $1.16 $1.38 N/A N/A N/A N/A $1.16 $0.93 $1.38 $0.11 $1.38 $1.11 $- $1.10 $0.96 $0.96 $1.38 $- $1.38
4412540 PAMIDRONATE [ 30MG / 10ML ] VIAL J2430 $26.67 $21.34 $22.67 $22.67 $22.67 $26.94 N/A N/A N/A N/A $22.67 $18.14 $26.94 $14.28 $26.94 $21.55 $- $21.34 $18.67 $18.67 $26.94 $- $26.94
4401658 PIPERACILLIN / TAZOBACTAM 3.375MG INJ J2543 $108.56 $86.85 $92.28 $92.28 $92.28 $109.65 N/A N/A N/A N/A $92.28 $73.82 $109.65 $2.05 $109.65 $87.72 $- $86.85 $75.99 $75.99 $109.65 $- $109.65
4405121 PIPERACILLIN/TAZOBACTAM ZOSYN 4.5 GM IV J2543 $8.75 $7.00 $7.44 $7.44 $7.44 $8.84 N/A N/A N/A N/A $7.44 $5.95 $8.84 $2.05 $8.84 $7.07 $- $7.00 $6.13 $6.13 $8.84 $- $8.84
4400822 PROMETHAZINE 25 MG / ML VIAL J2550 $11.07 $8.86 $9.41 $9.41 $9.41 $11.18 N/A N/A N/A N/A $9.41 $7.53 $11.18 $2.86 $11.18 $8.94 $- $8.86 $7.75 $7.75 $11.18 $- $11.18
4409613 PROMETHAZINE 50MG / ML VIAL J2550 $15.51 $12.41 $13.18 $13.18 $13.18 $15.67 N/A N/A N/A N/A $13.18 $10.55 $15.67 $2.86 $15.67 $12.53 $- $12.41 $10.86 $10.86 $15.67 $- $15.67
4400064 PROPOFOL 10MG/ML 20 ML VIAL IV J2704 $2.02 $1.62 $1.72 $1.72 $1.72 $2.04 N/A N/A N/A N/A $1.72 $1.37 $2.04 $0.14 $2.04 $1.63 $- $1.62 $1.41 $1.41 $2.04 $- $2.04
4400893 METOCLOPRAMIDE 10MG/2ML IV J2765 $6.65 $5.32 $5.65 $5.65 $5.65 $6.72 N/A N/A N/A N/A $5.65 $4.52 $6.72 $1.29 $6.72 $5.37 $- $5.32 $4.66 $4.66 $6.72 $- $6.72
4408317 METHYLPREDNISOLONE PER 125ML INJ J2930 $58.01 $46.41 $49.31 $49.31 $49.31 $58.59 N/A N/A N/A N/A $49.31 $39.45 $58.59 $6.99 $58.59 $46.87 $- $46.41 $40.61 $40.61 $58.59 $- $58.59
4409606 SOLUMEDROL/METHYLPREDNISOLON 500MG J2930 $138.42 $110.74 $117.66 $117.66 $117.66 $139.80 N/A N/A N/A N/A $117.66 $94.13 $139.80 $6.99 $139.80 $111.84 $- $110.74 $96.89 $96.89 $139.80 $- $139.80
4405196 ALTEPLASE 2 MG POWDER VIAL J2997 $575.80 $460.64 $489.43 $489.43 $489.43 $581.56 N/A N/A N/A N/A $489.43 $391.54 $581.56 $108.07 $581.56 $465.25 $- $460.64 $403.06 $403.06 $581.56 $- $581.56
4405407 ACTIVASE 100 MG INJ VIAL J2997 $260.79 $208.63 $221.67 $221.67 $221.67 $263.40 N/A N/A N/A N/A $221.67 $177.34 $263.40 $108.07 $263.40 $210.72 $- $208.63 $182.55 $182.55 $263.40 $- $263.40
4400984 FENTANYL 100 MCG / 2 ML INJ J3010 $8.74 $6.99 $7.43 $7.43 $7.43 $8.83 N/A N/A N/A N/A $7.43 $5.94 $8.83 $0.97 $8.83 $7.06 $- $6.99 $6.12 $6.12 $8.83 $- $8.83
4408214 IMITREX PER 6 MG J3030 $287.42 $229.94 $244.31 $244.31 $244.31 $290.29 N/A N/A N/A N/A $244.31 $195.45 $290.29 $81.76 $290.29 $232.24 $- $229.94 $201.19 $201.19 $290.29 $- $290.29
4400016 TERBUTALINE SULFATE J3105 $107.72 $86.18 $91.56 $91.56 $91.56 $108.80 N/A N/A N/A N/A $91.56 $73.25 $108.80 $3.73 $108.80 $87.04 $- $86.18 $75.40 $75.40 $108.80 $- $108.80
4405029 TIGECYCLINE IV PER 50 MG J3243 $493.84 $395.07 $419.76 $419.76 $419.76 $498.78 N/A N/A N/A N/A $419.76 $335.81 $498.78 $1.71 $498.78 $399.02 $- $395.07 $345.69 $345.69 $498.78 $- $498.78
4400401 KENALOG PER 10 MG J3301 $56.04 $44.83 $47.63 $47.63 $47.63 $56.60 N/A N/A N/A N/A $47.63 $38.11 $56.60 $1.65 $56.60 $45.28 $- $44.83 $39.23 $39.23 $56.60 $- $56.60
4401098 VANCOMYCIN PER 500 MG INJ J3370 $96.05 $76.84 $81.64 $81.64 $81.64 $97.01 N/A N/A N/A N/A $81.64 $65.31 $97.01 $3.43 $97.01 $77.61 $- $76.84 $67.24 $67.24 $97.01 $- $97.01
4402233 VANCOMYCIN PER 500 MG- 1GM VIAL J3370 $190.42 $152.34 $161.86 $161.86 $161.86 $192.32 N/A N/A N/A N/A $161.86 $129.49 $192.32 $3.43 $192.32 $153.86 $- $152.34 $133.29 $133.29 $192.32 $- $192.32
4412542 VANCOMYCIN 750MG VIAL J3370 $7.50 $6.00 $6.38 $6.38 $6.38 $7.58 N/A N/A N/A N/A $6.38 $5.10 $7.58 $3.43 $7.58 $6.06 $- $6.00 $5.25 $5.25 $7.58 $- $7.58
4402399 THIAMINE 100MG INJ J3411 $62.06 $49.65 $52.75 $52.75 $52.75 $62.68 N/A N/A N/A N/A $52.75 $42.20 $62.68 $3.14 $62.68 $50.14 $- $49.65 $43.44 $43.44 $62.68 $- $62.68
4400265 CYANOCOBALAMIN 1000 MCG INJ J3420 $43.61 $34.89 $37.07 $37.07 $37.07 $44.05 N/A N/A N/A N/A $37.07 $29.65 $44.05 $2.28 $44.05 $35.24 $- $34.89 $30.53 $30.53 $44.05 $- $44.05
4408118 PHYTONADIONE 10MG INJ ADULT J3430 $288.87 $231.10 $245.54 $245.54 $245.54 $291.76 N/A N/A N/A N/A $245.54 $196.43 $291.76 $4.72 $291.76 $233.41 $- $231.10 $202.21 $202.21 $291.76 $- $291.76
4400628 MAG SULFATE PER 500 MG J3475 $2.75 $2.20 $2.34 $2.34 $2.34 $2.78 N/A N/A N/A N/A $2.34 $1.87 $2.78 $0.52 $2.78 $2.22 $- $2.20 $1.93 $1.93 $2.78 $- $2.78
4400210 POTASSIUM CHLORIDE 20MEQ/100ML J3480 $9.34 $7.47 $7.94 $7.94 $7.94 $9.43 N/A N/A N/A N/A $7.94 $6.35 $9.43 $0.19 $9.43 $7.55 $- $7.47 $6.54 $6.54 $9.43 $- $9.43
4411000 IRRIGATION WATER STERILE 500 ML J7040 $34.93 $27.94 $29.69 $29.69 $29.69 $35.28 N/A N/A N/A N/A $29.69 $23.75 $35.28 $1.57 $35.28 $28.22 $- $27.94 $24.45 $24.45 $35.28 $- $35.28
4405062 LACTATED RINGERS 1000 ML IV BAG J7120 $65.00 $52.00 $55.25 $55.25 $55.25 $65.65 N/A N/A N/A N/A $55.25 $44.20 $65.65 $2.90 $65.65 $52.52 $- $52.00 $45.50 $45.50 $65.65 $- $65.65
4405139 ARFORMOTEROL 15MCG 2ML J7605 $14.12 $11.30 $12.00 $12.00 $12.00 $14.26 N/A N/A N/A N/A $12.00 $9.60 $14.26 $13.85 $14.26 $11.41 $- $11.30 $9.88 $9.88 $14.26 $- $14.26
4400358 MUCOMIST 20% FOR NEBS PER 1 GM J7608 $375.25 $300.20 $318.96 $318.96 $318.96 $379.00 N/A N/A N/A N/A $318.96 $255.17 $379.00 $7.34 $379.00 $303.20 $- $300.20 $262.68 $262.68 $379.00 $- $379.00
4403131 ACETYLCYSTEINE (MUCOmyst) 10% vial J7608 $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 $7.34 $5.56 $4.44 $- $4.40 $3.85 $3.85 $5.56 $- $7.34
4400351 ALBUTEROL SULFATE INHALANT 0.083% J7613 $1.83 $1.46 $1.56 $1.56 $1.56 $1.85 N/A N/A N/A N/A $1.56 $1.24 $1.85 $0.05 $1.85 $1.48 $- $1.46 $1.28 $1.28 $1.85 $- $1.85
4401696 LEVALBUTEROL 0.63MG INH J7614 $16.33 $13.06 $13.88 $13.88 $13.88 $16.49 N/A N/A N/A N/A $13.88 $11.10 $16.49 $0.07 $16.49 $13.19 $- $13.06 $11.43 $11.43 $16.49 $- $16.49
4400220 ALBUTE/IPRATROPIUM 2.5MG/0.5MG FOR HHN J7620 $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 $0.15 $5.56 $4.44 $- $4.40 $3.85 $3.85 $5.56 $- $5.56
4400005 IPRATROPIUM BROMIDE (ATROVENT) J7644 $26.35 $21.08 $22.40 $22.40 $22.40 $26.61 N/A N/A N/A N/A $22.40 $17.92 $26.61 $0.25 $26.61 $21.29 $- $21.08 $18.45 $18.45 $26.61 $- $26.61
4001015 AFO MENS RIGHT L1930 $160.47 $128.38 $136.40 $136.40 $136.40 $162.07 N/A N/A N/A N/A $136.40 $109.12 $162.07 $517.06 $162.07 $129.66 $- $128.38 $112.33 $112.33 $162.07 $- $517.06
4001016 AFO MENS LEFT L1930 $160.47 $128.38 $136.40 $136.40 $136.40 $162.07 N/A N/A N/A N/A $136.40 $109.12 $162.07 $517.06 $162.07 $129.66 $- $128.38 $112.33 $112.33 $162.07 $- $517.06
4009976 HEEL RAISER STABILIZING WEDGE L3350 $34.14 $27.31 $29.02 $29.02 $29.02 $34.48 N/A N/A N/A N/A $29.02 $23.22 $34.48 $- $34.48 $27.59 $- $27.31 $23.90 $23.90 $34.48 $- $34.48
3402000 ANESTHESIA TECHNICAL COMPONENT N/A $377.00 $301.60 $320.45 $320.45 $320.45 $380.77 N/A N/A N/A N/A $320.45 $256.36 $380.77 N/A $380.77 $304.62 N/A $301.60 $263.90 $263.90 $380.77 $256.36 $380.77
3400001 CRNA SERVICES - ANESTHESIA PER UNIT N/A $377.00 $301.60 $320.45 $320.45 $320.45 $380.77 N/A N/A N/A N/A $320.45 $256.36 $380.77 N/A $380.77 $304.62 N/A $301.60 $263.90 $263.90 $380.77 $256.36 $380.77
4000005 CAUTERY PENCIL N/A $28.07 $22.46 $23.86 $23.86 $23.86 $28.35 N/A N/A N/A N/A $23.86 $19.09 $28.35 N/A $28.35 $22.68 N/A $22.46 $19.65 $19.65 $28.35 $19.09 $28.35
4000011 SUCTION TUBING N/A $3.00 $2.40 $2.55 $2.55 $2.55 $3.03 N/A N/A N/A N/A $2.55 $2.04 $3.03 N/A $3.03 $2.42 N/A $2.40 $2.10 $2.10 $3.03 $2.04 $3.03
4000012 YANKAUER SUCTION TIP N/A $1.56 $1.25 $1.33 $1.33 $1.33 $1.58 N/A N/A N/A N/A $1.33 $1.06 $1.58 N/A $1.58 $1.26 N/A $1.25 $1.09 $1.09 $1.58 $1.06 $1.58
4000013 NASOGASTRIC SUMP TUBE 14FR N/A $7.14 $5.71 $6.07 $6.07 $6.07 $7.21 N/A N/A N/A N/A $6.07 $4.86 $7.21 N/A $7.21 $5.77 N/A $5.71 $5.00 $5.00 $7.21 $4.86 $7.21
4000018 CRUTCHES MEDIUM N/A $36.63 $29.30 $31.14 $31.14 $31.14 $37.00 N/A N/A N/A N/A $31.14 $24.91 $37.00 N/A $37.00 $29.60 N/A $29.30 $25.64 $25.64 $37.00 $24.91 $37.00
4000022 O2 SENSOR NIHON KOHDEN N/A $27.00 $21.60 $22.95 $22.95 $22.95 $27.27 N/A N/A N/A N/A $22.95 $18.36 $27.27 N/A $27.27 $21.82 N/A $21.60 $18.90 $18.90 $27.27 $18.36 $27.27
4000037 HEEL PROTECTOR WEDGE STABILIZER PAIR N/A $75.60 $60.48 $64.26 $64.26 $64.26 $76.36 N/A N/A N/A N/A $64.26 $51.41 $76.36 N/A $76.36 $61.08 N/A $60.48 $52.92 $52.92 $76.36 $51.41 $76.36
4000041 KERLIX Duplication N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000044 TELFA 3 X 8 N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000048 STERILE 2X2 N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000049 ABDOMINAL BINDER LARGE 12 INCH N/A $54.96 $43.97 $46.72 $46.72 $46.72 $55.51 N/A N/A N/A N/A $46.72 $37.37 $55.51 N/A $55.51 $44.41 N/A $43.97 $38.47 $38.47 $55.51 $37.37 $55.51
4000050 ABDOMINAL BINDER MEDIUM 12 INCH N/A $59.07 $47.26 $50.21 $50.21 $50.21 $59.66 N/A N/A N/A N/A $50.21 $40.17 $59.66 N/A $59.66 $47.73 N/A $47.26 $41.35 $41.35 $59.66 $40.17 $59.66
4000051 ABDOMINAL BINDER SMALL 12INCH N/A $77.70 $62.16 $66.05 $66.05 $66.05 $78.48 N/A N/A N/A N/A $66.05 $52.84 $78.48 N/A $78.48 $62.78 N/A $62.16 $54.39 $54.39 $78.48 $52.84 $78.48
4000066 IV CATHETER 20G N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000068 BAG URINEMETER N/A $25.98 $20.78 $22.08 $22.08 $22.08 $26.24 N/A N/A N/A N/A $22.08 $17.67 $26.24 N/A $26.24 $20.99 N/A $20.78 $18.19 $18.19 $26.24 $17.67 $26.24
4000069 FOLEY CATH TRAY 18 FR BACTIGUARD N/A $66.72 $53.38 $56.71 $56.71 $56.71 $67.39 N/A N/A N/A N/A $56.71 $45.37 $67.39 N/A $67.39 $53.91 N/A $53.38 $46.70 $46.70 $67.39 $45.37 $67.39
4000072 RAPID RHINO 9CM POSTERIOR 2 BALLOON N/A $213.90 $171.12 $181.82 $181.82 $181.82 $216.04 N/A N/A N/A N/A $181.82 $145.45 $216.04 N/A $216.04 $172.83 N/A $171.12 $149.73 $149.73 $216.04 $145.45 $216.04
4000081 SUTURE 5-0 CHROMIC GUT N/A $8.26 $6.61 $7.02 $7.02 $7.02 $8.34 N/A N/A N/A N/A $7.02 $5.62 $8.34 N/A $8.34 $6.67 N/A $6.61 $5.78 $5.78 $8.34 $5.62 $8.34
4000096 CLIPPER BLADE N/A $12.21 $9.77 $10.38 $10.38 $10.38 $12.33 N/A N/A N/A N/A $10.38 $8.30 $12.33 N/A $12.33 $9.87 N/A $9.77 $8.55 $8.55 $12.33 $8.30 $12.33
4000098 SKIN STAPLER PGX-35W N/A $28.86 $23.09 $24.53 $24.53 $24.53 $29.15 N/A N/A N/A N/A $24.53 $19.62 $29.15 N/A $29.15 $23.32 N/A $23.09 $20.20 $20.20 $29.15 $19.62 $29.15
4000099 ENDO ANTI-FOG FOG1001 N/A $5.25 $4.20 $4.46 $4.46 $4.46 $5.30 N/A N/A N/A N/A $4.46 $3.57 $5.30 N/A $5.30 $4.24 N/A $4.20 $3.68 $3.68 $5.30 $3.57 $5.30
4000100 IV CONTROLLER PER DAY N/A $8.50 $6.80 $7.23 $7.23 $7.23 $8.59 N/A N/A N/A N/A $7.23 $5.78 $8.59 N/A $8.59 $6.87 N/A $6.80 $5.95 $5.95 $8.59 $5.78 $8.59
4000102 COLD PACK INSTANT N/A $1.65 $1.32 $1.40 $1.40 $1.40 $1.67 N/A N/A N/A N/A $1.40 $1.12 $1.67 N/A $1.67 $1.33 N/A $1.32 $1.16 $1.16 $1.67 $1.12 $1.67
4000104 FULL BODY BLANKET N/A $27.00 $21.60 $22.95 $22.95 $22.95 $27.27 N/A N/A N/A N/A $22.95 $18.36 $27.27 N/A $27.27 $21.82 N/A $21.60 $18.90 $18.90 $27.27 $18.36 $27.27
4000106 WET SKIN PREP TRAY N/A $30.00 $24.00 $25.50 $25.50 $25.50 $30.30 N/A N/A N/A N/A $25.50 $20.40 $30.30 N/A $30.30 $24.24 N/A $24.00 $21.00 $21.00 $30.30 $20.40 $30.30
4000107 STERILE TOWELS N/A $10.71 $8.57 $9.10 $9.10 $9.10 $10.82 N/A N/A N/A N/A $9.10 $7.28 $10.82 N/A $10.82 $8.65 N/A $8.57 $7.50 $7.50 $10.82 $7.28 $10.82
4000110 BETADINE PAINT/SCRUB N/A $7.53 $6.02 $6.40 $6.40 $6.40 $7.61 N/A N/A N/A N/A $6.40 $5.12 $7.61 N/A $7.61 $6.08 N/A $6.02 $5.27 $5.27 $7.61 $5.12 $7.61
4000113 FLUID WARMER SET N/A $33.25 $26.60 $28.26 $28.26 $28.26 $33.58 N/A N/A N/A N/A $28.26 $22.61 $33.58 N/A $33.58 $26.87 N/A $26.60 $23.28 $23.28 $33.58 $22.61 $33.58
4000114 C-COLLAR PED #2 N/A $18.78 $15.02 $15.96 $15.96 $15.96 $18.97 N/A N/A N/A N/A $15.96 $12.77 $18.97 N/A $18.97 $15.17 N/A $15.02 $13.15 $13.15 $18.97 $12.77 $18.97
4000120 NASOGASTRIC SUMP TUBE 18FR N/A $7.14 $5.71 $6.07 $6.07 $6.07 $7.21 N/A N/A N/A N/A $6.07 $4.86 $7.21 N/A $7.21 $5.77 N/A $5.71 $5.00 $5.00 $7.21 $4.86 $7.21
4000121 ORTHO GLASS 2INCH/1-12 INCHES N/A $16.25 $13.00 $13.81 $13.81 $13.81 $16.41 N/A N/A N/A N/A $13.81 $11.05 $16.41 N/A $16.41 $13.13 N/A $13.00 $11.38 $11.38 $16.41 $11.05 $16.41
4000122 ORTHO GLASS 2INCH/12-24 INCHES N/A $32.50 $26.00 $27.63 $27.63 $27.63 $32.83 N/A N/A N/A N/A $27.63 $22.10 $32.83 N/A $32.83 $26.26 N/A $26.00 $22.75 $22.75 $32.83 $22.10 $32.83
4000123 ORTHO GLASS 3INCH/1-12 INCHES N/A $22.25 $17.80 $18.91 $18.91 $18.91 $22.47 N/A N/A N/A N/A $18.91 $15.13 $22.47 N/A $22.47 $17.98 N/A $17.80 $15.58 $15.58 $22.47 $15.13 $22.47
4000125 ORTHO GLASS 3INCH/12-24 INCHES N/A $44.25 $35.40 $37.61 $37.61 $37.61 $44.69 N/A N/A N/A N/A $37.61 $30.09 $44.69 N/A $44.69 $35.75 N/A $35.40 $30.98 $30.98 $44.69 $30.09 $44.69
4000126 ORTHO GLASS 4INCH/1-12 INCHES N/A $26.50 $21.20 $22.53 $22.53 $22.53 $26.77 N/A N/A N/A N/A $22.53 $18.02 $26.77 N/A $26.77 $21.41 N/A $21.20 $18.55 $18.55 $26.77 $18.02 $26.77
4000127 ORTHO GLASS 4INCH/12-24 INCHES N/A $53.00 $42.40 $45.05 $45.05 $45.05 $53.53 N/A N/A N/A N/A $45.05 $36.04 $53.53 N/A $53.53 $42.82 N/A $42.40 $37.10 $37.10 $53.53 $36.04 $53.53
4000128 ORTHO GLASS 6INCH/1-12 INCHES N/A $38.75 $31.00 $32.94 $32.94 $32.94 $39.14 N/A N/A N/A N/A $32.94 $26.35 $39.14 N/A $39.14 $31.31 N/A $31.00 $27.13 $27.13 $39.14 $26.35 $39.14
4000129 ORTHO GLASS 6INCH/12-24 INCHES N/A $77.25 $61.80 $65.66 $65.66 $65.66 $78.02 N/A N/A N/A N/A $65.66 $52.53 $78.02 N/A $78.02 $62.42 N/A $61.80 $54.08 $54.08 $78.02 $52.53 $78.02
4000130 ELECTRODES (ADULT) N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000131 LACERATION TRAY STERILE N/A $33.00 $26.40 $28.05 $28.05 $28.05 $33.33 N/A N/A N/A N/A $28.05 $22.44 $33.33 N/A $33.33 $26.66 N/A $26.40 $23.10 $23.10 $33.33 $22.44 $33.33
4000132 STERILE SCRUB N/A $14.50 $11.60 $12.33 $12.33 $12.33 $14.65 N/A N/A N/A N/A $12.33 $9.86 $14.65 N/A $14.65 $11.72 N/A $11.60 $10.15 $10.15 $14.65 $9.86 $14.65
4000134 BLOOD PRESSURE MONITOR (BP) N/A $53.25 $42.60 $45.26 $45.26 $45.26 $53.78 N/A N/A N/A N/A $45.26 $36.21 $53.78 N/A $53.78 $43.03 N/A $42.60 $37.28 $37.28 $53.78 $36.21 $53.78
4000136 EMERGENCY EYE TRAY N/A $38.50 $30.80 $32.73 $32.73 $32.73 $38.89 N/A N/A N/A N/A $32.73 $26.18 $38.89 N/A $38.89 $31.11 N/A $30.80 $26.95 $26.95 $38.89 $26.18 $38.89
4000137 CODE BLUE CART N/A $344.75 $275.80 $293.04 $293.04 $293.04 $348.20 N/A N/A N/A N/A $293.04 $234.43 $348.20 N/A $348.20 $278.56 N/A $275.80 $241.33 $241.33 $348.20 $234.43 $348.20
4000142 AMBU RESUSCITATOR ADULT N/A $61.75 $49.40 $52.49 $52.49 $52.49 $62.37 N/A N/A N/A N/A $52.49 $41.99 $62.37 N/A $62.37 $49.89 N/A $49.40 $43.23 $43.23 $62.37 $41.99 $62.37
4000143 HOT PACK N/A $8.00 $6.40 $6.80 $6.80 $6.80 $8.08 N/A N/A N/A N/A $6.80 $5.44 $8.08 N/A $8.08 $6.46 N/A $6.40 $5.60 $5.60 $8.08 $5.44 $8.08
4000145 LARGE EYE PAD N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000146 STERILE 02 ADAPTER N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000147 SKIN STAPLE REMOVAL KIT N/A $6.00 $4.80 $5.10 $5.10 $5.10 $6.06 N/A N/A N/A N/A $5.10 $4.08 $6.06 N/A $6.06 $4.85 N/A $4.80 $4.20 $4.20 $6.06 $4.08 $6.06
4000148 SUTURE REMOVAL KIT N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000149 CORRUGATED TUBING N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000151 ANTI-REFLUX FILTER N/A $13.50 $10.80 $11.48 $11.48 $11.48 $13.64 N/A N/A N/A N/A $11.48 $9.18 $13.64 N/A $13.64 $10.91 N/A $10.80 $9.45 $9.45 $13.64 $9.18 $13.64
4000152 ANTI-REFLUX VALVE N/A $19.50 $15.60 $16.58 $16.58 $16.58 $19.70 N/A N/A N/A N/A $16.58 $13.26 $19.70 N/A $19.70 $15.76 N/A $15.60 $13.65 $13.65 $19.70 $13.26 $19.70
4000153 ALIGINATE DRESSING N/A $35.50 $28.40 $30.18 $30.18 $30.18 $35.86 N/A N/A N/A N/A $30.18 $24.14 $35.86 N/A $35.86 $28.68 N/A $28.40 $24.85 $24.85 $35.86 $24.14 $35.86
4000156 02 AQUA PAK WATER 340ML N/A $9.75 $7.80 $8.29 $8.29 $8.29 $9.85 N/A N/A N/A N/A $8.29 $6.63 $9.85 N/A $9.85 $7.88 N/A $7.80 $6.83 $6.83 $9.85 $6.63 $9.85
4000157 SPIROMETER INCENTIVE N/A $18.75 $15.00 $15.94 $15.94 $15.94 $18.94 N/A N/A N/A N/A $15.94 $12.75 $18.94 N/A $18.94 $15.15 N/A $15.00 $13.13 $13.13 $18.94 $12.75 $18.94
4000158 NEBULIZER ADAPTER N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000159 02 MASK PEDIATRIC N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000160 AEROSOL MASK PEDIATRIC N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000161 NEBULIZER HAND HELD N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000162 AEROSOL MASK ADULT N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000163 NASAL CANNULA PEDIATRIC N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000164 MASK NON-REBREATHING W/O SAFETY VENT N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000166 MASK 02 MED CONCENTRATION N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000167 CANNULA NASAL 02 7 FT N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000168 CANNULA NASAL 02 25 FT N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000169 NEBULIZER PEDIATRIC N/A $18.50 $14.80 $15.73 $15.73 $15.73 $18.69 N/A N/A N/A N/A $15.73 $12.58 $18.69 N/A $18.69 $14.95 N/A $14.80 $12.95 $12.95 $18.69 $12.58 $18.69
4000171 TRACHEOSTOMY MASK ADULT N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000173 STYLETS N/A $10.00 $8.00 $8.50 $8.50 $8.50 $10.10 N/A N/A N/A N/A $8.50 $6.80 $10.10 N/A $10.10 $8.08 N/A $8.00 $7.00 $7.00 $10.10 $6.80 $10.10
4000175 TRACHEOSTOMY CARE KIT N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000176 CANOPY 02 CROUP TENT N/A $11.50 $9.20 $9.78 $9.78 $9.78 $11.62 N/A N/A N/A N/A $9.78 $7.82 $11.62 N/A $11.62 $9.29 N/A $9.20 $8.05 $8.05 $11.62 $7.82 $11.62
4000178 02 TUBING 7FT N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000179 DRESSING GAUZE 2X2 STERILE N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000180 PEDI-CAP C02 DETECTOR N/A $35.50 $28.40 $30.18 $30.18 $30.18 $35.86 N/A N/A N/A N/A $30.18 $24.14 $35.86 N/A $35.86 $28.68 N/A $28.40 $24.85 $24.85 $35.86 $24.14 $35.86
4000181 EASY CAP II C02 DETECTOR ADULT N/A $35.50 $28.40 $30.18 $30.18 $30.18 $35.86 N/A N/A N/A N/A $30.18 $24.14 $35.86 N/A $35.86 $28.68 N/A $28.40 $24.85 $24.85 $35.86 $24.14 $35.86
4000182 O2 SENSOR NELLCOR N/A $21.57 $17.26 $18.33 $18.33 $18.33 $21.79 N/A N/A N/A N/A $18.33 $14.67 $21.79 N/A $21.79 $17.43 N/A $17.26 $15.10 $15.10 $21.79 $14.67 $21.79
4000183 02 SENSOR ADULT N/A $35.00 $28.00 $29.75 $29.75 $29.75 $35.35 N/A N/A N/A N/A $29.75 $23.80 $35.35 N/A $35.35 $28.28 N/A $28.00 $24.50 $24.50 $35.35 $23.80 $35.35
4000184 OB PADS PACKAGE N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000185 OB BRIEFS N/A $9.75 $7.80 $8.29 $8.29 $8.29 $9.85 N/A N/A N/A N/A $8.29 $6.63 $9.85 N/A $9.85 $7.88 N/A $7.80 $6.83 $6.83 $9.85 $6.63 $9.85
4000187 ELBOW / HEEL PROTECTOR LG N/A $8.75 $7.00 $7.44 $7.44 $7.44 $8.84 N/A N/A N/A N/A $7.44 $5.95 $8.84 N/A $8.84 $7.07 N/A $7.00 $6.13 $6.13 $8.84 $5.95 $8.84
4000189 LIMB HOLDER N/A $19.50 $15.60 $16.58 $16.58 $16.58 $19.70 N/A N/A N/A N/A $16.58 $13.26 $19.70 N/A $19.70 $15.76 N/A $15.60 $13.65 $13.65 $19.70 $13.26 $19.70
4000192 SUCTION CATHETER KIT 8FR N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000196 SUCTION CATHETER KIT 14FR N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000197 YANKAUER SUCTION SET N/A $8.00 $6.40 $6.80 $6.80 $6.80 $8.08 N/A N/A N/A N/A $6.80 $5.44 $8.08 N/A $8.08 $6.46 N/A $6.40 $5.60 $5.60 $8.08 $5.44 $8.08
4000198 NASOGASTRIC SUMP TUBE 8FR N/A $16.35 $13.08 $13.90 $13.90 $13.90 $16.51 N/A N/A N/A N/A $13.90 $11.12 $16.51 N/A $16.51 $13.21 N/A $13.08 $11.45 $11.45 $16.51 $11.12 $16.51
4000200 CATHETER - EXTERNAL - TEXAS N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000204 BIOPATCH 1INCH N/A $26.25 $21.00 $22.31 $22.31 $22.31 $26.51 N/A N/A N/A N/A $22.31 $17.85 $26.51 N/A $26.51 $21.21 N/A $21.00 $18.38 $18.38 $26.51 $17.85 $26.51
4000209 SUTURE PROLENE 5-0 N/A $13.75 $11.00 $11.69 $11.69 $11.69 $13.89 N/A N/A N/A N/A $11.69 $9.35 $13.89 N/A $13.89 $11.11 N/A $11.00 $9.63 $9.63 $13.89 $9.35 $13.89
4000210 SUTURE PROLENE 4-0 N/A $13.75 $11.00 $11.69 $11.69 $11.69 $13.89 N/A N/A N/A N/A $11.69 $9.35 $13.89 N/A $13.89 $11.11 N/A $11.00 $9.63 $9.63 $13.89 $9.35 $13.89
4000211 ABDOMINAL BINDER XLG 12IN N/A $40.50 $32.40 $34.43 $34.43 $34.43 $40.91 N/A N/A N/A N/A $34.43 $27.54 $40.91 N/A $40.91 $32.72 N/A $32.40 $28.35 $28.35 $40.91 $27.54 $40.91
4000213 LMA SZ 5-LARYNGEAL MASK AIRWAY N/A $29.85 $23.88 $25.37 $25.37 $25.37 $30.15 N/A N/A N/A N/A $25.37 $20.30 $30.15 N/A $30.15 $24.12 N/A $23.88 $20.90 $20.90 $30.15 $20.30 $30.15
4000220 CLAVICLE STRAP LG N/A $18.24 $14.59 $15.50 $15.50 $15.50 $18.42 N/A N/A N/A N/A $15.50 $12.40 $18.42 N/A $18.42 $14.74 N/A $14.59 $12.77 $12.77 $18.42 $12.40 $18.42
4000221 SHOULDER IMMOBILIZER N/A $24.75 $19.80 $21.04 $21.04 $21.04 $25.00 N/A N/A N/A N/A $21.04 $16.83 $25.00 N/A $25.00 $20.00 N/A $19.80 $17.33 $17.33 $25.00 $16.83 $25.00
4000222 ABDOMINAL BINDER XXLG 12IN N/A $40.50 $32.40 $34.43 $34.43 $34.43 $40.91 N/A N/A N/A N/A $34.43 $27.54 $40.91 N/A $40.91 $32.72 N/A $32.40 $28.35 $28.35 $40.91 $27.54 $40.91
4000223 FOLEY CATH TRAY 16FR BACTIGUARD N/A $35.00 $28.00 $29.75 $29.75 $29.75 $35.35 N/A N/A N/A N/A $29.75 $23.80 $35.35 N/A $35.35 $28.28 N/A $28.00 $24.50 $24.50 $35.35 $23.80 $35.35
4000224 COLLES SPLINT LEFT LARGE N/A $11.64 $9.31 $9.89 $9.89 $9.89 $11.76 N/A N/A N/A N/A $9.89 $7.92 $11.76 N/A $11.76 $9.41 N/A $9.31 $8.15 $8.15 $11.76 $7.92 $11.76
4000225 WRIST SPLINT LEFT LG N/A $21.24 $16.99 $18.05 $18.05 $18.05 $21.45 N/A N/A N/A N/A $18.05 $14.44 $21.45 N/A $21.45 $17.16 N/A $16.99 $14.87 $14.87 $21.45 $14.44 $21.45
4000226 MESH DUAL 1DLMC04 GORTEX 15X19 N/A $3,387.00 $2,709.60 $2,878.95 $2,878.95 $2,878.95 $3,420.87 N/A N/A N/A N/A $2,878.95 $2,303.16 $3,420.87 N/A $3,420.87 $2,736.70 N/A $2,709.60 $2,370.90 $2,370.90 $3,420.87 $2,303.16 $3,420.87
4000228 ANKLE SPLINT MD N/A $35.40 $28.32 $30.09 $30.09 $30.09 $35.75 N/A N/A N/A N/A $30.09 $24.07 $35.75 N/A $35.75 $28.60 N/A $28.32 $24.78 $24.78 $35.75 $24.07 $35.75
4000232 SUTURE ETHILON 2-0 N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000233 SUTURE ETHILON 3-0 N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000234 CATHETER URETHRAL ROBINSON 10FR N/A $1.89 $1.51 $1.61 $1.61 $1.61 $1.91 N/A N/A N/A N/A $1.61 $1.29 $1.91 N/A $1.91 $1.53 N/A $1.51 $1.32 $1.32 $1.91 $1.29 $1.91
4000235 SUTURE ETHILON 4-0 P3 N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000236 SUTURE ETHILON 5-0 N/A $30.75 $24.60 $26.14 $26.14 $26.14 $31.06 N/A N/A N/A N/A $26.14 $20.91 $31.06 N/A $31.06 $24.85 N/A $24.60 $21.53 $21.53 $31.06 $20.91 $31.06
4000237 SUTURE ETHILON 6-0 N/A $11.00 $8.80 $9.35 $9.35 $9.35 $11.11 N/A N/A N/A N/A $9.35 $7.48 $11.11 N/A $11.11 $8.89 N/A $8.80 $7.70 $7.70 $11.11 $7.48 $11.11
4000238 INSUFFLATION TUBING N/A $22.05 $17.64 $18.74 $18.74 $18.74 $22.27 N/A N/A N/A N/A $18.74 $14.99 $22.27 N/A $22.27 $17.82 N/A $17.64 $15.44 $15.44 $22.27 $14.99 $22.27
4000242 CHEST DRAIN N/A $131.25 $105.00 $111.56 $111.56 $111.56 $132.56 N/A N/A N/A N/A $111.56 $89.25 $132.56 N/A $132.56 $106.05 N/A $105.00 $91.88 $91.88 $132.56 $89.25 $132.56
4000248 DEFIBRILLATION PADS N/A $13.75 $11.00 $11.69 $11.69 $11.69 $13.89 N/A N/A N/A N/A $11.69 $9.35 $13.89 N/A $13.89 $11.11 N/A $11.00 $9.63 $9.63 $13.89 $9.35 $13.89
4000249 PORTA CATH INTRODUCER KIT N/A $175.29 $140.23 $149.00 $149.00 $149.00 $177.04 N/A N/A N/A N/A $149.00 $119.20 $177.04 N/A $177.04 $141.63 N/A $140.23 $122.70 $122.70 $177.04 $119.20 $177.04
4000250 DEFIBRILLATION PADS (QUICK PACE) N/A $141.50 $113.20 $120.28 $120.28 $120.28 $142.92 N/A N/A N/A N/A $120.28 $96.22 $142.92 N/A $142.92 $114.33 N/A $113.20 $99.05 $99.05 $142.92 $96.22 $142.92
4000251 DRESSING AQUACELL AG 0.75INX18IN N/A $37.56 $30.05 $31.93 $31.93 $31.93 $37.94 N/A N/A N/A N/A $31.93 $25.54 $37.94 N/A $37.94 $30.35 N/A $30.05 $26.29 $26.29 $37.94 $25.54 $37.94
4000253 PLAIN PACKING ANY SIZE N/A $27.00 $21.60 $22.95 $22.95 $22.95 $27.27 N/A N/A N/A N/A $22.95 $18.36 $27.27 N/A $27.27 $21.82 N/A $21.60 $18.90 $18.90 $27.27 $18.36 $27.27
4000254 WOUND CLOSURE STRIP 1/4X3 N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000256 IV SOLUTION SET N/A $9.25 $7.40 $7.86 $7.86 $7.86 $9.34 N/A N/A N/A N/A $7.86 $6.29 $9.34 N/A $9.34 $7.47 N/A $7.40 $6.48 $6.48 $9.34 $6.29 $9.34
4000257 IV SECONDARY SET N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000258 IV START KIT N/A $4.00 $3.20 $3.40 $3.40 $3.40 $4.04 N/A N/A N/A N/A $3.40 $2.72 $4.04 N/A $4.04 $3.23 N/A $3.20 $2.80 $2.80 $4.04 $2.72 $4.04
4000259 IV CATHETER EXTENSION SET N/A $8.00 $6.40 $6.80 $6.80 $6.80 $8.08 N/A N/A N/A N/A $6.80 $5.44 $8.08 N/A $8.08 $6.46 N/A $6.40 $5.60 $5.60 $8.08 $5.44 $8.08
4000261 DRESSING AQUACELL AG 6X6 N/A $94.50 $75.60 $80.33 $80.33 $80.33 $95.45 N/A N/A N/A N/A $80.33 $64.26 $95.45 N/A $95.45 $76.36 N/A $75.60 $66.15 $66.15 $95.45 $64.26 $95.45
4000262 Y-TYPE BLOOD/SOLUTION SET N/A $31.50 $25.20 $26.78 $26.78 $26.78 $31.82 N/A N/A N/A N/A $26.78 $21.42 $31.82 N/A $31.82 $25.45 N/A $25.20 $22.05 $22.05 $31.82 $21.42 $31.82
4000263 IV BURETOL ADD ON SET N/A $15.25 $12.20 $12.96 $12.96 $12.96 $15.40 N/A N/A N/A N/A $12.96 $10.37 $15.40 N/A $15.40 $12.32 N/A $12.20 $10.68 $10.68 $15.40 $10.37 $15.40
4000265 ACE WRAP 2 INCH N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000267 ABD PAD 5 X 9 N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000268 ABD PAD 8 X 10 N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000269 ACE WRAP 3 INCH N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000270 ACE WRAP 4 INCH N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000271 ACE WRAP 6 INCH N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000272 PELVIC EXAM N/A $18.25 $14.60 $15.51 $15.51 $15.51 $18.43 N/A N/A N/A N/A $15.51 $12.41 $18.43 N/A $18.43 $14.75 N/A $14.60 $12.78 $12.78 $18.43 $12.41 $18.43
4000273 COLD BIOPSY N/A $170.85 $136.68 $145.22 $145.22 $145.22 $172.56 N/A N/A N/A N/A $145.22 $116.18 $172.56 N/A $172.56 $138.05 N/A $136.68 $119.60 $119.60 $172.56 $116.18 $172.56
4000275 POLYPECTOMY SNARE N/A $65.00 $52.00 $55.25 $55.25 $55.25 $65.65 N/A N/A N/A N/A $55.25 $44.20 $65.65 N/A $65.65 $52.52 N/A $52.00 $45.50 $45.50 $65.65 $44.20 $65.65
4000276 KY GEL N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000278 SALEM SUMP N/A $61.20 $48.96 $52.02 $52.02 $52.02 $61.81 N/A N/A N/A N/A $52.02 $41.62 $61.81 N/A $61.81 $49.45 N/A $48.96 $42.84 $42.84 $61.81 $41.62 $61.81
4000279 GAUZE STERILE 4 X 4 10 COUNT TRAY N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000283 IV TUBING PRIMARY 15 DROP N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000285 SLIPPER SOCK EXTRA LARGE N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000286 IV TUBING 60 DROP N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000287 DISPOSABLE BITE BLOCK N/A $2.98 $2.38 $2.53 $2.53 $2.53 $3.01 N/A N/A N/A N/A $2.53 $2.03 $3.01 N/A $3.01 $2.41 N/A $2.38 $2.09 $2.09 $3.01 $2.03 $3.01
4000288 SPINAL KIT N/A $249.75 $199.80 $212.29 $212.29 $212.29 $252.25 N/A N/A N/A N/A $212.29 $169.83 $252.25 N/A $252.25 $201.80 N/A $199.80 $174.83 $174.83 $252.25 $169.83 $252.25
4000290 CRUTCHES TALL N/A $36.63 $29.30 $31.14 $31.14 $31.14 $37.00 N/A N/A N/A N/A $31.14 $24.91 $37.00 N/A $37.00 $29.60 N/A $29.30 $25.64 $25.64 $37.00 $24.91 $37.00
4000300 ARM BOARD ADULT N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000302 DRESSING CHANGE KIT N/A $41.70 $33.36 $35.45 $35.45 $35.45 $42.12 N/A N/A N/A N/A $35.45 $28.36 $42.12 N/A $42.12 $33.69 N/A $33.36 $29.19 $29.19 $42.12 $28.36 $42.12
4000306 MASTISOL N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000307 MUCOUS SPECIMAN TRAP 40CC N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000310 ARM SLING LARGE N/A $8.22 $6.58 $6.99 $6.99 $6.99 $8.30 N/A N/A N/A N/A $6.99 $5.59 $8.30 N/A $8.30 $6.64 N/A $6.58 $5.75 $5.75 $8.30 $5.59 $8.30
4000313 FINGER SPLINT 4 PRONG N/A $57.63 $46.10 $48.99 $48.99 $48.99 $58.21 N/A N/A N/A N/A $48.99 $39.19 $58.21 N/A $58.21 $46.57 N/A $46.10 $40.34 $40.34 $58.21 $39.19 $58.21
4000315 BANDAGE, COHESIVE 2" N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000316 DRAINAGE BAG N/A $10.50 $8.40 $8.93 $8.93 $8.93 $10.61 N/A N/A N/A N/A $8.93 $7.14 $10.61 N/A $10.61 $8.48 N/A $8.40 $7.35 $7.35 $10.61 $7.14 $10.61
4000317 ENDO TUBE HOLDER THOMAS ADULT N/A $10.50 $8.40 $8.93 $8.93 $8.93 $10.61 N/A N/A N/A N/A $8.93 $7.14 $10.61 N/A $10.61 $8.48 N/A $8.40 $7.35 $7.35 $10.61 $7.14 $10.61
4000318 ENEMA BUCKET N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000319 FOLEY CATHETER 12FR 2-WAY 5CC N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000320 FOLEY CATHETER COUDE 14FR 2WAY N/A $80.79 $64.63 $68.67 $68.67 $68.67 $81.60 N/A N/A N/A N/A $68.67 $54.94 $81.60 N/A $81.60 $65.28 N/A $64.63 $56.55 $56.55 $81.60 $54.94 $81.60
4000323 KLEEN SPEC N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000324 KLING 2 INCH N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000325 KLING 3 INCH N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000326 KLING 4 INCH N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000327 OP-SITE DRESSING N/A $13.25 $10.60 $11.26 $11.26 $11.26 $13.38 N/A N/A N/A N/A $11.26 $9.01 $13.38 N/A $13.38 $10.71 N/A $10.60 $9.28 $9.28 $13.38 $9.01 $13.38
4000328 KLING 6 INCH N/A $8.00 $6.40 $6.80 $6.80 $6.80 $8.08 N/A N/A N/A N/A $6.80 $5.44 $8.08 N/A $8.08 $6.46 N/A $6.40 $5.60 $5.60 $8.08 $5.44 $8.08
4000329 LEG BAG N/A $18.25 $14.60 $15.51 $15.51 $15.51 $18.43 N/A N/A N/A N/A $15.51 $12.41 $18.43 N/A $18.43 $14.75 N/A $14.60 $12.78 $12.78 $18.43 $12.41 $18.43
4000330 KERLIX 4 X 4 N/A $7.50 $6.00 $6.38 $6.38 $6.38 $7.58 N/A N/A N/A N/A $6.38 $5.10 $7.58 N/A $7.58 $6.06 N/A $6.00 $5.25 $5.25 $7.58 $5.10 $7.58
4000332 PETROLATUM DRESSING 3 X 9 N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000337 SPECIMEN PAN N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000343 TELFA 3 X 4 N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000344 STERILE GLOVES PROTEX 6.5 N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000345 URINAL N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000346 URINE STRAINER N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000350 KERLIX 2 X 3 N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000351 UNIVERSAL VIAL ADAPTER N/A $8.00 $6.40 $6.80 $6.80 $6.80 $8.08 N/A N/A N/A N/A $6.80 $5.44 $8.08 N/A $8.08 $6.46 N/A $6.40 $5.60 $5.60 $8.08 $5.44 $8.08
4000352 ULTRASITE VALVE N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000354 DIG THERMOMETER DISPOSABLE N/A $13.50 $10.80 $11.48 $11.48 $11.48 $13.64 N/A N/A N/A N/A $11.48 $9.18 $13.64 N/A $13.64 $10.91 N/A $10.80 $9.45 $9.45 $13.64 $9.18 $13.64
4000361 PRESSURE INFUSER, DISPOSABLE N/A $33.75 $27.00 $28.69 $28.69 $28.69 $34.09 N/A N/A N/A N/A $28.69 $22.95 $34.09 N/A $34.09 $27.27 N/A $27.00 $23.63 $23.63 $34.09 $22.95 $34.09
4000363 STOPCOCK 3 - WAY N/A $7.47 $5.98 $6.35 $6.35 $6.35 $7.54 N/A N/A N/A N/A $6.35 $5.08 $7.54 N/A $7.54 $6.04 N/A $5.98 $5.23 $5.23 $7.54 $5.08 $7.54
4000366 CRUTCHES YOUTH N/A $36.63 $29.30 $31.14 $31.14 $31.14 $37.00 N/A N/A N/A N/A $31.14 $24.91 $37.00 N/A $37.00 $29.60 N/A $29.30 $25.64 $25.64 $37.00 $24.91 $37.00
4000367 WALKING BOOT MEDIUM N/A $94.41 $75.53 $80.25 $80.25 $80.25 $95.35 N/A N/A N/A N/A $80.25 $64.20 $95.35 N/A $95.35 $76.28 N/A $75.53 $66.09 $66.09 $95.35 $64.20 $95.35
4000368 SKIN STAPLER DISPOSABLE - 15 N/A $17.75 $14.20 $15.09 $15.09 $15.09 $17.93 N/A N/A N/A N/A $15.09 $12.07 $17.93 N/A $17.93 $14.34 N/A $14.20 $12.43 $12.43 $17.93 $12.07 $17.93
4000370 PICC REPL CONNECTOR N/A $47.67 $38.14 $40.52 $40.52 $40.52 $48.15 N/A N/A N/A N/A $40.52 $32.42 $48.15 N/A $48.15 $38.52 N/A $38.14 $33.37 $33.37 $48.15 $32.42 $48.15
4000371 HARMONIC ACE 36E N/A $1,781.40 $1,425.12 $1,514.19 $1,514.19 $1,514.19 $1,799.21 N/A N/A N/A N/A $1,514.19 $1,211.35 $1,799.21 N/A $1,799.21 $1,439.37 N/A $1,425.12 $1,246.98 $1,246.98 $1,799.21 $1,211.35 $1,799.21
4000373 KANGAROO FEEDING PUMP N/A $14.75 $11.80 $12.54 $12.54 $12.54 $14.90 N/A N/A N/A N/A $12.54 $10.03 $14.90 N/A $14.90 $11.92 N/A $11.80 $10.33 $10.33 $14.90 $10.03 $14.90
4000374 K-THERM PUMP/PAD N/A $14.75 $11.80 $12.54 $12.54 $12.54 $14.90 N/A N/A N/A N/A $12.54 $10.03 $14.90 N/A $14.90 $11.92 N/A $11.80 $10.33 $10.33 $14.90 $10.03 $14.90
4000375 K-THERM PUMP SET UP N/A $30.25 $24.20 $25.71 $25.71 $25.71 $30.55 N/A N/A N/A N/A $25.71 $20.57 $30.55 N/A $30.55 $24.44 N/A $24.20 $21.18 $21.18 $30.55 $20.57 $30.55
4000377 ISOLATION SET UP N/A $54.50 $43.60 $46.33 $46.33 $46.33 $55.05 N/A N/A N/A N/A $46.33 $37.06 $55.05 N/A $55.05 $44.04 N/A $43.60 $38.15 $38.15 $55.05 $37.06 $55.05
4000378 ISOLATION MASK N/A $11.00 $8.80 $9.35 $9.35 $9.35 $11.11 N/A N/A N/A N/A $9.35 $7.48 $11.11 N/A $11.11 $8.89 N/A $8.80 $7.70 $7.70 $11.11 $7.48 $11.11
4000379 IRRIGATION TRAY N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000380 BEDSIDE COMMODE N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000381 WALL SUCTION N/A $14.50 $11.60 $12.33 $12.33 $12.33 $14.65 N/A N/A N/A N/A $12.33 $9.86 $14.65 N/A $14.65 $11.72 N/A $11.60 $10.15 $10.15 $14.65 $9.86 $14.65
4000382 SUCTION SET UP N/A $17.00 $13.60 $14.45 $14.45 $14.45 $17.17 N/A N/A N/A N/A $14.45 $11.56 $17.17 N/A $17.17 $13.74 N/A $13.60 $11.90 $11.90 $17.17 $11.56 $17.17
4000383 O2 SET UP N/A $58.25 $46.60 $49.51 $49.51 $49.51 $58.83 N/A N/A N/A N/A $49.51 $39.61 $58.83 N/A $58.83 $47.07 N/A $46.60 $40.78 $40.78 $58.83 $39.61 $58.83
4000385 AIRWAY KING 4.0 N/A $45.12 $36.10 $38.35 $38.35 $38.35 $45.57 N/A N/A N/A N/A $38.35 $30.68 $45.57 N/A $45.57 $36.46 N/A $36.10 $31.58 $31.58 $45.57 $30.68 $45.57
4000387 AMBU RESUC INFANT N/A $89.04 $71.23 $75.68 $75.68 $75.68 $89.93 N/A N/A N/A N/A $75.68 $60.55 $89.93 N/A $89.93 $71.94 N/A $71.23 $62.33 $62.33 $89.93 $60.55 $89.93
4000388 SUTURE VICRYL 5-0 N/A $8.16 $6.53 $6.94 $6.94 $6.94 $8.24 N/A N/A N/A N/A $6.94 $5.55 $8.24 N/A $8.24 $6.59 N/A $6.53 $5.71 $5.71 $8.24 $5.55 $8.24
4000390 IV START KIT W/EXTENSION N/A $6.75 $5.40 $5.74 $5.74 $5.74 $6.82 N/A N/A N/A N/A $5.74 $4.59 $6.82 N/A $6.82 $5.45 N/A $5.40 $4.73 $4.73 $6.82 $4.59 $6.82
4000391 COLLES SPLINT LEFT MEDIUM N/A $11.64 $9.31 $9.89 $9.89 $9.89 $11.76 N/A N/A N/A N/A $9.89 $7.92 $11.76 N/A $11.76 $9.41 N/A $9.31 $8.15 $8.15 $11.76 $7.92 $11.76
4000392 COLLES SPLINT LEFT SMALL N/A $11.64 $9.31 $9.89 $9.89 $9.89 $11.76 N/A N/A N/A N/A $9.89 $7.92 $11.76 N/A $11.76 $9.41 N/A $9.31 $8.15 $8.15 $11.76 $7.92 $11.76
4000395 COLLES SPLINT RIGHT MEDIUM N/A $11.64 $9.31 $9.89 $9.89 $9.89 $11.76 N/A N/A N/A N/A $9.89 $7.92 $11.76 N/A $11.76 $9.41 N/A $9.31 $8.15 $8.15 $11.76 $7.92 $11.76
4000396 COLLES SPLINT RIGHT SMALL N/A $11.64 $9.31 $9.89 $9.89 $9.89 $11.76 N/A N/A N/A N/A $9.89 $7.92 $11.76 N/A $11.76 $9.41 N/A $9.31 $8.15 $8.15 $11.76 $7.92 $11.76
4000399 ANKLE SPLINT SM N/A $35.40 $28.32 $30.09 $30.09 $30.09 $35.75 N/A N/A N/A N/A $30.09 $24.07 $35.75 N/A $35.75 $28.60 N/A $28.32 $24.78 $24.78 $35.75 $24.07 $35.75
4000400 ANKLE SPLINT LG N/A $35.40 $28.32 $30.09 $30.09 $30.09 $35.75 N/A N/A N/A N/A $30.09 $24.07 $35.75 N/A $35.75 $28.60 N/A $28.32 $24.78 $24.78 $35.75 $24.07 $35.75
4000402 SCALPEL #10 N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000403 FEMALE CATH KIT N/A $6.50 $5.20 $5.53 $5.53 $5.53 $6.57 N/A N/A N/A N/A $5.53 $4.42 $6.57 N/A $6.57 $5.25 N/A $5.20 $4.55 $4.55 $6.57 $4.42 $6.57
4000405 STETHOSCOPE DISPOSABLE N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000406 ALUMAFOAM FINGER SPLINT N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000407 WALKING BOOT SMALL N/A $94.41 $75.53 $80.25 $80.25 $80.25 $95.35 N/A N/A N/A N/A $80.25 $64.20 $95.35 N/A $95.35 $76.28 N/A $75.53 $66.09 $66.09 $95.35 $64.20 $95.35
4000409 BULB EAR SYRINGE N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000411 HYDROGEN PEROXIDE 4 OZ N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000414 SUCTION CANISTER 1200CC N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000418 SUCTION CANISTER 3000CC N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000419 PACKING STRIP 1/2IN X 1YD AMD N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000420 PACKING STRIP 1/4IN X 1YD AMD N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000421 CATHETER LEG STRAP N/A $11.49 $9.19 $9.77 $9.77 $9.77 $11.60 N/A N/A N/A N/A $9.77 $7.81 $11.60 N/A $11.60 $9.28 N/A $9.19 $8.04 $8.04 $11.60 $7.81 $11.60
4000422 CATH TRAY URETHERAL N/A $22.00 $17.60 $18.70 $18.70 $18.70 $22.22 N/A N/A N/A N/A $18.70 $14.96 $22.22 N/A $22.22 $17.78 N/A $17.60 $15.40 $15.40 $22.22 $14.96 $22.22
4000424 ANKLE SPLINT XL N/A $35.40 $28.32 $30.09 $30.09 $30.09 $35.75 N/A N/A N/A N/A $30.09 $24.07 $35.75 N/A $35.75 $28.60 N/A $28.32 $24.78 $24.78 $35.75 $24.07 $35.75
4000425 ANKLE SPLINT XXL N/A $35.40 $28.32 $30.09 $30.09 $30.09 $35.75 N/A N/A N/A N/A $30.09 $24.07 $35.75 N/A $35.75 $28.60 N/A $28.32 $24.78 $24.78 $35.75 $24.07 $35.75
4000427 TED HOSE KNEE LG REGULAR N/A $6.48 $5.18 $5.51 $5.51 $5.51 $6.54 N/A N/A N/A N/A $5.51 $4.41 $6.54 N/A $6.54 $5.24 N/A $5.18 $4.54 $4.54 $6.54 $4.41 $6.54
4000428 TED HOSE KNEE MD REGULAR N/A $6.48 $5.18 $5.51 $5.51 $5.51 $6.54 N/A N/A N/A N/A $5.51 $4.41 $6.54 N/A $6.54 $5.24 N/A $5.18 $4.54 $4.54 $6.54 $4.41 $6.54
4000429 WALKING BOOT LARGE N/A $94.41 $75.53 $80.25 $80.25 $80.25 $95.35 N/A N/A N/A N/A $80.25 $64.20 $95.35 N/A $95.35 $76.28 N/A $75.53 $66.09 $66.09 $95.35 $64.20 $95.35
4000442 EPIMED STEALTH COUDE 20 N/A $44.55 $35.64 $37.87 $37.87 $37.87 $45.00 N/A N/A N/A N/A $37.87 $30.29 $45.00 N/A $45.00 $36.00 N/A $35.64 $31.19 $31.19 $45.00 $30.29 $45.00
4000453 DEFIB PAD, MULTI, ADULT N/A $43.59 $34.87 $37.05 $37.05 $37.05 $44.03 N/A N/A N/A N/A $37.05 $29.64 $44.03 N/A $44.03 $35.22 N/A $34.87 $30.51 $30.51 $44.03 $29.64 $44.03
4000454 DEFIB PAD, MULTI, PED N/A $60.69 $48.55 $51.59 $51.59 $51.59 $61.30 N/A N/A N/A N/A $51.59 $41.27 $61.30 N/A $61.30 $49.04 N/A $48.55 $42.48 $42.48 $61.30 $41.27 $61.30
4000455 BIPAP MASK W/HEADGEAR MEDIUM N/A $294.00 $235.20 $249.90 $249.90 $249.90 $296.94 N/A N/A N/A N/A $249.90 $199.92 $296.94 N/A $296.94 $237.55 N/A $235.20 $205.80 $205.80 $296.94 $199.92 $296.94
4000457 ADAPTER NEBULIZER 031-28 N/A $7.02 $5.62 $5.97 $5.97 $5.97 $7.09 N/A N/A N/A N/A $5.97 $4.77 $7.09 N/A $7.09 $5.67 N/A $5.62 $4.91 $4.91 $7.09 $4.77 $7.09
4000472 NASOGASTRIC SUMP TUBE 10FR N/A $7.14 $5.71 $6.07 $6.07 $6.07 $7.21 N/A N/A N/A N/A $6.07 $4.86 $7.21 N/A $7.21 $5.77 N/A $5.71 $5.00 $5.00 $7.21 $4.86 $7.21
4000473 NASOGASTRIC SUMP TUBE 12FR N/A $7.14 $5.71 $6.07 $6.07 $6.07 $7.21 N/A N/A N/A N/A $6.07 $4.86 $7.21 N/A $7.21 $5.77 N/A $5.71 $5.00 $5.00 $7.21 $4.86 $7.21
4000474 NASOGASTRIC SUMP TUBE 16FR N/A $7.14 $5.71 $6.07 $6.07 $6.07 $7.21 N/A N/A N/A N/A $6.07 $4.86 $7.21 N/A $7.21 $5.77 N/A $5.71 $5.00 $5.00 $7.21 $4.86 $7.21
4000475 RIB BELT FEMALE UNIVERSAL N/A $9.54 $7.63 $8.11 $8.11 $8.11 $9.64 N/A N/A N/A N/A $8.11 $6.49 $9.64 N/A $9.64 $7.71 N/A $7.63 $6.68 $6.68 $9.64 $6.49 $9.64
4000477 STOMAHESIVE PASTE 2OZ N/A $15.90 $12.72 $13.52 $13.52 $13.52 $16.06 N/A N/A N/A N/A $13.52 $10.81 $16.06 N/A $16.06 $12.85 N/A $12.72 $11.13 $11.13 $16.06 $10.81 $16.06
4000478 STOMAHESIVE WAFER 45MM N/A $6.09 $4.87 $5.18 $5.18 $5.18 $6.15 N/A N/A N/A N/A $5.18 $4.14 $6.15 N/A $6.15 $4.92 N/A $4.87 $4.26 $4.26 $6.15 $4.14 $6.15
4000479 STOMAHESIVE WAFER 5X5 N/A $6.09 $4.87 $5.18 $5.18 $5.18 $6.15 N/A N/A N/A N/A $5.18 $4.14 $6.15 N/A $6.15 $4.92 N/A $4.87 $4.26 $4.26 $6.15 $4.14 $6.15
4000480 COLLECTOR OSTOMY POUCH DRAINABLE 45MM N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000482 TRACH TUBE 3.0 UNCUFFED N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000483 TRACH TUBE 4.0 UNCUFFED N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000484 TRACH TUBE 4.5 UNCUFFED N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000487 TRACH TUBE 6.0 CUFFED N/A $7.47 $5.98 $6.35 $6.35 $6.35 $7.54 N/A N/A N/A N/A $6.35 $5.08 $7.54 N/A $7.54 $6.04 N/A $5.98 $5.23 $5.23 $7.54 $5.08 $7.54
4000488 TRACH TUBE 6.5 CUFFED N/A $7.47 $5.98 $6.35 $6.35 $6.35 $7.54 N/A N/A N/A N/A $6.35 $5.08 $7.54 N/A $7.54 $6.04 N/A $5.98 $5.23 $5.23 $7.54 $5.08 $7.54
4000489 TRACH TUBE 7.5 CUFFED N/A $7.47 $5.98 $6.35 $6.35 $6.35 $7.54 N/A N/A N/A N/A $6.35 $5.08 $7.54 N/A $7.54 $6.04 N/A $5.98 $5.23 $5.23 $7.54 $5.08 $7.54
4000490 TRACH TUBE 8.0 CUFFED N/A $7.47 $5.98 $6.35 $6.35 $6.35 $7.54 N/A N/A N/A N/A $6.35 $5.08 $7.54 N/A $7.54 $6.04 N/A $5.98 $5.23 $5.23 $7.54 $5.08 $7.54
4000497 TROCAR CATHETER 16FR N/A $45.36 $36.29 $38.56 $38.56 $38.56 $45.81 N/A N/A N/A N/A $38.56 $30.84 $45.81 N/A $45.81 $36.65 N/A $36.29 $31.75 $31.75 $45.81 $30.84 $45.81
4000502 DRESS-DUODERM XTRA THIN 4X4 N/A $6.00 $4.80 $5.10 $5.10 $5.10 $6.06 N/A N/A N/A N/A $5.10 $4.08 $6.06 N/A $6.06 $4.85 N/A $4.80 $4.20 $4.20 $6.06 $4.08 $6.06
4000519 SUTURE - VICRYL 4-0 N/A $12.25 $9.80 $10.41 $10.41 $10.41 $12.37 N/A N/A N/A N/A $10.41 $8.33 $12.37 N/A $12.37 $9.90 N/A $9.80 $8.58 $8.58 $12.37 $8.33 $12.37
4000523 DRESSING PROMOGRAN PRISMA MATRIX 19.1SQI N/A $73.20 $58.56 $62.22 $62.22 $62.22 $73.93 N/A N/A N/A N/A $62.22 $49.78 $73.93 N/A $73.93 $59.15 N/A $58.56 $51.24 $51.24 $73.93 $49.78 $73.93
4000527 SPLINT METACARPAL LEFT MEDIUM N/A $16.53 $13.22 $14.05 $14.05 $14.05 $16.70 N/A N/A N/A N/A $14.05 $11.24 $16.70 N/A $16.70 $13.36 N/A $13.22 $11.57 $11.57 $16.70 $11.24 $16.70
4000531 HOT PACK INSTANT N/A $1.20 $0.96 $1.02 $1.02 $1.02 $1.21 N/A N/A N/A N/A $1.02 $0.82 $1.21 N/A $1.21 $0.97 N/A $0.96 $0.84 $0.84 $1.21 $0.82 $1.21
4000532 SPLINT METACARPAL RIGHT MEDIUM N/A $16.53 $13.22 $14.05 $14.05 $14.05 $16.70 N/A N/A N/A N/A $14.05 $11.24 $16.70 N/A $16.70 $13.36 N/A $13.22 $11.57 $11.57 $16.70 $11.24 $16.70
4000537 WRIST SPLINT LEFT XL N/A $21.24 $16.99 $18.05 $18.05 $18.05 $21.45 N/A N/A N/A N/A $18.05 $14.44 $21.45 N/A $21.45 $17.16 N/A $16.99 $14.87 $14.87 $21.45 $14.44 $21.45
4000539 WRIST SPLINT RIGHT SM N/A $21.24 $16.99 $18.05 $18.05 $18.05 $21.45 N/A N/A N/A N/A $18.05 $14.44 $21.45 N/A $21.45 $17.16 N/A $16.99 $14.87 $14.87 $21.45 $14.44 $21.45
4000541 WRIST SPLINT RIGHT LG N/A $21.24 $16.99 $18.05 $18.05 $18.05 $21.45 N/A N/A N/A N/A $18.05 $14.44 $21.45 N/A $21.45 $17.16 N/A $16.99 $14.87 $14.87 $21.45 $14.44 $21.45
4000542 DAILY BED ALARM (1 PER DAY) N/A $33.00 $26.40 $28.05 $28.05 $28.05 $33.33 N/A N/A N/A N/A $28.05 $22.44 $33.33 N/A $33.33 $26.66 N/A $26.40 $23.10 $23.10 $33.33 $22.44 $33.33
4000543 WRIST SPLINT RIGHT XL N/A $21.24 $16.99 $18.05 $18.05 $18.05 $21.45 N/A N/A N/A N/A $18.05 $14.44 $21.45 N/A $21.45 $17.16 N/A $16.99 $14.87 $14.87 $21.45 $14.44 $21.45
4000548 C-COLLAR PEDIATRIC ADJUSTABLE N/A $31.32 $25.06 $26.62 $26.62 $26.62 $31.63 N/A N/A N/A N/A $26.62 $21.30 $31.63 N/A $31.63 $25.31 N/A $25.06 $21.92 $21.92 $31.63 $21.30 $31.63
4000549 C-COLLAR ADULT ADJUSTABLE N/A $31.32 $25.06 $26.62 $26.62 $26.62 $31.63 N/A N/A N/A N/A $26.62 $21.30 $31.63 N/A $31.63 $25.31 N/A $25.06 $21.92 $21.92 $31.63 $21.30 $31.63
4000557 C-COLLAR LOW CONTOUR LG MEDIUM DENSITY N/A $8.64 $6.91 $7.34 $7.34 $7.34 $8.73 N/A N/A N/A N/A $7.34 $5.88 $8.73 N/A $8.73 $6.98 N/A $6.91 $6.05 $6.05 $8.73 $5.88 $8.73
4000560 MORGAN LENS DELIVERY TUBING SET N/A $17.13 $13.70 $14.56 $14.56 $14.56 $17.30 N/A N/A N/A N/A $14.56 $11.65 $17.30 N/A $17.30 $13.84 N/A $13.70 $11.99 $11.99 $17.30 $11.65 $17.30
4000561 SUTURE 3-0 VICRYL J497G N/A $31.08 $24.86 $26.42 $26.42 $26.42 $31.39 N/A N/A N/A N/A $26.42 $21.13 $31.39 N/A $31.39 $25.11 N/A $24.86 $21.76 $21.76 $31.39 $21.13 $31.39
4000567 CLAVICLE STRAP XS N/A $18.24 $14.59 $15.50 $15.50 $15.50 $18.42 N/A N/A N/A N/A $15.50 $12.40 $18.42 N/A $18.42 $14.74 N/A $14.59 $12.77 $12.77 $18.42 $12.40 $18.42
4000571 HIP KIT N/A $116.91 $93.53 $99.37 $99.37 $99.37 $118.08 N/A N/A N/A N/A $99.37 $79.50 $118.08 N/A $118.08 $94.46 N/A $93.53 $81.84 $81.84 $118.08 $79.50 $118.08
4000572 ENTERAL PISTON SYRINGE N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000573 SUCTION CATHETER KIT 10FR N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000574 SUCTION CATHETER KIT 12FR N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000576 TUBING O2 SUPPLY 25FT N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000578 NASAL SPECULUM N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000579 CAPNOGRAPHY FILTER LINE INTUBATED N/A $28.02 $22.42 $23.82 $23.82 $23.82 $28.30 N/A N/A N/A N/A $23.82 $19.05 $28.30 N/A $28.30 $22.64 N/A $22.42 $19.61 $19.61 $28.30 $19.05 $28.30
4000585 CLEANSER ANTIMICROBIAL N/A $5.94 $4.75 $5.05 $5.05 $5.05 $6.00 N/A N/A N/A N/A $5.05 $4.04 $6.00 N/A $6.00 $4.80 N/A $4.75 $4.16 $4.16 $6.00 $4.04 $6.00
4000588 FINGER SPLINT 4 PRONG LARGE N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000593 SAND BED-CLINITRON PER DAY N/A $285.00 $228.00 $242.25 $242.25 $242.25 $287.85 N/A N/A N/A N/A $242.25 $193.80 $287.85 N/A $287.85 $230.28 N/A $228.00 $199.50 $199.50 $287.85 $193.80 $287.85
4000594 LOW AIR LOSS MATTRESS PER DAY N/A $36.00 $28.80 $30.60 $30.60 $30.60 $36.36 N/A N/A N/A N/A $30.60 $24.48 $36.36 N/A $36.36 $29.09 N/A $28.80 $25.20 $25.20 $36.36 $24.48 $36.36
4000596 TRAPEZE N/A $28.80 $23.04 $24.48 $24.48 $24.48 $29.09 N/A N/A N/A N/A $24.48 $19.58 $29.09 N/A $29.09 $23.27 N/A $23.04 $20.16 $20.16 $29.09 $19.58 $29.09
4000597 VAC DRESSING GRANUFOAM LARGE N/A $162.50 $130.00 $138.13 $138.13 $138.13 $164.13 N/A N/A N/A N/A $138.13 $110.50 $164.13 N/A $164.13 $131.30 N/A $130.00 $113.75 $113.75 $164.13 $110.50 $164.13
4000598 SLIPPER SOCK LARGE N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000599 SLIPPER SOCK MEDIUM N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000600 ADMIT KIT N/A $9.00 $7.20 $7.65 $7.65 $7.65 $9.09 N/A N/A N/A N/A $7.65 $6.12 $9.09 N/A $9.09 $7.27 N/A $7.20 $6.30 $6.30 $9.09 $6.12 $9.09
4000607 SLIPPER SOCK SMALL N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000609 BASIN WASH DISPOSABLE N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000610 DERMABOND N/A $86.25 $69.00 $73.31 $73.31 $73.31 $87.11 N/A N/A N/A N/A $73.31 $58.65 $87.11 N/A $87.11 $69.69 N/A $69.00 $60.38 $60.38 $87.11 $58.65 $87.11
4000613 STOMAHESIVE POWDER N/A $10.89 $8.71 $9.26 $9.26 $9.26 $11.00 N/A N/A N/A N/A $9.26 $7.41 $11.00 N/A $11.00 $8.80 N/A $8.71 $7.62 $7.62 $11.00 $7.41 $11.00
4000614 FECAL MANAGEMENT SYSTEM KIT N/A $821.64 $657.31 $698.39 $698.39 $698.39 $829.86 N/A N/A N/A N/A $698.39 $558.72 $829.86 N/A $829.86 $663.89 N/A $657.31 $575.15 $575.15 $829.86 $558.72 $829.86
4000615 BP MONITOR DISPOSABLE N/A $56.75 $45.40 $48.24 $48.24 $48.24 $57.32 N/A N/A N/A N/A $48.24 $38.59 $57.32 N/A $57.32 $45.85 N/A $45.40 $39.73 $39.73 $57.32 $38.59 $57.32
4000616 PEAK FLOW METER N/A $33.57 $26.86 $28.53 $28.53 $28.53 $33.91 N/A N/A N/A N/A $28.53 $22.83 $33.91 N/A $33.91 $27.12 N/A $26.86 $23.50 $23.50 $33.91 $22.83 $33.91
4000619 WOUND VAC MACHINE PER DAY N/A $174.57 $139.66 $148.38 $148.38 $148.38 $176.32 N/A N/A N/A N/A $148.38 $118.71 $176.32 N/A $176.32 $141.05 N/A $139.66 $122.20 $122.20 $176.32 $118.71 $176.32
4000620 ARMBOARD BENDABLE LARGE N/A $20.16 $16.13 $17.14 $17.14 $17.14 $20.36 N/A N/A N/A N/A $17.14 $13.71 $20.36 N/A $20.36 $16.29 N/A $16.13 $14.11 $14.11 $20.36 $13.71 $20.36
4000621 CATHETER STRAP N/A $8.64 $6.91 $7.34 $7.34 $7.34 $8.73 N/A N/A N/A N/A $7.34 $5.88 $8.73 N/A $8.73 $6.98 N/A $6.91 $6.05 $6.05 $8.73 $5.88 $8.73
4000622 12 LEAD EKG ULTRA II ELECTRODES N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000623 CATH SECURE TUBE HOLDER N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000625 PACKING STRIP AMD 1/4 X 1 YD N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000626 CHEST DRAIN VALVE HEIMLICH N/A $70.50 $56.40 $59.93 $59.93 $59.93 $71.21 N/A N/A N/A N/A $59.93 $47.94 $71.21 N/A $71.21 $56.96 N/A $56.40 $49.35 $49.35 $71.21 $47.94 $71.21
4000627 CLOSED TRACH SUCTION W/T-PI BALLARD 14FR N/A $39.54 $31.63 $33.61 $33.61 $33.61 $39.94 N/A N/A N/A N/A $33.61 $26.89 $39.94 N/A $39.94 $31.95 N/A $31.63 $27.68 $27.68 $39.94 $26.89 $39.94
4000628 ENDOSCOPE BEDSIDE PRE-WASH KIT/EP-3 N/A $1.18 $0.94 $1.00 $1.00 $1.00 $1.19 N/A N/A N/A N/A $1.00 $0.80 $1.19 N/A $1.19 $0.95 N/A $0.94 $0.83 $0.83 $1.19 $0.80 $1.19
4000647 SUTURE 0 VICRYL J496H N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000649 SUTURE 1-0 VICRYL J371H N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000660 EYE PADS-SMALL N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000663 SUTURE 6-0 PROLENE 8695G N/A $11.40 $9.12 $9.69 $9.69 $9.69 $11.51 N/A N/A N/A N/A $9.69 $7.75 $11.51 N/A $11.51 $9.21 N/A $9.12 $7.98 $7.98 $11.51 $7.75 $11.51
4000666 SUTURE 5-0 PLAIN GUT H820G N/A $6.00 $4.80 $5.10 $5.10 $5.10 $6.06 N/A N/A N/A N/A $5.10 $4.08 $6.06 N/A $6.06 $4.85 N/A $4.80 $4.20 $4.20 $6.06 $4.08 $6.06
4000669 ARMBOARD BENDABLE MEDIUM N/A $16.05 $12.84 $13.64 $13.64 $13.64 $16.21 N/A N/A N/A N/A $13.64 $10.91 $16.21 N/A $16.21 $12.97 N/A $12.84 $11.24 $11.24 $16.21 $10.91 $16.21
4000670 EAR WICK N/A $7.25 $5.80 $6.16 $6.16 $6.16 $7.32 N/A N/A N/A N/A $6.16 $4.93 $7.32 N/A $7.32 $5.86 N/A $5.80 $5.08 $5.08 $7.32 $4.93 $7.32
4000678 PEDIATRIC URINE COLLECTOR N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000679 ARMBOARD BENDABLE SMALL N/A $14.34 $11.47 $12.19 $12.19 $12.19 $14.48 N/A N/A N/A N/A $12.19 $9.75 $14.48 N/A $14.48 $11.59 N/A $11.47 $10.04 $10.04 $14.48 $9.75 $14.48
4000690 SUTURE 0 ETHILON L880G N/A $10.11 $8.09 $8.59 $8.59 $8.59 $10.21 N/A N/A N/A N/A $8.59 $6.87 $10.21 N/A $10.21 $8.17 N/A $8.09 $7.08 $7.08 $10.21 $6.87 $10.21
4000691 SUTURE 2-0 ETHILON 664G N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000694 SUTURE 4-0 ETHILON 699H N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4000695 SUTURE 6-0 ETHILON 1665G N/A $11.00 $8.80 $9.35 $9.35 $9.35 $11.11 N/A N/A N/A N/A $9.35 $7.48 $11.11 N/A $11.11 $8.89 N/A $8.80 $7.70 $7.70 $11.11 $7.48 $11.11
4000706 COMBITUBE N/A $45.12 $36.10 $38.35 $38.35 $38.35 $45.57 N/A N/A N/A N/A $38.35 $30.68 $45.57 N/A $45.57 $36.46 N/A $36.10 $31.58 $31.58 $45.57 $30.68 $45.57
4000709 ORTHO GLASS 5INCH/1-12 IN N/A $35.43 $28.34 $30.12 $30.12 $30.12 $35.78 N/A N/A N/A N/A $30.12 $24.09 $35.78 N/A $35.78 $28.63 N/A $28.34 $24.80 $24.80 $35.78 $24.09 $35.78
4000710 ORTHO GLASS 5INCH/12-24 IN N/A $70.86 $56.69 $60.23 $60.23 $60.23 $71.57 N/A N/A N/A N/A $60.23 $48.18 $71.57 N/A $71.57 $57.25 N/A $56.69 $49.60 $49.60 $71.57 $48.18 $71.57
4000716 THUMB SPICA SM/MD RIGHT N/A $34.11 $27.29 $28.99 $28.99 $28.99 $34.45 N/A N/A N/A N/A $28.99 $23.19 $34.45 N/A $34.45 $27.56 N/A $27.29 $23.88 $23.88 $34.45 $23.19 $34.45
4000717 THUMB SPICA LG/XLG RIGHT N/A $34.11 $27.29 $28.99 $28.99 $28.99 $34.45 N/A N/A N/A N/A $28.99 $23.19 $34.45 N/A $34.45 $27.56 N/A $27.29 $23.88 $23.88 $34.45 $23.19 $34.45
4000719 IV CATHETER 16G N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000720 IV CATHETER 18G N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000721 IV CATHETER 22G N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000722 IV CATHETER 24G N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000724 DRESSING CALCIUM ALGINATE W/SILVER N/A $23.85 $19.08 $20.27 $20.27 $20.27 $24.09 N/A N/A N/A N/A $20.27 $16.22 $24.09 N/A $24.09 $19.27 N/A $19.08 $16.70 $16.70 $24.09 $16.22 $24.09
4000725 DRESSING AQUACEL AG 4X4 N/A $35.34 $28.27 $30.04 $30.04 $30.04 $35.69 N/A N/A N/A N/A $30.04 $24.03 $35.69 N/A $35.69 $28.55 N/A $28.27 $24.74 $24.74 $35.69 $24.03 $35.69
4000726 BP CUFF DISP ADULT REGULAR N/A $7.50 $6.00 $6.38 $6.38 $6.38 $7.58 N/A N/A N/A N/A $6.38 $5.10 $7.58 N/A $7.58 $6.06 N/A $6.00 $5.25 $5.25 $7.58 $5.10 $7.58
4000727 BP CUFF DISP ADULT LONG N/A $8.13 $6.50 $6.91 $6.91 $6.91 $8.21 N/A N/A N/A N/A $6.91 $5.53 $8.21 N/A $8.21 $6.57 N/A $6.50 $5.69 $5.69 $8.21 $5.53 $8.21
4000728 BP CUFF DISP PEDIATRIC N/A $6.36 $5.09 $5.41 $5.41 $5.41 $6.42 N/A N/A N/A N/A $5.41 $4.32 $6.42 N/A $6.42 $5.14 N/A $5.09 $4.45 $4.45 $6.42 $4.32 $6.42
4000729 BP CUFF DISP THIGH N/A $11.55 $9.24 $9.82 $9.82 $9.82 $11.67 N/A N/A N/A N/A $9.82 $7.85 $11.67 N/A $11.67 $9.33 N/A $9.24 $8.09 $8.09 $11.67 $7.85 $11.67
4000730 POST OP SHOE FEMALE LG N/A $14.31 $11.45 $12.16 $12.16 $12.16 $14.45 N/A N/A N/A N/A $12.16 $9.73 $14.45 N/A $14.45 $11.56 N/A $11.45 $10.02 $10.02 $14.45 $9.73 $14.45
4000731 POST OP SHOE FEMALE MED N/A $14.31 $11.45 $12.16 $12.16 $12.16 $14.45 N/A N/A N/A N/A $12.16 $9.73 $14.45 N/A $14.45 $11.56 N/A $11.45 $10.02 $10.02 $14.45 $9.73 $14.45
4000732 POST OP SHOW FEMALE SM N/A $14.31 $11.45 $12.16 $12.16 $12.16 $14.45 N/A N/A N/A N/A $12.16 $9.73 $14.45 N/A $14.45 $11.56 N/A $11.45 $10.02 $10.02 $14.45 $9.73 $14.45
4000734 POST OP SHOE MALE LG N/A $14.31 $11.45 $12.16 $12.16 $12.16 $14.45 N/A N/A N/A N/A $12.16 $9.73 $14.45 N/A $14.45 $11.56 N/A $11.45 $10.02 $10.02 $14.45 $9.73 $14.45
4000736 POST OP SHOE MALE SM N/A $14.31 $11.45 $12.16 $12.16 $12.16 $14.45 N/A N/A N/A N/A $12.16 $9.73 $14.45 N/A $14.45 $11.56 N/A $11.45 $10.02 $10.02 $14.45 $9.73 $14.45
4000737 POST OP SHOE MALE XL N/A $18.18 $14.54 $15.45 $15.45 $15.45 $18.36 N/A N/A N/A N/A $15.45 $12.36 $18.36 N/A $18.36 $14.69 N/A $14.54 $12.73 $12.73 $18.36 $12.36 $18.36
4000738 PULSE OXIMETRY N/A $58.25 $46.60 $49.51 $49.51 $49.51 $58.83 N/A N/A N/A N/A $49.51 $39.61 $58.83 N/A $58.83 $47.07 N/A $46.60 $40.78 $40.78 $58.83 $39.61 $58.83
4000739 RAPID RHINO 5.5CM LUMEN ANTERIOR N/A $113.10 $90.48 $96.14 $96.14 $96.14 $114.23 N/A N/A N/A N/A $96.14 $76.91 $114.23 N/A $114.23 $91.38 N/A $90.48 $79.17 $79.17 $114.23 $76.91 $114.23
4000741 COLOSTOMY POUCH 70MM W/FILTER N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000745 FOLEY CATHETER 16FR 5CC 2 WAY N/A $27.63 $22.10 $23.49 $23.49 $23.49 $27.91 N/A N/A N/A N/A $23.49 $18.79 $27.91 N/A $27.91 $22.33 N/A $22.10 $19.34 $19.34 $27.91 $18.79 $27.91
4000748 SAM SPLINT 5.5X36 N/A $94.08 $75.26 $79.97 $79.97 $79.97 $95.02 N/A N/A N/A N/A $79.97 $63.97 $95.02 N/A $95.02 $76.02 N/A $75.26 $65.86 $65.86 $95.02 $63.97 $95.02
4000749 POST OP SHOE MALE XS N/A $13.53 $10.82 $11.50 $11.50 $11.50 $13.67 N/A N/A N/A N/A $11.50 $9.20 $13.67 N/A $13.67 $10.93 N/A $10.82 $9.47 $9.47 $13.67 $9.20 $13.67
4000751 MITTS MESH BACK/NO FINGER SEPERATORS N/A $56.10 $44.88 $47.69 $47.69 $47.69 $56.66 N/A N/A N/A N/A $47.69 $38.15 $56.66 N/A $56.66 $45.33 N/A $44.88 $39.27 $39.27 $56.66 $38.15 $56.66
4000752 IMMERSION AIR FLUIDIZATION MATTRESS N/A $135.00 $108.00 $114.75 $114.75 $114.75 $136.35 N/A N/A N/A N/A $114.75 $91.80 $136.35 N/A $136.35 $109.08 N/A $108.00 $94.50 $94.50 $136.35 $91.80 $136.35
4000754 FLEX RPF2 BARI PLATFORM BED N/A $299.70 $239.76 $254.75 $254.75 $254.75 $302.70 N/A N/A N/A N/A $254.75 $203.80 $302.70 N/A $302.70 $242.16 N/A $239.76 $209.79 $209.79 $302.70 $203.80 $302.70
4000755 DRESSING AQUACEL AG 3.5X6 N/A $95.31 $76.25 $81.01 $81.01 $81.01 $96.26 N/A N/A N/A N/A $81.01 $64.81 $96.26 N/A $96.26 $77.01 N/A $76.25 $66.72 $66.72 $96.26 $64.81 $96.26
4000757 TUBIGRIP SIZE G 12-24 INCHES N/A $5.98 $4.78 $5.08 $5.08 $5.08 $6.04 N/A N/A N/A N/A $5.08 $4.07 $6.04 N/A $6.04 $4.83 N/A $4.78 $4.19 $4.19 $6.04 $4.07 $6.04
4000758 PILL SPLITTER/CRUSHER N/A $16.17 $12.94 $13.74 $13.74 $13.74 $16.33 N/A N/A N/A N/A $13.74 $11.00 $16.33 N/A $16.33 $13.07 N/A $12.94 $11.32 $11.32 $16.33 $11.00 $16.33
4000759 KANGAROO FEEDING BAG W/FLUSH N/A $17.16 $13.73 $14.59 $14.59 $14.59 $17.33 N/A N/A N/A N/A $14.59 $11.67 $17.33 N/A $17.33 $13.87 N/A $13.73 $12.01 $12.01 $17.33 $11.67 $17.33
4000760 BARRIER CREAM N/A $15.54 $12.43 $13.21 $13.21 $13.21 $15.70 N/A N/A N/A N/A $13.21 $10.57 $15.70 N/A $15.70 $12.56 N/A $12.43 $10.88 $10.88 $15.70 $10.57 $15.70
4000761 DRESSING ALGISITE M 4X4 CA W/O SILVER N/A $22.47 $17.98 $19.10 $19.10 $19.10 $22.69 N/A N/A N/A N/A $19.10 $15.28 $22.69 N/A $22.69 $18.16 N/A $17.98 $15.73 $15.73 $22.69 $15.28 $22.69
4000764 DRESSING TRIACT 4X5 N/A $36.93 $29.54 $31.39 $31.39 $31.39 $37.30 N/A N/A N/A N/A $31.39 $25.11 $37.30 N/A $37.30 $29.84 N/A $29.54 $25.85 $25.85 $37.30 $25.11 $37.30
4000765 DRESSING HYDROFERA BLUE 2.5 X 2.5 N/A $45.15 $36.12 $38.38 $38.38 $38.38 $45.60 N/A N/A N/A N/A $38.38 $30.70 $45.60 N/A $45.60 $36.48 N/A $36.12 $31.61 $31.61 $45.60 $30.70 $45.60
4000767 CATHETER URETHRAL ROBINSON 16FR N/A $1.89 $1.51 $1.61 $1.61 $1.61 $1.91 N/A N/A N/A N/A $1.61 $1.29 $1.91 N/A $1.91 $1.53 N/A $1.51 $1.32 $1.32 $1.91 $1.29 $1.91
4000769 LMA SZ 3-LARYNGEAL MASK AIRWAY N/A $29.85 $23.88 $25.37 $25.37 $25.37 $30.15 N/A N/A N/A N/A $25.37 $20.30 $30.15 N/A $30.15 $24.12 N/A $23.88 $20.90 $20.90 $30.15 $20.30 $30.15
4000770 LMA SZ 4-LARYNGEAL MASK AIRWAY N/A $29.85 $23.88 $25.37 $25.37 $25.37 $30.15 N/A N/A N/A N/A $25.37 $20.30 $30.15 N/A $30.15 $24.12 N/A $23.88 $20.90 $20.90 $30.15 $20.30 $30.15
4000773 SCD- SEQUENTIAL COMPRESSION DEVICE N/A $17.85 $14.28 $15.17 $15.17 $15.17 $18.03 N/A N/A N/A N/A $15.17 $12.14 $18.03 N/A $18.03 $14.42 N/A $14.28 $12.50 $12.50 $18.03 $12.14 $18.03
4000774 DRESSING MEPILEX AG BORDER 4X4 N/A $41.88 $33.50 $35.60 $35.60 $35.60 $42.30 N/A N/A N/A N/A $35.60 $28.48 $42.30 N/A $42.30 $33.84 N/A $33.50 $29.32 $29.32 $42.30 $28.48 $42.30
4000775 LOPEZ VALVE N/A $4.95 $3.96 $4.21 $4.21 $4.21 $5.00 N/A N/A N/A N/A $4.21 $3.37 $5.00 N/A $5.00 $4.00 N/A $3.96 $3.47 $3.47 $5.00 $3.37 $5.00
4000776 DRESSING INTERDRY 10INX144IN 1-12INCHES N/A $18.00 $14.40 $15.30 $15.30 $15.30 $18.18 N/A N/A N/A N/A $15.30 $12.24 $18.18 N/A $18.18 $14.54 N/A $14.40 $12.60 $12.60 $18.18 $12.24 $18.18
4000777 DRESSING INTERDRY 10INX144IN 12-24INCHES N/A $36.00 $28.80 $30.60 $30.60 $30.60 $36.36 N/A N/A N/A N/A $30.60 $24.48 $36.36 N/A $36.36 $29.09 N/A $28.80 $25.20 $25.20 $36.36 $24.48 $36.36
4000778 SHOULDER IMMOBILIZER PEDIATRIC XS N/A $40.92 $32.74 $34.78 $34.78 $34.78 $41.33 N/A N/A N/A N/A $34.78 $27.83 $41.33 N/A $41.33 $33.06 N/A $32.74 $28.64 $28.64 $41.33 $27.83 $41.33
4000779 VIDEO LARYNGOSCOPE SHEATH SIZE 3 N/A $30.00 $24.00 $25.50 $25.50 $25.50 $30.30 N/A N/A N/A N/A $25.50 $20.40 $30.30 N/A $30.30 $24.24 N/A $24.00 $21.00 $21.00 $30.30 $20.40 $30.30
4000780 VIDEO LARYNGOSCOPE SHEATH SIZE 4 N/A $30.00 $24.00 $25.50 $25.50 $25.50 $30.30 N/A N/A N/A N/A $25.50 $20.40 $30.30 N/A $30.30 $24.24 N/A $24.00 $21.00 $21.00 $30.30 $20.40 $30.30
4000781 C-PAP DAILY RENTAL UHS N/A $6.36 $5.09 $5.41 $5.41 $5.41 $6.42 N/A N/A N/A N/A $5.41 $4.32 $6.42 N/A $6.42 $5.14 N/A $5.09 $4.45 $4.45 $6.42 $4.32 $6.42
4000782 AQUAPAK 700 STERILE WATER 760ML 037-00 N/A $2.79 $2.23 $2.37 $2.37 $2.37 $2.82 N/A N/A N/A N/A $2.37 $1.90 $2.82 N/A $2.82 $2.25 N/A $2.23 $1.95 $1.95 $2.82 $1.90 $2.82
4000783 DRESSING ALLEVYN TRACH NON-ADHESIVE N/A $10.17 $8.14 $8.64 $8.64 $8.64 $10.27 N/A N/A N/A N/A $8.64 $6.92 $10.27 N/A $10.27 $8.22 N/A $8.14 $7.12 $7.12 $10.27 $6.92 $10.27
4000784 ON CARE HARMONY HI-LO BED FRAME PER DAY N/A $84.00 $67.20 $71.40 $71.40 $71.40 $84.84 N/A N/A N/A N/A $71.40 $57.12 $84.84 N/A $84.84 $67.87 N/A $67.20 $58.80 $58.80 $84.84 $57.12 $84.84
4000785 CENTURY 1400 LAL MATTRESS PER DAY N/A $45.00 $36.00 $38.25 $38.25 $38.25 $45.45 N/A N/A N/A N/A $38.25 $30.60 $45.45 N/A $45.45 $36.36 N/A $36.00 $31.50 $31.50 $45.45 $30.60 $45.45
4000786 NASAL CANNULA O2 HIGH FLOW 7FT N/A $5.67 $4.54 $4.82 $4.82 $4.82 $5.73 N/A N/A N/A N/A $4.82 $3.86 $5.73 N/A $5.73 $4.58 N/A $4.54 $3.97 $3.97 $5.73 $3.86 $5.73
4000787 SPONGE GAUZE IV DRAIN 4X4 N/A $9.75 $7.80 $8.29 $8.29 $8.29 $9.85 N/A N/A N/A N/A $8.29 $6.63 $9.85 N/A $9.85 $7.88 N/A $7.80 $6.83 $6.83 $9.85 $6.63 $9.85
4000788 SENTINEL II BARIATRIC LO BED PER DAY N/A $135.00 $108.00 $114.75 $114.75 $114.75 $136.35 N/A N/A N/A N/A $114.75 $91.80 $136.35 N/A $136.35 $109.08 N/A $108.00 $94.50 $94.50 $136.35 $91.80 $136.35
4000789 BARIATRIC BED TRAPEZE PER DAY N/A $45.00 $36.00 $38.25 $38.25 $38.25 $45.45 N/A N/A N/A N/A $38.25 $30.60 $45.45 N/A $45.45 $36.36 N/A $36.00 $31.50 $31.50 $45.45 $30.60 $45.45
4000790 BARIATRIC COMMODE PER DAY N/A $30.00 $24.00 $25.50 $25.50 $25.50 $30.30 N/A N/A N/A N/A $25.50 $20.40 $30.30 N/A $30.30 $24.24 N/A $24.00 $21.00 $21.00 $30.30 $20.40 $30.30
4000791 SCD SLEEVES KNEE MEDIUM N/A $126.51 $101.21 $107.53 $107.53 $107.53 $127.78 N/A N/A N/A N/A $107.53 $86.03 $127.78 N/A $127.78 $102.22 N/A $101.21 $88.56 $88.56 $127.78 $86.03 $127.78
4000792 SCD SLEEVES KNEE LARGE N/A $179.82 $143.86 $152.85 $152.85 $152.85 $181.62 N/A N/A N/A N/A $152.85 $122.28 $181.62 N/A $181.62 $145.29 N/A $143.86 $125.87 $125.87 $181.62 $122.28 $181.62
4000793 CIRCUIT BIPAP VISION N/A $20.13 $16.10 $17.11 $17.11 $17.11 $20.33 N/A N/A N/A N/A $17.11 $13.69 $20.33 N/A $20.33 $16.27 N/A $16.10 $14.09 $14.09 $20.33 $13.69 $20.33
4000794 CONNECTOR VENT OMNIFLEX N/A $2.04 $1.63 $1.73 $1.73 $1.73 $2.06 N/A N/A N/A N/A $1.73 $1.39 $2.06 N/A $2.06 $1.65 N/A $1.63 $1.43 $1.43 $2.06 $1.39 $2.06
4000795 FILTER BACTERIAL/VIRAL N/A $2.01 $1.61 $1.71 $1.71 $1.71 $2.03 N/A N/A N/A N/A $1.71 $1.37 $2.03 N/A $2.03 $1.62 N/A $1.61 $1.41 $1.41 $2.03 $1.37 $2.03
4000796 HEAT MOISTURE EXCHANGER- HME N/A $5.01 $4.01 $4.26 $4.26 $4.26 $5.06 N/A N/A N/A N/A $4.26 $3.41 $5.06 N/A $5.06 $4.05 N/A $4.01 $3.51 $3.51 $5.06 $3.41 $5.06
4000797 IV EXT SET FILTERED 0.2 MICRON N/A $10.32 $8.26 $8.77 $8.77 $8.77 $10.42 N/A N/A N/A N/A $8.77 $7.02 $10.42 N/A $10.42 $8.34 N/A $8.26 $7.22 $7.22 $10.42 $7.02 $10.42
4000798 IV EXT SET FILTERED 1.2 MICRON N/A $12.63 $10.10 $10.74 $10.74 $10.74 $12.76 N/A N/A N/A N/A $10.74 $8.59 $12.76 N/A $12.76 $10.21 N/A $10.10 $8.84 $8.84 $12.76 $8.59 $12.76
4000799 ADAPTER CUFF 15MM ID N/A $1.00 $0.80 $0.85 $0.85 $0.85 $1.01 N/A N/A N/A N/A $0.85 $0.68 $1.01 N/A $1.01 $0.81 N/A $0.80 $0.70 $0.70 $1.01 $0.68 $1.01
4000800 BED ALARM SENSORMAT N/A $104.00 $83.20 $88.40 $88.40 $88.40 $105.04 N/A N/A N/A N/A $88.40 $70.72 $105.04 N/A $105.04 $84.03 N/A $83.20 $72.80 $72.80 $105.04 $70.72 $105.04
4000801 ADAPTER CUFF 22MM ID N/A $1.00 $0.80 $0.85 $0.85 $0.85 $1.01 N/A N/A N/A N/A $0.85 $0.68 $1.01 N/A $1.01 $0.81 N/A $0.80 $0.70 $0.70 $1.01 $0.68 $1.01
4000802 BIPAP MASK W/HEADGEAR SMALL N/A $294.00 $235.20 $249.90 $249.90 $249.90 $296.94 N/A N/A N/A N/A $249.90 $199.92 $296.94 N/A $296.94 $237.55 N/A $235.20 $205.80 $205.80 $296.94 $199.92 $296.94
4000803 BIPAP MASK W/HEADGEAR LARGE N/A $294.00 $235.20 $249.90 $249.90 $249.90 $296.94 N/A N/A N/A N/A $249.90 $199.92 $296.94 N/A $296.94 $237.55 N/A $235.20 $205.80 $205.80 $296.94 $199.92 $296.94
4000804 FREE STANDING TRAPEZE N/A $36.00 $28.80 $30.60 $30.60 $30.60 $36.36 N/A N/A N/A N/A $30.60 $24.48 $36.36 N/A $36.36 $29.09 N/A $28.80 $25.20 $25.20 $36.36 $24.48 $36.36
4000806 GAUZE 4X4 STERILE N/A $1.00 $0.80 $0.85 $0.85 $0.85 $1.01 N/A N/A N/A N/A $0.85 $0.68 $1.01 N/A $1.01 $0.81 N/A $0.80 $0.70 $0.70 $1.01 $0.68 $1.01
4000807 STERILE WATER FOR INHALATION N/A $4.14 $3.31 $3.52 $3.52 $3.52 $4.18 N/A N/A N/A N/A $3.52 $2.82 $4.18 N/A $4.18 $3.35 N/A $3.31 $2.90 $2.90 $4.18 $2.82 $4.18
4000808 ADAPTER PRESSURE LINE N/A $1.08 $0.86 $0.92 $0.92 $0.92 $1.09 N/A N/A N/A N/A $0.92 $0.73 $1.09 N/A $1.09 $0.87 N/A $0.86 $0.76 $0.76 $1.09 $0.73 $1.09
4000809 SHILEY TRACH TUBE SZ 4 CUFFED N/A $162.57 $130.06 $138.18 $138.18 $138.18 $164.20 N/A N/A N/A N/A $138.18 $110.55 $164.20 N/A $164.20 $131.36 N/A $130.06 $113.80 $113.80 $164.20 $110.55 $164.20
4000810 SHILEY TRACH TUBE SZ 4 UNCUFFED N/A $146.22 $116.98 $124.29 $124.29 $124.29 $147.68 N/A N/A N/A N/A $124.29 $99.43 $147.68 N/A $147.68 $118.15 N/A $116.98 $102.35 $102.35 $147.68 $99.43 $147.68
4000811 SHILEY TRACH TUBE SZ 6 CUFFED N/A $162.57 $130.06 $138.18 $138.18 $138.18 $164.20 N/A N/A N/A N/A $138.18 $110.55 $164.20 N/A $164.20 $131.36 N/A $130.06 $113.80 $113.80 $164.20 $110.55 $164.20
4000812 SHILEY TRACH TUBE SZ 6 UNCUFFED N/A $146.22 $116.98 $124.29 $124.29 $124.29 $147.68 N/A N/A N/A N/A $124.29 $99.43 $147.68 N/A $147.68 $118.15 N/A $116.98 $102.35 $102.35 $147.68 $99.43 $147.68
4000813 SHILEY TRACH TUBE SZ 8 CUFFED N/A $162.57 $130.06 $138.18 $138.18 $138.18 $164.20 N/A N/A N/A N/A $138.18 $110.55 $164.20 N/A $164.20 $131.36 N/A $130.06 $113.80 $113.80 $164.20 $110.55 $164.20
4000815 SHILEY INNER CANNULA DISP SIZE 4 N/A $13.89 $11.11 $11.81 $11.81 $11.81 $14.03 N/A N/A N/A N/A $11.81 $9.45 $14.03 N/A $14.03 $11.22 N/A $11.11 $9.72 $9.72 $14.03 $9.45 $14.03
4000816 SHILEY INNER CANNULA DISP SIZE 6 N/A $13.89 $11.11 $11.81 $11.81 $11.81 $14.03 N/A N/A N/A N/A $11.81 $9.45 $14.03 N/A $14.03 $11.22 N/A $11.11 $9.72 $9.72 $14.03 $9.45 $14.03
4000817 SHILEY INNER CANNULA DISP SIZE 8 N/A $13.89 $11.11 $11.81 $11.81 $11.81 $14.03 N/A N/A N/A N/A $11.81 $9.45 $14.03 N/A $14.03 $11.22 N/A $11.11 $9.72 $9.72 $14.03 $9.45 $14.03
4000818 SHILEY RED CAP DECANNULATION PLUG N/A $15.81 $12.65 $13.44 $13.44 $13.44 $15.97 N/A N/A N/A N/A $13.44 $10.75 $15.97 N/A $15.97 $12.77 N/A $12.65 $11.07 $11.07 $15.97 $10.75 $15.97
4000819 UHS BARIATRIC BEDFRAME PER DAY N/A $75.00 $60.00 $63.75 $63.75 $63.75 $75.75 N/A N/A N/A N/A $63.75 $51.00 $75.75 N/A $75.75 $60.60 N/A $60.00 $52.50 $52.50 $75.75 $51.00 $75.75
4000820 HME/FILTER BACTERIAL VIRAL N/A $7.89 $6.31 $6.71 $6.71 $6.71 $7.97 N/A N/A N/A N/A $6.71 $5.37 $7.97 N/A $7.97 $6.38 N/A $6.31 $5.52 $5.52 $7.97 $5.37 $7.97
4000821 HUMIDIFIER BUBBLE N/A $12.75 $10.20 $10.84 $10.84 $10.84 $12.88 N/A N/A N/A N/A $10.84 $8.67 $12.88 N/A $12.88 $10.30 N/A $10.20 $8.93 $8.93 $12.88 $8.67 $12.88
4000822 SUCTION CATHETER KIT 5FR N/A $5.49 $4.39 $4.67 $4.67 $4.67 $5.54 N/A N/A N/A N/A $4.67 $3.73 $5.54 N/A $5.54 $4.44 N/A $4.39 $3.84 $3.84 $5.54 $3.73 $5.54
4000824 INHALATION WATER 1000ML BAG N/A $5.76 $4.61 $4.90 $4.90 $4.90 $5.82 N/A N/A N/A N/A $4.90 $3.92 $5.82 N/A $5.82 $4.65 N/A $4.61 $4.03 $4.03 $5.82 $3.92 $5.82
4000825 INVALID RING VINYL 14.5IN INFLATABLE N/A $4.50 $3.60 $3.83 $3.83 $3.83 $4.55 N/A N/A N/A N/A $3.83 $3.06 $4.55 N/A $4.55 $3.64 N/A $3.60 $3.15 $3.15 $4.55 $3.06 $4.55
4000826 PASSY-MUIR SPEAKING VALVE AQUA N/A $389.97 $311.98 $331.47 $331.47 $331.47 $393.87 N/A N/A N/A N/A $331.47 $265.18 $393.87 N/A $393.87 $315.10 N/A $311.98 $272.98 $272.98 $393.87 $265.18 $393.87
4000827 OXYMIZER CANNULA TUBING N/A $71.25 $57.00 $60.56 $60.56 $60.56 $71.96 N/A N/A N/A N/A $60.56 $48.45 $71.96 N/A $71.96 $57.57 N/A $57.00 $49.88 $49.88 $71.96 $48.45 $71.96
4000830 VENTILATOR RENTAL PER DAY N/A $59.61 $47.69 $50.67 $50.67 $50.67 $60.21 N/A N/A N/A N/A $50.67 $40.53 $60.21 N/A $60.21 $48.16 N/A $47.69 $41.73 $41.73 $60.21 $40.53 $60.21
4000831 ORAL CARE KIT 24 HOUR N/A $46.14 $36.91 $39.22 $39.22 $39.22 $46.60 N/A N/A N/A N/A $39.22 $31.38 $46.60 N/A $46.60 $37.28 N/A $36.91 $32.30 $32.30 $46.60 $31.38 $46.60
4000832 TRACHEOSTOMY MASK PEDIATRIC N/A $2.40 $1.92 $2.04 $2.04 $2.04 $2.42 N/A N/A N/A N/A $2.04 $1.63 $2.42 N/A $2.42 $1.94 N/A $1.92 $1.68 $1.68 $2.42 $1.63 $2.42
4000833 WOUND CLEANSER 8OZ SPRAY N/A $15.63 $12.50 $13.29 $13.29 $13.29 $15.79 N/A N/A N/A N/A $13.29 $10.63 $15.79 N/A $15.79 $12.63 N/A $12.50 $10.94 $10.94 $15.79 $10.63 $15.79
4000834 SCD SLEEVES KNEE XL N/A $277.17 $221.74 $235.59 $235.59 $235.59 $279.94 N/A N/A N/A N/A $235.59 $188.48 $279.94 N/A $279.94 $223.95 N/A $221.74 $194.02 $194.02 $279.94 $188.48 $279.94
4000835 IV TUBING GRAVITY N/A $7.14 $5.71 $6.07 $6.07 $6.07 $7.21 N/A N/A N/A N/A $6.07 $4.86 $7.21 N/A $7.21 $5.77 N/A $5.71 $5.00 $5.00 $7.21 $4.86 $7.21
4000836 DOBHOFF 12FR FEEDING TUBE N/A $37.20 $29.76 $31.62 $31.62 $31.62 $37.57 N/A N/A N/A N/A $31.62 $25.30 $37.57 N/A $37.57 $30.06 N/A $29.76 $26.04 $26.04 $37.57 $25.30 $37.57
4000838 UNDERPAD EXTRASORB 30X36 N/A $12.30 $9.84 $10.46 $10.46 $10.46 $12.42 N/A N/A N/A N/A $10.46 $8.36 $12.42 N/A $12.42 $9.94 N/A $9.84 $8.61 $8.61 $12.42 $8.36 $12.42
4000839 AEROSOL DRAINAGE SYSTEM W/WYE N/A $2.22 $1.78 $1.89 $1.89 $1.89 $2.24 N/A N/A N/A N/A $1.89 $1.51 $2.24 N/A $2.24 $1.79 N/A $1.78 $1.55 $1.55 $2.24 $1.51 $2.24
4000841 PEG TUBE 14FR N/A $133.29 $106.63 $113.30 $113.30 $113.30 $134.62 N/A N/A N/A N/A $113.30 $90.64 $134.62 N/A $134.62 $107.70 N/A $106.63 $93.30 $93.30 $134.62 $90.64 $134.62
4000842 CLOSED ET SUCTION W/T-PIECE 14FR BALLARD N/A $46.59 $37.27 $39.60 $39.60 $39.60 $47.06 N/A N/A N/A N/A $39.60 $31.68 $47.06 N/A $47.06 $37.64 N/A $37.27 $32.61 $32.61 $47.06 $31.68 $47.06
4000843 SHILEY TRACH TUBE SZ6XL EXT LENGTH CUFF N/A $250.86 $200.69 $213.23 $213.23 $213.23 $253.37 N/A N/A N/A N/A $213.23 $170.58 $253.37 N/A $253.37 $202.69 N/A $200.69 $175.60 $175.60 $253.37 $170.58 $253.37
4000844 SHILEY INNER CANNULA SZ6XL EXT LENGTH N/A $20.16 $16.13 $17.14 $17.14 $17.14 $20.36 N/A N/A N/A N/A $17.14 $13.71 $20.36 N/A $20.36 $16.29 N/A $16.13 $14.11 $14.11 $20.36 $13.71 $20.36
4000845 FECAL COLLECTION POUCH LARGE N/A $17.94 $14.35 $15.25 $15.25 $15.25 $18.12 N/A N/A N/A N/A $15.25 $12.20 $18.12 N/A $18.12 $14.50 N/A $14.35 $12.56 $12.56 $18.12 $12.20 $18.12
4000847 TRACH TIE MEDIUM N/A $1.95 $1.56 $1.66 $1.66 $1.66 $1.97 N/A N/A N/A N/A $1.66 $1.33 $1.97 N/A $1.97 $1.58 N/A $1.56 $1.37 $1.37 $1.97 $1.33 $1.97
4000848 TRACH TIE LARGE N/A $1.95 $1.56 $1.66 $1.66 $1.66 $1.97 N/A N/A N/A N/A $1.66 $1.33 $1.97 N/A $1.97 $1.58 N/A $1.56 $1.37 $1.37 $1.97 $1.33 $1.97
4000850 TAPE MEDIPORE 3IN N/A $17.13 $13.70 $14.56 $14.56 $14.56 $17.30 N/A N/A N/A N/A $14.56 $11.65 $17.30 N/A $17.30 $13.84 N/A $13.70 $11.99 $11.99 $17.30 $11.65 $17.30
4000851 TAPE MEDIPORE 4IN N/A $22.89 $18.31 $19.46 $19.46 $19.46 $23.12 N/A N/A N/A N/A $19.46 $15.57 $23.12 N/A $23.12 $18.50 N/A $18.31 $16.02 $16.02 $23.12 $15.57 $23.12
4000852 SHAMPOO CAP NO RINSE N/A $7.80 $6.24 $6.63 $6.63 $6.63 $7.88 N/A N/A N/A N/A $6.63 $5.30 $7.88 N/A $7.88 $6.30 N/A $6.24 $5.46 $5.46 $7.88 $5.30 $7.88
4000853 BIVONA TRACH TUBE 6.0 N/A $383.97 $307.18 $326.37 $326.37 $326.37 $387.81 N/A N/A N/A N/A $326.37 $261.10 $387.81 N/A $387.81 $310.25 N/A $307.18 $268.78 $268.78 $387.81 $261.10 $387.81
4000854 CLOG ZAPPER N/A $88.50 $70.80 $75.23 $75.23 $75.23 $89.39 N/A N/A N/A N/A $75.23 $60.18 $89.39 N/A $89.39 $71.51 N/A $70.80 $61.95 $61.95 $89.39 $60.18 $89.39
4000857 SPLINT KNEE 3 PANEL N/A $93.99 $75.19 $79.89 $79.89 $79.89 $94.93 N/A N/A N/A N/A $79.89 $63.91 $94.93 N/A $94.93 $75.94 N/A $75.19 $65.79 $65.79 $94.93 $63.91 $94.93
4000858 VAPOTHERM CIRCUIT N/A $446.58 $357.26 $379.59 $379.59 $379.59 $451.05 N/A N/A N/A N/A $379.59 $303.67 $451.05 N/A $451.05 $360.84 N/A $357.26 $312.61 $312.61 $451.05 $303.67 $451.05
4000859 VAPOTHERM HIGH FLOW CANNULA N/A $19.14 $15.31 $16.27 $16.27 $16.27 $19.33 N/A N/A N/A N/A $16.27 $13.02 $19.33 N/A $19.33 $15.47 N/A $15.31 $13.40 $13.40 $19.33 $13.02 $19.33
4000860 TRACHVOX N/A $16.50 $13.20 $14.03 $14.03 $14.03 $16.67 N/A N/A N/A N/A $14.03 $11.22 $16.67 N/A $16.67 $13.33 N/A $13.20 $11.55 $11.55 $16.67 $11.22 $16.67
4000862 UNDERPAD ULTRASORB 30X36 PER PACK N/A $63.87 $51.10 $54.29 $54.29 $54.29 $64.51 N/A N/A N/A N/A $54.29 $43.43 $64.51 N/A $64.51 $51.61 N/A $51.10 $44.71 $44.71 $64.51 $43.43 $64.51
4000865 SHILEY TRACH TUBE SZ 7XL EXT LENGTH CUFF N/A $333.06 $266.45 $283.10 $283.10 $283.10 $336.39 N/A N/A N/A N/A $283.10 $226.48 $336.39 N/A $336.39 $269.11 N/A $266.45 $233.14 $233.14 $336.39 $226.48 $336.39
4000866 SHILEY INNER CANNULA SZ 7XL EXT LENGTH N/A $26.79 $21.43 $22.77 $22.77 $22.77 $27.06 N/A N/A N/A N/A $22.77 $18.22 $27.06 N/A $27.06 $21.65 N/A $21.43 $18.75 $18.75 $27.06 $18.22 $27.06
4000868 SLIPPER SOCK XXL N/A $1.86 $1.49 $1.58 $1.58 $1.58 $1.88 N/A N/A N/A N/A $1.58 $1.26 $1.88 N/A $1.88 $1.50 N/A $1.49 $1.30 $1.30 $1.88 $1.26 $1.88
4000872 COLOSTOMY RING 2.0MM MOLDABLE N/A $97.83 $78.26 $83.16 $83.16 $83.16 $98.81 N/A N/A N/A N/A $83.16 $66.52 $98.81 N/A $98.81 $79.05 N/A $78.26 $68.48 $68.48 $98.81 $66.52 $98.81
4000875 FISTULA FUNNEL N/A $255.00 $204.00 $216.75 $216.75 $216.75 $257.55 N/A N/A N/A N/A $216.75 $173.40 $257.55 N/A $257.55 $206.04 N/A $204.00 $178.50 $178.50 $257.55 $173.40 $257.55
4000876 FISTULA MINI WOUND MANAGEMENT SYSTEM N/A $327.75 $262.20 $278.59 $278.59 $278.59 $331.03 N/A N/A N/A N/A $278.59 $222.87 $331.03 N/A $331.03 $264.82 N/A $262.20 $229.43 $229.43 $331.03 $222.87 $331.03
4000877 FISTULA MID WOUND MANAGEMENT SYSTEM N/A $535.98 $428.78 $455.58 $455.58 $455.58 $541.34 N/A N/A N/A N/A $455.58 $364.47 $541.34 N/A $541.34 $433.07 N/A $428.78 $375.19 $375.19 $541.34 $364.47 $541.34
4000879 FISTULA MAX WOUND MANAGEMENT SYSTEM N/A $559.80 $447.84 $475.83 $475.83 $475.83 $565.40 N/A N/A N/A N/A $475.83 $380.66 $565.40 N/A $565.40 $452.32 N/A $447.84 $391.86 $391.86 $565.40 $380.66 $565.40
4000880 DRESSING ENLUXTRA 4X4 HUMIFIBER N/A $32.01 $25.61 $27.21 $27.21 $27.21 $32.33 N/A N/A N/A N/A $27.21 $21.77 $32.33 N/A $32.33 $25.86 N/A $25.61 $22.41 $22.41 $32.33 $21.77 $32.33
4000881 BIPAP EQUIPMENT RENTAL PER DAY N/A $29.61 $23.69 $25.17 $25.17 $25.17 $29.91 N/A N/A N/A N/A $25.17 $20.13 $29.91 N/A $29.91 $23.92 N/A $23.69 $20.73 $20.73 $29.91 $20.13 $29.91
4000882 DRESSING AQUACEL AG 3.5INx10IN N/A $157.83 $126.26 $134.16 $134.16 $134.16 $159.41 N/A N/A N/A N/A $134.16 $107.32 $159.41 N/A $159.41 $127.53 N/A $126.26 $110.48 $110.48 $159.41 $107.32 $159.41
4000883 PICC LINE KIT 4FR X 60CM N/A $257.10 $205.68 $218.54 $218.54 $218.54 $259.67 N/A N/A N/A N/A $218.54 $174.83 $259.67 N/A $259.67 $207.74 N/A $205.68 $179.97 $179.97 $259.67 $174.83 $259.67
4000884 FILTER EXPIRATORY N/A $36.24 $28.99 $30.80 $30.80 $30.80 $36.60 N/A N/A N/A N/A $30.80 $24.64 $36.60 N/A $36.60 $29.28 N/A $28.99 $25.37 $25.37 $36.60 $24.64 $36.60
4000885 FOLEY CATHETER 18FR 5CC N/A $27.63 $22.10 $23.49 $23.49 $23.49 $27.91 N/A N/A N/A N/A $23.49 $18.79 $27.91 N/A $27.91 $22.33 N/A $22.10 $19.34 $19.34 $27.91 $18.79 $27.91
4000886 FOLEY CATHETER 18FR 30CC N/A $72.75 $58.20 $61.84 $61.84 $61.84 $73.48 N/A N/A N/A N/A $61.84 $49.47 $73.48 N/A $73.48 $58.78 N/A $58.20 $50.93 $50.93 $73.48 $49.47 $73.48
4000887 FOLEY CATHETER 20FR 5CC N/A $27.63 $22.10 $23.49 $23.49 $23.49 $27.91 N/A N/A N/A N/A $23.49 $18.79 $27.91 N/A $27.91 $22.33 N/A $22.10 $19.34 $19.34 $27.91 $18.79 $27.91
4000889 FOLEY CATHETER COUDE 16FR 5CC N/A $80.79 $64.63 $68.67 $68.67 $68.67 $81.60 N/A N/A N/A N/A $68.67 $54.94 $81.60 N/A $81.60 $65.28 N/A $64.63 $56.55 $56.55 $81.60 $54.94 $81.60
4000890 FOLEY CATHETER COUDE 18FR 5CC N/A $80.79 $64.63 $68.67 $68.67 $68.67 $81.60 N/A N/A N/A N/A $68.67 $54.94 $81.60 N/A $81.60 $65.28 N/A $64.63 $56.55 $56.55 $81.60 $54.94 $81.60
4000891 VENTURI MASK N/A $7.68 $6.14 $6.53 $6.53 $6.53 $7.76 N/A N/A N/A N/A $6.53 $5.22 $7.76 N/A $7.76 $6.21 N/A $6.14 $5.38 $5.38 $7.76 $5.22 $7.76
4000893 DRESSING PURACOL PLUS AG 4X4 N/A $91.08 $72.86 $77.42 $77.42 $77.42 $91.99 N/A N/A N/A N/A $77.42 $61.93 $91.99 N/A $91.99 $73.59 N/A $72.86 $63.76 $63.76 $91.99 $61.93 $91.99
4000894 DRESSING OPTIFOAM BORDER 4X4 N/A $9.00 $7.20 $7.65 $7.65 $7.65 $9.09 N/A N/A N/A N/A $7.65 $6.12 $9.09 N/A $9.09 $7.27 N/A $7.20 $6.30 $6.30 $9.09 $6.12 $9.09
4000896 DRESSING OPTIFOAM SACRUM LIQUITRAP 7X7 N/A $19.29 $15.43 $16.40 $16.40 $16.40 $19.48 N/A N/A N/A N/A $16.40 $13.12 $19.48 N/A $19.48 $15.59 N/A $15.43 $13.50 $13.50 $19.48 $13.12 $19.48
4000897 DRESSING OPTIFOAM SACRUM 7X7 N/A $18.63 $14.90 $15.84 $15.84 $15.84 $18.82 N/A N/A N/A N/A $15.84 $12.67 $18.82 N/A $18.82 $15.05 N/A $14.90 $13.04 $13.04 $18.82 $12.67 $18.82
4000898 DRESSING OPTIFOAM SACRUM 9X9 N/A $29.28 $23.42 $24.89 $24.89 $24.89 $29.57 N/A N/A N/A N/A $24.89 $19.91 $29.57 N/A $29.57 $23.66 N/A $23.42 $20.50 $20.50 $29.57 $19.91 $29.57
4000900 ENDOTRACHEAL TUBE EXCHANGER 2.0 N/A $22.26 $17.81 $18.92 $18.92 $18.92 $22.48 N/A N/A N/A N/A $18.92 $15.14 $22.48 N/A $22.48 $17.99 N/A $17.81 $15.58 $15.58 $22.48 $15.14 $22.48
4000903 DRESSING OPTIFOAM AG 4X4 BORDER N/A $25.08 $20.06 $21.32 $21.32 $21.32 $25.33 N/A N/A N/A N/A $21.32 $17.05 $25.33 N/A $25.33 $20.26 N/A $20.06 $17.56 $17.56 $25.33 $17.05 $25.33
4000904 DRESSING OPTIFOAM AG GENTLE 4X4 BORDER N/A $27.09 $21.67 $23.03 $23.03 $23.03 $27.36 N/A N/A N/A N/A $23.03 $18.42 $27.36 N/A $27.36 $21.89 N/A $21.67 $18.96 $18.96 $27.36 $18.42 $27.36
4000905 DRESSING OPTIFOAM BASIC 3X3 N/A $4.80 $3.84 $4.08 $4.08 $4.08 $4.85 N/A N/A N/A N/A $4.08 $3.26 $4.85 N/A $4.85 $3.88 N/A $3.84 $3.36 $3.36 $4.85 $3.26 $4.85
4000906 DRESSING OPTIFOAM BASIC TRACH 3X3 N/A $5.28 $4.22 $4.49 $4.49 $4.49 $5.33 N/A N/A N/A N/A $4.49 $3.59 $5.33 N/A $5.33 $4.27 N/A $4.22 $3.70 $3.70 $5.33 $3.59 $5.33
4000907 DRESSING OPTIFOAM BORDER 6X6 N/A $17.04 $13.63 $14.48 $14.48 $14.48 $17.21 N/A N/A N/A N/A $14.48 $11.59 $17.21 N/A $17.21 $13.77 N/A $13.63 $11.93 $11.93 $17.21 $11.59 $17.21
4000908 DRESSING OPTIFOAM BORDER 4X4 N/A $9.60 $7.68 $8.16 $8.16 $8.16 $9.70 N/A N/A N/A N/A $8.16 $6.53 $9.70 N/A $9.70 $7.76 N/A $7.68 $6.72 $6.72 $9.70 $6.53 $9.70
4000909 DRESSING OPTIFOAM HEEL N/A $23.76 $19.01 $20.20 $20.20 $20.20 $24.00 N/A N/A N/A N/A $20.20 $16.16 $24.00 N/A $24.00 $19.20 N/A $19.01 $16.63 $16.63 $24.00 $16.16 $24.00
4000910 DRESSING MAXORB II 4X4 N/A $6.27 $5.02 $5.33 $5.33 $5.33 $6.33 N/A N/A N/A N/A $5.33 $4.26 $6.33 N/A $6.33 $5.07 N/A $5.02 $4.39 $4.39 $6.33 $4.26 $6.33
4000912 HYDROGEL 4OZ TUBE N/A $18.00 $14.40 $15.30 $15.30 $15.30 $18.18 N/A N/A N/A N/A $15.30 $12.24 $18.18 N/A $18.18 $14.54 N/A $14.40 $12.60 $12.60 $18.18 $12.24 $18.18
4000913 DRESSING MEDIHONEY 4X5 N/A $34.50 $27.60 $29.33 $29.33 $29.33 $34.85 N/A N/A N/A N/A $29.33 $23.46 $34.85 N/A $34.85 $27.88 N/A $27.60 $24.15 $24.15 $34.85 $23.46 $34.85
4000915 DRESSING MEPILEX AG TRANSFER 4X5 N/A $70.08 $56.06 $59.57 $59.57 $59.57 $70.78 N/A N/A N/A N/A $59.57 $47.65 $70.78 N/A $70.78 $56.62 N/A $56.06 $49.06 $49.06 $70.78 $47.65 $70.78
4000916 CURETTE DERMAL 7MM DISP N/A $6.33 $5.06 $5.38 $5.38 $5.38 $6.39 N/A N/A N/A N/A $5.38 $4.30 $6.39 N/A $6.39 $5.11 N/A $5.06 $4.43 $4.43 $6.39 $4.30 $6.39
4000917 SURGICEL 2X3 N/A $247.86 $198.29 $210.68 $210.68 $210.68 $250.34 N/A N/A N/A N/A $210.68 $168.54 $250.34 N/A $250.34 $200.27 N/A $198.29 $173.50 $173.50 $250.34 $168.54 $250.34
4000918 LIFT SLING DISP XL N/A $157.50 $126.00 $133.88 $133.88 $133.88 $159.08 N/A N/A N/A N/A $133.88 $107.10 $159.08 N/A $159.08 $127.26 N/A $126.00 $110.25 $110.25 $159.08 $107.10 $159.08
4000970 TRACH TUBE 2.5 UNCUFFED N/A $6.78 $5.42 $5.76 $5.76 $5.76 $6.85 N/A N/A N/A N/A $5.76 $4.61 $6.85 N/A $6.85 $5.48 N/A $5.42 $4.75 $4.75 $6.85 $4.61 $6.85
4000971 TRACH TUBE 7.0 CUFFED N/A $7.47 $5.98 $6.35 $6.35 $6.35 $7.54 N/A N/A N/A N/A $6.35 $5.08 $7.54 N/A $7.54 $6.04 N/A $5.98 $5.23 $5.23 $7.54 $5.08 $7.54
4000983 MORGAN LENS N/A $80.01 $64.01 $68.01 $68.01 $68.01 $80.81 N/A N/A N/A N/A $68.01 $54.41 $80.81 N/A $80.81 $64.65 N/A $64.01 $56.01 $56.01 $80.81 $54.41 $80.81
4000985 DRESSING OPTIFOAM LITE 4X4 N/A $8.67 $6.94 $7.37 $7.37 $7.37 $8.76 N/A N/A N/A N/A $7.37 $5.90 $8.76 N/A $8.76 $7.01 N/A $6.94 $6.07 $6.07 $8.76 $5.90 $8.76
4000986 DRESSING SURESITE 4X4.8 N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000987 DRESSING SURESITE 2.4X2.8 N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000988 DRESSING SURESITE 8X12 N/A $5.58 $4.46 $4.74 $4.74 $4.74 $5.64 N/A N/A N/A N/A $4.74 $3.79 $5.64 N/A $5.64 $4.51 N/A $4.46 $3.91 $3.91 $5.64 $3.79 $5.64
4000989 DRESSING IV3000 CENTRAL LINE 4X4.75 N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000990 DRESSING IV3000 PORITED 3.5X4.75 N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000991 LIFT SLING DISP XXL N/A $173.70 $138.96 $147.65 $147.65 $147.65 $175.44 N/A N/A N/A N/A $147.65 $118.12 $175.44 N/A $175.44 $140.35 N/A $138.96 $121.59 $121.59 $175.44 $118.12 $175.44
4000992 CHLORAPREP N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000996 WOUND CLOSURE STRIP 1/4X3 N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4000999 HEEL PROTECTOR ONE SZ FITS MOST N/A $222.60 $178.08 $189.21 $189.21 $189.21 $224.83 N/A N/A N/A N/A $189.21 $151.37 $224.83 N/A $224.83 $179.86 N/A $178.08 $155.82 $155.82 $224.83 $151.37 $224.83
4001000 CANE QUAD SMALL BASE N/A $28.26 $22.61 $24.02 $24.02 $24.02 $28.54 N/A N/A N/A N/A $24.02 $19.22 $28.54 N/A $28.54 $22.83 N/A $22.61 $19.78 $19.78 $28.54 $19.22 $28.54
4001003 CANE QUAD BARI LARGE BASE N/A $115.23 $92.18 $97.95 $97.95 $97.95 $116.38 N/A N/A N/A N/A $97.95 $78.36 $116.38 N/A $116.38 $93.11 N/A $92.18 $80.66 $80.66 $116.38 $78.36 $116.38
4001019 MIRROR SPEECH THERAPY N/A $40.17 $32.14 $34.14 $34.14 $34.14 $40.57 N/A N/A N/A N/A $34.14 $27.32 $40.57 N/A $40.57 $32.46 N/A $32.14 $28.12 $28.12 $40.57 $27.32 $40.57
4001020 SQUEEZE BALL MEDIUM GRIP N/A $39.90 $31.92 $33.92 $33.92 $33.92 $40.30 N/A N/A N/A N/A $33.92 $27.13 $40.30 N/A $40.30 $32.24 N/A $31.92 $27.93 $27.93 $40.30 $27.13 $40.30
4001022 COLOSTOMY POUCH 2 PC HIGH OUTPUT DRAIN N/A $7.95 $6.36 $6.76 $6.76 $6.76 $8.03 N/A N/A N/A N/A $6.76 $5.41 $8.03 N/A $8.03 $6.42 N/A $6.36 $5.57 $5.57 $8.03 $5.41 $8.03
4001023 CLOSED IV CATH 22G 1 INCH N/A $27.84 $22.27 $23.66 $23.66 $23.66 $28.12 N/A N/A N/A N/A $23.66 $18.93 $28.12 N/A $28.12 $22.49 N/A $22.27 $19.49 $19.49 $28.12 $18.93 $28.12
4001024 CLOSED IV CATH 20G 1 INCH N/A $27.84 $22.27 $23.66 $23.66 $23.66 $28.12 N/A N/A N/A N/A $23.66 $18.93 $28.12 N/A $28.12 $22.49 N/A $22.27 $19.49 $19.49 $28.12 $18.93 $28.12
4001025 MAXI PAD 11 INCH N/A $3.45 $2.76 $2.93 $2.93 $2.93 $3.48 N/A N/A N/A N/A $2.93 $2.35 $3.48 N/A $3.48 $2.79 N/A $2.76 $2.42 $2.42 $3.48 $2.35 $3.48
4001027 IV EXT SET MICROBORE 36 IN N/A $2.61 $2.09 $2.22 $2.22 $2.22 $2.64 N/A N/A N/A N/A $2.22 $1.77 $2.64 N/A $2.64 $2.11 N/A $2.09 $1.83 $1.83 $2.64 $1.77 $2.64
4001032 URINAL FEMALE W/O LID N/A $13.44 $10.75 $11.42 $11.42 $11.42 $13.57 N/A N/A N/A N/A $11.42 $9.14 $13.57 N/A $13.57 $10.86 N/A $10.75 $9.41 $9.41 $13.57 $9.14 $13.57
4001033 WHEELCHAIR CUSHION GEL FOAM N/A $168.12 $134.50 $142.90 $142.90 $142.90 $169.80 N/A N/A N/A N/A $142.90 $114.32 $169.80 N/A $169.80 $135.84 N/A $134.50 $117.68 $117.68 $169.80 $114.32 $169.80
4001034 WAFFLE WHEELCHAIR SEAT CUSHION N/A $118.26 $94.61 $100.52 $100.52 $100.52 $119.44 N/A N/A N/A N/A $100.52 $80.42 $119.44 N/A $119.44 $95.55 N/A $94.61 $82.78 $82.78 $119.44 $80.42 $119.44
4001036 BOOT ANKLE CONTR +VELCRO FOAM LARGE N/A $168.87 $135.10 $143.54 $143.54 $143.54 $170.56 N/A N/A N/A N/A $143.54 $114.83 $170.56 N/A $170.56 $136.45 N/A $135.10 $118.21 $118.21 $170.56 $114.83 $170.56
4001037 MEPILEX BORDER HEEL 22 x 23 cm N/A $89.49 $71.59 $76.07 $76.07 $76.07 $90.38 N/A N/A N/A N/A $76.07 $60.85 $90.38 N/A $90.38 $72.31 N/A $71.59 $62.64 $62.64 $90.38 $60.85 $90.38
4001038 LIFT SLING LARGE N/A $252.33 $201.86 $214.48 $214.48 $214.48 $254.85 N/A N/A N/A N/A $214.48 $171.58 $254.85 N/A $254.85 $203.88 N/A $201.86 $176.63 $176.63 $254.85 $171.58 $254.85
4001039 FISTULA WOUND MGMT SYSTEM MID N/A $185.64 $148.51 $157.79 $157.79 $157.79 $187.50 N/A N/A N/A N/A $157.79 $126.24 $187.50 N/A $187.50 $150.00 N/A $148.51 $129.95 $129.95 $187.50 $126.24 $187.50
4001040 ULTRASOFT DISPOSABLE DRY CLEANSING CLOTH N/A $2.70 $2.16 $2.30 $2.30 $2.30 $2.73 N/A N/A N/A N/A $2.30 $1.84 $2.73 N/A $2.73 $2.18 N/A $2.16 $1.89 $1.89 $2.73 $1.84 $2.73
4001041 FITRIGHT PERSONAL CLEANSING WIPE N/A $5.55 $4.44 $4.72 $4.72 $4.72 $5.61 N/A N/A N/A N/A $4.72 $3.77 $5.61 N/A $5.61 $4.48 N/A $4.44 $3.89 $3.89 $5.61 $3.77 $5.61
4001042 THERAWORX FOAMER N/A $16.50 $13.20 $14.03 $14.03 $14.03 $16.67 N/A N/A N/A N/A $14.03 $11.22 $16.67 N/A $16.67 $13.33 N/A $13.20 $11.55 $11.55 $16.67 $11.22 $16.67
4001043 THERAWORX BATHING SYSTEM N/A $13.05 $10.44 $11.09 $11.09 $11.09 $13.18 N/A N/A N/A N/A $11.09 $8.87 $13.18 N/A $13.18 $10.54 N/A $10.44 $9.14 $9.14 $13.18 $8.87 $13.18
4001044 THERAWORX 2PK TOWELS N/A $6.60 $5.28 $5.61 $5.61 $5.61 $6.67 N/A N/A N/A N/A $5.61 $4.49 $6.67 N/A $6.67 $5.33 N/A $5.28 $4.62 $4.62 $6.67 $4.49 $6.67
4001046 PISTOL GRIP REACHER N/A $23.61 $18.89 $20.07 $20.07 $20.07 $23.85 N/A N/A N/A N/A $20.07 $16.05 $23.85 N/A $23.85 $19.08 N/A $18.89 $16.53 $16.53 $23.85 $16.05 $23.85
4001047 BATH SPONGES W/RIGID HANDLES N/A $6.48 $5.18 $5.51 $5.51 $5.51 $6.54 N/A N/A N/A N/A $5.51 $4.41 $6.54 N/A $6.54 $5.24 N/A $5.18 $4.54 $4.54 $6.54 $4.41 $6.54
4001048 BOOT CONTRACTURE SZ MED N/A $189.60 $151.68 $161.16 $161.16 $161.16 $191.50 N/A N/A N/A N/A $161.16 $128.93 $191.50 N/A $191.50 $153.20 N/A $151.68 $132.72 $132.72 $191.50 $128.93 $191.50
4001049 COMFY HAND ORTHOSIS W/FINGER SEP N/A $588.00 $470.40 $499.80 $499.80 $499.80 $593.88 N/A N/A N/A N/A $499.80 $399.84 $593.88 N/A $593.88 $475.10 N/A $470.40 $411.60 $411.60 $593.88 $399.84 $593.88
4001052 VENTOPEDIC PALM PROTECTOR - LT MED N/A $275.85 $220.68 $234.47 $234.47 $234.47 $278.61 N/A N/A N/A N/A $234.47 $187.58 $278.61 N/A $278.61 $222.89 N/A $220.68 $193.10 $193.10 $278.61 $187.58 $278.61
4001053 VENTOPEDIC PALM PROTECTOR - RT MED N/A $275.85 $220.68 $234.47 $234.47 $234.47 $278.61 N/A N/A N/A N/A $234.47 $187.58 $278.61 N/A $278.61 $222.89 N/A $220.68 $193.10 $193.10 $278.61 $187.58 $278.61
4001054 VENTOPEDIC PALM PROTECTOR - SMALL N/A $266.73 $213.38 $226.72 $226.72 $226.72 $269.40 N/A N/A N/A N/A $226.72 $181.38 $269.40 N/A $269.40 $215.52 N/A $213.38 $186.71 $186.71 $269.40 $181.38 $269.40
4001055 Valve ECP ORCA AIR H2O N/A $45.00 $36.00 $38.25 $38.25 $38.25 $45.45 N/A N/A N/A N/A $38.25 $30.60 $45.45 N/A $45.45 $36.36 N/A $36.00 $31.50 $31.50 $45.45 $30.60 $45.45
4001056 ASPIRATOR BOOGIE BABY N/A $7.47 $5.98 $6.35 $6.35 $6.35 $7.54 N/A N/A N/A N/A $6.35 $5.08 $7.54 N/A $7.54 $6.04 N/A $5.98 $5.23 $5.23 $7.54 $5.08 $7.54
4001057 NEEDLE HUBER 20G .75 N/A $12.09 $9.67 $10.28 $10.28 $10.28 $12.21 N/A N/A N/A N/A $10.28 $8.22 $12.21 N/A $12.21 $9.77 N/A $9.67 $8.46 $8.46 $12.21 $8.22 $12.21
4001059 FOAM RING HEAD POSITIONER 9" N/A $4.05 $3.24 $3.44 $3.44 $3.44 $4.09 N/A N/A N/A N/A $3.44 $2.75 $4.09 N/A $4.09 $3.27 N/A $3.24 $2.84 $2.84 $4.09 $2.75 $4.09
4001060 LEG LIFTER N/A $12.45 $9.96 $10.58 $10.58 $10.58 $12.57 N/A N/A N/A N/A $10.58 $8.47 $12.57 N/A $12.57 $10.06 N/A $9.96 $8.72 $8.72 $12.57 $8.47 $12.57
4001061 TOILET AID SHORT - 12 LONG N/A $44.55 $35.64 $37.87 $37.87 $37.87 $45.00 N/A N/A N/A N/A $37.87 $30.29 $45.00 N/A $45.00 $36.00 N/A $35.64 $31.19 $31.19 $45.00 $30.29 $45.00
4001063 BP CUFF SOFT ADULT LARGE DISP N/A $8.85 $7.08 $7.52 $7.52 $7.52 $8.94 N/A N/A N/A N/A $7.52 $6.02 $8.94 N/A $8.94 $7.15 N/A $7.08 $6.20 $6.20 $8.94 $6.02 $8.94
4001065 SINGLE USE VAGINAL SPECULA MED-LIGHTED N/A $11.55 $9.24 $9.82 $9.82 $9.82 $11.67 N/A N/A N/A N/A $9.82 $7.85 $11.67 N/A $11.67 $9.33 N/A $9.24 $8.09 $8.09 $11.67 $7.85 $11.67
4001066 SINGLE USE VAGINAL SPECULA LARGE-LIGHTED N/A $11.55 $9.24 $9.82 $9.82 $9.82 $11.67 N/A N/A N/A N/A $9.82 $7.85 $11.67 N/A $11.67 $9.33 N/A $9.24 $8.09 $8.09 $11.67 $7.85 $11.67
4001067 OXYMASK OXYGEN MASK N/A $17.52 $14.02 $14.89 $14.89 $14.89 $17.70 N/A N/A N/A N/A $14.89 $11.91 $17.70 N/A $17.70 $14.16 N/A $14.02 $12.26 $12.26 $17.70 $11.91 $17.70
4001068 ISO-NEB FILTERED NEBULIZER SYSTEM N/A $10.29 $8.23 $8.75 $8.75 $8.75 $10.39 N/A N/A N/A N/A $8.75 $7.00 $10.39 N/A $10.39 $8.31 N/A $8.23 $7.20 $7.20 $10.39 $7.00 $10.39
4001070 GASTROSTOMY TUBE 20 FR 3 PORT N/A $102.21 $81.77 $86.88 $86.88 $86.88 $103.23 N/A N/A N/A N/A $86.88 $69.50 $103.23 N/A $103.23 $82.59 N/A $81.77 $71.55 $71.55 $103.23 $69.50 $103.23
4001071 SINGLE CORD SOCK AID N/A $32.04 $25.63 $27.23 $27.23 $27.23 $32.36 N/A N/A N/A N/A $27.23 $21.79 $32.36 N/A $32.36 $25.89 N/A $25.63 $22.43 $22.43 $32.36 $21.79 $32.36
4001072 NEW IMAGE 2-PC CUT TO FIT FLEXTEND N/A $10.47 $8.38 $8.90 $8.90 $8.90 $10.57 N/A N/A N/A N/A $8.90 $7.12 $10.57 N/A $10.57 $8.46 N/A $8.38 $7.33 $7.33 $10.57 $7.12 $10.57
4001073 NEW IMAGE 2-PC DRAINABLE OSTOMY POUCH N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4001074 PLEURX DRAINAGE KIT N/A $193.62 $154.90 $164.58 $164.58 $164.58 $195.56 N/A N/A N/A N/A $164.58 $131.66 $195.56 N/A $195.56 $156.45 N/A $154.90 $135.53 $135.53 $195.56 $131.66 $195.56
4001107 Active Cord for Snares and Hot Forceps N/A $255.00 $204.00 $216.75 $216.75 $216.75 $257.55 N/A N/A N/A N/A $216.75 $173.40 $257.55 N/A $257.55 $206.04 N/A $204.00 $178.50 $178.50 $257.55 $173.40 $257.55
4001108 CATHETER KIT URETHRAL 5FR N/A $6.90 $5.52 $5.87 $5.87 $5.87 $6.97 N/A N/A N/A N/A $5.87 $4.69 $6.97 N/A $6.97 $5.58 N/A $5.52 $4.83 $4.83 $6.97 $4.69 $6.97
4001109 DRESSING MEPILEX AG TRANSFER 6X8 N/A $78.57 $62.86 $66.78 $66.78 $66.78 $79.36 N/A N/A N/A N/A $66.78 $53.43 $79.36 N/A $79.36 $63.48 N/A $62.86 $55.00 $55.00 $79.36 $53.43 $79.36
4001126 KNEE IMOBILIZER N/A $97.25 $77.80 $82.66 $82.66 $82.66 $98.22 N/A N/A N/A N/A $82.66 $66.13 $98.22 N/A $98.22 $78.58 N/A $77.80 $68.08 $68.08 $98.22 $66.13 $98.22
4001928 BEDPAN FRACTURE N/A $7.05 $5.64 $5.99 $5.99 $5.99 $7.12 N/A N/A N/A N/A $5.99 $4.79 $7.12 N/A $7.12 $5.70 N/A $5.64 $4.94 $4.94 $7.12 $4.79 $7.12
4002044 TED HOSE THIGH LG LONG N/A $13.11 $10.49 $11.14 $11.14 $11.14 $13.24 N/A N/A N/A N/A $11.14 $8.91 $13.24 N/A $13.24 $10.59 N/A $10.49 $9.18 $9.18 $13.24 $8.91 $13.24
4005010 MAYO ENEMA N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4006362 DECLOGGER BROWN ENTERAL FEEDING TUBE N/A $14.61 $11.69 $12.42 $12.42 $12.42 $14.76 N/A N/A N/A N/A $12.42 $9.93 $14.76 N/A $14.76 $11.80 N/A $11.69 $10.23 $10.23 $14.76 $9.93 $14.76
4006363 DECLOGGER ORANGE ENTERAL FEEDING N/A $14.61 $11.69 $12.42 $12.42 $12.42 $14.76 N/A N/A N/A N/A $12.42 $9.93 $14.76 N/A $14.76 $11.80 N/A $11.69 $10.23 $10.23 $14.76 $9.93 $14.76
4006364 DECLOGGER BLUE ENTERAL FEEDING N/A $14.61 $11.69 $12.42 $12.42 $12.42 $14.76 N/A N/A N/A N/A $12.42 $9.93 $14.76 N/A $14.76 $11.80 N/A $11.69 $10.23 $10.23 $14.76 $9.93 $14.76
4006365 DECLOGGER YELLOW ENTERAL FEEDING TUBE N/A $14.61 $11.69 $12.42 $12.42 $12.42 $14.76 N/A N/A N/A N/A $12.42 $9.93 $14.76 N/A $14.76 $11.80 N/A $11.69 $10.23 $10.23 $14.76 $9.93 $14.76
4006366 DECLOGGER GREEN ENTERAL FEEDING TUBE N/A $14.61 $11.69 $12.42 $12.42 $12.42 $14.76 N/A N/A N/A N/A $12.42 $9.93 $14.76 N/A $14.76 $11.80 N/A $11.69 $10.23 $10.23 $14.76 $9.93 $14.76
4006367 SHILEY INNER CANNULA SZ 5XL N/A $27.69 $22.15 $23.54 $23.54 $23.54 $27.97 N/A N/A N/A N/A $23.54 $18.83 $27.97 N/A $27.97 $22.37 N/A $22.15 $19.38 $19.38 $27.97 $18.83 $27.97
4009103 NITROGLYCERIN TUBING SET N/A $32.80 $26.24 $27.88 $27.88 $27.88 $33.13 N/A N/A N/A N/A $27.88 $22.30 $33.13 N/A $33.13 $26.50 N/A $26.24 $22.96 $22.96 $33.13 $22.30 $33.13
4009115 NEEDLE EZ-IO PED 15MM N/A $324.00 $259.20 $275.40 $275.40 $275.40 $327.24 N/A N/A N/A N/A $275.40 $220.32 $327.24 N/A $327.24 $261.79 N/A $259.20 $226.80 $226.80 $327.24 $220.32 $327.24
4009116 NEEDLE EZ-IO ADULT 25MM N/A $324.00 $259.20 $275.40 $275.40 $275.40 $327.24 N/A N/A N/A N/A $275.40 $220.32 $327.24 N/A $327.24 $261.79 N/A $259.20 $226.80 $226.80 $327.24 $220.32 $327.24
4009117 NEEDLE EZ-IO BARIATRIC 45MM N/A $345.00 $276.00 $293.25 $293.25 $293.25 $348.45 N/A N/A N/A N/A $293.25 $234.60 $348.45 N/A $348.45 $278.76 N/A $276.00 $241.50 $241.50 $348.45 $234.60 $348.45
4009123 STATLOCK PICC STABILIZATION DEVICE N/A $12.99 $10.39 $11.04 $11.04 $11.04 $13.12 N/A N/A N/A N/A $11.04 $8.83 $13.12 N/A $13.12 $10.50 N/A $10.39 $9.09 $9.09 $13.12 $8.83 $13.12
4009124 STATLOCK FOLEY STABILIZATION DEVICE N/A $9.33 $7.46 $7.93 $7.93 $7.93 $9.42 N/A N/A N/A N/A $7.93 $6.34 $9.42 N/A $9.42 $7.54 N/A $7.46 $6.53 $6.53 $9.42 $6.34 $9.42
4009125 TRACH INSERT TRAY N/A $228.48 $182.78 $194.21 $194.21 $194.21 $230.76 N/A N/A N/A N/A $194.21 $155.37 $230.76 N/A $230.76 $184.61 N/A $182.78 $159.94 $159.94 $230.76 $155.37 $230.76
4009126 DRESSING EXU-DRY 6X9 N/A $8.70 $6.96 $7.40 $7.40 $7.40 $8.79 N/A N/A N/A N/A $7.40 $5.92 $8.79 N/A $8.79 $7.03 N/A $6.96 $6.09 $6.09 $8.79 $5.92 $8.79
4009129 BEDPAN BARIATRIC N/A $22.26 $17.81 $18.92 $18.92 $18.92 $22.48 N/A N/A N/A N/A $18.92 $15.14 $22.48 N/A $22.48 $17.99 N/A $17.81 $15.58 $15.58 $22.48 $15.14 $22.48
4009131 VAC DRESSING WHITEFOAM LARGE N/A $39.15 $31.32 $33.28 $33.28 $33.28 $39.54 N/A N/A N/A N/A $33.28 $26.62 $39.54 N/A $39.54 $31.63 N/A $31.32 $27.41 $27.41 $39.54 $26.62 $39.54
4009132 VAC DRESSING GRANUFOAM MEDIUM N/A $132.71 $106.17 $112.80 $112.80 $112.80 $134.04 N/A N/A N/A N/A $112.80 $90.24 $134.04 N/A $134.04 $107.23 N/A $106.17 $92.90 $92.90 $134.04 $90.24 $134.04
4009134 VAC ULTRA VERALINK CASSETTE N/A $165.00 $132.00 $140.25 $140.25 $140.25 $166.65 N/A N/A N/A N/A $140.25 $112.20 $166.65 N/A $166.65 $133.32 N/A $132.00 $115.50 $115.50 $166.65 $112.20 $166.65
4009135 VAC CANISTER W/GEL N/A $110.01 $88.01 $93.51 $93.51 $93.51 $111.11 N/A N/A N/A N/A $93.51 $74.81 $111.11 N/A $111.11 $88.89 N/A $88.01 $77.01 $77.01 $111.11 $74.81 $111.11
4009136 VAC SENSATRAC PAD ONLY N/A $55.55 $44.44 $47.22 $47.22 $47.22 $56.11 N/A N/A N/A N/A $47.22 $37.77 $56.11 N/A $56.11 $44.88 N/A $44.44 $38.89 $38.89 $56.11 $37.77 $56.11
4009137 VAC DRAPE N/A $20.84 $16.67 $17.71 $17.71 $17.71 $21.05 N/A N/A N/A N/A $17.71 $14.17 $21.05 N/A $21.05 $16.84 N/A $16.67 $14.59 $14.59 $21.05 $14.17 $21.05
4009140 DRESSING PROMOGRAN PRISMA MATRIX 4.75 IN N/A $27.48 $21.98 $23.36 $23.36 $23.36 $27.75 N/A N/A N/A N/A $23.36 $18.69 $27.75 N/A $27.75 $22.20 N/A $21.98 $19.24 $19.24 $27.75 $18.69 $27.75
4009141 DRESSING ADAPTIC NON-ADHERING 3X3 N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4009144 ELTA SILVERGEL 1.5OZ ANTIMICRO WOUND GEL N/A $37.05 $29.64 $31.49 $31.49 $31.49 $37.42 N/A N/A N/A N/A $31.49 $25.19 $37.42 N/A $37.42 $29.94 N/A $29.64 $25.94 $25.94 $37.42 $25.19 $37.42
4009145 HUBER NEEDLE 0.75IN N/A $11.64 $9.31 $9.89 $9.89 $9.89 $11.76 N/A N/A N/A N/A $9.89 $7.92 $11.76 N/A $11.76 $9.41 N/A $9.31 $8.15 $8.15 $11.76 $7.92 $11.76
4009146 HUBER NEEDLE 1IN N/A $11.64 $9.31 $9.89 $9.89 $9.89 $11.76 N/A N/A N/A N/A $9.89 $7.92 $11.76 N/A $11.76 $9.41 N/A $9.31 $8.15 $8.15 $11.76 $7.92 $11.76
4009147 HUBER NEEDLE 1.5IN N/A $11.64 $9.31 $9.89 $9.89 $9.89 $11.76 N/A N/A N/A N/A $9.89 $7.92 $11.76 N/A $11.76 $9.41 N/A $9.31 $8.15 $8.15 $11.76 $7.92 $11.76
4009148 SUTURE ETHILON 4-0 1667G N/A $29.85 $23.88 $25.37 $25.37 $25.37 $30.15 N/A N/A N/A N/A $25.37 $20.30 $30.15 N/A $30.15 $24.12 N/A $23.88 $20.90 $20.90 $30.15 $20.30 $30.15
4009149 ARM SLING MEDIUM N/A $8.22 $6.58 $6.99 $6.99 $6.99 $8.30 N/A N/A N/A N/A $6.99 $5.59 $8.30 N/A $8.30 $6.64 N/A $6.58 $5.75 $5.75 $8.30 $5.59 $8.30
4009150 ARM SLING SMALL N/A $8.22 $6.58 $6.99 $6.99 $6.99 $8.30 N/A N/A N/A N/A $6.99 $5.59 $8.30 N/A $8.30 $6.64 N/A $6.58 $5.75 $5.75 $8.30 $5.59 $8.30
4009151 ARM SLING EXTRA LARGE N/A $8.22 $6.58 $6.99 $6.99 $6.99 $8.30 N/A N/A N/A N/A $6.99 $5.59 $8.30 N/A $8.30 $6.64 N/A $6.58 $5.75 $5.75 $8.30 $5.59 $8.30
4009152 ARM SLING EXTRA SMALL N/A $8.22 $6.58 $6.99 $6.99 $6.99 $8.30 N/A N/A N/A N/A $6.99 $5.59 $8.30 N/A $8.30 $6.64 N/A $6.58 $5.75 $5.75 $8.30 $5.59 $8.30
4009153 ARM SLING EXTRA EXTRA SMALL N/A $8.22 $6.58 $6.99 $6.99 $6.99 $8.30 N/A N/A N/A N/A $6.99 $5.59 $8.30 N/A $8.30 $6.64 N/A $6.58 $5.75 $5.75 $8.30 $5.59 $8.30
4009157 REPAIR CREAM (OLIVAMINE) 4OZ N/A $13.00 $10.40 $11.05 $11.05 $11.05 $13.13 N/A N/A N/A N/A $11.05 $8.84 $13.13 N/A $13.13 $10.50 N/A $10.40 $9.10 $9.10 $13.13 $8.84 $13.13
4009158 SCALPEL #11 N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4009159 SCALPEL #15 N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4009160 NAIL CLIPPER N/A $9.72 $7.78 $8.26 $8.26 $8.26 $9.82 N/A N/A N/A N/A $8.26 $6.61 $9.82 N/A $9.82 $7.85 N/A $7.78 $6.80 $6.80 $9.82 $6.61 $9.82
4009172 PEG TUBE 18FR N/A $76.28 $61.02 $64.84 $64.84 $64.84 $77.04 N/A N/A N/A N/A $64.84 $51.87 $77.04 N/A $77.04 $61.63 N/A $61.02 $53.40 $53.40 $77.04 $51.87 $77.04
4009181 CAUTERY-HIGH TEMP CORDLESS N/A $32.00 $25.60 $27.20 $27.20 $27.20 $32.32 N/A N/A N/A N/A $27.20 $21.76 $32.32 N/A $32.32 $25.86 N/A $25.60 $22.40 $22.40 $32.32 $21.76 $32.32
4009183 SHOE-DARCO ORTHOWEDGE XL N/A $59.00 $47.20 $50.15 $50.15 $50.15 $59.59 N/A N/A N/A N/A $50.15 $40.12 $59.59 N/A $59.59 $47.67 N/A $47.20 $41.30 $41.30 $59.59 $40.12 $59.59
4009184 SHOE-DARCO ORTHOWEDGE LG N/A $59.00 $47.20 $50.15 $50.15 $50.15 $59.59 N/A N/A N/A N/A $50.15 $40.12 $59.59 N/A $59.59 $47.67 N/A $47.20 $41.30 $41.30 $59.59 $40.12 $59.59
4009185 SHOE-DARCO ORTHOWEDGE MD N/A $59.00 $47.20 $50.15 $50.15 $50.15 $59.59 N/A N/A N/A N/A $50.15 $40.12 $59.59 N/A $59.59 $47.67 N/A $47.20 $41.30 $41.30 $59.59 $40.12 $59.59
4009189 DRESSING OPTILOCK 4X4 N/A $12.84 $10.27 $10.91 $10.91 $10.91 $12.97 N/A N/A N/A N/A $10.91 $8.73 $12.97 N/A $12.97 $10.37 N/A $10.27 $8.99 $8.99 $12.97 $8.73 $12.97
4009190 DRESSING DERMAGEL 4X4 N/A $21.16 $16.93 $17.99 $17.99 $17.99 $21.37 N/A N/A N/A N/A $17.99 $14.39 $21.37 N/A $21.37 $17.10 N/A $16.93 $14.81 $14.81 $21.37 $14.39 $21.37
4009192 DRESSING MEPILEX SOFT FOAM 4X4 N/A $22.88 $18.30 $19.45 $19.45 $19.45 $23.11 N/A N/A N/A N/A $19.45 $15.56 $23.11 N/A $23.11 $18.49 N/A $18.30 $16.02 $16.02 $23.11 $15.56 $23.11
4009193 DRESSING MEPILEX SOFT FOAM 6X6 N/A $40.68 $32.54 $34.58 $34.58 $34.58 $41.09 N/A N/A N/A N/A $34.58 $27.66 $41.09 N/A $41.09 $32.87 N/A $32.54 $28.48 $28.48 $41.09 $27.66 $41.09
4009213 MEDICAL ADHESIVE N/A $29.46 $23.57 $25.04 $25.04 $25.04 $29.75 N/A N/A N/A N/A $25.04 $20.03 $29.75 N/A $29.75 $23.80 N/A $23.57 $20.62 $20.62 $29.75 $20.03 $29.75
4009214 ACAPELLA BLUE VIBRATORY PEP N/A $150.30 $120.24 $127.76 $127.76 $127.76 $151.80 N/A N/A N/A N/A $127.76 $102.20 $151.80 N/A $151.80 $121.44 N/A $120.24 $105.21 $105.21 $151.80 $102.20 $151.80
4009215 ACAPELLA GREEN VIBRATORY PEP N/A $150.30 $120.24 $127.76 $127.76 $127.76 $151.80 N/A N/A N/A N/A $127.76 $102.20 $151.80 N/A $151.80 $121.44 N/A $120.24 $105.21 $105.21 $151.80 $102.20 $151.80
4009216 BANDATE COHESIVE 4INx5YD NONSTERILE N/A $7.26 $5.81 $6.17 $6.17 $6.17 $7.33 N/A N/A N/A N/A $6.17 $4.94 $7.33 N/A $7.33 $5.87 N/A $5.81 $5.08 $5.08 $7.33 $4.94 $7.33
4009217 BANDAGE COHESIVE 6INX5YD NONSTERILE N/A $12.09 $9.67 $10.28 $10.28 $10.28 $12.21 N/A N/A N/A N/A $10.28 $8.22 $12.21 N/A $12.21 $9.77 N/A $9.67 $8.46 $8.46 $12.21 $8.22 $12.21
4009218 FECAL MANAGEMENT SYSTEM BAG N/A $26.13 $20.90 $22.21 $22.21 $22.21 $26.39 N/A N/A N/A N/A $22.21 $17.77 $26.39 N/A $26.39 $21.11 N/A $20.90 $18.29 $18.29 $26.39 $17.77 $26.39
4009223 VAC DRESSING BLACK SM GRANUFOAM SENSATRA N/A $106.95 $85.56 $90.91 $90.91 $90.91 $108.02 N/A N/A N/A N/A $90.91 $72.73 $108.02 N/A $108.02 $86.42 N/A $85.56 $74.87 $74.87 $108.02 $72.73 $108.02
4009226 BORDER GAUZE 2X2 N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4009227 BORDER GAUZE 4X4 N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4009228 BORDER GAUZE 6X6 N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4009229 SCD EXP SLEEVE THIGH SM N/A $143.13 $114.50 $121.66 $121.66 $121.66 $144.56 N/A N/A N/A N/A $121.66 $97.33 $144.56 N/A $144.56 $115.65 N/A $114.50 $100.19 $100.19 $144.56 $97.33 $144.56
4009230 SCD EXP SLEEVE THIGH MD N/A $150.81 $120.65 $128.19 $128.19 $128.19 $152.32 N/A N/A N/A N/A $128.19 $102.55 $152.32 N/A $152.32 $121.85 N/A $120.65 $105.57 $105.57 $152.32 $102.55 $152.32
4009231 ANTIFUNGAL CREAM N/A $14.46 $11.57 $12.29 $12.29 $12.29 $14.60 N/A N/A N/A N/A $12.29 $9.83 $14.60 N/A $14.60 $11.68 N/A $11.57 $10.12 $10.12 $14.60 $9.83 $14.60
4009232 ANTIFUNGAL POWDER N/A $9.99 $7.99 $8.49 $8.49 $8.49 $10.09 N/A N/A N/A N/A $8.49 $6.79 $10.09 N/A $10.09 $8.07 N/A $7.99 $6.99 $6.99 $10.09 $6.79 $10.09
4009233 COHESIVE BANDAGE STERILE 3X5YD N/A $6.09 $4.87 $5.18 $5.18 $5.18 $6.15 N/A N/A N/A N/A $5.18 $4.14 $6.15 N/A $6.15 $4.92 N/A $4.87 $4.26 $4.26 $6.15 $4.14 $6.15
4009234 COHESIVE BANDAGE STERILE 4X5YD N/A $7.86 $6.29 $6.68 $6.68 $6.68 $7.94 N/A N/A N/A N/A $6.68 $5.34 $7.94 N/A $7.94 $6.35 N/A $6.29 $5.50 $5.50 $7.94 $5.34 $7.94
4009237 FAN, SINGLE PATIENT USE N/A $44.04 $35.23 $37.43 $37.43 $37.43 $44.48 N/A N/A N/A N/A $37.43 $29.95 $44.48 N/A $44.48 $35.58 N/A $35.23 $30.83 $30.83 $44.48 $29.95 $44.48
4009240 DRESSING SILVERLOIN PACKING STRIP 1X12 N/A $36.15 $28.92 $30.73 $30.73 $30.73 $36.51 N/A N/A N/A N/A $30.73 $24.58 $36.51 N/A $36.51 $29.21 N/A $28.92 $25.31 $25.31 $36.51 $24.58 $36.51
4009241 COLOSTOMY ONE PIECE CUT TO FIT POUCH N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4009244 SAND BED-ENVELLA PER DAY N/A $420.00 $336.00 $357.00 $357.00 $357.00 $424.20 N/A N/A N/A N/A $357.00 $285.60 $424.20 N/A $424.20 $339.36 N/A $336.00 $294.00 $294.00 $424.20 $285.60 $424.20
4009249 URINE MANAGMENT URINE SYSTEM FEMALE EXTE N/A $51.99 $41.59 $44.19 $44.19 $44.19 $52.51 N/A N/A N/A N/A $44.19 $35.35 $52.51 N/A $52.51 $42.01 N/A $41.59 $36.39 $36.39 $52.51 $35.35 $52.51
4009250 CATHETER URETHRAL 14FR ROBINSON N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4009255 COLOSTOMY WAFER DURAHESIVE 45MM N/A $8.85 $7.08 $7.52 $7.52 $7.52 $8.94 N/A N/A N/A N/A $7.52 $6.02 $8.94 N/A $8.94 $7.15 N/A $7.08 $6.20 $6.20 $8.94 $6.02 $8.94
4009262 DARCO HEEL WEDGE SHOE SM N/A $75.27 $60.22 $63.98 $63.98 $63.98 $76.02 N/A N/A N/A N/A $63.98 $51.18 $76.02 N/A $76.02 $60.82 N/A $60.22 $52.69 $52.69 $76.02 $51.18 $76.02
4009264 DARCO HEEL WEDGE SHOE LG N/A $75.27 $60.22 $63.98 $63.98 $63.98 $76.02 N/A N/A N/A N/A $63.98 $51.18 $76.02 N/A $76.02 $60.82 N/A $60.22 $52.69 $52.69 $76.02 $51.18 $76.02
4009266 BIOPSY PUNCH 3MM SKIN N/A $6.75 $5.40 $5.74 $5.74 $5.74 $6.82 N/A N/A N/A N/A $5.74 $4.59 $6.82 N/A $6.82 $5.45 N/A $5.40 $4.73 $4.73 $6.82 $4.59 $6.82
4009267 COLOSTOMY POUCH 45MM DRAINABLE SPOUT N/A $8.73 $6.98 $7.42 $7.42 $7.42 $8.82 N/A N/A N/A N/A $7.42 $5.94 $8.82 N/A $8.82 $7.05 N/A $6.98 $6.11 $6.11 $8.82 $5.94 $8.82
4009269 ADSON FORCEP STANDARD 4.75" DISP N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4009270 RESUSCITATOR CYCLONE POCKET N/A $148.89 $119.11 $126.56 $126.56 $126.56 $150.38 N/A N/A N/A N/A $126.56 $101.25 $150.38 N/A $150.38 $120.30 N/A $119.11 $104.22 $104.22 $150.38 $101.25 $150.38
4009271 DRESSING MEPITEL ONE 4X7 N/A $28.17 $22.54 $23.94 $23.94 $23.94 $28.45 N/A N/A N/A N/A $23.94 $19.16 $28.45 N/A $28.45 $22.76 N/A $22.54 $19.72 $19.72 $28.45 $19.16 $28.45
4009902 VAC CANNISTER 1000ML N/A $163.74 $130.99 $139.18 $139.18 $139.18 $165.38 N/A N/A N/A N/A $139.18 $111.34 $165.38 N/A $165.38 $132.30 N/A $130.99 $114.62 $114.62 $165.38 $111.34 $165.38
4009903 VAC TRAC PAD DOUBLE LUMEN N/A $225.00 $180.00 $191.25 $191.25 $191.25 $227.25 N/A N/A N/A N/A $191.25 $153.00 $227.25 N/A $227.25 $181.80 N/A $180.00 $157.50 $157.50 $227.25 $153.00 $227.25
4009905 PICO DRESSING KIT 15x15 N/A $693.66 $554.93 $589.61 $589.61 $589.61 $700.60 N/A N/A N/A N/A $589.61 $471.69 $700.60 N/A $700.60 $560.48 N/A $554.93 $485.56 $485.56 $700.60 $471.69 $700.60
40099206 COBAN TLC SYSTEM N/A $32.22 $25.78 $27.39 $27.39 $27.39 $32.54 N/A N/A N/A N/A $27.39 $21.91 $32.54 N/A $32.54 $26.03 N/A $25.78 $22.55 $22.55 $32.54 $21.91 $32.54
4009924 BIVONA TRACH TUBE 7.0 ADJUSTABLE N/A $893.97 $715.18 $759.87 $759.87 $759.87 $902.91 N/A N/A N/A N/A $759.87 $607.90 $902.91 N/A $902.91 $722.33 N/A $715.18 $625.78 $625.78 $902.91 $607.90 $902.91
4009928 ORAL CARE KIT 24 HR CHLOHEXADINE N/A $70.83 $56.66 $60.21 $60.21 $60.21 $71.54 N/A N/A N/A N/A $60.21 $48.16 $71.54 N/A $71.54 $57.23 N/A $56.66 $49.58 $49.58 $71.54 $48.16 $71.54
4009932 ACE WRAP 2" STERILE N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4009935 ACE WRAP 6" STERILE N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4009938 DRESSING PROMOGRAN MATRIX 4.34 SQ IN N/A $20.82 $16.66 $17.70 $17.70 $17.70 $21.03 N/A N/A N/A N/A $17.70 $14.16 $21.03 N/A $21.03 $16.82 N/A $16.66 $14.57 $14.57 $21.03 $14.16 $21.03
4009942 DRESSING MAXORB II ROPE 1X2 N/A $7.02 $5.62 $5.97 $5.97 $5.97 $7.09 N/A N/A N/A N/A $5.97 $4.77 $7.09 N/A $7.09 $5.67 N/A $5.62 $4.91 $4.91 $7.09 $4.77 $7.09
4009943 DRESSING MAXORB AG ROPE 1X12 N/A $18.93 $15.14 $16.09 $16.09 $16.09 $19.12 N/A N/A N/A N/A $16.09 $12.87 $19.12 N/A $19.12 $15.30 N/A $15.14 $13.25 $13.25 $19.12 $12.87 $19.12
4009945 DRESSING MAXORB AG 4X4.75 N/A $21.48 $17.18 $18.26 $18.26 $18.26 $21.69 N/A N/A N/A N/A $18.26 $14.61 $21.69 N/A $21.69 $17.36 N/A $17.18 $15.04 $15.04 $21.69 $14.61 $21.69
4009946 POSITION/TURN SYSTEM XXL N/A $826.80 $661.44 $702.78 $702.78 $702.78 $835.07 N/A N/A N/A N/A $702.78 $562.22 $835.07 N/A $835.07 $668.05 N/A $661.44 $578.76 $578.76 $835.07 $562.22 $835.07
4009947 WOUND DRESSING TRIAD 2.5OZ N/A $23.28 $18.62 $19.79 $19.79 $19.79 $23.51 N/A N/A N/A N/A $19.79 $15.83 $23.51 N/A $23.51 $18.81 N/A $18.62 $16.30 $16.30 $23.51 $15.83 $23.51
4009948 VAPO THERM AND AIR COMPRESSOR N/A $85.35 $68.28 $72.55 $72.55 $72.55 $86.20 N/A N/A N/A N/A $72.55 $58.04 $86.20 N/A $86.20 $68.96 N/A $68.28 $59.75 $59.75 $86.20 $58.04 $86.20
4009953 PROLAYER 4X8 ACELLULAR DERMAL MATRIX N/A $10,383.00 $8,306.40 $8,825.55 $8,825.55 $8,825.55 $10,486.83 N/A N/A N/A N/A $8,825.55 $7,060.44 $10,486.83 N/A $10,486.83 $8,389.46 N/A $8,306.40 $7,268.10 $7,268.10 $10,486.83 $7,060.44 $10,486.83
4009957 SCD EXP SLEEVE THIGH LG N/A $180.60 $144.48 $153.51 $153.51 $153.51 $182.41 N/A N/A N/A N/A $153.51 $122.81 $182.41 N/A $182.41 $145.92 N/A $144.48 $126.42 $126.42 $182.41 $122.81 $182.41
4009958 VAC Y-CONNECTOR N/A $5.10 $4.08 $4.34 $4.34 $4.34 $5.15 N/A N/A N/A N/A $4.34 $3.47 $5.15 N/A $5.15 $4.12 N/A $4.08 $3.57 $3.57 $5.15 $3.47 $5.15
4009959 WOUND DRESSING TRIAD 6OZ N/A $37.05 $29.64 $31.49 $31.49 $31.49 $37.42 N/A N/A N/A N/A $31.49 $25.19 $37.42 N/A $37.42 $29.94 N/A $29.64 $25.94 $25.94 $37.42 $25.19 $37.42
4009961 K-WIRE 0.9MM NON-THREADED N/A $192.00 $153.60 $163.20 $163.20 $163.20 $193.92 N/A N/A N/A N/A $163.20 $130.56 $193.92 N/A $193.92 $155.14 N/A $153.60 $134.40 $134.40 $193.92 $130.56 $193.92
4009965 TED HOSE KNEE XL REG N/A $8.61 $6.89 $7.32 $7.32 $7.32 $8.70 N/A N/A N/A N/A $7.32 $5.85 $8.70 N/A $8.70 $6.96 N/A $6.89 $6.03 $6.03 $8.70 $5.85 $8.70
4009966 TED HOSE XL LONG N/A $8.91 $7.13 $7.57 $7.57 $7.57 $9.00 N/A N/A N/A N/A $7.57 $6.06 $9.00 N/A $9.00 $7.20 N/A $7.13 $6.24 $6.24 $9.00 $6.06 $9.00
4009983 RESCUE NETS N/A $255.00 $204.00 $216.75 $216.75 $216.75 $257.55 N/A N/A N/A N/A $216.75 $173.40 $257.55 N/A $257.55 $206.04 N/A $204.00 $178.50 $178.50 $257.55 $173.40 $257.55
4009992 Hex Snare 15mm N/A $41.82 $33.46 $35.55 $35.55 $35.55 $42.24 N/A N/A N/A N/A $35.55 $28.44 $42.24 N/A $42.24 $33.79 N/A $33.46 $29.27 $29.27 $42.24 $28.44 $42.24
4109928 PEG TUBE 16 FR-NESTLE N/A $112.86 $90.29 $95.93 $95.93 $95.93 $113.99 N/A N/A N/A N/A $95.93 $76.74 $113.99 N/A $113.99 $91.19 N/A $90.29 $79.00 $79.00 $113.99 $76.74 $113.99
4109930 VAC VERAFLO CLEANSE CHIOCE MED DRESSING N/A $414.00 $331.20 $351.90 $351.90 $351.90 $418.14 N/A N/A N/A N/A $351.90 $281.52 $418.14 N/A $418.14 $334.51 N/A $331.20 $289.80 $289.80 $418.14 $281.52 $418.14
4109934 GAIT BELT N/A $12.15 $9.72 $10.33 $10.33 $10.33 $12.27 N/A N/A N/A N/A $10.33 $8.26 $12.27 N/A $12.27 $9.82 N/A $9.72 $8.51 $8.51 $12.27 $8.26 $12.27
4109935 GAIT BELT LONG N/A $15.81 $12.65 $13.44 $13.44 $13.44 $15.97 N/A N/A N/A N/A $13.44 $10.75 $15.97 N/A $15.97 $12.77 N/A $12.65 $11.07 $11.07 $15.97 $10.75 $15.97
4109937 STYLET 14FR N/A $6.60 $5.28 $5.61 $5.61 $5.61 $6.67 N/A N/A N/A N/A $5.61 $4.49 $6.67 N/A $6.67 $5.33 N/A $5.28 $4.62 $4.62 $6.67 $4.49 $6.67
4109941 PEG TUBE STABILIZER VERTICAL DRAIN N/A $15.09 $12.07 $12.83 $12.83 $12.83 $15.24 N/A N/A N/A N/A $12.83 $10.26 $15.24 N/A $15.24 $12.19 N/A $12.07 $10.56 $10.56 $15.24 $10.26 $15.24
4109942 DRESSING; AMD 3X5X3, FOAM BORDER N/A $18.54 $14.83 $15.76 $15.76 $15.76 $18.73 N/A N/A N/A N/A $15.76 $12.61 $18.73 N/A $18.73 $14.98 N/A $14.83 $12.98 $12.98 $18.73 $12.61 $18.73
4109943 DRESSING; AMD 4X4, COPA N/A $15.27 $12.22 $12.98 $12.98 $12.98 $15.42 N/A N/A N/A N/A $12.98 $10.38 $15.42 N/A $15.42 $12.34 N/A $12.22 $10.69 $10.69 $15.42 $10.38 $15.42
4109945 STERILE WATER INJECTION 1000ML BAG N/A $3.90 $3.12 $3.32 $3.32 $3.32 $3.94 N/A N/A N/A N/A $3.32 $2.65 $3.94 N/A $3.94 $3.15 N/A $3.12 $2.73 $2.73 $3.94 $2.65 $3.94
4109947 PROTECTA-GEL REG SKIN BARRIER N/A $42.87 $34.30 $36.44 $36.44 $36.44 $43.30 N/A N/A N/A N/A $36.44 $29.15 $43.30 N/A $43.30 $34.64 N/A $34.30 $30.01 $30.01 $43.30 $29.15 $43.30
4109948 PROTECTA-GEL SMALL SKIN BARRIER N/A $42.87 $34.30 $36.44 $36.44 $36.44 $43.30 N/A N/A N/A N/A $36.44 $29.15 $43.30 N/A $43.30 $34.64 N/A $34.30 $30.01 $30.01 $43.30 $29.15 $43.30
4109953 HIP ABDUCTION WEDGE PILLOW FOAM N/A $37.77 $30.22 $32.10 $32.10 $32.10 $38.15 N/A N/A N/A N/A $32.10 $25.68 $38.15 N/A $38.15 $30.52 N/A $30.22 $26.44 $26.44 $38.15 $25.68 $38.15
4109954 LIFT SLING DISP MD N/A $143.07 $114.46 $121.61 $121.61 $121.61 $144.50 N/A N/A N/A N/A $121.61 $97.29 $144.50 N/A $144.50 $115.60 N/A $114.46 $100.15 $100.15 $144.50 $97.29 $144.50
4109958 BRIEFS TABBED SM N/A $17.28 $13.82 $14.69 $14.69 $14.69 $17.45 N/A N/A N/A N/A $14.69 $11.75 $17.45 N/A $17.45 $13.96 N/A $13.82 $12.10 $12.10 $17.45 $11.75 $17.45
4109959 BRIEFS TABBED MD N/A $20.70 $16.56 $17.60 $17.60 $17.60 $20.91 N/A N/A N/A N/A $17.60 $14.08 $20.91 N/A $20.91 $16.73 N/A $16.56 $14.49 $14.49 $20.91 $14.08 $20.91
4109960 BRIEFS TABBED LG N/A $22.35 $17.88 $19.00 $19.00 $19.00 $22.57 N/A N/A N/A N/A $19.00 $15.20 $22.57 N/A $22.57 $18.06 N/A $17.88 $15.65 $15.65 $22.57 $15.20 $22.57
4109961 BRIEFS TABBED XL N/A $27.27 $21.82 $23.18 $23.18 $23.18 $27.54 N/A N/A N/A N/A $23.18 $18.54 $27.54 N/A $27.54 $22.03 N/A $21.82 $19.09 $19.09 $27.54 $18.54 $27.54
4109962 BRIEFS TABBED XXL N/A $35.40 $28.32 $30.09 $30.09 $30.09 $35.75 N/A N/A N/A N/A $30.09 $24.07 $35.75 N/A $35.75 $28.60 N/A $28.32 $24.78 $24.78 $35.75 $24.07 $35.75
4109963 UNDERWEAR SM ADULT N/A $42.09 $33.67 $35.78 $35.78 $35.78 $42.51 N/A N/A N/A N/A $35.78 $28.62 $42.51 N/A $42.51 $34.01 N/A $33.67 $29.46 $29.46 $42.51 $28.62 $42.51
4109964 UNDERWEAR MD ADULT N/A $30.60 $24.48 $26.01 $26.01 $26.01 $30.91 N/A N/A N/A N/A $26.01 $20.81 $30.91 N/A $30.91 $24.72 N/A $24.48 $21.42 $21.42 $30.91 $20.81 $30.91
4109965 UNDERWEAR LG ADULT N/A $33.99 $27.19 $28.89 $28.89 $28.89 $34.33 N/A N/A N/A N/A $28.89 $23.11 $34.33 N/A $34.33 $27.46 N/A $27.19 $23.79 $23.79 $34.33 $23.11 $34.33
4109966 UNDERWEAR XL ADULT N/A $46.32 $37.06 $39.37 $39.37 $39.37 $46.78 N/A N/A N/A N/A $39.37 $31.50 $46.78 N/A $46.78 $37.43 N/A $37.06 $32.42 $32.42 $46.78 $31.50 $46.78
4109967 UNDERWEAR XXL ADULT N/A $62.37 $49.90 $53.01 $53.01 $53.01 $62.99 N/A N/A N/A N/A $53.01 $42.41 $62.99 N/A $62.99 $50.40 N/A $49.90 $43.66 $43.66 $62.99 $42.41 $62.99
4109969 BIOFREEZE 4 OZ TUBE N/A $39.06 $31.25 $33.20 $33.20 $33.20 $39.45 N/A N/A N/A N/A $33.20 $26.56 $39.45 N/A $39.45 $31.56 N/A $31.25 $27.34 $27.34 $39.45 $26.56 $39.45
4109976 AIRTAP REPOSITIONING SYSTEM XXL N/A $936.00 $748.80 $795.60 $795.60 $795.60 $945.36 N/A N/A N/A N/A $795.60 $636.48 $945.36 N/A $945.36 $756.29 N/A $748.80 $655.20 $655.20 $945.36 $636.48 $945.36
4109978 THERAPUTTY RED SOFT 4 OZ N/A $20.40 $16.32 $17.34 $17.34 $17.34 $20.60 N/A N/A N/A N/A $17.34 $13.87 $20.60 N/A $20.60 $16.48 N/A $16.32 $14.28 $14.28 $20.60 $13.87 $20.60
4109980 THERAPUTTY YELLOW EXTRA SOFT 4 OZ N/A $20.40 $16.32 $17.34 $17.34 $17.34 $20.60 N/A N/A N/A N/A $17.34 $13.87 $20.60 N/A $20.60 $16.48 N/A $16.32 $14.28 $14.28 $20.60 $13.87 $20.60
4109981 UNNA BOOT ZINC AND CALAMINE N/A $44.79 $35.83 $38.07 $38.07 $38.07 $45.24 N/A N/A N/A N/A $38.07 $30.46 $45.24 N/A $45.24 $36.19 N/A $35.83 $31.35 $31.35 $45.24 $30.46 $45.24
4109983 UNDERPAD XXL MICROCLIMATE SAGE 5 PK N/A $77.22 $61.78 $65.64 $65.64 $65.64 $77.99 N/A N/A N/A N/A $65.64 $52.51 $77.99 N/A $77.99 $62.39 N/A $61.78 $54.05 $54.05 $77.99 $52.51 $77.99
4109985 LIFT SLING SPU 3X BARIATRIC N/A $1,215.00 $972.00 $1,032.75 $1,032.75 $1,032.75 $1,227.15 N/A N/A N/A N/A $1,032.75 $826.20 $1,227.15 N/A $1,227.15 $981.72 N/A $972.00 $850.50 $850.50 $1,227.15 $826.20 $1,227.15
4109987 THERAPUTTY YELLOW EXTRA SOFT 2 OZ N/A $11.67 $9.34 $9.92 $9.92 $9.92 $11.79 N/A N/A N/A N/A $9.92 $7.94 $11.79 N/A $11.79 $9.43 N/A $9.34 $8.17 $8.17 $11.79 $7.94 $11.79
4109992 DERMABOND MINI N/A $28.74 $22.99 $24.43 $24.43 $24.43 $29.03 N/A N/A N/A N/A $24.43 $19.54 $29.03 N/A $29.03 $23.22 N/A $22.99 $20.12 $20.12 $29.03 $19.54 $29.03
4410003 IRRIGATION FLUID NORMAL SALINE 500ML N/A $9.36 $7.49 $7.96 $7.96 $7.96 $9.45 N/A N/A N/A N/A $7.96 $6.36 $9.45 N/A $9.45 $7.56 N/A $7.49 $6.55 $6.55 $9.45 $6.36 $9.45
4410004 IRRIGATION FLUID NORMAL SALINE 1000ML N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
3500001 CARDIAC MONITORING ER ONE PER DAY N/A $164.36 $131.49 $139.71 $139.71 $139.71 $166.00 N/A N/A N/A N/A $139.71 $111.76 $166.00 N/A $166.00 $132.80 N/A $131.49 $115.05 $115.05 $166.00 $111.76 $166.00
3503265 MSE - NON EMERGENT N/A $- $- $- $- $- $- N/A N/A N/A N/A $- $- $- N/A $- $- N/A $- $- $- $- $- $-
4009936 PRESSURE INFUSER BAG 500CC N/A $30.12 $24.10 $25.60 $25.60 $25.60 $30.42 N/A N/A N/A N/A $25.60 $20.48 $30.42 N/A $30.42 $24.34 N/A $24.10 $21.08 $21.08 $30.42 $20.48 $30.42
4405202 D5 1/2 NS 1000 ML IV BAG N/A $146.20 $116.96 $124.27 $124.27 $124.27 $147.66 N/A N/A N/A N/A $124.27 $99.42 $147.66 N/A $147.66 $118.13 N/A $116.96 $102.34 $102.34 $147.66 $99.42 $147.66
4405203 D5 1/2 NS WITH 20 KCL1000 ML N/A $149.04 $119.23 $126.68 $126.68 $126.68 $150.53 N/A N/A N/A N/A $126.68 $101.35 $150.53 N/A $150.53 $120.42 N/A $119.23 $104.33 $104.33 $150.53 $101.35 $150.53
4405205 D5 LR 1000 ML BAG N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4405206 D5 NS 1000 ML N/A $146.20 $116.96 $124.27 $124.27 $124.27 $147.66 N/A N/A N/A N/A $124.27 $99.42 $147.66 N/A $147.66 $118.13 N/A $116.96 $102.34 $102.34 $147.66 $99.42 $147.66
4405207 D5W 100 ML IV BAG N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4405307 STERILE WATER 10ML N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4410001 NS FLUSH 0.9% 10 ML SYRINGE N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4410002 NS 0.9% 10ML VIAL N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4410018 D5W 1000 ML N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4410023 NS 0.9% 500ML IV N/A $21.95 $17.56 $18.66 $18.66 $18.66 $22.17 N/A N/A N/A N/A $18.66 $14.93 $22.17 N/A $22.17 $17.74 N/A $17.56 $15.37 $15.37 $22.17 $14.93 $22.17
4410033 NS 0.45% 1000ML IV N/A $29.27 $23.42 $24.88 $24.88 $24.88 $29.56 N/A N/A N/A N/A $24.88 $19.90 $29.56 N/A $29.56 $23.65 N/A $23.42 $20.49 $20.49 $29.56 $19.90 $29.56
4410070 NS W/KCL 40MEQ 1000ML BAG N/A $21.95 $17.56 $18.66 $18.66 $18.66 $22.17 N/A N/A N/A N/A $18.66 $14.93 $22.17 N/A $22.17 $17.74 N/A $17.56 $15.37 $15.37 $22.17 $14.93 $22.17
4410302 SODIUM CHLORIDE 50ml MINIBAG N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4411004 NS 0.9% 1000ML IV N/A $22.97 $18.38 $19.52 $19.52 $19.52 $23.20 N/A N/A N/A N/A $19.52 $15.62 $23.20 N/A $23.20 $18.56 N/A $18.38 $16.08 $16.08 $23.20 $15.62 $23.20
4411005 NS 0.9% 250ML IV N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4411007 D5W 250ML N/A $21.95 $17.56 $18.66 $18.66 $18.66 $22.17 N/A N/A N/A N/A $18.66 $14.93 $22.17 N/A $22.17 $17.74 N/A $17.56 $15.37 $15.37 $22.17 $14.93 $22.17
4411010 NS MINIBAG 0.9% 100ML FOR IVPB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4412502 NS W/KCL 20MEQ 1000ML IV N/A $21.95 $17.56 $18.66 $18.66 $18.66 $22.17 N/A N/A N/A N/A $18.66 $14.93 $22.17 N/A $22.17 $17.74 N/A $17.56 $15.37 $15.37 $22.17 $14.93 $22.17
4100605 BLOOD PROCESSING/STORAGE N/A $70.00 $56.00 $59.50 $59.50 $59.50 $70.70 N/A N/A N/A N/A $59.50 $47.60 $70.70 N/A $70.70 $56.56 N/A $56.00 $49.00 $49.00 $70.70 $47.60 $70.70
3100500 PRIVATE ROOM N/A $780.00 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A $- $-
3100600 PRIVATE ROOM W/TELEMETRY N/A $1,020.00 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A $- $-
3100800 SWING BED ROOM N/A $702.00 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A $- $-
3100801 SWINGBED PER DAY W/TELEMETRY N/A $942.00 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A $- $-
3300001 RECOVERY ROOM, 1ST HOUR N/A $293.00 $234.40 $249.05 $249.05 $249.05 $295.93 N/A N/A N/A N/A $249.05 $199.24 $295.93 N/A $295.93 $236.74 N/A $234.40 $205.10 $205.10 $295.93 $199.24 $295.93
4200050 OXYGEN LESS THAN 5 LITERS (PER HOUR) N/A $15.50 $12.40 $13.18 $13.18 $13.18 $15.66 N/A N/A N/A N/A $13.18 $10.54 $15.66 N/A $15.66 $12.52 N/A $12.40 $10.85 $10.85 $15.66 $10.54 $15.66
4200051 OXYGEN MORE THAN 5 LITERS (PER HOUR) N/A $27.50 $22.00 $23.38 $23.38 $23.38 $27.78 N/A N/A N/A N/A $23.38 $18.70 $27.78 N/A $27.78 $22.22 N/A $22.00 $19.25 $19.25 $27.78 $18.70 $27.78
4200213 VENTILATOR CIRCUIT N/A $38.50 $30.80 $32.73 $32.73 $32.73 $38.89 N/A N/A N/A N/A $32.73 $26.18 $38.89 N/A $38.89 $31.11 N/A $30.80 $26.95 $26.95 $38.89 $26.18 $38.89
4200214 VENTILATOR INSTILATION N/A $165.00 $132.00 $140.25 $140.25 $140.25 $166.65 N/A N/A N/A N/A $140.25 $112.20 $166.65 N/A $166.65 $133.32 N/A $132.00 $115.50 $115.50 $166.65 $112.20 $166.65
4201185 BIPAP FULL FACE LARGE MASK N/A $863.97 $691.18 $734.37 $734.37 $734.37 $872.61 N/A N/A N/A N/A $734.37 $587.50 $872.61 N/A $872.61 $698.09 N/A $691.18 $604.78 $604.78 $872.61 $587.50 $872.61
4331251 ENEMA SALINE N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400002 LEVOTHYROXINE 50 MCG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400003 ACETAMINOPHEN SUPP 325 MG N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400004 ACETAMINOPHEN SUPP 650 MG N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400006 METFORMIN 500 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400007 HYDROCHLORTHIAZIDE 25 MG N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400009 TRIPLE ANTIBOTIC OINT PACKET N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400013 SPIRONOLACTONE 25 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400014 PANTOPRAZOLE 40 MG TAB N/A $20.39 $16.31 $17.33 $17.33 $17.33 $20.59 N/A N/A N/A N/A $17.33 $13.87 $20.59 N/A $20.59 $16.48 N/A $16.31 $14.27 $14.27 $20.59 $13.87 $20.59
4400017 NITROLINGUAL SPRAY N/A $571.48 $457.18 $485.76 $485.76 $485.76 $577.19 N/A N/A N/A N/A $485.76 $388.61 $577.19 N/A $577.19 $461.76 N/A $457.18 $400.04 $400.04 $577.19 $388.61 $577.19
4400019 NYSTATIN POWDER 100MU/GM N/A $8.98 $7.18 $7.63 $7.63 $7.63 $9.07 N/A N/A N/A N/A $7.63 $6.11 $9.07 N/A $9.07 $7.26 N/A $7.18 $6.29 $6.29 $9.07 $6.11 $9.07
4400020 CALCIUM CARBONATE500 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400023 HYDROCODONE ELIXIR 7.5 MG/325 MG 15 ML N/A $6.42 $5.14 $5.46 $5.46 $5.46 $6.48 N/A N/A N/A N/A $5.46 $4.37 $6.48 N/A $6.48 $5.19 N/A $5.14 $4.49 $4.49 $6.48 $4.37 $6.48
4400024 AMIODARONE HCI PREMIX 150MG/100ML N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400025 AMOXICILLIN/CLAV 875MG/125MG tab N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400027 LACTULOSE 20 GM/30 ML UNIT DOSE N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400034 LEVOTHYROXINE 125 MCG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400035 METOPROLOL SUCCINATE 25 MG TAB N/A $5.56 $4.45 $4.73 $4.73 $4.73 $5.62 N/A N/A N/A N/A $4.73 $3.78 $5.62 N/A $5.62 $4.49 N/A $4.45 $3.89 $3.89 $5.62 $3.78 $5.62
4400038 CEFDINIR 300MG CAP N/A $25.49 $20.39 $21.67 $21.67 $21.67 $25.74 N/A N/A N/A N/A $21.67 $17.33 $25.74 N/A $25.74 $20.60 N/A $20.39 $17.84 $17.84 $25.74 $17.33 $25.74
4400042 OXYCODONE/ACETAMIN 5/325 MG TAB N/A $6.83 $5.46 $5.81 $5.81 $5.81 $6.90 N/A N/A N/A N/A $5.81 $4.64 $6.90 N/A $6.90 $5.52 N/A $5.46 $4.78 $4.78 $6.90 $4.64 $6.90
4400044 AMOXICILLIN 500 MG CAP N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400048 LISINOPRIL 5 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400058 TRIMETHOPRIM-SULFAMETHOXAZOLE DS TAB N/A $9.13 $7.30 $7.76 $7.76 $7.76 $9.22 N/A N/A N/A N/A $7.76 $6.21 $9.22 N/A $9.22 $7.38 N/A $7.30 $6.39 $6.39 $9.22 $6.21 $9.22
4400061 LEVOTHYROXINE 75 MCG N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400068 NYSTATIN CREAM 30GM TUBE N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400070 MAGNESIUM OXIDE 400 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400073 GLIPIZIDE XL 10 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400074 MECLIZINE 25 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400080 TAMSULOSIN HCL 0.4MG CAP N/A $21.00 $16.80 $17.85 $17.85 $17.85 $21.21 N/A N/A N/A N/A $17.85 $14.28 $21.21 N/A $21.21 $16.97 N/A $16.80 $14.70 $14.70 $21.21 $14.28 $21.21
4400082 HYDRALAZINE HCL 25 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400088 GLIPIZIDE 10 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400095 BUTT PASTE 2OZ/CREAM N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400098 ASPIRIN 325 MG TAB EC N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400099 CHEWABLE ASPIRIN 81 MG TAB (ASA) N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400100 ASORBIC ACID 500 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400106 HYDROXYZINE 25 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400110 LORAZEPAM 1MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400111 FERROUS SULFATE 325 MG N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400112 OXYCODONE HCL 20MG ER TAB N/A $46.10 $36.88 $39.19 $39.19 $39.19 $46.56 N/A N/A N/A N/A $39.19 $31.35 $46.56 N/A $46.56 $37.25 N/A $36.88 $32.27 $32.27 $46.56 $31.35 $46.56
4400120 VENLAFAXINE 75 MG XR CAP N/A $20.94 $16.75 $17.80 $17.80 $17.80 $21.15 N/A N/A N/A N/A $17.80 $14.24 $21.15 N/A $21.15 $16.92 N/A $16.75 $14.66 $14.66 $21.15 $14.24 $21.15
4400124 ATENOLOL 25MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400127 CITALOPRAM 20 MG TAB N/A $13.44 $10.75 $11.42 $11.42 $11.42 $13.57 N/A N/A N/A N/A $11.42 $9.14 $13.57 N/A $13.57 $10.86 N/A $10.75 $9.41 $9.41 $13.57 $9.14 $13.57
4400128 EMLA CREAM (DOSE) N/A $9.90 $7.92 $8.42 $8.42 $8.42 $10.00 N/A N/A N/A N/A $8.42 $6.73 $10.00 N/A $10.00 $8.00 N/A $7.92 $6.93 $6.93 $10.00 $6.73 $10.00
4400129 CLONAZEPAM 0.5MG N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400137 DIPHENHYDRAMINE 25 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400140 DIPHENHYDRAMINE ELIXIR (DOSE) N/A $19.52 $15.62 $16.59 $16.59 $16.59 $19.72 N/A N/A N/A N/A $16.59 $13.27 $19.72 N/A $19.72 $15.77 N/A $15.62 $13.66 $13.66 $19.72 $13.27 $19.72
4400144 DICYCLOMINE 10 MG CAP N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400148 ISOSORBIDE MONONITRATE 30 MG TAB N/A $8.37 $6.70 $7.11 $7.11 $7.11 $8.45 N/A N/A N/A N/A $7.11 $5.69 $8.45 N/A $8.45 $6.76 N/A $6.70 $5.86 $5.86 $8.45 $5.69 $8.45
4400156 DIVALPROEX ACID 250 MG N/A $8.79 $7.03 $7.47 $7.47 $7.47 $8.88 N/A N/A N/A N/A $7.47 $5.98 $8.88 N/A $8.88 $7.10 N/A $7.03 $6.15 $6.15 $8.88 $5.98 $8.88
4400164 BUMETANIDE 1MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400170 WARFARIN 5 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400171 WARFARIN 2 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400172 CARVEDILOL 3.125 MG TAB N/A $10.49 $8.39 $8.92 $8.92 $8.92 $10.59 N/A N/A N/A N/A $8.92 $7.13 $10.59 N/A $10.59 $8.48 N/A $8.39 $7.34 $7.34 $10.59 $7.13 $10.59
4400175 LEVOTHYROXINE 150MCG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400176 PROMETHAZINE 12.5 MG SUPP N/A $88.35 $70.68 $75.10 $75.10 $75.10 $89.23 N/A N/A N/A N/A $75.10 $60.08 $89.23 N/A $89.23 $71.39 N/A $70.68 $61.85 $61.85 $89.23 $60.08 $89.23
4400181 SUCRALFATE 1 GM TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400185 DILTIAZEM HCL 30MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400189 CLONIDINE 0.1 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400192 THIAMINE 100 PO N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400203 SYSTANE N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400204 FLUDROCORTISONE 0.1 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400216 CILOSTAZOL 100 MG N/A $11.23 $8.98 $9.55 $9.55 $9.55 $11.34 N/A N/A N/A N/A $9.55 $7.64 $11.34 N/A $11.34 $9.07 N/A $8.98 $7.86 $7.86 $11.34 $7.64 $11.34
4400226 CEPHALEXIN 125MG/5ML (DOSE) N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400231 AUGMENTIN 400/5 ML BOTTLE N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400234 BENZTROPINE 1 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400236 DOCUSATE SODIUM 100 MG CAP N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400245 CHLORASEPTIC SPRAY 180 ML BOTTLE N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400251 LISINOPRIL 10 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400254 QUETIAPINE FUMARATE 100 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400255 ACYCLOVIR 400 MG TAB N/A $18.69 $14.95 $15.89 $15.89 $15.89 $18.88 N/A N/A N/A N/A $15.89 $12.71 $18.88 N/A $18.88 $15.10 N/A $14.95 $13.08 $13.08 $18.88 $12.71 $18.88
4400276 BISMUTH SUBSALICATE 262 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400283 CARVEDIOLOL 12.5 MG TAB N/A $10.49 $8.39 $8.92 $8.92 $8.92 $10.59 N/A N/A N/A N/A $8.92 $7.13 $10.59 N/A $10.59 $8.48 N/A $8.39 $7.34 $7.34 $10.59 $7.13 $10.59
4400286 SENNA GEN N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400287 LEVOTHYROXINE 112 MCG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400288 FOLIC ACID 1 MG IV N/A $27.02 $21.62 $22.97 $22.97 $22.97 $27.29 N/A N/A N/A N/A $22.97 $18.37 $27.29 N/A $27.29 $21.83 N/A $21.62 $18.91 $18.91 $27.29 $18.37 $27.29
4400291 ADVAIR 500/50 DISKUS N/A $105.77 $84.62 $89.90 $89.90 $89.90 $106.83 N/A N/A N/A N/A $89.90 $71.92 $106.83 N/A $106.83 $85.46 N/A $84.62 $74.04 $74.04 $106.83 $71.92 $106.83
4400292 ALENDRONATE NA 70MG TAB N/A $191.38 $153.10 $162.67 $162.67 $162.67 $193.29 N/A N/A N/A N/A $162.67 $130.14 $193.29 N/A $193.29 $154.64 N/A $153.10 $133.97 $133.97 $193.29 $130.14 $193.29
4400295 ETOMIDATE 2MG/ML IV N/A $37.25 $29.80 $31.66 $31.66 $31.66 $37.62 N/A N/A N/A N/A $31.66 $25.33 $37.62 N/A $37.62 $30.10 N/A $29.80 $26.08 $26.08 $37.62 $25.33 $37.62
4400306 TRAZODONE 50 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400309 DEXTROSE/WATER 50% ML SYRINGE N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400314 OXYBUTYNIN 10 MG TAB N/A $16.40 $13.12 $13.94 $13.94 $13.94 $16.56 N/A N/A N/A N/A $13.94 $11.15 $16.56 N/A $16.56 $13.25 N/A $13.12 $11.48 $11.48 $16.56 $11.15 $16.56
4400315 PHENYTOIN ER 100 MG CAP N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400318 KAYEXALATE 15GM LIQUID N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400321 GUAIFENESIN 600 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400324 INSULIN DRIP N/A $44.52 $35.62 $37.84 $37.84 $37.84 $44.97 N/A N/A N/A N/A $37.84 $30.27 $44.97 N/A $44.97 $35.97 N/A $35.62 $31.16 $31.16 $44.97 $30.27 $44.97
4400325 METOPROLOL TARTRATE 25 MG N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400343 COLLAGENASE SANTYL OINTMENT N/A $47.31 $37.85 $40.21 $40.21 $40.21 $47.78 N/A N/A N/A N/A $40.21 $32.17 $47.78 N/A $47.78 $38.23 N/A $37.85 $33.12 $33.12 $47.78 $32.17 $47.78
4400352 BISACODYL TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400353 BISACODYL SUPP N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400357 DUONEB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400363 DOXYCYCLINE 100 MG INJ N/A $157.66 $126.13 $134.01 $134.01 $134.01 $159.24 N/A N/A N/A N/A $134.01 $107.21 $159.24 N/A $159.24 $127.39 N/A $126.13 $110.36 $110.36 $159.24 $107.21 $159.24
4400375 DESITIN 16 OZ TUBE N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400376 AMITRIPTYLINE 25 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400377 AMITRIPTYLINE 50 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400392 SUCRALFATE 1 GM/ 10 ML SUSP UD CUP N/A $22.47 $17.98 $19.10 $19.10 $19.10 $22.69 N/A N/A N/A N/A $19.10 $15.28 $22.69 N/A $22.69 $18.16 N/A $17.98 $15.73 $15.73 $22.69 $15.28 $22.69
4400395 PIOGLITAZONE HCL TAB N/A $5.59 $4.47 $4.75 $4.75 $4.75 $5.65 N/A N/A N/A N/A $4.75 $3.80 $5.65 N/A $5.65 $4.52 N/A $4.47 $3.91 $3.91 $5.65 $3.80 $5.65
4400397 ROCURONIUM 10MG/ML IV N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400402 SODIUM BICARB 0.5MEQ/ML PED INJ N/A $6.47 $5.18 $5.50 $5.50 $5.50 $6.53 N/A N/A N/A N/A $5.50 $4.40 $6.53 N/A $6.53 $5.23 N/A $5.18 $4.53 $4.53 $6.53 $4.40 $6.53
4400407 ERYTHROMYCIN OPTH OINT N/A $12.39 $9.91 $10.53 $10.53 $10.53 $12.51 N/A N/A N/A N/A $10.53 $8.43 $12.51 N/A $12.51 $10.01 N/A $9.91 $8.67 $8.67 $12.51 $8.43 $12.51
4400412 LABETALOL100 MG / 20 ML VIAL N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400420 ADVAIR DISKUS 250/50 DISKUS N/A $64.90 $51.92 $55.17 $55.17 $55.17 $65.55 N/A N/A N/A N/A $55.17 $44.13 $65.55 N/A $65.55 $52.44 N/A $51.92 $45.43 $45.43 $65.55 $44.13 $65.55
4400421 METRONIDAZOLE 250 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400427 FOLIC ACID 1 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400432 CYCLOBENZAPRINE 10 MG TAB N/A $6.04 $4.83 $5.13 $5.13 $5.13 $6.10 N/A N/A N/A N/A $5.13 $4.11 $6.10 N/A $6.10 $4.88 N/A $4.83 $4.23 $4.23 $6.10 $4.11 $6.10
4400453 GLYCERIN SUPP N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400461 GLIPIZIDE 5 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400464 HYDROCORTISONE 1% CREAM 30 GM N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400468 HALOPERIDOL 1 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400478 HEPARIN SODIUM 5000 UNITS N/A $8.08 $6.46 $6.87 $6.87 $6.87 $8.16 N/A N/A N/A N/A $6.87 $5.49 $8.16 N/A $8.16 $6.53 N/A $6.46 $5.66 $5.66 $8.16 $5.49 $8.16
4400490 HYDROCODONE/APAP 5 - 325 MG N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400491 HYDROCODONE/APAP 10 - 325 MG N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400492 HYDROCODONE/APAP 7.5 - 325 MG N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400501 PROPRANOLOL 10MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400507 LOPERAMIDE HCL 2 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400531 LANTISEPTIC SKIN PROTECTANT N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400532 VERAPAMIL 2.5MG/ML IV N/A $86.65 $69.32 $73.65 $73.65 $73.65 $87.52 N/A N/A N/A N/A $73.65 $58.92 $87.52 N/A $87.52 $70.01 N/A $69.32 $60.66 $60.66 $87.52 $58.92 $87.52
4400543 AMANTADINE HCL N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400544 ORAL BALANCE RINSE N/A $7.50 $6.00 $6.38 $6.38 $6.38 $7.58 N/A N/A N/A N/A $6.38 $5.10 $7.58 N/A $7.58 $6.06 N/A $6.00 $5.25 $5.25 $7.58 $5.10 $7.58
4400549 CEPHALEXIN 500 MG CAP N/A $6.10 $4.88 $5.19 $5.19 $5.19 $6.16 N/A N/A N/A N/A $5.19 $4.15 $6.16 N/A $6.16 $4.93 N/A $4.88 $4.27 $4.27 $6.16 $4.15 $6.16
4400555 ALUM HYDROX/MAG/SIM 30 ML N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400557 TRIAMCINOLONE 0.1% CREAM 15GM N/A $194.11 $155.29 $164.99 $164.99 $164.99 $196.05 N/A N/A N/A N/A $164.99 $131.99 $196.05 N/A $196.05 $156.84 N/A $155.29 $135.88 $135.88 $196.05 $131.99 $196.05
4400561 POTASSIUM CHL 20 MEQ TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400571 FUROSEMIDE 20 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400585 FUROSEMIDE 40 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400590 DONNATAL ELIXIR (DOSE) N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400600 NEOMYCIN/POLYMYXIN B SULFATES OTIC SOL N/A $50.24 $40.19 $42.70 $42.70 $42.70 $50.74 N/A N/A N/A N/A $42.70 $34.16 $50.74 N/A $50.74 $40.59 N/A $40.19 $35.17 $35.17 $50.74 $34.16 $50.74
4400612 DIPHENOXYLATE/ATROPINE TAB (LOMOTIL) N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400614 METOPROLOL SUCCINATE 50 MG TAB N/A $5.56 $4.45 $4.73 $4.73 $4.73 $5.62 N/A N/A N/A N/A $4.73 $3.78 $5.62 N/A $5.62 $4.49 N/A $4.45 $3.89 $3.89 $5.62 $3.78 $5.62
4400626 NITROFURANTOIN 100 MG CAP N/A $34.43 $27.54 $29.27 $29.27 $29.27 $34.77 N/A N/A N/A N/A $29.27 $23.41 $34.77 N/A $34.77 $27.82 N/A $27.54 $24.10 $24.10 $34.77 $23.41 $34.77
4400653 SCOPOLAMINE 1.5MG/72HR PATCH N/A $71.19 $56.95 $60.51 $60.51 $60.51 $71.90 N/A N/A N/A N/A $60.51 $48.41 $71.90 N/A $71.90 $57.52 N/A $56.95 $49.83 $49.83 $71.90 $48.41 $71.90
4400654 OFLOXACIN 0.3% BOTTLE N/A $246.17 $196.94 $209.24 $209.24 $209.24 $248.63 N/A N/A N/A N/A $209.24 $167.40 $248.63 N/A $248.63 $198.91 N/A $196.94 $172.32 $172.32 $248.63 $167.40 $248.63
4400663 POTASSIUM CHLORIDE 10 MEQ N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400666 MAGNESIUM HYDROXIDE N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400687 IBUPROFEN 400MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400690 MULTIVITAMIN IV N/A $6.06 $4.85 $5.15 $5.15 $5.15 $6.12 N/A N/A N/A N/A $5.15 $4.12 $6.12 N/A $6.12 $4.90 N/A $4.85 $4.24 $4.24 $6.12 $4.12 $6.12
4400693 NYSTATIN ORAL SUSP UD 5 ML CUP N/A $7.68 $6.14 $6.53 $6.53 $6.53 $7.76 N/A N/A N/A N/A $6.53 $5.22 $7.76 N/A $7.76 $6.21 N/A $6.14 $5.38 $5.38 $7.76 $5.22 $7.76
4400711 LEVOPHED 4ML N/A $52.40 $41.92 $44.54 $44.54 $44.54 $52.92 N/A N/A N/A N/A $44.54 $35.63 $52.92 N/A $52.92 $42.34 N/A $41.92 $36.68 $36.68 $52.92 $35.63 $52.92
4400722 LABETALOL 100 MG TAB N/A $11.38 $9.10 $9.67 $9.67 $9.67 $11.49 N/A N/A N/A N/A $9.67 $7.74 $11.49 N/A $11.49 $9.20 N/A $9.10 $7.97 $7.97 $11.49 $7.74 $11.49
4400731 VITAMIN B-12 TAB 1000 MCG N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400746 NITROSTAT 0.4 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400750 NITROGLYCERIN PASTE N/A $6.87 $5.50 $5.84 $5.84 $5.84 $6.94 N/A N/A N/A N/A $5.84 $4.67 $6.94 N/A $6.94 $5.55 N/A $5.50 $4.81 $4.81 $6.94 $4.67 $6.94
4400778 GLYBURIDE 5MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400779 TRIAMTERENE/HCTZ 37.5/25 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400800 LAMOTRIGINE 25MG TAB N/A $20.76 $16.61 $17.65 $17.65 $17.65 $20.97 N/A N/A N/A N/A $17.65 $14.12 $20.97 N/A $20.97 $16.77 N/A $16.61 $14.53 $14.53 $20.97 $14.12 $20.97
4400834 PHENOBARBITAL 32.4 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400841 ALBUTEROL INHALER 17GM N/A $18.42 $14.74 $15.66 $15.66 $15.66 $18.60 N/A N/A N/A N/A $15.66 $12.53 $18.60 N/A $18.60 $14.88 N/A $14.74 $12.89 $12.89 $18.60 $12.53 $18.60
4400850 PREDNISONE 5 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400852 PREDNISONE 20 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400853 CLINDAMYCIN 300 MG CAP N/A $6.48 $5.18 $5.51 $5.51 $5.51 $6.54 N/A N/A N/A N/A $5.51 $4.41 $6.54 N/A $6.54 $5.24 N/A $5.18 $4.54 $4.54 $6.54 $4.41 $6.54
4400862 PHYTONADIONE 1MG PED SYRINGE N/A $269.46 $215.57 $229.04 $229.04 $229.04 $272.15 N/A N/A N/A N/A $229.04 $183.23 $272.15 N/A $272.15 $217.72 N/A $215.57 $188.62 $188.62 $272.15 $183.23 $272.15
4400884 MEMANTINE 10 MG TAB N/A $30.45 $24.36 $25.88 $25.88 $25.88 $30.75 N/A N/A N/A N/A $25.88 $20.71 $30.75 N/A $30.75 $24.60 N/A $24.36 $21.32 $21.32 $30.75 $20.71 $30.75
4400890 DOCUSATE SODIUM 150MG/10ML SUSP N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400892 METOCLOPRAMIDE 10 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400895 TEMAZEPAM 15 MG CAP N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400901 METHOCARBAMOL 500 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400925 SILVER SULFADIAZINE CREAM 50 GM JAR N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400931 CARBIDOPA / LEVODOPA 25/100 TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4400940 SODIUM BICARBONATE 8.4MG/ML IV N/A $9.62 $7.70 $8.18 $8.18 $8.18 $9.72 N/A N/A N/A N/A $8.18 $6.54 $9.72 N/A $9.72 $7.77 N/A $7.70 $6.73 $6.73 $9.72 $6.54 $9.72
4400966 VIGAMOX 0.5% N/A $695.07 $556.06 $590.81 $590.81 $590.81 $702.02 N/A N/A N/A N/A $590.81 $472.65 $702.02 N/A $702.02 $561.62 N/A $556.06 $486.55 $486.55 $702.02 $472.65 $702.02
4400978 LEVOTHYROXINE 100 MCG TAB N/A $7.41 $5.93 $6.30 $6.30 $6.30 $7.48 N/A N/A N/A N/A $6.30 $5.04 $7.48 N/A $7.48 $5.99 N/A $5.93 $5.19 $5.19 $7.48 $5.04 $7.48
4401000 DILTIAZEM 5MG/ML IV N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4401006 ATENOLOL 50 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4401018 THEOPHYLLINE 200 MG TAB N/A $19.54 $15.63 $16.61 $16.61 $16.61 $19.74 N/A N/A N/A N/A $16.61 $13.29 $19.74 N/A $19.74 $15.79 N/A $15.63 $13.68 $13.68 $19.74 $13.29 $19.74
4401076 POTASSIUM CHLORIDE 20MG/15ML ELIXIR N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4401077 ACETAMINOPHEN 325 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4401078 ACETAMINOPHEN 500 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4401079 ACETAMINOPHEN/CODEINE #3 TAB N/A $21.95 $17.56 $18.66 $18.66 $18.66 $22.17 N/A N/A N/A N/A $18.66 $14.93 $22.17 N/A $22.17 $17.74 N/A $17.56 $15.37 $15.37 $22.17 $14.93 $22.17
4401080 ACETAMINOPHEN/CODEINE ELIXIR (DOSE) N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4401081 ACETAMINOPHEN 160MG/5ML SUSP N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4401082 ACETAMINOPHEN 650MG/5ML SUSP N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4401101 DIAZEPAM 5 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4401114 DOXYCYCLINE 100 MG CAP N/A $27.88 $22.30 $23.70 $23.70 $23.70 $28.16 N/A N/A N/A N/A $23.70 $18.96 $28.16 N/A $28.16 $22.53 N/A $22.30 $19.52 $19.52 $28.16 $18.96 $28.16
4401134 COLCHICINE 0.6 MG TAB N/A $29.04 $23.23 $24.68 $24.68 $24.68 $29.33 N/A N/A N/A N/A $24.68 $19.75 $29.33 N/A $29.33 $23.46 N/A $23.23 $20.33 $20.33 $29.33 $19.75 $29.33
4401139 ALPRAZOLAM 0.5 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4401141 ALPRAZOLAM 0.25 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4401145 LIDOCAINE W/EPINEPHRINE 2% 20 ML VIAL N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4401146 LIDOCAINE 2% JELLY 30 ML N/A $228.74 $182.99 $194.43 $194.43 $194.43 $231.03 N/A N/A N/A N/A $194.43 $155.54 $231.03 N/A $231.03 $184.82 N/A $182.99 $160.12 $160.12 $231.03 $155.54 $231.03
4401149 VISCOUS LIDOCAINE 2% 20 ML (EACH) N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4401154 RANITIDINE 150 MG TAB N/A $7.91 $6.33 $6.72 $6.72 $6.72 $7.99 N/A N/A N/A N/A $6.72 $5.38 $7.99 N/A $7.99 $6.39 N/A $6.33 $5.54 $5.54 $7.99 $5.38 $7.99
4401160 ALLOPURINOL 100 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4401161 ALLOPURINOL 300 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4401163 AMOXICILLIN SUSP 250 MG/5ML 100 N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4401257 HYOSCYAMINE SULFATE 0.125 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4401344 SILVER NITRATE APPLICATORS N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4401552 TETRACAINE 0.5% OP SOLN N/A $137.58 $110.06 $116.94 $116.94 $116.94 $138.96 N/A N/A N/A N/A $116.94 $93.55 $138.96 N/A $138.96 $111.16 N/A $110.06 $96.31 $96.31 $138.96 $93.55 $138.96
4401657 OXYMETAZOLINE NASAL SPR 0.05% N/A $9.00 $7.20 $7.65 $7.65 $7.65 $9.09 N/A N/A N/A N/A $7.65 $6.12 $9.09 N/A $9.09 $7.27 N/A $7.20 $6.30 $6.30 $9.09 $6.12 $9.09
4401665 CALCIUM/VITAMIN D 600MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4401678 TOPIRAMATE 50 MG TAB N/A $25.44 $20.35 $21.62 $21.62 $21.62 $25.69 N/A N/A N/A N/A $21.62 $17.30 $25.69 N/A $25.69 $20.56 N/A $20.35 $17.81 $17.81 $25.69 $17.30 $25.69
4401687 POLYETHYLENE GLYCOL POWDER 17 GM DOSE N/A $5.71 $4.57 $4.85 $4.85 $4.85 $5.77 N/A N/A N/A N/A $4.85 $3.88 $5.77 N/A $5.77 $4.61 N/A $4.57 $4.00 $4.00 $5.77 $3.88 $5.77
4401688 GLIMEPIRIDE 2 MG TAB N/A $6.14 $4.91 $5.22 $5.22 $5.22 $6.20 N/A N/A N/A N/A $5.22 $4.18 $6.20 N/A $6.20 $4.96 N/A $4.91 $4.30 $4.30 $6.20 $4.18 $6.20
4401705 ZINC SULFATE 220 MG CAPSULE N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4401708 VALSARTAN 80 MG TAB N/A $23.20 $18.56 $19.72 $19.72 $19.72 $23.43 N/A N/A N/A N/A $19.72 $15.78 $23.43 N/A $23.43 $18.75 N/A $18.56 $16.24 $16.24 $23.43 $15.78 $23.43
4401717 ADVAIR DISKUS 100/50 N/A $64.90 $51.92 $55.17 $55.17 $55.17 $65.55 N/A N/A N/A N/A $55.17 $44.13 $65.55 N/A $65.55 $52.44 N/A $51.92 $45.43 $45.43 $65.55 $44.13 $65.55
4401718 NATURAL TEARS EYE DROPS N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4401800 WARFARIN 1MG TAB N/A $12.35 $9.88 $10.50 $10.50 $10.50 $12.47 N/A N/A N/A N/A $10.50 $8.40 $12.47 N/A $12.47 $9.98 N/A $9.88 $8.65 $8.65 $12.47 $8.40 $12.47
4401840 IBUPROFEN 200MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4402175 ENEMA WITH SALINE N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4402192 NITROGLYCERIN DRIP 200 MCG PREMIX N/A $38.15 $30.52 $32.43 $32.43 $32.43 $38.53 N/A N/A N/A N/A $32.43 $25.94 $38.53 N/A $38.53 $30.83 N/A $30.52 $26.71 $26.71 $38.53 $25.94 $38.53
4402309 MULTIVITAMIN TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4402312 NIFEDIPINE XL 30 MG N/A $6.61 $5.29 $5.62 $5.62 $5.62 $6.68 N/A N/A N/A N/A $5.62 $4.49 $6.68 N/A $6.68 $5.34 N/A $5.29 $4.63 $4.63 $6.68 $4.49 $6.68
4402350 MAGNESIUM CITRATE 296 ML N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4402369 G.I. COCKTAIL N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4402380 TERAZOSIN 2 MG TAB N/A $8.03 $6.42 $6.83 $6.83 $6.83 $8.11 N/A N/A N/A N/A $6.83 $5.46 $8.11 N/A $8.11 $6.49 N/A $6.42 $5.62 $5.62 $8.11 $5.46 $8.11
4402383 TERAZOSIN 5 MG TAB N/A $7.21 $5.77 $6.13 $6.13 $6.13 $7.28 N/A N/A N/A N/A $6.13 $4.90 $7.28 N/A $7.28 $5.83 N/A $5.77 $5.05 $5.05 $7.28 $4.90 $7.28
4402385 PROMETHAZINE 25 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4402405 ALBUTEROL INHALAE N/A $14.46 $11.57 $12.29 $12.29 $12.29 $14.60 N/A N/A N/A N/A $12.29 $9.83 $14.60 N/A $14.60 $11.68 N/A $11.57 $10.12 $10.12 $14.60 $9.83 $14.60
4402510 IBUPROFEN SUSP (CHILD'S DOSE) N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4402653 SILVER SULFADIAZINE CREAM 1% 20 GM TUBE N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4403132 NICOTINE PATCH 21MG EACH N/A $12.57 $10.06 $10.68 $10.68 $10.68 $12.70 N/A N/A N/A N/A $10.68 $8.55 $12.70 N/A $12.70 $10.16 N/A $10.06 $8.80 $8.80 $12.70 $8.55 $12.70
4403133 CHLORDIAZEPOXIDE 25MG TABS N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4403134 CETACAINE SPRAY 14% - 2% - 2% (DOSE) N/A $7.04 $5.63 $5.98 $5.98 $5.98 $7.11 N/A N/A N/A N/A $5.98 $4.79 $7.11 N/A $7.11 $5.69 N/A $5.63 $4.93 $4.93 $7.11 $4.79 $7.11
4405008 PROMOD N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4405010 RENAVITE SOFTGEL CAP N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4405020 LACTOBACILLUS - SUPPL N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4405023 APIXABAN 2.5 MG TAB N/A $189.96 $151.97 $161.47 $161.47 $161.47 $191.86 N/A N/A N/A N/A $161.47 $129.17 $191.86 N/A $191.86 $153.49 N/A $151.97 $132.97 $132.97 $191.86 $129.17 $191.86
4405027 DULOXETINE 30 MG CAP N/A $29.57 $23.66 $25.13 $25.13 $25.13 $29.87 N/A N/A N/A N/A $25.13 $20.11 $29.87 N/A $29.87 $23.89 N/A $23.66 $20.70 $20.70 $29.87 $20.11 $29.87
4405034 ATORVASTATIN 20 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4405035 DEXAMETHASONE 4 MG TAB N/A $6.01 $4.81 $5.11 $5.11 $5.11 $6.07 N/A N/A N/A N/A $5.11 $4.09 $6.07 N/A $6.07 $4.86 N/A $4.81 $4.21 $4.21 $6.07 $4.09 $6.07
4405037 CALCITROL 0.25 MG TAB N/A $6.04 $4.83 $5.13 $5.13 $5.13 $6.10 N/A N/A N/A N/A $5.13 $4.11 $6.10 N/A $6.10 $4.88 N/A $4.83 $4.23 $4.23 $6.10 $4.11 $6.10
4405040 MYCOPHENOLATE 500 MG TAB N/A $39.55 $31.64 $33.62 $33.62 $33.62 $39.95 N/A N/A N/A N/A $33.62 $26.89 $39.95 N/A $39.95 $31.96 N/A $31.64 $27.69 $27.69 $39.95 $26.89 $39.95
4405042 OLANZAPINE 10 MG TAB N/A $65.95 $52.76 $56.06 $56.06 $56.06 $66.61 N/A N/A N/A N/A $56.06 $44.85 $66.61 N/A $66.61 $53.29 N/A $52.76 $46.17 $46.17 $66.61 $44.85 $66.61
4405045 SODIUM CHLORIDE TABLET N/A $6.45 $5.16 $5.48 $5.48 $5.48 $6.51 N/A N/A N/A N/A $5.48 $4.39 $6.51 N/A $6.51 $5.21 N/A $5.16 $4.52 $4.52 $6.51 $4.39 $6.51
4405046 RIVAROXABAN 10 MG TAB N/A $379.53 $303.62 $322.60 $322.60 $322.60 $383.33 N/A N/A N/A N/A $322.60 $258.08 $383.33 N/A $383.33 $306.66 N/A $303.62 $265.67 $265.67 $383.33 $258.08 $383.33
4405047 CALCIUM ACETATE 667 CAP N/A $32.00 $25.60 $27.20 $27.20 $27.20 $32.32 N/A N/A N/A N/A $27.20 $21.76 $32.32 N/A $32.32 $25.86 N/A $25.60 $22.40 $22.40 $32.32 $21.76 $32.32
4405049 PRAVASTATIN 40 MG TAB N/A $23.81 $19.05 $20.24 $20.24 $20.24 $24.05 N/A N/A N/A N/A $20.24 $16.19 $24.05 N/A $24.05 $19.24 N/A $19.05 $16.67 $16.67 $24.05 $16.19 $24.05
4405050 NIACIN ER (B-3) 500 MG CAP N/A $28.62 $22.90 $24.33 $24.33 $24.33 $28.91 N/A N/A N/A N/A $24.33 $19.46 $28.91 N/A $28.91 $23.13 N/A $22.90 $20.03 $20.03 $28.91 $19.46 $28.91
4405052 SITAGLIPTIN 50 MG TAB N/A $90.06 $72.05 $76.55 $76.55 $76.55 $90.96 N/A N/A N/A N/A $76.55 $61.24 $90.96 N/A $90.96 $72.77 N/A $72.05 $63.04 $63.04 $90.96 $61.24 $90.96
4405053 PYRIDOSTIGMINE BROMIDE 60MG TAB N/A $96.92 $77.54 $82.38 $82.38 $82.38 $97.89 N/A N/A N/A N/A $82.38 $65.91 $97.89 N/A $97.89 $78.31 N/A $77.54 $67.84 $67.84 $97.89 $65.91 $97.89
4405054 LIRAGLUTIDE INSULIN 6 ML / ML N/A $613.29 $490.63 $521.30 $521.30 $521.30 $619.42 N/A N/A N/A N/A $521.30 $417.04 $619.42 N/A $619.42 $495.54 N/A $490.63 $429.30 $429.30 $619.42 $417.04 $619.42
4405055 SIMVASTATIN 20 MG N/A $21.50 $17.20 $18.28 $18.28 $18.28 $21.72 N/A N/A N/A N/A $18.28 $14.62 $21.72 N/A $21.72 $17.37 N/A $17.20 $15.05 $15.05 $21.72 $14.62 $21.72
4405056 OXYCODONE / APAP 10/325 MG TAB N/A $140.24 $112.19 $119.20 $119.20 $119.20 $141.64 N/A N/A N/A N/A $119.20 $95.36 $141.64 N/A $141.64 $113.31 N/A $112.19 $98.17 $98.17 $141.64 $95.36 $141.64
4405057 BENZONATATE PERLES 100 MG N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4405059 OMEPRAZOLE 20MG CAP N/A $15.89 $12.71 $13.51 $13.51 $13.51 $16.05 N/A N/A N/A N/A $13.51 $10.81 $16.05 N/A $16.05 $12.84 N/A $12.71 $11.12 $11.12 $16.05 $10.81 $16.05
4405060 TRAZODONE 150 MG TAB N/A $17.04 $13.63 $14.48 $14.48 $14.48 $17.21 N/A N/A N/A N/A $14.48 $11.59 $17.21 N/A $17.21 $13.77 N/A $13.63 $11.93 $11.93 $17.21 $11.59 $17.21
4405063 LIDOCAINE PATCH 4% (ASPERCREME) N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4405064 VANCOMYCIN ELIXER 50 MG / ML 150 ML BOTT N/A $203.17 $162.54 $172.69 $172.69 $172.69 $205.20 N/A N/A N/A N/A $172.69 $138.16 $205.20 N/A $205.20 $164.16 N/A $162.54 $142.22 $142.22 $205.20 $138.16 $205.20
4405068 CLINIMIX E 2.75-5 % 1000 ML TPN 1000ML N/A $271.32 $217.06 $230.62 $230.62 $230.62 $274.03 N/A N/A N/A N/A $230.62 $184.50 $274.03 N/A $274.03 $219.23 N/A $217.06 $189.92 $189.92 $274.03 $184.50 $274.03
4405069 CLINIMIX E 4.25/5 % 2000 ML TPN BAG N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4405071 CLINIMIX E 5-20 % 1000 ML TPN BAG N/A $271.32 $217.06 $230.62 $230.62 $230.62 $274.03 N/A N/A N/A N/A $230.62 $184.50 $274.03 N/A $274.03 $219.23 N/A $217.06 $189.92 $189.92 $274.03 $184.50 $274.03
4405072 20% LIPIDS 250ML BAG N/A $74.89 $59.91 $63.66 $63.66 $63.66 $75.64 N/A N/A N/A N/A $63.66 $50.93 $75.64 N/A $75.64 $60.51 N/A $59.91 $52.42 $52.42 $75.64 $50.93 $75.64
4405074 VITAMIN D3 1000U TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4405075 PREGABALIN 100MG CAP N/A $67.88 $54.30 $57.70 $57.70 $57.70 $68.56 N/A N/A N/A N/A $57.70 $46.16 $68.56 N/A $68.56 $54.85 N/A $54.30 $47.52 $47.52 $68.56 $46.16 $68.56
4405076 LEVOTHYROXINE 137MCG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4405077 POTASSIUM BICARBONATE EFFER. 25 mEq TAB N/A $5.00 $4.00 $4.25 $4.25 $4.25 $5.05 N/A N/A N/A N/A $4.25 $3.40 $5.05 N/A $5.05 $4.04 N/A $4.00 $3.50 $3.50 $5.05 $3.40 $5.05
4405078 MELATONIN 3 MG TAB N/A $6.94 $5.55 $5.90 $5.90 $5.90 $7.01 N/A N/A N/A N/A $5.90 $4.72 $7.01 N/A $7.01 $5.61 N/A $5.55 $4.86 $4.86 $7.01 $4.72 $7.01
4405081 MIDODRINE HCL 5 MG TAB N/A $21.15 $16.92 $17.98 $17.98 $17.98 $21.36 N/A N/A N/A N/A $17.98 $14.38 $21.36 N/A $21.36 $17.09 N/A $16.92 $14.81 $14.81 $21.36 $14.38 $21.36
4405083 FLUCONAZOLE 50 MG TAB N/A $27.80 $22.24 $23.63 $23.63 $23.63 $28.08 N/A N/A N/A N/A $23.63 $18.90 $28.08 N/A $28.08 $22.46 N/A $22.24 $19.46 $19.46 $28.08 $18.90 $28.08
4405084 RIVAROXABAN 15 MG TAB N/A $89.42 $71.54 $76.01 $76.01 $76.01 $90.31 N/A N/A N/A N/A $76.01 $60.81 $90.31 N/A $90.31 $72.25 N/A $71.54 $62.59 $62.59 $90.31 $60.81 $90.31
4405088 RIFAXIMIN 550 MG TAB N/A $379.65 $303.72 $322.70 $322.70 $322.70 $383.45 N/A N/A N/A N/A $322.70 $258.16 $383.45 N/A $383.45 $306.76 N/A $303.72 $265.76 $265.76 $383.45 $258.16 $383.45
4405091 HYDROCORTISONE 20MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4405093 PHOS-NAK PACKET N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4405094 BACLOFEN 10 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4405099 MICONAZOLE CREAM 2% 1 OZ TUBE N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4405101 ROPINIROLE 1 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4405102 VITAMIN D3 5000 IU GELCAP N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4405103 SIMETHICONE 80 MG TAB N/A $72.08 $57.66 $61.27 $61.27 $61.27 $72.80 N/A N/A N/A N/A $61.27 $49.01 $72.80 N/A $72.80 $58.24 N/A $57.66 $50.46 $50.46 $72.80 $49.01 $72.80
4405104 HYDROXYCHLOROQUINE 200 MG TAB N/A $21.91 $17.53 $18.62 $18.62 $18.62 $22.13 N/A N/A N/A N/A $18.62 $14.90 $22.13 N/A $22.13 $17.70 N/A $17.53 $15.34 $15.34 $22.13 $14.90 $22.13
4405106 PANTOPRAZOLE GRANULES 40 MG N/A $34.71 $27.77 $29.50 $29.50 $29.50 $35.06 N/A N/A N/A N/A $29.50 $23.60 $35.06 N/A $35.06 $28.05 N/A $27.77 $24.30 $24.30 $35.06 $23.60 $35.06
4405108 TERAZOSIN 1 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4405109 MORPHINE EXTENDED RELEASE 15MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4405110 TIZANIDINE 4MG TAB N/A $18.00 $14.40 $15.30 $15.30 $15.30 $18.18 N/A N/A N/A N/A $15.30 $12.24 $18.18 N/A $18.18 $14.54 N/A $14.40 $12.60 $12.60 $18.18 $12.24 $18.18
4405111 FEBUXOSTST 40 MG TAB N/A $9.23 $7.38 $7.85 $7.85 $7.85 $9.32 N/A N/A N/A N/A $7.85 $6.28 $9.32 N/A $9.32 $7.46 N/A $7.38 $6.46 $6.46 $9.32 $6.28 $9.32
4405113 EZETIMIBE 10 MG TAB N/A $61.85 $49.48 $52.57 $52.57 $52.57 $62.47 N/A N/A N/A N/A $52.57 $42.06 $62.47 N/A $62.47 $49.97 N/A $49.48 $43.30 $43.30 $62.47 $42.06 $62.47
4405114 RIFAMPIN 300 MG CAP N/A $25.82 $20.66 $21.95 $21.95 $21.95 $26.08 N/A N/A N/A N/A $21.95 $17.56 $26.08 N/A $26.08 $20.86 N/A $20.66 $18.07 $18.07 $26.08 $17.56 $26.08
4405115 PREGABALIN 75 MG CAP N/A $51.39 $41.11 $43.68 $43.68 $43.68 $51.90 N/A N/A N/A N/A $43.68 $34.95 $51.90 N/A $51.90 $41.52 N/A $41.11 $35.97 $35.97 $51.90 $34.95 $51.90
4405116 BUSPIRONE HCL 15 MG TAB N/A $10.07 $8.06 $8.56 $8.56 $8.56 $10.17 N/A N/A N/A N/A $8.56 $6.85 $10.17 N/A $10.17 $8.14 N/A $8.06 $7.05 $7.05 $10.17 $6.85 $10.17
4405119 PREGABALIN 50 MG CAP N/A $51.39 $41.11 $43.68 $43.68 $43.68 $51.90 N/A N/A N/A N/A $43.68 $34.95 $51.90 N/A $51.90 $41.52 N/A $41.11 $35.97 $35.97 $51.90 $34.95 $51.90
4405120 DULOXETINE 20 MG CAP N/A $8.72 $6.98 $7.41 $7.41 $7.41 $8.81 N/A N/A N/A N/A $7.41 $5.93 $8.81 N/A $8.81 $7.05 N/A $6.98 $6.10 $6.10 $8.81 $5.93 $8.81
4405125 ACIDOPHILUS 175 MG CAP N/A $6.49 $5.19 $5.52 $5.52 $5.52 $6.55 N/A N/A N/A N/A $5.52 $4.41 $6.55 N/A $6.55 $5.24 N/A $5.19 $4.54 $4.54 $6.55 $4.41 $6.55
4405126 SEVELAMER HCL 800 MG CAP N/A $123.85 $99.08 $105.27 $105.27 $105.27 $125.09 N/A N/A N/A N/A $105.27 $84.22 $125.09 N/A $125.09 $100.07 N/A $99.08 $86.70 $86.70 $125.09 $84.22 $125.09
4405127 CINACALCET HCL 30 MG TAB N/A $161.02 $128.82 $136.87 $136.87 $136.87 $162.63 N/A N/A N/A N/A $136.87 $109.49 $162.63 N/A $162.63 $130.10 N/A $128.82 $112.71 $112.71 $162.63 $109.49 $162.63
4405129 VITAMIN D ELIXER 400IU/2GTT N/A $8.30 $6.64 $7.06 $7.06 $7.06 $8.38 N/A N/A N/A N/A $7.06 $5.64 $8.38 N/A $8.38 $6.71 N/A $6.64 $5.81 $5.81 $8.38 $5.64 $8.38
4405130 ROFLUMILAST 500MCG TAB N/A $84.11 $67.29 $71.49 $71.49 $71.49 $84.95 N/A N/A N/A N/A $71.49 $57.19 $84.95 N/A $84.95 $67.96 N/A $67.29 $58.88 $58.88 $84.95 $57.19 $84.95
4405132 MICONAZOLE POWDER 2% 2.5OZ N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4405134 ROSUVASTATIN CALCIUM 5MG TAB N/A $34.00 $27.20 $28.90 $28.90 $28.90 $34.34 N/A N/A N/A N/A $28.90 $23.12 $34.34 N/A $34.34 $27.47 N/A $27.20 $23.80 $23.80 $34.34 $23.12 $34.34
4405135 MODAFINIL 100MG TAB N/A $54.55 $43.64 $46.37 $46.37 $46.37 $55.10 N/A N/A N/A N/A $46.37 $37.09 $55.10 N/A $55.10 $44.08 N/A $43.64 $38.19 $38.19 $55.10 $37.09 $55.10
4405140 GLYCOPYRROLATE 1 MG TAB N/A $6.23 $4.98 $5.30 $5.30 $5.30 $6.29 N/A N/A N/A N/A $5.30 $4.24 $6.29 N/A $6.29 $5.03 N/A $4.98 $4.36 $4.36 $6.29 $4.24 $6.29
4405141 SODIUM CHLOR 7% SOLUTION FOR INH 4ML N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4405143 BUPROPION ER 100 MG TAB N/A $5.91 $4.73 $5.02 $5.02 $5.02 $5.97 N/A N/A N/A N/A $5.02 $4.02 $5.97 N/A $5.97 $4.78 N/A $4.73 $4.14 $4.14 $5.97 $4.02 $5.97
4405144 AMANTADINE 100 MG CAP N/A $17.38 $13.90 $14.77 $14.77 $14.77 $17.55 N/A N/A N/A N/A $14.77 $11.82 $17.55 N/A $17.55 $14.04 N/A $13.90 $12.17 $12.17 $17.55 $11.82 $17.55
4405145 VANCOMYCIN 250 MG CAP N/A $79.80 $63.84 $67.83 $67.83 $67.83 $80.60 N/A N/A N/A N/A $67.83 $54.26 $80.60 N/A $80.60 $64.48 N/A $63.84 $55.86 $55.86 $80.60 $54.26 $80.60
4405146 GLIPIZIDE 2.5 MG TAB N/A $5.83 $4.66 $4.96 $4.96 $4.96 $5.89 N/A N/A N/A N/A $4.96 $3.96 $5.89 N/A $5.89 $4.71 N/A $4.66 $4.08 $4.08 $5.89 $3.96 $5.89
4405147 GUAIFENESIN 400 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4405148 PYRIDOXINE 50 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4405151 PHENAZOPYRIDINE 100 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4405156 LINEZOLID 600 MG / 300 ml IV N/A $123.89 $99.11 $105.31 $105.31 $105.31 $125.13 N/A N/A N/A N/A $105.31 $84.25 $125.13 N/A $125.13 $100.10 N/A $99.11 $86.72 $86.72 $125.13 $84.25 $125.13
4405157 MYCAMINE 100 MG IV N/A $1,119.76 $895.81 $951.80 $951.80 $951.80 $1,130.96 N/A N/A N/A N/A $951.80 $761.44 $1,130.96 N/A $1,130.96 $904.77 N/A $895.81 $783.83 $783.83 $1,130.96 $761.44 $1,130.96
4405158 SACUBITRIL/VALSARTAN 24/26 MG TAB N/A $6.61 $5.29 $5.62 $5.62 $5.62 $6.68 N/A N/A N/A N/A $5.62 $4.49 $6.68 N/A $6.68 $5.34 N/A $5.29 $4.63 $4.63 $6.68 $4.49 $6.68
4405159 ALBUMIN 25% 50 ML IV N/A $6.93 $5.54 $5.89 $5.89 $5.89 $7.00 N/A N/A N/A N/A $5.89 $4.71 $7.00 N/A $7.00 $5.60 N/A $5.54 $4.85 $4.85 $7.00 $4.71 $7.00
4405160 APIXABAN 5 MG TAB N/A $189.96 $151.97 $161.47 $161.47 $161.47 $191.86 N/A N/A N/A N/A $161.47 $129.17 $191.86 N/A $191.86 $153.49 N/A $151.97 $132.97 $132.97 $191.86 $129.17 $191.86
4405161 VENELEX (BALSAM PERU / CASTOR OIL) 30 gm N/A $15.93 $12.74 $13.54 $13.54 $13.54 $16.09 N/A N/A N/A N/A $13.54 $10.83 $16.09 N/A $16.09 $12.87 N/A $12.74 $11.15 $11.15 $16.09 $10.83 $16.09
4405162 MELOXICAM 15 MG TAB N/A $23.85 $19.08 $20.27 $20.27 $20.27 $24.09 N/A N/A N/A N/A $20.27 $16.22 $24.09 N/A $24.09 $19.27 N/A $19.08 $16.70 $16.70 $24.09 $16.22 $24.09
4405163 PRAMIPEXOLE 0.5 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4405165 AMPICILLIN 500 MG CAP N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4405166 VIMPAT 50MG TAB N/A $86.82 $69.46 $73.80 $73.80 $73.80 $87.69 N/A N/A N/A N/A $73.80 $59.04 $87.69 N/A $87.69 $70.15 N/A $69.46 $60.77 $60.77 $87.69 $59.04 $87.69
4405169 RANOLAZINE 500 MG TAB N/A $37.36 $29.89 $31.76 $31.76 $31.76 $37.73 N/A N/A N/A N/A $31.76 $25.40 $37.73 N/A $37.73 $30.19 N/A $29.89 $26.15 $26.15 $37.73 $25.40 $37.73
4405171 TRIHEXYPHENIDYL 2 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4405173 DRONABINOL 2.5 MG GELCAP N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4405174 DICLOFENAC 1% TOPICAL GEL N/A $36.54 $29.23 $31.06 $31.06 $31.06 $36.91 N/A N/A N/A N/A $31.06 $24.85 $36.91 N/A $36.91 $29.52 N/A $29.23 $25.58 $25.58 $36.91 $24.85 $36.91
4405175 SALINE NASAL SPRAY 1.5 OZ BOTTLE N/A $7.06 $5.65 $6.00 $6.00 $6.00 $7.13 N/A N/A N/A N/A $6.00 $4.80 $7.13 N/A $7.13 $5.70 N/A $5.65 $4.94 $4.94 $7.13 $4.80 $7.13
4405176 PREDNISOLONE SYRUP 60MG/20ML UD N/A $9.61 $7.69 $8.17 $8.17 $8.17 $9.71 N/A N/A N/A N/A $8.17 $6.53 $9.71 N/A $9.71 $7.76 N/A $7.69 $6.73 $6.73 $9.71 $6.53 $9.71
4405177 TICAGRELOR 90 MG TAB N/A $37.34 $29.87 $31.74 $31.74 $31.74 $37.71 N/A N/A N/A N/A $31.74 $25.39 $37.71 N/A $37.71 $30.17 N/A $29.87 $26.14 $26.14 $37.71 $25.39 $37.71
4405179 METHADONE 10 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4405183 DESMOPRESSIN 0.2 MG TAB N/A $74.37 $59.50 $63.21 $63.21 $63.21 $75.11 N/A N/A N/A N/A $63.21 $50.57 $75.11 N/A $75.11 $60.09 N/A $59.50 $52.06 $52.06 $75.11 $50.57 $75.11
4405184 DIGOXIN 0.25 MG TAB N/A $51.07 $40.86 $43.41 $43.41 $43.41 $51.58 N/A N/A N/A N/A $43.41 $34.73 $51.58 N/A $51.58 $41.26 N/A $40.86 $35.75 $35.75 $51.58 $34.73 $51.58
4405185 LEVETIRACETAM 500 MG TAB N/A $8.09 $6.47 $6.88 $6.88 $6.88 $8.17 N/A N/A N/A N/A $6.88 $5.50 $8.17 N/A $8.17 $6.54 N/A $6.47 $5.66 $5.66 $8.17 $5.50 $8.17
4405186 LEVOTHYROXINE 25 MCG TAB N/A $12.81 $10.25 $10.89 $10.89 $10.89 $12.94 N/A N/A N/A N/A $10.89 $8.71 $12.94 N/A $12.94 $10.35 N/A $10.25 $8.97 $8.97 $12.94 $8.71 $12.94
4405187 TOLTERODINE 2 MG ER CAP N/A $231.62 $185.30 $196.88 $196.88 $196.88 $233.94 N/A N/A N/A N/A $196.88 $157.50 $233.94 N/A $233.94 $187.15 N/A $185.30 $162.13 $162.13 $233.94 $157.50 $233.94
4405188 VITAMIN D3 400 UNIT TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4405189 CLINDAMYCIN 600MG/4ML VIAL FOR IVPB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4405198 PASNCRELIPASE 24K/76K/120K CAP N/A $20.91 $16.73 $17.77 $17.77 $17.77 $21.12 N/A N/A N/A N/A $17.77 $14.22 $21.12 N/A $21.12 $16.90 N/A $16.73 $14.64 $14.64 $21.12 $14.22 $21.12
4405199 OXYCODONE IMMEDIATE RELEASE 10 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4405208 3% SODIUM CHLORIDE 500 ML IV BAG N/A $24.13 $19.30 $20.51 $20.51 $20.51 $24.37 N/A N/A N/A N/A $20.51 $16.41 $24.37 N/A $24.37 $19.50 N/A $19.30 $16.89 $16.89 $24.37 $16.41 $24.37
4405210 CEFTAZIDIME 1 GM VIAL N/A $25.15 $20.12 $21.38 $21.38 $21.38 $25.40 N/A N/A N/A N/A $21.38 $17.10 $25.40 N/A $25.40 $20.32 N/A $20.12 $17.61 $17.61 $25.40 $17.10 $25.40
4405211 NICOTINE PATCH 7 MG N/A $14.60 $11.68 $12.41 $12.41 $12.41 $14.75 N/A N/A N/A N/A $12.41 $9.93 $14.75 N/A $14.75 $11.80 N/A $11.68 $10.22 $10.22 $14.75 $9.93 $14.75
4405212 PRASUGREL 5 MG TAB N/A $359.18 $287.34 $305.30 $305.30 $305.30 $362.77 N/A N/A N/A N/A $305.30 $244.24 $362.77 N/A $362.77 $290.22 N/A $287.34 $251.43 $251.43 $362.77 $244.24 $362.77
4405215 ARIPIPRAZOLE 5 MG TAB N/A $5.55 $4.44 $4.72 $4.72 $4.72 $5.61 N/A N/A N/A N/A $4.72 $3.77 $5.61 N/A $5.61 $4.48 N/A $4.44 $3.89 $3.89 $5.61 $3.77 $5.61
4405216 DARBEPOETIN ALFA 100 MCG / 1 ML INJ N/A $4,634.71 $3,707.77 $3,939.50 $3,939.50 $3,939.50 $4,681.06 N/A N/A N/A N/A $3,939.50 $3,151.60 $4,681.06 N/A $4,681.06 $3,744.85 N/A $3,707.77 $3,244.30 $3,244.30 $4,681.06 $3,151.60 $4,681.06
4405219 IRON SUCROSE 20 MG / ML INJ N/A $299.40 $239.52 $254.49 $254.49 $254.49 $302.39 N/A N/A N/A N/A $254.49 $203.59 $302.39 N/A $302.39 $241.92 N/A $239.52 $209.58 $209.58 $302.39 $203.59 $302.39
4405221 HYDROMORPHONE 2 MG TAB N/A $5.50 $4.40 $4.68 $4.68 $4.68 $5.56 N/A N/A N/A N/A $4.68 $3.74 $5.56 N/A $5.56 $4.44 N/A $4.40 $3.85 $3.85 $5.56 $3.74 $5.56
4405228 PRIMIDONE 50 MG TAB N/A $13.29 $10.63 $11.30 $11.30 $11.30 $13.42 N/A N/A N/A N/A $11.30 $9.04 $13.42 N/A $13.42 $10.74