Charge Master Code,Description,Price 2700008110,CS THERMOMETER ORAL D SCALE,$5.00 2700005050,CS NIPPLE SHIELDS,$5.00 2700001900,CS COBAN 2 IN,$5.00 2700002950,CS FINGER COTTON PADDED 3.5 IN,$5.00 2700006200,CS SANITARY PAD ADHESIVE,$5.00 2700006770,CS SUCTION TUBING CONNECTING 10,$5.00 2700002510,CS ELECTRODE RED 3 DOT,$5.00 2700006780,CS SUCTION YANKAUR,$5.00 2700004210,CS MASK AEROSAL PEDIATRIC,$5.00 2700008780,CS TUBING PCA WITH INJECTOR,$5.00 2700000990,CS CANNULA ADULT W TUBING,$5.00 2700002970,"CS FINGER PROTECTOR 3.5 NONPADDE""",$5.00 2700000510,CS AMNIOTEST SWABS,$5.00 2700007960,CS TED HOSE KNEE-XLG LONG,$5.00 2700008130,CS THOMAS ETT HOLDER,$5.00 2700002940,CS FINGER COTTON PADDED 2 IN,$5.00 2700006340,CS SKIN MARKER,$5.00 2700002520,CS ELECTRODE RED 5 DOT,$5.00 2700002980,CS FINGER PROTECTOR 3IN NONPADDED,$5.00 2700005620,CS OXY EARS,$5.00 2509073210,Tetracine 4%/Oxymetazoline 0.05%,$5.00 2500000110,ACETAMINOPHEN 120 MG SUPP,$5.00 2500000140,ACETAMINOPHEN 325 MG SUPP,$5.00 2500000150,ACETAMINOPHEN 325 MG TAB,$5.00 2500000190,ACETAMINOPHEN/CODEINE #3 300MG/30 MG TAB,$5.00 2500000310,ACYCLOVIR 200 MG CAP,$5.00 250000385,"ALBUTEROL 2.5 MG/0.5 ML SOL 2.5 mg, 1 each",$5.00 2500000380,ALBUTEROL 1 MG NEB SOLN (2.5 MG NEB),$5.00 2500000430,ALOPURINOL 100 MG TAB,$5.00 2500000420,ALLOPURINOL 300 MG TAB,$5.00 2500000450,ALPRAZOLAM 0.25 MG TAB,$5.00 2500000520,AMILORIDE 5 MG TAB,$5.00 2500000540,AMIODARONE 200 MG TAB,$5.00 2500000570,AMITRIPTYLINE 10 MG TAB,$5.00 2500000580,AMITRIPTYLINE 25 MG TAB,$5.00 2500000590,AMLODIPINE 5 MG TAB,$5.00 2500000600,AMONIA INHALENT,$5.00 2500000620,AMOXICILLIN/CLAV 500 MG/125 MG TAB,$5.00 2500000630,AMOXICILLIN/CLAV 875 MG/125 MG TAB,$5.00 2500000610,AMOXICILLIN 500 MG CAP,$5.00 2500000750,ARIPIPRAZOLE 5 MG TAB,$5.00 2500009740,"THYROID, PORK 60 MG TAB",$5.00 2500000780,ASPIRIN 325 MG TAB,$5.00 2500000790,ASPIRIN 81 MG CHEW TAB,$5.00 2500000770,ASPIRIN 325 MG EC TAB,$5.00 2500000800,ASPIRIN 81 MG EC TAB,$5.00 2500000820,ATENOLOL 25 MG TAB,$5.00 2500000830,ATENOLOL 50 MG TAB,$5.00 2500000840,ATORVASTATIN 10 MG TAB,$5.00 2500000850,ATORVASTATIN 40 MG TAB,$5.00 2500003030,DUTASTERIDE 0.5 MG TAB,$5.00 2500000980,BACITRACIN OINTMENT PKT,$5.00 2500001000,BACLOFEN 10 MG TAB,$5.00 2500001060,BENAZEPRIL 10 MG TAB,$5.00 2500007600,OLMESARTAN 20 MG TAB,$5.00 2500001090,BENZONATATE 100 MG CAP,$5.00 2500001100,BENZTROPINE 1 MG TAB,$5.00 2500001130,BETHANECHOL 10 MG TAB,$5.00 2500001140,BICALUTAMIDE 50 MG TAB,$5.00 2509067530,"BIOGLO 1 MG OPHTHALMIC STRIP 1 mcg, 100 eaches",$5.00 2500001150,BISACODYL 10 MG SUPP,$5.00 2500001160,BISACODYL 5 MG EC TAB,$5.00 2500001170,BISMUTH 262 MG CHEW TAB,$5.00 2500001250,BUMETANIDE 1 MG TAB,$5.00 2500001320,BUPROPION SR 100 MG TAB,$5.00 2500001340,BUPROPRION SR 150 MG TAB,$5.00 2500001330,BUPROPION XL 150 MG TAB,$5.00 2500001350,BUSPIRONE 5 MG TAB,$5.00 2500001380,CALCITRIOL 0.25 MCG CAP,$5.00 2500001390,CALCIUM CARBONATE 500 MG CHEW TAB,$5.00 2500001440,CALMOSEPTINE OINT (3.5 GM PACKET),$5.00 2500001480,CARBAMAZEPINE 200 MG TAB,$5.00 2500001520,CARBIDOPA/LEVODOPA ER 25 MG/100 MG TAB,$5.00 2500001500,CARBIDOPA/LEVODOPA 10 MG/100 MG TAB,$5.00 2500001510,CARBIDOPA/LEVODOPA 25 MG/100 MG TAB,$5.00 2500001540,CARISOPRODOL 350 MG TAB,$5.00 2500001560,CARVEDILOL 12.5 MG TAB,$5.00 2500001550,CARVEDILOL 6.25 MG TAB,$5.00 2500001070,BENZOCAINE/MENTHOL LOZENGE,$5.00 2500001670,CEPHALEXIN 500 MG CAP,$5.00 2500007170,MULTIVITAMIN/MINERAL/LUTEIN TAB,$5.00 2500005110,IBUPROFEN 100 MG/5 ML SUSP,$5.00 2500000170,ACETAMINOPHEN 80 MG MELAT AWAY TAB,$5.00 2500001700,CHLORDIAZEPOXIDE 10 MG CAP,$5.00 2500001710,CHLORDIAZEPOXIDE 25 MG CAP,$5.00 2500001800,CIPROFLOXACIN 500 MG TAB,$5.00 2500001840,CITALOPRAM 10 MG TAB,$5.00 2500001870,CLINDAMYCIN 150 MG CAP,$5.00 2500001940,CLONAZEPAM 0.5 MG TAB,$5.00 2500001950,CLONIDINE 0.1 MG TAB,$5.00 2500010000,UBIDECARENONE 100 MG CAP,$5.00 2500001980,CLOPIDOGREL 75 MG TAB,$5.00 2500010270,WARFARIN 1 MG TAB,$5.00 2500010280,WARFARIN 2 MG TAB,$5.00 2500010290,WARFARIN 2.5 MG TAB,$5.00 2500010300,WARFARIN 3 MG TAB,$5.00 2500010310,WARFARIN 4 MG TAB,$5.00 2500010320,WARFARIN 5 MG TAB,$5.00 2500002080,CYCLOBENZAPRINE 10 MG TAB,$5.00 2500002450,DEXAMETHASONE 0.25 MG (1 MG TAB),$5.00 2500002460,DEXAMETHASONE 0.25 MG ORAL SOLN (1 MG/ML 1 ML SYR),$5.00 2500002580,DIAZEPAM 5 MG TAB,$5.00 2500002620,DICLOFENAC 75 MG EC TAB,$5.00 2500002640,DICYCLOMINE 10 MG CAP,$5.00 2500002710,DILTIAZEM 120 MG CD CAP,$5.00 2500002720,DILTIAZEM 180 MG CD CAP,$5.00 2500002730,DILTIAZEM 30 MG CAP,$5.00 2500002820,DIPHENHYDRAMINE 25 MG CAP,$5.00 2500002830,DIPHENOXYLATE/ATROPINE 2.5 MG/ 0.025 MG TAB,$5.00 2500002840,DIPYRIDAMOLE 75 MG TAB,$5.00 2500002850,DIVALPROEX DR 125 MG TAB,$5.00 2500002880,DOCUSATE SODIUM 10 MG/1 ML (100 MG UDC),$5.00 2500002890,DOCUSATE SODIUM 100 MG CAP,$5.00 2500002900,DONEPEZIL 5 MG TAB,$5.00 2500002930,DOXAZOSIN 2 MG TAB,$5.00 2500002940,DOXEPIN 25 MG CAP,$5.00 2500003070,ENALAPRIL 5 MG TAB,$5.00 2500003870,ESCITALOPRAM 10 MG TAB,$5.00 2500003900,ESTRADIOL 1 MG TAB,$5.00 2500004010,FAMOTIDINE 20 MG TAB,$5.00 2500004050,FENOFIBRATE 48 MG TAB,$5.00 2500004140,FERROUS GLUCONATE 324 MG TAB,$5.00 2500004170,FERROUS SULFATE 324 MG TAB,$5.00 2500000180,ACETAMINOPHEN 80 MG SUPP,$5.00 2500001420,CALCIUM POLYCARBOPHIL 625 MG TAB,$5.00 2500004200,FINASTERIDE 5 MG TAB,$5.00 2500004560,GLYCERIN 3 GM SUPP (ADULT),$5.00 2500004550,GLYCERIN 1.5 GM SUPP (PEDIATRIC),$5.00 2500004260,FLUDROCORTISONE 0.1 MG TAB,$5.00 2500004295,FLUoxetine HCL 10 MG TABLET,$5.00 2500004290,FLUOXETINE 20 MG TAB,$5.00 2500004310,FOLIC ACID 1 MG TAB,$5.00 2500004380,FUROSEMIDE 20 MG TAB,$5.00 2500004390,FUROSEMIDE 40 MG TAB,$5.00 2500004400,GABAPENTIN 100 MG CAP,$5.00 2500004410,GABAPENTIN 300 MG CAP,$5.00 2500004440,GEMFIBROZIL 600 MG TAB,$5.00 2500004490,GLIMEPIRIDE 2 MG TAB,$5.00 2500004510,GLIPIZIDE 5 MG TAB,$5.00 2500004530,GLUCOSAMINE/CHONDROITIN 500 MG/400 MG CAP,$5.00 2500004540,GLYBURIDE 5 MG TAB,$5.00 2500004620,GUAIFENSEIN 100 MG/5 ML SOLN,$5.00 2500004610,GUAIFENESIN/D-METHOR 100 MG/10 MG/5 ML SOLN,$5.00 2500004630,GUANFACINE 2 MG TAB,$5.00 2500004650,HALOPERIDOL 1 MG TAB,$5.00 2500005270,INSULIN LISPRO 5 UNIT INJ,$5.00 2500005290,INSULIN LISPRO PROTAMINE/LISPRO 75/25 PER 5 UNITS INJ,$5.00 2500005310,INSULIN NPH/REG 70/30 PER 5 UNITS INJ,$5.00 2500005300,INSULIN NPH PER 5 UNITS INJ,$5.00 2500005320,INSULIN REGULAR PER 5 UNITS INJ,$5.00 2500004860,HYDRALAZINE 10 MG TAB,$5.00 2500004880,HYDRALAZINE 25 MG TAB,$5.00 2500004890,HYDROCHLOROTHIAZIDE 25 MG TAB,$5.00 2500004910,HYDROCODONE/APAP 10 MG/325 MG TAB,$5.00 2500004930,HYDROCODONE/APAP 5 MG/325 MG TAB,$5.00 2500004990,HYDROMORPHONE 2 MG TAB,$5.00 2500005040,HYDROXYZINE 25 MG TAB,$5.00 2500005070,HYOSCYAMINE 0.125 MG SL TAB,$5.00 2500005120,IBUPROFEN 200 MG TAB,$5.00 2500005140,IBUPROFEN 600 MG TAB,$5.00 2500005150,ICAPS TAB,$5.00 2500005210,INDOMETHACIN 25 MG CAP,$5.00 2500000410,ALBUTEROL/IPRATROPIUM 2.5 MG/0.5 MG INH SOLN,$5.00 2500005350,IPRATROPIUM 1 MG NEB SOLN (0.5 MG NEB,$5.00 2500005360,IRBESARTAN 150 MG TAB,$5.00 2500005410,ISOSORBIDE MONONITRATE 30 MG ER TAB,$5.00 2500008110,PHOSPHORUS 250 MG TAB,$5.00 2500005440,KETAMINE 50MG/ML INJ (500 MG MDV),$5.00 2500008310,"KLOR-CON M20 TABLET 20 mEq,",$5.00 2500005540,LABETOLOL 100 MG TAB,$5.00 2500005530,LABETALOL 5 MG INJ (100 MG VIAL),$5.00 2500005570,LACTULOSE 10 GM/15 ML SOLN,$5.00 2500005580,LAMOTRIGINE 25 MG TAB,$5.00 2500005250,INSULIN GLARGINE PER 5 UNITS INJ,$5.00 2500005700,LEVETIRACETAM 500 MG TAB,$5.00 2500005740,LEVOFLOXACIN 250 MG TAB,$5.00 2500005790,LEVOTHYROXINE 100 MCG TAB,$5.00 2500005800,LEVOTHYROXINE 112 MCG TAB,$5.00 2500005810,LEVOTHYROXINE 25 MCG TAB,$5.00 2500005820,LEVOTHYROXINE 75 MCG TAB,$5.00 2500005830,LEVOTHYROXINE 88 MCG TAB,$5.00 2500006010,LIDOCAINE VISCOUS 2% SOLN (15 ML BTL),$5.00 2500005931,"LIDOCAINE 2%-EPI 1:100,000, 20 mL",$5.00 2500005872,"LIDOCAINE HCL 1% VIAL, 20 mL",$5.00 2500005860,LIDOCAINE 1% INJ (100 MG MDV),$5.00 2500005920,LIDOCAINE 2% INJ (200 MG MDV),$5.00 2500006090,LISINOPRIL 20 MG TAB,$5.00 2500006100,LISINOPRIL 5 MG TAB,$5.00 2500006110,LITHIUM CARBONATE 150 MG CAP,$5.00 2500006120,LOPERAMIDE 1 MG/7.5 ML ORAL SOLN,$5.00 2500006130,LOPERAMIDE 2 MG CAP,$5.00 2500006140,LORATADINE 10 MG TAB,$5.00 2500006150,LORAZEPAM 0.5 MG TAB,$5.00 2500006170,LOSARTAN 25 MG TAB,$5.00 2500006190,LOVASTATIN 10 MG TAB,$5.00 2500006200,LOVASTATIN 40 MG TAB,$5.00 2500006280,MAGNESIUM OXIDE 400 MG TAB,$5.00 2500006370,MECLIZINE 25 MG TAB,$5.00 2500010482,MELATONIN 5 MG TABLET,$5.00 2500006410,MELOXICAM 7.5 MG TAB,$5.00 2500006420,MEMANTINE 5 MG TAB,$5.00 2500008620,PSYLLIUM POWDER PACKET,$5.00 2500006540,METFORMIN 500 MG TAB,$5.00 2500006550,METHADONE 10 MG TAB,$5.00 2500006560,METHIMAZOLE 5 MG TAB,$5.00 2500006570,METHOCARBAMOL 500 MG TAB,$5.00 2500006640,METHYLPREDNISOLONE 4 MG TAB,$5.00 2500006710,METOCLOPRAMIDE 10 MG TAB,$5.00 2500006750,METOPROLOL 25 MG TAB,$5.00 2500006770,METOPROLOL TARTRATE 50 MG TAB,$5.00 2500006790,METRONIDAZOLE 500 MG TAB,$5.00 2500006850,MIDODRINE 5 MG TAB,$5.00 2500006920,MIRTAZAPINE 15 MG TAB,$5.00 2500006930,MISOPROSTOL 100 MCG TAB,$5.00 2500006980,MONTELUKAST 10 MG TAB,$5.00 2500006990,MONTELUKAST 4 MG CHEW TAB,$5.00 2500007080,MORPHINE 15 MG SR TAB,$5.00 2500007100,MORPHINE 20MG/ML SOLN (0.5 ML ORAL SYR),$5.00 2500007070,MORPHINE 15 MG IR TAB,$5.00 2500004600,GUAIFENESIN ER 600 MG TAB,$5.00 2500007240,NAPROXEN 500 MG TAB,$5.00 2500007320,NIACIN 500 MG ER CAP,$5.00 2500007370,NIFEDIPINE 10 MG CAP,$5.00 2500007380,NIFEDIPINE 30 MG XL TAB,$5.00 2500007400,NITROGLYCERIN 0.1 MG/HR PATCH,$5.00 2500007410,NITROGLYCERIN 0.2 MG/HR PATCH,$5.00 2500007430,NITROGLYCERIN 0.4 MG/HR PATCH,$5.00 2500007420,NITROGLYCERIN 0.4 MG SL TAB,$5.00 200010481,NORTRIPTYLINE HCL 10 MG CAP,$5.00 2500007520,"NYSTATIN 500,000 UNITS ORAL SUSP (5 ML UDC)",$5.00 2500007591,"OLANZapine ODT 5 MG TABLET 5 mcg, 30 eaches",$5.00 2500007610,OMEGA-3 ACID ETHYL ESTER 1 GM CAP,$5.00 2500007640,ONDANSETRON 4 MG ODT TAB,$5.00 2500007720,OXCARBAZEPINE 300 MG TAB,$5.00 2500007740,OXYBUTYNIN 5 MG TAB,$5.00 2500007790,OXYCODONE 5 MG IR TAB,$5.00 2500007770,OXYCODONE 15 MG TAB,$5.00 2500007810,OXYCODONE/APAP 5 MG/325 MG TAB,$5.00 2500001430,CALCIUM/VIT D 500 MG/200 IU TAB,$5.00 2500007890,PANTOPRAZOLE 40 MG TAB,$5.00 2500007900,PAROXETINE 20 MG TAB,$5.00 2500008020,PHENAZOPYRIDINE 100 MG TAB,$5.00 2500008080,PHENYTOIN 100 MG ER CAP,$5.00 2500008180,PIOGLITAZONE 15 MG TAB,$5.00 2500008280,"POTASSIUM CL ER 10 MEQ CAPSULE 10 mEq,",$5.00 2500008340,PRAMIPEXOLE 0.25 MG TAB,$5.00 2500008350,PRAVASTATIN 20 MG TAB,$5.00 2500008390,PREDNISOLONE ORAL 5 MG SYRUP (15 MG ORAL SYR),$5.00 2500008410,PREDNISONE 1 MG TAB (10 MG TAB),$5.00 2500008420,PREDNISONE 1 MG TAB (20 MG TAB),$5.00 2500008450,PRENATAL VITAMIN,$5.00 2500008470,PRIMIDONE 50 MG TAB,$5.00 2500008500,PROCHLORPERAZINE 10 MG TAB,$5.00 2500008510,PROMETHAZINE 25 MG TAB,$5.00 2500008660,QUETIAPINE 100 MG TAB,$5.00 2500008670,QUETIAPINE 25 MG TAB,$5.00 2500008680,QUINAPRIL 20 MG TAB,$5.00 2500008740,RAMIPRIL 10 MG CAP,$5.00 2500008750,RAMIPRIL 2.5 MG CAP,$5.00 2500008840,RISPERIDONE 0.5 MG TAB,$5.00 2500008930,ROPINIROLE 0.5 MG TAB,$5.00 2500009030,SENNOSIDES/DOCUSATE TAB,$5.00 2500009020,SENNOSIDES 8.6 MG TAB,$5.00 2500009040,SERTRALINE 50 MG TAB,$5.00 2500009060,SILVER NITRATE STICK,$5.00 2500009090,SIMETHICONE 80 MG CHEW TAB,$5.00 2500009110,SIMVASTATIN 10 MG TAB,$5.00 2500009120,SIMVASTATIN 40 MG TAB,$5.00 2500006250,MAGNESIUM CHLORIDE 71.5 MG TAB,$5.00 2500009230,SODIUM BICARB 650 MG TAB,$5.00 2500009310,SODIUM CHLORIDE 0.9% NEB (3 ML AMP),$5.00 2500009330,SODIUM CHLORIDE 1 GM TAB,$5.00 2500009350,SODIUM CHLORIDE 3% NEB SOLN (4 ML AMP),$5.00 2500009390,SOTALOL 80 MG TAB,$5.00 2500009400,SPIRONOLCATONE 25 MG TAB,$5.00 2500009470,SUCRALFATE 1 GM TAB,$5.00 2500008610,PSEUDOEPHEDRINE 30 MG TAB,$5.00 2500009510,SULFA/TRIM 800 MG/160 MG TAB,$5.00 2500009530,SULFASALAZINE 500 MG TAB,$5.00 2500009560,TAMSULOSIN 0.4 MG CAP,$5.00 2500009570,TEMAZEPAM 15 MG CAP,$5.00 2500009590,TERAZOSIN 1 MG CAP,$5.00 2500009600,TERAZOSIN 5 MG CAP,$5.00 2500009610,TERBINAFINE 250 MG TAB,$5.00 2500007160,MULTIVITAMIN THERAPEUTIC TAB,$5.00 2500009820,TOPIRAMATE 100 MG TAB,$5.00 2500009830,TOPIRAMATE 25 MG TAB,$5.00 2500009840,TRAMADOL 50 MG TAB,$5.00 2500009870,TRAZODONE 50 MG TAB,$5.00 2500009950,TRIAMTER/HCTZ 37.5 MG/25 MG CAP,$5.00 2500007280,NEOMY/BACITRA/POLYMYXIN B OINT PKT,$5.00 2500010030,VALACYCLOVIR 500 MG TAB,$5.00 2500010050,VALPROIC ACID 250 MG CAP,$5.00 2500010150,VENLAFAXINE 37.5 MG TAB,$5.00 2500010160,VENLAFAXINE 37.5 MG XR TAB,$5.00 2500010170,VENLAFAXINE 75 MG XR TAB,$5.00 2500010210,VERAPAMIL 40 MG TAB,$5.00 2500010180,VERAPAMIL 120 MG ER TAB,$5.00 2500009380,SOLIFENACIN 5 MG TAB,$5.00 2500008650,PYRIDOXINE 100 MG TAB,$5.00 2500004590,GUAIFEN/COD 100 MG/10 MG/5 ML SOLN,$5.00 2500005930,LIDOCAINE 2% W EPI 1:2000 INJ (20 ML VIAL),$5.00 2500010240,VITAMIN B COMPLEX TAB,$5.00 2500009720,THIAMINE 100 MG TAB,$5.00 2500001740,CHOLECALCIFEROL 2000 UNIT TAB,$5.00 2500002070,CYANOCOBALAMIN 1000 MCG TAB,$5.00 2500000760,ASCORBIC ACID 500 MG TAB,$5.00 2500001750,CHOLECALCIFEROL 400 UNIT TAB,$5.00 2500010250,VITAMIN E 400 IU CAP,$5.00 2500008010,"PETROLATUM, WHITE JELLY (0.6 OZ TUBE)",$5.00 2500006030,"LIDOCAINE W EPI 1%-1:100,000 (20 ML MDV)",$5.00 2500003990,EZETIMIBE 10 MG TAB,$5.00 2500010330,ZINC GLUCONATE 50 MG TAB,$5.00 2500010350,ZINC OXIDE POWDER,$5.00 2500010400,ZOPLIDEM 5 MG TAB,$5.00 2500008810,REPAGLINIDE 1 MG TAB,$5.05 2500005400,ISOSORBIDE DINITRATE 10 MG TAB,$5.14 2500004210,FLECAINIDE 100 MG TAB,$5.18 2500008040,PHENOBARBITAL 97.2 MG TAB,$5.22 2500008590,PROPRANOLOL 20 MG TAB,$5.34 2500006760,METOPROLOL 50 MG XL TAB,$5.37 2500025010,"KCENTRA 1,000 UNIT VIAL 1000 unit, 1 each",$5.40 2500008090,PHENYTOIN 50 MG CHEW TAB,$5.41 2500009360,SODIUM PHOSPHATE ENEMA (133 ML BTL),$5.41 2500010060,VALSARTAN 80 MG TAB,$5.57 2500007120,MOXIFLOXACIN 0.5% OPTH SOLN (PER DROP),$5.63 2500003960,ETODOLAC 400 MG TAB,$5.85 2500002410,DESVENLAFAXINE ER 50 MG TAB,$5.86 2500001770,CILOSTAZOL 100 MG TAB,$5.88 2500005490,KETOROLAC 10 MG TAB,$5.95 2700002820,CS EXTERNAL CATHETER,$6.00 2700003710,CS IV D5NS .225 1000ML,$6.00 2700005760,CS PERINEAL COLD PACK,$6.00 2700005080,CS NS SOLUTION 15ML ADDIPAK,$6.00 2700000550,CS AQUA PACK 700,$6.00 2700003680,CS IV 500ML LACTATED RINGERS,$6.00 2700004830,CS NEBULIZER HAND HELD MISTY,$6.00 2700002530,CS ELECTRODE SPIRAL OB,$6.00 9811700300,"ED PRO FEE DESTRUCT PREMALG LES, 2-14",$6.00 2700004700,CS NASAL PACK,$6.00 2700007490,CS SUT 5-0 PROLENE,$6.00 2700008040,CS TEGADERM DRESSING,$6.00 2700000420,CS AIRWAY ORAL 7,$6.00 2700004200,CS MASK ADULT NONREBREATH,$6.00 2700005180,CS OPHTHAL MARKING PENS,$6.00 2700004750,CS NASAL SURGICAL PATTIE,$6.00 2700000590,CS ARMBOARD NEONATAL 2X4,$6.00 2700005210,CS OPSITE 5.5X4,$6.00 2700004960,CS NEEDLE SPINAL 22X3.5,$6.00 2700004970,CS NEEDLE SPINAL 25GA,$6.00 2700002420,"CS DRESSING, MESALT 6X6",$6.00 2700002670,CS ENEMA ADMINISTER SET 1500CC,$6.00 2700000570,CS ARMBOARD CHILD BENDABLE,$6.00 2700003170,CS FOLEY 5FR CATHETER KIT INFANT,$6.00 2700006230,CS SENSORS FSII,$6.00 2700009360,CS FILTER 760 VENTILATOR,$6.00 2700007410,CS SUT 4-0 VICRYL,$6.00 2700000170,CS ACE WRAP 6 IN,$6.00 2700006630,CS STOPCOCK 3WAY,$6.00 2700000200,CS ADAPTER T BAG,$6.00 2700008100,CS THERMOMETER DISP PROBE,$6.00 2700005200,CS OPSITE 2X3,$6.00 2700004800,CS NEBULIZER AEROCLIPSE,$6.00 2700004470,CS MESALT 6X6 DRESSING,$6.00 3008600510,LAB ALLERGEN SPEC IGE,$6.00 2500001180,BLISTEX LIP BALM,$6.02 2500000160,ACETAMINOPHEN 650 MG SUPP,$6.25 2500004500,GLIPIZIDE 2.5 MG XL TAB,$6.26 2500005020,HYDROXYCHLOROQUINE 200 MG TAB,$6.32 2500008170,PILOCARPINE 5 MG TAB,$6.62 2500001580,CEFDINIR 300 MG CAP,$6.67 2500008630,PYRIDOSTIGMINE 60 MG TAB,$6.82 2700003920,CS KERLIX 6X4 ROLL DRESSING,$7.00 2700007620,CS SUT 6-0 PLAIN GUT,$7.00 2700004060,CS LAP SPONGE 18X18 5PACK,$7.00 2700002270,CS DISPOSABLE PROBES,$7.00 2700005690,CS PEANUT SPONGE PKG,$7.00 2700006590,CS STERI STRIP 1/2 IN,$7.00 2700005570,CS OSTOMY DRAINAGE POUCH,$7.00 2700004580,CS MICRODON DRESSING,$7.00 2700006700,CS SUCTION 5/6FR CATHETER KIT,$7.00 2700009130,CS WRIST SPLINT LEFT XLG,$7.00 2700009000,CS VENTI MASK,$7.00 2700008520,CS TUBE ENDO #4,$7.00 2700008490,CS TUBE ENDO #2.5,$7.00 2700005170,CS O2 PER HR,$7.00 2700002770,CS ESOPHAGEAL STETH-ADU,$7.00 2700009190,CS WRIST SPLINT RIGHT XLG,$7.00 2700004380,CS MASTISOL,$7.00 2700006600,CS STERI STRIP 1/4 IN,$7.00 2700008750,CS TUBING BLOOD SET SECONDARY,$7.00 2500001990,CLOTRIMAZOLE 10 MG TROCHE,$7.10 2500004270,FLUMAZENIL 0.1MG INJ,$7.18 2700009500,CS SYRINGE LOSS-OF-RESISTANCE,$7.54 2500006390,MEDROXYPROGESTERONE 10 MG TAB,$7.71 2500007310,NEOSTIGMINE 0.5 MG INJ (10 MG VIAL),$7.73 2500008950,ROSUVASTATIN 10 MG TAB,$7.73 2700002170,"CS CURETTE,DERMAL",$8.00 2700000800,"CS BIOPSY PUNCH, 6MM DISP",$8.00 2700003630,CS IRRIGATION KIT CATHETER,$8.00 2700000790,CS BIOPSY PUNCH 4MM DISP,$8.00 2700002990,CS FINGER SPLINT GUTTER 6 IN,$8.00 2700008630,CS TUBE FEEDING 8/16FR,$8.00 2700008830,CS URINE METER BAG,$8.00 2700005000,"CS NEEDLE, QUINCKE 22G X 3 1/2 IN",$8.00 2700002920,"CS FILTER PFT, BLUE",$8.00 2700000560,CS ARMBOARD ADULT BENDABLE,$8.00 2700000810,"CS BIOPSY PUNCH, 8MM DISP",$8.00 2700001930,CS COBAN 4 IN,$8.00 2700008640,CS TUBE FEEDING 8FR INFANT,$8.00 2700002240,CS DELEE 8FR SUCTION,$8.00 2700000220,CS ADAPTIC 3X8 DRESSING,$8.00 2700004620,CS MUCOUS SPECIMEN TRAP,$8.00 2700008080,CS TENDER GRIP,$8.00 2500002660,DIGOXIN 0.125 MG TAB,$8.00 2500002670,DIGOXIN 0.25 MG TAB,$8.00 2500002860,DIVALPROEX ER 250 MG TAB,$8.12 2500000920,AZITHROMYCIN 250 MG TAB,$8.28 2500008360,PRAZOSIN 1 MG CAP,$8.33 2500010190,VERAPAMIL 180 MG ER TAB,$8.41 2500008710,RACEPHINEPHRINE 2.25%/0.5 ML NEB,$8.63 2500007390,NITROFURANTOIN 100 MG CAP,$8.64 2500006960,MODAFINIL 100 MG TAB,$8.78 2500008830,RIFAMPIN 150 MG CAP,$8.79 2500003020,DULOXETINE 30 MG CAP,$8.83 2500005660,LEVALBUTEROL 0.5 MG NEB SOLN (0.31 MG NEB),$8.83 2500005670,LEVALBUTEROL 0.5 MG NEB SOLN (0.63 MG NEB),$8.83 2500005680,LEVALBUTEROL 0.5 MG NEB SOLN (1.25 MG NEB),$8.83 2500003830,"ERGOCALCIFEROL 50,000 UNIT CAP",$8.83 2700007200,CS SUT 3-0 SILK X1,$9.00 2700001610,CS CATHETER TRAY WITHOUT CATHETER,$9.00 2700007750,CS SUT FREE NEEDLE #2 ANCHOR,$9.00 2700008560,CS TUBE ENDO CUFF 6.0,$9.00 2700001030,CS CANNULA PEDIATRIC NASAL,$9.00 2700000940,CS BOUGIE INTRODUCER,$9.00 2700006380,CS SKIN TEMP PROBE,$9.00 2700008700,CS TUBE STOMACH #12,$9.00 2700004310,CS MASK PEADIATRIC NONREBREA,$9.00 2700007980,CS TED HOSE THIGH - SM REGULAR,$9.00 2700006360,CS SKIN PREP TRAY,$9.00 2700001920,"CS COBAN 3 STERILE""",$9.00 2700006170,CS SALEM SUMP TUBE 14FR,$9.00 2700006790,"CS SUCTION, POOLE TIP",$9.00 2700008620,CS TUBE FEEDING 10FR,$9.00 2700007970,CS TED HOSE THIGH - LG SHORT,$9.00 2700005800,CS PISTON IRRIGATION 70CC SYRINGE,$9.00 2700006150,CS SALEM SUMP 18FR,$9.00 2700002310,CS DRAIN PENROSE 1/4X12 IN,$9.00 2700006900,CS SUT 0 SILK FSL NEEDLE,$9.00 2700008590,CS TUBE ENDO CUFF 8.0,$9.00 2700007110,CS SUT 2-0 VICRYL CT-2,$9.00 2700002540,"CS ELECTRODE, BLUE SENSOR",$9.00 2700008410,CS TRIANGULAR BANDAGE,$9.00 2700001910,CS COBAN 3 IN,$9.00 2700006610,CS STERILE H20 FOR INHALATION,$9.00 2700007890,CS SYRINGE BULB 50CC,$9.00 2700002930,"CS FILTER, BACT/VIRAL",$9.00 2700006140,CS SALEM SUMP 16FR,$9.00 2500006730,METOLAZONE 2.5 MG TAB,$9.12 2500010340,ZINC OXIDE 20% OINTMENT (56.7 GM TUBE),$9.38 2500007800,OXYCODONE/APAP 10 MG/325 MG TAB,$9.48 2500000990,BACITRACIN OPTH OINT (PER DOSE),$9.55 2500006480,MEPIVICAINE 2% 10 ML INJ (10 ML MDV),$9.55 2500006260,MAGNESIUM CITRATE SOLN (296 ML BTL),$9.60 2500003010,DULOXETINE 20 MG CAP,$9.75 2500009540,SUMATRIPTAN 50 MG TAB,$9.78 2500003590,ER MUPIROCIN OINTMENT 2% (3 GM),$9.94 2700006850,CS SUT 0 MONOCRYL,$10.00 2700001670,CS CAUTERY NEEDLE TIP,$10.00 2700002280,CS DOUCHE BAG,$10.00 2700004860,CS NEEDLE BOX SHARPFOAM 14CT,$10.00 2700004170,CS LSP VENT CIRCUIT,$10.00 2700002910,CS FILTER DISCOVERY-2,$10.00 2700007650,CS SUT 6-0 SILK,$10.00 2700005580,CS OSTOMY SKIN BARRIER,$10.00 2700002650,CS ENDOPATH REDUCER CAP (5-12MM),$10.00 2700001600,CS CATHETER TRAY WITH CATHETER14F,$10.00 2700002960,"CS FINGER PROTECTOR 1.5 NONPADDE""",$10.00 2700006920,CS SUT 0 VICRYL 36 IN,$10.00 2700006520,CS SPLINT FROG SMALL,$10.00 2700007870,CS SUTURE REMOVAL KIT,$10.00 2700006510,CS SPLINT FROG MEDIUM,$10.00 2700007140,CS SUT 3-0 ETHILON FS1,$10.00 2700008730,CS TUBE STRAIGHT P E 7MM,$10.00 2700001440,CS CATH FOLEY 12FR SILICONE(TONSI,$10.00 2700002730,CS EPIDURAL PUMP TUBING,$10.00 2700002300,CS DRAIN PENROSE 1/2X12 IN,$10.00 341Q996900,NON HEU TC-99M PER STUDY DOSE,$10.00 3018101500,LAB UA MICROSCOPIC,$10.00 2500006720,METOCLOPRAMIDE 10 MG/10 ML SOLN,$10.24 2500004220,FLUCONAZOLE 100 MG TAB,$10.33 2500007260,NATEGLINIDE 60 MG TAB,$10.43 2500001730,CHLORTHALIDONE 25 MG TAB,$10.57 2500009460,SUCCINYLCHOLINE 20 MG INJ (200 MG VIAL),$10.59 2500000120,ACETAMINOPHEN 160 MG/5 ML ELIX,$10.73 2700007191,"SUTURE, 3-0 PROLENE BLUE MONO 30"" 8832H",$10.86 2500007700,OXAZEPAM 10 MG CAP,$10.97 7619636800,INF CONCURRENT INFUSION,$11.00 2700002080,CS CORD CLAMP REMOVER,$11.00 2700002320,CS DRAIN PENROSE 5/8 IN,$11.00 2700004120,CS LENS ACUVUE BANDAGE,$11.00 2700007780,"CS SUT, 2-0 8685H PROLENE",$11.00 2700005710,CS PED/ADULT AIRWAY ADAPTER W/MOU,$11.00 2700000050,CS 3.0MM KERATOME UCDK,$11.00 7619636801,ONC CONCURRENT INFUSION,$11.00 2700007080,CS SUT 2-0 SOFSILK,$11.00 2700006500,CS SPLINT FROG LARGE,$11.00 2700007130,CS SUT 3-0 ETHILON,$11.00 2700007770,"CS SUT, 0 PROLENE",$11.00 2700000600,"CS ASPIRATOR, LITTLE SUCKER",$11.00 2700005700,CS PED/ADULT AIRWAY ADAPTER,$11.00 2700006890,CS SUT 0 SILK,$11.00 2700002160,CS CROUPETTE TENT SP1/2,$11.00 2700000830,CS BIPAP TUBING,$11.00 2700007280,CS SUT 4-0 ETHILON FS1,$11.00 2700007520,CS SUT 5-0 SILK FS2,$11.00 2700007880,CS SYRINGE 60CC WITH CATHETER TIP,$11.00 2700004560,CS MEXTRA 10X10 DRESSING,$11.00 2700007900,CS SYRINGE FILTER .20 MEDS FILTER,$11.00 2700003420,CS HUMIDIFIER PREFILLED,$11.00 2700001010,CS CANNULA NEONATAL,$11.00 2700007020,CS SUT 2-0 ETHILON FS,$11.00 2500004230,FLUCONAZOLE 150 MG TAB,$11.13 2500008250,POLYETHYLENE GLYCOL 17 GM PACKETS,$11.16 2500001760,CHOLESTYRAMINE 4 GM PKT,$11.32 2500009260,SODIUM CHLORIDE 0.65% NASAL SPRAY (44 ML BTL),$11.59 2500000440,ALPHA 1 PROTIENASE INHIB 10 MG INJ,$11.60 2500007340,NICOTINE 14 MG/24 HR PATCH,$11.82 2500007350,NICOTINE 21 MG/24 HR PATCH,$11.82 2500006860,MINERAL OIL ENEMA (133 ML BTL),$11.92 2700007290,CS SUT 4-0 ETHILON FS2,$12.00 2700007220,CS SUT 3-0 SURGIGUT,$12.00 2700007100,CS SUT 2-0 SURGIGUT GG123,$12.00 2700002780,CS ET TUBE 4.0 CUFFED,$12.00 2700004110,CS LEG BAG MEDIUM,$12.00 2700005750,"CS PENROSE DRAIN 1/4 STERILE""",$12.00 2700007120,CS SUT 2-0 VICRYL J461H,$12.00 2700007590,CS SUT 6-0 ETHILON FS3,$12.00 2700001860,CS CLIPPER BLADES DISPOSABLE,$12.00 2700007260,CS SUT 4-0 BLUE FS-2,$12.00 2700007630,CS SUT 6-0 PROLENE,$12.00 2700007180,CS SUT 3-0 PROLENE BL MONO,$12.00 2700006720,CS SUCTION CANISTER,$12.00 2700007210,CS SUT 3-0 SOFSILK V20,$12.00 2700000080,CS 9 IN I.I. C-ARM KIT (DRAPE),$12.00 2700006910,CS SUT 0 SURGIGUT/CHROMIC,$12.00 2700004930,CS NEEDLE SPINAL 20X3.5,$12.00 2700007420,CS SUT 4-0 VICRYL FS1,$12.00 2700007310,CS SUT 4-0 GUT FS2,$12.00 2700002790,CS ET TUBE 6.5 W/ CUFF,$12.00 2700000760,"CS BILICOMBI, BABY DISPOS",$12.00 2500007710,OXAZEPAM 15 MG CAP,$12.07 2500007440,NITROGLYCERIN 2% OINT (1 GM PKT),$12.17 2500000210,ACETAZOLAMIDE 250 MG TAB,$12.75 2500008720,RALOXIFENE 60 MG TAB,$12.75 2500009100,SIMETHICONE DROPS 20 MG/0.3 ML (30 ML BTL),$12.86 2500006270,MAGNESIUM HYDROXIDE (30 ML UDC),$12.92 2500001660,CELECOXIB 100 MG CAP,$12.95 2700001560,CS CATHETER FOLEY HOLDER STRAP,$13.00 2700006670,CS SUCTION 10FR CATHETER KIT,$13.00 2700006930,CS SUT 0 VICRYL J603,$13.00 2700007070,CS SUT 2-0 PROLENE SH,$13.00 2700003000,"CS FLUID WARMER, STD EXT",$13.00 2700007390,CS SUT 4-0 PROLENE RB1,$13.00 2700009350,CS ZOLL PEDIATRIC SPO2 ADHES SENS,$13.00 2700009310,CS ZOLL ADULT SPO2 ADHESIVE SENSO,$13.00 2700002440,CS DRESSING=BARRIER ISLAND 4X6,$13.00 2700004950,CS NEEDLE SPINAL 22X3,$13.00 2700004680,CS NASAL C02 ADULT CANNULA,$13.00 2500007360,NICOTINE 7 MG/24 HR PATCH,$13.20 2500009930,TRIAMCINOLONE 10 MG INJ (10 MG VIAL),$13.35 2500000290,ACIDOPHILUS GRANULES,$13.50 2500010425,proGESTerone 500 MG/10 ML VIAL,$13.52 2500005590,LANOLIN OINTMENT (7 GM TUBE),$13.80 2500004900,HYDROCOD/CHLORPHEN 10 MG/8 MG/5 ML SOLN,$13.86 2700008280,CS TRACHEOSTOMY TUBE HOLDER,$14.00 2700006990,CS SUT 2-0 CHROMIC 973H,$14.00 2700007150,CS SUT 3-0 POLYSORB,$14.00 2700008530,CS TUBE ENDO #4.5,$14.00 2700004350,CS MASK SIMPLE INFANT,$14.00 2700004670,CS NACL 0.9% 1000ML GLASS BOTTLE,$14.00 2700006940,CS SUT 1-0 SURGIGUT,$14.00 2700000530,CS ANTECUBITAL IV SUPPORT,$14.00 2700006640,CS STYLET,$14.00 2700007040,CS SUT 2-0 PDSII,$14.00 2700005610,CS OXIMETER SENSOR FOREHEAD,$14.00 2700005290,"CS ORTH-GLSS SPLNT 1PEDS 1/2 ARM""",$14.00 2700007000,CS SUT 2-0 CIVRYL UD COATED,$14.00 2700004230,CS MASK ANESTHESIA INFLATABLE,$14.00 2700006330,CS SITZ BATH,$14.00 2700000440,CS AIRWAY ORAL INFANT,$14.00 2700004430,CS MEPILEX BORDER 3X3,$14.00 2700002480,CS EAR WICK POPE OTO,$14.00 2700006650,CS STYLET - PEDIATRIC,$14.00 2700003690,CS IV D5.225 NS 250ML,$14.00 2500005000,HYDROMORPHONE 4 MG INJ (1 MG CARPUJECT),$14.13 2500007750,OXYBUTYNIN 5 MG XL TAB,$14.19 2500009050,SEVOFLURANE PER 15 MIN,$14.28 2500002810,DIPHENHYDRAMINE 12.5 MG/5 ML SOLN,$14.99 2700002800,CS EXT SET 10 IN W/IV MED FILTER,$15.00 2700007360,CS SUT 4-0 POLYSORB,$15.00 2700007030,CS SUT 2-0 MONOCRYL,$15.00 2700000460,CS AMBU BAG DISPOSABLE,$15.00 2700003430,"CS HUMIDIFIER, HIGH FLOW 350",$15.00 3003641600,LAB DRAW FEE CAPILLARY,$15.00 4319702600,OT INFRARED,$15.00 2700007400,CS SUT 4-0 SURGIPRO C13,$15.00 2700007850,"CS SUT, ETHILON 4-0 PS-2 NYLON",$15.00 2700001550,CS CATHETER COUDE 14FR LF,$15.00 2700002550,CS ELECTRODES TENS,$15.00 2700001680,CS CAUTERY PAD,$15.00 2700002700,CS EPIDURAL NEEDLE 18G X 5 TUOHY,$15.00 2700007820,"CS SUT, 6-0 ETHILON 1665G",$15.00 2700001040,"CS CANNULA, NASAL ADULT DIVIDED",$15.00 2700002560,CS EMPTY EVACUATED CONTAINER,$15.00 3008633110,LAB HYPERSENSITIVITY PNEUMONITIS,$15.00 2500004975,"HYDROCORTISONE 1% CREAM 28 g, 28 g",$15.24 2500006580,METHOTREXATE 2.5 MG TAB,$15.29 2500010370,ZIPRASIDONE 20 MG CAP,$15.29 2700005130,CS NUGAUZE PLAIN 1/2 IN,$16.00 2700000780,CS BIOPSY FORCEPS,$16.00 2700007090,CS SUT 2-0 SOFSILK TIE,$16.00 2700002680,CS ENTERAL NUTRITION BAG,$16.00 2700008220,CS TRACH CANNULA INNER SZ 8,$16.00 2700006370,CS SKIN STAPLER 35W,$16.00 2700004940,CS NEEDLE SPINAL 22GA X 5 IN,$16.00 2700005140,CS NUGAUZE PLAIN 1/4 IN,$16.00 2700007440,CS SUT 5-0 CHROME,$16.00 2700004420,"CS MEPILEX BORDEN 4X4""""",$16.00 2500010488,"TRIAZOLAM 0.25 MG TABLET 0.25 mcg, 100 eaches",$16.19 2500003330,AMOXICILLIN 250 MG/5 ML SUSP (100 ML BTL),$16.28 2500003340,ER AMOXICILLIN 250 MG/5 ML SUSP (100 ML BTL),$16.28 2500010010,URSODIOL 250 MG TAB,$16.36 2500008480,PROBENECID 500 MG TAB,$16.48 2500003310,AMOXICILLIN 125 MG/5 ML SUSP (150 ML BTL),$16.84 2500003320,ER AMOXICILLIN 125 MG/5 ML SUSP (150 ML BTL),$16.84 2700003700,CS IV D5LR 1000ML,$17.00 2700001450,CS CATH SECURE AVERAGE SIZE,$17.00 2700007460,CS SUT 5-0 ETHILON P3,$17.00 2700000470,CS AMBU BAG INFANT,$17.00 2700006420,CS SNARE,$17.00 2700004840,CS NEBULIZER SALTER,$17.00 2700003740,CS IV D5W 500ML,$17.00 2700003510,CS INCENTIVE SPIROMETER,$17.00 2700007380,CS SUT 4-0 PROLENE FSL,$17.00 2700003660,CS IRRIGATION WATER STERILE,$17.00 2700003720,CS IV D5NS 1000ML,$17.00 2700003750,CS IV D5W NS .45 1000ML,$17.00 2700003760,CS IV LR 1000ML,$17.00 2700003810,CS IV NS 500ML,$17.00 2700003780,CS IV NS 1000ML,$17.00 2700003770,CS IV NS 0.45% 1000ML,$17.00 2700005830,CS POOLE SUCTION TUBING,$17.00 2700003640,CS IRRIGATION NS,$17.00 2700003730,CS IV D5W 1000ML,$17.00 2700003670,CS IV 0.9% NACL INJ 250ML BAG,$17.00 2700003220,CS GAUZE NU IDOFORM 1/4 IN,$17.00 2700003400,CS HUMID-VENT,$17.00 2700003650,CS IRRIGATION RINGERS,$17.00 2500009250,SODIUM CHL/ALO VERA NASAL GEL (14.1 GM TUBE),$17.00 2700002490,CS TENSOPLAST,$17.25 2500002990,DOXYCYCLINE 100 MG TAB,$17.44 2500010260,VORICONAZOLE 50 MG TAB,$17.70 2500009900,TRIAMCINOLONE 0.1% CREAM (15 GM TUBE),$17.88 2700000360,CS AIRWAY NASAL 7,$18.00 2700005120,CS NUGAUZE PLAIN 1 IN,$18.00 2700007810,"CS SUT, 5-0 VICRYL PC-3",$18.00 2700002450,CS DUODERM 4X4 GEL GCF DRESSING,$18.00 2700003500,CS ICE BAG SMALL REUSABLE,$18.00 2700000350,CS AIRWAY NASAL 30FR 7.5 IN,$18.00 2700000840,CS BIPAP WATER CHAMBER,$18.00 2700007790,"CS SUT, 4-0 VICRYL J845G",$18.00 2700003490,CS ICE BAG LARGE REUSABLE,$18.00 2700007050,CS SUT 2-0 PLAIN GUT,$18.00 2700001630,"CS CATHETER, URETHRAL 16FR",$18.00 2700000370,CS AIRWAY NASAL 8,$18.00 2700001530,CS CATHETER 14FR STRAIGHT,$18.00 2700004390,CS MECONIUM ASPIRATOR,$18.00 2700006730,CS SUCTION SETUP KIT,$18.00 2500001850,CITRIC ACID/ SODIUM CITRATE 15 ML UDC,$18.06 2500004040,FENOFIBRATE 145 MG TAB,$18.21 2500006510,MESALAMINE 400 MG DR CAP,$18.50 2700003040,CS FOLEY 12FR 5CC CATHETER,$19.00 2700003070,CS FOLEY 16FR 5CC CATHETER,$19.00 2700007530,CS SUT 5-0 VICRYL,$19.00 2700003050,CS FOLEY 14FR 5CC CATHETER,$19.00 2700002610,CS ENDOKITTNER,$19.00 2700006580,CS STAPLE REMOVER,$19.00 2700008870,CS VACURRETT 8MM,$19.00 2700003110,CS FOLEY 20FR 5CC CATHETER,$19.00 2700006880,CS SUT 0 POLYSORB 36 IN,$19.00 2500006230,MAG HYDROX/AL HYDROX/SIMETH (30 ML UDC),$19.05 2500004320,FOLIC ACID 5 MG INJ (50 MG VIAL),$19.50 2500007185,MUPIROCIN 2% OINTMENT 1 g,$19.71 2500009880,TRIAMCINOLONE 0.025% CREAM (15 GM TUBE),$19.87 2700002840,CS EZ STABILIZER,$20.00 250A957900,RX PROHANCE 1 ML,$20.00 2700003990,"CS KNEE IMMOB 24 UNIVERSAL""",$20.00 2700001770,CS CHEST TUBE THORACIC CATHETER,$20.00 2700005100,CS NUGAUZE IDOFORM 1/2 IN,$20.00 2700005370,"CS ORTH-GLSS SPLNT 2PEDS 1/2 ARM""",$20.00 2700006980,CS SUT 10=0 ETHILON BLACK MONO 77,$20.00 9811171900,ED PRO FEE TRIM NAIL(S),$20.00 2700006960,CS SUT 10-0 NYLON,$20.00 2700003600,CS IONITHETIZER ARM/EAR ELECTRODE,$20.00 4509636800,ER TECH CONCURRENT INFUSION,$20.00 2500007060,MORPHINE 100 MG ER TAB,$20.31 2500006400,MEGESTROL 40MG/ML ORAL SOLN (10 ML UDC),$20.80 2500004970,HYDROCORTISONE CREAM 2.5% (30 GM TUBE),$20.98 2700002120,"CS COUDE 18 CATHETER""",$21.00 2700002130,CS COUDE 20FR CATHETER,$21.00 2700002750,"CS EPIDURAL TRAY, SINGLE DOSE",$21.00 2700005090,CS NUGAUZE IDOFORM 1 IN,$21.00 2700002110,CS COUDE 16FR CATHETER,$21.00 2700006030,CS RED RUBBER 8FR CATHETER,$21.00 2700004290,CS MASK BIPAP NASAL P,$21.00 2700001660,CS CAUTERY LONG TIP,$21.00 4219701800,PT PARAFFIN BATH,$21.00 4319701800,OT PARAFFIN BATH,$21.00 2700006020,CS RED RUBBER 12FR CATHETER,$21.00 2700005250,"CS ORTH-GLSS SPLNT 1ADLT 1/2 ARM""",$21.00 2700004300,CS MASK BIPAP NASAL S,$21.00 2700000850,CS BITE BLOCK,$21.00 2700003080,CS FOLEY 18FR 30CC CATHETER,$21.00 2700004280,CS MASK BIPAP NASAL M/L,$21.00 3008393001,LAB OSMALALITY SERUM,$21.00 2500006430,MEMANTINE 7 MG XR TAB,$21.09 2500009980,TUBERCULIN TEST (PER DOSE),$21.13 2500001120,BETAMETHASONE DIP/PROP CREAM 0.05% 15 GM TUBE,$21.31 2500002540,DEXTROSE 40% GEL 15 GM TUBE,$21.80 2700008120,CS THERMOMETER RECTAL,$22.00 2700003130,CS FOLEY 22FR 5CC CATHETER,$22.00 2700000450,CS ALLEVYN,$22.00 2700007610,CS SUT 6-0 ETHILON P3,$22.00 2700007920,CS TED HOSE KNEE LARGE,$22.00 2700003350,CS HEEL/ELBOW PROTECTOR,$22.00 2700007940,CS TED HOSE KNEE SMALL,$22.00 2700007930,CS TED HOSE KNEE MEDIUM,$22.00 2700008690,CS TUBE SMOKE EVAC,$22.00 9643640600,CRNA ANESTH IV START < 3 YRS OTHER VEIN,$22.00 2700006400,CS SLING SMALL CHILD ARM,$22.00 2700004980,"CS NEEDLE SPINAL 25GAX3 1/2 PENC""",$22.00 2700004070,CS LARYNGOSCOPE BLADE DISP.,$22.00 2700006870,CS SUT 0 PDSII Z740D,$22.00 2700004370,"CS MASK, OXYKID PENGUIN",$22.00 2700007950,CS TED HOSE KNEE XLARGE,$22.00 3008717600,"LAB HOMOGENIZATION, TISSUE FOR CULTURE",$22.00 2500003080,ENALAPRILAT 1.25 MG INJ (1.25 MG VIAL),$22.08 2700000540,CS ANTI REFLUX VALVE SALEM SUMP,$23.00 2700007700,CS SUT 6-0 VICRYL P3 COATED,$23.00 2700002100,CS COTTONOIDS,$23.00 2700001460,CS CATH STATLOCK PICC PLUS,$23.00 2700003800,CS IV NS 3000ML,$23.00 2700003790,CS IV NS 3000 ML,$23.00 2700003090,CS FOLEY 18FR 5CC CATHETER,$23.00 2700004820,CS NEBULIZER FILTERED SYSTEM,$23.00 2700007680,CS SUT 6-0 VICRYL #J489G,$23.00 2700007550,CS SUT 5-0 VICRYL P1,$23.00 2700003370,CS HOT BIOPSY FORCEPS,$23.00 2700007190,CS SUT 3-0 PROLENE BLUE MONO,$23.18 2700009505,CS SUTURE SET DISPOSABLE,$23.25 2500007760,OXYCODONE 10 MG CR TAB,$23.95 2500009910,TRIAMCINOLONE 0.1% OINTMENT (15 GM TUBE),$23.96 2700003440,CS HYPERINFLATION SYSTEM BAG,$24.00 2700001430,CS CATH COUDE TIEMANN 20FR UROLOG,$24.00 2700002030,CS COMBIPAK REDUCTION KIT,$24.00 2700009010,CS VENTILATOR VOLUME,$24.00 2700008600,CS TUBE ENDO CUFF 9 IN,$24.00 2700003180,CS FOLEY 6FR 1.5CC PEDIACTRIC CAT,$24.00 2700008570,CS TUBE ENDO CUFF 7 IN,$24.00 2700005310,"CS ORTH-GLSS SPLNT 1PEDS FUL ARM""",$24.00 2700000950,"CS BOVIE PENCIL, COATED",$24.00 2700008350,CS TRAY MANOMETER STERILE,$24.00 2700007800,"CS SUT, 5-0 MONOCRYL P-3",$24.00 2700007660,CS SUT 6-0 SILK 639,$24.00 2700007600,CS SUT 6-0 ETHILON P1,$24.00 2700007320,CS SUT 4-0 MONOCRYL,$24.00 2700008650,"CS TUBE GAUZE 1X50 SIZE12""",$24.00 9643641000,CRNA ANESTH IV START 3YRS > OLDER,$24.00 2700004850,CS NEEDLE BIOPSY TRUCUT,$24.00 2700003830,CS JACKSON PRATT RESV SUCTION,$24.00 2700004450,"CS MEPITEL 3X4"" DRESSING""",$24.00 2700001690,"CS CAUTERY PENCIL, SMOKE EVAC",$24.00 2500001460,CANDESARTAN 16 MG TAB,$24.79 2700007470,CS SUT 5-0 GUT P3,$25.00 2700007480,CS SUT 5-0 MONOSOF P13ND,$25.00 2700007830,"CS SUT, 6-0 PROLENE 8617G",$25.00 3008100300,LAB UA DIP,$25.00 2700007640,CS SUT 6-0 PROLENE FS3,$25.00 2700006350,CS SKIN MULTI SHOT STAPLER,$25.00 3003641500,LAB DRAW FEE VENOUS,$25.00 2700000630,CS BAIR HUGGER FULL BODY,$25.00 2700008880,CS VACURRETT CANNULA 12MM,$25.00 2700000980,CS C-COLLAR PEDS,$25.00 3008912500,LAB FECAL FATS RANDOM,$25.00 2500003560,ER IPRATROPIUM/ALBUTEROL 3 ML NEB (5 NEBS),$25.00 2500010220,VICKS OINTMENT 50 GM JAR,$25.23 2500000825,"ASPERCREME 10% CREAM 1 ea, 85 g",$25.67 2700000820,CS BIPAP SE ELBOW,$26.00 2700003150,CS FOLEY 24FR 5CC CATHETER,$26.00 2700005590,CS OSTOMY SKIN PREP,$26.00 2700007300,CS SUT 4-0 ETHILON P3,$26.00 2700006110,CS RIB BELT,$26.00 2700001540,CS CATHETER COUDE 14FR 10CC,$26.00 3008501800,LAB HEMOGLOBIN,$26.00 2700006160,CS SALEM SUMP 6 FR,$26.00 2700007340,CS SUT 4-0 P-12 NEEDLE,$26.00 3008501400,LAB HEMATOCRIT,$26.00 2500001720,CHLORHEXIDINE 473 ML BTL,$26.00 2500003890,ESTAZOLAM 1 MG TAB,$26.14 2700002431,"CS DRESSING, POST OP MEPILEX 4 X 10",$26.27 2700005010,"CS NEEDLE, SPINAL 25GA X 5 PENCA""",$27.00 2700002180,CS CYSTO IRRIGATION SET,$27.00 2700000260,CS AIR CAST ANKLE SMALL RIGHT,$27.00 2700002470,CS EAR BULB 3OZ SYRINGE,$27.00 2700006620,CS STOCKINETTE IMPERVIOUS,$27.00 2700005720,CS PEEP VALVE,$27.00 2700009520,"CS CAUTERY INSULATED BLADE 4""X2.4MM",$27.14 2500001860,CLARITHROMYCIN 500 MG TAB,$27.49 2500000810,ASPIRIN/DIPYRIDAMOLE 25MG/200 MG CAP,$27.52 2700006641,"CS STYLET, GLIDE RITE GS SMALL",$27.60 2500010069,"VANCOMYCIN HCL 125 MG CAPSULE 125 mg, 20 each",$27.60 3008504800,LAB WBC BLOOD,$28.00 2700005110,CS NUGAUZE IDOFORM 2 IN,$28.00 2700006450,CS SPACER AEROCHAMBER,$28.00 2700000961,CS BREAST SHIELD 27MM,$28.00 2500000550,AMIODARONE 30 MG INJ (150 MG VIAL),$28.00 2500000560,AMIODARONE 30 MG INJ (450 MG VIAL),$28.00 2500000640,AMPICILLIN 500 MG INJ (1000 MG VIAL),$28.00 2500000660,AMPICILLIN 500 MG INJ (250 MG VIAL),$28.00 2500000680,AMPICILLIN/SULBACTAM 1.5GM INJ (1.5 GM VIAL),$28.00 2500001110,BETAMETHASONE 3 MG INJ (30 MG VIAL),$28.00 2500001240,BUMETANIDE 0.25 MG INJ (1 MG VIAL),$28.00 2500001310,BUPIVCAINE SPINAL 0.75-8.25% 1 ML INJ (2 ML AMP),$28.00 2500001260,BUPIVACAINE 0.25% 1 ML INJ (10 ML VIAL),$28.00 2500001270,BUPIVACAINE 0.50% 1 ML INJ (10 ML VIAL),$28.00 2500001570,CEFAZOLIN 500 MG (1GM VIAL),$28.00 2500001630,CEFTRIAXONE 250 MG (1GM VIAL),$28.00 2500001640,CEFTRIAXONE 250 MG INJ (250 MG VIAL),$28.00 2500001650,CEFTRIAXONE 250 MG INJ (500 MG VIAL),$28.00 2500001790,CIPROFLOXACIN 200 MG INJ (400 MG/200 ML BAG),$28.00 2500001880,CLINDAMYCIN 150 MG INJ (300 MG VIAL),$28.00 2500001900,CLINDAMYCIN 150 MG INJ (900 MG VIAL),$28.00 2500001890,CLINDAMYCIN 150 MG INJ (600 MG VIAL),$28.00 2500002420,DEX 5%+0.45%SOD CHLOR+40MCG KC,$28.00 2500002500,DEXAMETHASONE 1 MG PF INJ (10 MG VIAL),$28.00 2500002490,DEXAMETHASONE 1 MG INJ (4 MG VIAL),$28.00 2500002505,DEXAMETHASONE 10 MG/ML ORAL SOLUTION,$28.00 2500002495,DEXAMETHASONE 4 MG/ML ORAL SOLUTION,$28.00 2500002160,D5W 500 ML (100ML BAG),$28.00 2500010493,"dilTIAZem 25 MG/5 ML VIAL 25 mg, 5 mL",$28.00 2500002800,DIPHENHYDRAMINE 50 MG INJ (50 MG/1 ML VIAL),$28.00 2500003880,ESMOLOL 10 MG INJ (100 MG VIAL),$28.00 2500004000,FAMOTIDINE 10 MG INJ (20 MG VIAL),$28.00 2500004070,FENTANYL 0.1 MG INJ (0.1 MG VIAL),$28.00 2500004240,FLUCONAZOLE 200 MG INJ (200 MG BAG),$28.00 2500004370,FUROSEMIDE 20 MG INJ (40 MG VIAL),$28.00 2500004460,GENTAMICIN 80 MG (80 MG VIAL),$28.00 2500004450,GENTAMICIN 80 MG (20 MG VIAL),$28.00 2500010487,DOXERCALCIFEROL 4 MCG/2 ML (2 ML VIAL),$28.00 2500004720,HEPARIN 1000 UNITS INJ (5000 U SYR),$28.00 2500004690,HEP LOCK FLUSH 10 UNIT (50 UNIT SYR),$28.00 2500004730,HEPARIN FLUSH 10 UNITS INJ (500 UNIT SYR),$28.00 2500002430,DEX 5%+SOD CHL 0.9%+20MCGKCL,$28.00 2500005500,KETOROLAC 15 MG INJ (30 MG VIAL),$28.00 250005850,Lidocaine 1% MPF (Inhalation),$28.00 2500005840,LIDOCAINE 1% 10 MG INJ,$28.00 2500006160,LORAZEPAM 2 MG INJ (2 MG VIAL),$28.00 2500006290,MAGNESIUM SULFATE 500 MG INJ (1000 MG VIAL),$28.00 2500006700,METOCLOPRAMIDE 10 MG INJ (10 MG VIAL),$28.00 2500006740,METOPROLOL 1 MG INJ (5 MG VIAL),$28.00 2500006780,METRONIDAZOLE 500 MG INJ (500 MG BAG),$28.00 2500006820,MIDAZOLAM 1 MG INJ (2 MG VIAL),$28.00 2500006825,"MIDAZOLAM HCL 5 MG/ML VIAL 5 mg, 1 mL",$28.00 2500007010,MORPHINE 10 MG INJ (2 MG SYR),$28.00 2500007030,MORPHINE 10 MG INJ (4 MG SYR),$28.00 2500007630,ONDANSETRON 1 MG INJ (4 MG VIAL),$28.00 2500007840,OXYTOCIN 10 UNIT INJ (10 UNIT VIAL),$28.00 2500008100,PHENYTOIN 50 MG INJ (250 MG VIAL),$28.00 2500008290,"POTASSIUM CL 10 MEQ/100 ML SOL 10 mEq, 100 mL",$28.00 2500008300,"POTASSIUM CL 40 MEQ/20 ML CONC 40 mEq, 20 mL",$28.00 2500008520,PROMETHAZINE 50 MG INJ (25 MG VIAL),$28.00 2500008530,PROMETHAZINE 50 MG INJ (50 MGVIAL),$28.00 2500007880,PANTOPRAZOLE 40 MG INJ,$28.00 2500008910,ROCURONIUM 50 MG/5 ML INJ,$28.00 2500001280,BUPIVACAINE 0.75% MPF 1 ML INJ (10 ML VIAL),$28.00 2500009300,SODIUM CHLORIDE 0.9% 250 ML EXCEL (500 ML BAG),$28.00 2500009200,SOD CHLORIDE 0.9% 250 ML (50 ML BAG),$28.00 2500009180,SOD CHLORIDE 0.9% 250 ML (100 ML BAG),$28.00 2500009270,SODIUM CHLORIDE 0.9% 10 ML PF VIAL,$28.00 2500009620,TERBUTALINE 1 MG INJ (1 MG VIAL),$28.00 2500009790,TOBRAMYCIN 80 MG INJ (80 MG VIAL),$28.00 2500008050,PHENYLEPHRINE 1 ML INJ (1 ML VIAL),$28.00 2500009190,SOD CHLORIDE 0.9% 250 ML (250 ML BAG),$28.00 2500009290,SODIUM CHLORIDE 0.9% 250 ML (150 ML BAG),$28.00 2500009410,STERILE WATER 10 ML VIAL,$28.00 2500009440,STERILE WATER 20 ML VIAL,$28.00 2500009450,STERILE WATER 50 ML VIAL,$28.00 2500009420,STERILE WATER 100 ML VIAL,$28.00 2500006040,"LIDOCAINE W EPI 2% -1:100,000 (1.7 ML DENTAL CJ)",$28.00 2500005890,LIDOCAINE 1% PF 10 MG INJ (50 MG VIAL),$28.00 2500009550,TADALAFIL 2.5 MG TAB,$28.29 2500001620,CEFTAZIDIME 500 MG (1 GM VIAL),$28.70 2500002170,D5W 500 ML (250 ML BAG),$28.98 2500002150,D5W 500 ML (500 ML BAG),$28.98 2700003570,CS INFANT/PED HUMIDIFIER CHAMBER,$29.00 3008565200,LAB SED RATE,$29.00 2700001970,CS COLLES LEFT LARGE,$29.00 2700007370,CS SUT 4-0 POLYSORB P24,$29.00 3008431500,LAB SPECIES GRAVITY BF,$29.00 2700005300,"CS ORTH-GLSS SPLNT 1PEDS 1/2 LEG""",$29.00 2700002060,CS CONTACT LENS BAND,$29.00 2700007730,CS SUT 9-0 PROLENE 1754G,$29.00 2700007710,CS SUT 8-0 SILK 1767G,$29.00 2700004655,CS MYRINGOTOMY BLADE DOWNCUTTING TIP,$29.00 2500001290,BUPIVACAINE/EPINEPHRINE 0.25% INJ 10 ML VIAL,$29.31 2500004150,FERROUS SULFATE 15 MG/ML DROPS,$29.37 2500000670,AMPICILLIN/SULBACTAM 1.5 GM INJ (3 GM VIAL),$29.56 2500007980,PERMETHRIN 0.5% SPRAY (141.8 GM CAN),$29.70 2500003570,ER KETOROLAC 10 MG TAB (6 TABS),$29.75 2700000960,CS BREAST PUMP KIT,$30.00 2700000300,CS AIRSPORT ANKLE SUPPORT MED RT,$30.00 2700000290,CS AIRSPORT ANKLE SUPPORT MED LT,$30.00 2700004330,CS MASK PEDIATRIC BREATHING CIRCU,$30.00 2700000310,CS AIRSPORT ANKLE SUPPORT SMALL L,$30.00 2700001490,"CS CATH, COUDE 16FR 15CC",$30.00 2700005330,"CS ORTH-GLSS SPLNT 2ADLT 1/2 ARM""",$30.00 2700000320,CS AIRSPORT ANKLE SUPPORT SMALL R,$30.00 2700000010,CS STIRRUP ANKLE UNIVERSAL,$30.00 2500004480,GI COCKTAIL 60 ML SOLN,$30.00 2500003260,ER ACETAMINOPHENOPHEN/CODEINE 300 MG/30 MG TAB (6 TABS),$30.00 2500003270,ER ACYCLOVIR 200 MG CAP (10 CAPS),$30.00 2500003290,ER ALBUTEROL NEB SOLN 2.5MG/3ML (6 NEBS),$30.00 2500003300,ER ALPRAZOLAM 0.25 MG TAB (6 TABS),$30.00 2500003370,ER AMOXICILLIN 500 MG CAP (6 CAPS),$30.00 2500003490,ER CEPHALEXIN 500 MG CAP (6 CAPS),$30.00 2500003510,ER CIPROFLOXACIN 500 MG TAB (6 TABS),$30.00 2500003530,ER CYCLOBENZAPRINE 10 MG TAB (6 TABS),$30.00 2500003540,ER HYDROCODONE/APAP 5 MG/325 MG TAB (6 TABS),$30.00 2500003580,ER MECLIZINE 25 MG TAB (6 TABS),$30.00 2500003680,ER ONDANSETRON 4 MG ODT TAB (6 TABS),$30.00 2500003700,ER OXYCODONE/ACETAMINOPHEN 5 MG/325 MG TAB (6 TABS),$30.00 2500003720,ER PHENAZOPYRIDINE 100 MG TAB (6 TABS),$30.00 2500010492,ER PACK Prednisone 10 mg (6 Tabs),$30.00 2500003750,ER PROMETHAZINE 25 MG TAB (6 TABS),$30.00 2500003770,ER SULFA/TRIM DS 800 MG/ 160 MG TAB (6 TABS),$30.00 2500003820,ER TRAMADOL 50 MG TAB (6 TABS),$30.00 2500001300,BUPIVACAINE/EPINEPHRINE 0.5% INJ 10 ML VIAL,$30.03 2500005080,HYPERTONIC SALINE 3% 250 ML (500 ML BAG),$30.06 2500002680,DIGOXIN 0.5 MG INJ (500 MCG/2 ML AMP),$30.36 2500006490,MEPROBAMATE 200 MG TAB,$30.36 2500000870,ATROPINE 0.01 MG INJ (1 MG SYR),$30.46 2500001490,CARBAMIDE PEROXIDE OTIC 15 ML BTL,$30.58 2500002870,DOBUTAMINE 250 MG INJ (250 MG/20 ML VIAL),$30.63 2500006530,METAXALONE 800 MG TAB,$30.91 2500002020,COLCHICINE 0.6 MG TAB,$30.99 2700001750,CS CERVICAL COLLAR UNIVERSAL,$31.00 2700002850,CS EZPAP W MANOMETER,$31.00 2700007450,CS SUT 5-0 CHROMICGUT 658G,$31.00 2700002870,CS FECAL INCONTINENCE COLLECTER,$31.00 3008100200,LAB URINE KETONES & GLUCOSE,$31.00 2700002250,CS DERMABOND SKIN ADHESIVE,$31.00 2700001990,CS COLLES LEFT SMALL,$31.00 2700003120,CS FOLEY 22FR 30CC CATHETER,$31.00 2700007270,CS SUT 4-0 CHROMIC SH,$31.00 2700000970,CS C-COLLAR ADULT,$31.00 2700003100,CS FOLEY 20FR 30CC CATHETER,$31.00 2700007160,CS SUT 3-0 POLYSORB P14,$31.00 2700006390,CS SLING ARM UNIVERSAL,$31.00 9649915200,CRNA ANESTH MOD SEDATN > 5 FIRST 15 MIN,$31.00 2500006840,MIDAZOLAN SYRUP 2MG/ML (5 ML SOLN),$31.20 2500007270,NEBIVOLOL 5 MG TAB,$31.33 2500007820,OXYMETAZOLINE 0.05% NASAL SPRAY (15 ML BTL),$31.41 2500003710,ER OXYMETAZOLINE NASAL SPRAY (15 ML BTL),$31.41 2500004360,FUROSEMIDE 20 MG (100 MG VIAL),$31.74 2500005900,LIDOCAINE 2% 10 MG INJ (100 MG SYR),$31.77 2500002480,DEXAMETHASONE 1 MG INJ (20 MG VIAL),$31.80 2700000280,CS AIRSPORT ANKLE SUPPORT LG RT,$32.00 2700009200,CS WRIST SPLINT RIGHT XLG CANVAS,$32.00 2700004440,CS MEPILEX BORDER 6X6,$32.00 2700009150,"CS WRIST SPLINT LEFT, MED DLX",$32.00 2700009120,CS WRIST SPLINT LEFT SM DLX,$32.00 2700007510,CS SUT 5-0 PROLENE P3,$32.00 2700009210,"CS WRIST SPLINT RIGHT, LARGE DLX",$32.00 2700009070,CS VITRECTOMY LENS,$32.00 2700009140,"CS WRIST SPLINT LEFT, LG DLX",$32.00 2700008800,CS UNA BOOT 4 IN,$32.00 2700007350,CS SUT 4-0 PDS,$32.00 2700008720,CS TUBE STOMACH 16FR,$32.00 2700009180,CS WRIST SPLINT RIGHT SM DLX,$32.00 2700009220,"CS WRIST SPLINT RIGHT, MED DLX",$32.00 3008010100,"LAB CANNABINOID, URINE",$32.00 2500010489,LIDOCAINE 2 G IN D5W SOLN 500 mL,$32.18 2500003920,"ESTROGEN, CONJ 0.625 MG TAB",$32.59 2500003110,ENOXAPARIN 10 MG INJ (30 MG SYR),$32.95 2700009400,CS SONOSITE PROBE COVER,$32.98 7619999900,INF DRAW FEE LAW ENFORCEMENT,$33.00 3009900101,LAB DRAW FEE CONTRACT,$33.00 4319703500,OT ULTRASOUND,$33.00 2700001780,CS CHLORA PREP HILITE ORANGE,$33.00 3008105001,LAB TIMED COLLECTION 24HR URI,$33.00 2700005390,"CS ORTH-GLSS SPLNT 2PEDS FUL ARM""",$33.00 3008105000,LAB DIALYSATE VOLUME & MEASUR,$33.00 3008690000,LAB ABO GROUP TYPING,$33.00 4219703500,PT ULTRASOUND,$33.00 2700002090,CS CORNEAL SHIELD,$33.00 2700003590,CS INTRNASAL ATOMIZER DEVICE,$33.00 3008690100,LAB RH,$33.00 2700005150,CS NUGAUZE PLAIN 2 IN,$33.00 7611700300,SPEC CLINIC CRYOTHRPY; PREMALIG LES 2-14,$33.00 2500008570,PROPOFOL 10 MG INJ (200 MG VIAL),$33.12 2500005710,LEVOFLOXACIN 250 MG INJ (250 MG BAG),$33.12 2500006690,METHYLPREDNISOLONE SOD 40 MG INJ (40 MG VIAL),$33.21 2500006050,LIDOCAINE/PRILOCAINE 2.5%/ 2.5% (5 GM TUBE),$33.29 2500005720,LEVOFLOXACIN 250 MG INJ (500 MG BAG),$33.78 2500004660,HALOPERIDOL 5 MG INJ (5 MG VIAL),$33.89 2700009170,CS WRIST SPLINT MEDIUM RIGHT,$34.00 3008504100,LAB RBC-ONLY,$34.00 2700009160,CS WRIST SPLINT MEDIUM LEFT,$34.00 2700009240,CS WRIST SPLINT SMALL RIGHT,$34.00 3009990970,LAB PATERNITY DRAW,$34.00 2700009110,CS WRIST SPLINT LARGE RIGHT,$34.00 2700002660,CS ENDOTRACHEAL TUBE INT 15FR,$34.00 2700009230,CS WRIST SPLINT SMALL LEFT,$34.00 2700004990,"CS NEEDLE, ECHOGENIC 20GX3.5 IN",$34.00 2700009100,CS WRIST SPLINT LARGE LEFT,$34.00 2500006210,LUBIPROSTONE 24 MCG CAP,$34.14 2500006220,LUBIPROSTONE 8 MCG CAP,$34.14 2500000930,AZITHROMYCIN 500 MG INJ (500 MG VIAL),$34.22 2500003970,ETOMIDATE 2 MG INJ (20 MG VIAL),$34.33 2500005730,LEVOFLOXACIN 250 MG INJ (750 MG BAG),$34.44 2500001195,BRILINTA 90 MG TABLET,$34.45 2500005470,KETORALAC 15 MG INJ (60 MG VIAL),$34.50 2500010140,VECURONIUM 1 MG INJ (10 MG VIAL),$34.78 2700007560,CS SUT 6-0 CHROMIC GUT 1791G,$35.00 3008658000,DIALYSIS TB SCREENING,$35.00 2700007580,CS SUT 6-0 CHROMIC GUT 796G,$35.00 3008100100,LAB UA W/ MICROSCOPIC,$35.00 3009900103,LAB DRUG COLLECTION DOT,$35.00 2700001710,CS CERVICAL COLLAR LONG MED/DEN,$35.00 2700001700,CS CERVICAL COLLAR LARGE MED/DEN,$35.00 2700001260,CS CAST BOOT SMALL,$35.00 2700005450,"CS ORTH-GLSS SPLNT 4PEDS 1/2 ARM""",$35.00 2700004410,"CS MEPILEX 6X6"" DRESSING""",$35.00 2700000750,CS BILE BAG MEDIUM,$35.00 3008714000,LAB HERPES SIMPLE VIRUS REFLUX ONLY X 2,$35.00 9819301000,ED PRO FEE EKG INTREPRETATION,$35.00 2500005990,LIDOCAINE UROJET 10 ML SYR,$35.38 2500006900,MINERAL OIL/PETROLATUM CREAM (113 GM JAR),$35.60 2500002120,D10W 1000 ML BAG,$35.75 2700001820,CS CLAVICLE SUPPORT INFANT,$36.00 3008100000,LAB URINE SPEC-GRAV(ONLY,$36.00 2700001850,CS CLAVICLE SUPPORT XLARGE,$36.00 431G028300,OT ELECTRICAL STIMULATION,$36.00 2700005860,CS POST OP SHOE MEDIUM,$36.00 2700005270,"CS ORTH-GLSS SPLNT 1ADLT FUL ARM""",$36.00 2700003030,CS FOLEY 10FR 3CC CATHETER PEDIAT,$36.00 4319701400,OT ELECTRICAL STIMULATION,$36.00 2500008790,RANOLAZINE 500 MG ER TAB,$36.09 2500003350,AMOXICILLIN 400 MG/5 ML SUSP (100 ML BTL),$36.10 2500003360,ER AMOXICILLIN 400 MG/5 ML SUSP (100 ML BTL),$36.10 2500008980,SALIVA STIMULANT GEL (42 GM BTL),$36.71 2700008472,CS TROCAR FIXATION SLEEVE,$36.80 2700003290,CS GUAGE/SYRINGE ASSEMBLY,$37.00 4219701200,PT CERVICAL TRACTION,$37.00 4219701201,PT PELVIC TRACTION,$37.00 2700001640,CS CAUTERY,$37.00 2700001250,CS CAST BOOT MEDIUM,$37.00 2700003930,CS KING LTSD AIRWAY,$37.00 2700005680,CS PEAK FLOWMETER,$37.00 4219703400,PT CONTRAST BATHS,$37.00 2700008300,CS TRAY BIOPSY JAMSHIDI,$37.00 2500000405,"DESMOPRESSIN 40 MCG/10 ML VIAL 1 mcg, 10 mL",$37.43 2500007500,NS + 20 KCL 1000ML BAG,$37.87 2500009160,SOD CHLORIDE 0.45% W/ 20 MCG KCL,$37.87 2700004710,CS NASAL PRONG 4030,$38.00 2700006560,CS SPRINGGRIP 5-11MM,$38.00 2700004730,CS NASAL PRONG 6060,$38.00 4219703200,PT ELECTRICAL STIM MANUAL,$38.00 2700001840,CS CLAVICLE SUPPORT MEDIUM,$38.00 2700004720,CS NASAL PRONG 5050,$38.00 2700001810,CS CLAVICLE SUPPORT CHILD,$38.00 2700000020,CS OSTOMY BARRIER PASTE,$38.00 2700001830,CS CLAVICLE SUPPORT LARGE,$38.00 2700007990,CS TED HOSE THIGH LARGE,$38.00 2700003190,CS FOLEY 8FR 3CC CATHETER PEDIATR,$38.00 2700001380,CS CAST LEG SHORT FULL PLASTER PE,$38.00 2700008000,CS TED HOSE THIGH MEDIUM,$38.00 2700008290,CS TRACTION HOME OUTFIT,$38.00 2700005260,"CS ORTH-GLSS SPLNT 1ADLT 1/2 LEG""",$38.00 3008500700,LAB CBC MANUAL DIFF,$38.00 3008227200,LAB OCCULT BLOOD,$38.00 2500002060,CYANOCOBALAMIN 1000 MCG INJ (1000 MCG VIAL),$38.14 2700000230,CS ADULT/PED AIRWAY ADAPTER KIT,$39.00 2700001960,CS COLLECTION TUBING (D&C),$39.00 4219701600,PT VASOPNEUMATIC DEVICE,$39.00 9643640500,CRNA ANESTH IV START < 3YRS SCALP VEIN,$39.00 2700001240,CS CAST BOOT LARGE,$39.00 2700009250,CS WRIST/FOREARM SPLINT UNIVERSAL,$39.00 2700006490,CS SPLINT FIBERGLASS 4X15,$39.00 3008398600,LAB PH-BODY FLUIDS,$39.00 2700008790,CS UMBILICAL 3.5F CATHETER,$39.00 2700008010,CS TED HOSE THIGH MEDIUM REGULAR,$39.00 2700008810,CS UNIVERSAL FLEX CIRCUIT,$39.00 2700000770,CS BIO PATCH PROTECTIVE DISK,$39.00 3008227000,LAB OCCULT BLOOD X 3,$39.00 2500002210,D5W/0.45% NS+20KCL 1000 ML BAG,$39.03 2500008460,PREPARATION H RECTAL CREAM (51 GM TUBE),$39.03 2500000490,ALUMINUM CHLORIDE SOL,$39.14 2500000650,AMPICILLIN 500 MG INJ (2000 MG VIAL),$39.22 2500001590,CEFEPIME 500 MG (1 GM VIAL),$39.30 2500004100,FENTANYL 25 MCG/HR PATCH,$39.36 2500006590,METHOTREXATE 5 MG INJ (50 MG VIAL),$39.52 2500002520,DEXTRAN/HYPROMELLOSE OPTH SOLN 15 ML BTL,$39.74 3008415500,"LAB PROTEIN, TOTAL",$40.00 4219701400,PT ELECTRICAL STIMULATION,$40.00 3008415701,"LAB PROTEIN, BODY FLUIDS",$40.00 2700000100,CS 16 FR CATHETER W/ 30CC BALLOON,$40.00 3008415601,"LAB PROTEIN, URINE",$40.00 3008415600,LAB 24 HOUR URINE PROTEIN,$40.00 2700005850,CS POST OP SHOE LARGE,$40.00 3008415700,LAB PROTEIN (SPINAL),$40.00 2500003040,DXT5%+0.225%SODCHLOR+20MCGKCL,$40.19 2500004920,HYDROCODONE/APAP 2.5 MG/108 MG/ 5 ML SOLN,$40.54 2500008190,PIPERACILLIN/TAZOBACTAM 1.125 GM INJ (2.25 GM VIAL),$40.68 2500005550,LABETOLOL 5 MG INJ (20 MG SYR),$40.82 2700003200,CS FOLEY CATHETER KIT COMPLETE 16,$41.00 2700004250,CS MASK BIPAP FACE L,$41.00 2700005380,"CS ORTH-GLSS SPLNT 2PEDS 1/2 LEG""",$41.00 2700007250,CS SUT 3-0 VICRYL TIE,$41.00 2700001720,CS CERVICAL COLLAR MED/DEN,$41.00 2700002880,CS FEEDING TUBE 8FR ADULT,$41.00 2700002710,CS EPIDURAL NEEDLE TOUHY 22GX3.15,$41.00 2700008020,CS TED HOSE THIGH SMALL,$41.00 2700004780,CS NEB UNIHEART W MASK,$41.00 2500005960,LIDOCAINE 5% 700 MG PATCH,$41.34 3008690500,LAB RBC ANTIGEN OTHER THAN ABO OR,$42.00 2700001760,CS CERVICAL COLLAR XSMALL,$42.00 2700007690,CS SUT 6-0 VICRYL J578G,$42.00 2500002240,DABIGATRAN 75 MG CAP,$42.19 3008561000,LAB PROTHROMBIN TIME,$43.00 3008294703,LAB GLUCOSE 2 HR,$43.00 3008452000,LAB BUN,$43.00 3008295200,LAB GLUCOSE (ADDITIONAL SPECIMEN),$43.00 2700002410,"CS DRESSING, MEFIX FABRC WND TAPE",$43.00 2700006310,CS SHOULDER IMMOBILIZER XLARGE,$43.00 3008295201,LAB XTRA GLUCOSE ADDED TO GTT,$43.00 3008561100,LAB SUBSTITUTION PLASMA FRACTIONS,$43.00 2700004400,CS MEFIX WOUND DRESSING TAPE,$43.00 3008294706,LAB GLUCOSE 5 HR,$43.00 4216455000,PT NEUORSTIMULATOR TENS,$43.00 3008294500,LAB GLUCOSE BODY FLUIDS,$43.00 3008294702,LAB GLUCOSE 1 HR,$43.00 2700001730,CS CERVICAL COLLAR MEDIUM,$43.00 3008294701,LAB GLUCOSE,$43.00 3008294704,LAB GLUCOSE 3 HR,$43.00 3008294705,LAB GLUCOSE 4 HR,$43.00 3008294700,LAB FASTING GLUCOSE,$43.00 2500010100,VARENICLINE 0.5 MG TAB,$43.61 2500001220,BUDESONIDE 0.50 MG NEB SOLN (0.25 MG NEB),$43.64 2500003120,ENOXAPARIN 10 MG INJ (40 MG SYR),$43.83 2500007691,"OSELTAMIVIR PHOS 45 MG CAPSULE 45 mcg, 10 eaches",$43.91 2500007670,OSELTAMIVIR 30 MG CAP,$43.91 3008504500,LAB RETICS AUTO,$44.00 3009900100,LAB DRAW FEE SPECIAL,$44.00 3009900102,LAB DRUG COLLETION HAIR,$44.00 3008294800,LAB GLUCOSE GLUCOMETER,$44.00 7100000200,RECOVERY ASC PROCEDURE RM ADDITIONAL HO,$44.00 2700004260,CS MASK BIPAP FACE M,$44.00 2700007540,CS SUT 5-0 VICRYL J579,$44.00 2700004270,CS MASK BIPAP FACE S,$44.00 4219585200,PT RANGE OF MOTION HAND,$44.00 2700003390,CS HUBER NEEDLE W/O Y-SITE 20GX,$44.00 3008033502,LAB ANTIDEPRESSANTS TRICYCLIC,$44.00 2700001940,CS COFLEX 2 LAYER COMPRESS DRESSI,$44.00 2500010090,VANCOMYCIN 500MG INJ (500 MG VIAL),$44.38 2700000620,CS BAIR HUGGER BLANKET,$45.00 2700006300,CS SHOULDER IMMOBILIZER SMALL,$45.00 9812954000,ED PRO FEE STRAPPING OF ANKLE AND/OR FT,$45.00 2700006290,CS SHOULDER IMMOBILIZER LARGE,$45.00 2700001480,"CS CATH, COUDE 14 FR LATEX",$45.00 4219715000,PT THERAPY GROUP PROCEDURE,$45.00 5109921100,SPEC CLINIC EXAM ROOM ESTABLISHED PT 99211,$45.00 3008661200,LAB BLASTOMYCES AB BY CF,$45.00 2500006880,MINERAL OIL/PETROL OPTH OINT (3.5 GM TUBE),$45.15 2500002330,DARIFENACIN 7.5 MG TAB,$45.22 2500002740,DILTIAZEM 5 MG INJ (125 MG/25 ML VIAL),$45.71 2500006320,MAGNESIUM SULFATE 500 MG INJ (40000 MG),$45.82 3008720501,LAB GRAM STAIN SMEAR,$46.00 3008659201,LAB VDRL,$46.00 4219702200,PT WHIRLPOOL,$46.00 2700006840,CS SUT 0 ETHIBOND CT2 18 IN,$46.00 2700007010,CS SUT 2-0 ETHIBOND CT2 18 IN,$46.00 3008659200,LAB RPR,$46.00 9643640000,CRNA ANESTH IV START < 3 YRS FEM/JUGULAR,$46.00 3008720500,LAB EOSINOPHIL URINE,$46.00 3008905500,LAB WBC STAIN (STOOL),$46.00 2700003160,CS FOLEY 26FR 30CC 3 WAY CATHETER,$47.00 3008503200,LAB MANUAL WBC,$47.00 3008227100,"LAB OCCULT BLOOD, OTHER SOURCE",$47.00 2700008250,CS TRACHEOSTOMY 5.0MM,$47.00 2700005320,"CS ORTH-GLSS SPLNT 1PEDS FUL LEG""",$47.00 3008413300,LAB POTASSIUM URINE 24 HR/RANDOM,$47.00 3008504400,LAB RETICS MANUAL,$47.00 3008246500,LAB CHOLESTEROL,$47.00 3008430000,LAB SODIUM UR 24 HR/RANDOM,$47.00 9812924000,ED PRO FEE STRAPPING OF SHOULDER,$47.00 3008430200,LAB SODIUM OTHER SOURCE,$47.00 2700003230,CS GAYMAR PEDIATRIC BLANKET,$47.00 2700003820,CS J VENT CIRCUIT,$47.00 2500009320,SODIUM CHLORIDE 0.9%+40MCG KCL 10,$47.36 2500007150,MULTIVITAMIN PEDIATRIC DROPS (50 ML BTL),$47.42 2500007690,OSELTAMIVIR 75 MG CAP,$47.86 4219585100,PT INCLINO ROM ALL W/O HAND,$48.00 2700008970,CS VENT TUBE B0BBIN,$48.00 2700006100,CS RHINO ROCKET SM NASAL PACK,$48.00 2700001880,CS CO2 EASY CAP II PEDIATRIC,$48.00 2700001330,CS CAST LEG LONG POSTSPLINT 1/2 P,$48.00 2500002510,DEXAMETHASONE POWDER 5 GM BTL,$48.22 2500003210,EPINEPHRINE SYRINGE 0.1 MG (1 MG SYR),$48.30 2500002550,DEXTROSE 50% INJ 50 ML SYR,$48.38 2700004090,CS LARYNGOSCOPE MCGRATH BLADE,$49.00 2700002000,CS COLLES RIGHT LARGE,$49.00 3008243800,LAB CHLORIDE (SPINAL),$49.00 2700002020,CS COLLES RIGHT SMALL,$49.00 2700002010,CS COLLES RIGHT MEDIUM,$49.00 2700001980,CS COLLES LEFT MEDIUM,$49.00 3008504900,"LAB PLATELET, AUTOMATED",$49.00 3008237400,LAB CARBON DIOXIDE,$49.00 2700005530,"CS ORTH-GLSS SPLNT 6PEDS 1/2 ARM""",$49.00 2700001870,CS CO2 EASY CAP II ADULT,$49.00 2700008760,"CS HUBER NEEDLE 20GX1"" INFUSION SET",$49.00 9874323500,PRO FEE EGD DIAGNOSTIC,$49.00 7609047100,INF IMMUNIZATION ADMINISTRATION,$49.00 2500001400,CALCIUM CHLORIDE 100 MG (1000 MG VIAL),$49.68 2500007180,MUPIROCIN 2% OINTMENT (22 GM TUBE),$49.68 2500007090,MORPHINE 20 MG/1ML SOLN (15 ML BTL),$49.68 2500008430,PREGABALIN 50 MG CAP,$49.70 2500008440,PREGABALIN 75 MG CAP,$49.70 3008224701,LAB NEONATAL BILIRUBIN BU,$50.00 3008200900,LAB KETONE,$50.00 2700003560,CS INFANT NASAL MASK SMALL,$50.00 300845600,LAB URIC ACID,$50.00 250C892900,RX LUMASON,$50.00 3008254000,LAB CREATINE,$50.00 3008243601,LAB URINE CHLORIDE RDM,$50.00 3008500200,LAB BLEEDING TIME,$50.00 3008224700,LAB BILIRUBIN TOTAL,$50.00 2700001300,CS CAST LEG LONG FULL PLASTER PED,$50.00 2700006090,CS RHINO ROCKET MED NASAL PACK,$50.00 2700001190,CS CAST ARM SHORT FULL PLASTER PE,$50.00 3008224800,"LAB BILIRUBIN, DIRECT",$50.00 3008204000,LAB ALBUMIN,$50.00 2700003550,CS INFANT NASAL MASK MEDIUM,$50.00 2700003540,CS INFANT NASAL MASK LARGE,$50.00 2700003380,CS HOT LINE FLUID WARMER SET,$50.00 3008224801,LAB NEONATAL BILIRUBIN BC,$50.00 3008413200,LAB POTASSIUM,$50.00 2700006010,CS RECTAL TUBE 24FR 20 IN,$50.00 3008243500,LAB CHLORIDE,$50.00 3008243600,LAB CHLORIDE-URINE,$50.00 2700001180,CS CAST ARM SHORT FULL PLASTER AD,$50.00 3008623510,LAB ANTI IO-1,$50.00 4037706200,MAMMO/TOMO DX BILAT,$50.00 4037706101,MAMMO/TOMO DX LT,$50.00 4037706102,MAMMO/TOMO DX RT,$50.00 4037706300,MAMMO/TOMO SCREENING BILAT,$50.00 3008690510,LAB PHENOTYPE,$50.00 3008455000,"LAB URIC ACID, BLOOD",$50.00 2500000860,ATROPINE 0.01 MG INJ (0.5 MG SYR),$50.12 2500002530,DEXTROSE 25% INJ 10 ML SYR (INFANT),$50.49 2500001410,"CALCIUM GLUCONATE 10% VIAL 10 mL, 10 mL",$50.51 3008410500,LAB PHOSPHOROUS (24 HR URINE),$51.00 2700006550,CS SPRINGGRIP 12MM,$51.00 3008688600,LAB RH TITER,$51.00 3008256500,LAB CREATININE,$51.00 3008630800,LAB MONO,$51.00 2700005350,"CS ORTH-GLSS SPLNT 2ADLT FUL ARM""",$51.00 3008256501,LAB GFR EST SERUM,$51.00 3008407500,LAB ALP,$51.00 4319703300,OT IONTHOPHORESIS,$51.00 2700008030,CS TED HOSE THIGH XLARGE,$51.00 3008257001,LAB NTX CREATINE URINE,$51.00 4219703300,PT IONTOPHORESIS,$51.00 2700008270,CS TRACHEOSTOMY TUBE 8MM,$51.00 3008231000,LAB CALCIUM,$51.00 2700007170,CS SUT 3-0 POLYSORB POPOFF27,$51.00 2700003210,CS FOLEY CATHETER KIT COMPLETE 18,$51.00 2700004100,CS LATEX FREE CATHETER KIT 16FR,$51.00 3008690200,LAB ANTIGEN SCREEN FOR COMPATIBLE,$51.00 3008257000,LAB CREATININE 24HR URI,$51.00 3008445000,LAB AST,$51.00 3008614000,LAB C REACTIVE PROTEIN (CRP),$51.00 9839760500,PRO FEE WOUND VAC NPWT < 50 SQ CM,$51.00 2500009920,TRIAMCINOLONE 0.5% CREAM (15 GM TUBE),$51.06 2500001230,BUDESONIDE 0.50 MG NEB SOLN (0.50 MG NEB),$51.36 2500009940,TRIAMCINOLONE 10 MG INJ (40 MG VIAL),$51.67 2500003660,ER NITROFURANTOIN 100 MG CAP (6 CAPS),$51.84 2500009480,SUCRALFATE 1GM/10 ML ORAL SOLN,$51.98 3008600343,LAB ALG SPEC CASEIN,$52.00 3008600304,LAB ALG SPEC ALMOND,$52.00 3008721000,LAB KOH PREP,$52.00 2700005410,"CS ORTH-GLSS SPLNT 4ADLT 1/2 ARM""",$52.00 3008600396,LAB ALG SPEC HOUSE DUST,$52.00 3008600393,LAB ALG SPEC HOPS,$52.00 3008600316,LAB ALG SPEC ASH,$52.00 3008600382,LAB ALG SPEC FUSARIUM MONIFORME,$52.00 3008600333,LAB ALG SPEC BLACK OLIVE,$52.00 3008600390,"LAB ALG SPEC HALIBUT, IGE",$52.00 3008600448,LAB ALG SPEC RUSSIAN OLIVE,$52.00 3008600464,LAB ALG SPEC STRAWBERRY,$52.00 3008600435,LAB ALG SPEC PINEAPPLE,$52.00 3008600339,LAB ALG SPEC CABBAGE,$52.00 3008600461,LAB ALG SPEC SPONDYLOCLADIUM,$52.00 3008600422,LAB ALG SPEC OAT,$52.00 3008600416,LAB ALG SPEC MELONS,$52.00 3008600330,LAB ALG SPEC BEEF,$52.00 3008600455,LAB ALG SPEC SCALLOP,$52.00 3008600475,LAB ALG SPEC VANILLA,$52.00 3008600380,LAB ALG SPEC EPICOCCUM PURPURASCEN,$52.00 3008410000,LAB PHOSPHOROUS,$52.00 3008600391,"LAB ALG SPEC HAZELNUT, IGE",$52.00 3008270500,LAB FECAL FATS RANDOM,$52.00 3008600456,"LAB ALG SPEC SESAME SEED, IGE",$52.00 3008600379,LAB ALG SPEC ENGLISH PLANTAIN,$52.00 3008600432,"LAB ALG SPEC PERCH, IGE",$52.00 3008600395,LAB ALG SPEC HORSE,$52.00 3008600421,LAB ALG SPEC MUSTARD,$52.00 3008600341,LAB ALG SPEC CANTALOUPE,$52.00 3008600365,"LAB ALG SPEC COTTONSEED, IGE",$52.00 3008600452,LAB ALG SPEC SAGE,$52.00 3008718500,LAB BETA LACTAMASE SENSITIVITY,$52.00 3008600360,"LAB ALG SPEC COCONUT, IGE",$52.00 3008600424,LAB ALG SPEC ORANGE,$52.00 3008600338,LAB ALG SPEC BROCCOLI,$52.00 3008600368,LAB ALG SPEC CRAB,$52.00 3008600484,LAB ALG SPEC WILLOW,$52.00 3008600361,LAB ALG SPEC CODFISH,$52.00 3008600480,LAB ALG SPEC WHITE ASH,$52.00 2700001370,CS CAST LEG SHORT FULL PLASTER AD,$52.00 3008600398,LAB ALG SPEC JUNIPER IGE,$52.00 3008600321,LAB ALG SPEC WHITE PINE,$52.00 3008600434,LAB ALG SPEC PINE MIX,$52.00 3008600389,LAB ALG SPEC HALIBUT,$52.00 3008600443,LAB ALG SPEC RASPBERRY,$52.00 3008600376,LAB ALG SPEC DOG EPITHELIUM,$52.00 3008600430,"LAB ALG SPEC PECAN, IGE ALLERGAN",$52.00 3008454000,LAB 24 HR URINE BUN,$52.00 3008600438,LAB ALG SPEC POLLUTARIA,$52.00 3008600469,"LAB ALG SPEC TOMATO, IGE",$52.00 3008600388,LAB ALG SPEC GREEN PEAS,$52.00 3008600323,LAB ALLERGEN SPEC IGE,$52.00 3008600466,LAB ALG SPEC SWEET POTATO,$52.00 3008600465,"LAB ALG SPEC SUNFLOWER SEED, IGE",$52.00 3008600431,LAB ALG SPEC PENICILLIUM NOTATUM,$52.00 3008600384,LAB ALG SPEC GINGER,$52.00 3008721001,LAB WET MOUNT,$52.00 3008600314,LAB ALG SPEC APPLE,$52.00 3008600371,LAB ALG SPEC CUCUMBER,$52.00 3008600392,"LAB ALG SPEC HERRING, IGE",$52.00 3008600473,"LAB ALG SPEC TUNA, IGE",$52.00 3008600337,"LAB ALG SPEC BRAZIL NUT, IGE",$52.00 3008600383,LAB ALG SPEC GARLIC,$52.00 3008600386,LAB ALG SPEC GRAPE,$52.00 3008600357,LAB ALG SPEC CLADOSPORIUM HERBARUM,$52.00 3008600331,LAB ALG SPEC BELL PEPER,$52.00 3008600441,LAB ALG SPEC POTATOES,$52.00 3008600366,LAB ALG SPEC COTTONWOOD IGE,$52.00 3008600414,"LAB ALG SPEC MACKERAL, IGE",$52.00 3008600373,LAB ALG SPEC CURVULARIA,$52.00 3008600318,LAB ALG SPEC ASPARAGUS,$52.00 3008456000,LAB URIC ACID (24 HR),$52.00 3008600399,LAB ALG SPEC KENTUCKY BLUEGRASS,$52.00 3008600403,LAB ALG SPEC KOCHIA (FIREBUSH),$52.00 3008600326,LAB ALG SPEC AVOCADO,$52.00 3008600305,LAB ALG SPEC MARSHELDER BURWEED,$52.00 3008600385,LAB ALG SPEC GOAT,$52.00 3008600332,LAB ALG SPEC BERMUDA GRASS,$52.00 3008600460,LAB ALG SPEC SPINACH,$52.00 3008600394,LAB ALG SPEC HORMODENDRUM,$52.00 3008600329,"LAB ALG SPEC BASS, IGE",$52.00 3008600302,LAB ALG SPEC ALFALFA,$52.00 3008600335,LAB ALG SPEC BLUEBERRY,$52.00 3008600450,LAB ALG SPEC RYE,$52.00 3008600346,LAB ALG SPEC CAT HAIR,$52.00 3008600412,"LAB ALG SPEC LOBSTER, IGE",$52.00 3008600340,LAB ALG SPEC CANDIDA IGE,$52.00 3008600311,LAB ALG SPEC NETTLE,$52.00 3008439200,"LAB SULFATE, 24 HR URINE",$52.00 3008600353,LAB ALG SPEC CHILI PEPPER,$52.00 3008600476,"LAB ALG SPEC WALNUT, IGE",$52.00 3008600315,LAB ALG SPEC SAGE SALVIA,$52.00 3008600355,LAB ALG SPEC CHOCOLATE,$52.00 3008600472,LAB ALG SPEC TUNA,$52.00 3008600440,LAB ALG SPEC PORK,$52.00 3008295001,LAB GLUCOSE (2 HR PP),$52.00 3008600375,LAB ALG SPEC DOCKWEED YELLOW,$52.00 3008600439,"LAB ALG SPEC POPPYSEED, IGE",$52.00 3008600436,"LAB ALG SPEC PISTACHIO, IGE",$52.00 3008600428,LAB ALG SPEC PEANUT,$52.00 3008600459,LAB ALG SPEC SOYBEAN,$52.00 3008600354,LAB ALG SPEC CHINESE ELM,$52.00 3008600347,"LAB ALG SPEC CATFISH, IGE",$52.00 3008600462,LAB ALG SPEC SQUASH,$52.00 3008600407,LAB ALG SPEC LIMABEAN,$52.00 3008600306,LAB ALG SPEC ALTERNIA TENUIS,$52.00 2700001100,CS CAST ARM LONG FULL PLASTER ADU,$52.00 3008600364,LAB ALG SPEC CORN,$52.00 3008600402,LAB ALG SPEC KOCHIA,$52.00 3008600351,LAB ALG SPEC CHERRY,$52.00 3008600408,LAB ALG SPEC LIME,$52.00 3008600405,LAB ALG SPEC LEMON,$52.00 3008600301,LAB ALG SPEC BIPOLARIS,$52.00 3008600451,"LAB ALG SPEC SAFFLOWER SEED, IGE",$52.00 3008600445,LAB ALG SPEC RHIZOPUS NIG,$52.00 3008600362,LAB ALG SPEC CODFISH/SCROD IGE ALL,$52.00 3008600401,LAB ALG SPEC KIWI,$52.00 3008295000,LAB GLUCOSE (1HR GTT),$52.00 3008600363,LAB ALG SPEC COFFEE,$52.00 3008600369,"LAB ALG SPEC CRAB, IGE",$52.00 3008600400,LAB ALG SPEC KIDNEY BEAN,$52.00 3008600317,LAB ALG SPEC SHEEP SORRELL/SPUR DO,$52.00 3008600447,LAB ALG SPEC ROCKY MTN CEDAR,$52.00 3008600325,LAB INSULIN PORK,$52.00 3008600477,LAB ALG SPEC WATERMELON,$52.00 3008600320,LAB ALG SPEC ASPEN,$52.00 3008600344,"LAB ALG SPEC CASHEW, IGE",$52.00 3008600482,LAB ALG SPEC WHITE OAK,$52.00 3008600378,LAB ALG SPEC EGG YOLK WHOLE,$52.00 3008600307,LAB ALG SPEC MOUSE URINE PROT,$52.00 3008600467,LAB ALG SPEC SYCAMORE,$52.00 3008600303,LAB ALG SPEC ELM AMERICAN,$52.00 3008600413,LAB ALG SPEC LOCUST TREE BLACK,$52.00 3008600446,LAB ALG SPEC RICE,$52.00 3008600397,LAB ALG SPEC JOHNSON GRASS,$52.00 3008600483,LAB ALG SPEC WHITE PINE,$52.00 3008600419,LAB ALG SPEC MUGWART,$52.00 3008600442,"LAB ALG SPEC RAGWEED, SHORT",$52.00 3008600437,LAB ALG SPEC PLUM,$52.00 3008600381,LAB ALG SPEC FEATHERS (DUCK),$52.00 3008600367,LAB ALG SPEC COW MILK,$52.00 3008600374,LAB ALG SPEC DERMATOPHAGOIDES FARI,$52.00 3008600486,LAB ALG SPEC YEAST,$52.00 3008600417,LAB ALG SPEC MITE D PTERONYSSINUS,$52.00 3008600427,LAB ALG SPEC PEACH,$52.00 3008600487,LAB DERMATOPHAGOIDES PTERONYSSINUS,$52.00 3008600463,LAB ALG SPEC STEMPHYLIUM BOTRYOSUM,$52.00 3008600453,LAB ALG SPEC SAGEBRUSH MUGWORT,$52.00 3008600410,"LAB ALG SPEC LINSEED/FLAXSEED,IGE",$52.00 3008600350,LAB ALG SPEC CHEESE MOLD,$52.00 3008600309,LAB ALG SPEC MULBERRY RED TREE,$52.00 3008600488,LAB INSULIN ABS BOVINE,$52.00 3008600322,LAB ALG SPEC ASPERGILLUS FUMIGATUS,$52.00 3008600372,LAB ALG SPEC CULTIVATED WHEAT,$52.00 3008600423,LAB ALG SPEC ONION,$52.00 3008600327,LAB LATEX IGE,$52.00 3008600481,LAB ALG SPEC WHITE BIRCH,$52.00 3008454001,LAB URINE UREA,$52.00 3008600479,LAB ALG SPEC WHEY,$52.00 3008600404,LAB ALG SPEC LATEX,$52.00 3008600457,LAB ALG SPEC SHEEP SORREL,$52.00 3008600406,LAB ALG SPEC LETTUCE,$52.00 3008600426,LAB ALG SPEC PAPAYA,$52.00 3008600478,LAB ALG SPEC WHEAT,$52.00 3008600328,LAB ALG SPEC BANANA,$52.00 3008600352,LAB ALG SPEC CHICKEN,$52.00 3008600358,LAB ALG SPEC CLAM IGE ALLERGEN,$52.00 3008600449,LAB ALG SPEC RUSSIAN THISTLE,$52.00 3008600470,LAB ALG SPEC TROUT,$52.00 3008600319,LAB ALG SPEC SYCAMORE,$52.00 3008600310,LAB ALG SPEC AMERICAN ELM,$52.00 3008600415,LAB ALG SPEC MALT,$52.00 3008600411,LAB ALG SPEC LOBSTER,$52.00 3008600377,LAB ALG SPEC EGG WHITE,$52.00 9819928100,ED PRO FEE CC_EMERGENCY DEPT VISIT,$52.00 3008600468,LAB ALG SPEC TIMOTHY GRASS,$52.00 3008600359,LAB ALG SPEC CLAMS,$52.00 3008600454,"LAB ALG SPEC SALMON, IGE",$52.00 3008600336,LAB ALG SPEC BOX ELDER,$52.00 3008600334,LAB ALG SPEC BLACK PEPPER,$52.00 3008600420,LAB ALG SPEC MUSHROOM,$52.00 3008600474,LAB ALG SPEC TURKEY,$52.00 3008600429,LAB ALG SPEC PEAR,$52.00 3008600348,LAB ALG SPEC CELERY,$52.00 3008600349,LAB ALG SPEC CHEESE CHEDDAR,$52.00 3008600324,LAB ALG SPEC ASPERGILLUS NIGER,$52.00 3008600458,"LAB ALG SPEC SHRIMP, IGE ALLERGEN",$52.00 3008600345,LAB ALG SPEC CAT DANDER,$52.00 3008600418,LAB ALG SPEC MUCOR RACEMOSUS,$52.00 3008600356,LAB ALG SPEC CINNAMON,$52.00 3008600370,LAB ALG SPEC CRANBERRY,$52.00 3008919000,LAB NASAL EOSINOPHILS,$52.00 3008600308,LAB ALG SPEC AMERICAN COCKROACH,$52.00 3008600387,LAB ALG SPEC GRAPEFRUIT,$52.00 3008600409,LAB ALG SPEC LINDEN,$52.00 3008600425,LAB ALG SPEC OYSTER,$52.00 3008600433,LAB ALG SPEC PIGWEED,$52.00 3008600471,"LAB ALG SPEC TROUT, IGE",$52.00 3008600300,LAB ALG HELMINTHOSPORIUM,$52.00 3008600342,LAB ALG SPEC CARROTS,$52.00 3008600312,LAB ALG SPEC ANNATTO SEED,$52.00 3008600485,LAB ALG SPEC WORMWOOD,$52.00 3008600313,LAB ALG SPEC PHOMA BETAE,$52.00 3008600444,LAB ALG SPEC RED MULBERRY,$52.00 2500004710,HEPARIN 1000 UNIT INJ (25000 UNIT/250 ML BAG),$52.37 2500010230,VILAZODONE 20 MG TAB,$52.60 3008688000,LAB COOMBS (DIRECT),$53.00 3008686000,LAB ANTIBODY ELUTION,$53.00 3008429500,LAB SODIUM,$53.00 2700005070,CS NPA NASAL FLANGE,$53.00 3008720600,LAB ACID FAST STAIN,$53.00 2700005340,"CS ORTH-GLSS SPLNT 2ADLT 1/2 LEG""",$53.00 3008446000,LAB ALANINE AMINO TRANS-ALT,$53.00 5109920100,SPEC CLINIC EXAM ROOM NEW PATIENT 99201,$53.00 2500009760,TIMOLOL 0.5% OPTH SOLN (5 ML BTL),$53.27 2500006680,METHYLPREDNISOLONE SOD 125 MG INJ (125 MG VIAL),$53.48 2500010491,SODIUM BICARB 8.4% 50 mcg/50 mL VIAL,$53.49 2500009220,SODIUM BICARB 4.2% INJ (10 ML SYR INFANT),$53.67 2500004470,GENTIAN VIOLET 1% (59 ML BTL),$53.76 2500003740,ER PROMETHAZINE 25 MG SUPP (6 SUPP),$53.81 2700004460,CS MEPITEL 4X8,$54.00 3008905100,LAB CELL COUNT-BODY FLUIDS W/,$54.00 2700000130,CS ABDOMINAL BINDER UNIVERSAL,$54.00 2700008310,CS TRAY CENTRAL VENOUS DRESSING,$54.00 3008566000,LAB SICKLE CELL SCREEN,$54.00 2700003140,CS FOLEY 24FR 30CC 3WAY CATHETER,$54.00 2700006260,CS SHOULDER IMMOB LARGE,$54.00 2700004570,CS MIC GASTROSTOMY FEEDING TUBE 2,$54.00 2500003850,ERYTHROMYCIN 0.5% OPH OINT (1 GM TUBE),$54.82 2500007560,OCTREOTIDE 25 MCG INJ (100 MCG),$54.87 2500001610,CEFOXITIN 1GM INJ (1 GM VIAL),$54.92 7619920100,TR TREATMENT ROOM NEW PT,$55.00 2700001110,CS CAST ARM LONG FULL PLASTER PED,$55.00 7619921100,INF DRESSING CHANGE,$55.00 7619637601,ONC IV PUSH EA ADD SEQ IV PUSH SAM,$55.00 7619637200,INF ADMINISTRATE INJ Q/IM NO CHEMO,$55.00 3008504600,LAB RETIC/HGB NP,$55.00 7619637500,INF EA ADD'L SUBSEQ IV PUSH NEW SU,$55.00 2700000930,CS BONNET MIDLINE 29-36CM,$55.00 7619921103,ONC CATHETER INSERTION/REMOVAL,$55.00 27619921100,TR TREATMENT ROOM EST PT,$55.00 9609921100,OFFICE VISIT EST LEVEL 1,$55.00 7619637600,INF IV PUSH EA ADD SEQ IV PUSH SAM,$55.00 3359641701,ONC EA ADD'L HOUR PUMP,$55.00 7619637201,ONC ADMINISTRATE INJ Q/IM NO CHEMO,$55.00 2700000920,CS BONNET MIDLINE 25-29CM,$55.00 3319640100,ONC ADMIN NON HORMONAL ANTI-,$55.00 2700000910,CS BONNET MIDLINE 22-25CM,$55.00 2700001410,CS CAST LEG SHORT POSTSPLINT 1/2,$55.00 7619637501,ONC EA ADD'L SUBSEQ IV PUSH NEW SU,$55.00 7619637401,ONC ADMIN IV PUSH PER STICK INITIA,$55.00 3559640200,INF CHEMO ADMIN HORMONAL ANTI-NEOP,$55.00 7619637400,INF ADMIN IV PUSH PER STICK INITIA,$55.00 2700001350,CS CAST LEG SHORT FULL FIBERGLAS,$55.00 4509637600,ER TECH IV PUSH EA ADD SEQ IV PUSH,$55.00 4503640000,ER TECH VENIPUNCTURE <3YRS BY DR,$55.00 510Q301400,TELEMEDICINE FACILITY FEE,$55.00 7611110100,"SPEC CLINIC BIOPSY OF SKIN, EA ADD'L LESIO",$55.00 7619921101,SPEC CLINIC EYE EXAM,$55.00 7619921104,SPEC CLINIC CATHETER INSERTION/REMOVAL,$55.00 3359640200,ONC ADMIN HORMONAL ANTI-NEOP,$55.00 7209920100,LDRP NON STRESS TEST ROOM NEW PATIENT,$55.00 7209921100,LDRP NON STRESS TEST ROOM ESTABLISHED PATIENT,$55.00 2500006500,MEROPENEM 100 MG INJ (500 MG VIAL),$55.20 2500009800,TOLTERODINE 2 MG LA CAP,$55.43 2500009810,TOLTERODINE 4 MG LA CAP,$55.43 2500008580,PROPRANOLOL 1 MG INJ (1 MG VIAL),$55.59 2500008000,PERMETHRIN LIQUID (60 ML BTL),$55.64 2500007140,MULTIVITAMIN 10 ML INJ,$55.84 3008501300,LAB MICRO HEMATOCRIT,$56.00 2700003610,"CS IRIS HOOK,MICRO",$56.00 3008643101,LAB RF QUANT (FLUID),$56.00 3008643000,LAB RF QUAL,$56.00 3008643100,LAB RF QUANT,$56.00 2700001310,CS CAST LEG LONG POSTSPLINT 1/2 F,$56.00 3008688500,LAB ANTIGLOB TECH-INDIR QUALI,$56.00 2700005870,CS POST OP SHOE SMALL,$56.00 3008447800,LAB TRIGLYCERIDES,$56.00 2700009330,CS ZOLL CAPNO ADULT TUBING,$56.00 2700006240,CS SHEEHY VENT TUBE 1.27MM,$56.35 2500000270,ACETYLCYSTEINE 1 GM ORAL SOLN (6 G BTL),$56.47 2500010486,TETRACAINE 0.5% (4 ML BOTTLE),$56.47 3008567000,LAB THROMBIN TIME PLASMA,$57.00 2700005960,CS PROXIMAL INLINE FILTER,$57.00 3008204300,LAB ALBUMIN MICRO,$57.00 2700008990,"CS VENT TUBE, SHEEHY COLLAR BUTTO",$57.00 2700005280,"CS ORTH-GLSS SPLNT 1ADLT FUL LEG""",$57.00 2700001200,CS CAST ARM SHORT POSTSPLINT 1/2,$57.00 3008606300,LAB ANTISTREPTOLYSIN O SCREEN,$57.00 2500005690,LEVETIRACETAM 10 MG INJ (500 MG VIAL),$57.96 2700005470,"CS ORTH-GLSS SPLNT 4PEDS FUL ARM""",$58.00 2700002390,"CS DRESSING, 6X6 MELGISORB AG",$58.00 2700004000,CS KNEE IMMOB SMALL 12 IN,$58.00 2700005840,CS POST OP SHOE LARGE,$58.00 2700006080,CS RHINO ROCKET LG NASAL PACK,$58.00 2500009240,SODIUM BICARB 8.4% INJ (50 ML SYR),$58.29 2500006650,METHYLPREDNISOLONE ACETATE 40 MG INJ (40 MG VIAL),$58.36 3008720700,LAB MALARIA PREP,$59.00 3008361500,LAB LDH,$59.00 2700008340,CS TRAY LUMBAR PUNCTURE PEDIATRIC,$59.00 2700001800,"CS CIRCUIT, BREATHING INFANT",$59.00 2700003970,"CS KNEE IMMOB 16 UNIVERSAL""",$59.00 3008361501,LAB LDH-BODY FLUIDS,$59.00 3008361502,LAB LDHCSF,$59.00 3008234000,LAB CALCIUM 24 URINE,$59.00 3008573000,LAB PTT,$59.00 2500005600,LATANOPROST 0.005% OPTH SOLN (2.5 ML BTL),$59.06 2500002610,DICLOFENAC 1.3% PATCHES,$59.29 2700007670,CS SUT 6-0 VICRYL,$60.00 250A950500,RX THALLIUM (THALLOUS CHLORIDE),$60.00 2500003520,ER CLINDAMYCIN 150 MG CAP (12 CAPS),$60.00 2500000340,ADENOSINE 1 MG INJ (6 MG VIAL),$60.44 2500009130,SINUS RINSE KIT 8 OZ BTL,$60.44 2500003180,EPINEPHRINE 0.1 MG INJ (1 MG AMP),$60.72 2500004030,FEBUXOSTAT 40 MG TAB,$60.73 2700001160,CS CAST ARM SHORT FULL FIBERGLAS,$61.00 2700008400,CS TRAY VENOUS PRESSURE,$61.00 2700007840,"CS SUT, ETHIBOND CX41D",$61.00 2500000950,BACITRACIN 50000 U INJ,$61.22 2700001390,CS CAST LEG SHORT POSTSPLINT 1/2,$62.00 2700009340,CS ZOLL CAPNOLINE 02 PED,$62.00 3008204202,LAB BODY FLUID ALBUMIN,$62.00 3008204200,LAB ALBUMIN CSF,$62.00 2700001270,CS CAST LEG LONG FULL FIBERGLASS,$62.00 2700005040,CS NEOBAR TUBE HOLDER,$62.00 9811172100,"ED PRO FEE DEBRIDE NAIL, 6 OR MORE",$62.00 3008204201,LAB ALBUMIN URINE RANDOM 24 HR,$62.00 4027651402,SPEC CLINIC CORNEAL PACHMETRY RT,$62.00 4027651450,SPEC CLINIC CORNEAL PACHYMETRY BILATERAL,$62.00 4027651401,SPEC CLINIC CORNEAL PACHMETRY LT,$62.00 2700009510,CS NERVE BLOCK SUPPORT TRAY,$62.65 2500008940,ROPIVACAINE 1 MG INJ (100 MG VIAL),$62.65 2500002140,D20W 500 ML (500 ML BAG),$62.98 3008259500,LAB CRYOGLOBIN,$63.00 2700005230,CS ORAL/NASAL C02 W 02 ADULT,$63.00 2700005240,CS ORAL/NASAL CO2 W 02 PED,$63.00 3008447900,LAB T3 UPTAKE,$63.00 3008573201,LAB THROMBOPLASTIN TIME,$63.00 3008215002,LAB BODY FLUIDS AMYLASE,$63.00 2700001140,CS CAST ARM LONG POSTSPLINT 1/2 P,$63.00 3008215000,LAB AMYLASE,$63.00 3008573200,LAB PTT SUBSTITUTION-LUPUS,$63.00 3008354000,LAB IRON,$63.00 3008502700,LAB CBC COMPLETE AUTOMATED,$63.00 2700004010,CS KNIFE-SIDEPORT,$63.00 3008215001,LAB AMYLASE URINE,$63.00 2700003870,CS K PAD DISPOSABLE,$63.11 2500006800,MICONAZOLE 2% CREAM (45 GM TUBE),$63.20 2500004960,HYDROCORTISONE 25 MG SUPP,$63.70 2700003240,CS GAYMER ADULT BLANKET 25X64,$64.00 2700001510,CS CATHETER #16 COUNCILL TIP,$64.00 2700000240,"CS AEROCHAMBER, PEDS",$64.00 2500003860,ERYTHROMYCIN 250 MG TAB,$64.06 2500004180,FESOTERODINE FUMARATE 4 MG XL TAB,$64.06 2500007210,NAFCILLIN 1 GM INJ,$64.58 3008708100,LAB ACANTHAMOEBA/ NAEGLERIA CULTUR,$65.00 3008708102,LAB MRSA SCREEN,$65.00 2700001210,CS CAST ARM SHORT POSTSPLINT 1/2,$65.00 3008255000,LAB CK-TOTAL,$65.00 3008393000,LAB OSMOLALITY-BLOOD,$65.00 9811104500,ED PRO FEE EACH ADDITIONAL 20 SQ CM,$65.00 2700001500,"CS CATH, COUDE 18FR 15CC",$65.00 3008708101,LAB ID SCREENING ONLY,$65.00 2700000900,CS BONE MARROW KIT,$65.00 2700004760,CS NASAL TUBING 100MM,$65.00 3008017800,LAB LITHIUM,$65.00 2700004770,CS NASAL TUBING 70MM,$65.00 3008542000,LAB PLASMINOGEN,$65.00 3008708103,LAB PREGNANCY B STREP SCREEN,$65.00 3008668701,LAB HTLV I,$65.00 3008668800,LAB HTLV II,$65.00 4509637500,ER TECH EA ADD'L SUBSEQ IV PUSH NEW SU,$65.00 2500003130,ENOXAPARIN 10 MG INJ (60 MG SYR),$65.85 3008692000,LAB IMMEDIATE SPIN,$66.00 2700005400,"CS ORTH-GLSS SPLNT 2PEDS FUL LEG""",$66.00 771G000900,INF ADMINISTRATION OF PNEUMOCOCCAL,$66.00 3008373500,LAB MAGNESIUM,$66.00 771G000800,INF ADMINISTRATION OF FLU VACCINE,$66.00 3008701500,LAB CONCENTRATION FOR INFECT,$66.00 3008701501,LAB CONCENTRATION FOR INFECTIOUS A,$66.00 9429940700,RT SMOKING/TOBACCO CESSATION COUN,$66.00 4609479900,RT RESPIRATORY MAINTENANCE,$66.00 3707700300,ANESTH FLUORO GUIDED SPNAL NEEDLE PLA,$66.00 2500008920,ROFLUMILAST 500 MCG TAB,$66.46 2700001290,CS CAST LEG LONG FULL PLASTER ADU,$67.00 4219759800,PT DEBRIDE SHARP SELECTIVE,$67.00 2500005510,KETOTIFEN OPTH SOLN (5 ML BTL),$67.29 3008718400,LAB D TEST SENSITIVITY,$68.00 3008443600,LAB TOTAL T4 - TT4,$68.00 3008393500,LAB OSMOLAITY-URINE,$68.00 3008536200,LAB FIBRIN DEGRADATION PRODUC,$68.00 3008393501,LAB OSMOLALITY URINE 24 HR,$68.00 3008369000,LAB LIPASE,$68.00 4219714000,PT MANUAL THERAPY PROC (T),$68.00 2700003060,CS FOLEY 16FR 30CC 3WAY CATHETER,$68.00 2700001790,CS CIRCUIT PEDIATRIC J VENT,$68.00 4319714000,OT MANUAL THERAPY,$68.00 2700001220,CS CAST ARM SHORT POSTSPLINT 1/2,$68.00 3008033900,LAB LACOSAMIDE (VIMPAT),$68.00 2500000530,AMINOPHYLLINE 250 MG INJ (250 MG VIAL),$68.66 3008431102,LAB PORPHYRINS SERUM,$69.00 2700008670,CS TUBE GOODE,$69.00 3008699900,LAB CRYOPRECIP.(THAWING),$69.00 3008830000,LAB PATHOLOGY GROSS EXAM ONLY,$69.00 3008431101,LAB PORPHYRINS PROFILE,$69.00 3008600000,LAB FEBRILE AGGLUTININS,$69.00 2700007570,CS SUT 6-0 CHROMIC GUT 790G,$69.00 2700002340,CS DRAINABLE POUCHES 2 3/4 IN,$69.00 2700007720,CS SUT 8-0 VICRYL,$69.00 2700007430,CS SUT 4-0 VICRYL SH1,$69.00 3008830001,LAB PATHOLOGY LEVEL I,$69.00 3008005100,LAB ELECTROLYTES,$69.00 2700001150,CS CAST ARM LONG POSTSPLINT 1/2 P,$69.00 3008431100,LAB BODY FLUIDS ADENOSINE DEAMINAS,$69.00 3008315000,LAB HOMOVANILLINC ACID (HVA) RANDOM/ 24 HOUR URINE,$69.00 3008305000,LAB METHEMOGLOBIN,$69.00 2500003050,ECONAZOLE NITRATE 1% CREAM 15 GM TUBE,$69.00 2500005970,LIDOCAINE MPF 0.5% INJ (50 ML VIAL),$69.50 2500004110,FENTANYL 50 MCG/HR PATCH,$69.92 2700006280,CS SHOULDER IMMOB SMALL,$70.00 2700006430,CS SOFCARE OVERLAY,$70.00 4319712700,OT COGNITIVE SKILL,$70.00 9812958100,ED PRO FEE APPLICATION OF MULTI-LAYER COMPRESSION,$70.00 2700002230,CS DEFIBULATOR ZOLL PEDIATRIC PAD,$70.00 3008738900,LAB HIV 1/0/2 COMBO,$70.00 2700009320,CS ZOLL ADULT/PED CO2 FILTERLINE,$71.00 3008906000,"LAB CRYSTAL ID, BODY FLUIDS",$71.00 3008297700,LAB GGT,$71.00 9811100000,ED PRO FEE DEBRIDE INFECTED SKIN,$71.00 9812958000,ED PRO FEE APPLICATION OF PASTE BOOT,$71.00 2700003410,CS HUMIDIFIER COOL MIST,$71.00 9812913000,ED PRO FEE APPLICATION OF FINGER SPLINT,$71.00 2500002910,DOPAMINE/D5W 40 MG INJ (400 MG/250 ML BAG),$71.48 2500002350,DEFEROXAMINE 500 MG INJ (500 MG VIAL),$71.48 2500004570,GLYCOPYRROLATE 0.2 MG INJ (0.2 MG VIAL),$71.76 2700001120,CS CAST ARM LONG POSTSPLINT 1/2 F,$72.00 2700001950,CS COLLECTION CONTAINER (D&C),$72.00 2700005460,"CS ORTH-GLSS SPLNT 4PEDS 1/2 LEG""",$72.00 3008631000,LAB MONO TITER,$72.00 3008606000,LAB ANTISTREPTOLYSIN TITER,$72.00 3008305100,LAB HEMOGLOBIN FREE PLASMA,$72.00 2500000710,APIXABAN 2.5 MG TAB,$72.20 2500004870,HYDRALAZINE 20 MG INJ (20 MG VIAL),$72.20 2700005990,CS RADIOFOCUS GLIDEWIRE 3CM/150CM,$73.00 3008684900,LAB IMMUNOLOGY,$73.00 2700004020,CS KNIFE-SLIT 2.8MM,$73.00 2700003250,CS GAYMER ADULT BLANKET 30X64,$73.00 2700008160,CS TOE CREST DELUXE,$73.00 2700005490,"CS ORTH-GLSS SPLNT 6ADLT 1/2 ARM""",$73.00 2700006480,CS SPLINT 4X30 FIBERGLASS,$73.00 2700005600,CS OXIMETER SENSOR ADULT/NEO,$73.00 2700009381,"CS COUDE NEEDLE 4.5"" 20 GA",$73.14 2700009382,CS COUDE NEEDLE 6.0 20GA,$73.14 2500005240,INFLUENZA VACCINE 0.5 ML INJ (6 MONTH +),$73.65 4219711600,PT GAIT TRAINING,$74.00 2700006270,CS SHOULDER IMMOB MEDIUM,$74.00 4219712400,PT MASSAGE,$74.00 2700001230,CS CAST ARM SHORT POSTSPLINT 1/2,$74.00 3008685001,LAB ROSETTE TEST,$74.00 2700000270,CS AIRCAST VENAFLOW CALF CUFF DIS,$74.00 3008470300,LAB HCG (URINE),$74.00 3008470301,LAB HCG SERUM QUALITATIVE,$74.00 2500006910,MIRABEGRON 25 MG TAB,$74.53 2500008890,RIVASTIGMINE 4.6 MG/24 HR PATCH,$74.62 2500008900,RIVASTIGMINE 9.5 MG/24 HR PATCH,$74.62 2700001080,CS CAST ARM LONG FULL FIBERGLAS P,$75.00 2700008420,CS TROCAR #12 THORACIC CATHETER,$75.00 4419712700,ST DEVELOPMENT COGNITIVE SKILLS,$75.00 2700008440,CS TROCAR #24 THORACIC CATHETER,$75.00 2700008430,CS TROCAR #20 THORACIC CATHETER,$75.00 7629921800,RN OBSERVATION LVL 1 PER HOUR,$75.00 3008034901,LAB THC CONFIRMATION URINE,$75.00 5109921200,SPEC CLINIC EXAM ROOM ESTABLISHED PT 99212,$75.00 2500007650,ONDANSETRON 4 MG ORAL SYR,$75.44 3008546000,LAB FETAL HEMOGLOBIN SCREEN,$76.00 3008690600,LAB RH PHENOTYPING,$76.00 3008502500,LAB CBC AUTOMATED,$76.00 3008546001,LAB KLEIHAUER BETKE,$76.00 3008710100,LAB FUNGI OF SKIN ISOLAT,$76.00 3008541000,LAB ALPHA 2 ANTIPLASMIN,$76.00 2500009070,SILVER SULFADIAZINE 1% CREAM (50 GM JAR),$76.07 2500003760,ER SILVER SULFADIAZIN 1% CREAM (50 GM),$76.07 2500007780,OXYCODONE 40 MG CR TAB,$76.38 2500008200,PIPERACILLIN/TAZOBACTAM 1.125 GM INJ (3.375 GM VIAL),$76.56 2700001340,CS CAST LEG LONG POSTSPLINT 1/2 P,$77.00 3709915300,ANESTH MOD SEDATN EA ADDL 15 MIN,$77.00 9609921200,OFFICE VISIT EST LEVEL 2,$77.00 3008248000,LAB PSUEDOCHOLINESTRASE,$77.00 9609920100,OFFICE VISIT NEW LEVEL 1,$77.00 2700002140,CS COUDE 22FR CATHETER,$77.00 3008685000,LAB ANTIBODY SCREEN,$77.00 771G001000,INF ADMINISTRATION OF HEP B VACCIN,$77.00 3003659100,LAB DRAW FEE IMPLANTABLE DEVICE,$77.00 7613659100,INF DRAW FEE INPLANTABLE DEVICE,$77.00 7613659200,INF DRAW FEE PICC,$77.00 9640000000,CRNA ANESTH ANESTHESIA PER UNIT,$77.00 2500002600,DICLOFENAC 0.1% OPTH SOLN 2.5 ML BTL,$77.28 2500001780,CIPROFLOXACIN 0.3% OPTH SOL,$77.28 2700007740,CS SUT ENDOLOOP VICRYL,$78.00 3008278703,LAB IGG CLASS 4,$78.00 3008278700,LAB IGG CLASS 1,$78.00 2700003020,CS FLW SENSORY AIRWAY,$78.00 3008278702,LAB IGG CLASS 3,$78.00 4219583100,PT MUSCLE TESTING EXTREMITY,$78.00 3008600500,LAB ALLERGEN SPECIFIC QUAL,$78.00 3008278701,LAB IGG CLASS 2,$78.00 3008248200,LAB CHOLINESTERASE - RBC,$78.00 2500001600,CEFEPIME 500 MG (2 GM VIAL),$78.00 3008662201,LAB BRUCELLA IGM,$79.00 3008615700,LAB COLD AGGLUTININS,$79.00 3008708600,LAB URINE CULTURE,$79.00 3008708801,LAB U-IDENTIFICATION,$79.00 3008662200,LAB BRUCELLA IGG,$79.00 3008707700,LAB CULTURE-BACTERIAL IDENT,$79.00 3008707600,LAB AN02 BACTI ID,$79.00 3008707702,LAB PYLORITEK,$79.00 3008708800,LAB PRESUMPTIVE ID URINE ONLY,$79.00 3008707701,LAB STREP TYPING,$79.00 9879922400,PRO FEE SUBSEQUENT OBSERVATION CARE LOW,$79.00 2500008990,SAXAGLIPTIN 2.5 MG TAB,$79.69 3008007600,LAB LIVER PROFILE,$80.00 2700005660,"CS PE TUBE, ARMSTRONG 1.14MM",$80.00 2700005360,"CS ORTH-GLSS SPLNT 2ADLT FUL LEG""",$80.00 3008443901,"LAB FREE T4, DIALYSIS",$80.00 2700006970,CS SUT 10-0 NYLON 1921/2734,$80.00 3008443900,LAB FREE T4,$80.00 9811174000,ED PRO FEE DRAIN BLOOD FROM UNDER NAIL,$80.00 2700008740,CS TUBE XO PE 1.14,$80.00 2500002400,DESFLURANE PER 15 MIN,$80.00 2500001200,BRIMONIDINE OPTH SOL 0.2% 5 ML BTL,$80.04 2500006300,MAGNESIUM SULFATE 500 MG INJ (2000 MG BAG),$80.48 2700000480,CS AMBU BAG PEDIATRIC,$81.00 3008694000,LAB AUTO SCREEN,$81.00 3008371800,LAB HDL,$81.00 2700002260,CS DISP 2.5MM POLYP ROTH NET,$81.00 2500004940,HYDROCORTISON 100 MG INJ (100 MG VIAL),$81.09 2500008270,POTAS PHOSPH 15 MMOL/5 ML INJ,$81.75 2700008480,CS TRUWARE TRANSDUCEN KIT,$82.00 2700003520,CS INFANT CPAP SYSTEM,$82.00 4319754200,OT WHEELCHAIR MGMT TRAINING,$82.00 3008238000,LAB CAROTENE,$82.00 4219754200,PT WHEELCHAIR MGMT TRAINING,$82.00 2500007230,NALOXONE 1 MG INJ (0.4 MG VIAL),$82.66 2500004800,HETASTARCH 6% 500 ML INJ,$82.86 3008278404,LAB IGG,$83.00 3008278405,LAB IMMUNOGLOBULIN D,$83.00 3008704600,LAB STOOL CULTURE ADDT'L PATHOGENS,$83.00 3008538400,LAB FIBRINOGEN LEVEL,$83.00 4219753300,PT SENSORY INTEGRATION,$83.00 3008278402,LAB GAMMA GLOBULIN IGM,$83.00 3008278407,LAB IMMUNOGLOBULINS IGM,$83.00 3008278400,LAB GAMMA GLOBULIN IGA,$83.00 2700005540,"CS ORTH-GLSS SPLNT 6PEDS FUL ARM""",$83.00 3008278406,LAB IMMUNOGLOBULINS IGG,$83.00 3008278403,LAB IGA,$83.00 3008704500,LAB STOOL CULTURE WITH ISOLATION,$83.00 3008278401,LAB GAMMA GLOBULIN IGG,$83.00 3008668700,LAB HTLV-1,$83.00 3008707100,LAB PRESUMPTIVE ID NOT URINE OR B/,$83.00 3008411000,LAB PORPHOBILINOGEN 24HR,$83.00 3008004800,LAB BASIC METABOLIC PROFILE,$83.00 3008710200,LAB FUNGI OTHER SOURCE NOT SKIN,$83.00 2500008640,PYRIDOXINE 100 MG INJ (100 MG VIAL),$83.90 4319753501,OT HOME EVAL,$84.00 3008257500,LAB CREATININE CLEARANCE,$84.00 3008707500,LAB ANO2 CULTURE ANY SOURCE,$84.00 2700003480,CS I-GEL 02 RESUS SZ 5,$84.00 2700001170,CS CAST ARM SHORT FULL FIBERGLAS,$84.00 2700003460,CS I-GEL 02 RESUS SZ 3,$84.00 4219753500,PT HOME PROGRAM (T),$84.00 2700003470,CS I-GEL 02 RESUS SZ 4,$84.00 4319753500,OT DAILY LIVING TRAINING,$84.00 2700008360,CS TRAY SPINAL BUPIVICAIN 25G,$84.00 2500008210,PIPERACILLIN/TAZOBACTAM 1.125 GM INJ (4.5 GM VIAL),$84.26 2500004670,HEAMOPH B POLY CONJ-TET TOX/PF 10 MCG/0.5 ML,$84.46 3008707008,LAB CULTURE WOUND,$85.00 3008707002,LAB BORD. PERTUSS CULTURE,$85.00 3008561301,LAB RUSSELL'S VIPER VENOM DILUTED,$85.00 3008561300,LAB DRVVT MIX,$85.00 3008707005,LAB CULTURE GENITAL,$85.00 3008707010,LAB EAR CULTURE,$85.00 3008707012,LAB THROAT CULTURE,$85.00 4319711200,OT NEUROMUSCULAR BALANCE,$85.00 3008707001,LAB EYE CULTURE,$85.00 3008707013,LAB TISSUE CULTURE,$85.00 2700008230,CS TRACHEOSTOMY 2.5MM,$85.00 3008707004,LAB CULTURE CSF,$85.00 3008707003,LAB CULTURE CERVIX,$85.00 2700001400,CS CAST LEG SHORT POSTSPLINT 1/2,$85.00 3008707006,LAB CULTURE NASAL,$85.00 3008718600,LAB SENSITIVITIES BACTERIAL,$85.00 3008831101,LAB DECALCIFICATION PROCEDURE,$85.00 3008707011,LAB MISC CULTURE,$85.00 3008707007,LAB CULTURE SPUTUM,$85.00 3008554000,LAB LEUKOCYTE ALKALINE PHOSPATE,$85.00 3008707009,LAB CULTURE-AEROBIC ROUTINE,$85.00 4219711200,PT NEUROMUSCULAR BALANCE,$85.00 3008707000,LAB BONE CULTURE,$85.00 3008788000,LAB STREP SCREEN,$85.00 3008780400,LAB INFLUENZA A,$85.00 3008780401,LAB INFLUENZA B,$85.00 4509637400,ER TECH ADMIN IV PUSH PER STICK INITIA,$85.00 2500006060,LINAGLIPTIN 5 MG TAB,$85.07 2500003810,ER TOBRAMYCIN 0.3% OPTH SOLN ( 5 ML BTL),$85.56 2500009770,TOBRAMYCIN 0.3% OPH SOL (5 ML BTL),$85.56 3008295500,LAB GLUC-6-PHOS DEHYDROGENASE,$86.00 3008006900,LAB RENAL PROFILE,$86.00 3008406600,LAB PROSTATIC ACID PHOSPHATE,$86.00 3008208500,LAB ALDOLASE,$86.00 3008303600,LAB HEMAGLOBIN A1C (HGBA1C),$86.00 3008355001,LAB TOTAL IRON BINDING CAPACI,$86.00 3008355000,LAB IRON BINDING CAPACITY,$86.00 2500008870,RIVAROXABAN 10 MG TAB,$86.47 2500008880,RIVAROXABAN 15 MG TAB,$86.47 2700001090,CS CAST ARM LONG FULL FIBERGLASS,$87.00 3008218000,LAB VITAMIN C/ASORBIC ACID,$87.00 2700001360,CS CAST LEG SHORT FULL FIBERGLAS,$87.00 2700001420,CS CAST LEG SHORT POSTSPLINT 1/2,$87.00 3008717700,LAB DIRECT SMEAR,$87.00 2500009140,SITAGLIPTIN 50 MG TAB,$87.11 2500007870,PANTOPRAZOLE 40 MG GRANULES,$87.32 2500007660,ORPHENADRINE 60 MG INJ (60 MG VIAL),$87.55 2500003610,ER NEO/POLY/DEX OPTH SOLN (5 ML),$87.71 2500007290,NEOMY/POLYMYX B/DEX OPTH OINT (3 GM TUBE),$87.71 2500003600,ER NEO/POLY/DEX OPTH SOLN (5 ML),$87.71 2500003140,ENOXAPARIN 10 MG INJ (80 MG SYR),$87.77 2500010080,VANCOMYCIN 500 MG INJ (1000 MG VIAL),$87.77 2700006320,CS SILVASORB WOUND GEL 1.5OZ,$88.00 9812060000,"ED PRO FEE DRAIN/INJECT, JOINT/BURSA",$88.00 2700006950,CS SUT 10-0 ETHICON NYLON,$88.00 7615170000,TR BLADDER IRRIGATION SIMPLE,$88.00 7619652300,INF IRRIGATION OF IMPLANTED VENOUS,$88.00 3605170200,OR INSERTION BLADDER CATHETER,$88.00 3008499900,LAB REDUCING SUBSTANCES,$88.00 3008692100,LAB X-MATCH EA UNIT INCU,$88.00 4503600000,ER TECH INTRO OF NEEDLE/INTRACATH VEIN,$88.00 4609401000,RT PFS SPIROMETRY OCC HEALTH,$88.00 3009919500,LAB PHLEBOTOMY (THERAPU),$88.00 4219711000,PT THERAPEUTIC EXERCISE(T),$88.00 2700000880,CS BLADE-LAMELLAR,$89.00 2700005430,"CS ORTH-GLSS SPLNT 4ADLT FUL ARM""",$89.00 3008617100,LAB COMPLIMENT FIXATION,$89.00 3008448400,LAB TROPONIN I,$89.00 2500004060,FENTANYL 12 MCG/HR PATCH,$89.66 3008537900,LAB D-DIMER QUANTITIVE,$90.00 3008661100,LAB CAT SCRATCH IGG IGM,$90.00 2700007860,CS SUTURE 7-0 CHROMIC,$90.00 2700003960,"CS KNEE IMMOB 12 UNIVERSAL""",$90.00 3008666600,LAB EHRLIHIA ANTIBODY,$90.00 2700006130,CS SALEM SUMP 12FR,$90.00 3003660000,LAB DRAW FEE ARTERIAL,$90.00 7309300500,EKG,$90.00 5109920200,SPEC CLINIC EXAM ROOM NEW PATIENT 99202,$90.00 5109921300,SPEC CLINIC EXAM ROOM ESTABLISHED PT 99213,$90.00 3008710701,LAB FUNGUS ID,$91.00 2700000340,CS AIRTRAQ LARYNGOSCOPE ATQ-021,$91.00 4219775000,PT FUNCTION CAPACITY (T),$91.00 2700005550,"CS ORTH-GLSS SPLNT 6PEDS FUL LEG""",$91.00 3008704000,LAB BLOOD CULTURE,$91.00 3008710600,LAB FUNGI ID OF EACH YEAST,$91.00 3008734000,LAB HEPATITIS B SURF ANTIGEN,$91.00 2700000330,CS AIRTRAQ LARYNGOSCOPE ATQ-011 D,$91.00 2700005030,CS NEO TEE T RESUSCITATOR,$91.00 3008710700,LAB FUNGI ID OF EACH MOLD,$91.00 2500005090,HYPROMELLOSE 2.5% OPTH SOLN (15 ML BTL),$91.41 9812060500,"ED PRO FEE DRAIN/INJECT, JOINT/BURSA",$92.00 2700005420,"CS ORTH-GLSS SPLNT 4ADLT 1/2 LEG""",$92.00 2700004160,CS LMA-LARYNGEAL MASK AIRWAY,$92.00 2500003595,ER Pack Ofloxacin Ophthalmic Solution 0.3% 5 ml,$92.46 2500007580,OFLOXACIN 0.3% OPTH SOLN (5 ML BTL),$92.46 2500002000,CLOTRIMAZOLE/BETAMET CREAM 1%/0.5% 15GM TUBE,$93.07 2700007760,CS SUT O ENDOLOOPS PDS LIG EZ10G,$94.00 3008932500,LAB SPERM ABS,$94.00 2700000120,CS ABDOMINAL BINDER 46 IN-62 IN,$94.00 2700004130,"CS LENS,MORGAN MEDI-FLOW",$94.00 3008360500,LAB LACTIC ACID,$94.00 3008210400,LAB ALPHA 1 ANITYPYSIN PHENOTYPE,$94.00 3008416500,LAB PROTEIN ELECTROPHERESIS SERUM,$95.00 2700001130,CS CAST ARM LONG POSTSPLINT 1/2 F,$95.00 4219090100,PT BIOFEEDBACK,$95.00 2700002740,CS EPIDURAL TRAY CONT. BRAUN,$95.00 3008670600,LAB HEPATITIS B SURFACE AB,$95.00 4319711300,OT AQUATIC THERAPY,$95.00 3008239000,LAB CERULOPLASMA,$95.00 2500001450,CANAGLIFLOZIN 100 MG TAB,$95.41 2500010040,VALPROATE 500 MG/5 ML INJ,$95.42 3008530101,LAB ANTITHROMBIN III ANTIGEN,$96.00 3008411900,LAB PORPHYRINS URINE,$96.00 3008711600,LAB ACID FAST CULTURE SPUTUM,$96.00 9879923100,PRO FEE SUBSEQUENT HOSPITAL CARE,$96.00 9812912500,ED PRO FEE APPLY FOREARM SPLINT,$96.00 3008530100,LAB ANTI THROMBIN III,$96.00 3008711601,LAB AFB CULTURE,$96.00 2500007490,NOREPINEPHRINE 4MG/4ML INJ,$96.37 2500006970,MOMETASONE 0.1% CREAM (15 GM TUBE),$96.60 2500009370,SODIUM POLYSTYRENE 15 GM/60 ML BTL,$96.82 3008033500,LAB AMITRIPTYLINE,$97.00 3008030500,LAB DRUGS OF ABUSE (URINE),$97.00 3008032301,LAB NICOTINE URINE,$97.00 3008034800,LAB BUPRENORPHINE,$97.00 3008034202,LAB RISPERADOL,$97.00 9811130500,ED PRO FEE SHAVE SKIN LESION,$97.00 3008032300,LAB NICOTINE SERUM,$97.00 3008036700,LAB PROPOXYPHENE,$97.00 3008032901,LAB SALICYLATE,$97.00 3008030700,LAB DRUGS OF ABUSE MECONIUM,$97.00 3008036101,LAB HYDROCO SCR BLD,$97.00 2700008710,CS TUBE STOMACH 14FR REDRUBBER,$97.00 3008036100,LAB CODEINE LEVEL,$97.00 3008035800,LAB METHADONE SERUM,$97.00 3008034900,LAB THC SCREEN-MARIJUANA,$97.00 3008032400,LAB AMPHETAMINE,$97.00 3008030501,LAB METHADONE URINE,$97.00 3008037500,LAB MERCAPTOPURINE,$97.00 3008034700,LAB BENZODIAZEPINES,$97.00 3008032000,LAB ALCOHOL ETHANOL,$97.00 3008030701,LAB DRUGS OF ABUSE NP (URINE),$97.00 3008034600,LAB XANAX,$97.00 3008033501,LAB PAMELOR LEVEL,$97.00 3008032900,LAB ACETAMINOPHEN,$97.00 3008033700,"LAB TRICYCLIC ANTIDEPRESSANTS, QUANT, URINE",$97.00 3008032910,"LAB ANALGESIC, NON OPIOD",$97.00 2500000300,ACTIVATED CHARCOAL 8 OZ POWDER,$97.43 4319753000,OT THERAPUETIC ACTIVITIES,$98.00 4219776100,PT PROSTHETIC TRAINING (T),$98.00 4219753000,PT THERAPEUTIC FUNCTION ACT,$98.00 4319711000,OT THERAPEUTIC EXERCISE,$98.00 2500000730,ARFORMOTEROL 15 MCG (15 MCG NEB),$98.70 3008603900,LAB ANA TITER,$99.00 9609921300,OFFICE VISIT EST LEVEL 3,$99.00 4219583300,PT MUSCL TST MANUAL BODY/HAND,$99.00 3601738000,OR EPILATION BY ELECTRO SURGERY,$99.00 4109466400,RT SPUTUM INDUCTION,$99.00 4609466800,RT CPT SUBSEQUENT,$99.00 9871120000,PRO FEE SHAVING OF EPIDERMAL OR DERMAL LESION,$99.00 4609466400,RT DEMO AND/OR EVAL,$99.00 2500004300,FLUTICASONE 0.05% NASAL SPRAY (16 GM BTL),$99.36 3008818700,LAB FLOW CYTOMETRY INTERP,$100.00 3008670900,"LAB HEP A ANTIBODY, IGM",$100.00 3008370000,LAB LIPOPROTEIN ELECTRO-LDL,$100.00 3008692200,LAB ANTIGLOBULIN TECH,$100.00 3008692700,LAB FRESH FROZEN PLASMA THAWING,$100.00 3008818800,LAB FLOW CYTOMETRY 9-15 MARKERS,$100.00 9879922500,PRO FEE SUBSEQUENT OBSERVATION CARE MODERATE,$100.00 9644375300,ANESTH INTUBATION LAVAGE GASTRIC,$100.00 2500007040,MORPHINE 10 MG PF INJ (10 MG AMP),$100.30 3008733900,LAB H PYLORI IGG SCREEN,$101.00 3008663500,LAB COCCIDIDOISOS ABY,$101.00 3008463000,LAB ZINC SERUM,$101.00 3008666800,LAB TULARENSIS FRAN ABS,$101.00 9819928200,ED PRO FEE CC_EMERGENCY DEPT VISIT,$101.00 2700001280,CS CAST LEG LONG FULL FIBERGLASS,$101.00 3008352500,LAB INSULIN TOTAL,$101.00 2500006660,METHYLPREDNISOLONE ACETATE 80 MG INJ (80 MG VIAL),$101.25 2500009010,SCOPOLAMINE 1.5 MG/72 HR PATCH,$101.45 3008673500,LAB MUMPS ABS,$102.00 3008351605,LAB PHOSPHTIDYLETHANOLAMIN ABS IGG,$102.00 3008351602,LAB ANCA PROFILE IMMUNOASSAY,$102.00 3008351609,LAB RIBONSOMAL P PROTEIN AB,$102.00 3008665802,LAB COXSACKIE A24 IGM,$102.00 3008789903,LAB SHIGALA TOXIN,$102.00 3008459000,LAB VITAMIN A,$102.00 3008530500,LAB PROTEIN S ANTIGEN,$102.00 3008670700,LAB HEP B-E ANTIBODY,$102.00 3008665800,LAB COXSACKIE A16 IGM,$102.00 3008351607,LAB PHOSPHTIDYLETHANOLAMIN ABS IGM,$102.00 3008521000,LAB FACTOR II ACTIVITY,$102.00 3008789900,LAB IMMUNOASSAY WITH DIRECT OBS,$102.00 3008351600,LAB ALPHA SUBUNIT FREE,$102.00 3008665801,LAB POLIOVIRUS ABS,$102.00 3008789902,LAB PNEUMOCOCCAL ANTIGEN,$102.00 3008789901,LAB INFECTIOUS AGENT AG,$102.00 3008265600,LAB PANCREATIC ELASTASE,$102.00 3008255300,LAB CK-MB,$102.00 3008351612,LAB MULTIPLE STEP METHOD,$102.00 3008351608,LAB ANTI PROTEIN ACE 3 ANTIBO,$102.00 3008351601,LAB IMMUNO ASSAY NON ANTIBODY,$102.00 3008665804,LAB COXSACKIE A9 IGM,$102.00 2700003620,CS IRIS RETRACTOR,$102.00 3008351604,LAB ANTI HISTONE ABS,$102.00 3008351603,LAB PHOSPHTIDYLETHANOLAMIN ABS IGA,$102.00 2700007910,CS T-TUBE PE TUBE 1.32 MM SILICON,$102.00 3008735000,LAB HEP BE ANTIGEN,$102.00 3008351606,LAB ANTI MYERO PEROXIDASE ANT,$102.00 3008351611,LAB ANTIGLIADIN ANTIBODY,$102.00 3008351610,LAB ANTI TISSUE TRANSGLUTAMINASE,$102.00 3008665803,LAB COXSACKIE A7 IGM,$102.00 2500008490,PROCHLORPERAZINE 10 MG INJ (10 MG VIAL),$102.12 9879946200,PRO FEE NORMAL NEWBORN CARE/HOSPITAL,$103.00 3008552000,LAB FACTOR XA,$103.00 3008666300,LAB EBV EA,$103.00 9812061200,ED PRO FEE ASPIRATE/INJ GANGLION CYST,$103.00 3008666301,LAB EPSTEIN BARR VIRUS EA,$103.00 3008552001,LAB HEPARIN ANTI XA,$103.00 2700002760,CS EPILATION NEEDLE,$103.00 9816522000,ED PRO FEE REMOVE FOREIGN BODY FROM EYE,$103.00 3008779810,LAB MYCO PLASMA & REA PLASMA PCR,$103.00 3008669500,LAB HERPES SIMPLE TYPE I,$104.00 3008674103,LAB N MENINGITISIS TYPE Y IGG,$104.00 3008661503,LAB BORDETELLA PERTUSSIS IGM,$104.00 3008674102,LAB N MENINGITISIS TYPE W-135 IGG,$104.00 3008673800,LAB MYCOPLASMA PNEUMONIAL ABS,$104.00 3008674101,LAB N MENINGITISIS TYPE C IGG,$104.00 3008018500,LAB DILANTIN,$104.00 3008676800,LAB SALMONELLA TYPNI ABS,$104.00 3008661502,LAB BORDETELLA PERTUSSIS IGG,$104.00 3008672000,LAB LEPTOSPIROSIS ABS,$104.00 3008661501,"LAB BORDETELLA PERTUSSIS IGG,M,A",$104.00 3008621500,LAB ANTI-DNA ASE B,$104.00 3008530000,LAB ANTITHROMBIN III ACTIVITY,$104.00 3008678000,LAB FLUORESCENT TREPENAMAL AB,$104.00 3008016200,LAB DIGOXIN,$104.00 3008674100,LAB N MENINGITISIS TYPE A IGG,$104.00 3008661500,LAB BORDETELLA PERTUSSIS IGA,$104.00 2700005480,"CS ORTH-GLSS SPLNT 4PEDS FUL LEG""",$104.00 3008690400,LAB ANTIGEN SCREENING FOR COMP BLO,$104.00 3008663100,LAB CHLAMYDIA ABS IGG,$104.00 3008670500,LAB HEP B CORE AB IGM,$104.00 3008006100,LAB LIPID PROFILE,$105.00 3008255200,LAB CK-ISO,$105.00 3008210300,LAB ALPHA-1 ANTITRYPSIN W/O,$105.00 3008020100,LAB TOPAMAX,$105.00 2500006330,MANNITOL 20% inj (100 GM/500 ML BAG),$105.16 2500007910,PEG 4000 ML SOLN,$105.82 3008742500,LAB ROTAVIRUS ANTIGEN SCREEN,$106.00 9642055300,CRNA ANESTH TRIGGER POINT INJ > 3,$106.00 3008625504,LAB ANTIPARIETAL CELL ANTIBOD,$106.00 3008530200,LAB PROTEIN C ANTIGEN,$106.00 3008671001,LAB INFLUENZA B QUANT,$106.00 3008625601,LAB ANTI PARIETAL CELL AB,$106.00 3008633100,LAB ALG SPEC STEMPHYLIUM SOLANI,$106.00 3008616003,LAB COMPLIMENT C3,$106.00 4219599200,PT CANALITH REPOSITIONING PROC,$106.00 2700008090,CS THERMASPLINT SINGLES,$106.00 3008616005,LAB COMPLIMENT C6,$106.00 3008625501,LAB FLUORESCENT NONINFECTIOUS AGEN,$106.00 3008016400,LAB VALPROIC ACID-DEPAKENE,$106.00 3008616008,LAB COMPLIMENT C9,$106.00 3008020200,LAB RANDOM VANCOMYCIN,$106.00 3008616000,LAB C1 ESTERASE INHIBITOR,$106.00 3008616006,LAB COMPLIMENT C7,$106.00 3008732900,LAB INFECT AGENT AG BY EIA,$106.00 3008625503,LAB ANTIMITROCHONDRAIL,$106.00 3008625603,LAB P-ANCA,$106.00 3008616007,LAB COMPLIMENT C8,$106.00 9812055300,"ED PRO FEE INJECT TRIGGER POINTS, =/> 3",$106.00 3008020202,LAB VANCOMYCIN TROUGH,$106.00 3008616002,LAB COMPLIMENT C2,$106.00 3008732400,LAB CLOSTRIDIUM DIFF A & B,$106.00 3008616001,LAB COMPLEM C1 ESTERAS INHIBI,$106.00 3008625500,LAB ANTI ADRENAL ABS,$106.00 3008351613,LAB ANTI-SMOOTH MUSCLE,$106.00 3008625502,LAB ANTI NUCLEAR ANTIBODY-ANA,$106.00 3008020201,LAB VANCOMYCIN PEAK,$106.00 3008744900,LAB URINE LEGIONELLA PNEUMOPH,$106.00 3008732800,LAB INFECT AGENT AG BY EIA,$106.00 3008616004,LAB COMPLIMENT C4,$106.00 3008670400,LAB HEP B CORE AB,$106.00 3008625600,LAB ANCA,$106.00 3008616100,LAB C1 ESTERASE FUNCTIONAL,$106.00 3008671000,LAB INFLUENZA A QUANT,$106.00 2700002720,CS EPIDURAL NEEDLE TRAY HUSTEAD,$106.00 3008625602,LAB C-ANCA,$106.00 3008780700,LAB RSV (SYNCYTIAL VIRUS,$106.00 3008932100,LAB SEMEN ANALYSIS-POST VASEC,$106.00 2500007450,NITROGLYCERIN PREMIX 5 MG INJ (50 MG BTL),$106.67 3008018600,LAB FREE PHENYTOIN,$107.00 3008272800,LAB FERRITIN,$107.00 3008663800,LAB Q FEVER,$107.00 3008388302,LAB FREE LIGHT CHAIN W/ K/L RATIO,$107.00 3008622501,LAB ANTI-DNA ANTIBODY,$107.00 3008670300,LAB HIV-1,$107.00 3008388300,LAB ALPA 2 MACROGLOBULINS,$107.00 3008622500,LAB ANTI DSDNA TITER,$107.00 3008019700,LAB TACROLIMUS,$107.00 3008663802,LAB Q FEVER IGM,$107.00 3008603800,LAB ANA,$107.00 3008622502,LAB DNA ABS,$107.00 3008663801,LAB Q FEVER IGG,$107.00 3008388301,LAB RETINOL BINDING PROTEIN,$107.00 3008365500,LAB LEAD,$107.00 4219760500,PT WOUND VAC < 50 SQ CM,$107.00 3008233000,LAB CALCIUM IONIZED,$107.00 2500007540,"NYSTATIN POWDER 100,000 U/GRAM (15 GM BTL)",$107.09 2700006190,CS SALT AIRWAY SYSTEM,$108.00 3008667100,LAB ABS FUNGUS NOT ELSEWHERE SPECI,$108.00 9816520500,ED PRO FEE REMOVE FOREIGN BODY FROM EYE,$108.00 3008237500,LAB CARBON MONOXIDE,$108.00 9812973000,ED PRO FEE WINDOWING OF CAST,$108.00 3008530300,"LAB PROTEIN C, FUNCTIONAL",$108.00 9811200100,ED PRO FEE REPAIR SUPERFICIAL WOUND(S),$108.00 3008252500,LAB COPPER SERUM/URINE,$109.00 3008018400,LAB PHENOBARBITAL,$109.00 3008670800,LAB HEP A TOTAL,$109.00 2700005810,CS PLEUR-EVAC WITH H20 ADULT/PEDI,$109.00 3008670801,LAB HEPATITIS A IGG,$109.00 3008212800,LAB AMINO ACID-QUALITATIVE,$109.00 2500003090,ENOXAPARIN 10 MG INJ (100 MG SYR),$109.74 9609925100,INPT CONSULTATION LOW,$110.00 3008019800,LAB THEOPHYLLINE,$110.00 3008352002,LAB INHIBIN B,$110.00 3008352003,LAB INSULIN LIKE GROWTH FACTOR 3,$110.00 3008561200,LAB RUSSELL VIPER VENOM TEST,$110.00 9609920200,OFFICE VISIT NEW LEVEL 2,$110.00 3008352000,LAB ANTI GLOMERULAR BASEMENT MEMBR,$110.00 2700001320,CS CAST LEG LONG POSTSPLINT 1/2 F,$110.00 3008714300,LAB ANO2 ID GAS CHROM,$110.00 3008352005,LAB TRYPTASE,$110.00 3008301000,LAB HAPTOGLOBIN,$110.00 3008239700,LAB CHAMILUMINE SCENT ASSAY,$110.00 3008669800,LAB HISTOPLASMOSIS,$110.00 3008352001,LAB HSVE/ANT (HERPES VIR,$110.00 3008352004,LAB LEPTIN,$110.00 4609466700,RT CPT INITIAL,$110.00 9873255400,PRO FEE THORACENTESIS WITHOUT IMAGE GUIDANCE,$110.00 3008352010,FREE KAPPA/LAMBDA LIGH SERUM,$110.00 4609464000,RT AIRWAY INHALATION TREATMENT,$110.00 2500004640,HAEMPH B POLYSAC CONJ-MENIN/PF 7.5 MCG/0.5 ML,$110.07 2500009640,TESTOSTERONE 1 MG INJ (200 MG VIAL),$110.40 3000000001,LAB HAIR DRUG TEST,$111.00 3008663200,LAB CHLAMYDIA ABS IGM,$112.00 3008444600,LAB VITAMIN E,$112.00 3008448000,LAB T3 TOTAL,$112.00 2700008680,CS TUBE PE 1.27MM,$112.00 3008680300,LAB HEPATITIS C ANTIBODY,$112.00 3008678901,LAB WEST NILE VIRUS IGG,$113.00 3008678900,LAB WEST NILE VIRUS CSF,$113.00 9811585100,ED PRO FEE REMOVAL OF SUTURES,$113.00 3008733800,LAB H PYLORI STOOL,$113.00 4319776000,OT ORTHOTIC FITTING/TRAINING,$113.00 3008677700,LAB TOXOPHASMOSIS IGG,$113.00 3008664400,LAB CMV - CYTOMEGALOVIRUS ABS IGG,$113.00 3008733801,LAB HELICOBACTER PYLORI ANTIGEN-ST,$113.00 3008677800,LAB TOXOPLASMOSIS ABS,$113.00 3008677801,"LAB TOXOPLASMOSIS, IGM",$113.00 2700005510,"CS ORTH-GLSS SPLNT 6ADLT FUL ARM""",$113.00 3008420200,LAB RBC PROTOPORPHYRIN,$113.00 3008446600,LAB TRANSFERRIN,$113.00 9812061000,"ED PRO FEE DRAIN/INJECT, JOINT/BURSA",$113.00 3008669401,LAB HERPES SIMPLEX TYPE I & II IGG,$113.00 3008294300,LAB GLUCAGON,$113.00 4219776000,PT ORTHOTIC TRAINING/FITTING BRAC,$113.00 3008362500,LAB LDH ISOENZYMES,$113.00 3008669400,LAB HERPES SIMPLEX I & II IGM,$113.00 3008676200,LAB RUBELLA,$113.00 3008637600,LAB ANTIMICROSOMAL ANTIBODIES,$114.00 3008679000,LAB HANTAVIRUS IGG,$114.00 3008667702,LAB H PYLORI IGM,$114.00 3008620000,LAB ANTI CYCLIC CITRULLIN PEPTIDE,$114.00 3008017300,LAB HALDOL,$114.00 3008349700,LAB SEROTONIN URINE,$114.00 3008660300,LAB ADENOVIRUS,$114.00 3008667700,LAB H PYLORI IGA,$114.00 3008352700,LAB INSULIN FREE,$114.00 3008387401,LAB MYOGLOBIN SERUM,$114.00 3008302000,LAB HEMOGLOB ELECTROPHOR,$114.00 3008679001,LAB HANTAVIRUS IGM,$114.00 3008667701,LAB H PYLORI IGG,$114.00 3008358600,LAB KETO STEROIDS (17-KS,$114.00 3008678700,LAB VARICELLA ZOSTER IGM,$114.00 3008676500,"LAB RUBEOLA AB, IGM QUANT",$114.00 3008015600,LAB TEGRETOL,$114.00 3008214000,LAB AMMONIA,$114.00 3008394500,LAB OXALATE (URINE),$114.00 3008660900,LAB SERO TYPE,$114.00 2700000520,CS AMNISURE TEST,$114.00 3008295100,LAB GLUCOSE TOLERANCE 2HR GTT,$114.00 3008660901,LAB STREP PNEUMO ABS IGG,$114.00 9812970500,ED PRO FEE REMOVAL/REVISION OF CAST,$114.00 3008369500,LAB LIPOPROTEIN (A),$114.00 3008637602,LAB ANTUTHYROID PEOXIDASE,$114.00 3008678701,"LAB VARICELLA-ZOSTER AB, IGG",$114.00 3008637601,LAB MICROSOMAL AB THYROID/LIVER-KI,$114.00 3008387400,LAB MYOGLOBIN,$114.00 3008236000,LAB CALCULUS ANALYSIS,$114.00 3008614100,LAB C REACTIVE PROTEIN (HS),$114.00 2500009850,TRANEXAMIC ACID 1 GM/10 ML INJ,$114.26 3008019400,LAB QUINIDINE,$115.00 2700005020,"CS NEEDLE,COLO BOVIE TIP,ELECT",$115.00 3008413400,LAB PRE-ALBUMIN,$115.00 2700008320,CS TRAY LUMBAR PUNCTURE ADULT 22G,$115.00 2700008980,CS VENT TUBE PAPARELLA 1.52,$115.00 3008216400,LAB ANGIOTENSIN-1 CONVERT ENZ,$115.00 2500007530,"NYSTATIN CREAM 100,000 UNITS/GM (30 GM TUBE)",$115.92 2500000320,ACYCLOVIR 5 MG INJ (1000 MG VIAL),$115.92 2700004660,CS MULTIFIRE GIA 60 REFILL,$116.00 3008412000,LAB PORPHYRINS URINE QUANT/FRACT,$116.00 3008274600,LAB FOLIC ACID,$116.00 3008444200,LAB THYROXINE BIND GLOBU,$116.00 3008408000,LAB ALK PHOS BONE SPECIFIC,$116.00 3008412001,LAB URINE PORPHYRINS RANDOM,$116.00 3008408002,LAB ALP ISOENZYMES,$116.00 3008408001,LAB BONE SPECIFIC ALKALINE PHOSPHA,$116.00 3008667400,LAB GIARDIA LAMBLIA,$116.00 9879301800,PRO FEE CARDIO STRESS TEST (TREAD MILL & REPORT ONLY),$116.00 3008351903,LAB PARATHYROID HORMONE RELATED PE,$117.00 3008351904,LAB THYROTROPIN RECEPTOR ANTIBODY,$117.00 2700005500,"CS ORTH-GLSS SPLNT 6ADLT 1/2 LEG""",$117.00 3008631700,LAB IMMUNOASSAY FOR INFECT AGENT A,$117.00 2700004080,CS LARYNGOSCOPE KING VISION BLADE,$117.00 3008351902,LAB ANTI GAD ABS,$117.00 2700003980,"CS KNEE IMMOB 20 UNIVERSAL""",$117.00 3008351901,LAB QUANT RADIOIMMUNO ASSAY,$117.00 3008351900,LAB ACETYCHOLINE,$117.00 2700000730,"CS BARD FLAT MESH 1 X 4""""",$117.00 2509067510,"CHLOROPROCAINE 2% VIAL 400 mcg, 20 mL",$117.63 2500005030,HYDROXYZINE 25 MG INJ (50 MG VIAL),$117.91 3008298500,LAB FRUCTOSAMINE,$118.00 3008261000,LAB CYSTATIN C,$118.00 3008015001,LAB AMIKACIN PEAK,$118.00 3008660600,LAB ASPERGILLUS ABY,$118.00 3008602100,LAB ANTIBODY ID WBC,$118.00 3008634000,LAB INTRINSIC FACT ABS,$118.00 3008674701,LAB PARVOVIRUS IGM,$118.00 3008674700,LAB PARVOVIRUS IGG,$118.00 3008470200,LAB HCG SERUM QUANTITIVE,$118.00 3008260700,LAB VITAMIN B-12,$118.00 3008015000,LAB AMAKACIN TROUGH,$118.00 2700001650,CS CAUTERY HAND PENCIL,$118.00 3008029908,LAB FLUVOXAMINE (LUVOX LEVEL),$119.00 3008029911,LAB METHOTREXATE,$119.00 3008029903,LAB DESYREL,$119.00 3008029910,LAB KEPPRA ANTI CONVULSC DRUG,$119.00 3008029904,LAB RAPAMUNE SERUM,$119.00 3008029913,LAB QUAT OF DRUG,$119.00 3008017500,LAB LAMICTAL,$119.00 3008029902,LAB IBUPROFEN,$119.00 2700005980,CS PUNCTUAL OCCLUDER MED,$119.00 3008029905,LAB DEXAMETHASONE,$119.00 3008029912,LAB NEURONTIN,$119.00 3008029916,LAB VORICONAZOLE,$119.00 3008029909,LAB INDERAL (PROPRANOLOL),$119.00 3008029900,LAB AMIODARONE,$119.00 3008029915,LAB TRILEPTAL LEVEL,$119.00 3008029901,LAB BURPROPRION (WELLBUTRIN),$119.00 2700005970,CS PUNCTUAL OCCLUDER LG,$119.00 3008029914,LAB SEROQUEL,$119.00 3008029906,LAB DUPROPRION (WELLBUTRIN),$119.00 3008029907,LAB FLUOXETINE (PROZAC),$119.00 2700003950,CS KING TUBE SIZE 3-5,$119.88 2500002790,"DIPH, PERTUSS (ACELL), TET PED 0.5 ML INJ",$119.88 3008710900,LAB CULTURE MYCOPLASMA,$120.00 3008710901,LAB MYCOPLASMA PNEUMONIAL CUL,$120.00 3008530700,LAB ACTIVATED PROTEIN C,$120.00 3008671302,LAB LEGIONELLA/ 3,$120.00 3008710902,LAB UREAPLASMA/MYCOPLASMA,$120.00 3008530701,LAB APC RESISTANCE,$120.00 3008671300,LAB LEGIONELLA/ 1,$120.00 3008666400,LAB EPSTEIN BARR VIRUS NA,$120.00 3008530601,"LAB PROTEIN S, FREE",$120.00 3008530600,LAB PROTEIN S FUNCTIONAL,$120.00 3008671301,LAB LEGIONELLA/ 2,$120.00 3008666401,LAB VCA IGG,$120.00 9879922600,PRO FEE SUBSEQUENT OBSERVATION CARE HIGH,$120.00 2500000910,AZELASTINE SPRAY 30 ML BTL,$120.06 2500002770,"DIPH, PERTUS (ACEL), TET PED 0.5 ML INJ",$120.34 2500008030,PHENOBARBITAL 120 MG INJ (65 MG VIAL),$120.34 9812951500,ED PRO FEE APPLICATION LOWER LEG SPLINT,$121.00 2700001070,CS CARTER TOMASSON CLOSURE DEVICE,$121.00 2700000740,CS BED ALERT PAD,$121.00 2700004030,CS KUMAR CHOLANGIO CATH,$121.00 3008818500,LAB FLOW CYTOMETRY EA ADD'L MARKER,$121.00 3008818501,LAB IGE RECEPTOR AB REMARK,$121.00 4609476000,RT OXIMETRY,$121.00 2500000390,ALBUTEROL 8 G INHALER,$121.77 2500003280,ER ALBUTEROL 8 GM INHALER (1 INHALER),$121.77 3008633600,LAB INHIBIN-A,$122.00 3008661700,LAB LYME DISEASE CONFIRMATION,$122.00 3008458500,LAB VANILLYMANDELIC ACID,$122.00 3008680400,LAB HEPATITIS C RIBA,$122.00 2700002220,CS DEFIBULATOR ZOLL ADULT PAD,$123.00 9812950500,"ED PRO FEE APPLICATION, LONG LEG SPLINT",$123.00 3008448200,LAB REVERSE T3,$123.00 2700005670,"CS PE TUBE, TITANIUM 0.76MM",$123.00 3008005300,LAB COMPREHENSIVE METAB PROF,$124.00 3008668400,LAB HAEMOPHILUS INFLUENZA,$124.00 2500008131,"PHYTONADIONE 1 MG/0.5 ML SYR 1 mcg, 0.5 mL",$124.20 3008831300,LAB B-M S1 STAIN,$125.00 2700002620,CS ENDOLOOP 18 IN,$125.00 3008814100,LAB PATHOLOGIST DIAG,$125.00 3008680000,LAB ANTITHYROGLOBULIN AB,$125.00 4219754600,PT WORK HARDENING ADTL HRS,$125.00 3008697800,LAB DIFF/AUTO ADS OF SERUM,$125.00 3008614800,LAB ANTIPHOSPHOLIPID AB,$125.00 3008810401,"LAB CYTOPATHOLOGY FLUIDS, WASTING,",$125.00 2700005820,CS PLEURX DRAIN LINE,$125.00 3008816100,LAB CYTOLOGY MISC SMEAR,$125.00 2700005440,"CS ORTH-GLSS SPLNT 4ADLT FUL LEG""",$125.00 3008831301,LAB IRON STAIN,$125.00 3008831302,LAB PATHOLOGY IRON STAIN S1,$125.00 3008831303,LAB S-1 IRON STAIN,$125.00 3008816101,LAB CYTOPATHOLOGY (88161),$125.00 3008830200,LAB PATHOLOGY LEVEL II (88302),$125.00 3008680001,LAB THYROID GLOBULIN AB,$125.00 3008443200,LAB THYROGLOBULIN AB,$125.00 3008216300,LAB ANGIOTENSIN II,$125.00 3008810800,LAB CYTOPATHOLOGY (88108),$125.00 3008810400,LAB CYTOPATHOLOGY (88104),$125.00 4219760600,PT WOUND VAC > 50 SQ CM,$126.00 3008223200,LAB BETA 2 MICROGLOBIN,$126.00 3008020000,LAB TOBRAMYCIN LEVEL,$126.00 2700000890,CS BLUNT PORT,$126.00 2500003470,CEPHALEXIN 250 MG/5 ML SUSP (100 ML BTL),$126.96 2500003480,ER CEPHALEXIN 250 MG/5 ML SUSP (100 ML BTL),$126.96 9811700000,ED PRO FEE DESTRUCT PREMALG LESION,$127.00 2500009660,TETANUS/DIPTHERIA VACCINE (PEDIATRIC),$127.44 3008017001,LAB GENTAMYCIN PEAK,$128.00 9646449401,CRNA ANESTH INJ FACET JNT L/S LVL2 LT,$128.00 3008382500,LAB MERCURY,$128.00 3008253300,LAB CORTISOL TOTAL U/S,$128.00 2700003330,CS HEALON 5,$128.00 9811130600,ED PRO FEE SHAVE SKIN LESION,$128.00 3008017002,LAB GENTAMYCIN TROUGH,$128.00 3008017000,LAB GENTAMICIN RANDOM,$128.00 9646449402,CRNA ANESTH INJ FACET JNT L/2 LVL2 RT,$128.00 2700009080,CS VT GROMMET 1.25M,$128.00 2500004790,HEPATITIS B VACCINE/PF 5 MCG/0.5 ML INJ (PED),$128.06 2500007330,NICARDIPINE 2.5 MG/1 ML (10 ML VIAL),$128.18 3008278500,LAB IGE,$129.00 9646448450,CRNA ANESTH ESU TRABS ADD ON BILATERAL,$129.00 2700005560,"CS ORTH-GLSS SPLNT 6PEDS FUL LEG""",$129.00 3008391900,"LAB ORGANIC ACID ANALYSIS, URINE",$129.00 3008213500,LAB AMINOLEVULINIC ACID (ALA),$129.00 9646448402,CRNA ANESTH ESI TRANS ADD ON RT,$129.00 9646448401,CRNA ANESTH ESI TRANS ADD ON LT,$129.00 5109920300,SPEC CLINIC EXAM ROOM NEW PATIENT 99203,$129.00 2500008560,PROPOFOL 10 MG INJ (1000 MG VIAL),$129.60 2500003950,ETHYL CHLORIDE SPRAY,$129.60 2500009500,SULF/TRIM 200 MG/40 MG/5 ML SUSP (100 ML BTL),$129.89 250003780,ER PACK Sulfa/Trim 200 mg/40 mg/5 ml (100 ml Bottle),$129.89 4219583400,PT MUSCLE TEST MAN W HAND,$130.00 3008018800,LAB PRIMIDONE,$130.00 9646449501,CRNA ANESTH INJ FACET JNT L/S LVL3LT,$130.00 3008710300,LAB FUNGI CULTURE BLOOD,$130.00 9646449502,CRNA ANESTH INJ FACET JNT L/S LVL3 RT,$130.00 5109921400,SPEC CLINIC EXAM ROOM ESTABLISHED PT 99214,$130.00 7619760500,INF DPWT <50 SQ CM (WOUND VAC APPLICATION),$130.00 2500001690,CHARCOAL/SORBITOL SOLN (50GM TUBE),$130.55 3008253000,LAB CORTISOL FREE U/S,$131.00 3008210500,LAB AFP SCREEN,$131.00 3008444300,LAB TSH,$131.00 3008271000,LAB INDIA INK PREP,$131.00 3008300300,LAB GROWTH HORMONE (HGH),$131.00 2500003150,ENOXAPARIN 10 MG INJ(120 MG SYR),$131.65 390P905900,LAB FRESH FROZEN PLASMA 8 - 24 HRS,$132.00 3008213902,LAB AMINO ACID QUANT,$132.00 3008687000,LAB RBC AB ID,$132.00 3008309000,LAB HOMOCYSTEINE,$132.00 3008237900,LAB CARNITINE FREE & TOTAL,$132.00 3008213600,LAB AMINO ACID 2-5,$132.00 3601173000,"OR AVULSION NAIL PLTE, SIMPLE SGL",$132.00 3008664500,LAB CYTOMEGALOVIRUS IGM,$132.00 3008213900,LAB AMINO ACID CHROMO FRACT,$132.00 7205902500,LDRP OB NON STRESS TEST MONITOR,$132.00 2700001740,CS CERVICAL COLLAR SMALL,$132.00 3008213901,LAB AMINO ACID PROFILE QUANTITATIV,$132.00 4319754600,OT WORK HARDENING ADD'L HRS,$132.00 3008678800,LAB WEST NILE VIRUS IGM,$132.00 4609464200,RT NEB W/PENTAMIDINE,$132.00 2500009960,TROPICAMIDE 1% OPTH SOLN (15 ML BTL),$132.19 3008448100,LAB FREE T3,$133.00 3008383500,"LAB METANEPHRINES, URINE/SERUM",$133.00 2700001620,CS CATHETER UMBILICAL 5.0 F,$133.00 7319327000,EVENT MONITOR HOOKUP,$133.00 2700003580,CS INTRAUTERINE PRESSURE CATHETER,$133.00 3008418100,LAB 68 KD,$134.00 3008661800,LAB LYME/A,$134.00 3008223901,LAB BILE ACIDS,$134.00 3008217201,LAB APOLIPOPROTEIN B-1,$134.00 3008661801,LAB LYME/B,$134.00 2700005650,CS PE TUBE PAPARELLA ACTIVENT 1.1,$134.00 3008217200,LAB APOLIPOPROTEIN A-1,$134.00 3008392100,LAB METHYL MALONIC ACID SERUM,$134.00 2500008240,POLIOMYELITIS VACCINE (0.5 ML SYR),$134.87 9811201100,ED PRO FEE REPAIR SUPERFICIAL WOUND(S),$135.00 2700004180,CS MALYUGIN RING,$135.00 2700006070,CS RESQPOD,$135.00 3207104500,X-RAY CHEST 1 VIEW,$135.00 9815170200,"ED PRO FEE INSERTION OF TEMPORARY INDWELLING BLADER CATHETER,SIMPLE",$135.00 2500004740,HEPATITIS A VACCINE/PF (PED) 25 UNIT/0.5 ML INJ,$135.13 2500000510,AMIKACIN 100 MG INJ (1000 MG VIAL),$135.30 3008274700,LAB RBC FOLATE,$136.00 2500000220,ACETAZOLAMIDE 500 MG INJ (500 MG VIAL),$136.08 2700006540,CS SPOT ENDOSCOPIC MARKER,$137.00 3008349100,LAB 17 HYDROXY CORTICOST,$137.00 9811173000,ED PRO FEE REMOVAL OF NAIL PLATE,$137.00 3207302001,X-RAY SHOULDER 1V LEFT,$137.00 3207302002,X-RAY SHOULDER 1V RIGHT,$137.00 2500000421,SOD FER GLUC CPLX 12.5 MG ( 5 ML VIAL),$137.38 3008294100,LAB GASTRIN,$138.00 4219716400,PT RE-EVALUATION,$138.00 2700008240,CS TRACHEOSTOMY 3.5MM,$138.00 9813090100,ED PRO FEE CONTROL OF NOSEBLEED,$138.00 2500007850,PALONOSETRON 25 MCG INJ (250 MCG VIAL),$138.00 2500005170,IMIPENEM/CILASTATIN 250 MG INJ (500 MG VIAL),$138.00 2500009700,TETRAVISC 0.5% OPTH SOLN (5 ML BTL),$138.77 2700006830,CS SURGIFOAM,$139.00 3008005500,LAB OB PROFILE (MCD),$139.00 2700008210,"CS TOURNIQUET,COMBAT RESCUE",$139.00 3008007400,LAB HEP 8,$139.00 3008559800,LAB HEXAGONAL PHOSPHOLIPID,$140.00 3008523000,LAB FACTOR VII ANTIGEN,$140.00 3008623501,"LAB RIBONUCLEIC PROTIEN AB, IGG",$140.00 3008416600,LAB PROTEIN ELECT URINE 24 HOUR,$140.00 3008623500,LAB ANTI RNP ABS,$140.00 3008524000,LAB FACTOR VIII AHG,$140.00 3008623504,LAB ANTI SS-A ABS,$140.00 3008623503,LAB ANTI SMITH ABS,$140.00 3008559700,LAB PLATELET NEUTRALIZATION,$140.00 3008623506,"LAB EXTRACTABLE NUCLEAR AG, AB",$140.00 3008524001,LAB VON WILL/ I,$140.00 3008623505,LAB ANTI SS-B ABS,$140.00 3008527000,LAB FACTOR XI ACTIVITY,$140.00 3008526000,LAB ANTI FACTOR X CHOMOGENIC,$140.00 3008623502,LAB ANTI SCHLERADERMA 70,$140.00 3008720900,LAB OVA SPECIAL STAIN,$140.00 3008015800,LAB CYCLOSPORINE,$141.00 3008237300,LAB CARBOHYDRTE DFICT TRANSFERRIN,$141.00 3008302100,LAB HEMOGLOBIN ELECTROPHORESIS CHR,$141.00 2700008150,CS TISSEL FIBRIN GLUE,$141.00 3008666500,LAB EPSTEIN BARR VIRUS VCA,$142.00 9811201300,ED PRO FEE REPAIR SUPERFICIAL WOUND(S),$142.00 3008666501,LAB VCA IGM,$142.00 2500000940,AZTREONAM 500 MG INJ (1000 MG VIAL),$142.34 9811200200,ED PRO FEE REPAIR SUPERFICIAL WOUND(S),$143.00 9812910500,ED PRO FEE APPLY LONG ARM SPLINT,$143.00 9609921400,OFFICE VISIT EST LEVEL 4,$143.00 3008829100,LAB CYTOGENETICS/MOLECULAR INTERP/,$143.00 9873651000,PRO FEE PERIPHERAL CENTRAL VENOUS CATH,$143.00 3706447600,ANESTH THORACIC FACET INJECTION,$143.00 2500004350,FOSPHENYTOIN 100 MG.PE/2 ML INJ,$143.31 3008415300,LAB PSA,$144.00 3008602200,LAB ANTIPLATELET ANTIBODIES,$144.00 2700008370,CS TRAY THORACENTESIS,$144.00 2700005740,CS PEG KIT 6820,$144.00 3008602202,LAB HLA CLASS 1 ANTIBODY,$144.00 2700005780,CS PHACO OZIL TIPS,$144.00 3008602205,LAB IIB/IIIA ANTIBODY,$144.00 3008602204,LAB IB/IX ANTIBODY,$144.00 3008602201,LAB HEPRIN INDUCD PLATELET ANTIBOD,$144.00 3008415400,"LAB PSA, FREE",$144.00 3008602203,LAB IA/IIA ANTIBODY,$144.00 2700004072,CS LARYNGOSCOPE LOPRO S3 SPRECTRUM,$144.00 2700004071,CS LARYNGOSCOPE MAC SB SPECTRUM,$144.00 2700009530,CS LARYNGOSCOPE LOPRO S4 SPECTRUM,$144.00 2700009535,CS LARYNOSCOPE MAC S4 SPECTRUM,$144.00 2500009650,TETANUS/DIPHERIA VACCINE (ADULT),$144.08 2500003380,AZITHROMYCIN 100 MG/5 ML (15 ML BTL),$144.40 2500003400,AZITHROMYCIN 200 MG/5 ML (30 ML BTL),$144.40 2500003390,ER AZITHROMYCIN 100 MG/5 ML (15 ML BTL),$144.40 2500003410,ER AZITHROMYCIN 200 MG/5 ML (30 ML BTL),$144.40 3008300202,LAB LUTENIZING HORMONE,$145.00 3008015901,LAB CLOZARIL,$145.00 3008280302,LAB ART BLD GASES PH PCO2 PO2,$145.00 3008300201,LAB LH-B,$145.00 3008280300,LAB ABG CAPILLARY,$145.00 3008280301,LAB ABG VENOUS,$145.00 3008015900,LAB CLOZAPINE,$145.00 2700004590,CS MITYVAC SUCTION,$145.00 9812940500,ED PRO FEE APPLY SHORT LEG CAST,$145.00 3008300200,LAB LH-A,$145.00 3008730500,LAB ASPERGILLIES GALACTOMANN,$145.00 2500002980,DOXYCYCLINE 100 MG INJ (100 MG VIAL),$145.34 2700003940,CS KING TUBE SIZE 2,$145.86 3008252301,LAB NTX XLINKS,$146.00 3008300100,LAB FSH,$146.00 3008252300,LAB C TELEPEPTIDE,$146.00 3008430501,LAB INSULIN SOMATOMEDIN C,$146.00 3008430500,LAB INSULIN LIKE GROWTH FACTOR I,$146.00 3008442500,LAB VITAMIN B-1,$146.00 3008300102,LAB FSH-B,$146.00 3008213100,LAB HOMOCY AMINO ACID SINGLE QUANT,$146.00 3008300101,LAB FSH-A,$146.00 2500001960,CLONIDINE-TTS 0.1 MG/24 HR PATCH,$146.42 2500002920,DORZOLAMIDE 2% OPTH SOLN 10 ML BTL,$146.84 3008557600,LAB VON WILL/ III,$147.00 3008554900,LAB LYSOZYME/MURAMIDASE SERUM,$147.00 3008633701,LAB INSULIN ABS PORCINE,$147.00 3008633700,LAB INSULIN ABS HUMAN,$147.00 3008266800,LAB ERYTHROPORETIN,$147.00 2700002690,CS EPIDURAL ANESTHESIA TRAY,$147.00 3008827100,LAB DNA PROBE FISH,$147.00 3008827101,LAB MOLECULAR CYTOGENTICS,$147.00 3008420601,LAB PROINSULIN,$148.00 3008420600,LAB PRO INSULIN,$148.00 3008413800,LAB PREGNANETRIOL 24HR URINE,$148.00 2700004900,CS NEEDLE INJECTOR,$148.00 3008366300,LAB FETAL LUNG MATURITY,$148.00 2700009370,"CS BOOT, SHORT SM PACESETTER",$148.00 9873255500,PRO FEE THORACENTESIS WITH IMAGE GUIDANCE,$148.00 9831104200,PRO FEE DEBRIDE SUBQ TISSUE - FIRST 20CM,$148.00 3008525000,LAB VON WILL/ IX,$149.00 3008267200,LAB ESTROGENS (S&U TOTAL,$149.00 4319716800,OT RE-EVALUATION,$149.00 3008217500,LAB ARSENIC,$149.00 3008237800,LAB CEA,$149.00 3008391801,LAB ORGANIC ACID URINE QUANT,$149.00 3008391800,LAB ORGANIC ACID EA,$149.00 3008427000,LAB SEX HORMONE BINDING GLOBULIN,$149.00 3008828500,LAB CHROMOSOME ADD'L CELLS COUNTED,$149.00 3008301800,LAB COBALT,$150.00 250J280500,RX CCK/KINEVAC,$150.00 9812907500,ED PRO FEE APPLICATION OF FOREARM CAST,$150.00 4502052000,ER TECH REMOVE FB MUSCLE SIMPLE,$150.00 3028752900,HSV DNA DIRECT DETECTION,$150.00 3008664100,LAB CRYPTOCOCCAL AB,$150.00 3507557100,CT CALCIUM SCORING,$150.00 2500004950,HYDROCORTISON 100 MG INJ (250 MG VIAL),$150.00 2500002560,DIAZEPAM 5 MG INJ (10 MG/2 ML SYR),$150.97 3008424400,LAB RENIN ACTIVITY,$151.00 9811104200,ED PRO FEE DEBRIDE SKIN/TISSUE,$151.00 2500001020,BALANCED SALT SOLUTION 120 ML (PER DOSE),$151.11 2500008540,PROPARACAINE 0.5% OPTH SOLN (15 ML BTL),$151.59 3008414600,LAB MACROPROLACTIN,$152.00 3008254200,LAB COENZYME Q 10,$152.00 3008668900,LAB WESTERN BLOT TEST,$152.00 2700001570,CS CATHETER KIT EPISTAXIS,$152.00 3008238200,LAB CATECHOLAMINES - URINE,$152.00 9646441800,"CRNA ANESTH INJ,SUPRASCAPULAR NERVE",$152.00 3008675700,LAB ROCKY MNT SPOTTED FEVER,$152.00 3008391600,LAB OGIMM/CSF,$152.00 3008414601,LAB PROLACTIN,$152.00 3008669600,LAB HERPES SIMPLE TYPE II,$152.00 3008254202,LAB N-METHYLHISTAMINE UR,$152.00 3008262700,LAB DHEA-SULFA,$152.00 9819928300,ED PRO FEE CC_EMERGENCY DEPT VISIT,$152.00 3207707200,X-RAY BONE AGE,$152.00 3008265700,"LAB THIOPURINE METHYLTRANSFERASE, RBC",$152.00 2500008730,RALTEGRAVIR 400 MG TAB,$152.09 3008363100,LAB FECAL LACTFERRIN QUANT,$153.00 3008633401,LAB SERUM IMMUNOFIXATION,$153.00 9646440501,CRNA ANESTH OCCIPITAL NERVE BLOCK LT,$153.00 3008711000,LAB CHLAMYDIA CULTURE,$153.00 9646440502,CRNA ANESTH OCCIPITAL NERVE BLOCK RT,$153.00 3008399300,LAB FECAL CALPROTEIN,$153.00 3008633400,LAB IMMUNOFIX ELECTRO SYSTEM,$153.00 3008363000,LAB FECAL LACTOFERRIN QUAL,$153.00 2500000720,APRACLONIDINE 1% OPTH SOLN,$153.06 3606979900,"OR UNLISTED PROCEDURE,MIDDLE EAR",$154.00 3601585200,OR DRESSING CHANGE UNDER ANESTHES,$154.00 4609477000,RT END TIDAL CO2 PER DAY,$154.00 2500004780,HEPATITIS B VACCINE/PF 20 MCG/1 ML INJ,$154.00 2500000230,ACETIC ACID OTIC SOLN,$154.56 2500000895,ATROPINE 8 MG/20 ML VIAL (20 mL vial),$154.56 2500002100,CYCLOPENTOLATE 1% OPTH SOL 15 ML BTL,$154.56 2500003060,EMTRICITABINE/TENOFOVIR TAB,$154.75 3008634100,LAB ISELET CELL ANTIBODIES,$155.00 2700008330,CS TRAY LUMBAR PUNCTURE INFANT,$155.00 2700000110,CS 500ML CANISTER FOR INFO V.A.C.,$156.00 2700005520,"CS ORTH-GLSS SPLNT 6ADLT FUL LEG""",$156.00 3008414300,LAB 17 HYDROXYPROGNENOLONE,$156.00 3008738500,LAB HISTOPLASM AG EIA URINE,$156.00 2500001970,CLONIDINE-TTS 0.3 MG/24 HR PATCH,$156.13 2500006620,METHYLERGONOVINE 0.2 MG TAB,$156.78 2500001920,CLOBETASOL CREAM 0.05% 15 GM TUBE,$156.92 3008524501,LAB VON WILL FACTOR ASSAY,$157.00 3008751000,LAB GARDNERELLA VAG DIRECT PROBE,$157.00 3008748000,LAB CANDIDA VAG DIRECT PROBE,$157.00 3207601000,X-RAY CHILD FOREIGN BODY (1V),$157.00 3008524601,LAB VON WILL FACTOR ANTIGEN,$157.00 3008524500,LAB RISTOCETIN CO FACTOR,$157.00 3008749000,"LAB CHLAMYDIA, ANTIGEN",$157.00 3008524502,LAB VON WILL II,$157.00 3008524600,LAB VON WILL FACTOR AG,$157.00 3008766000,LAB TRICHOMBNAS VAG DIRECT PROBE,$157.00 2500004810,HPEATITIS A VACCINE/PF 720 UNITS/0.5 ML INJ,$157.25 2500006070,LINEZOLID 200 MG INJ (600 MG BAG),$157.50 4027693701,US SONOSITE VENOUS ACCESS (MED-SU,$158.00 2500004980,HYDROCORTISONE RECTAL CREAM 2.5% (30 GM TUBE),$158.91 3008616200,LAB COMPLIMENT TOTAL,$159.00 3008230000,LAB CADIUM,$159.00 3008814200,LAB PAP SMEAR LIQUID BASED - SCREE,$159.00 3008814201,LAB PAP TEST LIQUID BASED-DIAGNOST,$159.00 3008249500,LAB CHROMIUM,$159.00 2500008600,PROTAMINE 10 MG INJ (250 MG VIAL),$159.24 2500010200,VERAPAMIL 2.5 MG/1 ML INJ,$159.75 3207309001,X-RAY FOREARM LT,$160.00 250Q996300,RX GASTROVIEW,$160.00 3207309002,X-RAY FOREARM RT,$160.00 9822055200,PRO FEE INJECTION(S) SINGLE OR MULTI TRIGGER POINTS 1 OR 2 MUCLES,$160.00 2500009890,TRIAMCINOLONE 0.025% LOTION (60 ML BTL),$160.08 2700005910,CS PROBE CORSON,$161.00 2500005370,IRON DEXTRAN 50 MG INJ (100 MG VIAL),$161.25 3008414000,LAB PREGNENEOLONE,$162.00 2500007595,"OLANZapine 10 MG VIAL 10 mg, 1 each",$162.78 9812908500,ED PRO FEE APPLY HAND/WRIST CAST,$163.00 3008630000,LAB CA 15-3,$163.00 3008631600,LAB CHROMOGRANIN A,$163.00 3008468100,LAB C PEP TIDE,$163.00 3008630400,LAB CANCER ANTIGEN 125,$163.00 3008630100,LAB CANCER ANTIGEN 19-9,$163.00 3008630001,LAB CANCER ANTIGEN 27-29,$163.00 2500000360,ALBUMIN 5% 12.5 GM/250 ML,$163.08 2500000361,"ALBUMIN (HUMAN) 25% IV SOLN 12.5 g, 50 mL",$163.08 3008414400,LAB PROGESTERONE,$164.00 9812906500,ED PRO FEE APPLICATION OF LONG ARM CAST,$164.00 2500005450,KETOCONAZOLE CREAM 2% (30 GM TUBE),$164.33 2500003100,ENOXAPARIN 10 MG INJ (150 MG SYR),$164.55 9609925200,INPT CONSULT EXPANDED,$165.00 9609922100,INITIAL HOSPITAL CARE,$165.00 3605660600,OR BIOPSY VULVA/PERINEUM EA ADD L,$165.00 9609920300,OFFICE VISIT NEW LEVEL 3,$165.00 3008267700,LAB ESTRIOL,$165.00 9609930400,INITIAL NURSING FACILITY CARE,$165.00 9646444700,CRNA ANESTH FEMORAL NERVE BLOCK SINGLE INJ,$166.00 3008632000,"LAB IMMUNOELECTRO, SERUM",$166.00 2500002630,DICLOFENAC GEL 1% 100 GM TUBE,$166.15 3008633202,LAB IMMUNO COMPLEXES BINDING ASSAY,$167.00 3008633201,LAB IMMUNE COMPLEXES C1Q BINDING,$167.00 3008633200,LAB C1Q BINDING COMPLEXES,$167.00 3207401800,X-RAY ABDOMEN 1 VIEW (KUB),$167.00 9811711000,"ED PRO FEE DESTRUCT B9 LESION, 1-14",$168.00 2500004750,HEPATITIS A VACCINE/PF 1440 UN/ML SYR,$168.34 2500002650,DICYCLOMINE 20 MG INJ (20 MG/2 ML AMP),$168.48 2500007130,MOXIFLOXACIN 0.5% OPTH SOLN (3 ML BTL),$168.69 2700003860,CS JONES TUBES,$169.00 2500004760,HEPATITIS A VACCINE/PF 50 U/1 ML INJ,$169.42 3207362002,X-RAY FOOT (2V) RT,$170.00 3207362001,X-RAY FOOT (2V) LT,$170.00 3008267900,LAB ESTRONE,$170.00 3008030200,"LAB ETHYL GLYCURONIDE SCREEN, URINE",$170.00 3008238300,LAB CATECHOLAMINES 1 - BLOOD,$171.00 2500004250,FLUCONAZOLE 40MG/ML SUSP (35 ML BTL),$172.80 3008614705,LAB ANTICARDIOLIPIN AB IGM,$173.00 3008262600,LAB DHEA,$173.00 3008614701,LAB ANTI CARDIOLIPIN IGG,$173.00 3008614702,LAB ANTI CARDIOLIPIN IGM,$173.00 3008614703,LAB ANTICARDIOLIPIN AB IGA,$173.00 3008238400,LAB CATECHOLAMINES FRACTUNATED,$173.00 3008614600,LAB BETA 2 GLYCOPROTEIN AB EACH,$173.00 3008614704,LAB ANTICARDIOLIPIN AB IGG,$173.00 3008614700,LAB ANTI CARDIOLIPIN IGA,$173.00 2500006360,"MEASLES, MUMPS & RUBELLA 0.5 ML INJ",$173.05 3008425500,LAB SELENIUM BLOOD,$175.00 3008210800,LAB ALUMINUM,$175.00 3008440200,LAB TESTOSTERONE FREE,$175.00 5109921500,SPEC CLINIC EXAM ROOM ESTABLISHED PT 99215,$175.00 3008831201,LAB PATHOLOGY HELICOBACTER (88312),$176.00 3207365002,X-RAY CALCANEUS (HEEL) RT,$176.00 3207307002,X-RAY ELBOW (2V) RT,$176.00 3008830502,LAB CYTOLOGY CELL BLOCK,$176.00 3207359200,X-RAY INFANT LOWER EXTREMITY,$176.00 3008830501,LAB PATHOLOGY LEVEL IV (88305),$176.00 3008832300,LAB SLIDE CONSULT W/ REPORT,$176.00 7619636100,INF HYDRATION INFUS ADD'L HR,$176.00 7619636700,INF ADDITIONAL SEQUENTIAL INFUS TO,$176.00 7619636500,INF IV INFUSION INITIAL UP TO 1 HR,$176.00 3008830500,LAB BONE MARROW PREP,$176.00 3008831200,LAB MISC STAIN GRP 01,$176.00 2700008850,CS UVC TRAY,$176.00 3207365001,X-RAY CALCANEUS (HEEL) LT,$176.00 3207309200,X-RAY UPPER EXTREM INFANT (2V),$176.00 3359640900,ONC IV PUSH TECH INITIAL SUB,$176.00 7619636601,ONC IV INFUSION EACH ADD'L HR,$176.00 7100000000,RECOVERY ROOM,$176.00 7619636501,ONC IV INFUSION INITIAL UP TO 1 HR,$176.00 3008830400,LAB PATHOLOGY LEVEL III (88304),$176.00 7619636101,ONC HYDRATION INFUS ADD'L HR,$176.00 7619652301,ONC IRRIGATION OF IMPLANTED VENOUS,$176.00 3207307001,X-RAY ELBOW (2V) LT,$176.00 3008817301,LAB FINE NEEDLE ASPIRATE EVAL,$176.00 7619636701,ONC ADDITIONAL SEQ INFUSION UP TO,$176.00 7619636000,INF HYDRATION INFUS INITIAL 1 HR,$176.00 7619636600,INF IV INFUSION EACH ADDL HR,$176.00 7619636001,ONC HYDRATION INFUS INITIAL 1 HR,$176.00 3008817300,LAB CYTOPATHOLOGY (88173),$176.00 3008817302,LAB SINUS LAVAGE CELL BLOCK,$176.00 9439379800,CARDIAC REHAB,$176.00 4509636600,ER TECH EACH ADD'L HR,$176.00 4509636700,ER TECH ADD'L SEQUENTIAL INFUS UP TO 1,$176.00 4509636100,ER TECH HYDRATION ADD'L HOUR,$176.00 2500002250,DANTROLENE 20 MG INJ,$176.40 2500007680,OSELTAMIVIR 6 MG/ML ORAL SUSP (60 ML BTL),$176.83 2500003691,ER PACK Oseltamivir 6 mg/ml (60 ml Btl),$176.83 3008440300,LAB TESTOSTERONE,$177.00 2500004020,FAT EMULSIONS 20% INJ (250 ML BAG),$177.79 9879923200,PRO FEE SUBSEQUENT HOSPITAL CARE,$178.00 9879923800,PRO FEE HOSPITAL DISCHARGE DAY,$178.00 9811200400,ED PRO FEE REPAIR SUPERFICIAL WOUND(S),$178.00 2700003010,CS FLUTTER VALVE ACAPELLA,$178.00 9879921700,PRO FEE OBSERVATION CARE DISCHARGE,$178.00 3008725201,LAB VIRAL CULTURE,$179.00 3008725200,LAB HERPES SIMPLEX VIR CULTUR,$179.00 2700007500,CS SUT 5-0 PROLENE D6870,$179.00 2700006470,CS SPINAL/EPIDURAL CATH TRAY,$179.00 2500007510,NYSTATIN & TRIAMCINOLONE CREAM (30 GM TUBE),$179.55 3207003000,X-RAY FOREIGN BODY EYES 1V,$180.00 3207104601,X-RAY CHEST DECUBITUS (2V),$180.00 3207300001,X-RAY CLAVICLE LT,$180.00 3207222000,X-RAY COCCYX + SACRUM,$180.00 9646444501,CRNA ANESTH N BLOCK SGL SCIATIC NRV LEFT,$180.00 3207300002,X-RAY CLAVICLE RT,$180.00 9646444502,CRNA ANESTH N BLOCK SGL SCIATIC NRV RIGHT,$180.00 9646444550,CRNA ANESTH N BLOCK SGL SCIATIC NRV BILATE,$180.00 3207112000,X-RAY STERNUM,$180.00 2500006240,MAGIC MOUTH WASH (237 ML BTL),$181.44 2700009060,CS VITERECTOMY KIT,$182.00 3207312002,X-RAY HAND (2V) RT,$183.00 3207036000,X-RAY SOFT TISSUE NECK,$183.00 2700008380,CS TRAY THORACENTESIS 8FR,$183.00 9811201400,ED PRO FEE REPAIR SUPERFICIAL WOUND(S),$183.00 3008230800,LAB CALCITONIN,$183.00 3008636100,LAB CD4 COUNT,$183.00 3207303001,X-RAY SHOULDER LEFT,$183.00 3207303002,X-RAY SHOULDER RIGHT,$183.00 3207312001,X-RAY HAND (2V) LT,$183.00 9879946400,PRO FEE ATTN @ DELIVERY & INIT STABILZATION NB,$184.00 2500004680,HEP B VACCINE/DP(A)TP-POLIO/PF 0.5 ML SYR,$184.46 2509073215,Phytonadione 10 mg/ml Oral Solution,$184.75 2500008140,PHYTONADIONE 1 MG INJ (10 MG VIAL),$184.75 3008828000,LAB CHROMOSOME ADD KARYOTYPES,$185.00 2700008860,CS V.A.C. GRANUFOAM MD DRESSING,$185.00 3601142000,"OR EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKINTAG, SCALP, NECK, HANDS,FEET, GENITALIA 0.5 CM OR LESS",$185.00 2700002290,CS DRAIN FLAT JACKSON PRATT,$186.00 3207359001,X-RAY TIB FIB (LT),$186.00 2700006410,CS SLIT KNIFE (2.4 SINGLE BEVEL),$186.00 3008349800,LAB 17 ALPH HYDROXY PROGESTERONE,$186.00 3207359002,X-RAY TIB FIB (RT),$186.00 3207202000,X-RAY SPINE 1 VIEW,$186.00 3602055300,OR TRIGGER POINT INJ > 3,$187.00 3359641100,ONC IV PUSH EA ADD'L SUBSTAN,$187.00 2700008390,CS TRAY TRIPLE LUMEN CVP,$187.00 9812055200,"ED PRO FEE INJ SINGLE OR MULTIPLE TRIGGER POINT(S), 1 OR 2 MUSCLE(S)",$187.00 9642055200,CRNA ANESTH TRIGGER POINT INJECTION,$187.00 2700004073,CS LARYNGOSCOPE LOPRO S1 SPECTRUM,$187.20 2700004074,CS LARYNGOSCOPE LOPRO S2 SPECTRUM,$187.20 2700004075,CS LARYNGOSCOPE LOPRO 2.5 SPECTRUM,$187.20 3008370100,LAB VAP1,$188.00 2500001370,CALCITONIN SPRAY 200 IU/A,$188.67 3207306001,X-RAY HUMERUS LT,$190.00 3207350102,X-RAY HIP (1V) RT,$190.00 3207306002,X-RAY HUMERUS RT,$190.00 3207350101,X-RAY HIP (1V) LT,$190.00 9812464000,ED PRO FEE TREAT ELBOW DISLOCATION,$190.00 2700002630,CS ENDOPATH BLADELESS TROCAS 10/1,$191.00 9816227000,"ED PRO FEE SPINAL FLUID TAP, DIAGNOSTIC",$191.00 3008250700,LAB CITRATE - URINE,$191.00 3008267001,LAB FREE ESTRADIOL,$191.00 3008267000,LAB ESTRADIOL E2,$191.00 2500008370,PREDNISOLONE 1% OPTH SOLN (5 ML BTL),$191.16 3008420700,LAB VITAMIN B6,$192.00 4419250700,ST SPEECH THERAPY,$192.00 2700008450,CS TROCAR 10MM X 150MM,$192.00 9802060600,"PRO FEE ARTHROCENTESIS, INTERMEDIATE JOINT/BURSA W US GUIDANCE",$192.00 3207021000,X-RAY SINUS 1V (WATERS VIEW),$193.00 3207363002,X-RAY FOOT (3V) RT,$193.00 3207363001,X-RAY FOOT (3V) LT,$193.00 4027664200,US BREAST LIMITED,$194.00 2500005230,INFLUENZA VACCINE 0.5 ML INJ ( HIGH DOSE),$194.04 3207014000,X-RAY FACIAL BONES LIMITED (1-2V),$195.00 3207014001,X-RAY ZYGOMATIC ARCH (1-3V),$195.00 3207301002,X-RAY SCAPULA RT,$196.00 3207360002,X-RAY ANKLE (2V) RT,$196.00 3207301001,X-RAY SCAPULA LT,$196.00 3207360001,X-RAY ANKLE (2V) LT,$196.00 3207032800,X-RAY TMJ UNILATERAL,$196.00 4503642000,ER TECH CUTDOWN <1YR,$196.00 4506921000,ER TECH REMOVE IMPACTED CERUMEN,$196.00 9209208100,SPEC CLINIC TANGENT SCREEN VISUAL FIELD,$196.00 9209213200,SPEC CLINIC OCT ANTERIOR SEGMENT UNI/BILAT,$196.00 9209213300,SPEC CLINIC OCT OPTIC UNILATERAL/BILATERAL,$196.00 9209213400,SPEC CLINIC OCT RETINA UNILATERAL/BILATERA,$196.00 2500008120,PHYSOSTIGMINE 2 MG/2 ML INJ,$197.28 4219759700,PT DEBRIDE SHARP < 20 SQ CM,$198.00 9646452000,CRNA ANESTH NERVE ROOT INJ,$198.00 3603100000,OR ANTRUM LAVAGE,$198.00 9609921500,OFFICE VISIT EST LEVEL 5,$198.00 3008505500,LAB IMMATURE PLATELET FRACTION,$198.00 5109920400,SPEC CLINIC EXAM ROOM NEW PATIENT 99204,$198.00 2500008150,PILOCARPINE 2% OPTH SOLN (15 ML BTL),$198.70 32073660T6,X-RAY TOES - RT 2ND DIGIT,$199.00 32073660T2,X-RAY TOES - LT 3RD DIGIT,$199.00 32073660T4,X-RAY TOES - LT 5TH DIGIT,$199.00 32073660TA,X-RAY TOES - LT BIG TOE,$199.00 32073660T9,X-RAY TOES - RT 5TH DIGIT,$199.00 32073660T1,X-RAY TOES - LT 2ND DIGIT,$199.00 32073660T3,X-RAY TOES - LT 4TH DIGIT,$199.00 32073660T8,X-RAY TOES - RT 4TH DIGIT,$199.00 32073660T5,X-RAY TOES - RT BIG TOE,$199.00 32073660T7,X-RAY TOES - RT 3RD DIGIT,$199.00 3207401900,X-RAY ABDOMEN (2V),$199.00 2500007951,"penicillin G NA 5 MILLION UNIT 500000 unit, 1 each",$199.06 3008633500,LAB B2 TRANSFERRIN,$200.00 3008633501,LAB IMMUNOFIXATION,$200.00 3008215700,LAB ANDROSTENEDIONE,$200.00 3008263400,LAB 11 DEOXYCORTISOL,$200.00 4509636000,ER TECH INFUSION INITIAL 1 HOUR,$200.00 4509636500,ER TECH IV INFUS INITIAL UP TO 1 HR,$200.00 9646227200,CRNA ANESTH SPINAL TAP DRAIN CEREBRO FLUID,$201.00 2500000880,ATROPINE 1% OPTH (PER DROP),$201.74 3008230601,LAB VITAMIN D (25-HYDROXY),$202.00 3008230600,LAB VIT D CALCIFEROL,$202.00 3008308800,LAB HISTAMINE UR,$202.00 3207204000,X-RAY SPINE CERVICAL(1 TO 3V),$203.00 3207110002,X-RAY RIBS ONE SIDE RT - NO CXR,$203.00 3008393700,LAB OSTEOCALCIN,$203.00 3207110001,X-RAY RIBS ONE SIDE LT - NO CXR,$203.00 2500001910,CLINDAMYCIN 75 MG/5 ML 100 ML BTL,$203.21 4219716100,PT EVAL LOW COMPLEXITY,$204.00 4219700100,PT EVALUATION,$204.00 4509637200,ER TECH ADMIN INJ Q/IM NO CHEMO,$204.00 2500003160,EPHEDRINE 50 MG/ ML INJ (50 MG AMP),$204.29 2500000100,ACETAMINOPHEN 10 MG INJ (1000 MG VIAL),$204.64 9642709602,CRNA ANESTH INJ SACROILIAC JOINT RT,$206.00 9642709601,CRNA ANESTH INJ SACROILIAC JOINT LT,$206.00 9642709650,CRNA ANESTH INJ SACROILIAC JOINT BILAT,$206.00 3207362050,X-RAY FOOT (2V) BIL,$206.00 2500002780,"DIPH, PERTUS (ACELL), TET, POLIO 0.5 MG INJ",$206.06 2500008970,ROTAVIRUS VACCINE ORAL SOLN (2 ML TUBE),$206.99 2500005380,IRON SUCROSE 1 MG INJ (100 MG VIAL),$207.36 3008008100,LAB OB PANEL,$208.00 4219091100,PT BIOFEEDBACK UROL/RECTAL,$208.00 3207361002,X-RAY ANKLE (3V) RT,$209.00 3207310001,X-RAY WRIST 2V (LT),$209.00 3207308001,X-RAY ELBOW (3V) LT,$209.00 3207207000,X-RAY SPINE THORACIC (2V),$209.00 3207361001,X-RAY ANKLE (3V) LT,$209.00 4419261000,ST SWALLOWING EVALUATION,$209.00 3207356001,X-RAY KNEE(1 OR 2V)LT,$209.00 3207356002,X-RAY KNEE(1 OR 2V)RT,$209.00 3207310002,X-RAY WRIST 2V (RT),$209.00 3207308002,X-RAY ELBOW (3V) RT,$209.00 4419252600,ST SWALLOWING THERAPY,$209.00 2500003430,CEFDINIR 250 MG/5 ML (60 ML BTL),$209.52 2500003440,ER CEFDINIR 250 MG/5 ML (60 ML BTL),$209.52 4027680200,US OB 0-14 WK MULTIPLE,$210.00 2780000030,CS GOLD IMPLANT 0.6GM,$210.00 3207310050,X-RAY WRIST 2V (BILAT),$210.00 2500003790,ER SULFACETAMIDE 10% OPTH SOLN (10 ML BTL),$210.60 2500003800,SULFACETAMIDE 10% OPTH SOLN (10 ML BTL),$210.60 2500009990,TUBERCULIN TEST (VIAL),$211.23 2500003650,ER NEO/POLY/HC OTIC SOLN (10 ML BTL),$211.43 2500003640,ER NEO/POLY/HC OTIC SOLN (10 ML BTL),$211.43 9643656900,CRNA ANESTH PICC INSERTION 5YR>,$212.00 4409261100,ST SWALLOW MOTION FLUOROSCOPIC EV,$212.00 3008426000,"LAB SEROTONIN, SERUM",$212.00 3207313001,X-RAY HAND (3V) LT,$213.00 3207313002,X-RAY HAND (3V) RT,$213.00 3207217000,X-RAY PELVIS(1 OR 2),$213.00 2700009050,CS VISION BLUE,$213.00 2500000330,ACYCLOVIR 5% OINT 15 GM,$214.20 2500005260,INSULIN GLARGINE PER 5 UNITS INJ (300 UNIT PEN),$214.36 2700000640,CS BALLOON DILATOR 15-18MM,$215.00 3008370400,LAB LIPO PROTEIN,$215.00 3008370401,LAB NMR LIPO/QUANT,$215.00 4419252400,ST EVALUATION OF VOICE,$215.00 3207355202,X-RAY FEMUR (RT),$216.00 3008412600,LAB FECAL PORPHYRINS,$216.00 3207220250,X-RAY SACROILIAC JOINTS BILAT,$216.00 3207355201,X-RAY FEMUR (LT),$216.00 3207220201,X-RAY SACROILIAC JOINTS (LT),$216.00 2700009380,"CS BOOT, TALL PACESETTER",$216.00 3207220202,X-RAY SACROILIAC JOINTS (RT),$216.00 2700000660,CS BALLOON DILATOR CRE 18-20MM,$216.00 2500009730,THROMBIN (BOVINE) 5000 UNIT VIAL,$216.72 2700004650,CS MULTIFIRE GIA 60,$217.00 2500008330,PRALIDOXIME 1 GM INJ (1 GM VIAL),$218.48 3207210000,X-RAY SPINE LUMBAR (2 OR 3V),$219.00 3207025000,X-RAY SKULL LMTD(1 OR 3V),$219.00 4027685701,"US LTD PELVIS (FOLLICLES,OVARY",$219.00 4027685700,US BLADDER,$219.00 3207010000,X-RAY MANDIBLE LIMITED (1-3V),$219.00 3008827300,LAB CHROMOSOMAL IN SITU HYDRATION,$219.00 3207207200,X-RAY SPINE THORACIC (3V),$219.00 4319716500,OT EVAL LOW COMPLEXITY,$220.00 4219716200,PT EVAL MODERATE COMPLEXITY,$220.00 3601146200,OR EXC HIDRAD ING-S/I REPAIR,$220.00 9609925300,INPT CONSULT DETAILED,$220.00 4609472600,RT PFS RAW LUNG VOL FRC,$220.00 3706447500,ANESTH LUMBAR FACET INJECTION,$220.00 4027660410,US FAST LIMITED CHEST,$220.00 2500003630,NEO/POLY/GRAM OPTH SOLN (10 ML BTL),$220.54 2500003620,ER NEO/POLY/GRAM OPTH SOLN (10 ML BTL),$220.54 2700003450,CS HYSTRO BALLOON CATHETER,$221.00 3008254201,LAB DIHYDROTESTOSTERONE,$221.23 9646449301,CRNA ANESTH INJ FACET JNT L/S SGLE LT,$222.00 9646449302,CRNA ANESTH INJ FACET JNT L/S SGLE RT,$222.00 3207016000,X-RAY NASAL BONES,$222.00 2500002050,COSYNTROPIN 0.25 MG INJ (0.25 MG VIAL),$222.19 2500003000,DP(A)T-POLIO/HIB CONJ-TET PF INJ,$223.85 4419252200,ST EVAL SPEECH SOUND PRODUCTION,$224.00 3207104600,X-RAY CHEST 2 VIEW,$225.00 4409259700,ST EVAL/FITTING OF VOICE PROSTHETIC DEVICE,$225.00 2500010360,ZIPRASIDONE 10 MG INJ (20 MG VIAL),$225.13 3207110100,X-RAY RIBS ONE SIDE WITH CXR,$226.00 3207019000,X-RAY ORBITS LTD (1-3V),$226.00 2500008070,PHENYLEPHRINE 2.5% OPTH SOLN (15 ML BTL),$226.80 3207360050,X-RAY ANKLE (2V) BILATERAL,$227.00 3207022000,X-RAY SINUSES COMPLETE,$229.00 3207104700,X-RAY CHEST-LORDOTIC/APICAL (1V),$229.00 3207113000,X-RAY STERNOCLAVICULAR JOINT,$229.00 9811201500,ED PRO FEE REPAIR SUPERFICIAL WOUND(S),$230.00 9811016000,ED PRO FEE PUNCTURE DRAINAGE OF LESION,$230.00 9822061000,OR PRO FEE ARTHROCENTESIS ASPERATION/INJ MAJOR JOINT OR BURSA WITH ULTRASOUND GUIDANCE,$230.00 2700003360,CS HELIOX PER DAY,$231.00 3207302050,X-RAY SHOULDER 1V BILATERAL,$231.00 4609476100,RT OXIMETRY EX DESAT,$231.00 32073140F9,"X-RAY FINGER, RT 5TH DIGIT",$232.00 3207011000,X-RAY MANDIBLE COMPLETE,$232.00 32073140F4,"X-RAY FINGER, LT 5TH DIGIT",$232.00 32073140FA,"X-RAY FINGER, LT THUMB",$232.00 32073140F6,"X-RAY FINGER, RT 2ND DIGIT",$232.00 3008458800,LAB ANTIDIURETIC HORMONE ADH,$232.00 32073140F5,"X-RAY FINGER, RT THUMB",$232.00 32073140F1,"X-RAY FINGER, LT 2ND DIGIT",$232.00 3207305001,X-RAY ACROM-CLAVICULAR JOINT LT,$232.00 3207305002,X-RAY ACROM-CLAVICULAR JOINT RT,$232.00 32073140F3,"X-RAY FINGER, LT 4TH DIGIT",$232.00 3207305050,X-RAY ACROM-CLAVICULAR JTS BILAT,$232.00 32073140F8,"X-RAY FINGER, RT 4TH DIGIT",$232.00 32073140F7,"X-RAY FINGER, RT 3RD DIGIT",$232.00 3207111000,X-RAY RIBS BIL - NO CXR,$232.00 32073140F2,"X-RAY FINGER, LT 3RD DIGIT",$232.00 3008388000,LAB BNP,$232.00 2500005980,LIDOCAINE TOPICAL SOLN 4% (50 ML BTL),$232.72 4319716600,OT EVAL MODERATE COMPLEXITY,$235.00 9879946000,"PRO FEE INITIAL CARE, NORMAL NEWBORN",$235.00 4219716300,PT EVAL HIGH COMPLEXITY,$235.00 4027670510,US FAST LIMITED ABDOMEN,$235.00 2500007860,PAMIDRONATE 30 MG INJ (90 MG VIAL),$235.77 9811006000,ED PRO FEE DRAINAGE OF SKIN ABSCESS,$236.00 2500006380,MEDROXYPROGESTERONE 1 MG INJ (150 MG VIAL),$237.60 2500008230,PNEUMOCOCCAL 23 VACCINE (0.5 ML VIAL),$238.17 2500004830,HYALURONATE PER DOSE (HYALGAN),$239.40 3008762400,LAB HPV HIGH RISK DETECT,$240.00 3008749300,LAB C DIFF (PCR) NP,$240.00 3008759100,LAB GONOZYME,$240.00 3008752900,LAB HERPES SIMPLEX BY PCR,$240.00 3008779804,LAB ENTEROVIRUS PCR,$240.00 3008752101,"LAB HEP C RNA BY PCR, QUANT/GENO",$240.00 3008779802,LAB MUMPS RNA/REAL TIME PCR,$240.00 9643655600,CRNA ANESTH CENTRAL LINE INSERTION,$240.00 3008748600,LAB CHLAMYDIA PNEUMONIAE AMP PROBE,$240.00 3008758100,LAB MYCOPLAS PNEUMONIA,$240.00 3008779800,LAB AMP PROBE,$240.00 3008762500,LAB HPV REFLUX,$240.00 3008779801,LAB BORDETELLA PERTUSSIS,$240.00 3008752100,LAB HCV RNA BY PCR QUALITATIVE,$240.00 9811700400,ED PRO FEE DESTROY PREMLG LESIONS 15+,$240.00 3008779803,LAB BORD PERT PCR,$240.00 3008749100,LAB CHLAMYDIA TRACK URINE,$240.00 3008747600,LAB LYME DIS BY PCR QUAN,$240.00 4609461800,RT 6 MIN WALK/PULMONARY STRESS TEST,$240.00 4509928100,ER TECH CC_EMERGENCY LEVEL 1,$241.00 2500004850,HYALURONDASE 1 UNIT (150 UNIT VIAL),$241.06 3207311001,X-RAY WRIST 3V (LT),$242.00 9811198200,ED PRO FEE REMOVE DRUG IMPLANT DEVICE,$242.00 3207356201,X-RAY KNEE(3V) LT,$242.00 3609760600,OR WOUND VAC > 50 SQ CENTIMETERS,$242.00 3207356202,X-RAY KNEE(3V) RT,$242.00 3207311002,X-RAY WRIST 3V (RT),$242.00 9609920400,OFFICE VISIT NEW LEVEL 4,$242.00 2700006800,"CS SURGICEL 2X3""""",$243.00 9812934500,ED PRO FEE APPLICATION OF LONG LEG CAST,$243.00 3008827500,LAB CYTOGENETICS,$243.00 3008827501,LAB MOLEC CYTOGEN ANALY 100-300 CE,$243.00 9879921800,PRO FEE OBSERVATION CARE,$244.00 2700008920,CS VASCULATOR RELOADS 45MM,$244.00 9646232300,CNRA ANESTH EPIDURAL LUMBAR,$244.00 9819921800,ED PRO FEE OBSERVATION CARE,$244.00 2500006670,METHYLPREDNISOLONE SOD 125 MG INJ (1000 MG VIAL),$245.38 9879922100,PRO FEE INITIAL HOSPITAL CARE,$246.00 2700002150,CS CRICOTHYROTOMY KIT,$246.00 9811008000,ED PRO FEE DRAINAGE OF PILONIDAL CYST,$247.00 3207307050,X-RAY ELBOW (2V) BILATERAL,$247.00 2700003340,CS HEALON GV OVD O.55ML,$248.00 9811144000,ED PRO FEE EXC FACE-MM B9+MARG 0.5 < CM,$248.00 2500000960,BACITRACIN EYE OINT 3.5 GM TUBE,$248.72 3008423800,LAB ACETYCHOLIN RECEPTERABYS,$249.00 3207219000,X-RAY PELVIS 3V,$249.00 9811175000,ED PRO FEE REMOVAL OF NAIL BED,$249.00 3207356500,X-RAY KNEE AP ONLY STANDING BILAT,$249.00 5109920500,SPEC CLINIC EXAM ROOM NEW PATIENT 99205,$249.00 2500007990,PERMETHRIN 5% CREAM (60 GM TUBE),$249.48 4219754500,PT WORK HARDENING 2HOURS,$250.00 4319716700,OT EVAL HIGH COMPLEXITY,$250.00 9811140100,ED PRO FEE EXC TR-EXT B9+MARG 0.6-1 CM,$250.00 9811012000,ED PRO FEE REMOVE FOREIGN BODY,$250.00 250A956000,RX ULTRATAG,$250.00 9816771500,ED PRO FEE CANTHOTOMY,$250.00 2500007952,"Bicillin L-A 600,000 UNIT/ML, 1 mL",$250.49 3008752201,LAB HEP C VIRUS RNA/PCR QUANT,$251.00 3008751700,LAB HEP B NGI SUPER QUANT,$251.00 3008752200,LAB HCV RNA BY PCR QUANT,$251.00 9813030000,ED PRO FEE REMOVE NASAL FOREIGN BODY,$251.00 3008749700,LAB CYTOMEGALOVIRUS QUANTITIVE BY,$251.00 2700003530,CS INFANT DELIVERY SYSTEM,$252.00 2500003840,ERTAPENEM 500 MG INJ (1000 MG VIAL),$252.00 2500010380,ZOLEDRONIC ACID 1 MG INJ (4 MG VIAL),$252.00 3606625000,OR REPAIR/REV OPERATI WOUND ANTER,$253.00 4037706700,MAMMO SCREEN BIL,$253.00 4017706600,MAMMO - DX BILAT,$253.00 3359641600,ONC INFUS INITIAL>8HR PUMP,$253.00 4017706501,MAMMO/UNILATERAL - DX LT,$253.00 3359641300,ONC INFUS INITIAL UP TO 1 HR,$253.00 4017706502,MAMMO/UNILATERAL - DX RT,$253.00 3359641500,ONC INFUSION EA ADD'L,$253.00 2700006220,CS SCISSOR INSERT CVD METZ 36CM,$255.00 4027694201,US GUIDED NEEDLE/BIOPSY,$255.00 9879923300,PRO FEE SUBSEQUENT HOSPITAL CARE,$255.00 3207301050,X-RAY SCAPULA BIL,$255.00 9814660000,ED PRO FEE ANOSCOPY EXPLORATION,$255.00 3008133200,LAB ALPHA/ANTITRYPSIN MUT/GENS,$256.00 9646449450,CRNA ANESTH INJ FACET JNT L/S LVL2 BILATERAL,$256.00 3207026000,X-RAY SKULL COMPLETE,$258.00 3008635900,LAB T CELLS TOTAL COUNT,$258.00 3207015000,X-RAY FACIAL BONES COMPLETE,$258.00 3008635500,LAB B CELL TOTAL,$258.00 3207020000,X-RAY ORBITS COMPLETE,$258.00 4027664100,US BREAST COMPLETE,$259.00 9646449550,CRNA ANESTH INJ FACET JNT L/A LVL3 BILATER,$260.00 9812061100,"ED PRO FEE ARTHROCENTESIS WITH U/S GUIDANCE, RECORD",$260.00 2500000260,ACETYLCHOLINE 10 MG/ML INJ,$261.70 3207356402,X-RAY KNEE(4V) RT,$262.00 3207356401,X-RAY KNEE(4V) LT,$262.00 9879923900,PRO FEE HOSPITAL DISCHARGE DAY,$263.00 3008202400,LAB ADRENOCORTICOTROPIC HORMONE AC,$263.00 7319322500,EKG HOLTER MONITOR,$263.00 3008265200,LAB VIT D 125 DIHYDROXY,$263.00 2500009490,SUGAMMADEX 200 MG/2 ML INJ,$263.89 9646232100,CNRA ANESTH EPIDURAL CERVICAL/THORACIC,$264.00 9609920500,OFFICE VISIT NEW LEVEL 5,$264.00 4319754500,OT WORK HARDENING INITIAL 2 HR,$264.00 3359652100,ONC REFILLING & MAINT OF PORT PUMP,$264.00 7100000100,RECOVERY ASC PROCEDURE RM 0-8 HOURS,$264.00 3703150000,ANESTH INTUBATION ENDOTRACH (ANES),$264.00 9826232100,PRO FEE ESI CERVICAL/THORACIC,$264.00 2700004600,CS MONOKA GRANDE LACRIMAL STENT,$265.00 9811142100,ED PRO FEE EXC H-F-NK-SP B9+MARG 0.6-1,$265.00 2700004610,CS MONOKA MOYENNE LACRIMAL STENT,$265.00 2500005780,LEVOTHYROXINE 100 MCG INJ,$266.06 2500005280,INSULIN LISPRO PER 5 UNITS INJ (300 UNIT PEN),$267.32 2700002210,CS DEFIB CPR PEDS PAD ZOLL,$268.00 250A956100,RX TECH 99 OXIDRONATE,$270.00 250A950300,RX TECH 99 MEDRONATE (MDP),$270.00 2700010010,CS NUEROSTIMULATOR BOOT,$270.00 9879946300,PRO FEE ACUTE INPT SAME DAY INFANT,$271.00 3207309050,X-RAY FOREARM BIL,$271.00 3207205000,X-RAY SPINE CERVICAL(4 OR 5V),$272.00 3207212000,X-RAY SPINE LUMBAR W/FLEX-EXT,$272.00 9819929200,"ED PRO FEE CRITICAL CARE, ADD'L 30 MIN",$272.00 2700006820,CS SURGIFLO APPLICATOR,$273.00 3207707300,X-RAY BONE LENGTH STUDY,$273.00 2700000710,CS BALLOON DILATOR WIRE GUIDED 15,$274.00 2700006570,CS STANDARD 45MM RELOADS,$275.00 3008636000,LAB ABSOLUTE CD4 & CD8 COUNT INCL,$275.00 250A950000,RX CARDIOLITE/SESTAMIBI,$275.00 9646448301,CRNA ANESTH ESI TRANSFMNL W/FLUORO LT,$275.00 9646448302,CRNA ANESTH ESI TRANSFMNL W/FLUORO RT,$275.00 250A956200,RX TECH 99 MAG 3 (MERTIATIDE),$275.00 9646448350,CRNA ANESTH ESI TRANSFMNL W/FLUORO BILATER,$275.00 9811176000,ED PRO FEE REPAIR OF NAIL BED,$276.00 9811140200,ED PRO FEE EXC TR-EXT B9+MARG 1.1-2 CM,$276.00 4419252100,ST EVAL OF SPEECH FLUENCY,$277.00 3008208800,LAB ALDOSTERONE,$278.00 3207350201,X-RAY HIP (2V-3V) LT,$278.00 3207350202,X-RAY HIP (2V-3V) RT,$278.00 9646227300,CRNA ANESTH BLOOD PATCH INJ,$280.00 3606790301,OR INTERNAL PTOSIS LEFT,$280.00 3606790302,OR INTERNAL PTOSIS RIGHT,$280.00 3602055200,OR TRIGGER POINT INJECTION,$280.00 4502055200,ER TRIGGER POINT INJECTION,$280.00 3207111100,X-RAY RIBS BILATERAL W/ CXR,$281.00 3008397001,"LAB PARATHYROID HORM, MID MOL",$281.00 3008397002,LAB PARATHYROID HORMONE SERIAL MON,$281.00 3008397000,"LAB PARATHYROID HORM, INTACT",$281.00 3008019000,LAB PRONESTYL,$284.00 9813150000,ED PRO FEE INTUBATION ENDOTRACHEAL,$285.00 9603822100,BONE MARROW BIOPSY,$286.00 3028779900,LAB B K VIRUS DNA,$286.00 9811014000,ED PRO FEE DRAINAGE OF HEMATOMA/FLUID,$287.00 9819928400,ED PRO FEE CC_EMERGENCY DEPT VISIT,$287.00 3207402200,X-RAY ABDOMEN 3 VIEW (2V ABD 1V CXR),$287.00 4419612500,ST STANDARD COGNITIVE TESTING,$288.00 9811160000,ED PRO FEE DNU EXC TR-EXT MLG+MARG 0.5 < CM,$289.00 3008266400,LAB ELECTROPHORETIC TECH,$291.00 2500006450,"MENINGOCOCCAL VAC A,C,Y,W-135 DIP 0.5 ML INJ",$291.19 2500008960,ROTAVIRUS VACCINE INJ (1 ML SYR),$294.08 3207708000,X-RAY DEXA - BONE MINERAL DENSITOMET,$295.00 3008444501,LAB THYROID STIMULATING IMMUNOGLOB,$297.00 3008444500,LAB ANTI-TSH ANTIBODY,$297.00 948G042400,PULMONARY REHAB W EXER,$297.00 2500008820,RHO (D) IMMUNE GLOBULIN 300 MCG INJ (300 MCG SYR),$297.36 2700006120,CS SAGITTAL BLADE,$299.00 3207306050,X-RAY HUMERUS BIL,$300.00 3601504000,OR HARVST CULT SKN GRFT<=100SQ CM,$300.00 3008648000,LAB TB GOLD,$302.00 2700006460,CS SPHENO CATH,$303.00 3207211000,X-RAY SPINE LUMBAR(5V) OBLIQ,$304.00 9754323500,"PRO FEE UPPR GI ENDOSCOPY, DIAGNOSIS",$305.00 7611104200,"INF DEBRIDE, SUBQ TISSUE - FIRST 20CM",$305.00 2500010120,VARICELLA VACCINE (0.5 ML VIAL),$305.60 9646440550,CRNA ANESTH OCCIPITAL NERVE BLOCK BILATERA,$306.00 4027688250,US EXTREMITY BILAT,$308.00 4027688200,US EXTREMITY,$308.00 4609472900,RT PFS DLCO,$308.00 9875415000,PRO FEE CIRCUMCISION WITH DORSAL PENILE OR RING BLOCK,$308.00 3008129101,LAB MTHF DNA ANALYSIS,$310.00 3008129102,LAB MTHFR DNA,$310.00 2700003880,CS KATZ EXTRACTOR,$310.00 3008129100,LAB MTHF,$310.00 3207359050,X-RAY TIB FIB BILAT,$310.00 3008124002,LAB VENOUS THROMBOSIS,$311.00 3008124003,LAB HYPERCOAG/F2,$311.00 3207352200,X-RAY HIPS BILAT W/ AP PELVIS,$311.00 3008124000,LAB F2 PROTHROMBIN/THROMBO,$311.00 3008124001,LAB F2DN,$311.00 2700002200,CS DEFIB CPR ADULT PAD ZOLL,$313.00 2500001930,CLOBETASOL OINT 0.05% 30 GM TUBE,$313.39 2500009710,THIAMINE 100 MG INJ (200 MG VIAL),$313.43 3008273100,LAB FETAL FIBRONECTIN,$314.00 3008395000,LAB HER-2 QUANT,$314.00 2500006630,METHYLNALTREXONE 0.1 MG INJ (12 MG VIAL),$314.17 2500002700,DIHYDROERGOTAMIN 1 MG INJ (1 MG/1 ML AMP),$314.45 3008125600,LAB HEMOCHROM GEN MUTUATION,$319.00 9875861100,PRO FEE TUBAL WITH C-SECTION,$319.00 2700004630,CS MULTI BAND LIGATOR,$320.00 3207033000,X-RAY TMJ BILAT,$321.00 2700004050,CS LACRIMAL TREPHINE,$322.00 2700004040,CS LACRIMAL INTUBATION SET,$322.00 3207430000,X-RAY CHOLANGIOGRAM OPERATIVE,$325.00 9879923400,PRO FEE OBSERV/HOSP SAME DATE,$325.00 9819923400,ED PRO FEE OBSERV/HOSP SAME DATE,$325.00 3008459700,LAB VITAMIN K,$325.31 3008159600,LAB HCV FIBROSURE,$326.50 2500000460,ALPROSTADIL 1.25 MCG INJ (500 MCG VIAL),$326.89 2500007460,NITROPRUSSIDE 50 MG INJ (50 MG VIAL),$327.60 7613656900,INF PICC INSERTION 5YR>,$330.00 3207308050,X-RAY ELBOW (3V) BILATERAL,$330.00 4609464500,RT NEB CONTINUOS SUBSEQUENT HR,$330.00 9819921900,ED PRO FEE OBSERVATION CARE,$332.00 2700004880,CS NEEDLE EZ-IO 25MM 15G ADULT,$332.00 3008753602,LAB HIV-1 QUANT,$332.00 3008753600,LAB HIV QNT PCR,$332.00 9879921900,PRO FEE OBSERVATION CARE,$332.00 3008753601,LAB HIV VIRAL LOAD ULTRASENS,$332.00 9879922200,PRO FEE INITIAL HOSPITAL CARE,$333.00 9811202100,ED PRO FEE CLOSURE OF SPLIT WOUND,$333.00 2700002890,CS FILSHIE TUBAL LIGATION CLIPS,$334.00 4027687000,US TESTICULAR,$334.00 2700004640,CS MULTI CLIP APPLIER 20M/L,$335.00 4219760200,PT NON SELECTIVE WOUND DEBRIDEMEN,$338.00 3008122000,LAB CYSTIC FIB PROFILE,$341.00 9812851500,ED PRO FEE TREATMENT OF TOE FRACTURE,$343.00 9754323900,"PRO FEE UPPER GI ENDOSCOPY, BIOPSY",$344.00 9822061100,OR ARTHROCENTESIS ASPERATION/INJ MAJOR JOINT OR BURSA WITH ULTRASOUND GUIDANCE AND PERMANENT RECORDING AND REPORTING,$345.00 3008423300,LAB ESTROGEN RECEPTOR,$347.00 3207205200,X-RAY SPINE CERVICAL (6 OR MORE V),$347.00 3507637600,CT/ MRI RECONSTRUCTION,$347.00 9811144200,ED PRO FEE EXC FACE-MM B9+MARG 1.1-2 CM,$349.00 3605660500,OR BIOPSY OF VULVA/PERINEUM ONE L,$352.00 3601104200,OR DEBRIDEMENT SKIN & SUBCUT,$352.00 3207365050,X-RAY CALCANEUS (HEEL) BILAT,$352.00 9811140300,ED PRO FEE EXC TR-EXT B9+MARG 2.1-3 CM,$355.00 3008137401,LAB HLA-B51 DETERMINATION,$355.00 3008137400,LAB HLA B27,$355.00 2700001580,CS CATHETER MULTI LUMEN PEDIATRIC,$355.00 9826445000,"PRO FEE INJ ANESTHETIC AGENT, OTHER PERIPHERAL NERVE OR BRANCH",$355.00 9816445000,"ED PRO FEE ANESTHETIC AGENT, OTHER PERIPHERAL BRANCH OR NERVE",$355.00 3008837400,LAB MORPHOMETRIC ANALYSIS,$356.00 3008836500,LAB IN SITU HYBRIDIZATION,$356.00 3008127000,LAB JAK2 MUTATION,$357.00 3008124101,LAB FACTOR V LEIDEN MUTATION,$357.00 3008124100,LAB F5 THROMBOPHILIA,$357.00 3008124102,LAB HYPERCOAG/F5,$357.00 9879946500,PRO FEE NEW BORN RESUSCITATION,$358.00 3008137700,LAB 1 ANTIGEN EQUIVALENT,$358.00 9811160100,ED PRO FEE EXC TR-EXT MLG+MARG 0.6-1 CM,$360.00 3207600000,X-RAY FLUOROSCOPY TO 1 HOUR,$360.00 3207300050,X-RAY CLAVICLE BIL,$360.00 9811162100,ED PRO FEE EXC H-F-NK-SP MLG+MARG 0.6-1,$362.00 2700003850,CS JONES TUBE 4X12 FROSTED,$363.00 4503641000,ER TECH VENIPUNCTUR >3YR BY DR,$363.00 9811204100,ED PRO FEE LAYER CLOSURE OF WOUND(S),$364.00 3008826400,LAB CHROMOSOME ANAL 20-25 CELLS,$365.00 3008826200,LAB CHROMOSOME ANAL 15-20 CELLS W/,$365.00 3207312050,X-RAY HAND (2V) BIL,$366.00 3207303050,X-RAY SHOULDER BILATERAL,$366.00 4503090500,ER TECH NASAL HEMORHAG POSTERIOR,$368.00 4503090300,ER TECH NASAL HEMORRHAGE COMPLEX,$368.00 4506920000,ER TECH REMOVE FB AUDITORY CANAL,$368.00 4506522200,ER TECH REMOVAL FB CORNEA SL,$368.00 4503030000,ER TECH REMOVE FB INTRANASAL,$368.00 4505170200,ER TECH URETHRA CATH SIMPLE,$368.00 4503660000,ER TECH ARTERIAL PUNCUTRE,$368.00 4501174000,ER TECH I&D HEMATOMA SUBUNGUAL,$368.00 4503090100,ER TECH NASAL HEMORRHAGE SIMPLE,$368.00 4506520500,ER TECH REMOVAL FB OCULAR SURFACE,$368.00 4505170100,ER TECH INSERTION STRAIGHT CATHETER,$368.00 7616522200,SPEC CLINIC FB REMOVAL (CORNEAL),$368.00 9209208300,SPEC CLINIC GOLDMAN VISUAL FIELD,$368.00 7604660000,SPEC CLINIC ANOSCOPY EXPLORATION ONLY,$368.00 7606782000,SPEC CLINIC EPILATION BY FORCEPS ONLY,$368.00 3008823700,LAB TISSUE CULTURE BONE MARROW,$369.00 2500002570,DIAZEPAM 5 MG RECTAL GEL (2.5 MG APPL),$372.56 2700004870,CS NEEDLE EZ-IO 15MM 15G PEDIATRI,$375.00 2700008910,CS VAPOR CLEAN FILTER MH,$377.00 9811164100,ED PRO FEE EXC FACE-MM MALIG+MARG 0.6-1,$377.00 2500003190,EPINEPHRINE PEN ADULT 0.3 MG/0.3 ML PEN,$378.00 2500003200,EPINEPHRINE PEN JR 0.15 MG/0.3 ML PEN,$378.00 3008790000,LAB SUSCEPT PHENOTYPE,$381.00 2700004890,CS NEEDLE EZ-IO 45MM 15G CHUBBY,$384.00 2700005770,CS PERMASORB DEVICE,$385.00 2500000480,ALTEPLASE 1 MG INJ (2 MG VIAL),$385.71 3207363050,X-RAY FOOT (3V) BIL,$386.00 2700002580,CS ENDO RETRACTOR,$388.00 2700002451,CS DUOVISC OPH,$388.76 2700004740,CS NASAL SEPTAL BUTTON,$395.00 2500009750,TICE BCG INTRAVESICLE VIAL,$395.82 3606444501,OR N BLOCK SGL SCIATIC NRV LEFT,$396.00 3606441800,OR INJ SUPRASCAPULAR NERVE,$396.00 3606521000,OR REM FB CONJUNCT EMBEDDED,$396.00 3606444502,OR N BLOCK SGL SCIATIC NRV RIGHT,$396.00 3606911000,"OR EXCIS EXTNL EAR,PRTL SIMP RPR",$396.00 3602611100,OR EXC HAND LES SC 1.5CM >,$396.00 3008635200,LAB INFLIXIMAB ACTIVITY,$398.00 3008635201,LAB INFLIXNEUT AB,$398.00 980G010400,PRO FEE COLORECTAL CANCER SCREENING; FLEXIBLE SIGMOIDOSCOPY,$398.00 9804533000,"PRO FEE SIGMOIDOSCOPY, DIAGNOSTIC",$398.00 4506771500,ER TECH CANTHOTOMY,$400.00 9207651650,SPEC CLINIC A-SCAN ULTRASOUND BILATERAL,$401.00 9207651601,SPEC CLINIC A-SCAN ULTRASOUND LEFT EYE,$401.00 9207651602,SPEC CLINIC A-SCAN ULTRASOUND RIGHT EYE,$401.00 4027681000,US OB 14 WK OR OLDER MULT,$404.00 3606844001,OR SNIP INCSN LACRML PUNCT LT,$405.00 3606844002,OR SNIP INCSN LACRML PUNCT RT,$405.00 3008137600,"LAB CELIAC HLA DQ2, DQ8",$405.00 3604591500,OR RMV FECAL IMPACT OR FB,$407.00 3606440502,OR OCCIPITAL NERVE BLOCK RT,$407.00 3606440501,OR OCCIPITAL NERVE BLOCK LT,$407.00 4501313300,ER TECH REPR EAC ADTL 5CM CMPLX FCCMNAG,$407.00 4501312200,ER TECH REPR EAC ADTL 5CM CMPLX SAL,$407.00 4501310200,ER TECH REPR EAC ADTL 5CM CMPLX TRUNK,$407.00 4609406000,RT PFS SPIROMETRY PRE AND POST,$407.00 2700002570,CS ENDO BABCOCK,$408.00 3008725300,LAB HERPES SIMPLEX VIR CULT ADDTIONAL,$412.00 9879923500,PRO FEE OBSERV/HOSP SAME DATE,$413.00 9819923500,ED PRO FEE OBSERV/HOSP SAME DATE,$413.00 9811162200,ED PRO FEE EXC H-F-NK-SP MLG+MARG 1.1-2,$414.00 2500006440,MENINGOCOCCAL B VACCINE 0.5 ML INJ,$415.80 3207211400,X-RAY SPINE LUMBAR (7V) PLUS BENDING,$416.00 2700002590,CS ENDO SHEAR,$418.00 7235415000,LDRP CIRCUMCISION NEWBORN,$418.00 3207361050,X-RAY ANKLE (3V) BILAT,$418.00 3207356050,X-RAY KNEE(1 OR 2V)BIL,$418.00 3008120700,LAB BCR ABL QUAL,$423.00 3008120701,LAB MINOR BREAKPOINT QUAL/QUANT,$423.00 9819928500,ED PRO FEE CC_EMERGENCY DEPT VISIT,$423.00 3008138300,LAB 1 ALLELE OR (1 GROUP),$425.00 3207208200,"X-RAY SPINE, SCOLIOSIS",$426.00 3207313050,X-RAY HAND (3V) BIL,$426.00 2500007190,NA NITRATE/NA THIOSUL/AMYL NIT KIT,$428.40 2700004150,CS LIGAMAX CLIP APPLIER M/L 5MM,$431.00 9811198300,ED PRO FEE REMOVE/INSERT DRUG IMPLANT,$433.00 2500007950,"Bicillin L-A 1,200,000 UNITS (1,200,000 unit, 2 mL)",$433.84 9811006100,ED PRO FEE DRAINAGE OF SKIN ABSCESS,$434.00 2700001050,CS CAPSULAR TENSION RING 12MM,$436.00 2700001060,CS CAPSULAR TENSION RING 13MM,$436.00 4509928200,ER TECH CC_EMERGENCY LEVEL 2,$437.00 2500003220,EPTIFIBATIDE 5 MG INJ (20 MG VIAL),$438.08 3605900000,OR AMNIOCENTESIS,$440.00 4027693700,ANESTH SONOSITE VENOUS ACCESS (CRNA),$440.00 4027694200,ANESTH US GUIDANCE NEEDLE PLACEMENT,$440.00 9646449350,CRNA ANESTH INJ FACET JNT L/S SGL BILATERA,$444.00 3008836400,LAB HYBRIDIZATION EACH,$445.00 2700000070,CS 5MM BLADELESS TROCAR,$447.00 9646232200,"CRNA ANETHA UNDER INJECTION, DRAINAGE, OR ASPIRATION PROCEDURES ON SPINE AND SPINAL CORD",$450.00 9646227000,CRNA ANESTH SPINAL TAP LP,$450.00 3605830100,OR REMOVAL IUD,$451.00 3913643000,INF ADMINISTRATION BLOOD 2-4 HRS,$451.00 2500008220,PNEUMOCOCCAL 13 VACCINE (0.5 ML SYR),$451.84 3609250200,OR OTOLARYNGOLOGIC EX W/ANES,$453.00 2700004500,CS MESH 3DMAX MEDIUM RIGHT,$453.00 2700004490,CS MESH 3DMAX MEDIUM LEFT,$453.00 2500010130,VASOPRESSIN 20 UNIT INJ (20 UNIT VIAL),$453.07 9819922000,ED PRO FEE OBSERVATION CARE,$454.00 3008823000,LAB TISSUE CULT NON NEOPLASTIC DIS,$454.00 9879922000,PRO FEE OBSERVATION CARE,$454.00 2700003840,CS JEJUNGAL FEEDING TUBE 12FR,$456.00 9754537800,PRO FEE DIAGNOSTIC COLONOSCOPY,$460.00 982G0121000,OR PRO FEE COLORECTAL CANCER SCREENING MEDICARE ONLY,$460.00 9822709601,OR PRO FEE SACRIOLAC JOINT INJECTION LEFT,$460.00 9822709602,OR PRO FEE SACRIOLIAC JOINT INJECTION,$460.00 9813255100,ED PRO FEE TUBE THORACOSTOMY,$460.00 9819296000,"ER PRO FEE CARDIOVERSION, ELECTIVE, ELECTRICAL CONVERSION OF ARRHYTHMIA; EXTERNAL",$460.00 7619296000,INF CARDIOVERSION,$462.00 250A954100,RX TECH 99 SULFAR COLLOID,$462.00 3602822200,OR TENDON RELEASE MULTIPLE (FOOT),$462.00 2700005940,CS PROLENE HERNIA SYSTEM (LG),$468.00 4027681900,US BIOPHYSICAL PROFILE,$472.00 3601164100,OR EXC OF F/E/E/N/L MAL TMR 0.6-1,$473.00 3606770001,OR BLEPHAROTOMY DR/ABS EYL E1ULEL,$473.00 3601162400,OR EXC MALIGNANT LESION 2.1-,$473.00 3606770003,OR BLEPHAROTOMY DR/ABS EYL E3UREL,$473.00 3606770004,OR BLEPHAROTOMY DR/ABS EYL E4RLEL,$473.00 2700009030,CS VENTRALEX HERNIA PATCH (SM),$473.00 3606770002,OR BLEPHAROTOMY DR/ABS EYL E2LLEL,$473.00 3601582004,OR BLEPHAROPLASTY LOWER LID RIGHT,$473.00 3601582002,OR BLEPHAROPLASTY LOWER LID LEFT,$473.00 3603031000,OR REMOVAL OF F/B INTRANASAL,$473.00 4829301700,CARDIAC STRESS TEST,$473.00 2500000280,ACETYLCYSTEINE 100 MG INJ (6000 MG VIAL),$473.76 4502950500,ER TECH SPLINT LEG LONG,$474.00 9825745400,PRO FEE COLPOSCOPY W BIOPSY OF CERVIX AND ENDOCERVICAL CURETTAGE,$475.00 4505170300,ER TECH URETHRA CATH COMPLEX,$478.00 4609476200,RT OXIMETRY OVERNIGHT,$478.00 4609401001,RT PFS SPIROMETRY SIMPLE,$478.00 7615366000,SPEC CLINIC DILATION OF URETHRA (FEMALE),$478.00 9804101000,PRO FEE INCISION OF LINGUAL FRENUM,$478.00 3008120601,LAB TRANSLOCATION ANALYSIS,$479.00 3008120600,LAB BCR ABL QUANT,$479.00 4419252300,ST EVAL LANG COMPREH/EXPRESSION,$481.00 3601200100,OR SUTURE PERINEUM SIMPLE,$484.00 4609437500,RT PFS FV LOOP,$484.00 3207356250,X-RAY KNEE(3V) BIL,$484.00 3207311050,X-RAY WRIST 3V (BILAT),$484.00 2700000060,CS 3D MAX MESH,$485.00 4027681500,"US OB LIMITED (POS,HEART TONES",$485.00 2700004480,CS MESH 3DMAX LARGE RIGHT,$485.00 2500002300,DARBEPOETIN 1 MCG ESRD (25 MCG VIAL),$487.62 250002301,Darbepoetin 1 mcg Non-ESRD (25 mcg Vial),$487.62 250A953700,RX HEPATOLITE/CHOLTEC,$490.00 9879922300,PRO FEE INITIAL HOSPITAL CARE,$494.00 9873657100,PRO FEE PERIPHERAL CENTRAL CENTAL CATH,$495.00 4603172000,RT NASAL TRACHEAL SUCTION,$495.00 250A953900,RX RENAL DTPA PENTETATE,$500.00 250A956700,RX DTPA (AEROSOL) PPENTETATE,$500.00 3606449001,OR INJ FACET C/T SINGLE LEFT,$500.00 3606449002,OR INJ FACET C/T SINGLE RIGHT,$500.00 9754538000,PRO FEE COLONOSCOPY AND BIOPSY,$501.00 2700002900,CS FILSHIE TUBAL LIGATION KIT,$503.00 4609464400,RT NEB CONTINUOUS INITIAL HOUR,$506.00 3008834100,LAB IMMUNOHISTO EA ADD'L,$509.00 3008836004,LAB TISSUE PROGESTERON REC,$509.00 3008834200,LAB ER IMMUNO,$509.00 3008836003,LAB TISSUE ESTROGEN RECEPT,$509.00 3008834201,LAB IMMUNOHISTOCHEMISTRY,$509.00 3008836000,LAB ESTROGEN RECEPT,$509.00 3008689000,LAB METHYLENETETHRAHYDROFOLATE RED,$509.00 3008830700,LAB PATHOLOGY LEVEL V (88307),$509.00 3008834203,LAB PR IMMUNO,$509.00 3008836002,LAB PROGESTERON RECEPT,$509.00 3008836001,"LAB HEP 2 / NEW, TECH COMP",$509.00 3008818401,LAB IGE REC AB NP,$509.00 3008818402,LAB IGE RECEPTOR AB,$509.00 3008818400,LAB FLOW CYTOMETRY TECH COMPONENT,$509.00 3207474000,X-RAY HYSTEROSALPINGOGRAM,$514.00 2500004820,HPV VACCINE 9 INJ,$514.38 2700005920,"CS PROBE, BICOAG HEMOSTASIS",$516.00 2500006600,METHYLENE BLUE 50 MG INJ,$520.66 9811204400,ED PRO FEE LAYER CLOSURE OF WOUND(S),$521.00 2700002600,CS ENDOCATCH,$524.00 3207356450,X-RAY KNEE(4V) BIL,$524.00 2500001470,"CANDIN SKIN TEST 1 ea, 1 mL",$524.16 3602061002,OR DRAIN/INJ MAJOR JNT/BURSA RIGH,$528.00 3606954000,OR EXCISION AURAL POLYP,$528.00 3602061001,OR DRAIN/INJ MAJOR JNT/BURSA LEFT,$528.00 4501315300,ER TECH REPR EAC ADTL 5CM CMPLX NEEL,$528.00 9819923600,ED PRO FEE OBSERV/HOSP SAME DATE,$533.00 9879923600,PRO FEE OBSERV/HOSP SAME DATE,$533.00 3604908400,OR PERITONEAL LAVAGE,$539.00 9814180000,ED PRO FEE I & D ABSCESS DENTAL,$540.00 9814270000,ER PRO FEE INCISION & DRAINAGE OF ABCESS; PERITONSILLAR,$540.00 9819929100,"ED PRO FEE CRITICAL CARE, FIRST HOUR",$543.00 3606810001,OR BIOPSY OF CONJUNCTIVA LEFT,$550.00 7616227200,TR SPINAL TAP DRAIN CEREBRO FLUID,$550.00 3606810002,OR BIOPSY OF CONJUNCTIVA RIGHT,$550.00 3606227000,OR SPINAL TAP LP,$550.00 7616227000,TR SPINAL TAP LP,$550.00 9209580600,SLEEP STUDY UNATTENDED (HOME),$550.00 4502912500,ER APPLICATION OF A SPLINT,$550.00 7606781001,SPEC CLINIC BIOPSY OF EYELID E1 UP LFT,$550.00 7606781002,"SPEC CLINIC BIOPSY OF EYELID E2, LOWER LFT",$550.00 7606781003,SPEC CLINIC BIOPSY OF EYELID E3 UPPER RT,$550.00 7606781004,SPEC CLINIC BIOPSY OF EYELID E4 LOWER RT,$550.00 9814908200,ED PRO FEE ABDOMINAL PARACENTESIS; W/OUT IMAGE GUIDANCE,$550.00 3207707500,X-RAY SKELETAL SURVEY,$552.00 4027681700,US OB TRANS VAGINAL,$554.00 9811164300,ED PRO FEE EXC FACE-MM MALIG+MARG 2.1-3,$557.00 7616540000,SPEC CLINIC EXCISE LESION - CORNEA,$560.00 3606790350,OR INTERNAL PTOSIS BILATERAL,$560.00 3602525000,OR REMOVAL OF WRIST PROTHESIS,$561.00 3606542000,OR PTERYGIUM,$561.00 7616842000,SPEC CLINIC I & D OF LACRIMAL SAC,$561.00 4505902500,ER TECH FETAL NONSTRESS MONITOR,$563.00 4505642000,ER TECH I&D ABCES BARTHOLIN GLAND,$563.00 7615810000,SPEC CLINIC ENDOMETRIAL BIOPSY,$563.00 2700002040,CS COMPOSIX LP MESH,$566.00 3507638000,CT LMT STUDY,$567.00 9754538400,PRO FEE LESION REMOVE COLONOSCOPY,$567.00 2700009020,CS VENTRALEX HERNIA PATCH (MED),$568.00 2700005730,CS PEG KIT 24 FR,$573.00 9826440000,PRO FEE INJ ANESTHETIC AGENT; OTHER PERIPHERAL NERVE OR BRANCH,$575.00 9816440000,PRO FEE TRIGEMINAL BLOCK/DENTAL BLOCK,$575.00 3008126100,"LAB IGH,GENE REARRANGEMENT",$578.00 9874325000,PRO FEE EGD WITH HOT BIOPSY OR CAUTERY,$578.00 4027670500,US GALLBLADDER,$580.00 4027660400,US CHEST,$580.00 4027670503,US PANCREAS,$580.00 2780000010,IMPCATARACT LENS,$580.00 9811203500,ED PRO FEE LAYER CLOSURE OF WOUND(S),$580.00 4027670502,US LIVER,$580.00 4027670501,US LIMITED SP REGION,$580.00 3604590500,OR DILATE ANAL SPHINCTR UNDR ANES,$583.00 2700000650,CS BALLOON DILATOR CRE 12-15MM,$586.00 4501200100,ER TECH REPAIR TO 2.5CM SIMPLE,$592.00 4501200400,ER TECH REPAIR 7.6-12.5CM SMPLE,$592.00 4501602000,ER TECH DEBRIDE BURN SMALL DRESS,$592.00 4501201400,ER TECH REPAIR 5.1-7.5CM SMPLE,$592.00 4501201800,ER TECH REPAIR SIMPLE FACE OVER 30CM,$592.00 4501201100,ER TECH REPAIR TO 2.5CM SIMPLE,$592.00 4501006000,ER TECH I&D ABSCESS SQ SIMPLE,$592.00 4501602500,ER TECH DEBRIDE BURN MED DRESS,$592.00 4501200700,"ER TECH REPAIR SIMPLE SCALP,NCK,AXI >3",$592.00 4501201500,ER TECH REPAIR 7.6-12.5CM SMPLE,$592.00 4501173000,ER TECH NAIL PLATE AVULSION,$592.00 4501200200,ER TECH REPAIR 2.6-7.5CM SIMPLE,$592.00 4501201300,ER TECH REPAIR 2.5-5.0CM SIMPLE,$592.00 7611130100,SPEC CLINIC SHAVING SIGL LES TAL 0.6-1CM,$592.00 7611711100,SPEC CLINIC CRYOTHRPY;BENIGN LES 15> LES,$592.00 7611130200,SPEC CLINIC SHVNG SIGL LES TAL 1.1CM-2CM,$592.00 7611173000,"SPEC CLINIC AVULSION NAIL PLATE, PART,COMP",$592.00 7611201100,SPEC CLINIC REPAIR 2.5CM < LESS FACE,$592.00 7611726100,SPEC CLINIC DEST MLES T/A/L .6-1CM,$592.00 7611130000,SPEC CLINIC SHVNG SIGL LES TAL <0.5CM,$592.00 7611727100,SPEC CLINIC DEST MLES S/N/H/FT 0.6-1CM,$592.00 7611727000,SPEC CLINIC DEST MLES S/N/H/FT <=.05CM,$592.00 7611728000,SPEC CLINIC DESTR MLES F/E/E/N/L/MM<=0.5CM,$592.00 7611726200,SPEC CLINIC DEST MLES T/A/L 1.1-2CM,$592.00 7611726000,SPEC CLINIC DEST MLES T/A/L <=.5CM,$592.00 7611190000,SPEC CLINIC INJ INTRALESIONAL <=7 LES,$592.00 7611006000,SPEC CLINIC I & D ABSCESS SIMPLE OR SINGLE,$592.00 7611700000,SPEC CLINIC CRYOTHRPY;PREMALIG LES-FIRST L,$592.00 7619759700,SPEC CLINIC DEBRIDE SHARP < 20 SQ CM,$592.00 7611726300,SPEC CLINIC DEST MLES T/A/L 2.1-3CM,$592.00 7611727200,SPEC CLINIC DEST MLES S/N/H/FT 1.1-2CM,$592.00 7611711000,SPEC CLINIC CRYOTHRPY;BENIGN LES <=14 LES,$592.00 2700008460,CS TROCAR BALLOON 10MM STRUCTURAL,$594.00 3606452000,OR NERVE ROOT INJ,$594.00 3207700300,X-RAY FLUORO GUIDED SPINAL NEEDLE PL,$596.00 3207422000,X-RAY BARIUM SWALLOW / ESOPHAGRAM,$603.00 3207422010,XRAY MODIFIED BARIUM SWALLOW,$603.00 3008131300,LAB PROSTATE CANCER GENE,$604.00 3601585100,OR REM SUT W/ANES OTHER SURGEON,$605.00 3207700100,X-RAY FLUORO GUIDED FOR VEIN DEVICE,$606.00 2500002030,COLLAGENASE OINT 30GM TUBE,$606.82 9811313100,ED PRO FEE REPAIR OF WOUND OR LESION,$607.00 3207445500,"X-RAY CYSTOGRAM, VOIDING",$609.00 9824533100,PRO FEE SIGMOIDOSCOPY W BIOPSY,$609.00 9812677000,ED PRO FEE TREAT FINGER DISLOCATION,$610.00 2500008800,REGADENOSON 0.1 MG INJ (0.4 MG SYR),$612.26 3207700200,X-RAY FLUORO GUIDED NEEDLE PLACEMENT,$613.00 3601315100,"OR RPR, COMPLEX PROC 1.1CM-2.5CM",$615.00 3606881001,OR NASOLACRIMAL PROBE W/WO IRR LF,$615.00 3606881002,OR NASOLACRIMAL PROBE W/WO IRR RI,$615.00 3417830000,NUC MED BONE SCAN LIMITED,$617.00 2500002010,COCAINE 4% 4 ML BTL,$617.40 4027670600,US ABDOMINAL AORTA,$623.00 4503150000,ER TECH INTUBATION ENDOTRACHEAL,$625.00 4503150200,ER TECH TRACHEOSTOMY TUBE REPLACE,$625.00 3008826100,LAB CHROMOSOME ANALYSIS 5 COUNT,$626.00 3601312200,OR COMP RPR S/A/L EA ADD 5CM<,$627.00 987432390,PRO FEE EGD WITH BIOPSY,$627.00 2500001820,CIPROFLOXACIN/DEXAMETHASONE 0.3 %/0.1 % BTL,$627.71 7616943302,SPEC CLINIC TYMPANOSTOMY (INSERT VENT TUBE) LOCAL ANESTH,$632.00 7616943301,SPEC CLINIC TYMPANOSTOMY (INSERT VENT TUBE) LOCAL ANESTH,$632.00 9754538500,PRO FEE LESION REMOVAL COLONOSCOPY,$634.00 3606449301,OR INJ FACET JNT L/S SGLE LT,$635.00 3606449302,OR INJ FACET JNT L/S SGLE RT,$635.00 9805855800,"PRO FEE HYSTEROSCOPY, SURGICAL; WITH SAMPLYING (BIOPSY) OF ENDOMETRIUM AND/OR POLYPECTOMY WITH/WITHOUT D & C",$636.00 3604111500,OR EXCISION OF LINGUAL FRENUM,$638.00 390P901600,LAB RBC/LEUKO REDUCED EACH,$638.00 2700006810,CS SURGIFLO,$638.00 3601175000,OR EXCIS OF NAIL/NAIL MATRIX PRT/,$649.00 3601100500,OR REMOVAL OF FOREIGN SUBSTANCE/INFECTED/DEVITALIZED TISSUE-ABDOMINAL WALL,$649.00 3601100800,OR REMOVAL OF PROSTHETIC MATERIAL OR MESH/ABDOMINAL WALL FOR INFECTION,$649.00 3602061100,OR ARTHROCENTESIS ASPERATION/INJ MAJOR JOINT OR BURSA WITH ULTRASOUND GUIDANCE AND PERMANENT RECORDING AND REPORTING,$650.00 9812560000,"ER PRO FEE COSED TREATMENT OF DISTAL RADIUS FRACTURE W CLOSED TREATMENT OF ULNAR ULNAR STYLOID FRACTURE, W/O MANIPULATION",$650.00 341A955200,NUC MED FDG PER STUDY UP TO 45 MILLICURIES,$653.00 4609466000,RT CPAP/BIPAP,$653.00 3604908200,OR PARACENTESIS,$660.00 3204753100,XRAY CHOLANGIOGRAM FLUORO GUIDED,$660.00 9826440500,"OR PRO FEE INJECTION, ANESTHETIC AGENT; GREATER OCCIPITAL NERVE",$665.00 7616844001,SPEC CLINIC LACRIMAL PUNCTA SNIP LT,$670.00 7616791402,SPEC CLINIC REPAIR ECTROPION;SUTURE L-LFT,$671.00 7616791601,SPEC CLINIC ECTROPION RPR EXC TARSL WDG U-,$671.00 7616791401,SPEC CLINIC REPAIR ECTROPION;SUTURE U-LT,$671.00 7616791602,SPEC CLINIC ECTROPION RPR EXC TARSL WDG L-,$671.00 4027681600,US FETAL GROWTH,$672.00 3517045000,CT HEAD WO CONTRAST,$678.00 3601310100,OR RPR COMPLEX TRUNK 2.6CM-7.5CM,$682.00 3602506600,OR DEEP SFT TIS BX FOREARM/WRIST,$682.00 3606227300,OR BLOOD PATCH INJ,$682.00 3602761400,OR DEEP SOFT TISSUE BX LES/ANKLE,$682.00 3601312100,OR COMP REPAIR S/A/L 2.6-7.5CM,$682.00 7616227300,TR BLOOD PATCH INJ,$682.00 4027680100,US OB 0-14 WEEKS,$688.00 3603022000,OR NASAL SEPTAL BUTTON,$690.00 98130020,ED PRO FEE I & D ABSCESS OR HEMATOMA-NASAL SEPTUM,$690.00 2700009040,CS VENTRALEX LG CIRCLE,$703.00 9219392200,US ANKLE / BRACHIAL INDEX,$704.00 3601582301,OR BLEPHAROPLASTY UPPER LID LEFT W EXCESSIVE SKIN,$704.00 3601582303,OR BLEPHAROPLASTY UPPER LID RIGHT W EXCESSIVE SKIN,$704.00 2500004520,GLUCAGON 1 MG INJ (1 MG SYR),$707.62 4027685600,US PELVIS,$708.00 4027677000,US RENAL,$714.00 8219099900,DIALYSIS HEMODIALYSIS,$715.00 7616832050,SPEC CLINIC CONJCTVPLSTY W CNJ GRFT/EX BI,$715.00 7614908200,TR PARACENTESIS W/O IMAGING,$719.00 3207424000,X-RAY UGI,$721.00 2700003260,CS GOLD EYELID IMPLANT 1.2GM,$724.00 2700003280,CS GROSHONG 8FR,$729.00 250A951600,RX I-123,$730.00 2700000690,CS BALLOON DILATOR WIRE GUIDE 8-1,$733.00 2700000700,CS BALLOON DILATOR WIRE GUIDED 12,$733.00 2700000670,CS BALLOON DILATOR WIRE GUIDE 10-,$733.00 2700000680,CS BALLOON DILATOR WIRE GUIDE 6MM,$733.00 390P904000,LAB PRBC LEUCOREDUCED/IRRAD,$734.00 3606448301,OR ESI TRANSFORAMINAL W/FLUORO LT,$737.00 3606448302,OR ESI TRANSFORAMINAL W/FLUORO RT,$737.00 3207425000,X-RAY SMALL BOWEL SERIES,$737.00 9874537800,PRO FEE COLONOSCOPY DIAGNOSTIC,$737.00 9826448400,"PRO FEE ESI TRANSOFRMINAL ADDITIONAL LUMBAR (RT, LT, BILAT)",$737.00 9826448000,PRO FEE ESI TRANSFORAMINAL ADDITIONAL CERVICAL/THORACIC,$737.00 9826449000,PRO FEE FACET CERVICAL/THORACIC,$737.00 9826449100,PRO FEE FACET C/T 2ND LEVEL,$737.00 9826449200,PRO FEE FACET C/T 3RD LEVEL,$737.00 982632300,PRO FEE EPIDURAL STEROID INJECTION,$737.00 9826447900,"TRANSFORAMINAL INJ, CERVICAL OR THORACIC, WITH FLOURO, SINGLE LEVEL.",$737.00 9826448300,PRO FEE ESI TRANSFORMINAL LUMBAR SINGLE LEVEL,$737.00 9826449301,PRO FEE FACET LUMBAR LEFT,$737.00 9826449302,PRO FEE FACET LUMBAR RIGHT,$737.00 9826449401,PRO FEE FACET 2ND LEVEL LEFT,$737.00 9826449402,PRO FEE FACET 2ND LEVEL RIGHT,$737.00 9826449501,PRO FEE FACET 3RD LEVEL LEFT,$737.00 9826449502,PRO FEE FACET 3RD LEVEL RIGHT,$737.00 9812605500,ED PRO FEE INCISE FINGER TENDON SHEATH,$740.00 3601595000,"OR EXCISION, TROCHANTERIC PRESSURE ULCER W/ PRIMARY SUTURE",$740.00 4509297700,ER TECH IV INFUSE THROMBOLYSIS,$744.00 7616810001,SPEC CLINIC BIOPSY OF CONJUNCTIVA LEFT,$744.00 7616702802,SPEC CLINIC INTRAVITRL INJ OF PHAR AG RT,$744.00 7616702801,SPEC CLINIC INTRAVITRL INJ OF A PHAR AG LT,$744.00 3606232200,OR STEROID INJECTION,$748.00 3606444550,OR N BLOCK SGL SCIATIC NRV BILATE,$748.00 3603822100,OR BONE MARROW BIOPSY,$748.00 7613822100,TR BONE MARROW BIOPSY,$748.00 3603090300,OR CNTRL NASAL HEMRGE ANT COMPLX,$748.00 7616792100,SPEC CLINIC ENTROPION SUTURE,$750.00 7615525000,SPEC CLINIC VASECTOMY,$750.00 7616791403,SPEC CLINIC REPAIR ECTROPION;SUTURE U-RT,$750.00 7616791603,SPEC CLINIC ECTROPION RPR EXC TARSL WDG U-,$750.00 3602060500,"OR ARTHROCENTESIS, ASPIRATION AND/OR INJ, INTERMEDIATE JOINT OR BURSA",$750.00 3008790100,"LAB HIV-1, REVERSE TRANS & PRO",$752.00 3008790200,LAB HCV GENOTYPING,$752.00 4502670000,ER TECH DISLOCATION METACARPAL,$753.00 4502725000,ER TECH DISLOCATION HIP W/O ANESTHESIA,$753.00 4502148000,ER TECH DISLOCATION TMJ,$753.00 4502677000,ER TECH DISLOCATION IP JOINT,$753.00 4502756000,ER TECH DISLOCATION PATELLAR,$753.00 4502464000,ER TECH NURSE MAID ELBOW,$753.00 4502863000,ER TECH DISLOCATION METATARSAL,$753.00 4502460000,ER TECH DISLOCATION ELBOW W/O ANESTHES,$753.00 4502354000,ER TECH DISLOCATION AC JOINT,$753.00 2500010390,ZOLEDRONIC ACID 1 MG INJ (5 MG VIAL),$756.00 2700005790,CS PICC 4 FR KIT,$758.00 4809330800,US ECHOCARDIOGRAM LIMITED,$760.00 2700008470,"CS TROCAR, EXCEL BLUNT TIP 12MM",$761.00 3008123500,LAB EGFR T790 MUTATION,$767.00 4027670000,US ABDOMINAL,$767.00 4509928300,ER TECH CC_EMERGENCY LEVEL 3,$767.00 2700009550,CS BFLEX 5.0 BRONCHOSCOPE,$767.00 2700005880,CS POWER PORT,$769.00 2700005890,CS POWER PORT MRI 7FR,$774.00 7611204100,SPEC CLINIC RPR INTERM WOUND NHFEG <=2.5CM,$777.00 7611728200,SPEC CLINIC DEST MLES F/E/E/N/L/MM 1.1-2CM,$777.00 7611203100,SPEC CLINIC RPR INTERM WOUND SAT <=2.5CM,$777.00 7611160200,SPEC CLINIC EXC MALIG LES TAL 1.1-2CM,$777.00 7611728100,SPEC CLINIC DEST MLES F/E/E/N/L/MM 0.6-1CM,$777.00 7611205100,SPEC CLINIC RPR INTERM WOUND FENL <=2.5CM,$777.00 7611140100,SPEC CLINIC EXC BENIGN LES TAL .6-1CM,$777.00 7611727300,SPEC CLINIC DEST MLES S/N/H/FT 2.1-3CM,$777.00 7611002100,SPEC CLINIC FINE NEEDLE ASPIRATION W/O IMA,$777.00 7611728300,SPEC CLINIC DEST MLES F/E/E/N/L/MM 2.1-3CM,$777.00 7611175000,"SPEC CLINIC EXC OF NAIL/NAIL MATRIX, PRT/C",$777.00 7611110000,SPEC CLINIC BIOPSY OF SKIN SINGLE LESION,$777.00 7611203200,SPEC CLINIC RPR INTERM WOUND SAT 2.6-7.5CM,$777.00 7611700400,SPEC CLINIC CRYOTHRPY; PREMALIG LES 15>,$777.00 7611012000,SPEC CLINIC INCISION & REMOVAL OF FOREIGN,$777.00 7611006100,SPEC CLINIC I & D ABSCESS COMPLIC/MULTIPL,$777.00 7611204200,SPEC CLINIC RPR INTERM WOUND NHFEG 2.6-7.5,$777.00 2500002310,DARBEPOETIN 1 MCG ESRD(40 MCG VIAL),$780.19 250002311,Darbepoetin 1 mcg Non-ESRD (40 mcg Vial),$780.19 3602193000,OR EXC BACK LES SC < 3CM,$781.00 3602133700,OR CLOSED REDUCTION NASAL FX,$781.00 3602150100,OR I&D DEEP ABSC SFT TISS NK/THOR,$781.00 2700002640,CS ENDOPATH LINEAR CUTTER 45MM,$781.00 2500003940,"ESTROGEN, CONJ 25 MG INJ (25 MG VIAL)",$785.33 3207440000,X-RAY IVP,$786.00 3207355250,X-RAY FEMUR BILAT,$792.00 4502460500,DISLOCATION ELBOW W/ ANESTHESIA,$800.00 4502725200,DISLOCATION HIP W/ ANESTHESIA,$800.00 9812756000,ED PRO FEE TREAT KNEECAP DISLOCATION,$801.00 4505170000,ER TECH BLADDER IRRIGATION SIMPLE,$804.00 7614608300,SPEC CLINIC INCISION THROMBOSED HEMOR EXT,$804.00 7615360000,SPEC CLINIC DILATION OF URETHRAL (MALE),$804.00 3913643001,INF ADMINISTRATION BLOOD 4-8 HRS,$810.00 3606844050,OR SNIP INCSN LACRML PUNCT BILAT,$810.00 9804323900,PRO FEE EGD WITH COLD BIOPSY,$813.00 2500006080,LIRAGLUTIDE 18 MG/3 ML PEN,$813.00 3606440550,OR OCCIPITAL NERVE BLOCK BILATERA,$814.00 4027683000,US PELVIS TRANS VAGINAL,$816.00 2700001470,"CS CATH, BAKRI BALLOON",$819.00 3602061000,OR ARTHROCENTESIS ASPERATION/INJ MAJOR JOINTOR BURSA W ULTRASOUND GUIDANCE,$825.00 9811204200,ED PRO FEE LAYER CLOSURE OF WOUND(S),$825.00 4027653601,US THYROID,$826.00 4027653600,US HEAD/NECK,$826.00 4506521000,ER TECH REMOVAL FB OCULAR EMBED,$826.00 4506522000,ER TECH REMOVAL FB CORNEA,$826.00 7606880100,SPEC CLINIC DILATE LACRIMAL PUNCTUM W W/O,$826.00 7616521000,SPEC CLINIC FOREIGN BODY REMOVAL (CONJUCTI,$826.00 3527415000,CT ABDOMEN W/O CONTRAST,$832.00 3606449101,OR INJ FACET C/T 2ND LEVEL LEFT,$835.00 3606449102,OR INJ FACET C/T 2ND LEVEL RIGHT,$835.00 9814908300,ED PRO FEE PARACENTESIS W IMAGING,$840.00 9811205200,"ER PRO FEE REPAIR INTERMEDIATE; FACE, EARS, EYELIDS, NOSE, LIPS &/OR MUCOUS MEMBRANE 2.6 CM TO 5.0 CM",$840.00 3527219200,CT PELVIS WO CONTRAST,$846.00 3602709601,OR INJ SI JOINT LEFT,$847.00 390P903500,LAB PLATELET PHERESIS LEUCO REDUCE,$847.00 3602709602,OR INJ SI JOINT RIGHT,$847.00 3207424600,X-RAY UGI AIR CONTRAST,$849.00 2500004840,HYALURONATE PER DOSE (EUFLEXXA)(10 MG SYR),$856.62 4502061000,ER TECH INJECTION ARTHROCENTESIS MAJOR,$857.00 4502055000,ER TECH INJECTION TENDON SHEATH,$857.00 4502060500,ER TECH INJECTION ARTHROCENTESUS INTER,$857.00 4506440000,ER TECH TRIGEMINAL BLOCK/DENTAL BLOCK,$857.00 4502060000,ER TECH INJECTION ARTHROCENTESI SAMLL,$857.00 4027680500,US OB 14 WEEKS AND UP,$859.00 9811203200," ED PRO FEE REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS AND FEET) 2.6 CM TO 7.5 CM",$860.00 3606781000,OR BIOPSY OF EYELID,$860.00 9874538000,PRO FEE COLONOSCOPY WITH BIOPSY,$864.00 3606701000,OR VITRECTOMY,$869.00 9812420100,ED PRO FEE REMOVAL OF ARM FOREIGN BODY,$869.00 3601583200,OR EXCISION LIPOMA THIGH,$869.00 3603656900,OR INS PICC W/O PORT 5YR>,$869.00 3601583500,OR EXCISION LIPOMA BUTTOCK,$869.00 4509295000,ER TECH CPR,$871.00 4504375300,ER TECH INTUBATION LAVAGE GASTRIC,$871.00 2500008700,RABIES VACCINE 2.5 UNIT/1 ML INJ,$874.72 2700009551,CS BFLEX 5.8 BRONCHOSCOPE,$884.00 3507048600,CT FACIAL BONES W/O,$891.00 3507048601,CT SINUSES,$891.00 2500001530,CARBOPROST 250 MCG (250 MCG AMP),$893.17 1299922200,RN RMCG INTERMEDIATE SWINGBED,$900.00 9811203400,ED PRO FEE REPAIR 7.6-12.5 CM INTERMEDIATE,$900.00 9812675500,"ER PRO FEE CLOSED TREAMENT OF DISTAL PHALANGEAL FRACTURE, FINGER OR THUMB; WITH MANIPULATION",$900.00 9812365000,ED PRO FEE TREAT SHOULDER DISLOCATION,$900.00 3606449401,OR INJ FACET JNT L/S LVL2 LT,$903.00 3606449402,OR INJ FACET JNT L/S LVL2 RT,$903.00 390P903700,LAB PLATELETS PHERESIS LEUCO RED/I,$913.00 9219397101,US VENOUS DOP UNILAT LT,$918.00 9219397102,US VASCULAR DOP UNILAT RT,$918.00 3602010200,OR EXPLORATORY SURGERY OF TRAUMATIC WOUND ABDOMEN/FLANK/BACK,$920.00 9822709650,OR PRO FEE SACRIOLIAC JOINT INJECTION BILATERAL,$920.00 3604606000,OR PERI ANAL ABSCESS,$924.00 7613255400,TR THORACENTIS W/O IMAGING,$930.00 7616791604,SPEC CLINIC ECTROPION RPR EXC TARSL WDG L-,$937.00 7616876002,SPEC CLINIC CLS LACRIMAL PUNCT;LSR/THRM RT,$937.00 9206560000,SPEC CLINIC YAG LASER MICROPUNCTURE (CORNE,$937.00 7606770000,SPEC CLINIC BLEPHROTMY DRAIN ABS EYLID LLL,$937.00 7606782500,SPEC CLINIC EPILATION BY ELECTROSURGERY,$937.00 7606881050,SPEC CLINIC NASOLACRIMAL PROBE W/WO IRR BI,$937.00 7616780502,SPEC CLINIC EXC OF CHALAZION MULTI DIFF LW,$937.00 7616780104,SPEC CLINIC EXC OF CHALZION MULTI SAME LOW,$937.00 7616780504,SPEC CLINIC EXC OF CHALAZION MULTI DIFF LW,$937.00 7616780103,SPEC CLINIC EXC OF CHALAZION MULTI SAME UP,$937.00 7606810002,SPEC CLINIC BIOPSY OF CONJUNCTIVA RIGHT,$937.00 7616876050,SPEC CLINIC CLS LACRIMAL PUNCT;LSR/THRM BI,$937.00 7616780501,SPEC CLINIC EXC OF CHALAZION MULTI DIFF UP,$937.00 7616780003,SPEC CLINIC EXC OF CHALAZION SINGLE UPPER,$937.00 7616791404,SPEC CLINIC REPAIR ECTROPION;SUTURE L-RT,$937.00 7616780001,SPEC CLINIC EXC OF CHALAZION SINGLE UPPER,$937.00 7616853050,SPEC CLINIC REM FB/DACRYOLITH LACR PASSG B,$937.00 7616884002,SPEC CLINIC PROBE LACRIMAL CANALICULI RT,$937.00 7616780002,SPEC CLINIC EXC OF CHALAZION SINGLE LOWER,$937.00 7616770002,SPEC CLINIC DRAINAGE OF ABCESS EYELID LLL,$937.00 7616884050,SPEC CLINIC PROBE LACRIMAL CANALICULI BI,$937.00 7616881002,SPEC CLINIC NASOLACRIMAL PROBE W/WO IRR RT,$937.00 7616884001,SPEC CLINIC PROBE LACRIMAL CANALICULI LT,$937.00 7616780503,SPEC CLINIC EXC OF CHALAZION MULTI DIFF UP,$937.00 7606844050,SPEC CLINIC LACRIMAL PUNCTA SNIP BILATERAL,$937.00 7616853002,SPEC CLINIC REM FB/DACRYOLITH LACR PASSG R,$937.00 7611910002,"SPEC CLINIC BIOPSY OF BREAST, W/O IMAGING",$937.00 7616780004,SPEC CLINIC EXC OF CHALAZION SINGLE LOWER,$937.00 7611910001,"SPEC CLINIC BIOPSY OF BREAST, W/O IMAGING",$937.00 7606881001,SPEC CLINIC NASOLACRIMAL PROBE W/WO IRR LF,$937.00 7616876001,SPEC CLINIC CLS LACRIMAL PUNCT;LSR/THRM LT,$937.00 7616844002,SPEC CLINIC LACRIMAL PUNCTA SNIP RT,$937.00 7616853001,SPEC CLINIC REM FB/DACRYOLITH LACR PASSG L,$937.00 4503643000,ER TECH BLOOD ADMINISTRATION 2-4 HRS,$938.00 4503643001,ER TECH BLOOD ADMINISTRATION 4-8 HRS,$938.00 7615751100,SPEC CLINIC CRYOTHERAPY CERVIX,$940.00 7605682100,SPEC CLINIC COLPOSCOPY W/ BIOPSY OF CERVIX,$940.00 3601582000,OR BLEPHAROPLASTY LOWER LID BILAT,$946.00 9874538400,PRO FEE COLONOSCOPY WITH HOT BIOPSY OR CAUTERY,$946.00 7611110200,SPEC CLINIC BIOPSY OF SKIN TANGENTIAL,$950.00 7611110300,SPEC CLINIC BIOPSY OF SKIN TANGENTIAL EA ADD'L LESION TANGENTIAL,$950.00 7611110400,BIOPSY OF SKIN PUNCH,$950.00 76111105,SPEC CLINIC BIOPSY OF SKIN PUNCH EA ADD'L LESION PUNCH,$950.00 3600009807,OR TRIGGER FINGER RELEASE,$957.00 2700000720,CS BALLOON DISSECTOR,$958.00 3507049000,CT NECK SOFT TISSUE WO,$960.00 3527125000,CT CHEST WO CONTRAST,$967.00 9813160500,ED PRO FEE TRACHEOSTOMY CRICOTHYROID,$975.00 3517046000,CT HEAD W CONTRAST,$983.00 9219393100,US ARTERIAL DOPP UP EXT UNILAT,$987.00 2500003930,"ESTROGEN, CONJ 0.625 MG VAG CREAM (30 GM TUBE)",$988.44 1709922100,RN RMCG NURSERY,"$1,000.00" 3606449050,OR INJ FACET C/T SINGLE BILATERAL,"$1,000.00" 3606449201,OR INJ FACET C/T 3RD LEVEL LEFT,"$1,000.00" 3606449202,OR INJ FACET C/T 3RD LEVEL RIGHT,"$1,000.00" 2700010005,CS NEURSTIMULATOR BATTERY,"$1,000.00" 2700005950,CS PROLENE HERNIA SYSTEM (MED),"$1,001.00" 3606527500,OR REPAIR LAC CORNEA W/W/O REMOVA,"$1,001.00" 2700005930,CS PROLENE HERNIA SYSTEM (EXTENDE,"$1,001.00" 3601006000,OR INCISION & DRAINAGE,"$1,001.00" 3604661000,OR EXCISION RECTAL POLYP-ANOSCOPY,"$1,012.00" 3604532100,OR PROCTOSIGMOIDOSCOPY VOLVULUS,"$1,012.00" 3604533100,OR SIGMOIDOSCOPY W/BIOPSY,"$1,012.00" 3604530000,OR PROCTOSIGMOIDOSCOPY RIGID DX,"$1,012.00" 3604533000,OR SIGMOIDOSCOPY FLEXIBLE,"$1,012.00" 7615172000,ONC BLADDER INSTILLATION OF ANTICA,"$1,023.00" 3604533300,OR FLEXIBLE SIGMOID W HOT BIOPSY,"$1,023.00" 3604533400,OR SIGMOIDOSC W BLEED CNTRL,"$1,023.00" 9812560500,"ER PRO FEE CLOSED TREATMENT OF DISTAL RADIUS FRACTURE, W CLOSED TREATMENT OF ULNAR STYLOID FRACTURE, W MANIPULATION","$1,025.00" 9812775200,"ER PRO FEE CLOSED REDUCTION OF FRACTURE OF SHAFT OF TIBIA W FRACTURE OF FIBULA, W MANIPUTLATION & SKELETAL TRACTION","$1,025.00" 3507048700,CT FACIAL BONES W/,"$1,029.00" 3605745400,OR COLPOSCOPY WITH BX OF THE CERV,"$1,034.00" 3604345000,OR EGD W/DILATION/BOUGIE,"$1,034.00" 4109466000,RT BIPAP PER DAY,"$1,034.00" 2700004530,CS MESH VENTRALEX ST SM,"$1,040.00" 9219392600,US ARTERIAL DOP LOW EXT UNILAT,"$1,041.00" 3507213100,CT L-SPINE WO CONTRAST,"$1,042.00" 3507048000,CT ORB/SELLA/POS FOSA W/O,"$1,042.00" 3507320002,CT EXT UPPER W/O RT,"$1,042.00" 3507212500,CT C-SPINE WO CONTRAST,"$1,042.00" 3507320001,CT EXT UPPER W/O LT,"$1,042.00" 3507320050,CT EXT UPPER W/O BILAT,"$1,042.00" 3507370002,CT EXT LOWER W/O RT,"$1,042.00" 3507370050,CT EXT LOWER W/O BIL,"$1,042.00" 3507212800,CT T-SPINE WO CONTRAST,"$1,042.00" 3507370001,CT EXT LOWER W/O LT,"$1,042.00" 3507417600,CT ABD/PELVIS W/O CONTRAST,"$1,049.00" 3207442000,X-RAY RETROGRADE,"$1,053.00" 3601140100,OR EXC B LESION SKIN .6-1CM,"$1,056.00" 3601140200,OR EXC B LESION SKIN 1.1-2.0CM,"$1,056.00" 3602061050,OR DRAIN/INJ MAJOR JNT/BURSA BILA,"$1,056.00" 9874538500,PRO FEE COLONOSCOPY WITH SNARE,"$1,067.00" 3207427000,X-RAY BARIUM ENEMA SINGLE CONTRAST,"$1,069.00" 2500005200,"IMMUNE GLOBULIN, GAMMA 500 MG INJ (5000 MG BTL)","$1,069.87" 3601313200,"OR REPAIR, COMPLEX 2.6CM TO 7.5 C","$1,070.00" 4502675500,"ER TECH CLOSED TX OF DISTAL PHALANGEAL FX, FINGER OR THUMB; W MANIPULATION","$1,075.00" 2500008260,PORACTANT ALFA 240 MG/3 ML,"$1,077.02" 2700006440,CS SORBAFIX TACKER,"$1,081.00" 9802667500,PRO FEE CLOSED CARPOMETACARPAL DISLOCATION WITH MANIPULATION WITH ANESTHESIA,"$1,083.00" 4501313100,ER TECH REPAIR 1.2-2.5CM CMPLX,"$1,088.00" 4501203500,"ER TECH REPAIR INT SCALP,AXIL,TRK 12.6","$1,088.00" 4501204200,ER TECH CLOSURE LAYER 2.6-7.5CM,"$1,088.00" 4501200500,ER TECH REPAIR 12.6-20CM SIMPLE,"$1,088.00" 4501205600,ER TECH REPAIR INT FACE 20.1-30CM,"$1,088.00" 4501205300,ER TECH CLOSURE LAYER 5.1-7.5CM,"$1,088.00" 4501203200,ER TECH CLOSURE LAYER 2.6-7.5CM,"$1,088.00" 4501204600,"ER TECH REPAIR INT NECK,HAND,FT 20.1-3","$1,088.00" 4501104200,ER TECH DEBRIDE WOUND SUPERFICIAL,"$1,088.00" 4501205400,ER TECH REPAIR INT FACE 7.6-12.5CM,"$1,088.00" 4501204100,ER TECH CLOSURE LAYER TO 2.5CM,"$1,088.00" 4501205100,ER TECH CLOSURE LAYER TO 2.5CM,"$1,088.00" 4501006100,ER TECH I&D ABSCESS SQ COMLEX,"$1,088.00" 4501012000,ER TECH REMOVAL FB SQ SIMPLE,"$1,088.00" 4501603000,ER TECH DEBRIDE BURN LARGE DRESS,"$1,088.00" 4501205200,ER TECH CLOSURE LAYER 2.5-5.0CM,"$1,088.00" 4501175000,ER TECH NAIL EXCISE INGROWN,"$1,088.00" 4501203100,ER TECH CLOSURE LAYER TO 2.5CM,"$1,088.00" 4501204700,"ER TECH REPAIR INT NECK,HANDS,FT OVER","$1,088.00" 4501200600,"ER TECH REPAIR SIMPLE SCALP,NCK,AXI 20","$1,088.00" 4501201700,ER TECH REPAIR SIMPLE FACE 20.1-30CM,"$1,088.00" 4501201600,ER TECH REPAIR 12.6-20CM SIMPLE,"$1,088.00" 4501205700,ER TECH REPAIR INT FACE OVER 30CM,"$1,088.00" 4501205500,ER TECH REPAIR INT FACE 12.6 - 20CM,"$1,088.00" 7613255500,TR THORACENTESIS W IMAGING,"$1,089.00" 3603255500,OR THORACENTESIS,"$1,089.00" 3606810050,OR BIOPSY OF CONJUNCTIVA BILAT,"$1,089.00" 7616810050,SPEC CLINIC BIOPSY OF CONJUNCTIVA BILATERA,"$1,089.00" 250A954000,RX TECH 99 MAA LUNG,"$1,090.00" 3507557400,CT CORONARY ART,"$1,090.00" 3602024000,OR BONE BIOPSY EXCISIONAL; SUPERF,"$1,100.00" 7616788000,SPEC CLINIC TARSORRHAPY,"$1,100.00" 7611110600,SPEC CLINIC BIOPSY OF SKIN INCISIONAL,"$1,100.00" 7611110700,SPEC CLINIC BIOPSY OF SKIN INCISIONAL EA ADD'L SKIN INCISIONAL,"$1,100.00" 2500004190,FILGASTUM-SNDZ 1 MCG INJ (480 MCG SYR),"$1,106.23" 2500002260,DAPTOMYCIN 1 MG (500 MG VIAL),"$1,122.61" 9802460500,PRO FEE CLOSED ELBOW DISLOCATION WITH ANESTHESIA,"$1,123.00" 3417870800,NUC MED RENAL FLOW FUNC W/PHARM,"$1,128.00" 3606920500,OR REMOVAL FB EXT AUDITORY CANAL,"$1,133.00" 4504908200,ER ABDOMINAL PARACENTESIS W/O IMAGING,"$1,140.00" 3606682500,OR LENS REPOSITION,"$1,144.00" 7611910050,SPEC CLINIC BIOPSY OF BREAST W/O IMAGING B,"$1,144.00" 9812365500,ER PRO FEE CLOSED TREATMENT SHOULDER DISLOCATION W MANIPULATION REQUIRING ANESTH,"$1,150.00" 3604327000,OR EGD W/ ABLATION,"$1,155.00" 3604438200,OR ILEOSCOPY THRU STOMA W/BX SGL/,"$1,155.00" 4503642500,ER TECH CUTDOWN >1YR,"$1,156.00" 250002510,ACTEMRA 1 MG (80 MG VIAL),"$1,162.12" 2500002320,DARBEPOETIN 1 MCG ESRD(60 MCG VIAL),"$1,170.29" 2500002321,Darbepoetin 1 mcg Non-ESRD (60 mcg Vial),"$1,170.29" 2700005900,CS PPH STAPLER,"$1,171.00" 3517047000,CT HEAD W/WO CONTRAST,"$1,183.00" 2500003230,EPTIFIBATIDE 5 MG INJ (75 MG VIAL),"$1,183.24" 3606448402,OR ESI TRANS ADD ON RT,"$1,188.00" 3604533500,OR SIGMOID W/SUBMVC INJ,"$1,188.00" 3606448401,OR ESI TRANS ADD ON LT,"$1,188.00" 9812778800,ED PRO FEE CLOSED DISTAL FIBULAR FX W MANIPULATION,"$1,200.00" 3603658900,OR REMOVAL TNL CV CATH,"$1,210.00" 7613658900,INF REMOVAL OF GROSHONG CATH,"$1,210.00" 3008748300,LAB MENINGITIS/ENCEPHALITIS PANEL,"$1,217.00" 3008763300,LAB RESP L2-25 TARGETS,"$1,217.00" 3008750700,LAB STOOL C+S-NP,"$1,217.00" 7616682101,SPEC CLINIC YAG CAPSULOTOMY LEFT EYE,"$1,220.00" 7616682102,SPEC CLINIC YAG CAPSULOTOMY RIGHT EYE,"$1,220.00" 7611176000,SPEC CLINIC REPAIR NAIL BED,"$1,221.00" 3606881050,OR NASOLACRIMAL PROBE W/WO IRR BI,"$1,230.00" 3604517100,OR EXC RECT TUM TRANSANAL PART,"$1,232.00" 3507049100,CT NECK SOFT TISSUE W,"$1,239.00" 2700004520,CS MESH VENTRALEX ST MED,"$1,239.00" 3527126000,CT CHEST W CONTRAST,"$1,242.00" 3604700000,"OR LIVER BIOPSY, NEEDLE PERCUTANE","$1,243.00" 4509928400,ER TECH EMERGENCY LEVEL 4,"$1,245.00" 2500000740,ARGATROBAN (NON-ESRD)1 MG INJ (250 MG VIAL),"$1,260.00" 7616943350,SPEC CLINIC TYMPANOSTOMY (INSERT VENT TUBE) LOCAL ANESTH,"$1,264.00" 3604436000,OR SMALL BOWELL ENDOSCOPY,"$1,265.00" 3602804300,OR EXC FOOT/TOE TUM <1.5CM,"$1,265.00" 3606449350,OR INJ FACET JNT L/S SGL BILATERA,"$1,270.00" 3601110000,OR BIOPSY OF SKIN SINGLE LESION,"$1,270.00" 3601573300,"OR MUSCLE FLAP, HD/NECK","$1,276.00" 3604437300,OR PEJ TUBE PLACEMENT,"$1,276.00" 3601583900,OR EXCISE EXCESS SKIN TISSUE,"$1,276.00" 3008830900,LAB PATHOLOGY LEVEL VI (88309),"$1,279.00" 4509296000,ER TECH CARDIOVERSION ELECTIVE,"$1,282.00" 4509295300,ER TECH PACEMAKER EXTERNAL TEMP,"$1,282.00" 4509929200,ER CRITICAL CARE EACH ADD 30 MIN,"$1,284.00" 2780000020,IMPCATARACT LENS-TORIC LENS,"$1,287.00" 3604436600,OR SM INTSTNL ENDO W/ BLEED CNTRL,"$1,287.00" 3604323300,OR EGD W/DILALATION BALLOON >30MM,"$1,287.00" 3606449501,OR INJ FACET JNT L/S LVL3 LT,"$1,287.00" 3606449502,OR INJ FACET JNT L/S LVL3 RT,"$1,287.00" 7616232100,OR EPIDURAL CERVICAL/THORACIC,"$1,298.00" 7616232300,OR EPIDURAL LUMBAR,"$1,298.00" 3604323500,OR EGD DIAGNOSTIC,"$1,298.00" 3606232300,OR EPIDURAL LUMBAR,"$1,298.00" 3604324700,OR EGD W REMOVAL FB,"$1,298.00" 3606232100,OR EPIDURAL CERVICAL/THORACIC,"$1,298.00" 4023255500,US GUIDED THORACENTESIS,"$1,300.00" 3507048800,CT FACIAL BONES W/WO,"$1,301.00" 3008122001,LAB CYSTIC FIBROSIS MUTATION TEST,"$1,316.00" 3606980100,"OR LABRINTHOTOMY, TRANSCANAL","$1,320.00" 3601012000,"OR REMOVAL FB, SQ, SIMPLE","$1,353.00" 4506444700,"ER TECH FEMORAL NERVE BLOCK, SINGLE","$1,359.00" 4506227300,ER TECH BLOOD PATCH INJ,"$1,359.00" 4506445000,ER TECH NERVE BLOCK DIGITAL,"$1,359.00" 4506227000,ER TECH SPINAL TAP LP,"$1,359.00" 3606445000,OR INJ ANESTHETIC AGENT; OTHER PERIPHERAL NERVE OR BRANCH,"$1,359.00" 3601164200,OR EXC MALIG LIP LESION 1.1 TO,"$1,360.00" 4504908300,ER TECH PARACENTESIS W IMAGING,"$1,375.00" 3604908300,"OR PARACENTESIS, INIT, W/IMAGING","$1,375.00" 7614908300,TR PARACENTESIS W/ IMAGING,"$1,375.00" 4503002000,ER TECH I & D ABSCESS OR HEMATOMA-NASAL SEPTUM,"$1,375.00" 9812781800,ER PRO FEE CLOSED TREATMENT OF TRIMALLEOLAR ANKLE FRACTURE,"$1,390.00" 6127214100,MRI CERVICAL SPINE W/O,"$1,393.00" 6127214800,MRI LUMBAR SPINE W/O,"$1,393.00" 6127214600,MRI THORACIC SPINE W/O,"$1,396.00" 3606943601,OR MYRINGTOMY LEFT,"$1,399.00" 3606943602,OR MYRINGTOMY RIGHT,"$1,399.00" 1299922100,RN RMCG SKILLED SWINGBED,"$1,400.00" 3602460500,OR CLOSED ELBOW DISLOCATION W/ AN,"$1,408.00" 3604081900,OR EXC OF FRENUM LABIAL OR BUCCAL,"$1,408.00" 3601582300,OR BLEPHAROPLASTY UPPER LID BILATERAL W EXCESSIVE SKIN,"$1,408.00" 7615200000,SPEC CLINIC CYSTOSCOPY,"$1,414.00" 9219397800,"US AORTA, IVC, ILIAC DOPPLER","$1,425.00" 7611144100,SPEC CLINIC EXC BENIGN LES FEENLMM .6-1CM,"$1,433.00" 7601164200,SPEC CLINIC EXC MALIG LES FEENL 1.1CM-2CM,"$1,433.00" 7611140300,SPEC CLINIC EXC BENIGN LES TAL 2.1-3.0 CM,"$1,433.00" 7611160300,SPEC CLINIC EXC MALIG LES TAL 2.1-3CM,"$1,433.00" 7601162200,SPEC CLINIC EXC MALIG SNHF 1.1CM-2CM,"$1,433.00" 7601162100,SPEC CLINIC EXC MALIG LES SNHF 0.6CM-1CM,"$1,433.00" 7612819000,SPEC CLINIC REMOVAL FB FOOT SUB Q,"$1,433.00" 7611144200,SPEC CLINIC EXC BENIGN LES FEENLMM 1.1-2CM,"$1,433.00" 7611164100,SPEC CLINIC EXC MALIG LES FEENL 0.6CM-1CM,"$1,433.00" 7611142100,SPEC CLINIC EXC BENIGN LES SNHFG .6-1CM,"$1,433.00" 7611160100,SPEC CLINIC EXC MALIG LES TAL .6-1CM,"$1,433.00" 7611140200,SPEC CLINIC EXC BENIGN LES TAL 1.1-2.0CM,"$1,433.00" 7615750000,SPEC CLINIC BX OF CERVIX,"$1,439.00" 7605750000,SPEC CLINIC REMOVAL OF CERVICAL POLYP,"$1,439.00" 3604323900,OR EGD W COLD BIOPSY,"$1,452.00" 6117055100,MRI HEAD W/O,"$1,452.00" 3601144100,OR EXC FACE MM B-9 MARG 0.6-1CM,"$1,463.00" 3603162200,OR BRONCHOSCOPY DIAGNOSTIC,"$1,463.00" 3605674000,OR EXCISE BARTHOLINS GLAND/CYST,"$1,463.00" 3605750000,OR BIOPSY OF CERVIX,"$1,463.00" 3604325000,OR EGD W/ HOT BIOPSY FORCEP,"$1,474.00" 3606448350,OR ESI TRANSFORAMINAL W/FLUORO BI,"$1,474.00" 9826449450,PRO FEE FACET 2ND LEVEL BILATERAL,"$1,474.00" 9826449550,PRO FEE FACET 3RD LEVEL BILATERAL,"$1,474.00" 9826449350,PRO FEE FACET LUMBAR BILATERAL,"$1,474.00" 7616702850,SPEC CLINIC INTRAVITRL INJ OF PHAR AG BILA,"$1,488.00" 4501014000,ER TECH I&D HEMATOMA,"$1,496.00" 4504270000,ER TECH I & D ABSCESS; PERITONSILLAR,"$1,500.00" 3207428000,X-RAY BARIUM ENEMA DUAL CONTRAST,"$1,511.00" 2500007620,ONABOTULINUMTOXINA 1 UNIT (100 UNIT VIAL),"$1,514.52" 3507049200,CT NECK SOFT TISSUE W/WO,"$1,515.00" 9219397000,US VASCULAR DOP BILAT VENOUS,"$1,517.00" 4809330600,US ECHOCARDIAGRAM COMPLETE,"$1,517.00" 3507320101,CT EXT UPPER W LT,"$1,521.00" 3507320102,CT EXT UPPER W RT,"$1,521.00" 3507320150,CT EXT UPPER W BIL,"$1,521.00" 2700004540,"CS MESH, VENTRALIGHT ST 4X6","$1,523.00" 9219388000,US CAROTID DOPPLER,"$1,530.00" 3527127000,CT CHEST W/WO CONTRAST,"$1,537.00" 3601142100,OR EXC BEN LES S/N/EX G 0.6-1.0CM,"$1,540.00" 3507213200,CT L-SPINE W CONTRAST,"$1,544.00" 3507212600,CT C-SPINE W CONTRAST,"$1,544.00" 3527416000,CT ABDOMEN W CONTRAST,"$1,547.00" 3527219300,CT PELVIS W CONTRAST,"$1,551.00" 3507370102,CT EXT LOWER W/ RT,"$1,551.00" 3507370101,CT EXT LOWER W/ LT,"$1,551.00" 3604608000,"OR SPHINCTEROTOMY, ANAL","$1,551.00" 3507212900,CT T-SPINE W CONTRAST,"$1,554.00" 2500002760,DIMETHYLSULFOXIDE 50 ML INJ (50 ML VIAL),"$1,558.85" 6107372102,MRI LOW EXT JOINT WO RT,"$1,569.00" 6107372101,MRI LOW EXT JOINT WO LT,"$1,569.00" 6107322102,MRI UPP EXT-JT/ W/O RT,"$1,569.00" 6107322101,MRI UPP EXT-JT/ W/O LT,"$1,569.00" 6107322150,MRI UPP EXT-JT/ W/O BIL,"$1,569.00" 9219393000,US ARTERIAL DOP UPPER EXT BILA,"$1,582.00" 3601140400,OR EXC B LESION SKIN 3.1 - 4.0CM,"$1,584.00" 2700004510,CS MESH VENTRALEX ST LG,"$1,596.00" 4502365500,ER CLOSED TREATMENT SHOULDER DISLOCATION W MANIPULATION REQUIRING ANESTH,"$1,600.00" 3606780000,OR CHALAZION (EXCISION),"$1,605.00" 4609400300,RT VENT SUBSEQUENT DAY,"$1,613.00" 4609400200,RT VENT INITIAL DAY,"$1,613.00" 3606943600,OR MYRINGOTOMY W TUBE,"$1,617.00" 3606942100,OR MYRINGTMY IN ASP/EUSTUB W/ANES,"$1,617.00" 3605729500,OR REVISION VAGINAL GRAFT,"$1,617.00" 9811557600,ED PRO FEE FORM SKIN PEDICLE FLAP,"$1,618.00" 3605930000,OR EPISIOTOMY OR VAGINAL REPAIR,"$1,650.00" 3601203200,OR REPAIR LACERATION INTM 2.6-7.5,"$1,650.00" 3604538100,OR COLONSCOPY W/ DIR SUBMUCOSAL I,"$1,661.00" 3604538400,OR COLONOSCOPY HOT BIOPSY W/ FORC,"$1,661.00" 3604537800,OR COLONOSCOPY DIAGNOSTIC,"$1,661.00" 3601140300,OR EXC B LESION SKIN 2.1 TO 3.0 CM,"$1,661.00" 3606449150,OR INJ FACET C/T 2ND LEVEL BILATERAL,"$1,670.00" 3602757000,OR MANIPULATION KNEE UNDER ANESTH,"$1,672.00" 3605525000,OR VASECTOMY,"$1,672.00" 3417801300,NUC MED THYROID IMG TC ONLY,"$1,673.00" 4504660000,ER TECH ANOSCOPY EXPLORATION,"$1,675.00" 2500008695,"HYPERRAB 300 UNIT/ML VIAL 300 unit, 1 mL","$1,689.51" 3417876100,NUC MED TESTICULAR SCAN,"$1,690.00" 3602709650,OR INJ SI JOINT BILATERAL,"$1,694.00" 3606790400,OR EXTERNAL PTOSIS,"$1,700.00" 3606790101,OR RPR OF BLEPHAROPTOSIS LT,"$1,700.00" 3606790102,OR RPR OF BLEPHAROPTOSIS RT,"$1,700.00" 3606790000,OR DIRECT BROW,"$1,700.00" 3606791101,OR CORRECT LID RETRACTION U-LT,"$1,700.00" 3606791102,OR CORRECT LID RETRACTION L-LT,"$1,700.00" 3606791103,OR CORRECT LID RETRACTION U=RT,"$1,700.00" 3606791104,OR CORRECT LID RETRACTION L-RT,"$1,700.00" 3606791701,OR EXTENSIVE ECTROPION RPR U-LT,"$1,700.00" 3606791702,OR EXTENSIVE ECTROPION RPR L-LT,"$1,700.00" 3606791703,OR EXTENSIVE ECTROPION RPR U-RT,"$1,700.00" 3606791704,OR EXTENSIVE ECTROPION RPR L-RT,"$1,700.00" 3606791601,OR ECTROPION RPR EXC TARSL WDG U-,"$1,700.00" 3606791602,OR ECTROPION RPR EXC TARSL WDG L-,"$1,700.00" 3606791603,OR ECTROPION RPR EXC TARSL WDG U-,"$1,700.00" 3606791604,OR ECTROPION RPR EXC TARSL WDG L-,"$1,700.00" 3606792401,OR EXTENSIVE ENTROPION RPR U=LT,"$1,700.00" 3606792402,OR EXTENSIVE ENTROPION RPR L-LT,"$1,700.00" 3606792403,OR EXTENSIVE ENTROPION RPR U-RT,"$1,700.00" 3606792404,OR EXTENSIVE ENTROPION RPR L-RT,"$1,700.00" 3606792301,OR RPR ENTROPION EXC TARSL WDG U-,"$1,700.00" 3606792302,OR RPR ENTROPION EXC TARSL WDG L-,"$1,700.00" 3606792303,OR RPR ENTROPION EXC TARSL WDG U-,"$1,700.00" 3606792304,OR RPR ENTROPION EXC TARSL WDG L-,"$1,700.00" 3606792101,OR RPR ENTROPION SUTURE E1 ULEL,"$1,700.00" 3606792102,OR RPR ENTROPION SUTURE E2 LLEL,"$1,700.00" 3606792103,OR RPR ENTROPION SUTURE E3 UREL,"$1,700.00" 3606792104,OR RPR ENTROPION SUTURE E4 RLEL,"$1,700.00" 3603760900,"OR BIOPSY/LIGATION, TEMPORAL ARTE","$1,700.00" 3606852501,OR BX OF LACRIMAL SAC LT,"$1,700.00" 3606852502,OR BX OF LACRIMAL SAC RT,"$1,700.00" 3606853001,OR REM FB/DACTYOLITH LACRIMAL LT,"$1,700.00" 3606853002,OR REM FB/DACTRYLITH LACRIMAL RT,"$1,700.00" 3603056000,OR LYSIS OF INTRANASAL ADHESION,"$1,700.00" 3606795001,OR CANTHOPLASTY LEFT,"$1,700.00" 3606795002,OR CANTHOPLASTY RIGHT,"$1,700.00" 3604325100,OR EGD W/ SNARE,"$1,705.00" 9206676102,SPEC CLINIC YAG IRIDOTOMY RIGHT,"$1,708.00" 9206676101,SPEC CLINIC YAG IRIDOTOMY LEFT,"$1,708.00" 9206721002,SPEC CLINIC ARGON FOCAL LASER RIGHT,"$1,708.00" 9206721001,SPEC CLINIC ARGON FOCAL LASER LEFT,"$1,708.00" 9206676150,SPEC CLINIC YAG IRIDOTOMY BILATERAL,"$1,708.00" 9206585550,SPEC CLINIC ALT BILATERAL,"$1,708.00" 9206585502,SPEC CLINIC ALT RT,"$1,708.00" 9206585501,SPEC CLINIC ALT LT,"$1,708.00" 9206721050,SPEC CLINIC ARGON FOCAL LASER BILATERAL,"$1,708.00" 9206722850,SPEC CLINIC ARGON PRP BILATERAL,"$1,708.00" 9206714502,SPEC CLINIC ARGON RETINAL TEAR REPAIR RT,"$1,708.00" 9206714501,SPEC CLINIC ARGON RETINAL TEAR REPAIR LT,"$1,708.00" 9206722802,SPEC CLINIC ARGON PRP RT,"$1,708.00" 9206722801,SPEC CLINIC ARGON PRP LT,"$1,708.00" 4501203600,"ER TECH REPAIR INT SCALP,AXIL,TRK 20.1","$1,709.00" 4501204400,ER TECH CLOSURE LAYER 7.6-12.5CM,"$1,709.00" 4501312100,ER TECH REPAIR 2.6-7.5CM COMPLX,"$1,709.00" 4501315100,ER TECH REPAIR 1.2-2.5CM CMPLX,"$1,709.00" 4501313200,ER TECH REPAIR 2.6-7.5CM CMPLX,"$1,709.00" 4501176000,ER TECH NAIL BED REPAIR SIMPLE,"$1,709.00" 4501104300,ER TECH DEBRIDE WOUND DEEP,"$1,709.00" 4501312000,ER TECH REPAIR 1.2-2.5CM CMPLX,"$1,709.00" 4501204500,"ER TECH REPAIR INT NECK,HANDS,FT 12.6-","$1,709.00" 4501315200,ER TECH REPAIR 2.6-7.5CM CMPLX,"$1,709.00" 4501310000,ER TECH REPAIR 1.2-2.5CM CMPLX,"$1,709.00" 4501310100,ER TECH REPAIR 2.6-7.5CM CMPLX,"$1,709.00" 3407820500,"NUC MED LIVER, SPLEEN SPECT","$1,712.00" 3604538000,OR COLONOSCOPY W/ COLD BIOPSY,"$1,716.00" 3606881501,OR NASOLACR PROBE W/ TUBE INSERT,"$1,720.00" 3606881502,OR NASOLACR PROBE W/ TUBE INSERTI,"$1,720.00" 3417832000,NUC MED BONE/JOINT-SPECT,"$1,722.00" 3601144200,OR EXC BNGN LES SNHFG 1.1-2.0CM,"$1,727.00" 3601144300,OR EXC FACE-M M B9=MARG 2.1-CM,"$1,727.00" 3417847200,NUC MED CARDIAC BLOOD POOL,"$1,749.00" 3527417000,CT ABDOMEN W/WO CONTRAST,"$1,780.00" 2500002040,CONIVAPTAN 20 MG/100 ML INJ,"$1,783.05" 3602507500,OR EXC TMR SFT TIS FRARM/WRST<3CM,"$1,785.00" 3417870700,NUC MED RENAL SCAN W/O PHARM,"$1,798.00" 1209922100,RN ACUTE INPATIENT DAILY RATE LVL I,"$1,800.00" 1229922100,RN RMCG OB,"$1,800.00" 3601012100,OR REMOVAL FOREIGN BODY SUBCUTANEOUS COMPLICATED,"$1,800.00" 4502365000,ER TECH DISLOCATION SHOULDER,"$1,800.00" 3606881101,OR NASOLACRIMAL PROBE W/ANESTH LF,"$1,805.00" 3606881102,OR NASOLACRIMAL PROBE W/ANES RT,"$1,805.00" 3606449450,OR INJ FACET JNT L/S LVL2 BILATER,"$1,806.00" 4509928500,ER TECH CC_EMERGENCY LEVEL 5,"$1,823.00" 3604538800,OR COLONOSCOPY ABLATION,"$1,826.00" 3602608000,OR GANGLION ARTHROTOMY,"$1,826.00" 3602556500,OR CLOSED TMT OF RADIAL ULNER FX,"$1,826.00" 3602607000,OR EXPL/REM FB CMC JOINT,"$1,837.00" 4502560500,ER TECH CLOSED REDUCTION WRIST,"$1,837.00" 3527219400,CT PELVIS W/WO CONTRAST,"$1,842.00" 3606448450,OR ESI TRANS ADD ON BILATERAL,"$1,859.00" 3604538500,OR COLONOSCOPY SNARE W/BIOPSY,"$1,870.00" 9875940900,PRO FEE VAGINAL DELIVERY ONLY,"$1,870.00" 6107054000,MRI ORBIT/FACE/NECK W/O,"$1,888.00" 3601910100,OR BREAST BIOPSY - OPEN,"$1,892.00" 3507049800,CTA NECK W,"$1,894.00" 3507049600,CTA HEAD,"$1,900.00" 4501012100,ER TECH REMOVE FB INCISION COMPLEX,"$1,903.00" 3507213300,CT L-SPINE W/WO,"$1,905.00" 2500005750,LEVONORGESTREL IUD 13.5 MG (SKYLA),"$1,907.31" 3602407500,"OR EXC TUMOR, SFT TIS, UP ARM/ELB","$1,910.00" 3507048100,CT ORB/SELLA/POS FOSS W/,"$1,911.00" 3601930200,OR LUMPECTOMY W/ LYMPHADENECTOMY,"$1,914.00" 3507212700,CT C-SPINE W/WO CONTRAST,"$1,915.00" 3507213000,CT T-SPINE W/WO CONTRAST,"$1,928.00" 3507127500,CTA CHEST W,"$1,933.00" 3605741000,OR PELVIC EXAM UNDER ANESTHESIA,"$1,936.00" 3605810000,OR ENDOMETRIAL BIOPSY,"$1,936.00" 3603851000,OR BIOPSY LYMPH NODE,"$1,936.00" 6107418100,MRI ABDOMEN W/O,"$1,941.00" 4503160500,ER TECH TRACHEOSTOMY CRICOTHYROID,"$1,950.00" 2500002270,DARBEPOETIN 1 MCG ESRD (100 MCG VIAL),"$1,950.48" 2500002272,Darbepoetin 100 mcg INJ (Non-ESRD),"$1,950.48" 9875951400,PRO FEE C-SECTION DELIVERY ONLY,"$1,964.00" 9875951401,PRO FEE C-SECTION DELIVERY ASSISTED,"$1,964.00" 3604324900,OR EGD W/DILATION/BALLOON <30MM,"$1,969.00" 3507370201,CT EXT LOWER W/WO LT,"$1,977.00" 3507370202,CT EXT LOWER W/WO RT,"$1,977.00" 3507370250,CT EXT LOWER W/WO BIL,"$1,977.00" 3604324500,OR UGI GO DIL FOR OBSTR,"$1,980.00" 2700000500,CS AMNIOGRAFT 3.5X3.5CM,"$1,983.00" 3507219100,CTA PELVIS W,"$1,996.00" 4021908400,"US GUIDED BREAST BX, ADDITIONAL LESIONS","$2,000.00" 3606449250,OR INJ FACET C/T 3RD LEVEL BILATERAL,"$2,000.00" 3606791200,OR CORRECTION OF LAGOPTHALMOS W I,"$2,000.00" 2700010000,CS NEURSTIMULATOR LEAD,"$2,000.00" 3507417500,CT ANGIO ABDOM W/O & W/DYE,"$2,005.00" 4501008000,ER TECH I&D PILONIDAL SIMPLE,"$2,005.00" 4501008100,ER TECH I&D PILONIDAL COMPLEX,"$2,005.00" 3507320250,CT EXT UPPER W W/O BILAT,"$2,006.00" 3507320202,CT EXT UPPER W W/O RT,"$2,006.00" 3507320201,CT EXT UPPER W W/O LT,"$2,006.00" 3606478200,OR EXCIS NEUROMA H/F EXCP DIG NRV,"$2,010.00" 7616780102,SPEC CLINIC EXC OF CHALAZION MULTI SAME LW,"$2,021.00" 7616780101,SPEC CLINIC EXC OF CHALZION MULTI SAME UPP,"$2,021.00" 7606784000,SPEC CLINIC EXCISION LESION ON EYELID,"$2,021.00" 3603163500,OR BRONCHOSCOPY W/FOREIGN BODY RE,"$2,035.00" 3606472100,OR CARPAL TUNNEL RELEASE,"$2,035.00" 3507417700,CT ABD/PELVIS W/CONTRAST,"$2,039.00" 3604622100,OR HEMORRHOID BANDING,"$2,046.00" 3604694700,OR HEMORRHOIDEPEXY BY STAPLING,"$2,046.00" 3601908300,OR BX BREAST 1ST LES US IMAG,"$2,057.00" 3601142300,OR EXC BLES S/N/EX G; 2.1-3.0CM,"$2,057.00" 9219392500,US ARTERIAL DOP LOW EXT BILAT,"$2,070.00" 3417801400,NUC MED THYROID UPTAKE MULT,"$2,090.00" 9219397500,US PEL DOPPLER TEST/OV,"$2,106.00" 9219397501,US RENAL DOPPLER,"$2,106.00" 3507048200,CT ORB/SELLA/POS FOSA W/WO,"$2,110.00" 6107033600,MRI TMJ,"$2,114.00" 6107155000,MRI CHEST W/O,"$2,115.00" 6107371801,MRI LOW EXT/NO JT/ W/O LT,"$2,115.00" 6107219500,MRI PELVIS W/O,"$2,115.00" 6107371802,MRI LOW EXT/NO JT/ W/O RT,"$2,115.00" 6107371850,MRI LOW EXT/NO JT/ W/O BIL,"$2,115.00" 6157054400,MRA HEAD W/O,"$2,117.00" 6107321802,MRI UPP EXT/NO JT/ W/O RT,"$2,117.00" 6107321850,MRI UPP EXT/NO JT/ W/O BIL,"$2,117.00" 6107321801,MRI UPP EXT/NO JT/ W/O LT,"$2,117.00" 6157054700,MRA NECK W/O,"$2,117.00" 3604632000,OR REMOVAL OF HEMORRHOID CLOT,"$2,123.00" 2500005180,"IMMUNE GLOBULIN, GAMMA 500 MG INJ (10000 MG BTL)","$2,139.73" 6117055200,MRI HEAD W,"$2,143.00" 4503255500,ER TECH THORACENTESIS,"$2,144.00" 3602882000,OR AMPUTATE TOE METATARS JOINT,"$2,145.00" 4504180000,ER TECH I&D ABSCESS DENTAL,"$2,150.00" 2500005010,HYDROXOCOBALAMIN 5 GM INJ,"$2,152.51" 6127214900,MRI LUMBAR SPINE W,"$2,156.00" 6127214700,MRI THORACIC SPINE W,"$2,176.00" 6127214200,MRI CERVICAL SPINE W,"$2,196.00" 3602290300,OR EXC ABD LES SC 3CM>,"$2,200.00" 3602290200,OR EXC ABD LES SC <3CM,"$2,200.00" 3606740001,OR ORBITOTOMY W/O BONE FLAP LT,"$2,200.00" 3606740002,OR ORBITOTOMY W/O BONE FLAP RT,"$2,200.00" 3606787500,OR TARSORRHAPY BILATERAL,"$2,200.00" 3507320601,CTA UPP EXT W LT,"$2,205.00" 3507320602,CTA UPP EXT W RT,"$2,205.00" 6107054200,MRI ORBIT/FACE/NECK W,"$2,228.00" 3605745500,OR COLPOSCOPY W BX OF CERV & ENDO,"$2,233.00" 3601404000,OR ATT F/C/M/N/A/G/H/F <=10 SQ CM,"$2,233.00" 3602101200,OR EXCISION FACE LES SBQ 2CM >,"$2,255.00" 3507370650,CTA LOW EXT W BILATERAL,"$2,300.00" 3507370602,CTA LOW EXT W RT,"$2,300.00" 3507370601,CTA LOW EXT W LT,"$2,300.00" 4501203400,ER TECH CLOSURE LAYER 7.6-12.5CM,"$2,300.00" 6157054800,MRA NECK W,"$2,301.00" 6107371950,MRI LOW EXT/NO JT/ W BIL,"$2,301.00" 3507417800,CT ABD/PELVIS W/ W/O CONTRAST,"$2,301.00" 6107371901,MRI LOW EXT/NO JT/ W LT,"$2,301.00" 3507417400,CTA ABD/PELVIS W,"$2,301.00" 6157054500,MRA HEAD W,"$2,301.00" 6107371902,MRI LOW EXT/NO JT/ W RT,"$2,301.00" 6187215900,"MRA SPINAL CANAL W,W/O","$2,304.00" 6187322500,"MRA UPP EXT/ W,W/O","$2,304.00" 3602611500,OR EX TUMOR HAND/FINGER,"$2,310.00" 3605681000,OR PERINEOPLASTY,"$2,310.00" 3417830500,NUC MED BONE-MULTIPLE AREAS,"$2,319.00" 3604692200,"OR EXCISION, LESION, ANUS","$2,321.00" 3604324400,OR EGD W/ BANDING OF VARICES,"$2,321.00" 3606832600,"OR CONJUNCTIVOPLASTY, RECONSTRUCTION CUL-DE-SAC; W CONJUNCTIVAL GRAFT OR EXTENSIVE REARRANGEMENT","$2,332.00" 3601406000,OR ATT E/N/E/L; D 10 SQ CM,"$2,335.00" 3601142400,OR EXC BLES S/N/EX G; 3.1-4.0CM,"$2,365.00" 2500008850,RITUXIMAB 10 MG (100 MG VIAL),"$2,367.59" 3507563500,CT ABDOMINAL AORTA WITH RUNOFFS,"$2,390.00" 2700004550,"CS MESH, VENTRALIGHT ST 6X8","$2,394.00" 3603659000,OR REMOVAL OF A TUNNELED CENTRAL,"$2,398.00" 3605812000,OR D & C,"$2,398.00" 2500005760,LEVONORGESTREL IUD 19.5 MG (KYLEENA),"$2,402.85" 2500005770,LEVONORGESTREL IUD 52 MG (5 YR) (MIRENA),"$2,402.85" 6107219600,MRI PELVIS W,"$2,419.00" 7616682150,SPEC CLINIC YAG CAPSULOTOMY BILATERAL,"$2,440.00" 6117055300,"MRI HEAD W, W/O","$2,445.00" 4021908300,"US GUIDED BREAST BX, 1ST LESION","$2,450.00" 3606942400,OR TUBE REMOVAL PE,"$2,453.00" 6127215800,"MRI LUMBAR SPINE W,W/O","$2,455.00" 4503655600,ER TECH CUTDOWN CVP >2YR,"$2,458.00" 3604282600,OR TONSIL PRIM OVER 12,"$2,464.00" 6127215600,"MRI CERVICAL SPINE W, W/O","$2,465.00" 6127215700,"MRI THORACIC SPINE W,W/O","$2,471.00" 2500004330,FOMEPIZOLE 15 MG INJ (1500 MG VIAL),"$2,484.72" 3601160600,OR EXC TR EXT MAL + MARG >4CM,"$2,508.00" 3417830600,NUC MED BONE SCAN-JOINT IMG/WB,"$2,519.00" 3417807000,NUC MED PARATHYROID IMG,"$2,519.00" 9812776800,ED PRO FEE CLOSED TREATMENT OF POSTERIOR MALLEOLUS FRACTURE; WITH MANIPULATION,"$2,520.00" 3604282100,OR T & A OVER 12,"$2,530.00" 3604955700,OR RPR RECR FEMORAL HERNIA INC/ST,"$2,530.00" 3604955300,OR REPAIR FEMORAL HERNIA,"$2,541.00" 3604282000,OR T & A UNDER 12,"$2,563.00" 4509929100,ER CRITICAL CARE FIRST HOUR,"$2,568.00" 3606449550,OR INJ FACET JNT L/S LVL3 BILATER,"$2,574.00" 3601140600,OR EXC B LESION SKIN > 4CM,"$2,607.00" 3602616000,OR EX LESION HAND/FINGER,"$2,607.00" 3604283000,OR ADENOIDECTOMY PRIM UNDER 12,"$2,618.00" 3604282500,OR TONSIL PRIM UNDER 12,"$2,640.00" 3417845100,NUC MED MYOCARD PERF IMG-SPECT SINGLE,"$2,643.00" 3604324600,OR GASTROSTOMY,"$2,673.00" 3602816000,OR EXCISION INTERPHALANGEAL,"$2,706.00" 3602500000,OR TENDON SHEATH INCIS RADL SLYLO,"$2,717.00" 3602815000,"OR EXCIS PHALANGECTOMY, TOE","$2,717.00" 3407858200,NUC MED VQ LUNG SCAN,"$2,718.00" 3605350000,OR OPEN TRANSVAG URETHROLYSIS,"$2,739.00" 6107418200,MRI ABDOMEN W,"$2,747.00" 6107054300,"MRI ORBIT/FACE/NECK W,W/O","$2,753.00" 3601911002,OR NIPPLE EXPL W/WO EXC DUCT RT,"$2,761.00" 3601911001,OR NIPPLE EXPL W/WO EXC DUCT LT,"$2,761.00" 6107322250,MRI UPP EXT-JT/ W BIL,"$2,763.00" 6107322201,MRI UPP EXT-JT/ W LT,"$2,763.00" 6107322202,MRI UPP EXT-JT/ W RT,"$2,763.00" 3601145000,OR EXC HIDRAD AXIL; SI REP,"$2,772.00" 6107372202,MRI LOW EXT JOINT WITH RIGHT,"$2,786.00" 6107372250,MRI LOW EXT JOINT WITH BILAT,"$2,786.00" 6107372201,MRI LOW EXT JOINT WITH LEFT,"$2,786.00" 2500004120,FERRIC CARBOXYMALTOSE 1 MG INJ (750 MG VIAL),"$2,788.33" 3603850000,"OR BIOPSY/EXCISION OF LYMPH NODE,","$2,794.00" 3606943650,OR MYRINGOTMY BILATERAL,"$2,798.00" 3601162600,OR EXC MALIGNANT LESION < 4C,"$2,805.00" 3604965900,OR UNLISTED LAPROSCOPY PROCEDURE,"$2,838.00" 3417831500,NUC MED BONE - THREE PHASE,"$2,859.00" 3407826400,NUC MED GASTRIC EMPTYING STUDY,"$2,866.00" 3417829000,NUC MED MECKELS SCAN/BOWEL IMG,"$2,869.00" 4502052500,ER TECH REMOVE FB MUSCLE COMPLEX,"$2,871.00" 6187155500,"MRA CHEST W,W/O","$2,874.00" 3606790800,OR REPAIR OF BLEPHAROPTOSIS CONJUNCTIVO-TARSO-MULLER'S MUSCLE-LEVATOR RESECTION,"$2,880.00" 4502775200,"ER CLOSED REDUCTION OF FRACTURE OF SHAFT OF TIBIA W FRACTURE OF FIBULA, W MANIPUTLATION & SKELETAL TRACTION","$2,880.00" 4502560000,"ER CLOSED TREATMENT OF DISTAL RADIUS FRACTURE W CLOSED TREATMENT OF ULNAR ULNAR STYLOID FRACTURE, W/O MANIPULATION","$2,880.00" 3606472150,OR CARPAL TUNNEL RELEASE BILATERA,"$2,882.00" 6167372500,MRA LOWER EXTREMITY,"$2,884.00" 3417807100,NUC MED PARATHYROID IMG SPECT,"$2,885.00" 6187219800,"MRA PELVIS W,W/O","$2,891.00" 3605725000,OR POSTERIOR COLPORRHAPY,"$2,893.00" 3605724000,OR ANTERIOR COLPORRHAPHY,"$2,893.00" 3605726800,OR REPAIR ENTEROCELE VAGINAL,"$2,893.00" 3417827800,NUC MED GI BLEED SCAN,"$2,895.00" 3604627000,OR FISTULECTOMY/FISTULOTOMY,"$2,904.00" 2500025000,ACTEMRA 1 MG (200 mg vial),"$2,905.31" 6187418500,"MRA ABDOMEN W,W/O","$2,911.00" 2500002280,DARBEPOETIN 1 MCG ESRD (150 MCG VIAL),"$2,925.72" 2500002282,Darbepoetin 150 mcg INJ (Non-ESRD),"$2,925.72" 3604956100,"OR RPR INITL, INCIS/VENTRL HERNIA INCARCERATED/STRANGUALTED","$2,926.00" 6107219700,"MRI PELVIS W,W/O","$2,930.00" 3601526000,OR SKIN FULL GRAFT EEN&LIPS =<20,"$2,930.00" 3606578000,OR AMNIOTIC MEMBRANE GRAFT,"$2,937.00" 3605855500,OR HYSTEROSCOPY DIAGNOSTIC,"$2,937.00" 6107418300,"MRI ABDOMEN W,W/O","$2,940.00" 2500005220,INFLIXIMAB 10 MG INJ (100 MG VIAL),"$2,942.91" 2500008760,RANIBIZUMAB 0.1 MG INJ (0.3MG VIAL),"$2,948.40" 6107372002,"MRI LOW EXT/NO JT/ W,W/O RT","$2,950.00" 6107372001,"MRI LOW EXT/NO JT/ W,W/O LT","$2,950.00" 6107372050,"MRI LOW EXT/NO JT/ W,W/O BIL","$2,950.00" 3605861100,OR TUBAL LIG AT TIME OF CSEC,"$2,959.00" 3604920300,"OR EXC/DST INTR ABD,T,C,ENDMT<5CM","$2,959.00" 3602290000,OR EXCIS ABDOMINAL WALL MASS,"$2,959.00" 3601912000,OR EXCISION IN BREAST,"$2,981.00" 6107321902,MRI UPP EXT/NO JT/ W RT,"$2,986.00" 6107321950,MRI UPP EXT/NO JT/ W BIL,"$2,986.00" 6107321901,MRI UPP EXT/NO JT/ W LT,"$2,986.00" 3606796100,OR EXC&RPR EYELD TO 1/4 LID MRGN,"$3,000.00" 3602101500,OR RESECT FACE/SCALP TUM < 2CM,"$3,050.00" 3606701500,"OR ASP/RELEASE VIT,SUBRETINAL,CHO","$3,058.00" 9209581000,SLEEP STUDY BASELINE,"$3,080.00" 3507370150,CT EXT LOWER W/ BIL,"$3,102.00" 3606471800,OR ULNAR NERVE TRANSFER,"$3,113.00" 3606471900,OR NEURPLSTY TRANSPST ULNR NRV WR,"$3,113.00" 3602155500,"OR EXCIS TUMOR, SOFT TIS, NECK OR","$3,125.00" 6107372150,MRI LOW EXT JOINT WO BILAT,"$3,138.00" 3605856200,"OR HYSTEROSCOPY, REMVL INPACTD FB","$3,177.00" 3604956000,OR INITIAL REPAIR INCISIONAL/VENTRAL HERNIA REDUCIBLE,"$3,190.00" 2500002380,DENOSUMAB 1MG INJ (60 MG SYR),"$3,222.55" 3602410500,"OR EXCISION, OLECRANON BURSA","$3,278.00" 3605855800,OR HYSTEROSCOPY W W/O D & C,"$3,333.00" 3601120000,OR EXC OF SKIN TAG,"$3,340.00" 7613655600,INF INS NON-TUNNEL CV CATH 5YR>,"$3,344.00" 3603655600,OR INS NON-TUNNEL CV CATH 5YR>,"$3,344.00" 3602193100,OR EXC BACK LES SC > 3CM,"$3,344.00" 3602155200,"OR EXC TMR SFT TIS NECK,CHST 3CM>","$3,354.00" 3604956500,OR RPR RECUR INCIS VENT HERNIA,"$3,355.00" 6107372302,"MRI LOW EXT JOINT W,W/O RT","$3,363.00" 6107372350,"MRI LOW EXT JOINT W,W/O BILAT","$3,363.00" 6107372301,"MRI LOW EXT JOINT W,W/O LEFT","$3,363.00" 6107322302,"MRI UPP EXT-JT/ W,W/O RT","$3,366.00" 6107322301,"MRI UPP EXT-JT/ W,W/O LT","$3,366.00" 6107322350,"MRI UPP EXT-JT/ W,W/O BIL","$3,366.00" 7611144300,SPEC CLINIC EXC BENIGN LES FEENLMM 2.1-3CM,"$3,371.00" 7611142200,SPEC CLINIC EXC BENIGN LES SNHFG 1.1-2CM,"$3,371.00" 7601164300,SPEC CLINIC EXC MALIG LES FEENL 2.1CM-3CM,"$3,371.00" 7611910000,SPEC CLINIC BX BREAST PERC NDL CORE WO GUI,"$3,371.00" 7601162300,SPEC CLINIC EXC MALIG LES SNHF 2.1CM-3CM,"$3,371.00" 7612155500,SPEC CLINIC EXC NECK SC<3CM,"$3,371.00" 7611142300,SPEC CLINIC EXC BENIGN LES SNHFG 2.1-3CM,"$3,371.00" 7612435700,SPEC CLINIC TENNIS ELBOW RELEASE,"$3,375.00" 9875940000,PRO FEE VAGINAL DELIVERY (GLOBAL),"$3,377.00" 3606698400,OR CATARACT EXTRACAPSULAR W IOL,"$3,399.00" 3606698500,OR 2ND DEGREE IOL,"$3,399.00" 3606790450,OR EXTERNAL PTOSIS BILATERAL,"$3,400.00" 3606790150,OR RPR OF BLEPHAROPTOSIS BILAT,"$3,400.00" 3606852550,OR BX OF LACRIMAL SAC BILATERAL,"$3,400.00" 3606853050,OR REM FB/DACRYOLITH LACRIMAL BIL,"$3,400.00" 3606795050,OR CANTHOPLASTY BILATERAL,"$3,400.00" 9206714550,SPEC CLINIC ARGON RETINAL TEAR REPAIR BILA,"$3,416.00" 6107155100,MRI CHEST W,"$3,439.00" 3606881550,OR NASOLACR PROBE W/ TUBE INS BIL,"$3,440.00" 4503255100,ER TECH TUBE THORACOSTOMY,"$3,441.00" 2500005050,HYLAN G-F 20 1 MG INJ (16 MG SYR x 3 SYR),"$3,451.44" 3605416100,OR CIRCUMCISION EXC > 28 DAYS,"$3,454.00" 3605746000,OR COLPOSCOPY W/ LEEP,"$3,509.00" 3602068000,OR REMOVAL OF IMPLANT (DEEP),"$3,531.00" 3602068001,OR REMOVAL OF IMPLANT (SCREW),"$3,531.00" 9875951000,PRO FEE C-SECTION DELIVERY (GLOBAL),"$3,536.00" 3602811000,"OR OSTECTOMY, PRTL EXCIS 5 MET HD","$3,575.00" 3604626000,"OR HEMORRHOIDECTOMY, INT/EXT","$3,597.00" 3602810800,OR EXC BONE CYST/BEN TUM PHAL/FT,"$3,597.00" 3602770400,OR REMOVAL OF ANKLE IMPLANT,"$3,597.00" 3602809000,OR EXCISION GANGLION CYST FOOT,"$3,597.00" 4502778800,ER CLOSED DISTAL FIBULAR FX W MANIPULATION,"$3,600.00" 3606881150,OR NASOLACRIMAL PROBE W/ANES BLTR,"$3,610.00" 6107322002,"MRI UPP EXT/NO JT/ W,W/O RT","$3,639.00" 6107322050,"MRI UPP EXT/NO JT/ W,W/O BIL","$3,639.00" 6107322001,"MRI UPP EXT/NO JT/ W,W/O LT","$3,639.00" 9209581100,SLEEP STUDY SPLIT NIGHT,"$3,740.00" 3604958500,OR UMBILICAL HERNIA,"$3,773.00" 4502781800,ER CLOSED TREATMENT OF TRIMALLEOLAR ANKLE FRACTURE,"$3,795.00" 6157054600,"MRA HEAD W,W/O","$3,802.00" 3417845200,NUC MED MYOCARDIAL STRESS COMPLETE,"$3,815.00" 6157054900,"MRA NECK W, W/O","$3,828.00" 3601177100,"OR EXC PILONIDAL CYST, EXTE","$3,850.00" 3603655800,OR INS TUNNELED CV CATH 5YR>,"$3,850.00" 3417822700,NUC MED HIDA STUDY W/CCK,"$3,895.00" 3417781400,NUC MED PET NM (LIMITED),"$3,900.00" 2500002290,DARBEPOETIN 1 MCG ESRD (200 MCG VIAL),"$3,900.96" 2500002291,Darbepoetin 200 mcg Inj (Non-ESRD),"$3,900.96" 3606698200,OR CATARACT EXT CAP W IOL COMPLX,"$3,910.00" 2500009860,TRASTUZUMAB 10 MG (150 MG VIAL),"$3,927.22" 3603656100,OR INS TUNNELED CVAD W/PORT 5YR>,"$3,938.00" 3417881500,NUC MED PET (STANDARD),"$4,000.00" 3604625000,OR HEMORROIDECTOMY-EXTERNAL,"$4,037.00" 6107155200,"MRI CHEST W,W/O","$4,156.00" 3602828900,OR REPAIR HALLUX RIGIDUS,"$4,169.00" 3417881600,NUC MED PET NM (ENTIRE BODY),"$4,200.00" 3604283100,OR ADENOIDECTOMY PRIM OVER 12,"$4,202.00" 3604932200,"OR LAP, ABD PERIT MNTM W ASP CYST","$4,235.00" 2500005190,"IMMUNE GLOBULIN, GAMMA 500 MG INJ (20000 MG BTL)","$4,279.46" 3605860000,OR TUBAL LIGATION BILAT,"$4,301.00" 3605835300,OR ENDO ABLA THERM W/O HYSTER GUI,"$4,312.00" 3604932000,OR LAPAROSCOPY ABD,"$4,334.00" 3602882500,OR AMPUTATION TOE; IP JOINT,"$4,356.00" 3602881000,"OR AMPUTATN METARSAL W TOE, SINGL","$4,356.00" 3606740050,OR ORBITOTOMY W/O BONE FLAP BILAT,"$4,400.00" 3605856300,OR ENDOABLATION W HYSTEROSCOPY,"$4,411.00" 7201000000,LDRP VAGINAL DELIVERY,"$4,444.00" 3603852500,OR LYMPH NODE BX DEEP AXILLARY,"$4,455.00" 3604323600,OR EGD W/ SUBMUCOSAL INJ,"$4,466.00" 3602831500,OR TIBIAL SESAMOIDECTOMY,"$4,477.00" 3606796600,OR EXC/RPR OF EYELID>1/4 EYELID,"$4,500.00" 3606832001,OR CONJUNCTIVOPLASTY LT,"$4,500.00" 3606872001,OR DACRYOCYSTORHINOSTOMY LT,"$4,500.00" 3606872002,OR DACRYOCYSTORHINOSTOMY RT,"$4,500.00" 3606870001,OR PLASTIC REPAIR OF CANALICULI L,"$4,500.00" 3606870002,OR PLASTIC REPAIR OF CANALICULI R,"$4,500.00" 3606875001,OR CONJUNCTIVORHINOSTOMY W TUBE L,"$4,500.00" 3606875002,OR CONJUNCTIVORHINOSTOMY W TUBE R,"$4,500.00" 3606832002,OR CONJUNCTIVOPLASTY RT,"$4,500.00" 7606625000,SPEC CLINIC ARGON SUTURE LYSIS,"$4,529.00" 9826365000,"OR PRO FEE PERCUTANEOUS IMPLANTATION OF NEURASTIMULATOR ELECTRIC ANAX, EPIDURAL","$4,575.00" 2500008925,"EVENITY 210 MG DOSE-2 SYRINGES 210 mg, 1.17 mL","$4,599.00" 2500000350,AFLIBERCEPT 1 MG (2 MG VIAL),"$4,662.00" 3605752000,OR CERVICAL CONIZATION,"$4,697.00" 3606961000,OR PAPER PATCH APPLICATION,"$4,697.00" 3604950501,OR INGUINAL HERNIA BILATERAL,"$4,785.00" 3604950500,OR INGUINAL HERNIA,"$4,785.00" 2500008770,RANIBIZUMAG 0.1 MG INJ (0.5 MG VIAL),"$4,914.00" 3604956800,"OR IMPL OF MESH, IN/VEN HERNIA RE","$5,093.00" 3605867000,OR LAP W FALGURATION OF OVIDUCTS,"$5,401.00" 3600000335,OR CEASAREAN SECTION,"$5,412.00" 3604620000,OR FISSURECTOMY,"$5,423.00" 4501203700,"ER TECH REPAIR INT SCALP,AXIL,TRK OVER","$5,490.00" 3602435700,"OR TENOTOMY, RPR ELBOW PERC","$5,610.00" 3604952000,OR REPAIR RECURRENT INGUINAL HERN,"$5,621.00" 3604952050,OR REPAIR RECURRENT ING HERNIA BI,"$5,621.00" 2500009805,ACTEMRA 1 MG (400 MG VIAL),"$5,810.62" 2500001675,CIMZIA 200 MG VIAL,"$5,834.24" 2500002390,DENOSUMAB 1 MG INJ (120 MG VIAL),"$5,927.67" 3603879200,OR LYMPH NODE MAPPING,"$5,951.00" 3604418000,OR LAPROSCOPY; ENTEROLYSIS,"$6,006.00" 2500005195,"GAMUNEX-C 20 GRAM/200 ML VIAL 20000 mg, 200 mL","$6,007.98" 3605867100,OR LAP W OCCLSN OF OVIDUCTS W DEV,"$6,028.00" 3605821000,OR HYSTERECTOMY,"$6,083.00" 2700006250,CS SHORT MINI LAP,"$6,091.00" 3604756200,OR LAPROSCOPIC CHOLECYSTECTOMY,"$6,105.00" 3604760000,OR CHOLECYSTECTOMY - OPEN,"$6,105.00" 3602828500,"OR CORRECTION, HAMMERTOE","$6,116.00" 3603153500,"OR LARYNGOSCOPY, DIRECT, OPERATIVE, WITH BIOPSY","$6,175.00" 3605856500,OR HYSTERSCOPY W/ BILAT STERILZAT,"$6,336.00" 3604932100,OR LAPAROSCOPY W/BIOPSY,"$6,501.00" 3601018000,"OR INCISION & DRAINAGE , COMPLEX, POSTOPERATIVE WOUND INFECTION","$6,565.00" 3604497000,OR LAPROSCOPIC APPENDECTOMY,"$6,831.00" 3606685000,OR REMOVAL LENS FRAGMENT,"$6,908.00" 3604756300,OR LAP CHOLE WITH ANGIOGRAM,"$7,381.00" 3604495000,OR APPENDECTOMY,"$7,403.00" 2500000700,ANTIVENOM POLYVALENT UP TO 1 GM INJ,"$8,058.96" 3605713500,OR VAG WALL POLYPECTOMY/CRYOSURGE,"$8,338.00" 2500001411,PRIVIGEN 10% VIAL 500 MG (40 GM VIAL),"$8,558.93" 3606872050,OR DACRYOCYSTORHINOSTOMY BILATERA,"$9,000.00" 3606870050,OR PLASTIC REPAIR OF CANALICULI B,"$9,000.00" 3606875050,OR CONJUNCTIVORHINOSTOMY W TUBE B,"$9,000.00" 3606832050,OR CONJUNCTIVOPLASTY BILATERAL,"$9,000.00" 3604965000,OR LAP ING HERNIA,"$9,020.00" 3604965200,OR LAP VENT/ABD HERNIA RPR,"$9,031.00" 3601930300,OR MASTECTOMY SIMPLE COMPLETE,"$9,075.00" 3604328000,OR NISSEN FUNDOPLICATION,"$9,174.00" 3604965100,OR REPAIR RECURRENT ING HERNIA LA,"$9,174.00" 2500002690,DIGOXIN IMMUNE FAB INJ PER VIAL (40 MG VIAL),"$9,628.92" 3606365000,"OR PERCUTANEOUS IMPLANTATION OF MEUROSTIMULATOR ELECTRODE ANAX, EPIDURAL","$9,800.00" 3602827000,OR MTP JNT CAPSULOTOMY SGL JNT T1,"$10,417.00" 3604965700,OR LAP INC HERN RECUR COMP,"$10,802.00" 2500008860,RITUXIMAB 10 MG INJ (500 MG VIAL),"$11,837.95" 2500007955,"KEYTRUDA 100 MG/4 ML VIAL 1 mg, 4 mL","$12,252.34" 2500005620,LEUPROLIDE 7.5 MG INJ (22.5 MG SYR),"$12,581.83" 2500009580,TENECTEPLASE 1 MG INJ (50 MG SYR),"$14,820.57" 2500007930,PEGFILGRASTIN 6 MG INJ (6 MG SYR),"$15,702.27" 2500005640,LEUPROLIDE 7.5 MG INJ (30 MG SYR),"$16,775.79" 2500010485,ENTYVIO 1 MG VIAL (300 MG VIAL),"$16,953.68" 2500007250,NATALIZUMAB 1 MG INJ (300 MG VIAL),"$17,266.71" 2500000470,ALTEPLASE 1 MG INJ (100 MG VIAL),"$22,176.91" 2500005650,LEUPROLIDE 7.5 MG INJ (45 MG SYR),"$25,164.04" 2500007550,OCRELIZUMAB 1 MG INJ (300 MG VIAL),"$40,950.00" 2500007935,"KRYSTEXXA 8 MG/ML VIAL 1 MG, 1 mL","$56,957.04"