Welcome to Riceland Healthcare

Patient Pricing

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, 2019

Please be patient while downloading

CHARGE CODE DESCRIPTION
STD PRICE
ROOM BOARD/PVT 1,184.00
ROOM BOARD/SEMI 1,109.00
ROOM BOARD/ISOLATION 1,627.00
ROOM BOARD/ISOLATION W/MONITOR 1,922.00
ROOM BOARD/PVT W/MONITOR 1,441.00
ROOM BOARD/SEMI W/MONITOR 1,441.00
INFUSION THRPY EA ADDNTL HR 172.00
IV INFUSION THERAPY 1ST HR 327.00
IV INFUSION THERAPY PER HR 109.00
IV PUSH ADDITIONAL MEDS 117.00
IV PUSH MEDS INITIAL 67.00
HYDRTION IV INIT 31-60 MINS 114.00
PARING/CURETTEMENT B9 LESION 1 261.00
PAR/CUTT B9 LESION 2-4 304.00
SKIN SUBGRAFT F/H/H/F <100 SQCM-1ST 25CM 4,722.00
SKIN SUBGRFT F/H/H/F<100 SCM-EA ADD 25CM 1,559.00
TENOTOMY PERCUTANEOUS TOE SINGLE TENDON 361.00
STRAPPING OF ANKLE AND/OR FOOT 81.00
STRAPPING UNNA BOOT 84.00
BX BONE OPEN SUPERFICIAL 478.00
ENDOTRACHEAL INTUB 465.00
CVP INSERTION 1,018.00
CATHETERIZATION, VENOUS 578.00
INSERT PICC LINE WO SUBQ PORT/PUMP AGE5+ 1,019.00
ABD PARACENTESIS W/OUT IMG GUIDE 271.00
IRRIGATION OF BLADDER SIMPLE 395.00
CATHETER BLADDER, SIMPLE 135.00
INSERTION OF PICC 1,170.00
INJ FORAMEN EPIDURAL L/S 419.00
INJ FORAMEN EPIDURAL ADD-ON 201.00
TRIM NAIL(S) DYSTROPHIC, ANY NUMBER 72.00
I&D ABSCESS COMPLICATED/MULTI 580.00
UNLISTED PROCEDURE, RECTUM 647.00
SURGERY FOR VULVA LESION 735.00
TRANSFUSION OF PACKED CELLS 226.00
HOT-COLD THERAPY 1/> AREAS 47.00
TREATMENT ROOM 131.00
INJECTION ADMINISTRATION 38.00
COOMBS INDIRECT EACH 238.00
COOMBS DIRECT EACH 91.00
ABO GROUP BLOOD TYPING 164.00
BLOOD TYPING RH 280.00
RED BLOOD CELLS EACH UNIT 235.00
PLASMA FRESH FROZEN EACH UNIT 112.00
ANTIMITOCHONDRIAL, AB 78.00
AUTOLOGOUS BLOOD PROCESS/STORE 93.00
THAWING FRESH FROZEN PLASMA 27.00
IMMEDIATE SPIN 184.00
INCUBATION TECHNIQUE 225.00
ANTIGLOBULIN TECHNIQUE 225.00
LEUKOCYTE EACH UNIT 821.00
LEUKOCYTE PROCESS/HANDLE 275.00
FRESH FROZEN PLASMA PROCESSING 139.00
RED BLOOD CELLS PROCESS/HANDLE 238.00
PSYCHOTHERAPY, 30 MINS W/ PATIENT 410.00
PSYCHOTHERAPY, 45 MINS W/ PATIENT 546.00
PSYCHOTHERAPY, 60 MINS W/ PATIENT 808.00
GROUP PSYCHOTHERAPY 45-50 MIN 546.00
FAMILY PSHCHOTHERAPY W/OUT PATIENT 661.00
FAMILY PSYCHOTHERAPY W/ PATIENT 681.00
EDU. SERVICES TX OF PTS MH PROBLEMS 546.00
PSYCH DIAG EVAL 420.00
PSYCH DIAG EVAL W/ MEDICAL SVCS 471.00
PSYCHOTHERAPY 30 MIN SUBQ VISIT 410.00
PSYCHOTHERAPY 45 MIN SUBQ VISIT 546.00
PSYCHOTHERAPY 60MIN SUBQ VISIT 809.00
PSYCHOTHERAPY FOR CRISIS FIRST 60 MIN 843.00
PSYCHOTHERAPY FOR CRISIS EA ADDTL 30 MIN 404.00
BX BREAST WITH PLACEMENTOF LOCAL DEV 1,405.00
BX BREAST WITH PLACE LOCAL DEVICE EA ADD 1,405.00
BX BREAST W/PLACEMENT US GUIDANCE 1,405.00
BX BREAST W/PLACEMENT US GUIDANCE ADDL L 1,405.00
BX BONE BIOPSY TROCAR/NEEDLE 3,794.00
BX OF NECK/CHEST 1,531.00
BIOPSY LUNG OR MEDIASTINUM PERC NEEDLE 1,531.00
BIOPSY OF LIVER/NEEDLE PERC 2,808.00
BIOPSY ABD MASS PERC NEEDLE 1,531.00
BX MUSCLE PERCUTANEUS NEEDLE 3,794.00
BX/EXC LYMPH NODE NEEDLE SUPERFICIAL 1,531.00
BX THYROID, PERCUTANEOUS CORE NEEDLE 1,531.00
SUCTION CANISTER 800CC 52.00
DENTURE CREAM 35.00
DENTURE CLEANSER 25.00
BED PAN FRACTURE 10.00
NEBULIZER MASK ADULT 17.00
NEBULIZER T-UP 45.00
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 249.00
BARRIER CREAM WIPES (TUB) 76.00
OTOSCOPE DISP ADULT 4MM 7.00
JAR SUNDRY LABLED (ER) 68.00
TEMPERATURE INDICATORS 12.00
TRAY GASTRIC LAVAGE LG 34 FR 71.00
TUBE TRACH HOLDER 44.00
DRAPE PAPER CREPE 7.00
PAPER TABLE CREPE 17.00
PROBE PEDI DISPOSABLE 178.00
AIR MATTRESS & MODULE RENTAL 128.00
WOUND VAC, DAILY 693.00
SUCTION SETUP 119.00
DISP BP CUFF SMALL 62.00
STOCKING KNEE XL 31.00
BP CUFF NEONATE DISP 49.00
AMBU BAG INFANT 152.00
SPLINT J-ORTHOGLASS 2" PER FOOT 32.00
SPLINT J-ORTHOGLASS 4" PER FOOT 52.00
SPLINT J-ORTHOGLASS 6" PER FOOT 79.00
SUCTION TUBING KIT 13" & 72" PCS 51.00
CO2 DETECTOR PEDI 81.00
ORTHO-SPLINT CLAVICLE W/ PAD MED 39.00
ORTHO-BRACE ANKLE SMALL 124.00
ORTHO-BRACE ANKLE MED 124.00
ORTHO-SPLINT FOREARM LT MED 35.00
ORTHO-SPLINT WRIST/FOREARM LT SMALL 38.00
ORTHO-SPLINT WRIST/FOREARM RT MED 38.00
ORTHO-SPLINT WRIST/FOREARM LT LARGE 38.00
ORTHO-SHOE POST OP WOMENS MED 44.00
ORTHO-SHOE POST OP WOMENS LARGE 44.00
ORTHO-SHOE POST OP MENS LARGE 44.00
ORTHO-SHOE POST OP MENS XL 44.00
ORTHO-SHOE POST OP WOMENS SMALL 44.00
ORTHO-SUPPORT WRIST RT MED 65.00
ORTHO-SPLINT THUMB SPICA RT UNIVERSAL 62.00
ORTHO-SPLINT THUMB SPICA LT UNIVERSAL 66.00
ORTHO-SPLINT WRIST/FOREARM RT LARGE 38.00
UNDERPADS 7.00
SITZ BATH 21.00
BED PAN 10.00
BAG LEG URINARY W/STRAPS 19OZ 36.00
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 178.00
TUBE ENDOTRACH 7.0MM 44.00
TUBE ENDOTRACH 8.0MM 45.00
GLOVES L/F MEDIUM 8.00
SLING ARM LG 68.00
AIRWAY DUAL CHANNEL 60MM DISP 23.00
ARMBOARD IV ADULT DISP EA 67.00
RESUSCITATOR ADULT DISP EA 179.00
RESUSCITATOR PEDI DISP EA 192.00
BAG EMESIS DISP 19.00
EXERCISER VOLUMETRIC 4000ML 63.00
MASK MULTI VENT AIR W/TUBING 25.00
MASK FACE TENT AEROSOL DISP 13.00
THERMOMETER DIGITAL ORAL 61.00
CAST PADDING POLYESTER 4" ECH 21.00
IMMOBILIZER KNEE UNIV TRIM 175.00
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 35.00
CANNULA NASAL CRUV TIP W/7' P 20.00
CANNULA SOFTECH ADLT 7' TU 9.00
CATHETER IV JELCO 16GX11/4 12.00
CATHETER IV JELCO 22GX1 12.00
CATHETER LEG STRAP HOLDER 41.00
CATHETER SCTN N/SLV 18FR 22' 34.00
IV CATHETER 18X1 1/4 PROTECT 29.00
IV CATHETER 20 X 1 1/4 SAFETY 32.00
CATHETER IV 22GX1 SAFETY 28.00
CATHETER IV 24X5/8 SAFETY 32.00
COLLAR CERVICAL FORM FIT LG 54.00
COLLAR CERVICAL FORM FIT SM 54.00
CONTAINER SHARPS 5QT 51.00
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 23.00
GLOVES EXAM VNYL PWDRFR LG 7.00
GLOVES EXM VNYL PWDRFR MED 7.00
BELT GAIT W/NICKEL BUCKLE WHT 72.00
SLING & SWATHE LG 119.00
SLING & SWATHE MED 122.00
SLING & SWATHE SM 122.00
SLING ARM PRO FIT MED 25.00
KIT SPILL EMERGENCY 73.00
MASK ISO HI FILTRATION 7.00
PADS DEFIB PEDI 264.00
GLOVES EXM VNYL PWDRFR SM 7.00
GOGGLES PROTECTIVE 20.00
CAST PADDIING SYN 2X4YDS 12.00
PLEUR-EVAC W/DBL CHAM 1,375.00
POUCH SELFSEAL 3 1/2X9 7.00
POUCH TELEMETRY 13.00
PUMP SET KANGAROO 1200ML 56.00
SOLIDIFIER RED-Z 1OZ 23.00
SCRUBBRUSH W/HIBICLENS 9.00
SHIELD EYE FOX 48.00
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 161.00
CLAVICLE STRAP LARGE 161.00
RHINO ROCKET SLIMLINE SMGL ME 112.00
SLING ARM UNIV LG 113.00
SLING ARM UNIV SM 44.00
TAPE ADHSV FOAM 3X5 1/2 61.00
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 17.00
TAPE INDICATOR STEAM 1" 45.00
TAPE PAD ADHSV REMOVER 7.00
URINAL MALE W/LID 8.00
WALKER SHORT LEG LG 412.00
WALKER SHORT LEG MED 427.00
WALKER SHORT LEG SM 412.00
TAPE ADHSV DURAPORE 1X10 10.00
ARMBOARD FOAM DISP ADLT 3X18 8.00
CAST PADDING SYNTHETIC 2X4 12.00
CAST PADDING SYNTH 3X4 17.00
CAST PADDING SYN 4X4 23.00
CAST STOCKINETTE SYN 2X25 15.00
CAST STOCKINETTE SYN 3X25YDS 18.00
CAST TAPE WHITE 2X4 YDS 88.00
CATH TRAY URETH RED RBR 14FR 17.00
CAST STOCKINETTE SYNTH 6X25 31.00
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 71.00
CAST TAPE STD 3X4 YDS 88.00
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 94.00
CANNULA NASAL PEDI 7' TUBE 17.00
RESTRAINT VEST LARGE 119.00
STRAINER URINE 21.00
STETHASCOPE DISPOSABLE 27.00
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 194.00
SLING ARM PRO FIT LGE 25.00
SLING ARM PRO FIT SMALL 25.00
PROTECTORS, HEEL/ELBOW FOAM 71.00
SPLINT FINGER 19.00
LMA SIZE 3 921.00
LMA SIZE 4 921.00
LMA SIZE 5 921.00
TUMBLER PATIENT 9 OZ 15.00
PERSONAL BELONGINGS BAG 7.00
SLING AND SWATHE XL 119.00
TAPE MEDIPORE SURGERY 2" 29.00
SPLINT J 4" ROLL PER FOOT 79.00
TAPE MEDIPORE SURGERY 4" 29.00
TAPE ADHSV FOAM 4X5 1/2 68.00
PADS HEATING DISPOSABLE 19.00
EASY FEED ENTERAL NUT BAG 54.00
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 27.00
SPLINT J 6" ROLL PER FOOT 107.00
SPLASH SHIELD 21.00
SPLINT J2" ROLL PER FOOT 60.00
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 72.00
STOCKING THIGH HIGH MEDIUM 72.00
PADZ STAT ADULT 384.00
ELECTRODE PEDI PADZ 392.00
POUCH DRAINABLE COLOSTOMY 20.00
STOCKING THIGH HIGH XL 68.00
CUFF BLOOD PRESSURE DISP 125.00
COLLAR STIFF NECK ADULT 100.00
COLLAR STIFF NECK PEDI 60.00
TAPE SILK 12.00
COLLECTOR PEDI URINE 10.00
PAD EKG DIAPHORETIC -3 PADS 12.00
PNEUMOTHORACIC KIT 1,287.00
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 19.00
CATHETER SCTN N/SLV 8FR PEDI 17.00
HEEL WARMER 67.00
MASK OXYGEN PEDI W/ NEB & TUBE 23.00
GAUZE TUBE #1 PER YARD 7.00
GAUZE TUBE #3 PER YARD 7.00
RESTRAINT LIMB ADJ 58.00
RESTRAINT VEST MED 137.00
LIGHT HANDLE COVER 9.00
SPONGE GAUZE 2X2X8 PLY STERILE 7.00
PEDI DISP PULSE OX PROBE 119.00
COMBITUBE 616.00
COMBITUBE 41 FRENCH 591.00
PICC SUPPLIES AND KIT 214.00
CO2 DETECTOR - EASY CAP II 114.00
FINGER SPLINT ALUM XL 23.00
STRYKER T-PAD 82.00
T-BLANKET 372.00
PEAK FLOW METER 62.00
WRIST SUPPORT W/ABDCTED THUMB LFT LRG 162.00
SPLINT WRIST/FOREARM RGHT SMALL 42.00
BRACE ANKLE AIRGEL LG 10" 101.00
WALKER LOWER LEG, MED 245.00
TELFA ADHESIVE PAD 3X4 7.00
MIDLINE SUPPLIES AND KIT 158.00
SUTURE 4-0 GUT PL C-6 25.00
SUTURE 4-0 VICRYL CTD P-3 131.00
SUTURE 2-0 SOF SILK GS-21 31.00
SUCTION CONNECTING TUBING 6' X 1/4" 9.00
PORT ACCESS KIT 103.00
SUTURE BLUE MONO. 4-0 DSM18 58.00
SUTURE BLUE MONO. 5-0 DSM13 51.00
SUTURE BLUE MONO. 6.0 DSM13 52.00
CATH FOLEY 3 WAY 16FR SILICONE 94.00
STAPLER SKIN 35W 83.00
SUTURE CHROMIC GUT 6-0 214.00
ALCOHOL PREP MED 7.00
GLOVES STERILE SZ 7 8.00
TRAY IRRIG W/60CC BULB SYRINGE 17.00
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" 23.00
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 114.00
K-Y JELLY STERILE FOIL PK 7.00
PACKING NUG IODO 1/2"X5' 27.00
SUT GUT CHR 3-0 27" SH 44.00
SUT ETH MONO BLK 4-0 18" FS-2 108.00
SUT ETH MONO BLK 6-0 18" P-1 72.00
SUT ETH MONO BLK 5-0 18" FS-2 62.00
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" 331.00
SWABSTICK LEMON GLYCERINE EACH 7.00
CATH KIT FEMALE 8 FR DISP EA 54.00
DRESSING TEGADERM 4X4 17.00
GLOVES STERILE SZ 6 1/2 8.00
BETADINE SWAB STICKS EACH 7.00
NEEDLE HUBER 20X1 35.00
GLOVES STERILE SZ 6 8.00
SYRINGE LL 10CC 7.00
CATH FOLEY 2 WAY 8FR 109.00
CLOROX WIPES FRESH SCENT 7.00
CATHETER FOLEY 16FR 5CC 59.00
CATHETER FOLEY 18FR 5CC 2 WAY 63.00
CATHETER FOLEY 20FR 5CC 131.00
AIRWAY NASO DISP 30FR 38.00
CATHETER PLUG W/CAP STR 9.00
CATHETER TRAY FOLEY W/O CATH 75.00
CATHETER EXTERNAL MALE 10.00
CATHETER STR SUCTION KIT 14FR 10.00
CATH N GLOVE SET 14FR 10.00
CATHETER THORACIC STRT 28FR 67.00
CATHETER THORACIC STRT 36FR 67.00
CATHETER W/SOFT TIP 14FR W/FU 54.00
CONTAINER SPCMN STR 4OZ 9.00
CULTURETTE, EZ ANGL SWAB 18.00
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 56.00
DRESSING TEGADERM 2X2 8.00
DRESSING VASELINE FOIL PK STR 10.00
FILTER HYDRO ASPRTR SUCTION 67.00
CANNULA INTERLINK VL ACC 7.00
PERIWASH 8OZ 25.00
SYRINGE LL 5CC 7.00
MASK NONBREATHING ADULT 17.00
KIT CATCH MIDSTREAM W/FNL 19.00
AQUAPAK/HUMIDIFIER 21.00
KIT, TEST HEMOCULT SNG 2 HOLE 8.00
LANCET SINGLE USE 7.00
MASK OXY ADULT NON-REBREA 17.00
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 36.00
NEEDLE SPINAL STR 20GX31/2 36.00
PACKING NUG IODO 1X5 54.00
PACKING NUG IODO 2X5 75.00
PACKING NUG PL STR 1/2 X 5 23.00
PAD ELECTRODE EKG FASTRACE 56.00
PROBE COVERS IVAC 17.00
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 84.00
SUTURE GUT CHR 4-0 FS-2 27 23.00
SYRINGE EAR 3 OZ 25.00
SYRINGE INSULIN 1CC 28G 7.00
SYRINGE SL LL 20CC 8.00
SPECULUM VAG ILLUM DISP MED 21.00
TRAY IRRIGATION PISTON 12.00
LACERATION TRAY 62.00
SUTURE REMOVAL TRAY 9.00
TRAY THORACENTESIS/PARECENT 450.00
TUBE CHEST 28FR 425.00
TUBE ENDOTRACH CUFFED 48.00
TUBE ENDOTRACH CUFFED 7 60.00
TUBE ENDOTRACH CUFFED 71/2 62.00
TUBE ENDOTRACH CUFFED 8 48.00
TUBE ENDOTRACH CUFFED 81/2 62.00
TUBE NASOGASTRIC 10FR 35.00
TUBE NASOGASTRIC 14FR 36.00
TUBE NASOGASTRIC 16FR 23.00
TUBE NASOGASTRIC 18FR 23.00
TUBE SALEM SUMP STR 16FR 48' 67.00
TUBE TRACH CUFF 61/2MM 68.00
TUBE TRACH CUFF 7 62.00
TUBE TRACH CUFF 8MM 68.00
TUBE TRACH UNCUFFED 2 25.00
TUBE TRACH UNCUFED 3 58.00
TUBE TRACH UNCUFFED 4 25.00
SUTURE 3-0 PROLENE 59.00
SCALPEL DISP 15 38.00
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 59.00
CATHETER FOLEY 12FR 5CC 45.00
CATHETER FOLEY 14FR 5CC 87.00
CATHETER FOLEY 16FR 30CC 53.00
CATHETER FOLEY 18FR 30CC 104.00
CATHETER FOLEY 24FR 5CC 45.00
CATHETER FOLEY 2WAY STR 16FR 113.00
CATHETER FOLEY 3WAY 16FR 30CC 176.00
CATH FOLEY 3 WAY 24FR 30CC 104.00
CATH FOLEY ALL SIL 12FR 5CC 54.00
CATH FOLEY ALL SIL 22FR 5CC 75.00
LS CLV MICRB T 21.00
LS MICRO EITN CLV 23.00
LS CNV3CLAVES OL 40.00
LS CNV2CLAVES OL 36.00
LS LTF CVN BCK CL 37.00
LS EXTN OL CLAVE 25.00
LS LFREE PPR ADPT 9.00
LS CLV TWINSITE 28.00
GLOVES L/F STR SIZE 7 37.00
CATH FOLEY 16FR LTX FREE 86.00
CATHETER WNGD PROT L/F 22GX1 28.00
SUT VICRYL UD BR CT O 27' CT1 37.00
SUT VICRYL VIO BR CT 2-0 27' S 48.00
SUT VICRYL UD BR CT 3-0 27' SH 40.00
SUT VICRYL UD BR CT 4-0 27' FS 45.00
SUT ETH SILK BLK BR 2-0 18" 63.00
CATH FOLEY 3 WAY 16FR 5CC 205.00
CATH FOLEY 3 WAY 22FR 5CC 180.00
CATHETER STR SCTN 8FR W/TRAP 17.00
CATHETER TRAY W/16FR CATH 103.00
STAPLER SKIN MULTI SHOT 5 113.00
STAPLER SKIN MULTI SHOT 15 138.00
CANNULA INTERLINK BLUNT 17G 7.00
PACKING NUG PL STR 1/4 48.00
CENTRAL LINE TRAY INSERSTION 51.00
CENTRAL LINE DRESSING KIT 38.00
LS MICROBOR EXT SET, 7" 40.00
NEEDLE SAFETY 18G 7.00
CATHETER RED RUBBER 12 FR 9.00
CATHETER RED RUBBER 14FR 13.00
DRESSING ADAPTIC 3X16 EACH 21.00
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 166.00
TRAY LUMBAR PUNCTURE ADULT 20G 198.00
SUT ETH PRO MONO 4-0 18" PS-2 91.00
GLOVES STERILE SZ 7 1/2 7.00
PACKING STRIP PLN 1/4" PER YRD 23.00
GLOVES STERILE SZ 8 1/2 10.00
TRAY I & D LARGE 132.00
TRAY I & D SMALL 201.00
SUT ETH SILK BLK BR 3-0 30" SH 44.00
SUT ETH SILK BLK 3-0 30" BR 44.00
SUT ETH GUT PL 3-0 27" CT 87.00
SUT ETH MONO BLK 3-0 18" FS-1 95.00
SUT ETH MER BR O 30" CT-1 40.00
SUT ETH MONO BLK 2-0 30" FSLX 40.00
SUT ETH MONO BLK 5-0 18" P-3 75.00
SUT 4-0 ETHIL FS-2 38.00
SUT ETH GUT PL 3-0 27" CTX 41.00
TUBE GASTROSTOMY TRIFNL 12 FR 36.00
CATHETE FOLEY 3WAY 18FR 30CC 227.00
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 227.00
SPONGE GZE 6PLY STR 4X4 SPLIT 8.00
DRESSING TEGADERM 6X8 40.00
SWABS BENZOIN TINCTURE 7.00
TUBE ENDOTRACH CUFFED 9.0 MM 62.00
TUBE ENDOTRACH CUFFED 6.5 MM 62.00
TUBE ENDOTRACH UNCUFFED 4.0 MM 58.00
TUBE GASTROSTOMY TRIFNL 16 FR 36.00
SUTURE 5-0 PROLENE FS-2 60.00
TUBE TRACH UNCUFFED 2.5MM 58.00
TUBE TRACH UNCUFFED 3.5 58.00
NEEDLE INLET CLOSE SURE 1,151.00
SPONGE GZE 12PLY STR 4X4 2PK 7.00
COVER LIGHT HANDLE STR 23.00
AIRWAY NASO DISP 28FR 38.00
AIRWAY NASO DISP 32FR 38.00
WIPES DISINFECTING 7.00
TRAY CHEST TUBE INSERTION 53.00
CHEST TUBE 24 FR 68.00
SUCTION CATHETER 8 FR 23.00
SUTURE ETHILON BLK NYLON 6-0 108.00
SUTURE ETHILON BLK NYLON 5-0 80.00
SUTURE ETHILON BLK NYLON 4-0 107.00
SUT PRO 5-0 PC 5 CUTTING 144.00
TRACH CARE TRAY 34.00
TRAY QUICK TRACH 4.0 MM 1,707.00
TRAY QUICK TRACH 2.0 MM 1,707.00
LENSES MORGAN MID FLOW 189.00
PROBE COVER EAR PC 200 7.00
SUTURE 4-0 ETHILON PC-3 122.00
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 75.00
CATHETER FOLEY 10FR 3CC 102.00
TUBING 6' CORR-A-FLEX 10.00
CATHETER FOLEY 3WAY 20FR 5CC 227.00
CATHETER FOLEY 3WAY 18FR 5CC 180.00
TUBE FEEDING 12FR 45" 497.00
NEEDLE SAFETY 23GX1.5 7.00
OTOSCOPE KLEEN SCOOP 8.00
SUT ETH MONO BLK 4.0 18" PC-3 91.00
TUBE CONN N/C STR 3/16 X 16 10.00
TUBE CONN N/C STR 9/32X20 38.00
PACK OB 207.00
TUBE RECTAL 82.00
SPONGE GZE COVER 4X4 7.00
NEEDLE SAFETY 25 X 1.5 7.00
STYLET INTUBATION 2.5-4.0 MM 40.00
STYLET INTUBATION 7.5-10.0 MM 40.00
STYLET INTUBATION 5.0-7.0 MM 40.00
LS CLAVE ADAPTOR 21.00
TUBE TRACH UNCUFFED 4.5 25.00
TUBE TRACH UNCUFFED 5.0 62.00
TUBE TRACH UNCUFFED 5.5 62.00
SEXUAL ASSAULT KIT 617.00
DRESSING VASELINE 3X36 28.00
WOUND VAC DRESSING 305.00
WOUND VAC CANNISTER W/ISO 349.00
TUBE SALEM SUMP 18 FR 23.00
NEEDLE SAFETY COMBO INSULIN 7.00
NEEDLE SAFETY COMBO 21 X 1 1/2 7.00
BANDAGE COHESIVE RNBOW 31.00
DERMABLADE 18.00
INTROSSEOUS NEEDLE 200.00
CATHETER FOLEY 22FR 30CC 73.00
NEEDLE SPINAL STR 25G 27.00
TUBE ENDOTRACH NASAL 8.5 21.00
TUBE ENDOTRACH NASAL 8.0 62.00
TUBE ENDOTRACH NASAL 7.5 21.00
TUBE ENDOTRACH NASAL 7.0 21.00
TUBE ENDOTRACH NASAL 6.5 62.00
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 40.00
SYRINGE LL 3CC 7.00
TRAY VAGINAL IRRIGATION 13.00
SUCTION CATHETER 10 FR 20.00
TUBE FEEDING 5FR 15.00
PEDI FEEDING TUBE LEVINE 12FR 18.00
LS SECOND PGBK OL 10.00
PATIENT CIRCUIT TARAPAC 288.00
SUTURE 3-0 ETHILON PC-5 95.00
SUTURE 7-0 ETHILON P1 125.00
INNER CANNULA 179.00
GLOVES L/F STR SIZE 6 1/2 37.00
LS BURETTE 200.00
LS DIAL A FLOW EXT SET 60.00
LS BLOOD SET 178.00
LS FILTER SET 40.00
LS CNV 3 CLAVES OL 59.00
LSPLM CNVTP CLV (PRIMARY) 66.00
SUT ETH SUTURES 18" 45.00
BOVIE DISPOSABLE 63.00
CATH KIT SUCTION 8FR 12.00
CATH, FOLEY 2 WAY COUDE 16FR 30.00
CATH, FOLEY 2 WAY COUDE 18FR 30.00
CATH FOLEY COUDE 12FR 30.00
AIRWAY KING SZ 3 359.00
AIRWAY KING SZ 4 359.00
AIRWAY KING SZ 5 359.00
FEN IV TUBING BLOOD SET 25.00
FEN IV TUBING SECONARY SET 8.00
FEB IV TUBING PRIMARY SET 26.00
FEN IV TUBING BURETTE SET 45.00
TUBE ENDOTRACH CUFFED 6.0 21.00
FEN IV TUBING PVC FREE SET 26.00
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 130.00
CRUTCH ALUMINUM ADJ ADLT 126.00
DIAPER ADLT LARGE 9.00
CRUTCH ALUMINUM TALL ADLT 160.00
DIAPER TODDLER SIZE 4 & 5 7.00
DIAPER NEWBORN 7.00
CRUTCH ALUMINUM CHILD 126.00
DEODORANT 7.00
ORTHO-SLING & SWATHE DELUXE UNIVERSAL 52.00
ORTHO-WALKER BOOT TALL MED 255.00
FACIAL TISSUES 10.00
DENTURE CUP 7.00
PILLOW DISPOSABLE 48.00
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 17.00
PILLOW NON-DISPOSABLE 61.00
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 44.00
INJ MIDAZOLAM HYDROCHLORIDE PER 1MG 10.00
LOCM 300-399 MG/ML IODINE, 1ML 7.00
CT FINE NEEDLE ASPIRATION WITH IMG GUIDE 653.00
CT PLACEMENT OF BREAST LOC STEREO GUIDE 577.00
CT SINUSES W&WO CONTRAST 3,574.00
CT CHEST W/O CONTRAST 2,808.00
CT CHEST W/CONTRAST 3,063.00
CT CHEST W W/O CONTRAST 3,574.00
CT SPINE CERVICAL W/O CONTRAST 2,808.00
CT SPINE CERVICAL W & W/O CONTRST 3,574.00
CT SPINE THORACIC W/O CONTRAST 2,808.00
CT THORACIC SPINE W/CONTRAST MATERIAL 3,063.00
CT SPINE LUMBAR W/O CONTRAST 2,808.00
CT LUMBAR SPINE W/CONTRAST 3,063.00
CTA PELVIS 3,574.00
CT PELVIS W/O CONTRAST 2,808.00
CT PELVIS W/CONTRAST 3,063.00
CT PELVIS W W/O CONTRAST 3,574.00
CT CONTRAST X-RAY, LOWER SPINE 3,063.00
CT EXTREMITY UPPER W/O CONTRAST 2,808.00
CT EXTREMITY UPPER W / CONTRAST 3,063.00
CT EXTREMITY UPPER W W/O CONTRAST 3,574.00
CT UPPER EXTREMITY CONT W/WO 3,574.00
CT EXTREMITY LOWER W/O CONTRAST 2,808.00
CT EXTREMITY LOWER W/CONTRAST 3,063.00
CT EXTREMITY LOWER W W/O CONTRAST 3,574.00
CTA LOWER EXTREMITY 3,574.00
CT ABDOMEN W/O CONTRAST 2,808.00
CT ABDOMEN W/CONTRAST 3,063.00
CT ABDOMEN W W/O CONTRAST 3,574.00
CT ANGIO ABD/PLVS CNTRST MITRL W/WO CONT 4,468.00
CTA ABDOMEN 3,574.00
CT ABD & PELVIS W/O CONTRAST 4,084.00
CT ABDOMEN&PELVIS W/CONTRAST 4,468.00
CT ABD&PELV 1+ SECTION/REGNS 4,468.00
CT ANGIO ABD AORTA RUNOFF 2,808.00
CT GUIDANCE PLCMENT RADIATION 2,808.00
CT 3D RENDERING W/ INTERP & POSTPRO 973.00
CT GUIDE FOR NEEDLE PLACEMENT 2,808.00
CT LOW DOSE FOR LUNG CANCER SCREENING 1,648.00
CT LOW DOSE FOR LUNG CANCER SCREEN 1,648.00
CT HEAD BRAIN W/O CONTRAST 2,808.00
CT HEAD BRAIN W/CONTRAST 3,063.00
CT HEAD BRAIN W W/O CONTRAST 3,574.00
CT HEAD(ORBIT,STELLA,EAR)W/O CONT 2,808.00
CT HEAD (SPECIFY AREA) W/CONTRAST 3,063.00
CT ORBIT/SELLA/EAR W/WO 3,574.00
CT MAXILLOFACIAL W/O CONTRAST 2,808.00
CT MAXILLOFACIAL W/CONTRAST 3,063.00
CT SOFT TISSUE NECK W/O CONTRAST 2,808.00
CT SOFT TISSUE NECK W/CONTRAST 3,063.00
CT SOFT TISSUE NECK W W/O CONTRST 3,574.00
CTA HEAD 2,808.00
CTA NECK 2,808.00
CTA CHEST 2,808.00
CT SPINE CERVICAL W/CONTRAST 3,063.00
CT SPINE THORACIC W W/O CONTRAST 3,574.00
CT SPINE LUMBAR W W/O CONTRAST 3,574.00
THORACENTESIS NEEDLE/CATH PLEURA W/IMAGI 2,502.00
INFUSION THRPY EACH ADDNTL HR 177.00
IV PUSH SAME MED EA ADDITIONAL 192.00
IV INFUSION THERAPY 1ST HR 336.00
IV INFUSION THERAPY PER HR 111.00
HYDRTION IV INITIAL 31-60 MINS 117.00
TRANSFUSION OF PACKED CELLS 234.00
EMERGENCY ROOM L-1 304.00
EMERGENCY ROOM L-2 488.00
EMERGENCY ROOM L-3 800.00
EMERGENCY ROOM L-4 1,212.00
EMERGENCY ROOM L-5 1,795.00
FINE NEEDLE ASPIRATION W/O IMAGING GUIDA 296.00
I&D ABSCESS SIMPLE SINGLE* 341.00
I&D ABSCESS COMPLICATED/MULTI 597.00
I&D PILONIDAL SIMPLE 296.00
I&D PILONIDAL COMPLEX 627.00
FB RMVE SUBCTNEOUS TISSUE SAMP 166.00
FB RMVE COMPLEX 700.00
I&D HEMATOMA SEROMA* 385.00
PUNCTURE/ASP ABSCESS SMALL 265.00
I&D POST OP WOUND INF 572.00
DEBRIDEMENT OF EXT INF SKIN 285.00
DEBRIDEMENT SKIN PARTIAL THICK 163.00
DEBRIDEMENT SKIN FULL THICKNES 183.00
DEBRIDEMENT SKIN &SBCTS TISSUE 339.00
DEBRIDEMENT WOUND DEEP 597.00
EXC SKIN TAGS UP TO 15* 175.00
DEBRIDEMENT OF NAIL 1-5 69.00
AVULSION ON NAIL PLATE 352.00
AVULSION NAIL PLATE,PRTL/CMPLT 170.00
EXC NAIL EVACUATION 179.00
EXC NAIL/NAIL MATRIX PERMANENT 422.00
NAIL BED REPAIR SIMPLE 443.00
NAIL BED REPAIR COMPLEX 759.00
EXCISE INGROWN NAIL 315.00
RPR SMPLE SCLP NCK TRNK EXT* 344.00
RPR SMPLE SCLP NCK TRNK EXT* 440.00
RPR SMPLE SCLP NCK TRNK EXT* 517.00
RPR SMPLE SCLP NCK TRNK EXT 645.00
RPR SMPLE SCLP NCK TRNK EXT 833.00
RPR SMPLE FCE EAR ELID NSE LP 2.5CM/< 413.00
RPR SMPLE FCE EAR ELID NSE LP* 468.00
RPR SMPLE FCE EAR ELID NSE LP 560.00
RPR SMPLE FCE EAR ELID NSE LIP 819.00
RPR SMPLE FCE EAR ELID NSE LIP 873.00
RPR SMPLE FCE EAR ELID NSE LIP 1,046.00
RPR SMPLE FCE EAR ELID NSE LIP 1,222.00
SECONDARY CLOSURE 640.00
RPR SMPLE FACE W/ PACKING 458.00
RPR INT SCLP TRNK EXT 0-2.5CM 466.00
RPR INT SCLP TRNK EXT 2.6-7.5 680.00
RPR SCLP TRNK EXT 7.6-12.5CM 804.00
RPR INT SCLP TRNK EXT 12.6-20 811.00
RPR INT SCLP TRNK EXT 20.1-30 1,197.00
RPR INT SCLP TRNK EXT 30+CM 1,187.00
RPR INT NCK HND FEET GEN 2.5 597.00
RPR INT NECK HAND FEET GEN 654.00
RPR INT NECK HAND FEET GEN 754.00
RPR INT NECK HAND FEET GEN 1,019.00
RPR INT NECK HAND FEET GEN 1,077.00
RPR INT NECK HAND FEET GENT 1,363.00
RPR INT FACE/EARS/LIPS 0-2.5CM 613.00
RPR INT FACE/EARS/LIPS 2.6-5.0 654.00
RPR INT FACE/EARS/LIPS5.1-7.5 734.00
RPR INT FACE/EARS/LIPS7.6-12.5 809.00
RPR INT FACE/EARS/LIPS 12.6-20 1,358.00
RPR INT FACE/EARS/LIPS 30+CM 1,895.00
RPR CMPLX TRUNK 1.1 - 2.5 CM 781.00
RPR CMPLX TRUNK 2.6-7.5CM 1,131.00
RPR CMPLX TRNK ADDTL 5CM>7.5CM 317.00
RPR COMPLX SCALP/ARMS/LEGS 811.00
RPR CMPLX SCALP/ARMS/LEGS 1,235.00
RPR CMPLX HED/ARM/LEG ADDTL5CM 500.00
RPR CMPLX FACE/HAND/FT/GEN 939.00
RPR CMPLX FACE/HAND/FT/GEN 1,593.00
RPR CMPLX FACE/HAND/FT/GEN 822.00
RPR CMPLX EYELID/NOSE/EARS/LIP 1,167.00
RPR CMPLX EYELID/NOSE/EARS/LIP 1,831.00
BURN TREAT 1ST DGR LOCAL ONLY 185.00
BURN SM DRESS/DEBRID 175.00
BURN MED DRESS/DEBRID 579.00
BURN LG DRESS/DEBRID 814.00
FB RMVE MUSCLE SIMPLE 807.00
FB REMOVAL MUSCLE COMPLEX 1,205.00
Inj trigger point 1/2 muscle 206.00
ARTHROCENTESIS INJ SM JT 236.00
ARTHROCENTESIS INJ INTERMED 166.00
ARTHROCENTESIS 193.00
FRACTURE NOSE BONE FX W/O MNP 122.00
FX MANDIBULAR 889.00
DISLOCATED TEMPOROMANDIBULAR 130.00
FRACTURE RIB 315.00
FX RIB W/FLAIL CHEST 2,169.00
FX SPINE VERT BODY 941.00
FRACTURE CLAVICLE 718.00
CLOSED REDUCTION 1,015.00
TRACTN/MANIP AC INT REDUCTION 1,148.00
FX SCAPULAR 758.00
FX HUMERAL NECK 1,017.00
DISLOCATED SHOULDER 1,250.00
CLSD TX SHLDR DISLOCATE W/MAN 1,652.00
FB RMVE UPPER ARM/ELB SUBCUTNS 784.00
FRACTURE HUMERUS 1,024.00
FX SUPRACONDYLAR 1,275.00
DISLOCATED ELBOW TRT CLSD 1,433.00
FRACTURE ELBOW CLOSED 2,470.00
DISLOCATED NURSEMAID ELBOW 466.00
FX RADIAL HD/NECK 772.00
CLSD TRTMNT ULNAR W/O MAN 1,011.00
FX RADIAL SHAFT 819.00
FX ULNAR SHAFT 758.00
FRACTURE RADIUS/ULNA 996.00
FX RADIAL DISTAL 362.00
WRIST FRACTURE REDUCTION 1,713.00
FX NAVICULAR 874.00
FX CARPAL 936.00
CLSD TRTMNT DISLCTN W/MANIP 1,483.00
CLSD TRTMNT DSLOCTN W/MANIP 1,449.00
I&D FINGER ABSCESS SIMPLE 323.00
I&D FINGER ABSCESS COMP(FELON) 519.00
FB RMVE CARPOMETACARPAL JOINT 2,243.00
FB RMVE METACARPOPHALANGEAL JT 2,362.00
FB RMVE INTERPHALANGEAL JOINT 2,529.00
RPR EXT TNDN FINGER W/O GRF 3,174.00
REDUCTION FINGER DISLOCATION 1,604.00
DISLOCATED TOE 1,308.00
DISLOCATED FINGER 1,524.00
FRACTURE FINGER/THUMB 524.00
FX PHALANGEAL W/MANIPULATION 1,021.00
FX CLOSED DISTAL PHALANGEAL 632.00
FRACTURE DISTAL PHALANGE 1,414.00
DISLOCATED I P JOINT FINGER 969.00
DISLOCATED I P JNT FNGR W/ANES 1,340.00
FX COCCYX 570.00
FRACTURE FEMORAL CLOSED FX W/O 1,830.00
DISLOCATED HIP W/O ANESTHESIA 2,066.00
FRACTURE KNEE 1,028.00
FRACTURE TIBIA 1,259.00
KNEE DISLOCATION, CLOSED FX 1,953.00
DISLOCATED PATELLA 1,403.00
FX TIBIAL SHAFT 1,104.00
FRACTURE FIBULA 970.00
CLSD TRTMNT FIBLR DSTL W/O MAN 1,115.00
FX ANKLE BIMALLEOLAR 1,111.00
FRACTURE ANKLE 1,315.00
ANKLE FX, W/MANIPULATION 1,882.00
DISLOCATED ANKLE 1,635.00
ARTHROTOMY OF INTERPHAL JOINT 1,707.00
FB RMVE FOOT SUBCUTANEOUS 817.00
FB RMVE FOOT DEEP 1,544.00
FB RMVE FOOT COMPLICATED 1,897.00
RPR TENDON FLEX FT PRM W/O GRF 1,920.00
FX CALCANEAL 1,028.00
FX TALUS 283.00
FX TARSAL 891.00
FX METATARSAL 814.00
FX GREAT TOE W/O MANIP 492.00
FX GREAT TOE W/MANIP 587.00
FRACTURE TOE 662.00
DISLOCATED GREAT TOE 131.00
DISLOCATED METATARSAL 611.00
TREAT TOE DISLOCATION 517.00
CLTX INTERPHALANGEAL JT DSLOC W/ ANESTHI 550.00
FRACTURE PHALANGES FT OPEN 1+ 2,212.00
SPLINT ARM LONG APPLY 227.00
SPLINT ARM SHRT STATIC APPLY 159.00
SPLINT FINGER 117.00
SPLINT LEG LONG APPLICATION 227.00
SPLINT LEG SHORT APPLICATION 183.00
DENIS-BROWNE SPLINT STRAPPING 266.00
FB RMVE INTERNASAL 227.00
NOSEBLEED ROUNTINE SMPLE* 247.00
NOSEBLEED ANTERIOR PACK 330.00
NOSEBLEED POSTIER PACK 437.00
ENDOTRACHEAL INTUB 478.00
DIRECT LARYNGOSCOPY 615.00
TRACHEOSTOMY EMERGENCY 908.00
THORACENTESIS 315.00
CHEST TUBE 873.00
THORACOSTOMY CHEST TUBE IND W/WO DRAIN 525.00
PERICARDIOCENTESIS 502.00
CVP INSERTION 1,046.00
CUT DOWN 344.00
CATHETERIZATION, VENOUS 578.00
INSERT PICC LINE WO SUBQ PORT/PUMP AGE5+ 1,019.00
INTRAOSSEOUS INFUSION 302.00
ARTERIAL CATH OR CANULATION 428.00
REMOVAL FOREIGN BODY MOUTH 530.00
I&D ABSCESS DENTAL 391.00
FB RMVE THROAT 458.00
NASO-/ORO-GASTRC TUBE PLCMENT 178.00
CHANGE OF GASTROSTOMY TUBE 1,189.00
FECAL IMPACTION REMOVAL 666.00
Unlisted Procedure, Rectum 666.00
I&D THROMBOSED HEMMORRHOID 607.00
EXCISION OF THROMBOSD HEM EXT 419.00
PERITONEAL LAVAGE/PARACENTESIS 271.00
IRRIGATION OF BLADDER SIMPLE 406.00
CATHETER BLADDER, SIMPLE 138.00
CATHETER BLADDER, COMPLEX 376.00
CYSTOSTOMY TUBE CHANGE 256.00
MEATOTOMY 377.00
MEATOTOMY INFANT 243.00
CATHERIZATION, URETHRA 377.00
INSERTION OF PICC ER 1,204.00
I&D OF VULVA/PERINAL ABCESS 445.00
I&D BARTHOLIN'S GLAND ABSCESS 415.00
REMOVAL IUD 292.00
VAGINAL DELIVERY 3,184.00
SPINAL TAP W/OUT INJECTION 490.00
SPINAL TAP W/ INJECTION 597.00
SKULL FX SIMPLE 3,564.00
SPINAL PUNCTURE LUMBAR DIAG 293.00
LOCAL BLOCK (NERVE) 226.00
CERVICAL PLEXUS 324.00
DIGITAL NERVE BLOCK 252.00
INJ ANES AGNT/STERD FACET JNT 437.00
FB RMVE EYE EXTERNAL 142.00
FB RMVE EYE EMBEDDED 180.00
FB RMVE CORNEA W/O LAMP 177.00
FB RMVE CORNEA SLIT LAMP 177.00
FB RMVE EAR CANAL W/O ANS 271.00
FB RMVE IMPACTED CERUMEN 144.00
IV PUSH ADDITIONAL MEDS 120.00
INJECTION ADMINISTRATION 39.00
IV PUSH MEDS INITIAL 69.00
GASTRIC INTUBATION ASP LAVAGE 109.00
TEMPORARY TRANSCUT. PACEMAKER 70.00
CARDIOVERSION 488.00
THROMBOLYSIS INFUSION 1,118.00
RMVL DEVITAL TIS 20 CM/< 102.00
MOD SEDATION 5YRS + 1ST 30 MIN 149.00
MOD SEDATION 5YRS + ADDT'L 15 41.00
IPECAC & OBS 198.00
RESUSITATE NEWBORN 627.00
FX METACARPAL W/O MANIP 730.00
FX METACARPAL W/MANIP. 1,084.00
ER CRITICAL CARE 1ST HOUR 944.00
ER PHYS CRIT. EA ADD 30 MIN 475.00
ER PROFESSIONAL FEE LEVEL I BRIEF 220.00
ER PROFESSIONAL FEE LEVEL-II LIMITED 293.00
ER PROFESSIONAL FEE LEVEL III INTERM. 415.00
ER PROFESSIONAL FEE LEVEL IV EXTENDED 604.00
ER PROFESSIONAL FEE LEVEL V COMPREHEN 804.00
FINE NEEDLE ASPIRATION W/O IMAGING GUIDA 296.00
I&D ABSCESS SIMPLE SINGLE* 341.00
I&D ABSCESS COMPLICATED/MULTI 597.00
I&D PILONIDAL SIMPLE 296.00
I&D PILONIDAL COMPLEX 627.00
FB RMVE SUBCTNEOUS TISSUE SAMP 166.00
FB RMVE COMPLEX 700.00
I&D HEMATOMA SEROMA* 385.00
PUNCTURE/ASP ABSCESS SMALL 265.00
I&D POST OP WOUND INF 572.00
DEBRIDEMENT OF EXT INF SKIN 285.00
DEBRIDEMENT SKIN PARTIAL THICK 163.00
DEBRIDEMENT SKIN FULL THICKNES 183.00
DEBRIDEMENT SKIN &SBCTS TISSUE 339.00
DEBRIDEMENT WOUND DEEP 597.00
EXC SKIN TAGS UP TO 15* 175.00
DEBRIDEMENT OF NAIL 1-5 69.00
AVULSION ON NAIL PLATE 352.00
AVULSION NAIL PLATE,PRTL/CMPLT 170.00
EXC NAIL EVACUATION 179.00
EXC NAIL/NAIL MATRIX PERMANENT 422.00
NAIL BED REPAIR SIMPLE 443.00
NAIL BED REPAIR COMPLEX 759.00
EXCISE INGROWN NAIL 315.00
RPR SMPLE SCLP NCK TRNK EXT* 344.00
RPR SMPLE SCLP NCK TRNK EXT* 440.00
RPR SMPLE SCLP NCK TRNK EXT* 517.00
RPR SMPLE SCLP NCK TRNK EXT 645.00
RPR SMPLE SCLP NCK TRNK EXT 833.00
RPR SMPLE FCE EAR ELID NSE LP 2.5CM/< 413.00
RPR SMPLE FCE EAR ELID NSE LP* 468.00
RPR SMPLE FCE EAR ELID NSE LP 560.00
RPR SMPLE FCE EAR ELID NSE LIP 819.00
RPR SMPLE FCE EAR ELID NSE LIP 873.00
RPR SMPLE FCE EAR ELID NSE LIP 1,046.00
RPR SMPLE FCE EAR ELID NSE LIP 1,222.00
SECONDARY CLOSURE 640.00
RPR SMPLE FACE W/ PACKING 458.00
RPR INT SCLP TRNK EXT 0-2.5CM 466.00
RPR INT SCLP TRNK EXT 2.6-7.5 680.00
RPR SCLP TRNK EXT 7.6-12.5CM 804.00
RPR INT SCLP TRNK EXT 12.6-20 811.00
RPR INT SCLP TRNK EXT 20.1-30 1,197.00
RPR INT SCLP TRNK EXT 30+CM 1,187.00
RPR INT NCK HND FEET GEN 2.5 597.00
RPR INT NECK HAND FEET GEN 654.00
RPR INT NECK HAND FEET GEN 754.00
RPR INT NECK HAND FEET GEN 1,019.00
RPR INT NECK HAND FEET GEN 1,077.00
RPR INT NECK HAND FEET GENT 1,363.00
RPR INT FACE/EARS/LIPS 0-2.5CM 613.00
RPR INT FACE/EARS/LIPS 2.6-5.0 654.00
RPR INT FACE/EARS/LIPS5.1-7.5 734.00
RPR INT FACE/EARS/LIPS7.6-12.5 809.00
RPR INT FACE/EARS/LIPS 12.6-20 1,358.00
RPR INT FACE/EARS/LIPS 30+CM 1,895.00
RPR CMPLX TRUNK 1.1 - 2.5 CM 781.00
RPR CMPLX TRUNK 2.6-7.5CM 1,131.00
RPR CMPLX TRNK ADDTL 5CM>7.5CM 317.00
RPR COMPLX SCALP/ARMS/LEGS 811.00
RPR CMPLX SCALP/ARMS/LEGS 1,235.00
RPR CMPLX HED/ARM/LEG ADDTL5CM 500.00
RPR CMPLX FACE/HAND/FT/GEN 939.00
RPR CMPLX FACE/HAND/FT/GEN 1,593.00
RPR CMPLX FACE/HAND/FT/GEN 822.00
RPR CMPLX EYELID/NOSE/EARS/LIP 1,167.00
RPR CMPLX EYELID/NOSE/EARS/LIP 1,831.00
BURN TREAT 1ST DGR LOCAL ONLY 185.00
BURN SM DRESS/DEBRID 175.00
BURN MED DRESS/DEBRID 579.00
BURN LG DRESS/DEBRID 814.00
FB RMVE MUSCLE SIMPLE 807.00
FB REMOVAL MUSCLE COMPLEX 1,205.00
Inj trigger point 1/2 muscle 206.00
ARTHROCENTESIS INJ SM JT 236.00
ARTHROCENTESIS INJ INTERMED 166.00
ARTHROCENTESIS 193.00
FRACTURE NOSE BONE FX W/O MNP 122.00
FX MANDIBULAR 889.00
DISLOCATED TEMPOROMANDIBULAR 130.00
FRACTURE RIB 315.00
FX RIB W/FLAIL CHEST 2,169.00
FX SPINE VERT BODY 941.00
FRACTURE CLAVICLE 718.00
CLOSED REDUCTION 1,015.00
TRACTN/MANIP AC INT REDUCTION 1,148.00
FX SCAPULAR 758.00
FX HUMERAL NECK 1,017.00
DISLOCATED SHOULDER 1,250.00
CLSD TX SHLDR DISLOCATE W/MAN 4,700.00
FB RMVE UPPER ARM/ELB SUBCUTNS 784.00
FRACTURE HUMERUS 1,024.00
FX SUPRACONDYLAR 1,275.00
DISLOCATED ELBOW TRT CLSD 1,433.00
FRACTURE ELBOW CLOSED 247.00
DISLOCATED NURSEMAID ELBOW 466.00
FX RADIAL HD/NECK 772.00
CLSD TRTMNT ULNAR W/O MAN 1,011.00
FX RADIAL SHAFT 819.00
FX ULNAR SHAFT 758.00
FRACTURE RADIUS/ULNA 996.00
FX RADIAL DISTAL 362.00
WRIST FRACTURE REDUCTION 1,713.00
FX NAVICULAR 874.00
FX CARPAL 936.00
CLSD TRTMNT DISLCTN W/MANIP 1,483.00
CLSD TRTMNT DSLOCTN W/MANIP 1,449.00
I&D FINGER ABSCESS SIMPLE 323.00
I&D FINGER ABSCESS COMP(FELON) 519.00
FB RMVE CARPOMETACARPAL JOINT 2,243.00
FB RMVE METACARPOPHALANGEAL JT 2,362.00
FB RMVE INTERPHALANGEAL JOINT 2,529.00
RPR EXT TNDN FINGER W/O GRF 3,174.00
FX METACARPAL W/O MANIP 730.00
FX METACARPAL W/MANIP. 1,084.00
REDUCTION FINGER DISLOCATION 1,604.00
DISLOCATED TOE 1,308.00
DISLOCATED FINGER 1,524.00
FRACTURE FINGER/THUMB 524.00
FX PHALANGEAL W/MANIPULATION 1,021.00
FX CLOSED DISTAL PHALANGEAL 632.00
FRACTURE DISTAL PHALANGE 1,414.00
DISLOCATED I P JOINT FINGER 227.00
DISLOCATED I P JNT FNGR W/ANES 1,340.00
FX COCCYX 570.00
FRACTURE FEMORAL CLOSED FX W/O 1,830.00
DISLOCATED HIP W/O ANESTHESIA 2,066.00
FRACTURE KNEE 1,028.00
FRACTURE TIBIA 1,259.00
KNEE DISLOCATION, CLOSED FX 1,953.00
DISLOCATED PATELLA 1,403.00
FX TIBIAL SHAFT 1,104.00
FRACTURE FIBULA 970.00
CLSD TRTMNT FIBLR DSTL W/O MAN 1,115.00
FX ANKLE BIMALLEOLAR 1,111.00
FRACTURE ANKLE 1,315.00
ANKLE FX, W/MANIPULATION 1,882.00
DISLOCATED ANKLE 1,635.00
ARTHROTOMY OF INTERPHAL JOINT 1,707.00
FB RMVE FOOT SUBCUTANEOUS 817.00
FB RMVE FOOT DEEP 1,544.00
FB RMVE FOOT COMPLICATED 1,897.00
RPR TENDON FLEX FT PRM W/O GRF 1,920.00
FX CALCANEAL 1,028.00
FX TALUS 283.00
FX TARSAL 891.00
FX METATARSAL 814.00
FX GREAT TOE W/O MANIP 492.00
FX GREAT TOE W/MANIP 587.00
FRACTURE TOE 662.00
DISLOCATED GREAT TOE 131.00
DISLOCATED METATARSAL 611.00
TREAT TOE DISLOCATION 517.00
CLTX INTERPHALANGEAL JT DSLOC W/ ANESTH 550.00
FRACTURE PHALANGES FT OPEN 1+ 2,212.00
SPLINT ARM LONG APPLY 227.00
SPLINT ARM SHRT STATIC APPLY 159.00
SPLINT FINGER 117.00
SPLINT LEG LONG APPLICATION 227.00
SPLINT LEG SHORT APPLICATION 183.00
FB RMVE INTERNASAL 227.00
NOSEBLEED ROUNTINE SMPLE* 247.00
NOSEBLEED ANTERIOR PACK 330.00
NOSEBLEED POSTIER PACK 437.00
ENDOTRACHEAL INTUB 478.00
DIRECT LARYNGOSCOPY 615.00
TRACHEOSTOMY EMERGENCY 908.00
THORACENTESIS 315.00
CHEST TUBE 873.00
THORACOSTOMY CHEST TUBE IND W/WO DRAIN 525.00
PERICARDIOCENTESIS 502.00
CVP INSERTION 1,046.00
CUT DOWN 344.00
CATHETERIZATION, VENOUS 604.00
INTRAOSSEOUS INFUSION 302.00
ARTERIAL CATH OR CANULATION 428.00
REMOVAL FOREIGN BODY MOUTH 530.00
I&D ABSCESS DENTAL 391.00
FB RMVE THROAT 458.00
NASO-/ORO-GASTRC TUBE PLCMENT 178.00
CHANGE OF GASTROSTOMY TUBE 1,189.00
FECAL IMPACTION REMOVAL 666.00
I&D THROMBOSED HEMMORRHOID 607.00
EXCISION OF THROMBOSD HEM EXT 419.00
PERITONEAL LAVAGE/PARACENTESIS 271.00
CATHETER BLADDER, SIMPLE 138.00
CATHETER BLADDER, COMPLEX 376.00
CYSTOSTOMY TUBE CHANGE 256.00
MEATOTOMY 377.00
MEATOTOMY INFANT 243.00
CATHERIZATION, URETHRA 377.00
I&D OF VUVLA/PERINAL ABCESS 445.00
I&D BARTHOLIN'S GLAND ABSCESS 415.00
REMOVAL IUD 292.00
VAGINAL DELIVERY 3,184.00
SPINAL TAP W/OUT INJECTION 490.00
SPINAL TAP W/ INJECTION 597.00
SKULL FX SIMPLE 3,564.00
SPINAL PUNCTURE LUMBAR DIAG 293.00
LOCAL BLOCK (NERVE) 226.00
DIGITAL NERVE BLOCK 252.00
INJ ANES AGNT/STERD FACET JNT 437.00
FB RMVE EYE EXTERNAL 142.00
FB RMVE EYE EMBEDDED 180.00
FB RMVE CORNEA W/O LAMP 177.00
FB RMVE CORNEA SLIT LAMP 177.00
FB RMVE EAR CANAL W/O ANS 271.00
FB RMVE IMPACTED CERUMEN 144.00
GASTRIC INTUBATION ASP LAVAGE 109.00
CPR 1,285.00
TEMPORARY TRANSCUT. PACEMAKER 70.00
CARDIOVERSION 488.00
THROMBOLYSIS INFUSION 1,118.00
RMVL DEVITAL TIS 20 CM/< 102.00
MOD SEDATION 5YRS + 1ST 30 MIN 149.00
MOD SEDATION 5YRS + ADDTL 15 41.00
IPECAC & OBS 198.00
Tobacco Use Cessation 3-10 minutes 56.00
Tobacco Use Cessation > 10 minutes 91.00
RESUSITATE NEWBORN 627.00
ELECTRODES, PAIR 69.00
CONDUCTIVE GEL OR PASTE 69.00
EKG/ECG 12LD TRACNG&INTERPRTN 200.00
EKG/ECG 12 LD TRACING ONLY 125.00
EKG/ECG 3 LEAD TRACING ONLY 44.00
ELECTROCARDIOGRAPHY 714.00
EKG INTERPRET 133.00
NEEDLE EMG; 2 EXT W/WO REL PARSPINL AREA 1,628.00
NEEDLE EMG EACH EXT W/PARSPNL AREA LMTD 598.00
NDL EMG EA XTR W/PARASPINL AREA COMPLETE 1,014.00
EMG NON-EXTREMITY W/ NERVE CONDUCTION 848.00
NERVE CONDUCTION STUDIES; 7-8 STUDIES 2,145.00
NERVE CONDUCTION STUDIES; 9-10 STUDIES 2,611.00
NERVE CONDUCTION STUDIES; 11-12 STUDIES 3,073.00
NERVE CONDUCTION STUDIES; 13 OR MORE 3,578.00
EKG INTERPRET 93.00
INJECTIION FOR MYELOGRAM 1,191.00
NEEDLE LOCALIZATION BY X-RAY 640.00
FLOUROGUIDE FOR SPINE INJECT 282.00
EPIDUROGRAPHY, DIAGNOSTIC 366.00
D.P.S. BLOOD DRAW 84.00
MISC COLLECTION FEE 34.00
VENIPUNCTURE 36.00
GLUCOSE-FINGER STICK 36.00
BASIC METABOLIC PANEL 301.00
ELECTROLYTE PANEL 112.00
COMPREHENSIVE METABOLIC PANEL 449.00
PROFILE LIPID 212.00
RENAL FUNCTION PANET 137.00
HEPATITIS PANEL ACUTE 751.00
PANEL HEPATIC FUNCTION 130.00
DRUG SCREEN 8 PANEL 663.00
AMIKACIN - PEAK & TROUGH 238.00
DRUG SCREEN DIGOXIN; TOTAL 210.00
DRUG SCREEN DIGOXIN; FREE 210.00
VALPROIC ACID 215.00
DRUG SCREEN VALPROIC ACID; FREE 215.00
GENTAMICIN 259.00
LEVETIRACETAM, SERUM 210.00
LITHIUM 105.00
OXCARBAZEPINE, SERUM 210.00
PHENOBARBITAL 181.00
DILANTIN PHENYTOIN TOTAL 210.00
PRIMIDONE MYSOLINE 262.00
QUINIDINE 230.00
SALICYLATES 380.00
TACROLIMUS BLOOD (FK506) 217.00
THEOPHYLLINE 224.00
VANCOMYCIN 215.00
METHLYPHENIDATE (RITALIN) SERUM 285.00
URINALYSIS NON-AUTOMATED W/ MICRO 50.00
UA AUTO WITH MICRO 154.00
URINALYSIS (DIP STICK) 41.00
UA AUTO WO MICRO 37.00
UA MICRO ONLY 49.00
PREGNANCY TEST URINE COLOR 100.00
CYP2C19 Genotype (*2 *3 *17) – Plavix® r 3,374.00
CYP2C9 GENE COM VARIANTS 2,024.00
Prothrombin G20210A Mutation (Factor II) 776.00
FACTOR V LEIDEN MUTATION ANALYSIS 964.00
HFE HEMOCHROMATOSIS DNA ANA COMMON VARI 848.00
MTHFR Genotype (C677T & A1298C Mutations 689.00
ACETAMINOPHEN 291.00
SERUM ACETONE 70.00
ACETONE(B)/KETONE QUANTITATIVE 116.00
ADRENOCORTICOTROPIC HORMONE ACTH PLASMA 585.00
ALBUMIN SERUM 78.00
ALBUMIN, PERITONEAL FLUID 83.00
MICROALBUMIN, URINE 89.00
ALCOHOL ANY EXCEPT BREATH 198.00
ALCOHOL BREATH 191.00
A1 ANTITRYPSIN 213.00
A1 ANTITRYP PHENO 228.00
APF (ALPHA FETOPROTEIN) 265.00
AMINO ACIDS SINGLE QUANT 267.00
AMINO ACIDS QUANT 2-5 158.00
AMMONIA 230.00
AMYLASE 102.00
ACE - ANGIOTENSIN I CONV ENZYM 230.00
Apolipoprotein A-I (ApoA-I) 245.00
ARSENIC 300.00
VITAMIN C 157.00
BILE ACIDS TOTAL 270.00
BILIRUBIN TOTAL 79.00
BILIRUBIN DIRECT 79.00
OCCULT BLOOD, BY PEROXIDASE 51.00
BLOOD OCCULT (GUAIAC) 51.00
CADMIUM; URINE 366.00
CALCIFEDIOL (25-OH VITAMIN D) 429.00
CALCIUM TOTAL 82310 82.00
CALCIUM IONIZED 216.00
CALCIUM URINE 24HR 95.00
CALCULI, URINARY 203.00
RENAL STONE ANALYSIS 204.00
TEGRETOL CARBAMAZEPIN 229.00
TOTAL CO2 78.00
CARBON MONOXIDE QUANTITATIVE 195.00
CEA 300.00
CERULOPLASMIN 170.00
CHLORIDE BLOOD 73.00
CHLORIDE URINE 80.00
CHOLESTEROL SERUM TOTAL 69.00
PSEUDOCHOLINESTERASE 124.00
CITRIC ACID (CIRTARE) 24 HR URINE 439.00
COLLAGEN CROSS LINKS ANY METHOD 296.00
COPPER 196.00
CORTISOL TOTAL 258.00
CREATINE, URINE 73.00
LEVETIRACETAM 285.00
CPK TOTAL 179.00
CKMB-MB FRACTION ONLY 375.00
CREATININE BLOOD 82565 82.00
CREATININE URINE 83.00
CREATININE CLEARANCE 150.00
CRYOGLOBULIN,QUAL OR SEMIQUAL 102.00
VITAMIN B-12 238.00
CYSTATIN C (INCL eGFR) 215.00
Dehydroepiandrosterone Sulfate (DHEA-S) 351.00
VITAMIN D COMPLETE 607.00
ELATASE PANCREATIC FECAL QUAL/SEMI-QUANT 315.00
Electrophoretic test 413.00
ERYTHROPOIETIN 297.00
ESTRADIOL 441.00
ESTROGENS FRACTIONATED 510.00
ESTROGEN, TOTAL 138.00
ESTRONE 394.00
FECAL FAT QUALITATIVE 80.00
FAT FECES QUANTITATIVE 265.00
Free Fatty Acids (FFA) 210.00
FERRITIN 216.00
FIBRINOGEN ACTIVITY 135.00
FOLATE SERUM 233.00
ASSAY OF FOLIC ACID RBC 273.00
Galectin-3 348.00
IMMUNOGLOBULIN G IGG GAMMA 147.00
IMMUNOGLOBULINS E 260.00
IgG SUBCLASSES 1-4 EACH 67.00
GASTRIN SERUM 279.00
GLUCOSE QUANT 63.00
GLUCOSE POST DOSE 75.00
GLUCOSE TOLERANCE 3 SPECIMENS 203.00
GLUCOSE TOLERANCE ECH OVER 3 62.00
G6PD-GLUCOSE-6-PHOSPIATE DEHYD 138.00
BLOOD GLUCOSE BY HOME MONITOR 38.00
GAMMA GT 82977 114.00
Fructosamine 238.00
FSH 293.00
LEUTEINIZING HORMONE 292.00
GROWTH HORMONE SINGLE SERUM 263.00
HEAVY METAL QUANTITATIVE EACH 347.00
HGB ELECTROPHORESIS 203.00
HEMGLBNPTHY FRCTNTN CHRMTGRPHY 285.00
HGB A1C EA NUC ACID SEQU 154.00
HOMOCYSTEINE 267.00
RANDOM URINE 5HIAA 96.00
IMMUNOASSAY ANAL QUANT NOS 204.00
INSULIN RIA TOTAL 181.00
IRON 102.00
IRON BINDING TOTAL 138.00
LACTIC ACID, PLASMA 170.00
LDH TOTAL 95.00
LDH ISOENZYMES 202.00
LACTOFERRIN, FECAL, QUANT 418.00
LEAD LEVEL 192.00
LIPASE 110.00
LIPOPROTEIN A 204.00
Lipoprotein-Associated Phospholipase A2 535.00
LIPOPROTEIN BLOOD ELCTROPHRTIC SEP/QUANT 240.00
LDL Particle Number (LDL-P) & HDL Partic 535.00
HDL CHOLESTEROL 131.00
LDL CHOLESTEROL 152.00
MAGNESIUM 107.00
MASS SPECTROMETRY QUANT 285.00
MERCURY 205.00
MUCIN CLOT 93.00
MYOGLOBIN 368.00
Myeloperoxidase (MPO) 535.00
ASSAY OF NEPHELOMETRY NOT SPEC 215.00
ORGANIC ACIDS TOTAL QUANT 260.00
METHYLMALONIC ACID 260.00
OSMOLALITY SERUM 78.00
OSMOLALITY URINE 78.00
Osteocalcin 449.00
OXALATE 24 HOUR URINE 203.00
PTH LEVEL 651.00
PHOSPHATASE ACID TOTAL 117.00
PHOSPHATASE ALKAL 83.00
PHOSPHORUS INORG 75.00
PHOSPHORUS 24 HOUR URINE 83.00
PORPHYRINS 24 HR URINE 233.00
POTASSIUM 84132 73.00
POTASSIUM URINE 69.00
PREALBUMIN 134.00
Pregnenolone 327.00
PROGESTERONE 329.00
PROLACTIN 306.00
PSA PROSTATIC SPECIFIC ANTIGEN 291.00
Prostate-Specific Antigen (PSA), free 291.00
PROTEIN TOTAL SERUM 59.00
24 HR URINE, TOTAL PROTEIN 59.00
PROTIEN TOTAL - PLEURAL FLUID 59.00
PROTEIN ELECTRO, SERUM 170.00
ELECTROPHORETIC FRACTIONATION 282.00
PROTOPORPHYRIN, RBC, QUANTITATIVE 139.00
Proinsulin 282.00
VITAMIN B-6 444.00
SOLUBLE TRANSFERRIN RECEPTOR 577.00
RENIN 348.00
Human Sex Hormone-Binding Globulin (SHBG 344.00
SODIUM SERUM 76.00
URINE SODIUM ASSAY 76.00
SOMATOMEDIN 336.00
HDL2-C Subclass 111.00
1,5 Anhydroglucitol (Glycomark®) 46.00
FREE TESTOSTERONE SERUM 402.00
TESTOSTERONE TOTAL 409.00
VITAMIN B1 109.00
THROMBOXANE URINE 265.00
THYROXINE TOTAL 110.00
T4 FREE 142.00
TBG 234.00
TSH 265.00
THYROID STMULTNG IMMNE GLBLN 803.00
VITAMIN A 224.00
SGOT AST 83.00
SGPT ALT 84.00
TRANFERRIN 145.00
TRIGLYCERIDES 91.00
T UPTAKE 102.00
TRI-IODOTHYRONINE T3; TOTAL 224.00
T-3 FREE 268.00
T3, reverse 122.00
TROPONIN QUANTATIVE 426.00
TROPONIN QUALITATIVE 117.00
BUN QUANTITATIVE 63.00
URIC ACID BLOOD 72.00
URIC ACID URINE 75.00
VMA/URINE 245.00
VITAMIN E 183.00
VITAMIN K 1 109.00
ZINC, SERUM 180.00
C-PEPTIDE SERUM 329.00
PREGNANCY QUANT. HCG 138.00
QUALITATIVE HCG 118.00
WBC W/DIFF AUTOMATED 102.00
BLOOD SMEAR W MANUAL DIFF 139.00
HCT (HEMATOCRIT) 38.00
CBC WITH DIFFERENTIAL 179.00
CBC W/MANUAL DIFF 214.00
RETICULOCYTE COUNT MANUAL 65.00
WBC 41.00
BLOOD COUNT, PLATELET AUTOMATED 95.00
D-DIMER QA 113.00
FDP,D-DIMER, QUANTITATIVE 147.00
Fibrinogen, mass 135.00
PROTHROMBIN TIME 176.00
SED RATE WESTGREN NONAUTOMATED 56.00
Erythrocyte Sedimentation Rate (ESR) 44.00
HEMOGLOBIN SOLUBILITY HGB 88.00
THROMBIN TIME PLASMA 92.00
THROMBOPLASTIN INHIBITN,TISSUE 135.00
PTT 95.00
FEBRILE AGGLUTINUS EACH 111.00
ALLERGEN SPECIFIC IgG QUAN/SEMIQUAN EACH 75.00
ALLERGEN SPECIFIC IgE QUAN/SEMIQUAN EACH 75.00
ALLERGEN SPECIFIC Ige QUAL MULTIALLERGEN 126.00
ANCA 238.00
ANA (ANTINUCLEAR ANTIBODIES) 192.00
ANA TITER 177.00
ASO TITER 116.00
C-REACTIVE PROTEIN (CRP) 83.00
C-REACTVE PROTN HI SNSITIVITY 204.00
Anti-Beta-2 Glycoprotein I Antibodies (A 124.00
ACA, QUANTITATIVE,IGA,IGG,IGM 124.00
COLD AGGLUTININ TITER QUANTITATIVE 107.00
DNASE ANTIBODY 173.00
ANTI DNA ANTIBODIED BY EIA 217.00
NUCLEAR ANTIGEN ANTIBODY 283.00
CANCER ANTIGEN 329.00
CA - 19 -9 329.00
CA 125 II 329.00
MONO SPOT 83.00
CHROMOGRANIN A-IMMUNOASSY TMR QUANT 426.00
IMMUNOASSAY INFECT AGNT ANTBDY QUANT NOS 237.00
IMMUNOFIXATION ELECTROPHRSIS 352.00
IMMUNOFIXATION UA 464.00
INTRINSIC FACTOR BLOCKING ANTIBODIES 196.00
ANTIPANCREATIC ISLET CELLS 273.00
LIVER KIDNEY MICROSOMAL AB 229.00
HEPATITIS B SURF ANT W/CONF 267.00
RHEUMATOID FACTOR 90.00
RHEUMATOID FACTOR 90.00
RPR 68.00
BARTONELLA ANTIBODY PANEL 130.00
LYMES DISEASE WESTERN BLOT 245.00
LYME DISEASE TTL ANTIBODIES 269.00
CYTOMEGALOVIRUS (CMV), IGM 130.00
EB VIRUS, EARLY ANTIGEN 207.00
EPSTEIN-BARR NUC ANTGN ANTIBODIES IsG 241.00
EB VIRUS, VIRAL CAPSID 286.00
HELICOBACTER PYLORI, ANY 130.00
HIV 306.00
HERPES SIMPLEX NON-SPECIFIC TYPE TEST 227.00
HEPRES SIMPLEX TYPE 1 208.00
HERPES SIMPLEX TYPE 2 306.00
HIV 1 140.00
HIV 2 167.00
HIV 1 AND HIV 2, SINGLE RESULT 217.00
HEP B CORE ANTIBODY TOTAL 191.00
HEP B CORE IGM ANTIBODY 185.00
HEP B SURFACE ANTIBODY 170.00
HEPATITIS A ANTIODY IGM 178.00
INFLUENZA TITER 215.00
LEGIONELLA IGM 242.00
ROCKY MNTN FEVER TITRE 306.00
RUBELLA TITER 227.00
TREPONEMA PALLIDUM ANTIBODIES (FTA-ABS) 138.00
VARICELLA ZOSTER VIRUS AB,IGM 130.00
WEST NICE VIRUS, IGM 130.00
WEST NILE VIRUS 227.00
WEST NILE VIRUS TITER 130.00
Anti-Thyroglobulin Antibodies (Anti-Tg) 251.00
HEPATITIS C ANTIBODY 225.00
HEP C ANTIBODY 245.00
AB ID STD COM PANEL 527.00
ABO ANTIBODY TITER (COOMBS) 83.00
CONCENTRATION INFECTIOUS AGENTS 137.00
CULTURE BLOOD AEROBIC 163.00
CULTURE STOOL AEROVIC 150.00
CULTURE STOOL + PATHOGENS 150.00
CULTURE SPUTUM OTHER SOURCE 136.00
CULTURE BACTERIAL ANY ANAEROBIC ISOID 197.00
AEROBIC BACTERIUM ID 129.00
MRSA 105.00
CULTURE URINE QUANT CLNY 129.00
CULTURE FUNGUS 134.00
CULTURE FUNGAL DEF ID 163.00
CULTURE CHLAMYDIA 309.00
CULTURE AFB (MYCOBACTERIA) 171.00
PINWORM PREPARATION 68.00
SMEAR OVA & PARASITES DIRECT 138.00
SENSITIVITY ORGANISM 137.00
GRAM STAIN 68.00
SMEAR AFB 86.00
OVA & PARASITE SMEAR 284.00
WET MOUNT 68.00
KOH PREP 68.00
CLOSTRIDIUM DIFFICILE TOXIN 311.00
RSV 189.00
ASPERGILLUS GALACTOMANNAN EIA 189.00
CLOSTRIDIUM DIFF TOXINS 189.00
IAAD EIA CRYPTOSPORIDIUM 245.00
IAAD EIA GIARDIA 245.00
H. PYLORI STOOL AG EIA 227.00
HEP B SURFACE ANTIGEN 163.00
HEP BE ANTIGEN 182.00
RAPID STREP 189.00
INFECT AGNT-DNA/RNA-BORRELIA BURGDORFERI 455.00
IADNA CANDIDA SP AMP PROBE TQ 531.00
CHLAMYDIA DNA PROBE 317.00
CHLAMYDIA NUCLEIC AAA 554.00
CYTOMEGALOVIRUS (CMV) QUANT, PLASMA 487.00
INLFUENZA VIRUS REVERSE TRANSCRIPTION 810.00
INFLUENZA VIRUS FOR MULT TYPES/SUB TYPES 1,342.00
HEP B VIRUS DNA 554.00
HEP C, QUAL DNA OR RNA, NNA AMP PROBEREV 554.00
HEP C RNA PCR QUANT 448.00
HIV-1 QUANT, REALTIME PCR 1,287.00
GONORRHOEAE GEN PROBE 317.00
GONORRHOEAE DNA PROBE 554.00
TRICHOMONAS VAG DNA/RNA AMP PROB 531.00
CANDIDA SP DNA OR RNA AMP PROBE 531.00
INFECTIOUS AGNT DETCT (DNA/RNA) QUANT EA 876.00
INFLUENZA ANTIGEN (CHG X2) 95.00
HEPATITIS C VIRUS 2,891.00
CYTOPTHLGY,CERV,VAG PAP W/RFLX 321.00
LEUKEMIA FLOW MARKER-1ST MARKER-TC ONLY 235.00
LEUKEMIA FLOW MARKER-EA ADDTL-TECH ONLY 135.00
LEUKEMIA FLOW MARKER-16 OR > MARKERS 235.00
OVA AND PARASITES 91.00
WITH DIFFERENTIAL COUNT 88.00
WBC STOOL 68.00
CRYSTAL ID BY LIGHT 114.00
PSA SCREENING,TOTAL 291.00
MUMPS ANTIBODIES IgG 206.00
MUMPS ANTIBODIES IgM 206.00
PSA SCREENING 291.00
CMV 291.00
ALDOSTERONE URINE 643.00
CATECHOLAMINES FRACTIONATED 328.00
HAPTOGLOBIN 199.00
ANTIGLIADIN AB PANEL 182.00
ACHR RECEPTOR BINDING ANTIBODY 214.00
METANEPHRINES 268.00
BNP 535.00
PLATELET ANTIBODY 155.00
COMPLEMENT ANTIGEN EACH COMPONENT 191.00
COMPLEMENT FUNCTIONAL EACH COMPONENT 156.00
CYCLIC CITRULLINATED PEPTIDE 204.00
#TB SKIN TEST INTRADERMAL 36.00
ALDOLASE 154.00
HEMOGLOBIN 38.00
PERIPHERAL SMEAR 265.00
MURAMIDASE / LYSOZYME SERUM 244.00
HEP A TOTAL 196.00
CULTURE URINE 129.00
HANDLING FEE 24.00
CLINICAL PATH CONSULT LIMITED 193.00
LEVEL I SURG PATH GROSS ONLY 76.00
LEVEL II SURG PATH GROSS&MICRO 131.00
LEVEL III SURG PATH GROSS&MICR 205.00
LEVEL IV SURG PATH GROSS&MICRO 349.00
LEVEL V SURG PATH GROSS&MICRO 343.00
LEVEL VI SURG PATH GROSS&MICRO 425.00
CYTOPATH. SMEARS,SCREEN,INTPRT 126.00
CYTOPATHOLOGY INTERPRET&REPORT 419.00
PLACEMENT BREAST LOCALIZATION DEVICE 641.00
DX BREAST TOMOSYNTHESIS UNILATERAL 366.00
DX BREAST TOMOSHYTHESIS BILATERAL 366.00
DX UNILAT MAMMO W/ CAD 840.00
DX BILAT MAMMO W/ CAD 839.00
MAMMO BILATERAL DIGITAL 839.00
DIAGNOSTIC MAMMO DIGITAL 840.00
BREAST TOMOSYNTHESIS UNILAT DX 366.00
BREAST TOMOSYNTHESIS BILAT SCREENING 366.00
MAMMO SCREENING W/ CAD 578.00
MAMMO SCREENING BILATERAL DIGITAL 578.00
GAD-BASE MR CONTRAST NOS,1ML 29.00
MRI TEMPOROMANDIBULAR JOINT 3,404.00
MRI ORBIT/FACE/NECK - PLAIN 3,320.00
MRI ORBIT/FACE/NECK W/CONTRAST 3,574.00
MRI ORBIT/FACE/NECK - W/WO 3,830.00
MRA HEAD 3,320.00
MRA ANGIOGRAPHY HEAD W/DYE 3,574.00
MRA HEAD W/WO 3,830.00
MRA NECK 3,320.00
MRA NECK W/ CONTRAST 3,574.00
MRA NECK W W/O CONTRAST 3,830.00
MRI BRAIN - PLAIN 3,320.00
MRI BRAIN W/C 3,574.00
MRI HEAD W/ AND W/O CONTRAST 3,830.00
MRI CHEST W/O CONTRAST 3,320.00
MRI CHEST W W/O CONTRAST 3,830.00
MRA CHEST W/O & W/CONTRAST MATERIAL 3,830.00
MRI CERVICAL SPINE - PLAIN 3,320.00
MRI SPNL CNL/CNT,CRV W/CONT 3,320.00
MRI THORACIC SPINE 3,320.00
MRI THORACIC SPINE W/CONTRAST 3,574.00
MRI LUMBAR SPINE - PLAIN 3,320.00
MRI LUMBAR SPINE W/CONTRAST 3,574.00
MRI CERVICAL SPINE WI & W/OI 3,830.00
MRI CHEST W/WO DYE 3,830.00
MRI LUMBAR SPINE W/WO DYE 3,830.00
MRI PELVIS - PLAIN 3,320.00
MRI PEVLIS W/DYE 3,574.00
MRI PELVIS - W/WO DYE 3,830.00
MRA PELVIS W/WO CONTRAST MATERIAL 3,830.00
MRI UPPER EXTREME - PLAIN 3,320.00
MRI UPPER EXTREMITY OTH THAN JT W/CONTR 3,574.00
MRI UPPER EXTREM - W/WO DYE 3,830.00
MRI JOINT UPR EXTREM - PLAIN 3,320.00
MRI UPPER EXTREMITY W/CON 3,574.00
MRI JOINT UPR EXTRM - W/WO DYE 3,830.00
MRI LWR EXTREM (LEG) - PLAIN 3,320.00
MRI LOWER EXTREMITY W/DYE 3,574.00
MRI LWR EXTREM (LEG) W/WO DYE 3,830.00
MRI JOINT LWR EXTREM - PLAIN 3,320.00
MRI LOW EXTREMITY JT; W/CM 3,574.00
MRI JOINT LWR EXTREM W/WO DYE 3,830.00
MRA LOWER EXTREMITY W/WO CONTRAST 3,830.00
MRI ABODMEN W/O DYE 3,320.00
MRI ABDOMEN W/ CONTRAST 3,574.00
MRI ABDOMEN - W/WO DYE 3,830.00
MRI ANGIO, ADDOM W W/O DYE 3,830.00
MR GUIDANCE FOR NEEDLE PLACE 3,830.00
MRI BREAST UNILATERAL W/WO DYE 3,830.00
MRI BREAST BILATERAL W/WO DYE 3,830.00
HEPARIN 2 UNITS 219.00
SINCALIDE INJ / KINEVAC SMCG 275.00
MYOVIEW 40MCI 950.00
UREA BREATH TEST C14 153.00
UREA BREATH TEST ANALY 1,530.00
PARATHYROID NUCLEAR IMAGING 659.00
LYMPH & LYMPH NODE IMA 1,754.00
THYROID IMAGE UPDATE 1,822.00
THYROID UPTAKE W/BLOOD FLOW S/M QUANT 2,076.00
LIVER/SPLEEN/W/VASCULAR 1,764.00
HEPATOBILIARY DUCT IMA 1,822.00
HEPATOBILIARY SYSTEM IMAGING W/DRUG 2,085.00
GASTRIC EMPTYING STUDY 2,085.00
BONE &/JOINT IMAGING LIMITED AREA 1,531.00
BONE &/OR JNT MULTIPLE 1,922.00
BONE & JOINT IMAGING, WHOLE BODY 2,738.00
BONE & JOINT IMAGING, 3 PHASE STUDY 2,410.00
MYOCARDIAL SPECT SINGLE 3,292.00
MYOCARDIAL SPECT MULT 5,478.00
BLOOD POOL IMAGE MULT 4,715.00
CARDIAC BLOOD POOL FIR 1,987.00
CARDIAC BLOOD POOL MUL 2,753.00
LUNG PERFUSION PARTICU 1,747.00
BRAIN IMAGING TOMOGRAPHIC SPECT 3,647.00
CEREBROSPINAL FLUID FL 3,145.00
GALLIUM SCAN WHOLE BODY 2,480.00
KIT LABELED RBC DISP 393.00
TC99M SESTAMIBI 840.00
TC-99M PER STUDY DOSE 93.00
MDP UP TO 30 MCI 88.00
TL-201 THALLOUS CHLOR 164.00
I-123 200MCI CAP EA 132.00
TC99M EXAMETAZIME 2,808.00
CHOLETEC UP TO 15 MCI 176.00
MAA UP TO 10MCI EA 117.00
TC99M SULFUR COLLOID UP TO 2 125.00
IN-111 PENTETREOTIDE 7,314.00
DTPA UP TO 75 MCI INH 210.00
OBS ROOM 1ST HR-NO TELEM. 481.00
OBSRV ROOM W/MON 1ST HR 564.00
OBSRV ROOM W/MON EA ADD HR 188.00
OBSERVATION CHF PATNT 8-48 HRS 675.00
OBS ROOM / EACH ADD HR-NO TELE 152.00
TENS APPLICATION 124.00
HOT-COLD THERAPY 1/> AREAS 47.00
TRACTION MECH 1/> AREAS 126.00
ELECTRICAL STIM UNATTENDED 1/> AREAS 52.00
VASOPNEUMATIC DEVICE THERAPY 1/> AREAS 149.00
PARAFFIN BATH 1/> AREAS 84.00
WHIRLPOOL 1/> AREAS 180.00
ELECTRICAL STIM MAN EACH 15 MIN 150.00
IONTOPHORESIS EA 15 MIN 1/> AREAS 204.00
CONTRAST BATHS EA 15 MIN 1/> AREAS 141.00
ULTRASOUND EA 15 MIN 1/> AREAS 101.00
UNLISTED MOD SPEC TYPE/TIME CONSTANT ATT 152.00
THERAPEUTIC EXERCISES EA 15MIN 1/> AREAS 252.00
NEUROMUSC RE-EDU EA 15 MIN 1/> AREAS 264.00
GAIT TRAINING EACH 15 MIN (INC STAIRS) 223.00
MASSAGE EA 15 MIN 1.+ AREAS 205.00
MAN THRPY TQS EA 15 MIN, 1/> REGIONS 235.00
THERAPEUTIC PROC GROUP 2/> INDIVIDUALS 138.00
THERAPEUTIC ACT DIR PT CONTACT EA 15 MIN 256.00
COGNITIVE SKILLS DEVELOPMENT EA 15 MIN 212.00
SELF CARE/HOME MGMT TRAIN EACH 15 MIN 275.00
COMMUNITY/WORK REINTEGRATION EA 15 MIN 238.00
WHEELCHAIR MANAGEMENT EACH 15MIN 242.00
DEBRIDEMENT OPEN WOUND EA ADDTL 20 SQCM 191.00
ORTHOTICS TRAINING, 15 MIN ECH 296.00
PROSTHETIC TRAINING EA 15 MIN UPPR/LWR 259.00
ORTHOTIC/PROST CHECK OUT EST PT EA 15 MI 365.00
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 259.00
PT EVAL LOW COMPLEX 605.00
PT EVAL MOD COMPLEX 662.00
PT EVAL HIGH COMPLEX 718.00
PT RE-EVAL EST PLAN CARE 411.00
RADIOPHARM DX AGENT 129.00
MEPERIDINE HYDROCHL / 50MG 25.00
LIDOCAINE INJ 129.00
SURGICAL TRAY 66.00
STERILE NEEDLE 191.00
XR INJECTION FOR WRIST X-RAY 705.00
INJECTION KNEE ARTHROGRAPHY 129.00
HYSTEROSALPINGOGRAM CATH 613.00
MYELOGRAPHY LUMBAR INJ 2> REGIONS 1,333.00
RADIOLOGIC EXAMINATION EYE DETECT FB 326.00
XR MANDIBLE 1-3 VIEWS 326.00
XR MANDIBULAR SERIES MIN 4VIEWS 326.00
XR MASTOID PARTIAL 216.00
XR MASTOID CMPLETE MIN 3V ECH SDE 229.00
XR FACIAL BONES LIMITED 344.00
XR FACIAL BONE SERIES MIN 3VIEWS 326.00
XR NASAL BONE SERIES MIN 3VIEWS 326.00
XR ORBIT CMPLETE MIN 4VIEWS 326.00
XR SINUSES <THAN 3VIEWS 326.00
XR SINUSES CMPLETE MIN 3VIEWS 326.00
XR SKULL <THAN 4 VIEWS 326.00
XR SKULL MIN 4VIEWS 543.00
XR T M JOINTS UNILATERAL 216.00
XR T-M JOINT BILATERAL 361.00
XR SOFT TISSUES OF NECK 229.00
XR CHEST 1 VIEW 326.00
XR CHEST XRAY STEREO FRONTAL 326.00
XR CHEST 3 VIEWS W/LORDOTIC 326.00
XR CHEST CMPLETE MIN 4 VIEWS 326.00
XR CHEST 1 VIEW 326.00
XR CHEST 2 VIEWS 326.00
XR CHEST 3 VIEWS 326.00
XR CHEST 4 VIEWS 326.00
XR RIBS UNILAT 2VIEWS 326.00
XR RIBS W/PA CHEST MIN 3VIEWS 326.00
XR RIBS BILATERAL 326.00
XR RIBS BILAT W/PA CHEST MIN 4V 326.00
XR STERNUM MIN 2VIEWS 326.00
XR STEMOCIAVICULAR JOINT 326.00
XR SPINE 1VIEW 326.00
XR CERVICAL SPINE 2/3 VIEWS 326.00
XR SPINE CERVICAL MIN 4 VIEWS 543.00
XR CERVICAL SPINE CMPLETE & FLEX 543.00
XR SCOLIOSIS SERIES scoliosis evalu 326.00
XR SPINE THORACIC 2VIEWS 326.00
XR SPINE THORACIC 3VIEWS 326.00
XR THORACIC 4 VIEW 326.00
RADEX SPINE THORACOLUMBAR 2 VIEWS 326.00
XR SCOLIOSIS EVAL 1 VIEW 326.00
XR SCOLIOSIS EVAL 2-3 VIEWS 326.00
XR SCOLIOSIS EVAL 4-5 VIEWS 326.00
XR SCOLIOSIS EVAL 6+ VIEWS 326.00
XR SPINE THORACIC SCOLIOSIS STUDY 471.00
XR SPINE LS 2/3VIEWS 326.00
XR SPINE LS MIN 4VIEWS 543.00
XR SPINE LS CMPLETE W/BENDING 543.00
XR LUMBAR SPINE BENDING 326.00
XR PELVIS 1/2VIEWS 326.00
X-RAY EXAM OF PELVIS 326.00
XR SACROILIAC JOINTS COMPLETE 326.00
XR EXAM SACROILIAC JOINTS 326.00
XR SACRUM & COCCYX MIN 2VIEWS 326.00
MYELOGRAPY CERVICAL RS&I 2,681.00
MYELOGRAPY THORACIC RS&I 2,681.00
MYELOGRAPY 2/MORE REGIONS RS&I 2,681.00
XR CLAVICLE COMPLETE 326.00
XR SCAPULA COMPLETE 326.00
XR SHOULDER 1VIEW 326.00
XR SHOULDER CMPLETE MIN 2VIEWS 326.00
XR CONTRAST X-RAY OF SHOULDER 2,011.00
XR ACROMIOCLAVICULAR JOINTS 326.00
XR HUMERUS MIN 2VIEWS 326.00
XR ELBOW 2VIEWS 326.00
XR ELBOW CMPLETE MIN 3VIEWS 326.00
XR CONTRAST X-RAY OF ELBOW LI 2,011.00
XR FOREARM 2VIEWS 326.00
XR UPPER EXTREMITY, INFANT 326.00
XR WRIST 2VIEWS 326.00
XR WRIST CMPLETE MIN 3VIEWS 326.00
XR WRIST W/CONTRAST 2,011.00
XR HAND 2 VIEWS 326.00
XR HAND CMPLETE MIN 3VIEWS 326.00
XR FINGER (S) MIN 2VIEWS 326.00
XR HIP UNILAT 1 VIEW 326.00
XR HIP UNILATERAL 1 VIEW 326.00
XR HIP UNILAT CMPLT MIN 2 VIEWS 326.00
XR HIP UNILAT W/ PELVIS 4 VIEWS 326.00
XR HIP UNILAT CMPLETE MIN 2VIEWS 326.00
XR HIPS BILAT W/ PELVIS MIN 2 VIEWS 326.00
XR HIPS BILAT W/ PELVIS 3-4 VIEWS 326.00
XR HIPS BILAT W/ PELVIS MIN 5 VIEWS 326.00
XR CONTRAST X-RAY OF HIP 2,011.00
XR PELVIS/HIPS MIN 2VIEWS 326.00
XR FEMUR 2 VIEWS 326.00
XR KNEE 1/2VIEWS 326.00
XR KNEE MIN 3VIEWS 326.00
XR KNEE CMPLETE 4VIEWS 326.00
XR KNEE BOTH STANDING AP 326.00
RADIOLOGIC EXAM KNEE ARTHROGRAPHY RS&I 1,237.00
XR TIB FIB 2VIEWS 326.00
XR LOWER EXTREMITY INFANT MIN 2V 326.00
XR ANKLE 2VIEWS 326.00
XR ANKLE CMPLETE MIN 3VIEWS 326.00
XR FOOT 2VIEWS 326.00
XR FOOT CMPLETE MIN 3VIEWS 326.00
XR OS CALCIS MIN 2VIEWS 326.00
XR TOE (S) MIN 2VIEWS 326.00
XR ABDOMEN AP & LATERAL 326.00
XR ABDOMEN 1 VIEW 326.00
XR ABDOMEN 2 VIEWS 326.00
XR ABDOMEN 3+ VIEWS 326.00
XR ABDOMEN ACUTE SERIES W/CHEST 302.00
XR RAD EXAM ESOPHAGUS 621.00
XRCONTRST X-RAY UPPR GI TRACT 621.00
XR UGI W/AIR, W/KUB 621.00
XR UGI/SBFT 1,021.00
XR SBFT 621.00
UROGRAPHY IV W/WO KUB W/WO TOMOGRAPHY 955.00
XR IVP W/O TOMO 424.00
XR IVP W/TOMO 970.00
X-RAY, FEMALE GENITAL TRACT 1,820.00
XR PEDI FOREIGN BODY 229.00
XR BONE DENSITY (HIPS SPINE) DXA 855.00
XR EXAM BREAST SPECIMEN 2,011.00
XR OF MAMMARY DUCT 423.00
XR STRESS VIEW 326.00
XR BONE AGE STUDY 326.00
XR BONE LENGTH STUDY 326.00
XR BONE SURVEY COMPLETE 543.00
XR BONE DENSITY (HIPS SPINE) DXA 511.00
K FLOW/FUNCT IMAGE, MULTIPLE 1,143.00
XR CHEST 3 VIEWS 229.00
PLCMNT OF SFT TISS LOCAL DEVICE 1ST LESI 592.00
MYELOGRAPHY VIA LUMBAR INJ CERVICAL 1,251.00
MYELOGRAM INJ LUMBAR THORACIC 1,251.00
MYELOGRAPHY LMBR INJ INC RX SUPER/INTPRE 1,333.00
EKG/ECG 12 LD TRACING ONLY 161.00
EMG NEEDLE 1 EXTREMITY W/WO PARASPINAL 1,550.00
XR INJECTION FOR SHOULDER X-RAY 509.00
INJ PROC ELBOW ARTHROGRAPHY 511.00
INJ FOR HIP ARTHRGRPHY W/O ANE 1,277.00
MOD SEDATION INIT 15 MIN AGE 5+ 149.00
VIP-DO NOT BALANCE BILL -
OXYGEN USE PER DAY 662.00
OXYGEN EACH HOUR 27.00
ABG DRAWING FEE 50.00
ARTERIAL BLOOD GAS 287.00
SPUTUM COLLECTION 86.00
CPAP VENT INIT & MGMT 132.00
NEBULIZER DEMO/EVALUTAION 78.00
NEBULIZER TREATMENT 92.00
PD & CP COMBO TX 98.00
ULTRA SONIC NEBULIZER 71.00
HEAT MIST W/OXY PER HOUR 38.00
INCENTIVE SPIROMETRY 34.00
POSTURAL DRAINAGE TREATMENT 74.00
PERCUSSION TREATMENT 74.00
SUCTION DAILY CHECK 74.00
OXI HOOD SET UP 160.00
OXI HOOD W/OXY PER HOUR 38.00
ROOM HUMIDIFIER SETUP/MONITOR 93.00
CONT ULTRA SONIC W/OXY PER HR 24.00
CROUP TENT SET UP 86.00
CROUP TENT OHIO W/OXY PER HOUR 36.00
COOL MIST W/OXY PER HOUR 26.00
PEAK FLOW MONITOR 71.00
SUCTION TREATMENT STERILE 86.00
RSV WASH COLLECTION 86.00
PEP THERAPY/TRAINING 76.00
PULSE-OX DISP. PEDI 175.00
PULSE-OX DISP. ADULT 175.00
PULMONARY FUNCTION SPIROMETRY 374.00
PULMONARY FUNCTION COMPLETE 569.00
PULSE OX PRIVATE SINGLE USE 175.00
PULSE OX SEMI RM SINGLE USE 175.00
PULSE OX SINGLE DETERMINATION 175.00
PULSE OX MULTIPLE DETERMINATIN 175.00
DEEP BREATHING EXERCISES 76.00
EMERGENCY RESUSCITATION 425.00
HOLTER MONITOR 24HR RECORD 510.00
CPR 1,250.00
HEPARIN FLUSH KIT 100 U 7.00
PANTOPRAZOLE 40MG TAB 21.00
VERAPAMIL 120MG TAB 8.00
DERMABOND 309.00
AMMONIA INHALANT .33CC 7.00
INSULIN-NOVOLOG 70/30 1/1000 U 7.00
SPIRONOLACTONE 25MG TAB 7.00
AMOXICILLIN 250MG CAP 7.00
MECLIZINE 25MG TAB 7.00
PROCAINAMIDE IV 100MG/ML 12.00
HYDRALAZINE 25MG TAB 7.00
HYDROXYZINE 25MG TAB 7.00
ATORVASTATIN 10MG TAB 23.00
SULFAMETHOXAZOLE/TRIMETHPRM DS 15.00
DONEPEZIL HYDROCHLORIDE 5MGTAB 45.00
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 569.00
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 20.00
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 128.00
THIORIDAZINE 10MG TAB 7.00
ASPIRIN 81MG TAB 7.00
GEMFIBROZIL 600MG TAB 7.00
NITROGLYCERIN SL 0.4MG TAB 119.00
MONTELUKAST 10MG TAB 27.00
AMLODIPINE 5MG TAB 13.00
PROMETHAZINE 25MG TAB 7.00
PREDNISONE 5MG TAB 7.00
PREDNISONE 10MG TABLET EACH 7.00
SIMVASTATIN 10MG TAB 23.00
ISOSORBIDE MONONITRATE 60MG TB 8.00
NIFEDIPINE 30MG TAB 13.00
FLUCONAZOLE 150MG TAB 119.00
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 21.00
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 17.00
SULFAMETHOXAZOLE/TRIMETH PEDS 7.00
PHENYTOIN 125MG/5ML SUSP 8OZ 8.00
THEOPHYLLINE ELIX 80MG/15ML 28.00
LIDOCAINE VISCOUS 2 PERCENT 20ML 9.00
GENTAMICIN OPHTH OINT 3.5GM 188.00
TIMOLOL 0.5 PERCENT OPHTH 2.5ML 126.00
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 38.00
NEOMYCIN/POLYB/HYDRO OTIC 10CC 308.00
LISINOPRIL 10MG TAB 10.00
FLUOXETINE 20 MG TAB 7.00
DUODERM 4X4 DRESSING 41.00
GENTAMICIN 0.1 PERCENT OINT 15 GM 13.00
TERBINAFINE CREAM 12GM 78.00
NIZORAL 2% CREAM 166.00
CLOTRIMAZOLE/BETAMET 15GM CR 135.00
SILVER SULFADIAZINE CREAM 25GM 25.00
NAPROXEN 500MG TAB 7.00
IPRATROPIUM BROMIDE/ALBUT. INH 449.00
TETRACAINE 0.5 PERCENT 53.00
TOLTERODINE 2MG TAB 27.00
ZOLPIDEM TARTRATE 5MG TAB 21.00
RESPERIDONE 1MG TAB 28.00
VITAMIN B-12 1000MCG/ML 44.00
DIPHENHYDRAMINE IM/IV 50MG/ML 44.00
METHYLPREDNISOLONE IM/IV 80MG 84.00
SOTALOL 80MG TAB 28.00
HALOPERIDOL IM/IV 5MG/ML 40.00
PROPRANOLOL IM/IV 1MG/ML 171.00
SULCRALFATE 1GM SUSP 21.00
FUROSEMIDE IV 20MG 9.00
LORATADINE 10MG TAB 27.00
LIDOCAINE 2 PERCENT MDV 2 PERCENT 50ML 9.00
METOPROLOL IV 5MG/5ML 28.00
BUPIVACAINE .5 PERCENT 30 ML 20.00
BUPIVACAINE .75 PERCENT 30ML 41.00
BUPIVACAINE .25 PERCENT 30ML 27.00
LEVOTHYROXIN .01MG (100MC) TAB 7.00
PROMETHAZINE IM/IV 25MG/ML 45.00
METHYLPREDNISOLONE IM/IV 40MG 20.00
METHYLPREDNISOLONE IM/IV 125MG 36.00
LEVOFLOXACIN IM/IV 500MG 186.00
VANCOMYCIN IM/IV 500GM 66.00
DOXYCYCLINE 100MG TAB 7.00
LIDOCAINE 1 PERCENT MDV 50ML 10.00
MUPIROCIN CREAM 2 PERCENT 15GM TUBE 272.00
DIGOXIN IV .25MG/ML 23.00
CLOPIDROGREL 75MG TAB 38.00
CHLORDIAZEPOXIDE 10MG TAB 7.00
FLUOR STRIP 7.00
TEMAZEPAM 15MG TAB 7.00
DIAZEPAM 5MG TAB 7.00
CIPROFLAXACIN 500MG TAB 53.00
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 73.00
DIAZEPAM IM/IV 5MG/ML 8.00
METFORMIN 500MG TAB 8.00
LORAZEPAM IM/IV 2MG/ML 36.00
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 200.00
PENICILLIN G LA 100,000 UNITS 249.00
PROMETHAZINE SUP 12.5MG 38.00
PROMETHAZINE SUP 25MG 29.00
ALTEPLASE 50MG SINGLE DOSE 7,786.00
LIDOCAINE 0.4 PERCENT /D5W 500ML 61.00
NALBUPHINE IM/IV 20MG/ML 13.00
IV-D5W 1000ML 13.00
FAMOTIDINE 20 MG TAB 7.00
SERTRALINE 50MG TAB 23.00
PROCHLORPERAZINE 10MG TAB 7.00
FUROSEMIDE IV 40MG 32.00
IV - NORMAL SALINE 10ML 12.00
BACITRACIN OPHTH ONIT 3.5GM 20.00
TORSEMIDE 20MG TAB 10.00
LIDOCAINE W/EPI 1 PERCENT 30ML 13.00
DILTIAZEM IV 5MG/ML 71.00
METOCLOPRAMIDE 10MG TAB 7.00
LEVOTHYROXIN 0.05MG TAB 50MC 7.00
NITROGLYCERIN 2 PERCENT OINT 1GM 41.00
ATENOLOL 25MG TAB 7.00
IRBESARTAN 150MG TAB 13.00
MELOXICAM 7.5MG TAB 21.00
GABAPENTIN 100MG TAB 8.00
AZITHROMYCIN IM/IV 500MG 216.00
CHLORDIAZEPOXIDE 25MG TAB 7.00
TAMSULOSIN 0.4MG TAB 17.00
BUPROPION 150MG TAB 17.00
NICARDIPINE I.V. 20MG IN 200ML 404.00
HYDROXYZINE 10MG TAB 7.00
ALBUTEROL INHAL.KIT 1MG VENT 104.00
PHENYLEPHRINE 1 PERCENT NASAL DROPS 41.00
CELECOXIB 100MG TAB 15.00
VALSARTAN 80MG TAB 13.00
ISOSORBIDE DINITRATE ORL 10MG 7.00
LISINOPRIL 5MG TAB 10.00
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 17.00
LEVETIRACETAM 500MG TAB 20.00
TRIAMTERENE/HCTZ 37.5/25 MG T 7.00
TELMISARTAN 40MG TAB 13.00
GLIMEPIRIDE 2MG TAB 7.00
VITAMIN K1 IM/IV 10MG 51.00
FOSPHENYTOIN 214.00
GLIPIZIDE ER 2.5MG TAB 8.00
FLUCONAZOLE IM/IV 200MG/ML 865.00
ALPRAZOLAM 0.5MG TAB 7.00
VERAPAMIL IM/IV 2.5MG/ML 25.00
NIFEDIPINE 10MG TAB 7.00
ALLOPURINOL 300MG TAB 7.00
DIBUCAINE OINT 1OZ. 21.00
BACLOFEN 10MG TAB 7.00
NYSTATIN SUSP 5ML 9.00
MIRTAZAPINE 15MG TAB 27.00
HYDROCHLOROTHIAZIDE 25 MG TAB 7.00
VECURONIUM BROMIDE 10MG INJ IV 29.00
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 72.00
DIPHENHYDRAMINE 12.5MG/5ML 7.00
LIDOCAINE JELLY 2% 30ML 126.00
METOCLOPRAMIDE IV 10MG 8.00
HYDRALAZINE 20MG/ML INJ IM/IV 44.00
PANTOPRAZOLE SODIUM IV 40MG 228.00
SUCINYLCHLNE CHL IM/IV 20MG/ML 10.00
CEFAZOLIN IM/IV 500 MG 32.00
ACETAMINOPHEN/CODEINE TB 300MG 8.00
FLUTICASONE PRPNTE/SLMTRL INH 738.00
FLUTICASONE PRPNTE 50MCG N SPY 564.00
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 81.00
FOLIC ACID IM/IV, SC 5MG/ML 82.00
GENTAMICIN 80MG IVPB 40.00
FINASTERIDE 5 MG TAB 25.00
PIOGLITAZONE HCL 15MG TAB 36.00
LOSARTAN POTASSIUM 50MG TAB 7.00
LEVOTHYROXINE 112 MCG TAB 7.00
DOPAMINE HCL IV 400MG 112.00
PREDNISONE 20MG TAB 7.00
FUROSEMIDE IM/IV 100 MG 8.00
GENTAMICIN OPTH SOL 5ML 27.00
AMPICILLIN IM/IV 500MG 44.00
POTASSIUM CHLORIDE 20MEQ TAB 8.00
PREDNSLNE ACETATE OPTH SUSP 1 PERCENT 40.00
NIACIN SR 250MG TAB 7.00
POLYSACCHARID IRON CMPLX 150MG 8.00
RIVASTIGMINE 1.5MG TAB 23.00
HYDROXYZINE IM/IV 50MG/ML 12.00
STERILE WATER EYE WASH SOL 4OZ 23.00
NEOMYCIN,POLYMIXIN GU IRR 10X1 118.00
ADENOSINE IV 6MG/2ML 360.00
GABAPENTIN 300 MG TAB 13.00
PHENYLEPHRINE 1 PERCENT NASAL SPRAY 41.00
PRAMIPEXOLE 0.125MG TAB 9.00
VASOPRESSIN 10 UNITS/.5 ML INJ 25.00
NORMAL SALINE 1000ML BAG IRR 27.00
BIMATOPROST OPTH .03 PERCENT 2.5ML SL 290.00
ACTVTD CHARCOAL W/SORBITAL 50G 175.00
FELODIPINE 5MG TAB 12.00
KETOROLAC 30MG/ML INJ 30MG 15.00
GETNAMICIN 80MG/2ML INJ 15.00
LYRICA 50MG CAPSULE 25.00
NAMENDA 10MG TAB 40.00
WARFARIN 2.5MG TAB 9.00
QUINAPRIL 5MG TAB 7.00
DIVALPROEX SODIUM ER 250MG TAB 17.00
TRIAMCNLNE ACTNDE NSE SPRY16.5 529.00
LIDOCAINE 0.5 PERCENT 50ML SDV 119.00
FUROSEMIDE 20MG-INHALATION 10.00
DEXAMTHASONE 1MG/ML-INHALATION 12.00
POTASSIUM CHLORIDE 8 MEQ TAB 7.00
ALBUTEROL .5 PERCENT 20ML 40.00
DICYCLOMINE 10MG TAB 7.00
NYSTATIN CREAM 15GM 10.00
VANCOMYCIN IM/IV 1GM 419.00
BRIMONIDINE OPTH SOL 0.15% 395.00
BRIMONIDINE OPTH SOL 0.2% 130.00
VERAPAMIL ER 180MG CAPS 8.00
PRAVASTATIN SODIUM 20MG TAB 9.00
LEVALBUTEROL HCL 0.5MG INH 21.00
POTASSIUM CHLORIDE IV 20MEQ 8.00
TETANUS .5ML INJ 75.00
TETANUS/DIPTHERIA 0.5ML INJ 192.00
DOCUSATE SODIUM 100MG/10ML 7.00
HYDROCORTISONE SOD IM/IV 100MG 20.00
GENTAMICIN 60MG IV 38.00
PAROXETINE 20MG TAB 27.00
SANTYL OINTMENT 15 GM 858.00
IMIPENEM-CILASTATIN VL 250MG 159.00
MUPIROCIN OINTMENT 22 GM 131.00
NICOTINE TRANSDERMAL PTCH 21MG 25.00
SALINE NASAL SPRAY 1.5 OZ 15.00
NITROPRUSSIDE SODIUM 50MG IV 15.00
PROPYLTHIOURACIL 50MG. TAB 7.00
LABETALOL HCL 5MG/ML 4ML 44.00
CLINDAMYCIN 600MG INJ 71.00
CLONAZEPAM .5 MG TAB 7.00
SOD.BICARBONATE 8.4 PERCENT 10ML PED 27.00
LATANOPROST EYE DROP .005 PERCENT SOL 479.00
ENALAPRILAT 1.25 MG VL 41.00
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 27.00
DIVALPROEX SODIUM 500MG TAB 17.00
BENZONATATE 100MG CAPS 7.00
KETAMINE HCL IM/IV 50MG/ML 68.00
PROPOFOL SDV IM/IV 10MG/ML 122.00
LIDOCAINE 2 PERCENT IV 100MG/5ML 21.00
TRIAMCINOLNE ACTNDE IM/IV 10MG 61.00
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 21.00
PIPERACILLIN/TAZBCTM IV 3.375G 153.00
CLONIDINE TTS PATCH - 1 113.00
VERAPAMIL 40MG TAB 7.00
ACYCLOVIR IV 500MG 45.00
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 100.00
DULOXETINE HCL 30 MG CAP 41.00
DIVALPROEX SODIUM 250MG TAB 20.00
TIZANIDINE 4MG TAB 7.00
LIDOCAINE 2 PERCENT W/EPI 20ML 20.00
NYSTATIN POWDER 50MU 10GM 286.00
CETIRIZINE HCL 10 MG TAB 21.00
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 67.00
BETAXOLOL 10MG TAB 9.00
SULFACETAMIDE 10 PERCENT OPTH SOL15ML 17.00
LOVASTATIN 10MG TAB 8.00
CEFDINIR 125MG/5ML SUSP 37.00
CYPROHEPTADINE 2MG/5ML SYRUP 6.00
PIPERACILLIN/TAZOBCTM IV 2.25G 104.00
SODIUM CHLORIDE 1GM TAB 7.00
CARISOPRODOL 350 MG TAB 8.00
METOPROLOL TARTRATE 25MG TAB 7.00
HETASTARCH IV 6 PERCENT 500ML NS 186.00
CARDIZEM CD 300MG CAP 27.00
CIPROFLOXACIN 200 MG IV 15.00
SILVER NITRATE APPLICATOR 7.00
SIMVASTATIN 40MG TAB 7.00
RANITIDINE IV 25MG/ML 40.00
RANITIDINE IV 75MG/ 5ML 6.00
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 200.00
ZIPRASIDONE MESYLATE 10 MG INJ 119.00
BRINZOLAMIDE 5ML OPTH SOL 303.00
DOBUTAMINE IV 250MG/20ML 36.00
MEGESTROL ACETATE 40MG/ML SUSP 56.00
SODIUM POLYSTRYENE SULF 15GM 40.00
AZITHROMYCIN SOL 100MG/5ML 189.00
LEVALBUTEROL HCL 0.5MG UD INH 25.00
CEPHALEXIN 125MG/5ML SUSP 100M 61.00
CARVEDILOL 3.125 MG TAB 21.00
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 289.00
FLUTCASNE/SALMTRL 100/50MCG IN 576.00
ACETYLCYSTEINE 20 PERCENT 30ML IHH/OR 173.00
DAKINS SOLUTION .25% 16 OZ 89.00
TERAZOSIN 1 MG TAB 7.00
LIDOCAINE PATCH 5 PERCENT 58.00
DILTIAZEM ER 120MG CAPS 9.00
NORMAL SALINE 1000ML BTL IRRG 12.00
AMOXICILLIN/CLAV POT 400MG/5ML 101.00
CEFOXITIN IV 1GM 20 ML 88.00
ASPIRIN/EXTENDED REL 25/200MG 21.00
TIOTROPIUM 18MCG INH POWDER 349.00
PHENTOLAMINE IM/IV 5MG 306.00
POLYETHYLENE 17GM PCKT 21.00
TRIAMICINOLONE .1 PERCENT 15GM CREAM 9.00
CLINDAMYCIN IV 300MG 2ML 25.00
METFORMIN ER 500MG TAB 9.00
MORPHINE 2MG/ML INJ 10.00
LEVOFLOXACIN IV 750MG 189.00
LINEZOLID IV 600MG/300ML 482.00
HYDROMORPHONE HCL 2MG INJ 13.00
ZINC SULFATE 50MG CAP 7.00
SALMETEROL/FLUTICSN 250/50 INH 766.00
ZIPRASIDONE 20 MG CAPS 51.00
RESPERIDONE .25 MG TAB 7.00
PHENYTOIN 100MG/4ML SUSP 20.00
FLECAINIDE ACETATE 50MG TAB 9.00
INSULIN DETERMIR PER UNIT 7.00
CLARITHROMYCIN 500MG TAB 45.00
LEVALBUTEROL 0.5 MG UB INHLTN 32.00
HEP B VACCINE ADULT INJ 249.00
LAMOTRIGINE 25MG TAB 7.00
NITROFURANTOIN 100MG CAP 23.00
ZAFIRLUKAST 10MG TAB 20.00
RACEPHINEPHRINE .5ML INHL SOL 13.00
BUDESONIDE 0.5MG/2ML INH 56.00
ETOMIDATE IV 40MG 135.00
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 23.00
LIDOCAINE / PROLOCAINE 2.5% PER APPLICAT 10.00
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 103.00
BUDESONIDE/FORMOTEROL FUM 160/4.5 INHALE 578.00
BUDESONIDE/FORMOTEROL FUM 80/4.5 INHALE 578.00
METOPROLOL SUCCINATE ER 25MG TAB 7.00
CALCIUM ALGINATE DRESSING 28.00
CATHFLO ACTIVASE 2MG VIAL 637.00
EFFERVESCENT POTASSIUM TAB 25 MEQ 3.00
CHLORHEXIDINE 0.12% RINSE 6.00
NOREPINEPHRINE 1MG/1ML 31.00
OXYBUTYNIN CHLORIDE ER 5MG TAB 18.00
UREA CREAM 20% 3OZ TUBE 58.00
METHYLERGONOVINE MALEATE INJ 116.00
MEDROXY PROGESTERONE ACETATE INJ 150MG 208.00
TRANEXAMIC ACID 650MG TAB 15.00
ROCEPHIN IM / IV 250MG 10.00
LOVENOX 249.00
ROCEPHIN IM INJ 250MG 13.00
LOVENOX 126.00
ONDANSETRON 1 MG ORAL--4MG ODT IN RX 7.00
ROCEPHIN INJ 250 MG 37.00
PHENYTOIN IM/IV 50MG/ML 13.00
SILDENAFIL 20MG TAB 7.00
FERROUS SULFATE 325 MG TAB 7.00
EPINEPHRINE MDV 1:1000 0.1MG 56.00
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 21.00
CALCIUM CHLORIDE 10 PERCENT 27.00
EPINEPHRINE SYR 1:10000 0.1MG 53.00
GLUCAGON EMERGENCY KIT 727.00
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 37.00
SOD BICARBONATE IV 8.4 PERCENT 50ML 21.00
NITROGLYCERIN IV 25MG/D5W 250M 61.00
NEO-SYN 1/8 PERCENT NS INH 40.00
HEPARIN SOD 8.00
STERILE WATER 1000ML BOTTLE 13.00
RISPERIDONE 0.5 MG TAB 44.00
ATTROPINE 1 PERCENT OPTH SOL 23.00
TDAP OVER 7 YRS 256.00
CALCIUM GLUCONATE IV 10 PERCENT 9.00
PNEUMOCOCCAL VACCINE .5CC INJ 412.00
TUBERCULIN TEST 0.1 ML 15.00
COSOPT EYE DROP SOLUTION 416.00
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 81.00
LEVOFLOXACIN 250MG TAB 41.00
TOPIRAMATE 25 MG TAB 6.00
INFLUENZA VACCINE 4YRS + 37.00
OLMESARTAN MEDOXOMIL 20 MG TAB 17.00
VENLAFAXINE XR CAPS 75 MG 37.00
EXELON PATCH 9.5 MG/DAY 71.00
EXELON PATCH 13.3 MG/24 HOURS 87.00
TAMIFLU 75 MG 91.00
TRAVOPROST 2.5 ML 0.004 PERCENT 383.00
SOLU MEDROL 500MG 288.00
AMOXICLLN/CLAV POT 875MG/125ML 78.00
DTAP VACCINE 70.00
STIMULEN POWDER 1GM PKT, COLLAGEN 84.00
HYDROGEL AMORPHOUS WOUND DRESSING 51.00
OFIRMEV 1,000 MG IV 143.00
LOVENOX 10MG 132.00
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 10ML 170.00
ALUMINUM/MAGNESIA SUSP 30ML 7.00
MILK OF MAGNESIA 30ML 7.00
MAGNESIUM CITRATE 10 OZ 9.00
HEMORRHOIDAL HC CREAM 37.00
HYDROCORTONE 1 PERCENT CREAM 1.5GM 7.00
CLOTRIMAZOLE CREAM 15GM 27.00
PEDIALYTE ORAL SOL 8 OZ. 21.00
ACETAMINOPHEN 650 SUPP 7.00
BISACODYL 10MG SUPP 7.00
ACETAMINOPHEN 325 SUPP 7.00
NEOMYCIN,POLYMIXIN/BACTOIN.9GR 7.00
ACTIVATED CHARCOAL 50GM 175.00
STERILE WATER 10ML 7.00
ACETAMINOPHEN 120 SUPP 7.00
LANTISEPTIC OINT 28.00
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 45.00
CHLORASEPTIC 6 OZ SPRAY BOTTLE 53.00
IBUPROFEN 200MG TAB 7.00
NICOTINE TRANS 7MG PATCH 25.00
SENNA S TAB 7.00
BETADINE 1 GM OINTMENT 7.00
DAKINS SOL .5 PERCENT 16 OZ. 61.00
BISMUTH SUBSALICYLATE CHEW TAB 7.00
SIMETHICONE DROP 15CC 61.00
ACETAMINOPHEN INFANT 80MG/.8ML 45.00
BOUDREAUX'S BUTT PASTE 4 OZ 62.00
GLUCOSE 5 PERCENT IN WATER 2 OZ 18.00
SENNA S SYRUP 15ML 12.00
IV-NS 50ML 21.00
IV-DEXTROSE 5 PERCENT 500ML 21.00
IV-DEXTROSE 50 PERCENT 50ML 40.00
IV-1/2NS 1000ML .45 PERCENT 13.00
IV-NS 500ML 60.00
IV-NS 1000ML 41.00
IV-LACTATED RINGERS 1000ML 20.00
IV-D5&1/2NS 1000ML 28.00
IV-D5&NS 1000ML 17.00
IV-D5W 250ML 58.00
IV-D5W 500ML 13.00
IV-NS 100ML 21.00
IV-D5W 50ML 20.00
IV-D5W 100ML 20.00
IV-NS 250ML 44.00
IV-NS ADD 100ML 20.00
IV - NS ADD 250ML 29.00
IV DEX 25 PERCENT SYRINGE 10ML/10 PED 56.00
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) 53.00
IV D5 1/4 1000ML BAG 13.00
IV-NS 3 PERCENT 500ML 17.00
IV - NS 33 PERCENT 1000ML 27.00
IV D5LR 1000 ML 13.00
IV - D10 1000 ML 21.00
ACYCLOVIR OINT 5% 30 GRAM TUBE 3,233.00
PURAPLY 2X4 8 SQ CM 2,726.00
PURAPLY AM 2X4 8 SQ CM 2,964.00
Grafix Core 1.5 X 2 cm (Plastic) 2,911.00
Grafix Core 2 X 3 cm (Plastic) 3,639.00
Grafix Core 16mm Disc (Plastic) 1,637.00
ROOM BOARD/PVT SWINGBED 1,184.00
ROOM BOARD/ SEMI SB 1,109.00
ROOM BOARD/PVT W/MONITOR SB 1,441.00
ROOM BOARD/SEMI W/MONITOR SB 1,441.00
SURGIFLO 8ML 1,632.00
KENALOG 40 MG/ML VL 10 ML 19.00
SODIUM CHLORIDE .9% 500ML INJ BG 8.00
SODIUM CHL 9% 100ML 16B INJ 290.00
LACTATED RINGERS 500ML 30.00
Sodium Chl .9% Pf 10 Ml Inj 6.00
Lactated Ringers 1000ml Inj Bag 16.00
MARCAINE 25% W/EPI 10 ML 10X 23.00
CARBOCAINE 1% 50ML 71.00
CARBOCAINE 2% MDV 50ML 134.00
MARCAINE 0.25% SDV 10 ML 23.00
LACT RINGER 500ML INJ BG 30.00
KENALOG 40MG/ML 1ML 57.00
Lidocaine 1% W/epi 20ml 15.00
LIDOCAINE 2% 2ML AMP/25 6.00
Lidocaine 2% Pf Amp 10ml 24.00
MARCAINE 0.5% 30 ML 19.00
LIDOCAINE 1% W/EPI 20ML 15.00
Omnipaque 240 Mg 10x10ml 118.00
CARBOCAINE SDV 2% 20ML 67.00
Lidocaine 1% Pf Amp 2ml 7.00
NEOSPORIN G.U. IRR 1 ML 189.00
Lidocaine 1% Pf Amp 5ml 9.00
TRANSDERM SCO 1.5MG PTCH 126.00
CARBOCAINE 1% 10MG/ML 30ML 50.00
HEPARIN FLUSH SYR 5ML 4.00
PIP/TAZ FTV 3.375G 36.00
AFRIN NASAL SRAY 15ML (105395) 50.00
Brilliant Green 5% Ethanol 95% 2ml 2.00
MIDAZOLAM HCL 5MG/5ML 14.00
LIDOCAINE 1%W/EPI 30ML(COMPOUND) 252.00
LIDOCAINE 1% MDV 10ML 6.00
PROHANCE 5 X 5ML (126236) 580.00
PROHANCE 5 X 10ML 557.00
Sodium Chloride .9% Vl 50ml/25 30.00
Bacitracin 50m Un Pwd 38.00
ONDANSETRON 4mg/2ml (ZOFRAN) 311.00
MUPIROCIN / BECLOMETHASONE NASAL GEL 73.00
MIDAZOLAM PF 1 MG/ML VL 5ML 28.00
MORPHINE 10MG/ML 1ML C/J 26.00
FENTANYL .05 MG/ML 2ML VL 8.00
DEMEROL 25MG/ML 1ML C/J CII 61.00
DEMEROL 50 MG/ML AMP 25X1 ML 31.00
PROPOFOL 10MG/ML 20ML 25.00
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 311.00
SODIUM CITRATE 100 x 30ML 5.00
THROMBIN JM1 5MU W/DIL VL 178.00
COCAINE 4% SOL 4ML 1,286.00
PROPOFOL 10MG/ML VL 20ML 590.00
Marcaine 0.5% 10 Ml 26.00
SODIUM CHLORIDE BACT FTV MDV 0.9% 30ML 9.00
LIDOCAINE 1% W/EPI 30ML 25.00
LIDOCAINE 1% 20 ML MDV 9.00
LIDOCAINE 1% W/EPI 2CML 16.00
ZOSYN 3.375 10/BX 159.00
LIDOCAINE .5% W/EPI 50ML 21.00
XYLOCAINE 0.5% W/EPI 50ML 42.00
OFIRMEV 10MG/ML IV 100ML 273.00
SENSORCAINE .5% 10ML SDV 95.00
UNASYN 1.5 GM VL 50.00
MORPHINE 10MG/ML 1 ML VL 13.00
FAMOTIDINE 10MG/ML VL 2ML 7.00
PIPERACIL/TAZ 3.375GM VL 60.00
ONDANSETRON 2MG/ML 2ML 26.00
Ofirmev 10mg/ml 100ml 257.00
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 133.00
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 2,644.00
SODIUM CITRATE+AC VL334-500MG/ML 15ML 13.00
SODIUM BICARBONATE 8.4% LS SYG 50ML 24.00
PROPOFOL 10MG/ML 20ML 20.00
LEVSIN AMP 0.5MG 1ML 413.00
HALOPERIDOL AMP 5MG/ML 1ML 492.00
ROCURONIUM BROMIDE VL 10MG/ML 10ML 87.00
AFRIN NASAL SPRAY 15ML 36.00
HYALGAN SYRINGE 10MG/ML 2ML 563.00
OMNIPAQUE 240MG/ML 10ML 108.00
OMNIPAQUE 300MG 10ML VIAL 93.00
HUMULIN R 100U/ML 10ML 623.00
PROHANCE 279.3MG/ML 10ML 162.00
LACTATED RINGERS 1000ML 37.00
MIDAZOLAM MDV 1MG/ML 2ML 12.00
LACTATED RINGERS 500ML 25.00
CARBOCAINE 1% 10MG/ML 30ML (2727188) 32.00
MARCAINE 0.25% 10ML 19.00
ONDANSETRON HCL 2 MG/ML 3.00
PROPOFOL 10MG/ML 20 ML 13.00
CALCIUM CHL 10% ABJT AMC 107.00
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 116.00
SODIUM CHLORIDE FTV 0.95% 4.00
CEFAZOLIN 1 GM VL 10ML (ANCEF) 17.00
POLOCAINE 1% 30ML 53.00
BACTRACIN OINT .5 OZ 59.00
DILAUDID 2 MG/ML AMP 10X1ML 15.00
DIPRIVAN 200MG 20ML SDV 45.00
PACK PAIN SINGLE SHOT (DR. DUMITRU) 40.00
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
HYDROGEN PEROXIDE 8OZ 9.00
Lidocaine/epi 0.5/ 1:200 Vl 50ml 27.00
OMNIPAQUE VL 240 MG 10 ML 10 S (O-1412-1 350.00
ONDANSETRON 4 MG/2 ML(ZOFRAN) 15.00
PROPFOL HOSP 20ML BX/25 27.00
BRILLIANT GREEN 100 ML 63.00
LIDOCAINE 1% 20ML MDV 14.00
SODIUM CHL. .9% PF 20ML VL 37.00
EPINEPHRINE 1:1000 AMP 1ML 26.00
SODIUM CHL. 9% 500 ML 41.00
SODIUM BICARB 4.2% PF 5ML 16.00
DEXAMETHASONE SOD 4MG 5ML 29.00
OXYCODONE/ APAP 5/325 TAB UD 9.00
ONDANSETRON 2MG/ML 5X2ML 117.00
LIDOCAINE 2% PF 5ML 21.00
SEVOFLURANE 250 ML 1,050.00
MARCAINE HCL SDV PF 0.5% 10ML 27.00
DEXAMETH 4 MG/ML VL 1ML (DECADRON) 7.00
ROCURONIUM 10 MG/ML 5 ML 25.00
AMPICILLIN 1G M/ML VL 31.00
MIDAZOLAM HCL FTV 5MG/ML 2ML 12.00
HYDROMORPH VL 2MG/ML 1ML 13.00
DEXAMETHASONE VL PF 10MG/ML 1ML 19.00
ONDANSETRON SDV 2MG/ML 2ML 5.00
EPHEDRINE AMP 50MG/ML 1ML 527.00
MIDAZOLAM FTV IMG/ML 2ML PF CIV 9.00
PIPERACILLIN +TAZOBACTAM FTV 3.375G/30ML 107.00
MIDAZOLAM HCL VL 1MG/ML 2ML 6.00
FENTANYL CITRATE INJ 0.05 MG/ML 2ML VIAL 24.00
ONDANSETRON HCL SDV 4MG/2ML 5.00
LABETALOL HCL MDV 5MG/ML 5ML 28.00
DEXAMETH SOD PHOS 4MGML 9.00
SODIUM CHLORIDE 0.9% 10ML 6.00
LIDOCAINE/EPINEPHRINE 0.5-0.0005% 31.00
SODIUM CHLORIDE FTV 0.9% P/F VL 25X10 ML 7.00
METHYLPREDNISOLONE 80MG/ML PF 1ML 91.00
DEXAMETH 4MG/ML MDV 25@5 ML 4.00
QUELICIN(SUCCINYLCHOLINE)20MG/ML FTV10ML 137.00
NAROPIN .05% 30ML SDV 57.00
VENTOLIN HFA 90 MCG INH 8 GM 142.00
DEPO MEDROL 40 MG 1ML 24.00
DEPO MEDROL 80MG 1ML 49.00
DEPO MEDROL 80MG/ML 1ML 41.00
Isovue-M 200, VL 41% 10ML 82.00
LABEL ZOFRAN 397.00
SPONGE LAP 12X12 PREWASHED TRAY PACK 3.00
CONNECTOR "Y" 1/4 6.00
COMPRESSION GARMENT WITH SLEEVES (LARGE) 518.00
MASK FACE TENT (UNDER CHIN) 5.00
TUBING 6' EVA CORR SEGMENTED 6.00
Adapter Trach T 2.00
STOCKINETTE IMPERVIOUS LARGE 45.00
PILLOW BLUE HEADREST 51.00
BITE BLOCK 14.00
HOOK BLADE 1,979.00
BLADE CLIPPER SURG (4406) 17.00
PREP SKIN WITH BETADINE 23.00
Cannula Nasal W/co2 29.00
Syringe 7ml Lor 9.00
C-ARM DRAPE W/STRAPS 76.00
MICROSCOPE COVER 45X70 170.00
MAYO STAND COVER 6.00
TABLE COVER 44X90 (8377 ) 9.00
PACK HEAD AND NECK 86.00
GOWN SURGICAL XLARGE 17.00
GOWN SURGICAL XXL 24.00
MOUTHWASH 3.00
SPONGE TONSIL MEDIUM 13.00
STOCKINETTE 6" TUBULAR (NS) 409.00
DRAPE LAPAROTOMY (29410) 38.00
DRAPES EXTREMITY TIBURON (29414 50.00
DRAPE HAND TIBURON 54.00
GLOVE BIOGEL 6.5 (30465) 13.00
GLOVE BIOGEL 7 1/2 (DR. LUSK) (30475) 18.00
GLOVE BIOGEL SZ8 13.00
GLOVE BIOGEL M PF SZ 8 12.00
DRILL BIT QUICK COUPLING 2.0 MMX100MM 685.00
DRILL BIT QUICK COUPLING 2.7 MMX100MM 646.00
GLOVE BIOGEL SZ 8 W/INDICATOR (31280) 13.00
CLOSED WOUND SUCTION KIT 70.00
BAIR HUGGAR (UPPER BODY) 47.00
Bair Huggar (Lower Body 63.00
BAIR HUGGAR FULL BODY (PEDI) 105.00
CATHETER URETERAL RND TIP 12FR RED LATEX 54.00
RESERVIOR BULB JP 100CC 328.00
PREP SOLUTION PVP-I 4OZ. 6.00
NEW SKIN BANDAGE LIQUID .3OZ 26.00
DRAPE MINI C-ARM premier&insight 69.00
AIRWAY NASAL 32FR (SOFT) 27.00
BIOPSY FORCEP / LARGE RADIAL JAW 76.00
TUBING AUTOFUS F/KLN PUMP 87.00
SHEPARD GROMMET VENT W/O WIRE 54.00
RECTAL TUBE 24FR. (NON-STERILE) 7.00
MEDICINE CUP 1 OZ 2.00
ANCHOR SUPER QUICK (222984) 3,292.00
DEFOGGER 9.00
APPLICATOR CHLORAPREP (ORANGE) 53.00
CIRCUIT BREATHING PEDI 47.00
ONE TOUCH ULRA STRIPS 14.00
SYRINGE 3CC LUER LOCK (BD) 2.00
DRESSING XEROFORM 1 X 8 12.00
BANDAGE ELSTIC SELF CLOS PREM N/S LF 6X5 498.00
TPS RECIP SAW 7,607.00
TPS MICRODRIVER 8,996.00
Pad Grounding Adult Thermogard 23.00
APPLICATOR CHLORAPREP TINTED 10.5 ML (DR 41.00
MASTISOL LIQUID 15ML 1/5OZ PUMP 110.00
INJECTION NEEDLE (CARR-LOCKE) 264.00
UNDERPAD 23 X 36 (PEEL) 2.00
PATTIE SURGICAL X-RAY 1/2 X3 95.00
CLOSURE SKIN REINF LF 1/2 X4 (DR PEEL) 10.00
TUBING AUTOFUS F/KLN PUMP (LIPO) 96.00
SPLINT SEPTAL NASAL (LEFT & RIGHT) DR. B 123.00
ADHESIVE SKIN LIQUIDBND EXCEED (DR PEEL) 191.00
STOCKINETTE 6' X 5' 44.00
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 45.00
DENTAL SPRAY & CLEAN 6OZ. (OIL FOR HAND 133.00
DENTAL PREMIUM COTTON ROLLS #2 2.00
DENTAL MAXI GARD JACKET BLUEBERRY (SMALL 25.00
DENTAL TOWELS 2PLY (112-6748) 13.00
DENTAL ESSENTIALS A/W SYRINGE TIP CLEAR 2.00
LACRI-LUBE 7GM OPTH 109.00
Needle Coude Blunt Nerve Block 20g X 4.5 111.00
Needle Coude Blunt Nerve Block 20g X 6.0 111.00
VERSA-KATH 12' (30.5 CM) 42.00
APPLICATOR CHLORAPREP (ORANGE) (260815) 53.00
Rf Cannula Coude 20g X 10 Short (Epimed) 91.00
Rf Cannula Coude 20g X 15 Long (Epimed) 91.00
DENTAL KETAC-CEM CEMENT POWDER 872.00
BANDAGE ACE 4'(STERILE) LF 10.00
BATTERY PACK ( STRYKER) 1,507.00
WALKER ORTHOPEDIC SIDEKICK LRG (DR. BECK 213.00
BANDAGE ESMARK 4 X 4 21.00
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
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 19.00
NEURO PATTIES COTTONOIDS 1/2X1 40.00
NEURO PATTIES COTTONOIDS 1x1 88.00
BANDAGE ACE 6 (NS) 13.00
STOCKINETTE 4 X 6 TUBULAR (8045) 14.00
TOWELS OR BLUE 54.00
TOWEL OR BLUE (6 PACK) 24.00
DRAIN TMC PENROSE 18X1/4 8.00
STRYKER GROUNDING PADS 107.00
DISCMONITOR DISCOGRAPHY PROBE 1,820.00
TUBE TRACH 7.5 CUFFED 15.00
MASK ANTIFOG WITH DERMA TOUCH TAPE 2.00
BANDAGE ACE 2' (STERILE) LF 9.00
BANDAGE ACE 4' 9.00
CANNISTER SUCTION 1500CC LINER 8.00
MYRINGOTOMY BLADE STR EDGE ( DISPOSABLE) 95.00
DRILL BIT 2.7 (71173502) 910.00
DRILL BIT 3.5 (71173504) 1,257.00
CANNULATED DRILL 2.7 (SMITH$NEPHEW) 4,461.00
PLATE DIST FIB LOCKING 5 HOLE (R) (Smith 7,224.00
DRESSING XEROFORM 1X8 5.00
XEROFORM 5X9 (DR. BECKERT) (84-433605) 5.00
Needle Hypodermic 27g X 1 1/2 2.00
LMA SZ 5 (DISPOSABLE) 52.00
RF CVD CANNULA 100MM 20G 10.0 MM (SHORT 67.00
RF CVD CANNULA 150MM 20G 10.0MM (LONG) 100.00
VENOM RF CANNULA 20G SHORT 199.00
VEROM CANNULA 10MM 20G 150MM (LONG) 199.00
CATHETER IV INTROCAN SAFETY 22G 1 IN 13.00
CATHETER IV INTROCAN SAFETY 20G 1.1X32MM 13.00
COAGUCHECK XS TEST STRIP 32.00
BANDAGE MEDICOPASTE (UNNA BOOT) 50.00
BLADE RASP LARGE TEAR 14.0MM X 7.0MM (ST 1,028.00
IV START KIT 10.00
NEEDLE ULTRACLEAN 11IN WITH EXTENSION 41.00
BUR OVAL 4.0MM (BRASSLER) 112.00
SUTURE NYLON 3-0 PS-1 (1663G) 30.00
SUTURE ETHILON 4-0 PS-2 BK MON 18L (1667 29.00
PACK PAIN SINGLE SHOT (DR. DUMITRU) 56.00
GAUZE 2X2 8 PLY NON STERILE 2.00
MARKER SKIN MULTI TIL RUL 7.00
APPLICATOR COTTON TIP 8IN 2.00
Applicator Chloraprp (Teal) 29.00
CANNULA 7' O2 CO2 TUBING 17.00
DENTAL CIRCUIT BREATHING (PEDI) 48.00
EXT SET CONTINU-FLOW W/2 INJEC. SITES 18.00
SOLUTION SET CONTINU-FLO (60 DROPS) 27.00
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 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 313.00
NEEDLE COUNTER MAGNETIC SINGLE 10 CT 6.00
GAUZE 3*4 KLING 3.00
Skin Prep Tray Dry W/sponge 18.00
GLOVE EXAM PF NITRILE (MED) 32.00
HIBICLENS 16OZ 71.00
SUTURE SILK 2-0 PS-2 61.00
BOVIE PAD 26.00
SUTURE PROLENE 4-0 PS-1 95.00
Breathing Circuit (Adult) 24.00
ALLEN BOW FRAME SKIN CARE KITS 530.00
BLADE MOUNTABLE ENDOSCOPIC (WRIGHT) 4,258.00
CIRCUIT BREATHING (ADULT) 42.00
CIRCUIT BREATHING (ADULT) 42.00
TENODESIS DISP. KIT 1,355.00
GUIDE WIRE W/TROCAR 1.35MM (ARHTREX) (AR 208.00
DRILL BIT CANNULATED 2.5MM 1,216.00
DRILL BIT CANNULATED 1.7MM (ARTHREX) 1,216.00
GUIDEWIRE 0.86MM W/LASER LINE SS (ARTHRE 208.00
MASK WITH EAR LOOPS 2.00
HCG URINE RAPID TEST CONTROLS 126.00
One Touch Ultra Test Strips 7.00
BITE BLOCK ADULT LATEX FREE 31.00
MICRO- TECH BITE BLOCK 6.00
RELIEVA ULTIRRA BALLOON 6 X 16 5,425.00
BEAVER BLADE MINI ORTHOPEDIC 2MM @ 32MM 20.00
BLADE MINI BEAVER 6700 (BEAVER6700) 46.00
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 42.00
NEEDLE EPIDURAL 18G X 3 1/2 TW N/WING 19.00
Needle Epidural 20g X 3 1/2 Tw N/wing 39.00
NEEDLE SPINAL 22G x5 BLACK 32.00
NEEDLE SPINAL 22G X 7 BLACK 28.00
NEEDLE SPINAL 25G x 3 1/2 17.00
Needle Spinal Quincke 22g X 3 1/2 20.00
NEEDLE SPINAL S/SU 18G 10.00
NEEDLE TOUHY 18G X 3.5 33.00
ACCLARENT INFLATION DEVICE 517.00
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 170.00
RUBBER BANDS (STERILE) 5.00
SUTURE NUROLON 0.8 X 18IN BLACK MO-6 HGS 95.00
C-ARM COVER KIT 59.00
GELFOAM SZ 100 SPG 6 502.00
CLIPPER BLADE 15.00
SOLAR PROBE 1,182.00
DEFOGGER 19.00
ADAPTER TRACH T 2.00
TOURNIQUET 3/4X18 LF TEXTURED 2.00
CIRCUIT BREATHING (ADULT) 56.00
DENTAL MOUTHPIECE PEDIATRIC 18.00
Nebulizer prefill kit 26.00
LMA SZ. 4 STANDARD disposable 67.00
MICRO-TECH COLD SNARE OVAL 10MM THIN BRA 54.00
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 70.00
DERMABOND ADV. ADHESIVE 152.00
DRAPE SPLIT SHEET PLASTIC 16.00
Cardiovascular Pack (Cv Drape) 214.00
PENCIL ROCKER SWITCH HEX-LOCKING BLADE 25.00
SUTURE VICRYL 3-0 32.00
SUTURE VICRYL 2-0 CT-2 240.00
Suture Vicryl 3-0 Ps-1 27' 36.00
MASTISOL WITH SPRAY PUMP 15ML BTL 70.00
Mastisol Liquid Adhesive 2/3cc Vial 13.00
BIOPSY FORCEPS ALLGTR JAW 47.00
FACE SHIELD W/COMFORT BAND 23.00
ACCLARENT RELIEVA FLEX SINUS GUIDE CATHE 1,843.00
SINUS GUIDE CATHETER (FRONTAL PROBE) 2,449.00
ACCLARENT SINUS GUIDE CATH (MAXI PROBE) 2,571.00
ENDOSCOPIC MARKER 205.00
GAUZE SPONGE 2X2 12 PLY 2.00
Sponge Gauze 4x4in 12ply Sterile 4.00
SINGLE SPIKE INFILTRATION TUBING 79.00
SUTURE VICRYL 2-0 37.00
SUTURE VICRYL 3-0 27IN UNDYED 15.00
Suture Vicryl 4-0 Ps-2 30.00
SUTURE VICRYL 3-0 SH UNDYED 91.00
CATHETER IV JELCO 22G x 1 18.00
CATHETER IV JELCO 24G X 3/4 IN 18.00
CAST PADDING 4X4 (SPECIALIST) 8.00
DRAIN HEMADUCT 10MM FULL DUCT W/TRO 176.00
Suction Yankauer Clear Bulb Tip 3.00
PADDING UNDERCAST WEBRIL 4 X 4 14.00
PADDING UNDERCAST WEBRIL 6 X 4 23.00
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 92.00
PAD ABDOMINAL 37.00
GAUZE SPONGE 4X4 (STERILE) 4.00
PAD ABDOMINAL 5X9IN 1S STERILE (KC9190A) 5.00
BLADE SAW OSCILLATING 25.0 MM 62.00
BLADE SAW OSCILLATING 18.0MM (KM3-212) 62.00
BLADE SAW 18.5 MM NARROW (BRASSLER) 59.00
BLADE SAW 25.0MM x 5.5 (KM33-414) 62.00
BLADE SAW OSCILLATING 11.5MM 62.00
BLADE SAW OSCILLATING 31.0MM 62.00
DRAPE THREE QUARTER (STERILE) 18.00
DRAPE U SPLIT 39.00
LMA SZ 3 STANDARD (DISPOSABLE) 46.00
LMA SZ.4 STANDARD 48.00
CYTOLOGY BRUSH 76.00
SCLEROTHERAPY NEEDLE 2.3MM 23G NEEDLE 258.00
RESOLUTION CLIP 1,105.00
CAPTIFLEX (MEDIUM OVAL) 70.00
CAPTIFLEX SMALL OVAL 70.00
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) 83.00
SPLINT SCOTCHCAST 1STEP 3X12 DR BECKERT 60.00
SPLINT ONE-STEP 4X30 110.00
DURAPREP 26 ML APPLICTR 30.00
DRESSING TRANSPARENT 10 X 12 30.00
OLYMPUS MOUTH PIECE 60 FR 9.00
AUXILIARY WATER TUBE 26.00
SUTURE MONOCRYL 6-0 P-3 78.00
SUTURE MONOCRYL 4-0 18' 86.00
MEDICINE CUP 2 1/2 OZ. (MCUP1) 2.00
Bag Decanter 29.00
Tip Bovie Teflon 26.00
NEEDLE TIP MODIFIED EASY CLEAN 36.00
ELECTRODE 6.5 IN BLADE CAUTERY TIP 36.00
NEEDLE ELCTRODE 6.5 MODIFIED BLADE 36.00
CONNECTOR CABLE (SJM) 2,646.00
SHOE POST OP MENS SMALL 66.00
SHOE POST OP MENS (MED) BLACK 65.00
SHOE POST OP MENS LRG. (BLACK) (MQM3B) 63.00
SHOE POST OP WOMENS MED. (BLACK) (MQW2B) 63.00
SHOE POST OP WOMENS LRG 65.00
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 ( 46.00
GLOVE EXAM PF ESTEEM NEU-THERA NITRILE ( 45.00
GLOVE EXAM PF ESTEEM NEU-THERA NITRILE ( 45.00
ASPIRATION TUBING SET (LIPO) 63.00
Grounding Pads (Radio Frequency 57.00
CANNULA CURVED RADIO FREQUENCY SHORT 137.00
CANNULA CURVED (RADIO Frequency ) Long 137.00
STAPLER PROXIMATE + 35 (PMW35) 257.00
OSTEOPRO DBM 5CC 3,805.00
NASAL SPLINTS (IVORY) 35.00
SUTURE ETHIBOND 2-0 36IN GREEN SH V-20 56.00
STAPLER PROXIMATE SKIN WIDE 52.00
MICRO-TECH SURE CLIP 869.00
BLADE MINIATURE EDGE NO 67 68.00
ACCLARENT SIDEKICK 365.00
ACCLARENT SE INFLATION DEVICE 519.00
PACK PLASTIC 226.00
ACCLARENT RELIEVA LUMA SNETRY 2,980.00
LANCET ONE TOUCH SURE SOFT 2.00
PACK PODIATRY 383.00
PACK PODIATRY 369.00
PREOP KIT 62.00
DRAIN JACKSON PRATT 10FR 7MM 131.00
JACKSON-PRATT 100CC BULB RESERVOIR 88.00
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 39.00
SUTURE MONOCRYL 3-0 UNDYED 15.00
SUTURE MONOCRYL 4-0 PS-2 (Dr. Beckert) 39.00
Suture Monocryl 5-0 Ps-2 75.00
SUTURE MONOCRYL 3-0 PS-1 (Y936H) 38.00
MASK STRAWBERRY CHILD SZ 4 37.00
FACE SHEILD W/COMFORT BAND 35.00
DOYLE SPLINT (MED) 186.00
TEFLA 2.00
GAUZE 4X4 N/S 2.00
DRAPE UTILITY W/TAPE 5.00
EKG ELECTRODE PADS 2.00
DENTAL NASAL AIRWAY (SOFT) 24FR 12.00
HOOK/TRIANGLE BLADE SET (STERILE) 1,806.00
ENDOVEN RDFRQ ABL (RFA) 7FR 2.3MM X 60CM 2,085.00
VSI RDFQ ABLTN PACK W/7FR 7CM MICRO AV 563.00
NEEDLE TUOHY 20G X 4.5 96.00
CATHETER IV ANGIOCATH 18X1.88 26.00
MASTISOL STERILE TIP VL 2/3CC (DR PEEL) 18.00
IV START KIT ( SUB) 8.00
SPONGE GAUZE TYPE-VII 4X4 12PLY STERILE 9.00
QUICKCATCH IN-LINE POLY TRAP 26.00
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 17.00
DENTAL CROWN SS 2ND PRIM MLR LL (ELL2) 46.00
GLOVE PRTCTN SZ 8 PFBSMTH (RADIATION FLV 197.00
KITTNER SPONGE (PEANUT)X-RAY DETECTABLE 28.00
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 17.00
BANDAGE ACE 3' (STERILE) LF 8.00
SUTURE SILK 2-0 18IN 36.00
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 2-0 14.00
SUTURE PROLENE 2-0 30'Blue 40.00
CORKSCREW 3.5 #2 FIBERWIRE 1,229.00
DRILL BIT 4.0 MM CANNULATED 1,159.00
QCKFIX SCRW,TI,CANN ST, 4.0X34MM 1,092.00
QCKFIX SCRW,TI,CANN ST, 4.0X36MM 1,092.00
NEEDLE SPINAL 27 X 3.5 25.00
NEEDLE TUOHY 20G X 3.5 26.00
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 ) 86.00
SUTURE ETHIBOND 0 8X18 IN GREEN MO6 HGS2 196.00
BLADE B-P SURGICAL SZ 10 5.00
BLADE B-P SURGICAL SZ 11 5.00
SUTURE ETHIBOND EXCEL 4-0 133.00
SURGIFOAM ABSORBABLE GELATIN POWDER 1 GM 693.00
SURGIPSTUF 62.00
SUTURE CHROMIC 3-0 107.00
SPONGE GAUZE 4 X 4IN 16PLY 10S TR STER 5.00
SUTURE VICRYL 3/0 27IN UNDYED 18.00
SUTURE VICRYL 4-0 PS-2 UND BRD 86.00
SUTURE VICRYL 3-0 8X8IN UNDYED CT-1 GS21 194.00
SUTURE VICRYL 0 92.00
SUTURE VICRYL HANDTIES 3-0 60.00
SUTURE VICRYL 3-0 27IN UNDYED PS-1 P-14 30.00
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 549.00
DRAPE STERI 1010 13.00
DRAPE STERI 7X11 12.00
DRAPE STERI-DRAPE DR BECKERT 19.00
TEGADERM 8x12 (DR. BECKERT) (M1629) 16.00
DRESSING TEGADERM 2x2 3/4 PAD 3.00
DRESSING TEGADERM W/PAD 7.00
DRAPE IOBAN ANTIMICROBIAL 39.00
NEEDLE ELECTRODE 2.5 MODIFIED BLADE 68.00
SUTURE ETHIBOND 2-0 WHITE SH V-20 78.00
GAUZE ROLL SOFFORM (STERILE) 5.00
STERI STRIPS 14.00
5 INCH NEEDLE (BOSTON SCIENTIFIC) 497.00
SECONDARY IV OR TRANSER SET 8.00
SUTURE MONOCRYL 4-0 PS-2 38.00
DENTAL DENOVO SPACE MAINT UPPER SZ U37 33.00
DENTAL DENOVO SPACE MAINT UPPER SZ U35 55.00
DENTAL DENOVO SPACE MAINT LOWER SZ L28 55.00
DENTAL DENOVO SPACE MAINT LOWER SZ L34 53.00
DENTAL DENOVO SPACE MAINT UPPER SZ U34 53.00
DENTAL DENOVO SPACE MAINT LOWER SZ L37 56.00
DENTAL DENOVO SPACE MAINT UPPER SZ U32 54.00
DENTAL DENOVO SPACE MAINT LOWER SZ L32 52.00
DENTAL DENOVO SPACE MAINT UPPER SZ 34.5 54.00
DENTAL DENOVO SPACE MAINT UPPER SZ U33 55.00
DENTAL DENOVO SPACE MAINT LOWER SZ L33 53.00
DENTAL DENOVO SPACE MAINT LOWER SZ L35 54.00
DENTAL DENOVO SPACE MAIN LOWER SZ L33.05 73.00
DENTAL DENOVO SPACE MAINT LOWER SZ L34.5 54.00
DENTAL DENOVO SPACE MAINT LOWER SZ L32.5 48.00
DENTAL DENOVO SPACE MAINTAINER LOWER SZ 50.00
DENTAL CROWN SS UNITEK PRIMANT LAT (UR1) 41.00
DENTAL CROWN SS 2ND PRIM MLR LL (ELL4) 46.00
DENTAL UNITEK CROWN SS PRIM ANT LAT UR 27.00
DENTAL UNITEK CROWN SS PRIM ANT LAT UR3 46.00
DENTAL UNITEK CROWN SS PRIM ANT LAT UR4 46.00
DENTAL CROWN SS 1ST PRIM MLR RU (DUR4) 46.00
DENTAL CROWN SS 2ND PRIM MLR LU (EUL7) 45.00
DENTAL UNITEK CROWN SS PRIM ANT LAT UR5 53.00
DENTAL CROWN SS 2ND PRIM MLR RT UP EUR7 213.00
DENTAL UNITEK CROWNS SS PRIM ANT CUS UI 29.00
DENTAL CROWN SS 2ND PRIM MLR LL (ELL5) 46.00
DENTAL CROWN SS 1ST PRIM MLR LU (DUL2) 46.00
DENTAL UNITEK CROWN SS 1ST PERM MOL UR5 27.00
DENTAL CROWN SS 2ND PRIM MLR LU (EUL2) 46.00
DENTAL UNITEK CROWN SS PRIM ANT (U2) 59.00
DENTAL UNITEK CROWN SS PRIM ANT (U3) 54.00
DENTAL UNITEK CROWN SS PRIM ANT CUSPID 44.00
DENTAL UNITEK CROWN SS PRIM ANT CUS U5 59.00
DENTAL CROWN SS 1ST PRIM MLR LL (DLL5) 46.00
DENTAL UNITEK CROWN SS PRIM ANT CUS L1 44.00
DENTAL CROWN SS 1ST PRIM MOLAR (DUR5) 46.00
DENTAL UNITEK CROWN SS PRIM ANT (L2) 98.00
DENTAL UNITEK CROWN SS PRIM ANT CUS (L3) 120.00
DENTAL UNITEK CROWN SS PRIM ANT CUS (L4) 61.00
DENTAL CROWN SS 2ND PRIM MLR RL (ELR2) 46.00
DENTAL UNITEK CROWN SS PRIM ANT CUSP (L5 50.00
DENTAL CROWN SS 2ND PRIM MLR LU (EUL4) 46.00
DENTAL UNITEK CROWN SS PRIMARY ANTERIOR 56.00
DENTAL CROWN SS 2ND PRIM MLR LL (ELL6) 46.00
DENTAL CROWN SS 1ST PRIM MLR LU (DUL3) 45.00
DENTAL CROWN SS 2ND PRIMARY MOLAR RIGHT 46.00
DENTAL UNITEK CROWN SS 1ST PERM MOL LR5 27.00
DENTAL CROWN SS 2ND PRIM MLR LU (EUL6) 46.00
DENTAL CROWN SS 1ST PRIM MLR LL (DLL4) 46.00
DENTAL CROWN SS 2ND PRIM MLR (EUL3) 46.00
DENTAL CROWN SS 1ST PRIM MLR RL (DLR2) 46.00
DENTAL CROWN SS 1ST PRIM MLR RL (DLR7) 46.00
DENTAL CROWN SS 1ST PRIM MLR RU (DUR2) 46.00
DENTAL CROWN SS 1ST PRIM MLR LL (DLL6) 46.00
DENTAL CROWN SS 1ST PRIM MLR RU (DUR6) 46.00
DENTAL CROWN SS 1ST PRIM MLR RL (DLR5) 46.00
DENTAL CROWN SS 1ST PRIM MLR RL (DLR3) 46.00
DENTAL CROWN SS 1ST PRIM MOLAR (DUL5) 46.00
DENTAL CROWN SS 1ST PRIM MLR LU (DUL7) 46.00
DENTAL CROWN SS 2ND PRIM MLR RU (EUR2) 46.00
DENTAL UNITEK CROWNS SS 1ST PERM BIC UL3 61.00
DENTAL CROWN SS 2ND PRIM MLR RL (ELR6) 46.00
DENTAL CROWN SS 2ND PRIM MRL (ELL3) 46.00
DENTAL CROWN SS 1ST PRIM MLR RU (DUR3) 46.00
DENTAL CROWN SS 1ST PRIM MLR LL (DLL7) 45.00
DENTAL CROWN SS 2ND PRIM MLR RL (ELR3) 46.00
DENTAL CROWN SS 2ND PRIM MLR LU (EUL5) 46.00
DENTAL CROWN SS 1ST PRIM MLR LL (DLL3) 46.00
DENTAL UNITEK CROWN PRIM ANT LAT UL3 44.00
DENTAL UNITEK CROWN SS PRIMARY 62.00
DENTAL CROWN SS 1ST PRIM MLR RU (DUR7) 46.00
DENTAL CROWN SS 1ST PRIM MLR RL (DLR6) 46.00
DENTAL UNITEK CROWN PRIM ANT CEN UL3 61.00
DENTAL CROWN SS 2ND PRIM MLR LL (ELL7) 46.00
DENTAL CROWN SS 1ST PRIM MLR RL (DLR4) 46.00
DENTAL CROWN SS 1ST PRIM MLR LU (DUL4) 46.00
DENTAL CROWN SS 1ST PRIM MLR LU (DUL6) 46.00
DENTAL UNITEK CROWN SS PRIM ANT CTRL UL4 61.00
DENTAL CROWN SS 2ND PRIM MLR RL (ELR5) 46.00
DENTAL UNITEK CROWN SS PRIM ANT CENTRAL 61.00
DENTAL CROWN SS 1ST PRIM MLR LL (DLL2) 46.00
DENTAL UNITEK CROWN SS PRIM ANT CENTRAL 61.00
DENTAL UNITEK CROWN SS PRIM ANT CENT UR3 55.00
DENTAL UNITEK CROWN SS PRIM ANT CTRL UR4 30.00
DENTAL CROWN SS 2ND PRIM (EUR3) 46.00
DENTAL CROWN SS UNITEK PRIM ANTLAT (UL1) 55.00
DENTAL CROWN SS 2ND PRIM MLR RU (EUR4) 46.00
DENTAL CROWN SS 2ND PRIM MLR R (EUR5) 46.00
DENTAL UNITEK CROWN SS PRIM ANT LAT UL2 27.00
DENTAL CROWN SS 2ND PRM MLR RL (ELR7) 45.00
DENTAL CROWN SS 2ND PRIM MLR RU (EUR6) 45.00
DENTAL UNITEK CROWN SS 1ST PERM MOL UL4 27.00
DENTAL UNITEK CROWN SS PRIM ANT LAT (UL4 59.00
DENTAL UNITEK CROWN SS PRIM ANT LAT UL5 56.00
DENTAL DENOVO SPACE MAINT LOWER SZ L28.5 33.00
DENTAL DENOVO SPACE MAINT LOWER SZ L38.5 35.00
DENTAL CROWN NUSMILE A1 (LIGHT) 133.00
DENTAL CROWN NUSMILE A2 (LIGHT) 133.00
DENTAL CROWN NUSMILE A3 (LIGHT) 133.00
DENTAL CROWN NUSMILE A4 (LIGHT) 133.00
DENTAL CROWN NUSMILE A5 (LIGHT) 133.00
DENTAL CROWN NUSMILE A6 (LIGHT) 133.00
DENTAL CROWN NUSMILE B1 (LIGHT) 133.00
DENTAL CROWN NUSMILE B2 (LIGHT) 139.00
DENTAL CROWN NUSMILE B3 (LIGHT) 133.00
DENTAL CROWN NUSMILE B4 (LIGHT) 133.00
DENTAL CROWN NUSMILE B5 (LIGHT) 133.00
DENTAL CROWN NUSMILE B6 (LIGHT) 133.00
DENTAL CROWN NUSMILE C0 (LIGHT) 133.00
DENTAL CROWN NUSMILE C1 (LIGHT) 126.00
DENTAL CROWN NUSMILE C2 126.00
DENTAL CROWN NUSMILE C3 (LIGHT) 133.00
DENTAL CROWN NUSMILE C4 (LIGHT) 133.00
DENTAL CROWN NUSMILE C5 (LIGHT) 133.00
DENTAL CROWN NUSMILE C6 (LIGHT) 133.00
MULTILEAD TRIAL CABLE 1,528.00
EXTERNAL PULSE GEN 2 PORT HEAD 3,820.00
TRIAL LEAD KIT 60 CM LEN 10,420.00
OCTRODE LEAD KIT 60CM 13,230.00
MEDPOR TITAN FAN-MTM 8,891.00
SCREW CANNULATED 4.0MM X 30MM (SMITH&NEP 2,394.00
SCREW CANNULATED 4.0MM X 40MM (SMITH&NEP 4,788.00
GUIDE PIN BAY PT 1.3X140 (SMITH&NEPHEW) 555.00
SCREW IMF 2.0MM X 8MM SELF DRILLING 1,037.00
SCREW IMF 2.0MM X 12MM SELF DRILLING 767.00
2.7MM TI CORTEX SCREW SELFT-APPING 18MM 534.00
EGG BUR 4.0MM (STRYKER) 626.00
POWERPORT CLRVW W/8FR OPN-N SNG LUM CATH 4,690.00
SMTH MOD+PROFILE 800CC BREAST IMPL SALIN 4,342.00
BREAST TISSUE EXPANDER 850CC 10,055.00
SCREW CRANIOMAX 1.7 MMX5MM 2,640.00
SCREW LOCKING 2.3MM X 10MM 1,244.00
SCREW LOCKING CROSS PIN 2.3MM X 12MM 1,244.00
SCREW LOCKING CROSS PIN 2.3MM X 14MM 1,244.00
SCREW LOCKING 2.3MM X 18MM 1,244.00
PLATE FRACTURE 4H W/BAR 2MM 5,599.00
PLATE 4H CVD W/BAR 2MM 5,599.00
KWIRE 6.045 DOUBLE TROCAR SMOOTH 18.00
K-WIRE 228MM (JONES) 213.00
DRILL 3.2MM CANNULATED (JONES) 1,536.00
SCREW 4.5 X 55MM (JONES) 9,135.00
WASHER O.D. 7MM (SMITH&NEPHEW) 813.00
K-WIRE 1.6 (SMITH & NEPHEW) 318.00
SCREW LOCKING 3.5 X 10MM (71821210) 1,335.00
SCREW LOCKING 3.5 X 12MM (71821212) 1,335.00
SCREW LOCKING 3.5MM X 14MM (Smith&Nephew 1,236.00
SCREW NON-LOCKING 3.5MMX10MM(SMITH & NEP 206.00
SCREW NON-LOCKING 3.5MMX14MM(SMITH & NEP 206.00
SCREW NON-LOCKING 3.5MMX22MM(SMITH & NEP 206.00
CORTEX NON-LOCKING SCREW 3.5MMX46MM (SN) 262.00
CORTEX NON-LOCKING SCREW 3.5MMX50MM (SN) 262.00
SCREW NON-LOCKING 5.0MMX12MM(SMITH & NEP 583.00
SCREW OSTEOP 5.0MM X 14MM (Smith&Nephew) 624.00
PLATE LEFT FOUR HOLE 5,637.00
2 LEAD TRIAL SYS 10,717.00
BUR 2.5 MM (STRYKER SPINE) 1,128.00
TRIAL LEAD SET (NEVRO) 9,450.00
NEEDLE TUOHY EPIDURAL 18GX6.0 66.00
BREAST IMPLANT 800CC (GEL) 6,773.00
BREAST IMPLANT 600CC (GEL) 6,252.00
BREAST IMPLANT235CC (GEL) 6,079.00
BREAST IMPLANT 385CC (MODERATE CLASSIC) 6,079.00
BREAST IMPLANT 425CC (GEL) 6,079.00
BREAST IMPLANT 510CC (GEL) 6,079.00
BREAST IMPLANT 800CC (MODERATE CLASSIC) 6,048.00
IFUSE 3-D IMPLANT SYSTEM 7.0MM X 35MM 23,153.00
IFUSE 3-D IMPLANT SYSTEM 7.0MM X 40MM 23,153.00
IFUSE 3-D IMPLANT SYSTEM 7.0MM X 55MM 23,153.00
ANCHOR MINI BC SUTURETACK 2.4MM X 8.5MM 3,077.00
DISPOSABLE KIT (ARTHREX) 1,654.00
SCREW TENODESIS BIOCOMPOSITE (ARTHREX) 2,398.00
INTERNAL BRACE LIGAMENT 7,112.00
QCKFIX SCRW 2.0 X 10 MM 927.00
QCKFIX SCRW 2.0 X 12 MM 927.00
SCREW QUICK FIX TI CAN PT 2.0 X 16MM 927.00
SCREW CANNULATED TI QUICKFIX PT 2.0X22MM 927.00
SCREW QUICK FIX TI CANNULATED PT 2.0 X 2 973.00
SCREW QUICKFIX TIPT 2.4MMX12MM (ARTHREX) 960.00
SCREW CORTEX LOW PROFILE 2.4MM X 14MM 1,456.00
SCREW CANNULATES QUICKFIX TI PT 2.4MM X 960.00
SCREW QUICKFIX TI CANNLTD PT 2.4MM X16MM 1,008.00
SCREW QUICK FIX TI CAN PT 2.4 X 18MM 1,008.00
SCREW CANNULATED QUICKFX TIPT 2.4MMX20MM 960.00
SCREW COMPR FT 2.5 MICRO, 14MM LENGTH 1,859.00
SCREW COMPR FT 2.5 MICRO, 16MM LENGTH 1,859.00
SCREW COMPR FT 2.5 MICRO, 24MM LENGTH 1,859.00
SCREW CANNULATD COUNTERSNK 2.0MM X 2.4MM 1,216.00
0.86MM GUIDE WIRE TROCAR TIP 146.00
SCREW CANNULATED QUICKFIX 4.0 MM X 22MM 1,147.00
SCREW CANNULATED QUICKFIX 4.0 MM X 26MM 1,147.00
SCREW QUICKFIX TI CANNULATED 2,085.00
SCREW CANNULATED QUICKFIX 4.0 X 30MM 1,147.00
SCREW QUICK FIX TI CAN ST CANCL 4.0X38MM 1,147.00
SCREW QUCIKFIX CAN STTI CANC 4.0MMX40MM 1,147.00
SCREW 2.5MM PUSH LOCK (ARTHREX) 3,408.00
IMP SYS PK ACHILLES SPEEDBRIDGE 16,446.00
SCREW CANNULATED COUNTERSINK 4.0MM (AR-8 1,042.00
10MM CARTIVA SYNTHETIC CARTILAGE IMPLANT 20,160.00
PLUG PERFIX MED 3,745.00
SHANK MATCH HEAD 2.9MM X 3.8 MM 317.00
KWIRE 2.0/ 2.5 SMOOTH 112.00
KWIRE 3.0 / 4.0 SMOOTH TC-SERIES 167.00
TC SERIES THRD KWIRE 3.0/4.0 (1.1X120MM) 53.00
BREAST TISSUE EXPANDER (SIENTRA) 16,317.00
TRIAL LEAD 50 CM SLIM TIP 10,420.00
MINI-MONSTER CANNULATED SHT THREAD SCREW 1,737.00
MIN-MONSTER CANNULATED SHRT THRD SCREW 1,737.00
MIN-MONSTER CANNULATED SHRT THRD SCREW 1,961.00
COUNTERSINK 2.0 HEADED 1,464.00
COUNTERSINK, 3.0 HEADED 1,464.00
COUNTERSINK, 4.0 HEADED 1,464.00
K-WIRE SINGLE ENDED TROCAR TIP SMOOTH 199.00
K-WIRE, SNGL END TROCAR TIP, SMOOTH 199.00
MIN-MONSTER CANNULATED SHRT THRD SCREW 199.00
2 MM NON-THREADED GUIDE PIN, SINGLE 555.00
NEEDLE TUOHY 17GX4.5 130.00
INFINION 16 TRIAL LEAD KIT, 50CM 6,946.00
1X16 OR CABLE AND EXT--NEURO STM 175.00
PRECISION SPECTRA PT TRIAL KIT--NEURO ST 688.00
MONTAGE PATIENT TRIAL KIT US 656.00
LOW PROFILE 2.0MMX12MM BONE SCREW 662.00
SCREW CANNULATED 2.0MM X 16MM 696.00
SCREW CANNULATED 2.0 MM X 18 MM 728.00
SCREW CANNULATED 3.0 MM @14MM 869.00
SCREW CANNULATED 3.0MM X 24MM 765.00
SCREW CANNULATED 3.0MM X 26MM 765.00
SCREW CANNULATED 3.0MM @40MM 1,528.00
SCREW CANNULATED 4.0MM X 32MM (TC-4032) 765.00
TRIAL LEAD KIT, 50CM W/ 5MM SPACING 4,725.00
PREGNANCY TEST URINE / STRIP 100.00
GLUCOSE BLOOD REAGENT STRIP 50.00
DISCOGRAPHY, LUMBAR, RAD SUPERV & INT 1,026.00
FLUORO GUIDED CVA DEVICE PLCMNT/REPLCM 765.00
EPIDUROGRAPHY 1,390.00
FLUID EVAC-FNA W IMG GUIDANCE 901.00
DRAINAGE OF SKIN ACSCESS 1,390.00
I&D HEMATOMA/SEROMA/FLUID COLLECTION 1,390.00
DBRDMT EXT ECZMA/INFCT SKN UP TO 10% BDY 1,390.00
Debride tissue/muscle 1,798.00
DEBRIDE TISS/MUSC/BONE 20 SQ CM/< 5,246.00
BX SKIN SUBQ TISS/MEMBRANE SINGLE LESION 730.00
RMVL SKIN TAG, MLT FIRBROQ UP TO 15 579.00
EXC TR-EXT B9+MARG 0.5<CM 1,390.00
EXC TR-EXT B9+MARG 0.6-1CM 1,390.00
EXC TR-EXT B9+MARG 1.1-2.0CM 1,390.00
EXC TR-EXT B9+MARG 2.1-3CM 1,390.00
EXC TR-EXT B9+MARG 3.1-4CM 8,513.00
EXC TR-EXT B9+MARG >4.0CM 8,513.00
EXC H-F-NK-SP B9+MARG 0.5< 1,390.00
EXC H-F-NK-SP B9+MARG 0.6-1 CM 1,390.00
EXC H-F-NK-SP B9+MARG 1.1-2CM 1,390.00
EXC H-F-NK-SP B9+MARG 2.1-3CM 1,389.00
EXC H-F-NK-SP B9+MARG 3.1-4CM 8,513.00
EXC B9 LESION S/N/H/F/G >4.0CM 11,576.00
EXC B9 LES MRGN F/E/E/N/L/M 0.5CM< 1,390.00
EXC FACE-MM B9+MARG 0..6-1CM 1,390.00
EXC FACE-MM B9+MARG 1.1-2CM 1,390.00
EXC FACE-MM B9+MARG 2.1-3CM 1,508.00
EXC FACE-MM B9+MARG 3.1-4CM 5,246.00
EXC FACE-MM B9+MARG >4CM 11,576.00
EXC HIDRADENITIS AXL SMPL/INT RPR 11,576.00
EXC SKIN SUBQ TISS HIDRADENTIS AXL CMPX 10,358.00
EXC HIDRADENITIS INGUINAL SMP/INT RPR 11,576.00
EXC MALG LES INC MAR/T/A/L EXC 0.5CM < 1,487.00
EXC MALGNANT LSN INC MRG T/A/L 0.6-1.0CM 1,699.00
EXC TR-EXT MLG+MARG 1.1-2CM 1,829.00
EXC TR-EXT MLG+MARG 2.1-3CM 1,978.00
EXC TR-EXT MLG+MARG 3.1-4CM 5,246.00
EXC TR-EXT MLG+MARG >4CM 8,513.00
EXC MALIG LESION S/N/H/F/G 0.5CM/< 1,501.00
EXC MGLNT LESION (S/N/H/F/G) 0.6-1.0CM 1,708.00
EXC H-F-NK-SP MLG+MARG 1.1-2CM 1,861.00
EXC MALGNT LESION S/N/H/F/G 2.1-3.0CM/< 2,044.00
EXC MALIGNANT LESION S/N/H/F/G 3.1-4.0CM 8,513.00
EXC FACE-MM MALIG+MARG 0.5CM< 1,556.00
EXC FACE-MM MALIG+MARG 0.6-1 CM 1,758.00
EXC FACE-MM MALIG+MARG 1.1-2CM 1,937.00
EXC FACE-MM MALIG+MARG 2.1-3CM 2,127.00
EXC FAC-MM MALIG+MARG 3.1-4CM 8,513.00
EXC MALIGNANT F/E/E/N/L > 4.0CM 11,576.00
AVULSION NAIL PLATE PART/CMPLT SIMP/SING 640.00
REMOVAL OF NAIL BED 1,508.00
BX NAIL UNIT (SEPARATE PROCEDURE) 859.00
REPAIR OF NAL BED 1,396.00
EXC PILONIDAL CYST/SINUS, SIMPLE 11,576.00
INJECTION INTO SKIN LESIONS-UP TO 7 609.00
TATTOOING INCL MICROPIGMENTATION 6 CM/< 1,067.00
CORRECT SKIN COLOR DEFECTS 1,397.00
REPLACE TISSUE EXPANDER W/ PERM PROTHES 23,877.00
REMOVE TISSUE EXPANDER(S) WO INS PROTHES 11,576.00
RPR SIMPLE 2.6-7.5 CM EXT GEN/TRNK/EXT 1,191.00
REPAIR SUPERFICIAL WOUND(S) 1,390.00
RPR SMPLE FCE EAR ELID NSE LP* 594.00
RPR SMOL F/E/E/N/L/M 5.1CM - 7.5CM 1,418.00
REPAIR INTERMEDIATE 2.5CM OR LESS 1,396.00
LAYER CLOSURE-S/A/T/E 2.6-7.5CM 1,396.00
LAYER CLOSURE-S/A/T/E 7.6-12.5CM 1,396.00
RPR INT SCLP/A/TRNK/EXT 12.6-20.0 CM 2,730.00
REPAIR INTERMED N/H/F/EXT GEN 2.5CM/< 1,396.00
LAYER CLOSURE-N/H/F/X 2.6-7.5CM 1,396.00
RPR INT N/H/F/XTNL GEN 7.6-12.5CM 1,396.00
LAYER CLOSURE-F/E/E/N/L/M 2.5CM< 1,396.00
LAYER CLOSURE-F/E/E/N/L/M 2.6-5CM 1,396.00
LAYER CLOSURE-F/E/E/N/L/M 5.1-7.5CM 1,396.00
LAYER CLOSURE-F/E/E/N/L/M 7.6-12.5CM 1,396.00
RPR CMPLX TRUNK 1.1 - 2.5 CM 2,478.00
REPAIR CMPX TRK 2.6-7.5 CM 2,730.00
REPAIR CMPX TRK EA ADDTL 5CM< 1,347.00
REPAIR CMPX S/A/L 1.1-2.5CM 1,396.00
REPAIR CMPX S/A/L 2.6-7.5CM 2,730.00
REPAIR CMPX S/A/L EA ADDTL 5CM< 1,479.00
REPAIR CMPX F/H/FT/GEN 1.1-2.5CM 1,396.00
REPAIR CMPX F/H/FT/GEN 2.6-7.5CM 2,730.00
RPR CMPLX F/C/C/M/N/G/H/F EA ADDTL 5CM/< 2,730.00
REPAIR CMPLX EYE/NOSE/EAR/LIP 1.1-2.5CM 2,730.00
REPAIR CMPX E/N/E/L 2.6-7.5CM 2,730.00
SKIN TISSUE REARRANGE-S/A/L 10 SQ CM < 8,931.00
SKIN TISS REARNGMNT-SCLP/ARM/LEG 10.1-30 8,931.00
SKIN TISSUE REARRANGE-F/H/FT/GEN 10SQCM< 8,931.00
ADJ TISS TRANS/RGMNT 10.1-30 SQCM FCCMNA 7,826.00
SKIN TISSUE REARRANGE-E/N/E/L 10SQCM< 8,931.00
SKIN TISSUE REARRANGE-FING/TOE W/ PREPJ 8,931.00
WND PREP CH/INF-TRK/A/L 1ST 100SQCM/1PCT 2,730.00
BILAT WND PREP CH/INF-TRK/A/L 1ST100SCM 5,460.00
WND/SURG PREP F/H/N,ETC 1ST 100 CM/1PCT 2,730.00
SKIN FULL GRFT SCLP/ARM/LEG 20CM< 8,931.00
SKIN FULL GRFT FACE/ENT/H/F 20CM< 8,931.00
SKIN FULL GRFT N/E/E/L 20 SQ CM < 8,931.00
FRMJ DIRECT/TUBE PEDICLE W/WO TR S/A/L 13,760.00
FRMJ DIR/TUBE PEDCL W/WO OTR FCE/NK/AX/G 8,931.00
FRMJ DRCT/TUBED PEDICLE E/N/E/L/INTRORAL 8,931.00
DELAY/SECTION FLAP F/C/C/N/A/G/H/F 7,963.00
FOREHEAD FLAP W/PRESVN VASCULAR PEDICLE 14,604.00
MUSCLE-SKIN GRAFT, TRUNK 14,604.00
MUSCLE-SKIN GRAFT, ARM 8,931.00
MUSCLE-SKIN GRAFT, LEG 14,604.00
IMPLANT OF BIOL IMPLNT SFT TISS REINFORC 2,373.00
ABRASION TREATMENT OF SKIN-FACE 4,095.00
CERVICOPLASTY 7,826.00
REVISION OF LOWER EYELID 8,931.00
BLEPHAROPLASTY, LWE EYELID HERNTD FATPAD 13,729.00
REVISION OF UPPER EYELID 8,931.00
REVISION OF UPPER EYELID W/ EXCESS SKIN 8,931.00
REMOVAL OF FACE WRINKLES 14,604.00
REMOVAL OF SKIN WRINKLES 14,604.00
EXCISION SKIN ABD 26,334.00
EXC EXCESS SKIN/SUBQ TISSUE THIGH 10,358.00
EXCISE EXSESS SKIN SUBQ TISS ARM 8,513.00
EXC EXCESS SKIN SUBQ TISS, OTHER AREA 8,513.00
EXCISE EXCESS SKIN ABD ADD-OM 4,230.00
SUCTION ASSISTED LIPECTOMY TRUNK 14,604.00
SUCTION ASST LIPECTOMY UPPER EXTREMITY 7,826.00
SUCTION ASSISTED LIPECTOMY LWR EXTREMITY 14,604.00
EXC SACPRESS ULCER PREPJ MUSC/MY SKN GRA 7,826.00
DESTRUCT PREMALG LESION 1ST 1,390.00
DESTRUCT PREMALG LESION 15+ 1,390.00
DESTRUCT B9 LESIONS UP TO 14 1,390.00
DESTRUCT B9 LESIONS 15+ 1,390.00
DESTRUCT MALG LESION F/E/EL/N/L 0.5CM /< 1,390.00
DESTRCT MAL LESION F/E/E/N/L/M 0.6-1.0CM 1,390.00
DESTRUCT MALG LESION F/E/E/N/L/M 1.1-2.0 1,410.00
DESTRUCT MLGNT LSN F/E/E/N/L/M >4.0CM 1,798.00
REMOVAL BREAST LESION 13,754.00
EXCISION BREAST LESION 13,754.00
EXCISION CHEST WALL TUMOR INC RIBS 13,610.00
MASTECTOMY, PARTIAL 13,754.00
MASTECTOMY, SIMPLE, COMPLETE 19,118.00
SUSPENSION OF BREAST / MASTOPEXY 19,118.00
BILAT SUSPENSION OF BREAST / MASTOPEXY 38,233.00
REDUCTION OF LARGE BREAST / MAMMAPLASTY 26,334.00
BILAT REDUCTION MAMMAPLASTY 52,672.00
ENLARGE BREAST AUG W/ IMPLANT 46,945.00
BILAT MAMMAPLASTY AUG W/ PROSTH IMPLANT 93,888.00
REMOVAL OF BREAST IMPLANT 19,118.00
REMOVAL OF IMPLANT MATERIAL 19,118.00
BILAT RMVL MAMMARY IMPLANT MATERIAL 38,233.00
IMMEDIATE BREAST PROSTHESIS 26,334.00
BILAT IMMT INS BRST PROSTH FLWG MAST/REC 52,672.00
NIPPLE / AREOLA RECONSTRUCTION 13,754.00
BREAST RECONSTRUCTION W/ TISS EXPANDER 46,945.00
BILAT BREAST RECONSTRUCTION W/ TISS EXP 93,889.00
BREAST RECONSTUCT W/ OTHER TECHNIQUE 19,117.00
OPEN PERIPROSTH CAPSULOTOMY BREAST 19,118.00
BILAT OPEN PERIPROSTH CAPSULOTOMY BREAST 38,233.00
REMOVAL OF BREAST CAPSULE 19,118.00
REVISION OF RECONSTRUCTED BREAST 26,334.00
BX BONE TROCAR/NEEDLE SUPERFICIAL 5,288.00
INJ 1 TENDON SHEATH/LIGAMENT 1,390.00
INJ SINGLE TENDON ORIGIN/INSERTION 1,390.00
INJ TRIGGER POINT, SING/MULTI1/2 MUSCLES 1,390.00
INJ TRIGGER POINT SNGL/MULTI 3 OR MORE 1,390.00
ARTHROCNTS ASPIR/INJ SM JT/BURSA WO GUID 1,390.00
DRAIN / INJECT, INTERM JOINT / BURSA 1,390.00
DRAIN / INJ, MAJOR JOINT / BURSA 1,390.00
REMOVAL IMPLANT, SUPERFICIAL SEP PROC 8,513.00
REMOVAL SUPPORT IMPLANT, DEEP 11,576.00
TISSUE GRAFTS OTHER (EG. PARATN,FAT,DERM 13,760.00
EXC TUMOR SOFT TISS FCE/SCLP SUBQ <2CM 2,661.00
EXC TUMOR SOFT TISS FCE/SCLP SUBQ 2CM> 5,246.00
EXC TUMOR SOFT TISS FCE/SCLP SUBFAS <2CM 3,511.00
EXC TUMOR SOFT TISS FCE/SCLP SUBFAC 2CM> 5,246.00
RAD RSECTN SOFT TUMOR FCE/SCLP <2CM 8,513.00
RAD RSECTN TUMOR SOFT TISS FCE/SCLP 2CM> 11,576.00
CONTOUR FAC BONE LESION B9 12,348.00
EXC B9 TUMOR/CYST MAX/ZYGOMA ENCL CURTG 3,838.00
CLSD TX NASAL FX W/ STABILIZATION 8,039.00
OPEN TX NASAL FX COMP W/INT/XTNL SKEL FI 12,348.00
OPEN TX NASAL FX W/CONCOM OPTX FXD SEPTM 12,348.00
CLOSED TX NASAL SEPTAL FX W/WO STABILZ 8,039.00
OPEN TX DEPRESSED ZYGOMATIC ARCH FX 20,879.00
OPEN TX COMP FX MALAR W/INT FXMULT SURG 12,641.00
OPN TX ORB FLR BLWT FX PRI/BITAL W/ALPLS 23,667.00
OPEN TX PALATAL/MAXILLARY FX 7,636.00
CLSD TX MANDIBULAR FX W/INTERDENTAL FIX 23,667.00
OPEN TX MANDIBULAR FX W/ INTERDENTAL FIX 23,667.00
OPEN TX COMP MANDIBULAR FX MLT APPR W/IN 13,754.00
EXC TUMOR SFT TISS NECK SUBQ 3CM> 11,576.00
EXC TUMOR SFT TISS NECK SUBFASC 5CM> 11,576.00
EXC TUMOR SFT TISS NECK/CHEST SUBQ <3CM 8,513.00
EXC TUMOR SFT TISS NECK/THOR SUBFAS <5CM 11,576.00
RAD RESECT TUMOR OFT TISS NECK/THOR <5CM 8,513.00
RAD RESECT TUMOR SFT TISS NECK/THOR 5CM> 11,576.00
BX, SFT TISS BACK/FLANK; SUPERFICIAL 2,023.00
EXC TUMOR SFT TISS BACK/FLANK SUBQ <3CM 8,513.00
EXC TUMOR SFT TISS BACK/FLANK SUBQ 3CM> 11,576.00
EXC TUMOR SFT TISS BACK/FLNK SUBFAS <5CM 8,513.00
EXC TUMOR SFT TISS BACK/FLNK SUBF 5CM> 11,576.00
RAD RESECT TUMOR SFT TISS BACK/FLNK <5CM 8,513.00
RAD RESECT TUMOR SFT TISS BACK/FLNK 5CM> 11,576.00
EXC TMR SOFT TISS ABD WALL SUBQ <3CM 8,513.00
EXC TUMOR SFT TISS ABD WALL SUBQ 3CM> 11,576.00
RAD RSCTN TMR SFT TISS ABD WALL <5CM 10,462.00
EXC TUMOR SFT TISS SHOULDER SUBQ 3CM> 11,576.00
EXC TUMOR SFT TISS SHOULDER SUBFAS 5CM> 11,576.00
EXC TUMOR SFT TISS SHOULDER SUBQ <3CM 8,513.00
EXC TMR SFT TISS SHOULDER SUBFASC < 5CM 8,513.00
RAD RESECT TUMOR SFT TISS SHOULDER <5CM 8,513.00
RAD RESECT TUMOR SFT TISS SHOULDER 5CM/> 10,462.00
EXC/CURTG BONE CYST/ B9 TUMR CLAV/SCAP 12,363.00
RECONSTUCT ROTATOR CUFF AVULSION CHRONIC 23,877.00
MAN W/ANES SHOULDER JNT W/ FIX APPARATUS 7,301.00
EXC TUMOR SFT TISS UPPRARM/ELB SUBQ 3CM> 11,576.00
EXC TMR SFT TISS UPP A/E SUBF 5CM/> 11,576.00
EXC TUMOR SFT TISS UPP ARM/ELB SUBQ <3CM 8,513.00
RAD RSECT TUMOR SFT TISS UPP ARM/EL <5CM 8,513.00
RAD RSECT TUMOR SFT TISS UPP ARM/EL 5CM> 11,576.00
EXCISION OLECRANON BURSA 12,473.00
EXC/CURTG BONE/CYST/B9 TMR H/N/RDS/OLECR 12,363.00
REPAIR ELBOW LAT/MED W/ DEBRIDE OPEN 16,512.00
EXC TMR SFT TISS FOREARM/WRIST SUBQ 3CM> 5,288.00
EXC TMR/SFT TISS 4ARM/WRIST SUBFAS 3CM/> 11,576.00
EXC TUMOR SFT TISS FORARM/WRST SUBQ <3CM 8,513.00
RAD RESCT TUMOR SFT TISS FORARM/WST <3CM 8,513.00
RAD RESCJ TUMOR SFT TISS 4ARM/WRST 3CM/> 11,576.00
EXC GANGLION, WRIST (DORSAL/VOLAR) PRIM 10,538.00
INCISE FINGER TENDON SHEATH 7,796.00
EXC TMR/VSC MLF SFT TISS H/F SUBQ 1.5CM> 5,291.00
EXC TMR/VASC MAL SFTTIS H/F 1.5CM/> 5,288.00
EXC TMR/VASC MAL SFTTISS H/F SUBQ <1.5CM 8,513.00
RAD RESECT TUMOR SFT TISS HAND/FIN <3CM 8,513.00
RAD RESCJ TUMR SFT TISS HAND/FING 3CM/> 11,576.00
FASCIECTOMY PRTL 1DGT W/WO RPR 12,473.00
EXC LESN TNDN SHEATH/JNT CAPS, H/F 7,796.00
EXC/BUTT BONE CYST/B9 TUMOR PHLNX/FINGER 7,189.00
RAD RSCTN TMR, PROX/MDL PHALNX FINGER 7,796.00
RELEASE TENDON PALM/FIN EA TENDON 7,796.00
ARTHROPLASTY, INTERPHAL JNT, EACH 21,347.00
Reconstruct extra finger 10,995.00
OPEN TX CARPOMETACARPAL FX DISLOCATE 26,831.00
OPEN TX DSTL PHLGNGL FX EACH 12,962.00
ARTHODESIS INTERPHAL JT W/WO INT FIXJ 14,024.00
ARTHRODESIS EA ADDTL INTERPHAL JT W/WO 14,024.00
AMPTUTE F/TH PRIM/SEC JNT/PHALANX SINGLE 12,473.00
EXC TMR SFT TISS PLVS/HIP SUBQ 3CM/> 10,462.00
EXC TUMOR SFT TISS PELVIS/HIP SUBQ <3CM 8,513.00
RMV HIP/PELVIS LESION <5CM 8,513.00
RAD RSECT TMR SFT TISS PELVIS/HIP <5CM 10,462.00
INJ FOR HIP ARTHROGRAPHY W/ ANESTHESIA 950.00
INJ PRO SAC JNT,ARTHRO AND/OR ANESTH/SRD 4,265.00
BILAT INJ SI JNT ARTHGPY/ANES/STRIOD IMG 8,530.00
SI FUSION-ARTHRODESIS SACJNT PCUT GUIDE 136,582.00
REMOVAL THIGH/KNEE LESION < 3 cm 11,576.00
RAD RESCTN TMR, SFT TISS THIGH/KNEE <5CM 8,513.00
ARTHRTMY EXC SEMILNR CRTLG KNEE MED/LAT 16,512.00
ARTHRT W/EXC SEMILUNR CRTLG KNEE MED&LAT 16,512.00
EXC TMR SFT TISS THIGH/KNEE SUBQ 3CM/> 10,358.00
RAD RSCTN TMR/SFT TISS THIGH/KNEE 5CM/> 10,358.00
ARTHROTOMY W/ MENISCUS RPR KNEE 16,512.00
RPR PRIM TORN LIGA/CAP KNEE CRUC 40,119.00
ARTHRO PST CAP RLS, ANKLE W/WO ACHL LNGT 16,512.00
RAD RSCTN TUMOR SFT TISS LEG/ANK <5CM 8,513.00
RAD RESCJ TMR SFT TISS LEG/ANKLE 5CM/> 10,462.00
EXC TUMOR SFT TISS LEG/ANK SUBQ <3CM 5,288.00
EXPLORE/TREAT ANKLE JOINT 16,512.00
EXC TMR/SFT TISS LEG/ANK SUBQ 3CM/> 11,576.00
EXC TMR SFT TISS LEG/ANKLE, SUBFSCL 5CM/ 11,576.00
RPR 2NDRY ACHILES TENDON W/WO GRAFT 23,877.00
RPR FLEX TENDON LEG, PRIM WO GRAFT, EACH 10,538.00
RPR DISLOC PERONEAL TNDNWO FIB OSTEOTOMY 10,538.00
LNGTH/SHRT TENDON LEG/ANK 1 TENDON SPX 16,512.00
REVISION OF CALF TENDON 16,512.00
TR/TRNSPL 1 TNDN W/MUSC REDIR/RERT SUPFC 23,877.00
TR/TRNSPL TENDON W/ MUSC REDIR/REROUT DP 23,877.00
REPAIR OF ANKLE LIGAMENTS 16,512.00
REMOVAL OF ANKLE IMPLANT 12,473.00
OPEN TX DISTAL FIB FX LAT MALLEOLUS 26,874.00
Treatment of ankle fracture 26,831.00
ORIF FX DISTAL TIBIA FIBULA 26,831.00
ORIF FX TIBIA ONLY 47,912.00
ORIF FX TIBIA & FIBULA 47,912.00
FASCIOTOMY, FOOT AND/OR TOE 11,064.00
EXC TUMOR SFT TISS FOOT/TOE SUBQ 1.5CM/> 11,576.00
EXC TUMOR SFT TISS FT/TOE SUBQ <1.5CM 8,513.00
Excision of foot lesion 8,513.00
RAD RSCTN TUMOR SFT TISS FT/TOE <3CM 8,513.00
NEURECTOMY INTRINSIC MUSCULATURE OF FOOT 8,782.00
FASCIECTOMY PLANTAR FASCIA PARTIAL SPX 12,363.00
EXCISION INTERDIGITAL NEUROMA SINGLE 11,064.00
REMOVAL OF FOOT LESION 11,064.00
EXC/CURETTGE CYST / TMR TLUS/CALCANEUS 11,064.00
OSTECTOMY PRTL METATARSAL 11,064.00
OSTECTOMY CMPLT OTHER META 2/3/4 11,064.00
PART REMOVAL OF METATARSAL 11,064.00
OSTC CMPLT ALL METAR HEADS PRTL PROX PH 12,473.00
OSTECTOMY CALCANEUS 11,064.00
PARTIAL EXC BONE TALUS/CALCANEUS 11,064.00
PRT EXC TARSAL/META BONE XCP TALUS/CALC 11,064.00
RSCTN PART/CMPLT PHALANGEAL BASE EACH 12,363.00
Partial removal of toe 11,064.00
RMVL FOREIGN BODY, FOOT, SUBQ, DEEP 8,513.00
RMVL FOREIGN BODY FOOT COMPLICATED 5,288.00
TENOLYSIS EXTENSOR FOOT SNGL TENDON 12,473.00
TENOTOMY OPEN TENDON FLEX FT SNGL/MULTI 3,270.00
TENOTOMY OPN TNDN FLEX, TOE SNGLE TNDN 3,059.00
RECON ADV PST TIB TND W/ EXC TRSLNAVCLR 26,520.00
RELEASE OF FOOT CONTRACTURE 11,064.00
SYNDACTYLIZATION TOES 11,064.00
CORRECTION HAMMERTOE 11,064.00
OSTECTOMY PRTL EXOSTC/CONDYLC METAR HEAD 11,064.00
RPR HALLUX RIGIDUS CORR W/ CHEL 1ST MP J 11,064.00
HALLUX RIG COR W/ CHEIL 1ST ME WO IMP 36,234.00
CORR HALLUX VALGUS W/SESAMDTCMY RESCTN 12,363.00
OCRR HALL VAL W/SES W/PROX OSTE ANY 16,669.00
CORRECTION OF BUNION W/WO SESMDC 16,983.00
CORR BUNION W/WO SESMDC PROX MET OST ANY 16,983.00
CORR HALL VAL W/SESM W/ PROX PHALX ANY 16,983.00
CORR HALL VAL W/ SES 2 OSTEO ANY 16,983.00
OSTEOTOMY CALCANEUS W/WO INT FIXATION 33,116.00
OSTEOTOMY W/WO LNGTH/SHRT/CORRJ 1ST META 11,064.00
OSTEOT W/WO LNGTH INCISION OF METATARSAL 11,064.00
OSTEOTOMY SHRT CORRJ PROX PHALNX 1ST TOE 12,363.00
REMOVAL OF SESAMOID BONE 11,064.00
OPEN TX TARSAL FX W INT FIXATION 26,831.00
PRQ SKEL FIXJ METAR FX W/MANJ 12,962.00
OPEN TX METATARSAL FX EACH 26,831.00
OPN TX SESAMOID FX W/WO INT FIX 12,962.00
OPEN TX METATARSOPHALANGEAL JNT DISLOC 12,962.00
OPEN TX INTERPHAL JNT DISLOC, INC INT FI 12,962.00
ARTHRODESIS, SUBTALAR 33,116.00
ARTHRODESIS BIG TOE JOINT 33,116.00
ARTHRODESIS GREAT TO INTERPHALANGEAL JNT 11,064.00
AMPUTATION, METATRSL W/TOE, SINGLE 11,064.00
AMPUTATION TOE METATARSOPHALG JOINT 11,064.00
PARTIAL AMPUTATION OF TOE 11,064.00
UNLISTED PROCEDURE, FOOT OR TOES 7,963.00
Application lower leg splint 1,390.00
ARTHO KNEE SYNO,LMT,PLICA OR SHLF RESCT 13,653.00
ARTHRSCPY KNEE ABRSN MULTI DRILL/MICROFX 13,653.00
ARTHROSCOPY KNEE SURGERY 13,653.00
ARTHRSCPY KNEE SURG W/ MINIS MED/LAT W/S 13,653.00
ENDOSCOPIC PLANTAR FASCIOTOMY 11,064.00
Excise inferior turbinate 12,348.00
RESECT INFERIOR TURBINATE PRTL/COMPL 12,348.00
RHINECTOMY PARTIAL 23,667.00
RHINOPLASTY PRIM COMPLETE XTRNAL PARTS 20,675.00
REPAIR NASAL SEPTUM W/WO CARTILAGE GRFT 12,348.00
NASAL ENDOSCOPY, DX 23,667.00
NASAL ENDOSCOPY DX UNI/BI SPX 1,390.00
Nasal/sinus endoscopy, surg W/BX PLYPECT 7,992.00
REVISION OF ETHMOID SINUS 12,757.00
REMOVAL OF ETHMOID SINUS 19,485.00
Exploration maxillary sinus 12,757.00
ENDOSCOPY, MAXILLARY SINUS W/RMVL TISS 12,757.00
Nasal/sinus endoscopy, surg W/ SPHENOIDE 19,485.00
NASAL/SINUS ENDOSCOPY RMVL TISS 19,485.00
NASAL/SINUS NDSC SURG W/DILAT MAXI SINUS 19,485.00
NASAL ENDOSCOPY W/DILATION FRONTAL SINUS 19,485.00
LARYNGOSCOPY EXC TUM/STRIPCORDS/EPEI 12,757.00
LAYRNSCOPE W/ TUMR EXC + COPE 12,757.00
SURGICAL CLX TRACH/FIST WO PLASTIC RPR 12,348.00
ENDOVENOUS RF 1ST VEIN 12,939.00
ENDOVENOUS RF, VEIN ADD-ON 6,305.00
INSJ TUNNELED CTR VAD W/SUBQ PORT 5YR/> 14,190.00
VASCULAR EMBOL/OCCLUS VENOUS RS&I 42,502.00
BIOPSY/REMVL, LYMPH NODES 14,878.00
EXC LESION MUCOSA/SUBM MOUTH CMPLX MUSC 9,279.00
BX TONGUE ANTERIOR TWO-THIRDS 1,390.00
RMVL EMBED FB DENTALVLR STR SFT TISS 2,030.00
DENTAL RESTORATION 1,505.00
EXC SUBLINGUAL SALIVARY CYST (RANULA) 9,540.00
EXC PRTD TMR/GLAND LAT LOBE WO NRVE DSJ 20,675.00
EXC LAT LOBE W/ DISCTN & PRESRV FACL NRV 23,667.00
EXC SUMBANDIBULAR (SUBMAX) GLAND 20,675.00
REMOVE TONSILS AND ADENOIDS 12,348.00
TONSILLECTOMY 1/2 AGE 12/> 12,348.00
ADENOIDECTOMY PRMARY < AGE 12 23,667.00
ESOPHAGOSCOPY RIG TANS W/ BX SNGL/MULTI 6,115.00
ESOPHAGOSCOPY RIG TRORAL GUIDE WIRE DILT 11,812.00
ESOPHAGOSCOPY FLEX GUIDE WIRE DILATION 6,115.00
UPPER GI ENDOSCOPY DX W/WO COL SPECI 4,732.00
EGD US GUIDED INTRA/TRANS W/ASP/BIOP 6,757.00
UPPER GI ENDOSCOPY BX SING/MULTI 4,732.00
UPPER GI ENDOSCPY/LIGATION 6,757.00
Uppr gi scope dilate strictr 6,757.00
UPPER GI NDSC W/ FOREIGH BODY REMOVAL 4,732.00
UPPER GI ENDOSCOPY/GUIDE WIRE 4,732.00
ESOPH ENDOSCOPY DILATION 6,757.00
UPPER GI ENDOSCOPY RMV TUMOR LES SNARETQ 6,757.00
EGD FLEX TRANSORAL, CONTROL BLEED ANY 5,879.00
EGD W/ ABL TMR, PLYP, OTHER 6,757.00
DILATION ESOPHAGUS GUIDE WIRE 6,757.00
CLOSURE GASTROSTOMY SURGICAL 12,152.00
COLONSCOPY STOMA DX W/WO COLLJ SPEC SPX 5,011.00
COLONOSCOPY STOMA W/ BX SINGL/MULTI 5,011.00
COLONOSCOPY W/ REMOVAL FOREIGN BODY 5,011.00
COLONSCOPY THROUGH STOMA CNTRL BLEEDING 4,754.00
COLONSCOPY THRU STOMA W/ ABLATION LESION 4,754.00
SIGMOIDOSCOPY FLEX DX W/WO COL SPECI 1,390.00
SIGMOIDOSCOPY FLX W/BIOPSY SINGL/MULTI 3,133.00
SIGMOIDOSCOPY FLX CONTRAL BLEEDING 5,250.00
SIGMOIDOSCOPY FLX,RML TUM,PLP,LES SNARE 5,250.00
SIGMOIDSCOPY W/ ABL TMR,PLYP, LES 5,250.00
COLONOSCOPY FLX DX W/WO COLLJ SPECIMENS 5,011.00
COLONSCIPY W/ BX SINGL/MULTI 5,011.00
COLONSCOPY W DIRECTED SUBMUCOSAL INJ 5,011.00
COLONOSCOPY FLEX W/ RMVL TMR, POLYP/OTHE 4,811.00
COLSC LESION REMOVAL 5,011.00
COLONOSCOPY, FLEX W ABLATION OF TUMORS 5,011.00
LASER SURGERY, ANAL LESIONS 12,319.00
DESTRUCTION INTERNAL HEMORRHOIDS 1,692.00
LAP SURG CHOLECYSTECTOMY 23,982.00
MECH RMVL OBSTRUCTIVE MAT FROM GI TUBE 3,097.00
RPR RECURR INGNL HERNIA,ANYAGE,REDUCBLE 12,987.00
RPR INIT INCS OR VENTRAL HERNIA, REDUC 16,977.00
RPR UMBILICAL HERNIA 5YR> REDUCIBLE 16,977.00
LAPRO RPR HERNIA EXC INCAL/REDUCIBLE 20,680.00
LAP RPR HRNIA INC MESH,NCRC8/STANGULATED 34,767.00
CIRCUMCISION AGE >28 DAYS 8,036.00
INJECT EPDURAL PATCH BLOOD/CLOT 4,265.00
INJ PROCEDURE FOR MYELOGRAPHY/CT LUMBAR 966.00
INJ PX DISCOGRAPHY, EA LEVEL, LUMBAR 1,987.00
LUMBAR INTRADISCAL INJECTION 7,654.00
MYELOGRAPHY LMBR INJ INC RX SUPER/INTPRE 1,333.00
INJ DX/THER SUBS CERV/THOR W/O IMG GUIDE 4,265.00
INJ DX/THER SUBS CERV/THOR W/ IMG GUIDE 4,872.00
INJ DX/THER SUB LUMB/SAC W/O IMG GUIDE 4,265.00
INJ DX/THER SUBS LUMB/SAC W/ IMG GUIDE 4,872.00
INJ W/CATH DX/SUBS CERV/THOR W/O IMAGING 4,265.00
INJ W/CATH DX/SUBS CERV/THOR W/ IMAGING 4,872.00
INJ W/CATH DX/SUBS LUMB/SAC W/O IMAGING 4,265.00
INJ W/CATH DX/SUBS LUMB/SAC W/ IMAGING 4,872.00
RMVL PREV IMPLANT ITHCL/EPI CATH 9,329.00
RMVL SUBQ RSVR/PUMP ITHCL/EPI INFUSION 18,703.00
RMVL SPINAL LAMINA 26,099.00
LAMNOTMY W/ DCMPRSN NERVE ROOT 26,874.00
LAM FACETECTMY FORAMOTMY 1 SEG THORACIC 13,928.00
IMPLANT NEUROELECTODES ARRAY EPIDURAL 44,419.00
LAMI IMP NSTIM ELECTRDS PLATE/PADLE EDRL 183,532.00
REMOVE SPINAL NEUROSTIM ELECTRODE 13,508.00
REV/RPLC SPINL NEUROSTIM ELEC PERC, FLUR 44,419.00
INSJ/RPLCMT SPNL NSTIM DIR/INDUXVE COUPL 240,862.00
REV/RMVL IMPLANTED SPINAL NSTIM 13,508.00
INJ NRV BLOCK, OCCIPITAL 1,390.00
BILAT INJ NRV BLOCK, OCCIPITAL 2,779.00
N BLOCK INJ, SUPRASCAPULAR 2,365.00
INJ SUPRASCAPULAR NERVE BLOCK 744.00
N block inj, intercostal nerve, single 2,365.00
NERVE BLCK INJ, INTERCOST, MULTI 4,265.00
NERVE BLCK INJ, ILIO-ING/HYPOGI 1,390.00
INJ PUDENDAL NERVE BLOCK 3,413.00
INJ ANESTH AGT SCIATIC NERVE SINGLE 804.00
INJ ANESTHETIC AGNT FEMORAL NRV SINGLE 641.00
INJ NERVE BLOCK OTHER PERIPHERAL 1,390.00
INJ TFRML EDRL CRV/THRC SNGL LVL 4,265.00
BILAT INJ TFRML EDRL CRV/THRC SNGL LVL 8,530.00
BILAT INJ TFRML EDRL CRV/THRC EA ADTL 8,530.00
INJ FORAMEN EPID LMBR/SAC 1 LEVEL 4,265.00
BILAT INJ TFRML EPI LMBR/SAC 1 LVL 8,530.00
INJ FORAMEN EPIDURAL ADD-ON EACH LEVEL 4,265.00
BILAT INJ TFRML EPI LMBR/SAC EA ADTL LVL 8,530.00
INJ PVRT FCT JT CERV/THOR 1 LEV DX/THER 4,265.00
BILAT INJ PVRT FCT JT CRV/THRC 1ST LVL 8,530.00
INJ PVRT FCT JT CERV/THRC 2ND LEV, DX/TH 4,265.00
BILAT INJ PVRT FCT JT CRV/THRC 2ND LVL 8,530.00
INJ PVRT FCT JT CRV/THRC 3+ LEVEL DX/THR 4,265.00
BILAT INJ PVRT FCT JT CRV/THRC 3RD + LVL 8,530.00
INJ PARAV FACET JT LUMBAR SING LEVEL 4,265.00
BILAT INJ PVRT FCT JT LMBR/SAC 1ST LVL 8,530.00
INJ PVRT FACET JT LMB/SAC 2ND LEV DX/THE 4,265.00
BILAT INJ PVRT FCT JT LMBR/SAC 2ND LVL 8,530.00
INJ PVRT FCT JT LMBR/SAC 3+ LEV DX/THER 4,265.00
BILAT INJ PVRT FCT JT LMBR/SAC 3RD + LVL 8,530.00
N BLOCK SPENOPALATINE GANGL 1,390.00
NERVE BLCK INJ STELLATE GANGLION 4,265.00
INJ ANES SUPERIOR HYPOGASTRIC PLEXUS 4,265.00
INJ,ANESTH AGNT, LMBR/THOR (PARVERT SYMP 4,265.00
INJ ANES CELIAC PLEXUS W/WO RAD MONITOR 4,265.00
CHEMODENERVATON NECK MSCL, EXC MSCLS OF 1,390.00
INJECTION TREATMENT OF NERVE 9,329.00
DSTRJ NEUROLYTIC AGENT PUDENDAL NERVE 3,413.00
DSTR NROLYTC AGNT PARVERT FCT JT SING 9,329.00
BILAT DSTR NROLYTC AGNT PARVERT FCT JT 1 18,657.00
DSTR NROLYTC AGNT PRVRTB FCT CRV/THOR EA 9,329.00
BILAT DSTR NROLYTC AGNT PRVRTB FCT CRV/T 18,657.00
DSTR NROLYTC AGT PRVT FCT LMBR/SAC SINGL 9,329.00
BILAT DSTR NROLYTC AGT PRVT FCT L/S SNGL 18,657.00
DSTR NROLYTC AGNT PARVR FCT LMBR/SAC EA 9,329.00
BILAT DSTR NROLYTC AGNT PARVR FCT L/S EA 18,657.00
DESTRJ NEURO AGNT OTHER PERIPH NERVE 881.00
CHEMODENERV ECCRINE GLANDS BOTH AXILL 1,390.00
NEUROPLASTY ULNAR NERVE ELBOW 8,782.00
NEUROPLASTY MEDIAN NRV CARPAL TUNNEL 8,782.00
UNLISTED PROCEDURE, NERVOUS SYSTEM 4,257.00
Excision of chalazion; single 1,390.00
EXC CHALAZION ANES REQ HOSP SINGLE/MULTI 7,879.00
REMOVE EYELID LESION 2,285.00
REPAIR BROW PTOSIS (SPACL,MIDFH, CORNAL 7,650.00
RPR ECTROPION, EXC TARSAL WEDGE 9,739.00
CANTHOPLASTY 9,739.00
EXCISION/RPR EYELID - UP TO 1/4 LID MARG 9,739.00
EXC/RPR EYELID 1/4TH LID MARGIN 9,739.00
DRAINAGE EXT EAR ABCSS OR HEMATOMA CMPLX 1,250.00
EXC EXT EAR PARTIAL SIMPLE REPAIR 8,513.00
EXC SFT TISS LES, EXT AUDITORY CANAL 10,462.00
MYRNGOTMY INC ASP/EUSTCHN TUBE NFLT ANES 8,039.00
TYMPANOSTOMY GEN ANESTH 8,039.00
MICROSURG TECHNQ REQ OPER MICROSCOPE 2,433.00
MYELOGRAPHY LUMBROSAC RSI 3,063.00
MYELOGRAPHY 2+ REGIONS RSI 2,681.00
FLUOROSCOPY SPX UP TO 1HR PHYS/QHP TIME 608.00
NEEDLE LOCALIZATION BY XRAY 1,002.00
FLURO NEED/CATH SPINE/PARASPINAL DX/THER 932.00
NDL EMG 2 XTR W/WO RLTD PARASPNL AREAS 1,901.00
MOTOR EP MONITORING LWR LIMBS 2,831.00
SHORT LATENCY SSEP UPPR/LOW LIMB 3,695.00
1 ON 1 MONITOR OR W/ATTEND EA 15 MIN 372.00
ELEC ALYS IMPL NSTIM PULSE GEN 1ST HR 473.00
COLORECTAL CANCER SCREENING; FLEX SIG 1,351.00
COLOREC CANCER SCR; COLONSCPY HIGH RISK 4,157.00
COLOREC CANCER SCRN, CONSCPY NOT HI-RISK 4,157.00
INJ SAC JNT ANESTH STEROID/TX 4,265.00
BILAT INJ SAC JNT ANESTH STEROID/TX 8,529.00
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 702.00
Drug test def 1-7 classes 927.00
Drug test def 8-14 classes 1,425.00
Drug test def 15-21 classes 1,922.00
Drug test def 22+ classes 2,492.00
Drug test def any number of classes 1,946.00
OV/OP VISIT NP L-1 126.00
OV/OP VISIT NP L-2 179.00
OV/OP VISIT NP L-3 259.00
OV/OP VISIT NP L-4 356.00
OV/OP VISIT NP L-5 453.00
OV/OP VISIT EST PT L-2 113.00
OV/OP VISIT EST PT L-3 158.00
OV/OP VISIT EST PT L-4 236.00
OV/OP VISIT EST PT L-5 344.00
PARING/CURETTEMENT B9 LESION 1-PROF 261.00
PAR/CUTT B9 LESION 2-4 PROF 304.00
SKIN SUBGRAFT F/H/H/F <100 SQCM-1ST 25CM 424.00
SKIN SUBGRFT F/H/H/F<100 SCM-EA ADD 25CM 112.00
BX BONE OPEN SUPERFICIAL PROF 478.00
TENOTOMY PERCUTANEOUS TOE SNG TEN PROF 361.00
STRAPPING OF ANKLE AND/OR FOOT 81.00
STRAPPING UNNA BOOT 83.00
OV/OP VISIT EST PT L-3 123.00
TRIM NAIL(S) DYSTROPHIC, ANY NUMBER PROF 72.00
ARTHRO/ASP/INJ MAJOR JNT/BURSA W/ US 386.00
PLACEMENT OF BREAST LOCAL DEV US GUIDE 577.00
US ECHO THYROID 689.00
US ECHO CHEST 455.00
US BREAST REALTIME W/IMG DOC 455.00
US ECHO ABDOMEN COMPLETE 689.00
US ECHO ABDOMEN LIMITED 689.00
US ECHO AORTA/AB/RENAL COMPLETE 689.00
US AORTA/RETROPERITONEAL LIMITED 689.00
US SPINAL CANAL & CONTENTS 689.00
US OB US <14 WKS SINGLE FETUS 689.00
US OB US <14 WKS ADDL FETUS 455.00
US ECHO OB COMPLETE 689.00
US OB US >/=14 WKS ADDL FETUS 689.00
US OB US DETAILED SNGL FETUS 1,092.00
US OB US DETAILED ADDL FETUS 455.00
US ECHO OB LIMITED 455.00
US FOLLOW UP/REPEAT 455.00
US US TRANSVAGINAL OB 455.00
US FETAL BIOPHYSICAL PROFILE 455.00
US ECHO TRANSVAGINAL 689.00
US ECHO PELVIC COMPLETE 689.00
US EXAM PELVIC LIMITED 689.00
US ECHO SCROTUM AND CONTENTS 689.00
US COMPLETE JOINT REAL TIME W/ IMAGE DOC 689.00
US COMPLETE JOINT REAL TIME W/ IMAGE DOC 689.00
US COMPLETE JOINT/OTHER NON VAS EXTREMIT 455.00
US INFT HIPS R-T IMG LMTD STATIC PHYS/QH 455.00
US GUIDE VASCULAR ACCESS 332.00
US ECHO GUIDE FOR BIOPSY 1,342.00
US FNA W/IMAGE 448.00
US BX BREAST PERCUT W/DEVICE 1,405.00
DRAINAGE BREAST LESION 278.00
US ABDMNL PARACNTSS W/IMG GUIDE 455.00
TRANSTHORAIC ECHO W/DOPPLER 1,092.00
US ECHOCARDIOGRAM 1,092.00
US ECHOCARDIOGRAM F/U 455.00
US ECHOCARDIOGRAM DOPPLER 639.00
US ECHOCARDIOGRAM DOPPLER F/U 511.00
US ECHO DOPPLER COLOR FLOW MAP 639.00
US ECHO STRESS 639.00
US CAROTID/VERTEBRAL DUPLEX SCAN 1,092.00
EXTREMITY STUDY 639.00
US ARTERIES DUPLEX SCAN LOWR EXT 1,092.00
LOWER EXTREMITY STUDY 639.00
US ARTERIAL SCAN UPPER EXT 1,092.00
US VENOUS LOWER EXTREMITY 639.00
US VENOUS DOPPLER - BILATERAL 1,092.00
US VENOUS DUPLEX UNILATERAL 689.00
US VASCULAR STUDY 1,124.00
US DUPLEX SCAN OF ART/VENOUS LTD STUDY 784.00