Welcome to Riceland Healthcare

Riceland Medical Center determines its standard charges for patient services with the use of a chargemaster, similar to the manufacturer’s suggested retail price (MSRP). These are the baseline rates for services provided by the hospital.

The hospital’s charges are the same for all patients, as shown in the attached file, but do not necessarily reflect a patient’s responsibility which may vary, depending on the patient’s level of insurance.

Government insurance plans, such as Medicare and Medicaid, and most commercial plans do not pay the chargemaster rates, but have their own rates which the hospital is obligated to accept. Insured patient portions are determined by your insurance company benefits and most entail discounts from charges as well. Significantly discounted rates are also available for many procedures that are not routinely covered by your insurance company.

Uninsured or under-insured patients may qualify for significant pricing discounts. Riceland Medical Center offers a financial assistance program that may help you qualify for significantly reduced patient responsibilities. Our financial specialist can also discuss cash pricing arrangements.

Please note, the price lists do not include physicians’ fees from surgeons, anesthesiologists, radiologists, pathologists or other professional fees. Your physician’s office will bill you separately for services and should be able to give you pricing information if you call their office directly. Your final bill may vary based on the actual services provided, existing health conditions that may impact your care, and your insurance coverage if you are insured.

Pricing is current as of January 1, 2020

Please be patient while downloading

DESCRIPTION
STD PRICE
ROOM BOARD/PVT 1,220.00
ROOM BOARD/SEMI 1,142.00
ROOM BOARD/ISOLATION 1,676.00
ROOM BOARD/ISOLATION W/MONITOR 1,980.00
ROOM BOARD/PVT W/MONITOR 1,484.00
ROOM BOARD/SEMI W/MONITOR 1,484.00
INFUSION THRPY EA ADDNTL HR 177.00
IV INFUSION THERAPY 1ST HR 337.00
IV INFUSION THERAPY PER HR 112.00
IV PUSH ADDITIONAL MEDS 121.00
IV PUSH MEDS INITIAL 69.00
HYDRTION IV INIT 31-60 MINS 117.00
DEBRIDE TISS/MUSC/BONE 20 SQ CM/< 948.00
PARING/CURETTEMENT B9 LESION 1 269.00
PAR/CUTT B9 LESION 2-4 313.00
SKIN SUBGRAFT F/H/H/F <100 SQCM-1ST 25CM 4,864.00
SKIN SUBGRFT F/H/H/F<100 SCM-EA ADD 25CM 1,606.00
TENOTOMY PERCUTANEOUS TOE SINGLE TENDON 372.00
STRAPPING OF ANKLE AND/OR FOOT 83.00
STRAPPING UNNA BOOT 87.00
BX BONE OPEN SUPERFICIAL 492.00
ENDOTRACHEAL INTUB 479.00
CVP INSERTION 1,049.00
CATHETERIZATION, VENOUS 595.00
INSERT PICC LINE WO SUBQ PORT/PUMP AGE5+ 1,050.00
ABD PARACENTESIS W/OUT IMG GUIDE 279.00
IRRIGATION OF BLADDER SIMPLE 407.00
CATHETER BLADDER, SIMPLE 139.00
INSERTION OF PICC 1,205.00
INJ FORAMEN EPIDURAL L/S 432.00
INJ FORAMEN EPIDURAL ADD-ON 207.00
TRIM NAIL(S) DYSTROPHIC, ANY NUMBER 74.00
I&D ABSCESS COMPLICATED/MULTI 597.00
UNLISTED PROCEDURE, RECTUM 666.00
SURGERY FOR VULVA LESION 757.00
TRANSFUSION OF PACKED CELLS 233.00
HOT-COLD THERAPY 1/> AREAS 48.00
TREATMENT ROOM 135.00
INJECTION ADMINISTRATION 39.00
COOMBS INDIRECT EACH 245.00
COOMBS DIRECT EACH 94.00
ABO GROUP BLOOD TYPING 169.00
BLOOD TYPING RH 288.00
RED BLOOD CELLS EACH UNIT 242.00
PLASMA FRESH FROZEN EACH UNIT 115.00
ANTIMITOCHONDRIAL, AB 80.00
AUTOLOGOUS BLOOD PROCESS/STORE 96.00
THAWING FRESH FROZEN PLASMA 28.00
IMMEDIATE SPIN 190.00
INCUBATION TECHNIQUE 232.00
ANTIGLOBULIN TECHNIQUE 232.00
LEUKOCYTE EACH UNIT 846.00
LEUKOCYTE PROCESS/HANDLE 283.00
FRESH FROZEN PLASMA PROCESSING 143.00
RED BLOOD CELLS PROCESS/HANDLE 245.00
PSYCHOTHERAPY, 30 MINS W/ PATIENT 422.00
PSYCHOTHERAPY, 45 MINS W/ PATIENT 562.00
PSYCHOTHERAPY, 60 MINS W/ PATIENT 832.00
GROUP PSYCHOTHERAPY 45-50 MIN 562.00
FAMILY PSHCHOTHERAPY W/OUT PATIENT 681.00
FAMILY PSYCHOTHERAPY W/ PATIENT 701.00
EDU. SERVICES TX OF PTS MH PROBLEMS 562.00
PSYCH DIAG EVAL 433.00
PSYCH DIAG EVAL W/ MEDICAL SVCS 485.00
PSYCHOTHERAPY 30 MIN SUBQ VISIT 422.00
PSYCHOTHERAPY 45 MIN SUBQ VISIT 562.00
PSYCHOTHERAPY 60MIN SUBQ VISIT 833.00
PSYCHOTHERAPY FOR CRISIS FIRST 60 MIN 868.00
PSYCHOTHERAPY FOR CRISIS EA ADDTL 30 MIN 416.00
BX BREAST WITH PLACEMENTOF LOCAL DEV 1,447.00
BX BREAST WITH PLACE LOCAL DEVICE EA ADD 1,447.00
BX BREAST W/PLACEMENT US GUIDANCE 1,447.00
BX BREAST W/PLACEMENT US GUIDANCE ADDL L 1,447.00
BX BONE BIOPSY TROCAR/NEEDLE 3,908.00
BX OF NECK/CHEST 1,577.00
BIOPSY LUNG OR MEDIASTINUM PERC NEEDLE 1,577.00
BIOPSY OF LIVER/NEEDLE PERC 2,892.00
BIOPSY ABD MASS PERC NEEDLE 1,577.00
BX RENAL PRECUT BY TROCAR / NEEDLE 1,577.00
BX MUSCLE PERCUTANEUS NEEDLE 3,908.00
BX/EXC LYMPH NODE NEEDLE SUPERFICIAL 1,577.00
BX THYROID, PERCUTANEOUS CORE NEEDLE 1,577.00
SUCTION CANISTER 800CC 54.00
COBAN 6" 12.00
STATLOCK IV ULTRA STABILIZATION DEVICE 41.00
DENTURE CREAM 36.00
DENTURE CLEANSER 26.00
BED PAN FRACTURE 10.00
NEBULIZER MASK ADULT 18.00
NEBULIZER T-UP 46.00
ICE PACK STAY DRY SM 15.00
ICE PACK STAY DRY LG 15.00
SCRUBBRUSH W/O DETERGENT 8.00
SCRUBBRUSH W/PVP BRN 8.00
PAD DEFIB ADULT 256.00
BARRIER CREAM WIPES (TUB) 78.00
OTOSCOPE DISP ADULT 4MM 7.00
JAR SUNDRY LABLED (ER) 70.00
TEMPERATURE INDICATORS 12.00
TRAY GASTRIC LAVAGE LG 34 FR 73.00
TUBE TRACH HOLDER 45.00
DRAPE PAPER CREPE 7.00
PAPER TABLE CREPE 18.00
PROBE PEDI DISPOSABLE 183.00
AIR MATTRESS & MODULE RENTAL 132.00
WOUND VAC, DAILY 714.00
SUCTION SETUP 123.00
NIO INTRAOSSEUS PEDI 948.00
NIO INTRAOSSEUS ADULT 948.00
DISP BP CUFF SMALL 64.00
STOCKING KNEE XL 32.00
BP CUFF NEONATE DISP 50.00
AMBU BAG INFANT 157.00
SPLINT J-ORTHOGLASS 2" PER FOOT 33.00
SPLINT J-ORTHOGLASS 4" PER FOOT 54.00
SPLINT J-ORTHOGLASS 6" PER FOOT 81.00
SUCTION TUBING KIT 13" & 72" PCS 53.00
CO2 DETECTOR PEDI 83.00
RHINO ROCKET LARGE 121.00
AIRWAY I-GEL SIZE 4 109.00
UNDERPADS 7.00
SITZ BATH 22.00
BED PAN 10.00
BAG LEG URINARY W/STRAPS 19OZ 37.00
BANDAGE ELASTIC 2" EACH 7.00
BANDAGE ELASTIC 4" EACH 9.00
BANDAGE ELASTIC 6" EACH 12.00
TAPE TRANSPORE 1"X10YDS 10.00
IMMOBILIZER SHOULDER FOAM 183.00
TUBE ENDOTRACH 7.0MM 45.00
TUBE ENDOTRACH 8.0MM 46.00
GLOVES L/F MEDIUM 8.00
SLING ARM LG 70.00
AIRWAY DUAL CHANNEL 60MM DISP 24.00
ARMBOARD IV ADULT DISP EA 69.00
RESUSCITATOR ADULT DISP EA 184.00
RESUSCITATOR PEDI DISP EA 198.00
BAG EMESIS DISP 20.00
EXERCISER VOLUMETRIC 4000ML 65.00
MASK MULTI VENT AIR W/TUBING 26.00
MASK FACE TENT AEROSOL DISP 13.00
THERMOMETER DIGITAL ORAL 63.00
CAST PADDING POLYESTER 4" ECH 22.00
IMMOBILIZER KNEE UNIV TRIM 180.00
BETADINE 4OZ CLEANSER 9.00
APPLICATOR CTN TIP 6' 8.00
BANDAGE ADHSV STRIP 1X3' 7.00
BLADE TONGUE SR STR 6' 7.00
AIRWAY BERMAN PLASTIC 100MM 8.00
AIRWAY BERMAN PLASTIC 80MM 8.00
ALCOHOL 16OZ 8.00
BALL COTTON MEDIUM 7.00
KERLIX LITE GAUZE 2" ST 8.00
BANDAGE KERLIX RL STR 4 1/2 15.00
BASIN OR RND STR 9.00
TONGUE BLADE NON STERILE 7.00
CANISTER SCTN 120CC 36.00
CANNULA NASAL CRUV TIP W/7' P 21.00
CANNULA SOFTECH ADLT 7' TU 9.00
CATHETER IV JELCO 16GX11/4 12.00
CATHETER IV JELCO 22GX1 12.00
CATHETER LEG STRAP HOLDER 42.00
CATHETER SCTN N/SLV 18FR 22' 35.00
IV CATHETER 18X1 1/4 PROTECT 30.00
IV CATHETER 20 X 1 1/4 SAFETY 33.00
CATHETER IV 22GX1 SAFETY 29.00
CATHETER IV 24X5/8 SAFETY 33.00
COLLAR CERVICAL FORM FIT LG 56.00
COLLAR CERVICAL FORM FIT SM 56.00
CONTAINER SHARPS 5QT 53.00
CONTAINER SPCMN W/CAP 8OZ 7.00
CUP MEDICINE 1OZ 7.00
CUP PORTION PAPER 3/4 OZ 7.00
ENEMA BAG 150CC 7.00
GEL ELECTRODE DERMA 4OZ TU 24.00
GLOVES EXAM VNYL PWDRFR LG 7.00
GLOVES EXM VNYL PWDRFR MED 7.00
BELT GAIT W/NICKEL BUCKLE WHT 74.00
SLING & SWATHE LG 123.00
SLING & SWATHE MED 126.00
SLING & SWATHE SM 126.00
SLING ARM PRO FIT MED 26.00
KIT SPILL EMERGENCY 75.00
MASK ISO HI FILTRATION 7.00
PADS DEFIB PEDI 272.00
GLOVES EXM VNYL PWDRFR SM 7.00
GOGGLES PROTECTIVE 21.00
CAST PADDIING SYN 2X4YDS 12.00
PLEUR-EVAC W/DBL CHAM 1,416.00
POUCH SELFSEAL 3 1/2X9 7.00
POUCH TELEMETRY 13.00
PUMP SET KANGAROO 1200ML 58.00
SOLIDIFIER RED-Z 1OZ 24.00
SCRUBBRUSH W/HIBICLENS 9.00
SHIELD EYE FOX 49.00
SPONGE GZE 12 PLY 4X4 ST10S EA 12.00
SPONGE GZE 16 PLY 4X4 12.00
SPONGE GZE CUREX 12 PLY 2X2 7.00
SPONGE GZE 8 PLY STR 4X4 7.00
CLAVICLE STRAP MEDIUM 166.00
CLAVICLE STRAP LARGE 166.00
RHINO ROCKET SLIMLINE SMGL ME 115.00
SLING ARM UNIV LG 116.00
SLING ARM UNIV SM 45.00
TAPE ADHSV FOAM 3X5 1/2 63.00
TAPE ADHSV MICRSPORE PAPER 1/2 7.00
TAPE ADHSV MICRSPORE PAPER 2X1 13.00
TAPE ADHSV PAPER MICROPORE 15.00
TAPE ADHSV DURAPORE 2X10 18.00
TAPE INDICATOR STEAM 1" 46.00
TAPE PAD ADHSV REMOVER 7.00
URINAL MALE W/LID 8.00
WALKER SHORT LEG LG 424.00
WALKER SHORT LEG MED 440.00
WALKER SHORT LEG SM 424.00
TAPE ADHSV DURAPORE 1X10 10.00
ARMBOARD FOAM DISP ADLT 3X18 8.00
CAST PADDING SYNTHETIC 2X4 12.00
CAST PADDING SYNTH 3X4 18.00
CAST PADDING SYN 4X4 24.00
CAST STOCKINETTE SYN 2X25 15.00
CAST STOCKINETTE SYN 3X25YDS 19.00
CAST TAPE WHITE 2X4 YDS 91.00
CATH TRAY URETH RED RBR 14FR 18.00
CAST STOCKINETTE SYNTH 6X25 32.00
CONNECTOR TUBING 5 IN 1 N/S 9.00
GLOVES PW FR LG 7.00
GLOVES PW FR MED 7.00
GLOVES PW FR SM 7.00
SPLINT J 3"ROLL PER FOOT 73.00
CAST TAPE STD 3X4 YDS 91.00
COLLECTOR URINE (HAT) 10.00
K-Y JELLY LUBRICANT 4 OZ TUBE 15.00
EAR CURETTE PEDI 8.00
EAR CURETTE ADULT 10.00
SPLINT J 5" ROLL PER FOOT 97.00
CANNULA NASAL PEDI 7' TUBE 18.00
RESTRAINT VEST LARGE 123.00
STRAINER URINE 22.00
STETHASCOPE DISPOSABLE 28.00
OTOSCOPE DISP 2.5MM PEDI 7.00
TUBE OXYGEN EXT 7' 8.00
MASK OXYGEN (PEDI) 12.00
EMESIS BASIN 7.00
CATHETER CADDI,STOMACH BNDR MD 200.00
SLING ARM PRO FIT LGE 26.00
SLING ARM PRO FIT SMALL 26.00
PROTECTORS, HEEL/ELBOW FOAM 73.00
SPLINT FINGER 20.00
LMA SIZE 3 47.00
LMA SIZE 4 57.00
LMA SIZE 5 57.00
TUMBLER PATIENT 9 OZ 15.00
PERSONAL BELONGINGS BAG 7.00
SLING AND SWATHE XL 123.00
TAPE MEDIPORE SURGERY 2" 30.00
SPLINT J 4" ROLL PER FOOT 81.00
TAPE MEDIPORE SURGERY 4" 30.00
TAPE ADHSV FOAM 4X5 1/2 70.00
PADS HEATING DISPOSABLE 20.00
EASY FEED ENTERAL NUT BAG 56.00
DENTAL MIRROR DISP 8.00
WICK EAR 8.00
MASK TRACH ADLT W/O TUBING 13.00
SLING TRIANGULAR BANDAGE 9.00
CONTAINER SPCMN NONSTER 4 OZ 28.00
SPLINT J 6" ROLL PER FOOT 110.00
SPLASH SHIELD 22.00
SPLINT J2" ROLL PER FOOT 62.00
TUBE HOLDERS 7.00
FINGER PROTECTOR 7.00
BASEBALL SPLINT 9.00
FINGER COTS 8.00
CURVED FINGER SPLINTS 7.00
FROG SPLINTS 7.00
STOCKING THIGH HIGH LARGE 74.00
STOCKING THIGH HIGH MEDIUM 74.00
PADZ STAT ADULT 396.00
ELECTRODE PEDI PADZ 404.00
POUCH DRAINABLE COLOSTOMY 21.00
STOCKING THIGH HIGH XL 70.00
CUFF BLOOD PRESSURE DISP 129.00
COLLAR STIFF NECK ADULT 103.00
COLLAR STIFF NECK PEDI 62.00
TAPE SILK 12.00
COLLECTOR PEDI URINE 10.00
PAD EKG DIAPHORETIC -3 PADS 12.00
PNEUMOTHORACIC KIT 1,326.00
BAG RESP SETUP 7.00
BETADINE PREP PAD 7.00
GAUZE TUBE 5/8 PER YARD 7.00
GLOVES NITRO 7.00
CAST STOCKINETTE SYN 4 X 25 20.00
CATHETER SCTN N/SLV 8FR PEDI 18.00
HEEL WARMER 69.00
MASK OXYGEN PEDI W/ NEB & TUBE 24.00
GAUZE TUBE #1 PER YARD 7.00
GAUZE TUBE #3 PER YARD 7.00
RESTRAINT LIMB ADJ 60.00
RESTRAINT VEST MED 141.00
LIGHT HANDLE COVER 9.00
SPONGE GAUZE 2X2X8 PLY STERILE 7.00
PEDI DISP PULSE OX PROBE 123.00
COMBITUBE 634.00
COMBITUBE 41 FRENCH 609.00
PICC SUPPLIES AND KIT 220.00
CO2 DETECTOR - EASY CAP II 117.00
FINGER SPLINT ALUM XL 24.00
STRYKER T-PAD 84.00
T-BLANKET 383.00
PEAK FLOW METER 64.00
WRIST SUPPORT W/ABDCTED THUMB LFT LRG 167.00
SPLINT WRIST/FOREARM RGHT SMALL 43.00
BRACE ANKLE AIRGEL LG 10" 104.00
WALKER LOWER LEG, MED 252.00
TELFA ADHESIVE PAD 3X4 7.00
GO-PAP DISP CPAP ADULT LARGE 467.00
GO-PAP DISP CPAP ADULT MEDIUM 467.00
MIDLINE SUPPLIES AND KIT 163.00
SUTURE 4-0 GUT PL C-6 26.00
SUTURE 4-0 VICRYL CTD P-3 135.00
SUTURE 2-0 SOF SILK GS-21 32.00
SUCTION CONNECTING TUBING 6' X 1/4" 9.00
PORT ACCESS KIT 106.00
SUTURE BLUE MONO. 4-0 DSM18 60.00
SUTURE BLUE MONO. 5-0 DSM13 53.00
SUTURE BLUE MONO. 6.0 DSM13 54.00
CATH FOLEY 3 WAY 16FR SILICONE 97.00
STAPLER SKIN 35W 85.00
SUTURE CHROMIC GUT 6-0 220.00
ALCOHOL PREP MED 7.00
GLOVES STERILE SZ 7 8.00
TRAY IRRIG W/60CC BULB SYRINGE 18.00
PAD EYE OVAL SMALL 7.00
BANDAGE ADHSV XLG 2X4 7.00
KERLIX LITE GAUZE 2" 9.00
STERI STRIP 1/4IN 7.00
STERI STRIP 1/2IN 15.00
PACKING STRIP IODO 1/4" 24.00
DRESSING ADAPTIC 3X3 EACH 8.00
GOWN ISOLATION DISP 15.00
KIT IV START W/TEGADERM DRESS 10.00
KIT SUCTION MED 100CC DISP EA 117.00
K-Y JELLY STERILE FOIL PK 7.00
PACKING NUG IODO 1/2"X5' 28.00
SUT GUT CHR 3-0 27" SH 45.00
SUT ETH MONO BLK 4-0 18" FS-2 111.00
SUT ETH MONO BLK 6-0 18" P-1 74.00
SUT ETH MONO BLK 5-0 18" FS-2 64.00
GLOVES STERILE LTX SZ 8 8.00
BLADE #15 DISP EA 10.00
BLADE #10 DISP EA 12.00
BLADE #11 DISP EA 10.00
TUBE GASTROSTOMY TRIFNL 20" 341.00
SWABSTICK LEMON GLYCERINE EACH 7.00
CATH KIT FEMALE 8 FR DISP EA 56.00
DRESSING TEGADERM 4X4 18.00
GLOVES STERILE SZ 6 1/2 8.00
BETADINE SWAB STICKS EACH 7.00
NEEDLE HUBER 20X1 36.00
GLOVES STERILE SZ 6 8.00
SYRINGE LL 10CC 7.00
CATH FOLEY 2 WAY 8FR 112.00
CLOROX WIPES FRESH SCENT 7.00
CATHETER FOLEY 16FR 5CC 61.00
CATHETER FOLEY 18FR 5CC 2 WAY 65.00
CATHETER FOLEY 20FR 5CC 135.00
AIRWAY NASO DISP 30FR 39.00
CATHETER PLUG W/CAP STR 9.00
CATHETER TRAY FOLEY W/O CATH 77.00
CATHETER EXTERNAL MALE 10.00
CATHETER STR SUCTION KIT 14FR 10.00
CATH N GLOVE SET 14FR 10.00
CATHETER THORACIC STRT 28FR 69.00
CATHETER THORACIC STRT 36FR 69.00
CATHETER W/SOFT TIP 14FR W/FU 56.00
CONTAINER SPCMN STR 4OZ 9.00
CULTURETTE, EZ ANGL SWAB 19.00
DRAIN PENROSE STR 1/2'X18' 12.00
DRAIN PENROSE STR 1/4'X18' 12.00
DRESSING COMBINE STR 8X10 8.00
DRESSING RELEASE 9'X3' 7.00
NON ADHERENT NS PAD 3X4 7.00
DRESSING TEGADERM 8X12 58.00
DRESSING TEGADERM 2X2 8.00
DRESSING VASELINE FOIL PK STR 10.00
FILTER HYDRO ASPRTR SUCTION 69.00
CANNULA INTERLINK VL ACC 7.00
PERIWASH 8OZ 26.00
SYRINGE LL 5CC 7.00
MASK NONBREATHING ADULT 18.00
KIT CATCH MIDSTREAM W/FNL 20.00
AQUAPAK/HUMIDIFIER 22.00
KIT, TEST HEMOCULT SNG 2 HOLE 8.00
LANCET SINGLE USE 7.00
MASK OXY ADULT NON-REBREA 18.00
MASK RESPIRATOR (N-95) SN 15.00
NEEDLE FILTER 19GX11/2 7.00
NEEDLE HYPO 18GX1 7.00
NEEDLE HYPO 20GX11/2 7.00
NEEDLE HYPO 22GX1 7.00
NEEDLE HYPO 25GX11/4 7.00
NEEDLE HYPO 27GX11/4 7.00
NEEDLE SAFE 27GX1/2 8.00
NEEDLE SPINAL STR 18GX31/2 37.00
NEEDLE SPINAL STR 20GX31/2 37.00
PACKING NUG IODO 1X5 56.00
PACKING NUG IODO 2X5 77.00
PACKING NUG PL STR 1/2 X 5 24.00
PAD ELECTRODE EKG FASTRACE 58.00
PROBE COVERS IVAC 18.00
PROBE COVERS WELCH ALLYN 7.00
STAPLE REMOVER SKIN DISP 13.00
SUCTION YANKAUER BULB TIP STR 15.00
SUTURE ETHILON BLK MONO 7-0 87.00
SUTURE GUT CHR 4-0 FS-2 27 24.00
SYRINGE EAR 3 OZ 26.00
SYRINGE INSULIN 1CC 28G 7.00
SYRINGE SL LL 20CC 8.00
SPECULUM VAG ILLUM DISP MED 22.00
TRAY IRRIGATION PISTON 12.00
LACERATION TRAY 64.00
SUTURE REMOVAL TRAY 9.00
TRAY THORACENTESIS/PARECENT 464.00
TUBE CHEST 28FR 438.00
TUBE ENDOTRACH CUFFED 49.00
TUBE ENDOTRACH CUFFED 7 62.00
TUBE ENDOTRACH CUFFED 71/2 64.00
TUBE ENDOTRACH CUFFED 8 49.00
TUBE ENDOTRACH CUFFED 81/2 64.00
TUBE NASOGASTRIC 10FR 36.00
TUBE NASOGASTRIC 14FR 37.00
TUBE NASOGASTRIC 16FR 24.00
TUBE NASOGASTRIC 18FR 24.00
TUBE SALEM SUMP STR 16FR 48' 69.00
TUBE TRACH CUFF 61/2MM 70.00
TUBE TRACH CUFF 7 64.00
TUBE TRACH CUFF 8MM 70.00
TUBE TRACH UNCUFFED 2 26.00
TUBE TRACH UNCUFED 3 60.00
TUBE TRACH UNCUFFED 4 26.00
SUTURE 3-0 PROLENE 61.00
SCALPEL DISP 15 39.00
APPLICATOR CTNTP 6'STR 2/PK 7.00
BANDAGE ELAS ECON 3 12.00
BANDAGE GZE KLING STR 3 8.00
CATH KIT SUCTION 14FR 8.00
CATH KIT STR INF 5FR 61.00
CATHETER FOLEY 12FR 5CC 46.00
CATHETER FOLEY 14FR 5CC 90.00
CATHETER FOLEY 16FR 30CC 55.00
CATHETER FOLEY 18FR 30CC 107.00
CATHETER FOLEY 24FR 5CC 46.00
CATHETER FOLEY 2WAY STR 16FR 116.00
CATHETER FOLEY 3WAY 16FR 30CC 181.00
CATH FOLEY 3 WAY 24FR 30CC 107.00
CATH FOLEY ALL SIL 12FR 5CC 56.00
CATH FOLEY ALL SIL 22FR 5CC 77.00
LS CLV MICRB T 22.00
LS MICRO EITN CLV 24.00
LS CNV3CLAVES OL 41.00
LS CNV2CLAVES OL 37.00
LS LTF CVN BCK CL 38.00
LS EXTN OL CLAVE 26.00
LS LFREE PPR ADPT 9.00
LS CLV TWINSITE 29.00
GLOVES L/F STR SIZE 7 38.00
CATH FOLEY 16FR LTX FREE 89.00
CATHETER WNGD PROT L/F 22GX1 29.00
SUT VICRYL UD BR CT O 27' CT1 38.00
SUT VICRYL VIO BR CT 2-0 27' S 49.00
SUT VICRYL UD BR CT 3-0 27' SH 41.00
SUT VICRYL UD BR CT 4-0 27' FS 46.00
SUT ETH SILK BLK BR 2-0 18" 65.00
CATH FOLEY 3 WAY 16FR 5CC 211.00
CATH FOLEY 3 WAY 22FR 5CC 185.00
CATHETER STR SCTN 8FR W/TRAP 18.00
CATHETER TRAY W/16FR CATH 106.00
STAPLER SKIN MULTI SHOT 5 116.00
STAPLER SKIN MULTI SHOT 15 142.00
CANNULA INTERLINK BLUNT 17G 7.00
PACKING NUG PL STR 1/4 49.00
CENTRAL LINE TRAY INSERSTION 53.00
CENTRAL LINE DRESSING KIT 39.00
LS MICROBOR EXT SET, 7" 41.00
NEEDLE SAFETY 18G 7.00
CATHETER RED RUBBER 12 FR 9.00
CATHETER RED RUBBER 14FR 13.00
DRESSING ADAPTIC 3X16 EACH 22.00
TUBE CONN 3/ 16 X 18 9.00
TUBE CONN/NON CONN STR 15.00
NEEDLE 25X1 SAFETY GLIDE 7.00
TRAY LUMBAR PUNCTURE PEDI 171.00
TRAY LUMBAR PUNCTURE ADULT 20G 204.00
SUT ETH PRO MONO 4-0 18" PS-2 94.00
GLOVES STERILE SZ 7 1/2 7.00
PACKING STRIP PLN 1/4" PER YRD 24.00
GLOVES STERILE SZ 8 1/2 10.00
TRAY I & D LARGE 136.00
TRAY I & D SMALL 207.00
SUT ETH SILK BLK BR 3-0 30" SH 45.00
SUT ETH SILK BLK 3-0 30" BR 45.00
SUT ETH GUT PL 3-0 27" CT 90.00
SUT ETH MONO BLK 3-0 18" FS-1 98.00
SUT ETH MER BR O 30" CT-1 41.00
SUT ETH MONO BLK 2-0 30" FSLX 41.00
SUT ETH MONO BLK 5-0 18" P-3 77.00
SUT 4-0 ETHIL FS-2 39.00
SUT ETH GUT PL 3-0 27" CTX 42.00
TUBE GASTROSTOMY TRIFNL 12 FR 37.00
CATHETE FOLEY 3WAY 18FR 30CC 234.00
SYRINGE 60CC CATH TIP 8.00
SYRINGE 60CC LL 8.00
SWAB MOUTH W/ DENTIFRICE 7.00
VACUTAINER BLOOD COLLECTION 10.00
STERI STRIP 1/8 INCH 12.00
CATHETER FOLEY 3WAY 20FR 30CC 234.00
SPONGE GZE 6PLY STR 4X4 SPLIT 8.00
DRESSING TEGADERM 6X8 41.00
SWABS BENZOIN TINCTURE 7.00
TUBE ENDOTRACH CUFFED 9.0 MM 64.00
TUBE ENDOTRACH CUFFED 6.5 MM 64.00
TUBE ENDOTRACH UNCUFFED 4.0 MM 60.00
TUBE GASTROSTOMY TRIFNL 16 FR 37.00
SUTURE 5-0 PROLENE FS-2 62.00
TUBE TRACH UNCUFFED 2.5MM 60.00
TUBE TRACH UNCUFFED 3.5 60.00
NEEDLE INLET CLOSE SURE 1,186.00
SPONGE GZE 12PLY STR 4X4 2PK 7.00
COVER LIGHT HANDLE STR 24.00
AIRWAY NASO DISP 28FR 39.00
AIRWAY NASO DISP 32FR 39.00
WIPES DISINFECTING 7.00
TRAY CHEST TUBE INSERTION 55.00
CHEST TUBE 24 FR 70.00
SUCTION CATHETER 8 FR 24.00
SUTURE ETHILON BLK NYLON 6-0 111.00
SUTURE ETHILON BLK NYLON 5-0 82.00
SUTURE ETHILON BLK NYLON 4-0 110.00
SUT PRO 5-0 PC 5 CUTTING 148.00
TRACH CARE TRAY 35.00
TRAY QUICK TRACH 4.0 MM 1,758.00
TRAY QUICK TRACH 2.0 MM 1,758.00
LENSES MORGAN MID FLOW 195.00
PROBE COVER EAR PC 200 7.00
SUTURE 4-0 ETHILON PC-3 126.00
NEEDLE SAFETY GLIDE 25X5/8 7.00
PROBE COVER DIGITAL ORAL 7.00
TUBING COMM 3/16X1 1/2 ST 50 8.00
TUBING CONN 3/16 X 10 5MM 12.00
NEEDLE SAFETY COMBO 27 X 1/2 7.00
NEEDLE SAFETY COMBO 22 X 1 1/2 7.00
SUT ETH BR 3-0 30" SH 77.00
CATHETER FOLEY 10FR 3CC 105.00
TUBING 6' CORR-A-FLEX 10.00
CATHETER FOLEY 3WAY 20FR 5CC 234.00
CATHETER FOLEY 3WAY 18FR 5CC 185.00
TUBE FEEDING 12FR 45" 512.00
NEEDLE SAFETY 23GX1.5 7.00
OTOSCOPE KLEEN SCOOP 8.00
SUT ETH MONO BLK 4.0 18" PC-3 94.00
TUBE CONN N/C STR 3/16 X 16 10.00
TUBE CONN N/C STR 9/32X20 39.00
PACK OB 213.00
TUBE RECTAL 84.00
SPONGE GZE COVER 4X4 7.00
NEEDLE SAFETY 25 X 1.5 7.00
STYLET INTUBATION 2.5-4.0 MM 41.00
STYLET INTUBATION 7.5-10.0 MM 41.00
STYLET INTUBATION 5.0-7.0 MM 41.00
LS CLAVE ADAPTOR 22.00
TUBE TRACH UNCUFFED 4.5 26.00
TUBE TRACH UNCUFFED 5.0 64.00
TUBE TRACH UNCUFFED 5.5 21.00
SEXUAL ASSAULT KIT 636.00
DRESSING VASELINE 3X36 29.00
WOUND VAC DRESSING 314.00
WOUND VAC CANNISTER W/ISO 359.00
TUBE SALEM SUMP 18 FR 24.00
NEEDLE SAFETY COMBO INSULIN 7.00
NEEDLE SAFETY COMBO 21 X 1 1/2 7.00
BANDAGE COHESIVE RNBOW-COBAN 2" 32.00
DERMABLADE 19.00
INTROSSEOUS NEEDLE 206.00
CATHETER FOLEY 22FR 30CC 75.00
NEEDLE SPINAL STR 25G 28.00
TUBE ENDOTRACH NASAL 8.5 22.00
TUBE ENDOTRACH NASAL 8.0 64.00
TUBE ENDOTRACH NASAL 7.5 22.00
TUBE ENDOTRACH NASAL 7.0 22.00
TUBE ENDOTRACH NASAL 6.5 64.00
POUCH SELF SEAL 51/ 4 X 10 7.00
POUCH SELF SEAL 12 X 18 7.00
POUCH SELF SEAL 8 X 16 7.00
DRESSING ADAPTIC 3 X 8 15.00
DRAPE LARGE 41.00
SYRINGE LL 3CC 7.00
TRAY VAGINAL IRRIGATION 13.00
SUCTION CATHETER 10 FR 21.00
TUBE FEEDING 5FR 15.00
PEDI FEEDING TUBE LEVINE 12FR 19.00
LS SECOND PGBK OL 10.00
PATIENT CIRCUIT TARAPAC 297.00
SUTURE 3-0 ETHILON PC-5 98.00
SUTURE 7-0 ETHILON P1 129.00
INNER CANNULA 184.00
GLOVES L/F STR SIZE 6 1/2 38.00
LS BURETTE 206.00
LS DIAL A FLOW EXT SET 62.00
LS BLOOD SET 183.00
LS FILTER SET 41.00
LS CNV 3 CLAVES OL 61.00
LSPLM CNVTP CLV (PRIMARY) 68.00
SUT ETH SUTURES 18" 46.00
BOVIE DISPOSABLE 65.00
CATH KIT SUCTION 8FR 12.00
CATH, FOLEY 2 WAY COUDE 16FR 31.00
CATH, FOLEY 2 WAY COUDE 18FR 31.00
CATH FOLEY COUDE 12FR 31.00
AIRWAY KING SZ 3 370.00
AIRWAY KING SZ 4 370.00
AIRWAY KING SZ 5 370.00
FEN IV TUBING BLOOD SET 26.00
FEN IV TUBING SECONARY SET 8.00
FEB IV TUBING PRIMARY SET 27.00
FEN IV TUBING BURETTE SET 46.00
TUBE ENDOTRACH CUFFED 6.0 22.00
FEN IV TUBING PVC FREE SET 27.00
DIAPER ADULT XL 9.00
PULL UPS XL - EACH 10.00
PULL UPS LARGE - EACH 8.00
PULL UPS MED - EACH 7.00
PULL UPS SMALL - EACH 9.00
DIAPER XXL 6.00
CRUTCHES ALUMINUM YOUTH 134.00
CRUTCH ALUMINUM ADJ ADLT 130.00
DIAPER ADLT LARGE 9.00
CRUTCH ALUMINUM TALL ADLT 165.00
DIAPER TODDLER SIZE 4 & 5 7.00
DIAPER NEWBORN 7.00
CRUTCH ALUMINUM CHILD 130.00
DEODORANT 7.00
ORTHO-SPLINT CLAVICLE W/ PAD MED 40.00
ORTHO-BRACE ANKLE SMALL 128.00
ORTHO-BRACE ANKLE MED 128.00
ORTHO-SPLINT FOREARM LT MED 36.00
ORTHO-SPLINT WRIST/FOREARM LT SMALL 39.00
ORTHO-SPLINT WRIST/FOREARM RT MED 39.00
ORTHO-SPLINT WRIST/FOREARM LT LARGE 39.00
ORTHO-SHOE POST OP WOMENS MED 45.00
ORTHO-SHOE POST OP WOMENS LARGE 45.00
ORTHO-SHOE POST OP MENS LARGE 45.00
ORTHO-SHOE POST OP MENS XL 45.00
ORTHO-SHOE POST OP WOMENS SMALL 45.00
ORTHO-SUPPORT WRIST RT MED 67.00
ORTHO-SPLINT THUMB SPICA RT UNIVERSAL 64.00
ORTHO-SPLINT THUMB SPICA LT UNIVERSAL 68.00
ORTHO-SPLINT WRIST/FOREARM RT LARGE 39.00
ORTHO-SLING & SWATHE DELUXE UNIVERSAL 54.00
ORTHO-WALKER BOOT TALL MED 263.00
SHOE, POST OP MENS SMALL 21.00
KNEE BRACE W/ UNIV BUTT XXL 98.00
ORTHO-ULNAR GUTTER BRACE LEFT SMALL 316.00
ORTHO-ULNAR GUTTER BRACE LEFT LARGE 316.00
ORTHO-ULNAR GUTTER BRACE RIGHT SMALL 316.00
ORTHO-ULNAR GUTTER BRACE RIGHT MEDIUM 316.00
ORTHO-ULNAR GUTTER BRACE LEFT MEDIUM 316.00
ORTHO-WALKER BOOT AIR SHORT LG 204.00
ORTHO-WALKER BOOT AIR SHORT MED 204.00
ORTHO-WALKER BOOT AIR SHORT SM 204.00
ORTHO-WRIST SUPP W/ABD THUMB RT SM 128.00
ORTHO-WRIST SUPP W/ABD THUMB RT MED 128.00
ORTHO-WRIST SUPP W/ABD THUMB LT SM 128.00
ORTHO-WRIST SUPP W/ABD THUMB RT LG 128.00
ORTHO-WRIST SUPP W/ABD THUMB LT MED 128.00
ORTHO-HAND/WRIST BOXERS SPLINT RT LG 126.00
ORTHO-HAND/WRIST BOXERS SPLINT LT LG 130.00
ORTHO-HAND/WRIST BOXERS SPLINT RT MED 126.00
ORTHO-HAND/WRIST BOXERS SPLINT LT SM 147.00
FACIAL TISSUES 10.00
DENTURE CUP 7.00
PILLOW DISPOSABLE 49.00
LOTION SKIN INTEN CARE 4OZ 8.00
PERSONAL TOOTHBRUSH 7.00
PERSONAL TOOTHPASTE 7.00
PERSONAL COMB 7.00
PERSONAL BABY POWDER 4OZ 10.00
SHAMPOO/BODY WASH 4 OZ 10.00
PERSONAL RAZOR 7.00
PAD NAIL POLISH REMOVER 7.00
PAD OB W/MOIST GUARD 18.00
PILLOW NON-DISPOSABLE 63.00
PERSONAL ANTIBACTERIAL SOAP 7.00
PERSONAL PATIENT SOCKS 7.00
PERSONAL SHAVE CREAM 10.00
PERSONAL PITCHER 8.00
PERSONAL SHAMPOO NO RINSE 10.00
PERSONAL PATIENT SOCKS - LARGE 12.00
PERSONAL PATIENT SOCKS - XL 12.00
PERSONAL ADMISSION KIT 45.00
INJ MIDAZOLAM HYDROCHLORIDE PER 1MG 10.00
LOCM 300-399 MG/ML IODINE, 1ML 7.00
FINE NEEDLE ASPIRATION BX W/ CT 1ST LES 673.00
FINE NEEDLE ASPIRATION BX W/CT EA ADDTL 259.00
CT PLACEMENT OF BREAST LOC STEREO GUIDE 594.00
CT SINUSES W&WO CONTRAST 3,681.00
CT CHEST W/O CONTRAST 2,892.00
CT CHEST W/CONTRAST 3,155.00
CT CHEST W W/O CONTRAST 3,681.00
CT SPINE CERVICAL W/O CONTRAST 2,892.00
CT SPINE CERVICAL W & W/O CONTRST 3,681.00
CT SPINE THORACIC W/O CONTRAST 2,892.00
CT THORACIC SPINE W/CONTRAST MATERIAL 3,155.00
CT SPINE LUMBAR W/O CONTRAST 2,892.00
CT LUMBAR SPINE W/CONTRAST 3,155.00
CTA PELVIS 3,681.00
CT PELVIS W/O CONTRAST 2,892.00
CT PELVIS W/CONTRAST 3,155.00
CT PELVIS W W/O CONTRAST 3,681.00
CT CONTRAST X-RAY, LOWER SPINE 3,155.00
CT EXTREMITY UPPER W/O CONTRAST 2,892.00
CT EXTREMITY UPPER W / CONTRAST 3,155.00
CT EXTREMITY UPPER W W/O CONTRAST 3,681.00
CT UPPER EXTREMITY CONT W/WO 3,681.00
CT EXTREMITY LOWER W/O CONTRAST 2,892.00
CT EXTREMITY LOWER W/CONTRAST 3,155.00
CT EXTREMITY LOWER W W/O CONTRAST 3,681.00
CTA LOWER EXTREMITY 3,681.00
CT ABDOMEN W/O CONTRAST 2,892.00
CT ABDOMEN W/CONTRAST 3,155.00
CT ABDOMEN W W/O CONTRAST 3,681.00
CT ANGIO ABD/PLVS CNTRST MITRL W/WO CONT 4,602.00
CTA ABDOMEN 3,681.00
CT ABD & PELVIS W/O CONTRAST 4,207.00
CT ABDOMEN&PELVIS W/CONTRAST 4,602.00
CT ABD&PELV 1+ SECTION/REGNS 4,602.00
CT ANGIO ABD AORTA RUNOFF 2,892.00
CT GUIDANCE PLCMENT RADIATION 2,892.00
CT 3D RENDERING W/ INTERP & POSTPRO 1,002.00
CT GUIDE STEREOTACTIC LOCALIZATION 676.00
CT GUIDE FOR NEEDLE PLACEMENT 2,892.00
CT LOW DOSE FOR LUNG CANCER SCREENING 1,697.00
CT LOW DOSE FOR LUNG CANCER SCREEN 1,697.00
CT HEAD BRAIN W/O CONTRAST 2,892.00
CT HEAD BRAIN W/CONTRAST 3,155.00
CT HEAD BRAIN W W/O CONTRAST 3,681.00
CT HEAD(ORBIT,STELLA,EAR)W/O CONT 2,892.00
CT HEAD (SPECIFY AREA) W/CONTRAST 3,155.00
CT ORBIT/SELLA/EAR W/WO 3,681.00
CT MAXILLOFACIAL W/O CONTRAST 2,892.00
CT MAXILLOFACIAL W/CONTRAST 3,155.00
CT SOFT TISSUE NECK W/O CONTRAST 2,892.00
CT SOFT TISSUE NECK W/CONTRAST 3,155.00
CT SOFT TISSUE NECK W W/O CONTRST 3,681.00
CTA HEAD 2,892.00
CTA NECK 2,892.00
CTA CHEST 2,892.00
CT SPINE CERVICAL W/CONTRAST 3,155.00
CT SPINE THORACIC W W/O CONTRAST 3,681.00
CT SPINE LUMBAR W W/O CONTRAST 3,681.00
THORACENTESIS NEEDLE/CATH PLEURA W/IMAGI 2,577.00
INFUSION THRPY EACH ADDNTL HR 182.00
IV PUSH SAME MED EA ADDITIONAL 198.00
IV INFUSION THERAPY 1ST HR 346.00
IV INFUSION THERAPY PER HR 114.00
HYDRTION IV INITIAL 31-60 MINS 121.00
TRANSFUSION OF PACKED CELLS 241.00
EMERGENCY ROOM L-1 313.00
EMERGENCY ROOM L-2 503.00
EMERGENCY ROOM L-3 824.00
EMERGENCY ROOM L-4 1,248.00
EMERGENCY ROOM L-5 1,849.00
FINE NEEDLE ASPIRATION BX W/O IMG1ST LES 305.00
I&D ABSCESS SIMPLE SINGLE* 351.00
I&D ABSCESS COMPLICATED/MULTI 615.00
I&D PILONIDAL SIMPLE 305.00
I&D PILONIDAL COMPLEX 646.00
FB RMVE SUBCTNEOUS TISSUE SAMP 171.00
FB RMVE COMPLEX 721.00
I&D HEMATOMA SEROMA* 397.00
PUNCTURE/ASP ABSCESS SMALL 273.00
I&D POST OP WOUND INF 589.00
DEBRIDEMENT OF EXT INF SKIN 294.00
DEBRIDEMENT SKIN PARTIAL THICK 168.00
DEBRIDEMENT SKIN FULL THICKNES 188.00
DEBRIDEMENT SKIN &SBCTS TIS 20 SQ CM/< 349.00
DEBRIDEMENT WOUND DEEP 615.00
EXC SKIN TAGS UP TO 15* 180.00
DEBRIDEMENT OF NAIL 1-5 71.00
AVULSION ON NAIL PLATE 363.00
AVULSION NAIL PLATE,PRTL/CMPLT 175.00
EXC NAIL EVACUATION 184.00
EXC NAIL/NAIL MATRIX PERMANENT 435.00
NAIL BED REPAIR SIMPLE 456.00
NAIL BED REPAIR COMPLEX 782.00
EXCISE INGROWN NAIL 324.00
RPR SMPLE SCLP NCK TRNK EXT* 354.00
RPR SMPLE SCLP NCK TRNK EXT* 453.00
RPR SMPLE SCLP NCK TRNK EXT* 533.00
RPR SMPLE SCLP NCK TRNK EXT 664.00
RPR SMPLE SCLP NCK TRNK EXT 858.00
RPR SMPLE FCE EAR ELID NSE LP 2.5CM/< 425.00
RPR SMPLE FCE EAR ELID NSE LP* 482.00
RPR SMPLE FCE EAR ELID NSE LP 577.00
RPR SMPLE FCE EAR ELID NSE LIP 844.00
RPR SMPLE FCE EAR ELID NSE LIP 899.00
RPR SMPLE FCE EAR ELID NSE LIP 1,077.00
RPR SMPLE FCE EAR ELID NSE LIP 1,259.00
SECONDARY CLOSURE 659.00
RPR SMPLE FACE W/ PACKING 472.00
RPR INT SCLP TRNK EXT 0-2.5CM 480.00
RPR INT SCLP TRNK EXT 2.6-7.5 700.00
RPR SCLP TRNK EXT 7.6-12.5CM 828.00
RPR INT SCLP TRNK EXT 12.6-20 835.00
RPR INT SCLP TRNK EXT 20.1-30 1,233.00
RPR INT SCLP TRNK EXT 30+CM 1,223.00
RPR INT NCK HND FEET GEN 2.5 615.00
RPR INT NECK HAND FEET GEN 674.00
RPR INT NECK HAND FEET GEN 777.00
RPR INT NECK HAND FEET GEN 1,050.00
RPR INT NECK HAND FEET GEN 1,109.00
RPR INT NECK HAND FEET GENT 1,404.00
RPR INT FACE/EARS/LIPS 0-2.5CM 631.00
RPR INT FACE/EARS/LIPS 2.6-5.0 674.00
RPR INT FACE/EARS/LIPS5.1-7.5 756.00
RPR INT FACE/EARS/LIPS7.6-12.5 833.00
RPR INT FACE/EARS/LIPS 12.6-20 1,399.00
RPR INT FACE/EARS/LIPS 30+CM 1,952.00
RPR CMPLX TRUNK 1.1 - 2.5 CM 804.00
RPR CMPLX TRUNK 2.6-7.5CM 1,165.00
RPR CMPLX TRNK ADDTL 5CM>7.5CM 327.00
RPR COMPLX SCALP/ARMS/LEGS 835.00
RPR CMPLX SCALP/ARMS/LEGS 1,272.00
RPR CMPLX HED/ARM/LEG ADDTL5CM 515.00
RPR CMPLX FACE/HAND/FT/GEN 967.00
RPR CMPLX FACE/HAND/FT/GEN 1,641.00
RPR CMPLX FACE/HAND/FT/GEN 847.00
RPR CMPLX EYELID/NOSE/EARS/LIP 1,202.00
RPR CMPLX EYELID/NOSE/EARS/LIP 1,886.00
BURN TREAT 1ST DGR LOCAL ONLY 191.00
BURN SM DRESS/DEBRID 180.00
BURN MED DRESS/DEBRID 596.00
BURN LG DRESS/DEBRID 838.00
FB RMVE MUSCLE SIMPLE 831.00
FB REMOVAL MUSCLE COMPLEX 1,241.00
Inj trigger point 1/2 muscle 212.00
ARTHROCENTESIS INJ SM JT 243.00
ARTHROCENTESIS INJ INTERMED 171.00
ARTHROCENTESIS 199.00
FRACTURE NOSE BONE FX W/O MNP 126.00
FX MANDIBULAR 916.00
DISLOCATED TEMPOROMANDIBULAR 134.00
FRACTURE RIB 324.00
FX RIB W/FLAIL CHEST 2,234.00
FX SPINE VERT BODY 969.00
FRACTURE CLAVICLE 740.00
CLOSED REDUCTION 1,045.00
TRACTN/MANIP AC INT REDUCTION 1,182.00
FX SCAPULAR 781.00
FX HUMERAL NECK 1,048.00
DISLOCATED SHOULDER 1,288.00
CLSD TX SHLDR DISLOCATE W/MAN 1,702.00
FB RMVE UPPER ARM/ELB SUBCUTNS 808.00
FRACTURE HUMERUS 1,055.00
FX SUPRACONDYLAR 1,313.00
DISLOCATED ELBOW TRT CLSD 1,476.00
FRACTURE ELBOW CLOSED 2,544.00
DISLOCATED NURSEMAID ELBOW 480.00
FX RADIAL HD/NECK 795.00
CLSD TRTMNT ULNAR W/O MAN 1,041.00
FX RADIAL SHAFT 844.00
FX ULNAR SHAFT 781.00
FRACTURE RADIUS/ULNA 1,026.00
FX RADIAL DISTAL 373.00
WRIST FRACTURE REDUCTION 1,764.00
FX NAVICULAR 900.00
FX CARPAL 964.00
CLSD TRTMNT DISLCTN W/MANIP 1,527.00
CLSD TRTMNT DSLOCTN W/MANIP 1,492.00
I&D FINGER ABSCESS SIMPLE 333.00
I&D FINGER ABSCESS COMP(FELON) 535.00
FB RMVE CARPOMETACARPAL JOINT 2,310.00
FB RMVE METACARPOPHALANGEAL JT 2,433.00
FB RMVE INTERPHALANGEAL JOINT 2,605.00
RPR EXT TNDN FINGER W/O GRF 3,269.00
REDUCTION FINGER DISLOCATION 1,652.00
DISLOCATED TOE 1,347.00
DISLOCATED FINGER 1,570.00
FRACTURE FINGER/THUMB 540.00
FX PHALANGEAL W/MANIPULATION 1,052.00
FX CLOSED DISTAL PHALANGEAL 651.00
FRACTURE DISTAL PHALANGE 1,456.00
DISLOCATED I P JOINT FINGER 998.00
DISLOCATED I P JNT FNGR W/ANES 1,380.00
FX COCCYX 587.00
FRACTURE FEMORAL CLOSED FX W/O 1,885.00
DISLOCATED HIP W/O ANESTHESIA 2,128.00
FRACTURE KNEE 1,059.00
FRACTURE TIBIA 1,297.00
KNEE DISLOCATION, CLOSED FX 2,012.00
DISLOCATED PATELLA 1,445.00
FX TIBIAL SHAFT 1,137.00
FRACTURE FIBULA 999.00
CLSD TRTMNT FIBLR DSTL W/O MAN 1,148.00
FX ANKLE BIMALLEOLAR 1,144.00
FRACTURE ANKLE 1,354.00
ANKLE FX, W/MANIPULATION 1,938.00
DISLOCATED ANKLE 1,684.00
ARTHROTOMY OF INTERPHAL JOINT 1,758.00
FB RMVE FOOT SUBCUTANEOUS 842.00
FB RMVE FOOT DEEP 1,590.00
FB RMVE FOOT COMPLICATED 1,954.00
RPR TENDON FLEX FT PRM W/O GRF 1,978.00
FX CALCANEAL 1,059.00
FX TALUS 291.00
FX TARSAL 918.00
FX METATARSAL 838.00
FX GREAT TOE W/O MANIP 507.00
FX GREAT TOE W/MANIP 605.00
FRACTURE TOE 682.00
DISLOCATED GREAT TOE 135.00
DISLOCATED METATARSAL 629.00
TREAT TOE DISLOCATION 533.00
CLTX INTERPHALANGEAL JT DSLOC W/ ANESTHI 567.00
FRACTURE PHALANGES FT OPEN 1+ 2,278.00
SPLINT ARM LONG APPLY 234.00
SPLINT ARM SHRT STATIC APPLY 164.00
SPLINT FINGER 121.00
SPLINT LEG LONG APPLICATION 234.00
SPLINT LEG SHORT APPLICATION 188.00
DENIS-BROWNE SPLINT STRAPPING 274.00
FB RMVE INTERNASAL 234.00
NOSEBLEED ROUNTINE SMPLE* 254.00
NOSEBLEED ANTERIOR PACK 340.00
NOSEBLEED POSTIER PACK 450.00
ENDOTRACHEAL INTUB 492.00
DIRECT LARYNGOSCOPY 633.00
TRACHEOSTOMY EMERGENCY 935.00
THORACENTESIS 324.00
CHEST TUBE 899.00
THORACOSTOMY CHEST TUBE IND W/WO DRAIN 541.00
PERICARDIOCENTESIS 517.00
CVP INSERTION 1,077.00
CUT DOWN 354.00
CATHETERIZATION, VENOUS 595.00
INSERT PICC LINE WO SUBQ PORT/PUMP AGE5+ 1,050.00
INTRAOSSEOUS INFUSION 311.00
ARTERIAL CATH OR CANULATION 441.00
REMOVAL FOREIGN BODY MOUTH 546.00
I&D ABSCESS DENTAL 403.00
FB RMVE THROAT 472.00
NASO-/ORO-GASTRC TUBE PLCMENT 183.00
REPLACE GASTRO TUBE WOUT GUIDE/REVISION 1,225.00
FECAL IMPACTION REMOVAL 686.00
Unlisted Procedure, Rectum 686.00
I&D THROMBOSED HEMMORRHOID 625.00
EXCISION OF THROMBOSD HEM EXT 432.00
PERITONEAL LAVAGE/PARACENTESIS 279.00
IRRIGATION OF BLADDER SIMPLE 418.00
CATHETER BLADDER, SIMPLE 142.00
CATHETER BLADDER, COMPLEX 387.00
CYSTOSTOMY TUBE CHANGE 264.00
MEATOTOMY 388.00
MEATOTOMY INFANT 250.00
CATHERIZATION, URETHRA 388.00
INSERTION OF PICC ER 1,240.00
I&D OF VULVA/PERINAL ABCESS 458.00
I&D BARTHOLIN'S GLAND ABSCESS 427.00
REMOVAL IUD 301.00
VAGINAL DELIVERY 3,280.00
SPINAL TAP W/OUT INJECTION 505.00
SPINAL TAP W/ INJECTION 615.00
SKULL FX SIMPLE 3,671.00
SPINAL PUNCTURE LUMBAR DIAG 302.00
LOCAL BLOCK (NERVE) 233.00
INJ ANESTHETIC AGENT CERVICAL PLEXUS 334.00
DIGITAL NERVE BLOCK 260.00
INJ ANES AGNT/STERD FACET JNT 450.00
FB RMVE EYE EXTERNAL 146.00
FB RMVE EYE EMBEDDED 185.00
FB RMVE CORNEA W/O LAMP 182.00
FB RMVE CORNEA SLIT LAMP 182.00
FB RMVE EAR CANAL W/O ANS 279.00
FB RMVE IMPACTED CERUMEN 148.00
IV PUSH ADDITIONAL MEDS 124.00
INJECTION ADMINISTRATION 40.00
IV PUSH MEDS INITIAL 71.00
GASTRIC INTUBATION ASP LAVAGE 112.00
TEMPORARY TRANSCUT. PACEMAKER 72.00
CARDIOVERSION 503.00
THROMBOLYSIS INFUSION 1,152.00
RMVL DEVITAL TIS 20 CM/< 105.00
MOD SEDATION 5YRS + 1ST 30 MIN 153.00
MOD SEDATION 5YRS + ADDT'L 15 42.00
IPECAC & OBS 204.00
RESUSITATE NEWBORN 646.00
FX METACARPAL W/O MANIP 752.00
FX METACARPAL W/MANIP. 1,117.00
OP/ER CONSULT NEW/EST PT LEVEL 1 150.00
OP/ER CONSULT NEW/EST PT LEVEL 2 284.00
OP/ER CONSULT NEW/EST PT LEVEL 3 388.00
OP/ER CONSULT NEW/EST PT LEVEL 4 582.00
OP/ER CONSULT NEW/EST PT LEVEL 5 711.00
ER CRITICAL CARE 1ST HOUR 972.00
ER PHYS CRIT. EA ADD 30 MIN 489.00
ER PROFESSIONAL FEE LEVEL I BRIEF 227.00
ER PROFESSIONAL FEE LEVEL-II LIMITED 302.00
ER PROFESSIONAL FEE LEVEL III INTERM. 427.00
ER PROFESSIONAL FEE LEVEL IV EXTENDED 622.00
ER PROFESSIONAL FEE LEVEL V COMPREHEN 828.00
FINE NEEDLE ASPIRATION BX W/O IMG 1STLES 305.00
I&D ABSCESS SIMPLE SINGLE* 351.00
I&D ABSCESS COMPLICATED/MULTI 615.00
I&D PILONIDAL SIMPLE 305.00
I&D PILONIDAL COMPLEX 646.00
FB RMVE SUBCTNEOUS TISSUE SAMP 171.00
FB RMVE COMPLEX 721.00
I&D HEMATOMA SEROMA* 397.00
PUNCTURE/ASP ABSCESS SMALL 273.00
I&D POST OP WOUND INF 589.00
DEBRIDEMENT OF EXT INF SKIN 294.00
DEBRIDEMENT SKIN PARTIAL THICK 168.00
DEBRIDEMENT SKIN FULL THICKNES 188.00
DEBRIDEMENT SKIN &SBCTS TIS 20 SQ CM/< 349.00
DEBRIDEMENT WOUND DEEP 615.00
EXC SKIN TAGS UP TO 15* 180.00
DEBRIDEMENT OF NAIL 1-5 71.00
AVULSION ON NAIL PLATE 363.00
AVULSION NAIL PLATE,PRTL/CMPLT 175.00
EXC NAIL EVACUATION 184.00
EXC NAIL/NAIL MATRIX PERMANENT 435.00
NAIL BED REPAIR SIMPLE 456.00
NAIL BED REPAIR COMPLEX 782.00
EXCISE INGROWN NAIL 324.00
RPR SMPLE SCLP NCK TRNK EXT* 354.00
RPR SMPLE SCLP NCK TRNK EXT* 453.00
RPR SMPLE SCLP NCK TRNK EXT* 533.00
RPR SMPLE SCLP NCK TRNK EXT 664.00
RPR SMPLE SCLP NCK TRNK EXT 858.00
RPR SMPLE FCE EAR ELID NSE LP 2.5CM/< 425.00
RPR SMPLE FCE EAR ELID NSE LP* 482.00
RPR SMPLE FCE EAR ELID NSE LP 577.00
RPR SMPLE FCE EAR ELID NSE LIP 844.00
RPR SMPLE FCE EAR ELID NSE LIP 899.00
RPR SMPLE FCE EAR ELID NSE LIP 1,077.00
RPR SMPLE FCE EAR ELID NSE LIP 1,259.00
SECONDARY CLOSURE 659.00
RPR SMPLE FACE W/ PACKING 472.00
RPR INT SCLP TRNK EXT 0-2.5CM 480.00
RPR INT SCLP TRNK EXT 2.6-7.5 700.00
RPR SCLP TRNK EXT 7.6-12.5CM 828.00
RPR INT SCLP TRNK EXT 12.6-20 835.00
RPR INT SCLP TRNK EXT 20.1-30 1,233.00
RPR INT SCLP TRNK EXT 30+CM 1,223.00
RPR INT NCK HND FEET GEN 2.5 615.00
RPR INT NECK HAND FEET GEN 674.00
RPR INT NECK HAND FEET GEN 777.00
RPR INT NECK HAND FEET GEN 1,050.00
RPR INT NECK HAND FEET GEN 1,109.00
RPR INT NECK HAND FEET GENT 1,404.00
RPR INT FACE/EARS/LIPS 0-2.5CM 631.00
RPR INT FACE/EARS/LIPS 2.6-5.0 674.00
RPR INT FACE/EARS/LIPS5.1-7.5 756.00
RPR INT FACE/EARS/LIPS7.6-12.5 833.00
RPR INT FACE/EARS/LIPS 12.6-20 1,399.00
RPR INT FACE/EARS/LIPS 30+CM 1,952.00
RPR CMPLX TRUNK 1.1 - 2.5 CM 804.00
RPR CMPLX TRUNK 2.6-7.5CM 1,165.00
RPR CMPLX TRNK ADDTL 5CM>7.5CM 327.00
RPR COMPLX SCALP/ARMS/LEGS 835.00
RPR CMPLX SCALP/ARMS/LEGS 1,272.00
RPR CMPLX HED/ARM/LEG ADDTL5CM 515.00
RPR CMPLX FACE/HAND/FT/GEN 967.00
RPR CMPLX FACE/HAND/FT/GEN 1,641.00
RPR CMPLX FACE/HAND/FT/GEN 847.00
RPR CMPLX EYELID/NOSE/EARS/LIP 1,202.00
RPR CMPLX EYELID/NOSE/EARS/LIP 1,886.00
BURN TREAT 1ST DGR LOCAL ONLY 191.00
BURN SM DRESS/DEBRID 180.00
BURN MED DRESS/DEBRID 596.00
BURN LG DRESS/DEBRID 838.00
FB RMVE MUSCLE SIMPLE 831.00
FB REMOVAL MUSCLE COMPLEX 1,241.00
Inj trigger point 1/2 muscle 212.00
ARTHROCENTESIS INJ SM JT 243.00
ARTHROCENTESIS INJ INTERMED 171.00
ARTHROCENTESIS 199.00
FRACTURE NOSE BONE FX W/O MNP 126.00
FX MANDIBULAR 916.00
DISLOCATED TEMPOROMANDIBULAR 134.00
FRACTURE RIB 324.00
FX RIB W/FLAIL CHEST 2,234.00
FX SPINE VERT BODY 969.00
FRACTURE CLAVICLE 740.00
CLOSED REDUCTION 1,045.00
TRACTN/MANIP AC INT REDUCTION 1,182.00
FX SCAPULAR 781.00
FX HUMERAL NECK 1,048.00
DISLOCATED SHOULDER 1,288.00
CLSD TX SHLDR DISLOCATE W/MAN 4,841.00
FB RMVE UPPER ARM/ELB SUBCUTNS 808.00
FRACTURE HUMERUS 1,055.00
FX SUPRACONDYLAR 1,313.00
DISLOCATED ELBOW TRT CLSD 1,476.00
FRACTURE ELBOW CLOSED 254.00
DISLOCATED NURSEMAID ELBOW 480.00
FX RADIAL HD/NECK 795.00
CLSD TRTMNT ULNAR W/O MAN 1,041.00
FX RADIAL SHAFT 844.00
FX ULNAR SHAFT 781.00
FRACTURE RADIUS/ULNA 1,026.00
FX RADIAL DISTAL 373.00
WRIST FRACTURE REDUCTION 1,764.00
FX NAVICULAR 900.00
FX CARPAL 964.00
CLSD TRTMNT DISLCTN W/MANIP 1,527.00
CLSD TRTMNT DSLOCTN W/MANIP 1,492.00
I&D FINGER ABSCESS SIMPLE 333.00
I&D FINGER ABSCESS COMP(FELON) 535.00
FB RMVE CARPOMETACARPAL JOINT 2,310.00
FB RMVE METACARPOPHALANGEAL JT 2,433.00
FB RMVE INTERPHALANGEAL JOINT 2,605.00
RPR EXT TNDN FINGER W/O GRF 3,269.00
FX METACARPAL W/O MANIP 752.00
FX METACARPAL W/MANIP. 1,117.00
REDUCTION FINGER DISLOCATION 1,652.00
DISLOCATED TOE 1,347.00
DISLOCATED FINGER 1,570.00
FRACTURE FINGER/THUMB 540.00
FX PHALANGEAL W/MANIPULATION 1,052.00
FX CLOSED DISTAL PHALANGEAL 651.00
FRACTURE DISTAL PHALANGE 1,456.00
DISLOCATED I P JOINT FINGER 234.00
DISLOCATED I P JNT FNGR W/ANES 1,380.00
FX COCCYX 587.00
FRACTURE FEMORAL CLOSED FX W/O 1,885.00
DISLOCATED HIP W/O ANESTHESIA 2,128.00
FRACTURE KNEE 1,059.00
FRACTURE TIBIA 1,297.00
KNEE DISLOCATION, CLOSED FX 2,012.00
DISLOCATED PATELLA 1,445.00
FX TIBIAL SHAFT 1,137.00
FRACTURE FIBULA 999.00
CLSD TRTMNT FIBLR DSTL W/O MAN 1,148.00
FX ANKLE BIMALLEOLAR 1,144.00
FRACTURE ANKLE 1,354.00
ANKLE FX, W/MANIPULATION 1,938.00
DISLOCATED ANKLE 1,684.00
ARTHROTOMY OF INTERPHAL JOINT 1,758.00
FB RMVE FOOT SUBCUTANEOUS 842.00
FB RMVE FOOT DEEP 1,590.00
FB RMVE FOOT COMPLICATED 1,954.00
RPR TENDON FLEX FT PRM W/O GRF 1,978.00
FX CALCANEAL 1,059.00
FX TALUS 291.00
FX TARSAL 918.00
FX METATARSAL 838.00
FX GREAT TOE W/O MANIP 507.00
FX GREAT TOE W/MANIP 605.00
FRACTURE TOE 682.00
DISLOCATED GREAT TOE 135.00
DISLOCATED METATARSAL 629.00
TREAT TOE DISLOCATION 533.00
CLTX INTERPHALANGEAL JT DSLOC W/ ANESTH 567.00
FRACTURE PHALANGES FT OPEN 1+ 2,278.00
SPLINT ARM LONG APPLY 234.00
SPLINT ARM SHRT STATIC APPLY 164.00
SPLINT FINGER 121.00
SPLINT LEG LONG APPLICATION 234.00
SPLINT LEG SHORT APPLICATION 188.00
FB RMVE INTERNASAL 234.00
NOSEBLEED ROUNTINE SMPLE* 254.00
NOSEBLEED ANTERIOR PACK 340.00
NOSEBLEED POSTIER PACK 450.00
ENDOTRACHEAL INTUB 492.00
DIRECT LARYNGOSCOPY 633.00
TRACHEOSTOMY EMERGENCY 935.00
THORACENTESIS 324.00
CHEST TUBE 899.00
THORACOSTOMY CHEST TUBE IND W/WO DRAIN 541.00
PERICARDIOCENTESIS 517.00
CVP INSERTION 1,077.00
CUT DOWN 354.00
CATHETERIZATION, VENOUS 622.00
INTRAOSSEOUS INFUSION 311.00
ARTERIAL CATH OR CANULATION 441.00
REMOVAL FOREIGN BODY MOUTH 546.00
I&D ABSCESS DENTAL 403.00
FB RMVE THROAT 472.00
NASO-/ORO-GASTRC TUBE PLCMENT 183.00
REPLACE GASTRO TUBE WOUT GUIDE/REVISION 1,225.00
FECAL IMPACTION REMOVAL 686.00
I&D THROMBOSED HEMMORRHOID 625.00
EXCISION OF THROMBOSD HEM EXT 432.00
PERITONEAL LAVAGE/PARACENTESIS 279.00
CATHETER BLADDER, SIMPLE 142.00
CATHETER BLADDER, COMPLEX 387.00
CYSTOSTOMY TUBE CHANGE 264.00
MEATOTOMY 388.00
MEATOTOMY INFANT 250.00
CATHERIZATION, URETHRA 388.00
I&D OF VUVLA/PERINAL ABCESS 458.00
I&D BARTHOLIN'S GLAND ABSCESS 427.00
REMOVAL IUD 301.00
VAGINAL DELIVERY 3,280.00
SPINAL TAP W/OUT INJECTION 505.00
SPINAL TAP W/ INJECTION 615.00
SKULL FX SIMPLE 3,671.00
SPINAL PUNCTURE LUMBAR DIAG 302.00
LOCAL BLOCK (NERVE) 233.00
DIGITAL NERVE BLOCK 260.00
INJ ANES AGNT/STERD FACET JNT 450.00
FB RMVE EYE EXTERNAL 146.00
FB RMVE EYE EMBEDDED 185.00
FB RMVE CORNEA W/O LAMP 182.00
FB RMVE CORNEA SLIT LAMP 182.00
FB RMVE EAR CANAL W/O ANS 279.00
FB RMVE IMPACTED CERUMEN 148.00
GASTRIC INTUBATION ASP LAVAGE 112.00
CPR 1,324.00
TEMPORARY TRANSCUT. PACEMAKER 72.00
CARDIOVERSION 503.00
THROMBOLYSIS INFUSION 1,152.00
RMVL DEVITAL TIS 20 CM/< 105.00
MOD SEDATION 5YRS + 1ST 30 MIN 153.00
MOD SEDATION 5YRS + ADDTL 15 42.00
IPECAC & OBS 204.00
Tobacco Use Cessation 3-10 minutes 58.00
Tobacco Use Cessation > 10 minutes 94.00
RESUSITATE NEWBORN 646.00
ELECTRODES, PAIR 71.00
CONDUCTIVE GEL OR PASTE 71.00
EKG/ECG 12LD TRACNG&INTERPRTN 206.00
EKG/ECG 12 LD TRACING ONLY 129.00
EKG/ECG 3 LEAD TRACING ONLY 45.00
ELECTROCARDIOGRAPHY 735.00
EKG INTERPRET 137.00
NEEDLE EMG; 2 EXT W/WO REL PARSPINL AREA 1,677.00
NEEDLE EMG EACH EXT W/PARSPNL AREA LMTD 616.00
NDL EMG EA XTR W/PARASPINL AREA COMPLETE 1,044.00
EMG NON-EXTREMITY W/ NERVE CONDUCTION 873.00
NERVE CONDUCTION STUDIES; 7-8 STUDIES 2,209.00
NERVE CONDUCTION STUDIES; 9-10 STUDIES 2,689.00
NERVE CONDUCTION STUDIES; 11-12 STUDIES 3,165.00
NERVE CONDUCTION STUDIES; 13 OR MORE 3,685.00
EKG INTERPRET 96.00
INJECTIION FOR MYELOGRAM 1,227.00
NEEDLE LOCALIZATION BY X-RAY 659.00
FLOUROGUIDE FOR SPINE INJECT 290.00
EPIDUROGRAPHY, DIAGNOSTIC 377.00
D.P.S. BLOOD DRAW 87.00
MISC COLLECTION FEE 35.00
VENIPUNCTURE 37.00
GLUCOSE-FINGER STICK 37.00
BASIC METABOLIC PANEL 310.00
ELECTROLYTE PANEL 115.00
COMPREHENSIVE METABOLIC PANEL 462.00
PROFILE LIPID 218.00
RENAL FUNCTION PANET 141.00
HEPATITIS PANEL ACUTE 774.00
PANEL HEPATIC FUNCTION 134.00
DRUG SCREEN 8 PANEL 683.00
AMIKACIN - PEAK & TROUGH 245.00
DRUG SCREEN DIGOXIN; TOTAL 216.00
DRUG SCREEN DIGOXIN; FREE 216.00
VALPROIC ACID 221.00
DRUG SCREEN VALPROIC ACID; FREE 221.00
GENTAMICIN 267.00
LAMOTRIGINE LEVEL 284.00
LEVETIRACETAM, SERUM 216.00
LITHIUM 108.00
OXCARBAZEPINE, SERUM 216.00
PHENOBARBITAL 186.00
DILANTIN PHENYTOIN TOTAL 216.00
PRIMIDONE MYSOLINE 270.00
QUINIDINE 237.00
SALICYLATES 391.00
TACROLIMUS BLOOD (FK506) 224.00
THEOPHYLLINE 231.00
VANCOMYCIN 221.00
METHLYPHENIDATE (RITALIN) SERUM 294.00
URINALYSIS NON-AUTOMATED W/ MICRO 52.00
UA AUTO WITH MICRO 159.00
URINALYSIS (DIP STICK) 42.00
UA AUTO WO MICRO 38.00
UA MICRO ONLY 50.00
PREGNANCY TEST URINE COLOR 103.00
CYP2C19 Genotype (*2 *3 *17) – Plavix® r 3,475.00
CYP2C9 GENE COM VARIANTS 2,085.00
Prothrombin G20210A Mutation (Factor II) 799.00
FACTOR V LEIDEN MUTATION ANALYSIS 993.00
HFE HEMOCHROMATOSIS DNA ANA COMMON VARI 873.00
MTHFR Genotype (C677T & A1298C Mutations 710.00
ACETAMINOPHEN 300.00
SERUM ACETONE 72.00
ACETONE(B)/KETONE QUANTITATIVE 119.00
ADRENOCORTICOTROPIC HORMONE ACTH PLASMA 603.00
ALBUMIN SERUM 80.00
ALBUMIN, PERITONEAL FLUID 85.00
MICROALBUMIN, URINE 92.00
ALCOHOL ANY EXCEPT BREATH 204.00
ALCOHOL BREATH 197.00
A1 ANTITRYPSIN 219.00
A1 ANTITRYP PHENO 235.00
APF (ALPHA FETOPROTEIN) 273.00
AMINO ACIDS SINGLE QUANT 275.00
AMINO ACIDS QUANT 2-5 163.00
AMMONIA 237.00
AMYLASE 105.00
ACE - ANGIOTENSIN I CONV ENZYM 237.00
Apolipoprotein A-I (ApoA-I) 252.00
ARSENIC 309.00
VITAMIN C 162.00
BILE ACIDS TOTAL 278.00
BILIRUBIN TOTAL 81.00
BILIRUBIN DIRECT 81.00
OCCULT BLOOD, BY PEROXIDASE 53.00
BLOOD OCCULT (GUAIAC) 53.00
CADMIUM; URINE 377.00
CALCIFEDIOL (25-OH VITAMIN D) 442.00
CALCIUM TOTAL 82310 84.00
CALCIUM IONIZED 222.00
CALCIUM URINE 24HR 98.00
CALCULI, URINARY 209.00
RENAL STONE ANALYSIS 210.00
TEGRETOL CARBAMAZEPIN 236.00
TOTAL CO2 80.00
CARBON MONOXIDE QUANTITATIVE 201.00
CEA 309.00
CERULOPLASMIN 175.00
CHLORIDE BLOOD 75.00
CHLORIDE URINE 82.00
CHOLESTEROL SERUM TOTAL 71.00
PSEUDOCHOLINESTERASE 128.00
CITRIC ACID (CIRTARE) 24 HR URINE 452.00
COLLAGEN CROSS LINKS ANY METHOD 305.00
COPPER 202.00
CORTISOL TOTAL 266.00
CREATINE, URINE 75.00
LEVETIRACETAM 294.00
CPK TOTAL 184.00
CKMB-MB FRACTION ONLY 386.00
CREATININE BLOOD 82565 84.00
CREATININE URINE 85.00
CREATININE CLEARANCE 155.00
CRYOGLOBULIN,QUAL OR SEMIQUAL 105.00
VITAMIN B-12 245.00
CYSTATIN C (INCL eGFR) 221.00
Dehydroepiandrosterone Sulfate (DHEA-S) 362.00
VITAMIN D COMPLETE 625.00
ELATASE PANCREATIC FECAL QUAL/SEMI-QUANT 324.00
Electrophoretic test 425.00
ERYTHROPOIETIN 306.00
ESTRADIOL 454.00
ESTROGENS FRACTIONATED 525.00
ESTROGEN, TOTAL 142.00
ESTRONE 406.00
FECAL FAT QUALITATIVE 82.00
FAT FECES QUANTITATIVE 273.00
Free Fatty Acids (FFA) 216.00
FERRITIN 222.00
FIBRINOGEN ACTIVITY 139.00
FOLATE SERUM 240.00
ASSAY OF FOLIC ACID RBC 281.00
Galectin-3 358.00
IMMUNOGLOBULIN G IGG GAMMA 151.00
IMMUNOGLOBULINS E 268.00
IgG SUBCLASSES 1-4 EACH 69.00
GASTRIN SERUM 287.00
GLUCOSE QUANT 65.00
GLUCOSE POST DOSE 77.00
GLUCOSE TOLERANCE 3 SPECIMENS 209.00
GLUCOSE TOLERANCE ECH OVER 3 64.00
G6PD-GLUCOSE-6-PHOSPIATE DEHYD 142.00
BLOOD GLUCOSE BY HOME MONITOR 39.00
GAMMA GT 82977 117.00
Fructosamine 245.00
FSH 302.00
LEUTEINIZING HORMONE 301.00
GROWTH HORMONE SINGLE SERUM 271.00
HEAVY METAL QUANTITATIVE EACH 357.00
HGB ELECTROPHORESIS 209.00
HEMGLBNPTHY FRCTNTN CHRMTGRPHY 294.00
HGB A1C EA NUC ACID SEQU 159.00
HOMOCYSTEINE 275.00
RANDOM URINE 5HIAA 99.00
IMMUNOASSAY ANAL QUANT NOS 210.00
INSULIN RIA TOTAL 186.00
IRON 105.00
IRON BINDING TOTAL 142.00
LACTIC ACID, PLASMA 175.00
LDH TOTAL 98.00
LDH ISOENZYMES 208.00
LACTOFERRIN, FECAL, QUANT 431.00
LEAD LEVEL 198.00
LIPASE 113.00
LIPOPROTEIN A 210.00
Lipoprotein-Associated Phospholipase A2 551.00
LIPOPROTEIN BLOOD ELCTROPHRTIC SEP/QUANT 247.00
LDL Particle Number (LDL-P) & HDL Partic 551.00
HDL CHOLESTEROL 135.00
LDL CHOLESTEROL 157.00
MAGNESIUM 110.00
MASS SPECTROMETRY QUANT 294.00
MERCURY 211.00
MUCIN CLOT 96.00
MYOGLOBIN 379.00
Myeloperoxidase (MPO) 551.00
ASSAY OF NEPHELOMETRY NOT SPEC 221.00
ORGANIC ACIDS TOTAL QUANT 268.00
METHYLMALONIC ACID 268.00
OSMOLALITY SERUM 80.00
OSMOLALITY URINE 80.00
Osteocalcin 462.00
OXALATE 24 HOUR URINE 209.00
PTH LEVEL 671.00
PHOSPHATASE ACID TOTAL 121.00
PHOSPHATASE ALKAL 85.00
PHOSPHORUS INORG 77.00
PHOSPHORUS 24 HOUR URINE 85.00
PORPHYRINS 24 HR URINE 240.00
POTASSIUM 84132 75.00
POTASSIUM URINE 71.00
PREALBUMIN 138.00
Pregnenolone 337.00
PROGESTERONE 339.00
PROLACTIN 315.00
PSA PROSTATIC SPECIFIC ANTIGEN 300.00
Prostate-Specific Antigen (PSA), free 300.00
PROTEIN TOTAL SERUM 61.00
24 HR URINE, TOTAL PROTEIN 61.00
PROTIEN TOTAL - PLEURAL FLUID 61.00
PROTEIN ELECTRO, SERUM 175.00
ELECTROPHORETIC FRACTIONATION 290.00
PROTOPORPHYRIN, RBC, QUANTITATIVE 143.00
Proinsulin 290.00
VITAMIN B-6 457.00
SOLUBLE TRANSFERRIN RECEPTOR 594.00
RENIN 358.00
Human Sex Hormone-Binding Globulin (SHBG 354.00
SODIUM SERUM 78.00
URINE SODIUM ASSAY 78.00
SOMATOMEDIN 346.00
HDL2-C Subclass 114.00
1,5 Anhydroglucitol (Glycomark®) 47.00
FREE TESTOSTERONE SERUM 414.00
TESTOSTERONE TOTAL 421.00
VITAMIN B1 112.00
THROMBOXANE URINE 273.00
THYROXINE TOTAL 113.00
T4 FREE 146.00
TBG 241.00
TSH 273.00
THYROID STMULTNG IMMNE GLBLN 827.00
VITAMIN A 231.00
SGOT AST 85.00
SGPT ALT 87.00
TRANFERRIN 149.00
TRIGLYCERIDES 94.00
T UPTAKE 105.00
TRI-IODOTHYRONINE T3; TOTAL 231.00
T-3 FREE 276.00
T3, reverse 126.00
TROPONIN QUANTATIVE 439.00
TROPONIN QUALITATIVE 121.00
BUN QUANTITATIVE 65.00
URIC ACID BLOOD 74.00
URIC ACID URINE 77.00
VMA/URINE 252.00
VITAMIN E 188.00
VITAMIN K 1 112.00
ZINC, SERUM 185.00
C-PEPTIDE SERUM 339.00
PREGNANCY QUANT. HCG 142.00
QUALITATIVE HCG 122.00
WBC W/DIFF AUTOMATED 105.00
BLOOD SMEAR W MANUAL DIFF 143.00
HCT (HEMATOCRIT) 39.00
CBC WITH DIFFERENTIAL 184.00
CBC W/MANUAL DIFF 220.00
RETICULOCYTE COUNT MANUAL 67.00
WBC 42.00
BLOOD COUNT, PLATELET AUTOMATED 98.00
D-DIMER QA 116.00
FDP,D-DIMER, QUANTITATIVE 151.00
Fibrinogen, mass 139.00
PROTHROMBIN TIME 181.00
SED RATE WESTGREN NONAUTOMATED 58.00
Erythrocyte Sedimentation Rate (ESR) 45.00
HEMOGLOBIN SOLUBILITY HGB 91.00
THROMBIN TIME PLASMA 95.00
THROMBOPLASTIN INHIBITN,TISSUE 139.00
PTT 98.00
FEBRILE AGGLUTINUS EACH 114.00
ALLERGEN SPECIFIC IgG QUAN/SEMIQUAN EACH 77.00
ALLERGEN SPECIFIC IgE QUAN/SEMIQUAN EACH 77.00
ALLERGEN SPECIFIC Ige QUAL MULTIALLERGEN 130.00
ANCA 245.00
ANA (ANTINUCLEAR ANTIBODIES) 198.00
ANA TITER 182.00
ASO TITER 119.00
C-REACTIVE PROTEIN (CRP) 85.00
C-REACTVE PROTN HI SNSITIVITY 210.00
Anti-Beta-2 Glycoprotein I Antibodies (A 128.00
ACA, QUANTITATIVE,IGA,IGG,IGM 128.00
COLD AGGLUTININ TITER QUANTITATIVE 110.00
DNASE ANTIBODY 178.00
ANTI DNA ANTIBODIED BY EIA 224.00
NUCLEAR ANTIGEN ANTIBODY 291.00
CANCER ANTIGEN 339.00
CA - 19 -9 339.00
CA 125 II 339.00
MONO SPOT 85.00
CHROMOGRANIN A-IMMUNOASSY TMR QUANT 439.00
IMMUNOASSAY INFECT AGNT ANTBDY QUANT NOS 244.00
IMMUNOFIXATION ELECTROPHRSIS 363.00
IMMUNOFIXATION UA 478.00
INTRINSIC FACTOR BLOCKING ANTIBODIES 202.00
ANTIPANCREATIC ISLET CELLS 281.00
LIVER KIDNEY MICROSOMAL AB 236.00
HEPATITIS B SURF ANT W/CONF 275.00
RHEUMATOID FACTOR 93.00
RHEUMATOID FACTOR 93.00
RPR 70.00
BARTONELLA ANTIBODY PANEL 134.00
LYMES DISEASE WESTERN BLOT 252.00
LYME DISEASE TTL ANTIBODIES 277.00
CYTOMEGALOVIRUS (CMV), IGM 134.00
EB VIRUS, EARLY ANTIGEN 213.00
EPSTEIN-BARR NUC ANTGN ANTIBODIES IsG 248.00
EB VIRUS, VIRAL CAPSID 295.00
ANTIBODY FUNGUS NOT ELSEWHERE SPECIFIED 140.00
HELICOBACTER PYLORI, ANY 134.00
HIV 315.00
HERPES SIMPLEX NON-SPECIFIC TYPE TEST 234.00
HEPRES SIMPLEX TYPE 1 214.00
HERPES SIMPLEX TYPE 2 315.00
HIV 1 144.00
HIV 2 172.00
HIV 1 AND HIV 2, SINGLE RESULT 224.00
HEP B CORE ANTIBODY TOTAL 197.00
HEP B CORE IGM ANTIBODY 191.00
HEP B SURFACE ANTIBODY 175.00
HEPATITIS A ANTIODY IGM 183.00
INFLUENZA TITER 221.00
LEGIONELLA IGM 249.00
ROCKY MNTN FEVER TITRE 315.00
RUBELLA TITER 234.00
TREPONEMA PALLIDUM ANTIBODIES (FTA-ABS) 142.00
VARICELLA ZOSTER VIRUS AB,IGM 134.00
WEST NICE VIRUS, IGM 134.00
WEST NILE VIRUS 234.00
WEST NILE VIRUS TITER 134.00
Anti-Thyroglobulin Antibodies (Anti-Tg) 259.00
HEPATITIS C ANTIBODY 232.00
HEP C ANTIBODY 252.00
AB ID STD COM PANEL 543.00
ABO ANTIBODY TITER (COOMBS) 85.00
CONCENTRATION INFECTIOUS AGENTS 141.00
CULTURE BLOOD AEROBIC 168.00
CULTURE STOOL AEROVIC 155.00
CULTURE STOOL + PATHOGENS 155.00
CULTURE SPUTUM OTHER SOURCE 140.00
CULTURE BACTERIAL ANY ANAEROBIC ISOID 203.00
AEROBIC BACTERIUM ID 133.00
MRSA 108.00
CULTURE URINE QUANT CLNY 133.00
CULTURE FUNGUS 138.00
CULTURE FUNGAL DEF ID 168.00
CULTURE CHLAMYDIA 318.00
CULTURE AFB (MYCOBACTERIA) 176.00
PINWORM PREPARATION 70.00
SMEAR OVA & PARASITES DIRECT 142.00
SENSITIVITY ORGANISM 141.00
GRAM STAIN 70.00
SMEAR AFB 89.00
SMEAR PRIM SRC SPEC STAIN BODIES/PARASIT 122.00
OVA & PARASITE SMEAR 293.00
WET MOUNT 70.00
KOH PREP 70.00
CLOSTRIDIUM DIFFICILE TOXIN 320.00
RSV 195.00
ASPERGILLUS GALACTOMANNAN EIA 195.00
CLOSTRIDIUM DIFF TOXINS 195.00
IAAD EIA CRYPTOSPORIDIUM 252.00
IAAD EIA GIARDIA 252.00
H. PYLORI STOOL AG EIA 234.00
HEP B SURFACE ANTIGEN 168.00
HEP BE ANTIGEN 187.00
RAPID STREP 195.00
INFECT AGNT-DNA/RNA-BORRELIA BURGDORFERI 469.00
IADNA CANDIDA SP AMP PROBE TQ 547.00
CHLAMYDIA DNA PROBE 327.00
CHLAMYDIA NUCLEIC AAA 571.00
CYTOMEGALOVIRUS (CMV) QUANT, PLASMA 502.00
INLFUENZA VIRUS REVERSE TRANSCRIPTION 834.00
INFLUENZA VIRUS FOR MULT TYPES/SUB TYPES 1,382.00
HEP B VIRUS DNA 571.00
HEP C, QUAL DNA OR RNA, NNA AMP PROBEREV 571.00
HEP C RNA PCR QUANT 461.00
HIV-1 QUANT, REALTIME PCR 1,326.00
GONORRHOEAE GEN PROBE 327.00
GONORRHOEAE DNA PROBE 571.00
INF AGENT DNA/RNA HPV HIGH RISK TYPES 402.00
INF AGENT DNA/RNA HPV TYPE 16/18 ONLY 418.00
TRICHOMONAS VAG DNA/RNA AMP PROB 547.00
CANDIDA SP DNA OR RNA AMP PROBE 547.00
INFECTIOUS AGNT DETCT (DNA/RNA) QUANT EA 902.00
INFLUENZA ANTIGEN (CHG X2) 98.00
HEPATITIS C VIRUS 2,978.00
CYTOPTHLGY,CERV,VAG PAP W/RFLX 331.00
CYTP C/V AUTO THNLYR PREP SCR MNL RESCR 303.00
LEUKEMIA FLOW MARKER-1ST MARKER-TC ONLY 242.00
LEUKEMIA FLOW MARKER-EA ADDTL-TECH ONLY 139.00
LEUKEMIA FLOW MARKER-16 OR > MARKERS 242.00
OVA AND PARASITES 94.00
CELL COUNT MISC BODY FLUIDS EXCEPT BLOOD 55.00
WITH DIFFERENTIAL COUNT 91.00
WBC STOOL 70.00
CRYSTAL ID BY LIGHT 117.00
MUMPS ANTIBODIES IgG 212.00
MUMPS ANTIBODIES IgM 212.00
CMV 300.00
ALDOSTERONE URINE 662.00
CATECHOLAMINES FRACTIONATED 338.00
HAPTOGLOBIN 205.00
IMMUNOASSAY ANALYTE QUAL/SEMIQ MULTISTEP 187.00
ACHR RECEPTOR BINDING ANTIBODY 220.00
METANEPHRINES 276.00
BNP 551.00
PLATELET ANTIBODY 160.00
COMPLEMENT ANTIGEN EACH COMPONENT 197.00
COMPLEMENT FUNCTIONAL EACH COMPONENT 161.00
CYCLIC CITRULLINATED PEPTIDE 210.00
#TB SKIN TEST INTRADERMAL 37.00
ALDOLASE 159.00
HEMOGLOBIN 39.00
PERIPHERAL SMEAR 273.00
MURAMIDASE / LYSOZYME SERUM 251.00
HEP A TOTAL 202.00
CULTURE URINE 133.00
HANDLING FEE 25.00
CLINICAL PATH CONSULT LIMITED 199.00
LEVEL I SURG PATH GROSS ONLY 78.00
LEVEL II SURG PATH GROSS&MICRO 135.00
LEVEL III SURG PATH GROSS&MICR 211.00
LEVEL IV SURG PATH GROSS&MICRO 359.00
LEVEL V SURG PATH GROSS&MICRO 353.00
LEVEL VI SURG PATH GROSS&MICRO 438.00
CYTOPATH. SMEARS,SCREEN,INTPRT 130.00
CYTOPATHOLOGY INTERPRET&REPORT 432.00
PLACEMENT BREAST LOCALIZATION DEVICE 660.00
DX BREAST TOMOSYNTHESIS UNILATERAL 377.00
DX BREAST TOMOSHYTHESIS BILATERAL 377.00
DX UNILAT MAMMO W/ CAD 865.00
DX BILAT MAMMO W/ CAD 864.00
MAMMO BILATERAL DIGITAL 864.00
DIAGNOSTIC MAMMO DIGITAL 865.00
BREAST TOMOSYNTHESIS UNILAT DX 377.00
BREAST TOMOSYNTHESIS BILAT SCREENING 377.00
MAMMO SCREENING W/ CAD 595.00
MAMMO SCREENING BILATERAL DIGITAL 595.00
INJ GADOTERATE MEGLUMI 0.1ML 3.00
GAD-BASE MR CONTRAST NOS,1ML 30.00
MRI TEMPOROMANDIBULAR JOINT 3,506.00
MRI ORBIT/FACE/NECK - PLAIN 3,420.00
MRI ORBIT/FACE/NECK W/CONTRAST 3,681.00
MRI ORBIT/FACE/NECK - W/WO 3,945.00
MRA HEAD 3,420.00
MRA ANGIOGRAPHY HEAD W/DYE 3,681.00
MRA HEAD W/WO 3,945.00
MRA NECK 3,420.00
MRA NECK W/ CONTRAST 3,681.00
MRA NECK W W/O CONTRAST 3,945.00
MRI BRAIN - PLAIN 3,420.00
MRI BRAIN W/C 3,681.00
MRI HEAD W/ AND W/O CONTRAST 3,945.00
MRI CHEST W/O CONTRAST 3,420.00
MRI CHEST W W/O CONTRAST 3,945.00
MRA CHEST W/O & W/CONTRAST MATERIAL 3,945.00
MRI CERVICAL SPINE - PLAIN 3,420.00
MRI SPNL CNL/CNT,CRV W/CONT 3,420.00
MRI THORACIC SPINE 3,420.00
MRI THORACIC SPINE W/CONTRAST 3,681.00
MRI LUMBAR SPINE - PLAIN 3,420.00
MRI LUMBAR SPINE W/CONTRAST 3,681.00
MRI CERVICAL SPINE WI & W/OI 3,945.00
MRI CHEST W/WO DYE 3,945.00
MRI LUMBAR SPINE W/WO DYE 3,945.00
MRI PELVIS - PLAIN 3,420.00
MRI PEVLIS W/DYE 3,681.00
MRI PELVIS - W/WO DYE 3,945.00
MRA PELVIS W/WO CONTRAST MATERIAL 3,945.00
MRI UPPER EXTREME - PLAIN 3,420.00
MRI UPPER EXTREMITY OTH THAN JT W/CONTR 3,681.00
MRI UPPER EXTREM - W/WO DYE 3,945.00
MRI JOINT UPR EXTREM - PLAIN 3,420.00
MRI UPPER EXTREMITY W/CON 3,681.00
MRI JOINT UPR EXTRM - W/WO DYE 3,945.00
MRI LWR EXTREM (LEG) - PLAIN 3,420.00
MRI LOWER EXTREMITY W/DYE 3,681.00
MRI LWR EXTREM (LEG) W/WO DYE 3,945.00
MRI JOINT LWR EXTREM - PLAIN 3,420.00
MRI LOW EXTREMITY JT; W/CM 3,681.00
MRI JOINT LWR EXTREM W/WO DYE 3,945.00
MRA LOWER EXTREMITY W/WO CONTRAST 3,945.00
MRI ABODMEN W/O DYE 3,420.00
MRI ABDOMEN W/ CONTRAST 3,681.00
MRI ABDOMEN - W/WO DYE 3,945.00
MRI ANGIO, ADDOM W W/O DYE 3,945.00
MR GUIDANCE FOR NEEDLE PLACE 3,945.00
MRI BREAST PLAIN UNILATERAL 3,420.00
MRI BREAST PLAIN BILATERAL 3,420.00
MRI BREAST W&WOUT CONTRAST UNILATERAL 3,945.00
MRI BREAST W&WOUT CONTRAST, BILATERAL 3,945.00
HEPARIN 2 UNITS 226.00
SINCALIDE INJ / KINEVAC SMCG 283.00
MYOVIEW 40MCI 979.00
UREA BREATH TEST C14 158.00
UREA BREATH TEST ANALY 1,576.00
PARATHYROID NUCLEAR IMAGING 679.00
LYMPH & LYMPH NODE IMA 1,807.00
THYROID IMAGE UPDATE 1,877.00
THYROID UPTAKE W/BLOOD FLOW S/M QUANT 2,138.00
LIVER/SPLEEN/W/VASCULAR 1,817.00
HEPATOBILIARY DUCT IMA 1,877.00
HEPATOBILIARY SYSTEM IMAGING W/DRUG 2,148.00
GASTRIC EMPTYING STUDY 2,148.00
BONE &/JOINT IMAGING LIMITED AREA 1,577.00
BONE &/OR JNT MULTIPLE 1,980.00
BONE & JOINT IMAGING, WHOLE BODY 2,820.00
BONE & JOINT IMAGING, 3 PHASE STUDY 2,482.00
BONE +/JOINT IMG TOMOGRAPHIC SPECT 1,577.00
MYOCARDIAL SPECT SINGLE 3,391.00
MYOCARDIAL SPECT MULT 5,642.00
BLOOD POOL IMAGE MULT 4,856.00
CARDIAC BLOOD POOL FIR 2,047.00
CARDIAC BLOOD POOL MUL 2,836.00
LUNG PERFUSION PARTICU 1,799.00
BRAIN IMAGING TOMOGRAPHIC SPECT 3,756.00
CEREBROSPINAL FLUID FL 3,239.00
GALLIUM SCAN WHOLE BODY 2,554.00
KIT LABELED RBC DISP 405.00
TC99M SESTAMIBI 865.00
TC-99M PER STUDY DOSE 96.00
MDP UP TO 30 MCI 91.00
TL-201 THALLOUS CHLOR 169.00
I-123 200MCI CAP EA 136.00
TC99M EXAMETAZIME 2,892.00
CHOLETEC UP TO 15 MCI 181.00
MAA UP TO 10MCI EA 121.00
TC99M SULFUR COLLOID UP TO 2 129.00
IN-111 PENTETREOTIDE 7,533.00
DTPA UP TO 75 MCI INH 216.00
OBS ROOM 1ST HR-NO TELEM. 495.00
OBSRV ROOM W/MON 1ST HR 581.00
OBSRV ROOM W/MON EA ADD HR 194.00
OBSERVATION CHF PATNT 8-48 HRS 695.00
OBS ROOM / EACH ADD HR-NO TELE 157.00
HOT-COLD THERAPY 1/> AREAS 48.00
TRACTION MECH 1/> AREAS 130.00
ELECTRICAL STIM UNATTENDED 1/> AREAS 104.00
VASOPNEUMATIC DEVICE THERAPY 1/> AREAS 153.00
PARAFFIN BATH 1/> AREAS 87.00
WHIRLPOOL 1/> AREAS 185.00
ELECTRICAL STIM MAN EACH 15 MIN 155.00
IONTOPHORESIS EA 15 MIN 1/> AREAS 210.00
CONTRAST BATHS EA 15 MIN 1/> AREAS 145.00
ULTRASOUND EA 15 MIN 1/> AREAS 104.00
UNLISTED MOD SPEC TYPE/TIME CONSTANT ATT 157.00
THERAPEUTIC EXERCISES EA 15MIN 1/> AREAS 260.00
NEUROMUSC RE-EDU EA 15 MIN 1/> AREAS 272.00
GAIT TRAINING EACH 15 MIN (INC STAIRS) 230.00
MASSAGE EA 15 MIN 1.+ AREAS 211.00
MAN THRPY TQS EA 15 MIN, 1/> REGIONS 242.00
THERAPEUTIC PROC GROUP 2/> INDIVIDUALS 142.00
THERAPEUTIC ACT DIR PT CONTACT EA 15 MIN 264.00
COGNITIVE SKILLS DEVELOPMENT EA 15 MIN 218.00
SELF CARE/HOME MGMT TRAIN EACH 15 MIN 283.00
COMMUNITY/WORK REINTEGRATION EA 15 MIN 245.00
WHEELCHAIR MANAGEMENT EACH 15MIN 249.00
DEBRIDEMENT OPEN WOUND EA ADDTL 20 SQCM 197.00
ORTHOTICS TRAINING, 15 MIN ECH 305.00
PROSTHETIC TRAINING EA 15 MIN UPPR/LWR 267.00
ORTHOTIC/PROST CHECK OUT EST PT EA 15 MI 376.00
MOBILITY-WALK/MOVING CURRENT STS 0.01
MOBILITY-WALK/MOVING GOAL 0.01
MOBILITY-WALKING/MOVING DC STS 0.01
CHG/MAINT BODY POS CURRENT STS 0.01
CHG/MAINT BODY POS GOAL 0.01
CHG/MAINT BODY POS DC STATUS 0.01
CARRY/MV/HAND OBJECTS CURRENT STS 0.01
CARRY/MV/HAND OBJECTS GOAL 0.01
CARRY/MV/HAND OBJECTS DC STATUS 0.01
SELF CARE CURRENT STS 0.01
SELF CARE GOAL 0.01
SELF CARE DC STATUS 0.01
OTHER PT/OT PRIM FCT LMT CURRENT STS 0.01
OTHER PT/OT PRIM FCT LMT GOAL 0.01
OTHER PT/OT PRIM FCT LMT DC STATUS 0.01
OTHER PT/OT SUBSQ FUNCT LMT CURRENT STS 0.01
OTHER PT/OT SUBSQ FUNCT LMT GOAL 0.01
OTHER PT/OT SUBSQ FUNCT LMT DC STS 0.01
PHYSICAL PERFORM TEST W/ RPT EA 15 MIN 267.00
PT EVAL LOW COMPLEX 623.00
PT EVAL MOD COMPLEX 682.00
PT EVAL HIGH COMPLEX 740.00
PT RE-EVAL EST PLAN CARE 423.00
RADIOPHARM DX AGENT 133.00
TC99M MERTIATIDE INJ 1,363.00
MEPERIDINE HYDROCHL / 50MG 26.00
FUROSEMIDE INJ - RADIOLOGY 113.00
LIDOCAINE INJ 133.00
SURGICAL TRAY 68.00
STERILE NEEDLE 197.00
XR INJECTION FOR WRIST X-RAY 726.00
INJ CONTRAST FOR KNEE ARTHROGRAPHY 133.00
HYSTEROSALPINGOGRAM CATH 631.00
MYELOGRAPHY LUMBAR INJ 2> REGIONS 1,373.00
RADIOLOGIC EXAMINATION EYE DETECT FB 336.00
XR MANDIBLE 1-3 VIEWS 336.00
XR MANDIBULAR SERIES MIN 4VIEWS 336.00
XR MASTOID PARTIAL 222.00
XR MASTOID CMPLETE MIN 3V ECH SDE 236.00
XR FACIAL BONES LIMITED 354.00
XR FACIAL BONE SERIES MIN 3VIEWS 336.00
XR NASAL BONE SERIES MIN 3VIEWS 336.00
XR ORBIT CMPLETE MIN 4VIEWS 336.00
XR SINUSES <THAN 3VIEWS 336.00
XR SINUSES CMPLETE MIN 3VIEWS 336.00
XR SKULL <THAN 4 VIEWS 336.00
XR SKULL MIN 4VIEWS 559.00
XR T M JOINTS UNILATERAL 222.00
XR T-M JOINT BILATERAL 372.00
XR SOFT TISSUES OF NECK 236.00
XR CHEST 1 VIEW 336.00
XR CHEST XRAY STEREO FRONTAL 336.00
XR CHEST 3 VIEWS W/LORDOTIC 336.00
XR CHEST CMPLETE MIN 4 VIEWS 336.00
XR CHEST 1 VIEW 336.00
XR CHEST 2 VIEWS 336.00
XR CHEST 3 VIEWS 336.00
XR CHEST 4 VIEWS 336.00
XR RIBS UNILAT 2VIEWS 336.00
XR RIBS W/PA CHEST MIN 3VIEWS 336.00
XR RIBS BILATERAL 336.00
XR RIBS BILAT W/PA CHEST MIN 4V 336.00
XR STERNUM MIN 2VIEWS 336.00
XR STEMOCIAVICULAR JOINT 336.00
XR SPINE 1VIEW 336.00
XR CERVICAL SPINE 2/3 VIEWS 336.00
XR SPINE CERVICAL MIN 4 VIEWS 559.00
XR CERVICAL SPINE CMPLETE & FLEX 559.00
XR SCOLIOSIS SERIES scoliosis evalu 336.00
XR SPINE THORACIC 2VIEWS 336.00
XR SPINE THORACIC 3VIEWS 336.00
XR THORACIC 4 VIEW 336.00
RADEX SPINE THORACOLUMBAR 2 VIEWS 336.00
XR SCOLIOSIS EVAL 1 VIEW 336.00
XR SCOLIOSIS EVAL 2-3 VIEWS 336.00
XR SCOLIOSIS EVAL 4-5 VIEWS 336.00
XR SCOLIOSIS EVAL 6+ VIEWS 336.00
XR SPINE THORACIC SCOLIOSIS STUDY 485.00
XR SPINE LS 2/3VIEWS 336.00
XR SPINE LS MIN 4VIEWS 559.00
XR SPINE LS CMPLETE W/BENDING 559.00
XR LUMBAR SPINE BENDING 336.00
XR PELVIS 1/2VIEWS 336.00
X-RAY EXAM OF PELVIS 336.00
XR SACROILIAC JOINTS COMPLETE 336.00
XR EXAM SACROILIAC JOINTS 336.00
XR SACRUM & COCCYX MIN 2VIEWS 336.00
MYELOGRAPY CERVICAL RS&I 2,761.00
MYELOGRAPY THORACIC RS&I 2,761.00
MYELOGRAPY 2/MORE REGIONS RS&I 2,761.00
XR CLAVICLE COMPLETE 336.00
XR SCAPULA COMPLETE 336.00
XR SHOULDER 1VIEW 336.00
XR SHOULDER CMPLETE MIN 2VIEWS 336.00
XR CONTRAST X-RAY OF SHOULDER 2,071.00
XR ACROMIOCLAVICULAR JOINTS 336.00
XR HUMERUS MIN 2VIEWS 336.00
XR ELBOW 2VIEWS 336.00
XR ELBOW CMPLETE MIN 3VIEWS 336.00
XR CONTRAST X-RAY OF ELBOW LI 2,071.00
XR FOREARM 2VIEWS 336.00
XR UPPER EXTREMITY, INFANT 336.00
XR WRIST 2VIEWS 336.00
XR WRIST CMPLETE MIN 3VIEWS 336.00
XR WRIST W/CONTRAST 2,071.00
XR HAND 2 VIEWS 336.00
XR HAND CMPLETE MIN 3VIEWS 336.00
XR FINGER (S) MIN 2VIEWS 336.00
XR HIP UNILAT 1 VIEW 336.00
XR HIP UNILATERAL 1 VIEW 336.00
XR HIP UNILAT CMPLT MIN 2 VIEWS 336.00
XR HIP UNILAT W/ PELVIS 4 VIEWS 336.00
XR HIP UNILAT CMPLETE MIN 2VIEWS 336.00
XR HIPS BILAT W/ PELVIS MIN 2 VIEWS 336.00
XR HIPS BILAT W/ PELVIS 3-4 VIEWS 336.00
XR HIPS BILAT W/ PELVIS MIN 5 VIEWS 336.00
XR CONTRAST X-RAY OF HIP 2,071.00
XR PELVIS/HIPS MIN 2VIEWS 336.00
XR FEMUR 2 VIEWS 336.00
XR KNEE 1/2VIEWS 336.00
XR KNEE MIN 3VIEWS 336.00
XR KNEE CMPLETE 4VIEWS 336.00
XR KNEE BOTH STANDING AP 336.00
RADIOLOGIC EXAM KNEE ARTHROGRAPHY RS&I 1,274.00
XR TIB FIB 2VIEWS 336.00
XR LOWER EXTREMITY INFANT MIN 2V 336.00
XR ANKLE 2VIEWS 336.00
XR ANKLE CMPLETE MIN 3VIEWS 336.00
XR FOOT 2VIEWS 336.00
XR FOOT CMPLETE MIN 3VIEWS 336.00
XR OS CALCIS MIN 2VIEWS 336.00
XR TOE (S) MIN 2VIEWS 336.00
XR ABDOMEN AP & LATERAL 336.00
XR ABDOMEN 1 VIEW 336.00
XR ABDOMEN 2 VIEWS 336.00
XR ABDOMEN 3+ VIEWS 336.00
XR ABDOMEN ACUTE SERIES W/CHEST 311.00
XR RAD EXAM ESOPHAGUS 640.00
XRCONTRST X-RAY UPPR GI TRACT 640.00
XR UGI W/AIR, W/KUB 640.00
XR UGI/SBFT 1,052.00
XR SBFT 640.00
UROGRAPHY IV W/WO KUB W/WO TOMOGRAPHY 984.00
XR IVP W/O TOMO 437.00
XR IVP W/TOMO 999.00
X-RAY, FEMALE GENITAL TRACT 1,875.00
XR PEDI FOREIGN BODY 236.00
XR BONE DENSITY (HIPS SPINE) DXA 881.00
XR EXAM BREAST SPECIMEN 2,071.00
XR OF MAMMARY DUCT 436.00
XR STRESS VIEW 336.00
XR BONE AGE STUDY 336.00
XR BONE LENGTH STUDY 336.00
XR BONE SURVEY COMPLETE 559.00
XR BONE DENSITY (HIPS SPINE) DXA 526.00
K FLOW/FUNCT IMAGE SINGLE 2,604.00
K FLOW/FUNCT IMAGE, MULTIPLE 1,177.00
XR CHEST 3 VIEWS 236.00
PLCMNT OF SFT TISS LOCAL DEVICE 1ST LESI 610.00
MYELOGRAPHY VIA LUMBAR INJ CERVICAL 1,289.00
MYELOGRAM INJ LUMBAR THORACIC 1,289.00
MYELOGRAPHY LMBR INJ INC RX SUPER/INTPRE 1,373.00
EKG/ECG 12 LD TRACING ONLY 166.00
EMG NEEDLE 1 EXTREMITY W/WO PARASPINAL 1,597.00
XR INJECTION FOR SHOULDER X-RAY 524.00
INJ PROC ELBOW ARTHROGRAPHY 526.00
INJ FOR HIP ARTHRGRPHY W/O ANE 1,315.00
MOD SEDATION INIT 15 MIN AGE 5+ 153.00
OXYGEN USE PER DAY 682.00
OXYGEN EACH HOUR 28.00
ABG DRAWING FEE 52.00
ARTERIAL BLOOD GAS 296.00
SPUTUM COLLECTION 89.00
CPAP VENT INIT & MGMT 136.00
NEBULIZER DEMO/EVALUTAION 80.00
NEBULIZER TREATMENT 95.00
PD & CP COMBO TX 101.00
ULTRA SONIC NEBULIZER 73.00
HEAT MIST W/OXY PER HOUR 39.00
INCENTIVE SPIROMETRY 35.00
POSTURAL DRAINAGE TREATMENT 76.00
PERCUSSION TREATMENT 76.00
SUCTION DAILY CHECK 76.00
OXI HOOD SET UP 165.00
OXI HOOD W/OXY PER HOUR 39.00
ROOM HUMIDIFIER SETUP/MONITOR 96.00
CONT ULTRA SONIC W/OXY PER HR 25.00
CROUP TENT SET UP 89.00
CROUP TENT OHIO W/OXY PER HOUR 37.00
COOL MIST W/OXY PER HOUR 27.00
PEAK FLOW MONITOR 73.00
SUCTION TREATMENT STERILE 89.00
RSV WASH COLLECTION 89.00
PEP THERAPY/TRAINING 78.00
PULSE-OX DISP. PEDI 180.00
PULSE-OX DISP. ADULT 180.00
PULMONARY FUNCTION SPIROMETRY 385.00
PULMONARY FUNCTION COMPLETE 586.00
PULSE OX PRIVATE SINGLE USE 180.00
PULSE OX SEMI RM SINGLE USE 180.00
PULSE OX SINGLE DETERMINATION 180.00
PULSE OX MULTIPLE DETERMINATIN 180.00
DEEP BREATHING EXERCISES 78.00
EMERGENCY RESUSCITATION 438.00
HOLTER MONITOR 24HR RECORD 525.00
CPR 1,288.00
HEPARIN FLUSH KIT 100 U 7.00
PANTOPRAZOLE 40MG TAB 22.00
VERAPAMIL 120MG TAB 8.00
DERMABOND 318.00
AMMONIA INHALANT .33CC 7.00
INSULIN-NOVOLOG 70/30 1/1000 U 7.00
AFRIN NASAL SPRAY 0.05% 11.00
SPIRONOLACTONE 25MG TAB 7.00
AMOXICILLIN 250MG CAP 7.00
MECLIZINE 25MG TAB 7.00
PROCAINAMIDE IV 100MG/ML 299.00
HYDRALAZINE 25MG TAB 7.00
HYDROXYZINE 25MG TAB 7.00
ATORVASTATIN 10MG TAB 24.00
SULFAMETHOXAZOLE/TRIMETHPRM DS 15.00
DONEPEZIL HYDROCHLORIDE 5MGTAB 46.00
DIPHENHYDRAMINE 25 MG TAB 7.00
FEXOFENADINE HYD.CHLO.60MG TAB 12.00
VERAPAMIL 180MG TAB 8.00
CAPTOPRIL 25MG TAB 7.00
DILTIAZEM 30MG TAB 7.00
DILTIAZEM 60MG TAB 7.00
CLONIDINE 0.1MG TAB 7.00
DILTIAZEM CD 180MG CAP 9.00
DOCUSATE SODIUM 100MG TAB 7.00
WARFARIN 1MG TAB 7.00
PHENYTOIN 100MG TAB 7.00
FLUMAZENIL IV 5ML 42.00
OXYBUTYNIN 5MG TAB 7.00
GUAIFENESIN 600MG TAB 7.00
TRAZADONE 50MG TAB 7.00
AMITRIPTYLINE 25MG TAB 7.00
METRONIDAZOLE 250MG TAB 7.00
CYCLOBENZAPRINE 10MG TAB 7.00
DOXAZOSIN MESYLATE 2MG TAB 7.00
FLUDOCORTISONE 0.1 MG TAB 9.00
EPINEPHRINE AMP 0.1 MG 8.00
GLIPIZIDE 5MG TAB 7.00
METOLAZONE 2.5MG TAB 12.00
NITROGLYCERIN 0.2MG/HR PATCH 8.00
PHENAZOPYRIDINE 100MG TAB 7.00
LOPERAMIDE 2MG TAB 7.00
PROPRANOLOL 20MG TAB 8.00
CEPHALEXIN 250MG TAB 7.00
DIGOXIN 0.125MG TAB 21.00
FUROSEMIDE 20MG TAB 7.00
FUROSEMIDE 40MG TAB 7.00
METOPROLOL TARTRATE 50MG TAB 7.00
PROMETHAZINE DM SYRUP 5ML 7.00
FENTANYL 25 MCG TRANSDERMAL 132.00
THIORIDAZINE 10MG TAB 7.00
ASPIRIN 81MG TAB 7.00
GEMFIBROZIL 600MG TAB 7.00
NITROGLYCERIN SL 0.4MG TAB 2.00
MONTELUKAST 10MG TAB 28.00
AMLODIPINE 5MG TAB 13.00
PROMETHAZINE 25MG TAB 7.00
PREDNISONE 5MG TAB 7.00
PREDNISONE 10MG TABLET EACH 7.00
SIMVASTATIN 10MG TAB 2.00
ISOSORBIDE MONONITRATE 60MG TB 8.00
NIFEDIPINE 30MG TAB 13.00
FLUCONAZOLE 150MG TAB 123.00
METHOCARBAMOL 750MG TAB 7.00
CARBIDOPA/LEVADOPA 25/100MG 7.00
CARBIDOPA/LEVADOPA 25/250 MG TAB 7.00
TRAMADOL 50MG TAB 10.00
NORMAL SALINE 3ML 22.00
IPRATROPIUM BROMIDE .02 PERCENT SOL 8.00
CARBAMAZEPINE 200MG TAB 7.00
PENTOXIFYLLINE 400MG TAB 7.00
LEVOTHYROXIN 0.025MG TAB 25MC 7.00
LEVOTHYROXIN 0.088MG TAB/88MC 7.00
LEVOTHYROXIN 0.075MG TAB 75MC 7.00
ENALAPRIL 5MG TAB 7.00
DICLOFENAC SODIUM 50MG TAB 7.00
RANITIDINE 150MG TAB 7.00
ACYCLOVIR 400MG CAP 6.00
AMOXICILLIN 250MG SUSP 5ML 18.00
SULFAMETHOXAZOLE/TRIMETH PEDS 7.00
PHENYTOIN 125MG/5ML SUSP 8OZ 8.00
THEOPHYLLINE ELIX 80MG/15ML 29.00
LIDOCAINE VISCOUS 2 PERCENT 20ML 9.00
GENTAMICIN OPHTH OINT 3.5GM 194.00
TIMOLOL 0.5 PERCENT OPHTH 2.5ML 130.00
DEXAMETHASONE 1MG/ML IM/IV 12.00
MEPERIDINE IM/IV 100MG/ML 8.00
MEPERIDINE IM/IV 25MG/ML 8.00
PHENYLEPHRINE 1/4 PERCENT SOL 15ML 39.00
NEOMYCIN/POLYB/HYDRO OTIC 10CC 317.00
LISINOPRIL 10MG TAB 1.00
FLUOXETINE 20 MG TAB 7.00
DUODERM 4X4 DRESSING 42.00
GENTAMICIN 0.1 PERCENT OINT 15 GM 13.00
TERBINAFINE CREAM 12GM 80.00
NIZORAL 2% CREAM 171.00
CLOTRIMAZOLE/BETAMET 15GM CR 139.00
SILVER SULFADIAZINE CREAM 25GM 26.00
NAPROXEN 500MG TAB 7.00
IPRATROPIUM BROMIDE/ALBUT. INH 462.00
TETRACAINE 0.5 PERCENT 55.00
ARIPIPRAZOLE 5 MG TAB 3.00
TOLTERODINE 2MG TAB 11.00
ZOLPIDEM TARTRATE 5MG TAB 22.00
RESPERIDONE 1MG TAB 29.00
VITAMIN B-12 1000MCG/ML 45.00
DIPHENHYDRAMINE IM/IV 50MG/ML 45.00
METHYLPREDNISOLONE IM/IV 80MG 87.00
SOTALOL 80MG TAB 29.00
HALOPERIDOL IM/IV 5MG/ML 41.00
PROPRANOLOL IM/IV 1MG/ML 58.00
SULCRALFATE 1GM SUSP 22.00
FUROSEMIDE IV 20MG 9.00
LORATADINE 10MG TAB 28.00
LIDOCAINE 2 PERCENT MDV 2 PERCENT 50ML 9.00
METOPROLOL IV 5MG/5ML 29.00
BUPIVACAINE .5 PERCENT 30 ML 21.00
BUPIVACAINE .75 PERCENT 30ML 42.00
BUPIVACAINE .25 PERCENT 30ML 28.00
LEVOTHYROXIN .01MG (100MC) TAB 7.00
PROMETHAZINE IM/IV 25MG/ML 46.00
METHYLPREDNISOLONE IM/IV 40MG 21.00
METHYLPREDNISOLONE IM/IV 125MG 37.00
LEVOFLOXACIN IM/IV 500MG 192.00
VANCOMYCIN IM/IV 500GM 16.00
DOXYCYCLINE 100MG TAB 7.00
LIDOCAINE 1 PERCENT MDV 50ML 10.00
MUPIROCIN CREAM 2 PERCENT 15GM TUBE 280.00
DIGOXIN IV .25MG/ML 24.00
CLOPIDROGREL 75MG TAB 39.00
CHLORDIAZEPOXIDE 10MG TAB 7.00
FLUOR STRIP 7.00
TEMAZEPAM 15MG TAB 7.00
DIAZEPAM 5MG TAB 7.00
CIPROFLAXACIN 500MG TAB 55.00
NALBUPHINE IM/IV 10MG/ML 10.00
AMIODARONE 200MG TAB 13.00
VALPORIC ACID 250MG TAB 7.00
ACETAMINOPHEN/CODEINE ELXR 5ML 7.00
GLYBURIDE 5MG TAB 7.00
MIDAZOLAM IM/IV 5MG/ML 13.00
BUTORPHANOL IM/IV 2MG/ML 75.00
DIAZEPAM IM/IV 5MG/ML 8.00
METFORMIN 500MG TAB 8.00
METFORMIN 100 MG TAB 3.00
LORAZEPAM IM/IV 2MG/ML 37.00
GLIPIZIDE XL 5MG TAB 7.00
POTASSIUM CHLORIDE 10 MEQ TAB 7.00
HYOSCYAMINE SULFATE 0.125 MG 7.00
INSULIN-HUMULIN R 1/1000 UNITS 7.00
INSULIN-HUMULIN N 1/1000 UNITS 7.00
PENICILLIN G CR 100,000 UNITS 206.00
PENICILLIN G LA 100,000 UNITS 256.00
PROMETHAZINE SUP 12.5MG 39.00
PROMETHAZINE SUP 25MG 30.00
ALTEPLASE 50MG SINGLE DOSE 16,642.00
LIDOCAINE 0.4 PERCENT /D5W 500ML 63.00
NALBUPHINE IM/IV 20MG/ML 13.00
IV-D5W 1000ML 13.00
FAMOTIDINE 20 MG TAB 7.00
SERTRALINE 50MG TAB 2.00
PROCHLORPERAZINE 10MG TAB 7.00
FUROSEMIDE IV 40MG 33.00
IV - NORMAL SALINE 10ML 12.00
BACITRACIN OPHTH ONIT 3.5GM 21.00
TORSEMIDE 20MG TAB 10.00
LIDOCAINE W/EPI 1 PERCENT 30ML 13.00
DILTIAZEM IV 5MG/ML 73.00
METOCLOPRAMIDE 10MG TAB 7.00
LEVOTHYROXIN 0.05MG TAB 50MC 7.00
NITROGLYCERIN 2 PERCENT OINT 1GM 42.00
ATENOLOL 25MG TAB 7.00
IRBESARTAN 150MG TAB 13.00
MELOXICAM 7.5MG TAB 22.00
GABAPENTIN 100MG TAB 8.00
AZITHROMYCIN IM/IV 500MG 222.00
CHLORDIAZEPOXIDE 25MG TAB 7.00
TAMSULOSIN 0.4MG TAB 18.00
BUPROPION 150MG TAB 18.00
NICARDIPINE I.V. 20MG IN 200ML 416.00
HYDROXYZINE 10MG TAB 7.00
ALBUTEROL INHAL.KIT 1MG VENT 107.00
PHENYLEPHRINE 1 PERCENT NASAL DROPS 42.00
CELECOXIB 100MG TAB 15.00
VALSARTAN 80MG TAB 13.00
ISOSORBIDE DINITRATE ORL 10MG 7.00
LISINOPRIL 5MG TAB 1.00
LISINOPRIL 20MG TAB 1.00
POTASSIUM CHLORIDE 10 PERCENT LIQ 7.00
NALOXONE IM/IV .4MG/ML 12.00
LACTULOSE SOL 30ML 12.00
PRIMIDONE 50MG TAB 7.00
OXYCARBAZEPINE 150MG TAB 10.00
CETIRIZINE SYRUP 5 ML 18.00
LEVETIRACETAM 500MG TAB 21.00
TRIAMTERENE/HCTZ 37.5/25 MG T 7.00
TELMISARTAN 40MG TAB 13.00
GLIMEPIRIDE 2MG TAB 7.00
VITAMIN K1 IM/IV 10MG 53.00
FOSPHENYTOIN 27.00
GLIPIZIDE ER 2.5MG TAB 8.00
FLUCONAZOLE IM/IV 200MG/ML 891.00
ALPRAZOLAM 0.5MG TAB 7.00
VERAPAMIL IM/IV 2.5MG/ML 26.00
NIFEDIPINE 10MG TAB 7.00
ALLOPURINOL 300MG TAB 7.00
DIBUCAINE OINT 1OZ. 22.00
BACLOFEN 10MG TAB 7.00
NYSTATIN SUSP 5ML 9.00
MIRTAZAPINE 15MG TAB 28.00
HYDROCHLOROTHIAZIDE 25 MG TAB 7.00
VECURONIUM BROMIDE 10MG INJ IV 30.00
ROPINIROLE HCL 1 MG TAB 8.00
ALLOPURINOL 100MG TAB 7.00
LACTOBACILLUS ACID SPRINKLES 10.00
BUSPIRONE HCL 5 MG TAB 7.00
CITALOPRAM HYDROBROMDE 20MG TB 7.00
AZITHROMYCIN 250MG TAB 74.00
DIPHENHYDRAMINE 12.5MG/5ML 7.00
LIDOCAINE JELLY 2% 30ML 130.00
METOCLOPRAMIDE IV 10MG 8.00
HYDRALAZINE 20MG/ML INJ IM/IV 45.00
PANTOPRAZOLE SODIUM IV 40MG 235.00
SUCINYLCHLNE CHL IM/IV 20MG/ML 10.00
CEFAZOLIN IM/IV 500 MG 33.00
ACETAMINOPHEN/CODEINE TB 300MG 8.00
FLUTICASONE PRPNTE/SLMTRL INH 760.00
FLUTICASONE PRPNTE 50MCG N SPY 36.00
ISOSORBIDE MONONITRATE 20MG TB 7.00
RAMIPRIL 2.5 MG TAB 13.00
SUCRALFATE 1GM TAB 9.00
PENICILLIN V POTSSM 250MG TAB 7.00
VITAMIN-MULTI IV 10ML 83.00
FOLIC ACID IM/IV, SC 5MG/ML 84.00
GENTAMICIN 80MG IVPB 41.00
FINASTERIDE 5 MG TAB 26.00
PIOGLITAZONE HCL 15MG TAB 37.00
LOSARTAN POTASSIUM 50MG TAB 7.00
LEVOTHYROXINE 112 MCG TAB 7.00
DOPAMINE HCL IV 400MG 115.00
PREDNISONE 20MG TAB 7.00
GENTAMICIN OPTH SOL 5ML 28.00
AMPICILLIN IM/IV 500MG 45.00
POTASSIUM CHLORIDE 20MEQ TAB 8.00
PREDNSLNE ACETATE OPTH SUSP 1 PERCENT 41.00
NIACIN SR 250MG TAB 7.00
POLYSACCHARID IRON CMPLX 150MG 8.00
RIVASTIGMINE 1.5MG TAB 24.00
HYDROXYZINE IM/IV 50MG/ML 12.00
STERILE WATER EYE WASH SOL 4OZ 24.00
NEOMYCIN,POLYMIXIN GU IRR 10X1 122.00
ADENOSINE IV 6MG/2ML 16.00
GABAPENTIN 300 MG TAB 13.00
PHENYLEPHRINE 1 PERCENT NASAL SPRAY 42.00
PRAMIPEXOLE 0.125MG TAB 9.00
VASOPRESSIN 10 UNITS/.5 ML INJ 26.00
NORMAL SALINE 1000ML BAG IRR 28.00
BIMATOPROST OPTH .03 PERCENT 2.5ML SL 299.00
ACTVTD CHARCOAL W/SORBITAL 50G 180.00
FELODIPINE 5MG TAB 12.00
KETOROLAC 30MG/ML INJ 30MG 15.00
GETNAMICIN 80MG/2ML INJ 15.00
CEFEPIME 50 MG INJ IV/IM 50.00
LYRICA 50MG CAPSULE 26.00
NAMENDA 10MG TAB 41.00
WARFARIN 2.5MG TAB 9.00
QUINAPRIL 5MG TAB 7.00
DIVALPROEX SODIUM ER 250MG TAB 18.00
TRIAMCNLNE ACTNDE NSE SPRY16.5 545.00
LIDOCAINE 0.5 PERCENT 50ML SDV 123.00
FUROSEMIDE 20MG-INHALATION 10.00
DEXAMTHASONE 1MG/ML-INHALATION 12.00
POTASSIUM CHLORIDE 8 MEQ TAB 7.00
ALBUTEROL .5 PERCENT 20ML 41.00
DICYCLOMINE 10MG TAB 7.00
NYSTATIN CREAM 15GM 10.00
VANCOMYCIN IM/IV 1GM 28.00
BRIMONIDINE OPTH SOL 0.15% 407.00
BRIMONIDINE OPTH SOL 0.2% 134.00
VERAPAMIL ER 180MG CAPS 8.00
PRAVASTATIN SODIUM 20MG TAB 9.00
LEVALBUTEROL HCL 0.5MG INH 22.00
POTASSIUM CHLORIDE IV 20MEQ 8.00
TETANUS .5ML INJ 77.00
TETANUS/DIPTHERIA 0.5ML INJ 198.00
DOCUSATE SODIUM 100MG/10ML 7.00
HYDROCORTISONE SOD IM/IV 100MG 21.00
GENTAMICIN 60MG IV 39.00
PAROXETINE 20MG TAB 28.00
SANTYL OINTMENT 15 GM 884.00
IMIPENEM-CILASTATIN VL 250MG 164.00
MUPIROCIN OINTMENT 22 GM 135.00
NICOTINE TRANSDERMAL PTCH 21MG 26.00
SALINE NASAL SPRAY 1.5 OZ 15.00
NITROPRUSSIDE SODIUM 50MG IV 15.00
PROPYLTHIOURACIL 50MG. TAB 7.00
LABETALOL HCL 5MG/ML 4ML 45.00
CLINDAMYCIN 600MG INJ 73.00
CLONAZEPAM .5 MG TAB 7.00
SOD.BICARBONATE 8.4 PERCENT 10ML PED 28.00
LATANOPROST EYE DROP .005 PERCENT SOL 493.00
PERMETHRIN OINTMENT TUBE 149.00
ENALAPRILAT 1.25 MG VL 42.00
FOLIC ACID 1MG TAB 7.00
QUETIAPINE FUMARATE 25MG TAB 15.00
SIMETHICONE 80 MG TAB 7.00
BUMETANIDE 2 MG TAB 7.00
METRONIDAZOLE 500MG IVPB 28.00
DIVALPROEX SODIUM 500MG TAB 18.00
BENZONATATE 100MG CAPS 7.00
KETAMINE HCL IM/IV 50MG/ML 70.00
PROPOFOL SDV IM/IV 10MG/ML 126.00
LIDOCAINE 2 PERCENT IV 100MG/5ML 22.00
TRIAMCINOLNE ACTNDE IM/IV 10MG 63.00
METOPROLOL SUCCINATE 50MG TAB 9.00
HYDROXYZINE HCL 10MG/5ML ELIX 7.00
INDOMETHACIN SA 75MG CAPS 8.00
CLINDAMYCIN HCL 150MG CAPS 8.00
MIDAZOLAM IM/IV 1MG/ML 2ML BTL 9.00
VITAMIN B 1 IM/IV 100MG 22.00
PIPERACILLIN/TAZBCTM IV 3.375G 158.00
CLONIDINE TTS PATCH - 1 116.00
VERAPAMIL 40MG TAB 7.00
ACYCLOVIR IV 500MG 46.00
CARBAMAZEPINE 5ML ELIX 7.00
CILOSTAZOL 50MG TAB 9.00
BUMETANIDE 1 MG TAB 7.00
TERAZOSIN 5MG CAP 7.00
CARVEDILOL 12.5 MG TAB 2.00
DULOXETINE HCL 30 MG CAP 42.00
DIVALPROEX SODIUM 250MG TAB 21.00
TIZANIDINE 4MG TAB 7.00
LIDOCAINE 2 PERCENT W/EPI 20ML 21.00
NYSTATIN POWDER 50MU 10GM 295.00
CETIRIZINE HCL 10 MG TAB 22.00
GUIAFNSN 600/DEXTROMTH 30MG TB 7.00
VALPROIC ACID 250MG/5ML SYRUP 7.00
AMITRIPTYLINE HCL 10 MG TAB 7.00
RIVASTIGMINE PATCH 4.6MG/24HRS 69.00
BETAXOLOL 10MG TAB 9.00
SULFACETAMIDE 10 PERCENT OPTH SOL15ML 18.00
LOVASTATIN 10MG TAB 8.00
CEFDINIR 125MG/5ML SUSP 38.00
CYPROHEPTADINE 2MG/5ML SYRUP 6.00
PIPERACILLIN/TAZOBCTM IV 2.25G 107.00
SODIUM CHLORIDE 1GM TAB 7.00
CARISOPRODOL 350 MG TAB 8.00
METOPROLOL TARTRATE 25MG TAB 7.00
HETASTARCH IV 6 PERCENT 500ML NS 192.00
CARDIZEM CD 300MG CAP 28.00
CIPROFLOXACIN 200 MG IV 15.00
SILVER NITRATE APPLICATOR 7.00
SIMVASTATIN 40MG TAB 7.00
RANITIDINE IV 25MG/ML 41.00
RANITIDINE IV 75MG/ 5ML 23.00
LORAZEPAM 0.5MG TAB 7.00
LANSOPRAZOLE 15MG TAB 7.00
DIGOXIN IV 500MCG/ML 12.00
BENAZEPRIL 10 MG TAB 7.00
BETAXOLOL HCL .25 PERCENT 2.5ML EYEDR 206.00
ZIPRASIDONE MESYLATE 10 MG INJ 123.00
BRINZOLAMIDE 5ML OPTH SOL 312.00
DOBUTAMINE IV 250MG/20ML 37.00
MEGESTROL ACETATE 40MG/ML SUSP 58.00
SODIUM POLYSTRYENE SULF 15GM 41.00
AZITHROMYCIN SOL 100MG/5ML 195.00
FEXOFENADINE HCL 180 MG TAB 5.00
LEVALBUTEROL HCL 0.5MG UD INH 26.00
CEPHALEXIN 125MG/5ML SUSP 100M 63.00
CARVEDILOL 3.125 MG TAB 2.00
DOXEPIN HCL 10MG TAB 7.00
DIVALPROEX SOD SPRINKLE CAPS 10.00
ONDANSETRON 1MG ORAL 9.00
FLUOXETINE 10 MG CAP 7.00
BENZTROPINE MESYLATE 0.5 MG TB 7.00
CLINDAMYCIN PALM HCL 100ML SOL 298.00
FLUTCASNE/SALMTRL 100/50MCG IN 593.00
ACETYLCYSTEINE 20 PERCENT 30ML IHH/OR 178.00
DAKINS SOLUTION .25% 16 OZ 92.00
TERAZOSIN 1 MG TAB 7.00
LIDOCAINE PATCH 5 PERCENT 60.00
DILTIAZEM ER 120MG CAPS 9.00
NORMAL SALINE 1000ML BTL IRRG 12.00
AMOXICILLIN/CLAV POT 400MG/5ML 104.00
CEFOXITIN IV 1GM 20 ML 91.00
ASPIRIN/EXTENDED REL 25/200MG 22.00
TIOTROPIUM 18MCG INH POWDER 359.00
PHENTOLAMINE IM/IV 5MG 315.00
POLYETHYLENE 17GM PCKT 22.00
TRIAMICINOLONE .1 PERCENT 15GM CREAM 9.00
CLINDAMYCIN IV 300MG 2ML 26.00
METFORMIN ER 500MG TAB 9.00
MORPHINE 2MG/ML INJ 10.00
LEVOFLOXACIN IV 750MG 195.00
LINEZOLID IV 600MG/300ML 496.00
HYDROMORPHONE HCL 2MG INJ 13.00
ZINC SULFATE 50MG CAP 7.00
SALMETEROL/FLUTICSN 250/50 INH 789.00
ZIPRASIDONE 20 MG CAPS 53.00
RESPERIDONE .25 MG TAB 7.00
PHENYTOIN 100MG/4ML SUSP 21.00
FLECAINIDE ACETATE 50MG TAB 9.00
INSULIN DETERMIR PER UNIT 7.00
CLARITHROMYCIN 500MG TAB 46.00
LEVALBUTEROL 0.5 MG UB INHLTN 33.00
HEP B VACCINE ADULT INJ 256.00
NITROFURANTOIN 100MG CAP 24.00
ZAFIRLUKAST 10MG TAB 21.00
RACEPHINEPHRINE .5ML INHL SOL 13.00
BUDESONIDE 0.5MG/2ML INH 58.00
ETOMIDATE IV 40MG 139.00
ONDANSETRON HCL IM/IV 1MG 8.00
AMIODARONE 30 MG INJ 7.00
ISOSORBIDE MONONITRATE ER 30MG 7.00
HYDROXYZINE HCL 25MG TAB 9.00
PREDNISOLONE 15MG/5ML SYRUP 8.00
ESCITALOPRAM OXALATE 10MG TAB 24.00
LIDOCAINE / PROLOCAINE 2.5% PER APPLICAT 10.00
MEROPENEM 1GM IVPB 43.00
HYDROCODONE/ACTMNPHN 7.5/325 MG 7.00
HYDROCODONE/ACTMNPHN 5/325 MG 7.00
LOSARTAN POTASSIUM 100MG TAB 7.00
ALBUTEROL AMP .083 PERCENT 1MG 7.00
OXACILLIN SODIUM 1 UPB 106.00
BUDESONIDE/FORMOTEROL FUM 160/4.5 INHALE 595.00
BUDESONIDE/FORMOTEROL FUM 80/4.5 INHALE 595.00
METOPROLOL SUCCINATE ER 25MG TAB 7.00
CALCIUM ALGINATE DRESSING 29.00
CATHFLO ACTIVASE 2MG VIAL 656.00
EFFERVESCENT POTASSIUM TAB 25 MEQ 3.00
CHLORHEXIDINE 0.12% RINSE 6.00
NOREPINEPHRINE 1MG/1ML 32.00
OXYBUTYNIN CHLORIDE ER 5MG TAB 19.00
UREA CREAM 20% 3OZ TUBE 60.00
METHYLERGONOVINE MALEATE INJ 119.00
MEDROXY PROGESTERONE ACETATE INJ 150MG 214.00
TRANEXAMIC ACID 650MG TAB 15.00
ROCEPHIN IM / IV 250MG 10.00
LOVENOX PER 60MG 256.00
ROCEPHIN IM INJ 250MG 13.00
LOVENOX PER 30MG 130.00
ONDANSETRON 1 MG ORAL--4MG ODT IN RX 7.00
ROCEPHIN INJ 250 MG 38.00
PHENYTOIN IM/IV 50MG/ML 13.00
TENECTEPLASE INJ PER 1MG 22,171.00
SILDENAFIL 20MG TAB 7.00
FERROUS SULFATE 325 MG TAB 7.00
EPINEPHRINE MDV 1:1000 0.1MG 58.00
ERYTHROMYCIN OPHTH OINT 1/8 OZ 13.00
BACITRACIN OINT 5 OZ. 9.00
DOMEBORO TABS 9.00
MAGNESIUM OXIDE 400MG TAB 7.00
ATROPINE SULFATE IV 1MG/ML 22.00
CALCIUM CHLORIDE 10 PERCENT 28.00
EPINEPHRINE SYR 1:10000 0.1MG 55.00
GLUCAGON EMERGENCY KIT 401.00
COLCHICINE 0.6MG TAB 7.00
MORPHINE SULFATE IM/IV 10MG/ML 8.00
INSULIN-HUMULIN 70/30 1/1000 U 7.00
INSULIN-HUMALOG 1/1000 UNITS 7.00
ATROPINE SULF IV 0.5MG/5ML 38.00
SOD BICARBONATE IV 8.4 PERCENT 50ML 22.00
NITROGLYCERIN IV 25MG/D5W 250M 63.00
NEO-SYN 1/8 PERCENT NS INH 41.00
HEPARIN SOD 8.00
STERILE WATER 1000ML BOTTLE 13.00
RISPERIDONE 0.5 MG TAB 45.00
ATTROPINE 1 PERCENT OPTH SOL 24.00
TDAP OVER 7 YRS 264.00
CALCIUM GLUCONATE IV 10 PERCENT 9.00
PNEUMOCOCCAL VACCINE .5CC INJ 424.00
TUBERCULIN TEST 0.1 ML 15.00
COSOPT EYE DROP SOLUTION 428.00
INSULIN-LANTUS 1000 UNITS 7.00
MAGNESIUM SULFATE 1GM INJ 8.00
INSULIN - NOVOLOG 1/1000 UNITS 7.00
KEPPRA ORAL SOLUTION 10MG / ML 8.00
BUMETANIDE .5MG IV/IM 8.00
GASTROGRAFIN 30 ML 83.00
LEVOFLOXACIN 250MG TAB 42.00
TOPIRAMATE 25 MG TAB 6.00
INFLUENZA VACCINE 4YRS + 38.00
OLMESARTAN MEDOXOMIL 20 MG TAB 18.00
VENLAFAXINE XR CAPS 75 MG 38.00
EXELON PATCH 9.5 MG/DAY 73.00
EXELON PATCH 13.3 MG/24 HOURS 90.00
TAMIFLU 75 MG 94.00
TRAVOPROST 2.5 ML 0.004 PERCENT 394.00
SOLU MEDROL 500MG 297.00
AMOXICLLN/CLAV POT 875MG/125ML 80.00
DTAP VACCINE 72.00
STIMULEN POWDER 1GM PKT, COLLAGEN 87.00
HYDROGEL AMORPHOUS WOUND DRESSING 53.00
OFIRMEV 1,000 MG IV 147.00
LOVENOX 100MG 136.00
GUAIFENESIN DM 10ML SUSP 8.00
IBUPROFEN 400 MG TAB 7.00
ASPIRIN 325MG TAB 7.00
VITAMIN C 500MG TAB 7.00
ASPIRIN ENTERIC COATED 325MG T 7.00
PSYLLIUM HYDROPHILIC MUCILLOID 7.00
CALCIUM CARBONATE TABS 7.00
ACETAMINOPHEN 325 TAB 7.00
ACETAMINOPHEN 500 TAB 10.00
BELLADONNA ALKALOIDS 5ML 131.00
BELLADONNA ALKALOIDS 10ML 175.00
ALUMINUM/MAGNESIA SUSP 30ML 7.00
MILK OF MAGNESIA 30ML 7.00
MAGNESIUM CITRATE 10 OZ 9.00
HEMORRHOIDAL HC CREAM 38.00
HYDROCORTONE 1 PERCENT CREAM 1.5GM 7.00
CLOTRIMAZOLE CREAM 15GM 28.00
PEDIALYTE ORAL SOL 8 OZ. 22.00
ACETAMINOPHEN 650 SUPP 7.00
BISACODYL 10MG SUPP 7.00
ACETAMINOPHEN 325 SUPP 7.00
NEOMYCIN,POLYMIXIN/BACTOIN.9GR 7.00
ACTIVATED CHARCOAL 50GM 180.00
STERILE WATER 10ML 7.00
ACETAMINOPHEN 120 SUPP 7.00
LANTISEPTIC OINT 29.00
IBUPROFEN 100MG/ML SUSP 13.00
VITAMIN-MULTI TAB 7.00
ENEMA SINGLE 4.5OZ 9.00
Nicotine Transdermal patch 14mg 13.00
GLYCERIN USP 82.5 PERCENT SUPP PEDI 7.00
GLYCERIN USP 82.5 PERCENT SUPP ADULT 7.00
ALUMINUM/MAG/SIMETH 30ML UD 8.00
ARTIFICIAL TEARS 15ML 15.00
IPECAC SYRUP 30 ML 13.00
ASPIRIN ENTERIC COATED 81MG TB 7.00
GUAIFENESIN PL 10ML SUSP 7.00
HEMORRHOIDAL HC SUPP 7.00
CARMEX 1/4 OZ. JAR 9.00
ACETAMINOPHEN SOL 160MG/5ML 7.00
LABETALOL 100MG TAB 7.00
VITAMIN B-12 1000 MCG TABS 7.00
BISACODYL STIMULANT LAXATIVE T 7.00
CHLORHEXIDINE GLUCONATE 4 OZ B 46.00
CHLORASEPTIC 6 OZ SPRAY BOTTLE 55.00
IBUPROFEN 200MG TAB 7.00
NICOTINE TRANS 7MG PATCH 26.00
SENNA S TAB 7.00
BETADINE 1 GM OINTMENT 7.00
DAKINS SOL .5 PERCENT 16 OZ. 63.00
BISMUTH SUBSALICYLATE CHEW TAB 7.00
SIMETHICONE DROP 15CC 63.00
BOUDREAUX'S BUTT PASTE 4 OZ 64.00
GLUCOSE 5 PERCENT IN WATER 2 OZ 19.00
SENNA S SYRUP 15ML 12.00
GLUTOSE 45 ORAL GLUCOSE GEL 64.00
IV-NS 50ML 22.00
IV-DEXTROSE 5 PERCENT 500ML 22.00
IV-DEXTROSE 50 PERCENT 50ML 41.00
IV-1/2NS 1000ML .45 PERCENT 13.00
IV-NS 500ML 62.00
IV-NS 1000ML 42.00
IV-LACTATED RINGERS 1000ML 21.00
IV-D5&1/2NS 1000ML 29.00
IV-D5&NS 1000ML 18.00
IV-D5W 250ML 60.00
IV-D5W 500ML 13.00
IV-NS 100ML 22.00
IV-D5W 50ML 21.00
IV-D5W 100ML 21.00
IV-NS 250ML 45.00
IV-NS ADD 100ML 21.00
IV - NS ADD 250ML 30.00
IV DEX 25 PERCENT SYRINGE 10ML/10 PED 58.00
UNASYN 1.5 GR IV 9.00
IV-NS BACK 30ML 9.00
HEPARIN IV 10,000 UNITS 9.00
HEPARIN IV 25,000U 5ML (D5W) 55.00
IV D5 1/4 1000ML BAG 13.00
IV-NS 3 PERCENT 500ML 18.00
IV - NS 33 PERCENT 1000ML 28.00
IV D5LR 1000 ML 13.00
IV - D10 1000 ML 22.00
ACYCLOVIR OINT 5% 30 GRAM TUBE 3,330.00
PURAPLY 2X4 8 SQ CM 2,808.00
PURAPLY AM 2X4 8 SQ CM 3,053.00
Grafix Core 1.5 X 2 cm (Plastic) 2,998.00
Grafix Core 2 X 3 cm (Plastic) 3,748.00
Grafix Core 16mm Disc (Plastic) 1,686.00
ROOM BOARD/PVT SWINGBED 1,220.00
ROOM BOARD/ SEMI SB 1,142.00
ROOM BOARD/PVT W/MONITOR SB 1,484.00
ROOM BOARD/SEMI W/MONITOR SB 1,484.00
SURGIFLO 8ML 1,681.00
KENALOG 40 MG/ML VL 10 ML 20.00
SODIUM CHLORIDE .9% 500ML INJ BG 8.00
SODIUM CHL 9% 100ML 16B INJ 299.00
LACTATED RINGERS 500ML 31.00
Sodium Chl .9% Pf 10 Ml Inj 6.00
Lactated Ringers 1000ml Inj Bag 16.00
MARCAINE 25% W/EPI 10 ML 10X 24.00
CARBOCAINE 1% 50ML 73.00
CARBOCAINE 2% MDV 50ML 138.00
MARCAINE 0.25% SDV 10 ML 24.00
LACT RINGER 500ML INJ BG 31.00
KENALOG 40MG/ML 1ML 59.00
Lidocaine 1% W/epi 20ml 15.00
LIDOCAINE 2% 2ML AMP/25 6.00
Lidocaine 2% Pf Amp 10ml 25.00
MARCAINE 0.5% 30 ML 20.00
LIDOCAINE 1% W/EPI 20ML 15.00
Omnipaque 240 Mg 10x10ml 122.00
CARBOCAINE SDV 2% 20ML 69.00
Lidocaine 1% Pf Amp 2ml 7.00
NEOSPORIN G.U. IRR 1 ML 195.00
Lidocaine 1% Pf Amp 5ml 9.00
TRANSDERM SCO 1.5MG PTCH 130.00
CARBOCAINE 1% 10MG/ML 30ML 52.00
HEPARIN FLUSH SYR 5ML 4.00
PIP/TAZ FTV 3.375G 37.00
AFRIN NASAL SRAY 15ML (105395) 52.00
Brilliant Green 5% Ethanol 95% 2ml 2.00
MIDAZOLAM HCL 5MG/5ML 14.00
LIDOCAINE 1%W/EPI 30ML(COMPOUND) 260.00
LIDOCAINE 1% MDV 10ML 6.00
PROHANCE 5 X 5ML (126236) 597.00
PROHANCE 5 X 10ML 574.00
Sodium Chloride .9% Vl 50ml/25 31.00
Bacitracin 50m Un Pwd 39.00
ONDANSETRON 4mg/2ml (ZOFRAN) 320.00
MUPIROCIN / BECLOMETHASONE NASAL GEL 75.00
MIDAZOLAM PF 1 MG/ML VL 5ML 29.00
MORPHINE 10MG/ML 1ML C/J 27.00
FENTANYL .05 MG/ML 2ML VL 8.00
DEMEROL 25MG/ML 1ML C/J CII 63.00
DEMEROL 50 MG/ML AMP 25X1 ML 32.00
PROPOFOL 10MG/ML 20ML 26.00
PROPOFOL 10 MG/ML 50ML 20/BX 4.00
CEFAZOLIN 1 GM 10ML 9.00
KETOROLAC 30 MG 1 ML (TORADOL) 16.00
METOCLOPRAMIDE 5MG/MLVL 2ML 10.00
ONDANSETRON 2MG/ML 20M 320.00
SODIUM CITRATE 100 x 30ML 5.00
THROMBIN JM1 5MU W/DIL VL 183.00
COCAINE 4% SOL 4ML 1,325.00
PROPOFOL 10MG/ML VL 20ML 608.00
Marcaine 0.5% 10 Ml 27.00
SODIUM CHLORIDE BACT FTV MDV 0.9% 30ML 9.00
LIDOCAINE 1% W/EPI 30ML 26.00
LIDOCAINE 1% 20 ML MDV 9.00
LIDOCAINE 1% W/EPI 2CML 16.00
ZOSYN 3.375 10/BX 164.00
LIDOCAINE .5% W/EPI 50ML 22.00
XYLOCAINE 0.5% W/EPI 50ML 43.00
OFIRMEV 10MG/ML IV 100ML 281.00
SENSORCAINE .5% 10ML SDV 98.00
UNASYN 1.5 GM VL 52.00
MORPHINE 10MG/ML 1 ML VL 13.00
FAMOTIDINE 10MG/ML VL 2ML 7.00
PIPERACIL/TAZ 3.375GM VL 62.00
ONDANSETRON 2MG/ML 2ML 27.00
Ofirmev 10mg/ml 100ml 265.00
MIDAZOLAM 1 MG/ML 5ML 16.00
Methylprednisolone Acetate Pf 80mg/1ml 7.00
SODIUM CHL .9% 1000ML INJ BG 7.00
Triamcinolone Diacetate 40mg/ml Pf 1ml V 137.00
LIDOCAINE 2% 50 ML 5.00
LIDOCAINE 2% PF AMP 2ML 13.00
PROPOFOL SDV 10MG/ML 100ML 14.00
FLOSEAL VH S/D US 10 ML 2,723.00
SODIUM CITRATE+AC VL334-500MG/ML 15ML 13.00
SODIUM BICARBONATE 8.4% LS SYG 50ML 25.00
PROPOFOL 10MG/ML 20ML 21.00
LEVSIN AMP 0.5MG 1ML 425.00
HALOPERIDOL AMP 5MG/ML 1ML 507.00
ROCURONIUM BROMIDE VL 10MG/ML 10ML 90.00
AFRIN NASAL SPRAY 15ML 37.00
HYALGAN SYRINGE 10MG/ML 2ML 580.00
OMNIPAQUE 240MG/ML 10ML 111.00
OMNIPAQUE 300MG 10ML VIAL 96.00
HUMULIN R 100U/ML 10ML 642.00
PROHANCE 279.3MG/ML 10ML 167.00
LACTATED RINGERS 1000ML 38.00
MIDAZOLAM MDV 1MG/ML 2ML 12.00
LACTATED RINGERS 500ML 26.00
CARBOCAINE 1% 10MG/ML 30ML (2727188) 33.00
MARCAINE 0.25% 10ML 20.00
ONDANSETRON HCL 2 MG/ML 3.00
PROPOFOL 10MG/ML 20 ML 13.00
CALCIUM CHL 10% ABJT AMC 110.00
DENTAL LIDOCAINE CARTRIDGE 2% 1:100 4.00
FAMOTIDINE 10MG 2ML 4724282 6.00
MEPERIDINE HCL INJECTION SOLUTION 50MG/M 16.00
MARCAINE .25% SDV PF 10ML 15.00
OMNIPAQUE 240MG 10ML 119.00
SODIUM CHLORIDE FTV 0.95% 4.00
CEFAZOLIN 1 GM VL 10ML (ANCEF) 18.00
POLOCAINE 1% 30ML 55.00
BACTRACIN OINT .5 OZ 61.00
DILAUDID 2 MG/ML AMP 10X1ML 15.00
DIPRIVAN 200MG 20ML SDV 46.00
PACK PAIN SINGLE SHOT (DR. DUMITRU) 41.00
INJECTION NACL 0.9% 100 ML 8.00
INJECTION NACL 1000ML 0.9 PERCENT USP 7.00
INJECTION LACTATED RINGERS 500ML 8.00
INJECTION LACTATED RINGERS 1000CC 10.00
SODIUM CHLORIDE IRRIG 0.9 PRCNT 500ML 9.00
LIDOCAINE 1% 5ML HCL 40.00
HYDROGEN PEROXIDE 8OZ 9.00
Lidocaine/epi 0.5/ 1:200 Vl 50ml 28.00
OMNIPAQUE VL 240 MG 10 ML 10 S (O-1412-1 361.00
ONDANSETRON 4 MG/2 ML(ZOFRAN) 15.00
PROPFOL HOSP 20ML BX/25 28.00
BRILLIANT GREEN 100 ML 65.00
ONDANSETRON 4MG/2ML 8.00
LIDOCAINE 1% 20ML MDV 14.00
MARCAINE EPIN 0.25% 30 ML 58.00
SODIUM CHL. .9% PF 20ML VL 38.00
EPINEPHRINE 1:1000 AMP 1ML 27.00
SODIUM CHL. 9% 500 ML 42.00
HYDRALAZINE 20 MG/ML 1ML VL 26.00
SODIUM BICARB 4.2% PF 5ML 16.00
DEXAMETHASONE SOD 4MG 5ML 30.00
DIPHENHYD 50MG 1ML (BENADRYL) 7.00
OXYCODONE/ APAP 5/325 TAB UD 9.00
ONDANSETRON 2MG/ML 5X2ML 121.00
LIDOCAINE 2% PF 5ML 22.00
SEVOFLURANE 250 ML 1,082.00
MARCAINE HCL SDV PF 0.5% 10ML 28.00
DEXAMETH 4 MG/ML VL 1ML (DECADRON) 7.00
ROCURONIUM 10 MG/ML 5 ML 26.00
AMPICILLIN 1G M/ML VL 32.00
MIDAZOLAM HCL FTV 5MG/ML 2ML 12.00
HYDROMORPH VL 2MG/ML 1ML 13.00
DEXAMETHASONE VL PF 10MG/ML 1ML 20.00
ONDANSETRON SDV 2MG/ML 2ML 5.00
EPHEDRINE AMP 50MG/ML 1ML 543.00
MIDAZOLAM FTV IMG/ML 2ML PF CIV 9.00
PIPERACILLIN +TAZOBACTAM FTV 3.375G/30ML 110.00
ALBUTEROL SOL INH 2.5 MG/ML 0.083% UD 7.00
MIDAZOLAM HCL VL 1MG/ML 2ML 6.00
FENTANYL CITRATE INJ 0.05 MG/ML 2ML VIAL 25.00
ONDANSETRON HCL SDV 4MG/2ML 5.00
LABETALOL HCL MDV 5MG/ML 5ML 29.00
DEXAMETH SOD PHOS 4MGML 9.00
SODIUM CHLORIDE 0.9% 10ML 6.00
HYDRALAZINE 36.00
LIDOCAINE/EPINEPHRINE 0.5-0.0005% 32.00
PREFILLED FLUSH SYRINGE SALINE 0.9% 10ML 2.00
SODIUM CHLORIDE FTV 0.9% P/F VL 25X10 ML 7.00
MIDAZOLAM HCL, 5MG/ML, SDPF, 10X2ML 3.00
METHYLPREDNISOLONE 80MG/ML PF 1ML 94.00
DEXAMETH 4MG/ML MDV 25@5 ML 4.00
QUELICIN(SUCCINYLCHOLINE)20MG/ML FTV10ML 141.00
NAROPIN .05% 30ML SDV 59.00
VENTOLIN HFA 90 MCG INH 8 GM 146.00
DEPO MEDROL 40 MG 1ML 25.00
DEPO MEDROL 80MG 1ML 50.00
DEPO MEDROL 80MG/ML 1ML 42.00
Isovue-M 200, VL 41% 10ML 84.00
LABEL ZOFRAN 409.00
SPONGE LAP 12X12 PREWASHED TRAY PACK 3.00
CONNECTOR "Y" 1/4 6.00
COMPRESSION GARMENT WITH SLEEVES (LARGE) 534.00
MASK FACE TENT (UNDER CHIN) 5.00
TUBING 6' EVA CORR SEGMENTED 6.00
Adapter Trach T 3.00
STOCKINETTE IMPERVIOUS LARGE 46.00
PILLOW BLUE HEADREST 53.00
BITE BLOCK 14.00
HOOK BLADE 2,038.00
BLADE CLIPPER SURG (4406) 18.00
PREP SKIN WITH BETADINE 24.00
Cannula Nasal W/co2 30.00
Syringe 7ml Lor 9.00
C-ARM DRAPE W/STRAPS 78.00
MICROSCOPE COVER 45X70 175.00
MAYO STAND COVER 6.00
TABLE COVER 44X90 (8377 ) 9.00
PACK HEAD AND NECK 89.00
GOWN SURGICAL XLARGE 18.00
GOWN SURGICAL XXL 25.00
MOUTHWASH 3.00
SPONGE TONSIL MEDIUM 13.00
STOCKINETTE 6" TUBULAR (NS) 421.00
WATER STERILE 1000 ML INJ 11.00
DRAPE LAPAROTOMY (29410) 39.00
DRAPES EXTREMITY TIBURON (29414 52.00
DRAPE HAND TIBURON 56.00
GLOVE BIOGEL 6.5 (30465) 13.00
GLOVE BIOGEL 7 1/2 (DR. LUSK) (30475) 19.00
GLOVE BIOGEL SZ8 13.00
GLOVE BIOGEL M PF SZ 8 12.00
DRILL BIT QUICK COUPLING 2.0 MMX100MM 706.00
DRILL BIT QUICK COUPLING 2.7 MMX100MM 665.00
GLOVE BIOGEL SZ 8 W/INDICATOR (31280) 13.00
CLOSED WOUND SUCTION KIT 72.00
BAIR HUGGAR (UPPER BODY) 48.00
Bair Huggar (Lower Body 65.00
BAIR HUGGAR FULL BODY (PEDI) 108.00
CATHETER URETERAL RND TIP 12FR RED LATEX 56.00
RESERVIOR BULB JP 100CC 338.00
PREP SOLUTION PVP-I 4OZ. 6.00
NEW SKIN BANDAGE LIQUID .3OZ 27.00
DRAPE MINI C-ARM premier&insight 71.00
AIRWAY NASAL 32FR (SOFT) 28.00
BIOPSY FORCEP / LARGE RADIAL JAW 78.00
TUBING AUTOFUS F/KLN PUMP 90.00
SHEPARD GROMMET VENT W/O WIRE 56.00
RECTAL TUBE 24FR. (NON-STERILE) 7.00
MEDICINE CUP 1 OZ 2.00
ENDO GATOR TUBING FOR PUMP HEAD 84.00
ANCHOR SUPER QUICK (222984) 3,391.00
DEFOGGER 9.00
APPLICATOR CHLORAPREP (ORANGE) 55.00
CIRCUIT BREATHING PEDI 48.00
ONE TOUCH ULRA STRIPS 14.00
STOPCOCK 3-WAY LARGE BORE 35.00
SYRINGE 3CC LUER LOCK (BD) 2.00
DRESSING XEROFORM 1 X 8 12.00
BANDAGE ELSTIC SELF CLOS PREM N/S LF 6X5 513.00
TPS RECIP SAW 7,835.00
TPS MICRODRIVER 9,266.00
Pad Grounding Adult Thermogard 24.00
APPLICATOR CHLORAPREP TINTED 10.5 ML (DR 42.00
IV ADMIN SET, 60 DROP, PEDI, 72IN 1 PORT 5.00
MASTISOL LIQUID 15ML 1/5OZ PUMP 113.00
INJECTION NEEDLE (CARR-LOCKE) 272.00
UNDERPAD 23 X 36 (PEEL) 2.00
PATTIE SURGICAL X-RAY 1/2 X3 98.00
CLOSURE SKIN REINF LF 1/2 X4 (DR PEEL) 10.00
TUBING AUTOFUS F/KLN PUMP (LIPO) 99.00
SPLINT SEPTAL NASAL (LEFT & RIGHT) DR. B 127.00
ADHESIVE SKIN LIQUIDBND EXCEED (DR PEEL) 197.00
STOCKINETTE 6' X 5' 45.00
DENTAL SALIVA EJECTOR WHITE OPAQ 2.00
DENTAL COTTON TIP APPLICATOR 3IN (NS) 2.00
DENTAL EVACUATOR TIP VENTED 2.00
BREATHING CIRCUIT PEDI 1 LITER 46.00
DENTAL SPRAY & CLEAN 6OZ. (OIL FOR HAND 137.00
DENTAL PREMIUM COTTON ROLLS #2 2.00
DENTAL MAXI GARD JACKET BLUEBERRY (SMALL 26.00
DENTAL TOWELS 2PLY (112-6748) 13.00
DENTAL ESSENTIALS A/W SYRINGE TIP CLEAR 2.00
LACRI-LUBE 7GM OPTH 112.00
Needle Coude Blunt Nerve Block 20g X 4.5 114.00
Needle Coude Blunt Nerve Block 20g X 6.0 114.00
VERSA-KATH 12' (30.5 CM) 43.00
APPLICATOR CHLORAPREP (ORANGE) (260815) 55.00
Rf Cannula Coude 20g X 10 Short (Epimed) 94.00
Rf Cannula Coude 20g X 15 Long (Epimed) 94.00
DENTAL KETAC-CEM MAXICAP 52.00
DENTAL KETAC-CEM CEMENT POWDER 898.00
BANDAGE ACE 4'(STERILE) LF 10.00
BATTERY PACK ( STRYKER) 1,552.00
WALKER ORTHOPEDIC SIDEKICK LRG (DR. BECK 219.00
BANDAGE ESMARK 4 X 4 22.00
DENTAL NEEDLE 30G (SHORT) 2.00
DENTAL NEEDLE 30G (XTRA SHORT) 2.00
DENTAL PRE BENT DISPENSING TIPS 19G (BLK 2.00
DENTAL PRE BENT DISPENSING TIPS 25G (BLU 2.00
Ice Packs With Ties 6.00
ICE PACK (LARGE) 7.00
NEEDLE BLUNT FILL 18G 1.00
SPECIMEN CONTAINER 4OZ. (STERILE) 3.00
Sponge Lap 18x18 W/o Rings (Non Sterile) 3.00
SPONGE LAP STERILE 18 X 18 W/O LOOP 20.00
NEURO PATTIES COTTONOIDS 1/2X1 41.00
NEURO PATTIES COTTONOIDS 1x1 91.00
BANDAGE ACE 6 (NS) 13.00
STOCKINETTE 4 X 6 TUBULAR (8045) 14.00
TOWELS OR BLUE 56.00
TOWEL OR BLUE (6 PACK) 25.00
DRAIN TMC PENROSE 18X1/4 8.00
STRYKER GROUNDING PADS 110.00
DISCMONITOR DISCOGRAPHY PROBE 1,875.00
TUBE TRACH 7.5 CUFFED 15.00
TUBE NASAL RAE UNCUFF 6.0-5.5-7.5 (86289 24.00
MASK ANTIFOG WITH DERMA TOUCH TAPE 2.00
CANNULA ETC02 7.00
BANDAGE ACE 2' (STERILE) LF 9.00
BANDAGE ACE 4' 9.00
CANNISTER SUCTION 1500CC LINER 8.00
MYRINGOTOMY BLADE STR EDGE ( DISPOSABLE) 98.00
DRILL BIT 2.7 (71173502) 937.00
DRILL BIT 3.5 (71173504) 1,295.00
CANNULATED DRILL 2.7 (SMITH$NEPHEW) 4,595.00
PLATE DIST FIB LOCKING 5 HOLE (R) (Smith 7,441.00
DRESSING XEROFORM 1X8 5.00
XEROFORM 5X9 (DR. BECKERT) (84-433605) 5.00
Needle Hypodermic 27g X 1 1/2 2.00
WATER TRAP (DATASCOPE GAS MODULE SE) 213.00
BLADE MICRO STRAIGHT (STRYKER) 397.00
LMA SZ 5 (DISPOSABLE) 54.00
RF CVD CANNULA 100MM 20G 10.0 MM (SHORT 69.00
RF CVD CANNULA 150MM 20G 10.0MM (LONG) 103.00
VENOM RF CANNULA 20G SHORT 205.00
VEROM CANNULA 10MM 20G 150MM (LONG) 205.00
CATHETER IV INTROCAN SAFETY 22G 1 IN 13.00
CATHETER IV INTROCAN SAFETY 20G X 1' 9.00
CATHETER IV INTROCAN SAFETY 20G 1.1X32MM 13.00
COAGUCHECK XS TEST STRIP 33.00
BANDAGE MEDICOPASTE (UNNA BOOT) 52.00
BLADE RASP LARGE TEAR 14.0MM X 7.0MM (ST 1,059.00
IV START KIT 10.00
BASIN 5-5 / OT STAINLESS STEEL 40.00
NEEDLE ULTRACLEAN 11IN WITH EXTENSION 42.00
BUR OVAL 4.0MM (BRASSLER) 115.00
SUTURE NYLON 3-0 PS-1 (1663G) 31.00
SUTURE ETHILON 4-0 PS-2 BK MON 18L (1667 30.00
PACK PAIN SINGLE SHOT (DR. DUMITRU) 58.00
GAUZE 2X2 8 PLY NON STERILE 2.00
MARKER SKIN MULTI TIL RUL 7.00
APPLICATOR COTTON TIP 8IN 2.00
Applicator Chloraprp (Teal) 30.00
CANNULA 7' O2 CO2 TUBING 18.00
DENTAL CIRCUIT BREATHING (PEDI) 49.00
EXT SET CONTINU-FLOW W/2 INJEC. SITES 19.00
SOLUTION SET CONTINU-FLO (60 DROPS) 28.00
Extension Set 43in 13.00
EXTENSION SECONDARY SET INTERLNK LEVER L 8.00
GLOVE TRIFLEX 6.5 PWD LATEX SURG 3.00
GLOVE TRIFLEX 7.0 PWD LATEX SURG 8.00
GLOVE TRIFLEX 7.5 PWD LATEX SURG (2D7254 4.00
GLOVE ORTHOPEDIC 9.0 7.00
GLOVE (PROTEXIS) 6.0 PF LATEX 8.00
GLOVE PROTEGRITY PF 6.5 7.00
Glove Protegrity Pf 7.0 7.00
GLOVE PROTEGRITY PF LATEX SURG 7.5 9.00
Glove Protegrity Pf Latex Surg 8.0 8.00
GLOVE PROTEGRITY PF LATEX SURG 8.5 7.00
GLOVE PROTEXIS LATEX 7.5 PF 8.00
GLOVE PROTEGRITY MICRO PF LATEX 6.5 8.00
GLOVE PROTEGRITY MICRO PF LATEX 7.0 8.00
GLOVE PROTEXIS 7.5 DR. DUMITRU 7.00
GLOVE SURGICAL PROTEXIS PI SZ 7.0 10.00
GLOVE SURGICAL PROTEXIS PL SZ 8 9.00
GLOVE NEOPRENE 6.0 (PROTEXIS) (2D73DP60) 10.00
GLOVE NEOPRENE 6.5 PROTEXIS 10.00
GLOVE DURAPRENE SMT SZ 7.0 (2D73DP70) 13.00
EXTENSION SET INTERLINK MALE LL ADPTR 7.00
GOWN PROCEDURE (NON STERILE) XLRG 14.00
BREAST SALINE SIZER 322.00
NEEDLE COUNTER MAGNETIC SINGLE 10 CT 6.00
GAUZE 3*4 KLING 3.00
Skin Prep Tray Dry W/sponge 19.00
GLOVE EXAM PF NITRILE (MED) 33.00
HIBICLENS 16OZ 73.00
SUTURE SILK 2-0 PS-2 63.00
BOVIE PAD 27.00
SUTURE PROLENE 4-0 PS-1 98.00
Breathing Circuit (Adult) 25.00
ALLEN BOW FRAME SKIN CARE KITS 546.00
BLADE MOUNTABLE ENDOSCOPIC (WRIGHT) 4,386.00
CIRCUIT BREATHING (ADULT) 43.00
CIRCUIT BREATHING (ADULT) 43.00
TENODESIS DISP. KIT 1,396.00
GUIDE WIRE W/TROCAR 1.35MM (ARHTREX) (AR 214.00
DRILL BIT CANNULATED 2.5MM 1,252.00
DRILL BIT CANNULATED 1.7MM (ARTHREX) 1,252.00
GUIDEWIRE 0.86MM W/LASER LINE SS (ARTHRE 214.00
MASK WITH EAR LOOPS 2.00
HCG URINE RAPID TEST CONTROLS 130.00
One Touch Ultra Test Strips 7.00
BITE BLOCK ADULT LATEX FREE 32.00
MICRO- TECH BITE BLOCK 6.00
RELIEVA ULTIRRA BALLOON 6 X 16 5,588.00
BEAVER BLADE MINI ORTHOPEDIC 2MM @ 32MM 21.00
BLADE MINI BEAVER 6700 (BEAVER6700) 47.00
SYRINGE 50/60ML ECCENTRIC TIP 6.00
NEEDLE 27 G X 1 1/2 2.00
SYRINGE 20CC LUER LOCK (BD) 2.00
NEEDLE REG BEVEL 25G X 1 1/2 2.00
NEEDLE BLUNT FILL 18G X 1-1/2 3.00
NEEDLE REG BEVEL 18GX1 1/2 2.00
Needle Filter 18g 1 1/2 3.00
NEEDLE BLUNT FILTER 18G x 1 1/2 3.00
SYRINGE 10CC W/10CC SALINE 4.00
Syringe Injection Pre Filled Normal Sali 4.00
SYRINGE 5CC LUER LOK (BD) 2.00
SYRINGE CONTROL 10CC (DR. BECKERT) 6.00
MICRO-TECH BIOPSY FORCEP BLUE ALLIGATOR 43.00
NEEDLE EPIDURAL 18G X 3 1/2 TW N/WING 20.00
Needle Epidural 20g X 3 1/2 Tw N/wing 40.00
NEEDLE SPINAL 22G x5 BLACK 33.00
NEEDLE SPINAL 22G X 7 BLACK 29.00
NEEDLE SPINAL 25G x 3 1/2 18.00
Needle Spinal Quincke 22g X 3 1/2 21.00
NEEDLE SPINAL S/SU 18G 10.00
NEEDLE TOUHY 18G X 3.5 34.00
ACCLARENT INFLATION DEVICE 533.00
BABY POWDER 4OZ 8.00
IRRIGATION BULB SYRINGE 60CC 5.00
TRAP SPECIMEN MUCUS 80CC STERILE 14.00
SUTURE SILK 3.0 8X18IN TIES (DR. BECKERT 175.00
RUBBER BANDS (STERILE) 5.00
SUTURE NUROLON 0.8 X 18IN BLACK MO-6 HGS 98.00
C-ARM COVER KIT 61.00
GELFOAM SZ 100 SPG 6 517.00
CLIPPER BLADE 15.00
SOLAR PROBE 1,217.00
DEFOGGER 20.00
ADAPTER TRACH T 2.00
TOURNIQUET 3/4X18 LF TEXTURED 2.00
CIRCUIT BREATHING (ADULT) 58.00
DENTAL MOUTHPIECE PEDIATRIC 19.00
Nebulizer prefill kit 27.00
LMA SZ. 4 STANDARD disposable 69.00
MICRO-TECH COLD SNARE OVAL 10MM THIN BRA 56.00
BLADE B-P SURGICAL SZ15 13.00
NEURO PATTIES COTTONOIDS 1/2 x 1/2 4.00
Yankauer Open Tip Without Vent 15.00
SHOE DARBY FEMALE SMALL 72.00
DERMABOND ADV. ADHESIVE 157.00
DRAPE SPLIT SHEET PLASTIC 16.00
Cardiovascular Pack (Cv Drape) 220.00
PENCIL ROCKER SWITCH HEX-LOCKING BLADE 26.00
SUTURE VICRYL 3-0 33.00
SUTURE VICRYL 2-0 CT-2 247.00
Suture Vicryl 3-0 Ps-1 27' 37.00
MASTISOL WITH SPRAY PUMP 15ML BTL 72.00
Mastisol Liquid Adhesive 2/3cc Vial 13.00
BIOPSY FORCEPS ALLGTR JAW 48.00
FACE SHIELD W/COMFORT BAND 24.00
ACCLARENT RELIEVA FLEX SINUS GUIDE CATHE 1,898.00
SINUS GUIDE CATHETER (FRONTAL PROBE) 2,522.00
ACCLARENT SINUS GUIDE CATH (MAXI PROBE) 2,648.00
ENDOSCOPIC MARKER 211.00
GAUZE SPONGE 2X2 12 PLY 2.00
Sponge Gauze 4x4in 12ply Sterile 4.00
SINGLE SPIKE INFILTRATION TUBING 81.00
SUTURE VICRYL 2-0 38.00
SUTURE VICRYL 3-0 27IN UNDYED 15.00
Suture Vicryl 4-0 Ps-2 31.00
SUTURE VICRYL 3-0 SH UNDYED 94.00
CATHETER IV JELCO 22G x 1 19.00
CATHETER IV JELCO 24G X 3/4 IN 19.00
CAST PADDING 4X4 (SPECIALIST) 8.00
DRAIN HEMADUCT 10MM FULL DUCT W/TRO 181.00
Suction Yankauer Clear Bulb Tip 3.00
PADDING UNDERCAST WEBRIL 4 X 4 14.00
PADDING UNDERCAST WEBRIL 6 X 4 24.00
GAUZE 8 PLY 2.00
SPONGE X-RAY DETECT 4X4IN 16PLY 10S TRAY 2.00
ALCOHOL PREP PAD 2.00
DRESSING OIL EMULSION 3 X 8 (ADAPTIC) (K 7.00
TAPE CLOTH 2" (Dr. Beckert) (KC6613) 16.00
BANDAGE KERLIX 4.5 X 4 8.00
TRAY FOLEY 16FR. 5CC SILICONE CATH 95.00
PAD ABDOMINAL 38.00
GAUZE SPONGE 4X4 (STERILE) 4.00
PAD ABDOMINAL 5X9IN 1S STERILE (KC9190A) 5.00
BLADE SAW OSCILLATING 25.0 MM 64.00
BLADE SAW OSCILLATING 18.0MM (KM3-212) 64.00
BLADE SAW 18.5 MM NARROW (BRASSLER) 61.00
BLADE SAW 25.0MM x 5.5 (KM33-414) 64.00
BLADE SAW OSCILLATING 11.5MM 64.00
BLADE SAW OSCILLATING 31.0MM 64.00
DRAPE THREE QUARTER (STERILE) 19.00
DRAPE U SPLIT 40.00
LMA SZ 3 STANDARD (DISPOSABLE) 47.00
LMA SZ.4 STANDARD 49.00
LMA SZ. 5 STANDARD (DISPOSABLE) 42.00
CYTOLOGY BRUSH 78.00
SCLEROTHERAPY NEEDLE 2.3MM 23G NEEDLE 266.00
RESOLUTION CLIP 1,138.00
CAPTIFLEX (MEDIUM OVAL) 72.00
CAPTIFLEX SMALL OVAL 72.00
TAPE 1' TRANSPORE 5.00
TAPE SILK 1' 4.00
Tape Durapore (Silk) 2' 9.00
DRESSING TEGADERM TRANSPARENT 3.00
TAPE MEDIPORE 6' (M2966) 85.00
SPLINT SCOTCHCAST 1STEP 3X12 DR BECKERT 62.00
SPLINT ONE-STEP 4X30 113.00
DURAPREP 26 ML APPLICTR 31.00
DRESSING TRANSPARENT 10 X 12 31.00
OLYMPUS MOUTH PIECE 60 FR 9.00
AUXILIARY WATER TUBE 27.00
SUTURE MONOCRYL 6-0 P-3 80.00
SUTURE MONOCRYL 4-0 18' 89.00
MEDICINE CUP 2 1/2 OZ. (MCUP1) 2.00
Bag Decanter 30.00
Tip Bovie Teflon 27.00
NEEDLE TIP MODIFIED EASY CLEAN 37.00
ELECTRODE 6.5 IN BLADE CAUTERY TIP 37.00
NEEDLE ELCTRODE 6.5 MODIFIED BLADE 37.00
CONNECTOR CABLE (SJM) 2,725.00
SHOE POST OP MENS SMALL 68.00
SHOE POST OP MENS (MED) BLACK 67.00
SHOE POST OP MENS LRG. (BLACK) (MQM3B) 65.00
SHOE POST OP WOMENS MED. (BLACK) (MQW2B) 65.00
SHOE POST OP WOMENS LRG 67.00
STERI STRIP 1/4X4 (DR. BECKERT) 8.00
Extension Set 6in W/male Ll Clamp 5.00
NEEDLE HYPO 20G X 1.5 DISP REG BEVEL 2.00
TUBING SUCTION (ENT) 5.00
TUBING SUCTION 9/32'' 7.00
GLOVE EXAM PF ESTEEM NEU-THERA NITRILE ( 47.00
GLOVE EXAM PF ESTEEM NEU-THERA NITRILE ( 46.00
GLOVE EXAM PF ESTEEM NEU-THERA NITRILE ( 46.00
PIGMENT FLESH #10 173.00
ASPIRATION TUBING SET (LIPO) 65.00
Grounding Pads (Radio Frequency 59.00
CANNULA CURVED RADIO FREQUENCY SHORT 141.00
CANNULA CURVED (RADIO Frequency ) Long 141.00
STAPLER PROXIMATE + 35 (PMW35) 265.00
OSTEOPRO DBM 5CC 3,919.00
NASAL SPLINTS (IVORY) 36.00
SUTURE ETHIBOND 2-0 36IN GREEN SH V-20 58.00
STAPLER PROXIMATE SKIN WIDE 54.00
MICRO-TECH SURE CLIP 895.00
BLADE MINIATURE EDGE NO 67 70.00
ACCLARENT SIDEKICK 376.00
ACCLARENT SE INFLATION DEVICE 535.00
PACK PLASTIC 233.00
ACCLARENT RELIEVA LUMA SNETRY 3,069.00
LANCET ONE TOUCH SURE SOFT 2.00
PACK PODIATRY 394.00
PACK PODIATRY 380.00
PREOP KIT 64.00
DRAIN JACKSON PRATT 10FR 7MM 135.00
JACKSON-PRATT 100CC BULB RESERVOIR 91.00
Syringe 3cc Luer Lock 2.00
SYRINGE 5CC LUER LOCK 2.00
Syringe 10cc Luer Lock 2.00
SYRINGE 20CC LUER LOCK 2.00
SYRINGE 30CC LUER LOCK 3.00
SYRINGE 60CC LUER LOCK 4.00
CATHETER SUCTION 14FR 3.00
CATHETER SUCTION 10FR W/CONTROL VALVE 3.00
SUTURE VICRYL CTD 2-0 27IN UNDYED 16.00
SUTURE BONE WAX 40.00
SUTURE ETHIBOND 4-0 18IN 108.00
SUTURE MONOCRYL 3-0 UNDYED 15.00
SUTURE MONOCRYL 4-0 PS-2 (Dr. Beckert) 40.00
Suture Monocryl 5-0 Ps-2 77.00
SUTURE MONOCRYL 3-0 PS-1 (Y936H) 39.00
DENTAL MASK BUBBLE GUM CHILD SZ 4 14.00
MASK STRAWBERRY TODDLER SZ 3 14.00
MASK STRAWBERRY CHILD SZ 4 38.00
DENTAL MASK CHERRY TODDLER SZ 3 15.00
AIRWAY DISP NASOPHARYNGE 70MM 21.00
FACE SHEILD W/COMFORT BAND 36.00
DOYLE SPLINT (MED) 192.00
TUBE NASAL UNCUFFED 4.0 6MOS-1YR 16.00
TUBE NASAL RAE UNCUFFED 4.5 1-2YR (86286 16.00
TUBE NASAL UNCUFFED 5.0 2YR-4YR (86287) 16.00
GUEDEL DISP AIRWAY 60 MM 2.00
GUEDEL DISP AIRWAY 70 MM 2.00
GUEDEL DISP AIRWAY 80MM 2.00
EMESIS BASIN (GOLD) 1.00
NASAL RAE, UNCUFFED 4.0 15.00
TEFLA 2.00
GAUZE 4X4 N/S 2.00
DRAPE UTILITY W/TAPE 5.00
EKG ELECTRODE PADS 2.00
DENTAL NASAL AIRWAY (SOFT) 20FR 11.00
DENTAL NASAL AIRWAY (SOFT) 22FR 11.00
DENTAL NASAL AIRWAY (SOFT) 24FR 12.00
DENTAL NASAL AIRWAY (SOFT) 26FR 11.00
HOOK/TRIANGLE BLADE SET (STERILE) 1,860.00
ENDOVEN RDFRQ ABL (RFA) 7FR 2.3MM X 60CM 2,148.00
COLD SNARE (EXACTO) 136.00
VSI RDFQ ABLTN PACK W/7FR 7CM MICRO AV 580.00
NEEDLE TUOHY 20G X 4.5 99.00
CATHETER IV ANGIOCATH 18X1.88 27.00
MASTISOL STERILE TIP VL 2/3CC (DR PEEL) 19.00
IV START KIT ( SUB) 8.00
SPONGE GAUZE TYPE-VII 4X4 12PLY STERILE 9.00
QUICKCATCH IN-LINE POLY TRAP 27.00
GLOVE SURGEON SYN PF SZ 6.5 (DR PEEL) 12.00
GLOVE SURGEON SYN PF SZ 7.5 (DR PEEL) 12.00
GLOVE SURGEON STR POLYPRENE LF PF SZ 8.5 18.00
DENTAL CROWN SS 2ND PRIM MLR LL (ELL2) 47.00
GLOVE PRTCTN SZ 8 PFBSMTH (RADIATION FLV 203.00
KITTNER SPONGE (PEANUT)X-RAY DETECTABLE 29.00
TUBE TRACH LO PRO ORAL OR NASAL 7.0 CUFF 10.00
TUBE TRACH LO PRO ORAL OR NASAL 8.0 CUFF 10.00
TUBE ENDOTRACHEAL 8.5 CUFFED (86054) 10.00
TUBE NASAL RAE UNCUFF 5.5 4-5 1/2 18.00
BANDAGE ACE 3' (STERILE) LF 8.00
SYRINGE 6ML LUER LOCK STERILE 2.00
SUTURE SILK 2-0 18IN 37.00
BANDAGE ACE 6' (STERILE) LF 15.00
GLOVE ORTHOPEDIC PWD LATEX SURG 7.5 8.00
GLOVE PROTEXIS PL SZ6 10.00
GLOVE SURGICAL PROTEXI PI SZ 6.5 10.00
GLOVE SURGICAL PROTEXIS PI SZ 7.5 13.00
SUTURE NYLON 3-0 15.00
SUTURE NYLON 2-0 14.00
SUTURE PROLENE 2-0 30'Blue 41.00
CORKSCREW 3.5 #2 FIBERWIRE 1,266.00
DRILL BIT 4.0 MM CANNULATED 1,194.00
QCKFIX SCRW,TI,CANN ST, 4.0X34MM 1,125.00
QCKFIX SCRW,TI,CANN ST, 4.0X36MM 1,125.00
NEEDLE SPINAL 27 X 3.5 26.00
NEEDLE TUOHY 20G X 3.5 27.00
TONSIL BALL( STERILE) 2.00
APPLICATOR COTTON TIP 6IN (STERILE) 2.00
BANDAGE SELF ADHERENT 4X5 (STERILE)LATEX 7.00
SUTURE ETHIBOND 0 CT-1 (POP-OFF ) 89.00
SUTURE ETHIBOND 0 8X18 IN GREEN MO6 HGS2 202.00
BLADE B-P SURGICAL SZ 10 5.00
BLADE B-P SURGICAL SZ 11 5.00
SUTURE ETHIBOND EXCEL 4-0 137.00
SURGIFOAM ABSORBABLE GELATIN POWDER 1 GM 714.00
SURGIPSTUF 64.00
SUTURE CHROMIC 3-0 110.00
SPONGE GAUZE 4 X 4IN 16PLY 10S TR STER 5.00
TUBE ENDOTRACHEAL 6.0 UNCUFFED 9.00
SUTURE VICRYL 3/0 27IN UNDYED 19.00
SUTURE VICRYL 4-0 PS-2 UND BRD 89.00
SUTURE VICRYL 3-0 8X8IN UNDYED CT-1 GS21 200.00
SUTURE VICRYL 0 95.00
SUTURE VICRYL HANDTIES 3-0 62.00
SUTURE VICRYL 3-0 27IN UNDYED PS-1 P-14 31.00
SUTURE VICRYL 3-0 36IN UNDYED CT-1 GS21 15.00
SUTURE VICRYL 2-0 36IN UIDYED CT-1 GS-21 16.00
BULB SYRINGE 60CC STERILE 6.00
BLADE RASP 14.0 MM x 7.0 MM (REPLACES ST 565.00
DRAPE STERI 1010 13.00
DRAPE STERI 7X11 12.00
DRAPE STERI-DRAPE DR BECKERT 20.00
DRESSING TEGADERM 6X8 (BECKERT) 8.00
TEGADERM 8x12 (DR. BECKERT) (M1629) 16.00
DRESSING TEGADERM 2x2 3/4 PAD 3.00
DRESSING TEGADERM W/PAD 7.00
DRAPE IOBAN ANTIMICROBIAL 40.00
NEEDLE ELECTRODE 2.5 MODIFIED BLADE 70.00
SUTURE ETHIBOND 2-0 WHITE SH V-20 80.00
GAUZE ROLL SOFFORM (STERILE) 5.00
NEEDLE #6 FLAT 297.00
STERI STRIPS 14.00
5 INCH NEEDLE (BOSTON SCIENTIFIC) 512.00
OLYMPUS SNARE MASTER 175.00
SECONDARY IV OR TRANSER SET 8.00
SUTURE MONOCRYL 4-0 PS-2 39.00
DENTAL DENOVO SPACE MAINT UPPER SZ U37 34.00
DENTAL DENOVO SPACE MAINT UPPER SZ U29.5 32.00
DENTAL DENOVO SPACE MAINT UPPER SZ U35 57.00
DENTAL DENOVO SPACE MAINT LOWER SZ L28 57.00
DENTAL DENOVO SPACE MAINT LOWER SZ L34 55.00
DENTAL DENOVO SPACE MAINT UPPER SZ U34 55.00
DENTAL DENOVO SPACE MAINT LOWER SZ L37 58.00
DENTAL DENOVO SPACE MAINT SZ L26 55.00
DENTAL DENOVO SPACE MAINT LOWER SZ 29 54.00
DENTAL DENOVO SPACE MAINT UPPER SZ U32 56.00
DENTAL DENOVO SPACE MAINT LOWER SZ L32 54.00
DENTAL DENOVO SPACE MAINT UPPER SZ 34.5 56.00
DENTAL DENOVO SPACE MAINT UPPER SZ U33 57.00
DENTAL DENOVO SPACE MAINT LOWER SZ L33 55.00
DENTAL SPACE MAINTAINER BAND L27 55.00
DENTAL DEVOVO SPACE MAINT UPPER SZ U35.5 55.00
DENTAL DENOVO SPACE MAINT LOWER SZ L35 56.00
DENTAL DENOVO SPACE MAIN LOWER SZ L33.05 75.00
DENTAL DENOVO SPACE MAINT LOWER SZ L34.5 56.00
DENTAL DENOVO SPACE MAINT LOWER SZ L31.5 49.00
DENTAL DENOVO SPACE MAINT LOWER SZ L32.5 49.00
DENTAL DENOVO SPACE MAINTAINER LOWER SZ 52.00
DENTAL CROWN SS UNITEK PRIMANT LAT (UR1) 42.00
DENTAL CROWN SS 2ND PRIM MLR LL (ELL4) 47.00
DENTAL UNITEK CROWN SS PRIM ANT LAT UR 28.00
DENTAL UNITEK CROWN SS PRIM ANT LAT UR3 47.00
DENTAL UNITEK CROWN SS PRIM ANT LAT UR4 47.00
DENTAL CROWN SS 1ST PRIM MLR RU (DUR4) 47.00
DENTAL CROWN SS 2ND PRIM MLR LU (EUL7) 46.00
DENTAL UNITEK CROWN SS PRIM ANT LAT UR5 55.00
DENTAL CROWN SS 2ND PRIM MLR RT UP EUR7 219.00
DENTAL UNITEK CROWNS SS PRIM ANT CUS UI 30.00
DENTAL CROWN SS 2ND PRIM MLR LL (ELL5) 47.00
DENTAL CROWN SS 1ST PRIM MLR LU (DUL2) 47.00
DENTAL UNITEK CROWN SS 1ST PERM MOL UR5 28.00
DENTAL CROWN SS 2ND PRIM MLR LU (EUL2) 47.00
DENTAL UNITEK CROWN SS PRIM ANT (U2) 61.00
DENTAL UNITEK CROWN SS PRIM ANT (U3) 56.00
DENTAL UNITEK CROWN SS PRIM ANT CUSPID 45.00
DENTAL UNITEK CROWN SS PRIM ANT CUS U5 61.00
DENTAL CROWN SS 1ST PRIM MLR LL (DLL5) 47.00
DENTAL UNITEK CROWN SS PRIM ANT CUS L1 45.00
DENTAL CROWN SS 1ST PRIM MOLAR (DUR5) 47.00
UNITEK SS CROWN SZ 6 1ST PERM 26.00
DENTAL UNITEK CROWN SS PRIM ANT (L2) 101.00
DENTAL UNITEK CROWN SS PRIM ANT CUS (L3) 124.00
DENTAL UNITEK CROWN SS PRIM ANT CUS (L4) 63.00
DENTAL CROWN SS 2ND PRIM MLR RL (ELR2) 47.00
DENTAL UNITEK CROWN SS PRIM ANT CUSP (L5 52.00
DENTAL CROWN SS 2ND PRIM MLR LU (EUL4) 47.00
DENTAL UNITEK CROWN SS PRIMARY ANTERIOR 58.00
DENTAL UNITEK CROWN SS 1ST PERM MOL LR2 26.00
DENTAL CROWN SS 2ND PRIM MLR LL (ELL6) 47.00
DENTAL CROWN SS 1ST PRIM MLR LU (DUL3) 46.00
DENTAL CROWN SS 2ND PRIMARY MOLAR RIGHT 47.00
DENTAL UNITEK CROWN SS 1ST PERM MOL LR5 28.00
DENTAL CROWN SS 2ND PRIM MLR LU (EUL6) 47.00
DENTAL CROWN SS 1ST PRIM MLR LL (DLL4) 47.00
DENTAL CROWN SS 2ND PRIM MLR (EUL3) 47.00
DENTAL CROWN SS 1ST PRIM MLR RL (DLR2) 47.00
DENTAL CROWN SS 1ST PRIM MLR RL (DLR7) 47.00
DENTAL CROWN SS 1ST PRIM MLR RU (DUR2) 47.00
DENTAL CROWN SS 1ST PRIM MLR LL (DLL6) 47.00
DENTAL CROWN SS 1ST PRIM MLR RU (DUR6) 47.00
DENTAL CROWN SS 1ST PRIM MLR RL (DLR5) 47.00
DENTAL CROWN SS 1ST PRIM MLR RL (DLR3) 47.00
DENTAL CROWN SS 1ST PRIM MOLAR (DUL5) 47.00
DENTAL CROWN SS 1ST PRIM MLR LU (DUL7) 47.00
DENTAL CROWN SS 2ND PRIM MLR RU (EUR2) 47.00
DENTAL UNITEK CROWNS SS 1ST PERM BIC UL3 63.00
DENTAL CROWN SS 2ND PRIM MLR RL (ELR6) 47.00
DENTAL CROWN SS 2ND PRIM MRL (ELL3) 47.00
DENTAL CROWN SS 1ST PRIM MLR RU (DUR3) 47.00
DENTAL CROWN SS 1ST PRIM MLR LL (DLL7) 46.00
DENTAL CROWN SS 2ND PRIM MLR RL (ELR3) 47.00
DENTAL UNITEK CROWN SS PRIM CENTR (UL1) 54.00
DENTAL CROWN SS 2ND PRIM MLR LU (EUL5) 47.00
DENTAL CROWN SS 1ST PRIM MLR LL (DLL3) 47.00
DENTAL UNITEK CROWN PRIM ANT LAT UL3 45.00
DENTAL UNITEK CROWN SS PRIMARY 64.00
DENTAL CROWN SS 1ST PRIM MLR RU (DUR7) 47.00
DENTAL CROWN SS 1ST PRIM MLR RL (DLR6) 47.00
DENTAL UNITEK CROWN PRIM ANT CEN UL3 63.00
DENTAL CROWN SS 2ND PRIM MLR LL (ELL7) 47.00
DENTAL CROWN SS 1ST PRIM MLR RL (DLR4) 47.00
DENTAL CROWN SS 1ST PRIM MLR LU (DUL4) 47.00
DENTAL CROWN SS 1ST PRIM MLR LU (DUL6) 47.00
DENTAL UNITEK CROWN SS PRIM ANT CTRL UL4 63.00
DENTAL CROWN SS 2ND PRIM MLR RL (ELR5) 47.00
DENTAL UNITEK CROWN SS PRIM ANT CENTRAL 63.00
DENTAL CROWN SS 1ST PRIM MLR LL (DLL2) 47.00
DENTAL UNITEK CROWN SS PRIM ANT CENTRAL 63.00
DENTAL UNITEK CROWN SS PRIM ANT CENT UR3 57.00
DENTAL UNITEK CROWN SS PRIM ANT CTRL UR4 31.00
DENTAL UNITEK CROWN SS PRIM ANT CENT 52.00
DENTAL CROWN SS 2ND PRIM (EUR3) 47.00
DENTAL CROWN SS UNITEK PRIM ANTLAT (UL1) 57.00
DENTAL CROWN SS 2ND PRIM MLR RU (EUR4) 47.00
DENTAL CROWN SS 2ND PRIM MLR R (EUR5) 47.00
DENTAL UNITEK CROWN SS PRIM ANT LAT UL2 28.00
DENTAL CROWN SS 2ND PRM MLR RL (ELR7) 46.00
DENTAL CROWN SS 2ND PRIM MLR RU (EUR6) 46.00
DENTAL UNITEK CROWN SS 1ST PERM MOL UL4 28.00
DENTAL UNITEK CROWN SS PRIM ANT LAT (UL4 61.00
DENTAL UNITEK CROWN SS PRIM ANT LAT UL5 58.00
DENTAL DENOVO SPACE MAINT LOWER SZ L28.5 34.00
DENTAL DENOVO SPACE MAINT LOWER SZ L38.5 36.00
DENTAL CROWN NUSMILE A1 (LIGHT) 137.00
DENTAL CROWN NUSMILE A2 (LIGHT) 137.00
DENTAL CROWN NUSMILE A3 (LIGHT) 137.00
DENTAL CROWN NUSMILE A4 (LIGHT) 137.00
DENTAL CROWN NUSMILE A5 (LIGHT) 137.00
DENTAL CROWN NUSMILE A6 (LIGHT) 137.00
DENTAL CROWN NUSMILE B1 (LIGHT) 137.00
DENTAL CROWN NUSMILE B2 (LIGHT) 143.00
DENTAL CROWN NUSMILE B3 (LIGHT) 137.00
DENTAL CROWN NUSMILE B4 (LIGHT) 137.00
DENTAL CROWN NUSMILE B5 (LIGHT) 137.00
DENTAL CROWN NUSMILE B6 (LIGHT) 137.00
DENTAL CROWN NUSMILE C0 (LIGHT) 137.00
DENTAL CROWN NUSMILE C1 (LIGHT) 130.00
DENTAL CROWN NUSMILE C2 130.00
DENTAL CROWN NUSMILE C3 (LIGHT) 137.00
DENTAL CROWN NUSMILE C4 (LIGHT) 137.00
DENTAL CROWN NUSMILE C5 (LIGHT) 137.00
DENTAL CROWN NUSMILE C6 (LIGHT) 137.00
DENTAL DENOVO MANDIBULAR DROP WIRES 32.00
MULTILEAD TRIAL CABLE 1,574.00
EXTERNAL PULSE GEN 2 PORT HEAD 3,935.00
TRIAL LEAD KIT 60 CM LEN 10,733.00
OCTRODE LEAD KIT 60CM 13,627.00
MEDPOR TITAN FAN-MTM 9,158.00
SCREW CANNULATED 4.0MM X 30MM (SMITH&NEP 2,466.00
SCREW CANNULATED 4.0MM X 40MM (SMITH&NEP 4,932.00
GUIDE PIN BAY PT 1.3X140 (SMITH&NEPHEW) 572.00
SCREW IMF 2.0MM X 8MM SELF DRILLING 1,068.00
SCREW IMF 2.0MM X 12MM SELF DRILLING 790.00
2.7MM TI CORTEX SCREW SELFT-APPING 18MM 550.00
EGG BUR 4.0MM (STRYKER) 645.00
POWERPORT CLRVW W/8FR OPN-N SNG LUM CATH 4,831.00
SMTH MOD+PROFILE 800CC BREAST IMPL SALIN 4,472.00
BREAST TISSUE EXPANDER 850CC 10,357.00
SCREW CRANIOMAX 1.7 MMX5MM 2,719.00
SCREW LOCKING 2.3MM X 10MM 1,281.00
SCREW LOCKING CROSS PIN 2.3MM X 12MM 1,281.00
SCREW LOCKING CROSS PIN 2.3MM X 14MM 1,281.00
SCREW LOCKING 2.3MM X 18MM 1,281.00
PLATE FRACTURE 4H W/BAR 2MM 5,767.00
PLATE 4H CVD W/BAR 2MM 5,767.00
KWIRE 6.045 DOUBLE TROCAR SMOOTH 19.00
K-WIRE 228MM (JONES) 219.00
DRILL 3.2MM CANNULATED (JONES) 1,582.00
SCREW 4.5 X 55MM (JONES) 9,409.00
WASHER O.D. 7MM (SMITH&NEPHEW) 837.00
K-WIRE 1.6 (SMITH & NEPHEW) 328.00
SCREW LOCKING 3.5 X 10MM (71821210) 1,375.00
SCREW LOCKING 3.5 X 12MM (71821212) 1,375.00
SCREW LOCKING 3.5MM X 14MM (Smith&Nephew 1,273.00
SCREW NON-LOCKING 3.5MMX10MM(SMITH & NEP 212.00
SCREW NON-LOCKING 3.5MMX14MM(SMITH & NEP 212.00
SCREW NON-LOCKING 3.5MMX22MM(SMITH & NEP 212.00
CORTEX NON-LOCKING SCREW 3.5MMX46MM (SN) 270.00
CORTEX NON-LOCKING SCREW 3.5MMX50MM (SN) 270.00
SCREW NON-LOCKING 5.0MMX12MM(SMITH & NEP 600.00
SCREW OSTEOP 5.0MM X 14MM (Smith&Nephew) 643.00
PLATE LEFT FOUR HOLE 5,806.00
2 LEAD TRIAL SYS 11,039.00
BUR 2.5 MM (STRYKER SPINE) 1,162.00
TRIAL LEAD SET (NEVRO) 9,734.00
NEEDLE TUOHY EPIDURAL 18GX6.0 68.00
BREAST IMPLANT 800CC (GEL) 6,976.00
BREAST IMPLANT 600CC (GEL) 6,440.00
BREAST IMPLANT235CC (GEL) 6,261.00
BREAST IMPLANT 385CC (MODERATE CLASSIC) 6,261.00
BREAST IMPLANT 425CC (GEL) 6,261.00
BREAST IMPLANT 470CC (GEL MOD CLASSIC) 5,933.00
BREAST IMPLANT 510CC (GEL) 6,261.00
BREAST IMPLANT 800CC (MODERATE CLASSIC) 6,229.00
IFUSE 3-D IMPLANT SYSTEM 7.0MM X 35MM 23,848.00
IFUSE 3-D IMPLANT SYSTEM 7.0MM X 40MM 23,848.00
IFUSE 3-D IMPLANT SYSTEM 7.0MM X 55MM 23,848.00
ANCHOR MINI BC SUTURETACK 2.4MM X 8.5MM 3,169.00
DISPOSABLE KIT (ARTHREX) 1,704.00
SCREW TENODESIS BIOCOMPOSITE (ARTHREX) 2,470.00
INTERNAL BRACE LIGAMENT 7,325.00
QCKFIX SCRW 2.0 X 10 MM 955.00
QCKFIX SCRW 2.0 X 12 MM 955.00
SCREW QUICK FIX TI CAN PT 2.0 X 16MM 955.00
SCREW CANNULATED TI QUICKFIX PT 2.0X22MM 955.00
SCREW QUICK FIX TI CANNULATED PT 2.0 X 2 1,002.00
SCREW QUICKFIX TIPT 2.4MMX12MM (ARTHREX) 989.00
SCREW CORTEX LOW PROFILE 2.4MM X 14MM 1,500.00
SCREW CANNULATES QUICKFIX TI PT 2.4MM X 989.00
SCREW QUICKFIX TI CANNLTD PT 2.4MM X16MM 1,038.00
SCREW QUICK FIX TI CAN PT 2.4 X 18MM 1,038.00
SCREW CANNULATED QUICKFX TIPT 2.4MMX20MM 989.00
SCREW COMPR FT 2.5 MICRO, 14MM LENGTH 1,915.00
SCREW COMPR FT 2.5 MICRO, 16MM LENGTH 1,915.00
SCREW COMPR FT 2.5 MICRO, 24MM LENGTH 1,915.00
SCREW CANNULATD COUNTERSNK 2.0MM X 2.4MM 1,252.00
0.86MM GUIDE WIRE TROCAR TIP 150.00
SCREW CANNULATED QUICKFIX 4.0 MM X 22MM 1,181.00
SCREW CANNULATED QUICKFIX 4.0 MM X 26MM 1,181.00
SCREW QUICKFIX TI CANNULATED 2,148.00
SCREW CANNULATED QUICKFIX 4.0 X 30MM 1,181.00
SCREW QUICK FIX TI CAN ST CANCL 4.0X38MM 1,181.00
SCREW QUCIKFIX CAN STTI CANC 4.0MMX40MM 1,181.00
SCREW 2.5MM PUSH LOCK (ARTHREX) 3,510.00
IMP SYS PK ACHILLES SPEEDBRIDGE 16,939.00
SCREW CANNULATED COUNTERSINK 4.0MM (AR-8 1,073.00
10MM CARTIVA SYNTHETIC CARTILAGE IMPLANT 20,765.00
PLUG PERFIX MED 3,857.00
SHANK MATCH HEAD 2.9MM X 3.8 MM 327.00
KWIRE 2.0/ 2.5 SMOOTH 115.00
KWIRE 3.0 / 4.0 SMOOTH TC-SERIES 172.00
TC SERIES THRD KWIRE 3.0/4.0 (1.1X120MM) 55.00
BREAST TISSUE EXPANDER (SIENTRA) 16,807.00
TRIAL LEAD 50 CM SLIM TIP 10,733.00
MINI-MONSTER CANNULATED SHT THREAD SCREW 1,789.00
MIN-MONSTER CANNULATED SHRT THRD SCREW 1,789.00
MIN-MONSTER CANNULATED SHRT THRD SCREW 2,020.00
COUNTERSINK 2.0 HEADED 1,508.00
COUNTERSINK, 3.0 HEADED 1,508.00
COUNTERSINK, 4.0 HEADED 1,508.00
K-WIRE SINGLE ENDED TROCAR TIP SMOOTH 205.00
K-WIRE, SNGL END TROCAR TIP, SMOOTH 205.00
MIN-MONSTER CANNULATED SHRT THRD SCREW 205.00
2 MM NON-THREADED GUIDE PIN, SINGLE 572.00
NEEDLE TUOHY 17GX4.5 134.00
INFINION 16 TRIAL LEAD KIT, 50CM 7,154.00
1X16 OR CABLE AND EXT--NEURO STM 180.00
PRECISION SPECTRA PT TRIAL KIT--NEURO ST 709.00
MONTAGE PATIENT TRIAL KIT US 676.00
LOW PROFILE 2.0MMX12MM BONE SCREW 682.00
SCREW CANNULATED 2.0MM X 14MM 618.00
SCREW CANNULATED 2.0MM X 16MM 717.00
SCREW CANNULATED 2.0 MM X 18 MM 750.00
SCREW CANNULATED 3.0 MM @14MM 895.00
SCREW CANNULATED 3.0MM X 24MM 788.00
SCREW CANNULATED 3.0MM X 26MM 788.00
SCREW CANNULATED 3.0MM X 28MM 773.00
SCREW CANNULATED 3.0MM X 30MM 773.00
SCREW CANNULATED 3.0MM X 32MM 618.00
SCREW CANNULATED 3.0MM X 36MM 680.00
SCREW CANNULATED 3.0MM @40MM 1,574.00
SCREW CANNULATED 4.0MM X 32MM (TC-4032) 788.00
SCREW CANNULATED 4.0MM X 42MM 680.00
TRIAL LEAD KIT, 50CM W/ 5MM SPACING 4,867.00
PREGNANCY TEST URINE / STRIP 103.00
GLUCOSE BLOOD REAGENT STRIP 52.00
DISCOGRAPHY, LUMBAR, RAD SUPERV & INT 1,057.00
FLUORO GUIDED CVA DEVICE PLCMNT/REPLCM 788.00
EPIDUROGRAPHY 1,432.00
DRAINAGE OF SKIN ACSCESS 1,432.00
I&D HEMATOMA/SEROMA/FLUID COLLECTION 1,432.00
DBRDMT EXT ECZMA/INFCT SKN UP TO 10% BDY 1,432.00
DEBRIDEMENT SUBQ TISS FIRST 20 SQ CM/< 1,577.00
Debride tissue/muscle 1,852.00
DEBRIDE TISS/MUSC/BONE 20 SQ CM/< 5,403.00
DEBRIDEMENT SUBQ TISS EA ADDTL 20SQ CM 541.00
RMVL SKIN TAG, MLT FIRBROQ UP TO 15 596.00
EXC TR-EXT B9+MARG 0.5<CM 1,432.00
EXC TR-EXT B9+MARG 0.6-1CM 1,432.00
EXC TR-EXT B9+MARG 1.1-2.0CM 1,432.00
EXC TR-EXT B9+MARG 2.1-3CM 1,432.00
EXC TR-EXT B9+MARG 3.1-4CM 8,768.00
EXC TR-EXT B9+MARG >4.0CM 8,768.00
EXC H-F-NK-SP B9+MARG 0.5< 1,432.00
EXC H-F-NK-SP B9+MARG 0.6-1 CM 1,432.00
EXC H-F-NK-SP B9+MARG 1.1-2CM 1,432.00
EXC H-F-NK-SP B9+MARG 2.1-3CM 1,431.00
EXC H-F-NK-SP B9+MARG 3.1-4CM 8,768.00
EXC B9 LESION S/N/H/F/G >4.0CM 11,923.00
EXC B9 LES MRGN F/E/E/N/L/M 0.5CM< 1,432.00
EXC FACE-MM B9+MARG 0..6-1CM 1,432.00
EXC FACE-MM B9+MARG 1.1-2CM 1,432.00
EXC FACE-MM B9+MARG 2.1-3CM 1,553.00
EXC FACE-MM B9+MARG 3.1-4CM 5,403.00
EXC FACE-MM B9+MARG >4CM 11,923.00
EXC HIDRADENITIS AXL SMPL/INT RPR 11,923.00
EXC SKIN SUBQ TISS HIDRADENTIS AXL CMPX 10,669.00
EXC HIDRADENITIS INGUINAL SMP/INT RPR 11,923.00
EXC MALG LES INC MAR/T/A/L EXC 0.5CM < 1,532.00
EXC MALGNANT LSN INC MRG T/A/L 0.6-1.0CM 1,750.00
EXC TR-EXT MLG+MARG 1.1-2CM 1,884.00
EXC TR-EXT MLG+MARG 2.1-3CM 2,037.00
EXC TR-EXT MLG+MARG 3.1-4CM 5,403.00
EXC TR-EXT MLG+MARG >4CM 8,768.00
EXC MALIG LESION S/N/H/F/G 0.5CM/< 1,546.00
EXC MGLNT LESION (S/N/H/F/G) 0.6-1.0CM 1,759.00
EXC H-F-NK-SP MLG+MARG 1.1-2CM 1,917.00
EXC MALGNT LESION S/N/H/F/G 2.1-3.0CM/< 2,105.00
EXC MALIGNANT LESION S/N/H/F/G 3.1-4.0CM 8,768.00
EXC MALIG LESION S/N/H/F/G >4.0CM 10,514.00
EXC FACE-MM MALIG+MARG 0.5CM< 1,603.00
EXC FACE-MM MALIG+MARG 0.6-1 CM 1,811.00
EXC FACE-MM MALIG+MARG 1.1-2CM 1,995.00
EXC FACE-MM MALIG+MARG 2.1-3CM 2,191.00
EXC FAC-MM MALIG+MARG 3.1-4CM 8,768.00
EXC MALIGNANT F/E/E/N/L > 4.0CM 11,923.00
AVULSION NAIL PLATE PART/CMPLT SIMP/SING 659.00
REMOVAL OF NAIL BED 1,553.00
BX NAIL UNIT (SEPARATE PROCEDURE) 885.00
REPAIR OF NAL BED 1,438.00
EXC PILONIDAL CYST/SINUS, SIMPLE 11,923.00
EXC PILONIDAL CYST OR SINUS EXTENSIVE 105,079.00
INJECTION INTO SKIN LESIONS-UP TO 7 627.00
TATTOOING INCL MICROPIGMENTATION 6 CM/< 1,099.00
CORRECT SKIN COLOR DEFECTS 1,439.00
REPLACE TISSUE EXPANDER W/ PERM PROTHES 24,593.00
REMOVE TISSUE EXPANDER(S) WO INS PROTHES 11,923.00
RPR SMPLE 2.5CM /< SCLP NCK TRNK EXT 907.00
RPR SIMPLE 2.6-7.5 CM EXT GEN/TRNK/EXT 1,227.00
REPAIR SUPERFICIAL WOUND(S) 1,432.00
RPR SMPLE FCE EAR ELID NSE LP* 612.00
RPR SMOL F/E/E/N/L/M 5.1CM - 7.5CM 1,461.00
REPAIR INTERMEDIATE 2.5CM OR LESS 1,438.00
LAYER CLOSURE-S/A/T/E 2.6-7.5CM 1,438.00
LAYER CLOSURE-S/A/T/E 7.6-12.5CM 1,438.00
RPR INT SCLP/A/TRNK/EXT 12.6-20.0 CM 2,812.00
REPAIR INTERMED N/H/F/EXT GEN 2.5CM/< 1,438.00
LAYER CLOSURE-N/H/F/X 2.6-7.5CM 1,438.00
RPR INT N/H/F/XTNL GEN 7.6-12.5CM 1,438.00
LAYER CLOSURE-F/E/E/N/L/M 2.5CM< 1,438.00
LAYER CLOSURE-F/E/E/N/L/M 2.6-5CM 1,438.00
LAYER CLOSURE-F/E/E/N/L/M 5.1-7.5CM 1,438.00
LAYER CLOSURE-F/E/E/N/L/M 7.6-12.5CM 1,438.00
RPR CMPLX TRUNK 1.1 - 2.5 CM 2,552.00
REPAIR CMPX TRK 2.6-7.5 CM 2,812.00
REPAIR CMPX TRK EA ADDTL 5CM< 1,387.00
REPAIR CMPX S/A/L 1.1-2.5CM 1,438.00
REPAIR CMPX S/A/L 2.6-7.5CM 2,812.00
REPAIR CMPX S/A/L EA ADDTL 5CM< 1,523.00
REPAIR CMPX F/H/FT/GEN 1.1-2.5CM 1,438.00
REPAIR CMPX F/H/FT/GEN 2.6-7.5CM 2,812.00
RPR CMPLX F/C/C/M/N/G/H/F EA ADDTL 5CM/< 2,812.00
REPAIR CMPLX EYE/NOSE/EAR/LIP 1.1-2.5CM 2,812.00
REPAIR CMPX E/N/E/L 2.6-7.5CM 2,812.00
SKIN TISSUE REARRANGE-S/A/L 10 SQ CM < 9,199.00
SKIN TISS REARNGMNT-SCLP/ARM/LEG 10.1-30 9,199.00
SKIN TISSUE REARRANGE-F/H/FT/GEN 10SQCM< 9,199.00
ADJ TISS TRANS/RGMNT 10.1-30 SQCM FCCMNA 8,061.00
SKIN TISSUE REARRANGE-E/N/E/L 10SQCM< 9,199.00
ADJ TIS TRAN/RRGMT E/N/E/L 10.1-30.0SQCM 7,778.00
SKIN TISSUE REARRANGE-FING/TOE W/ PREPJ 9,199.00
WND PREP CH/INF-TRK/A/L 1ST 100SQCM/1PCT 2,812.00
BILAT WND PREP CH/INF-TRK/A/L 1ST100SCM 5,624.00
WND/SURG PREP F/H/N,ETC 1ST 100 CM/1PCT 2,812.00
SKIN FULL GRFT SCLP/ARM/LEG 20CM< 9,199.00
SKIN FULL GRFT SCLP/ARM/LG EA ADTL20SQCM 1,354.00
SKIN FULL GRFT FACE/ENT/H/F 20CM< 9,199.00
SKIN FULL GRFT N/E/E/L 20 SQ CM < 9,199.00
FRMJ DIRECT/TUBE PEDICLE W/WO TR S/A/L 14,173.00
FRMJ DIR/TUBE PEDCL W/WO OTR FCE/NK/AX/G 9,199.00
FRMJ DRCT/TUBED PEDICLE E/N/E/L/INTRORAL 9,199.00
DELAY/SECTION FLAP F/C/C/N/A/G/H/F 8,202.00
FOREHEAD FLAP W/PRESVN VASCULAR PEDICLE 15,042.00
MUSCLE-SKIN GRAFT, TRUNK 15,042.00
MUSCLE-SKIN GRAFT, ARM 9,199.00
MUSCLE-SKIN GRAFT, LEG 15,042.00
GRAFT; DERMA-FAT-FASCIA 13,890.00
IMPLANT OF BIOL IMPLNT SFT TISS REINFORC 2,444.00
ABRASION TREATMENT OF SKIN-FACE 4,218.00
CERVICOPLASTY 8,061.00
REVISION OF LOWER EYELID 9,199.00
BLEPHAROPLASTY, LWE EYELID HERNTD FATPAD 14,141.00
REVISION OF UPPER EYELID 9,199.00
REVISION OF UPPER EYELID W/ EXCESS SKIN 9,199.00
RHYTIDECTOMY FOREHEAD 7,778.00
REMOVAL OF FACE WRINKLES 15,042.00
REMOVAL OF SKIN WRINKLES 15,042.00
EXCISION SKIN ABD 27,124.00
EXC EXCESS SKIN/SUBQ TISSUE THIGH 10,669.00
EXCISE EXSESS SKIN SUBQ TISS ARM 8,768.00
EXC EXCESS SKIN SUBQ TISS, OTHER AREA 8,768.00
EXCISE EXCESS SKIN ABD ADD-OM 4,357.00
SUCTION ASSISTED LIPECTOMY TRUNK 15,042.00
SUCTION ASST LIPECTOMY UPPER EXTREMITY 8,061.00
SUCTION ASSISTED LIPECTOMY LWR EXTREMITY 15,042.00
EXC SACPRESS ULCER PREPJ MUSC/MY SKN GRA 8,061.00
DESTRUCT PREMALG LESION 1ST 1,432.00
DESTRUCT PREMALG LESION 15+ 1,432.00
DESTRUCT B9 LESIONS UP TO 14 1,432.00
DESTRUCT B9 LESIONS 15+ 1,432.00
DESTRUCT MALG LESION F/E/EL/N/L 0.5CM /< 1,432.00
DESTRCT MAL LESION F/E/E/N/L/M 0.6-1.0CM 1,432.00
DESTRUCT MALG LESION F/E/E/N/L/M 1.1-2.0 1,452.00
DESTRUCT MLGNT LSN F/E/E/N/L/M >4.0CM 1,852.00
REMOVAL BREAST LESION 14,167.00
EXCISION BREAST LESION 14,167.00
EXCISION CHEST WALL TUMOR INC RIBS 14,018.00
MASTECTOMY GYNECOMASTIA 10,307.00
MASTECTOMY, PARTIAL 14,167.00
MASTECTOMY, SIMPLE, COMPLETE 19,692.00
SUSPENSION OF BREAST / MASTOPEXY 19,692.00
BILAT SUSPENSION OF BREAST / MASTOPEXY 39,380.00
REDUCTION OF LARGE BREAST / MAMMAPLASTY 27,124.00
BILAT REDUCTION MAMMAPLASTY 54,252.00
ENLARGE BREAST AUG W/ IMPLANT 48,353.00
BILAT MAMMAPLASTY AUG W/ PROSTH IMPLANT 96,705.00
REMOVAL OF BREAST IMPLANT 19,692.00
REMOVAL OF IMPLANT MATERIAL 19,692.00
BILAT RMVL MAMMARY IMPLANT MATERIAL 39,380.00
IMMEDIATE BREAST PROSTHESIS 27,124.00
BILAT IMMT INS BRST PROSTH FLWG MAST/REC 54,252.00
NIPPLE / AREOLA RECONSTRUCTION 14,167.00
BREAST RECONSTRUCTION W/ TISS EXPANDER 48,353.00
BILAT BREAST RECONSTRUCTION W/ TISS EXP 96,706.00
BREAST RECONSTUCT W/ OTHER TECHNIQUE 19,691.00
OPEN PERIPROSTH CAPSULOTOMY BREAST 19,692.00
BILAT OPEN PERIPROSTH CAPSULOTOMY BREAST 39,380.00
REMOVAL OF BREAST CAPSULE 19,692.00
REVISION OF RECONSTRUCTED BREAST 27,124.00
BX BONE TROCAR/NEEDLE SUPERFICIAL 5,447.00
INJ 1 TENDON SHEATH/LIGAMENT 1,432.00
INJ SINGLE TENDON ORIGIN/INSERTION 1,432.00
INJ TRIGGER POINT, SING/MULTI1/2 MUSCLES 1,432.00
BILAT INJ TRIG PNT SNG/MULTI1/2 MUSCLES 2,863.00
INJ TRIGGER POINT SNGL/MULTI 3 OR MORE 1,432.00
ARTHROCNTS ASPIR/INJ SM JT/BURSA WO GUID 1,432.00
DRAIN / INJECT, INTERM JOINT / BURSA 1,432.00
ARTHRO/ASP/INJ INTERM JNT/BURSA W/ US 421.00
DRAIN / INJ, MAJOR JOINT / BURSA 1,432.00
BILAT DRAIN/INJ MAJOR JOINT/BURSA 2,863.00
ARTHRO/ASP/INJ MAJOR JNT/BURSA W/ US 478.00
REMOVAL IMPLANT, SUPERFICIAL SEP PROC 8,768.00
REMOVAL SUPPORT IMPLANT, DEEP 11,923.00
TISSUE GRAFTS OTHER (EG. PARATN,FAT,DERM 14,173.00
EXC TUMOR SOFT TISS FCE/SCLP SUBQ <2CM 2,741.00
EXC TUMOR SOFT TISS FCE/SCLP SUBQ 2CM> 5,403.00
EXC TUMOR SOFT TISS FCE/SCLP SUBFAS <2CM 3,616.00
EXC TUMOR SOFT TISS FCE/SCLP SUBFAC 2CM> 5,403.00
RAD RSECTN SOFT TUMOR FCE/SCLP <2CM 8,768.00
RAD RSECTN TUMOR SOFT TISS FCE/SCLP 2CM> 11,923.00
CONTOUR FAC BONE LESION B9 12,718.00
EXC B9 TUMOR/CYST MAX/ZYGOMA ENCL CURTG 3,953.00
CLSD TX NASAL FX W/ STABILIZATION 8,280.00
OPEN TX NASAL FX COMP W/INT/XTNL SKEL FI 12,718.00
OPEN TX NASAL FX W/CONCOM OPTX FXD SEPTM 12,718.00
CLOSED TX NASAL SEPTAL FX W/WO STABILZ 8,280.00
OPEN TX DEPRESSED ZYGOMATIC ARCH FX 21,505.00
OPEN TX COMP FX MALAR W/INT FXMULT SURG 13,020.00
OPN TX ORB FLR BLWT FX PRI/BITAL W/ALPLS 24,377.00
OPEN TX PALATAL/MAXILLARY FX 7,865.00
CLSD TX MANDIBULAR FX W/INTERDENTAL FIX 24,377.00
OPEN TX MANDIBULAR FX W/ INTERDENTAL FIX 24,377.00
OPEN TX COMP MANDIBULAR FX MLT APPR W/IN 14,167.00
EXC TUMOR SFT TISS NECK SUBQ 3CM> 11,923.00
EXC TUMOR SFT TISS NECK SUBFASC 5CM> 11,923.00
EXC TUMOR SFT TISS NECK/CHEST SUBQ <3CM 8,768.00
EXC TUMOR SFT TISS NECK/THOR SUBFAS <5CM 11,923.00
RAD RESECT TUMOR OFT TISS NECK/THOR <5CM 8,768.00
RAD RESECT TUMOR SFT TISS NECK/THOR 5CM> 11,923.00
BX, SFT TISS BACK/FLANK; SUPERFICIAL 2,084.00
EXC TUMOR SFT TISS BACK/FLANK SUBQ <3CM 8,768.00
EXC TUMOR SFT TISS BACK/FLANK SUBQ 3CM> 11,923.00
EXC TUMOR SFT TISS BACK/FLNK SUBFAS <5CM 8,768.00
EXC TUMOR SFT TISS BACK/FLNK SUBF 5CM> 11,923.00
RAD RESECT TUMOR SFT TISS BACK/FLNK <5CM 8,768.00
RAD RESECT TUMOR SFT TISS BACK/FLNK 5CM> 11,923.00
EXC TMR SOFT TISS ABD WALL SUBQ <3CM 8,768.00
EXC TUMOR SFT TISS ABD WALL SUBQ 3CM> 11,923.00
RAD RSCTN TMR SFT TISS ABD WALL <5CM 10,776.00
EXC TUMOR SFT TISS SHOULDER SUBQ 3CM> 11,923.00
EXC TUMOR SFT TISS SHOULDER SUBFAS 5CM> 11,923.00
EXC TUMOR SFT TISS SHOULDER SUBQ <3CM 8,768.00
EXC TMR SFT TISS SHOULDER SUBFASC < 5CM 8,768.00
RAD RESECT TUMOR SFT TISS SHOULDER <5CM 8,768.00
RAD RESECT TUMOR SFT TISS SHOULDER 5CM/> 10,776.00
ARTHROTOMY ACROMCLVR JNT INC BX/EXC 12,251.00
EXC/CURTG BONE CYST/ B9 TUMR CLAV/SCAP 12,734.00
RECONSTUCT ROTATOR CUFF AVULSION CHRONIC 24,593.00
MAN W/ANES SHOULDER JNT W/ FIX APPARATUS 7,520.00
EXC TUMOR SFT TISS UPPRARM/ELB SUBQ 3CM> 11,923.00
EXC TMR SFT TISS UPP A/E SUBF 5CM/> 11,923.00
EXC TUMOR SFT TISS UPP ARM/ELB SUBQ <3CM 8,768.00
RAD RSECT TUMOR SFT TISS UPP ARM/EL <5CM 8,768.00
RAD RSECT TUMOR SFT TISS UPP ARM/EL 5CM> 11,923.00
EXCISION OLECRANON BURSA 12,847.00
EXC/CURTG BONE/CYST/B9 TMR H/N/RDS/OLECR 12,734.00
REPAIR ELBOW LAT/MED W/ DEBRIDE OPEN 17,007.00
EXC TMR SFT TISS FOREARM/WRIST SUBQ 3CM> 5,447.00
EXC TMR/SFT TISS 4ARM/WRIST SUBFAS 3CM/> 11,923.00
EXC TUMOR SFT TISS FORARM/WRST SUBQ <3CM 8,768.00
RAD RESCT TUMOR SFT TISS FORARM/WST <3CM 8,768.00
RAD RESCJ TUMOR SFT TISS 4ARM/WRST 3CM/> 11,923.00
EXC GANGLION, WRIST (DORSAL/VOLAR) PRIM 10,854.00
INCISE FINGER TENDON SHEATH 8,030.00
ARTHROTOMY IPHAL JNT EXP DRG/RMVL/FB 6,872.00
EXC TMR/VSC MLF SFT TISS H/F SUBQ 1.5CM> 5,450.00
EXC TMR/VASC MAL SFTTIS H/F 1.5CM/> 5,447.00
EXC TMR/VASC MAL SFTTISS H/F SUBQ <1.5CM 8,768.00
RAD RESECT TUMOR SFT TISS HAND/FIN <3CM 8,768.00
RAD RESCJ TUMR SFT TISS HAND/FING 3CM/> 11,923.00
FASCIECTOMY PRTL 1DGT W/WO RPR 12,847.00
EXC LESN TNDN SHEATH/JNT CAPS, H/F 8,030.00
EXC/BUTT BONE CYST/B9 TUMOR PHLNX/FINGER 7,405.00
RAD RSCTN TMR, PROX/MDL PHALNX FINGER 8,030.00
RELEASE TENDON PALM/FIN EA TENDON 8,030.00
ARTHROPLASTY, INTERPHAL JNT, EACH 21,987.00
Reconstruct extra finger 11,325.00
OPEN TX CARPOMETACARPAL FX DISLOCATE 27,636.00
OPEN TX DSTL PHLGNGL FX EACH 13,351.00
ARTHODESIS INTERPHAL JT W/WO INT FIXJ 14,445.00
ARTHRODESIS EA ADDTL INTERPHAL JT W/WO 14,445.00
AMPTUTE F/TH PRIM/SEC JNT/PHALANX SINGLE 12,847.00
EXC TMR SFT TISS PLVS/HIP SUBQ 3CM/> 10,776.00
EXC TUMOR SFT TISS PELVIS/HIP SUBQ <3CM 8,768.00
RMV HIP/PELVIS LESION <5CM 8,768.00
RAD RSECT TMR SFT TISS PELVIS/HIP <5CM 10,776.00
RAD RSECT TMR SFT TISS PELVIS/HIP 5CM> 10,514.00
INJ FOR HIP ARTHROGRAPHY W/ ANESTHESIA 979.00
INJ PRO SAC JNT,ARTHRO AND/OR ANESTH/SRD 4,393.00
BILAT INJ SI JNT ARTHGPY/ANES/STRIOD IMG 8,786.00
SI FUSION-ARTHRODESIS SACJNT PCUT GUIDE 140,679.00
REMOVAL THIGH/KNEE LESION < 3 cm 11,923.00
RAD RESCTN TMR, SFT TISS THIGH/KNEE <5CM 8,768.00
ARTHRTMY EXC SEMILNR CRTLG KNEE MED/LAT 17,007.00
ARTHRT W/EXC SEMILUNR CRTLG KNEE MED&LAT 17,007.00
EXC TMR SFT TISS THIGH/KNEE SUBQ 3CM/> 10,669.00
EXC TMR SFT TISS THIGH/KNEE SUBFAS 5CM/> 10,514.00
RAD RSCTN TMR/SFT TISS THIGH/KNEE 5CM/> 10,669.00
ARTHROTOMY W/ MENISCUS RPR KNEE 17,007.00
RPR PRIM TORN LIGA/CAP KNEE CRUC 41,323.00
ARTHRO PST CAP RLS, ANKLE W/WO ACHL LNGT 17,007.00
RAD RSCTN TUMOR SFT TISS LEG/ANK <5CM 8,768.00
RAD RESCJ TMR SFT TISS LEG/ANKLE 5CM/> 10,776.00
EXC TUMOR SFT TISS LEG/ANK SUBQ <3CM 5,447.00
EXPLORE/TREAT ANKLE JOINT 17,007.00
EXC TMR/SFT TISS LEG/ANK SUBQ 3CM/> 11,923.00
EXC TMR SFT TISS LEG/ANKLE, SUBFSCL 5CM/ 11,923.00
RPR 2NDRY ACHILES TENDON W/WO GRAFT 24,593.00
RPR FLEX TENDON LEG, PRIM WO GRAFT, EACH 10,854.00
RPR DISLOC PERONEAL TNDNWO FIB OSTEOTOMY 10,854.00
LNGTH/SHRT TENDON LEG/ANK 1 TENDON SPX 17,007.00
REVISION OF CALF TENDON 17,007.00
TR/TRNSPL 1 TNDN W/MUSC REDIR/RERT SUPFC 24,593.00
TR/TRNSPL TENDON W/ MUSC REDIR/REROUT DP 24,593.00
REPAIR OF ANKLE LIGAMENTS 17,007.00
REMOVAL OF ANKLE IMPLANT 12,847.00
OPEN TX DISTAL FIB FX LAT MALLEOLUS 27,680.00
Treatment of ankle fracture 27,636.00
ORIF FX DISTAL TIBIA FIBULA 27,636.00
ORIF FX TIBIA ONLY 49,349.00
ORIF FX TIBIA & FIBULA 49,349.00
FASCIOTOMY, FOOT AND/OR TOE 11,396.00
EXC TUMOR SFT TISS FOOT/TOE SUBQ 1.5CM/> 11,923.00
EXC TUMOR SFT TISS FT/TOE SUBQ <1.5CM 8,768.00
Excision of foot lesion 8,768.00
RAD RSCTN TUMOR SFT TISS FT/TOE <3CM 8,768.00
NEURECTOMY INTRINSIC MUSCULATURE OF FOOT 9,045.00
FASCIECTOMY PLANTAR FASCIA PARTIAL SPX 12,734.00
EXCISION INTERDIGITAL NEUROMA SINGLE 11,396.00
REMOVAL OF FOOT LESION 11,396.00
EXC/CURETTGE CYST / TMR TLUS/CALCANEUS 11,396.00
OSTECTOMY PRTL METATARSAL 11,396.00
OSTECTOMY CMPLT OTHER META 2/3/4 11,396.00
PART REMOVAL OF METATARSAL 11,396.00
OSTC CMPLT ALL METAR HEADS PRTL PROX PH 12,847.00
OSTECTOMY CALCANEUS 11,396.00
PARTIAL EXC BONE TALUS/CALCANEUS 11,396.00
PRT EXC TARSAL/META BONE XCP TALUS/CALC 11,396.00
RSCTN PART/CMPLT PHALANGEAL BASE EACH 12,734.00
Partial removal of toe 11,396.00
RMVL FOREIGN BODY, FOOT, SUBQ, DEEP 8,768.00
RMVL FOREIGN BODY FOOT COMPLICATED 5,447.00
TENOLYSIS EXTENSOR FOOT SNGL TENDON 12,847.00
TENOTOMY OPEN TENDON FLEX FT SNGL/MULTI 3,368.00
TENOTOMY OPN TNDN FLEX, TOE SNGLE TNDN 3,151.00
RECON ADV PST TIB TND W/ EXC TRSLNAVCLR 27,316.00
RELEASE OF FOOT CONTRACTURE 11,396.00
SYNDACTYLIZATION TOES 11,396.00
CORRECTION HAMMERTOE 11,396.00
OSTECTOMY PRTL EXOSTC/CONDYLC METAR HEAD 11,396.00
RPR HALLUX RIGIDUS CORR W/ CHEL 1ST MP J 11,396.00
HALLUX RIG COR W/ CHEIL 1ST ME WO IMP 37,321.00
CORR HALLUX VALGUS W/SESAMDTCMY RESCTN 12,734.00
OCRR HALL VAL W/SES W/PROX OSTE ANY 17,169.00
CORRECTION OF BUNION W/WO SESMDC 17,492.00
CORR BUNION W/WO SESMDC PROX MET OST ANY 17,492.00
CORR HALL VAL W/SESM W/ PROX PHALX ANY 17,492.00
CORR HALL VAL W/ SES 2 OSTEO ANY 17,492.00
OSTEOTOMY CALCANEUS W/WO INT FIXATION 34,109.00
OSTEOTOMY W/WO LNGTH/SHRT/CORRJ 1ST META 11,396.00
OSTEOT W/WO LNGTH INCISION OF METATARSAL 11,396.00
OSTEOTOMY SHRT CORRJ PROX PHALNX 1ST TOE 12,734.00
REMOVAL OF SESAMOID BONE 11,396.00
OPEN TX TARSAL FX W INT FIXATION 27,636.00
PRQ SKEL FIXJ METAR FX W/MANJ 13,351.00
OPEN TX METATARSAL FX EACH 27,636.00
OPN TX SESAMOID FX W/WO INT FIX 13,351.00
OPEN TX METATARSOPHALANGEAL JNT DISLOC 13,351.00
OPEN TX INTERPHAL JNT DISLOC, INC INT FI 13,351.00
ARTHRODESIS, SUBTALAR 34,109.00
ARTHRODESIS MIDT/TRANS MULTI/TRANSV 50,694.00
ARTHRODESIS BIG TOE JOINT 34,109.00
ARTHRODESIS GREAT TO INTERPHALANGEAL JNT 11,396.00
AMPUTATION, METATRSL W/TOE, SINGLE 11,396.00
AMPUTATION TOE METATARSOPHALG JOINT 11,396.00
PARTIAL AMPUTATION OF TOE 11,396.00
UNLISTED PROCEDURE, FOOT OR TOES 8,202.00
Application lower leg splint 1,432.00
ARTHO KNEE SYNO,LMT,PLICA OR SHLF RESCT 14,063.00
ARTHRSCPY KNEE ABRSN MULTI DRILL/MICROFX 14,063.00
ARTHROSCOPY KNEE SURGERY 14,063.00
ARTHRSCPY KNEE SURG W/ MINIS MED/LAT W/S 14,063.00
ENDOSCOPIC PLANTAR FASCIOTOMY 11,396.00
EXC/SURG PLANING SKIN NOSE RHINOPHYMA 9,444.00
Excise inferior turbinate 12,718.00
RESECT INFERIOR TURBINATE PRTL/COMPL 12,718.00
RHINECTOMY PARTIAL 24,377.00
RHINOPLASTY PRIM COMPLETE XTRNAL PARTS 21,295.00
REPAIR NASAL SEPTUM W/WO CARTILAGE GRFT 12,718.00
NASAL ENDOSCOPY, DX 24,377.00
NASAL ENDOSCOPY DX UNI/BI SPX 1,432.00
Nasal/sinus endoscopy, surg W/BX PLYPECT 8,232.00
REVISION OF ETHMOID SINUS 13,140.00
REMOVAL OF ETHMOID SINUS 20,070.00
Exploration maxillary sinus 13,140.00
ENDOSCOPY, MAXILLARY SINUS W/RMVL TISS 13,140.00
Nasal/sinus endoscopy, surg W/ SPHENOIDE 20,070.00
NASAL/SINUS ENDOSCOPY RMVL TISS 20,070.00
NASAL/SINUS NDSC SURG W/DILAT MAXI SINUS 20,070.00
NASAL ENDOSCOPY W/DILATION FRONTAL SINUS 20,070.00
LARYNGOSCOPY EXC TUM/STRIPCORDS/EPEI 13,140.00
LAYRNSCOPE W/ TUMR EXC + COPE 13,140.00
SURGICAL CLX TRACH/FIST WO PLASTIC RPR 12,718.00
ENDOVENOUS RF 1ST VEIN 13,327.00
ENDOVENOUS RF, VEIN ADD-ON 6,494.00
INSJ TUNNELED CTR VAD W/SUBQ PORT 5YR/> 14,616.00
VASCULAR EMBOL/OCCLUS VENOUS RS&I 43,777.00
BIOPSY/REMVL, LYMPH NODES 15,324.00
INGUINOFEM LMPHADEC SUPFC W/CLOQUETS SPX 20,412.00
EXC LIP, FULL THICK RECONST W LOCAL FLAP 9,444.00
EXC LIP,FULL THICK RCNSTJ W/ CROSS FLAP 21,212.00
EXC LESION MUCOSA/SUBM MOUTH CMPLX MUSC 9,557.00
BX TONGUE ANTERIOR TWO-THIRDS 1,432.00
RMVL EMBED FB DENTALVLR STR SFT TISS 2,091.00
DENTAL RESTORATION 1,550.00
EXC SUBLINGUAL SALIVARY CYST (RANULA) 9,826.00
EXC PRTD TMR/GLAND LAT LOBE WO NRVE DSJ 21,295.00
EXC LAT LOBE W/ DISCTN & PRESRV FACL NRV 24,377.00
EXC SUMBANDIBULAR (SUBMAX) GLAND 21,295.00
REMOVE TONSILS AND ADENOIDS 12,718.00
TONSILLECTOMY 1/2 AGE 12/> 12,718.00
ADENOIDECTOMY PRMARY < AGE 12 24,377.00
ESOPHAGOSCOPY RIG TANS W/ BX SNGL/MULTI 6,298.00
ESOPHAGOSCOPY RIG TRORAL GUIDE WIRE DILT 12,166.00
ESOPHAGOSCOPY FLEX TRNSANAL BX SNG/MULTI 1,331.00
ESOPHAGOSCOPY FLEX TNSORAL W/ BIOPSY 1+ 6,265.00
ESOPHAGOSCOPY FLEX GUIDE WIRE DILATION 6,298.00
UPPER GI ENDOSCOPY DX W/WO COL SPECI 4,874.00
EGD US GUIDED INTRA/TRANS W/ASP/BIOP 6,960.00
UPPER GI ENDOSCOPY BX SING/MULTI 4,874.00
UPPER GI ENDOSCPY/LIGATION 6,960.00
Uppr gi scope dilate strictr 6,960.00
UPPER GI NDSC W/ FOREIGH BODY REMOVAL 4,874.00
UPPER GI ENDOSCOPY/GUIDE WIRE 4,874.00
ESOPH ENDOSCOPY DILATION 6,960.00
UPPER GI ENDOSCOPY RMV TUMOR LES SNARETQ 6,960.00
EGD FLEX TRANSORAL, CONTROL BLEED ANY 6,055.00
EGD W/ ABL TMR, PLYP, OTHER 6,960.00
DILATION ESOPHAGUS GUIDE WIRE 6,960.00
CLOSURE GASTROSTOMY SURGICAL 12,517.00
COLONSCOPY STOMA DX W/WO COLLJ SPEC SPX 5,161.00
COLONOSCOPY STOMA W/ BX SINGL/MULTI 5,161.00
COLONOSCOPY W/ REMOVAL FOREIGN BODY 5,161.00
COLONSCOPY THROUGH STOMA CNTRL BLEEDING 4,897.00
COLONSCOPY THRU STOMA W/ RMVL BY SNARE 4,920.00
COLONSCOPY THRU STOMA W/ ABLATION LESION 4,897.00
SIGMOIDOSCOPY FLEX DX W/WO COL SPECI 1,432.00
SIGMOIDOSCOPY FLX W/BIOPSY SINGL/MULTI 3,227.00
SIGMOIDOSCOPY FLX CONTRAL BLEEDING 5,408.00
SIGMOIDOSCOPY FLX,RML TUM,PLP,LES SNARE 5,408.00
SIGMOIDSCOPY W/ ABL TMR,PLYP, LES 5,408.00
COLONOSCOPY FLX DX W/WO COLLJ SPECIMENS 5,161.00
COLONSCIPY W/ BX SINGL/MULTI 5,161.00
COLONSCOPY W DIRECTED SUBMUCOSAL INJ 5,161.00
COLONOSCOPY FLEX W/ RMVL TMR, POLYP/OTHE 4,955.00
COLSC LESION REMOVAL 5,161.00
COLONOSCOPY, FLEX W ABLATION OF TUMORS 5,161.00
LASER SURGERY, ANAL LESIONS 12,689.00
DESTRUCTION INTERNAL HEMORRHOIDS 1,743.00
LAP SURG CHOLECYSTECTOMY 24,701.00
MECH RMVL OBSTRUCTIVE MAT FROM GI TUBE 3,190.00
RPR RECURR INGNL HERNIA,ANYAGE,REDUCBLE 13,377.00
RPR INIT INCS OR VENTRAL HERNIA, REDUC 17,486.00
RPR UMBILICAL HERNIA 5YR> REDUCIBLE 17,486.00
LAPRO RPR HERNIA EXC INCAL/REDUCIBLE 21,300.00
LAP RPR HRNIA INC MESH,NCRC8/STANGULATED 35,810.00
CIRCUMCISION AGE >28 DAYS 8,277.00
INJECT EPDURAL PATCH BLOOD/CLOT 4,393.00
INJ PROCEDURE FOR MYELOGRAPHY/CT LUMBAR 995.00
INJ PX DISCOGRAPHY, EA LEVEL, LUMBAR 2,047.00
LUMBAR INTRADISCAL INJECTION 7,884.00
MYELOGRAPHY LMBR INJ INC RX SUPER/INTPRE 1,373.00
INJ DX/THER SUBS CERV/THOR W/O IMG GUIDE 4,393.00
INJ DX/THER SUBS CERV/THOR W/ IMG GUIDE 5,018.00
INJ DX/THER SUB LUMB/SAC W/O IMG GUIDE 4,393.00
INJ DX/THER SUBS LUMB/SAC W/ IMG GUIDE 5,018.00
INJ W/CATH DX/SUBS CERV/THOR W/O IMAGING 4,393.00
INJ W/CATH DX/SUBS CERV/THOR W/ IMAGING 5,018.00
INJ W/CATH DX/SUBS LUMB/SAC W/O IMAGING 4,393.00
INJ W/CATH DX/SUBS LUMB/SAC W/ IMAGING 5,018.00
RMVL PREV IMPLANT ITHCL/EPI CATH 9,609.00
RMVL SUBQ RSVR/PUMP ITHCL/EPI INFUSION 19,264.00
RMVL SPINAL LAMINA 26,882.00
LAMNOTMY W/ DCMPRSN NERVE ROOT 27,680.00
LAM FACETECTMY FORAMOTMY 1 SEG THORACIC 14,346.00
IMPLANT NEUROELECTODES ARRAY EPIDURAL 45,752.00
LAMI IMP NSTIM ELECTRDS PLATE/PADLE EDRL 189,038.00
REMOVE SPINAL NEUROSTIM ELECTRODE 13,913.00
REV/RPLC SPINL NEUROSTIM ELEC PERC, FLUR 45,752.00
INSJ/RPLCMT SPNL NSTIM DIR/INDUXVE COUPL 248,088.00
REV/RMVL IMPLANTED SPINAL NSTIM 13,913.00
INJ NRV BLOCK, OCCIPITAL 1,432.00
BILAT INJ NRV BLOCK, OCCIPITAL 2,862.00
INJ ANESTHETIC AGENT CERVICAL PLEXUS 1,267.00
N BLOCK INJ, SUPRASCAPULAR 2,436.00
INJ SUPRASCAPULAR NERVE BLOCK 766.00
N block inj, intercostal nerve, single 2,436.00
NERVE BLCK INJ, INTERCOST, MULTI 4,393.00
NERVE BLCK INJ, ILIO-ING/HYPOGI 1,432.00
INJ PUDENDAL NERVE BLOCK 3,515.00
INJ ANESTH AGT SCIATIC NERVE SINGLE 828.00
INJ ANESTHETIC AGNT FEMORAL NRV SINGLE 660.00
INJ NERVE BLOCK OTHER PERIPHERAL 1,432.00
BILAT INJ NERVE BLOCK OTHER PERIPHERAL 2,863.00
INJ TFRML EDRL CRV/THRC SNGL LVL 4,393.00
BILAT INJ TFRML EDRL CRV/THRC SNGL LVL 8,786.00
INJ TFRML EDRL CRV/THRC EA LVL 4,393.00
BILAT INJ TFRML EDRL CRV/THRC EA ADTL 8,786.00
INJ FORAMEN EPID LMBR/SAC 1 LEVEL 4,393.00
BILAT INJ TFRML EPI LMBR/SAC 1 LVL 8,786.00
INJ FORAMEN EPIDURAL ADD-ON EACH LEVEL 4,393.00
BILAT INJ TFRML EPI LMBR/SAC EA ADTL LVL 8,786.00
INJ PVRT FCT JT CERV/THOR 1 LEV DX/THER 4,393.00
BILAT INJ PVRT FCT JT CRV/THRC 1ST LVL 8,786.00
INJ PVRT FCT JT CERV/THRC 2ND LEV, DX/TH 4,393.00
BILAT INJ PVRT FCT JT CRV/THRC 2ND LVL 8,786.00
INJ PVRT FCT JT CRV/THRC 3+ LEVEL DX/THR 4,393.00
BILAT INJ PVRT FCT JT CRV/THRC 3RD + LVL 8,786.00
INJ PARAV FACET JT LUMBAR SING LEVEL 4,393.00
BILAT INJ PVRT FCT JT LMBR/SAC 1ST LVL 8,786.00
INJ PVRT FACET JT LMB/SAC 2ND LEV DX/THE 4,393.00
BILAT INJ PVRT FCT JT LMBR/SAC 2ND LVL 8,786.00
INJ PVRT FCT JT LMBR/SAC 3+ LEV DX/THER 4,393.00
BILAT INJ PVRT FCT JT LMBR/SAC 3RD + LVL 8,786.00
N BLOCK SPENOPALATINE GANGL 1,432.00
NERVE BLCK INJ STELLATE GANGLION 4,393.00
INJ ANES SUPERIOR HYPOGASTRIC PLEXUS 4,393.00
INJ,ANESTH AGNT, LMBR/THOR (PARVERT SYMP 4,393.00
BIILAT INJANSTH AGNT LMBR/THR PVRT SYMPT 8,786.00
INJ ANES CELIAC PLEXUS W/WO RAD MONITOR 4,393.00
CHEMODENERVATON NECK MSCL, EXC MSCLS OF 1,432.00
INJECTION TREATMENT OF NERVE 9,609.00
DSTRJ NEUROLYTIC AGENT PUDENDAL NERVE 3,515.00
DSTR NROLYTC AGNT PARVERT FCT JT SING 9,609.00
BILAT DSTR NROLYTC AGNT PARVERT FCT JT 1 19,217.00
DSTR NROLYTC AGNT PRVRTB FCT CRV/THOR EA 9,609.00
BILAT DSTR NROLYTC AGNT PRVRTB FCT CRV/T 19,217.00
DSTR NROLYTC AGT PRVT FCT LMBR/SAC SINGL 9,609.00
BILAT DSTR NROLYTC AGT PRVT FCT L/S SNGL 19,217.00
DSTR NROLYTC AGNT PARVR FCT LMBR/SAC EA 9,609.00
BILAT DSTR NROLYTC AGNT PARVR FCT L/S EA 19,217.00
DESTRJ NEURO AGNT OTHER PERIPH NERVE 907.00
CHEMODENERV ECCRINE GLANDS BOTH AXILL 1,432.00
NEUROPLASTY DIGITAL 1/BOTH, SAME DIGIT 9,045.00
NEUROPLASTY ULNAR NERVE ELBOW 9,045.00
NEUROPLASTY MEDIAN NRV CARPAL TUNNEL 9,045.00
INTERNAL NEUROLYSIS, REQ OPER MICROSCOPE 3,345.00
UNLISTED PROCEDURE, NERVOUS SYSTEM 4,385.00
Excision of chalazion; single 1,432.00
EXC CHALAZION ANES REQ HOSP SINGLE/MULTI 8,115.00
REMOVE EYELID LESION 2,354.00
REPAIR BROW PTOSIS (SPACL,MIDFH, CORNAL 7,880.00
RPR ECTROPION, EXC TARSAL WEDGE 10,031.00
CANTHOPLASTY 10,031.00
EXCISION/RPR EYELID - UP TO 1/4 LID MARG 10,031.00
EXC/RPR EYELID 1/4TH LID MARGIN 10,031.00
DRAINAGE EXT EAR ABCSS OR HEMATOMA CMPLX 1,288.00
EXC EXT EAR PARTIAL SIMPLE REPAIR 8,768.00
EXC SFT TISS LES, EXT AUDITORY CANAL 10,776.00
RAD RSEC EXT AUDIT CANAL LES WO NECK DSJ 21,212.00
MYRNGOTMY INC ASP/EUSTCHN TUBE NFLT ANES 8,280.00
TYMPANOSTOMY GEN ANESTH 8,280.00
MICROSURG TECHNQ REQ OPER MICROSCOPE 2,506.00
MYELOGRAPHY LUMBROSAC RSI 3,155.00
MYELOGRAPHY 2+ REGIONS RSI 2,761.00
FLUOROSCOPY SPX UP TO 1HR PHYS/QHP TIME 626.00
NEEDLE LOCALIZATION BY XRAY 1,032.00
FLURO NEED/CATH SPINE/PARASPINAL DX/THER 960.00
NDL EMG 2 XTR W/WO RLTD PARASPNL AREAS 1,958.00
MOTOR EP MONITORING LWR LIMBS 2,916.00
SHORT LATENCY SSEP UPPR/LOW LIMB 3,806.00
1 ON 1 MONITOR OR W/ATTEND EA 15 MIN 383.00
ELEC ALYS IMPL NSTIM PULSE GEN 1ST HR 487.00
COLORECTAL CANCER SCREENING; FLEX SIG 1,392.00
COLOREC CANCER SCR; COLONSCPY HIGH RISK 4,282.00
COLOREC CANCER SCRN, CONSCPY NOT HI-RISK 4,282.00
INJ SAC JNT ANESTH STEROID/TX 4,393.00
BILAT INJ SAC JNT ANESTH STEROID/TX 8,785.00
PT DOC NO EVENTS ON DISCHARGE 0.01
PT BURN REC'D PRIOR TO DSCHG-DOCUMENTED 0.01
PT BURN-NONE DOCUMENTED PRIOR TO DSCHG 0.01
PT DOCU TO HAVE EXPER FALL IN ASC 0.01
PT DOCU NO FALL IN ASC 0.01
PT DOC TO HAVE EXPERD WRONG SITE/SIDE/PT 0.01
PT DOC NO WRONG SITE/SIDE/PT 0.01
PT EXPER HOSP TRANS/ADM POST ASC DSCHG 0.01
PT NO HOSP TRANS/ADM POST ASC DSCHG 0.01
PT W PREOP ORD IV ANTIB SSI INIT ON TIME 0.01
PT W PREOP ORD IV ANTB SSI NOT ON TIME 0.01
PT W.O PREOP ORDER IV AB PROP 0.01
DRUG TEST(S) PRESUMPTIVE ANY NUMBER 723.00
Drug test def 1-7 classes 955.00
Drug test def 8-14 classes 1,468.00
Drug test def 15-21 classes 1,980.00
Drug test def 22+ classes 2,567.00
Drug test def any number of classes 2,004.00
OV/OP VISIT NP L-1 130.00
OV/OP VISIT NP L-2 184.00
OV/OP VISIT NP L-3 267.00
OV/OP VISIT NP L-4 367.00
OV/OP VISIT NP L-5 467.00
OV/OP VISIT EST PT L-2 116.00
OV/OP VISIT EST PT L-3 163.00
OV/OP VISIT EST PT L-4 243.00
OV/OP VISIT EST PT L-5 354.00
DEBRIDE TISS/MUSC/BONE 20 SQ CM/<-PROFEE 948.00
PARING/CURETTEMENT B9 LESION 1-PROF 269.00
PAR/CUTT B9 LESION 2-4 PROF 313.00
SKIN SUBGRAFT F/H/H/F <100 SQCM-1ST 25CM 437.00
SKIN SUBGRFT F/H/H/F<100 SCM-EA ADD 25CM 115.00
BX BONE OPEN SUPERFICIAL PROF 492.00
TENOTOMY PERCUTANEOUS TOE SNG TEN PROF 372.00
STRAPPING OF ANKLE AND/OR FOOT 83.00
STRAPPING UNNA BOOT 85.00
OV/OP VISIT EST PT L-3 127.00
TRIM NAIL(S) DYSTROPHIC, ANY NUMBER PROF 74.00
ARTHRO/ASP/INJ MAJOR JNT/BURSA W/ US 398.00
FINE NEEDLE ASPIRATION BX W/ US 1ST LES 461.00
FINE NEEDLE ASPIRATION BX W/ US EA ADDTL 183.00
PLACEMENT OF BREAST LOCAL DEV US GUIDE 594.00
US ECHO THYROID 710.00
US ECHO CHEST 469.00
US BREAST REALTIME W/IMG DOC 469.00
US ECHO ABDOMEN COMPLETE 710.00
US ECHO ABDOMEN LIMITED 710.00
US ECHO AORTA/AB/RENAL COMPLETE 710.00
US AORTA/RETROPERITONEAL LIMITED 710.00
US SPINAL CANAL & CONTENTS 710.00
US OB US <14 WKS SINGLE FETUS 710.00
US OB US <14 WKS ADDL FETUS 469.00
US ECHO OB COMPLETE 710.00
US OB US >/=14 WKS ADDL FETUS 710.00
US OB US DETAILED SNGL FETUS 1,125.00
US OB US DETAILED ADDL FETUS 469.00
US ECHO OB LIMITED 469.00
US FOLLOW UP/REPEAT 469.00
US US TRANSVAGINAL OB 469.00
US FETAL BIOPHYSICAL PROFILE 469.00
US ECHO TRANSVAGINAL 710.00
US ECHO PELVIC COMPLETE 710.00
US EXAM PELVIC LIMITED 710.00
US ECHO SCROTUM AND CONTENTS 710.00
US COMPLETE JOINT REAL TIME W/ IMAGE DOC 710.00
US COMPLETE JOINT REAL TIME W/ IMAGE DOC 710.00
US COMPLETE JOINT/OTHER NON VAS EXTREMIT 469.00
US INFT HIPS R-T IMG LMTD STATIC PHYS/QH 469.00
US GUIDE VASCULAR ACCESS 342.00
US ECHO GUIDE FOR BIOPSY 1,382.00
US ELASTOGRAPHY 317.00
US ELASTOGRAPHY 1ST TARGET LESION 284.00
US ELASTOGRAPHY EA ADDTL TARGET LESION 176.00
US BX BREAST PERCUT W/DEVICE 1,447.00
DRAINAGE BREAST LESION 286.00
US ABDMNL PARACNTSS W/IMG GUIDE 469.00
TRANSTHORAIC ECHO W/DOPPLER 1,125.00
US ECHOCARDIOGRAM 1,125.00
US ECHOCARDIOGRAM F/U 469.00
US ECHOCARDIOGRAM DOPPLER 658.00
US ECHOCARDIOGRAM DOPPLER F/U 526.00
US ECHO DOPPLER COLOR FLOW MAP 658.00
US ECHO STRESS 658.00
US CAROTID/VERTEBRAL DUPLEX SCAN 1,125.00
EXTREMITY STUDY LIMITED BILAT 658.00
EXTREMITY STUDY COMPLETE BILAT 1,125.00
US ARTERIES DUPLEX SCAN LOWR EXT 1,125.00
LOWER EXTREMITY STUDY 658.00
US ARTERIAL SCAN UPPER EXT 1,125.00
US VENOUS LOWER EXTREMITY 658.00
US VENOUS DOPPLER - BILATERAL 1,125.00
US VENOUS DUPLEX UNILATERAL 710.00
US VASCULAR STUDY 1,158.00
US DUPLEX SCAN OF ART/VENOUS LTD STUDY 808.00