Current Price List

This list of charges reflects the standard charges for inpatient and outpatient services provided at Moab Regional Hospital. The hospital’s charges are the same for all patients, but the patient’s financial responsibility for services provided may vary, depending upon payment plans negotiated with individual health insurers as well as reimbursement schedules set forth by public payers such as Medicare and Medicaid. Patients should contact our business office staff for assistance. These charges do not include items or services that may be billed separately for physician services, lab, diagnostic services, etc.

Language indicating that the listed charges do not constitute a contract.

Revenue CodeProcedure CodeDescriptionDepartment   Rate
96300810COLONOSCOPY-Anesthesia-PHYSICIANAnesthesia316.00
96400810COLONOSCOPY Anesthesia-CRNAAnesthesia316.00
98201996EPIDERAL MGT DLYAnesthesia178.00
98220550INJ TEND/LIG/TRIGAnesthesia194.00
98220552INJ TRIGGER PT1-2Anesthesia205.00
98220553INJ 1+ <3 MUSCLESAnesthesia246.00
98120605INJECTION INTERMED JOINTAnesthesia183.00
98220610ARTHOCENT-INJ LGAnesthesia211.00
98227096INJ SAC Anesthesia/STERAnesthesia617.00
98227200CLO TX COCCYGEAL FXAnesthesia524.00
98231500INTUBATE,ENDO ERAnesthesia471.00
96431500CRNA/INTUBATE, ENDO ERAnesthesia471.00
98232554THORA WITH INSTERT OF TUBE INCLU WSAnesthesia649.00
98236406VENIPUNCT UNDER 3Anesthesia119.00
98236410VENIPINCTURE>3 YRAnesthesia96.00
98136410VENIPUNCTURE +AGE 3, REQ PHYS SKILLAnesthesia140.00
98236510CATH UMBILICAL VNAnesthesia365.00
37036556INVASIVE PRESSURE/CVPAnesthesia768.00
98236556PLACE CENT VENOUSAnesthesia1,258.00
98236569PICC LINE PLACEMENT > 5Anesthesia960.00
30036600ARTERIAL SUPPLIESAnesthesia209.00
98236600ARTERIAL PUNCTUREAnesthesia161.00
37036620INVASIVE PRESSURE/ARTERAnesthesia391.00
98143752NASO OR ORO GASTRC TUBE PLCMT FLRAnesthesia225.00
98243753GAST INTUB NECESS PHYS SKILL W/LAV IFAnesthesia90.00
98262270PUNCTURE/SPINALAnesthesia389.00
96462270LUMBAR PUNCTUREAnesthesia387.00
96462270LUMBAR PUNCTUREAnesthesia509.00
96462270CRNA LUMBAR PUNCTUREAnesthesia389.00
98262273INJ EPIDERAL BLOOAnesthesia982.00
98262273INJ EPID,BLD PTCHAnesthesia982.00
96462273INJ, EPIDURAL OF BLOOD OR CLOT PATCHAnesthesia982.00
96462322CRNA/LUMBAR INJ EPIDURALAnesthesia752.00
98262324EPIDURAL-CERVICALAnesthesia1,001.00
98262326INJ LUMB/SAC-CATHAnesthesia865.00
98164400INJ. TRIGEMINAL NERVEAnesthesia572.00
98164402INJ FACIAL NERVEAnesthesia721.00
98164405INJ GREATER OCCIPITAL NERVEAnesthesia823.00
98264415INJ BRACHIAL PLEXUASAnesthesia871.00
96464417INJECTION, AnesthesiaT AGENT; AXILL NERVE CRNAAnesthesia564.00
98264420INJ INTCOSTL NRVEAnesthesia658.00
98264421INJ INTERCOSTAL NAnesthesia978.00
96364445INJECT Anesthesia AGENT SCIAT NERVE SINGLEAnesthesia553.00
96364447INJ Anesthesia AGENT; FEMORAL NERVE, SINGLEAnesthesia553.00
96364450INJECT Anesthesia AGENT OTH PERIPH NERVE/BRANCAnesthesia428.00
98164479INJ TRANSFORAM EPIDURAL CERVICALAnesthesia992.00
98164483INJ LUMBAR OR SACRALAnesthesia1,031.00
96364484INJ LUMBAR/SACRAL EA ADD LEVELAnesthesia381.00
98164490INJ CERVICAL-THORACIC FACETAnesthesia746.00
98164491INJ CERV-THORACIC EACH ADDITIONALAnesthesia374.00
98264493INJ LUM/SAC-JNTNVAnesthesia911.00
98164494INJ LUMBAR-SACRAL EACH ADDTNL LEVAnesthesia301.00
98264495FACET JOINT INJ THIRD LEVELAnesthesia470.00
98264510INJ STELLATE GAGLAnesthesia1,062.00
98264520INJ LUMB/THORACICAnesthesia1,243.00
98273040RADIOLOG EXAM SHOULDER ARTHRAnesthesia139.00
98277003FLOURO GUIDANCE OF NEEDLE CATHAnesthesia292.00
96491105GASTRIC INTUB AND ASP/LAVAGEAnesthesia277.00
46093040EKG BACK PADSAnesthesia68.00
98294010SPIROMETRYAnesthesia55.00
98294016SPIROMETRIC RECORDINGAnesthesia72.00
98294060BRONCHOSPAS EVALAnesthesia185.00
98294660CONT POS AIR PRESAnesthesia288.00
46094681CO2 MONITORINGAnesthesia60.00
46094760OXIMETRY CHECKAnesthesia75.00
96396372INTRAMUSCULAR INJECTIONAnesthesia40.00
96396374THERAPEUTIC IV PUSHAnesthesia191.00
98299144MOD SEDATION 5 YRS OR OLDERAnesthesia125.00
96399145MOD SED > 5 YRS OLD EAADD 15 MINAnesthesia52.00
96499148MOD DED: YOUNGER THAN 5 YRS PROFEEAnesthesia278.00
96399149MODERATE SED SERVICES 5 YRS OR > 1STAnesthesia106.00
96399150ADD 15 MINUTES OF CONSCIOUS SEDATIONAnesthesia55.00
98299201OFFICE FOCUSEDAnesthesia114.00
98299202KOPELL OFFICE/ OP VISITAnesthesia139.00
98299203NEW DETAILEDAnesthesia181.00
98299204NEW COMPREHENSIVEAnesthesia257.00
98299212EST PROB FOC 10MNAnesthesia86.00
98299212EST PT O.V. 10 MINSAnesthesia134.00
98299213EST EXP PROB 15MNAnesthesia103.00
98299214EST DETAILEDAnesthesia157.00
98199214OFFICE VISIT, EST PT, DETAILEDAnesthesia151.00
98299215COMPREHENSIVE F/UAnesthesia319.00
98199215EST COMPREHENSIVEAnesthesia250.00
98299217OBSERVATION DISCHARGE CAREAnesthesia151.00
98799221INITIAL IP E&M, LOWAnesthesia213.00
98799222INIT IP CARE MOD COMPLEXAnesthesia277.00
98199231SUBSEQUENT HOSP CAREAnesthesia114.00
98199232SUBSEQUENT HOSP CAREAnesthesia150.00
98199233SUBSEQUENT HOSP CAREAnesthesia218.00
98199241CONSULT-FOCUSEDAnesthesia163.00
98299242CONSULTATION LEVEL 2Anesthesia217.00
98199243CONSULT-DETATILEDAnesthesia264.00
98199244CONSULT-MODERATEAnesthesia343.00
98199245CONSULT DETAILED 80 MINUTESAnesthesia448.00
98299251INIT IP CONSULTAnesthesia201.00
98299252NIT IP CONS ESTAnesthesia257.00
98299253INIT IP CONS DTLDAnesthesia317.00
98299254IP CONSULT INTERMEDIATEAnesthesia394.00
98299255INIT IP CONSULT-COMPREHENSIVEAnesthesia495.00
98299261IP FOLLOW UP LEVEL IAnesthesia110.00
98199262IP FOLLOW UP LEVEL IIAnesthesia171.00
98199282E&M EMERGENCY ROOM, LOW COMPAnesthesia224.00
98199284E&M EMERGENCY ROOM, HIGH COMPLAnesthesia499.00
98199291CRITICAL CARE 30-74 MINAnesthesia690.00
98199292CRITICAL CARE ADDITIONAL 30 MINAnesthesia350.00
98299360PHYSICIAN STANDBY SERVICESAnesthesia207.00
98299440NEONATAL RESUSCAnesthesia676.00
96499464ATTEND AT DELIVERY/INITIAL STAB OF NBAnesthesia166.00
96399465NEWBORN RESUSCITATIONAnesthesia521.00
96499465CRNA/NEW BORN RESUSCITATIONAnesthesia521.00
370AnesthesiaTHESIA PER MINUTEAnesthesia13.00
379BIS SENSOR XP QUATROAnesthesia130.00
370ARTERIAL MONITORINGAnesthesia153.00
250LOCAL TRAYAnesthesia112.00
379SPINAL BLOCK PROCEDUREAnesthesia145.00
982KOPELL READ RESP SCREENAnesthesia95.00
370ADDL 15 MIN AnesthesiaTHESIAAnesthesia104.00
379ANTHESIA BREATHING UNITAnesthesia100.00
370LTA 11 EACHAnesthesia113.00
379BAIN BREATHING CIRCUITAnesthesia88.00
379VENTULATORAnesthesia311.00
96300740Anesthesia -- ENDOSCOPY PHYSICIANAnesthesia Professional Fee300.00
98292950Anesthesia CPRAnesthesia Professional Fee614.00
96399100Anesthesia FOR PT OF EXTRM AGE >1YEARAnesthesia Professional Fee116.00
96399140Anesthesia COMPLICATED BY EMERGENCY CONDAnesthesia Professional Fee88.00
963Anesthesia PHYS UNITSAnesthesia Professional Fee78.00
964Anesthesia CRNA UNITSAnesthesia Professional Fee78.00
964Anesthesia -EGD CRNAAnesthesia Professional Fee300.00
963Anesthesia PER MINUTE - PROFEEAnesthesia Professional Fee11.00
964Anesthesia PER MINUTE - PROFEEAnesthesia Professional Fee11.00
73093041Cardiopulmonary MONITERCardiopulmonary459.00
45093236Cardiopulmonary MONITOR HOURLYCardiopulmonary23.00
739LIFE PAKCardiopulmonary335.00
73093005EKGCardiopulmonary196.00
48293017Cardiopulmonary STRESS TESTCardiopulmonary968.00
73193225HOLTER, HOOK UPCardiopulmonary535.00
73193226HOLTER SCANCardiopulmonary556.00
73193270EVENT RECORDING HOOKUPCardiopulmonary570.00
41294002VENTILATOR SET-UP FIRST DAYCardiopulmonary2,696.00
41294003VENTILATOR; EACH ADDITIONAL DAYCardiopulmonary1,038.00
46094010PFT W/O BRONC SETUPCardiopulmonary227.00
46094010INCENTIVE SPIROMETRY INITIALCardiopulmonary158.00
46094060PULMON. FNCT. W/BRONCHCardiopulmonary423.00
46094060SPIROMETRY PRE/POST BRONCCardiopulmonary423.00
46094150PEAK FLOW TREATMENTCardiopulmonary139.00
46094620O2 SUMMARY 6 MIN WALKCardiopulmonary343.00
41294640SVN SUBSEQUENTCardiopulmonary175.00
41094660CPAP INITATION & MNGMNT (ONCE/VISIT)Cardiopulmonary822.00
41294660SPUTUM INDUCTIONCardiopulmonary122.00
41294664SVN INITIAL Pt teachingCardiopulmonary123.00
41294667CPT INITIAL TX (once/visit)Cardiopulmonary310.00
41294668CPT SUBSEQUENTCardiopulmonary93.00
46094760PULSE OX CHECK-EACHCardiopulmonary113.00
41094760PULSE OXIMETERY CONTINUOUSCardiopulmonary269.00
46094762SLEEP SATURATION STUDYCardiopulmonary332.00
460RESPIRATOR SCREENINGCardiopulmonary255.00
460RESPIRATOR SCREEN WITH XRAYCardiopulmonary197.00
460BIPAP CONTINOUSCardiopulmonary584.00
410COOL MIST CONTINUOUSCardiopulmonary52.00
410HEATED MIST CONTINUOUSCardiopulmonary51.00
410NASAL WASHCardiopulmonary42.00
271OXYGEN PER HOUR <6 lpmCardiopulmonary28.00
271OXYGEN PER HOUR >=6 lpmCardiopulmonary28.00
410USN 24 HRS. ADDITIONALCardiopulmonary66.00
410CROUP TENT DAILY CHARGECardiopulmonary97.00
412USN DAILY CHARGECardiopulmonary34.00
412OXYGEN ANALYZERCardiopulmonary44.00
410OXIMETRY W/EXERCISECardiopulmonary137.00
125R & B HOSPICECanyonlands Care Center604.00
129R & B RESPITE CARECanyonlands Care Center157.00
169ADULT DAY CARE 4 HRSCanyonlands Care Center27.00
169ADULT DAY CARE 8 HRSCanyonlands Care Center48.00
169ADULT DAY CARE HOURLYCanyonlands Care Center6.00
76129445APPLICATION RIGID TOTAL CONTACT LEG CASTCentral Supplies446.00
27032551HEIMLICH VALVE CHEST DRAINCentral Supplies320.00
27032551PNEUMOTHORAX KIT DISPCentral Supplies467.00
27036591COLLECT BLOOD; IMPLANT VENOUS ACCESS DEVCentral Supplies130.00
27094760OXIMETRY, PULSE DAYCentral Supplies61.00
278C1713SEE 425090200 / ZIMMER K WIRES .063Central Supplies46.00
278C1713OSTEOSET PELLETS BONE GRAFTCentral Supplies3,150.00
278C1713SEE 425132003 Acumed CO-3140 3.5x14Central Supplies197.00
278C1713SEE 425132004 Acumed CO-3160 3.5x1Central Supplies197.00
278C1713STRYKER ORTHO 345540 SCREW 4.0X40mmCentral Supplies296.00
278C1713ZIMMER 00-8757-000-02 SCREW HOLE PLUGCentral Supplies709.00
278C1713SEE 425103044 ZIMMER 00-6250-065-30 SCRCentral Supplies314.00
278C1713ACUMED COL-2140 SCREW 2.7X14mm LOCKINGCentral Supplies478.00
278C1713ACUMED COL-2120 SCREW 2.7X14mm LOCKINGCentral Supplies478.00
278C1713SEE 425132002 ACUMED CO-3120 SCRECentral Supplies163.00
278C1713ACUMED CO-2712 SCREW 2.7X12mmCentral Supplies466.00
278C1713ACUMED COL-3014 SCREW 3.5X14mm LOCKINGCentral Supplies486.00
278C1713ACUMED COL-3018 SCREW 3.5X18mm LOCKINGCentral Supplies478.00
278C1713STRYKER 6.5 PEEK ZIP ANCORCentral Supplies855.00
278C1713STRYKER TITANIUM ANCHORCentral Supplies1,013.03
278C1713OR ANKLE FRACTURECentral Supplies1.00
278C1713OR ARM FRACTURECentral Supplies1.00
278C1713OR ELBOW FRACTURECentral Supplies1.00
278C1713OR FOOT FRACTURECentral Supplies1.00
278C1713OR HAND FRACTURECentral Supplies1.00
278C1713OR HIP FRACTURECentral Supplies1.00
278C1713OR KNEE FRACTURECentral Supplies1.00
278C1713OR LEG FRACTURECentral Supplies1.00
278C1713SYNTHES 02.210.124LOCKN SCREW 2.4X24Central Supplies875.00
278C1713SYNTHES 202.874 SCREW CORTEX 2.7X16Central Supplies369.00
278C1713SYNTHES 204.840 CORTEX SCREW 3.5X40mmCentral Supplies236.00
278C1713SYNTHES 212.121 SCREW 3.5X50 LOCKINCentral Supplies810.00
278C1713ZIMMER 1147-44-40 CANULATE SCREW 4.0X42mCentral Supplies985.00
278C1713OR ARTHREX AR-1927PSF-3 TRIPLE 5.5mmCentral Supplies1,215.00
278C1751OR POWER PORT 8fr MRI SING LUMEN 1808000Central Supplies2,827.00
278C1751OR POWER PORT 9.5FR DUO MRI 1829500Central Supplies2,592.50
272C1758CATHETER, URETHERALCentral Supplies55.00
272C1758CATH SINGLE FOLEY all sizesCentral Supplies50.00
272C1758CATH SINGLE FOLEY 14frCentral Supplies38.00
272C1758CATH SINGLE FOLEY 16frCentral Supplies38.00
272C1758CATH SINGLE FOLEY 20frCentral Supplies40.00
272C1758CATH 3-WAY FOLEY 22fr 30ml IRRIGATIONCentral Supplies86.00
278C1765OR SEPTRAFILM 5X6"Central Supplies1,178.00
272C1769ACUMED WS-1106ST GUIDE WIRE .045Central Supplies97.00
278C1769SYNTHES 292.623 GUIDE WIRE NON THRCentral Supplies234.00
272C1773OR ROTH NET/RAPTOR GRASPING DEVICECentral Supplies534.60
272C1773OR DISP TALON GRASPERCentral Supplies579.00
278C1776OR TOTAL KNEECentral Supplies1.00
278C1776OR TOTAL SHOULDERCentral Supplies1.00
278C1781MESH PERMACOL P152840Central Supplies32,945.00
278C1781OR MESH TECT1510AL POLY LTCentral Supplies628.00
278C1781OR MESH TECT1510AR POLY RTCentral Supplies628.00
278C1781OR MESH TEM1208GR PROGRIP RTCentral Supplies1,323.00
278C1781OR BG MEDICAL TINTRAC15   SURGIMESHXBCentral Supplies4,438.00
278C1781OR MESH TEM1208GL PROGRIP LT 47X3"Central Supplies1,323.00
278C1781OR MESH PCO6VP VENTRAL PATCHCentral Supplies1,549.00
278C1781OR MESH PCO8VP VENTRAL PATCHCentral Supplies1,989.00
278C1781OR MESH PCO4VP VENTRAL MESHCentral Supplies1,716.00
278C1781OR BG MEDICAL TINIRA C-10 SURGIMESHCentral Supplies2,425.00
278C1781OR BARD MESH PATCH SMCentral Supplies1,922.00
278C1781OR BARD MESH PATCH MEDCentral Supplies5,483.00
278C1781OR PCO12 POLYESTER 4.8" MESHCentral Supplies1,970.00
278C1781OR PCO1510 POLYESTER 6X4 MESHCentral Supplies1,553.00
278C1781OR PCO2015 POLYESTER 8X8 MESHCentral Supplies2,492.00
278C1781OR PCO2520 POLYESTER 10X8 MESHCentral Supplies4,014.00
278C1781OR TEM1515G PROGRIP 15X15cm MESHCentral Supplies1,542.00
278C9359ALLOMATRIX-INJECTABLE PUTTY 5CCCentral Supplies3,027.00
278C9359ALLOMATRIX-INJECTABLE PUTTY 1CCCentral Supplies523.00
278C9359ALLOMATRIX-MIG INJECTIBLE PUTTY 15CCCentral Supplies4,535.00
278C9359ALLOMATRIX-INJECTIBLE PUTTY 10CCCentral Supplies2,329.00
278C9359ALLOMATRIX MIG INJECTABLE PUTTY 5ccCentral Supplies3,391.00
278C9359ALLOMATRIX- INJECTIBLE PUTTY 3CCCentral Supplies1,485.00
278C9359OR ALLOGRAFTCentral Supplies1.00
274L3908DME TITAN UNERVERSAL WRIST BRACECentral Supplies163.00
274L3980DME HUMERUS FRACTURE BRACECentral Supplies183.00
270Q4006SUPPLY-LONG ARM FIBERGLASS CASTCentral Supplies336.00
270Q4008SUPPLY-LONG ARM FIBERGLASS-CAST PEDCentral Supplies269.00
270Q4010SUPPLY-SHORT ARM FIBERGLASS CAST-ADULTCentral Supplies195.00
270Q4012SUPPLY-SHORT ARM FIBERGLASS-CAST PEDCentral Supplies156.00
270Q4018SUPPLY-LONG ARM ORTHO-GLASS SPLINT-ADULTCentral Supplies285.00
270Q4020SUPPLY-LONG ARM ORTHO-GLASS-SPLINT-PEDCentral Supplies228.00
270Q4022SUPPLY-SUGAR TONG SPLINT-ADULTCentral Supplies156.00
270Q4022SUPPLY-SHORT ARM ORTHO-GLAS-SPLINT-ADULTCentral Supplies187.00
270Q4024SUPPLY-SUGAR TONG-SPLINT-PEDCentral Supplies125.00
270Q4024SUPPLY-SHORT ARM ORTHO-GLASS-SPLINT-PEDCentral Supplies149.00
270Q4030SUPPLY-LONG LEG FIBERGLASS CAST-ADULTCentral Supplies428.00
270Q4032SUPPLY-LONG LEG FIBERGLASS-CAST PEDCentral Supplies343.00
270Q4038TOTAL CONTACT 3" TCC2301Central Supplies415.00
270Q4038TOTAL CONTACT 4" TCC24001Central Supplies435.00
270Q4038SUPPLY-SHORT LEG FIBERGLASS CAST-ADULTCentral Supplies329.00
270Q4040SUPPLIES, SHRT LEG ORTHO-GLASS PED 0-10Central Supplies263.00
270Q4042SUPPLY-LONG LEG ORTHO-GLASS SPLINT-ADULTCentral Supplies348.00
270Q4044SUPPLY-LONG LEG ORTHO-GLASS-SPLINT PEDCentral Supplies279.00
270Q4046SUPPLY-SHORT LEG ORTHO-GLAS SPLINT-ADULTCentral Supplies216.00
270Q4048SUPPLY-SHORT LEG ORTHO-GLASS-SPLINT-PEDCentral Supplies173.00
270Q4049SUPPLY-FINGER SPLINTCentral Supplies25.00
272OR WRIGHT MED DSDS1011 1.1X150MM K-WIRECentral Supplies218.00
270DME BOOT EQUALIZER WALKINGCentral Supplies151.00
270ROUTINE SUPPLY CHARGECentral Supplies42.00
270CORDGUARDCentral Supplies109.00
270STAPLER LINEAR TX60BCentral Supplies1,426.68
278Bone Cement Simplex P 6191-1-010Central Supplies605.22
270SIMPLEX BONE CEMENTCentral Supplies605.22
272ARTHREX AR-4068-25TL Suture Lasso LeftCentral Supplies525.00
278Acumed CO-3180 3.5x18mm ScrewCentral Supplies197.00
278Achilles Tendon Graft LIVE TISSUECentral Supplies3,449.00
278ZIMMER 7818-46 ENDO FEMORAL HEAD 46mmCentral Supplies1,757.00
278ZIMMER 7818-99 ENDO FEMORAL HEAD ADAPTRCentral Supplies616.00
278GRAFT JACKET 2X4 MAX FORCECentral Supplies3,775.00
270GENZYME 80001 CARTLDGE BX TRANSPORT KITCentral Supplies2,005.00
278FEMORAL HEMI CONDYIS RT LATERALCentral Supplies8,872.00
278STRYKER ORTHO 702802 TAP 3.5mmCentral Supplies1,085.00
278STRYKER 700347 DRILL BIT 3.5X125mmCentral Supplies851.00
278SYNTHES 207.035 SCREW 4.0X35mm CANCELLOUCentral Supplies185.00
278SYNTHES 207.030 SCREW 4.0X30mm CANCELLOUCentral Supplies160.00
278ALLODERM 2X4cm REGEN TISSUE MATRIXCentral Supplies1,026.00
278LIFECELL 1520616 ALLO-DERM 6X16cm THICKCentral Supplies7,891.00
278LIFEECELL STRATTICE 10X10Central Supplies6,729.00
278LIFECELL 1520108 ALLODERM 6X18 PRE-HYDRACentral Supplies5,324.00
278ALLERGAN 133MV-13 TISSUE EXPANDER 13Central Supplies4,254.75
278ALLERGAN BREAST IMPLANT SRM-685Central Supplies1,430.00
278ARTHREX FGRACILIS GRACILIS TENDONCentral Supplies3,278.00
278SYNTHES 241.401 PLATE 1/3TUB 10H/117mmCentral Supplies1,085.00
278SYNTHES 058100 DBX MIX 1CCCentral Supplies4,022.00
278SYNTHES 710.002.99S CHRONOS GRAN 1ccCentral Supplies304.00
270BONE WAXCentral Supplies77.55
278STRYKER 5350-4524 HUMERAL HEAD 45mmCentral Supplies7,148.00
278STRYKER 6188-1-001 SIMPLEX P BONE CEMENTCentral Supplies561.00
270Colostomy BagCentral Supplies40.00
270TUNGSTEN LOOPCentral Supplies80.00
278SEE 425107710 / STRYKER 5552-E-4821 HUCentral Supplies2,606.00
278STRYKER ORTHO 6191-1-001 SIMPLEXCentral Supplies405.00
278STRYKER ORTHO 5552-S-4416 HUMERAL HEADCentral Supplies5,095.00
270STAPLER TA 48 3.5mm TA4535SCentral Supplies1,275.00
272STAPLER TA 60 4.8MM TA6048SCentral Supplies403.96
270STAPLER ENDO UNIVERSAL 65 DEGREECentral Supplies1,534.00
270ENDO LOOPSCentral Supplies316.00
278ZIMMER 00-8751-012-40 NEUTRAL LINER 40 KCentral Supplies5,392.00
278ZIMMER 00-8775-040-03 FEMORAL HEAD 40/+3Central Supplies7,076.00
272ZIMMER 8790-007-030 DRILL BIT 3.2X30Central Supplies706.00
278ZIMMER 5001-53-28 MULTIPOLAR BIPOLAR 53/Central Supplies1,976.00
278ZIMMER 5001-54 MULTIPOLAR BIPOLAR CUPCentral Supplies2,464.00
278ZIMMER 8018-28-03 FEMORAL HEAD 12/14 TAPCentral Supplies2,757.00
278SEE 425103034 ZIMMER 5972-066-32 PATELLACentral Supplies1,958.00
278ZIMMER 00-8751-009-32 CONTINUUM LONGEVITCentral Supplies4,368.00
278ZIMMER 00-8757-050-01 CLUSTER-HOLE CONTICentral Supplies7,735.00
278ZIMMER 00-8775-032-03 BIOLOX FEM HEAD 32Central Supplies6,027.00
278ZIMMER 5001-044-28 BIPOLAR LINERCentral Supplies1,976.00
278ZIMMER 5001-046-00 BIPOLAR SHELL 46mm CDCentral Supplies2,464.00
278ZIMMER 8018-028-03 FEMORAL HEAD 28mmCentral Supplies2,757.00
278ZIMMER 00-6250-065-15 SCREW 6.5X15 STCentral Supplies616.00
278ZIMER 8018-036-05 COCR FEMRAL HEAD 12/14Central Supplies3,416.00
278ZIMMER 00-8751-010-36 CROSSLINK 36X52Central Supplies5,392.00
278ZIMMER 00-8757-052-01 CLUSTER-HOLE SHELLCentral Supplies7,735.00
272ZIMMER 00-8790-007-02 FLEXDRILL 15mCentral Supplies851.00
278ACUMED MS-DC28 DRILL 2.8mmCentral Supplies557.00
278ACUMED 30-0267 SCREW 3.5X35mmCentral Supplies413.00
278ACUMED PL-PTACK PLATE TACKCentral Supplies315.00
278ACUMED 30-0258 SCREW 3.5X14mm HEXALOBECentral Supplies413.00
278ACUMED 65-0005-S CALLOS INJECT 5ccCentral Supplies2,347.00
278ACUMED 70-0298 CLAVICLE PLATE 8-HCentral Supplies3,663.00
278ACUMED COL-3120 SCREW 3.5X12mm LOCKCentral Supplies478.00
278ACUMED 70-0117 CLAVICLE PLATE 9-H,LCentral Supplies3,422.00
278ACUMED COL-2100 SCREW 2.7X10mm LOCKINGCentral Supplies478.00
278ACUMED COL-2160 SCREW 2.7X16mm LOCKINGCentral Supplies478.00
278ACUMED CO-2722 SCREW 2.7X22mmCentral Supplies466.00
278ACUMED 70-0286 CLAVICLE PLATE 8-HCentral Supplies3,422.00
278ACUMED CO-2716 SCREW 2.7X16mm NLCentral Supplies466.00
278ACUMED 70-0294 CLAVICLE PLATE 10-HCentral Supplies3,422.00
278ACUMED 70-0296 CLAVICLE PLATE 6-H, NARROCentral Supplies3,489.00
278ACUMED COL-3160 SCREW 3.5X16mm LOCKINCentral Supplies478.00
278ACUMED 70-0287 CLAVICLE 8H, RTCentral Supplies3,422.00
278ACUMED AT2M-1813 DRILL BIT MINI ACUTRAKCentral Supplies1,158.00
278ACUMED AT2M-L1813 DRILL BIT LONG ACUTRAKCentral Supplies1,288.00
278ACUMED 70-0118 PLATE 8-H, CLAVICLECentral Supplies3,489.00
278ACUMED CO-3080 SCREW 3.5X8mmCentral Supplies478.00
278ACUMED CO-3220 SCREW 3.5X22mmCentral Supplies478.00
278ACUMED CA-4260 SCREW 4.0X26mmCentral Supplies538.00
278ACUMED MS-DC35 DRILL 3.5mmCentral Supplies466.00
278BIOMET 912082 JUGKNOT 1.0mm 3-0NDLSCentral Supplies1,685.00
278BIOMET 139247 ENDO II TAPER INSERT STDCentral Supplies644.00
270BIOMET 51-103150 TPRLC 133 TYPE1 PPS 15Central Supplies7,965.00
270BIOMET 12-139030 ENDO II MOB HEAD SZ53Central Supplies976.00
270PUPIL DILATORS (during cataract procedr)Central Supplies385.00
450PROCTOSCOPYCentral Supplies133.00
270EYE CARE TRAYCentral Supplies46.00
270COLLES SPLINTCentral Supplies41.00
270POSION CNTRL CNCentral Supplies87.00
270NASAL TRAYCentral Supplies55.00
270WRIST RESTRAINTSCentral Supplies70.00
270PERITONEAL LAVAGE KIT.Central Supplies104.00
270TELEPHON INTERP SVC $2PMCentral Supplies8.00
270MEPILEX 4X4 SILICONE COATEDCentral Supplies41.00
270BARRIER CREAM CAVILON 2ozCentral Supplies20.00
2703M "NO STING" BARRIER FILM WIPE 3344Central Supplies5.00
2723M MEDIPORE PAD 3569Central Supplies10.00
2723M MEDIPORE PAD LG 3571Central Supplies12.00
2723M TEGADERM 90003 OVALCentral Supplies47.00
2723M TEGADERM 90007 HYDROCOLLOIDCentral Supplies72.00
2723M TEGADERM 90023 HYDROCOLLOID THINCentral Supplies44.00
2723M TEGADERM 90024 HYDROCOLLOIDCentral Supplies41.00
2703M TEGADERM 90800 ABSORBANT SMALL OVALCentral Supplies25.00
2703M TEGADERM 90801 ABSORBANT 4X5Central Supplies40.00
2703M TEGADERM FOAM DRSG 90619Central Supplies53.00
270DUODERM PASTECentral Supplies158.00
272AQUACEL 4X4 DRESSINGCentral Supplies81.00
2703M BARRIER FILM SPRAY "NO STING"Central Supplies83.00
270COLLAGEN BIOSTEP 2X2 DRSGCentral Supplies61.00
272PURACOL PLUS AG 2X2 COLOOAGEN DRESSINGCentral Supplies93.00
2703M WOUND FILLERCentral Supplies36.00
272DUODERM 4X4Central Supplies31.00
270DUODERM CGF 6X6Central Supplies71.00
270DUODERM SIGNA 5X5Central Supplies53.00
270KALSTAT FORTEX DRSGCentral Supplies60.00
270LYOFOAM DRESSINGCentral Supplies30.00
2703M TRGADERM 6"X8" 1628Central Supplies18.00
272MAXORB EXTRA AG+ w/SILVERCentral Supplies54.00
272MAXORB EXTRA without/SILVERCentral Supplies36.00
272MEPILEX AG DRESSING 4X4Central Supplies88.00
272MEPILEX BORDER SACRUM 9.2X9.2Central Supplies73.00
2723M TEGADERM 8X12" 1629Central Supplies27.00
270NU-DERM DRESSINGCentral Supplies53.00
270POLYMEM 5X5 DRESSINGCentral Supplies83.00
270POLYMEM 1X3 DRESSINGCentral Supplies18.00
272SETOPRESS DRESSING 10cm X 3.5cmCentral Supplies63.00
270STRATA SORB DRESSINGCentral Supplies16.00
270UNNA BOOTCentral Supplies52.00
270VASELINE GAUZE all sizesCentral Supplies6.00
270VASELINE GAUZE 1X8 DRESSINGCentral Supplies5.00
270VASELINE GAUZE PACKING STRIPCentral Supplies7.00
270XEROFORM 1X8 DRESSINGCentral Supplies10.00
272XEROFORM DRESSING all sizesCentral Supplies9.00
2703M COBAN COMPRESSION SYSTEMCentral Supplies67.00
272XEROFORM 2X2 DRESSINGCentral Supplies6.00
270XEROFORM 4X4 DRESSINGCentral Supplies8.00
250TUCKS PADCentral Supplies39.00
257LIP BALM REMEDY 1ozCentral Supplies20.00
257REMEDY SKIN REPAIER CREAM 2ozCentral Supplies28.00
272IODOSORB GEL 10grCentral Supplies85.00
272IODOFORM GAUZE 1/4"Central Supplies29.00
272IODOFORM GAUZE 1/2"Central Supplies31.00
272PACKING GAUZE (IODO & PLAIN) all sizesCentral Supplies35.00
272AQUACEL 2X2 HYDROFIBER WOUND DRESSINGCentral Supplies24.00
270GAMMA PROBECentral Supplies2,021.00
270PLAIN PACK STRIP 1/4"Central Supplies28.00
270PLAIN PACKING STRIP 1/2"Central Supplies27.00
270PLAIN PACKING STRIP 1"Central Supplies31.00
270COBAN 3"Central Supplies20.00
270COBAN 4" & 3"Central Supplies24.00
270STERI STRIP 1/8" STERILE M1540Central Supplies8.00
272STERI STRIP 1/4" STERILE M1541Central Supplies8.00
272STERI STRIP 1/2" STERILE, M1547Central Supplies12.00
272STERI STRIP STERILE, all sizesCentral Supplies24.00
272TELFA PAD STERILE DRESSING all sizesCentral Supplies5.00
272TELFA PAD 3X4" STERILE DRESSINGCentral Supplies5.00
272TELFA PAD 3X6" STERILE DRESSINGCentral Supplies5.00
2723M TEGADERM 1622,1624, 1626Central Supplies5.00
2723M TEGADERM 2 3/8X2 3/4" 1624Central Supplies5.00
2703M TEGADERM 4X4" 1626Central Supplies9.00
272MONTGOMERY STRAP SURGICAL DRSGCentral Supplies27.00
272ADAPTIC STERILE DRESSING all sizesCentral Supplies7.00
272ADAPTIC 3X8" STERILE DRESSINGCentral Supplies12.00
272ADAPTIC 3X16" STERILE DRESSINGCentral Supplies14.00
270EYE SHIELD ALUMINUMCentral Supplies14.00
272STERILE 2X2 DRESSINGCentral Supplies5.00
272STERILE 4X4 10/pkCentral Supplies6.00
270ABD PAD DRESSINGCentral Supplies5.00
270BANDAGE 2" WRAP ACECentral Supplies11.00
270DRAIN SPONGE DISPCentral Supplies5.00
270EYE PATCH STERILE GAUZECentral Supplies5.00
270SUPER SPONGE / FLUFFS KERLIXCentral Supplies69.00
270STERILE GAUZE PAD 2/pack all sizesCentral Supplies5.00
270PINK PAD TRENDELENBURGCentral Supplies589.00
272LAP SPATULA ELECTRODECentral Supplies343.00
272KERLIX STERILE GAUZE all sizesCentral Supplies10.00
272KERLIX 3" STERILE GAUZECentral Supplies8.00
272KERLIX 2" STERILE GAUZECentral Supplies9.00
278OR MESH VERSATEX VTX1515Central Supplies753.76
270MAXORB EXTRA AG ROPE 1"X12"Central Supplies78.00
272CONFORM STERILE DRESSING all sizesCentral Supplies6.00
272CONFORM 2" STERILE DRESSINGCentral Supplies6.00
272CONFORM 3" STERILE DRESSINGCentral Supplies5.00
272CONFORM 4" STERILE DRESSINGCentral Supplies9.00
270GOLD DUST HYDROPHILIC POLYMER POWDER 3gmCentral Supplies25.00
270GLOVE COMPRESSION FUL FINGER RIGHT LARGECentral Supplies128.94
270GLOVE RADIATION SZ 7.5Central Supplies278.00
271PRONTOSAN WOUND IRRIGATION 350MLCentral Supplies94.00
257CALMOSEPTINE BARRIER CREAMCentral Supplies52.00
271PRONTOSAN WOUND GELCentral Supplies101.00
270TOTAL CONTACT BOOT XLCentral Supplies587.00
270TAPE SILICONE MSC1583Central Supplies90.00
270SILVASORB GEL SILVER ANTIMICRO WOUND GELCentral Supplies124.61
272OPTIFOAM 3X3 DRESSING W/ SILICONECentral Supplies32.00
272OPTIFOAM 4X4 DRESSING W/ SILICONECentral Supplies48.00
270PERITONEAL DRAIN KIT ASPIRACentral Supplies7,567.00
272SKIN STAPLER ROTATING HEADCentral Supplies393.44
272OR SUTURE ENDOSTITCHCentral Supplies154.52
272OR ENDOSTITCH 10MM SUTURE DEVICECentral Supplies652.17
270DME-Central Supplies    -
270BINDER BREAST ALL SIZESCentral Supplies216.83
272FORCE FIBER #5 BRADE SUTUER W/ NEEDLECentral Supplies115.50
270WATERBIRTH ACCESSORY KITCentral Supplies599.00
272FORCE FIBER #2 STRN BLUE 1/2 CIRCLE TAPRCentral Supplies143.50
2571000cc NS IRRG STERILE SOLUTIONCentral Supplies33.00
257500cc NS IRRG STERILE SOLUTIONCentral Supplies33.00
270SPLASH SHIELD ZEROWETCentral Supplies22.00
272IRRIG STERILE SOLUTION all sizesCentral Supplies33.00
257500cc H2O IRRIG STERILE SOLUTIONCentral Supplies33.00
250OR 3000cc NS IRRIGATION SOLUTIONCentral Supplies60.00
272IRRIGATION SYRINGE ASEPTO 50ccCentral Supplies6.00
270IRRIG TRAY w/2 oz BULB OR PISTON SYRCentral Supplies5.00
270SPLASH CAP IRRG BLT SHIELDCentral Supplies28.00
257PEDIALYTE 2ozCentral Supplies12.00
270IV START KITCentral Supplies61.00
270EVACUTAINER BOTTLE 1000ccCentral Supplies64.00
2704fr TURBO-JECT PICC G03804 SINGLE LUMENCentral Supplies510.00
272ANTI REFLUX VALVECentral Supplies53.00
272NG TUBE HOLDER NG-50Central Supplies13.00
272NG TUBE 8FR SALEM SUMPCentral Supplies59.30
272NG TUBE 10fr SALEM SUMPCentral Supplies18.00
272NG TUBE 14fr SALEM SUMPCentral Supplies19.00
270NG TUBE 16fr SALEM SUMPCentral Supplies18.00
270NG TUBE 18fr SALEM SUMPCentral Supplies18.00
272TUBE ATTACHMENT DEVICE HOLISTER 9785Central Supplies55.00
270FEEDING TUBE 5frCentral Supplies41.00
270FEEDING TUBE 8frCentral Supplies43.00
270FEEDING TUBE 10frCentral Supplies10.00
270FEEDING TUBE DOBBHOFF 8frCentral Supplies72.00
270SUCTION FINE TIPCentral Supplies18.00
272SUCTION TIP YANKER BULBOUSCentral Supplies6.00
270SUCTION CATH 5fr PEDIATRIC T63CCentral Supplies5.00
270SUCTION CATH 8fr PEDIATRIC T64CCentral Supplies5.00
270SUCTION CATH 10fr PEDIATRIC T61CCentral Supplies5.00
272SUCTION CATH DISP all sizesCentral Supplies5.00
270OR BLACK HOLE W/TUBINGCentral Supplies251.00
272DELEE SUCTION 10frCentral Supplies63.00
270SUCTION TUBINGCentral Supplies10.00
270SUCTION TUBE CONNECT X-MASS TREECentral Supplies12.00
270GOMCO SUCTION BOTTLE DISPCentral Supplies86.00
270SUCTION LINER 1500ccCentral Supplies17.00
270OR SUCTION LINER 3000ccCentral Supplies22.00
270SUCTION LINER 2000cc/NURSING DEPTCentral Supplies21.00
270SUCTION CATH KIT 10frCentral Supplies8.00
270SUCTION CATH KIT 12frCentral Supplies8.00
270SUCTION CATH KIT 14frCentral Supplies7.00
270OR POOLE SUCTION TIPCentral Supplies31.00
270OR SUCTION TIP YANKER (purple/weeks)Central Supplies11.00
270CATH SINGLE FOLEY 8frCentral Supplies40.00
270CATH SINGLE FOLEY 10frCentral Supplies42.00
270CATH SINGLE FOLEY 12frCentral Supplies38.00
270CATH SINGLE FOLEY 18frCentral Supplies5.00
270CATH SINGLE FOLEY 22frCentral Supplies38.00
270CATH SINGLE FOLEY 24frCentral Supplies40.00
270CATH SINGLE FOLEY 26fr 30cc BALLOONCentral Supplies50.00
270CATHETER ADHESIVE HOLDERCentral Supplies11.00
270CATH STRAP FOAM W/VELCROCentral Supplies8.00
272CATHETER 14fr COUDE TIPCentral Supplies70.00
272CATHETER COUDE TIP all sizesCentral Supplies70.00
270CONDOM CATHETER MEDIUMCentral Supplies33.00
270CLEAN CATCH STERILE CUPCentral Supplies1.00
270CATH CARE KITCentral Supplies24.00
270CATH DRAIN TUBING 5'Central Supplies17.00
270FOLEY CATHETER DRAIN BAG 4000ccCentral Supplies47.00
270FOLEY CATHETER KIT LATEX FREECentral Supplies80.00
270FEMALE CATH KITCentral Supplies21.00
270URINE LEG BAGCentral Supplies22.00
270MALE URINARY POUCH 250ml (HL9811)Central Supplies84.00
270ODOR ELIMINATOR SPRAY m9Central Supplies26.00
270PUC PEDIATRIC URINE COLLECTORCentral Supplies5.00
270SITZ BATH DISPCentral Supplies71.00
270ENEMA BUCKET DISPCentral Supplies19.00
270FLEETS MINERAL OILCentral Supplies25.00
270FLEETS ENEMACentral Supplies53.00
270PERI-WASHCentral Supplies21.00
270SPECIMEN CUP STERILE DISPCentral Supplies5.00
270URETHRAL CATH KITCentral Supplies18.00
270URINE METER WITH DRAIN BAGCentral Supplies68.00
270CALCULI / URINE STRAINER DISPCentral Supplies5.00
270STOMAHESIVE PROTECTIVE POWDERCentral Supplies44.00
270STOMA PASTECentral Supplies58.00
270STOMA ADHESIVE SPRAYCentral Supplies107.00
270SIGMOID SPECULUM DISPCentral Supplies48.00
270OSTOMY 2 1/4" DRAINABLE POUCH w/FILTERCentral Supplies15.00
270OSTOMY 1 1/2" DRAINABLE POUCHCentral Supplies13.00
270OSTOMY 2 3/4" CLOSED END POUCHCentral Supplies9.00
270OSTOMY 2 3/4" HOLLISTER DRAINABLE POUCHCentral Supplies50.00
272OSTOMY 416928 POST OP KIT 2 3/4"Central Supplies41.00
270OSTOMY WAFER 2 1/4"Central Supplies23.00
270OSTOMY WAFER 2 3/4"Central Supplies21.00
270OSTOMY POUCH CLAMPCentral Supplies13.00
272DEBRISOFT PADCentral Supplies111.00
278CLEARIFY VISUALIZATION SYSTEM 21-345Central Supplies303.00
270CVC PACK DISPCentral Supplies526.00
272PLEURAVACCentral Supplies164.00
270CHEST TUBE KIT DISPCentral Supplies149.00
270SUTURE SET DISPOSIBLECentral Supplies82.00
270STERILE DRAPE 18X26" DISPCentral Supplies5.00
270SUTURE REMOVAL KIT DISPCentral Supplies6.00
270HEEL PROTECTORCentral Supplies44.00
270LUMBAR TRAY DISP all sizesCentral Supplies95.00
270LUMBAR TRAY PEDIATRIC DISPCentral Supplies82.00
270THORACENTESIS TRAY 4341B DISPCentral Supplies594.00
270THORA/PARA TRAY DISP all typesCentral Supplies172.00
270THORA/PARA KIT 8fr TPK1001 DISPCentral Supplies153.00
270ASPIRA PLEURAL DRAINAGE KITCentral Supplies5,972.00
270CAUTERY HIGH TEMP TIP DISPCentral Supplies83.00
270CAUTERY DISP penCentral Supplies68.00
272CHEST TUBE TROCAR CATH all sizesCentral Supplies194.00
270CHEST TUBE TROCAR CATH 16frCentral Supplies194.00
270CHEST TUBE TROCAR CATH 28frCentral Supplies194.00
270CHEST TUBE TROCAR CATH 32frCentral Supplies173.00
272BARD TRUGUIDE BIOPSY NEEDLE 17G X 3Central Supplies109.00
270V.A.C. VIA 7-DAY SYSTEM COMPLETECentral Supplies2,208.00
270V.A.C. CANISTER w/GELCentral Supplies207.00
270V.A.C. GRANUFOAM DRESSING LARGECentral Supplies326.00
270V.A.C. GRANUFOAM MEDIUM DRESSINGCentral Supplies267.00
270V.A.C. GRANUFOAM SMALL DRESSINGCentral Supplies234.00
270V.A.C. LG WHITE FOAM DRESSINGCentral Supplies80.00
270V.A.C. SMALL WHITE FOAM DRESSINGCentral Supplies62.00
270V.A.C. Y CONNECTORCentral Supplies21.00
272SCALPEL DISP PROTECTIVE all sizesCentral Supplies14.00
272SCALPEL #11 DISP PROTECTIVECentral Supplies14.00
272SCALPEL #15 DISP PROTECTIVECentral Supplies14.00
272STAPLER DISP all sizesCentral Supplies67.00
270STAPLER DS-15 DISPCentral Supplies55.00
272STAPLER DS-5 DISPCentral Supplies46.00
272OR SKIN STAPLER ETHICN PMW35 DISPCentral Supplies189.00
272DRAIN PENROSE 1/4" X 18" LFCentral Supplies26.00
272DRAIN PENROSE 1/2" X 18" LFCentral Supplies36.00
272DRAIN PENROSE LF all sizesCentral Supplies45.00
2723M PREP CLIPPER HEAD DISPCentral Supplies39.00
270OR BETADINE VAG PREP D50-002Central Supplies52.00
270BIOPSY PUNCH DISP ASSORTED SIZESCentral Supplies48.00
270OR CHLORAPREP KIT C/TINT 26mmCentral Supplies71.00
272STERILE BOWL DISPCentral Supplies16.00
270EPIDURAL KIT DISPCentral Supplies153.00
270EZ-LAV KIT 28frCentral Supplies445.00
270EZ PREP SURGICAL SCRUB CHG 4%Central Supplies11.00
270DISP. DEROYAL COLD/HOT THERAPY BLANKETSCentral Supplies111.00
270GUIAC / HEMOCCULT SLIDE KITCentral Supplies5.00
270ICE PACK small SD INITIAL DISPCentral Supplies16.00
270MASTISOL ADHESIVECentral Supplies18.00
270MEDIPORE 2" TAPECentral Supplies47.00
270MEDIPORE TAPE all sizesCentral Supplies5.00
270OPTIPORE SPONGECentral Supplies12.00
270PVP PREP SOLUTIONCentral Supplies8.00
272STAPLE REMOVER DISPCentral Supplies9.00
270DME ABDUCTION PILLOW HIP MEDIUMCentral Supplies180.00
270ICE PACK large SD INITIAL DISPCentral Supplies14.00
274DME ARM ELEVATING PILLOWCentral Supplies191.00
270STERILE SKIN MARKER NO LABELCentral Supplies10.00
274DME CERVICAL COLLARCentral Supplies84.00
274DME KNEE IMMOBILER 16"Central Supplies116.00
274DME KNEE IMMOBILIZER 19"Central Supplies126.00
274DME KNEE IMMOBILIZER 22"Central Supplies132.00
274DME KNEE IMMOBILIZER 24"Central Supplies144.00
274DME KNEE T-SCOPE UNIVERSALCentral Supplies576.00
274DME KNEE T-SCOPE XLGCentral Supplies586.00
274DME LEG ELEVATING PILLOWCentral Supplies173.00
274ULTRASLING (all sizes) DMECentral Supplies264.00
270STERILE SPECULUM SMALL DISPCentral Supplies26.00
270STERILE SPECULUM MEDIUM DISPCentral Supplies26.00
272STERILE SPECULUM DISP all sizesCentral Supplies39.00
270EAR CURETTES MINI LOOP DISPCentral Supplies13.00
272EAR CURETTE DISP all sizesCentral Supplies13.00
270EAR CURETTE CURVED LOOP DISPCentral Supplies13.00
270POPE EAR WICK 24mmCentral Supplies24.00
270POPE EAR WICK all sizesCentral Supplies24.00
270MONOFILAMENT 10g w/PAPER HANDLECentral Supplies12.00
270HYPAFIX 2" X 10yd DRESSING TAPECentral Supplies58.00
270HYPAFIX 4" X2yd DRESSING TAPECentral Supplies55.00
270HYPAFIX DRESSING TAPE all sizesCentral Supplies68.00
270BANDAGE 2" VELCRO CLOSURECentral Supplies7.00
270BANDAGE 3" VELCRO CLOSURECentral Supplies10.00
270BANDAGE 4" VELCRO CLOSURECentral Supplies11.00
270BANDAGE 6" VELCRO CLOSURECentral Supplies15.00
270MEDIHONEY GEL 0.5Central Supplies48.00
272MEDIHONEY CA 2X2 DRESSINGCentral Supplies43.00
272MEDIHONEY HYDROGEL DRSG 2 3/4X2 3/4" ADHCentral Supplies54.00
270VENODYNE SCD REG LEG SLEEVECentral Supplies210.00
270SCD REGULAR LEG SLEEVE DVT 10Central Supplies116.00
270SCD LARGE SLEEVE DVT 20Central Supplies170.00
270SLIT LAMPCentral Supplies59.00
270EGG CRATE MATTRESSCentral Supplies85.00
270KNEE CPM COMPLETE W/PAD KIT COMPLETECentral Supplies151.00
270HIP REPLACEMENT KIT w/TOILET RAISERCentral Supplies245.00
270HIP KIT WITHOUT TOILET RISERCentral Supplies124.00
270EVERGREEN TLSOCentral Supplies387.00
270BRACE KNEE CUSTOM FITCentral Supplies1,959.00
270TED HOSE SMALL KNEECentral Supplies22.00
270TED HOSE MEDIUM KNEECentral Supplies32.00
270TED HOSE LARGE KNEECentral Supplies24.00
270TED HOSE X-LG KNEECentral Supplies24.00
270TED HOSE MED LONG KNEECentral Supplies79.00
270TED HOSE LG LONG KNEECentral Supplies54.00
270TED HOSE X-LG LONG KNEECentral Supplies24.00
270TED HOSE THIGH SMALLCentral Supplies87.00
270TED HOSE THIGH MEDIUMCentral Supplies88.00
270TED HOSE THIGH LARGECentral Supplies79.00
270TED HOSE THIGH X-LGCentral Supplies53.00
274TRACTION BOOTCentral Supplies109.00
274TRACTION FRAME for BED & WEIGHTS BUCKSCentral Supplies87.00
274TRAPEZE BAR / PATIENT HELPERCentral Supplies94.00
274DME ARM SLING XLGCentral Supplies43.00
274DME ARM SLING 2X-SMALL ST JOHNCentral Supplies60.00
274DME ARM SLING XSMALL ST JOHNCentral Supplies60.00
274DME ARM SLING SMALL (ST JOHN)Central Supplies60.00
274DME ABDOMINAL BINDER 9" 30-45"Central Supplies81.00
274DME ABDOMINAL BINDER 9" 46-52"Central Supplies81.00
274DME ABDOMINAL BINDER 12" 30-45"Central Supplies89.00
274DME ABDOMINAL BINDER 12" 46-62"Central Supplies95.00
274DME ANKLE BRACE SMALLCentral Supplies97.00
274DME ANKLE BRACE MEDIUMCentral Supplies97.00
274DME ANKLE BRACE LARGECentral Supplies97.00
274DME ANKLE BRACE X-LGCentral Supplies97.00
274DME ANKLE GEL-RIGHT 80/20   BRACE ZIMMERCentral Supplies213.00
274DME ANKLE GEL-LEFT 80/20 BRACE ZIMMERCentral Supplies213.00
270PODUS BOOT / HEEL PROTECTORCentral Supplies150.00
274DME CRUTCHES YOUTHCentral Supplies108.00
274DME CRUTCHES MEDIUMCentral Supplies108.00
274DME CRUTCHES LGCentral Supplies108.00
274DME WALKING BOOT all sizesCentral Supplies328.00
270OXYGEN MASK ADULT (6850)Central Supplies20.00
270OXYGEN MASK CHILD SZ-2Central Supplies31.00
270OXYGEN MASK CHILD SM DYNJAAMASK3Central Supplies17.00
270OXYGEN MASK CHILD LG DYNJAAMASK4Central Supplies17.00
270OXYGEN MASK NEONATAL SZ-0Central Supplies31.00
270OXYGEN MASK CHILD SM SZ-1Central Supplies31.00
270DRAINAGE KIT 500ML PLEURXCentral Supplies438.00
270PHILIPS M2522A EtCO2 DETECTOR NON-INTUBACentral Supplies82.00
270ZOLL PEDI-PADZ DEFIBULATION PADCentral Supplies294.00
270ZOLL DEFIB PAD ONESTEP CPR COMPLETECentral Supplies427.00
270AED 10 PAD WA - CLINICS MRMC & MRSCCentral Supplies299.00
270CPRD PADZ AED ZOLLCentral Supplies568.00
270AMBU BAG all sizesCentral Supplies132.00
270BITE BLOCKS DISPCentral Supplies20.00
270CO2 DETECTOR EASY CAP II all sizesCentral Supplies96.00
272GLIDESCOPE BLADE DISP all sizesCentral Supplies115.00
410NEONATAL RESUSCITATIONCentral Supplies276.00
272GLIDESCOPE BLADE GVL-2 4-22lb DISPCentral Supplies115.00
272GLIDESCOPE BLADE GVL-3 22#-ADUL DISPCentral Supplies109.00
272GLIDESCOPE BLADE GVL-4 >88lb DISPCentral Supplies109.00
270PEDI-CAP CO2 DETECTORCentral Supplies96.00
270AMBU BAG INFANTCentral Supplies172.00
270AMBU BAG PEDIATRICCentral Supplies89.00
272INTRODUCER BOUGIE 15fr COUDE TIPCentral Supplies64.00
270STYLET 6fr 2.0-4.5mm DISPCentral Supplies41.00
270STYLET 10fr 4.0-6.0mm DISPCentral Supplies41.00
272STYLET 14fr DISPCentral Supplies40.00
270MANOMETER 550ml w/3-WAY STOPCOCK DISPCentral Supplies48.00
270NERVE BLOCK TRAY DISPCentral Supplies97.00
270VAGINAL APPLICATOR-MEDCentral Supplies52.00
270PERI BOTTLECentral Supplies5.00
270AMBU BAG NEONATECentral Supplies74.00
270BILI MASK DISPCentral Supplies15.00
270BILI BLANKET / VEST DISPCentral Supplies31.00
270BILI LIGHT w/LIGHT METER CONTINUOUSCentral Supplies405.00
270OB PACK DISPCentral Supplies99.00
270UMBILICAL CATHETER TRAYCentral Supplies219.00
270UMBILICAL CATHETER 2.5frCentral Supplies198.00
270UMBILICAL CATHETER 3.5frCentral Supplies201.00
272UMBILICAL CATHETER 5frCentral Supplies174.00
270PERI COLD PACK DISPCentral Supplies6.00
272FETAL VACUUM EXTRACTOR KIWI VAC 6000Central Supplies197.00
270SNS STARTER KITCentral Supplies95.00
270OXYGEN MASK INFANT W/O INFLAT VALVECentral Supplies46.00
270EPISIOTOMY KITCentral Supplies383.00
272FETAL SCALP ELECTRODECentral Supplies121.00
272IUPC-INTRAUTERINE CATHETERCentral Supplies182.00
270NITRAZINE PAPERCentral Supplies465.00
270NIPPLE SHIELD DISPCentral Supplies54.00
270BREAST SHELL DISPCentral Supplies98.00
270BREAST PUMP MANUAL DISPCentral Supplies144.00
272CERVICAL RIPENING BALLOONCentral Supplies260.00
272BAKRI PP HEMORRHAGE BALLOONCentral Supplies948.00
272AMNIOHOOKCentral Supplies19.00
270DERMABOND IICentral Supplies82.00
278SURGICEL 2X3 (1953)Central Supplies354.00
272SUTURE SINGLE PACKCentral Supplies64.00
272SUTURE SURGICAL TIESCentral Supplies87.00
272SUTURE CONTROL RELEASE NEEDLE MULTIPACKCentral Supplies188.00
272SUTURE SET/PACKCentral Supplies65.00
278OR V-LOC 180 3-0 6"Central Supplies170.00
272OR X-5209 SUTURE 'COTTONY' II KHT-3Central Supplies159.00
272OR SUTURE RETREVIERCentral Supplies609.15
272OR DISP ORTHO NEEDLE 7/16" CIRCLECentral Supplies27.00
272OR DISP ORTHO NEEDLE 9/16 TAPOR POINTCentral Supplies27.00
272OR RS22 MERSILENE SUTURE 5mm CTXCentral Supplies280.00
272OR KEITH STRT STERILE NEED 2 1/2"Central Supplies53.00
272OR PLEDGETS PCP50 ETHICONCentral Supplies40.00
272OR DERMATONE BLADE DISP STERILECentral Supplies284.00
272DRESSING SUPER ABSORBENTCentral Supplies51.77
272OR 11-036 CAST PAD 6" SPECIALISTCentral Supplies66.00
272OR SHOULDER CANNULA SET DISPOSABLECentral Supplies108.00
272OR 12" DISP TOURNIQUET CUFFCentral Supplies90.00
272OR 18" DISP TOURNIQUET CUFFCentral Supplies141.00
272OR 24" DISP TOURNIQUET CUFFCentral Supplies157.00
272OR 30" DISP TOURNIQUET CUFFCentral Supplies168.00
272OR 34" DISP TOURNIQUET CUFFCentral Supplies181.00
272OR 42" DISP TOURNIQUET CUFFCentral Supplies194.00
272OR PULSE-A-VACCentral Supplies495.00
272OR #10 SHIELDED BLADE BC373910Central Supplies11.00
272OR #11 SHIELDED BLADE BC373911Central Supplies11.00
272OR #15 SHIELDED BLADE BC373915Central Supplies11.00
272OR #10 RIB-BACK BLADE BC371150Central Supplies5.00
272OR #11 RIB-BACK BLADE BC371151ACentral Supplies9.00
272OR #12 RIB-BACK BLADE BC371152ACentral Supplies34.00
272OR #15 RIB-BACK BLADE BC371153Central Supplies5.00
272OR DISP HOT BIOPSY FORCEPCentral Supplies345.00
272OR DISP ROTAT SNARE 13mmCentral Supplies362.00
272OR ENDO DILATING CATH 18-20mmCentral Supplies1,185.00
272OR ENDO DILATING CATH 15-18mmCentral Supplies1,185.00
272OR ENDO INFLATION SYR 60mlCentral Supplies325.00
272OR IMPERVIOUS STOCKIN STERILE DISPCentral Supplies65.00
272OR ESMARK 6" STERILE DISPCentral Supplies38.00
272OR ESMARK 4" STERILE DISPCentral Supplies28.00
272NEEDLE COUNTER DISPCentral Supplies8.00
272OR DISP STERILE MAGNETIC MATCentral Supplies31.00
272OR SPOT INK DYE ENDOSCOPICCentral Supplies178.00
272OR SPOT INJECTA NEEDLECentral Supplies175.00
272OR VESSEL LOOP 30-733 BLUECentral Supplies16.00
272OR RED VESSEL LOOP 30-742Central Supplies16.00
272OR MINI LAP CLUTCH GRASPER DISP STERILECentral Supplies952.00
272OR MINILAP ALLIGATOR GRASP DISP STERILECentral Supplies1,218.00
272OR STERILE TIP INSERTS METZ DISPCentral Supplies181.00
272OR GEL PREP TRAYCentral Supplies37.00
270OR MAMMARY PS SUPPORT BRA LGCentral Supplies351.00
272OR JP-2189 JP 15fr FLUTEDCentral Supplies99.00
272OR 2227J-VAC 10fr ROUND BLAKE 3/4 FLUTECentral Supplies357.00
272OR JP RESERVIOR 100ccCentral Supplies54.00
272OR JP DRAIN 7mm FLAT SU130-1308Central Supplies60.00
272OR JP DRN 10mm FLATE SU130-1309Central Supplies60.00
272OR JP DRN 10fr ROUND SU130-1321Central Supplies53.00
272OR JP DRN 15fr ROUND SU130-1323Central Supplies60.00
272OR JP DRN 19fr rOUND SU130-1325Central Supplies60.00
272OR J-VAC RESERVOIR 450mlCentral Supplies230.00
270OR MAMMARY PS SUPPORT BRA SMALLCentral Supplies351.00
270OR MAMMARY PS SUPPORY BRA MEDIUMCentral Supplies351.00
270OR MAMMARY PR SUPPORT BRA X-LGCentral Supplies351.00
270BAIR HUGGER FULL DISPCentral Supplies60.00
270BAIR HUGGER LOWER DISPCentral Supplies58.00
270BAIR HUGGER UPPERCentral Supplies86.00
270BAIR HUGGER PEDI DISPCentral Supplies53.00
272OR UTERINE SUCTION PRIMARY BUNDLECentral Supplies213.00
272OR UTERINE CURETTE all sizesCentral Supplies45.00
272OR URERINE SUCTION SECONDARY BUNDLECentral Supplies165.00
278OR FILSHIE CLIPCentral Supplies310.00
621MAXCORE BIOPSY NEEDLE 14X10cmCentral Supplies570.00
621MAXCORE BIOPSY NEEDLE 18gCentral Supplies429.00
272OR LITHOTOMY DRAPE DISPCentral Supplies48.00
270OR ARM CRADLE POSITIONERCentral Supplies45.00
272OR DISP CHEST/BREAST DRAPECentral Supplies84.00
272OR DISP TOTAL JOINT PACKCentral Supplies269.00
272OR LEG HOLDER PADCentral Supplies209.00
272OR EXTREMITY DISP DRAPCentral Supplies55.00
272OR IOBAN DISP DRAPE M6650EZCentral Supplies61.00
272OR DISP 3/4 SHEETCentral Supplies30.00
272OR LIGHT HANDLESCentral Supplies37.00
272MAYO STAND COVER DISP STERILECentral Supplies28.00
272OR TABLE COVER DISP STERILECentral Supplies28.00
272OR LAP SPONGES DISP STERILECentral Supplies25.00
272OR ARTHROSCPIC PACKCentral Supplies288.00
272OR BASIC PACK DISP STERILECentral Supplies63.00
272OR D&C PACK DISP STERILECentral Supplies159.00
272OR SHOULDER BEACH CHAIR PACKCentral Supplies338.00
272OR LAP CHOLE PACK STERILE DISPCentral Supplies232.00
272OR RATEX 4X4 RADIOPAQUECentral Supplies7.00
272OR C-ARM DRAPE DISP STERILECentral Supplies42.00
272OR SHOULDER SUPENSION II KITCentral Supplies94.00
272OR M1015 DISP STERILE DRAPECentral Supplies41.00
272OR M1010 DISP STERILE DRAPECentral Supplies13.00
272OR U DRAPE DISP STERILECentral Supplies28.00
272OR DISP BEACH CHAIR RESTRAINTCentral Supplies133.00
272OR DISP ORTHO HAND DRAPECentral Supplies82.00
272OR SHOULDER SCOPE DISP DRAPECentral Supplies121.00
270OR HEADREST COMFORT FOAMCentral Supplies63.00
272OR DISP STERILE SLEEVECentral Supplies11.00
272OR LAPAROTOMY DRAPE STERILE DISPCentral Supplies65.00
272OR STERILE UTILITY DRAPE W/STICKY EDGESCentral Supplies19.00
272OR DISP DISSECTOR CHERRY SPONGECentral Supplies63.00
272OR C-SECTION PACK STERILE DISPCentral Supplies279.00
272OR IOBAN 6617 SHOWER CURTAINCentral Supplies142.00
272OR HIP PACK W/POUCH 29439Central Supplies119.00
272OR LAP/PEVIC DRAPE DISPCentral Supplies66.00
272OR PEDIATRIC DRAPE DISP STERILECentral Supplies55.00
272OR BILATERAL EXTREMITY DRAPE MEDLINECentral Supplies71.00
272OR LAVH PACK DISP STERILECentral Supplies147.08
272OR INSTRUMENT POUCHCentral Supplies79.00
272OR UNDER BUTTOCKS DRAPECentral Supplies45.00
272OR LEGGINS DRAPECentral Supplies45.00
270OR DISP STIRRUP STRAP W/RINGCentral Supplies71.00
272OR STERILE ORTHO SPLIT DRAPE DYNJP8301Central Supplies63.00
272OR TOP DRAPE STERILE DYNJP4002Central Supplies54.00
272OR LAVH DRAPE DISP STERILECentral Supplies88.09
272OR UTERINE MANIPULATOR DISP STERILECentral Supplies574.75
272CAUTERY NEEDLE TIP 0013Central Supplies55.00
272CAUTERY SCRATCH PAD DISP STERILECentral Supplies5.00
272CAUTERY TEFLON TIP 0014Central Supplies58.00
272CAUTERY PENCILCentral Supplies72.00
272OR P.E.G. TUBE KIT (000330 BARD)Central Supplies836.00
272OR COBAN 4" STERILECentral Supplies36.00
272OR COBAN 6" STERILECentral Supplies52.00
272TOWEL PACK STERILE DISPCentral Supplies26.00
272OR SKIN MARKERS STERILE w/LABELSCentral Supplies19.00
272OR 11-034 CAST PAD 4" SPECIALISTCentral Supplies55.00
272OR 11-032 CAST PAD 2" SPECIALISTCentral Supplies37.00
272OR MOBIUS OB RETRACT SM 900-517 PINKCentral Supplies405.00
272OR MOBIUS OB RETRACTOR LGCentral Supplies1.00
278OR STAPLER CS40G CONTOUR GREENCentral Supplies1,791.00
278OR STAPLE RELOADS CR40G CONTOUR GREENCentral Supplies1,337.00
278OR STAPLER CS40B CONTOUR BLUECentral Supplies1,845.00
278OR STAPLE RELOADS CR40B CONTOURCentral Supplies1,224.00
272OR SMBTTOVL ENDO DISSECT OVAL BALONCentral Supplies1,552.00
272OR ENDO RELTACK3X10 REL ABSORBATACKCentral Supplies2,009.00
272OR ENDO ABSTACK30 5mmCentral Supplies1,883.00
278OR ENDO ROTICULAT GIA 45 STAPLER 030453Central Supplies933.00
272OR ENDO EGIAUSTND UNVERSAL HANDLE 12mmCentral Supplies549.00
272OR EGIA45AVM ENDO RELOADS GIA 45Central Supplies879.00
272OR ENDO STAPLER GIA6038SCentral Supplies430.00
278OR GIA6038S ENDO GIA 60 3.8 STAPLERCentral Supplies672.00
278OR GIA6038L RELOADS GIA 60 3.8 STAPLESCentral Supplies358.00
278OR GIA6048L RELOADS ENDO STAPLESCentral Supplies375.00
278OR GIA8038L RELOADS ENDO STAPLESCentral Supplies569.00
278OR EGIARADMT RELOADS RADIAL MED THKCentral Supplies1,842.00
278OR TA6035S ENDO STAPLER TA 60 3.5Central Supplies409.00
278OR TA6035L RELOADS STAPLESCentral Supplies291.00
278OR TA6048L RELOADS STAPLES TA 60 4.8Central Supplies291.00
272OR EGIA60AVM RELOADS ARTICULAT 60mmCentral Supplies1,069.00
278OR EEA28 STAPLER 28MMCentral Supplies1,370.00
278OR EEA31 STAPLER 31mmCentral Supplies1,370.00
278OR EEA33 STAPLER 33mmCentral Supplies1,789.00
272OR ENDO RELTACK10R 10 RELOAD RELABSORBATCentral Supplies572.00
272OR ENDO RELTACK5R 5 RELOADS RELABSORBATACentral Supplies489.00
278OR 020242 PURSTRING STAPLER 65Central Supplies490.00
272OR ENDO RELTACK4XDPT ABSORBATACKCentral Supplies2,009.00
272OR HEM3335 HEMORRHOID STAPLER 3.5Central Supplies1,927.00
272OR HEM3348 HEMORRHOID STAPLER 4.8mmCentral Supplies1,927.00
270EZ IO STABILIZERCentral Supplies97.00
272OR HEMOVAC 400cc 10fr DYNJWE402Central Supplies61.00
272OR HEMOVAC 400cc 15fr DYNJWE403Central Supplies61.00
272OR LF4200 LIGASURE IMPACT HANDLECentral Supplies2,858.00
272OR LIGASURE LAP 5mm LF1637Central Supplies2,008.00
272OR LF1737 LIGASURE MARYLAND JAW DISPCentral Supplies1,862.00
272OR LONE STAR COLORECTAL RETRACTORCentral Supplies574.00
278OR HEMO-CLIP LG-MED TANTALUMCentral Supplies231.00
272OR CA500 CLIP APPLIER 5mmCentral Supplies730.00
272OR CFF03 TROCAR FIXATION 5X100Central Supplies127.00
272OR CFS02 SLEEVE FIXATION 5X100Central Supplies64.00
272OR TROCAR CFF33 11X100 OPTICCentral Supplies188.00
272OR CBO40 ENDO SHEARS/SCISSORS 5mmCentral Supplies408.00
272OR CD003 RETRIVAL BAG 5mmCentral Supplies393.00
272OR CD001 RETRIEVAL BAG 10mmCentral Supplies393.00
272OR CFF73 TROCAR 12X100 FIX OPTICCentral Supplies188.00
272OR CAO90 CLIP APPLIER 10mmCentral Supplies514.00
272OR CTF03 TROCAR 5X100 OPTICALCentral Supplies167.00
272OR CTF33 TROCAR 11X100mm FIOSCentral Supplies217.00
272OR CTF73 TROCAR 12X100 FIOSCentral Supplies200.00
272OR CTS02 SLEEVE THREADED 5X100mmCentral Supplies70.00
272OR COR47 BLUNT TIP TROCAR 12X100mmCentral Supplies224.00
272OR CFF01 TROCAR 5X150 FIXATIONCentral Supplies127.00
272OR CFB71 TROCAR 12X150mmCentral Supplies200.00
272OR C8XX2 GEL PORTCentral Supplies1,754.00
272OR CNGL2 GEL PORTCentral Supplies2,059.00
272THUNDER BEAT OLYMPUSCentral Supplies1,701.00
272OR L-HOOK LAPAROSCOPIC CAUTERY ELECTRODECentral Supplies343.00
272OR SMOKE EVACUATORCentral Supplies163.00
272OR CONRAYCentral Supplies79.00
272OR CHOLANGIO CATHCentral Supplies194.00
272OR LARAROSCOPIC KITTNERS 5mmCentral Supplies78.00
272OR SMBTTRND SPACEMAKER DISSECT BALONCentral Supplies1,464.00
272OR APPLIED MED HR004 S/M ALEXIS ORTHOCentral Supplies830.00
272OR INSUFFLATOR TUBECentral Supplies103.00
272OR ANTI FOGCentral Supplies16.00
272OR TUR TUBING/CYCTO TUBINGCentral Supplies26.00
272OR ENDOCLOSE 173022Central Supplies409.00
272OR VERESS NEEDLE 120mm 172015Central Supplies115.00
272OR SURGIWAND 178091Central Supplies288.00
272OR VERESS NEEDLE PN150Central Supplies295.00
278OR MESHCentral Supplies4,356.47
278OR MESH VENTRALEX LG BARDCentral Supplies6,048.00
278OR BARD MESH MED CIRCLE #5950008Central Supplies1,404.00
278OR PCO9 POLYESTER 3.6" ROUNDCentral Supplies1,436.00
278OR PCO15 POLYESTER MESH 6"Central Supplies1,941.00
278OR TEM1509G PROGRIP 15X9 MESHCentral Supplies1,175.00
278OR MESH SY12 SYBOTEX COMPOSITECentral Supplies1,632.00
278OR MESH SYM9 SYMOBOTEX COMPOSITECentral Supplies1,580.00
278OR MESH P100055 PERMACOL 5X5X1Central Supplies1,374.00
278OR MESH SYM15 SYMBOTEXCentral Supplies2,136.00
278OR MESH SYM1510 SYMBOTEXCentral Supplies1,972.00
278OR MESH SYMBOTEX SYM2015Central Supplies2,379.00
278OR MESH SYM3420E 34X20 SYMBOTEXCentral Supplies4,401.00
278OR MESH VTX1510X3 VERSATEXCentral Supplies884.32
272OR HET BIPOLAR FORCEPS 180-1022Central Supplies1,815.00
278SCREW SOFTSLK 1.5 9X20mm STERCentral Supplies765.45
278SCREW SOFTSLK 1.5 9X25MM STERCentral Supplies765.45
278GUIDE WIRE DRILL TIP 2FLT SN 7207221Central Supplies302.50
278CANNU-FLEX 2.0 GUIDE WIRE.078 SN 7205659Central Supplies302.50
278STRYKER 4.0 SHAVER 0385-544-000Central Supplies525.56
270ARTHROSCOPIC BLADE ELECTRODE E1512 BOVIECentral Supplies112.23
270MORGAN LENSCentral Supplies135.00
270MED-SOL ADHESIVE REMOVERCentral Supplies52.00
270CRICOTHYROTOMY CATH SET DISPCentral Supplies660.00
270BURN PACKCentral Supplies83.00
270CUT DOWN TRAYCentral Supplies148.00
270NASAL SPLINT "LOVE" MALLABLECentral Supplies161.00
270NASOSTATECentral Supplies306.00
270RHINO ROCKET NASAL PACKINGCentral Supplies75.00
270RAPID RHINO EPISTAXIX DEVICE all sizesCentral Supplies363.00
270RAPID PAC 5.5cm ANTERIOR NASAL DRESSINGCentral Supplies145.00
270RAPID RHINO 550 UNILATERAL EPISTAXISCentral Supplies215.00
270RAPID RHINO 751 UNILAT EPISTAXIS DEVICECentral Supplies194.00
270NASAL PAC 752 BILATERAL EPISTAXIS DEVICECentral Supplies199.00
270NASAL PAC 750 UNILATERAL EPISTAXIS DEVICCentral Supplies222.00
270TRIANGLR BANDAGE DISPCentral Supplies29.00
270YUEH CENTESIS CATH 5.0frCentral Supplies77.00
270BRASLOW PACK ORANGECentral Supplies548.00
270BRASLOW PACK REDCentral Supplies548.00
270BRASLOW PACK all colorsCentral Supplies548.00
270BRASLOW PACK GREENCentral Supplies548.00
270BRASLOW PACK WHITECentral Supplies548.00
270BRASLOW PACK PURPLECentral Supplies548.00
270BRASLOW PACK YELLOWCentral Supplies548.00
270CASTING TAPE 2" BLACKCentral Supplies26.00
270CASTING TAPE 2" BLUECentral Supplies26.00
270CASTING TAPE 2" GLOW-N-DARKCentral Supplies30.00
270CASTING TAPE 2" PINKCentral Supplies26.00
270CASTING TAPE 2" GREENCentral Supplies26.00
270CASTING TAPE 2" PURPLECentral Supplies26.00
270CASTING TAPE 2" REDCentral Supplies29.00
270CASTING TAPE 2" WHITECentral Supplies26.00
270CASTING TAPE 3" WHITECentral Supplies36.00
270CASTING TAPE 3" PURPLECentral Supplies29.00
270CASTING TAPE 3" BLUECentral Supplies36.00
270CASTING TAPE 3" BLACKCentral Supplies36.00
270CASTING TAPE 3" GREENCentral Supplies33.00
270CASTING TAPE 3" REDCentral Supplies29.00
270CASTING TAPE 3" PINKCentral Supplies36.00
270CASTING TAPE 3" GLOW-N-DARKCentral Supplies38.00
270CASTING TAPE 4" WHITECentral Supplies45.00
270CASTING TAPE 4" BLUECentral Supplies65.00
270CASTING TAPE 4" PURPLECentral Supplies48.00
270CASTING TAPE 4" BLACKCentral Supplies48.00
270CASTING TAPE 4" GLOW-N-DARKCentral Supplies75.00
270CASTING TAPE 4" REDCentral Supplies47.00
270CASTING TAPE 4" PINKCentral Supplies65.00
270CAST PADDING 2" SPECIALISTCentral Supplies5.00
270CAST PADDING 3" SPECIALISTCentral Supplies6.00
270CAST PADDING 4" SPECIALISTCentral Supplies8.00
270CAST PADDING 6" SPECIALISTCentral Supplies11.00
270CAST PADDING 2" PROTOUCH/SYNTHETICCentral Supplies6.00
270CAST PADDING 3" PROTOUCH/SYNTHETICCentral Supplies8.00
270CAST PADDING 4" PROTOUCH/SYNTHETICCentral Supplies10.00
270CAST PADDING 6" PROTOUCH/SYNTHETICCentral Supplies15.00
270CAST PADDING 2" DELTA DRY H2O RESISTANTCentral Supplies63.00
270CAST PADDING 3" DELTA DRY H2O RESISTANTCentral Supplies68.00
270CAST PADDING 4" DELTA DRYCentral Supplies78.00
270DISP PELVIC BINDER / STABILIZERCentral Supplies729.00
270SPINAL TRAY DISPCentral Supplies73.00
270E-TUBE 2.0 86460 UNCUFFEDCentral Supplies19.00
270E-TUBE 2.5 86461 UNCUFFERCentral Supplies19.00
270E-TUBE 3.0 86462 UNCUFFEDCentral Supplies19.00
270E-TUBE 3.5 86463 UNCUFFEDCentral Supplies19.00
270E-TUBE 2.0 86221 UNCUFFEDCentral Supplies20.00
270E-TUBE 3.0 86223 UNCUFFEDCentral Supplies20.00
270E-TUBE 5.0 86227 UNCUFFEDCentral Supplies20.00
270E-TUBE CUFFED & UNCUFFEDCentral Supplies30.00
270E-TUBE 4.0 86444 CUFFEDCentral Supplies30.00
270E-TUBE 4.5 86445 CUFFEDCentral Supplies30.00
270E-TUBE 5.0 86446 CUFFEDCentral Supplies29.00
270E-TUBE 6.0 86448 CUFFEDCentral Supplies18.00
270E-TUBE 6.5 86449 CUFFEDCentral Supplies29.00
270E-TUBE 7.0 86450 CUFFEDCentral Supplies29.00
270E-TUBE 7.5 86451 CUFFEDCentral Supplies29.00
272E-TUBE 8.0 86452 CUFFEDCentral Supplies29.00
270E-TUBE 8.5 86453 CUFFEDCentral Supplies29.00
270E-TUBE 9.0 86454 CUFFEDCentral Supplies29.00
278ARTHREX AR-1678-CP INTERNAL BRACE LIGAMECentral Supplies2,160.00
270NASAL AIRWAY LF all sizesCentral Supplies39.00
270NASAL AIRWAY 28fr LATEX FREECentral Supplies37.00
270NASAL AIRWAY 30fr LATEX FREECentral Supplies37.00
270NASAL AIRWAY 32fr LATEX FREECentral Supplies38.00
270NASAL AIRWAY 34fr LATEX FREECentral Supplies38.00
270NASAL AIRWAY 36fr LATEX FREECentral Supplies53.00
270CAPNOGRAPHY MASKCentral Supplies54.00
270OR DISP SKIN TEMP PROBE SSP400Central Supplies23.00
270STERILE RADIATION GLOVES SIZE 8Central Supplies275.00
270ORAL AIRWAY BERMAN 50mmCentral Supplies5.00
270ORAL AIRWAY BERMAN 60mmCentral Supplies5.00
270ORAL AIRWAY BERMAN 70mmCentral Supplies5.00
270ORAL AIRWAY BERMAN 80mmCentral Supplies15.00
270ORAL AIRWAY BERMAN 90mmCentral Supplies5.00
270ORAL AIRWAY BERMAN all sizesCentral Supplies5.00
270SVN SUPPLIES DISPCentral Supplies17.00
270PEAK FLOW METER DISPCentral Supplies69.00
270AERO CHAMBER PEDIATRIC W/SM MASKCentral Supplies93.00
270OXYHOOD DISPCentral Supplies64.00
270E-Z PAP SETUPCentral Supplies121.00
270I-VENT BREATHING CIRCUITCentral Supplies73.00
270I-VENT LONG BREATHING CIRCUITCentral Supplies121.00
270I-VENT INLET FILTERCentral Supplies16.00
270HUMIDIFERCentral Supplies51.00
270IS / INCENTIVE SPIROMETERCentral Supplies41.00
270MAD MUCOSAL ATOMIZATION DEVICECentral Supplies53.00
270TRANSPORT VENT CIRCUITCentral Supplies127.80
270NASAL CANNULA 14ft ADULTCentral Supplies12.00
270NASAL CANNULA 7ft ADULTCentral Supplies7.00
270NASAL CANNULA 25ft ADULTCentral Supplies20.00
270NASAL CANNULA CO2 W/MALE LUER CONNECTORCentral Supplies40.00
270MASK AREOSOL ADULT (1083)Central Supplies5.00
270OXYGEN SETUPCentral Supplies1.00
270AEROBIKA OSCILLATING POSITIVE EXP PRESURCentral Supplies300.00
270MASK NITROUS OXIDE DISPCentral Supplies101.94
270HEATED MIST SETUPCentral Supplies1.00
270NEBULIZER ADAPTOR 031-28Central Supplies40.00
270AQUAPAK 440ml w/ADAPTOR 004-00Central Supplies33.00
270BBG NASAL ASPIRATORCentral Supplies41.00
270NASAL CANNULA INFANT (1601)Central Supplies22.00
270NASAL CANNULA PEDIATRIC 7'Central Supplies16.00
270BiPAP / CPAP CIRCUITCentral Supplies65.00
270BiPAP / CPAP MASK NASAL SMALLCentral Supplies83.00
270BiPAP / CPAP MASK SMALLCentral Supplies173.00
270BiPAP / CPAP MASK MEDIUMCentral Supplies157.00
270BiPAP / CPAP MASK LARGECentral Supplies173.00
270BiPAP / CPAP FILTER-BACTERIACentral Supplies33.00
270BiPAP / CPAP FILTERCentral Supplies106.00
270OXYGEN HOLDER STICKY NEOTECHCentral Supplies38.00
270BiPAP / CPAP VALVE WHISPER SWIVELCentral Supplies154.00
270OXYMIZER CANNULACentral Supplies117.00
270END TIDAL CO2 INTABATION SET ADULT/PEDSCentral Supplies85.00
250MDI BREATHRITE SPACERCentral Supplies65.00
270OXYMASK ADULTCentral Supplies46.00
270SENSOR SPO2 INFANT DISPCentral Supplies105.00
270SENSOR SPO2 PEDIATRIC DISPCentral Supplies105.00
270SENSOR SPO2 DISP all sizesCentral Supplies95.00
270SENSOR MASIMO SPO2 NEO LNOPCentral Supplies86.00
270VAPOTHERM HUMIDIFICATION FLUIDCentral Supplies50.00
270VAPOTHERM LOW FLOW CIRCUITCentral Supplies587.00
270VAPOTHERM HIGH FLOW CIRCUITCentral Supplies405.00
270VAPOTHERM ADULT N/C HIGH FLOWCentral Supplies54.00
270VAPOTHERM INFANT INTERMEDIAT N/C LOWFLOWCentral Supplies51.00
270VAPOTHERM INFANT N/C LOW FLOWCentral Supplies51.00
270VAPOTHERM NEONATAL N/C LOW FLOWCentral Supplies60.00
270VAPOTHERM PEDS/SM ADULT N/C HIGH FLOWCentral Supplies41.00
270VAPOTHERM PEDIATRIC SMALL N/C LOW FLOWCentral Supplies41.00
270OXYGEN TUBING 7ftCentral Supplies6.00
270OXYGEN TUBING 14ftCentral Supplies11.00
270CORRUGATED TUBING 4-6ftCentral Supplies5.00
270AQUAPACK W/ADAPTOR 500mlCentral Supplies21.00
270AEROSOL TEE CONNECTORCentral Supplies5.00
270NEBULIZER TEE CONNECTORCentral Supplies5.00
270NOSE CLIPCentral Supplies5.00
270TURBINE KIT w/MOUTH PIECECentral Supplies19.00
270PED AERO CHAMBER w/MED MASKCentral Supplies93.00
270Y-AEROSOL DRAINAGE SYSTEMCentral Supplies13.00
270PEDIATRIC 3-n-1 MASKCentral Supplies22.00
270PEDI BI-FLOW NASAL MASK (MOUSE)Central Supplies23.00
270THERMOMETER IN LINECentral Supplies36.00
270PED AEROSOL MASK (DRAGON)Central Supplies16.00
270PED AEROSOL MASK (PENGUIN)Central Supplies48.00
270CROUP TENTCentral Supplies62.00
270SILICONE ADAPTOR 301-9000Central Supplies41.00
278AT2-M18-S 18MM BONE SCREWCentral Supplies1,659.00
272OR TA9035 STAPLER TA 90 3.5MMCentral Supplies432.00
272OR TRICRON SUTURE 2.0 SC250Central Supplies234.00
278OR 400150 CANCELLOUS CHIP 30ccCentral Supplies1,784.00
278OR DBX PUTTY 1ccCentral Supplies1,029.00
278OR DBX PUTTY 5ccCentral Supplies3,379.40
272OR REVOLVE FAT GRAFTING RV0001Central Supplies2,005.00
278OR 453015 ALLOGRAFT-SEMI TCentral Supplies5,033.00
278OR K-WIRE 062"Central Supplies30.00
272OR PIN GUARD .045 WHITECentral Supplies20.00
272OR PIN GUARD .062 GREENCentral Supplies20.00
278STRATTICE MATRIX MESH 10X22Central Supplies9,830.15
272IOL 40 - SPECIALTY LENSCentral Supplies42.00
272IOL 100 - SPECIALTY LENSCentral Supplies104.00
272IOL 140 - SPECIALTY LENSCentral Supplies145.00
272VISCOELASTICCentral Supplies104.00
272BSS+Central Supplies99.00
272PHACO NEEDLES AND SLEEVESCentral Supplies114.00
272ANTERIOR VIRECTOMY PACKCentral Supplies310.00
272PUPIL DILATORSCentral Supplies320.00
272DISPOSABLE BLADESCentral Supplies38.00
272CAPSULAR TENSION RINGCentral Supplies464.00
278SUTURE 10-0 NYULON CATARACTCentral Supplies444.00
276VIISOELASTIC SECONDCentral Supplies104.00
276B&L L161-AO IOLs (FOR A CATARACT PROC)Central Supplies104.00
272OR MALYUGIN RINGS PUPIL DILARORCentral Supplies336.00
270OR CAMERA w/PIXCentral Supplies853.00
272MISC INSTRUMENTS STERILECentral Supplies38.00
272INSTRUMENT TRAY STERILECentral Supplies175.00
278SYNTHES 242.531S ULNA PLATE 2.0Central Supplies3,389.00
278SYNTHES 201.366.97 SCREW 2.0X16 CORTXCentral Supplies286.00
272SYNTHES 310.507 DRILL BIT 1.5mmCentral Supplies806.00
278SYNTHES 04.004.540S TIBIAL NAIL CANNUCentral Supplies5,920.00
278SYNTHES 04.004.000DUAL CORE END CAPCentral Supplies887.00
278SYNTHES 04.015.540 SCREW 5X50mCentral Supplies1,077.00
278SYNTHES 02.111.501.10 STOP   PLATE LGCentral Supplies927.00
278SYNTHES 02.210.084 BUTRES PIN 1.8X14mCentral Supplies733.00
278SYNTHES 02.210.090 BUTRESS PIN 1.8X20Central Supplies733.00
278SYNTHES 02.107.102 PROX VA PLATECentral Supplies4,429.00
278SYNTHES 02.211.028 SCREW LOCKN 2.7X28Central Supplies911.00
278SYNTHES 02.211.026 SCREW KCKN 2.7X26Central Supplies911.00
278SYNTHES 02.211.038 SCREW LOCKN 2.7X38Central Supplies770.00
278SYNTHES 02.211.022 SCREW VA LOCKN 2.7Central Supplies851.00
278SYNTHES 02.211.040 SCREW LOCKN 2.7X40Central Supplies770.00
278SYNTHES 02.211.020 SCREW VA LCKNGCentral Supplies851.00
278SYNTHES 02.211.024 SCREW VA LCKNG STCentral Supplies911.00
278SYNTHES 02.211.030 SCREW VA LCKNGCentral Supplies911.00
278SYNTHES 02.211.034 SCREW VA LCKNG STWCentral Supplies851.00
278SYNTHES 02.211.060 SCREW LCKNG STWCentral Supplies770.00
278SYNTHES 02.117.802 PLATE 2.7/3.5mmCentral Supplies4,639.00
278SYNTHES 02.107.202 PLATE 2.7/3.5mmCentral Supplies4,221.00
272SYNTHES 315.35 DRILL BIT 3.5Central Supplies531.00
272SYNTHES 310.25 DRILL BIT 2.5mmCentral Supplies478.00
278SYNTHES 241.351 PLATE 5;HCentral Supplies911.00
278SYNTHES 204.814 SCREW 3.5X14Central Supplies236.00
278SYNTHES 204.816 SCREW 3.5X16Central Supplies219.00
278SYNTHES 204.818 SCREW 3.5X18Central Supplies236.00
278SYNTHES 204.824 SCREW 3.5X24Central Supplies219.00
278SYNTHES 206.014 SCREW CANC 4.0X14Central Supplies166.00
278SYNTHES 292.12 K-WIRE 1.25X150mmCentral Supplies478.00
278SYNTHES 02.226.124 SCREW 3.0X24 HDLCentral Supplies1,948.00
272SYNTHES 310.221 DRILL BIT 2.0X150Central Supplies1,763.00
278SYNTHES 241.361 PLATE 6HOLE 1/3 TUBFCentral Supplies1,081.00
272SYNTHES 310.35 DRILL BITCentral Supplies510.00
278SYNTHES 206.010 SCREW CANCELLOUS 4.0Central Supplies166.00
278SYNTHES 206.012 SCREW CANCELLOUS 4.0Central Supplies166.00
278SYNTHES 204.812 SCREW CORTEXCentral Supplies236.00
278SYNTHES 241.618 CALCANEAL PLATE RT MICentral Supplies2,577.00
278SYNTHES 292.16 K-WIRE 1.6 TROCAR PTCentral Supplies494.00
272SYNTHES 310.23 DRILL LONG 2.3Central Supplies502.00
278SYNTHES 02.200.034 SCREW CORTEX 3.5Central Supplies212.00
278SYNTHES 02.200.036 SCREW CORTEX 3.5Central Supplies227.00
278SYNTHES 02.200.038 SCREW CORTEX 3.5Central Supplies227.00
278SYNTHES 02.226.020 SCREW 20m SHT THRDCentral Supplies1,948.00
278SYNTHES 458.936 SCREW 5.0X36mmCentral Supplies1,004.00
272SYNTHES 357.399 GUIDE WIRE 3.2X400mmCentral Supplies636.00
272SYNTHES 357.407 DRILL BIT 3-FLUTEDCentral Supplies1,328.00
278SYNTHES 456.328S FIXATION NAIL 11X235Central Supplies6,493.00
278SYNTHES 456.304 HELICAL BLADE 11.0mmCentral Supplies2,870.00
278SYNTHES 459.36 TO LOKIN BOLT 36mmCentral Supplies976.00
278SYNTHES 02.111.530 VA DR PLATE 6-H RTCentral Supplies4,066.00
278SYNTHES 02.210.120 LOCKN SCREW 2.4X20Central Supplies875.00
278SYNTHES 02.210.122 LOCKN SCREW 2.4X22Central Supplies875.00
278SYNTHES 201.772 SCREW CORTEX 2.4X22Central Supplies454.00
278SYNTHES 202.876SCREW CORTEX 2.7X16Central Supplies345.00
272SYNTHES 310.19 DRILL BIT 1.8X110Central Supplies510.00
272SYNTHES 310.509 DRILL BIT W/TTCentral Supplies980.00
278SYNTHES 02.111.501.10 PLATE 1.2 REDUCCentral Supplies927.00
272SYNTHES 310.510 DRILL BIT 1.8Central Supplies709.00
272SYNTHES 323.062 DRILL BIT 0.0Central Supplies980.00
278SYNTHES 02.112.010 CLACICLE PLATE 4-HCentral Supplies3,578.00
278SYNTHES 204.810 SCREW CORTEX 3.5X10Central Supplies219.00
278SYNTHES 201.764 SCREW CORTEX 2.4X14Central Supplies454.00
278SYNTHES 201.768 SCREW CORTEX 2.4X18Central Supplies454.00
278SYNTHES 202.216 SCREW LOCKIN 2.7X16Central Supplies640.00
278SYNTHES 202.218 SCREW LOCKIN 2.7X18Central Supplies761.00
278SYNTHES 202.222 SCREW LOCKIN 2.7X22Central Supplies761.00
278SYNTHES 458.938 SCREW TI LOCKN 5.0X38Central Supplies1,154.00
278SYNTHES 456.301 TI HELICAL BLADE 11.0Central Supplies2,431.00
278SYNTHES 351.706S REAM ROD 2.5W/BALL TCentral Supplies757.00
278SYNTHES 04.004.446S TIBIAL TI NAIL CACentral Supplies5,920.00
272SYNTHES 03.010.061 DRILL BIT CANN 4.2Central Supplies1,563.00
272SYNTHES 03.010.104 DRILL BITCentral Supplies1,114.00
278SYNTHES 04.005.534 SCREW LOCKINCentral Supplies1,126.00
278SYNTHES 04.005.544 SCREW LOCKINCentral Supplies1,126.00
278SYNTHES 04.005.520 SCREW LOCKINCentral Supplies948.00
278SYNTHES 04.005.526 SCREW LOCKINCentral Supplies948.00
278SYNTHES 02.211.018 SCREW VA LOCK 2.7XCentral Supplies851.00
278SYNTHES 02.211.032 SCREW 2.7X32mm VACentral Supplies851.00
278SYNTHES 207.045 SCREW 4.0X45 CANNULLECentral Supplies198.00
278SYNTHES 219.98 WASHER 7.0mmCentral Supplies227.00
278SYNTHES 204.845 SCREW 3.5 CORTEXCentral Supplies219.00
278SYNTHES 204.855 SCREW 3.5 CORTEXCentral Supplies219.00
278SYNTHES 207.050 SCREW 4.0 CANCELLOUSCentral Supplies198.00
278SYNTHES 241.371 TUBLAR PLATE 7HCentral Supplies1,029.00
278SYNTHES 204.820 SCREW CORTEX 3.5X20mmCentral Supplies236.00
278SYNTHES 02.211.014 SCREW VA LOCKN 2.7Central Supplies770.00
278SYNTHES 204.826 SCREW CORTEX 3.5X26Central Supplies236.00
278SYNTHES 204.828 SCREW CORTEX 3.5X28Central Supplies204.00
278SYNTHES 02.211.048 VA SCREW LOCK 2.7XCentral Supplies770.00
278SYNTHES 02.107.002 PLATE 2H OLECRANONCentral Supplies3,755.00
278SYNTHES 241.37 TUBLAR PLATE 1/3 7HCentral Supplies554.00
278SYNTHES 02.111.630 DIST RADIAL PLATECentral Supplies4,188.00
278SYNTHES 02.210.114 SCREW VA LOCK 2.4Central Supplies875.00
278SYNTHES 02.210.086 BTRS PIN LOCK 1.8Central Supplies733.00
278SYNTHES 202.872 SCREW CORTEX 2.7X12Central Supplies369.00
278SYNTHES 204.860 SCREW CORTEX 3.5X60mmCentral Supplies219.00
272SYNTHES 310.21 DRILL BIT 2.0Central Supplies437.00
278SYNTHES 202.828 SCREW 2.7X28 CORTEXCentral Supplies292.00
278SYNTHES 202.836 SCREW 2.7X36 CORTEXCentral Supplies283.00
278SYNTHES 202.845 SCREW 2.7X45 CORTEXCentral Supplies283.00
272SYNTHES 315.28 DRILL BIT 2.7X125mmCentral Supplies624.00
278SYNTHES 204.836 SCREW 3.5X36 CORTEXCentral Supplies236.00
278SYNTHES 202.850 SCREW 2.7X50 CORTEXCentral Supplies254.00
272SYNTHES 310.20 DRILL BIT 2.0X85mmCentral Supplies514.00
278SYNTHES 404.818 TI SCREW 3.5X18mm CRTCentral Supplies198.00
278SYNTHES 404.814 TI SCREW 3.5X14 CORTXCentral Supplies204.00
275SYNTHES 404.822 TI SCREW 3.5X22 CORTXCentral Supplies198.00
278SYNTHES 02.112.080 CLAVCLE PLAT 6H RCentral Supplies3,678.00
278SYNTHES 456.420S FIX NAIL TI CANN 11mCentral Supplies7,238.00
278SYNTHES 456.306 HELICAL BLADE 11X105Central Supplies2,431.00
278SYNTHES 458.954 SCREW LOCKIN 5.0X54mmCentral Supplies972.00
272SYNTHES 315.40 DRILL BIT 4.0X195Central Supplies903.00
278SYNTHES 242.465 EX ART DIST RAP PLATECentral Supplies3,529.00
278SYNTHES 402.812 TIT2.7X12 CTX SCREWCentral Supplies283.00
278SYNTHES 402.816 TIT 2.7X16 CTX SCREWCentral Supplies283.00
278SYNTHES 441.361 6H 1/3 TUBULAR PLATE TICentral Supplies940.00
278SYNTHES 02.210.116 VA LK SCREW 2.4X16Central Supplies814.00
278SYNTHES 456.511S TRN 12X235 130 DRGRECentral Supplies5,499.00
278SYNTHES 456.307 HELICAL BLADE 11X110Central Supplies2,681.00
278SYNTHES 206.035 CANC SCREW 4.0X35mmCentral Supplies166.00
278SYNTHES 241.381 LCP TUB PLATE 8HCentral Supplies1,162.00
278SYNTHES 245.061 LCP PLATE 6H RECONSTRCentral Supplies2,031.00
278SYNTHES 02.211.016 VA LOCKN SCREW 2.7Central Supplies770.00
278SYNTHES 292.20 K-WIRE 2.0 TROC PTCentral Supplies547.00
278SYNTHES 204.838 CORTEX SCREW 3.5X38mmCentral Supplies219.00
278SYNTHES 212.125 SCREW 3.5X65 LOCKINCentral Supplies701.00
278SYNTHES 212.123 SCREW 3.5X55 LOCKINCentral Supplies810.00
278SYNTHES 212.124 SCREW 3.5X60 LOCKINCentral Supplies810.00
272SYNTHES 324.214 DRILL CALIBRA2.8Central Supplies1,138.00
278SYNTHES 02.124.200S LCP PROX TIB PLATCentral Supplies5,978.00
272SYNTHES 310.69 CANN DRILL BIT 4.5X233Central Supplies1,830.00
278SYNTHES 456.319S TFN 11X130deg, 120mmCentral Supplies5,499.00
278SYNTHES 242.458 RT EX ART DIS RAD PLACentral Supplies3,334.00
278SYNTHES 402.818 TI SCREW 2.7X18 CORTECentral Supplies272.00
278SYNTHES 402.814 TI SCREW 2.7X14 CORTECentral Supplies283.00
278SYNTHES 245.101 LCP RECON PLATE 3.5Central Supplies2,306.00
278SYNTHES 202.624 CAN SCREW 3.0X24 STCentral Supplies1,187.00
278SYNTHES 202.622 CAN SCREW 3.0X22 STCentral Supplies1,150.00
278SYNTHES 206.055 SCREW 4.0X55 CANCE FTCentral Supplies185.00
278SYNTHES 206.060 SCREW 4.0X60 CANCEL FCentral Supplies198.00
278SYNTHES 04.005.530 TI SCREW 5.0X40Central Supplies1,126.00
278SYNTHES 04.005.522 TI SCREW 5.0X32Central Supplies948.00
278SYNTHES 04.005.524 TI SCREW 5.0X34Central Supplies948.00
278SYNTHES 710.014.99S CHRON 5CCCentral Supplies2,013.00
278SYNTHES 02.124.209 L 8H PLATE LOW BENCentral Supplies5,917.00
278SYNTHES 204.850 CORTEX SCREW3.5X50Central Supplies236.00
278SYNTHES 212.128 SCREW LOCKN 3.5X80Central Supplies676.00
278SYNTHES 212.130 SCREW LOCKIN 3.5X90Central Supplies676.00
278SYNTHES 212.129 SCREW LOCKIN 3.5X85Central Supplies676.00
278SYNTHES 292.71 K-WIRECentral Supplies152.00
278SYNTHES 401.810.96 TI SCREW 2.0X10Central Supplies324.00
278SYNTHES 401.812.96 TI SCREW 2.0X12Central Supplies324.00
272SYNTHES 310.203 DRILL BIT 2.0X75 J-LACentral Supplies599.00
272SYNTHES 292.622 GUIDE WIRE 1.1 THREADCentral Supplies239.00
278SYNTHES 223.561 LCP 3.5 PLATE 6H 85MMCentral Supplies1,997.00
278SYNTHES 204.822 SCREW CORTEX 3.5X22Central Supplies219.00
278SYNTHES 223.581 LCP PLATE 8h 3.5X111mCentral Supplies1,641.00
272SYNTHES 03.010.060 DRILL BIT 3.2 3-FLCentral Supplies1,458.00
272SYNTHES 03.010.103 DRILL BIT 3.2X145Central Supplies944.00
278SYNTHES TI CAN TIB NAIL 9X300mmCentral Supplies5,920.00
278SYNTHES 04.005.426 TI LOCKN SCREW 4.0Central Supplies980.00
278SYNTHES 04.005.422 TI LKN SCRW 4.0X32Central Supplies1,126.00
278SYNTHES 04.004.010 TI END CAP for NAICentral Supplies1,138.00
278SYNTHES 404.820 3.5X20 CORTEX TI SCREWCentral Supplies204.00
278SYNTHES 202.870 SCREW 2.7X10 CORTEX SLF-Central Supplies369.00
278SYNTHES 02.111.621 DST RAD PLATE 2.4mm 6Central Supplies4,615.00
272SYNTHES 310.530 DRILL BT 2.4X100mmCentral Supplies729.00
278SYNTHES 02.210.110 SCREW 2.4X10 LOCKINCentral Supplies875.00
278SYNTHES 207.040 SCREW 4.0X40 CANCEL PTCentral Supplies198.00
278SYNTHES 02.124.208S PRO TIB PLAT 8-H RTCentral Supplies7,225.00
278SYNTHES 212.117 SCREW 305X40 LK STCentral Supplies701.00
278SYNTHES 204.830 SCREW CORTX 3.5X30Central Supplies236.00
278SYNTHES 204.834 SCREW CORT 3.5X34Central Supplies236.00
278SYNTHES 226.632 CRV BROAD LCP PLATE 13HCentral Supplies3,175.00
278SYNTHES 298.801.01S CABLE W/CRIMP 1.7X75Central Supplies2,056.00
278SYNTHES 298.803S THRD CERCL POST PIN 1.7Central Supplies1,021.00
278SYNTHES 02.231.014 VA LOCK SCREW 5.0X14Central Supplies1,426.00
278SYNTHES 02.231.228 VAR ANGLE SCREW 5.0X2Central Supplies1,017.00
278SYNTHES 02.231.236 VAR ANG SCREW 5.0X36Central Supplies1,017.00
278SYNTHES 02.231.238 SCREW VAR ANG 5.0X38Central Supplies1,017.00
278SYNTHES 02.231.240 SCREW VAR ANG 5.0X40Central Supplies1,017.00
278SYNTHES 214.822 CORTEX SCREW 4.5X22Central Supplies200.00
278SYNTHES 214.838 CORTEX SCREW 4.5X38Central Supplies215.00
278SYNTHES 214.840 CORTEX SCREW 4.5X40Central Supplies200.00
278SYNTHES 02.221.512 PERIPROS SCREW 5.0X12Central Supplies1,183.00
272SYNTHES 324.212 PERC DRILL BIT 3.2X300Central Supplies1,150.00
272SYNTHES 324.213 DRILL BIT PERC 4.3X300Central Supplies1,045.00
278SYNTHES 04.003.365S FEM NAIL TI 10X420mmCentral Supplies6,756.00
278SYNTHES 04.005.560S TI LOCKN SCREW 5.0X7Central Supplies1,247.00
278SYNTHES 02.112.083 3.5mm CLAVICLE PLTCentral Supplies3,892.00
278SYNTHES 02.226.126 HD COMP SCREW 3.0Central Supplies2,009.00
278SYNTHES 204.832 SCREW 3.5X32 CORTEX STCentral Supplies236.00
278SYNTHES 456.318S TI CANN FIX NAIL 11mCentral Supplies5,667.00
272SYNTHES 456.305 TI HELICAL BLADE 11mmCentral Supplies2,681.00
278SYNTHES 04.001.352S TI CAN TIB NAIL 9mmCentral Supplies6,100.00
278SYNTHES 04.005.436 TI SCREW 4.0x46mmCentral Supplies1,049.00
278SYNTHES 04.005.432 TI SCREW 4.0x42mmCentral Supplies980.00
278SYNTHES 04.005.448 TI SCREW 4.0x58mmCentral Supplies980.00
278SYNTHES 01.005.442 TI SCREW 4.0x52mmCentral Supplies980.00
278SYNTHES 02.111.731 VLR DIST RAD PLT L 7HCentral Supplies4,188.00
278SYNTHES 02.210.118 VA LOCKN SCREW 2.4X18Central Supplies814.00
278SYNTHES 02.111.721 DSR RAD PLTE 2.4 7H LCentral Supplies4,029.00
278SYNTHES 808.080 7.0 CAN SCREW 16X80mmCentral Supplies1,539.00
278SYNTHES 208.090 SCREW 7.0 CAN 16X90mmCentral Supplies1,539.00
272SYNTHES 292.65 GUIDE WIRE 2.0 THRDCentral Supplies336.00
278SYNTHES 223.551 LCP PLATE 3.5X72 5HCentral Supplies1,632.00
278SYNTHES 281.102 DHS PLATE 2H/46mmCentral Supplies2,245.00
278SYNTHES 214.836 SCREW CORTEX ST 4.5X36mmCentral Supplies215.00
278SYNTHES 280.900 DHS/DCS LAG SCREW 12.7XCentral Supplies1,904.00
272SYNTHES 310.31 DRILL BIT 3.2X145mmCentral Supplies593.00
272SYNTHES 900.723 THRD GUIDE WIRE 2.5X230mCentral Supplies402.00
278SYNTHES 04.004.346S TI CAN TIBIAL NAIL 9Central Supplies6,100.00
278SYNTHES 04.005.420 TI SCREW LOCKIN 4.0X3Central Supplies1,049.00
278SYNTHES 02.200.024 CORTEX SCREW 3.5X24mmCentral Supplies212.00
278SYNTHES 02.200.028 CORTEX SCREW 3.5X28mmCentral Supplies227.00
278SYNTHES 02.200.032 CORTEX SCREW 3.5X32mmCentral Supplies212.00
278SYNTHES 401.808.96 TI COTX SCREW 2.0X8mmCentral Supplies289.00
278SYNTHES 401.814.96 TI COTX SCREW 2.0X14mCentral Supplies324.00
278SYNTHES 449.936 TI-DCP 2.0 6H-PLATE 36mmCentral Supplies1,746.00
272SYNTHES 310.143 DRILL BIT 1.5mmCentral Supplies458.00
278SYNTHES 214.550 CANN SCREW PT4.5X50mmCentral Supplies1,179.00
278SYNTHES 214.540 CANN SCREW 4.5X40mmCentral Supplies600.00
272SYNTHES 310.65 DRILL BIT 3.2mmCentral Supplies1,830.00
272SYNTHES 292.72 THRD GUIDE WIRECentral Supplies281.00
278SYNTHES 04.005.424 LOCK SCREW W/48Central Supplies1,049.00
278STRYKER 04.004.240S TI CANN TIB NAIL 8mmCentral Supplies6,100.00
278SYNTHES 02.111.620 VA-LCP 2-CLMN PL 2.4mCentral Supplies4,615.00
272SYNTHES 02.110.300 K-WIRE 1.8X150mm TRCCentral Supplies454.00
278SYNTHES 401.818.96 TI CORT SCREW 2.0X18Central Supplies289.00
278SYNTHES 449.931 TI LC-DCP PLAT 2.0X24 4HCentral Supplies1,320.00
278SYNTHES 211.846 CANLT SCREW 2.4X24mm STCentral Supplies1,162.00
278SYNTHES 211.812 CANUTE SCREW 2.4X12mm LTCentral Supplies1,162.00
272SYNTHES 310.215 CANULTE DRILL BIT 1.7X10Central Supplies2,095.00
272SYNTHES 292.619 GUIDE WIRE 0.8X100mmCentral Supplies927.00
278SYNTHS 02.226.024 CMP SCREW HDLS 3.0X24Central Supplies2,009.00
278SYNTHES 02.226.026 CMP SCREW 3.0X26 HSLSCentral Supplies2,009.00
272SYNTHES 02.111.500.10 PLT REDUC WIRE 1.2Central Supplies143.00
278SYNTHES 02.210.112 VA LCK SCREW 2.4X12mmCentral Supplies757.00
278SYNTHES 201.762 CORTEX SCRW ST 2.4X12mmCentral Supplies469.00
278SYNTHES 404.812 3.5X12 CORTEX TI SCREWCentral Supplies204.00
278SYNTHES 406.010 4.0X10 CANCELLOUS TI FTCentral Supplies172.00
278SYNTHES 407.040 4.0X40 CANCELLOUS TI PTCentral Supplies172.00
278SYNTHES 407.035 4.0X35 CANCELLOUS TI PTCentral Supplies172.00
278SYNTHES 04.005.546 5.0X56MM LOCKING SCRWCentral Supplies499.00
278SYNTHES 04.005.570Central Supplies499.00
278SYTHES 04.003.565S 12MM LAT ENT FEM NAILCentral Supplies3,080.00
278SYNTHES 04.003.003 12MM END CAP FEM NAILCentral Supplies466.00
272SYNTHES 03.010.061 4.2X330MM DRILL BITCentral Supplies674.00
272SYNTHES 03.010.104 4.2X145MM DRILL BITCentral Supplies480.00
278SYNTHES 04.003.565S 12MM TI FEMORAL NAILCentral Supplies6,756.00
278SYNTHES 04.005.546 5X56MM LOCKING SCREWCentral Supplies980.00
278SYNTHES 04.005.570 5X80MM LOCKING SCREWCentral Supplies980.00
278SYNTHES 01.005.540 5X50MM LOCKING SCREWCentral Supplies980.00
278SYNTHES 04.003.003 12X15MM TI END CAPCentral Supplies915.00
278SYNTHES 241.623 SHORT LT CALCANEAL PLATECentral Supplies2,888.00
278SYNTHES 02.200.030 3.5X30MM CORTEX SCREWCentral Supplies212.00
278SYNTHES 213.036 3.5X36MM LOCKING SCREWCentral Supplies701.00
278SYNTHES 213.026 3.5X26MM LOCKING SCREWCentral Supplies701.00
278SYNTHES 213.034 3.5X34MM LOCKING SCREWCentral Supplies701.00
278SYNTHES 456.308 11X115 TI HELICAL BLADECentral Supplies2,681.00
278SYNTHES 02.117.104 2.7/3.5MM POSTLAT PLCentral Supplies5,277.00
278SYNTHES 02.117.502 2.7/3.5MM MED DSTL PLCentral Supplies5,115.00
278SYNTHES 02.211.050 2.7X550MM VA LOCK SCRCentral Supplies851.00
278SYNTHES 02.211.052 2.7X52MM VA LOCK SCRECentral Supplies851.00
278SYNTHES 02.211.056 2.7X56MM VA LOCK SCRECentral Supplies851.00
278SYNTHES 02.118.532 2.7X32MM META SCREWCentral Supplies408.00
278SYNTHES 211.842 2.4X18MM CANN. SCREWCentral Supplies1,247.00
278SYNTHES 211.844 2.4X20MM CANN. SCREWCentral Supplies1,247.00
278ZIMMER 00-5980-057-01 TIBIAL PLATE #7Central Supplies7,174.00
278ZIMMER 00-5972-066-35 PATELLA 35mmCentral Supplies3,758.00
278ZIMMER 00-5962-050-10 CROSSLINK SZ GHCentral Supplies5,563.00
272ZIMMER 5049-001-00 QUICK VAC MIXING BOWLCentral Supplies411.00
278ZIMMER 1113-140-01 BONE CEMENT PALACOSCentral Supplies1,836.00
278ZIMMER 1112-140-01 PALACOS R BONE CEMENTCentral Supplies717.00
278ZIMMER 7833-014 FRMORAL STEM SZ14 CEMCentral Supplies7,561.00
278ZIMMER 4510-10 UNIPOL FEM HEAD ADAPT +0mCentral Supplies1,556.00
278ZIMMER 7859-012 DIST CENTRALIZER 12mmCentral Supplies725.00
278ZIMMER 4510-00-046 UNIPOLAR FEM HEAD 46mCentral Supplies2,352.00
272ZIMMER 5049-055 FEM BONE CEMENT PREP KITCentral Supplies667.00
272ZIMMER 5049-045-01 3D COMP VAC CEM MIX SCentral Supplies711.00
278ZIMMER 1147-32-40 SCREW 4.0X32mmCentral Supplies985.00
278ZIMMER 1147-38-40 SCREW 4.0X38mmCentral Supplies985.00
278ZIMMER 00-8757-048-01 SHELL 48MM SZ GGCentral Supplies8,328.00
272ZIMMER 1147-26 DRILL BIT 2.7mmCentral Supplies2,349.00
278ZIMMER 1147-94 CANNULATED GUIDE PIN SMOOCentral Supplies99.00
278ZIMMER 7859-013 DISTAL CENTRALIZER 13mmCentral Supplies725.00
278ZIMMER 4510-10-004 UNIPOLOR FEM HEAD ADACentral Supplies1,556.00
278ZIMMER 1147-090-70 CANN SCREW 7.0mmCentral Supplies1,499.00
278ZIMMER 1147-080-70 CANN SCREW 7.0mmCentral Supplies1,499.00
278OR ZIMMER 1147-085-70 CANN SCREW 7.0mmCentral Supplies1,426.00
272OR ZIMMER 1147-030 CANN DRILL BIT 5.0Central Supplies2,349.00
272OR ZIMMER 1147-93 GUIDE PIN 3.2mmX9"Central Supplies217.00
278OR ZIMMER 7834-14 VERS FEM STEM SZ14X135Central Supplies7,561.00
278ZIMMER 7859-09 DISTAL CENTRALIZER 9mmCentral Supplies725.00
278ZIMMER 4510-00-045UNIPOL FEMORAL HEAD 45Central Supplies2,352.00
278ZIMMER 7351-30-009 DIST HIP STEM CENTRALCentral Supplies644.00
278ZIMMER 4510-00-047 UNIPOL FEMHD 47mmCentral Supplies2,352.00
278ZIMMER 7833-11 FEMORAL STEM SZ-11Central Supplies7,561.00
278ZIMMER 5962-030-12 CROSSLINK SZ-C,D 12mmCentral Supplies7,107.00
278ZIMMER 5980-037-01 STEM TIBIAL PLATE SZ3Central Supplies7,174.00
278OR ZIMMER 5972-066-32 POLY PATELLA, 32mmCentral Supplies3,758.00
272ZIMMER 5049-035-01 VACUME CEMENT MIX BOWCentral Supplies639.00
278ZIMMER 00-5962-051-10 CROSLINK EF,7-10,Central Supplies5,563.00
272ZIMMER 2001-00-000 DRILL/PIN SETCentral Supplies484.00
278ZIMMER 5972-066-38 PATELLA 38mmCentral Supplies3,758.00
278ZIMMER 00-8757-056-01 CLUS HOLE SHELL 56Central Supplies7,735.00
278ZIMMER 00-6250-065-25 SCREW 6.5X25mmCentral Supplies616.00
278ZIMMER 00-6250-065-30 SCREW 6.5X30mmCentral Supplies616.00
278ZIMMER 00-8757-000-01 DOME HOLE PLUGCentral Supplies484.00
278ZIMMER 00-8851-012-36 CROSS LINK SZ36Central Supplies6,637.00
278ZIMMER 00-8775-036-03 FEMORAL HEAD 36mmCentral Supplies7,896.00
278ZIMMER 00-5962-032-10 LPSFLEX ART SURF ECentral Supplies5,563.00
272ZIMMER SKIN GRAFT CARRIER 1:5:1Central Supplies140.00
272ZIMMER 1147-099-01 GUIDE PIN 3.2mmCentral Supplies229.00
278ZIMMER 1147-105-70 SCREW 7.0X105mm CANNUCentral Supplies1,499.00
278ZIMMER 1147-110-70 SCREW CANUL 7.0x110Central Supplies1,426.00
275ZIMMER 1147-100-70 SCREW CANULAT 7.0x100Central Supplies1,426.00
272ZIMMER 1147-088-00 GUIDE PIN 3.2X9mmCentral Supplies160.00
278ZIMMER 00-6250-065-25 6.5X25 BONE SCREWCentral Supplies726.00
278ZIMMER 00-8851-008-32 NEUT. LINER 32 GGCentral Supplies6,689.00
278ZIMMER 42-5124-005-10 LT TIB POLY SZ CDCentral Supplies4,775.00
278ZIMMER 42-5402-000-32 32MM PATELLA POLYCentral Supplies2,434.00
278ZIMMER 42-5320-067-01 PSN LT TIBIA SZ 8Central Supplies5,083.00
272ZIMMER 00-5901-20-00 TROCAR DRILL PINCentral Supplies1,213.00
270DEPUY MITEK 799000 EQUIPMENT RENTALCentral Supplies1,418.00
272DEPUY MITEK 232300 ACL DISPOSABLESCentral Supplies1,861.00
278DEPUY MITEK 210127 RIGIDFIX BTBCentral Supplies1,556.00
278DEPUY MITEK 231818 MILAGRO ADV 9X23Central Supplies1,960.00
278DEPUY MITEK 231817 MILAGRO ADV 8X23Central Supplies1,912.00
272DEPUY MITEK 232110 ACL GRAFT KNIFECentral Supplies674.00
272DEPUY MITEK 700999 RIGIDFIX/MILAGROCentral Supplies1,013.00
278OR DEPUY 110050110 BODY SZ14.0Central Supplies5,856.00
278OR DEPUY 110048500 HUMERAL HEAD 48X15Central Supplies8,433.00
278OR DEPUY 110020300 COLLAR SZ48Central Supplies2,376.00
278BIOMET 912040C JUGERKNOT 1.4mm CRVDCentral Supplies1,150.00
278OR BIOMET 902612 ALLTHREAD TI 5.0mmCentral Supplies1,835.00
278OR BIOMET 904843P PEEK ALLTHREAK 5.0mmCentral Supplies1,814.00
278OR BIOMET 902093 BIPASS PLACTIC NITINOLCentral Supplies644.00
278OR BIOMET 904755 #7 PE ZIPLOOP EXT TOGGLCentral Supplies1,915.00
278OR BIOMET 906513 TIBIAL FIXATION 9mm TUNCentral Supplies1,949.00
278OR BIOMET 909846 TOGGLELOC/WASHERLOC DISCentral Supplies1,635.00
278OR BIOMET 905942P ATHRD PEEK 5.5 2#2MBCentral Supplies1,770.00
278OR BIOMET 912030 JGRKNOT SING 1.4mmCentral Supplies1,685.00
278OR BIOMET 912040 JGRKNT 1.4mm KIT DISPCentral Supplies1,150.00
272OR BIOMET 9003661 AQUALOC 5X85 CAN SINGLCentral Supplies309.00
272OR BIOMET 9003601 AQUALOC CAN 7X75 SINGLCentral Supplies309.00
278OR BIOMET 912057 JGRKNT 2.9mm DISP KITCentral Supplies1,612.00
278OR BIOMET 912029 JGRKNT 2.9mm 2#2MB BLUECentral Supplies1,729.00
272OR BIOMET 212957012 DRILL BIT 3.2mmCentral Supplies538.00
278OR BIOMET 112912020 CLAVICLE PIN 3.0mmCentral Supplies4,758.00
278OR BIOMET 650-1066 TYPE 1 TAPER STND TACentral Supplies654.00
278OR BIOMET 650-1056 32 HEAD TYPE 16/18 TACentral Supplies8,305.00
278OR MICROPORT EIS4S14R SZ 4 RT 14MM INSERCentral Supplies6,100.00
272OR BIOMET 829029070 DRILL BIT 2.5mmCentral Supplies620.00
278OR BIOMET 815037040 CORT SCREW 3.5X40Central Supplies387.00
278OR BIOMET 815037042 CORT SCREW 3.5X42Central Supplies387.00
278OR BIOMET 131218070SCREW CORT LP 3.5mmCentral Supplies448.00
278OR BIOMET 816140060 SCREW CANC LOCKINCentral Supplies689.00
278OR BIOMET 816140050 SCREW CANC LOCK 4.0Central Supplies689.00
278OR BIOMET 816140055 SCREW CANC LOCK 4.0Central Supplies689.00
278OR BIOMET 816135056 SCREW CORT LOCK 3.5Central Supplies689.00
278OR BIOMET 816135080 SCREW CORT LOCK 3.5Central Supplies689.00
278OR BIOMET 816135034 SCREW CORT LOCK 3.5Central Supplies814.00
278OR BIOMET 816135036 SCREW CORT LOCK 3.5Central Supplies814.00
272OR BIOMET 214227070 DRILL BIT 2.7mmCentral Supplies664.00
278OR BIOMET 144256 STEIN PIN 1.6mmX6"Central Supplies266.00
278OR BIOMET 816235705 PROX TIB PLATE LT 5HCentral Supplies5,216.00
278OR BIOMET 816335070 SCREW MULTIDIRT 3.5XCentral Supplies1,008.00
278OR BIOMET 900333 MAXBRAID PE2 WHITECentral Supplies199.00
278OR BIOMET 900334 BLUE MAXBRAIDCentral Supplies208.00
278STRYKER ORTHO 5542-P-0052 SP GLENOIDCentral Supplies6,861.00
278STRYKER ORTHO 5552-E-5223 HUMERAL HEADCentral Supplies5,510.00
278STRYKER ORTHO 5552-S-5220 HUMERAL HDCentral Supplies5,095.00
278STRYKER ORTHO 5542-P-0048 GLENOID S-PCentral Supplies7,419.00
278STRYKER ORT 5552-E5220 RAD HUM HEAD SZ52Central Supplies5,587.00
278STRYKER ORTHO 5542-P-0044 GLENOID SZ44Central Supplies5,510.00
278STRYKER ORTHO 5552-E-4821 RAD HUM HED 48Central Supplies5,587.00
278STRYKER ORTHO 5552S4419 HUMERAL HEAD19MMCentral Supplies5,510.00
278STRYKER ORTHO 371534 4.0X34 LOCKING SCRECentral Supplies948.00
278STRYKER ORTHO 371542 4.0X42 LOCKING SCRECentral Supplies948.00
278STRYKER ORTHO 371536Central Supplies948.00
278STRYKER ORTHO 371528 4.0X28 LOCKING SCRECentral Supplies948.00
278STRYKER ORTHO 702742 DRILL BIT 3.1Central Supplies741.00
278STRYKER ORTHO 38111090 KWIRE 2.0Central Supplies188.00
278STRYKER ORTHO 437224 PLATE 3 HOLECentral Supplies4,788.00
278STRYKER ORTHO 338636 3.5X36 CORTICAL SCRCentral Supplies296.00
278STRYKER ORTO 345545 4.0X45 CANCELLOUSCentral Supplies296.00
278STRYKER ORTHO 5542-P-0048 GLENOIDCentral Supplies3,383.00
272STRYKER ORTHO RECIPRO BLADE 0277-096-300Central Supplies270.62
272STRYKER ORTHO RECIPR BLADE 6113-119-090Central Supplies386.53
272STRYKER ENDO PNENMOSURE HEATED TUBESETCentral Supplies410.00
272STRYKER INST 277-10-230 BURR 3.0 ROUNDCentral Supplies454.00
272STRYKER 0380-542-150 SHAVER BLADECentral Supplies327.00
272STRYKER ENDO 0375-545-000 TOMCAT 4.0 RECCentral Supplies327.00
272STRYKER INST 0606-573-000 CEMNT MIX GUNCentral Supplies761.00
272STRYKER INST 5400-3-125 BLADECentral Supplies485.00
272STRYKER ENDO 375-532-000 RESECTOR 3.5Central Supplies327.00
272STRYKER ENDO 375-940-000 BURR 4.0 ROUNDCentral Supplies333.00
272STRYKER INST 5400-3-114 SAW BLADECentral Supplies485.00
272STRYKER ENDO 375-641-000 BUR 2.0 ABRASCentral Supplies333.00
272STRYKER INST 277-10-62 BURR 4.0Central Supplies389.00
272STRYKER ENDO 279-350-501 HOOK ABLATORCentral Supplies761.00
272STRYKER ENDO 375-951-012 FLUTED BUR 5.5Central Supplies333.00
272STRYKER ENDO 275-542-000 SHAVER 4-0Central Supplies477.00
272STRYKER ARTHRO IRRG TUBINGCentral Supplies318.00
272STRYKER INST 2296-3-155 OSCILLATING BLADCentral Supplies412.00
272STRYKER ENDO 375-562-000 RESECTOR 5.5mmCentral Supplies327.00
272STRYKER ENDO 375-542-000 RESECTOR 4.0Central Supplies327.00
272STRYKER INST 606-563 CEMENT MIXING BOWLCentral Supplies761.00
272STRYKER INST 2108-150-000 SAGITTAL BLADECentral Supplies500.00
272STRYKER INST 5400-3-111 SAW BLADECentral Supplies485.00
272STRYKER ENDO 279-351-100 ABLATOR BLADECentral Supplies608.00
272OR WRIGHT MED 05-306 K-WIRE 0.9X102MMCentral Supplies242.00
278OR WRIGHT MED 05-041 IMPLANT SMALL CANNUCentral Supplies4,569.00
272OR WRIGHT MED DSDS1009 0.9X150MM K-WIRECentral Supplies218.00
272OR WRIGHT MED DSDS0022 2.2MM DRILL BITCentral Supplies1,081.00
278OR WRIGHT MED D1N30026S 3.0X26MM SCREWCentral Supplies1,195.00
278OR WRIGHT MED EIS4-S14R RT SZ 4x14mm POLCentral Supplies6,100.00
278WRIGHT MED EFSR-P6PRCentral Supplies8,540.00
278WRIGHT MED EFSR-P5PL L FEM SZ 5Central Supplies8,540.00
278WRIGHT MED EFSR-P5PR RT FEMUR SZ 5Central Supplies8,540.00
278OR WRIGHT MED EFSR-P4PR SZ 4 RT FEMURCentral Supplies8,540.00
278OR WRIGHT MED EFSR-P4PL FEMUR L SZ4Central Supplies8,540.00
278WRIGHT MED EIS6-S12L POLY SZ6 L 14mmCentral Supplies6,100.00
278OR WRIGHT MED EFSR-N5PR SZ5 RT FEMUR COMCentral Supplies8,540.00
278OR WRIGHT MED EIS6-S14R POLY 14mm SZ6 RTCentral Supplies6,100.00
278OR WRIGHT MED EIS5-S10R POLY 10mm RT SZ5Central Supplies6,100.00
278OR WRIGHT MED PLSS-R010 RENAS STEM SZ10Central Supplies7,625.00
278OR WRIGHT MED EIP6-S10L PS POLY SZ6 L 10Central Supplies6,100.00
278OR WRIGHT MED EFPS-N6PL PS FEMUR SZ6 LEFCentral Supplies8,540.00
278or wright med plss-r011 renain stem sz11Central Supplies7,625.00
278OR WRIGHT MED 7200-3252 CEAMIC LINER 32mCentral Supplies4,575.00
278OR WRIGHT MED EIS5-S12L POLY SZ.5, L,12mCentral Supplies6,100.00
278OR WRIGHT MED 8600-5x05 GRAFT JACKETCentral Supplies8,269.00
278OR WRIGHT MED 2600-0011 CERAMIC HEAD 32mCentral Supplies6,100.00
278OR WRIGHT MED PLSS-RO13 STEM SZ13Central Supplies7,625.00
278OR WRIGHT MED 1808-0303 SCREW 3.0cmCentral Supplies5.00
278OR WRIGHT MED 2600-0009 CERAMIC HEAD 32mCentral Supplies6,100.00
278OR WRIGHT MED DLXP-GC32 DYNASTY LINE32mmCentral Supplies4,575.00
278OR WRIGHT MED DSBF-GC50 DYNASTY SHELL 50Central Supplies9,150.00
278OR WRIGHT MED 1808-0304 BONE SCREW 3.5cmCentral Supplies5.00
278OR WRIGHT MED DSBR-GG58 DYNASTY SHELL 58Central Supplies9,150.00
278OR WRIGHT MED PLSS-R012 STEM SZ 12 RENAICentral Supplies7,625.00
278OR WRIGHT MED KPON-TP29 TRI PEG PATEL 29Central Supplies810.00
278OR WRIGHT MED EIS5-S10L LT 10mm POLY SZ5Central Supplies6,100.00
278OR WRIGHT MED ETPK-N5SL LT TIB NASE SZ5Central Supplies9,150.00
278OR WRIGHT MED EIS6-S10L SZ6 LT 10mm POLYCentral Supplies6,100.00
278OR WRIGHT MED EFSR-N6PL SZ 6 LT FEMURCentral Supplies8,540.00
278OR WRIGHT MD 3818-0002 APICAL A HOL PLUGCentral Supplies5.00
278OR WRIGHT MED DLXP-GG42 DYNASTY LINER 42Central Supplies4,575.00
278OR WRIGHT MED 38CH-4200 BCH FEM HEAD 42mCentral Supplies6,100.00
278OR WRIGHT MED DSBF-GG60 DYNASTY SHELL 60Central Supplies9,150.00
278OR WRIGHT MED PLSE-R013 FEM STEM SZ13Central Supplies7,625.00
278OR WRIGHT MED 1808-0301 SCREW 2.0cmCentral Supplies5.00
278OR WRIGHT MED 38NS-3500 LG NECK SLEEVECentral Supplies5.00
278OR WRIGHT MED 38CH-4000 BCH HEAD 40mmCentral Supplies6,100.00
278OR WRIGHT MED DLXP-GF40 DYS LIN 40mmCentral Supplies4,575.00
278OR WRIGHT MED PLSE-R014 FIX NECK STEM 14Central Supplies7,625.00
278OR WRIGHT MED EIS4-S12L POLY 12m SZ4 LTCentral Supplies6,100.00
278OR WRIGHT MED ETPK-N4SL TIBIAL BASE SZ4Central Supplies9,150.00
278OR WRIGHT MED EFSR-N4PL EV FEMORAL SZ4 LCentral Supplies8,540.00
278OR WRIGHT MED EIS6-S12R SZ6 RT 12mm POLYCentral Supplies6,100.00
278OR WRIGHT MED 1808-0302 SCREW 2.5cmCentral Supplies5.00
278OR WRIGHT MED PLSE-R011 REN STEM SZ 11Central Supplies7,625.00
278OR WRIGHT MED 2600-0012 CERAMIC HEAD 36mCentral Supplies6,100.00
278OR WRIGHT MED DLXP-GD36 DYN POLY LIN 36mCentral Supplies4,575.00
278OR WRIGHT MED DSBF-GD52 DYN SHELL 52mmCentral Supplies9,150.00
278OR WRIGHT MED KPON-TP38 TRI-PEG POLY 38mCentral Supplies810.00
278OR WRIGHT MED EIS6-S10R POLY SZ6 RT 10mmCentral Supplies6,100.00
278OR WRIGHT MED ETPK-N6SR KEL TIB BS 6 RTCentral Supplies9,150.00
278OR WRIGHT MED EFSR-N6PR EVLT FEM SZ 6 RCentral Supplies8,540.00
278OR WRIGHT MED EIS5-S12R MP SZ5 RT INSERTCentral Supplies6,100.00
278OR WRIGHT MED KPON-TP32 PATRLLA 32mmCentral Supplies810.00
278OR WRIGHT MED RT SZ5 14mm POLYCentral Supplies6,100.00
278OR WRIGHT M1410-2000 ORTHOSET 2 BONE CEMCentral Supplies1.00
278OR WRIGHT MED KPON-TP35 TRIPEG PATELLACentral Supplies810.00
278OR WRIGHT MED EIS5-S12R RT SZ5 12mm POLYCentral Supplies6,100.00
278OR WRIGHT MED ETPK-N5SR TIB BASE SZ5 RTCentral Supplies9,150.00
278OR WRIGHT MED EFSR-N4PR FEMUR SZ4 RTCentral Supplies8,540.00
278OR WRIGHT MED 496S265 STEM 6.5mm +2Central Supplies7,762.00
278OR WRIGHT MED 496-H26 EVOLVE HEAD 26mmCentral Supplies6,530.00
278OR ALLERGAN 15-397 BREAST INPLNT STY #15Central Supplies2,827.00
278ALLERGAN 15-234 BREAST IMPLNT STY #15Central Supplies2,827.00
278OR ALLERGAN 133-mv-16 TISSUE EXPANDER 16Central Supplies4,255.00
278OR MEDTRONIC 14142 EAR TUB SHEHY 3.0Central Supplies62.00
272OR MICROAIRE SO625-127-090 OSCILLAT BLADCentral Supplies327.00
272OR MICROAIRE SO611-127-090 OSCULAT BLADCentral Supplies212.00
278OR RTI ANTERIOR TIBIALIS 453017Central Supplies7,930.00
278OR 453316 POSTERIOR TIBIALIS TENDONCentral Supplies7,930.00
278OR BG MEDICAL T613-8S SURGIMESH WNCentral Supplies1,013.00
278OR BG MEDICAL TINTRACK-7 SURGIMESH XBCentral Supplies1,998.00
278OR EXACTECH 310-02-44 HUMERAL HD 44X21 TCentral Supplies8,449.00
278OR EXACTECH 300-10-15 REPLC PLATE 1.5mmCentral Supplies5,444.00
278OR EXACTECH 300-20-02 TORQUE SCREWCentral Supplies1,525.00
278OR EXACTECH 314-02-03 GLEN PEG CEMENTEDCentral Supplies8,052.00
272OR ARTHREX AR-13995N MUTIF SCORPION NEEDCentral Supplies984.00
272OR ARTHREX AR-6592-08-30 PASPORT CAN 3mmCentral Supplies194.00
278OR ARTHREX AR-4068-90 LASSO 90`Central Supplies567.00
278OR ARTHREX AR-4068-45R LASSO 45RTCentral Supplies911.00
272OR ARTHREX AR-6562 CRYSTAL CANULACentral Supplies151.00
272OR ARTHREX AR-6570 TWIST CANUL 7mmCentral Supplies151.00
272OR ARTHREX AR-6545 CANNULA 6X9cmCentral Supplies218.00
272OR ARTHREX AR-1644 BEACH CHAIR KITCentral Supplies437.00
278OR ARTHREX AR-7200 FIBERWIRE #2Central Supplies112.00
272OR ARTHREX SP-1399 SN SCORPION NEEDLECentral Supplies984.00
272OR ARTHREX AR-1927 PBS DISP. PUNCHCentral Supplies454.00
272OR ARTHREX AR-8550ST SABRETOOTH 5.5mmCentral Supplies357.00
278OR ARTHREX AR-1927BF-3 TRIPLAY 5.5mmCentral Supplies1,215.00
278OR ARTHREX AR-8928BC-CP ACHILLES SPEDBRICentral Supplies7,582.00
272OR ARTHREX AR-6592-08-20 PASSPORT CAN 2.Central Supplies194.00
278OR ARTHREX AR-1927PSF CORKSCREW 5.5 PEEKCentral Supplies1,154.00
272OR ARTHREX AR-1934-DS-2 BIO SUTURE TAKCentral Supplies648.00
272OR ARTHREX AR-4068-25TR LASSO RT SUTURECentral Supplies567.00
278OR ARTHREX AR-1934BCF-2 FIB & TRIG WIRECentral Supplies1,296.00
272OR ARTHREX AR-1606V STAR SLEEVECentral Supplies405.00
272OR ARTHREX AR-1922PBS DISP PUNCH 4.5Central Supplies454.00
278OR ARTHREX AR-1934BCF-24 SUT TAK W/#2 FWCentral Supplies1,766.00
272OR ARTHREX AR-1934PI SUT TAK INST KITCentral Supplies1,130.00
278OR ARTHREX AR-2261 BICEP BUTON 2.6Central Supplies1,709.00
272OR ARTHREX AR-2262 BUTTON INSERTERCentral Supplies810.00
272OR ARTHREX AR-2263 BICEP BUTTON PIN 3.2Central Supplies668.00
278OR ARTHREX AR-2324BCC SWIVELOCK 4.75Central Supplies1,745.00
272OR ARTHREX AR-6592-08-40 PP CANNULA 4mmCentral Supplies194.00
278ARTHREX AR-1678-CP INTERNAL LIG REPAIR ACentral Supplies4,249.00
272ARTHREX AR-8934BCNF-00 SUTURE TAK DX BCCentral Supplies1,883.00
272ARTHREX AR-8938DSC SUTTAK SM JOINTCentral Supplies842.00
272ARTHREX AR-1204AF-105 FLIP CUTTER 10.5mmCentral Supplies1,515.00
278ARTHREX AR-1588RT ACL TIGHTROPE RTCentral Supplies1,628.00
278ARTHREX AR-1588TB-1 TIGHTROPE ABS 14mm BCentral Supplies996.00
272ARTHREX AR-1898S DISP KIT TRAN-TIB ACL WCentral Supplies676.00
278ARTHREX AR-7209 #2 FIBERSTICKCentral Supplies433.00
278ARTHREX AR-7209T TIGERSTICK, #2 TIGERWIRCentral Supplies433.00
278ARTHREX AR-7234T TIGERLOOPCentral Supplies312.00
278ARTHREX AR-7237-7 FIBERTAPECentral Supplies433.00
278ARTHREX AR-7246 FIBERWIRE #2 BLUECentral Supplies200.00
278ARTHREX AR-1923BC SUT ANCH BIOCOMPCentral Supplies1,745.00
278ARTHREX AR-1923PK PERC INSERT KIT PL 2.9Central Supplies1,276.00
272ARTHREX AR-6530 CANNULA TWIST INCentral Supplies218.00
272ARTHREX AR-6564 CRYSTAL CANN PART THRDCentral Supplies218.00
278ARTHREX AR-7276 LABRALTAPE W, 1.5mmX36"Central Supplies569.00
278ARTHREX AR-1562BC TEND SCREW BIOCOMPCentral Supplies1,997.00
278ARTHREX AE-1676DS BIO-TEND SCREW KITCentral Supplies1,130.00
278ARTHREX AR-1322BCNF SUTR ANCH 2.4X8.5MMCentral Supplies1,883.00
270ARTHREX AR-1322DSC DISP INSTR KIT MINI SCentral Supplies1,013.00
270ARTHREX ANKLE ARTHRO DISTRACTOR STRAPCentral Supplies390.00
278ARTHREX AR-2325BCC BIO-COMP SWVLK 3.5X14Central Supplies1,745.00
272ARTHREX AR-1644 TRIMANO BEACH CHAIR KITCentral Supplies437.00
278ARTHREX AR-2600SBS-4 SPEEDBRG IMP SYSCentral Supplies7,582.00
278OR ACUMED 70-0301 CLAVICLE PLATE RT 8-HCentral Supplies3,663.00
278OR ACUMED CO-2714 SCREW 2.7X14mmCentral Supplies484.00
278OR ACUMED CO-3120 SCREW 3.5X12mmCentral Supplies484.00
278OR ACUMED CO-3140 SCREW 3.5X14mmCentral Supplies484.00
278OR ACUMED CO-3160 SCREW 3.5X16mmCentral Supplies484.00
278OR ACUMED CO-3180 SCREW 3.5X18mmCentral Supplies484.00
278OR ACUMED CA-4120 SCREW 4.0X12mmCentral Supplies545.00
278OR ACUMED CA-4140 SCREW 4.0X14mmCentral Supplies545.00
278OR ACUMED CA-4180 SCREW 4.0X18mmCentral Supplies545.00
272OR ACUMED MS-DC5020 DRILL BIT 2.0mmCentral Supplies514.00
278OR ACUMED CA-4160 SCREW 4.0X16mmCentral Supplies545.00
270WAFER 1 1/2" (125263)Central Supplies22.00
621MAMMOTOME 10G ELITE PROBECentral Supplies1,013.00
621MAMMOTOME 13G ELITE PROBECentral Supplies1,094.00
270DELETE STERILE GLOVESCentral Supplies37.00
270Unna BootCentral Supplies52.05
270ESOPHAGEAL TEMP PROBECentral Supplies54.00
270XP QUANTRO SENSERCentral Supplies281.00
270SPINAL NEEDLE 7"Central Supplies94.00
270ANTHESIA SUPPLIESCentral Supplies52.00
270SEE 425... / ORAL AIRWAYCentral Supplies13.00
270LMACentral Supplies71.00
270SYRINGE PUMP W/SUPPLIESCentral Supplies52.00
270AnesthesiaTHESIA EQUIPMENTCentral Supplies336.00
270PAIN NEEDLECentral Supplies47.00
270EXTRA SPINAL NEEDLECentral Supplies47.00
270BRACHIAL PLEXUS INSULATED NEEDLECentral Supplies71.00
270TEMPERATURE MONITORCentral Supplies52.00
270EXTRA EPIDURAL CATHETERCentral Supplies94.00
270EXTRA ANTHESIA NEEDLESCentral Supplies12.00
270LACI LUBECentral Supplies12.00
270GEN. AnesthesiaTHESIA SUPPLYCentral Supplies215.00
271PESSARY DONUT (all sizes) NONRUBBERCentral Supplies218.40
272C1751PICC 4fr SINGLE LUMEN G03777Central Supplies550.00
270C1751PICC 4fr DOUBLE LUMENCentral Supplies568.00
270C1751PICC 5fr DOUBLE LUMEN G03789Central Supplies621.00
258J7030IV NS 1000ccCentral Supplies45.00
258J7030IV NS 100mL BAGCentral Supplies45.00
258J7040IV NS 500ccCentral Supplies45.00
258J7050IV NS 250cc BAGCentral Supplies45.00
258J7060IV D5W 500ccCentral Supplies45.00
258J7120IV LR 1000ccCentral Supplies45.00
258S5010IV D5 0.45% NS 1000ccCentral Supplies45.00
258IV D5W 250ccCentral Supplies60.00
2704.5FR INTRODUCER KIT TEARAWAYCentral Supplies485.00
2704fr TURBO-JECT POWER-INJECT PICC SINGLECentral Supplies621.00
270PICC 5.5fr INTRODUCER KIT PEEL AWATCentral Supplies485.00
264BIO-PATCH DISC 4mmCentral Supplies99.00
264STATLOCK PICC STABLIZING DEVICECentral Supplies68.00
270WING GUARD PICC SECURMENT DEVICECentral Supplies75.00
264GRIPPER PLUS NEEDLE 19g 1"Central Supplies55.00
264GRIPPER PLUS NEEDLE 20g 1"Central Supplies58.00
264GRIPPER PLUS NEEDLE 22g 3/4"Central Supplies58.00
264GRIPPER PLUS NEEDLE 22g 1 1/4"Central Supplies58.00
264HUBER NEEDLE PORT ACCESS KITCentral Supplies126.00
272CENTRAL VENUS CATH MULTI LUMEN 7frCentral Supplies549.00
264IV TPN NUTRITIONAL/CHEMO TUBINGCentral Supplies92.00
264IV NITRO TUBINGCentral Supplies58.00
264IV BLOOD TUBING PUMPCentral Supplies86.00
264IV THERMAL ANGEL BLOOD WARMERCentral Supplies584.00
264IV PRIMARY PUMP TUBINGCentral Supplies51.00
264IV PRIMARY NON-PUMP TUBINGCentral Supplies63.00
264IV PCA TUBINGCentral Supplies94.00
264IV SECONDARY TUBINGCentral Supplies25.00
264IV EXTENSION 32"Central Supplies72.00
264IV EPIDURAL TUBING SET-UPCentral Supplies67.00
264FEEDING TUBE PUMP SET W/BAGCentral Supplies66.00
264IV MICRO EXT SET 7"Central Supplies60.00
264IV MACRO EXT SET 7"Central Supplies59.00
264IV ULTRASITE EXTCentral Supplies60.00
264IV BLOOD TUBING NON-PUMP 11409-48Central Supplies64.00
264IV FILTERFLOW FILTERED EXTCentral Supplies51.00
264IV MICRO TUBING 60gttCentral Supplies76.00
264IV BURETTE PUMP SETCentral Supplies89.00
264MASS TRANSFUS BLOOD-FLUID SETCentral Supplies462.00
258IV D5 .225% NS 1000mLCentral Supplies45.00
258IV D5LR 1000ccCentral Supplies45.00
258IV D5 0.45% NS w/20 meq KCLCentral Supplies45.00
258IV D5NS 1000ccCentral Supplies45.00
258IV 0.45% NS 1000mLCentral Supplies45.00
258IV D10 500mLCentral Supplies45.00
258IV LR 500ccCentral Supplies60.00
264IV ULTRASITE VALVE / HEPLOCKCentral Supplies36.00
264IV DUAL CAPCentral Supplies18.00
264CENTRAL LINE DRSG CHANGE KITCentral Supplies67.00
2705 fr TURBO-JECT PICC 2 LUMEN G23916Central Supplies621.00
264GRIPPER PLUS NEEDLE 20g 3/4" w/Y SITECentral Supplies58.00
258IV D5 1/2 NS 500ccCentral Supplies36.00
258IV NS 50cc BAGCentral Supplies32.00
258IV NS 50cc ADD VANTAGE BAGCentral Supplies34.00
258IV NS100cc ADD VANTAGE BAGCentral Supplies34.00
258IV D5LR 500ccCentral Supplies60.00
264IV SYR PUMP TUBING DISP STERILE 2C9219Central Supplies69.00
264IV 0.22micron FILTER EXT SET 18"Central Supplies77.00
258IV NS 250ml ADD-VANTAGECentral Supplies53.00
272IO NEEDLE 15mm 15g RT 3-39kgCentral Supplies444.00
272IO NEEDLE 25mm 15gCentral Supplies466.00
272IO NEEDLE all sizesCentral Supplies426.00
264BLOOD / FLUID WARMER CARTRIDGE DISPCentral Supplies110.55
278C1781OR P151520 PERMACOL 15X20X1.5Central Supplies15,180.00
278C1781OR P101015 PERMACOL 10X15X1.0 MESHCentral Supplies7,856.00
278ZIMMER 7850-12-20 FEMORAL STEMCentral Supplies5,242.00
278STRYKER R5351-4510 HA FRACTURE STEM 10mmCentral Supplies5,591.00
278ZIMMER 2843 ALLOCLASSIC SL SZ3 12/14Central Supplies6,123.00
278ZIMMER 01.00121.080 ALLOCLAS SLOCentral Supplies6,123.00
278ZIMMER 2845 ALLOCLASSIC SL SZ5 12/14Central Supplies6,123.00
278ZIMMER 2841 ALLOCLASSIC SL SZ1 12/14Central Supplies6,123.00
278OR 1010002 STRATTICE 10X10cmCentral Supplies4,602.00
278SYNTHES 03.390.052S EXTERNAL FIXATORCentral Supplies5,278.00
278ZIMMER 00-5960-017-52 FEMORAL SZ G RTCentral Supplies6,864.00
278OR ZIMMER 5764-014-52 LSP FEMORAL SZ D-RCentral Supplies15,580.00
278ZIMMER 00-5960-016-51 LPS FEM SZF-LTCentral Supplies11,424.00
278ZIMMER 5960-016-52 LPS FEMORAL SZ-F, RTCentral Supplies6,607.00
278ZIMMER 01.00121.040 ALLOCLASSIC SL0 SZ 4Central Supplies7,115.00
278ZIMMER 00-5960-015-51 PRCOT FEM SZ E LTCentral Supplies6,607.00
278ZIMMER 42-5006-064-01 PSN LT FEMUR SZ 8Central Supplies3,901.00
278OR DEPUY 110014100 ST STEM SZ 14Central Supplies5,239.00
278OR BIOMET 51-103120 12X144 FEMORAL STEMCentral Supplies7,965.00
278OR MICROPORT ETPKN4SR SZ 4 RT KEELED TIBCentral Supplies4,172.00
278STRYKER ORTHO 5569-P-2012 HUMERAL STEMCentral Supplies8,654.00
278SYRTKER ORTHO 5569-P-2013 HUMERAL STEMCentral Supplies5,353.00
278STRYKER ORTHO 5569-P-2014 HUM STEM SZ 14Central Supplies5,353.00
278STRYKER ORTHO 5569-P-2010 HUMERAL STEMCentral Supplies5,098.00
278OR MICROPORT ETPKN6PR 6+ RT TIBIAL BASECentral Supplies4,172.00
278OR WRIGHT MED ETPK-N4SR RT TIB BASE SZ 4Central Supplies4,172.00
278OR WRIGHT MED 3654-0056 LINAGE SHELL 56mCentral Supplies4,057.00
278OR WRIGHT MED 3651-0052 LINAG SHELL 52mmCentral Supplies4,057.00
278OR WRIGHT MED ETPK-N6SL SZ6 LT TIB BASECentral Supplies4,381.00
278OR WRIGHT MED DSBF-GF56 DYN SHELL 56mCentral Supplies4,381.00
278OR EXACTECH 300-01-13 HUMAL STM 13mmCentral Supplies5,143.00
98297802NUTRITION THER 15 MIN/EADiabetes47.00
94297803NUTRITION THER RE-ASSES 15 MINDiabetes42.00
94297804NUTRITION THER GROUPDiabetes82.00
942G0108DIABETIC CONSULT 30 MIN.Diabetes108.00
45010030IMAGE GUIDED FLUID COLLECTION DRAINAGEEmergency Room1,003.00
45010060I&D SIMPLEEmergency Room399.00
45010061I&D ABCESS COM/MXEmergency Room5,598.00
45010080I&D PILONIDAL CYST SIMPLEmergency Room278.00
45010081INCIS DRAINAGE OF PIONIDAL CYST, COMPLCTEmergency Room1,098.00
45010120INCS&REMOVFBSUBQ TISS/SMEmergency Room433.00
45010120REMOVE FB SKINEmergency Room136.00
45010121INCS&REMOVFBSUB Q/COMPLIEmergency Room420.00
45010140INC/DRAIN HEMA FLUID COLEmergency Room457.00
45010160PUNCT ASPIR ABCESS/HEMAEmergency Room433.00
45010180I&D COMPLEX POSTOP INFECEmergency Room886.00
45011000DEBR OF EXTENSIVE ECZEMATOUS/INFECT SKINEmergency Room248.00
45011010DEBRIDEMENT OPEN FX INCL REMOVAL FBEmergency Room622.00
45011012DBRDMT FX&/DISLC SUBQ T/M/F BONEEmergency Room2,298.00
45011040DEBRID; SKIN PART THICKEmergency Room108.00
45011041DEBRID SKIN FULL THCK TEEmergency Room237.00
45011042DEBRIDEMENT;SKIN SUBCU TISSUEEmergency Room427.00
45011044DEBRID SUBQ TIS,MUS,BONEEmergency Room859.00
45011100BIOPSY SIMPLEEmergency Room219.00
45011400EXC, BENIGN LESION T/A/L EXC 0.5 CM <Emergency Room488.00
45011401EXCIS DIAMETER 0.6 TO 1.0Emergency Room472.00
45011403REM EXC LES BENIGN, TR, ARMS, LG 2.1-3.1Emergency Room427.00
45011719TRIMMING OF NAILEmergency Room90.00
45011720DEBID OF NAIL; 1TO 5 TECHNICAL COMPEmergency Room72.00
45011730AVULSIONPLATE PART/COMPLEmergency Room571.00
45011740EVACUATION SUBUNGUAL HEMEmergency Room550.00
45011760REPAIR NAIL BEDEmergency Room1,092.00
45011765WEDGE EXC SKIN NAIL FOLDEmergency Room792.00
45012001SIMP SCALP/TRUNK2.5CMLESEmergency Room322.00
45012002SIM REPAIR 2.6 TO 7.5 CMEmergency Room368.00
45012004SIM REPAIR 7.6 TO 12.5Emergency Room512.00
45012005SIM REPAIR CM 12.6 TO 20Emergency Room607.00
45012006SIM REPAIR CM 20.1 TO 30Emergency Room437.00
45012007SIM REPAIR OVER 30. CMEmergency Room741.00
45012011SIM REPAIR FACE/MUC 2.5Emergency Room340.00
45012013SIM REPAIR 2.6 TO 5.0Emergency Room408.00
45012014SIM REPAIR CM 5.1 TO 7.5Emergency Room689.00
45012015SIM REPAIR 7.6 TO 12.5Emergency Room843.00
45012016SIM REPAIR CM 12.6 TO 20Emergency Room1,224.00
45012017SIM REPAIR CM 20.1 TO 30Emergency Room1,615.00
45012020TX SUPERFICIAL WOUND DEHISCIENCE SMP CLOEmergency Room716.00
45012021TX WND DEHISCENCE W/PACKEmergency Room444.00
45012031INT REPAIR SCALP/TRUNKEmergency Room1,344.00
45012032INT REPAIR 2.6 TO 7.5 TEEmergency Room749.00
45012034INT REPAIR CM 7.6 TO 12.Emergency Room811.00
45012035INT REPAIR CM 12.6 TO 20Emergency Room1,084.00
45012036INT REPAIR CM 20.1 TO 30Emergency Room1,101.00
45012037INT REPAIR OVER 30.0 CMEmergency Room920.00
45012041INT REPAIR NECK HAND FTEmergency Room546.00
45012042INT REPAIR CM 2.6 TO 7.5Emergency Room870.00
45012044INT REPAIR CM 7.6 TO 12Emergency Room489.00
45012045INT REPAIR CM 12.6 TO 20Emergency Room635.00
45012046INT REPAIR CM 20.1 30.0Emergency Room819.00
45012047INT REPAIR OVER 30.0Emergency Room968.00
45012051INT RPR FACE LIPS 2.5 LEEmergency Room619.00
45012052INT REPAIR CM 2.6 TO 5.0Emergency Room745.00
45012053INT REPAIR CM 5.1 TO 7.5Emergency Room784.00
45012054INT REPAIR CM 7.6 TO 12Emergency Room800.00
45012055INT REPAIRCM 12.6 TO 20Emergency Room1,377.00
45012056INT REPAIR 20.1 TO 30.0Emergency Room1,304.00
45012057INT REPAIR OVER 30.0Emergency Room1,402.00
45013100COM REPAIR TRUNK 1.1 TOEmergency Room343.00
45013101COM REPAIR 2.6 TO 7.5Emergency Room737.00
45013102EA ADD 5CM OR LESS TECHEmergency Room365.00
45013120COM REPAIR SCALP/EX 1.1Emergency Room536.00
45013121COM RPR SCALP/EX 2.5 TOEmergency Room995.00
45013122EA ADD 5CM OR LESS TECHEmergency Room329.00
45013131COM REPAIR FH/AX/FT 1.1Emergency Room760.00
45013132COM RPR FRHD/AX/FT 2.6Emergency Room1,202.00
45013133EA ADD 5CM OR LESS TECHEmergency Room625.00
45013150COM REPAIR LIDS/LIPS 1.0Emergency Room710.00
45013151COM REPAIR CM 1.1 TO 2.5Emergency Room914.00
45013152COM REPAIR CM 2.6 TO 7.5Emergency Room1,838.00
45013153RPR/CMPLX EYELD,NS,ERS,LPS EA ADD 5 CM<Emergency Room896.00
45016000INIT TX 1ST DEGREE BURNEmergency Room193.00
45016020DRSG/DEBRIDENT/SUBQW/OANEmergency Room144.00
45016020DRSG/DEBRID W/O Anesthesia SMEmergency Room259.00
45016025DSG/DEBRIDINIT/SUBSQTWOAEmergency Room414.00
45016030DRS & / DBRDMT PRTL-THKNS BURNS LARGEEmergency Room607.00
45017999UNLIST PROC SKIN, MM, AND SUB-CUEmergency Room370.00
45019000PUNCTURE ASP OF CYST OF BREASTEmergency Room696.00
45020103WOUND EXPLORATION OF EXTREMITYEmergency Room2,621.00
45020520REMOVAL OF FOREIGHN BODY IN MUSCLE;SIMPEmergency Room656.00
45020550TRIGGER POINT INJECTIONSEmergency Room227.00
45020552TRIGGER PT INJ SING/MULTEmergency Room273.00
45020552INJ SIN/MULT TRIG PTS TEEmergency Room273.00
45020553INJ; SINGLE OR MULT TRIGGER >2 POINTSEmergency Room327.00
45020600ARTHROCEN/ASPIR SM JOINTEmergency Room174.00
45020605ARTHROCENTESIS INTRMD JTEmergency Room448.00
45020610ARTHROCEN/ASPIR LRG JNTEmergency Room973.00
45020611ARTHROCENTESIS, ASP AND/OR INJ TECHEmergency Room447.00
45020950MONITORING OF INTERSTITIAL FLUID PRESSUREmergency Room359.00
45021310CLO NASAL BONE W/O MANIPEmergency Room435.00
45021315CLO TX OF NASAL FX W/O STABILIZATIONEmergency Room2,539.00
45021320CLO TX NASAL BONE FX WITH STABILEmergency Room1,974.00
45021450CLO TX MANDIBULAR WO MANEmergency Room392.00
45021800CLO TX RIB FX UNCOMP EAEmergency Room368.00
45022305CLO TX VERTABRAL PROC FXEmergency Room466.00
45023500CLO CLAV W/O MANIPEmergency Room762.00
45023505CLO TX CLAV WITH MANIPEmergency Room851.00
45023540CLO TX AC DISLOCATION WO MANIPULATIONEmergency Room870.00
45023545REDUCTION OF AC JOINT W/MANIPEmergency Room1,010.00
45023570CLO TX SCAPULAR FX W/O MEmergency Room597.00
45023600CLO TX PROX HUMERAL F WOEmergency Room765.00
45023605CLO TX OF PROX HUMERAL FX; W MAN W/WO SKEmergency Room1,958.00
45023620CLO TX GR HUM TUBER FXEmergency Room539.00
45023625CLO FX GREATER HUMERAL TUBER/FX W/MANIPEmergency Room1,440.00
45023650CLO TX SHLDR DISLO W/MANEmergency Room998.00
45023655CLO SHLDR DISLOC W/AnesthesiaEmergency Room1,759.00
45023665CLO TX SHOULDER DISL W/FX > HUMERA W/MANEmergency Room2,050.00
45023675CL TX SHOULDER DISLC.HUMERAL NCK FXEmergency Room2,432.00
45024200RM FB UP ARM/ELBOW SQEmergency Room219.00
45024500CLO TX HUMERAL FX TECHEmergency Room590.00
45024505CLO TX OF HUMERAL SHAFT FX W/MANEmergency Room1,845.00
45024530CLO TX SUPRACONDYLAR W/OEmergency Room1,032.00
45024535CLO TX SUPRACONDYLAR/TRANS HUMRAL FX W/Emergency Room2,348.00
45024576CLO TX HUM/CONDYLAR FX TEmergency Room612.00
45024600CLO ELBOW DISLOC W/O ANEEmergency Room605.00
45024605TX CLO ELBOW DISLOC W/ANEmergency Room1,759.00
45024620CLO TX FX ELBOW W/MANIPEmergency Room1,308.00
45024640CLO TX RAD HEAD SUBLUXAEmergency Room275.00
45024650CLO TX RADIAL HEAD/NECKEmergency Room693.00
45024655CLO TX RAD HEAD FX/W/MANEmergency Room828.00
45024670CLO TX ULNAR PROX FX WOEmergency Room656.00
45025500CLO TX RAD SHAFT FX W/OMEmergency Room533.00
45025505CLO TX RAD SHAFT FX W/MAEmergency Room899.00
45025560CLO TX RADIAL FX W/O MANEmergency Room703.00
45025565CLO TX RAD&ULNA SHAFT FXEmergency Room1,332.00
45025600CLO DIST RAD W/O MANIPEmergency Room789.00
45025605CLO DIST RAD W/MANIPEmergency Room1,207.00
45025622CLO CardiopulmonaryAL SCOPHOID W/OEmergency Room843.00
45025630CLO TX CardiopulmonaryAL BONE FXEmergency Room523.00
45025635CLO TX CardiopulmonaryAL FX W/MANIPULATIONEmergency Room1,382.00
45025650CLO TX ULNAR SYLOID FXEmergency Room999.00
45025660CLO TX OF RADIOCardiopulmonaryAL W/MANIPULATIONEmergency Room1,274.00
45025675CLO TX DIST RADIOULNARFXEmergency Room923.00
45025690TREATMENT OF WRIST DISLOCATIONEmergency Room1,888.00
45026010DRAINAGE FINGER ABCESSEmergency Room504.00
45026418REPLACE EXT TENDON FINGER W/O GRAFTEmergency Room2,509.00
45026600CLO METACardiopulmonary W/O MANIPEmergency Room823.00
45026605CLO METACardiopulmonary W/ MANIPEmergency Room1,229.00
45026607FX METACardiopulmonaryAL W MAN.Emergency Room1,102.00
45026615OPEN TX METACardiopulmonaryAL FXEmergency Room3,140.00
45026641CLO TX THUMB DISLOC TECHEmergency Room1,151.00
45026645CLO TX BENNET FX W/M TECEmergency Room740.00
45026670CLO TX CardiopulmonaryOMETACardiopulmonaryAL DISLOCATIONEmergency Room942.00
45026675CLO TX CardiopulmonaryOMETA FX W/MAEmergency Room609.00
45026700CLO TX MCP DIS W/MAN W/OEmergency Room501.00
45026705CLO TX METACardiopulmonaryOPHALANGEAL DISC RQ AnesthesiaEmergency Room1,286.00
45026715OPEN TX MTCRPHLNG DISLOCEmergency Room2,063.00
45026715DISLOCATION METACAR.OPENEmergency Room886.00
45026720CLO TX PHALANG FX WO MANEmergency Room564.00
45026725CLO TX PHALANGEAL FX W/WEmergency Room648.00
45026740CLO TX ARTICU FX W/O M TEmergency Room576.00
45026742CLO TX OF ARTCLR FX I.E. MCPOR IPJ W/MANEmergency Room1,200.00
45026750CLO TX DIST PHALANGEALFXEmergency Room326.00
45026755CLO TX DIST PHAL FX W/MAEmergency Room601.00
45026765OPEN TX DIST PHALANG FXEmergency Room1,036.00
45026770CLO TX IP JT DISLOC W/MEmergency Room527.00
45026775CLO TX INTRPHNGL DISL WAEmergency Room392.00
45026785OP TX INTERPHALANGEAL JTEmergency Room1,008.00
45026951AMP F/TH 1/2 JT/PEmergency Room2,322.00
45027222CLO TX ACETABULAR FX W/MANIP TECH COMPEmergency Room2,607.00
45027230CLO TX FEMORAL FX W/O MAEmergency Room989.00
45027246CLO TX GRT TROCHANTER FXEmergency Room672.00
45027252CLO TX HIP DISLCO W/A TEEmergency Room1,737.00
45027265CLO TX POST HIP ARTHROPLTY DSLO W/O AnesthesiaEmergency Room1,957.00
45027266CLO TX POST HIP ARTHR TEEmergency Room1,737.00
45027372REM FB DEEP THIGH/KNEEEmergency Room1,171.00
45027501CLO TX SUPRACOND FX TECHEmergency Room1,585.00
45027502CLX TREATMENT OF FEML SHFT FX, W/MANIPEmergency Room3,772.00
45027516CLO TX DIST FEM EPIPH SEEmergency Room1,107.00
45027517CLX REDUCTION OF DISTAL FEMUR DISCEmergency Room2,546.00
45027520CLO TX PATELLAR FX W/O MEmergency Room822.00
45027530CLO TX TIBIAL PROX W/O MEmergency Room850.00
45027530CLO TX TIB FX PROX W/O MEmergency Room850.00
45027532CLO TX TIBIAL FX W/MAN TEmergency Room1,777.00
45027538CLO TX INTERCONDYLAR W/OEmergency Room879.00
45027552CLO TX KNEE DISLO W AnesthesiaEmergency Room1,389.00
45027560CLO TX PATEL DISLOC TECHEmergency Room678.00
45027562CLO TX PATELLAR DISLOCATE WITH AnesthesiaTHEmergency Room1,756.00
45027570MANIP KNEE JOINT/GEN ANEEmergency Room942.00
45027750CLO TX TIB FX W/WO FIBFXEmergency Room809.00
45027752CLO TX TIB SHAFT FX W/MAEmergency Room1,326.00
45027760CLO TX MEDMALL FX WO MANEmergency Room793.00
45027762CLO TX MED MALLEOLUS FX W/MANIPULATIONEmergency Room1,860.00
45027768CLOSED TX OF POSTERIOR MALLEOLUS FX/WMEmergency Room1,718.00
45027780CLO TX PRX FIB W/O MANIPEmergency Room651.00
45027781CLO TX PROX FIB FX W/MANIPULATIONEmergency Room1,718.00
45027786CLO TX DISTAFIB FX WOEmergency Room1,060.00
45027788CLO TX LAT MALLEOLUS W/MEmergency Room832.00
45027808CLO TX BIMALLEOLAR ANKLEEmergency Room666.00
45027810CLO TX BIMAL ANKLE W/MEmergency Room1,652.00
45027816CLO TX TRIMALL FX W/O MAEmergency Room737.00
45027818CLO TX TRIMALLEOLAR W/MAEmergency Room1,503.00
45027824CLO TX DISTAL TIB WO MANEmergency Room970.00
45027840CLO TX ANK DISLOC WO ANEEmergency Room490.00
45027842CLO TX ANK DISLOC W/AnesthesiaEmergency Room1,077.00
45028190ER FOREIGN BODY REMOVAL, FOOT, SUBQ.Emergency Room1,536.00
45028192REMOVAL OF FOREIGN BODY FOOT; DEEPEmergency Room1,181.00
45028400CLO TX CALCANEAL FX TECEmergency Room754.00
45028405CLO TX CALCANEAL FRACTUREEmergency Room1,451.00
45028430CLO TX TALUS FX W/O MANIEmergency Room766.00
45028435CLOSED TX TALUS FX, W/MANIPULATIONEmergency Room1,195.00
45028450TX TARSAL FX W/O MANIP EEmergency Room560.00
45028455TX OF TARSAL BONE FX WITH MANIPULATIONEmergency Room1,116.00
45028470CLO METATARSW/O MAINP EAEmergency Room569.00
45028475CLOSED TX-METATARSAL FX W/MANIP TCEmergency Room909.00
45028490CLO GRT TOE PHALANX W/OEmergency Room324.00
45028495CLTX FX GRT TOE PHLX/PHLG W/MNPJEmergency Room1,027.00
45028510CLO TX PHALX/PHALNG WOEmergency Room214.00
45028515CLO TX FX PHALANX W/MANIEmergency Room305.00
45028545CLO TX TARSAL DISLO W/ANEmergency Room543.00
45028570CLOSED TX TALOTARSAL JOINT, W/O AnesthesiaEmergency Room565.00
45028575CLO TX TALOTARSAL DISLOCEmergency Room656.00
45028600CLOSED TX TARSOMETATARSAL DIS WO AnesthesiaTEmergency Room624.00
45028605CLX TX TARSOMETATARSAL DIS W/AnesthesiaEmergency Room707.00
45028630CLO TX MTP JOINT DISLOC; W/O AnesthesiaEmergency Room535.00
45028635CLOSED TX MTP JOINT DISLOC;W/AnesthesiaTHESIAEmergency Room562.00
45028660CLO TX INTRPHNGL DISL WOEmergency Room258.00
45028660CLO TX INTRPHNGL DILSOC W/MANIP-W/O AnesthesiaEmergency Room258.00
45028675O TX INTERPHAL JNT DISLOEmergency Room893.00
45029065APPLICATION CAST-LONG ARMEmergency Room423.00
45029075APPLICATION CAST; SHORT ARM TCEmergency Room313.00
45029105SPLINT LONG ARMEmergency Room280.00
45029125SPLINT SHORT ARMEmergency Room270.00
45029126SPLINT SHORT ARM;DYNAMICEmergency Room224.00
45029130SPLINT FINGER; STATICEmergency Room126.00
45029131SPLINT FINGER; DYNAMICEmergency Room147.00
45029200STRAPPING THORAXEmergency Room90.00
45029220STRAPPING LOW BACKEmergency Room126.00
45029240STRAPPING SHOULDEREmergency Room126.00
45029260STRAPPING ELBOW OR WRISTEmergency Room76.00
45029280STRAPPING HAND OR FINGEREmergency Room70.00
45029325APPLICATION OF HIP SPICA;BOTH LEGSEmergency Room1,027.00
45029345APPLICATION OF LONG LEG CASTEmergency Room437.00
45029405SHORT LEG FIBERGLASS CAST APPLICATIONEmergency Room3,318.00
45029505SPLINT LONG LEGEmergency Room258.00
45029515APPLICATION SPLINT SHORT LEGEmergency Room279.00
45029520STRAPPING HIPEmergency Room126.00
45029530STRAPPING KNEEEmergency Room97.00
45029540STRAPPING ANKL &/OR FOOTEmergency Room90.00
45029550STRAPPING TOESEmergency Room55.00
45029580STRAPPING UNNA BOOTEmergency Room119.00
45029590STRAPPING DENIS-BROWNEmergency Room126.00
45029700REMVL/BIVLVNG; GAUNTLET, BOOT/BODY CASTEmergency Room120.00
45029705REMOVAL/ BIVALVING: FULL ARM OR LEG CASTEmergency Room168.00
45030300REMOVE FB INTRANASALEmergency Room142.00
45030310REMOVE FB INTRANASAL W/AEmergency Room707.00
45030901CONTRIL NASAL HEMOR/ANTEmergency Room372.00
45030903CONTROL NASAL HEMORRHAGE EXTENSIVEEmergency Room458.00
45030905CNTRL NASAL HEMOR POSTEREmergency Room555.00
45030906CNTRL NASAL HEMRRHG, POSTERIOR; SUBSIQNTEmergency Room775.00
45031231NASL ENDOSCOPY,DAIGNOSTIC,UNI/BIL SEP PREmergency Room412.00
45031238NASAL/SINUS ENDO, SUR W CONT NASAL HEMOREmergency Room1,430.00
45031500INTUBATION ENDOTRACHAELEmergency Room1,092.00
45031505LARYNGOSCOPY,INDIRECT,DIAG(SEP PROC)Emergency Room314.00
45031505LARYNGOSCOPY INDIRECT DXEmergency Room279.00
45031525LARYNGOSCOPY DIRECT, DIAGNOSTICEmergency Room879.00
45031530LARYNGOSCOPY DIREC W/ FBEmergency Room1,040.00
45031575LARYNGOSCOPY, FLEXIBLE FIBEMPTIC;DIAGEmergency Room422.00
45031605TRACHEOSTOMY, EMERG, CRICOTHYROIDOTOMYEmergency Room1,620.00
45032000THORACENTESIS ASPIR I/SEmergency Room333.00
45032002THORACENTESIS W/TUBE INSEmergency Room545.00
45032551TUBE THORACOSTOMY TECHEmergency Room1,340.00
45032554THORACENTESIS WITH INSERTION OF TUBEEmergency Room863.00
45032555ER/THOR WITH IMAGEmergency Room1,557.00
45033010PERICardiopulmonaryIOCENTESIS; INITIALEmergency Room1,039.00
45033210INS OR REPLACE OF TEMP TRANSVENOUS ELECTEmergency Room1,761.00
45036000HEPLOCK / ULTRASITE VALVEEmergency Room132.00
39136430BLOOD TRANSFUSIONEmergency Room1,239.00
45036510CATHETERIZATION OF UMBILICAL VEIN NBEmergency Room385.00
45036556CENTRAL VENOUS CATH >2Emergency Room1,882.00
45036592COLL BLOOD CENTRAL OR PERPH CATH VEN NOSEmergency Room49.00
45036625ARTERIAL CATH; CUTDOWNEmergency Room288.00
45036680PLACEMENT OF NEEDLE FOR INTRAOSS INFUSEmergency Room975.00
45037195THROMBOLYSIS, CEREBRAL, BY INTRAV INFEmergency Room1,689.00
45038221BX-BONE MARROW, BIOPSY NEEDLE OR TROCAREmergency Room663.00
45040650RPR LIP FULL THKNS VERMILIONEmergency Room1,417.00
45040654RPR LIP FL THKNS +1/2 VRTCL HGHTEmergency Room2,660.00
45040800DRAIN ABCESS VESTIBULE MEmergency Room185.00
45040804REMOVE FB;MOUTH SIMPLEEmergency Room322.00
45040830CLOSURE OF LAC;VESTIBULE MTH 2.5 CM OR <Emergency Room458.00
45040831CLOSURE OF LAC;VESTIBULE OF MOUTH 2.5CM+Emergency Room1,136.00
45041252REPAIR OF LAC OVER 2.6CM OF TONGUEEmergency Room1,516.00
45041800I&D OF ABSCESS FROM DENTOALVEOLAR STUCEmergency Room553.00
45042700DRAINAGE OF TONSIL ABCESSEmergency Room1,248.00
45042809REMOVAL FB PHARYNX TECHEmergency Room328.00
45043215ESOPHAGOSCOPY W/REM FB TEmergency Room1,455.00
45043752NASO OR ORO GASTRIC TUBE PLCMT FLUOROEmergency Room446.00
45043753GASTRIC INTUBATION & ASPIRATION INC LVGEmergency Room239.00
45043760CHANGE GASTROSTOMY TUBEEmergency Room315.00
45045915REM FEC/FB IMPC W/AnesthesiaEmergency Room523.00
45046040I & D OF ISCHIO/PERIRECTAL ABSCESSEmergency Room1,362.00
45046083INCS THROMBOSED HEMORROIEmergency Room202.00
45046320EXCIS OF THROMBOSED HEMORRHOID;EXTRNLEmergency Room754.00
45046600ANOSCOPY; DX W OR WO COLLECT OF SPECIMENEmergency Room151.00
45049080PARACENTESIS ABD INI TECEmergency Room305.00
45049081PARACENT ABD SUBSQ TECHEmergency Room227.00
45049082ABDOMINAL PARACENTESIS W/O IMG GDNCEmergency Room710.00
45051010ASP BLADDER W/INSRT CATHEmergency Room404.00
45051610INJ PROC FOR RTRGR URETHROCYSTOGRAPHYEmergency Room851.00
45051700BLADDER IRR SIMP LAVAGETEmergency Room336.00
45051701INSERTION OF NON INDWELLING BLADDER CATHEmergency Room369.00
45051702INSERTION OF FOLEY CATHETEREmergency Room445.00
45051703CATHETERIZATION COMPLICAEmergency Room2,645.00
45054150CIRCUMCISION CLAMP NBEmergency Room460.00
45054450FORESKIN MANJ W/ LSIS PREP ADS&STRETCHEmergency Room342.00
45055100DRAINAGE OF SCROTAL WALL ABSCESSEmergency Room2,935.00
45056405INCISION & DRAINAGE OF VULVA OR PERINEALEmergency Room663.00
45056420II & D OF BARTHOLIN'S GLAND ABSCESSEmergency Room546.00
45058301REMOVAL OF INTRAVTERINE DEVICE (IUD)Emergency Room398.00
45059812TX OF INCOMPLETE ABORTION,ANY TRIMESTEREmergency Room1,461.00
45062270SPINAL PUNC LUMBAR DX TEEmergency Room669.00
45062273INJ EPID BLOOD/CLOT PATCEmergency Room1,249.00
45064400INJ, AnesthesiaT AGENT; TRIGEMINAL NERVEEmergency Room790.00
45064405INJ, Anesthesia AGENT; > OCCIPITAL NERVEEmergency Room725.00
45064450INJ Anesthesia AGENT OT PERIPHERAL NRV OR BRNCEmergency Room535.00
45065205REMOVE FB EXTR CONJC SUPEmergency Room427.00
45065210REMOV FB EXTERN EYE CONJEmergency Room147.00
45065220REMOVE FB EYE Q/O LAMPEmergency Room399.00
45065222REMOVE FB EYE W/LAMPEmergency Room326.00
45068420INC/DRAIN LACRIMAL SACEmergency Room449.00
45069000DRAINAGE EXTERNAL EAR, ABSCESS. SIMPLEEmergency Room483.00
45069200REM FB EXT AUD CANAL TECEmergency Room275.00
45069200FB REMOVAL EXT AUD EAR TEmergency Room275.00
45069205REMOVE FB; AUDITORY CANAL W/AnesthesiaTHESIAEmergency Room1,309.00
45069209REM IMPACTED CERUMEN, IRR/LAVAGEEmergency Room69.00
45069210REMOVE IMPACTED CERUMENEmergency Room237.00
45069210REMOVAL IMPACTED CERUMENEmergency Room237.00
45069300OTOPLASTY, PROTRUDING EAR, W OR W/O SZ REmergency Room3,203.00
31082948CHEM BGEmergency Room37.00
30082948CHEM BGEmergency Room37.00
77190471IMMUNIZATION ADMN. IM SUB CU, ONE INJEmergency Room103.00
77190472EA ADDITIONAL VACCINE ADMINISTEREDEmergency Room33.00
45091105GASTRIC INTUBAT&ASPIR/LAEmergency Room445.00
45092504BINOCULAR MICROSCOPY(SEP DIAG PROC)Emergency Room66.00
45092511NASOPHARYNGOSCOPY, W ENDOSCOPE(SEP PROC)Emergency Room263.00
45092950ARREST C/DEFIBEmergency Room1,310.00
45092950CPREmergency Room1,310.00
45092953TEMPORARY TRANSCUTANEOUS PACINGEmergency Room286.00
45092960CardiopulmonaryIOVER/ELEC/ELECTIVEEmergency Room1,938.00
45092977THROMB; DISSOLVE CLOT HEART VESSELEmergency Room1,285.00
46094760OXIMETRYEmergency Room107.00
45096360INITIAL HOUR HYDRATIONEmergency Room302.00
45096361HYDRATION; EA ADD HOUR (AFTER 1ST HOUR)Emergency Room137.00
45096365THERAPEUTIC INITIAL HOUR IV MEDEmergency Room328.00
45096366THERAPUETIC IV MED ADD HOUR (AFTER INIT)Emergency Room164.00
45096367THERAPEUTIC IV INFUS; ADD MED-SEQUENTIALEmergency Room185.00
45096368THERAPEUTIC IV INFUS; SEP SITE-CONCURRENEmergency Room135.00
45096372THERAPEUTIC INJ; IM OR SUBQ EACHEmergency Room100.00
45096373THERAPEUTIC INJ; INTRA-ARTERIAL EACHEmergency Room69.00
45096374THERAPEUTIC IV PUSH; INITIAL DRUGEmergency Room207.00
45096375THERAPEUTIC IV PUSH; EACH ADDITIONALEmergency Room135.00
45096376EA ADD SEQUEN INTRAVENOUS PUSHEmergency Room69.00
45096523IRRIGATION OF IMPLANTED VENOUS ACCESSSEmergency Room128.00
45097597REMOVAL OF DEVITALIZED TISSUE LESS 20 CMEmergency Room207.00
45099024FOLLOW UP IN GLOBAL PERIOD/EREmergency Room    -
45099141CONCIOUS SEDATIONEmergency Room242.00
45099143MOD SEDATION; YOUNGER THAN 5 YRSEmergency Room214.00
37099144MODERATE SEDATION 5 YEARS OR OLDEREmergency Room407.00
37099145MODERATE SEDATION OVER 5;   ADD 15 MINEmergency Room82.00
37099148MOD SED; YOUNGER THAN 5 YRSEmergency Room345.00
45099149MODERATE SEDATION BY MD NOT DOING PROCEDEmergency Room150.00
37099150MOD SEDATE EA ADDITIONAL 15 MIN.Emergency Room70.00
45099156MOD SED OT PHYS/QHP INI 15 MINS 5/> YRSEmergency Room303.00
45099157MOD SED OT PHYS/QHP EA ADD 15 MINSEmergency Room223.00
45099175IPECAC OR SIMILAR ADMIN W/OBSERVATIONEmergency Room112.00
76099201FACILITY CHARGEEmergency Room71.00
45099218ER OBSERVATION STRAIGHTFORWARDEmergency Room246.00
45099219ER OBS MODERATEEmergency Room423.00
45099220ER OBSERVATION HIGH COMPLEXEmergency Room396.00
45099234ER OBSERVATION STRAIGHTFORWARD SAMEDAYEmergency Room269.00
45099235ER OBS MODERATE SAME DAYEmergency Room384.00
45099236ER OBS HIGH COMPLEX SAME DAYEmergency Room458.00
45099281ER SERVICE LEVEL 1Emergency Room270.00
45099281OP NURSING SIMPLEEmergency Room270.00
45099282ER SERVICE LEVEL 2Emergency Room406.00
45099282OP NURSING MODERATEEmergency Room173.00
45099282OP NURSING COMPLEXEmergency Room312.00
45099283ER SERVICE LEVEL 3Emergency Room735.00
45099284ER SERVICE LEVEL 4Emergency Room1,208.00
45099285ER SERVICE LEVEL 5Emergency Room2,086.00
45099291ER SERVICE CRITICAL CARE 1ST 30-74Emergency Room4,011.00
45099292ER SERVICE CRITICAL CARE EACH ADD 30 MINEmergency Room1,444.00
45099998INJECTIONS: SQ, IM, IVEmergency Room11.00
450P9612CATHETERIZATION FOR SPECIMEN COLLECTIONEmergency Room369.00
370Anesthesia PER MINUTE EREmergency Room15.00
270NO CHARGEEmergency Room    -
450ER / OR ROOMEmergency Room173.00
450CASTING PROCEDUREEmergency Room267.00
450SPLINTING PROCEDUREEmergency Room168.00
450STRAPPING PROCEDUREEmergency Room168.00
450CASTING ADJUSTMENT PROCEmergency Room105.00
239INC NURSE CHG 15 MIN UNTEmergency Room40.00
450CONSCIOUS SEDATION ER TEEmergency Room189.00
450VAGINAL EXAMEmergency Room230.00
250ANCEF 500MG IV/IMEmergency Room42.00
450FINE NEEDLE ASPIRATIONEmergency Room249.00
450ECHO/NO CHARGEEmergency Room3.00
450EMERGENCY ROOMEmergency Room4.00
98110021FINE NEEDLE ASPIRATION PRO FEEEmergency Room Professional Fee181.00
98110030IMAGE GUIDED FLUID CLLCTN DRNGE PROFEEEmergency Room Professional Fee743.00
98110060I & D SIMPLEEmergency Room Professional Fee214.00
98110061I & D ABCESS COM/MX PROFEEEmergency Room Professional Fee502.00
98110080I&D PILONIDAL CYST SIMPLEmergency Room Professional Fee201.00
98110081INCIS DRAIN OF PILONIDAL CYST, PROFEEEmergency Room Professional Fee883.03
98110120INCS & RMVE FB SUBQ TISSEmergency Room Professional Fee302.00
98110121INCS & REMOVE FB SUB QEmergency Room Professional Fee439.00
98110140INC/DRAIN HEMA FLUID COLEmergency Room Professional Fee251.00
98110160PUNC ASPIR ABSCS/HEMA/CYEmergency Room Professional Fee121.00
98110180I&D COMPLEX POSTOP INFECEmergency Room Professional Fee703.00
98111000DEBR OF EXTENSIVE ECZEMATOUS/INFECT SKINEmergency Room Professional Fee120.00
98111010DEBRIEDEMENT OPEN FX INCL REMOVE FB PFEmergency Room Professional Fee410.00
98111012DBRDMT FX&/DISLC SUBQ T/M/F BONE PROFEEEmergency Room Professional Fee1,818.00
98111040DEBRID SKIN PART THICKEmergency Room Professional Fee121.00
98111041DEBRID SKIN FULL THICKEmergency Room Professional Fee239.00
98111042DEBRIDEMENT;SKIN SUBCU TISSUE PROFEEEmergency Room Professional Fee206.00
98111044DEBRID SUBQ TIS,MUS,BONEEmergency Room Professional Fee576.00
98111100BIOPSY OF SKIN, SUBCU/MM SING LESIONEmergency Room Professional Fee148.00
98111400EXC BNGN LES T/A/L EXC 0.5 CM OR<PROFEEEmergency Room Professional Fee195.00
98111401EXCIS DIAMETER 0.6 TO 1.0Emergency Room Professional Fee246.00
98111403REM EXC LES BEN, TR, ARMS, LG 2.1-3.0 PFEmergency Room Professional Fee375.00
98111719TRIMMING OF NAILEmergency Room Professional Fee46.00
98111720DEBRID OF NAIL BY ANY METHOD; 1TO 5 PROFEmergency Room Professional Fee54.00
98111730AVULSION PLATE PART/COMPEmergency Room Professional Fee135.00
98111740EVACUATION SUBUNGUAL HEMEmergency Room Professional Fee108.00
98111760REPAIR NAIL BEDEmergency Room Professional Fee574.00
98111765WEDGE EXC SKIN NAIL FOLDEmergency Room Professional Fee317.00
98112001SIMPLE LAC REPAIR PROFEEEmergency Room Professional Fee221.00
98112002SIMPLE RPR 2.6-7.5 PROFEEmergency Room Professional Fee269.00
98112004SIMPLE RPR 7.6-12.5 PROFEmergency Room Professional Fee299.00
98112005SIMPLE LAC 12.6-20.0 PFEmergency Room Professional Fee363.00
98112006SIM REPAIR 20.1 TO 30.0Emergency Room Professional Fee510.00
98112007SIM REPAIR,TRU,SCA,NEC,EXTR>30.0   PROFEEEmergency Room Professional Fee458.00
98112011SIMP FACE/EAR/EYE2.5LESSEmergency Room Professional Fee269.00
98112013SIM REPAIR 2.6 TO 5.0 PFEmergency Room Professional Fee279.02
98112014SIM REPAIR 5.1 TO 7.5 PFEmergency Room Professional Fee530.00
98112015SIM REPAIR 7.6 TO 12.5 PEmergency Room Professional Fee650.00
98112016SIMPLE REPAIR FACE 12.6 TO 20.0 PFEmergency Room Professional Fee943.00
98112017SIM REPAIR 20.1 TO 30CMEmergency Room Professional Fee1,179.00
98112020TX SUPERFICIAL WOUND DEISCENC SMP CLS PFEmergency Room Professional Fee579.00
98112021TX WND DEHISCENCE; W/PACEmergency Room Professional Fee449.00
98112031INT RPR SCALP/TRUNK 2.5Emergency Room Professional Fee269.00
98112032INT REPAIR 2.6 TO 7.5Emergency Room Professional Fee324.00
98112034INT REPAIR 7.6 TO 12.5Emergency Room Professional Fee425.00
98112035INT REPAIR 12.6 TO 20.0Emergency Room Professional Fee460.00
98112036INT REPAIR CM 20.1 TO 30Emergency Room Professional Fee757.00
98112041INT REPAIR NECK HAND 2.5Emergency Room Professional Fee302.08
98112042INT REPAIR 2.6 TO 7.5Emergency Room Professional Fee377.00
98112044INT REPAIR 7.6 TO 12.5Emergency Room Professional Fee489.06
98112045INT REPAIR 12.6 TO 20.0 PROFEEEmergency Room Professional Fee587.00
98112051INT RPR FACE LIPS 2.5Emergency Room Professional Fee377.00
98112052INT REPAIR 2.6 TO 5.0Emergency Room Professional Fee471.00
98112053INT REPAIR 5.1 TO 7.5Emergency Room Professional Fee620.00
98112054INT REPAIR CM 7.6-12 PROFEEEmergency Room Professional Fee1,064.00
98112055INTERMED REPAIR; FACE, 12.6-20 CM PRO FEEmergency Room Professional Fee1,115.02
98113100COM REPAIR TRUNK 1.5-2.5Emergency Room Professional Fee340.00
98113101COM REPAIR TRUNK 2.6 TO 7.5Emergency Room Professional Fee569.00
98113102EA ADD 5CM OR LESS PHYSI TRUNKEmergency Room Professional Fee260.00
98113120COM RPR SCALP/EX 1.1-2.5Emergency Room Professional Fee536.09
98113121COM REPAIR 2.5 TO 7.5Emergency Room Professional Fee832.00
98113122EA ADD 5CM OR LESS PHYSEmergency Room Professional Fee334.00
98113131COM RPR FH/AX/FT 1.1-2.5Emergency Room Professional Fee626.00
98113132COM REPAIR FACE, NECK, HANDS 2.6 TO 7.5Emergency Room Professional Fee1,213.00
98113133EA ADD 5CM OR LESS PHYSI FACE, NECK,HANDEmergency Room Professional Fee485.00
98113150COM REPAIR LIDS/LIPS 1.0Emergency Room Professional Fee555.00
98113151COM REPAIR 1.1 TO 2.5Emergency Room Professional Fee788.00
98113152COM REPAIR EYELID,NOSE,LIPS 2.6 TO 7.5Emergency Room Professional Fee1,534.06
98113153RPR/CMPLX EYELD,NS,ERS,LIP EA ADD 5 CM<Emergency Room Professional Fee680.00
98116000INIT TX 1ST DEGREE BURNEmergency Room Professional Fee95.10
98116020DRSG/DEBRID W/O Anesthesia SMEmergency Room Professional Fee110.00
98116025DSG/DEBRIDINIT/SUBSQTWOA PROFEEEmergency Room Professional Fee283.00
98116030DRS &/DBRDMET PRTL THICKNESS PROFEEEmergency Room Professional Fee417.00
98117999UNLISTED PROC SKIN, MM, AND SUBCUEmergency Room Professional Fee221.00
98119000PUNCTURE ASP OF CYST OF BREAST PROFEEEmergency Room Professional Fee220.00
98120103WOUND EXPLORATION OF EXTREMITY PRO FEEEmergency Room Professional Fee1,360.00
98120520REMOVAL OF FOREIGN BODY MSCL SIMP PROFEEEmergency Room Professional Fee336.00
98120550TRIGGER POINT INJECTIONSEmergency Room Professional Fee186.01
98120552TRIGGER PT INJ SING/MULTEmergency Room Professional Fee197.00
98120552INJ SIN/MULT TRIG PTS PREmergency Room Professional Fee197.00
98120553INJ; SINGLE OR MULTIPLE TRIGGER POINT PFEmergency Room Professional Fee216.00
98120600ARTHROCEN/ASPIR SM JOINTEmergency Room Professional Fee174.00
98120605ARTHROCENTESIS INTRMD JTEmergency Room Professional Fee186.01
98120610ARTHTOCENTESIS/ASPIR/INJEmergency Room Professional Fee206.00
98120610ARTHROCEN/ASPIR LRG JNTEmergency Room Professional Fee206.00
98120611ARTHROCENTESIS, ASP AND/OR INJ PROFEEEmergency Room Professional Fee395.00
98120950MONITORING OF INTERSTITIAL PROFEEEmergency Room Professional Fee288.00
98121310CLO NASAL FX W/O MANIPULEmergency Room Professional Fee366.00
98121315CLO TX OF NASAL FX W/O STABILIZATION PFEmergency Room Professional Fee1,808.85
98121320CLO TX NASAL BONE FX WITH STABILEmergency Room Professional Fee947.00
98121450CLO TX MANDIBULAR WO PFEmergency Room Professional Fee393.00
98121800TIB FX UNCOMPLICATEDEmergency Room Professional Fee253.00
98122305CLO TX VERTABRAL PROC FXEmergency Room Professional Fee468.00
98123500CLAVICLE FX; W/O MANIPEmergency Room Professional Fee523.00
98123505CLO TX CLAV W/ MANIP PFEmergency Room Professional Fee550.00
98123540CLO TX AC DISLOCAT WO MANIPULATIONEmergency Room Professional Fee599.00
98123545REDUCTION OF AC JOINT W/MANI/PFEmergency Room Professional Fee727.00
98123570CLO TX SCAPULAR FX W/O MEmergency Room Professional Fee468.00
98123600CLO TX PROX HUMERAL WO MEmergency Room Professional Fee595.00
98123605CLO TX PROX HUMERAL FX W/MANI PRO FEEEmergency Room Professional Fee1,455.00
98123620CLO TX GR HUM TUBER FXEmergency Room Professional Fee542.00
98123625CLO FX > HUMERAL TUBER/FX W/MANIP PROFEEEmergency Room Professional Fee1,036.00
98123650CLO TX SHLDR DISLO W/MANEmergency Room Professional Fee574.00
98123655SHOULDER DISLOC; W/MANEmergency Room Professional Fee781.00
98123665CLO TX SHOULDER DISLO FX > HUMERAL W/MANEmergency Room Professional Fee1,409.00
98123675CL TX SHOULDER DISLC W/MAN PROFEEEmergency Room Professional Fee1,918.00
98124200RM FB UP ARM/ELBOW SQEmergency Room Professional Fee220.00
98124500CLO TX HUMERAL FX PROEmergency Room Professional Fee595.00
98124505CLO TX OF HUMERAL SHAFT FX W/MAN PROFEEEmergency Room Professional Fee1,327.00
98124535CLO TX SUPRACONDYLAR/TRAN HUMERAL FX W/MEmergency Room Professional Fee1,687.00
98124576CLO TX HUM/CONDYLAR FX PEmergency Room Professional Fee618.00
98124600CLO ELBOW DISLOC W/O ANEEmergency Room Professional Fee595.00
98124605TX CLO ELBOW DISLOC W/ANEmergency Room Professional Fee910.00
98124620CLO TX; ELBOW W/MANIP PFEmergency Room Professional Fee1,320.00
98124640CLO TX RAD HEAD SUBLUXAEmergency Room Professional Fee236.00
98124650RADIAL HEAD/NECK;W/O MANEmergency Room Professional Fee510.00
98124655CLO TX RAD HEAD FX/W/MANEmergency Room Professional Fee835.00
98124670CLO TX UNLAR PROX WO MANEmergency Room Professional Fee507.00
98125500CLO TX RAD SHAFT FX W/OMEmergency Room Professional Fee534.00
98125505CLO TX RAD SHAFT FX W/MAEmergency Room Professional Fee903.00
98125560CLO TX RADIAL FX W/O MANEmergency Room Professional Fee712.00
98125565CLO TX RAD & ULNA SHAFT FX PROFEEEmergency Room Professional Fee1,238.00
98125600DISTAL RAD FX; W/O MANEmergency Room Professional Fee678.00
98125605CLO DIST RADIAL; W/MANIPEmergency Room Professional Fee943.00
98125622CLO CardiopulmonaryAL SCOPHOID WO MEmergency Room Professional Fee657.00
98125630CLO TX CardiopulmonaryAL BONE FX PFEmergency Room Professional Fee526.00
98125635CLO TX CardiopulmonaryAL FX W/MANIPULATION PROFEEEmergency Room Professional Fee1,086.00
98125650ULNAR STYLOID FXEmergency Room Professional Fee781.00
98125660CLO TX OF RADI W/MAN PRO FEEEmergency Room Professional Fee916.00
98125675CLO TX DIST RADIOULNARFXEmergency Room Professional Fee712.00
98125690TREATMENT OF WRIST DISLOCATION W/MANIPULEmergency Room Professional Fee1,300.00
98126010DRAINAGE OF FINGER ABSCESS PROFEEEmergency Room Professional Fee121.00
98126600METACAR FX, X 1; W/O MANEmergency Room Professional Fee410.00
98126605CLO METACardiopulmonary W/ MANIP PRO FEEEmergency Room Professional Fee615.00
98126615OPEN TX METACardiopulmonaryAL FXEmergency Room Professional Fee2,238.00
98126641CLO TX THUMB DISLOC PROEmergency Room Professional Fee932.00
98126645CLO TX BENNET FX W/MANIPEmergency Room Professional Fee745.09
98126670CLO TX CardiopulmonaryOMETACardiopulmonaryAL DIS PRO FEEEmergency Room Professional Fee650.00
98126675CLO TX CardiopulmonaryOMETA FX W/MAEmergency Room Professional Fee615.00
98126700CLO TX MCP DIS W/MAN W/OEmergency Room Professional Fee366.00
98126705CLO TX METACardiopulmonaryOPHALANGEAL PROFEEEmergency Room Professional Fee886.00
98126715OPEN TX MTCRPHALNG DISLOEmergency Room Professional Fee1,390.00
98126720CLO TX PHALANG FX;WO MANEmergency Room Professional Fee321.00
98126725CLO TX PHALANG FX W/MANIEmergency Room Professional Fee486.00
98126740CLO TX ARTICULAR FX W/OMEmergency Room Professional Fee419.05
98126742CLX TX OF ARTCLR FX I.E. MCPOR W/MAN PROEmergency Room Professional Fee668.00
98126750CLO TX DIS PHALANGEAL WOEmergency Room Professional Fee283.00
98126755CLO TX DIST PHALA FX W/MEmergency Room Professional Fee406.00
98126765OPEN TX DIST PHALANG FXEmergency Room Professional Fee1,046.05
98126770CLO TX IP JT DISLOC WMEmergency Room Professional Fee320.00
98126775CLO TX INTRPHNGL DISL WAEmergency Room Professional Fee393.00
98126785OP TX INTERPHALANGEAL JTEmergency Room Professional Fee1,016.00
98127230CLO TX FEMORAL FX W/O MAEmergency Room Professional Fee998.00
98127246CL TX GRT TROCHANTER FXEmergency Room Professional Fee678.00
98127252CLO TX HIP DISLOC W/A PREmergency Room Professional Fee1,497.00
98127265CLTX POST HIP ARTHROPL DSLO W/O Anesthesia PRFEmergency Room Professional Fee1,092.03
98127266CLO TX POST HIP ARTH DISEmergency Room Professional Fee1,409.00
98127501CLO TX SUPRACOND FX PROEmergency Room Professional Fee1,602.00
98127502CLXT TRTMNT FEM SHFT FX W/MANI PROFEEEmergency Room Professional Fee2,599.00
98127516CLO DIST FEM EPIPHY SEPEmergency Room Professional Fee1,116.06
98127517CLX REDUCTION OF DISTAL FEMUR DISC PROFEEmergency Room Professional Fee2,165.00
98127520CLO TX PATELLAR FX W/O MEmergency Room Professional Fee651.04
98127530CLO TX TIBIAL PROX W/O MEmergency Room Professional Fee857.00
98127530CLO TX TIB FX PROX W/O MEmergency Room Professional Fee858.00
98127532CLO TX TIBIAL FX W/MANIPEmergency Room Professional Fee1,342.00
98127538CLO TX INTERCONDYLAR W/OEmergency Room Professional Fee882.00
98127552CLO TX KNEE DIS W/ANE PFEmergency Room Professional Fee936.00
98127560CLO TX PATEL DISLOC PROEmergency Room Professional Fee569.00
98127562CLO TX PATELLAR DISLOCATION WITH AnesthesiaTHEmergency Room Professional Fee748.00
98127570MANIP KNEE JOINT/GEN ANEEmergency Room Professional Fee636.00
98127750CLO TX TIB FX W/WO FIBFXEmergency Room Professional Fee817.00
98127752CLO TX TIB SHAFT FX W/MAEmergency Room Professional Fee1,338.00
98127760CLO MED MALLEOULUS WO MAEmergency Room Professional Fee607.00
98127762CLO TX MED MALLEOLUS FX W/MANIP PRO FEEEmergency Room Professional Fee1,283.00
98127768CLX TX OF POST MALLEOLUS FX W/M PROFEEEmergency Room Professional Fee1,184.00
98127780CLO TX PRX FIB W/O MANIPEmergency Room Professional Fee595.00
98127781CLO TX PROX FIB FX W/MANIPULATION PROFEEEmergency Room Professional Fee1,184.00
98127786DISTAL FIB FX; W/O MANIPEmergency Room Professional Fee729.00
98127788CLO TX LAT MALLEOLUS W/MEmergency Room Professional Fee841.00
98127808CLO TX BIMALLEOLAR FXW/OEmergency Room Professional Fee710.00
98127810CLO TX BIMALL ANKLE W/MEmergency Room Professional Fee1,264.00
98127816CLO TX TRIMALL FX W/O MAEmergency Room Professional Fee741.00
98127818CLO TX TRIMALLEOLAR W/MAEmergency Room Professional Fee1,517.00
98127824CLO TX DISTAL TIBIAEmergency Room Professional Fee886.00
98127840ANKLE DISLOC W/O AnesthesiaTHEmergency Room Professional Fee489.06
98127842CLO TX ANK DISLOC W/AnesthesiaEmergency Room Professional Fee926.00
98128190ER FOREIGN BODY REMOVAL, FOOT, SUBQ. PROEmergency Room Professional Fee540.00
98128192REMOVAL OF FOREIGN BODY,FOOT;DEEP PROFEEEmergency Room Professional Fee1,158.00
98128400CLO TX CALCANEAL FX PROEmergency Room Professional Fee492.00
98128430CLO TX TALUS FX W/O MANIEmergency Room Professional Fee592.00
98128435CLOSED TREATMENT TALUS FX W/MANIP PROFEEEmergency Room Professional Fee823.00
98128450TX TARSAL FX W/O MANIP EEmergency Room Professional Fee563.00
98128470CLO METATARSAL;WO MAN EAEmergency Room Professional Fee439.00
98128475CLOSED TX-METATARSAL FX W/MANIP PFEmergency Room Professional Fee864.00
98128490CLO GRT TOE PHALANX WO MEmergency Room Professional Fee360.00
98128495CLTX FX GRT TOE PHLX/PHLG W/MANIP PROFEEEmergency Room Professional Fee485.00
98128510CL TX PHALX N GRT TOE;WOEmergency Room Professional Fee227.00
98128515CLO TX FX PHALANX W/MANIEmergency Room Professional Fee303.05
98128545CLO TX TARSAL DISLO W/ANEmergency Room Professional Fee549.00
98128570CLSD TX TALOTARSAL JOINT, W/O ANE PROFEEmergency Room Professional Fee434.00
98128575CLO TX TALOTARSAL DISL WEmergency Room Professional Fee661.00
98128600ER PF CLOSED TX TARSO MET RED W/O AnesthesiaTHEmergency Room Professional Fee530.00
98128605CLX TX TARSOMETATARSAL DIS W/Anesthesia PFEmergency Room Professional Fee640.00
98128630CLO TX MTP JOINT DISLOC; W/O AnesthesiaEmergency Room Professional Fee370.00
98128635CLOSED TX MTP JOINT DISLOC;W/AnesthesiaTHESIAEmergency Room Professional Fee425.00
98128660CLO TX INTRPHNGL DISLO W/MAN-W/O Anesthesia PFEmergency Room Professional Fee168.00
98128675O TX INTERPHAL JNT DISLOEmergency Room Professional Fee678.00
98129065APPLICATION CAST-LONG ARM PROFEEEmergency Room Professional Fee290.00
98129075APPLICATION CAST; SHORT ARM PRO FEEEmergency Room Professional Fee206.00
98129105APPLICATION SPLINT LONG ARMEmergency Room Professional Fee148.00
98129125APPLICATION SPLINT SHORT ARMEmergency Room Professional Fee127.00
98129126SPLINT SHORT ARM;DYNA PFEmergency Room Professional Fee168.00
98129130SPLINT FINGER;STATIC PFEmergency Room Professional Fee87.00
98129131SPLINT FINGER;DYNAMIC PFEmergency Room Professional Fee148.00
98129200STRAPPING THORAX PRO FEEEmergency Room Professional Fee87.00
98129220STRAPPING LOW BACK PRO FEmergency Room Professional Fee127.00
98129240STRAPPING SHOULDER PFEmergency Room Professional Fee87.00
98129260STRAPPING ELBOW WRIST PFEmergency Room Professional Fee75.00
98129280STRAPPING HAND/FINGER PFEmergency Room Professional Fee68.00
98129325APPLCTN OF HIP SPICA; BOTH LEGS PROFEEEmergency Room Professional Fee710.00
98129345APPLICATION OF LONG LEG CASTEmergency Room Professional Fee299.00
98129405SHORT LEG FIBERGLASS CAST APPLICATION PFEmergency Room Professional Fee261.00
98129505APPLICATION SPLINT LONG LEGEmergency Room Professional Fee208.00
98129515SPLINT SHORT LEG PRO FEEEmergency Room Professional Fee136.00
98129515APPLICA SHORT LEG SPLINTEmergency Room Professional Fee110.00
98129520STRAPPING HIP PFEmergency Room Professional Fee127.00
98129530STRAPPING KNEE PRO FEEEmergency Room Professional Fee97.00
98129540STRAPPING ANKL&/OR FT PFEmergency Room Professional Fee87.00
98129550STRAPPING TOES PRO FEEEmergency Room Professional Fee54.00
98129580STRAPPING UNNA BOOT PFEmergency Room Professional Fee147.00
98129590STRAPPING DENIS-BROWN PFEmergency Room Professional Fee127.00
98129700RMVL/BIVALING; BOOT OR BODY CASTEmergency Room Professional Fee83.00
98129705REM OR BIVAL; FULL ARM/LEG CAST PROFEEEmergency Room Professional Fee127.00
98130300REMOVAL FB INTRANASAL PREmergency Room Professional Fee145.00
98130310REMOVE FB INTNASAL W/A PFEmergency Room Professional Fee727.00
98130901CTROL NASAL HEM/ANT/SMPLEmergency Room Professional Fee187.06
98130903CONTROL NASAL HEMMORRHAGE EXTENSIVEEmergency Room Professional Fee353.00
98130905CNTRL NASAL HEMOR POSTEREmergency Room Professional Fee535.04
98130906CNTRL NASAL HMRRHG; POSTERIO, SUBQ PROFEmergency Room Professional Fee556.00
98131500INTUBATION ENDOTRACHEALEmergency Room Professional Fee390.00
98131505LARYNGOSCOPY,INDIRECT DXEmergency Room Professional Fee283.00
98131525LARYNGOSCOPY DIRECT, DIAGNOSTIC PROFEEEmergency Room Professional Fee695.00
98131530LAYRNGOSCOPY DIREC W/ FBEmergency Room Professional Fee1,050.00
98132000THORACENTESIS ASPIR I/S PRO FEEEmergency Room Professional Fee434.00
98132002THORACENTESIS W/TUBEINPFEmergency Room Professional Fee549.00
98132551TUBE THORACOSTOMY PROEmergency Room Professional Fee739.00
98132554THORACENTESIS WITH INSERTION OF TUBEEmergency Room Professional Fee620.00
98132555THORA WITH IMAG ER PROFEEEmergency Room Professional Fee712.00
98133010PERICardiopulmonaryIOCENTESIS; INITIAL PRO FEEEmergency Room Professional Fee499.00
98136510CATH OF UMBILICAL VN, NB PROFEEEmergency Room Professional Fee301.00
98136556CENTRAL VENOUS CATH>2 PFEmergency Room Professional Fee403.00
98136600ARTERIAL PUNCTURE, WITHDRAWAL OF BLOODEmergency Room Professional Fee113.00
98136680PLACEMENT OF NEEDLE FOR INTRAOSS INFUSEmergency Room Professional Fee363.00
98138221BX-BONE MARROW, NEEDLE OR TROCAR PROFEEEmergency Room Professional Fee399.00
98140650RPR LIP THKNS VERMILION PRO FEEEmergency Room Professional Fee1,017.00
98140654RPR LIP FL THKNS +1/2 VRTCL HGHTEmergency Room Professional Fee1,912.00
98140804REMOVE FB;MOUTH SIMP PFEmergency Room Professional Fee321.00
98140830CLO OF LAC;VESTIBULE MTH 2.5 CM OR <PROFEmergency Room Professional Fee329.00
98140831CLO OF LAC;VESTIBULE MOUTH 2.5CM+ PROFEEEmergency Room Professional Fee817.00
98141252REPAIR OF LAC OVER 2.6 CM OF TONGUEEmergency Room Professional Fee1,090.00
98141800I&D ABSCESS FROM DENTOALVEOLAR PRO FEEEmergency Room Professional Fee342.00
98142700DRAINAGE OF TONSIL ABSESS PRO FEEEmergency Room Professional Fee340.00
98142809REMOVAL FB PHARYNX PROEmergency Room Professional Fee330.00
98143215ESOPHAGOSCOPY W/REM FB PEmergency Room Professional Fee981.00
98143752NASO OR ORO GASTRC TUBE PLCMT PRO FEEEmergency Room Professional Fee215.00
98143753GASTRIC INTUBATION $ ASPIRATION PROFEEEmergency Room Professional Fee87.00
98143760CHANGE GASTROSTOMY TUBEEmergency Room Professional Fee214.00
98144970LAPAROSCOPY-APPENDECTOMYEmergency Room Professional Fee1,833.00
98145915REM FEC/FB IMPC W/ AnesthesiaEmergency Room Professional Fee568.00
98146040I & D OF ISCHIO/PERIRECTAL ABSCESSEmergency Room Professional Fee939.00
98146083INCS THROMBOSED HEMROIDEmergency Room Professional Fee204.00
98146320REMOVAL OF HEMORRHOID CLOT PROFEEEmergency Room Professional Fee405.00
98146600ARONSCOPY; DX W OR WO SPECIMIN PRO FEEEmergency Room Professional Fee104.00
98148510CLO TX SUPRACONDYLAR PFEmergency Room Professional Fee601.00
98149080PARACENTESIS ABDOM INI PEmergency Room Professional Fee303.05
98149081PARACENT ABD; SUBSQ PROEmergency Room Professional Fee228.00
98149082ABDOMINAL PARACENTESIS W/O IMG GDNC PRFEEmergency Room Professional Fee488.02
98149083PARACENTESIS-IMAGE GUIDED PRO FEEEmergency Room Professional Fee808.05
98150243INJ EPID BLOOD/CLOT PATCEmergency Room Professional Fee611.00
98151010ASP BLADDER W/INSERT CATEmergency Room Professional Fee408.00
98151610INJ PRC RTRGRD URETHROCYSTOGRAPHY PROFEEEmergency Room Professional Fee410.00
98151700BLADDER IRR SIMP LAVAGEPEmergency Room Professional Fee87.00
98151702INSERTION OF FOLEY CATH PROFEEEmergency Room Professional Fee319.00
98154150CIRCUMCISION CLAMP NBEmergency Room Professional Fee201.00
98154450FORESKN MANJ W/LSS PREP ADS&STRTC PFEmergency Room Professional Fee233.00
98155100DRAINAGE OF SCROTAL WALL ABSC PRO FEEEmergency Room Professional Fee2,017.00
98156405I & D VULVA OR PERINEAL ABSCESSEmergency Room Professional Fee355.00
98156420I & D OF BARTHOLIN'S GLAND ABSCESSEmergency Room Professional Fee377.00
98158301REMOVAL OF INTRVTRNE DEVICE (IUD) PROFEEEmergency Room Professional Fee275.00
98159812TX OF INCOMPLETE AB, ANY TRIMESTR PROFEEEmergency Room Professional Fee937.00
98162270SPINAL PUNC LUMBAR DX PREmergency Room Professional Fee375.00
98164400INJ, AnesthesiaT AGENT; TRIGEMINAL NERVE PRFEEEmergency Room Professional Fee543.00
98164405INJ, Anesthesia AGENT, > OCCIPITAL NERVEmergency Room Professional Fee352.00
98164450INJ Anesthesia AGENT OT PERIPHERAL NRV OR BRNCEmergency Room Professional Fee387.00
98165205REMOVE FB EXT EYE;CONJUNEmergency Room Professional Fee162.07
98165210REMOVE FB EXT EYE;CONJEMEmergency Room Professional Fee120.00
98165220REMOVE FB EYE; W/O LAMPEmergency Room Professional Fee133.00
98165222REMOVE FB EYE; W/LAMPEmergency Room Professional Fee149.00
98168420INC/DRAIN LACRIMAL SACEmergency Room Professional Fee455.00
98169000DRAINAGE EXTERNAL EAR PRO FEEEmergency Room Professional Fee299.00
98169200REMOVAL FB EXT AUD CANALEmergency Room Professional Fee215.00
98169205REMOVE FB; AUDITORY CANAL W/AnesthesiaT PROFEEEmergency Room Professional Fee902.00
98169209REM IMPACTED CERUMEN, IRR/LAVAGE PFEmergency Room Professional Fee50.00
98169210REMOVAL IMPACTED CERUMENEmergency Room Professional Fee78.00
98169210REMOVE IMPACTED CERUMENEmergency Room Professional Fee89.00
98191105GASTRIC INTUBAT & ASPIREmergency Room Professional Fee276.00
98192950CardiopulmonaryIOPULMANARY RESUSCITEmergency Room Professional Fee584.00
98192953TEMPORARY TRANSCUTANEOUS PACING PROFEEEmergency Room Professional Fee138.00
98192960CardiopulmonaryIOVER/ELEC ELECTIVEEmergency Room Professional Fee459.00
98193015PMS STRESS TEST W/ READ AND INTERPEmergency Room Professional Fee299.00
98196372THERAPEUTIC INJ; IM OR SUBQ EA PROFEEEmergency Room Professional Fee54.00
98196376EA ADD SEQUENTIAL INTRAVENOUS PUSH PFEmergency Room Professional Fee34.00
98196523IRRIGATION OF IMPLATED VENOUS ACCESS PFEmergency Room Professional Fee78.00
98197597REMOVAL OF DVITALIZED TISS LESS 20 CM/PFEmergency Room Professional Fee95.10
98198925OMT ADMIN. BY ER PHYSICIANEmergency Room Professional Fee78.00
98199024FOLLOW UP IN GLOBAL PERIOD/ER PROFEEEmergency Room Professional Fee    -
98199143MOD SEDATION; YOUNGER THAN 5 YRS PROFEEEmergency Room Professional Fee147.00
98199144MODERATE SEDATION 5 YEARS OR OLDER PFEmergency Room Professional Fee121.00
98199145MODERATE SEDATION; OVER 5 YEARS; ADD 15Emergency Room Professional Fee53.00
98199149MOD SEDATION BY MD NOT DOING PROCEDUREEmergency Room Professional Fee102.00
98199156MOD SED OT PHYSQ/HP INI 15 M 5/> YRS PRFEmergency Room Professional Fee258.00
98199157MOD SED OT PHYS/QHP EA ADD 15 MINS PROFEmergency Room Professional Fee190.00
98199175IPECAC OR SIMILAR ADMIN W/OBSERV PRO FEEEmergency Room Professional Fee75.00
98199217ER OBSERVATION DISCHARGE MANAGEMENT PFEmergency Room Professional Fee147.00
98199218ER OBSERVATION STRAIGHTFORWARD PROFEEEmergency Room Professional Fee204.00
98199219INT OBSERVATION PER DAYEmergency Room Professional Fee251.00
98199219ER OBS MODERATE PROFEEEmergency Room Professional Fee277.00
98199220ER OBSERVATION HIGH COMPLEX PROFEEEmergency Room Professional Fee317.00
98199234ER OBS STRAIGHTFORWARD SAMEDAY PROFEEEmergency Room Professional Fee226.00
98199235ER OBS MODERATE SAME DAYEmergency Room Professional Fee304.10
98199236ER OBS HIGH COMPLEX SAME DAYEmergency Room Professional Fee384.00
98199242Office ConsultationEmergency Room Professional Fee197.00
98199245ER CONSULTATION OP PROFEEEmergency Room Professional Fee432.00
98199281ER STRAIGHT FWD PROFEEEmergency Room Professional Fee115.00
98199281FNP/ER LEVEL IEmergency Room Professional Fee115.00
98199282ER LOW COMPLEXITY PRO FEEEmergency Room Professional Fee249.00
98199282FNP/ER LEVEL IIEmergency Room Professional Fee249.00
98199283ER MOD COMP FOCUS PROFEEEmergency Room Professional Fee402.00
98199283FNP/ER LEVEL IIIEmergency Room Professional Fee402.00
98199284ER MOD COMPLEXITY PROFEEEmergency Room Professional Fee581.02
98199284FNP/ER LEVEL IVEmergency Room Professional Fee581.02
98199285ER HIGH COMPLEX PROFEEEmergency Room Professional Fee810.00
98199285FNP/ER LEVEL VEmergency Room Professional Fee810.00
98199291ER CRITICAL CARE 1HR-PFEmergency Room Professional Fee1,797.00
98199291FNP/CC 1ST 30-74 MINEmergency Room Professional Fee1,797.00
98199292ER CRITICAL ADD 1/2HR PFEmergency Room Professional Fee590.00
98199292FNP/CC EACH ADDL 30 MINEmergency Room Professional Fee590.00
98199386PHYSICAL EXAM PROFEEEmergency Room Professional Fee293.00
98799465ER PF/DEL RM RESUS PP VENT OR CH COMPEmergency Room Professional Fee376.00
98199999MEDICARE FNP POST OP GLOBAL 10 DAYEmergency Room Professional Fee    -
981S0630RMVL OF SUTURES MD NOT MD ORGLY CLOS WDEmergency Room Professional Fee54.00
30036415PHLEBOTOMY-BLOOD DRAWLab38.00
30036600ARTERIAL PUNCTURELab68.00
30080048CHEM 7Lab118.00
30080050GENERAL HEALTH PANELLab408.00
30080051ELECTROLYTE PROFILELab76.00
30080053CHEM 12 PROFILELab181.00
30080055PRE-NATAL SCREENLab307.00
30080061LIPID PROFILELab123.00
30080069RENAL FUNCTIONAL PANELLab132.00
30080074ACUTE HEPATITIS PANELLab341.00
30080076LIVER PROFILELab112.00
30080100DRUG SCR QUAL MLT DRUG CLASS EA PXLab255.00
30080101DRUG SCREEN; SING DRUG CLASS METHLab112.00
30080101TRICYLIC SCREELab112.00
30080101HCV AB RIBALab112.00
30080101SINGLE DRUG CLASS METHOD EA DRUGLab112.00
30080101CANNABINOIDS SERUMLab112.00
30080103DRUG SCREEN HAIR ANALYSISLab98.00
30080150AMIKACINLab160.00
30080150DRUG SCREEN QUANTITATIVE AMIKACINLab160.00
30080152AMITRIPTYLINELab164.00
30080154DRUG SCREEN QUALITATIVE BENZODIAZEPINESLab181.00
30080156TEGRETALLab157.00
30080158CYCLOSPORIN TESTLab193.00
30080159CLOZAPINELab159.00
30080160DESIPRAMINE LEVELLab125.00
30080162DIGOXINLab129.00
30080164DEPAKANE LEVELLab132.00
30080166DOXEPINE LEVELLab120.00
30080168ETHOSUXIMIDELab87.00
30080169EVEROLIMUSLab605.00
30080170GENTAMICINLab150.00
30080173HALOPERIDOLLab219.00
30080174IMIPRAMINE LEVELLab125.00
30080175LAMOTRIGINELab153.00
30080177LEVETIRACETAMLab189.00
30080178LITHIUM, BLOODLab95.00
30080182NORTRIPTYLENELab116.00
30080183OXYCARBAZEPINE METABOLITELab178.00
30080184PHENOBARBITALLab124.00
30080185DILANTIN -PHENYTOINLab145.00
30080186PHENYTION, FREELab160.00
30080188PRIMIDONELab124.00
30080188MYSOLINELab124.00
30080190PROCAINAMIDE LEVELLab132.00
30080195SIROLIMUSLab204.00
30080197TACROLIMUSLab226.00
30080198THEOPHYLINE LEVELLab172.00
30080200TOBRAMYCINLab205.00
30080201DRUG SCREEN QUALITATIVE TOPIRAMATELab109.00
30080202VANCOMYCIN LEVELLab175.00
30080203ZONISAMIDELab156.00
30080299COUMADIN LEVELLab200.00
30080299QUANTITATION OF DRUG NESLab973.00
30080299DIGITOXINLab200.00
30080299DEXTROMETHORPHAN, URINELab200.00
30080299QUETIAPINELab200.00
30080299ZONISAMIDELab200.00
30080299PREGABALINLab200.00
30080299KEPPRALab200.00
30080299LACOSAMIDELab200.00
30080299VORICONAZOLE, SERUMLab200.00
30080299FLUOXETINE, SERUMLab121.00
30080299INFLIXIMAB QN W/REFLEX TO Ab, SERUMLab577.00
30080299ADALIMUMAB QUANT W REFLEX TO ANTI SERUMLab681.00
30080299ITRACONAZOLE LEVELLab200.00
30080301DRUG SCREEN, SERUMLab381.00
30080301DRUG SCREENLab98.00
30080301DRUGS OF ABUSE UMBLab748.00
30080301DRUGS OF ABUSE SCREENLab381.00
30080302MEPERIDINE SCREENLab69.00
30080302TRAMADOL SCREENLab69.00
30080304DRUG SCREEN ANY NUMBER OF CLASSESLab688.00
30080305DRUG SCREEN QUAL; MULT DRUG CLASS BY HIGLab98.00
30080307DRUG ABUSE SURVEY,W/CONFIRMLab107.00
30080307SALICYLATESLab100.00
30080307OXYCODONE SCREEN, ULab307.00
30080320ALCOHOL, ETHYLLab124.00
30080320ETHANOL, URINELab144.00
30080321TEST CONFIRMATION-ETHYL GLUCURONIDELab2.00
30080321ALCOHOL BIOMARKERS; 1 OR 2Lab159.00
30080322ALCOHOL BIOMARKERS; 3 OR MORELab189.00
30080322TEST CONFIRMATION-FAEELab2.00
30080323NICOTINE & COTININELab178.00
30080323TEST CONFIRMATION-COTININELab2.00
30080324AMPHETAMINE, SERUM OR PLASMALab137.00
30080324TEST CONFIRMATION-AMPHETAMINELab2.00
30080324AMPHETAMMES 1 OR 2Lab307.00
30080325DRUG SCREEN QUANT AMPHETAMINES 3 - 4Lab69.00
30080329SALICYLATES/DRUGSCREEN ANLGSC NON-OP 1-2Lab125.00
30080329ASSAY OF ACETAMINOPHENLab125.00
30080330SALICYLATES/DRUGSCREEN ANLGSC NON OP-3-5Lab143.00
30080331SALICYLATES/DRUG SCREEN ANLGSC NON-OP 6+Lab164.00
30080333ANTIDEPRESSANTS SEROTONERGIC CLASS 3-5Lab97.00
30080335AMITRIPTYLME & NORTRIPTYIONELab71.00
30080335IMIPRAMINELab156.00
30080337ANTIDEPRESSANTS TRICYCLIC OT CYCLICLS 6+Lab67.00
30080345BARBITUATES CONFIRM, URINELab144.00
30080345TEST CONFIRMATION-BARBITURATELab2.00
30080345DRUG SCREENING BARBITURATESLab156.00
30080346BENZODIAZEPINES, URINELab144.00
30080346TEST CONFIRMATION-BENZODIAZEPINELab144.00
30080346DRUG SCREENING BENZODIAZEPINES 1-12Lab210.00
30080348TEST CONFIRMATION-BURENORPHINELab2.00
30080348BUPRENORPHINE/NORBUPRENORPHINE RDM URINELab121.00
30080349TEST CONFIRMATION-CANNABINOIDLab2.00
30080349CARBOXY-THC-CONFIRMATIONLab614.00
30080349CARBOXY-TTRHYDRCNNBNL CONFIRM, URINELab144.00
30080349DRUG SCREENING CANNABINOIDS NATURALLab614.00
30080353DRUG SCREENING COCAINELab614.00
30080353TEST CONFIRMATION-COCAINELab2.00
30080353COCAINELab614.00
30080353COCAINE AND METABOLITE CONFLab144.00
30080356TEST CONFIRMATION - OPIATELab2.00
30080356TEST CONFIRMATION - OXYCODONELab2.00
30080358METHADONE CONF, URINELab156.00
30080358DRUG SCREENING METHADONELab614.00
30080358TEST CONFIRMATION - METHADONELab2.00
30080359METHYLENEDIOXY AMPHETAMMESLab307.00
30080359TEST CONFIRMATION - AMPHETAMINELab2.00
30080359DRUG SCREEN AMPHETAMINES 3-4Lab307.00
30080361OPIATE 1 OR MORELab73.00
30080361TEST CONFIRMATION - OPIATELab2.00
30080362TEST CONFIRMATION-MEPERIDINELab2.00
30080365OXYCODONE W/METABOLITE CONF, URINELab482.00
30080365OXYCODONELab73.00
30080367TEST CONFIRMATION - PROPOXYPHENELab2.00
30080369DRUG SCREENING SKELETAL MSCL RLAXNTS 1-2Lab87.00
30080371TEST CONFIRMATION-DESIGNER STIMULANTSLab2.00
30080373TRAMADOL & METABOLITELab166.00
30080373TEST CONFIRMATION - TRAMADOLLab2.00
30080375DRUG/SUBSTNC DEFINTIV QUAL/QUNT NOS 1-3Lab469.00
30080375CLONIDINE (CATAPRES)Lab511.00
30081000URINALYSIS, COMPLab81.00
30081002URINALYSIS, DIP ONLY/SPLab92.00
30081002URINE, SP. GRAV.Lab92.00
30081015URINALYSIS MICRO ONLYLab39.00
30081015MICROSCOPICLab39.00
3008105024 HR URINE MEASUREMENTLab32.00
30081162BRCA1/BRCA2 GENES FULL GENE ANALYSISLab5,334.00
30081206BCR/ABL. p.210. QUANTLab1,010.00
31081206BCR/ABL1 GENE MAJOR BPLab632.00
31081207BCR/ABL 1 GENE MINOR BPLab632.00
31081210BRAF GENE ANALYSIS V600E VARIANTLab1,670.00
30081219TIER 1 MOLECULA PATH PROCEDURESLab1,575.00
30081220CFTR GENE ANALYSIS COMMON VARIANTSLab410.00
30081226CYTO CHROME P450 GENOTYPELab276.00
31081240F2 GENE ANALYSIS 20210G >A VARIANTLab377.00
31981241F5 (COAG FACT V0, HERED. HYPERCOAG GENELab458.00
31081256HEREDITARY HEMOCHROMATOSIS DNA MUT ANALYLab655.00
30081257HGB ELECTROPHORESISLab530.00
30081259ALPHA GLOBIN GENE SEQUENCINGLab1,584.00
30081261IG HEAVY CHAIN GENE REARRANGEMENTLab2,629.00
30081264IGK@GENE REARRANGE DETECT ABNML CLNLLab2,629.00
31081270JAK-2Lab787.00
30081275KRAS GENE ANALYSIS VARIANTS CODONS 12-13Lab2,543.00
30081291MT HFR A 1298C MUTATION ANALYSISLab892.00
31081291MTHFR C677T MUTATION ANALYSISLab892.00
30081291MT HFR MUTATIONS ANALYSISLab892.00
30581332ALPHA-1ANTITRYPSIN QUANT AND MUT ANALYSLab454.00
31081340T-CELL GENE ARRANGEMENT AMPLICATIONLab2,629.00
31081342T-CELL GENE REARRANGEMENT ANALYSISLab2,629.00
30081372HLA-A, B, C CLASS I DNA TYPINGLab942.00
30081375HLA II LOW RESOLUTION HLA-BRB1/34/5 DQB1Lab542.00
31081376HLA CLASS II TYPING LOW RES ONE LUCUS EALab513.00
30081382HLA CLASS II TYPING HIGH RES. ONE LOCUSLab513.00
30081400DPD MOPATH PROCEDURE LEVEL 1Lab215.00
30081401HGB ELECTROPHORESISLab530.00
30081401HUNTINGTON DISEASELab1,332.00
30081401MOLECULAR PATHOLOGY LVL IILab1,217.00
30081402TIER 2 MOLECULAR PATH PROCEDURELab875.00
30081403JAK2 EXON 12 MUTATION DETECTIONLab1,674.00
31081403MOLECULAR PATHOLOGY LVL IVLab651.00
31081403HGB ELECTROPHORESISLab651.00
31081404MEFV GENE, FULL GENE ANALYSISLab2,810.00
30081404MOLECULAR PATH PROC LVL 5Lab1,535.00
30081408FBN1 FULL GENE SEQUENCELab4,725.00
30081410MARFAN AND RELATED GENETIC PANEL, BLab3,675.00
30081420Q NATALLab9,594.00
300814792D6CN PLUS SIX SEQUENCESLab13,593.00
300814792D6CN PLUS TWO SEQUENCESLab4,532.00
300814792D6CN PLUS FOUR SEQUENCESLab9,062.00
30081479CYP2D6 COPY NUMBER VARIATIONLab648.00
300814792D6CN PLUS THREE SEQUENCESLab6,797.00
300814792D6CN PLUS ONE SEQUENCINGLab2,265.00
300814792D6CN PLUS FIVE SEQUENCESLab11,327.00
31081511FETAL CONGENITAL ABNOR ASSAY FOUR ANALLab103.00
30082009ACETONE, BLOODLab52.00
30082010ACETONE, BLOOD QUANT.Lab68.00
30082010BETA-HYDROXYBUTYRATELab68.00
30082017ACYLCARNITINES;QUANTITATIVE, EACHLab194.00
30082017ACYLCARNITINES QUANTLab130.00
30082024ACTHLab254.00
30082030ADENOSINE, 5-MONOPHOSPHATE, CYCLELab247.00
30082040ALBUMIN SERUMLab42.00
30082042URINE OR OTHER SOURCE, QUANTITATIVE EA.Lab74.00
30082042ALBUMM, BODY FLUIDLab74.00
30082043MICRO ALBUMIN-URINELab114.00
30082085ALDOLASELab116.00
30082088ALDOSTERONELab311.00
30082103ALPHA-1 ANTITRYPSINLab112.00
30082104ALPHA1-ANTITRYP PHENOTYPLab212.00
30082105AFPLab178.00
30082107AFP-L3 FRACTION & TOTAL AFPLab198.00
30082107AFP-L3% (PANEL ONLY)Lab368.00
30082108ALUMINUMLab368.00
30082131AMINO ACID SINGL/QUAN EALab373.00
30082135AMINOLEVULINIC ACID, DELTALab165.00
30082139AMINO ACIDS, QUANT 6<Lab653.00
30082140AMMONIA, BLOODLab149.00
30082140AMMONIUM, K4 HR, U (PANEL ONLY)Lab36.00
30082150AMYLASELab83.00
30082150URINE AMYLASELab257.00
30082150AMYLASE, BODY FLUIDLab257.00
30082157ANDROSTENEDIONELab219.00
30082164ANGIOTENSIN I-ACELab141.00
30082172APOLIPOPROTEINLab304.00
30082172APOLIPOROTEIN B (PANEL ONLY)Lab77.00
30082172APOLIPOROTEIN EA. (PANEL ONLY)Lab76.00
30082175ARSENICLab156.00
30082175ARSENIC - HAIRLab258.00
30082180ASCORBIC ACIDLab102.00
30082205MEBERALLab91.00
30082232BETA 2 MICROGLOBULIN SERUMLab196.00
30082239BILE ACIDS, TOTAL, SERUMLab215.00
30082247BILIRUBIN AMNIOTIC FLUD.Lab97.00
30082247BILIRUBIN, TOTALLab97.00
30082248BILIRUBIN, DIRLab55.00
30082261BIOTINDASE, EA SPECIMENLab271.00
30082270BLD. OCCLT STOOLLab55.00
30082273BLD, OCCLT, NOT STOOLLab41.00
30082274FECAL OCCLT, BLD, CLRCTL, CANCER SCRNLab445.00
30082274BLD OCC FECAL HGB DTR IA QUAL FECES 1-3Lab95.00
30082300CADMIUMLab216.00
30082306CALCIFEDIOL (25-OH VIT D-3)Lab254.00
30082307VITAMIN D LAB TESTLab364.00
30082308CALCITONIN THYROIDLab160.00
30082310CALCIUM, SERUMLab58.00
30082330IONIZED CALCIUMLab83.00
30082340CALCIUM, URINE 24 HRLab97.00
30082340CALCIUM, U (PANEL ONLY)Lab32.00
30082360CACULI-STONELab171.00
30082360KIDNEY STONE ANALYSISLab171.00
30082360STONE ANALYSTLab171.00
30082365KIDNEY STONE ANALYSISLab125.00
30082374CARBON DIOXIDELab69.00
30082375CARBOXY HEMOGLOBIN CO.Lab194.00
30082378CEALab175.00
30082379CARNITINELab430.00
30082380CAROTENELab73.00
30082382CATE CHOLAMINE TOTALLab150.00
30082384CATECHOLAMINE FRACT.Lab271.00
30082390CERULOPLASMINLab134.00
30082390CEREBRAL SPINAL FLDLab134.00
30082390CERULOPLASMIN, SERUMLab109.00
30082397PARATHYROID HORMONE PEPTIDE PTHrP PLASMALab95.00
30082397INFLIXIMAB Ab, SERUMLab447.00
30082397HYPERGLYCOSYLATED HCGLab759.00
30082435CHLORIDE, SERUMLab63.00
30082436CHLORIDE, URINELab63.00
30082436CHLORIDE, U (PANEL ONLY)Lab27.00
30082438CHLORIDE, CSFLab63.00
30082438STOOL CHLORIDELab63.00
30082465CHOLESTEROL, TOTALLab42.00
30082465ASSAY BLD/SERUM CHOLESTEROLLab20.00
30082465CHOLESTEROL TOTAL (PANEL ONLY)Lab20.00
30082480CHOLINESTER ASELab118.00
30082480PCHELab118.00
30082480CHOLINESTESTER, SERUMLab118.00
30082482ACETYLCHOLINESTERASE.RBCLab123.00
30082491CAFFEINE LEVELLab178.00
30082491DOPAMIN URINELab178.00
30082491COENZYME Q10Lab178.00
30082495CHROMIUMLab254.00
30082495CHROMIUM, SERUMLab254.00
30082507CITRATE EXCRETION, 24 HR, URINELab172.00
30082523COLLAGEN CROSS LINKSLab217.00
30082523COLLAGEN TYPE I C-TELOPEPTIDELab217.00
30082525COPPER, SERUMLab198.00
3008252524 HOUR URINE COPPERLab198.00
30082530CORTISOL; FREELab269.00
30082530FREE CORTISOLLab269.00
30082530CORTISOL SALIVALab269.00
30082530CORTISOL FREE (PANEL)Lab35.00
30082533CORTISOL, SERUMLab117.00
30082533CORTISOL,S, LC-MS/MSLab195.00
30082533CORTISOL, INFERIOR VENA CAVA, SERUMLab117.00
30082542CLMN CHROM/MASS QUAN/SGLLab429.00
30082542PORPHYRINS, FRACTION, PLASMALab135.00
30082542PROMETHEUS THRPN METABOLITESLab985.00
30082542COL-CHR/MS NONDRUG QUAL/QUN (PANEL ONLY)Lab40.00
30082542FATTY ACID PROFILE, COMPREHENSIVELab429.00
30082542BILE ACIDS FRACTIONATED + TOTALLab594.00
30082544FATTY ACID PROFILE, ESSENTIALLab352.00
30082550CPKLab70.00
30082552CPK ISOEMZYMESLab147.00
30082553CKMBLab141.00
30082565CREATININELab63.00
30082565CREATININE W/ESTMTD GER (CKD-EPI), SERUMLab127.00
30082565CREATININE W/EGFRLab63.00
30082570CREATININE, URINELab73.00
30082570CREATININE, U (PANEL ONLY)Lab28.00
30082575CREATININE CLEARANCELab132.00
30082575CREATININE CLEARANCE 24 HOUR URINELab80.00
30082595CRYOGLOBULINLab91.00
30082600CYANIDE, BLOODLab234.00
30082607VITAMIN B-12Lab141.00
30082610CYSTATIN CLab203.00
30082615CYSTINE, URINELab93.00
30082626DHEALab324.00
30082626DEHYDROEPIANDROSTERONE SLab209.00
30082627DHEA SULFATELab185.00
30082627DEHYDROEPIANDROSTERONE SULFATE DHEA-SLab184.00
30082651DIHYDROTESTOSTERONELab166.00
30082652DIHYDROXYVITAMIN D, 1, 25-Lab320.00
30082656PANCREATIC ELASTASE 1Lab387.00
30082657METHEMOGLOBINREDUCTASELab461.00
30082657TPMT ACTIVITY PROFILE, RBCLab1,066.00
30082664IEF CONFIRMSLab235.00
30082668ERYTHROPOIETINLab218.00
30082670ESTRADIOLLab255.00
30082671ESTRONGENS, FRAC-BLOODLab409.00
30082671ESTROGENS, FRACT-URINELab409.00
30082672ESTROGENS, TOT-BLOOD/URNLab178.00
30082672ESTROGEN LEVELLab178.00
30082677ESTRIOL, PLACENTALab196.00
30082677ESTRIOL, FREELab196.00
30082679ESTRONELab210.00
30082705FAT OR LIPIDS;FECES QUALLab95.00
30082705QUAL STOOL FATLab95.00
30082710FAT, FECAL TOTALLab160.00
30082725OLEIC ACIDLab70.00
30082726VERY LONG CHAIN FAT ACIDLab398.00
30082728FERRITINLab124.00
30082731FETAL FIBRONECTINLab561.00
30082746FOLATE, SERUMLab150.00
30082746ASSAY OF FOLIC ACID SERUM (PANEL ONLY)Lab33.00
30082747FOLATE RBCLab198.00
30082784GAMMAGLOBULIN IG*ADGM EALab107.00
30082784Ig ELab107.00
30082784IMMUNOGLOB. G.A.M.Lab107.00
30082784IGM. BLOOD BY RIDLab107.00
30082784IGG, BLOOD BY RIDLab107.00
30082784IGALab107.00
30082784GAMMAGLOBULINLab107.00
30082785IGE BLOOD BY RIDLab55.00
30082785IMMUN9O9GLOBULIN E (IgE), SLab63.00
30082787IGg SUBCLASS 4Lab118.00
30082800BLOOD PHLab62.00
30082803ARTERIAL BLOOD GASLab158.00
30082926GASTRIC ANALYSISLab150.00
30082941GASTRINLab161.00
30082943GLUCAGONLab173.00
30082945GLUCOSE, CSFLab210.00
30082945GLUCOSE, URINELab210.00
30082945GLUCOSE BODY FLUIDSLab210.00
30082947GLUCOSE, BLOODLab49.00
30082950GESTAT. DIABETESLab92.00
30082950INTREPID GLUCOSE LIPIDLab92.00
30082951GLUCOSE, 1-2HRLab142.00
30082952GLUCOSE TOL, ADD SPECLab49.00
30082955GLUCOSE-6 PHOS DEHYD QUALab125.00
30082955G6PDLab125.00
30082962CHEM BGLab40.00
30082977GAMMA GTLab71.00
30082978GLUTATHIONELab104.00
30083001FOLLICLE STIM, HORMONELab194.00
30083002LUTENIZING HORMONELab214.00
30083003GROWTH HORMONELab145.00
30083010HAPTOGLOBINLab271.00
30083010ASSAY OF HAPTOGLOBIN QUANTITATIVELab122.00
30083013H-PYLORI; FOR UREASE ACTIVITY NON RADIOALab359.00
30083015HEAVY METALS SCREENLab194.00
30083018HEAVY METAL QUANT, EALab288.00
30083018COBALTLab288.00
30083018IODINELab288.00
30083018BERYILLIUMLab288.00
30083020HEMOGLOBIN ELECTROPHOR.Lab132.00
30083021HEMOGLOBIN FRACT & QUANT; CHROMOLab276.00
30083036GLYCOHEMOGLOBINLab112.00
30083051HEMOGLOBLIN; PLASMALab82.00
30083068UNSTABLE HEMOGLOBINLab153.00
30083088HISTAMINELab254.00
30083090HOMOCYSTINELab125.00
30083150HVA-HOMOVANILIC ACIDLab293.00
30083491CORTICOSTEROIDSLab150.00
30083491HYDROXYCORTICOSTEROIDLab150.00
300834975-HIAALab180.00
3008349817-OH PROGESTERONELab246.00
30083498PROGESTERONE 17-OHLab246.00
30083516IMMUNOASSAY FOR OTHER THAN INFECTIONLab166.00
30083516BP 180Lab131.00
30083516BP 230Lab131.00
30083516GLIADIN (DEAMIDATED) Ab, Ig ALab166.00
30083516CENTROMER Ab. IgGLab166.00
30083516HISTONE AUTO-ANTIBODIES, SERUMLab166.00
30083516TTG A3 IGG IGA TISSUE TRANS GL UTLab166.00
30083516F-ACTIN AB, 1gG, SLab386.00
30083516DESMOGLEIN 1Lab81.00
30083516DESMOGLEIN 3Lab81.00
30083516TISSUE TRANSGLT Ab. IgGLab166.00
30083519IMMUNOASSAY ANALYTE QUANLab446.00
30083519NEURONAL V-G K+ CHANNEL AB S EXP ONLYLab63.00
30083519ACh ECPT MUSCLE BINDING AB EXP ONLYLab63.00
30083519NTYPE CALCIUM CHANNEL AB EXP ONLYLab63.00
30083519PQ TYPE CLACIUM CHANNEL AB EXP ONLYLab63.00
30083519N-TYPE CALCIUM CHANNEL AbLab310.00
30083519SCHR GSNGLIONIC NEURONAL AB S EXP ONLYLab63.00
30083519VGKC-complex Ab IPA, CSFLab350.00
30083519ACH RECEPTOR MODULATINGLab184.00
30083519MYASTHENIA GRAVIS (MG) EVALUATIONLab310.00
30083519NEURONAL (V-G) K+ CHANNEL Ab. SLab310.00
30083519ACh RECEPTOR (MUSCLE) BINDING AbLab310.00
30083519AChR GANGLIONIC NEURONAL Ab, SLab310.00
30083519P/Q TYPE CALCIUM CHANNEL ABLab310.00
30083520IMMUNOASSAY NOS, QUANTLab222.00
30083520ADALIMUMAB ANTI SERUMLab464.00
30083520MMP-9Lab222.00
30083520INHIBM BLab222.00
30083520MELATONINLab222.00
30083520STRIATIONAL STRAITED MUSCLE AB S EXP ONLLab63.00
30083520RIBOSOME P Ab. IgGLab222.00
30083520IgM DISIALO GM1bLab222.00
30083520IgG DISIALO GM1bLab222.00
30083520THROTROPIN RECEPTOR AbLab147.00
30083520IgM ASIALO GM1Lab222.00
30083520IgG ASIALO GM1Lab222.00
30083520IgM MONOSIALO GM1Lab222.00
30083520RNA POLYMERASE IIILab222.00
30083520TRYPTASE SERUMLab222.00
30083520Ig6 MONOSIALO GM1Lab222.00
30083520ANTIMULLERIAN HORMONELab222.00
30083520GLOM BASEMENT MEMBRANE AbLab222.00
30083520IGFBP-3Lab222.00
30083520GQIB AbLab222.00
30083520TRANSFORMING GROWTH FACTOR BETALab368.00
30083525INSULIN, SERUMLab92.00
30083527INSULIN FREELab214.00
30083540IRONLab69.00
30083540ASSAY OF IRONLab69.00
30083550IRON, BINDING CAPACITYLab92.00
30083550IRON + TOTAL IRON - BINDING CAPACITYLab92.00
3008358617 KETOSTEROIDS, TOTLab197.00
30083605LACTIC ACIDLab102.00
30083615LDHLab273.00
30083615LACTATE DEHYDROG-BODY LDHLab273.00
30083625LDH ISOENZYMESLab139.00
30083630LACTOFERRIN, FECAL; QUALITATIVELab171.00
30083655LEADLab191.00
30083670LEUCINE AMINO PEPTIDASELab116.00
30083690LIPASELab83.00
30083695LIPOPROTEIN ALab112.00
30083698LIPOPROTEIN PLACC2Lab164.00
30083700Lp(a) CHOLESTEROL (PANEL ONLY)Lab51.00
30083701VAP CHOLESTEROLLab213.00
30083704LIPOPROTEIN BLD QUAN NUMB SUBCLASSESLab70.00
30083715LIPOPROTEIN, BLOOD; ELECTROPHORETIC SEPALab132.00
30083716LIPOPROTEINS PHNTYP.Lab125.00
30083718HDLLab84.00
30083718HDL CHOLESTEROL (PANEL ONLY)Lab37.00
30083721LIPOPROTEIN; DIRECTLab121.00
30083735MAGNESIUMLab120.00
30083735LACTOSE, URINE; QUALITATIVELab156.00
30083735ASSAY OF MAGNESIUMLab156.00
30083735MAGNESIUM, U (PANEL ONLY)Lab36.00
30083785MANGAnesthesiaELab156.00
30083785MANGAnesthesiaELab156.00
30083789IODINE, RANDOM URINELab165.00
30083789WELLBUTRIN QUANT EACH SPECIMENLab264.00
30083789TPMT ACTIVITYLab264.00
30083789Hb VARIANT BY MASS SPECLab580.00
30083789PSILOCYBIN URINELab264.00
30083789IODINE, BLOODLab264.00
3008378910-HYDROXYCARBAZEPINELab264.00
30083825MERCURY, QUANTITATIVELab228.00
30083835METANEPHRINES, TOTALLab236.00
3008383524 HR. URINE METANEPHRINESLab236.00
30083866MUCOPOLYSACCHARIDES,ACIDLab134.00
30083873MYELIN BASIC PROTEIN, CSFLab269.00
30083874MYOGLOBINLab164.00
30083874MYOGLOBIN, SERUMLab128.00
30083880NATRIURETIC PEPTIDELab241.00
30083880BNP NATRIURETIC PEPTIDELab241.00
30083883NEPHELOMETRY, EACHLab293.00
30083883ASSAY OF NEPHELOMETRY EA (PANEL ONLY)Lab92.00
30083883DRVVTLab293.00
30083883C1 ESTERASE (C1ES) INHIBITOR ANTIGENLab101.00
30083885NICKELLab180.00
30083890MOLECULAR DX;ISOL-EXTRACLab112.00
30083890MOLECULAR ISOLAL/EXTRACTLab112.00
30083890HEMACROMATOSIS DETECTIONLab112.00
30083892MOLECULAR ENZYMATIC DIGLab73.00
30083893MOLECULARE DIAG DOT/SLOT BLOTLab142.00
30083893MOLECULAR DX: SET/SLOT BLOT PRODUCTIONLab142.00
30083894MOLECULAR DX;SEPERAT/GELLab102.00
30083898MOLECULAR DX;AMPLIFICATILab58.00
30083900AMPLIFICATION OF NUCLEIC ACID; FIRST TWOLab320.00
30083901MOLECULAR DIAGNOSTIC AMP OF NUCLEIC ACIDLab254.00
30083901MOLECULAR DX:AMPLIFIED NUCLEIC ACIDLab254.00
30083902MOLECULAR DX;RVSE TRANSCLab125.00
30083904MOLECULAR DX; MUTATION IDLab292.00
30083907MOLEC DX LYSISLab58.00
30083908AMPLIFCTN, SIGNAL, EA NUCLEIC ACID SEQLab62.00
30083908AMPLFCTN, SIGNAL, EA NUCLEIC ACID SEQUENLab62.00
30083909SEPERATE & IDENTIFY BY HIGH RESOLUTIONLab58.00
30083912MOLECULAR DX:INTERPRETATION AND REPORTLab136.00
30083914MUTATION ID BY ENZY LIG OR PRIME EXT SNGLab277.00
30083914MUTATION ID BY ENZYMATIC, SINGLE SEQ, EALab277.00
30083915NUCLEOTIDASE 5Lab325.00
30083916OLIGOCLONAL IMMUNOGLOBULLab241.00
30083916OLIGOCLONAL IGGLab241.00
30083918ORGANIC ACID URINE QUANTLab512.00
30083918ORGANIC ACID, PLASMALab512.00
30083919ORGANIC ACIDS; QUALITATIVE EACH SPECLab160.00
30083921ORGANIC ACID, SINGLE, QUANITIVELab283.00
30083921METHYLMALONIC ACID (MMA) QUANT, PLASMALab103.00
30083925OXYDODONE & METABOLITE SERUMLab180.00
30083925OPIATES SERUMLab180.00
30083925FENTANYL & NORFENTANYL SERUMLab180.00
30083930OSMOLALITY SERUMLab95.00
30083935OSMOLALITY; URINELab102.00
30083935OSMOLALITY, U (PANEL ONLY)Lab36.00
30083937OSTEOCALCINLab285.00
30083945URINE OXYLATELab107.00
30083945OXALATE, U (PANEL ONLY)Lab65.00
30083951ONCOPROTEIN; DES-GAMMA-CARBOXY-PIVKA IILab625.00
30083951DES-GAMMA-CARBOXY PROTHROMBIN (PANEL)Lab676.00
30083970PARATHYROID HORMONELab313.00
30083986ph, URINE (PANEL ONLY)Lab20.00
30083986PH, Body FluidLab134.00
30083986pH, BODY FLUIDLab134.00
30083992DRUG SCREENING PHENCYCLIDINELab156.00
30083992TEXT CONFIRMATION - PHENCYCLIDINELab2.00
30083992PHENCYCLIDINE CONF, URINELab156.00
30083992PCP CONFIRMATIONLab819.00
30083993CALPROTECTIN FECALLab801.00
30084022PHENOTHIAZINELab241.00
30084030PKULab264.00
30084066ACID PHOSPHATASELab91.00
30084075ALKALINE PHOSPHATASELab49.00
30084080ALK PHOS ISOENZYMESLab165.00
30084100PHOSPHORUSLab59.00
30084105URINE PHOSPHOUSLab57.00
30084105PHOSPHORUS, U (PANEL ONLY)Lab28.00
30084106PORPHOBILINOGEN, QUALITYLab114.00
30084110PORPHOBILINOGEN, URINE; QUANTITAVELab161.00
30084110PORPHOBILINOGEN, RANDOM URINELab161.00
30084112ANALYSIS OF AMNIOTIC FLUID IN VAG SCRTNSLab191.00
30084120PORPHYRINS, FRACT.Lab250.00
30084120UROPORPHYRINS, QUANITYLab250.00
30084132POTASSIUM, SERUMLab73.00
30084133POTASSIUM, URINELab73.00
30084133POTASSIUM, U (PANEL ONLY)Lab23.00
30084134PREALBUMINLab107.00
30084135PREGNANDIOLLab203.00
30084138PREGNANETRIOLLab203.00
30084140PREGNENOLONELab234.00
3008414317 HYDROXYPREGNENOLONELab366.00
30084144PROGESTERONE LEVELLab167.00
30084145PROCALCITONIN (PCT)Lab388.00
30084146PROLACTINLab176.00
300841502,3-DINOR II BETA-PROSTAGLANDIN f2 ALPHALab276.00
30084152PSA; COMPLEXEDLab216.00
30084153PSA; TOTALLab194.00
30084154PSA; FREELab194.00
30084154FREE PSALab194.00
30084155PROTEIN TOTAL SERUMLab146.00
30084155PRTN XCPT RFRCTMTRY SER PLSM/WHL (PANEL)Lab277.00
30084156PROTEIN, URINELab69.00
30084156ELECTROPHORESIS, PROTEIN, 24 HR URINELab69.00
30084157CSF PROTEINLab170.00
30084157PROTEIN, TOTAL BfLab170.00
30084163PAPP-ALab68.00
30084165BENCE JONES PRO ELECTLab181.00
30084165BETA LIPOPROTEIN ELECTLab181.00
30084165PROTEIN ELECTRO. S.Lab181.00
30084165PROTEIN ELECTRO. U.Lab181.00
30084165PRTN ELECT FRACT JQNT J SER (PANEL ONLY)Lab579.00
30084166ELECTROPHORESIS, PROTEIN, BODY FLUIDLab129.00
30084166ELECTROPHORESIS, PROTEIN, 24 HR URINELab68.00
30084182PARANEOPLASTIC AUTOAB WBLab273.00
30084182CRMP-5-IG6 WESTERN BLOTLab266.00
30084182AMPHIPHYSON WESTERN BLOTLab628.00
30084182RECOMBX MATA AUTOANTIBODY TESTLab1,573.00
30084202PROTOPORPHYRINLab93.00
30084207VITAMIN B-6Lab171.00
30084210PYRUVATELab227.00
30084235TSH RCPTR ASSAY ENDC OTH/THN STRGN/PRGSTLab300.00
30084238IGE-RAB (RECEPTOR AB)Lab452.00
30084238ACETYCHOLINE RECEPTORLab452.00
30084238SOLUABLE TRANSFERRIN RECEPTORLab452.00
30084244RENINLab192.00
30084252RIBOFLAVIN (VIT B2)Lab120.00
30084255SELENIUMLab193.00
30084260SEROTONINLab277.00
30084270SEX HORMONE BINDING GLOBLab185.00
30084295SODIUM, SERUMLab42.00
30084300SODIUM, URINELab68.00
30084300SODIUM, U (PANEL ONLY)Lab26.00
30084302STOOL SODIUMLab73.00
30084305SOMATOMEDIN, IGF-ILab228.00
30084307SOMATASTATINLab222.00
30084311SPECTROPHOTOMETRY ANALYTELab716.00
30084311PORPHYRINS, TOTAL PLASMALab153.00
30084311STOOL POTASIUMLab716.00
30084311CHOLESTEROL. BFLab716.00
30084315SPECIFIC GRAVITY;FLUIDLab109.00
30084315PORPHOBILINOGEN;QUANTITYLab109.00
30084376SUGARS SINGLE QUALITATIVE, EA SPECIMENLab134.00
30084392SULFATE, URINELab49.00
30084392SULFATE, U (PANEL ONLY)Lab25.00
30084402TESTOSTERONE, FREELab185.00
30084402TESTOSTERONE, FREELab73.00
30084403TESTOSTERONE, TOTALLab197.00
30084403TESTOSTERONE, TOTALLab74.00
30084425VITAMINE B-THIAMINELab249.00
30084432THYROGLOBULINLab181.00
30084432THYROGLOBULM, TUMOR MARKERLab181.00
30084436THYROID T-4Lab69.00
30084439FREE T-4Lab116.00
30084442THYROXIN BINDING GLOB.Lab220.00
30084443THYROID STIMUL, HORMONELab145.00
30084443TSH-SENSITIVE, SERUMLab145.00
30084445THYROID STIMULATING IMMLab546.00
30084446TOCOPHEROL ALPHA (VITAMIN E)Lab178.00
30084446ASSAY OF TOCOPHEROL VITMN E (PANEL ONLY)Lab104.00
30084450SGOTLab55.00
30084460SGPTLab55.00
30084466TRANSFERRINLab132.00
30084478ASSAY OF TRIGLYCERIDESLab13.00
30084478TRIGLYCERIDESLab716.00
30084478TRIGLYCERIDESLab716.00
30084478TRIGLYCERIDESLab716.00
30084478TRIGLYCERIDES (PANEL ONLY)Lab26.00
30084479T3Lab83.00
30084480TRIIODOTHYRONINE T3;TOTALab132.00
30084481TRIIDOTHYRONINE T3 FREELab234.00
30084482T3 REVERSELab97.00
30084484TROPONINLab166.00
30084484TROPONIN QUANTITATIVELab202.00
30084488TRYPSIN, QUALITYLab70.00
30084510TYROSINELab102.00
30084515PAI PLASMINOGEN ACT INHIB AGLab98.00
30084520BUNLab59.00
30084540UREA NITROGEN, U (PANEL ONLY)Lab25.00
30084550URIC ACIDLab59.00
30084560URINE URIC ACIDLab68.00
30084560URIC ACID/24HR URINELab68.00
30084560URIC ACID, U (PANEL ONLY)Lab25.00
30084577UROBILINOGEN, FECESLab82.00
30084578UROBILINOGEN, URINELab91.00
30084585VMA-VANILLYMANDELIC ACIDLab156.00
30084586VASOACTIVE INTESTINAL PEPTIDELab322.00
30084588VASOPRESSINLab270.00
30084590VITAMIN ALab102.00
30084590ASSAY OF VITAMIN A (PANEL ONLY)Lab85.00
30084591NIACIN (B-3)Lab277.00
30084597VITAMIN KLab391.00
30084600METHANOLLab160.00
30084600VOLATILES TESTINGLab160.00
30084630ZINCLab118.00
30084681C-PEPTIDELab189.00
30084702GONADOTROPINLab180.00
30084702QUANTITATIVE HCGLab180.00
30084702BETA-HUMAN CHORIONIC GONADOT QUANT, SRMLab79.00
30084703PREGNANCY TESTLab80.00
30084999UNLISTED CHEMISTRY PROCLab125.00
30084999UNLISTED CHEM PROCEDURE (PANEL ONLY)Lab16.00
30084999TESTOSTERONE, BIOAVAILABLELab2.00
30085002BLEEDING TIMELab132.00
30085007DIFFERENTIALLab49.00
30085008BLOOD SMEAR EXAM (NOT DIFF COUNT) TECHLab27.00
30085014HEMATOCRITLab47.00
30085018HEMOGLOBINLab47.00
30085025CBC W/DIFFLab83.00
30085027CBCLab69.00
30085041RED BLOOD COUNT RBCCLab42.00
30085044RETICULOCYTE COUNTLab105.00
30085045BLOOD COUNT RETICULOCYTE AUTOMATEDLab86.00
30085048WBCLab39.00
30085049PLATELET COUNTLab50.00
30085060BLOOD, SMEAR TO PATH.Lab79.00
30585095BONE MARROW ASPIRATIONLab269.00
30085102BONE MARROW BIOPSYLab139.00
30085170CLOT RETRACTIONLab39.00
30085210CLOTTING; FACTOR II PROTHROMBIN, SPECIFILab185.00
30085220FACTOR VLab293.00
30085230CLOTTING-FACTOR VIILab185.00
30085240FACTOR VIIILab408.00
30085240VON WILLEBRAND PROFILELab408.00
30085245RISTOCETIN CO-FACTORLab178.00
30085246CLOTTING FACTOR VIII; VW-RISTOCETINLab452.00
30085246CLOTTING FACTOR VIII; VW-ANTIGENLab452.00
30085246VON WILLEBRAND PROFILELab452.00
30085247VON WILLEBRAND FACTORLab216.00
30085250FACTOR IXLab286.00
30085260FACTOR XLab270.00
30085270FACTOR XILab278.00
30085280CLOTTING-FACTOR XIILab270.00
30085300CLOTTING INHINBITOR-ABTITHROMBIN III ACTLab217.00
30085301ANTI-THROMBIN IIILab277.00
30085301ANTITHROMBIN ANTIGENLab277.00
30085302PROTEIN C AGLab204.00
30085303FACTOR-PROTIEN CLab282.00
30085305CLOTTING INHIBITOR, PROTIEN S, TOTALLab277.00
30085306FACTOR-PROTIEN SLab368.00
30085307ACTIVATED PROTEIN C RESISTANCE ASSAYLab235.00
30085335BETHESDA UNITSLab612.00
30085335COAG FACTOR VIII INHIBLab612.00
30085362FIBRIN DGRADJ SPLT PRODX AGG SLIDE SQLab99.00
30085366SOLUBLE FIBRIN MCNOMERLab142.00
30085379FDPLab135.00
30085384FIBRINOGENLab125.00
30085385FIBRINOGEN; ANTIGENLab128.00
30085390SPECIAL COAGULATION INTERPRETATIONLab140.00
30085397VON WILLEBRAND PROFILELab554.00
30085397VON WILLIBRAND FACTOR ACTIVITYLab554.00
30085415PLASMINOGEN ACTIVATOR. AgLab504.00
30085460KLEIHAUER BETKELab97.00
30085461FETAL HGB SCREENLab107.00
30085520HEPARIN ASSAYLab311.00
30085540LEUKOCYTE ALKALINE PHOSLab172.00
30085549MURAMIDASELab216.00
30085549LYSOZYMELab216.00
30085555OSTMOTIC FRAGILITY, RBC; UNINCUBATEDLab149.00
30085557OSTMOTIC FRAGILITY, RBC; INCUBATEDLab205.00
30085597PLATELET NEUTRALIZATIONLab223.00
30085598STACLOT LALab417.00
30085610PROTHROMBIN TIMELab51.00
30085611PRO TIME; SUB, PLASMA FRACTURE, EACHLab70.00
30085613LUPUS ANTICOAGULANTLab365.00
30085613DIL RUSSELLS VIPER VENOMLab365.00
30085613DRVVT MIXLab365.00
30085613DRVVT CONFIRMATIONLab365.00
30085613DRVVT MIXLab365.00
30085613DRVVT MIXLab365.00
30085635REPTLASELab261.00
30085651SED RATELab54.00
30085660SICKLE CELL SCREENLab91.00
30085670THROMBIN TIMELab96.00
30085730PTT-PARTIAL THROMBO.Lab83.00
30085732THROMB TIME, PTT; PLASMA OR WHOLE BLOODLab114.00
30085810VISCOSITY, SERUMLab138.00
30085999URINE EOSINOPHILLab87.00
30086000FEBRILE AGGLUTINSLab116.00
30086000FRANCISELLA TULARENSIS Ab, DALab116.00
30086001STACHYBOTRYS CHARTANUMLab37.00
30086001FISH & SHELLFISH PANELLab784.00
30086003ALLERGEN SPECIFIC IGE (PER ALLERGEN)Lab101.00
30086003MOUSE EPITHELIUM, IgELab36.00
30086003LOBSTER IgELab36.00
30086003SUNFLOWER SEED. IgELab36.00
30086003ALLERGEN SPECIFIC (PEANUT ALLERGY)Lab101.00
30086003GREY ALDER, IgELab36.00
30086003ALTERNARIA TENUIS, IgELab36.00
30086003ASPERGILLUS FUMIGATUS, IgELab36.00
30086003BERMUDA GRASS, IgELab36.00
30086003BOX ELD/MAPLE, S, 1gELab36.00
30086003CAT EPITHELIUM, 1gELab36.00
30086003MOUNTAIN CEDAR, IgELab36.00
30086003CLADOSPORIUM, 1gELab36.00
30086003COCKROACH, 1gELab36.00
30086003COTTONWOOD, 1gELab36.00
30086003HOUSE DUST MITES/D.F.,1gELab36.00
30086003DOG DANDER, IgELab36.00
30086003HOUSE DUST MITES/DP, IgELab36.00
30086003ELM, IgELab36.00
30086003MUGWORT, IgELab36.00
30086003MULBERRY, IgELab36.00
30086003OAK, IgELab36.00
30086003OLIVE-TREE, IgELab36.00
30086003PENICILLIUM, IgELab36.00
30086003ROUGH PIGWEED, IgELab36.00
30086003RUSSIAN THISTLE, IgELab36.00
30086003RED SORREL, IgELab36.00
30086003SHORT RAGWEED, IgELab36.00
30086003TIMOTHY GRASS, IgELab36.00
30086003ANNATTO SEED (BIXA ORELLANA) IgELab178.00
30086003TUNA IgELab36.00
30086003SCALLOPS IgELab36.00
30086003AVOCADO. IgELab36.00
30086003COD FISH IgELab36.00
30086003CASHEW NUT. IgELab36.00
30086003MILK, IgELab36.00
30086003MELONS. IgELab36.00
30086003TILAPIA. IgELab178.00
30086003CRAB IgELab36.00
30086003SESAME SEED. IgELab36.00
30086003MUCOR, IgELab36.00
30086003EGG WHITE, IgELab36.00
30086003EGG YOLK, IgELab36.00
30086003PEANUT IgELab36.00
30086003SHRIMP IgELab36.00
30086003FOOD-NUT PANEL #1Lab104.00
30086003MOLD PANELLab101.00
30086003FOOD-NUT PANEL #2Lab104.00
30086003EGG WHOLE. IgELab132.00
30086005ALLERGEN QUALATIVE MULTILab156.00
30086021ANTIBODY ID;LEUKOCYTE ANLab298.00
30086021ANCA SCREENLab298.00
30086021C-ANCALab298.00
30086021P-ANCALab298.00
30086022HEPARIN INDUCED PLT ABLab285.00
30086022PLATELET ANTIBODY SCREEN, SERUMLab108.00
30086023PLATELET AB DIRECT IMMGLBLN ASSAYLab189.00
30086023CELL-BOUND PLATELET AUTOANTI SCRN, BLOODLab189.00
30086038ANTI-NUCLEAR ANTIBODYLab154.00
30086038AP-ASOLab154.00
30086038ANALab154.00
30086038ANTINUCLEAR ANTIBODIES (ANA)Lab154.00
30086038CONNECTIVE TISSUE DISEASE CASCADELab154.00
30086038CENTROMERE ABLab154.00
30086060ASO TITERLab90.00
30086060ANTISTREPTOLYSIN O TITER (PANEL ONLY)Lab22.00
30086140C-REACTIVE PROTEINLab109.00
30086140CRPLab109.00
30086141C-REACTIVE PROTEIN, H.S.Lab124.00
30086146BETA 2 GLYCOPROTEINLab254.00
30086147CardiopulmonaryIOLIPIN AB; (EACH)Lab218.00
30086152CTC CELL SEARCHLab529.00
30086153CIRCULATING TUMOR CELLSLab266.00
30086157COLD AGGLUTININSLab87.00
30086157COLD AGGLUTININ TITER, SERUMLab104.00
30086160COMPLEMENT;ANTIGEN, EALab164.00
30086161COMPLEMENT;FUNCTIONAL,EALab215.00
30086162COMPLEMENT;TOTAL HEMOLYTLab225.00
30086171COMPLEMENT, SERUMLab149.00
30086200CYCLIC CITRULLINATED PEPTIDE (CCP); ANTILab172.00
30086200CONNECTIVE TISSUE DISEASE CASCADELab172.00
30086215DEOXYRIBONUCLEASE ANTIBODYLab178.00
30086215DEOXYRIBONUCLEASE ANTIBODY (PANEL ONLY)Lab39.00
30086225DEOXYRIBUNUCLEAR ANTIBODLab153.00
30086226DEOXYRIBUNUC ANTI SINGLELab189.00
30086235EXTRACTABLE NUCLEAR ANTILab134.00
30086235PM-SCL ABLab134.00
30086235Sc1 70 Ab. IgGLab134.00
30086235Ab TO EXTRACTABLE NUCLEAR Ag EVALLab134.00
30086235JO 1 ANTIBODIES, IgGLab134.00
30086235JO-1 ABLab134.00
30086255LGI1-IGG CBALab683.00
30086255GABA-B-R AB CBALab1,182.00
30086255FLUOR NONINFECT AB, EACHLab222.00
30086255AMPA-R Ab CBA, SERUMLab250.00
30086255GABA-B-R Ab CBA, CBA, CSFLab250.00
30086255AMPA-R AB CBALab1,182.00
30086255GABA-B-R Ab CBA, SERUMLab250.00
30086255DS DNA Ab BY CRITHDIA IFA, IgGLab531.00
30086255RETICULIN igGLab222.00
30086255ENDOMYSIAL ANTIBODYLab222.00
30086255ADRENAL ANTIBODY SCREENLab222.00
30086255PURKINJE CELL CYTOPLAS AB EXP ONLYLab63.00
30086255LGI1-IGG CBA, SLab250.00
30086255NMDA-R Ab CBA, SERUMLab250.00
30086255PURKINJE CELL CYTO, Ab TYPE 1Lab250.00
30086255NMDA-R Ab CBA, CSFLab250.00
30086255FLUORESCENT NON AGT ANTB SCREEN (PANEL)Lab139.00
30086255CRMP 5 IGG S EXP ONLYLab63.00
30086255ANTINEURONAL AB TYPE 3 EXP ONLYLab63.00
30086255PURKINJE CELL CYTO AB TYPE 2 EXP ONLYLab63.00
30086255ANTI-NEURONAL Ab, TYPE 3Lab250.00
30086255ANTI-NEURONAL NUCLEAR Ab, TYPE 2Lab250.00
30086255AMPHIPHYSIN Ab, CSFLab250.00
30086255ANTI-NEURONAL NUCLEAR Ab, TYPE 1Lab250.00
30086255NMDA-R AB CBALab1,182.00
30086255LGI1-IGG CBA, CSFLab250.00
30086255AMPA-R Ab CBA, CSFLab250.00
30086255CASPR2-IGG CBA, SLab250.00
30086255ANTI NEURONAL NUC AB TYPE 1 EXP ONLYLab63.00
30086255PURKINJE CELL Ab TYPE TRLab250.00
30086255CASPR2IGG CBALab657.00
30086255CRMP-5-IgG, CSFLab250.00
30086255ANTI-GLIAL NUCLEAR Ab, TYPE 1Lab250.00
30086255ANTI NEURONAL NUCLEAR AB TYPE 2 EXP ONLYLab63.00
30086255PURKINJE CELL CYTO AB TYPE 1 EXP ONLYLab63.00
30086255NMO AQ P4 FACSLab431.00
30086255AMPHYIPHSIN Ab, SLab250.00
30086255ANTI-GLIAL NUCLEAR Ab, TYPE 1Lab250.00
30086255PURKINJE CELL CYTOPLASMIC AB TYPE 2Lab250.00
30086255PURKINJE CELL CYTOPLASMC Ab TYPE TRLab250.00
30086255CASPR2-IGG CBA, CSFLab250.00
30086255AMPHYIPHYSIN AB S EXP ONLYLab63.00
30086255ANTIGLIAL NUCLEAR AB TYPE 1 EXP ONLYLab63.00
30086256AMPAR AB IF TITIER ASSAYLab237.00
30086256ANTIMITOCHONDRIALLab189.00
30086256GA BA-B-R ABIFTITERASSAYLab237.00
30086256FLOUR NONINFECT TITER-EALab531.00
30086256NMO/AQP4 FACS TITERLab198.00
30086256NDMA-R AH IF TITER ASSAYLab237.00
30086300IMMUNOASSAY TUMORLab201.00
30086301IMMUNOASSAY TUMOR ANTIGELab227.00
30086304IMMUNOASSAY TUMOR ANTIGELab419.00
30086305HUMAN EPIDIDYMIS-PROTEIN 4 (HE4)Lab419.00
30086308HETEROPHILE ANTIBODYLab91.00
30086308MONO TESTLab91.00
30086316IMMUNOASSAY TUMOR ANTIGELab246.00
30086317IMMUNO INFECTIOUS AGNT ANTIBODY UNSPCFDLab138.00
30086317TETANUS TOXOID Igb Ab (PANEL ONLY)Lab118.00
30086317DIPTHENA TOXOID Igb Ab (PANEL ONLY)Lab118.00
30086317STREP PNEUM IgG ANTIBODIES 23 SEROTYPESLab214.00
30086318IMMUNOASSAY INFECT AGENTLab70.00
30086320IMMUNOELECTROPHOR SERUMLab132.00
30086325IMMUNOELECTROPHOR CSFLab138.00
30086331IMMUNODIFFUS GEL QUAL-EALab171.00
30086332IMMUNE COMPLEX ASSAYLab246.00
30086334IMMUNOFIXATION-ELECTROPHLab275.00
30086335IMMUNOFIXJ ELECTROPHORESIS OTHER FLUIDSLab239.00
30086335BETA-2 TRANSFERRIN DETECTION OF SPINAL FLab293.00
30086336INHIBIN ALab246.00
30086337INSULIN ANTIBODIESLab227.00
30086340INTRINSIC FACTOR ANTIBODIESLab230.00
30086341ISLET CELL ANTIBODYLab238.00
30086341GAD 65 ANTIBODY ASSAYLab173.00
30086341GAD65 Ab ASSAY, CSFLab450.00
30086341GAD65 ANTIBODY ASSAYLab415.00
30086353LYMPHOCYTE TRANSFORMATIOLab389.00
30086355B CELLS; TOTAL COUNTLab390.00
30086355B CELLS TOTAL COUNTLab65.00
30086356CD20 TOTAL COUNTLab599.00
30086357NATURAL KILLER CELLS TOTAL COUNTLab65.00
30086359T CELLS; TOTAL COUNTLab244.00
30086359T CELLS TOTAL COUNTLab65.00
30086359CD4 T-CELL COUNTLab244.00
30086360T CELL ABSOLUTE CD4&CD5Lab480.00
30086360CD4 T-CELL COUNTLab120.00
30086360T CELLS ABSLT CD4CD8 CT RTO (PANEL ONLY)Lab81.00
30086361ABSOLUTE CD4 COUNT (LYMPHOCYTE SUB 5)Lab271.00
30086376MICROSOMAL ANTIBODYLab196.00
30086376THYROID ANTIBODIESLab76.00
30086376MICROSOMAL ANTIBODIES; LIVER-KIDNEYLab196.00
30086382NEUTRALIZATION TST POLIOVIRUS Ab, IgGLab266.00
30086382RABIES TITER RESPONSELab346.00
30086403STREPTOZYME WITH REFLEXLab107.00
30086430RA LATEX FACTORLab254.00
30086431RALab52.00
30086480QUANTIFERONLab335.00
30086480QUANTI-FERON-TB GOLD + BLOODLab315.00
30086510HISTOPLASMA AGGLUT.Lab138.00
30086580PPD SKIN TESTLab91.00
30086592RPRLab70.00
30086593FTA-ABSLab93.00
30086606ASPERGILLUS PREOP. IDLab315.00
30086606ASPERGILLUS ABLab315.00
30086609LISTERIA ANTIBODY SERUMLab160.00
30086611BARTONELLA AB PANEL IgGtM EXPLab43.00
30086612BLASTOMYCOSIS TITERLab104.00
30086615BORDETELLALab205.00
30086617ANTIBODY BORRELIA (LYME DZ) CONFIRM TESTLab234.00
30086618LYME TITRELab181.00
30086622BRUCELLOSIS TITERLab73.00
30086628ANTIBODY CANDIDALab142.00
30086631ANTIBODY, CHLAMYDIALab112.00
30086631CHLAMYDIA SEROLOGY EXPLab69.00
30086631CHLAMYDIA SEROLOGY IgG EXPLab34.00
30086632CHLAMYDIC IGMLab179.00
30086632CHLAMYDIA SEROLOGY IgM EXPLab34.00
30086632CHLAMYDIA SEROLOGY EXPLab74.00
30086635COCCIDIOMYCOSIS ANTI.Lab132.00
30086638Q FERER IgM PHASE I TITERLab166.00
30086638COXIELLA BURNETII (Q FEVER)Lab166.00
30086638Q FEVER IgG PHASE II TITERLab166.00
30086638Q FERER IgG PHASE 1 TITERLab166.00
30086638Q FEVER IgM PHASE II TITERLab166.00
30086644CMVLab222.00
30086644CMV NEG BLOODLab222.00
30086645ANTIBODY; CYTOMEGALOVIRUSLab227.00
30086648DIPTHERIA Ab, 1gGLab188.00
30086658COSAKIE TITERLab120.00
30086663EB VIRUS AB, EARLY ANTIGLab103.00
30086664EB VIRUS AB, NUCLR ANTIGLab128.00
30086665EB VIRUS AB. IGG FLRSCNTLab166.00
30086665EB VIRUS AB, IGM FLRSCNTLab166.00
30086666EHRLICHIA CHAFFEENSIS, 1gGLab61.00
30086666ANAPLASMA PHAGOCYT Ab, IgGLab61.00
30086671ANTIB FUNGUS NOT ELSEWHERE SPEC (PANEL)Lab142.00
30086671SACCHAROMYCES CER Ab IgGLab142.00
30086671SACCHAROMYCES CEREVISIAE ANTIBODY, IgALab142.00
30086677H. PYLORIELab198.00
30086682ECHIMOCOCCOSUSLab132.00
30086689HTLV/HIV Ab CONFIRMATIONLab1,083.00
30086689HIV-1 Ab CONFIRM BY WESTERN BLOTLab244.00
30086689HIV-2Ab CONFIRMATIONLab244.00
30086694HERPES SIMPLEXLab116.00
30086694HSV TYPES 1 AND 2 AbLab38.00
30086695ANTIBODY; HERPES SIMP 1Lab132.00
30086695HSV TYPES 1 AND 2 AbLab38.00
30086696ANTIBODY; HERPES SIMP 2Lab144.00
30086696HSV TYPES 1 AND 2 AbLab38.00
30086698ANTIBODY HISTOPLASMALab126.00
30086701Lab132.00
30086701ANTIBODY HIV-1Lab360.00
30086701HIV-1/2 Ab DIFFERENTIATIONLab360.00
30086702HIV-1/2 Ab DIFFERENTIATIONLab360.00
30086703HIV 1 AND HIV 2Lab150.00
30086704HEPATITIS B CORE ANTIBODLab142.00
30086705HEP B CORE ANTI HBCAB IGM ANTI EXPLab111.00
30086705HEP B CORE ANTIBODY HBCAB IGM ANTIBODYLab135.00
30086706EMS HEP B, HCV, HIV TESTINGLab132.00
30086706HEPATITIS B SUR ABLab132.00
30086707HEPATITIS BE ANTIBODY (HBsAb)Lab180.00
30086708HEP "A" ANTIBODY (HAAb) TOTALLab164.00
30086708HEP A IgG ANTIBODY SERUMLab108.00
30086709HEP A AB IGMLab132.00
30086709HEP ANTI HAAB IGM ANTIBODY EXPLab102.00
30086711JCV ANTIBODY & INDEX W/REFLEX INHB ASSAYLab5,260.00
30086713LEGIONAIRES TITERLab124.00
30086720ANTIBODY; LEPTOSIRALab141.00
30086720LEPTOSPIRA, 1 GM, SERUMLab377.00
30086735MUMPS, IGMLab156.00
30086735MUMPS, Ab, IgM, SLab156.00
30086738MYCOPLASMALab149.00
30086747PARVO VIRUSLab137.00
30086747PARVOVIRUS B19 ANTIBODIES IgG/IgM SERUMLab137.00
30086750ANTIBODY;PLASMODIUM (MALARIA)Lab198.00
30086753TRYPANOSOMA CRUZI AB, TOTALLab196.00
30086756RSVLab193.00
30086757RICKETTSIALab181.00
30086757R. TYPHI IgG TITERLab181.00
30086757RMSF IgM TITERLab194.00
30086757R. TYPHI IgM TITERLab200.00
30086757RMSF IgG TITERLab174.00
30086757RICKETTSIA AbLab118.00
30086762RUBELLA TITERLab113.00
30086765RUBEOLA SCREENLab131.00
30086774TETANUS ANTI TOXOID ABLab195.00
30086777TOXOPLASMOSIS, ANTIBODYLab116.00
30086778ANTIBODY; TOXOPLASMA, IGMLab61.00
30086780SYPHILIS IgG Ab W/REFLEXLab160.00
30086780SYPHILIS Ab, TP-PALab228.00
30086787VARICELLA ZOSTERLab125.00
30086787VARICELLA-ZOSTER Ab IgGLab57.00
30086788WEST NILE VIRUS IGMLab198.00
30086789WEST NILE VIRUSLab198.00
30086790ANTIBODY; VIRUS-NESLab292.00
30086790HANTAVIRUSLab292.00
30086790SM NOMBRE VIRUS Igm CONFIRMATIONLab292.00
30086790SM NOMBRE VIRUS IgG CONFIRMATIONLab292.00
30086790DENGUE VIRUS NSI AgLab351.00
30086790STRATIFY JCV AB W/ REFLEXLab292.00
30086790HERPESVIRUS 6 ANTIBODIES IgG IgMLab263.00
30086800THYROGLOBULIN ABLab147.00
30086800THYROGLOBULIN ANTIBODYLab83.00
30086803Lab132.00
30086803HEPATITIS C ANTIBODYLab171.00
30086803HEP C ANTIBODY EXPLab142.00
30086803HEP C ANTIBDY SCRN W REFLEX HCV PCR SERULab138.00
30086804HEPATITIS/CONFIRMATORY TEST; EF, IMM BLTLab339.00
30086812HLA-B27Lab216.00
30086850RBC ANTIBODY SCREENLab107.00
30086860ELUTIONLab142.00
30086870ANTIBODY, IDENTIFICATIONLab470.00
30086870AB ID/EA AFTER HRSLab470.00
30086880COOMBS TEST, DIRECTLab113.00
30086885COOMBS TEST, INDIRECTLab162.00
30086886RH ANTIBODY TITERLab116.00
30086900TYPELab62.00
30086901RHLab49.00
30086902ANTIGEN TESTING OF DONOR BLOOD RGNT SRMLab83.00
30086903BLOOD TYPING;REAGENT PULab49.00
30086905BLOOD TYPING:RBC ANTIGENLab107.00
30086906BLOOD TYPING; RH PHENOTYPELab268.00
30086910PATERNITY STUDYLab501.00
30086920CROSS MATCH IMMEDIATELab109.00
30086921CROSS-MATCH IMUBATIONLab93.00
30086922BLOOD X-MATCHLab164.00
30086945IRRADIATION OF BLOOD PRODUCT, EACH UNITLab240.00
30086970WARM PANELLab180.00
30086972RETICULOCYTE SEPERATIONLab145.00
30086976RBC SERUM PRETX ID DILUTIONLab122.00
30086977RBC ANTBDY ID INCUBATION WITH INHIBITORSLab124.00
30086978ANTIBODY ABSORBTIONLab365.00
30087015CONCENTRATION FOR INFECT AGENTLab193.00
30087015MYCOBACTERIA CULTURE, CONCLab193.00
30087040CULTURE, BLOODLab179.00
30087045CULTURE, STOOLLab139.00
30087045CULTURE, RECTALLab139.00
30087046CULTURE; CAMPYLOBACTERLab74.00
30087070CULTURE, EARLab120.00
30087070CULTURE, EYELab120.00
30087070CULTURE, G.C.Lab120.00
30087070CULTURE, GALLBLADDERLab120.00
30087070CULTURE, MISCLab120.00
30087070CULTURE, NOSELab120.00
30087070CULTURE, SPINAL FLDLab120.00
30087070CULTURE, SPUTUMLab120.00
30087070CULTURE, THROATLab120.00
30087070CULTURE, URETHRALLab120.00
30087070VAGINAL CULTURELab120.00
30087070CULTURE, WOUNDLab120.00
30087070BACTERIAL CULTURE, AEROBICLab120.00
30087075CULTURE, ANAEROBICLab184.00
30087075SYNOVIAL FLUID, ANAEROBILab184.00
30087076ID MALDI-TOF MASS SPEC ANAEROBELab163.00
30087077CULTURE, BACT/BLD;ISOLATLab91.00
30087077CULTURE, AEROBIC ISOLATELab91.00
30087077RMALD IDENT BY MALDI-TOF MASS SPEC (1)Lab110.25
30087081CLOSTRIDIUM CULTURELab59.00
30087081CULTURE, PRESUM/PATHOGENLab59.00
30087081Y. PESTIS CULTURELab59.00
30087081GROUP B STREPLab59.00
30087081C.DIFF CULTURELab59.00
30087086CULTURE, URINELab93.00
30087086CULTURE TESTINGLab93.00
30087101CULTURE, FUNGUSLab184.00
30087102CULTURE, FUNGI ISOLAT OTLab146.00
30087106CULTURE, FUNGI DEF IDLab142.00
30087106YEAST IDENT PANEL DLab142.00
30087106YEAST IDENT. PANEL BLab142.00
30087106ID MALDI-TOF MASS SPEC YEASTLab142.00
30087107FUNGAL IDENT. PANEL BLab142.00
30087107FUNGAL IDENT. PANEL ALab142.00
30087107ID MALDI-TOF MASS SPEC FUNGILab142.00
30087109MYCOPLASMA CULTURELab172.00
30087109MYCOPLASMA COMPREHENSIVE CXLab172.00
30087110CULTURE, CHLAMYDIA, ANY SOURCELab149.00
30087116CULTURE, AFBLab181.00
30087118Id MALDI - 7OF MASS SPEC AFBLab343.00
30087140CULTURE, TYPING; IMMUNOFLUOR METHOD, EALab76.00
30087147CULTURE;IMMUNOLOGIC METHLab66.00
30087150MYCOBACTERIA PROBE IDENT SOLID TBMPLab431.00
30087150MYCOBACTERIA PROBE IDENT, tBPB1Lab431.00
30087150ID, HISTOPLASMA/BLASTOMYCES PCRLab431.00
30087150Id. MTB SPECIATION, PCRLab431.00
30087150IDENT. RAPID PCR COCCIAIVIDESLab431.00
30087153D2 FUNGAL SEQUENCING IDLab479.00
30087153ANAEROBE IDENT. BY SEQUENCING ISANLab479.00
30087153MYCOBACT. IDENT. BY SEQUENCINGLab479.00
30087153AEROBE IDENT BY SEQUENCINGLab479.00
30087163MICRO, ADD'T IDLab18.00
30087164DARFIELD EXAMLab70.00
30087168TICK AND OTHER ARTHROPODS IOLab56.00
30087169MACROSCOPIC EXAN;PARASITLab57.00
30087172PINWORM STUDYLab68.00
30087176TISSUE PROCESSINGLab59.00
30087177CONCENTRATIONLab166.00
30087181SUSCEPTIBILITYLab142.00
30087185BETA LACTAMASELab110.00
30087185CARBAPENAMASE MODIFIED HODGE TESTLab643.00
30087185CARBAPENEMASE DETECTION-CARBANP TESTLab765.00
30087186SENSITIVITY, GRAM NEGATIVELab102.00
30087186SENSITIVITY, GRAM POSITIVELab102.00
30087205GRAM STAIN, SMEAR, ANYLab69.00
30087205WBC SMEAR, STOOLLab69.00
30087206AFB STAINLab83.00
30087207MALARIA SMEARLab141.00
30087207MALARIA PERCENT PARASITEMIALab166.00
30087208PINWORM PREPLab42.00
30087209SMR PRIM SRC CPLX SPEC STAIN OVAPARASITSLab78.00
30087210WET MOUNTLab59.00
30087220KOH PREPLab59.00
30087230CLOSTRIDIUM DIFFICLE TOXIN "B" SCREENLab280.00
30087252VIRUS ISOLATION INCLUDE ID NON-IMMUN METLab395.00
30087252CULTURE-VIRALLab395.00
30087253VIRAL ISOLATE TISS CULTLab147.00
30087254VIRUS ISOLATE-CENTRIFUGELab297.00
30087255HSV WTIH TYPINGLab203.00
30087260INFECTIOUS AGENT ANTIGEN DETECT BY IMMNOLab125.00
30087265INFECT AGENT-BORDETELLALab112.00
30087270CHLAMYDIA STAIN DFALab166.00
30087270CHLAMYDIALab166.00
30087272CRYPTOSPORIDIUMLab174.00
30087276INFLUNEZA A VIRUSLab139.00
30087279PARAINFLUNZA VIRUS, EA TYPELab128.00
30087280RESPIRATORY SYNCYTIAL VIRUSLab132.00
30087299NOT OTHRWSE SPECIF EA ORGANISMLab132.00
30087301INFECTIOUS AGENT ANTIGEN DETECT BY ENZYMLab66.00
30087324INFECT AGENT-CLOSTRIDIUMLab189.00
30087328GIARDIA AGLab139.00
30087329GIARDIALab128.00
30087335E COLI TOXINLab68.00
30087338INFECT AGENT-H. PYLORI/STOOLLab254.00
30087340HBSAGLab110.00
30087340HEP B SURFACE ANTIGEN HBaAG EXPLab63.00
30087341HEP B SURFACE Ag CONFIRMATIONLab134.00
30087350HEPATITIS BE AB OR ANTLab180.00
30087389HIV-1 & HIV-2 ANTIBODY CONF/DIFF, PLASMALab70.00
30087389HIV-1/2 Ag & Ab SCREENLab123.00
30087420RSV, DIRECT AG, EIALab132.00
30087425ROTAVIRUSLab123.00
30087427INFECT AGENT-SHINGA LIKELab109.00
30087449NOROVIRUS, STOOLLab488.00
30087471BARTONELLA DNA PCRLab182.00
30087476BORRELIA BURGDORFERI, AMP PROBE TECHLab280.00
30087481IADNA CANDIDA SPCS AMP PRB TQ (PAN ONLY)Lab323.00
30087490CHLAMYDIA DNA PROBELab116.00
30087491CHLAMYDIA TRACH PROBE TELab166.00
30087493C DIFF; MOLECULARLab216.00
30087496CYTOMEGALOVIRUS, MOLECULAR DETECTION PCRLab427.00
30087497INFECTIOUS AGENT DNA CMV QUANTLab718.00
30087498ENTEROVIRUS, AMPLIFIED PROBE TECHNIQUELab278.00
30087502INFECT AGENT DNA/RNA INFLUENZA 1ST 2 TYPLab194.00
30087502INFLUENAZ TYPE A + B RNA, QUANT RT-PCRLab1,097.00
30087507GASTROINTESTINAL PATHOGEN PANEL, PCRLab1,173.00
30087517HEPATITIS B VIRUS, QUANTLab389.00
30087517HEP B VIRAL; DNALab389.00
30087521HEP C, AMPLIFIED PROBELab485.00
30087522HEPATITIS C QUANTITIVELab577.00
30087529HSV I & II CSFLab342.00
30087529HERPES SIMP (HSV), MLCLR DETCT, PCR, BLDLab172.00
30087529HSV PCRLab144.00
30087535HIV REAL TIME PCRLab204.00
30087536HIV-1 RNA, PCRLab932.00
30087536HIV-1 RNA DETECT & QUANTIFICATION PLASMALab360.00
30087556M TUBERCULOSIS COMPLEX PCRLab1,035.00
30087581MYLOPLASMA PNEUMONIAE, MOLECULAR DTC PRCLab1,631.00
30087590G.C. DNA PROBELab116.00
30087591NEISSERIA GONORRHOEAELab164.00
30087633RESP. VIRUS PANEL RESPIRATRY PROBE 12-25Lab1,976.00
30087641MRSA, PCRLab218.00
30087651INDNA STREPTOCOCCUS GROUP A AMPLIFIED PRLab117.00
30087653STREP B DNA AMP PROBELab145.00
30087661TRICHOMONAS VAGINALIS BY NUCLEIC ACIDLab546.00
30087661TRICHOMONAS VAGINALIS RNA, MALELab81.00
30087661IADNA TRICH VAG AMP PROBE (PANEL ONLY)Lab161.00
30087798INFECT AGENT-AMPLIFIEDLab225.00
30087798KPC & NDM PCRLab1,769.00
30087798TOXOPLASMA GONDIILab433.00
30087798H1N1 INFLUENZA PCRLab433.00
30087798WEST NILE PCR.CSFLab1,318.00
30087798TICK BORNE PANEL, MOLECULAR DETCT, PCRLab567.00
30087798MALARIA PCR W/PARASITEMIALab404.00
30087798PARVORIRUS B19. PCR. PLASMALab433.00
30087798BORDETELLA PCRLab138.00
30087798JC VIRUS, QUANTITATIVELab225.00
30087798NOROVIRUS PCR, MOLECULAR   FECES TYPE ILab324.00
30087798IADNA NOS AMP TQ EA ORGNSM (PANEL ONLY)Lab484.00
30087798VZV, PCRLab144.00
30087798NOROVIRUS PCR, MOLECLR DET FECES TYPE IILab324.00
30087798RESPIRATORY VIRUS PANELLab216.00
30087799INFECT AGENT DETECT/NUCLEIC ACID NOSLab189.00
30087799PARROVIRUS DNA; QUANTLab189.00
30087799VZV DNA QNTF EA ORGNSMLab189.00
30087799BK VIRUS PCRLab189.00
30087799EPSTEIN-BARR VIRUS DNA DETECTION & QUANTLab320.00
30087799EBV PCR QUANTLab189.00
30087800GC & CHLAMYDIA BY DNALab188.00
30087801LYME DX, CSFLab293.00
30087801BACTERIAL CULTURE; AEROBIC SPECIALLab93.00
30087801IADNA MULTI ORGANISMS AMPLIFIED PROBE TQLab117.00
30087804INFLUENZA A/BLab102.00
30087880STREP TEST, DIRECTOGENLab73.00
31087899CRYPTOCOCCUS ANTIGEN, URINELab109.31
31087899STREPTOCOCCUS PNEUMONIAE, URINELab165.40
31087899LEGIONELLA ANTIGEN, URINELab83.50
30087902HCV RNA GENOTYPE-HEP CLab1,073.00
30087902HCV RNA GENOTYPE 3 NS5A DRUG RESISTLab2,977.00
31088104CYTO PATH, WASH OR BRUSHLab116.00
31488104CYT FLUIEDS W INTERPLab192.00
30088104SPUTUM FOR CYTOLOGYLab115.00
31088108CYTO PATHOLOGY CELL BLOCLab131.00
30088120UROVYSION FOR BLADDERLab264.00
30088142CYTOPATH/CERVICAL-VAGINALab118.00
30088150CYTOPATHOLOGY, SLIDES, CERV OR VAG;MANLab132.00
30088160PAP SMEAR EXTRA GENITALLab139.00
30088160CYTOPATH, NON-GYNLab139.00
30088161URINE CYTOLOGYLab107.00
30088170FNABLab82.00
30088172CYTP DX EVAL FNA 1ST EA SITELab202.00
30088173CYTOPATHOLOGY; INTERPRETATION AND REPORTLab733.00
30088180FLOW CYTOMETYLab729.00
30088184Lab844.00
30088184FLOW TC MARKERLab76.00
30088184FLOW CYTMTRY CELL SURF CYTOPLSMC OR NUCLab154.00
30088185FLOW CYTOMERTY, CELL SURFACE, CYTOPLASMILab844.00
30088185FLOW CYTOMETRY, EACH ADDITIONAL MARKERLab102.00
30088185FLOW TC ADD-ONLab48.00
30088188FLOW CYTOMETRY; 9 TO 15 MARKERSLab509.00
30088189FLOW CYTOMERTY, 16 OR MORE MARKERSLab330.00
31188189CYTOPATHOLOGY PROCEDURESLab330.00
30088230TISSUE CULT NON NEOPLASTLab624.00
30088233TISSUE CULTURE; SKIN OR TISSUE BIOPSYLab1,087.00
30088261CHOMOSOME ANALYS 5 CELLLab1,065.00
30088262COUNTS 15-20 CELLS 2 KARLab899.00
30088262COUNTS 1-14 CELLS 2KARYOTYP BANDINGLab899.00
30088262CHROMOSOME ANALYSIS 15-20Lab899.00
30088271MOLECULAR CYTOGEN;DNA EALab634.00
30088273MOLECULAR CYTO;10-30 CELLab139.00
30088274MOLECULAR CYTOGENLab333.00
30088275MOLEC CYTG INTERPHASE ISH ANALZ 100-300Lab617.00
30088280CHROMOSOME ANAL,KARYO EALab263.00
30088283CHROMOSOME ANAL,ADD SPECLab208.00
30088285CHROMOSOME COUNT ADDITIONALLab65.00
30088289CHROMOSOME ANAL,HI RESOLLab171.00
30088291CYTOGENETICS & MOLECULARLab118.00
30088291CHROMOSOMES, CONGENITAL, BLOODLab696.00
31088300PATHLOLGY LVL ILab87.00
31088302PATHOLOGY LVL IILab198.00
31088304PATHOLOGY PREP LVL IIILab157.00
31088305BONE MARROW INTERPRETLab387.00
31088305PATHOLOGY PREP LVL IVLab109.00
31088307PATHOLOGY PREP LVL VLab231.00
31088309PATHOLOGY PREP LVL VILab305.00
30088311DECALCIFICATIION PROCEDULab83.00
31088312TRICHROME STAINLab110.00
31088312SPECIAL STAINSLab205.00
31088313BONE MARROW SPECL. STAINLab125.00
31088313SPECIAL STAIN, GROUP IILab270.00
30088321CONSUT & REPT. SLIDE PRELab83.00
31088329PATHOLOGY CONSULT CHARGE SURGERYLab393.00
30088331FROZEN SECTIONSLab226.00
31088332PATH FZN SECTION-ADD'L TISSUE BLOCKLab262.00
31088334PATH CYTO EXAM ADDITIONAL SITELab229.00
31088334PATH CONS ADD TOUCH PREPLab229.00
30088341IMHISTOCHEM/CYTCHM EA ADDL ANTI SLIDELab246.00
30088342IMMUNOCYTOCHEM; EA ANTIBLab58.00
30088342IMHISTOCHEM/CYTCHM INIT ANTIBODY STAINLab122.00
30088342IMMUNOCY TO CHEM I.E. TISSUE IMMN PRXDSLab122.00
30088346IMMUNOFLUORESCENCE PER 1ST SINGL ANTSLab55.00
30088349ELECTRON MICROSCOPY; SCANNINGLab1,120.00
30088350IMMUNOFLUORESCENCE PER SPC ADD SING ANTBLab51.00
30088360MORPHOMETRIC ANALYSIS, TUMOR IMMUNOHISTLab500.00
30088361M/PHMTRC ALYS TUMOR IMHCHEM EA ANTI CMPTLab605.00
30088364IN SITU HYBRID eg FISH PER SPCMNLab399.00
30088365IN SITU HYBRIDIZATION eg FISH, PER SPCMNLab399.00
30088365TISSUE SITU HYBRID;I RPTLab895.00
30088368MORPHOMETRIC ANALYSIS; QUANT OR SEMI MANLab866.00
30088374MULTIPLEX PROBE STAIN PROCEDURELab1,071.00
30088377EACH MULTIPLEX PROBE STAIN PROCEDURELab962.00
30088381MICRODISSECTION, PREP IDENT TRGT MANUALLab928.00
30089050CELL COUNT MISC BODY FLDLab92.00
30089050CSF CELL COUNTLab92.00
30089055FECAL LEUKOCYTESLab125.00
30089060CRYSTALS, SYNOVIAL FLDLab87.00
30089060URIC ACID CRYSTALSLab87.00
30089060CRYSTALS, BODY FLUIDLab338.00
75089100GASTRO INTESTINAL SVCLab570.00
30089190EOSINOPHIL COUNTLab51.00
30089310SEMEN ANALYSISLab517.00
30089320SEMEN ANALYSISLab138.00
30089321SPERM COUNTLab122.00
30089322SEMEN ANALYSIS W/ STRICT MORPHOLOGYLab222.00
30089398UNLSTD REPRODUCTIVE MED LAB PROCEDURELab332.00
30090384RHO GAM INJECTIONLab24.00
73193226HOLTER, SCAN, ANALYSISLab556.00
30099001HANDLING, CONVEYANCELab49.00
94099195THERAPEUTIC PHLEB.Lab141.00
30099199DRUG SCREEN COLLECTIONLab44.00
300G0103PSA; SCREENLab141.00
300G0103PSA; SCREENING SPECIALLab47.00
300G0431DRUG SCREEN; SINGLE DRUG CLASS METHODLab69.00
300G0452MOLECULAR DX;INTERP-RPTLab651.00
300G6053METHADONELab203.00
636J2790Rhogam 300 mcg syrigeLab432.75
923P3000PAP SMEARLab68.00
390P9016LEUKO REDUCED PACKED CELLab758.00
390P9017PLASMA, FRESH FROZENLab257.00
390P9019PLATELETSLab132.00
390P9035PLATELTS, PHERESIS, LEUKOCYTES REDUCE-EALab2,306.00
390P9035PLATELTS, PHERESIS, LEUKOCYTES WITH STATLab2,306.00
390P9037PLATELETS, IRRADIATED EACH UNITLab1,401.00
390P9040RED BLOOD CELLS, IRRADIATED, EACH UNITLab805.00
390P9053PLATELETS, PHERESIS, LEUKOLYTES, CVM NEGLab1,489.00
390P9058RED BLOOD CELLS; LEUKOCYTES REDUCED CMV-Lab823.00
300LABLab3.00
300HEALTH FAIR LABS CMP, TSH, LIPIDLab32.00
300HIV GENO-TYPELab3.00
300BREATHALIZER TESTLab51.00
300NO CHARGELab    -
300BILL OFFICE LABSLab3.00
300LIPID/GLUCOSE SCREENLab97.00
300MISC. LAB CHARGELab3.00
300N-METHYLHISTAMIN, 24 HOUR URINELab429.00
390BLOOD PROCESSING AND STORAGELab255.00
390CYROPRECIPETATELab139.00
300HEALTHFAIR LABS CBC, GLYCOLab32.00
300ECHO/NO CHARGELab    -
300BLUE MUSSEL.IgELab36.00
300PLASMINOGEN ACTIVITYLab166.00
300VARICELLA-ZOSTER Ab, IgMLab57.00
36120551INJECTION; SINGLE TENDON / ORIGIN/INSERTMedical Surgical307.00
76129581APP. MULTI LAYER VNS/ WND COMP; BL KNEEMedical Surgical447.00
76136569INSERTION OF PICC WO SUBPORT 5YRS & OLDEMedical Surgical1,268.00
76136593DECLOTTING THROMOLYTIC AGENT IMPLANT DVMedical Surgical528.00
76151702INSERT TEMP INDEWELLING BLADDER CATH TCMedical Surgical269.00
76151705CHANGE CYSTOSTOMY TUBE SIMPLEMedical Surgical742.00
30082948CHEM BGMedical Surgical37.00
77190471IMMUNIZATION ADMINISTRATIONMedical Surgical63.00
77190472IMMUNIZATION ADMIN; EA ADDITIONAL VACCINMedical Surgical68.00
26090779UNLISTED THERAPY PROPH/DX IV INJMedical Surgical67.00
26096360OP IV THERAPY HYDRATE; 1ST HOURMedical Surgical294.00
26096361OP IV THERAPY HYDRAT; EA   HOUR UP TO 8Medical Surgical109.00
26096366IV INFUSION THERAPY/PROPH/DX EA ADD HOURMedical Surgical135.00
26096367IV THERAPY/PROPH/DX; SEQUENTIAL-1ST HOURMedical Surgical178.00
26096368IV INFUSION THERAP/ PROPH/ DX-CONCURRENTMedical Surgical132.00
26096372THERAPUTIC/PROPH/DX INJ SUB Q OR IMMedical Surgical105.00
26096374THERAPUTIC/PROPH/DX IV PUSH; SINGLE INJMedical Surgical221.00
76196375THERAPUTIC/ PROPH/DX INJ;EA SEQENTIL IVPMedical Surgical138.00
26096376THERAPEUTIC IV PUSH; EA. ADD SEQ DRUGMedical Surgical59.00
33196400CHEMO ADMIN SUBCU OR IM W OR W/O AnesthesiaTHMedical Surgical120.00
33196401CHEMO ADMIN; SUB Q -INTER MUSCLE-NO HORMMedical Surgical258.00
33196402CHEMO ADMIN; SUB Q OR IM, HORMONALMedical Surgical144.00
33196409CHEMO ADMIN; IV PUSH SINGLE OR INITIALMedical Surgical317.00
33596411CHEMO ADMIN; IV PUSH EA ADD SUBSTAN/DRUGMedical Surgical417.00
33596413CHEMO ADMIN; IV INFUSION UP TO 1 HRMedical Surgical764.00
33596415CHEMO ADMIN; IV INFUSION   EACH ADD HOURMedical Surgical157.00
33596417CHEMO ADMIN, IV INFUSE; EA SEQUENT INFUSMedical Surgical228.00
33196521REFILLING AND MAINT OF PORTABLE PUMPMedical Surgical530.00
33196523IRRIGAT IMPLANTED VENOUS ACCESS DEVICEMedical Surgical113.00
76197597REMOVAL DEVITAL;TISS, LESS 20 CMMedical Surgical191.00
76197598REM OF DEVIT TISS WND, SELECT >20 SQ CMMedical Surgical325.00
76197602REM OF DEVIT TISS FR WND,DEBRID PER SESSMedical Surgical172.00
76197605NEG PRESSURE WOUND THERAPY; PER SESSIONMedical Surgical120.00
76197606NEG PRESS WND THER, SURF AREA 20 SQ.CMMedical Surgical84.00
76099201SHORT STAY ROOM CHARGEMedical Surgical399.00
291E0186HILL-ROM AIR MATTRESS DAILY RENTALMedical Surgical158.00
291E0303EXCEL CARE THERAPY TZ-AIR DAILYMedical Surgical632.00
942G0108DIABETES INDIV PER HOURMedical Surgical147.00
335Q0084ONCOLOGY $1.58 PER MIN/$94.8O PER HOURMedical Surgical4.00
121ROOM & BOARD MED/SURGMedical Surgical1,459.00
410CPT/PRECUSSION DRNGMedical Surgical74.00
761OUTPATIENT TREATMENT ROOMMedical Surgical113.00
460OXIMETRYMedical Surgical111.00
762ER OBSERVATION PER HOURMedical Surgical62.00
762OBSERVATION WITH MONITORING PER HOURMedical Surgical92.00
710SURG OBS/RECOV PER HOURMedical Surgical75.00
655HOSPICE IP RESPITE CAREMedical Surgical269.00
656HOSPICE GENERAL IPMedical Surgical1,136.00
121ROOM & BOARD HIGH ACUITY (IMC)Medical Surgical2,179.00
762ER OBSERVATION PER HOURMedical Surgical62.00
270HYDROACTIVE CUTIMED SORBACT DRESSING 2X3Medical Surgical48.00
270SCD SLEEVE EXTENDERMedical Surgical33.00
98210021MRC/FINE NEEDLE ASPIRATIONMoab Regional Health Center181.00
98210022MRC/FINE NEEDLE ASPIRATION; W/IMAGING GDMoab Regional Health Center296.00
98210040MRC/INCIS & DRAIN;SIM OR SNGL CYST, PSTLMoab Regional Health Center127.00
98210060MRC/INCISION AND DRAINAGE, SIMPLEMoab Regional Health Center183.00
98210061MRC/I & D ABSCESS, COMPLICATEDMoab Regional Health Center372.00
98210080MRC/INCISION & DRAINAGE PILONDIAL CYSTMoab Regional Health Center230.00
98210081MRC/INCIS DRAIN OF PILONIDAL CYSTMoab Regional Health Center850.00
98210120MRC/FB, SUB-Q, SIMPLEMoab Regional Health Center187.00
98210121MRC/INC & REM FB SUBQ TISSUE COMPLXMoab Regional Health Center474.00
98210140MRC/I&D OF HEMATOMA, SEROMA, OR FLUIDMoab Regional Health Center253.00
98210160MRC/PUNCTURE ASP OF CYST, HEMATOMAMoab Regional Health Center169.00
98210180MRC/I & D COMPLEX, POST-OP WOUND INFECTIMoab Regional Health Center666.00
98211000MRC/DEBRIDE EXTENSIVE ECZ-INF SKIN -10%Moab Regional Health Center133.00
98211004MRC/DBREMT SKN SUBQ T/M/F NCRO INFCTJ GEMoab Regional Health Center1,063.00
98211005MRC/DBRDMT SKN SUBQ T/M/F NECRO INFCT ABMoab Regional Health Center1,905.00
98711008MRC/REM OF PROS MAT OR MESH ABD WALLMoab Regional Health Center637.00
98211010MRC/DBRDMT, W-REM FM FX&DISLCMoab Regional Health Center475.00
98211011MRC/DBRDMT W/REM FM FX&DISLC SK-SQ & MUSMoab Regional Health Center983.00
98211012MRC/DEBRDMT, REM FM & DISCL SQ T/M/F BONMoab Regional Health Center1,028.00
98211040MRC/DEBRIDEMENT; SKIN, PARTIAL THICK PFMoab Regional Health Center189.00
98211041MRC/DEBRID EXIS; SKIN, 0.6 TO1.0 CMMoab Regional Health Center206.00
98211042MRC/DEBRID EXCIS; SKIN 1.1 TO 2.0 CMMoab Regional Health Center411.00
98211043MRC/DEBRIDE SQ-MUSCLEMoab Regional Health Center574.00
98211044MRC/DEBRID, SKIN-SQ-MUS-BONEMoab Regional Health Center703.00
98211046MRC/DBRDMT MUSCLE/FASCIA EA ADDL 20 SQCMMoab Regional Health Center137.03
98211055MRC/ LESION, PARING, ONEMoab Regional Health Center51.00
98211056MRC/ LESION, PARING, 2-4Moab Regional Health Center62.00
98211100MRC/BX SKIN LESIONMoab Regional Health Center142.00
98211101MRC/ LESION BX, EA ADD.Moab Regional Health Center137.00
98211200MRC/REMOVAL OF SKIN TAGS LESS THAN 15Moab Regional Health Center131.00
98211201MRC/REMOVAL OF SKIN TAGS EACH ADD. 10Moab Regional Health Center110.00
98211201MRC/REMOVE SKIN TAG, MULTIPLE PFMoab Regional Health Center102.06
98211300MRC/SHAVING OF EPI OR DRML LES 1.5CM LESMoab Regional Health Center114.00
98211301MRC/SHAVING OF LESION 0.6 TO 1.0 CMMoab Regional Health Center120.00
98211302MRC/SHVG SKIN LES TRNK/ARM/LEG 1.1-2.0CMMoab Regional Health Center189.00
98211305MRC/SHVG EPDML/DRML LES SCLP-GNTLA 0.5CMMoab Regional Health Center123.00
98211306MRC/SHAVING SKN LES 1 S/N/H/F/G 0.6-1.0Moab Regional Health Center169.00
98211307MRC/SHAVING SKN LES 1 S/N/H/F/G 1.1-2.0Moab Regional Health Center199.00
98211308MRC/SHAVING SKN LES 1 S/N/H/F/G 2.0 CMMoab Regional Health Center228.00
98211310MRC/SHVNG EPI/DRML LES,FC,ERS,EYEL 0.5CMMoab Regional Health Center142.00
98211311MRC/SHVNG EPI/DRML 1.6 TO 1.0 CMMoab Regional Health Center165.00
98211312MRC/SHVNG EPI/DRML 1.1 TO 2.0 CMMoab Regional Health Center193.00
98211313MRC/SHVNG EPI/DRML OVER 2.0 CMMoab Regional Health Center244.00
98211400MRC/EXCIS, BENIGN LESION 0.5 CM OR LESSMoab Regional Health Center176.00
98211401MRC/EXCIS BEN LES-TRUNK, LIMBS 0.6-1.0 CMoab Regional Health Center220.00
98211402MRC/EXCIS BEN LES, TRUNK,EXTREM 1.1-2.0Moab Regional Health Center292.00
98211403MRC/EXCIS BEN LES-TRUNK, LIMB   2.1-3.0 CMoab Regional Health Center375.00
98211404MRC/EXC BEN LES TRNK, EXTR 3.1-4.0CMMoab Regional Health Center584.00
98211406MRC/EXCIS BEN LES-TRUNK, LIMBS <4.0 CMMoab Regional Health Center792.00
98211420MRC/EXCIS, BENIGN LESION EXCEPT TAG PFMoab Regional Health Center218.00
98211421MRC/EXCIS BEN LES-SCLP, HND, GEN 0.6-1.0Moab Regional Health Center261.00
98211422MRC/EXCIS BEN LES-FACE 1.1-2.0 CMMoab Regional Health Center329.00
98211423MRC/EXCS BEN LES-SCLP, HNDS, GEN 2.1-3CMMoab Regional Health Center627.00
98211424MRC/EXCIS, BENIGN LESION EXCEPT TAG PFMoab Regional Health Center637.00
98211426MRC/EXC BEN LES, OVER 4.0 CMMoab Regional Health Center744.00
98211440MRC/EXCIS, OTHER BENIGN LESION PFMoab Regional Health Center243.00
98211441MRC/EXCIS BEN LES-FACE, EARS 0.6-1 CMMoab Regional Health Center320.00
98211442MRC/EXCIS BEN LES- FACE 1.1-2.0 CMMoab Regional Health Center402.00
98211443MRC/EXCISE BENIGN LESION; FACE, EARS, PFMoab Regional Health Center557.00
98211444MRC/EXCIS BEN LES-FACE 3.1-4.0 CMMoab Regional Health Center697.00
98211446MRC/EXCIS BEN LES-FACE <4.0 CMMoab Regional Health Center995.09
98211450MRC/EXCISION OF SKIN AND SUB-Q FOR HIDRAMoab Regional Health Center760.00
98211462EXC HIDRADENITIS INGUINAL SMP/INTRMMoab Regional Health Center1,034.00
98211470MRC/EXC SKIN & SUBCU HIDRA PERIAN SIM ORMoab Regional Health Center862.46
98111600EXC MALG LESION TRNK/ ARM/LEG 0.5 CM/<Moab Regional Health Center421.00
98211601MRC/EXCIS MAL LES-TRUNK, LIMBS .06-1.0 CMoab Regional Health Center274.05
98211602MRC/EXCIS MALG LES TRNK,ARMS,LGS 1.1-2CMMoab Regional Health Center367.00
98211603MRC/EXCIS MAL LES INCL MRGNS 2.1 TO 3.0Moab Regional Health Center458.00
98211604MRC/EX MAL LES I.E. MAR T,A,L 3.1-4.0CMMoab Regional Health Center598.00
98211606MRC/EXCIS MAL LES, TRUNK, LIMB +4.0 CMMoab Regional Health Center878.00
98211621MRC/EXCIS, MALIGNT LES, SCALP, NECK, HANMoab Regional Health Center465.00
98211622MRC/EXCIS MAL LES-SCALP, HANDS 1.1-2.0 CMoab Regional Health Center500.00
98211623MRC/EXC MAL LES SCLP-NK-HNDS-FT 2.1-3.0Moab Regional Health Center613.00
98211624MRC/EXCIS, MALIG LES SCALP, NECK, HAND PMoab Regional Health Center841.05
98211626MRC/EXC MAL LES +4CM   SCLP,NK,HNDS,FT,GNMoab Regional Health Center968.00
98211641MRC/EXC MAL FC,ERS,LIDS,NS,LPSMoab Regional Health Center397.00
98211642MRC/MDCR EXCS MAL LES-FACE, EAR 1.1-2 CMMoab Regional Health Center568.80
51011642MRC/MDCR-EXC MAL LES-FACE,EAR 1.1-2 CMMoab Regional Health Center63.20
98211642MRC/EXC MAL LES-FACE,EAR 1.1-2 CMMoab Regional Health Center632.00
98211643MRC/EXCIS MAL LES-FACE, EARS 2.1-3.0 CMMoab Regional Health Center820.00
98211643MRC(MDCR)X MLG LS,F,ERS,LID,LPS 2.1-3CMMoab Regional Health Center738.00
51011643MRC(MDCR)X MLG LS,FC,LDS,NS,LPS 2.1-3CMMoab Regional Health Center82.00
98211644MRC/EXCIS MAL LES-FACE, EARS 3.1-4 CMMoab Regional Health Center935.00
98211646MRC/EXC MALGNT FACE,EARS,LIDS,NS,LPS 4.0Moab Regional Health Center818.00
98211646MRC(MDCR)X MLGNT FC, ERS, LDS, NS, LP 4Moab Regional Health Center736.20
51011646MRC(MDCR)X MAL FC, ERS, LDS, NS, LPS 4.Moab Regional Health Center81.80
98211719MRC/TRIMMING OF NAILMoab Regional Health Center44.00
98211720MRC/DEBRIDEMENT NAIL ANY MTHD 1 TO 5Moab Regional Health Center41.00
98211720MRC/(MDCR) DEBRIDE NAIL ANY MTHD 1-5Moab Regional Health Center36.90
51011720MRC/(MDCR)DERIDE NAIL ANY MTHD 1-5Moab Regional Health Center4.10
51011730MRC(MDCR) NAIL REM., PARTIALMoab Regional Health Center20.00
98211730MRC(MDCR) NAIL REM., PARTIALMoab Regional Health Center180.00
98211730MRC/AVULSION NAIL PLATE, PART OR COMPLETMoab Regional Health Center200.00
98211730MRC/NAIL REM, PARTIALMoab Regional Health Center130.00
98211732MRC/AVULSION NAIL PLATE EA ADDLMoab Regional Health Center85.05
98211740MRC/MEDCARE)EVACUATION SUBNGUAL HEMATOMAMoab Regional Health Center60.00
98211740MRC/EVACUATION SUBUNGUAL HEMATOMAMoab Regional Health Center67.00
51011740MRC/MDCR)EVACUATION SUBNGUAL HEMATOMAMoab Regional Health Center6.70
98211750MRC(MDCR)NAIL REM., W/MATRIXMoab Regional Health Center307.80
98211750MRC/ NAIL REM., W/MATRIXMoab Regional Health Center342.00
51011750MRC(MDCR)NAIL REM., W/ MATRIXMoab Regional Health Center34.20
98211760MRC/REPAIR NAIL BEDMoab Regional Health Center427.00
98211765WEDGE ESC OF SKIN OF NAIL FOLDMoab Regional Health Center317.00
98211770MRC/EXCIS PILONIDAL CYST- SIMPLEMoab Regional Health Center669.06
98211771MRC/EXCIS OF PILONIDAL CYST-EXTENSIVEMoab Regional Health Center959.00
98211772MRC/EXC PILONIDAL CYST COMPLICATEDMoab Regional Health Center1,087.00
51011900MRC(MDCR)/INJECT, INTRALESIONAL up to 7Moab Regional Health Center8.60
98211900MRC(MDCR)INJECT, INTRALESIONAL up to 7Moab Regional Health Center77.40
98211900MRC/INJECT, INTRALESIONAL up to 7 lesionMoab Regional Health Center86.00
98211950MRC/SUB INJ FILLING MATERIALMoab Regional Health Center290.00
98211976REMOVE CONTRACEPTIVE CAPSULEMoab Regional Health Center275.00
98211981MRC/INSERT, NONBIODGR DRUG(IMPLANON)Moab Regional Health Center192.00
98211982MRC/REM NON-BIODGRDBL DRUG DEL IMPLANTMoab Regional Health Center192.00
98211983MRC/REMOVE & REINSERT NEXPLANONMoab Regional Health Center237.00
98212001MRC/CLOS-SIMP, 2.5 CM OR LESSMoab Regional Health Center246.00
98212001MRC/(MDCR)CLOS-SIMP,TRNK,NK EX 2.5 -Moab Regional Health Center221.40
51012001MRC/(MDCR)CLOS-SIMP,TRNK,NK EX2.5 -Moab Regional Health Center24.60
98212002MRC/CLOS SIMP,SCLP,NK,TRK,EST 2.6-7.5 CMMoab Regional Health Center281.00
98212004MRC/SIMPLE REPAIR SUPER WOUND PFMoab Regional Health Center333.00
98212005MRC/REPAIR, SIMPLE S-N-T-EXT, 12.6-20CMMoab Regional Health Center524.00
98212006MRC/REPAIR WND 20.1-30CM SC,NK,TRNK, EXTMoab Regional Health Center463.05
98212011MRC/CLOS-SIMP, <2.5 CM, FACE, E,E,N,LIPMoab Regional Health Center310.00
98212011MRC(MDCR)SIMP SPRFCL WNDS FC, EAR, IMoab Regional Health Center279.00
51012011MRC(MDCR)SMP SPFRCL WND FACE, EAR,IMoab Regional Health Center31.00
98212013MRC/CLOS--SIMP 2.6-5.0 CM, F,E,E,N,LIPMoab Regional Health Center364.00
98212014SIM REPAIR 5.1 TO 7.5CMMoab Regional Health Center402.00
98212015SIMP REPAIR 7.6 TO 12.5CMMoab Regional Health Center420.00
98212016SIMP REPAIR 12.6 TO 20CMMoab Regional Health Center502.00
98212017SIM REPAIR 20.1 TO 30CMMoab Regional Health Center560.00
98212018SIM REPAIR 30CM OR GREATERMoab Regional Health Center580.00
98212020TX OF SUPERFICIAL WOUND DEHISCENCE SIMPMoab Regional Health Center678.65
98212021MRC/TX SUPERFIC WOUND DEHISCENCE; PFMoab Regional Health Center457.00
51012031MRC/MDCR REPAIR INTRMDT, SCALP, AXLL 2.5Moab Regional Health Center33.00
98212031MRC/MDCR REPAIR INTRMDT,SCALP,AXLL 2.5Moab Regional Health Center297.00
98212031MRC/CLOS-LAYERED, SCLP,AXIL,TRNK,EXT <2.Moab Regional Health Center330.00
51012032MRC/MDCR INTRMD,SCALP, AX, TK, EX 2.6-7.Moab Regional Health Center54.20
98212032MRC/MDCR INTRMD,SCALP, AX, TK, EX 2.6-7.Moab Regional Health Center487.80
98212032MRC/RPR INTRMD,SCALP, AX, TK, EX 2.6-7.5Moab Regional Health Center542.00
51012034MRC/(MDCR) REPAIR INTERMEMoab Regional Health Center62.50
98212034MRC/(MDCR) REPAIR INTERMEMoab Regional Health Center562.50
98212034MRC/CLOS-LAYER SCALP,TRNK,EXTR 7.6-12.5Moab Regional Health Center625.00
98212035MRC/LAYER CLOS OF WOUND PFMoab Regional Health Center634.10
98212036MRC/CLOSURE, LAYERED, 20.1-30.0 CMMoab Regional Health Center786.00
98212037MRC/LAYER CLOS-SCALP, AXIL, TRUNK >30 CMMoab Regional Health Center834.00
98212041MRC/CLOS-LAYER <2.5 CM, NK,HND,FT, EX GEMoab Regional Health Center385.00
98212042MRC/MDCR/CLOS-LAYERS 2.6-7.5 CMMoab Regional Health Center39.80
98212042MRC/MDCR/CLOS-LAYERS 2.6-7.5 CMMoab Regional Health Center358.20
98212042MRC/CLOS-LAYERS N,H,F,GEN 2.6-7.5 CMMoab Regional Health Center398.00
98212044MRC/CLOS-LAYER,7.6-12.5 CM- N,H,F,GENMoab Regional Health Center517.00
98212051MRC/MDCR CLOS-LAYER, FACE <2.5Moab Regional Health Center426.60
51012051MRC/MDCR, INTERM WNDS OF FC- LPMoab Regional Health Center47.40
98212051MRC/RPR, INTERM WNDS OF FC- LPMoab Regional Health Center474.00
51012052MRC/(MDCR)CLOS-LAYERS INT,   2.6-5 CMMoab Regional Health Center46.70
98212052MRC/(MDCR)CLOS-LAYERS INT,   2.6-5 CMMoab Regional Health Center420.30
98212052MRC/CLOS-LAYERS, FACE,E,E,N,L   2.6-5 CMMoab Regional Health Center467.00
98213100MRC/REPAIR, COMPLEX, TRUNK; 1.1 CM TO 2.Moab Regional Health Center310.00
98213101MRC/COM REPAIR 2.6 TO 7.5Moab Regional Health Center569.00
98213102REPAIR COMPLEX TRUNK EA ADD 5CM OR LESSMoab Regional Health Center255.00
98213120MRC/REPAIR COMP SCLP, ARM, LEG 1.1-2.5 CMoab Regional Health Center542.00
51013121MRC/MDCR/Repair com 2.6 to 7.5Moab Regional Health Center83.20
98213121MRC/MDCR/Repair com 2.6 to 7.5Moab Regional Health Center748.80
98213121MRC/REPAIR COM SCALP,LEGS,ARM 2.6 TO 7.5Moab Regional Health Center832.00
98213122MRC/MDCR REPAIR COMPLEX EA ADD ECM PFMoab Regional Health Center336.60
98213122MRC/REP,CMPLX,SCLP,ARM,LEG ADD E 5 CMMoab Regional Health Center374.00
98213122MRC/MDCR REP,CMPLX,SCLP,ARM,LEG ADD E CMMoab Regional Health Center37.40
98213131MRC//CLOS COMP-FACE,GEN,HND,FT   1.1-2.5Moab Regional Health Center829.00
98213132MRC/REPAIR COMPLEX 2.6-7.5Moab Regional Health Center1,260.00
98213133MRC/REP-COMP-ADDIT 5 CM-SCALP,ARM,LEGMoab Regional Health Center500.00
98213152MRC/REPAIR COMPLEX; EYELID, NOSE, LIP PFMoab Regional Health Center1,373.09
98213160MRC/REPAIR COMPLEX EYE, NOSE, EAR PFMoab Regional Health Center1,410.00
98214000MRC/ADJACENT TISSUE TRANS, TRUNK; 10 SQMoab Regional Health Center1,047.06
98214020MRC/ADJ TISS TRANS SCAL ARM, LEGS, DEF 1Moab Regional Health Center1,163.00
98214040MRC/ADJ TISSUE TRAN FORHEAD,ETC,1->LESSMoab Regional Health Center1,676.00
98215734MRC/MUSC MYOCUTNS/FSCCTNS FLP TRNKMoab Regional Health Center5,015.00
98215851MRC/REM SUTURES UNDER AnesthesiaTHESIAMoab Regional Health Center123.00
98216000MRC/INITIAL TX 1ST DEGREE BURN LOCALMoab Regional Health Center100.00
98216020MRC/DRSG/DEBRID W/O AnesthesiaT SMALLMoab Regional Health Center170.00
98216020MRC/(MDCR)DEBRID W/O AnesthesiaT SMMoab Regional Health Center153.00
51016020MRC/(MDCR)DEBRID W/O AnesthesiaT SMMoab Regional Health Center17.00
98216025MRC/DRESSINGS AND/OR DEBRID BURNS 5%-10%Moab Regional Health Center283.00
98217000MRC/DESTRUCTION FIRST LESIONMoab Regional Health Center153.00
98217000MRC/(MDCR) DETRUCTION 1ST LESIONMoab Regional Health Center137.70
51017000MRC/(MDCR) DESTRUCTION 1ST LESIONMoab Regional Health Center15.30
98217003MRC/DESTRUCTION OF LESIONS 2-14 (EACH)Moab Regional Health Center35.00
98217003MRC(MDCR)DSTRCT OF LSNS 2-14(EACH)Moab Regional Health Center31.50
51017003MRC(MDCR)DSTRCT OF LSNS 2-14 (EACH)Moab Regional Health Center3.50
98217004MRC/DESTRUCTION BENIGN LESIONS, 15+Moab Regional Health Center370.00
98217004MRC (MDCR) DSTRC BENIGN LESIONS, 15+Moab Regional Health Center333.00
51017004MRC(MDCR) DSTRCT BENIGN LESIONS, 15+Moab Regional Health Center37.00
98217106DESTRUCTION OF HEMATOMA <10 SQ CMMoab Regional Health Center420.00
98217110MRC/DESTRUCTION BENIGN LESIONS UP TO 14Moab Regional Health Center128.00
98217110MRC/(MDCR)DSTRUCT BNGN LSNS UP TO 14Moab Regional Health Center115.20
51017110MRC/(MDCR)DSTRUCT BNGN LSNS UP TO 14Moab Regional Health Center12.80
51017250MRC/(MDCR)CHEM CAUTERIZTN OF GRANULATIONMoab Regional Health Center9.50
98217250MRC/(MDCR)CHEM CAUTERIZTN OF GRANULATIONMoab Regional Health Center85.50
98217250MRC/CHEM CAUTERIZATION GRANULATION TISSUMoab Regional Health Center95.00
98217260MRC/DSTRCTN MALIGNANT LES T/A/L 0.5 CM/<Moab Regional Health Center170.00
98217261MRC/DES MAL LES TRNK ARM LEG 0.6-1.0 CMMoab Regional Health Center222.08
98217262MRC/DES MAL LES TRNK ARM LEG 1.1-2.0 CMMoab Regional Health Center280.00
98217263MRC/DES MAL LES TRNK ARM LEG 2.1-3.0 CMMoab Regional Health Center305.00
98217270DEST MAKG LES S/N/H/F/G >.05 CMMoab Regional Health Center296.00
98217271MRC/DEST MAL LES .6-1 CMMoab Regional Health Center249.00
98217272DSTRCTN MLGNNT LSN S/N/H/F/G 1.1-2.0CMMoab Regional Health Center350.00
98217280MRC/ DEST, MAL LES; FACE LESS 0.5 CMMoab Regional Health Center240.03
51017281MRC/MDR MAL LES FACE EARS NOSE 0.6-1.0 CMoab Regional Health Center28.90
98217281MRC/DES MAL LES FACE EARS NOSE 0.6-1.0 CMoab Regional Health Center289.00
98217281MRC/MDR MAL LES FACE EARS NOSE 0.6-1.0 CMoab Regional Health Center260.10
98217282DESTRUCTION MALIGNANT LESION 1.1-2.0 CMMoab Regional Health Center355.00
98217340MRC/CRYOTHERAPY SKINMoab Regional Health Center122.00
98217340MRC/ (MDCR) CRYOTHERAPY SKINMoab Regional Health Center109.80
51017340MRC/ (MDCR) CRYOPTHERAPY SKINMoab Regional Health Center12.20
98219020MRC/MASTOTOMY W/DRAINAGE ABSCESS (DEEP)Moab Regional Health Center794.00
98219100MRC/BX, BREAST, NEEDLE COREMoab Regional Health Center418.00
98219101MRC/BX BREAST, INCISIONALMoab Regional Health Center1,040.00
98219102MRC/NEEDLE DIRECTED BREAST BX W/IMAGINGMoab Regional Health Center466.00
98219110MRC/NIPPLE EXPLOR W/ OR W/O LACTIF DUCTMoab Regional Health Center1,002.00
98219120MRC/EXC-LESION, BREASTMoab Regional Health Center1,293.00
98219125MRC/EXCIS BREAST LS IDENT PLCMT RAD MK SMoab Regional Health Center1,186.05
98219126MRC/BREAST IDENT. PREOP PLCMT RAD.MK,OPMoab Regional Health Center595.00
98219300MRC/MASTECTOMY FOR GYNECOMASTIAMoab Regional Health Center1,355.00
98219301MRC/BREAST LUMPECTOMY(PARTL MASTECTOMY)Moab Regional Health Center1,594.00
98219302MRC/MASECTOMY, PARTIAL; W AXILLARY LYMPHMoab Regional Health Center2,370.00
98219303MRC/MASTECTOMY, SIMPLE, COMPLETEMoab Regional Health Center1,859.00
98219304MRC/MASTECTOMY-SUBCUTANEOUSMoab Regional Health Center2,670.00
98219305MRC/MAST RAD W/PECT MUSCLES AX W/LYMP NDMoab Regional Health Center3,092.04
98219307MRC/MASTECTOMY, MODIFIED RADICAL; INCL AMoab Regional Health Center3,188.00
98220000MRC/INC SOFT TISSUE ABSCESS SUPERFICIALMoab Regional Health Center196.00
98220005MRC/I&D SOFT TISSUE ABSCESS SUBFASCMoab Regional Health Center637.00
98220103MRC/EXPL PENETRATING WND SPX EXTREMITYMoab Regional Health Center1,813.00
98220240MRC/BX BONE, OPEN, SUPERFICIALMoab Regional Health Center572.00
98220520MRC/REM FB MUSCLE/TENDON SHEATH SIMPLEMoab Regional Health Center304.00
98220525MRC/REM FB IN MUSCLE OR TNDN SHEATH, DEEMoab Regional Health Center896.00
98220526INJ, THERAPEUTIC, CardiopulmonaryAL TUNNELMoab Regional Health Center210.00
98220550MRC(MDCR)INJ SNGL TENDN SHTH OR LIGMMoab Regional Health Center130.50
51020550MRC(MDCR)INJ SNGL TENDN SHTH OR LIGMMoab Regional Health Center14.50
98220550MRC/INJ SINGLE TENDON SHEATH OR LIGAMENTMoab Regional Health Center145.00
98220551MRC/INJX SINGLE TENDON ORIGIN/INSERTIONMoab Regional Health Center156.00
98220552MRC(MDCR)SNGL/MULTI POINT 1-2 MUSCLEMoab Regional Health Center159.30
51020552MRC(MDCR)SNGL/MULTI POINT 1-2 MUSCLEMoab Regional Health Center17.70
98220552MRC/INJECT(S) SINGLE/MULTIPLE:1-2 MUSCLEMoab Regional Health Center177.00
98220553MRC(MDCR)INJ SGL/MLTI TRGR PNTS3+Moab Regional Health Center148.50
98220553MRC/TRIGGER POINT INJECTIONS, 3 OR MOREMoab Regional Health Center165.00
51020553MRC(MDCR)INJ SGL/MLTI TRGR PNTS3+Moab Regional Health Center16.50
98220600MRC/ARTHOCENT SM JT FING/Moab Regional Health Center149.00
98220600MRC/ (MDCR) ARTHOCENT SM JT FING/Moab Regional Health Center134.10
51020600MRC/ (MDCR) ARTHOCENT JT FINGERMoab Regional Health Center14.90
98220604ARTHROCNT ASPIR SM. JOINT W/US GUIDANCEMoab Regional Health Center235.00
98220605MRC/ARTHOCENT INT JT WRI/Moab Regional Health Center158.00
98220605MRC/ (MDCR) ARTHOCENT INT JT WRI/Moab Regional Health Center142.20
51020605MRC/ (MDCR) ARTHOCENT INT JT WRI/Moab Regional Health Center15.80
98220606ARTHROCNTSS ASPIR/INJ INTRM JT/BURS W/USMoab Regional Health Center315.00
98220610MRC/ARTHO MAJ JOINT SHLDR, KNEE, HIPMoab Regional Health Center202.00
98220610MRC/ (MDCR) ARTHOCENT MAJOR JOINTMoab Regional Health Center181.80
51020610MRC/ (MDCR) ARTHOCENT MAJOR JOINTMoab Regional Health Center20.20
98220611ARTHRCNTSS, ASP/INJ, MJR JNT W/US PROFEEMoab Regional Health Center79.00
98220612MRC/ASPIRATION GANGLION CYCSTMoab Regional Health Center123.00
98220612MRC/MDCR/ASPIR GANGLION CYSTMoab Regional Health Center110.70
51020612MRC/MDCR/ASPIR GANGLION CYSTMoab Regional Health Center12.30
98220650MRC/INSERT PIN/WIRE W/APPL SKELETAL TRXNMoab Regional Health Center391.00
98220670MRC/REM IMPLANT, SUPERFICIALMoab Regional Health Center362.00
98220680MRC/REM IMPLANT, DEEPMoab Regional Health Center1,589.00
98220690MRC/APPLICATION EXT FIXATION DEVICEMoab Regional Health Center1,282.00
98220692APPLICATION MULTIPLANE EXTRNL FIX SYSTMMoab Regional Health Center2,027.00
98220694REM EXTRNL FIXATION UNDER AnesthesiaTHESIAMoab Regional Health Center883.00
98220827MRC/REPLANTATION, THUMB COMPLETE AMPUTATMoab Regional Health Center398.00
98220900MRC/BONE GRAFT, ANY AREA, MINORMoab Regional Health Center1,051.45
98220924MRC/TENDON GRAFT FROM A DISTANCEMoab Regional Health Center1,156.59
98221012MRC/EXC TUMOR SOFT TISS FC/SCLP SQ 2 CM>Moab Regional Health Center711.00
98221181MRC/RECON; BENIHN TUMOR OR CRANIAL BONEMoab Regional Health Center2,996.00
98221299MRC/CRANIOFACIAL W MAXILLOFACIAL PROCEDMoab Regional Health Center621.00
98221550MRC/BX SOFT TISSUE OF NECK OR THORAXMoab Regional Health Center759.00
98221552MRC/EXC NECK LES SC 3CM/>Moab Regional Health Center1,057.00
98221554MRC/EXC TUMOR, SOFT TIS OF NECK SUBF, 5Moab Regional Health Center1,740.00
98221555MRC/EXC TUMOR, NECK THORAX; SUBCUMoab Regional Health Center761.00
98221556MRC/EXCIS TUMOR; SOFT TISS NECK, DEEP PFMoab Regional Health Center1,367.00
98221800MRC/TREATMENT OF RIB FRACTUREMoab Regional Health Center303.00
98221820MRC/CLO TX STERNAL FXMoab Regional Health Center542.00
98221925MRC/BX SOFT TISSUE, BACK OR FLANK, DEEPMoab Regional Health Center976.00
98221930MRC/EXCIS TUMOR SOFT TISS BACK- FLANK PFMoab Regional Health Center1,448.00
98221931EXCIS TUMOR, BACK/FLANK SQ 3CM/>Moab Regional Health Center1,562.00
98221932EXCISION, TUMOR, SUB FASCIAL, < 5CMMoab Regional Health Center2,032.00
98222305MRC/CLO TX VERTEBRAL PROCESS FXMoab Regional Health Center529.00
98222310MRC/CLO TX VERTEBRAL FX W/O MANIP W-BRACMoab Regional Health Center1,048.01
98222900MRC/EXCIS, ABD WALL TUMOR, SUBFAS DESMOIMoab Regional Health Center1,281.00
98222901MRC/ EX TUMOR SFT TSS OF ABDMNL WALL 5CMMoab Regional Health Center1,356.00
98222902EXC TUMOR SOFT TISS ABDMNL WLL SUBQ <3CMMoab Regional Health Center1,036.00
98222903EXC TUMOR,SOFT TS ABD WALL SUBQ 3CM/>Moab Regional Health Center987.00
98223030MRC/I&D SHOULDER DEEP ABSCESS/HEMATOMAMoab Regional Health Center876.00
98223044MRC/ARTHOTOMY, ACROMIOCLAVICULAR JTMoab Regional Health Center1,367.00
98223065MRC/BX SOFT TISSUE SHOULDER AREAMoab Regional Health Center306.00
98223075MRC/EXCIS SOFT TISSUE TUMOR; SHOULDER PFMoab Regional Health Center721.04
98223101MRC/ARTHOTOMY;AC JNT OR SC JNT INSLU BXMoab Regional Health Center2,069.00
98223107ARTHRT GLENOHMRL JT W/JT EXPL W/WO RMVLMoab Regional Health Center2,304.00
98223120MRC/AC RSXN (CLAVICULECTOMY)Moab Regional Health Center3,004.00
98223130MRC/ACROMIOPLASTY OR ACROMIONECTOMY PARTMoab Regional Health Center1,953.00
98223155MRC/EXC/CURTG BONE CYST PROX HUM W-GRAFTMoab Regional Health Center4,019.00
98223156MRC/EXC/CURTG B9 BONE CYST PROX HUM W-ALMoab Regional Health Center2,833.00
98223350MRC/INJ PROC FOR SHOULDERMoab Regional Health Center358.00
98223350MRC/MCR-INJECTION, SHOULDERMoab Regional Health Center322.20
51023350MRC/MCR-INJECTION, SHOULDERMoab Regional Health Center35.80
98223410MRC/OPEN REPAIR ROTATOR CUFF, ACUTEMoab Regional Health Center2,948.00
98223412MRC/OPEN REPAIR ROTATOR CUFF, CHRONICMoab Regional Health Center3,514.00
98223420MRC/RECONSTRUCTION SHOULDER CUFF AVULSIOMoab Regional Health Center4,828.01
98223430MRC/TENODESIS OF LONG TENDON OF BICEPSMoab Regional Health Center3,744.09
98223455MRC/CAPSULORRAHAPHY W-LABRAL REPAIRMoab Regional Health Center5,782.00
98223466MRC/CAPSULORRAHAPHY GLENOHUMERAL JNTMoab Regional Health Center6,260.00
98223470MRC/ARTHROPLASTY GLENOHUMERAL HEMIARTHRMoab Regional Health Center4,358.00
98223472MRC/ARTHROPLASTY GENOHUMERAL TOTAL SHOULMoab Regional Health Center5,752.00
98223485OSTEO CLVCLE W/WO INT FIXJ W/BN GRFMoab Regional Health Center4,350.00
98223500MRC/CLO TX CLAVICULAR FX W/O MANIPMoab Regional Health Center523.00
98223500MRC/MDCR/CLTX CLAVICULAR FX W/O MANIPMoab Regional Health Center470.70
51023500MRC/MDCR/CLTX CLAVICULAR FX W/O MANIPMoab Regional Health Center52.30
98223505MRC/CLO TX CLAVICULAR FX W-MANIPMoab Regional Health Center701.00
98223515MRC/OP TX CLAVICLE FXMoab Regional Health Center2,441.00
98223540MRC/CLO TX ACROMIOCLAVICULAR DISLOCMoab Regional Health Center599.00
98223540MRC/MDCR/CLTX CLAVICULAR FX W/O MANIPMoab Regional Health Center539.10
51023540MRC/MDCR/CLTX CLAVICULAR DISL W/O MANMoab Regional Health Center59.90
98223550MRC/OP TX ACROMIOCLAVICULAR DISLCMoab Regional Health Center3,193.00
98223552MRC/OPTX ACROMCLAV DISLC ACT/CRNC W/FSCLMoab Regional Health Center3,880.00
98223570MRC/CLO TX SCAPULAR FX W/O MANIPMoab Regional Health Center531.00
98223600MRC/CLO TX PROX HUM FX W OR W/O MANIPMoab Regional Health Center680.00
98223605MRC/CLO TX PROX HUM FX W-MANIPMoab Regional Health Center1,333.00
98223615MRC/OP TX PROXIMAL HUMERAL FXMoab Regional Health Center3,281.04
98223616MRC/TREAT HUMERUS FX FIX W/PROSTHETIC REMoab Regional Health Center5,700.00
98223620MRC/LO TX GR HUM TUB FXMoab Regional Health Center493.00
98223620MRC/MDCR/CLTX GRT HUM TUB FX W/O MANMoab Regional Health Center443.70
51023620MRC/MDCR/CLTX GRTR HUM TUB FX W/O MANMoab Regional Health Center49.30
98223630OPEN TX > HUMERAL TBRSTY FX, IE INT FIXMoab Regional Health Center2,852.00
98223655MRC/CLO TX SHOULDER DISLOC W-MANIPMoab Regional Health Center892.00
98223670MRC/OP TX SHOULDER DISLOC W/HUMERUS FXMoab Regional Health Center3,750.00
98223930MRC/I&D HEMATOMA/ABSCESS UPP ARM OR ELBOMoab Regional Health Center841.05
98223931MRC/INC & DRAIN UPPER ARM/ELBOW BURSAMoab Regional Health Center841.05
98223935MRC/INC DEEP W/OPENING BONE CORTEX/ELBOWMoab Regional Health Center1,855.04
98224006MRC/ARTHRTMY ELBOW W-CAPSULAR RELMoab Regional Health Center2,278.00
98224065MRC/BX ELBOW OR ABOVE, SOFT TISSUEMoab Regional Health Center274.00
98224075MRC/EXC TUMOR SOFT TISSUE ARM/ELBOWMoab Regional Health Center711.00
98224076MRC/EXC TUMOR SOFT TISS UPR ARM SUBF <5CMoab Regional Health Center1,300.00
98224105MRC/EXC OLECRANON BURSAMoab Regional Health Center1,136.00
98224147MRC/PARTIAL EXCI BONE OLECRANON PROCEMoab Regional Health Center1,727.00
98224149MRC/RAD RESCJ CAPSL TISS, BONE ELBOWMoab Regional Health Center2,985.00
98224200MRC/RMVL FB UP ARM/ELBOW SQMoab Regional Health Center275.00
98224300MRC/MANIP ELBOW UNDER AnesthesiaTHESIAMoab Regional Health Center1,037.00
98224341MRC/REPAIR-TENDON/MUSCLE UPPER ARM/ELBOWMoab Regional Health Center2,956.00
98224342MRC/REINSERTN RPTD BICEPS/TRICEPS TENDONMoab Regional Health Center2,701.00
98224343MRC/REPAIR LCL ELBOWMoab Regional Health Center2,571.00
98224359MRC/TENO ELBOW LATERAL/MEDIAL DEBRIDE OPMoab Regional Health Center2,095.00
98224366MRC/ARTHROPLASTY, RADIAL HEAD W/IMPLANTMoab Regional Health Center2,280.00
98224500MRC/CLO TX HUM SHAFT FX W/O MANIPMoab Regional Health Center778.00
98224500MRC/MDCR/CLTX HUMRL SHAFT FX W/O MANJMoab Regional Health Center700.20
51024500MRC/MDCR/CLTX HUMRL SHAFT FX W/O MANJMoab Regional Health Center77.80
98224530MRC/CLO TX SUPRA TRANS HUM FX W/O MANIPMoab Regional Health Center785.00
98224538MRC/PRQ SKEL FIXJ SPRCNDYLR HUMERAL FXMoab Regional Health Center2,469.00
98224545MRC/OP TX HUMERAL SUPRACONDYLAR FX W/O XMoab Regional Health Center3,048.00
98224546MRC/OP TX HUMERAL SUPRACNDYLR FX W/XTNMoab Regional Health Center3,814.02
98224560MRC/CLO TX HUMERAL EPICOND W/O MANIPMoab Regional Health Center873.00
51024560MRC/MDCR/CLTX HUMERAL HD FX W/O MANIPMoab Regional Health Center87.30
98224576MRC/CLO TX HUM COND FX MED/LAT W/O MANIPMoab Regional Health Center652.00
98224576MRC/MDCR/CLTX HUMERAL CONDLR FX W/O MMoab Regional Health Center586.80
51024576MRC/MDCR/CLTX HUMERAL CONDYLAR   FXMoab Regional Health Center65.20
98224576MRC/MDCR/CLTX HUMERAL HD FX W/O MANIPMoab Regional Health Center785.70
98224579MRC/OP TX HUM CONDYLAR FXMoab Regional Health Center2,657.00
98724586MRC/OPEN PERIART FX AND/OR DISLOC ELBOWMoab Regional Health Center3,635.00
98224600MRC/CLO TX ELBOW DISLOCATION W/OMoab Regional Health Center611.00
98224600MRC/MDCR CLO TX ELBOW DISLOC W/O AnesthesiaTHMoab Regional Health Center61.10
98224600MRC/MDCR/CLTX ELBOW DISL W/O MANIPMoab Regional Health Center549.90
98224605MRC/CLO TX ELBOW DISLOC W-AnesthesiaTHESIAMoab Regional Health Center915.00
98224635MRC/OP TX MONTEGGIA FX DISLC ELBOWMoab Regional Health Center3,298.05
98224650MRC/CLO TX RADIAL HEAD/NECK FX W/O MANIPMoab Regional Health Center600.00
98224655MRC/CLO TX RADIAL HEAD/NECK FX W-MANIPMoab Regional Health Center877.00
98224666MRC/OP TX RADIAL HEAD/NECK FX PROSTHETICMoab Regional Health Center2,782.08
98224670MRC/CLO TX ULNAR FX PROX W/O MANIPMoab Regional Health Center600.00
98224685MRC/OP TX ULNAR FX W OR W/O MANIPMoab Regional Health Center2,352.00
98225000MRC/INC EXTENSOR TENDON SHEATH WRISTMoab Regional Health Center1,266.00
98225020MRC/DCMPRN FASCT ARM/WRST FLXR/XTNSRMoab Regional Health Center1,483.00
98225028MRC/I&D 4ARM/WRIST DEEP ABSCESS/HEMATOMAMoab Regional Health Center914.00
98225040MRC/ARTHRTMY CRPL JT W DRAINAGE & REM FBMoab Regional Health Center1,828.00
98225065MRC/BX SOFT TISSUE, FOREARM, WRISTMoab Regional Health Center319.00
98225066BIOPSY, SOFT TISSUE OF FOREARM OR WRISTMoab Regional Health Center1,691.00
98225075MRC/EXC TUMOR SOFT TISSUE WRIST SQ <3 CMMoab Regional Health Center1,197.00
98225076EXC TUMOR SOFT TISS FORE/WRIST >3CMMoab Regional Health Center1,928.00
98225111MRC/EXC GANG WRIST DORSAL/VOLAR, PRIMMoab Regional Health Center1,310.00
98225118MRC/SYNOVECTMY EXTNSR TENDON SHTH WRISTMoab Regional Health Center1,407.00
98225248MRC/EXPLORATION-REM FB, DEEP, FOREARMMoab Regional Health Center1,092.00
98225260MRC/REP DNDN/MUSC FLXR F/ARM & WRISTMoab Regional Health Center1,926.80
98225270MRC/REP TNDN/MUSC XTNSR FOREARM/WRISTMoab Regional Health Center1,483.00
98225272MRC/APR TDN/MUSC XTNSR F/ARM/WRST 1 EAMoab Regional Health Center2,244.00
98225274MRC/REP TNDN/MUSC XTNSR FOREARM & WRISTMoab Regional Health Center2,793.00
98225295MRC/TENOLYSIS FLXR/XTNSR TENDON WRISTMoab Regional Health Center1,815.00
98225301TENODESIS AT WRIST; EXT OF FINGERMoab Regional Health Center2,875.00
98225400MRC/REP NON/MALUNION, RAD/ULN W/O GRAFTMoab Regional Health Center2,567.00
98225440MRC/RPR NONUNION SCAPHOID CRPL BNE W/WOMoab Regional Health Center5,024.00
98225447MRC/ARTHRO. INTERPOS. INTERCAR OR CardiopulmonaryOMMoab Regional Health Center3,440.71
98225450MRC/EPIPHYSIODESIS DISTAL RADIUS/ULNAMoab Regional Health Center1,310.00
98225500MRC/CLO TX RADIAL SHAFT FX W/O MANIPMoab Regional Health Center594.00
98225505MRC/CLO TX RADIAL SHAFT FX W-MANIPMoab Regional Health Center1,009.00
98225515MRC/OP TX RAD SHFT FX W OR W/O FIXJMoab Regional Health Center2,475.00
98225525OPN RDL SHFT FX CLX RAD/ULN JT DISLOCATEMoab Regional Health Center2,863.00
98225526MRC/OP RAD SHFT FX OPEN RAD/ULN JT DISLCMoab Regional Health Center2,965.00
98225530MRC/CLO TX ULNAR SHAFT FX W/O MANIPMoab Regional Health Center633.00
98225545MRC/OP TX ULNAR SHAFT FX W OR W/O AnesthesiaTHMoab Regional Health Center2,194.00
98225560MRC/CLO TX RADIAL & ULNAR SHAFT W/O MANIMoab Regional Health Center790.02
98225565MRC/CLO TX RADIAL & UNLAR FX WITH MANIPMoab Regional Health Center1,695.00
98225574MRC/OPEN TREATMENT OF RADIAL/ULNAR SHAFTMoab Regional Health Center1,911.00
98225575MRC/OP TX RADIAL & ULNAR SHAFT FX W/FIXJMoab Regional Health Center3,200.00
98225600MRC/CLO TX DISTAL RADIAL FX W/O MANIPMoab Regional Health Center682.00
98225600MRC/MDCR/CLTX DISTAL RAD FX W/O MANIPMoab Regional Health Center613.80
51025600MRC/MDCR/CLTX DISTAL RAD FX W/O MANIPMoab Regional Health Center68.20
98225605MRC/CLO TX DISTAL RADIAL FX W-MANIPMoab Regional Health Center1,099.04
98225606MRC/PERQ SKEL FIXJ OF DISTAL RAD FXMoab Regional Health Center1,779.00
98225607MRC/OP TX DISTAL RADIAL FXMoab Regional Health Center2,418.00
98225608MRC/OP TX DSTL RADL I-ARTIC FXMoab Regional Health Center2,307.00
98225609MRC/OP TX DISTAL RADIUSMoab Regional Health Center2,008.00
98225620MRC/OP TX DISTAL RADIUS FXMoab Regional Health Center2,133.00
98225622MRC/CLO TX CardiopulmonaryAL SCAPHOID FX W/O MANIPMoab Regional Health Center732.00
51025622MRC/MDCR/CLTX CardiopulmonaryAL SCAPHOID W/O MANMoab Regional Health Center73.20
98225622MRC/MDCR/CLTX CardiopulmonaryAL SCAPHOID W/O MANMoab Regional Health Center658.80
98225624MRC/CLO TX CardiopulmonaryAL SCAPHOID FX W-MANIPMoab Regional Health Center948.00
98225630MRC/CLO TX CardiopulmonaryAL FX W/O MANIPMoab Regional Health Center603.00
51025630MRC/MDCR/CLTX CardiopulmonaryAL FX W/O MANIPMoab Regional Health Center60.30
98225630MRC/MDCR/CLTX CardiopulmonaryAL FX W/O MANIPMoab Regional Health Center542.70
98225635MRC/CLO TX CardiopulmonaryAL FX W-MANIPMoab Regional Health Center989.00
98225650MRC/CLO TX ULNAR STYLOID FXMoab Regional Health Center710.00
98225652MRC/OP TX ULNAR STYLOID FXMoab Regional Health Center1,988.00
98225660MRC/CLO TX CardiopulmonaryAL DISLOC W-MANIPMoab Regional Health Center989.00
98225671MRC/PRQ SKLTL FIXJ DISTAL RADIOULNAR DISMoab Regional Health Center1,439.75
98225675MRC/CLO TX DIST RADIOULNAR DISLOC W-MANIMoab Regional Health Center892.08
98225690MRC/CLO TX OF LUNATE DISL W-MANIPMoab Regional Health Center1,300.00
98226010MRC/DRAINAGE OF FINGER ABSCESS, SIMMoab Regional Health Center260.00
98226010MRC/MDCR DRAINAGE FINGER ABSCESS, SIMPLEMoab Regional Health Center234.00
51026010MRC/MDCR-DRAINAGE FINGER ABSCESS-SIMPLEMoab Regional Health Center26.00
98226011MRC/DRAINAGE FINGER ABSCESS, COMPLMoab Regional Health Center721.00
98226020MRC/DRAINAGE TENDON SHEATH DIGIT & PALMMoab Regional Health Center1,330.00
98226025MRC/DRAINAGE OF PALMAR BURSA SINGLEMoab Regional Health Center1,581.00
98226055MRC/TENDON SHEATH INCISIONMoab Regional Health Center1,564.00
98226070MRC/ARTHRT, EXPL DRG/ RMVL LOOSE/FB JTMoab Regional Health Center1,590.00
98226075MRC/ARTHOTOMY METACardiopulmonaryOPHALANGEALMoab Regional Health Center1,330.00
98226080MRC/ARTHOTOMY W/DRAIN OR FM RMVEJTEACHMoab Regional Health Center1,065.07
98226110MRC/BIOPSY FINGER JOINT LININGMoab Regional Health Center1,131.00
98226115MRC/EXC TUM MAL SFT TIS HND/FNG SUBQ<1.5Moab Regional Health Center887.00
98226116MRC/EXC TUMOR MAL SFT TIS HAND SUBF<1.5CMoab Regional Health Center1,596.00
98226160MRC/EXC LES TDN SHTH/JT CAPSL HAND/FNGRMoab Regional Health Center1,020.00
98226210MRC/EXC/CURET CYST/TUMOR PHALANXMoab Regional Health Center1,457.00
98226236PARTIAL EXCISION DISTAL PHALANX FINGERMoab Regional Health Center1,740.00
98226320REMOVAL OF IMPLANT FROM FINGER OR HANDMoab Regional Health Center1,430.00
98226418REPAIR EXTENSOR TENDON, FINGER WO GRMoab Regional Health Center1,478.00
98226426MRC/REPAIR EXTENSOR TENDON W/LAT BANDMoab Regional Health Center2,239.00
98226480MRC/TR/TRNSPL TDN Cardiopulmonary/MT CRPL HAND W/OMoab Regional Health Center2,740.22
98226540MRC/REP COLL LIG METACardiopulmonary/IP JOINTMoab Regional Health Center2,747.00
98226546REP NON-UNION METCRPL/PHALANXMoab Regional Health Center2,911.00
98226600MRC/CLO TX METACardiopulmonaryAL FX W/O MANIPMoab Regional Health Center510.00
98226600MRC/MDCR/CLTX METACardiopulmonaryAL FX W/O MANMoab Regional Health Center459.00
51026600MRC/MDCR/CLTX METACardiopulmonaryAL FX W/O MANMoab Regional Health Center51.00
98226605MRC/CLO TX METACardiopulmonaryAL FX W-MANIPMoab Regional Health Center763.00
98226608MRC/PRQ SKELETAL FIXJ METACardiopulmonaryAL FXMoab Regional Health Center1,944.00
98226615MRC/OPEN TX METACardiopulmonaryAL FXMoab Regional Health Center2,238.00
98226641CLTX CardiopulmonaryO/METCardiopulmonaryAL DISLO THUMB W/MANMoab Regional Health Center932.00
98226670MRC/CLO TX CardiopulmonaryOMETACardiopulmonaryAL DISLOCATIONMoab Regional Health Center610.00
98226676MRC/PRQ SKEL FIXJ CardiopulmonaryO/MTCRPL DISLC THMMoab Regional Health Center1,201.10
98226686MRC/OP TX Cardiopulmonary/MTCRPL DISLOC THUMBMoab Regional Health Center2,901.00
98226700CLO TX MCP DISLOCATION W/MANI W/O AnesthesiaTHMoab Regional Health Center366.00
51026720MRC/MDCR/CLTX PHALANGEAL FX W/O MANMoab Regional Health Center34.80
98226720MRC/CLO TX PHALANGEAL FX W/O MANIPMoab Regional Health Center348.00
98226720MRC/MDCR/CLTX PHALANGEAL FX W/O MANMoab Regional Health Center313.20
98226725MRC/CLO TX PHALANGEAL FX W-MANIPMoab Regional Health Center601.02
98226727MRC/PRQ SKEL FIXJ PHLNGL SHFT FX PROX/MIMoab Regional Health Center1,562.09
98226735MRC/OP TX PHALNGEAL SHAFT FX PROX/MIDDLEMoab Regional Health Center1,841.00
98226740MRC/CLO TX ARTICULAR W/O MANIPMoab Regional Health Center599.00
51026740MRC/MDCR/CLTX ARTICULAR FX W/O MANIPMoab Regional Health Center59.90
98226740MRC/MDCR/CLTX ARTICULAR FX W/O MANIPMoab Regional Health Center539.10
98226742MRC/CLO TX ARTICULAR FX W/MANIPMoab Regional Health Center883.00
51026742MRC/MDCR/CLTX ARTICULAR FX W/MANIPMoab Regional Health Center88.30
98226742MRC/MDCR/CLTX ARTICULAR FX W/MANIPMoab Regional Health Center794.70
98226746MRC/OP TX ARTICULAR FX MCP/IP JOINTMoab Regional Health Center2,545.00
98226750MRC/CLO TX DISTAL PHALANGEAL FX W/O MANIMoab Regional Health Center302.00
98226750MRC/MDCR/CLTX DIST PHLNGL FX W/O MANMoab Regional Health Center271.80
51026750MRC/MDCR/CLTX DIST PHLNGL FX W/O MANMoab Regional Health Center30.20
98226755MRC/CLO TX DIST PHAL FX W-MANIP (EA)Moab Regional Health Center559.00
98226756MRC/PRQ SKEL FIXJ DISTL PHLNGL FX FINGERMoab Regional Health Center1,109.00
98226765MRC/OP TX DIST PHAL FXMoab Regional Health Center1,294.00
98226770MRC/CLO TX INTERPHAL DISL W-MANIPMoab Regional Health Center669.00
98226775MRC/CLO TX INTRPHLNGL JNT DISLOC W-AnesthesiaTMoab Regional Health Center767.00
98226776MRC/PRQ SKEL FIXJ PHAL JT DISLC W/MANJMoab Regional Health Center941.00
98226785MRC/OP TX INTERPHALANGEAL JOINT DISLOCATMoab Regional Health Center1,556.00
98226860MRC/ARTHRODESIS INTERPHALANGEAL JNT W/WOMoab Regional Health Center1,948.00
98226951MRC/AMPUTATION FINGER OR THUMB;ANY JOINTMoab Regional Health Center1,450.00
98226952MRC/AMPUTATION FINGER OR THUMB ANY JOINTMoab Regional Health Center1,848.00
98226990MRC/I&D HEMATOMA-PELVIS OR HIP AREAMoab Regional Health Center1,330.00
98227030MRC/ARTHOSTOMY, HIP, W/DRAINAGE (ef. infMoab Regional Health Center3,565.00
98227047MRC/EXC, TUMOR, PELVIS & HIP: SUBCU.TISSMoab Regional Health Center1,131.00
98227086REMOVAL OF FOREIGN BODY, PELVIS/HIP SQMoab Regional Health Center430.00
98227087REMOVAL FOREIGN BODY, PELVIS/HIP DEEPMoab Regional Health Center1,776.00
98227093MRC/ INJ HIP ARTRGRPHY W/O AnesthesiaTHESIAMoab Regional Health Center577.00
98227125MRC/HEMIARTHROPLASTY, HIP, PARTIALMoab Regional Health Center8,072.00
98227130MRC/ARTHROPLASY, TOTAL HIPMoab Regional Health Center9,673.02
98227193MRC/CLO TX PELVIC RNG FX W/O MANIPMoab Regional Health Center1,023.00
98227194MRC/CLO TX PELV RNG FX DISL W-MANIP & ANMoab Regional Health Center2,005.00
98227197CLX TX PELVIC RIGH FX W/O MANIPMoab Regional Health Center427.00
98227220MRC/CLO TX HIP SOCKET FX W/O AnesthesiaTHMoab Regional Health Center1,033.00
98227220MRC/MDCR/CLTX ACETABULUM HIP W/O MANMoab Regional Health Center929.70
51027220MRC/MDCR/CLTX ACETABLM HIP W/O MANIPMoab Regional Health Center103.30
98227222MRC/CLO TX ACETABULUM FX W-MANIPMoab Regional Health Center2,272.00
98227230MRC/CLO TX FEM FX PROX END NECK W/O MANIMoab Regional Health Center909.00
98227232MRC/CLO TX FEM FX PRXM END W-MANIPMoab Regional Health Center2,066.00
98227235MRC/PRQ SKEL FIXJ FEMORAL FX PROX END NCMoab Regional Health Center4,431.00
98227236MRC/OP TX FEM FX PROX END NCK W-INT FIXJMoab Regional Health Center4,362.00
98227238MRC/CLO TX TROCHANTERIC FEM FX W/O MANIPMoab Regional Health Center1,100.00
98227240MRC/CLTX SBTRCHNTRC FEM FX W-MANIPMoab Regional Health Center2,106.00
98227240MRC/MDCR/CLTX FEMRL FX W/MANIPMoab Regional Health Center1,895.40
51027240MRC/MDCR/CLTX FEMRL FX W MANIPMoab Regional Health Center210.60
98227244MRC/TX SUBTRCHNTRIC FEM FX SCREW IMPLNTMoab Regional Health Center3,585.00
98227245MRC/OP TX FEMORAL FX WITH HARDWAREMoab Regional Health Center4,460.00
98227246MRC/CLO TX GRT TROCHANTERIC FX W OR WO MMoab Regional Health Center748.00
98227246MRC/MDCR/CLTX GRT TROCHNTRC FX W-W/OMoab Regional Health Center673.20
51027246MRC/MDCR/CLTX GRT TROCHNTRC FX W-W/OMoab Regional Health Center74.80
98227248OPEN TX > TROCHANTERIC FXMoab Regional Health Center2,272.00
98227252MRC/CLO TX HIP DISLOC W-AnesthesiaTHMoab Regional Health Center1,474.00
98227266MRC/CLO TX POST ARTHRPL HIP DISLOC W-ANEMoab Regional Health Center1,481.00
98227269MRC/OPTX FEMORAL FX, INTERNAL FIXATIONMoab Regional Health Center4,159.00
98227301MRC/I&D DEEP ABSCESS, BURSA, HEMATOMAMoab Regional Health Center978.08
98227305MRC/FASCIOTOMY ILIOTIBIAL OPENMoab Regional Health Center1,690.00
98227310MRC/ARTHOTOMY, KNEE W/DRAINAGE OR REM FBMoab Regional Health Center3,315.00
98227331MRC/ARTHROTOMY KNEE;W BIOPSY REM OF FBMoab Regional Health Center2,934.00
98227337EXC TUMOR SFT TISS THIGH/KNEE SUBQ 3CM/>Moab Regional Health Center1,121.00
98227339MRC/EXC THIGH/KNEE TUM DEP 5CM/>Moab Regional Health Center5,089.00
98227340MRC/EXC PREPATELLAR BURSAMoab Regional Health Center1,713.00
98227385MRC/SUTURE QUADRICEPS/HMSTRNG RUPTUREMoab Regional Health Center2,381.00
98727403ARTHROTOMY W/MENISRUS REPAIR, KNEEMoab Regional Health Center2,572.00
98227405MRC/REPAIR LIGAMENT, KNEE, COLLATERALMoab Regional Health Center2,874.00
98227415MRC/OSTEOCHONDRAL ALLOGRAFT KNEE OPENMoab Regional Health Center6,505.00
98227418MRC/ANTERIOR TIBIAL TUBERCLEPLASTYMoab Regional Health Center3,013.00
98227420MRC/RCONSTJ DISLOCATING PATELLAMoab Regional Health Center2,739.00
98227422MRC/RCNST J DISLC PATELLA W/XTNSR RLIGNMMoab Regional Health Center2,823.00
98227425MRC/LAT RETINACULAR RELEASE, OPENMoab Regional Health Center1,989.00
98727447MRC/TKA KNEE, MED & LATMoab Regional Health Center6,597.05
98227486MRC/REVISION TKAMoab Regional Health Center6,600.00
98227487MRC/REVJ TKA FEM & TIBIAL COMPONENTMoab Regional Health Center7,017.00
98227496MRC/DECOMPRESSION FASCIOTOMY THIGH/KNEEMoab Regional Health Center1,414.00
98227501MRC/CLO TX SUPRA/TRANS CONDYLAR FEM W/OMoab Regional Health Center1,676.00
98227501MRC/MDCR/CLTX FEMORAL FX W/O MANIPMoab Regional Health Center167.60
98227501MRC/MDCR/CLTX SPRCNDLR FEM FX W/O MANMoab Regional Health Center1,508.40
98227502MRC/CLO TX FEM SHFT FX W-MANIP W/O TRAXMoab Regional Health Center2,369.00
98227506MRC/OP TX FEM SHAFT FXMoab Regional Health Center4,904.00
98227508MRC/CLO TX DISTL FEM FX MED/LAT W/O MANIMoab Regional Health Center1,171.00
98227508MRC/MDCR/CLTX DISTL FEMRL FX W/O MANMoab Regional Health Center1,053.90
51027508MRC/MDCR/CLTX DSTL CONDYLR FX W/O MANMoab Regional Health Center117.10
98227513MRC/OP TX FEM SPRCNDYLR FX W/XTNMoab Regional Health Center2,316.00
98227514MRC/OP TX FEMUR FX DIST MED/LAT CONDYLEMoab Regional Health Center4,547.00
98227517CLX REDUCTION OF DISTAL FEMUR DISCMoab Regional Health Center2,165.00
98227520MRC/CLO TX PATELLAR FX W/O MANIPMoab Regional Health Center692.00
51027520MRC/MDCR/CLTX PATELLAR FX W/O MANIPMoab Regional Health Center69.20
98227520MRC/MDCR/CLTX PATELLAR FX W/O MANIPMoab Regional Health Center622.80
98227524MRC/OP TX PATELLA FX W/SOFT TISSUE REPAIMoab Regional Health Center2,921.00
98227530MRC/CLO TX TIBIAL FX W/O MANIPMoab Regional Health Center896.00
98227532CLTX TIBIAL FX W/WO MANJ W/SKEL TRACJMoab Regional Health Center1,342.00
98227535MRC/OPEN TREATMENT TIBIAL FX, PROX, FIXMoab Regional Health Center3,108.00
98227536MRC/OP TX TIBIAL FX, PROX BICONDYLARMoab Regional Health Center3,604.00
98227538MRC/CLO TX TUBEROSITY FX KNEE W-W/O MANIMoab Regional Health Center1,110.00
98227540MRC/OP TX INTERCONDLR SPINE/TUBRST FX KNMoab Regional Health Center2,921.00
98227550MRC/CLO TX KNEE DISLO W/O AnesthesiaTHMoab Regional Health Center809.00
98227552MRC/CLO TX KNEE DISLOC W-AnesthesiaTHMoab Regional Health Center935.00
98227560CLOSED TX PATELLAR DISLOCTN W/O AnesthesiaTHMoab Regional Health Center569.00
98227570MRC/MANIP KNEE UNDER GEN AnesthesiaTHMoab Regional Health Center578.00
98227590MRC/ABOVE THE KNEE AMPUTATIONMoab Regional Health Center3,069.00
98227596AMPUTATION THIGH THROUGH FEMUR RE-AMPUTNMoab Regional Health Center3,096.00
98227599MRC/UNLISTED PROCEDURE FEMUR/KNEEMoab Regional Health Center2,734.00
98227601DCMPRN FASCT LEG POST COMP ONLYMoab Regional Health Center1,443.00
98227602MRC/DCMPRN FASCT LEG ANT&LAT&PST CMPRTMTMoab Regional Health Center1,922.00
98227603MRC/ A&D LEG OR ANKLE;DEEP ABSCESS OR HEMoab Regional Health Center1,048.01
98227605INCISION OF ACHILLES TENDONMoab Regional Health Center669.00
98227607MRC/INCISION LEG/ANKLEMoab Regional Health Center1,909.00
98227610MRC/ARTHOTOMY-ANKLE, W/EXPLOR & FB REMMoab Regional Health Center2,374.00
98227613MRC/BX SOFT TISSUE LEG, DEEPMoab Regional Health Center574.00
98227620MRC/ARTHRTMY ANKLE W/WO BX W/WO REM FBMoab Regional Health Center2,566.00
98227635MRC/EX/CURET BONE CYSTMoab Regional Health Center2,573.81
98227640MRC/PARTIAL EXCISION BONE TIBIAMoab Regional Health Center3,184.00
98227650MRC/REP PRIM OP/PRQ RUPTRD ACHLLSMoab Regional Health Center2,638.65
98227658MRC/REP FLEXOR TENDON LEG PRIM W/O GRAFTMoab Regional Health Center1,236.00
98227675MRC/REP DISL PERONEAL TNDN W/O FIB OSTEOMoab Regional Health Center1,236.00
98227687MRC/GASTROCNEMIUS RECESSIONMoab Regional Health Center1,428.00
98227698MRC/REPAIR OF ANKLE LIGAMENTMoab Regional Health Center2,986.00
98227750MRC/CLO TX TIB FX W/WO FIBFXMoab Regional Health Center929.00
98227752MRC/CLO TX TIBULA FX W-MANIPMoab Regional Health Center1,528.00
98227756MRC/PRQ SKELETAL FIXATION TIBIAL SHAFT FMoab Regional Health Center2,681.00
98227758MRC/OP TX TIBIAL SHAFT FX W/HARDWAREMoab Regional Health Center3,229.07
98227759MRC/TX TIBL SHFT FX BY IMPLT W/WO SCREWSMoab Regional Health Center3,756.00
98227760MRC/CLO TX MED MALL FX W/O MANIPMoab Regional Health Center692.00
98227760MRC/MDCR/CLTX MED MALLEOLUS FX W/O MAMoab Regional Health Center622.80
51027760MRC/MDCR/CLTX MED MALLEOLUS FX W/O MAMoab Regional Health Center69.20
98227762MRC/CLO TX MED MALL FX W-MANIPMoab Regional Health Center1,231.00
98227766MRC/OP TX MEDIAL MAL FX, W OR W/O FIXJMoab Regional Health Center2,146.00
98227767MRC/CLO TX POSTR MALL FX W/O MANIPMoab Regional Health Center616.00
98227769MRC/OP TX POSTERIOR MALLEOLUS FXMoab Regional Health Center2,165.00
98227780MRC/CLO TX PROX FIB FX W/O MANIPMoab Regional Health Center637.00
98227781MRC/CLO TX FIB FX W MANIPMoab Regional Health Center1,132.20
98227784MRC/OP TX PROXIMAL FIBULA SHAFT FXMoab Regional Health Center1,991.00
98227786MRC/CLO TX DISTAL FIB FX W/O MANIPMoab Regional Health Center729.00
51027786MRC/MDCR/CLTX DISTAL FIB FX W/O MANIPMoab Regional Health Center72.90
98227792MRC/OP TX DISTAL FIBULAR FXMoab Regional Health Center2,106.00
98227808MRC/CLO TX BIMALLEOLAR ANKLE FX W/O MANIMoab Regional Health Center765.00
98227808MRC/MDCR/CLTX BIMALLEOLAR FX W/O MANIMoab Regional Health Center688.50
51027808MRC/MDCR/CLTX BIMALLEOLAR FX W/O MANIMoab Regional Health Center76.50
98227810MRC/CLO TX BIMALLEOLAR FX W MANIPMoab Regional Health Center1,445.00
98227814OPEN TX BIMALLEOLAR ANKLE FX IE INT FIXMoab Regional Health Center3,000.00
98227816MRC/CLO TX TRIMALLEOLAR ANKLE FX W/O MANMoab Regional Health Center846.00
98227818MRC/CLO TX TRIMALLEOLAR ANKLE FX W-MANIPMoab Regional Health Center1,651.00
98227822MRC/OP TX TRIMALLEOLAR ANKLE FXMoab Regional Health Center3,441.00
98227823MRC/OP TX TRIMALLEOLAR ANKLE FX W/FIXJMoab Regional Health Center4,038.00
98227824MRC/CLO TX WT BRNG ARTICULAR TIB W/O MANMoab Regional Health Center806.00
98227825MRC/CLO TX DISTAL TIBIA W-MANIPMoab Regional Health Center1,651.00
98227826MRC/OP TX DISTAL TIBIAMoab Regional Health Center3,474.00
98227827MRC/OP TX FRACTURE DISTL TIBIAMoab Regional Health Center4,359.00
98227828MRC/OP TX FX DISTAL TIBIA & FIBULAMoab Regional Health Center4,359.00
98227829MRC/OP TX DISTAL TIBIOFIBULAR JNT DISRUPMoab Regional Health Center2,123.00
98227840MRC/CLO TX ANKLE DISLOC W/O AnesthesiaTHMoab Regional Health Center309.00
51027840MRC/MDCR/CLTX ANKLE DISLOC W/O AnesthesiaTHMoab Regional Health Center30.90
98227840MRC/MDCR/CLTX ANKLE DISLOC W/O AnesthesiaTHMoab Regional Health Center278.10
98227842MRC/CLO TX ANKLE DISLOC W/AnesthesiaMoab Regional Health Center1,018.00
98227842MRC/MDCR/CLTX ANKLE DISLOC W/AnesthesiaTHMoab Regional Health Center916.20
51027842MRC/MDCR/CLTX ANKLE DISLOC W/AnesthesiaTHMoab Regional Health Center101.80
98227846MRC/OP TX ANKLE DISL W/O INTERNAL FIXJMoab Regional Health Center2,542.05
98227848MRC/OP TX ANKLE DISLOC W/O INTERNAL FIXJMoab Regional Health Center2,681.00
98227870MRC/ARTHRODESIS, ANKLE, OPENMoab Regional Health Center4,835.00
98227871MRC/ARTHRODESIS TIBIOFIBULAR JOINT PRX DMoab Regional Health Center3,368.00
98227880MRC/AMPUTATION LEG THR TIBIA & FIBIAMoab Regional Health Center2,785.00
98228001MRC/INC & DRAINAGE BURSA FOOTMoab Regional Health Center313.00
98228002MRC/I&D BELOW FASCIA FOOT 1 BURSAL SPACEMoab Regional Health Center806.09
98228003MRC/I&D BELOW FASCIA FOOT MULT AREASMoab Regional Health Center1,216.00
98228005MRC/INCISION BONE CORTEX FOOTMoab Regional Health Center1,215.00
98228008MRC/FASCIOTOMY FOOT &/TOEMoab Regional Health Center1,013.04
98228020MRC/ARTHRO INCL EXPLR DRN/REM INTTAR/TARMoab Regional Health Center1,006.00
98228022MRC/ARTHOTOMY, DRAIN OR REMVL FB, METATMoab Regional Health Center1,063.00
98228024MRC/ARTHOTOMY OF INTERPHALANGEALMoab Regional Health Center937.00
98228039MRC/EXC TUMOR SFT TIS OF FT/TOE SUBQ 1.5Moab Regional Health Center1,161.00
98228043MRC/EXC TUMOR SOFT TISSUE FOOT/TOE SUBQMoab Regional Health Center2,043.00
98228045MRC/EXC TUMOR SOFT TISSUE FOOT <1.5 cmMoab Regional Health Center1,141.00
98228060MRC/RELEASE OF PLANTAR FASCIAMoab Regional Health Center1,105.00
98228080EXCIS INTERDIGITAL MORTON NEUROMA SINGLEMoab Regional Health Center1,169.00
98228090MRC/EXC LES TEND, TEND SHEATH, OR CAP; FMoab Regional Health Center994.00
98228100MRC/EXC ANKLE/HEEL LESIONMoab Regional Health Center1,442.00
98228104MRC/EXC/CURRETAGE OF BEN BONE CYST TARSAMoab Regional Health Center1,041.00
98228108MRC/EXC/CURTG CYST/B9 TUM FOOT PHALANGESMoab Regional Health Center916.00
98228118OSTECTOMY CALCANEUSMoab Regional Health Center1,466.00
98228119MRC/OSTECTOMY, CALC; SPUR, W/WO PLNTR RLMoab Regional Health Center1,296.00
98228120MRC/Partial excision bone; talus or calcMoab Regional Health Center1,569.00
98228140MRC/METATARSECTOMYMoab Regional Health Center1,372.00
98228190MRC/FOREIGN BODY REMOVAL FOOT SUBQMoab Regional Health Center540.00
98228192MRC/REM FB FOOT, DEEPMoab Regional Health Center873.00
98228208MRC/REPAIR TENDON EXTENSOR, FOOTMoab Regional Health Center771.00
98228285MRC/CORRECTION HAMMER TOEMoab Regional Health Center1,144.00
98228290MRC/BUNIONECTOMYMoab Regional Health Center1,658.00
98228296MRC/CORRJ HALLUX VALGUS W-W/O SESMDCMoab Regional Health Center2,407.00
98228312MRC/OSTEOTOMY OTHER PHALANGES, ANY TOEMoab Regional Health Center848.00
98228313MRC/RCNSTJ ANGULAR DFRM TOE SOFT TISSUEMoab Regional Health Center782.00
98228315MRC/SESAMOIDECTOMY FIRST TOE SPXMoab Regional Health Center912.00
98228400MRC/CLO TX CALCANEAL FX W/O MANIPMoab Regional Health Center679.00
98228400MRC/MDCR/CLTX CALCANEAL FX W/O MANIPMoab Regional Health Center611.10
51028400MRC/MDCR/CLTX CALCANEAL FX W/O MANIPMoab Regional Health Center67.90
98228405MRC/CLO TX CALCANEAL FX W-MANIPMoab Regional Health Center1,145.00
98228415MRC/OP TX CALCANEAL FXMoab Regional Health Center2,948.00
98228430MRC/CLO TX OF TALUS FX W/O MANIPMoab Regional Health Center688.00
98228445MRC/OP TX TALUS FXMoab Regional Health Center2,711.00
98228450MRC/TX TARSAL FX W/O MANJMoab Regional Health Center656.00
98228455MRC/TX TARSAL FX W/MANJMoab Regional Health Center709.00
98228456MRC/PRQ SKEL FIXJ TARSL FX W/MANIPMoab Regional Health Center1,270.08
98228470MRC/CLO TX METATARSAL FX W/O MANIPMoab Regional Health Center510.00
98228470MRC/MDCR/CLTX METATARSAL FX W/O MANMoab Regional Health Center458.90
51028470MRC/MDCR/CLTX METATARSAL FX W/O MANMoab Regional Health Center51.10
98228475MRC/CLO TX METARTARSAL FX W-MANIPMoab Regional Health Center760.00
98228476MRC/PRQ SKEL FIXJ MET FX W/ MANJMoab Regional Health Center1,383.00
98228485MRC/OP TX METARSAL FX W-W/O EXT FXJMoab Regional Health Center1,797.00
98228490MRC//CLO TX FX GREAT TOE, PHALANX WO MANMoab Regional Health Center311.00
98228490MRC/MDCR/CLTX GREAT TOE FX W/O MANIPMoab Regional Health Center279.90
51028490MRC/MDCR/CLTX GREAT TOE FX W/O MANIPMoab Regional Health Center31.10
98228495MRC/CLO TX GREAT TOE W-MANIPMoab Regional Health Center521.00
98228496MRC/PRQ SKEL FIXJ FX GRT TOE PHLX W/MANJMoab Regional Health Center679.00
98228505MRC/OP TX FX TOE W OR W/O INT FIXJMoab Regional Health Center1,186.00
98228510MRC/CL TX PHLX/PHLG OTHER THAN GREAT TOEMoab Regional Health Center234.00
98228515MRC/CLO TX PHLNX FX (NOT GRT TOE) W-MANIMoab Regional Health Center393.00
98228525MRC/OP TX FX PHALANX (NOT GREAT TOE)Moab Regional Health Center995.00
98228540MRC/CLO TX TARSAL DISLOC W/O AnesthesiaTHMoab Regional Health Center462.00
98228570MRC/CLO TX TALOTARSAL JNT DISLOC W/O-ANEMoab Regional Health Center572.00
98228575MRC/CLO TX TALO DISLOC W-AnesthesiaTHMoab Regional Health Center886.00
98228605MRC/CLO TX MEATARSAL JNT DISLOCATE W/ANEMoab Regional Health Center635.04
98228606MRC/PRQ SKEL FIXJ TARS JT DISLOC W/MANJMoab Regional Health Center1,028.00
98228615MRC/OP TX TARSOMETARSAL JOINT DISLOCMoab Regional Health Center1,655.00
98228645MRC/OPEN REDUCTION OF MCP JOINT FINGERMoab Regional Health Center1,475.00
98228660CLTX INTERPHALANGEAL JNT DISLCT W/O ANEMoab Regional Health Center168.00
98228750MRC/ARTHRODESIS GREAT TOE META JOINTMoab Regional Health Center2,138.00
98228810MRC/AMPUTATION METATARSAL WITH TOEMoab Regional Health Center1,613.00
98228820MRC/AMPUTATION METATARSALMoab Regional Health Center1,101.00
98228825MRC/AMPUTATION-DISTAL PHALANXMoab Regional Health Center1,421.00
98229065APPLICATION- LONG ARM FIGERGLASS CASTMoab Regional Health Center240.00
98229065MRC/MDCR/APPL FG LONG ARM CASTMoab Regional Health Center216.00
51029065MRC/MDCR/APPL FG LONG ARM CASTMoab Regional Health Center24.00
51029075MRC/(MDCR)SHORT ARM CASTMoab Regional Health Center18.60
98229075MRC/(MDCR)SHORT ARM FIBERGLASS CASTMoab Regional Health Center167.40
98229075APPLICATION-SHORT ARM FIBERGLASS CASTMoab Regional Health Center186.00
98229105APPLICATION- LONG ARM SPLINTMoab Regional Health Center153.00
98229105MRC/MDCR/APPL LONG ARM SPLINTMoab Regional Health Center137.70
51029105MRC/MDCR/APPL LONG ARM SPLINTMoab Regional Health Center15.30
98229125MRC/MDCR/APPL PLSTR SHORT ARM SPLINGMoab Regional Health Center118.80
51029125MRC/MDCR/APPL PLSTR SHORT ARM SPLINTMoab Regional Health Center13.20
98229125APPLICATION-SHORT ARM SPLINTMoab Regional Health Center132.00
98229130MRC/APPLICATION OF FINGER SPLINT-STATICMoab Regional Health Center84.00
98229130MRC/MDCR/APPL FINGER SPLINTMoab Regional Health Center75.60
51029130MRC/MDCR/APPL FINGER SPLINTMoab Regional Health Center8.40
98229240MRC/STRAPPING SHOULDERMoab Regional Health Center75.00
98229305MRC/APPLICATION OF HIP SPICA CASTONE LEGMoab Regional Health Center581.00
98229305MRC/MDCR/APPL HIP SPICAMoab Regional Health Center522.90
51029305MRC/MDCR/APPL HIP SPICAMoab Regional Health Center58.10
98229325APPL HIP SPICA CAST 1 & 1/2/ BOTH LEGSMoab Regional Health Center750.00
98229345APPLICATION LONG LEG CASTMoab Regional Health Center394.00
51029345MRC/MDCR/APPL LONG LEG FBRGLSMoab Regional Health Center354.60
51029345MRC/MDCR/APPL FG LONG LEG CASTMoab Regional Health Center39.40
98229365APPLICATION OF CYLINDER CAST (LONG LEG)Moab Regional Health Center287.00
98229405MRC/MDCR/APPL FG SHORT LEG CASTMoab Regional Health Center235.80
51029405MRC/MDCR/APPL FG SHORT LEG CASTMoab Regional Health Center26.20
98229405APPLICATION-SHORT LEG FIBERGLASS CASTMoab Regional Health Center262.00
98229425MRC/MDCR/APPL WALKING CAST SHORT LEGMoab Regional Health Center275.40
51029425MRC/MDCR/APPL WALKING CAST SHORT LEGMoab Regional Health Center30.60
98229425MRC/APPLICATION WALKING CASTMoab Regional Health Center306.00
98229435MRC/MDCR/APPL PATELLAR TNDN BRNG CASTMoab Regional Health Center354.60
51029435MRC/MDCR/APPL PATELLAR TNDN BRNG CASTMoab Regional Health Center39.40
98229435MRC/APPLICATION PATELLAR TNDN BRNG CASTMoab Regional Health Center394.00
98229445MRC/MDCR/APPL TOTAL CONTACT CASTMoab Regional Health Center341.10
51029445MRC/MDCR/APPL TOTAL CONTACT CASTMoab Regional Health Center37.90
98229445MRC/APPLICATION OF TOTAL CONTACT CASTMoab Regional Health Center379.00
51029505MRC/MDCR/APPL LONG LEG SPLINTMoab Regional Health Center14.70
98229505MRC/MDCR/APPL LONG LEG SPLINTMoab Regional Health Center132.30
98229505APPLICATION LONG LEG SPLINTMoab Regional Health Center147.00
98229515MRC/MDCR/APPL SHORT LEG SPLINTMoab Regional Health Center127.80
51029515MRC/MDCR/APPL SHORT LEG SPLINTMoab Regional Health Center14.20
98229515MRC/APPL SHORT LEG SPLINT CALF-FOOTMoab Regional Health Center142.00
98229515APPLICATION-SHORT LEG SPLINTMoab Regional Health Center122.00
98229540STRAPPING ANKLE &/OR FOOTMoab Regional Health Center78.00
98229580MRC/APPLICATION-UNNA BOOTMoab Regional Health Center126.00
98229580MRC(MDCR)STRAPPING; UNNA BOOTMoab Regional Health Center113.40
51029580MRC(MDCR)STRAPPING; UNNA BOOTMoab Regional Health Center12.60
98229705MRC/REMOVAL/ BIVALVING:FULL ARM, LEG CSTMoab Regional Health Center129.00
98229740WEDGING OF CASTMoab Regional Health Center110.00
98229805MRC/ARTHROSCOPY SHOULDER W/WO SYNOVIAMoab Regional Health Center1,534.00
98229806MRC/ARTHROSCOPY SHOULDER CAPSULORRHAPHYMoab Regional Health Center3,966.00
98229807MRC/ARTHROSCOPIC REP SLAP LESIONMoab Regional Health Center4,022.01
98229819MRC/ARTH SHOULD SURG W/ REM OF LOOSE BMoab Regional Health Center2,346.00
98229820MRC/ARTHOSCOPY SHOULDER W/PARTIALSYNOVMoab Regional Health Center3,257.00
98229821ARTHROSCOPY, SYNOVECTOMY COMPLETEMoab Regional Health Center2,797.00
98229822MRC/ARTHROSCOPY W DEBRIDEMENT, LIMITEDMoab Regional Health Center3,069.00
98229823MRC/ARTHROSCOPY SHLDR W EXTENSIVE DBRDMTMoab Regional Health Center2,988.09
98229824MRC/DISTAL CLAVICULECTOMYMoab Regional Health Center1,917.00
98229826MRC/ARTHROSCOPY SHOULDER W/PART ACROMMoab Regional Health Center3,167.00
98229827MRC/ARTHROSCOPY SHOULDER W/ROTATORCF REMoab Regional Health Center3,298.00
98229828MRC/ARTHRO SHOULDER SURGICAL BICPS TNDSIMoab Regional Health Center3,453.03
98229834MRC/ARTHROSCOPY, ELBOW, SURG RMVALMoab Regional Health Center2,140.00
98229838MRC/ARTHRO ELBOW, SURG W/EXTSV DEBRDMTMoab Regional Health Center2,553.00
98229856MRC/ARTHRS AID TIBIAL FX PRX UNCND/BCNMoab Regional Health Center3,555.09
98229862MRC/ARTHROSCOPY, IP, SURGICAL; W/DEBRDMoab Regional Health Center4,208.09
98229863MRC/ARTHROSCOPY HIP SURG W/SYNOVECTOMMoab Regional Health Center3,740.00
98229870MRC/ARTHROSCOPY, KNEE DX W OR W/O SYNVLMoab Regional Health Center1,324.00
98229871MRC/ARTHROS KNEE SUR FOR INFECT LAV DRAIMoab Regional Health Center1,891.00
98229873MRC/ARTHROSCOPY KNEE, SURGICAL, W LAT RLMoab Regional Health Center2,457.00
98229874MRC/ARTHROSCOPY OF KNEE REMOVE LOOSE/FBMoab Regional Health Center2,734.00
98229875MRC/ARTHROSCOPY KNEE;SYNOVECTOMY LTDMoab Regional Health Center2,698.00
98229876MRC/ARTHROSCOPY KNEE, 2 OR MORE COMPARTMMoab Regional Health Center3,220.00
98229877MRC/ARTHROSCOPY DEBRID/SHAVE ARTCLR CRTMoab Regional Health Center2,879.00
98229879MRC/ABRASION ARTHROPLASTY KNEEMoab Regional Health Center3,310.00
98229880MRC/ARTHOSCOPY W/MENISCECTOMY,MEDIALMoab Regional Health Center3,957.00
98229881MRC/KNEE ARTHROSCOPY W/MENISCTMY (M OR LMoab Regional Health Center3,274.00
98229882MRC/ARTHROSCOPY KNEE W/MED OR LAT MENRPRMoab Regional Health Center3,544.00
98229883MRC/ARTHROSCOPY KNEE W MED & LAT MENISCUMoab Regional Health Center4,604.07
98229888MRC/ARTHRO AID ANTR CRCT LIGMNT AUGMoab Regional Health Center4,764.00
98229895MRC/ARTHRSCPY ANKLE SURG SYNOVCTMYMoab Regional Health Center2,893.00
98229914MRC/ARTHROSCOPY HIP W/FEMOROPLASTYMoab Regional Health Center3,529.00
98229916MRC/ARTHROSCOPY HIP W/LABRL RPRMoab Regional Health Center3,755.00
98230000DRAINAGE ABSCESS/HEMATOMA, NASAL INT APPMoab Regional Health Center300.00
98230300MRC/REMOVAL FB INTRANASALMoab Regional Health Center128.00
98230901MRC/CTROL NASAL HEM/ANT/SMPLMoab Regional Health Center169.00
98230903CONTROL NASAL HEMMORGE ANTERIOR COMPLEXMoab Regional Health Center353.00
98231500MRC/ENDOTRACHEAL INTUBATIONMoab Regional Health Center407.00
98231510MRC/LARYNGOSCOPY W/BXMoab Regional Health Center774.00
98231515MRC/LARYNGOS DIRECT W OR W/O TRACH W ASPMoab Regional Health Center454.09
98231575MRC/LARYNGOSCOPY;FLEXIBLE FIBEROPTIC;DXMoab Regional Health Center306.00
98231575MRC/MCR-LARYNGOSCOPYMoab Regional Health Center275.40
51031575MRC/MCR-LARYNGOSCOPYMoab Regional Health Center30.60
98231605MRC/TRACHEOSTOMY, EMERG PROC, CRICOTHYROMoab Regional Health Center1,247.00
98231622MRC/BRONCHOSCOPYMoab Regional Health Center822.00
98231623MRC/BRONCHOSCOPY WITH BRUSHINGMoab Regional Health Center841.05
98232000MRC/THORACENTESISMoab Regional Health Center375.00
98232000MRC(MDCR)THORACENTESISMoab Regional Health Center337.50
51032000MRC(MDCR)THORACENTESISMoab Regional Health Center37.50
98232551MRC/CHEST TUBE THOROCOSTOMYMoab Regional Health Center674.00
98232552REMOVE LUNG CATHETERMoab Regional Health Center565.00
98232554MRC/THORCNTS, N/C ASP OF PLEURAL W/O IMAMoab Regional Health Center1,400.00
98232554MRC/MCR-THORACENTESISMoab Regional Health Center1,260.00
51032554MRC/MCR-THORACENTESISMoab Regional Health Center140.00
98232555MRC/THORCNTS, N/C ASP OF PLEURAL W/ IMAGMoab Regional Health Center985.00
98232999MRC/UNLISTED PROCEDURE LUNGS PLEURAMoab Regional Health Center6,500.00
98233010MRC/PERICardiopulmonaryIOCENTESIS; INITIALMoab Regional Health Center453.00
98235201MRC/REPAIR BLOOD VESSEL DIRECT NECKMoab Regional Health Center5,400.00
98235221MRC/UNLISTED PROCEDURE VASCULAR SURGERYMoab Regional Health Center941.00
98235840MRC/EXPL PO HEMRRG, THROMB/INFCT J ABDMoab Regional Health Center1,443.12
98236010MRC/INTRO OF CATHETAR, VENA CAVAMoab Regional Health Center593.00
51036410MRC/MCR-VENIPUNCTURE AGE 3+Moab Regional Health Center13.30
98236410MRC/MCR-VENIPUNCTURE, AGE 3+Moab Regional Health Center119.70
98236410MRC/VENIPUNCTURE +AGE 3, REQ PHYS SKILLMoab Regional Health Center133.00
30036415MRC/PHLEBOTOMY-BLOOD DRAWMoab Regional Health Center20.00
30036416COLLECTION CAPILLARY BLOOD SPECIMENMoab Regional Health Center12.00
98236471MRC/SCLEROSING INJ, MULT, SAME LEGMoab Regional Health Center371.00
98236510MRC/CATHETERIZATION OF UMBILICAL VEIN NBMoab Regional Health Center330.00
98236556MRC/PLACEMENT, CATHETAR, SUBCLAVIANMoab Regional Health Center1,083.00
98236558MRC/INSRT CNTRL VENOUS CATH W/O SQ;5-UPMoab Regional Health Center1,741.00
98236561MRC/INSERT TUNNEL CENTRAL VENOUS DEVICEMoab Regional Health Center2,669.00
98236569MRC/PICC LINE PLACEMENT > 5Moab Regional Health Center914.00
98236571MRC/INSERT PICC VENOUS DEVISE W/SUBCU;<5Moab Regional Health Center3,803.00
98236576MRC/RPR CTR VAD W/SUBZ PORT/PMP CTR/PRPMoab Regional Health Center822.00
98236589MRC/REM CENTRAL VENOUS CATH W/O SQ PUMPMoab Regional Health Center479.00
98236590MRC/REM-VENOUS CATH, W/PORT OR PUMPMoab Regional Health Center904.00
98236660INSERTION CATHETER ARTERYMoab Regional Health Center524.00
98237609MRC/BX-TEMPORAL ARTERYMoab Regional Health Center700.00
98237718MRC/SAPHENOUS VEIN STRIPPINGMoab Regional Health Center1,497.00
98237720MRC/LIGATION, DIV & STRIP SAPHENOUS VEINMoab Regional Health Center1,609.00
98237722MRC/LIG DIV STRIP LG > SAPH VEIN FR SPHFMoab Regional Health Center1,337.00
98237760MRC/LIGATION OF PERF VEINSMoab Regional Health Center2,132.00
98237766MRC/PHLEB, VEINS, VARICOSE <20 INCISMoab Regional Health Center1,923.00
98237780MRC/LIGATION OF PERFORATOR VEINSMoab Regional Health Center1,037.00
98238120MRC/LAPAROSCOPIC SPLENECTOMYMoab Regional Health Center5,322.00
98238221MRC/BX-BONE MARROW, NEEDLE OR TROCARMoab Regional Health Center361.00
98238500MRC/BX/EXCISION LYMPH NODEMoab Regional Health Center961.07
98238510MRC/BX LYMPH NODE, EXCIS, DEEPMoab Regional Health Center1,217.00
98238525MRC/EXC BX AXILLARY NODE, DEEPMoab Regional Health Center1,722.00
98238570MRC/LAPS SURG RETROPERITONEAL LYMPHMoab Regional Health Center6,283.00
98238740MRC/AXILLARY LYMPHADENECTOMY SUPER PRO FMoab Regional Health Center2,047.00
98238792MRC/INJEC PROC FOR ID OF SENT NODEMoab Regional Health Center239.09
98238900MRC/INTRAOP ID OF SENT LYMPH NODE, ADD OMoab Regional Health Center720.09
98240800MRC/I&D ABCESS VESTIBULE OF MOUTH; SIMPLMoab Regional Health Center242.00
98240819EXCISE LIP OR CHEEK FOLDMoab Regional Health Center690.00
98241112MRC/EXCS LESION OF TONGUE W/C ANTER 2/3Moab Regional Health Center671.00
98242440MRC/EXC SUBMANDIBULAR SUBMAXILLARY GLANDMoab Regional Health Center3,196.00
98242809MRC/REMOVAL FB PHARYNXMoab Regional Health Center274.00
98242815MRC/EXC BRANCHIAL CLEFT CYST BEN SUB CUMoab Regional Health Center1,763.00
98242820MRC/TONSILLECTOMY&ADNOIDECTOMY; UNDER 12Moab Regional Health Center977.00
98242826MRC/TONSILLECTOMY <12Moab Regional Health Center1,000.00
98243200MRC/ESOPHAGOSCOPYMoab Regional Health Center734.00
98243202MRC/ESOPHAGOSCOPY RID OR FLEX W/BXMoab Regional Health Center684.00
98243215MRC/ESOPHAGOSCOPY WITH REMOVE OF FB PFMoab Regional Health Center892.08
98243216MRC/ESOPHOGOSCOPY, REM LESION HOT FORCEPMoab Regional Health Center1,001.00
98243220MRC/ESOPHOGOSCOPY W/BALLOON DILATIONMoab Regional Health Center773.01
98243235MRC/EGD--DIAGNOSTICMoab Regional Health Center740.00
98243239MRC/EGD W/BIOPSYMoab Regional Health Center852.00
98243246MRC/EGD W/PEG TUBE PLACEMENTMoab Regional Health Center1,462.00
98243247MRC/EGD W/ REMOVAL OF FOREIGN BODYMoab Regional Health Center1,010.00
98243248EGD W/DILATION OVER GUIDE WIREMoab Regional Health Center825.00
98243249MRC/EGD W/BALLOON DILATIONMoab Regional Health Center976.00
98243250MRC/EGD W/BX AND FULG OF POLYPSMoab Regional Health Center1,097.00
98243251MRC/EGD- W/REM POLYP SNARE TECHMoab Regional Health Center1,070.00
98243255MRC/EGD W/GASTRIC ULCER CAUTMoab Regional Health Center1,163.00
98243257MRC/EGD WITH THERMAL ENERGY TXMoab Regional Health Center1,614.06
98243280MRC/LAPS SURG ESOPG/GSTR FUNDOPLASTYMoab Regional Health Center3,635.00
98243281MRC/LAPPARAESOPHAG HERN REPAIRMoab Regional Health Center4,485.00
98243282MRC/LAP PARAESOPH HER RPR W/MESHMoab Regional Health Center5,250.00
98243456MRC/BALOON DILATION OF ESOPHAGUSMoab Regional Health Center706.00
98243458MRC/DILATION OF ESOPHAGUS W/BALLOON PFMoab Regional Health Center893.03
98243753MRC/GASTRIC INTUBATION & ASPIRATIONMoab Regional Health Center76.00
98243753MRC/MCR-GASTRIC INTUBATIONMoab Regional Health Center68.40
51043753MRC/MCR-GASTRIC INTUBATIONMoab Regional Health Center7.60
98243760MRC/MDCR-CHANGE OF GASTROSTOMY TUBEMoab Regional Health Center288.90
51043760MRC/MDCR-CHANGE OF GASTROSTOMY TUBEMoab Regional Health Center32.10
98243760MRC/CHANGE OF GASTROSTOMY TUBEMoab Regional Health Center321.00
98243840MRC/REPAIR OF PERFORATED DUODENAL ULCERMoab Regional Health Center3,154.00
98244005MRC/ENTEROLYSISMoab Regional Health Center2,805.00
98244050MRC/REDUCTION OF VOLVULUS BY LAPAROTOMYMoab Regional Health Center2,412.00
98244110EXC 1/> SM/LG LES OF INTESTINE ENTRTMMoab Regional Health Center2,480.00
98244120MRC/ENTERECTOMY W/RESECTION SM INTESTINEMoab Regional Health Center3,688.00
98744121MRC/EA ADD RESECT AND ANASTMoab Regional Health Center1,303.00
98244139MRC/MOBILIZATION SPLENIC FLEXUREMoab Regional Health Center262.00
98244140MRC/COLECTOMY-PARTIALMoab Regional Health Center4,007.00
98244143COLECTOMY PRTL W/END COLOSTOMY CLSR DSTLMoab Regional Health Center4,010.00
98244144MRC/COLECTOMY W//COLON RESECTIONMoab Regional Health Center4,518.00
98244145MRC/COLECTOMY PRTL W/COLOPROCTOSTOMMoab Regional Health Center4,900.00
98244150MRC/COLCT TOT ABDL W/O PRCTECT W/ILEOSTIMoab Regional Health Center6,155.00
98244160MRC/COLECTOMY, PARTIALMoab Regional Health Center4,157.06
98244180MRC/LAPAROSCOPY, SURGICAL, ENTEROLYSUSMoab Regional Health Center2,948.00
98244200MRC/LAP FREEING INTESTINAL ADHESIONSMoab Regional Health Center2,805.00
98244202MRC/SIGMOID COLON RESECTIONMoab Regional Health Center3,779.00
98244204MRC/LAP SUR COLECTOMY, PARTIAL WITH ANASMoab Regional Health Center3,907.00
98244205MRC/LAP COLECTOMY, PAR W/ REM OF TERM ILMoab Regional Health Center4,676.00
98244207MRC/LAPAR COLECTOMY W/ ANASTO WITH COLOPMoab Regional Health Center4,838.00
98244213MRC/LAP SURG, MOBIL OF SPLEN FLEX IN CONMoab Regional Health Center560.00
98244310MRC/ILEOSTOMY OR JEJUNOSTOMY, NON-TUBEMoab Regional Health Center2,420.00
98244346MRC/REVI COLOSTOMY W/REP   HERNIAMoab Regional Health Center2,587.00
98244361MRC/SMALL INTESTINAL ENDOSCOPY WITH BXMoab Regional Health Center909.09
98244385MRC/ENDOSCOPY, SMALL INTESTINEMoab Regional Health Center999.00
98244388MRC/COLONOSCOPY THROUGH STOMA-DIAGMoab Regional Health Center1,131.00
98244602MRC/SUTURE SM INTES ULCER, DIV, RUP SINGMoab Regional Health Center2,481.00
98244604MRC/SUTURE OF LARGE INTESTINE PRO FEEMoab Regional Health Center2,481.00
98244625MRC/SM BOWEL RESECT W/ANASTOSISMoab Regional Health Center2,978.00
98244626MRC/COLOSTOMY REVERSALMoab Regional Health Center3,231.00
98244800EXC MECKEL'S DIVERTICULUM/OMPHALOSMESENTMoab Regional Health Center2,284.00
98244950MRC/APPENDECTOMYMoab Regional Health Center1,962.00
98244955MRC/APPENDECTOMY SECONDARY TO INIT MAJ PMoab Regional Health Center1,064.00
98244960MRC/APPENDECTOMY FOR RUPTURED APPENDIX WMoab Regional Health Center2,453.00
98244970MRC/LAP APPENDECTOMYMoab Regional Health Center1,962.00
98245160MRC/EXC RECTAL TUMOR BY PROCTOTOMYMoab Regional Health Center3,678.00
98245170MRC/EXC RECTAL TUMOR, TRANSANAL APPROACHMoab Regional Health Center1,635.00
98245171MRC/EXC RECT TUM, TRANSANAL NOT INCLUD MMoab Regional Health Center1,483.00
98245300MRC/PROCTOSIGMOIDOSCOPY, DIAGNOSTICMoab Regional Health Center255.00
98245305MRC/PROCTOSIGMOIDOSCOPYMoab Regional Health Center276.00
98245308MRC/PROCTO W/CAUTERIZATION OF TUMORMoab Regional Health Center419.00
98245309MRC/PROCTOSIGMOIDOSCOPY, W-POLYPECTOMY-1Moab Regional Health Center419.00
98245315MRC/PROCTOSIGMOIDOSCOPY W/REM MLT POLYPSMoab Regional Health Center630.00
98245330MRC(MDCR)SIGMOIDOSCOPY FLXBLMoab Regional Health Center264.60
51045330MRC(MDCR)SIGMOIDOSCOPY FLXBLMoab Regional Health Center29.40
98245330MRC/SIGMOIDOSCOPYMoab Regional Health Center294.00
98245331MRC/SIGMOID FLEX W/BIOPSYMoab Regional Health Center531.00
98245331MRC(MDCR)SIGMOID FLX W/ BIOPCMoab Regional Health Center477.90
51045331MRC(MDCR)SIGMOID FLX W/ BIOPCMoab Regional Health Center53.10
98245333MRC/SIGMOIDOSCOPY W/POLYPECTOMY + FLGRMoab Regional Health Center925.00
98245334SIGMOIDOSCOPY FLX CONTROL BLEEDINGMoab Regional Health Center685.00
98245338MRC/SIGMOIDOSCOPY FREX; W REMOVE OF TUMOMoab Regional Health Center1,283.00
98245339SIGMOIDOSCOPY & BIOPSYMoab Regional Health Center982.00
98245378MRC/COLONOSCOPY, DIAGNOSTICMoab Regional Health Center984.00
98245380MRC/COLONOSCOPY W/BIOPSYMoab Regional Health Center1,082.03
98245381MRC/COLONOSCOPY WITH DIRCTD SUBM INJ ANYMoab Regional Health Center1,121.00
98245382MRC/COLONOSCOPY/CONTROL BLEEDINGMoab Regional Health Center1,213.00
98245383MRC/COLONOSCOPY W/FULG OF POLYPMoab Regional Health Center1,510.00
98245384MRC/COLONOSCOPY, POLYP REM, CAUTMoab Regional Health Center1,394.00
98245385MRC/COLONOSCOPY, POLYP REM, SNAREMoab Regional Health Center1,394.00
98245388MRC/COLONOSCOPY FLX ABLATION TUMOR POLYPMoab Regional Health Center1,236.00
98245397MRC/LAPS PRCTCTMY CMBND PULL-THRU W/RSMoab Regional Health Center6,745.00
98245915MRC/REM FEC/FB IMPC W/AnesthesiaMoab Regional Health Center543.00
98245990MRC/SURG DX EXAM ANORECTALMoab Regional Health Center275.00
98246020MRC/PLACEMENT OF ANAL SETONMoab Regional Health Center350.00
98246030MRC/REM OF ANAL SETONMoab Regional Health Center318.00
98246040MRC/I&D OF PERIRECTAL ABSCESSMoab Regional Health Center704.08
98246050MRC/INCISION AND DRAINAGE PERIANAL ABSCEMoab Regional Health Center599.00
98246060MRC/I&D ISCHIORCT/INTRA ABSC W/WO SETONMoab Regional Health Center3,142.00
98246080MRC/SPHINCTEROTOMY, ANALMoab Regional Health Center1,123.00
98246083MRC//INCISION THROM HEMORRHOID, EXTERNALMoab Regional Health Center279.00
98246200MRC/FISSURECTOMY; W OR WO SPHINCTEROTOMYMoab Regional Health Center826.00
98246220MRC/EXCIS SINGLE EXT PAP. OR TAG; ANUSMoab Regional Health Center365.00
98246221MRC/HEMORRHOIDECTOMY, INTERNAL, BY BANDMoab Regional Health Center476.00
98246230MRC/EXC EXTERNAL HEMORRHOIDMoab Regional Health Center748.00
98246250MRC/HEMORRHOIDECTOMYMoab Regional Health Center1,135.00
98246255MRC/HEMORRHOIDECTOMY INT & EXT, SIMPLEMoab Regional Health Center1,580.04
98246260MRC/HEMORRHOIDECTOMY COMPLEX INT & EXTMoab Regional Health Center1,919.00
98246270MRC/FISTULOTOMYMoab Regional Health Center1,058.00
98246275MRC/SURGICAL REMOVAL ANAL FISTULA, INTERMoab Regional Health Center1,543.00
98246280MRC/SURG TX OF ANAL FISTULA;COMPLEX OR MMoab Regional Health Center1,181.00
98246320MRC/EXCIS THROMBOSED HEMORRHOID;EXTRNLMoab Regional Health Center405.00
98246600MRC/ANOSCOPY DX W/WO COLLJ SPECMoab Regional Health Center108.00
98246606MRC/ANOSCOPY WITH BIOPSYMoab Regional Health Center286.00
98246608MRC/ANOSCOPY WITH REMOVAL OF FBMoab Regional Health Center398.11
98246910MRC/ ELECTRODESICCATION/ DEST ANUS LESIOMoab Regional Health Center546.00
98246916MRC/DESTRUCTION OF LESION, ANUS, CRYOMoab Regional Health Center490.00
98246922MRC/DESTRUCTION OF LESION, ANUS, SIMP EXMoab Regional Health Center939.00
98246930MRC/DESTRUCTION-HEMORRHOIDS INT & EXTMoab Regional Health Center1,306.00
98246934MRC/DESTRUCTION INTERNAL HEMORRHOIDSMoab Regional Health Center634.00
98246947MRC/HEMORRHOIDOPEXY BY STAPLINGMoab Regional Health Center973.00
98246999MRC/HEMORRHOIDECTOMY XTR SINGLE COLUMNMoab Regional Health Center564.00
98246999MRC/(MDCR)HEMORRHDECTMY XTR SNGL CLMMoab Regional Health Center507.60
51046999MRC/(MDCR)HEMORRHDECTMY XTR SNGL CLMMoab Regional Health Center56.40
98247000MRC/BX, LIVER, NEEDLEMoab Regional Health Center627.00
98247100MRC/BIOPSY OF LIVER WEDGEMoab Regional Health Center2,043.00
98247120HEPATECTOMY RESCJ PARTIAL LOBECTOMYMoab Regional Health Center4,586.00
98247379MRC/UNLISTED LAPAROSCOPIC PROCEDURE;LIVEMoab Regional Health Center2,999.00
98247480MRC/CHOLECYSTOTOMYMoab Regional Health Center2,782.10
98247562MRC/LAP CHOLECYSTECTOMYMoab Regional Health Center3,021.00
98247563MRC/LAP CHOLE, W/CHOLANGIOGRAPHYMoab Regional Health Center3,270.00
98247564MRC/LAP CHOLE W EXPLOR OF COMMON DUCT PFMoab Regional Health Center3,601.00
98247600MRC/OPEN CHOLECYSTECTOMYMoab Regional Health Center2,502.00
98249000MRC/EXPLORATORY LAPAROTOMYMoab Regional Health Center2,439.00
98249020MRC/DRG PERITONEAL AB/LOCAL PERITONITISMoab Regional Health Center3,365.00
98249060MRC/DRG RETROPERITONEAL ABSCESS OPENMoab Regional Health Center3,740.00
98249080MRC/ABDOMINAL PARACENTESISMoab Regional Health Center376.00
51049082MRC/(MDCR) PARACENTESIS, INITIALMoab Regional Health Center37.70
98249082MRC/PARACENTESIS, INITIALMoab Regional Health Center377.00
98249082MRC/(MDCR) PARACENTESIS, INITIALMoab Regional Health Center339.30
98249083MRC/PARACENTESIS W/IMAGING GUIDANCEMoab Regional Health Center808.05
98249250MRC/UMBILECTOMYMoab Regional Health Center1,418.00
98249320MRC/LAP, DIAGNOSTICMoab Regional Health Center1,708.00
98249321MRC/LAP W BIOPSY (SINGLE OR MULT)Moab Regional Health Center1,906.07
98249322MRC/LAP W-ASPIRATION CYSTMoab Regional Health Center1,906.07
98249325MRC/LAPAROS WITH REVIS OF PREV PLACED IPMoab Regional Health Center1,301.00
98249329MRC/UNLISTED PROCEDURE; LAP/ABDOMENMoab Regional Health Center1,450.00
98249418MRC/INS INTRAPERITONEAL CATH W/IMG GUIDEMoab Regional Health Center1,093.00
98249422MRC/REMOVAL PERITONEAL CATHETARMoab Regional Health Center1,219.05
98249500MRC/RPR 1ST INGUN HRNA AGE 6MO-5YRS RDCBMoab Regional Health Center1,750.00
98249505MRC/REPAIR ING HERNIA, 5+ REDUCIBLEMoab Regional Health Center1,625.00
98249507MRC/REPAIR ING HERNIA; 5 +, STRANGULATEMoab Regional Health Center1,861.00
98249520MRC/REPAIR RECURRENT INGUINAL HERNIAMoab Regional Health Center1,952.00
98249521MRC/REPAIR RECURRENT ING HERNIA-INCARCMoab Regional Health Center2,235.00
98249525RPR INGUN HERNIA SLIDING ANY AGEMoab Regional Health Center1,675.00
98249550MRC/REPAIR INIT FEMORAL HERNIAMoab Regional Health Center1,826.00
98249555MRC/REPAIR RECURRENT FEMORAL HERNIA;REDUMoab Regional Health Center1,735.02
98249560MRC/REPAIR VENTRAL HERNIA INIT, REDUCEMoab Regional Health Center2,266.00
98249560MRC/REPAIR HERNIA, VENTRAL, INITIAL, REDMoab Regional Health Center2,412.00
98249561MRC/RPR INIT INCIS OR VENT HERNIA; IN-STMoab Regional Health Center2,443.00
98249565MRC/REP VENTRAL HERNIA, RECURRENTMoab Regional Health Center2,799.09
98249566MRC/REPAIR VENTRAL HERNIA, INCARCERATEDMoab Regional Health Center3,176.00
98249568MRC/MESH OR OTHER PROSTHESIS IMPLANTATIOMoab Regional Health Center604.00
98249570MRC/REPAIR EPIGASTRIC HERNIAMoab Regional Health Center1,421.00
98249572MRC/REPAIR EPIGAS HERNIA; INCRC/STRNGLMoab Regional Health Center1,513.00
98249580REPAIR, OPEN, UMBILICAL HERNIAMoab Regional Health Center1,119.00
98249582REPAIR, OPEN, UMBILICAL HERNIA INCRTD/STMoab Regional Health Center1,573.00
98249585MRC/REPAIR UMBILICAL HERNIA AGE 5 OR OLDMoab Regional Health Center1,700.00
98249587RPR UMBILICAL HERNIA AGE 5 YRS/>INCARCRTMoab Regional Health Center1,841.00
98249650MRC/LAP INIT ING HERNIAMoab Regional Health Center1,812.00
98249651MRC/LAP REPAIR INGL HERNIA RECURRENTMoab Regional Health Center2,078.00
98249652MRC/LAP UMB HERNIA REPAIRMoab Regional Health Center3,257.00
98249652MRC/LAP ING HERNIA REP (REDUCIBLE) W/MESMoab Regional Health Center3,257.00
98249653MRC/LAP UMB HERNIA REP (STRANG) W/MESHMoab Regional Health Center4,010.00
98249654MRC/LAPAROSCOPY, SURGICAL, REPAIR, INCISMoab Regional Health Center3,700.00
98249655MRC/LAP HERNIA REP, UMB/VENT, STRANGULMoab Regional Health Center4,589.00
98249657MRC/LAPAR, SUR, REP RECUR INCIS HERNIA IMoab Regional Health Center4,211.00
98249659MRC/UNLIST LAP PROC, HERNIORRHAPHY, HERNMoab Regional Health Center1,825.00
98249905MRC/OMENTAL FLAP, INTRA-ABDOMINALMoab Regional Health Center1,630.00
98250570MRC/RENAL ENDOSCOPYMoab Regional Health Center518.00
98251040MRC/CYSTOSTOMYMoab Regional Health Center4,674.00
98251045MRC/CYSTOSTOMY W/CATHETER PLACEMENTMoab Regional Health Center5,122.00
98251102MRC/INSERTION SUPRAPUBIC CATHETARMoab Regional Health Center935.00
98251701INSERT BLADDER CATHETERMoab Regional Health Center285.00
98251702MRC/INSERT FOLEY CATHETERMoab Regional Health Center140.00
98251705MRC/CHANGE OF CYSTOSTOMY TUBEMoab Regional Health Center365.00
98251860MRC/CYSTORRHAPHY, SUTURE OF BLADDER SIMPMoab Regional Health Center3,236.00
98251865MRC/CYSTORRHAPHY, SUTR OF BLADDER COMPLMoab Regional Health Center4,160.00
98252000MRC/CYSTOURETHROSCOPYMoab Regional Health Center474.00
98252281MRC/CYSTOSCOPY W/DILATIONMoab Regional Health Center791.04
98252310CYSTO W/SIMPLE REMOVAL STONE STENTMoab Regional Health Center700.00
98252347MRC/CYSTOURETHROSCOPY W/TRANSURETHRALMoab Regional Health Center1,151.01
98254001SLITTING OF PREPUCE, DORSAL/LAT XCP NBMoab Regional Health Center545.00
98254050MRC/DESTRCT OF LESN(S) PENIS, SIM;CHEMCLMoab Regional Health Center213.00
98254056MRC/DESTRCTRN OF LES PENIS, SIMPMoab Regional Health Center450.00
98254150MRC/ CIRCUMCISIONMoab Regional Health Center200.00
98254160MRC/CIRCUMCISION NEONATEMoab Regional Health Center475.00
98254161MRC/CIRCUMCISION, EXCEPT NEWBORNMoab Regional Health Center1,416.00
98254162MRC/LYSIS PENILE POST-CURCUMCISION ADHSMoab Regional Health Center505.00
98254163MRC/REPAIR INCOMPLETE CIRCUMCISIONMoab Regional Health Center438.00
98254450FORESKN MANJ W/LSS PREP ADSSTRETCHINGMoab Regional Health Center233.00
98254640MRC/ORCHIOPEXYMoab Regional Health Center2,292.00
98254700MRC/I & D OF EPIDID TEST AND/OR SCROT ABMoab Regional Health Center500.00
98254830MRC/EXCISION OF LOCAL LESION OF EPIDIDYMMoab Regional Health Center1,596.00
98255000MRC/PUNCT. ASPIRATION OF HYDROCELEMoab Regional Health Center225.00
98255040MRC/HYDROCELECTOMY UNILATERALMoab Regional Health Center2,575.00
98255150RESECTION OF SCROTUMMoab Regional Health Center1,765.00
98255250MRC/VASECTOMYMoab Regional Health Center800.00
98255899UNLISTED PROCEDURE MALE GENITALMoab Regional Health Center321.00
98256405MRC/ I & D VULVA OR PERINEAL ABSCESSMoab Regional Health Center321.00
98256420MRC/I & D BARTHOLIN'S ABSCESSMoab Regional Health Center353.00
98256700MRC/PARTIAL REMOVAL OF HYMENMoab Regional Health Center401.00
98256740EXCISION OF BARTHOLIN'S GLAND/CYSTMoab Regional Health Center875.00
98257061MRC/DESTRUCTION OF VAGINAL LESIONMoab Regional Health Center378.00
98257135EXC OF VAGINAL CYST OR TUMORMoab Regional Health Center925.00
98257160FITINSJ PESSARY/OTH INTRA VAG SPPT DEVIMoab Regional Health Center162.00
98257240MRC/COLPORRHAPHY, ANTER, W/REP CYSTOCELEMoab Regional Health Center290.00
98257250MRC/POST. COLPORRHAPPY REP OF RECTOCELEMoab Regional Health Center1,600.00
98257260MRC/COMBINED ANTEROPOST COLPORRHAPHYMoab Regional Health Center2,031.00
98257268MRC/REPAIR OF ENTEROCELE, VAG APPROACHMoab Regional Health Center2,003.00
98257335MRC/VAGINOPLASTYMoab Regional Health Center4,084.00
98257400MRC/DILATION OF VAGINA UNDER AnesthesiaTHESIAMoab Regional Health Center563.00
98257410MRC/PELVIC EXAM UNDER AnesthesiaTHESIAMoab Regional Health Center294.00
98257420MRC/COLPOSCOPY OF VAGINA W/CERVIXMoab Regional Health Center350.00
98257420MRC(MDCR)COLPOSCOPY VAG W/CRVXMoab Regional Health Center315.00
51057420MRC(MDCR)COLPOSCOPY VAG W/CRVXMoab Regional Health Center35.00
98257421MRC/COLPOSCOPY OF VAGINA W/CERVIC BIOPSYMoab Regional Health Center499.00
98257421MRC(MDCR)COLPOSCOPY VAG W/CRVX BIOPCMoab Regional Health Center449.10
51057421MRC(MDCR)COLPOSCOPY VAG W/CRVX BIOPMoab Regional Health Center49.90
98257452MRC/COLPOSCOPY OF THE CERVIX I.E. UP/ADJMoab Regional Health Center405.00
98257454MRC/COLPOSCOPY OF THE CERVIX W/BIOPSYMoab Regional Health Center575.00
98257454MRC(MDCR)COLPOSCOPY CRVX W/ BIOPSYMoab Regional Health Center517.50
51057454MRC(MDCR)COLPOSCOPY CERVX W/ BIOPSYMoab Regional Health Center57.50
98257455MRC/COLPOSCOPY W/BIOPSY(S) OF CERVIXMoab Regional Health Center250.00
98257456COLPOSCOPY CERVIX ENDOCERVICAL CURETTAGEMoab Regional Health Center370.00
98257460MRC/BX OF CERVIX W/SCOPE LEEPMoab Regional Health Center625.00
98257461MRC/CONZ OF CERVIX W/SCOPE LEEPMoab Regional Health Center680.00
98257500MRC(MDCR)BX CRVX SGL MLT W/WO FLGRTNMoab Regional Health Center298.80
51057500MRC(MDCR)BX CRVX SGL MLT W/WO FLGRTNMoab Regional Health Center33.20
98257500MRC/BX OF CERVIX SGL OR MLT W &WO FLGRTNMoab Regional Health Center332.00
98257511MRC/CONZ OF CERVIX W/SCOPE LEEPMoab Regional Health Center390.00
98257720MRC/REPAIR UTERINE CERVIX, VAG APPROACHMoab Regional Health Center1,021.60
98258100MRC/ENDOMETRIAL BIOPSYMoab Regional Health Center298.00
98258100MRC/(MDCR) ENDOMETRIAL BIOPSYMoab Regional Health Center268.20
51058100MRC/(MDCR) ENDOMETRAIL BIOPSYMoab Regional Health Center29.80
98258110MRC/EDOMETRIAL BIOPSY W/COLPOSCOPYMoab Regional Health Center191.00
98258120MRC/D&CMoab Regional Health Center832.00
98258150MRC/HYSTERECTOMY, TOTAL, ABDOMINALMoab Regional Health Center3,426.00
98258300MRC/ INSRT OF INTRAUTERINE DEVICE (IUD)Moab Regional Health Center382.00
98258301MRC/REMOVAL OF INTRAUTERINE DEVICE IUDMoab Regional Health Center137.00
98258301MRC(MDCR)RMVL OF INTRAUTERINE IUDMoab Regional Health Center123.30
51058301MRC(MDCR)RMVL OF INTRAUTERINE IUDMoab Regional Health Center13.70
98258353MRC/ABLATION, ENDOMETRIAL, THERMALMoab Regional Health Center1,786.05
98258545MRC/LAP MYOMECTOMY 1-4Moab Regional Health Center3,155.00
98258550MRC/LAVHMoab Regional Health Center3,330.00
98258552MRC/LAVH W/BIL OR UNI SALP OOPHMoab Regional Health Center3,815.00
98258558MRC/HYSTEROSCOPY, WITH BXMoab Regional Health Center1,786.05
98258600MRC/LIG/TRNSXJ FLP TUBE ABDL/VAG AP UNI/Moab Regional Health Center2,042.00
98258605MRC/LIGATION OF FALLOPIAN TUBE(S)Moab Regional Health Center1,678.00
98758611MRC/TUBAL LIG AT TIME OF C-SECT.Moab Regional Health Center840.00
98258615MRC/OCCLUSION BY DEVICEMoab Regional Health Center923.00
98258660MRC/LAP W-LYSIS OF ADHESIONSMoab Regional Health Center2,721.00
98258661MRC/LAP W OOPHORECTOMYMoab Regional Health Center2,609.00
98258662MRC/LAP FULGURATION/OVARYMoab Regional Health Center2,982.00
98258670MRC/LAP TUBALMoab Regional Health Center1,556.00
98258671MRC/LAPAROSCOPY, SURGICAL W/ OCCLUSION DMoab Regional Health Center1,701.00
98258700MRC/SALPINGECTOMYMoab Regional Health Center2,168.00
98258720MRC/SALPINGO OOPHORECTOMYMoab Regional Health Center2,628.00
98258750MRC/TUBOTUBAL ANASTATOMOSISMoab Regional Health Center4,500.00
98258925MRC/OVARIAN CYSTECTOMYMoab Regional Health Center3,671.00
98258940MRC/OOPHORECTOMYMoab Regional Health Center3,658.00
98258999UNLISTED PROCEDUREMoab Regional Health Center377.00
98259025MRC/FETAL NON STRESS TESTMoab Regional Health Center175.00
98259151MRC/LAP TX OF ECTOPIC PREGNANCY W SALPINMoab Regional Health Center2,351.00
98259160MRC/CURETTAGE-POSTPARTUMMoab Regional Health Center937.00
98759200MRC/INSERT OF CERV DILATORMoab Regional Health Center285.00
98259300MRC/EPIS OR VAG REP BY OTH THAN ATT PHYMoab Regional Health Center676.00
98759400MRC/ANTEPART, VAG DEL, AND PP CAREMoab Regional Health Center5,000.00
98259409MRC/VAGINAL DELIVERYMoab Regional Health Center1,920.00
98759410MRC/OBSTET CARE DEL & POSTPARTUMMoab Regional Health Center2,415.00
98259412MRC/ EXTERNAL CEPHALIC VERSIONMoab Regional Health Center995.00
98259425MRC/ANTEPARTUM CARE ONLY 4-6 VISITSMoab Regional Health Center700.00
98259426MRC/ ANTEPARTUM CARE ONLY 7 + VISITSMoab Regional Health Center2,000.00
98259430MRC/POSTPARTUM CARE ONLYMoab Regional Health Center280.00
98759510MRC/ROUTINE CARE, CESAR SECT, PP CAREMoab Regional Health Center5,100.00
98259514MRC/CESAREAN DELIVERYMoab Regional Health Center2,507.09
98759515MRC/CESAREAN SECT W/PP CAREMoab Regional Health Center2,464.00
98759610MRC/OBST CARE ANTEPA, VAG DEL, PP AFT CSMoab Regional Health Center3,683.00
98759612MRC/VAG DEL/PREV C-SECT DEL ONLYMoab Regional Health Center1,920.00
98259812MRC/TX OF INCOMPLETE AB ANY TRI COMP SURMoab Regional Health Center860.00
98259820MRC/TX OF MISSED AB COMPL SURG FIRST TRIMoab Regional Health Center876.02
98259840MRC INDCD ABORTION, DILATION & CRTTGEMoab Regional Health Center710.00
98259870MRC/EVACUATE MOLE OF UTERUSMoab Regional Health Center1,108.00
98260100MRC/BX THYROID, PERCUTANEOUS CORE NEEDLEMoab Regional Health Center368.00
98260210MRC/PART THYROID LOBECTOMY, UNI; W OR W/Moab Regional Health Center2,472.00
98260212MRC/PART THYROIDECTOMY W/ISTHMUSECTOMYMoab Regional Health Center3,377.00
98260220MRC/TOTAL THYROID LOBECTOMY;UNI W OR W/OMoab Regional Health Center2,544.00
98260240MRC/THYROIDECTOMY, TOTALMoab Regional Health Center3,574.00
98261500MRC/CRANIECTOMY; W EXCIS OF TUMOR OR BONMoab Regional Health Center6,423.00
98262230MRC/RPLCMT/REVJ CSF SHUNT VLV/CATH SHNTMoab Regional Health Center4,688.00
98262270MRC/LUMBAR PUNCTUREMoab Regional Health Center322.00
98262270MRC(MDCR) LUMBAR PUNCTUREMoab Regional Health Center289.80
51062270MRC(MDCR) LUMBAR PUNCTUREMoab Regional Health Center32.20
98262273MRC-INJ EPIDERAL BLOOMoab Regional Health Center935.00
98262320INJ X 1 W/WO CONTMoab Regional Health Center823.00
96362322EPIDURAL-LUMBARMoab Regional Health Center716.00
98262323NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMGMoab Regional Health Center1,072.00
98263688MRC/REVISION/REMOVAL IMPLANTED NEUROSTMUMoab Regional Health Center1,656.00
98264405INJ, Anesthesia AGENT, > OCCIPITAL NRVMoab Regional Health Center352.00
51064425MRC/MCR-INJECTION ILIOINGUINAL NERVESMoab Regional Health Center63.20
98264425MRC/MCR-INJECTION ILIOINGUINAL NERVESMoab Regional Health Center568.80
98164425MRC/NERVE BLOCKMoab Regional Health Center632.00
98264435INJ, Anesthesia PARACERVICAL UTERINE NRVMoab Regional Health Center503.00
96364445MRC/INJECT Anesthesia AGENT SCIAT NERVE SINGLEMoab Regional Health Center526.00
96364447MRC/INJ Anesthesia AGENT; FEMORAL NERVE, SINGLMoab Regional Health Center526.00
98264447MRC/MCR-INJECT FEMORAL NERVE, SINGLEMoab Regional Health Center430.20
51064447MRC/MCR-INJECT FEMORAL NERVE, SINGLEMoab Regional Health Center47.80
98264455MRC/INJ TRIGEMINAL NERVE ANY DIV; OCCIPIMoab Regional Health Center305.00
98264476MRC/FACET INJECT-EACH ADDITIONAL LEVELMoab Regional Health Center406.00
51064476MRC/MCR-FACET INJECT-EACH ADDITIONALMoab Regional Health Center40.60
98264476MRC/MCR-FACET INJECT-EACH ADDITIONALMoab Regional Health Center365.40
98264495MRC/FACET JOINT INJ THIRD LEVELMoab Regional Health Center447.00
98264704MRC/NEUROPLASTY; DIGITAL, NERVE HND/FTMoab Regional Health Center1,465.00
98264714MRC/NEUROPLASTY, MAJOR PERIPH NER ARM LEMoab Regional Health Center2,838.00
98264718MRC/NEUROPLASTY & TRANSPOSITION, ULNARMoab Regional Health Center2,830.00
98264721MRC/NEUROPLASTY & TRANSPOS MEDIAN NERVEMoab Regional Health Center2,003.00
98264772MRC/TRANSECT OR AVUL SPINAL NERVE, EXTRAMoab Regional Health Center1,281.00
98264774MRC/EXCIS NEUROMA NERVEMoab Regional Health Center878.00
98264834SUTURE 1 NRV HND/FT COMMON SENSORY NERVEMoab Regional Health Center1,737.00
98264999MRC/UNLISTED PROCEDURE NERVOUS SYSTEMMoab Regional Health Center1,281.00
98265205MRC/REMOVE FB EXT EYE;CONJUNMoab Regional Health Center155.00
98267700MRCBLEPHAROTOMY, DRAIN/ABSCESS OF EYELIDMoab Regional Health Center222.08
98267840MRC/EXCIS OF LESION OF EYELID W/O CLOSMoab Regional Health Center412.02
98269000DRAINAGE EXTERNAL EAR, ABSCESS OR HEMA;SMoab Regional Health Center385.00
98269145MRC/REMOVE EAR CANAL LESION(S)Moab Regional Health Center944.00
98269200MRC(MDCR) REM FB XTRNL AUDITORY CANMoab Regional Health Center119.70
98269200MRC/REM FB FR EXT AUD CANALW/O AnesthesiaMoab Regional Health Center133.00
51069200MRC (MDCR) REM FB XTRNL AUDITORY CANMoab Regional Health Center13.30
98269209REMOVAL CERUMEN IRRIGATION/LAVAGE ONLYMoab Regional Health Center50.00
98269210MRC/REMOVAL IMPACTED CERUMENMoab Regional Health Center88.00
98269210MRC(MDCR)REMOVAL IMPACTED CERUMENMoab Regional Health Center79.20
51069210MRC(MDCR)REMOVAL IMPACTED CERUMENMoab Regional Health Center8.80
98273040MRC/RADIOLOG EXAM SHOULDER ARTHRMoab Regional Health Center132.00
98276000MRC/FLUOROSCOPY SPX UP TO 1 HR PHYS/QHMoab Regional Health Center254.00
98276001MRC/FLUOROSCOPY EA ADDTNL HOUR PHYS/QHPMoab Regional Health Center75.00
98276801US PREGNANT UTERUS 14 WK TRNSBL PROFEEMoab Regional Health Center95.00
40276801US US PREGNANT UTERUS 14 WK TRNSBL W/IMGMoab Regional Health Center375.00
98276830MRC/ULTRASOUND, TRANSVAGINALMoab Regional Health Center75.00
40276830MRC/ULTRASOUND, TRANSVAGINALMoab Regional Health Center300.00
98276857US PELVIC NONOBSTRC W/DOC LMT F/U PROFEEMoab Regional Health Center50.00
40276857US PELVIC NONOBSTRC W/IMAGE DOC; LMT F/UMoab Regional Health Center250.00
98276882US EXT JOINT/OTH NONVASC READ PROFEEMoab Regional Health Center80.00
40276882US EXT JOINT/OTH NONVASC XTR STRX R-T WMoab Regional Health Center350.00
40276942MRC/US GD NLD PLCMNT TECHNICALMoab Regional Health Center120.00
98276942MRC/US GD NLD PLCMNT PROFEEMoab Regional Health Center75.00
98277071MRC/MAN APPL STRESS PFRMD BY PHYS JOINTMoab Regional Health Center71.00
30080305DRUG SCREEN QUAL; MULTIDRUG CLSS BY H1GMoab Regional Health Center93.00
30081002MRC/URNLS DIP STICK/TABLET RGNT W/MICROMoab Regional Health Center21.00
30081003URINALYSIS, AUTOMATED, W/O   MICROSCOPYMoab Regional Health Center21.00
30081025URINE PREGNANCY TEST, BY VISUAL COLORMoab Regional Health Center38.00
98281528ONCOLOY COLORECTAL SCREENING QUAN 10 DNAMoab Regional Health Center1,165.00
30082270MRC/BLOOD OCCULT, GUAIACMoab Regional Health Center21.00
77082274BLD OCCLT FCL HGB DTR IA QUAL FECES 1-3Moab Regional Health Center90.00
30082607CYANOCOBALAMIN VITAMIN B-12 (PANEL ONLY)Moab Regional Health Center34.00
98282947MRC/GLUCOSE TESTMoab Regional Health Center32.00
98282947MRC/(MDCR) GLUCOSE TESTMoab Regional Health Center28.80
51082947MRC/(MDCR) GLUCOSE TESTMoab Regional Health Center3.20
30082948GHEM BGMoab Regional Health Center37.00
30082962MRC/BLOOD GLUCOSE MNTR,OBTND BY FNGRMoab Regional Health Center19.00
98282962MRC(MDCR)BLOOD GLUCOSE MNTR BY FNGRMoab Regional Health Center17.10
51082962MRC(MDCR)BLOOD GLCS MNTR BY FNGRMoab Regional Health Center1.90
30085610PROTHROMBIN TIMEMoab Regional Health Center20.00
30086580TUBERSOLMoab Regional Health Center149.00
51087164MRC/MDCR-DK FIELD EXAM W/SPECIMENMoab Regional Health Center6.80
98287164MRC/MCRD-DK FIELD EXAMMoab Regional Health Center61.20
98287164MRC/EXAM-DK FIELD, W/SPECIMEN COLLECTMoab Regional Health Center68.00
51087166MRC/MCRD-/DARK FIELD EXAM W/O COLLECTIONMoab Regional Health Center6.30
98287166MRC/MCRD-/DARK FIELD EXAM W/O COLLECTIONMoab Regional Health Center56.70
98287166MRC/DARK FIELD EXAM W/O COLLECTIONMoab Regional Health Center63.00
30087210SMR PRIM SRC WET MOUNT NFCT AGTMoab Regional Health Center39.00
30087220KOH PREPMoab Regional Health Center56.00
30087804RAPID FLU SWABMoab Regional Health Center34.00
30087807RAPID RSV TESTMoab Regional Health Center28.00
30087880STREPTOCOCCUS, GROUP AMoab Regional Health Center57.00
30087880RAPID STREP TESTMoab Regional Health Center26.00
98288160MRC/PAP SMEARMoab Regional Health Center67.10
98288174MRC/CYTP C/V AUTO THIN LYR PREPJ SCR SYSMoab Regional Health Center73.00
77190460MRC/IMMUNIZATION ADMINISTRATIONMoab Regional Health Center14.52
77190461MRC/IMMUNIZATION ADMINISTRATION EA ADD'LMoab Regional Health Center9.00
77190471MRC/INJ VAC OR TOXOIDMoab Regional Health Center33.00
77190472MRC/EA ADD IMMUNIZATION ADMINISTRATIONMoab Regional Health Center16.00
77190472MRC/PEDIATRIC (MEDICAID) EA ADDMoab Regional Health Center9.00
77190472EA ADDITIONAL VACCINE ADMINISTEREDMoab Regional Health Center33.00
98290473MRC/IMADM INTRANSL/ORAL 1 VACCINEMoab Regional Health Center26.32
77190474MRC/IMMUNE ADMIN ORAL/NASAL ADDLMoab Regional Health Center16.00
98290702MRC(MDCR)DPTHERIA & TETNUS TOXIODMoab Regional Health Center18.00
51090702MRC(MDCR)DIPHERIA & TETNUS TOXOIDMoab Regional Health Center2.00
63690702DIPTHERIA & TETNUS TOXOIDMoab Regional Health Center426.75
98290703MRC/TETNAS TOXOIDMoab Regional Health Center23.00
98290703MRC(MDCR)TETNAS TOXOIDMoab Regional Health Center20.70
98290782MRC/INJ, THERAPUTIC/DIAGMoab Regional Health Center33.00
98290782MRC(MDCR) THERAPUTIC/DIAGMoab Regional Health Center29.70
51090782MRC(MDCR) THERAPUTIC/DIAGMoab Regional Health Center3.30
98290785MRC/INTERACTIVE ADD ON CODEMoab Regional Health Center28.00
98290791MRC/MMRCITAL PSYCH DIAG EVALMoab Regional Health Center125.00
98290791MRC/NEW KID INTERACTIVE PSYCH DIAG EVALMoab Regional Health Center223.00
98290791MRC/NEWPSYCHIATRIC DIAGNOSTIC EVALUATIONMoab Regional Health Center203.00
98290792PSYCHIATRIC DX EVAL W/ MEDICAL SERVICESMoab Regional Health Center225.00
98290810MRC/INDIVIDUAL PSYCHOTHERAPY 20-30 MINMoab Regional Health Center124.00
98290812MRC/INDIVIDUAL PSYCHOTHERAPY (45-50 MIN)Moab Regional Health Center134.00
98290814MRC/INDIVIDUAL PSYCHOTHERAPY (75-80 MIN)Moab Regional Health Center188.06
98290832MRC/INDIVIDUAL PSYCHOTHERAPY 30 MINMoab Regional Health Center122.00
98290834MRC/INDIVIDUAL PSYCHOTHERAPY 45 MINMoab Regional Health Center125.00
98290837MRC/INVIDUAL PSYCHOTHERAPY 60 MINMoab Regional Health Center206.01
98290846MRC/FAMILY PSYCHOTHERAPY W/O PATIENTMoab Regional Health Center118.00
98290847MRC/FAMILY PSYCHOTHERAPY W/ PATIENTMoab Regional Health Center147.00
98290847MRC/MMRCITAL THERAPY ADDITIONAL SESSIONSMoab Regional Health Center125.00
98290853MRC/GRP PSYCHOTHERAPY I.E. EDUCATION 1UNMoab Regional Health Center78.00
48092960MRC/CardiopulmonaryIOVERS ELEC CONVERS OF ARRHY EXTMoab Regional Health Center474.00
73093000ECG 12 LEAD W/INTERPRETATIONMoab Regional Health Center52.00
73093005EKGMoab Regional Health Center30.00
98293016MRC/TREADMILL SUPERVISIONMoab Regional Health Center138.00
98293016MRC(MDCR)TREADMILL SUPERVISIONMoab Regional Health Center124.20
51093016MRC(MDCR)TREADMILL SUPERVISEDMoab Regional Health Center13.80
98293018MRC/TREADMILL INTERPMoab Regional Health Center138.00
98293018MRC(MDCR)TREADMILL INTERPMoab Regional Health Center124.20
51093018MRC(MDCR)TREADMMILL INTERPMoab Regional Health Center13.80
98293233MRC/HOLTER MONITOR INTERPMoab Regional Health Center231.00
98293233MRC/(MDCR) HOLTER MONITOR INTERPMoab Regional Health Center207.90
51093233MRC/ (MDCR) HOLTER MONITOR INTERPMoab Regional Health Center23.10
98293272MRC/EVENT MONITOR INTERPMoab Regional Health Center207.00
98293272MRC/ (MDCR) EVENT MONITOR INTERPMoab Regional Health Center186.30
51093272MRC/ (MDCR) EVENT MONITOR INTERPMoab Regional Health Center20.70
98293307MRC/ECHO-2DMoab Regional Health Center250.00
98293307MRC/(MDCR) ECHO-2DMoab Regional Health Center225.00
51093307MRC/(MDCR)ECHO-2DMoab Regional Health Center25.00
98293320MRC/ECHO-DOPPLERMoab Regional Health Center187.00
98293320MRC/(MDCR) ECHO-DOPPLERMoab Regional Health Center168.30
51093320MRC/(MDCR)ECHO-DOPPLERMoab Regional Health Center18.70
98293325MRC/ECHO-COLOR DOPPLERMoab Regional Health Center109.00
98293325MRC/MDCR) ECHO-COLOR DOPPLERMoab Regional Health Center98.10
51093325MRC/MDCR) ECHO-COLOR DOPPLERMoab Regional Health Center10.90
48093770DERMINATION OF VENOUS PRESSUREMoab Regional Health Center60.00
98293970MRC/READING OF DUPLEX SCAN, VEINS, BILATMoab Regional Health Center200.00
46094010MRC/PULMONARY FUNCT TESTMoab Regional Health Center140.00
46094010MRC(MDCR)PULMONARY FUNCT TESTMoab Regional Health Center126.00
51094010MRC(MDCR)PULMONARY FUNCT TESTMoab Regional Health Center14.00
46094060BRNCDILAT RSPSE SPMTRY PREPOST-BRNCDILATMoab Regional Health Center130.00
98294150MRC/VITAL CAPACITY/PEAK FLOWMoab Regional Health Center56.00
98294150MRC(MDCR)VITAL CAPACITY/PEAK FLOWMoab Regional Health Center50.40
51094150MRC(MDCR)VITAL CAPACITY/PEAK FLOWMoab Regional Health Center5.60
98294240MRC/PULM FUNCT TEST-VOLUMMoab Regional Health Center27.00
98294240MRC(MDCR)PULM FUNCT TST-VOLUMMoab Regional Health Center24.30
51094240MRC(MDCR)PULM FCTN TEST-VOLUMEMoab Regional Health Center2.70
46094375RESPIRATORY FLOW VOLUME LOOPMoab Regional Health Center82.00
98294620MRC/PULMONARY STRESS TEST;SIM 6-MIN WALKMoab Regional Health Center270.00
41094640MRC/INHALATION TREATMENT FOR AIRWAY OBSTMoab Regional Health Center37.00
41094640MRC(MDCR)INHALTN TRMNT, AIRWAY OBSTMoab Regional Health Center37.00
98294664MRC(MDCR)DEMO&EVL O PT UTILZ ARSL NEBMoab Regional Health Center51.30
51094664MRC(MDCR)DEMO&EVL O PT UTILZ ARSL NEBMoab Regional Health Center5.70
98294664MRC/DEMO&/ EVAL OF PT UTILIZ AERSL NEBMoab Regional Health Center57.00
98294760MRC/OXIMETRY RESTINGMoab Regional Health Center70.00
98294760MRC(MDCR) OXIMETRY RESTINGMoab Regional Health Center63.00
51094760MRC(MDCR)OXIMETRY RESTINGMoab Regional Health Center7.00
98294761MRC/OXIMETRY EXERCISEMoab Regional Health Center76.00
98294761MRC(MDCR)OXIMETRY EXERCISEMoab Regional Health Center68.40
51094761MRC(MDCR)OXIMETRY EXERCISEMoab Regional Health Center7.60
98295115PROF SVCS ALLG IMMNTX X W/PRV ALLGIC NJXMoab Regional Health Center23.00
77095117MRC/PRO, ALLERGEN IMMUNO NOT INCL EX 2+Moab Regional Health Center34.00
98295903MRC/NERVE CONDUCTION (EACH NERVE)Moab Regional Health Center207.00
98295992MRC/CANALITH REPOSITIONING PROCEDUREMoab Regional Health Center287.00
98296101MRC/PSYCHOLOGICAL TESTING PER HOURMoab Regional Health Center176.00
98296110DEVELOPMTL SCREENING W SCORING DOCUMENTMoab Regional Health Center63.00
98296116NEUROBEHAV STATUS EXAM PER HR FTF W INTEMoab Regional Health Center322.00
98296125MRC/COGNITIVE TEST BY HC PROMoab Regional Health Center240.00
98296127EMOTIONAL/BEHAVIORAL ASSESSMENTMoab Regional Health Center30.00
98296150MRC/INI HLTH & BEHAVIOR ASSMT EA 15 MINMoab Regional Health Center48.00
98296151MRC/HLTH & BEHAVIOR RE-ASSMT EA 15 MINMoab Regional Health Center24.00
98296152MRC/HLTH & BEHAVIOR INTRVNTN INDVD 15 MIMoab Regional Health Center24.00
98296153MRC/HLTH & BHVR INRVNTN, GROUP 2 + 15 MIMoab Regional Health Center34.02
98296154MRC/HLTH & BHVR INTRVNTN, FMLY WPT 15MINMoab Regional Health Center34.02
26096360MRC/IV HYDRATION INITIAL 31MIN TO 1HRMoab Regional Health Center230.00
26096361MRC/HYDRATION, EACH ADDITIONAL HOURMoab Regional Health Center54.10
77096372MRC/THERAPEUTIC, PROPH, DX INJ IM OR SQMoab Regional Health Center36.00
98296372MRC(MDCR)THERPTC, PRPH, DX INJ IM/SQMoab Regional Health Center32.40
51096372MRC(MDCR)THERPTC, PROPH, DXINJ IM/SQMoab Regional Health Center3.60
26096374MRC/THERAP//PROPH/DX IV PUSH; SINGLE INJMoab Regional Health Center172.00
98297597MRC/DEBRIDE OPEN WOUND <20 SQ CMMoab Regional Health Center36.00
98297598MRC/REMOVAL DEVITALIZED TISSUE ^20 SQ CMMoab Regional Health Center107.00
98297602MRC/RMVL DEVITAL TISSU FRM WNDS W/O AnesthesiaMoab Regional Health Center74.00
98297602MRC(MDCR)RMV DVTAL TISSU FRM WND WOMoab Regional Health Center66.60
51097602MRC(MDCR)RMV DVTL TISSU FR WND W/OMoab Regional Health Center7.40
98297605MRC/WOUND THERAPY, NEG PRESSUREMoab Regional Health Center69.00
98298925MRC/OMT 1-2 BODY REGIONS INVOLVEDMoab Regional Health Center72.00
98298925MRC(MDCR)OMT 1-2 BODY RGNS INVLVDMoab Regional Health Center64.80
51098925MRC(MDCR) OMT 1-2 BODY REGIONS INVLVMoab Regional Health Center7.20
98298926MRC/OMT 3-4 REGIONS INVOLVEDMoab Regional Health Center90.00
98298926MRC(MDCR)OMT 3-4 RGNS INVLVDMoab Regional Health Center81.00
51098926MRC(MDCR)OMT 3-4 RGNS INVLVDMoab Regional Health Center9.00
98298927MRC/OMT 5-6 BODY REGIONS INVOLVEDMoab Regional Health Center108.00
98298927MRC(MDCR)OMT 5-6 BODY RGNS NVLVDMoab Regional Health Center97.20
51098927MRC(MDCR)OMT 5-6 BODY RGNS NVLVDMoab Regional Health Center10.80
98298928MRC/OMT 7-8 BODY REGIONS INVOLVEDMoab Regional Health Center117.00
98298928MRC(MDCR)OMT 7-8 BODY RGNS INVLVDMoab Regional Health Center105.30
51098928MRC(MDCR)OMT 7-8 BODY RGNS NVLVDMoab Regional Health Center11.70
98298929MRC/OMT 9-10 BODY REGIONS INVOLVEDMoab Regional Health Center122.00
98298929MRC(MDCR)OMT 9-10 BDY RGNS NVLVDMoab Regional Health Center109.80
51098929MRC(MDCR)OMT 9-10 BODY RGNS NVLVDMoab Regional Health Center12.20
51098960MRC(MDCR)EDUCATION & TRAINING 4 SELFMoab Regional Health Center6.50
98298960MRC(MDCR)EDUCATION & TRAINING 4 SELFMoab Regional Health Center58.50
98298960MRC/EDUCATION & TRAINING FOR SELF MNGMNTMoab Regional Health Center65.00
98299024NO CHARGE OBMoab Regional Health Center    -
98299024MRC/POST OP NO CHARGEMoab Regional Health Center    -
9829902490 DAY GLOBALMoab Regional Health Center    -
98299050MRC/AFTER REG SCHEDULED HOURS 1Moab Regional Health Center60.00
98299058SVC PRV EMER BSS IN OFFC DISRUPTING SVCSMoab Regional Health Center85.00
98299070MRC/IMMOBILIZER SHOULDERMoab Regional Health Center53.00
98299080MRC/LETTER/REPORTMoab Regional Health Center84.00
51099144MRC/MCR-MODERATE SEDATION (5 YRS & OLDERMoab Regional Health Center11.90
98299144MRC/MCR-MODERATE SEDATION (5 YRS & OLDERMoab Regional Health Center107.10
98299144MRC/MOD SEDATION 5 YRS OR OLDERMoab Regional Health Center119.00
51099149MRC/MCR-MODERATE SEDATION (UNDER 5 YRS)Moab Regional Health Center10.00
98299149MRC/MCR-MODERATE SEDATION (UNDER AGE 5)Moab Regional Health Center90.00
94299149MRC/MCR-MODERATE SEDATION (UNDER AGE 5)Moab Regional Health Center90.00
96399149MRC/MODERATE SED SERVICES 5 YRS OR > 1STMoab Regional Health Center100.00
96399150MRC/ADD 15 MINUTES OF CONSCIOUS SEDATIONMoab Regional Health Center52.00
98299150MRC/MCR-ADDTL 15 MINS CONSCIOUS SEDATIONMoab Regional Health Center46.80
51099150MRC/MCR-ADDTL 15 MINS CONSCIOUS SEDATIONMoab Regional Health Center5.20
98299201MRC(MDCR)NEW OFFICE LVL 1Moab Regional Health Center126.00
98299201MRC/ NEW PT VISIT, LEVEL 1Moab Regional Health Center140.00
98299202MRC/NEW OFFICE LEVEL 2Moab Regional Health Center170.00
98299202MRC(MDCR)NEW EXP OFFICE LVL 2Moab Regional Health Center153.00
98299203MRC(MDCR)NEW OFFICE LVL 3Moab Regional Health Center202.50
98299203MRC/ NEW PT VISIT, LEVEL 3Moab Regional Health Center225.00
98299204MRC/NEW OFFICE LEVEL 4Moab Regional Health Center320.00
98299204MRC(MDCR) NEW OFFICE LVL 4Moab Regional Health Center288.00
98299205MRC/OFFICE VISIT, NEW, HIGH COMPLEXITYMoab Regional Health Center420.00
98299205MRC(MDCR) NEW OFFICE LVL 5Moab Regional Health Center378.00
98299211MRC/ESTAB OFFICE LEVEL 1Moab Regional Health Center75.00
98299211MRC/(MDCR) ESTAB OFFICE LVL1Moab Regional Health Center67.50
51099211MRC/(MDCR) ESTAB OFFICE LVL 1Moab Regional Health Center7.50
98299212MRC/ESTAB OFFICE LEVEL 2Moab Regional Health Center120.00
98299212MRC/(MDCR) ESTAB OFFICE LVL 2Moab Regional Health Center108.00
51099212MRC/(MDCR) ESTAB OFFICE LVL 2Moab Regional Health Center12.00
98299213MRC/OFFICE VISIT, EST PT, EXPANDEDMoab Regional Health Center140.00
98299213MRC/(MDCR) ESTAB OFFICE LVL 3Moab Regional Health Center126.00
51099213MRC/(MDCR) ESTAB OFFICE LVL 3Moab Regional Health Center14.00
98299214MRC/ESTAB OFFICE LEVEL 4Moab Regional Health Center200.00
98299214MRC/(MDCR) ESTAB OFFICE LVL 4Moab Regional Health Center180.00
51099214MRC/ (MDCR) ESTAB OFFIC LVL 4Moab Regional Health Center20.00
98299214MRC/EST PT VISIT, LEVEL 4Moab Regional Health Center200.00
98299215MRC/ESTAB OFFICE LEVEL 5Moab Regional Health Center310.00
98299215MRC/(MDCR) ESTAB OFFICE LVL 5Moab Regional Health Center279.00
51099215MRC/(MDCR)ESTAB OFFICE LVL 5Moab Regional Health Center31.00
98299217MRC/OBS CARE DISCHARGE DAYMoab Regional Health Center131.00
98299218MRC INIT OBS CARE LOW SEVERITYMoab Regional Health Center167.40
98299219MRC/EO OBSSERVATION LEVEL IIMoab Regional Health Center227.00
98299220MRC/IP OBSERVASTION LEVEL 3Moab Regional Health Center300.00
98799221MRC/INITIAL IP E&M, LOWMoab Regional Health Center202.00
98799222MRC/INIT HOSP CARE-LEVEL IIMoab Regional Health Center242.00
98799223MRC/INIT HOSP CARE-LEVEL IIIMoab Regional Health Center294.00
98299224MRC/SUB OBS CARE LOW COMPLEXMoab Regional Health Center72.00
98299225MRC/SUB OBS VISIT MOD COMPMoab Regional Health Center110.00
98799231MRC/SUBSEQUENT HOSP CAREMoab Regional Health Center108.00
98299232MRC/SBSQ HOSPITAL CARE 25 MINSMoab Regional Health Center129.00
98799233MRC/SUBSEQUENT HOSP CAREMoab Regional Health Center207.00
98799234MRC/ADMIT AND D/C SAME DAY-LOWMoab Regional Health Center240.10
98299235MRC/OBS/ADMIT/DC SAME DAY-MODMoab Regional Health Center326.93
98299236MRC/OBS/IP CARE SAME DAY HIGH COMPLEXITYMoab Regional Health Center346.00
98799238MRC/HOSP DISCHARGE DAY MANAGEMENTMoab Regional Health Center112.00
98799239MRC/HOSP DISCHARGE >30Moab Regional Health Center140.00
98299241MRC/CONSULT, OP LEVEL 1Moab Regional Health Center141.00
98299242MRC/OFFIC CONSULT-LOWMoab Regional Health Center206.00
98299243MRC/OFFIC CONSULT-DETAILMoab Regional Health Center250.00
98299244MRC/OFFIC CONSULT-MODERMoab Regional Health Center341.00
98299245MRC/OFFIC CONSULT-HIGH LVL 5Moab Regional Health Center411.00
98799251MRC/CONSULT IP LEVEL 1Moab Regional Health Center166.00
98799252MRC/CONSULT IP LEVEL 2Moab Regional Health Center212.00
98799253MRC/CONSULT IP LEVEL 3Moab Regional Health Center261.00
98799254MRC/CONSULT, IP LEVEL 4Moab Regional Health Center325.00
98799255MRC/CONSULT, IP LEVEL 5Moab Regional Health Center408.00
98799261MRC/IP CONSULT F/U 1Moab Regional Health Center91.00
98799262MRC/IP CONSULT F/U 2Moab Regional Health Center162.00
98799263MRC/IP CONSULT F/U 3Moab Regional Health Center203.00
98299281MRC/ER VISIT, MINOR PROBMoab Regional Health Center125.00
98199282MRC/E&M EMERGENCY ROOM, LOW COMPMoab Regional Health Center213.00
98299283MRC/ E & M ER ROOM MOD SEVERITYMoab Regional Health Center364.00
98299284MRC/ER VISIT HIGH/URGENTMoab Regional Health Center529.00
98299291MRC/CRITICAL CARE FIRST 30-74 MINMoab Regional Health Center1,797.00
98299292MRC/CC EACH ADDITIONAL 30 MINMoab Regional Health Center303.00
98299301MRC/NURSING FACILITY CARE LEVEL 3Moab Regional Health Center103.00
98299301MRC(MDCR)NRSNG FAC CARE LVL 3Moab Regional Health Center92.70
51099301MRC(MDCR)NRSNG FAC CARE LVL 3Moab Regional Health Center10.30
98299304MRC/INI NURSING FACILITY CARE, PER DAYMoab Regional Health Center108.00
98299305MRC/INIT NURSING FAC CARE MOD COMPLEXMoab Regional Health Center166.00
98299306MRC/INIT NURS FAC VISIT HIGH COMPLEXMoab Regional Health Center190.00
98299307MRC/SUB NURSING FAC; STRGT FORWARDMoab Regional Health Center80.00
98299308MRC/SUBSEQ NURSING FAC CAREMoab Regional Health Center91.00
98299309MRC/SBSQ NURSING FACIL VISIT NEW PROBMoab Regional Health Center117.00
98299310MRC/SUB NURSING FAC CARE/HIGH COMPLEXMoab Regional Health Center215.00
98299315MRC/NRSNG FCLTY DSCRG DAY MNGMT 30MINMoab Regional Health Center112.00
98299316MRC/NURSING FAC VISIT D/C > 30 MINMoab Regional Health Center139.00
98299318E & M OF PATIENT INVOLVING ANNUAL NFAMoab Regional Health Center225.00
98299342MRC/HOME VISIT NEW PT MOD SEVERITYMoab Regional Health Center139.00
98299344MRC/HOME VISIT LEVEL 4Moab Regional Health Center239.00
98299347MRC/HOME VISIT EST PT MINOR 15 MINMoab Regional Health Center103.00
98299348MRC/HOME VISIT E/M 25 MINMoab Regional Health Center92.00
98299349MRC/HOME VISIT E/M 40 MINMoab Regional Health Center140.00
98299354MRC/PROLONGED SERVICES 30-74 MINMoab Regional Health Center293.00
98299356PROLONGED SER I/P REQ UNIT/FLOOR 1ST HRMoab Regional Health Center449.00
98299357PROLONGED SER IP/OBSRV, EACH ADD 30 MINMoab Regional Health Center225.00
98299358PROLONGED E&M SRVC-INDIRECT CONTACTMoab Regional Health Center92.00
98299360MRC/PHYSICIAN STANDBY 30 MINMoab Regional Health Center179.00
98299363ANTICOAGULANT MGMT OP INIT 90 DAYSMoab Regional Health Center210.00
98299364ANTICOAGULANT MGMT OP EA SBSQ 90 DAYSMoab Regional Health Center99.00
51099374MRC/MDCR SUPVJ PT HH AGENCY MO 15-29 MNTMoab Regional Health Center11.40
98299374MRC/MDCR SUPVJ PT HH AGENCY MO 15-29 MNTMoab Regional Health Center102.60
98299381MRC/PREVENTATIVE MEDICINE UNDER 1 NEW PTMoab Regional Health Center148.00
98299381MRC(MDCR)PRVNTV MED UNDER 1 NEWMoab Regional Health Center133.20
51099381MRC(MDCR)PRVNTV MED UNDER 1 NEWMoab Regional Health Center14.80
98299382MRC/ INITIAL COMP;PREVENT, NEW PT 1-4 YRMoab Regional Health Center159.00
51099382MRC/ (MDCR) INTL COMP; PRVNT, NP 1-4Moab Regional Health Center15.90
98299382MRC/ (MDCR) INTL COMP; PRVNT, NP 1-4Moab Regional Health Center143.10
98299383MRC/ INITIAL COMP;PREVENT,   NEW PT 5-11Moab Regional Health Center170.00
98299383MRC/ (MDCR) COMP; PRVNT NEW PT 5-11Moab Regional Health Center153.00
51099383MRC/ (MDCR) COMP; PRVNT NEW PT 5-11Moab Regional Health Center17.00
98299384MRC/PHYSICAL EXAM 12-17 YRS OLD NEW PTMoab Regional Health Center182.00
98299384MRC(MDCR)PHYS EX 12-17 YRS NEW PTMoab Regional Health Center163.80
51099384MRC(MDCR)PHYS EX 12-17 YRS NEW PTMoab Regional Health Center18.20
98299385MRC/PHYSICAL EXAM 18-39 YRS OLD NEW PTMoab Regional Health Center246.00
51099385MRC(MDCR)PHYS EX 18-39 YRS NEW PTMoab Regional Health Center24.60
98299385MRC(MDCR)PHYS EX 18-39 YRS NEW PTMoab Regional Health Center221.40
98299386MRC/PHYSICAL EX 40-64 YRS OLD NEW PTMoab Regional Health Center269.00
98299386MRC(MDCR) PREV MEDICINE EVAL 40-64 YMoab Regional Health Center242.10
51099386MRC(MDCR) PREV MEDICINE EVAL 40-64YRMoab Regional Health Center26.90
98299387MRC/PHYSICAL EXAM 65 AND OVER NEW PTMoab Regional Health Center302.00
98299387MRC(MDCR)PHYS EXAM 65 AND OVR NPMoab Regional Health Center271.80
51099387MRC(MDCR)PHYS EX 65 & OVER NPMoab Regional Health Center30.20
98299391MRC(MDCR)PRVNTV MED UNDER 1 ESTB PTMoab Regional Health Center116.10
51099391MRC(MDCR)PRVTNTV MED UNDER 1 ESTB PTMoab Regional Health Center12.90
98299391MRC/PREVENTATIVE MED UNDER 1 EST PTMoab Regional Health Center129.00
98299392MRC/PREVENTATIVE MEDICINE 1-4 ESTAB PTMoab Regional Health Center129.00
98299392MRC(MDCR)PRVNTNV MED 1-4 ESTAB PTMoab Regional Health Center116.10
51099392MRC(MDCR) PRVNTV MED 1-4 ESTAB PTMoab Regional Health Center12.90
98299393MRC/PREVENTATIVE MEDICINE 5-11 ESTB PTMoab Regional Health Center140.00
98299393MRC(MDCR)PRVNTV MED 5-11 ESTB PTMoab Regional Health Center126.00
51099393MRC(MDCR)PRVNTV MED 5-11 ESTB PTMoab Regional Health Center14.00
98299394MRC/PHYSICAL EXAM 12-17 YRS OLD EST PTMoab Regional Health Center151.00
98299394MRC(MDCR)PHYS EX 12-17YRS EST PTMoab Regional Health Center135.90
51099394MRC(MDCR)PHYS EX 12-17 YRS EST PTMoab Regional Health Center15.10
98299395MRC/PHYSICAL EXAM 18-39 YRS OLD EST.Moab Regional Health Center204.00
98299395MRC(MDCR)PHYS EX 18-39 YRS ESTMoab Regional Health Center183.60
51099395MRC(MDCR)PHYS EX 18-39 YRS ESTMoab Regional Health Center20.40
98299396MRC/PHYSICAL EXAM 40-64 YRS OLD EST.Moab Regional Health Center223.00
98299396MRC(MDCR)PHYSCL EX 40-64YR ESTMoab Regional Health Center200.70
51099396MRC(MDCR)PHYSCL EX 40-64YR ESTMoab Regional Health Center22.30
98299397MRC/PHYSICAL EXAM 65 AND OVER EST.Moab Regional Health Center254.00
98299397MRC(MDCR)PHYS EX 65 AND OVER ESTMoab Regional Health Center228.60
51099397MRC(MDCR)PHYS EX 65 AND OVER ESTMoab Regional Health Center25.40
98299401MRC/PREV MEDICINE COUNCILMoab Regional Health Center64.00
98299401MRC(MDCR)PREV MEDICINE COUNCILMoab Regional Health Center57.60
51099401MRC(MDCR)PREV MEDICINE COUNCILMoab Regional Health Center6.40
98299402MRC/PREV MEDICINE-15 MINMoab Regional Health Center127.00
98299402MRC(MDCR)PREV MEDICINE 15MINMoab Regional Health Center114.30
51099402MRC(MDCR)PREV MEDICINE 15 MINMoab Regional Health Center12.70
98299403MRC/PREV MEDICINE-45 MINMoab Regional Health Center187.00
98299403MRC(MDCR)PREV MEDICINE 45 MINMoab Regional Health Center168.30
51099403MRC(MDCR)PREV MEDICINE 45 MINMoab Regional Health Center18.70
98299404MRC/PREV MEDICINE-60 MINMoab Regional Health Center248.00
98299404MRC(MDCR)PREV MEDICINE 60 MINMoab Regional Health Center223.20
51099404MRC(MDCR)PREV MEDICINE 60 MINMoab Regional Health Center24.80
98299406SMOKING TOBACCO USE CESSATION 3-10 MINMoab Regional Health Center49.00
98299406SMOKING & TABACCO CESS COUNSLNG 3-10 MINMoab Regional Health Center20.00
98299407SMOKING TOBACCO USE CESS COUNSEL >10 MINMoab Regional Health Center97.00
98299408ALCOHOL OR SUBSTANCE SCREEN 15-30 MINMoab Regional Health Center62.00
98299409ALCOHL OR SUBSTANCE SCREEN > 30 MINMoab Regional Health Center125.00
98299411PREV MED COUNSEL RISK FCTR REDJ GRP 30 MMoab Regional Health Center30.00
98299412PREV MED COUNSEL RISK FCTR REDJ 60 MMoab Regional Health Center40.00
98299420ADMN INTERPJ HLTH RISK ASSMT INSTRMNTMoab Regional Health Center20.00
98299441PHONE E/M BY PHYS 5-10 MINMoab Regional Health Center122.00
98299446INTRPROFSSNL PHONE/INTRNT BY CNSLT 5-10MMoab Regional Health Center50.00
98299447INTRPROFSSNL PHONE/INTRNT BY CNSLT 11-20Moab Regional Health Center75.00
98299448INTRPRFSS PHONE/INTERNET CNSLT 21-30MMoab Regional Health Center110.00
98299449INTRPRFSS PHONE/INTERNET CNSLT 31/>Moab Regional Health Center125.00
98299450BASIC LIFE OR DISABILITY EXAMMoab Regional Health Center280.00
98299455MRC/CDL IMPAIRMENT RATINGMoab Regional Health Center127.00
98799460MRC/INIT HOSP DAY, NORMAL NBMoab Regional Health Center181.00
98299461MRC/1ST CARE PR DAY NML NB XCPT HOSPMoab Regional Health Center242.00
98799462MRC/SUB HOSP DAY, NORMAL NBMoab Regional Health Center85.05
98799463MRC/ADMIT & D/C SAME DAY NEWBORNMoab Regional Health Center191.00
98799464MRC/ATTEND AT DEL & STAB NBMoab Regional Health Center144.00
96399465MRC/NEWBORN RESUSCITATIONMoab Regional Health Center496.00
98799468MRC/CC NB INFANT INITIAL DAYMoab Regional Health Center2,032.58
98799477MRC/INIT HOSP CARE E&M 28 D OR < INVENSIMoab Regional Health Center1,350.00
98799479MRC/SUB INTN CARE LBW INF (1500-2500 GM)Moab Regional Health Center650.41
98799480MRC/SUB INTEN CARE PER DAY E&M OF RECOVMoab Regional Health Center561.00
98299490CHRONIC CARE MGMT, 20 MINMoab Regional Health Center75.00
51099495MRC (MDCR) TRANSITIONAL CARE MNGMNT MODMoab Regional Health Center42.00
98299495MRC (MDCR) TRANSITIONAL CARE MNGMNT MODMoab Regional Health Center378.00
98299495TRANSNL MANAGMT FACE-FACE 14 DAYS DSCHRGMoab Regional Health Center420.00
51099496MRC (MDCR) TRANSNL MAGMT HIGH COMPLXTYMoab Regional Health Center59.50
98299496MRC (MDCR) TRANSNL MAGMT HIGH COMPLXTYMoab Regional Health Center535.50
98299496TRANSNL MAAGMT FACE-FACE 14 DAYS OF DSCHMoab Regional Health Center595.00
98299497ADVANCED CARE PLANNING; 30 MINMoab Regional Health Center120.00
98299498ADVANCED CARE PLANNING; EA ADD'L 30 MINMoab Regional Health Center75.00
98299499MRC/OTHER MEDICAL CONSULTATIONMoab Regional Health Center82.76
271A4266DIAPHRAM FOR CONTRACEPTIVE USEMoab Regional Health Center40.00
270A4614MRC/PEAK FLOW METER DISPMoab Regional Health Center59.00
510G0008MRC/MRC ADMIN OF INFLUENZA VIRUS VACCINEMoab Regional Health Center2.50
771G0008MRC/ADMIN OF INFLUENZA VIRUS VAC MDCR PTMoab Regional Health Center25.00
771G0009MRC/MDRC ADMINISTRATION OF PNEUMCCCL VACMoab Regional Health Center25.00
771G0010MRC/ MDCR ADMIN-HEPATITIS B VACCINEMoab Regional Health Center95.00
982G0101MRC/(MDCR)CA SCREEN;PELVIC/BREAST EXMMoab Regional Health Center150.00
770G0102MEDICARE DIGITAL RECTALMoab Regional Health Center34.00
510G0102MEDICARE DIGITAL RECTALMoab Regional Health Center3.40
300G0103PSA; SCREENINGMoab Regional Health Center62.00
982G0105MRC/COLORECTAL SCRN;HI RISK INDMoab Regional Health Center984.00
982G0106COLON CA SCREEN;BARIUM ENEMAMoab Regional Health Center375.00
942G0108DIABETES MANAGEMENT TRAINING PER INDIVIDMoab Regional Health Center85.00
942G0109DIABETES MANAGEMENT TRAINING IND/GROUPMoab Regional Health Center35.00
982G0120COLON CA SCRN;BARIUM ENEMAMoab Regional Health Center390.00
982G0121MRC/COLON CA SCREEN N/HIMoab Regional Health Center984.00
23G0181HOME HEALTH CARE SUPERVISIONMoab Regional Health Center205.00
657G0182HOSPICE CARE SUPERVISION (BILLED ONCE AMoab Regional Health Center185.00
982G0402MRC/INIT PE LDT NEW BENEF DUR 1ST 12 MOSMoab Regional Health Center158.00
982G0402MRC(MDCR)INIT LDT NEW BENEF 1-12MO'SMoab Regional Health Center142.20
510G0402MRC(MDCR)INIT LDT NEW BENEF 1-12 MO'SMoab Regional Health Center15.80
730G0403WELCOME TO MEDICARE -EKGMoab Regional Health Center30.00
982G0436MRC/MED,SMKING,TOBACCO,CESS,COUN,3-10MINMoab Regional Health Center20.00
982G0437MRC/SMOKING & TOBACCO CSSTN INTSV>10Moab Regional Health Center32.00
982G0438MRC/(MDCR)WELLNESS INITIAL VISITMoab Regional Health Center172.80
982G0438MRC/WELLNESS INITIAL VISITMoab Regional Health Center192.00
982G0439MRC/(MDCR)WELLNESS SUBSEQUENT VISITMoab Regional Health Center119.70
636J1040DEPO-MEDRO INJ MDV 80MG/ML 5ML/V1 EAMoab Regional Health Center98.86
636J1071DEPO-TESTOSTERN INJ 200MG/ML 10ML/V1Moab Regional Health Center98.86
636J1885KETOROLAC TROMETHAMINE, 60MGMoab Regional Health Center98.86
250J7301SKYLA INTRAUTERINE-SYSTEMMoab Regional Health Center908.24
270J7307CONTRACEPTIVE IMPLANT (IMPLANON)Moab Regional Health Center950.00
636J7323EUFLEXXA 2ML DOSEMoab Regional Health Center1,400.00
982Q0091MRC/OBTAINING SCREEN PAP SMEARMoab Regional Health Center75.00
270Q4006LONG ARM FIBERGLASS CAST 11+Moab Regional Health Center178.00
270Q4006LONG ARM FIBERGLASS CAST 10 & UNDERMoab Regional Health Center150.00
270Q4010SHORT ARM FIBERGLASS CAST 11 YRS+Moab Regional Health Center92.00
270Q4012SHORT ARM FIBERGLASS CAST 10 YRS <Moab Regional Health Center75.00
270Q4030LONG LEG FIBERGLASS CAST 11+ YRSMoab Regional Health Center329.00
270Q4032LONG LEG FIBERGLASS CAST 10 & UNDERMoab Regional Health Center289.00
270Q4038SHORT LEG FIBERGLASS CAST 11+Moab Regional Health Center173.00
270Q4040SHORT LEG FIBERCLASS CAST 10 YRS & UNDERMoab Regional Health Center150.00
982Q5005MRC/INIT HOSPICE CAREMoab Regional Health Center106.00
250S0020Bupivicaine 0.25% 10mgMoab Regional Health Center44.00
982MRC/NO SHOW FEEMoab Regional Health Center27.00
982MRC/NO CHARGEMoab Regional Health Center    -
982MRC/ NO CHARGE OBMoab Regional Health Center    -
982NO CHARGEMoab Regional Health Center    -
510MRC/(MDCR)WELLNESS SUBSEQUENT VISITMoab Regional Health Center13.30
510MRC/WELLNESS SUBSEQUENT VISITMoab Regional Health Center19.20
982MRC/ I & D, COMPMoab Regional Health Center335.00
98210 GLOBAL PROCEDUREMoab Regional Health Center    -
510MRC(MDCR)WELLNESS 1STMoab Regional Health Center19.20
510MRC(MDCR) NEW OFFICE LVL 1Moab Regional Health Center14.00
510MRC(MDCR) NEW EXP OFFICE LVL 2Moab Regional Health Center17.00
510MRC(MDCR) NEW OFFICE LVL 3Moab Regional Health Center22.50
510MRC(MDCR) NEW OFFICE LVL 4Moab Regional Health Center32.00
510MRC(MDCR) NEW OFFICE LVL 5Moab Regional Health Center42.00
982SMOKING & TABACCO CESSATION COUNSELINGMoab Regional Health Center49.00
98211640EXC MALIGNANT LESION F/E/E/N/L O.5 CM <Moab Regional Health Center324.00
98217111DESTRUCTION BENIGN LESION 15 OR MOREMoab Regional Health Center269.00
98244389MRC/COLONOSCOPY W/BIOPSY, SINGLE OR MULTMoab Regional Health Center1,404.00
98244392MRC/COLONOSCOPY W/REMOVAL BY HOT FORCEPSMoab Regional Health Center1,644.00
98267800EXCISION OF CHALAZION;SINGLEMoab Regional Health Center297.00
73093005EKGMoab Regional Health Center112.09
459A6449RH/ACE WRAPMoab Regional Health Center3.25
250J1335ERTAPENEM 500 MG DOSEMoab Regional Health Center87.00
250J7298MIRENA IUD INTRAUTERINE CONTRACEPTIVEMoab Regional Health Center802.00
250J8499GI COCKTAILMoab Regional Health Center20.00
270Q4049FINGER SPLINT, STATICMoab Regional Health Center13.00
98210060INCISION AND DRAINAGE, SIMPLEMoab Regional Health Center183.00
98210060MCR-I&D ABSCESS, SIMPLEMoab Regional Health Center164.00
51010060MCR-I&D ABSCESS, SIMPLEMoab Regional Health Center19.00
98210060MCR-I&D ABSCESS, SIMPLEMoab Regional Health Center164.00
51010060MCR-I&D ABSCESS, SIMPLEMoab Regional Health Center19.00
98210081JV/INCIS DRAIN OF PILONIDAL CYSTMoab Regional Health Center850.00
98210160PUNCTURE ASPIRATION OF CYSTMoab Regional Health Center140.40
98110160PUNCTURE ASPIRATION OF CYSTMoab Regional Health Center156.00
51010160MCR-PUNCTURE ASPIR, ABSCESS/HEMATOMAMoab Regional Health Center15.60
98210160MCR-PUNCTURE ASPIRATION ABSCESS/HEMATMoab Regional Health Center140.00
51010160MCR-PUNCTURE ASPIR, ABSCESS/HEMATOMAMoab Regional Health Center16.07
98120600ASPIR/INJECT SMALL JOINTMoab Regional Health Center149.00
98220605MCR-ASPIR OR INJECT MEDIUM JOINTMoab Regional Health Center142.20
51020605MCR-ASPIR OR INJECT MEDIUM JOINTMoab Regional Health Center15.80
98220605MCR-ASPIR OR INJECT MEDIUM JOINTMoab Regional Health Center142.20
51020605MCR-ASPIR OR INJECT MEDIUM JOINTMoab Regional Health Center15.80
51020610MCR-ASPIR OR INJECT MAJOR JOINTMoab Regional Health Center17.80
98220610ASPIR OR INJECT, MAJOR JOINTMoab Regional Health Center201.80
98220610MCR-ASPIR OR INJECT, MAJOR JOINTMoab Regional Health Center184.00
51020610MCR-ASPIR OR INJECT MAJOR JOINTMoab Regional Health Center20.00
98223350INJ PROC FOR SHOULDER ARTHROGRAMMoab Regional Health Center358.00
98223350MCR-INJECTION, SHOULDERMoab Regional Health Center322.20
51023350MCR-INJECTION, SHOULDERMoab Regional Health Center35.80
98231575MCR-LARYNGOSCOPYMoab Regional Health Center275.40
51031575MCR-LARYNGOSCOPYMoab Regional Health Center30.60
98231575LARYNGOSCOPY;FLEXIBLE FIBEROPTIC;DXMoab Regional Health Center306.00
98231575MCR-LARYNGOSCOPYMoab Regional Health Center275.40
51031575MCR-LARYNGOSCOPYMoab Regional Health Center30.60
98232554MCR-THORACENTESISMoab Regional Health Center505.00
51032554MCR-THORACENTESISMoab Regional Health Center56.20
98232554MCR-THORACENTESISMoab Regional Health Center505.80
51032554MCR-THORACENTESISMoab Regional Health Center56.20
98236410MCR-VENIPUNCTURE, AGE 3+Moab Regional Health Center108.00
51036410MCR-VENIPUNCTURE AGE 3+Moab Regional Health Center12.00
98236410MCR-VENIPUNCTURE, AGE 3+Moab Regional Health Center107.00
51036410MCR-VENIPUNCTURE AGE 3+Moab Regional Health Center14.00
51043753MCR-GASTRIC INTUBATIONMoab Regional Health Center7.60
98243753MCR-GASTRIC INTUBATIONMoab Regional Health Center68.40
98243753MCR-GASTRIC INTUBATIONMoab Regional Health Center67.00
51043753MCR-GASTRIC INTUBATIONMoab Regional Health Center9.00
98164425NERVE BLOCKMoab Regional Health Center632.00
98264425MCR-INJECTION ILIOINGUINAL NERVESMoab Regional Health Center568.80
51064425MCR-INJECTION ILIOINGUINAL NERVESMoab Regional Health Center63.20
98264425MCR-INJECTION, ILIOINGUINAL NERVESMoab Regional Health Center568.80
51064425MCR-INJECTION ILIOINGUINAL NERVESMoab Regional Health Center63.20
98264447MCR-INJECT FEMORAL NERVE, SINGLEMoab Regional Health Center430.20
51064447MCR-INJECT FEMORAL NERVE, SINGLEMoab Regional Health Center47.80
98264447MCR-INJECT FEMORAL NERVE, SINGLEMoab Regional Health Center430.20
51064447MCR-INJECT FEMORAL NERVE, SINGLEMoab Regional Health Center47.80
98264476FACET INJECT-EACH ADDITIONAL LEVELMoab Regional Health Center406.00
98264476MCR-FACET INJECT-EACH ADDITIONALMoab Regional Health Center365.40
51064476MCR-FACET INJECT-EACH ADDITIONALMoab Regional Health Center40.60
98264476MCR-FACET INJECT-EACH ADDITIONAL LEVEMoab Regional Health Center365.40
51064476MCR-FACET INJECT-EACH ADDITIONALMoab Regional Health Center40.60
98290785AR/INTERACTIVE ADD ON CODEMoab Regional Health Center28.00
98290791AR/MARITAL PSYCH DIAG EVALMoab Regional Health Center125.00
98290791AR/NEWPSYCHIATRIC DIAGNOSTIC EVALUATIONMoab Regional Health Center203.00
98290791AR/NEW KID INTERACTIVE PSYCH DIAG EVALMoab Regional Health Center223.00
98290791ES/PSYCHIATRIC DIAGNOSTIC EVALUATIONMoab Regional Health Center203.00
98290810AR/INDIVIDUAL PSYCHOTHERAPY 20-30 MINMoab Regional Health Center124.00
98290812AR/INDIVIDUAL PSYCHOTHERAPY (45-50 MIN)Moab Regional Health Center134.00
98290814AR/INDIVIDUAL PSYCHOTHERAPY (75-80 MIN)Moab Regional Health Center188.06
98290832AR/INDIVIDUAL PSYCHOTHERAPY 30 MINMoab Regional Health Center122.00
98290834AR/INDIVIDUAL PSYCHOTHERAPY 45 MINMoab Regional Health Center125.00
98290834ES/INDIVIDUAL PSYCHOTHERAPY (45 MIN)Moab Regional Health Center125.00
98290837AR/INVIDUAL PSYCHOTHERAPY 60 MINMoab Regional Health Center206.01
98290846AR/FAMILY PSYCHOTHERAPY W/O PATIENTMoab Regional Health Center118.00
98290847AR/MARITAL THERAPY ADDITIONAL SESSIONSMoab Regional Health Center125.00
98290847AR/FAMILY PSYCHOTHERAPY W/ PATIENTMoab Regional Health Center147.00
98290853AR/GRP PSYCHOTHERAPY I.E. EDUCATION 1UNTMoab Regional Health Center78.00
98296101AR/PSYCHOLOGICAL TESTING PER HOURMoab Regional Health Center176.00
98296101ES/PSYCHOLOGICAL TESTING PER HOURMoab Regional Health Center176.00
98296150AR/INI HLTH & BEHAVIOR ASSMT EA 15 MINMoab Regional Health Center48.00
98296151AR/HLTH & BEHAVIOR RE-ASSMT EA 15 MINMoab Regional Health Center24.00
98296152AR/HLTH & BEHAVIOR INTRVNTN INDVD 15 MINMoab Regional Health Center24.00
98296153AR/HLTH & BHVR INRVNTN, GROUP 2 + 15 MINMoab Regional Health Center34.02
98296154AR/HLTH & BHVR INTRVNTN, FMLY WPT 15MINMoab Regional Health Center34.02
98298925OMT 1-2 BODY REGIONS INVOLVEDMoab Regional Health Center72.00
98299144MCR-MODERATE SEDATION (5 YRS & OLDER)Moab Regional Health Center97.20
51099144MCR-MODERATE SEDATION (5 YRS & OLDER)Moab Regional Health Center10.80
98299144MCR-MODERATE SEDATION (5 YRS & OLDER)Moab Regional Health Center97.20
51099144MCR-MODERATE SEDATION (5 YRS & OLDER)Moab Regional Health Center10.80
98299149MCR-MODERATE SEDATION (UNDER AGE 5)Moab Regional Health Center81.00
51099149MCR-MODERATE SEDATION (UNDER 5 YRS)Moab Regional Health Center9.00
94299149MCR-MODERATE SEDATION (UNDER AGE 5)Moab Regional Health Center81.00
51099149MCR-MODERATE SEDATION (UNDER 5 YRS)Moab Regional Health Center9.00
98299150MCR-ADDTL 15 MINS CONSCIOUS SEDATIONMoab Regional Health Center42.30
51099150MCR-ADDTL 15 MINS CONSCIOUS SEDATIONMoab Regional Health Center4.70
98299201MCR-NEW PT VISIT, LEVEL 1Moab Regional Health Center126.00
51099201MCR-NEW PT VISIT, LEVEL 1Moab Regional Health Center14.00
98299201NEW PT VISIT, LEVEL 1Moab Regional Health Center140.00
98299202NEW OFFICE LEVEL 2Moab Regional Health Center170.00
51099202MCR-NEW OFFICE LEVEL 2Moab Regional Health Center17.00
98299202MCR-NEW PT VISIT, LEVEL 2Moab Regional Health Center153.00
98299203MCR-NEW PT VISIT, LEVEL 3Moab Regional Health Center202.50
98299203JV/MCR-OFFICE VISIT-NEW-DETAILEDMoab Regional Health Center134.00
98299204MCR-NEW PT VISIT, LEVEL 4Moab Regional Health Center288.00
51099204MCR-NEW PT VISIT, LEVEL 4Moab Regional Health Center32.00
98299204NEW PT VISIT, LEVEL 4Moab Regional Health Center320.00
98299205MCR-NEW PT VISIT, LEVEL 5Moab Regional Health Center378.00
51099205MCR-NEW PT VISIT, LEVEL 5Moab Regional Health Center42.00
98299205JV/MCR-OFFICE VISIT-NEW-HIGH COMPLEXITYMoab Regional Health Center309.02
98299212MCR-EST PT O.V. 10 MINSMoab Regional Health Center108.00
51099212MCR-EST PT O.V. 10 MINSMoab Regional Health Center12.00
98299213MCR-EST PT VISIT, LEVEL 3Moab Regional Health Center126.00
51099213MCR-EST PT VISIT, LEVEL 3Moab Regional Health Center14.00
98299213EST PT VISIT, LEVEL 3Moab Regional Health Center140.00
98299213JV/MCR-OFFICE VISIT-EST-EXPANDEDMoab Regional Health Center80.00
98299214MCR-EST PT VISIT, LEVEL 4Moab Regional Health Center180.00
51099214MCR-EST PT VISIT, LEVEL 4Moab Regional Health Center20.00
98299214EST PT VISIT, LEVEL 4Moab Regional Health Center200.00
98299215MCR-EST PT VISIT, LEVEL 5Moab Regional Health Center279.00
98299215EST PT VISIT, LEVEL 5Moab Regional Health Center310.00
51099215MCR-EST PT VISIT, LEVEL 5Moab Regional Health Center31.00
98299218MCR-INITIAL OBSERVATION, LOW SEVERITYMoab Regional Health Center167.00
98299283E & M ER ROOM MOD SEVERITYMoab Regional Health Center254.00
98299283MCR-E&M-ER-MODERATE SEVERITYMoab Regional Health Center228.00
51099283MCR-E&M-ER-MODERATE SEVERITYMoab Regional Health Center27.00
98299284MCR-E&M, ER, HIGH SEVERITYMoab Regional Health Center389.00
51099284MCR-E&M, ER, HIGH SEVERITYMoab Regional Health Center44.00
250CLONIDINE INJ 100MG/ ML 10 ML VIALMoab Regional Health Center70.22
982NEW PT VISIT, LEVEL 3Moab Regional Health Center225.00
47192587HEARING SCREENNursery110.00
170NEWBORN MANAGMENTNursery599.00
171NURSERY ROOMNursery732.00
171NB LONG STAYNursery419.00
92059025OB TREATMENT/NSTObstetrics340.00
72059025NONSTRESS TESTObstetrics325.00
76259412EXTERNAL CEPHALIC VERSION, W/WO TCLYSISObstetrics1,045.00
98159514KEYS/CESAREAN DELIVERY ONLYObstetrics3,491.00
31082962CHEM BGObstetrics39.00
72993960DOPPLERObstetrics303.00
26096360INITIAL HOUR HYDRATION, 1ST HOURObstetrics297.00
26096361HYDRATION, EACH ADDITIONAL HOURObstetrics110.00
26096365THERAPEUTIC IV INFUSION, INITIAL HOURObstetrics327.00
26096366THERAPEUTIC IV INFUSION; EACH ADD HOURObstetrics138.00
26096372THERAPEUTIC SUB-CU OR IM INJECTIONObstetrics98.00
26096374THERAPEUTIC IV PUSH, INITIALObstetrics206.00
26096375THERAPEUTIC IV PUSH; EACH ADD. PUSHObstetrics133.00
72199283LABOR OBSERVATION PER HRObstetrics95.00
762G0378OO OBSERVATION <1 HOURObstetrics372.00
762G0378OO OBSERVATION 1 HOUR - 1HOUR 59 MINObstetrics562.00
762G0378OO OBSERVATION 2 HOURS - 2 HOURS 59 MINObstetrics764.00
762G0378OO OBSERVATION 3 HOURS - 3 HOURS 59 MINObstetrics963.00
762G0378OO OBSERVATION > 4 HOURSObstetrics1,162.00
720EPIDURAL MANAGEMENT SERVICEObstetrics415.00
722DELIVERY SERVICEObstetrics1,409.00
721LABOR MANAGEMENTObstetrics374.00
410INFANT RESUSCITATIONObstetrics282.00
721LABOR ROOM-LAST HOURObstetrics198.00
721LABOR MANAGEMENT ADDITIONALObstetrics464.00
76116000BURN CARE INT TX, 1 DEGREE BURNOut Patient Nursing Services168.00
76116020BURN CARE, DRSS, DBRDE, THKNS 1ST/SBSQOut Patient Nursing Services258.00
76116025BRN CR DRS/DBRDMT, THKNS 1ST/SBSQ MEDIUMOut Patient Nursing Services409.00
36129445APPLIC OF TOTAL CONTACT LEG CASTOut Patient Nursing Services746.00
76129580STRAPPING UNNA BOOTOut Patient Nursing Services115.00
36129581APPLIC MULTI-LAYER COMPRESS. SYSTEMOut Patient Nursing Services427.00
76129582APP MULTI-LAYER COMP SYS LEG & THIGHOut Patient Nursing Services203.00
39136430BLOOD ADMINISTRATIONOut Patient Nursing Services646.00
76136591COLL BLOOD FROM VENOUS ACC DEVICEOut Patient Nursing Services144.00
76136592COL OF BLOOD SPEC USING CENT OR PER CATHOut Patient Nursing Services117.00
76136593DECLOTTING THROMOLYTICOut Patient Nursing Services543.00
36051700BLADDER IRRIGATIONOut Patient Nursing Services233.00
76151701INSERTION OF NON INDWELLING BLADDER CATHOut Patient Nursing Services362.00
76151702INSERT FOLEY CATHETEROut Patient Nursing Services261.00
76151703INSJ TEMP NDWLL BLAD CATHETER, COMPLICTDOut Patient Nursing Services395.00
76162270SPINAL PUNCTURE, LUMBAR DIAGNOSTICOut Patient Nursing Services679.00
77190471IMMUNIZATION ADMIN SUBCU, IM; 1 VACCOut Patient Nursing Services86.00
26090779UNLISTED THERAPY PROPH/DX IN INJOut Patient Nursing Services68.00
26096360OP IV THERAPY HYDRATE; 1ST HOUROut Patient Nursing Services310.00
26096361OP IV THERAPY HYDRAT; EA HOUR UP TO 8Out Patient Nursing Services200.00
26096365IV INFUSION THERAPUTIC/PROPH/DX 1ST HOUROut Patient Nursing Services315.00
26096366IV INFUSION THERAPY/PROPH/DX EA ADD HOUROut Patient Nursing Services149.00
26096367IV THERAPY /PROPH/DX; SEQUENTIAL-1ST HROut Patient Nursing Services175.00
26096368IV INFUSION THERAPY/PROPH/ DX-CONCURRENTOut Patient Nursing Services234.00
26096372THERAPUTIC/PROPH/DX INJ SUB Q OR IMOut Patient Nursing Services98.00
26096374THERAPUTIC/PROPH/DX IV PUSH; SINGLE INJOut Patient Nursing Services206.00
26096375THERAPUTIC/PROPH/DX INJ; EA SEQ. IVPOut Patient Nursing Services137.00
26096376EA ADD SEQUEN IV PUSHOut Patient Nursing Services58.00
33196401CHEMO ADMIN; SUB Q-INTER MUSCLE- NO HORMOut Patient Nursing Services264.00
33196402CHEMO ADMIN; SUB Q OR IM, HORMONALOut Patient Nursing Services248.00
33196409CHEMO ADMIN; IV PUSH SINGLE OR INITIALOut Patient Nursing Services326.00
33196411CHEMO ADMIN; IV PUSH EA ADD SUBSTAN//DRUOut Patient Nursing Services398.00
33596413CHEMO ADMIN; IV INFUSION UP TO 1 HROut Patient Nursing Services729.00
33596415CHEMO ADMIN; IV INFUSION EACH ADD HOUROut Patient Nursing Services213.00
33596416INIT OF PROLONGED CHEMO INFUSIONOut Patient Nursing Services600.00
33596417CHEMO ADMIN; IV INFUSE; EA SEQUENT INFUSOut Patient Nursing Services298.00
33596521REFILLING MAINTENANCE PORTABLE PUMPOut Patient Nursing Services492.00
33596522REFILL AND MAIN IMPLANT PUMP OR RESIV FOOut Patient Nursing Services412.00
76196523IRRIGAT IMPLANTED VENOUS ACCESS DEVICEOut Patient Nursing Services123.00
76197597SELECT DEBRID < OR = 20 SQ. CMOut Patient Nursing Services230.00
76197598SELECT DEBRID > 20 SQ. CM.Out Patient Nursing Services213.00
76197602REM OF DEVIT TISS FR WND, DEBRID PER SESOut Patient Nursing Services176.00
76197605NEG PRESSURE WOUND THERAPY; PER SESSIONOut Patient Nursing Services161.00
76197606NEG PRESS WND THER, SURF AREA 20 SQ. CMOut Patient Nursing Services276.00
76199211OP NURSE VISITOut Patient Nursing Services100.00
260C8957INTRVENOUS INFSN, INIT PROLGD 8 HRSOut Patient Nursing Services595.00
260G0498INITIATION OF INFUSION PUMPOut Patient Nursing Services625.00
761P9612CATHETERIZATION FOR SPECIMEN COLLECTIONOut Patient Nursing Services362.00
257CALMOSEPTINEOut Patient Nursing Services55.00
257CALMOSEPTINE OINTOut Patient Nursing Services5.49
36011730AVULSION OF NAIL PLATE, PART/COMPLT SIMPOperating Room277.00
36011732AVULSION OF NAIL PLATE EACH ADDITIONALOperating Room103.00
36011750EXCISION OF NAIL AND NAIL MATRIXOperating Room426.00
36011752EXC OF NAIL/W AMPUTATION OF TUFT DISTALOperating Room614.00
36120552INJECT TRIGGER POINT 1-2 MUSCLESOperating Room485.00
36120610ARTHROCENTESIS LARGE JOINTOperating Room973.00
36025505CLX TX OF RADIAL SHAFT FX W/MANIPULATIONOperating Room1,556.00
36025565CLO TX RADIAL & ULNAR FX W/MANIPULATIONOperating Room1,664.00
36025605CLO DIST RADIAL; W/MANIPULATIONOperating Room1,285.00
36026755CLTX DSTL PHLNGL FX FNGR/THUMB W/MANJ EAOperating Room853.00
36027570MANIP OF KNEE UNDER AnesthesiaOperating Room1,435.00
36027752CLTX TIBIAL SHFT FX W/MANJ W/WO SKL TRCOperating Room2,268.00
36028495CLX TX OF FX GRT TOE PHLX/PHLG W MANJOperating Room541.00
36038221BX-BONE MARROW, BIOPSY NEEDLE OR TROCAROperating Room2,223.00
36055250VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAMOperating Room1,655.00
36162273EPIDURAL BLOOD PATCHOperating Room1,189.00
36064483INJ Anesthesia OR STEROID, LIMB/SACRAL SGLOperating Room1,775.00
36164490INJECT DIAG OR THER PARAVERT FACET JOINTOperating Room3,173.00
36164491INJECT PARAVERT FACET JOINT W/IMAG; 2NDOperating Room2,377.00
36164492FACET JOINT INJECT CER/THO 3RD & ADD LEVOperating Room780.00
36064493INJ DIAG OR THER; PAVAVERT 2ND LEVELOperating Room3,192.00
36064494INJ; DIAG OR THER; PARAVERT UMB/SACOperating Room1,864.00
36166761IRIDOTOMY/IRIDECTOMY BY LASER SURGERYOperating Room1,825.00
36066821YAG LASER; 1 OR MORE STAGESOperating Room2,445.00
36069205CLEAR OUTER EAR CANAL W/AnesthesiaTHESIAOperating Room1,309.00
30082948CHEM BGOperating Room37.00
30086999UNLISTED TRANSFUSION MEDICINE PROCEDUREOperating Room430.00
37299144MODERATE SEDATION FIRST 30 MINOperating Room161.00
37299145MODERATE SEDATION EA ADD 15 MINOperating Room65.00
37999149MODERATE SEDATION INDEPEND OBS FIRST 30Operating Room165.00
37999150MODERATE SED INDEPEND OBS EACH ADD 15 MIOperating Room74.00
36099998INJECTIONS: SQ, IM, IVOperating Room7.00
278C1769ZIMMER K WIRES .078Operating Room42.00
278C1776HUMERAL HEAD RT 45mm FROZEN TISSUEOperating Room2,487.00
360COLPOSCOPYOperating Room207.00
270DME POLAR CARE W/SHOULDER PADOperating Room376.00
278ZIMMER K WIRES .035Operating Room42.00
270DME POLAR CARE 500 W/KNEE PADOperating Room346.00
278CANCELLOUS CHIP 15cc BLT 400145Operating Room1,007.00
278LIFECELL STRATTICE 8X8Operating Room2,950.00
250GELFOAM 100 09-0342-01/HEMOSTATIC SPONGEOperating Room140.00
369APPLICATION OF WOUND V.A.C. FREEDOMOperating Room387.00
278SYNTHES 456.303 TI HELICAL BLADE 11X90mmOperating Room1,281.00
278SEE 425130022 / ARTHREX AR-1934BCF-24 FBOperating Room989.00
360COLONOSCOPY SPECIALOperating Room1,575.00
360COLONOSCOPY SPECIAL W/O AnesthesiaTHESIAOperating Room1,575.00
360OR SERVICE PER MINOperating Room118.00
360OR SERVICE EGD FIRST 30 MIN.W/SEDATIONOperating Room900.00
360OR SERVICE EGD EA ADD 15 MINOperating Room286.00
360COLONOSCOPY WITH SEDATIONOperating Room1,575.00
360OUTPATIENT PROCEDUREOperating Room825.00
272see 425002086 / CONRAYOperating Room74.00
360EMERGENCY SURGERYOperating Room3,136.00
278SEE 425002462 / HEMACLIP MEDIUMOperating Room49.00
360TISSUE HARVESTOperating Room765.00
369CASTING PROCEDUREOperating Room737.00
370CONSCIOUS SEDATION; ORAL, NASAL, RECTALOperating Room284.00
278ZIM 42-5099-025-25 PSN F HX SCREW 2.5X25Operating Room570.00
43035831OT ASSESS R/MPhysical Therapy136.00
44092507SPEECH THERAPY TREATMENTPhysical Therapy330.00
44492523SPEECH EVALUATION SOUND PRODUCTIONPhysical Therapy269.00
44492525SPEECH SWALLOW EVALPhysical Therapy165.00
44092526SPEECH SWALLOW TXPhysical Therapy424.00
44492597SPEECH THER DEVICE EVALPhysical Therapy165.00
44492610SPEECH THERAPY EVALUATIOPhysical Therapy473.00
44096105SPEECH APHASIA ASSESSMENTPhysical Therapy165.00
42497001PHYSICAL THERAPY EVALUATIONPhysical Therapy303.00
42497002PHY. THERAPY RE-EVALUATEPhysical Therapy145.00
42097010HOT PAKSPhysical Therapy42.00
42097010HOT AND COLD PACKSPhysical Therapy87.00
42097012MECHANICAL TRACTIONPhysical Therapy92.00
42097014ELECTRICAL STIMULATIONPhysical Therapy92.00
42097022WHIRLPOOLPhysical Therapy198.00
42097022STERILE WHIRLPOOLPhysical Therapy197.00
42097032ELECTRICAL STIM. MANUALPhysical Therapy142.00
42097033IONTOPHORESISPhysical Therapy220.00
42097035ULTRA SOUNDPhysical Therapy128.00
43097110OT THERAPUTIC EXCERSICESPhysical Therapy87.00
42097110THERAPEUTIC EXERCISESPhysical Therapy87.00
42097112NEURO MUSCULAR STIM WKPhysical Therapy273.00
42097116GAIT TRAINING IPhysical Therapy83.00
42097124MASSAGEPhysical Therapy123.00
42097140MANUAL THERAPY TECHNIQUEPhysical Therapy73.00
42097150THER. EXERCISE GROUPPhysical Therapy142.00
42497161PT EVAL; LOW COMPLEXITYPhysical Therapy188.00
42497162PT EVAL;MOD COMPLEXITYPhysical Therapy188.00
42497163PT EVAL; HIGH COMPLEXITYPhysical Therapy188.00
42497164PT RE-EVALUATION ESTBLSHD PLAN OF CAREPhysical Therapy68.00
43497165OT EVAL, LOW COMPLEXITY 30 MINPhysical Therapy184.00
43497166OT EVAL MOD COMPLEXITY 45 MINPhysical Therapy184.00
43497167OT EVAL HIGH COMPLEXITY 60 MINPhysical Therapy184.00
43497168OT THERAPY RE-EVAL, EST PLAN OF CAREPhysical Therapy126.00
42097250MYFACIAL RELEASEPhysical Therapy142.00
42097265JOINT MOBILZATIONPhysical Therapy214.00
43097530OT FUNCTIONAL ACTIVITIES 1 ON 1 PT CONPhysical Therapy109.00
44097530SPEECH THER ACTPhysical Therapy109.00
42097530PT FUNCTIONAL ACTIVITIESPhysical Therapy109.00
44997532DEVELOPMENT OF COGNITIVE SKILLS EA 15MINPhysical Therapy46.00
43097533SNSRY INTGRTV TECNQ, DIR PT CONTCT EA 15Physical Therapy67.00
43097535SELF-CARE/HOME MGMT TRAINING EA 15 MIN.Physical Therapy117.00
43097537OT REINTEGRATION TRAINING EA 15 MINPhysical Therapy136.00
42097542WHEELCHAIR MANAGEMENT; EACH 15 MINPhysical Therapy87.00
42097703CHECKOUT FOR ORTHOTIC/PROSTHETIC USE ESTPhysical Therapy109.00
43097760ORTHOTIC MGMT/TRAIN, UPPER/LOW/TRNK 15 MPhysical Therapy137.00
43097761PROSTHTC TRNG, UPPER/LOW EXTREM, EA 15 MPhysical Therapy126.00
43097762CHECKOUT ORTHOTIC/PROSTH ESTB PT EA 15 MPhysical Therapy121.00
420Q0103ICE TREATMENT P.T.Physical Therapy42.00
420PHYSICAL THERAPYPhysical Therapy3.00
420GAIT TRAINING IIPhysical Therapy125.00
420CardiopulmonaryIAC REHABPhysical Therapy125.00
420JOBST STOCKINGPhysical Therapy438.00
420GEL CASTPhysical Therapy197.00
420MAJOR DRESSINGPhysical Therapy103.00
420MINOR DRESSINGPhysical Therapy46.00
420TNS SET UPPhysical Therapy125.00
420DIATHERMYPhysical Therapy79.00
420L/S SUPPORT AND FITTINGPhysical Therapy391.00
420DOME PASTE ROLLPhysical Therapy157.00
420NEURO MUSCULAR STMLPhysical Therapy125.00
420STROKE REHAB.Physical Therapy134.00
420TENS UNITPhysical Therapy1,741.00
420PHONOPHORESISPhysical Therapy134.00
420TENS PER WEEKPhysical Therapy172.00
420W.T. SET UPPhysical Therapy57.00
420JOINT IM0BILIZERPhysical Therapy139.00
420W.T. MONITORPhysical Therapy17.00
420W.T. OXYGENPhysical Therapy101.00
424KINETIC RANGE AND MOTIONPhysical Therapy134.00
424WORKMAN COMP OFFICE VIS.Physical Therapy224.00
424WORKMANS NEW EVALUATIONPhysical Therapy293.00
420W.T. EQUIPMENTPhysical Therapy128.00
420CONT. PASV. MONTN.Physical Therapy125.00
420CONT. MOTION PADPhysical Therapy172.00
420AEROSOL CONT CHECKPhysical Therapy36.00
32010022US FINE NEEDLE ASPIR W/IMAGE GUIDANCERadiology1,017.00
40210030IMAGE GUIDED FLUID COLLECT DRNGE BY CATHRadiology2,337.00
40219000PUNCTURE ASPIRATION CYST OF BREASTRadiology686.00
40219081BX BREAST PNC-NEEDLE CORE IMG GDNCRadiology3,874.00
36119083BRST BX W/PLCMNT CLIP PERC 1ST LSN ULSDRadiology2,870.00
36119084BX, BREAST WITH LOC DEVICE PERC, EA ADDRadiology2,325.00
32019281PREOP PLACE NEDLE LOC WIRERadiology707.00
40119281MAMMOGRAPHY PLACE WIRERadiology500.00
32019281MAMMO NEEDLE LOCALIZATIORadiology500.00
32019281PREOP PLACE OF NEEDLE LOC WIRE BREASTRadiology711.00
32019285PERQ DEV BREAST 1ST US IMAGRadiology1,499.00
32019295IMG GID PLMNT MTLC LOC CLIP BST BX/ASPRRadiology438.00
36120600INJECT SMALL JOINTRadiology306.00
36120605ARTHROCENTESIS-JOINTRadiology263.00
36120610INJECT LARGE JOINTRadiology973.00
40020611ARTHROCENTESIS, W/ US GUIDE, W/PRMNT RECRadiology423.00
32223350INJECTION PROC FOR SHOULDER ARTHROGRAPHYRadiology619.00
32227093INJECT PROC FOR HIP ARTHROGRAMRadiology1,050.00
36027096INJ PRO FOR SI JOINT AnesthesiaRadiology1,236.00
32227370INJ PROC FOR KNEE ARTHROGRAPHYRadiology1,065.00
36132405BX, LUNG OR MEDIAST PERC NEEDLERadiology604.00
36132421THORACENTESIS, INITIAL OR SUBRadiology908.00
36132554THORACENTESIS W/INSTERT TUBE, INCL WSRadiology1,195.00
36132555THORACENTESIS, NEED OR CATH ASP W/IMAGINRadiology1,557.00
36136569PICC LINE PLACEMENT>5 YRSRadiology1,338.00
36147000BX OF LIVER, NEEDLE; PERCUTANOUSRadiology3,316.00
36148102BIOPSY PANCREA PERCUTANEOUS NEEDLERadiology1,607.00
36149082PARACENTESIS W/O IMAGINGRadiology943.00
40249083PARACENTESIS WITH IMAGING GUIDANCERadiology1,722.00
36158340CATH AND INTRO OF CONT OR SAL INFUS HYSTRadiology953.00
36162270LUMBAR PUNCTURERadiology660.00
36062322INJ SNGL W/WO CONTRST, DX/THRPTC SQ EPDLRadiology1,640.00
32062323NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMGRadiology1,578.00
36164490INJECT DIAG OR THER VERT FAC CER OR THORRadiology1,160.00
36164491PARAVERT FAC INJECT 2ND LEVEL CER OR THORadiology871.00
36164493INJECT PARAVERT FACET LUMSAC SINGLE LEVERadiology1,638.00
36164494INJ DIAG OR THER 2ND LEVEL LUMBRadiology678.00
36164495FACET JOINT INJ THIRD LEVELRadiology868.00
32070030EYE, DETECTION OF FBRadiology377.00
32070100MANDIBLE XRAY LTDRadiology193.00
32070110MANDIBLE X RAYRadiology359.00
32070130MASTOIDS X RAYRadiology239.00
32070140FACIAL BONES 2 VIEWSRadiology438.00
32070150FACIAL BONES X RAYRadiology466.00
32070160NASAL BONES X RAYRadiology370.00
32070200ORBIT X-RAYRadiology321.00
32070210PARANASAL SINUS I VIEWRadiology197.00
32070220PARANASAL SINUS COMPLETE X RAYRadiology506.00
32070240SELLA TURCIA X-RAYRadiology123.00
32070250SKULL X RAY 3 VIEWSRadiology390.00
32070330TMJRadiology285.00
61070336MRI-TEMPOROMANDIBULAR JOINTRadiology3,502.00
32070360NECK SOFT TISSUE X-RAYRadiology324.00
35170450CT BRAIN W/ORadiology1,385.00
35170460CT BRAIN WRadiology1,868.00
35170470CT BRAIN COMBRadiology2,129.00
35170480CT ORB SEL TEMP WO CONTRRadiology1,272.00
35170481CT ORB SEL TEMP WRadiology1,745.00
35170482CT ORB TEMP COMBRadiology2,223.00
35170486CT SINUS-LIMITEDRadiology1,381.00
35170486CT MAXIL FACIAL WORadiology1,381.00
35170486CT SINUS-COMPLETERadiology1,381.00
35170487CT MAXIL FACIALRadiology1,776.00
35170487CT FACIAL BONE W/Radiology1,776.00
35170488CT MAXIL FACIAL COMBRadiology1,908.00
35170490CT NECK WORadiology1,453.00
35170491CT ST NECK WRadiology1,825.00
35270492CT ST NECK COMBRadiology2,557.00
35170496CTA HEAD WITH CONTRASTRadiology2,545.00
35170498CTA NECK W/ CONTRASTRadiology2,540.00
61070540MRI ORBIT/FACE/NECK W/O CONTRASTRadiology2,590.00
61070542MRI ORBIT/FACE/NECK WITH CONTRASTRadiology3,419.00
61070543MRI ORBIT/FACE/NECK COMBORadiology3,934.00
61070544MRA-HEAD W/O CONTRASTRadiology2,586.00
61070544MRV HEAD W/O CONTRASTRadiology2,770.00
61070545MRA-HEAD WITH CONTRASTRadiology2,879.00
61070545MRV HEAD WITH CONTRASTRadiology3,449.00
61070546MRA-HEAD WO CONTRAST FOLLOWED BY W/CONTRRadiology3,584.00
61070546MRV HEAD W/WO CONTRAST COMBINATIONRadiology3,909.00
61070547MRA-NECK W/O CONTRASTRadiology2,449.00
61070548MRA - NECK W/CONTRAST MATERIALRadiology3,089.00
61070551MRI-BRAIN+STEM W/O CONTRadiology2,722.00
61070552MRI-BRAIN WITH CONTRASTRadiology3,169.00
61070553MRI BRAIN COMBORadiology3,745.00
32471045CHEST SINGLE VIEWRadiology256.00
32471046CHEST 2 VIEWSRadiology311.00
32471047CHEST 3 VIEWSRadiology372.00
32071100RIB X RAY UNILATERALRadiology306.00
32071101RIBS UNILATERAL W/CHEST XRAYRadiology410.00
32071110RIB X RAY BILATERALRadiology399.00
32071111RIBS BILAT W/CHEST XRAYRadiology493.00
32071120STERNUM X RAYRadiology325.00
32071130STERNOCLAVICULAR JTS.Radiology285.00
35271250CT CHEST WORadiology1,578.00
35271260CT CHEST WRadiology1,945.00
35271270CT CHEST COMBORadiology2,213.00
35971275CT ANGIOGRAPHY CHEST (NON-CORONARY) WRadiology2,703.00
61071550MRI CHEST W/O CONTRASTRadiology2,975.00
61071551MRI CHEST WITH CONTRASTRadiology3,521.00
61071552MRI CHEST COMBORadiology4,519.00
32072010SPINE ENTIRE 2 VIEWRadiology507.00
32072020SPINE, 1 VIEWRadiology311.00
32072020SINGLE VIEW SPECIFIC SPINERadiology311.00
32072040SPINE-CERVICAL 3VRadiology384.00
32072050SPINE-CERVICAL 5VRadiology489.00
32072052SPINE, CERVICAL 7 VIEWRadiology639.00
32072070SPINE, THORACICRadiology370.00
32072072SPINE; THORACIC, 3 VIEWSRadiology324.00
32072080SPINE T-L JUNCTIONRadiology270.00
32072080THORACOLUMBAR SPINE X-RAY 2 VIEWRadiology301.00
32072081SCOLIOSIS X RAYRadiology315.00
32072100SPINE, LUMBAR LIMITEDRadiology371.00
32072110SPINE, LUMBAR COMPLETERadiology604.00
35272125CT CERVICAL SP W/ORadiology1,704.00
35272126CT CERVICAL SF WRadiology1,844.00
35272127CT CERVICAL SP COMBORadiology2,119.00
35272128CT THOR SP W/ORadiology1,570.00
35272129CT THOR SP/WRadiology2,089.00
35272130CT THOR SP COMBORadiology2,119.00
35272131CT LUMBAR SP W/ORadiology1,642.00
35272132CT LUMBAR SP WRadiology2,008.00
35272133CT LUMBAR SP COMBORadiology2,119.00
61072141MRI-SPINE/CERVICAL W/ORadiology2,703.00
61072142MRI-CERVICAL WITHRadiology3,376.00
61072146MRI-SPINE/THORACIC W/ORadiology2,778.00
61072147MRI THORACIC WITH CONTRASTRadiology3,306.00
61072148MRI-SPINE/LUMBAR W/ORadiology2,870.00
61072149MRI LUMBAR WITH CONTRASTRadiology4,431.00
61072156MRI CERVICAL COMBORadiology3,869.00
61072157MRI-THORACIC COMBORadiology3,725.00
61072158MRI-LUMBAR COMBORadiology3,922.00
61072159MRA-SPINAL CANALRadiology2,912.00
32072170PELVIS 1 VIEWRadiology300.00
32072190PELVIS 3 VIEWRadiology461.00
35272192CT PELVIS W/ORadiology1,490.00
35272193CT PELVIS WRadiology1,928.00
35272194CT PELVIS COMBRadiology1,983.00
61072195MRI-PELVIS W/O CONTRASTRadiology2,578.00
61072196MRI-PELVIS W/CONTRASTRadiology2,838.00
61472197MRI-PELVIS COMBORadiology3,839.00
32072202S I JOINTS X RAYRadiology387.00
32072220SACRUM AND COCCYX X RAYRadiology346.00
32072240MYELOGRAM, CERVICALRadiology1,016.00
32072255MYELOGRAM, THORACICRadiology1,016.00
32072265MYELOGRAM, LUMBARRadiology1,016.00
33072275EPIDUROGRAPHYRadiology721.00
32073000CLAVICLE X RAYRadiology262.00
32073010SCAPULA X RAYRadiology266.00
32073020SHOULDER I VIEWRadiology247.00
32073030SHOULDER X RAYRadiology338.00
32273040ARTHROGRAM SHOULDERRadiology970.00
32073050A-C JTD BIL XRAYRadiology423.00
32073060HUMERUS X RAYRadiology289.00
32073070ELBOW 2 VIEWSRadiology239.00
32073080ELBOW COMPLETERadiology325.00
32073090FOREARM X RAYRadiology277.00
32073092INFANT UPPER EXTREMITYRadiology141.00
32073100WRIST 2 VIEWSRadiology255.00
32073110WRIST X RAYRadiology320.00
32273115ARTHROGRAM-WRISTRadiology872.00
32073120HAND XRAY 2 VIEWSRadiology292.00
32073130HAND X RAYRadiology332.00
32073140FINGER X-RAYRadiology264.00
35273200CT UPPER EXTREM WORadiology1,425.00
35273201CT UPPER EXTREM W/CONTRASTRadiology1,914.00
35273202CT UPPER EXTREMITY COMBORadiology2,063.00
61073218MRI-UPPER EXT OTHER THAN JOINT W/ORadiology2,776.00
61073219MRI-UPPER EXST OTHER THAN JOINT WITHRadiology3,656.00
61073220MRI-UPPER EXT OTHER THAN JOINT COMBORadiology4,226.00
61073220MRA UPPER EXT W OR W/ORadiology4,226.00
61073221MRI-JOINT UPPER EXTR W/ORadiology2,551.00
61073222MRI-JOINT UPPER EXT WITHRadiology2,958.00
61073223MRI-JOINT UPPER EXT COMBORadiology3,701.00
32073501HIP 1 VIEW UNILATERALRadiology225.00
32073502PELVIS WITH 1 VIEW HIPRadiology167.00
32073502HIP 2-3 VIEWS, UNILATERALRadiology167.00
32073520HIPS BILATRadiology384.00
32073521HIP 2-3 VW X-RAY, BILATERALRadiology245.00
32073521RADEX HIPS BILAT W/PELVIS 2 VIEWSRadiology162.00
32073522RADEX HIPS BILAT W/PELVIS 3-4 VIEWSRadiology197.00
32073523RADEX HIPS BILAT W/PELVIS MIN 5 VIEWSRadiology229.00
32273525ARTHROGRAM-HIPRadiology1,396.00
32073540INFANT PELVIS AND HIPRadiology167.00
32073551RADIOLOGIC EXAMINATION FEMUR 1 VIEWRadiology114.00
32073552FEMURRadiology285.00
32073552RADIOLOGIC EXAM FEMUR MIN. 2 VIEWSRadiology131.00
32073560KNEE 2 VIEWRadiology291.00
32073562KNEE THREE VIEWSRadiology326.00
32073564KNEE 4> VIEWSRadiology343.00
32073565KNEE STANDINGRadiology303.00
32273580ARTHROGRAM, KNEERadiology554.00
32073590TIBIA X RAYRadiology323.00
32073592INFANT LOWER EXTREMITYRadiology149.00
32073600ANKLE 2 VIEW X RAYRadiology227.00
32073610ANKLE X RAY COMPLETERadiology333.00
32273615ARTHROGRAM ANKLERadiology374.00
32073620FOOT XRAY 2 VIEWSRadiology299.00
32073630FOOT X RAYRadiology315.00
32073650CALCANEOUS X RAYRadiology271.00
32073660TOES X RAYRadiology285.00
35273700CT LOW EXTREM W/ORadiology1,385.00
35273701CT LOW EXTREM WRadiology2,279.00
35273702CT LOW EXTREM COMBRadiology2,019.00
61073718MRI-LOWER EXT OTHER THAN JOINT W/ORadiology2,489.00
61073719MRI-LOWER EXT OTHER THAN JOINT WITHRadiology3,731.00
61073720MRI-LOWER EXT OTHER THAN JOINT COMBORadiology3,677.00
61073721MRI-JOINT LOW EXTREM W/ORadiology2,569.00
61073722MRI-JOINT LOWER EXT WITHRadiology3,006.00
61073723MRI-JOINT LOWER EXT COMBORadiology3,537.00
61073725MRA-LOWER EXT W/ OR W/ORadiology2,137.00
32074000K.U.B. X RAYRadiology301.00
32074018KUB RAD EXAM ABD 1 VIEWRadiology307.00
32074019ABD 2 VIEWSRadiology399.00
32074022ABDOMEN ACUTE SERIESRadiology453.00
35274150CT ABDOMEN W/ORadiology1,540.00
35274160CT ABDOMEN WRadiology2,004.00
35274170CT ABDOMEN COMBORadiology2,196.00
35274176CT ABDMN & PLVS WITHOUTRadiology2,948.00
35274177CT ABDMN & PLVS WITHRadiology3,835.00
35274177CT ABDMN & PLVS WITH IV CONTRAST ONLYRadiology3,835.00
35274178CT ABDM & PLVS COMBORadiology4,324.00
61074181MRI ABD W/O CONTRASTRadiology2,630.00
61074182MRI ABD WITH CONTRASTRadiology3,360.00
61074183MRI ABD COMBORadiology3,871.00
32974185MRA ABD COMBORadiology3,269.00
32074220ESOPHOGRAMRadiology575.00
32074235ESOPH FB REMOVALRadiology436.00
32074240BARIUM SWALLOWRadiology660.00
32074246U.G.I. X RAYRadiology707.00
32074249U.G.I.X RAY SM. BOWELRadiology871.00
32074250SMALL BOWEL X-RAYRadiology774.00
32074270BARIUM ENEMA SINGLE CONTRadiology761.00
32074280BARIUM ENEMA AIR CONTRASRadiology892.00
32074283BE INTUSSUSCEPRadiology365.00
32074290OCGRadiology213.00
32074290OCG WITH KENIVAC INJECTIRadiology387.00
32074291ODG ADDITIONAL SETRadiology144.00
32074300CHOLANGIOGRAM X-RAYRadiology737.00
32074301CHOLANGIOGRAM ADD. SETRadiology101.00
32074305CHOLANGIOGRAM POST OPRadiology676.00
32074320CHOLANGIOGRAM PERCRadiology729.00
32074340INTRO FEEDING TUBERadiology738.00
32074400IVP ROUTINERadiology958.00
32074420RETROGRADE URETEROGRAMRadiology909.00
32074425UROGRAPHY ANTEGRADERadiology959.00
32074430CYSTOGRAMRadiology1,078.00
32074450RETROGRADE URETHROGRAMRadiology908.00
32074455VOIDING CYSTOGRAMRadiology966.00
32074475NEPHROSTOMY PERCUTANEOUSRadiology2,166.00
32074710PELVIMETRYRadiology187.00
32074740HYSTEROSALPINGOGRAMRadiology859.00
35275571COMPUTED TOMOGRAPHY, HEART W/O CON QUANTRadiology1,249.00
35975574CTA HRT CORNRY ART/BYPASS GRFTS W/3-DRadiology1,182.00
35975635CT ANGIOGRAPHY ABD AORTA AND BILATERALRadiology3,311.00
32075820VENOGRAM UNILATERALRadiology470.00
32075822VENOGRAM BILATERALRadiology700.00
32075989ABSCESS DRAINAGERadiology870.00
32076000FLUOROSCOPY UP TO 1 HRRadiology939.00
32076001FLUORO-REMOVAL FOREIGN BRadiology780.00
32076010FOREIGN BODY CHILDRadiology161.00
32076080FISTULOGRAMRadiology436.00
32076098MAMMOGRAPHY SURG. SPEC.Radiology491.00
62176140CONSULTATION READINGSRadiology65.00
350763773D RENDERING POST PROCESSING SEP WSRadiology892.00
32076499XTRA VIEW X-RAYRadiology83.00
40276506ULTRASOUND HEADRadiology410.00
40276536ULTRASOUND HEAD & NECKRadiology611.00
40276604ULTRASOUND CHESTRadiology455.00
40276641ULTRASOUND BREASTRadiology479.00
40276642US BREAST, UNI, REAL TIME, DOC LIMITEDRadiology356.00
40276700ULTRASOUND ABD COMPLETERadiology851.00
40276700ULTRASOUND GALLBLADDERRadiology851.00
40276705ULTRASOUND ABD/APPEND LTD.Radiology561.00
40276705ULTRA SOUND APPENDIXRadiology561.00
40276706ULTASOUND, ABDMNL AORTA, SCREENINGRadiology398.00
40276770ULTRASOUND RENALRadiology829.00
40276775ULTRASOUND AORTARadiology617.00
40276800ULTRASOUND SPINAL CANAL & CONTENTSRadiology563.00
40276801ULTRASOUND OB < 14 WEEKSRadiology555.00
40276802ULTRASOUND EACH ADD GEST < 14 WEEKSRadiology328.00
40276805ULTRASOUND OB > 14 WEEKSRadiology668.00
40076805ULTRASOUND EX OB BY PHYSRadiology668.00
40276810ULTRASOUND OB >14 WEEKS ADD GESTRadiology453.00
40276811ULTRASOUND OB COMP FETAL ANATOMYRadiology856.00
40276812ULTRASOUND EACH ADD GEST FETAL ANATOMYRadiology278.00
40276815ULTRASOUND OB LTD.CHECK POSITION/AFIRadiology537.00
40276816ULTRASOUND OB LMT FUFETAL SURVEYRadiology456.00
40276817ULTRASDOUND TRANS VAG OBRadiology554.00
40276818ULTRASOUND BIO PROFILE W/NON-STRESS TESTRadiology517.00
40276819ULTRASOUND BIO PROFILE W/O STRESSRadiology485.00
40276830ULTRASOUND TRANS VAGINAL NON OBRadiology581.00
40276856ULTRASOUND PELVISRadiology598.00
40276857ULTRASOUND PELVIS LTD.Radiology398.00
40276870ULTRASOUND SCROTALRadiology654.00
40276872ULTRASOUND PROSTATERadiology525.00
40276872ULTRASOUND PROSTATE BIOPRadiology370.00
40276881ULTRASOUND EXTREMITYRadiology582.00
40276881US, EXT, NON VASC, REAL TIME W/IMG DOCRadiology559.00
40276882US EXT NON VASC, REALTIME W/IMG LMTD SPFRadiology430.00
40276937US GUID FOR VAS ACCESS REQ US EVAL OF ACRadiology213.00
40276942ULTRASOUND NDL BXRadiology641.00
40276942ULTRASOUND CYST ASPIRATIRadiology641.00
40276942ULTRASOUND THORAC/PARACRadiology641.00
40276942ULTRASOUND NDL BIOPRadiology641.00
40276946ULTRASOUND AMNIOCENTESISRadiology785.00
40276970ULTRASOUND FOLLOW UPRadiology189.00
40276970ULTRASOUND ECHO LIMITEDRadiology141.00
40276999ULTRASOUND HIPSRadiology247.00
40076999ULTRASOUND UNLISTED PROCEDURERadiology391.00
32077001FLOUROSCOPIC GUIDE FOR CENTRAL VENOUS ACRadiology968.00
32077001FLOURA GUIDE CENTRAL LINERadiology968.00
32077002FLUOROSCOPY; GUIDE OF NEEDLERadiology480.00
32077002FLOUROSCOPIC GUIDE OF NEEDLE PLACEMENTRadiology481.00
32077003FLOURA GUID NEEDLE CATH SPINERadiology637.00
35277012CT GUIDED NID BXRadiology1,334.00
40177051CAD DIAGNOSTIC MAMMOGRAPHYRadiology107.00
40377052CAD SCREENING MAMMOGRAPHYRadiology144.00
32077053MAMO DUCTOGRAMRadiology500.00
40177056MAMMOGRAPHY BILATERALRadiology391.00
40377057MAMMOGRAPHY W/IMPLANTS SCREENINGRadiology336.00
40177065MAMMOGRPAHY ADD. VIEWSRadiology347.00
40177065MAMMOGRAPHY UNILATERALRadiology300.00
40177065DX MAMMOGRAPHY I.E. CAD; UNILATERALRadiology346.00
40177066MAMMOGRAPHY, BILATERALRadiology438.00
40377067SCREENING MAMMOGRAPHY, BILTRL 2-VIEW/CADRadiology355.00
32077072BONE AGE X RAYRadiology241.00
32077072BONE AGE SURVEYRadiology241.00
32077074METASTATIC BONE SURVEYRadiology519.00
32077075BONE STUDY COMPLETE ADULTRadiology636.00
32077075BONE SURVEYRadiology600.00
32077076INFANT BONE SURVEYRadiology294.00
35077078CT BONE SCANRadiology729.00
32077080DXA BONE DNSTY STUDY 1/> SITES AXIAL SKERadiology504.00
32077081HEEL BONE DENSITYRadiology336.00
32077085DXA BN DNSTY W/ VERTEBRAL FX ASSESSMENTRadiology660.00
34078306NUC MED BONE SCANRadiology886.00
34078580PULMONARY FERFUSION SCANRadiology856.00
34078587NUC MED PUL VENT SCANRadiology721.00
40293307ULTRASOUND CardiopulmonaryIACRadiology813.00
48393307ECHOCardiopulmonaryIOGRAPHY (2D)Radiology982.00
48393308ECHOCardiopulmonaryIOGRAPHY LIMITED STUDYRadiology615.00
48093320ECHOCardiopulmonaryIOGRAPHY DOPPLERRadiology655.00
48093325ECHOCardiopulmonaryIOGR COLOR DOPPRadiology655.00
92193880ULTRASOUND CAROTIDRadiology829.00
92193925ULTRASOUND ARTERIAL DOP.Radiology539.00
40293931US ARTERIAL UPPER EXT LTDRadiology499.00
92193970ULTRASOUND VENOUS-BILATRadiology847.00
92193971ULTRASOUND VENOUS-UNILATRadiology643.00
92193971ULTRASOUND VENOUSRadiology643.00
92993976DUPLEX SCAN-LIMITED STUDYRadiology539.00
40299050ULTRASOUND CALL BACKRadiology184.00
255A9579CONTRAST PROHANCERadiology212.00
636Q9967CONTRAST ISOVUE 300G399 MG/MLRadiology131.00
320RADIOLOGYRadiology3.00
403RESP SCREEN CHEST 2 VIEWSRadiology73.00
621STERILE PROBE COVER NON-LATEX DISPRadiology56.00
621FLUID ADMINISTRATION SETRadiology44.00
621HSG CATHETER 5frRadiology84.00
621TRUGUIDE 13g 5 1/2" NEEDLERadiology113.00
279AQUASONIC TRANSMISSION MEDIA HIGH VISCRadiology20.00
621STERI-DRAPE 15"X15"Radiology21.00
621CORMARK 14g NEEDLE BIOPSYRadiology237.00
621DUCTOGRAM CANNULARadiology103.00
621DISP TRANSDUCER COVER NON-LATEXRadiology21.00
621BARD POWER LOC 20GX0.75"Radiology81.00
62110 FR LOCKING PIGTAILRadiology192.00
621INTRODUCING CATH 30CMRadiology192.00
621TRUGUIDE 19G X 13.8CMRadiology79.00
400ADD ON FOR DIGITAL R2 READINGRadiology27.00
621PARA/THORACENTESIS PREP KITRadiology100.00
270PARA/THORACENTESIS KITRadiology153.00
621STERILE CONTRAST KITRadiology112.00
621IVP START KITRadiology50.00
621VCUG KITRadiology104.00
621ULTRASOUND PROBE COVERRadiology59.00
329DIAGNOSTIC INJECTIONRadiology87.00
320GASTROGRAPHINRadiology69.00
320LUNG SCANRadiology1,651.00
320UNIV OF UT X-RAY CHARGESRadiology3.00
320UTAH VALLEY X-RAY CHRGSRadiology3.00
320PORTABLE X-RAY SERVICERadiology124.00
621HYSTOSALPINGOGRAM TRAYRadiology79.00
621PREP KIT (drape, chlorap, 25g3.5" need)Radiology77.00
255CONTRAST EOVISTRadiology621.00
621ARTHROGRAM TRAY DISPRadiology79.00
621X-RAY DUPLICATE PROCESSRadiology15.00
621ULTRASOUND PROCEDUR TRAYRadiology87.00
259LESION LOCALIZATION NEEDRadiology119.00
621CYSTOGRAPHINRadiology62.00
272MIDLINE 4FR SINGLE LUMENRadiology562.00
270WING GUARD PICC SECUREMENT DEVICERadiology65.00
272PICC CATH TRAY 5 FR POWERRadiology1,146.00
270BIO-PATCH DISC 4 MMRadiology66.00
270CVC PACKRadiology193.00
272MIDLINE 4FR DUAL LUMENRadiology671.00
255CONTRAST ISOVUE-MRadiology86.00
710RECOVERY ROOMRecovery Room257.00
710RECOVERY ROOM .75 HRRecovery Room469.00
710RECOVERY ROOM 1 HRRecovery Room622.00
710RECOVERY ROOM 1.25 HRRecovery Room777.00
710RECOVERY ROOM 1.5 HRRecovery Room933.00
710RECOVERY ROOM 1.75 HRRecovery Room1,084.00
710RECOVERY ROOM 2 HRSRecovery Room1,238.00
710RECOVERY ROOM 30 MIN.Recovery Room312.00
250MISC. MEDRecovery Room3.00
25058300Paragard IUDPharmacy970.20
25090371Hepatitis B-IGPharmacy339.75
25090375Rabies Immune Globulin 1500iu vialPharmacy14,714.50
25090376Rabies Immune Globulin 2mlPharmacy2,974.00
63690632HEP A VACCINE ADULT IMPharmacy128.25
63690633MRC-HEPATITIS A VACCINE PEDS/ADOLESCENTPharmacy122.25
63690636HEP A & BPharmacy275.00
63690636HEP A & B (Clinic)Pharmacy193.50
63690647HIB - PEDVAXHIBPharmacy100.50
63690648DPT / HIB 4 DOSEPharmacy98.86
63690649HPV VACCINEPharmacy786.25
63690651Gardasil VaccinePharmacy1,317.50
63690651Gardisil 9 IM VaccinePharmacy1,685.50
63690651GARDASIL 9Pharmacy310.00
63690656FLUZONE MDV PB 5ML/VL VIALPharmacy30.00
63690658MRC/ INFLUENZA VAC <3YRPharmacy25.00
63690660MRC/ INFLUENZA VAC- INTRANASAL USEPharmacy35.00
63690662FLUZONE HD 2018/19Pharmacy60.00
63690670PNEUMOCOCCAL CONJ VACC valent 13 any agePharmacy691.00
63690675Rabies Vaccine (Rabavert)Pharmacy1,048.75
63690680ROTAVIRUS VACCINE, PENTAVALENT, 3 DOSEPharmacy98.86
63690681RV1 VACCINE 2 DOSE SCHEDULE LIVE/ORALPharmacy175.00
63690685Flu Vaccine(6mo-36mo) 0.25ML (2017-18)Pharmacy25.00
63690686Fluarix 2018/19Pharmacy30.00
63690691TYPHIM ViPharmacy367.00
63690696MRC/DTaP-IPVPharmacy193.00
63690698DIP/ TET / PERT / IPV / HIB COMBOPharmacy176.75
63690700MRC/DIPHTHERIA TET, TX & PRTSS UNDER 7Pharmacy114.00
25090702MRC/DIPTHERIA & TETNUS TOXOIDPharmacy20.00
63690703MRC(MDCR)TETNAS TOXOIDPharmacy2.30
63690707MEASLES, MUMPS AND RUBELLA VIRUS (MMR)Pharmacy135.50
63690710PROQUADPharmacy388.00
63690713MRC/POLIOVIRUS VACCINE, INACT (IPV)SQ,IMPharmacy122.50
63690714MRC/preserv free (Td) 7 yrs IMPharmacy125.50
63690714MRC/DPTHERIA & TETNUS TOXI (Td) 7 yrs IMPharmacy44.50
25090715Tet-Diphth-PertussisPharmacy180.75
25090715Adacel (Tet/Diph/Pert)Pharmacy163.50
63690715Tdap administered to 7yrs and olderPharmacy152.50
25090716VARICELLA VIRUS VACCINE, LIVE, FOR SUBQPharmacy234.25
25090723MRC/DTAP-HEP B-IPV VACCINEPharmacy293.25
98290732MRC(MDCR)PNEUMOCOCCAL VACC 2YRS OLDEPharmacy67.50
51090732MRC(MDCR)PNEUMOCOCCAL VACC 2Y OR OLDPharmacy7.50
63690732MRC/PNEUMOCOCCAL VACC >2 yrs ppv 23Pharmacy363.00
63690733MENOMUNE VACCINE SUBQPharmacy236.25
63690734MENINGOCOCCAL VACC GROUPS A,C,Y,WPharmacy433.25
63690736ZOSTAVAX VACCINEPharmacy408.50
25090744Hep B Vaccine PediatricPharmacy188.75
63690744HEP B (PED)Pharmacy98.86
25090746Hep B Vaccine AdultPharmacy215.75
63690746HEP B (ADULT)Pharmacy109.75
25090748HIB-HEPB VACCINEPharmacy125.00
63690750SHINGRIX VACCINEPharmacy269.00
250A6011Collagenase Ointment (Santyl)Pharmacy810.00
636C9465DUROLANE injPharmacy4,015.00
250G9314Amoxicillin 400mg/5ml Susp.Pharmacy52.05
636J0131Acetaminophen 1000mg vialPharmacy154.50
250J0132Acetylcysteine 6000mg (IV use) vialPharmacy857.00
250J0133Acyclovir 500mg vialPharmacy115.00
250J0135Adalimumab SQ 40mg PFSPharmacy9,825.00
250J0153Adenosine 6mg/2ml injectionPharmacy49.84
636J0171Epinephrine 1mg PFSPharmacy49.84
250J0171Epinephrine 1:1000 ampPharmacy49.84
250J0171Epinephrine 1mg/ml 30ml MDVPharmacy243.00
636J0180Fabrazyme 35 mg IVPharmacy23,485.00
636J0180Fabrazyme 5mg vialPharmacy3,470.00
636J0256Zemaira 1000mgPharmacy2,195.00
636J0256Aralast 1GMPharmacy2,305.00
636J0282Amiodarone IV 150mg/3mlPharmacy44.00
250J0282Amiodarone 150mg vialPharmacy49.84
250J0290Ampicillin 2Gm vialPharmacy115.00
250J0290Ampicillin 1Gm vialPharmacy95.00
250J0295Ampicillin-Sulbactam 1.5Gm vialPharmacy95.00
250J0295Ampicillin-Sulbactam 3Gm vialPharmacy115.00
250J0330Succinylcholine 200mg/10ml vialPharmacy79.00
250J0360Hydralazine 20mg injectionPharmacy61.75
250J0456Azithromycin 500mg IVPharmacy49.84
250J0461Atropine 1mg/ml 1mlPharmacy61.75
250J0461Atropine 0.4mg/ml 1ml IVPharmacy49.84
250J0461Atropine PFSPharmacy61.75
636J0558PENICILLIAN G BENZATHINE /PENICILLIAN GPharmacy120.50
636J0561PENICILLIN G BENZATHINEPharmacy151.25
636J0595Butorphanol 2mg/ml 1ml vialPharmacy57.59
250J0610Calcium Gluconate 10% 10ml vialPharmacy95.00
250J0630Calcitonin 400iu injectionPharmacy8,280.00
636J0640Leucovorin 350mg SDVPharmacy127.75
250J0641Levoleucovorin 50mg vialPharmacy411.75
250J0690Cefazolin 1Gm vialPharmacy95.00
250J0690Cefazolin 2gm premixPharmacy49.84
250J0694Cefoxitin 2Gm vialPharmacy115.00
250J0694Cefoxitin 1Gm PremixPharmacy58.15
250J0694Cefoxitin 2Gm PremixPharmacy99.00
250J0696Ceftriaxone 1Gm vialPharmacy49.84
250J0696Ceftriaxone 250mg vialPharmacy49.84
250J0696Ceftriaxone 1Gm PremixPharmacy58.15
636J0696CEFTRIAXONE 250MG VIALPharmacy98.86
636J0696CEFTRIAXONE SODIUM INJ SDV PER 500MGPharmacy40.00
636J0696CEFTRIAXONE SODIUM INJ SDV 1GM/V1 10/BXPharmacy44.00
250J0697Cefuroxime 750mg vialPharmacy95.00
250J0697Cefuroxime 1.5gm vialPharmacy95.00
250J0698Cefotaxime 1gm vialPharmacy44.93
250J0702Betamethasone Soluspan 6mgPharmacy61.75
250J0702Betamethasone Celestone Soluspan 6mgPharmacy49.84
636J0702Betamethasone Inj (Clinic)Pharmacy98.86
250J0712Ceftaroline 600mg vialPharmacy801.50
250J0735Clonidine 0.1mg tabletsPharmacy13.63
250J0735Clonidine 0.2mg tabletsPharmacy15.21
250J0735Clonidine TTS-1 PatchPharmacy124.00
250J0735Clonidine TTS-3 patchPharmacy271.00
250J0735Clonidine TTS-2 patchPharmacy427.50
250J0743Imipenem/Cilastin Primaxin 500mg IV vialPharmacy115.00
250J0744Ciprofloxacin 400mg PremixPharmacy113.00
250J0780Prochlorperazine 10mg/2ml vialPharmacy49.84
250J0834Cosyntropin 0.25mg vialPharmacy438.75
250J0840Crotalidae (Crofab) Antivenin per bottlePharmacy12,580.00
250J0875Dalbavancin 500mg vialPharmacy6,417.00
250J0878Daptomycin 500mg vialPharmacy2,003.50
636J0881Darbepoetin 25mcg PFSPharmacy785.00
636J0881Darbepoetin 40mcg PFSPharmacy1,256.00
636J0881Darbepoetin 60mcg PFSPharmacy1,884.00
636J0881Darbepoetin 100mcg PFSPharmacy2,982.00
636J0881Darbepoetin 200mcg PFSPharmacy5,963.00
636J0881Darbepoetin 300mcg PFSPharmacy8,806.00
250J0885Epogen 10,000 unitsPharmacy682.50
250J0885Procrit 40,000 unitsPharmacy4,335.00
250J0897Denosumab 120mg vialPharmacy8,940.00
250J0897Denosumab 60mg vialPharmacy4,875.00
636J1020DEPO-MEDROL INJ MDV 20MG/ML 5ML/V1 EAPharmacy35.00
250J1030Depo-Methylprednisolone 40mgPharmacy61.75
636J1030DEPO-MEDROL 4O MG INJECTIONPharmacy98.86
250J1040Depo-Methylprednisolone 80mgPharmacy75.50
636J1050MEDROXPROGESTERONE ACTATE 150 MGPharmacy92.00
636J1050MRC/MEDROXYPROGESTERONE 150MG IMPharmacy266.75
250J1055Medroxyprogesterone 150mg IMPharmacy335.75
250J1055MRC/MEDROXYPROGESTERONE 150MG (DEPO)Pharmacy101.00
250J1071Testosterone-Depo 200mg vialPharmacy108.00
636J1071testosterone 100mg (clinic)Pharmacy98.86
250J1100Dexamethasone 4mg vialPharmacy49.84
250J1100Dexamethasone 10mg vialPharmacy49.84
250J1110DHE (Dihydroergotamine) 1mg vialPharmacy540.75
250J1120Acetazolamide 500mg IVPharmacy171.00
250J1160Digoxin 500mcg ampulePharmacy49.84
250J1162Digoxin Immune Fab per bottlePharmacy14,016.50
250J1165Phenytoin 250mg vialPharmacy95.00
250J1165Phenytoin 100mg vialPharmacy95.00
636J1170Hydromorphone 2mg vialPharmacy57.59
636J1170Hydromorphone MDV 2 mg / 1 mlPharmacy49.84
250J1170Hydromorphone 1mg/1ml CardiopulmonaryujectPharmacy57.59
250J1200Diphenhydramine 50mg vialPharmacy49.84
636J1200DIPHENHYDRAMINE HCL INJ SDV 50MG 1MLPharmacy98.86
250J1245Dipyridamole 25mg tabPharmacy15.21
250J1250Dobutamine/Dextrose 250mg/250ml premixPharmacy58.15
250J1250Dobutamine 250mg vialPharmacy95.00
250J1265Dopamine 400mg/250ml premixPharmacy59.00
250J1265Dopamine 400mg vialPharmacy95.00
250J1327Eptifibatide 75mg vialPharmacy2,442.50
250J1327Eptifibatide 20mg vialPharmacy794.00
250J1335Ertapenem 1Gm vialPharmacy593.00
250J1364Erythromycin 500mg IVPharmacy346.50
250J1410Conjugated Estrogen 25mg ampPharmacy1,221.75
250J1442Filgrastim 300mcg/ml vialPharmacy1,422.00
250J1442Filgrastim 480mcg/1.6ml vialPharmacy2,252.00
250J1450Fluconazole 400mg IV bagPharmacy58.15
250J1450Fluconazole 200mg premixPharmacy64.25
250J1453Fosaprepitant 150mg vialPharmacy1,446.00
250J1561IVIG 20gm vialPharmacy11,096.97
636J1569Gammagard 20 gramPharmacy11,068.50
636J1569Gammagard 5 gmPharmacy2,688.50
636J1569Gammagard 30 gmPharmacy16,552.50
636J1569Gammagard 10 gmPharmacy5,517.50
250J1580Gentamicin 80mg injectionPharmacy43.00
250J1580Gentamicin 20mg injectionPharmacy95.00
250J1610Glucagon KitPharmacy1,156.00
250J1630Haloperidol 5mg injectionPharmacy49.84
250J1642Heparin Flush 500 unitsPharmacy49.84
250J1644Heparin 1,000 units vialPharmacy49.84
250J1644Heparin 5,000 units vialPharmacy49.84
250J1644Heparin 25,000units/250ml premixPharmacy61.75
250J1650Enoxaparin 40mgPharmacy49.84
250J1650Enoxaparin 30mgPharmacy49.84
250J1650Enoxaparin 80mgPharmacy61.75
250J1650Enoxaparin 60mgPharmacy61.75
250J1650Enoxaparin 100mgPharmacy61.75
250J1650Enoxaparin 120mgPharmacy97.57
250J1670Tetanus Immune Globulin 250 iuPharmacy2,050.00
250J1720Hydrocortisone 100mg (Solu-Cortef)Pharmacy61.75
250J1726Hydroxyprogesterone 250mgPharmacy3,415.00
250J1729HYDROXYPROGESTERONE 250 MGPharmacy1,500.00
250J1740Ibandronate 3mg/3mlPharmacy1,807.75
250J1742Ibutilide 1mg injectionPharmacy49.84
250J1745Infliximab 100mg vialPharmacy5,224.50
250J1750Iron Dextran 100mg vialPharmacy109.25
250J1756Iron Sucrose 100mg vialPharmacy238.00
250J1800Propranolol 1mg vialPharmacy49.84
250J1815Humalog/Novolog InsulinPharmacy34.02
250J1815Humulin R InsulinPharmacy1.00
250J1815Humulin N InsulinPharmacy1.00
250J1815Humulin 70/30 InsulinPharmacy1.00
250J1815Lantus InsulinPharmacy33.08
250J1815Detemir Insulin MDV per unitPharmacy3.00
250J1815Insulin each 1 unitPharmacy1.00
250J1885Ketorolac 30mg vialPharmacy49.84
250J1885Ketorolac 60mg vialPharmacy49.84
636J1930Lanreotide 120 mg InjectionPharmacy28,885.00
250J1940Furosemide 40mg vialPharmacy49.84
250J1940Furosemide 100mg vialPharmacy49.84
250J1950Leuprolide Acetate (Eligard) 45mgPharmacy9,945.00
250J1950Leuprolide Depot (Lupron) 45mg J-CodePharmacy34,880.00
250J1950Leuprolide Depot 3.75mg kitPharmacy5,040.00
250J1953Levetiracetam 500mg vialPharmacy169.50
250J1956Levofloxacin 500mg premixPharmacy61.75
250J1956Levofloxacin 750mg premixPharmacy61.75
250J1956Levofloxacin 250mg premixPharmacy58.15
250J2000Lidocaine Jelly 2% 5mlPharmacy52.05
636J2001Lidocaine 100mg IMS Prefilled SyrPharmacy49.84
250J2001Lidocaine 1% w/Epi MPF 30mlPharmacy52.05
250J2001Lidocaine 1%Pharmacy52.05
250J2001Lidocaine 1% MPFPharmacy52.05
250J2001Lidocaine 2%Pharmacy52.05
250J2001Lidocaine 2% w/Epi MPFPharmacy61.75
250J2001Lidocaine/Dextrose SpinalPharmacy61.75
250J2001Lidocaine 4mg/ml 250ml premixPharmacy49.84
250J2001Lidocaine 1.5% w/Epi ampPharmacy52.05
250J2001Lidocaine 2gm premixPharmacy49.84
636J2001LIDOCAINE HCL INJ NON-RETURNABLE 2% 50MLPharmacy98.86
250J2020Linezolid 600mg prefilled bagPharmacy329.50
250J2060Lorazepam 2mg/ml vialPharmacy57.59
250J2150Mannitol 25% 50ml vialPharmacy49.84
250J2150Mannitol 20Gm/100mg 500ml premixPharmacy92.00
250J2175Meperidine 50mg/ml CJPharmacy57.59
250J2175Meperidine 100mg/ml CJPharmacy57.59
250J2175Meperidine 50mg vialPharmacy57.59
250J2175Meperidine 100mg vialPharmacy57.59
250J2210Methylergonovine 0.2mg ampPharmacy49.84
250J2212Methylnaltrexone 12mg vialPharmacy747.75
636J2250Midazolam 2mg/2ml vialPharmacy57.59
250J2250Midazolam 5mg/ml 1ml vialPharmacy57.59
250J2260Milrinone 10mg injectionPharmacy61.75
250J2270Morphine 4mg PFSPharmacy57.59
250J2270Morphine 10mg/ml 1ml vialPharmacy57.59
250J2270Morphine PCA 1mg/ml 30mlPharmacy71.17
250J2270Morphine 2mg/2ml (Astramorph)Pharmacy71.17
250J2270Morphine 15mg/ml MDV 20mlPharmacy33.08
250J2270Morphine 2mg PFSPharmacy57.59
250J2300Nalbuphine 10mg injectionPharmacy49.84
250J2300Nalbuphine 20mg ampPharmacy49.84
250J2310Naloxone 0.4mg/ml ampulesPharmacy65.25
250J2310Naloxone 2mg PFSPharmacy136.00
250J2315Naltrexone (Vivitrol) 380mgPharmacy5,488.00
250J2325Natrecor 1.5mg injectionPharmacy4,457.00
636J2350Ocrelizumab 300mg vialPharmacy64,740.00
250J2353Octreotide LAR 20mgPharmacy12,575.00
250J2353Octreotide LAR 30mgPharmacy18,605.00
250J2354Octreotide 1000mcg/5ml vialPharmacy280.00
636J2358olanzapine 10mg / 2m vialPharmacy142.50
250J2370Phenylephrine 10mg vialPharmacy61.75
636J2405Ondansetron 4mg vialPharmacy49.84
636J2469Palonosetron 0.25mg vialPharmacy2,037.00
250J2505Pegfilgrastim 6mg PFSPharmacy25,747.50
636J2505Neulasta OnProPharmacy41,375.00
250J2540Penicillin G 20,000,000 units vialPharmacy208.50
250J2540Penicillin G 5,000,000 unitsPharmacy115.00
250J2543Piperacillin-Tazobactam 3.375 Gram vialPharmacy115.00
250J2543Piperacillin-Tazobactam 4.5gm vialPharmacy115.00
250J2543Piperacillin-Tazobactam 2.25gm vialPharmacy95.00
250J2550Promethazine 50mg injectionPharmacy49.84
250J2550Promethazine 25mg vialPharmacy49.84
250J2550INJ; PROMETHAZINE UP TO 50MG (PHENERGAN)Pharmacy98.86
250J2590Oxytocin 10 units vialPharmacy49.84
250J2690Procainamide 1Gm IV 10ml vialPharmacy325.00
636J2704Propofol 200mg/20ml vialPharmacy49.84
250J2704Propofol 500mg/50ml vialPharmacy61.75
250J2710Neostigmine 1:1000 SolutionPharmacy259.50
250J2720Protamine 250mg vialPharmacy144.50
250J2765Metoclopramide 10mg injectionPharmacy49.84
250J2780Ranitidine 50mg IVPharmacy115.00
250J2780Ranitidine 50mg PremixPharmacy49.84
250J2795Ropivacaine 10mg/ml 1% vialPharmacy97.57
250J2795Ropivacaine 2mg/ml 100mlPharmacy167.50
250J2795Ropivacaine 5mg/ml 0.5% 30ml vialPharmacy49.84
250J2795Ropivacaine 2mg/ml 200mlPharmacy334.75
250J2916Ferric Gluconate Complex 62.5mg IVPharmacy123.75
636J2920Methylprednisolone 40mg vialPharmacy95.00
636J2930Methylprednisolone 125mg vialPharmacy115.00
636J2930Methylprednisolone 500mg vialPharmacy155.00
250J2930Methylprednisolone 1Gm vialPharmacy268.00
636J2997Alteplase (Activase) 100mg IVPharmacy35,065.00
636J2997Cathflo-Alteplase 2mg vialPharmacy655.00
636J3010Fentanyl 100mcg injectionPharmacy57.59
636J3010Fentanyl 250mcg injectionPharmacy57.59
250J3030Sumatriptan 6mg SQ VialPharmacy583.25
636J3101TNKase 50mgPharmacy23,355.00
250J3105Terbutaline 1mg vialPharmacy49.84
250J3230Chlorpromazine 25mg/ml injectionPharmacy103.25
250J3230Chlorpromazine 50mg vialPharmacy118.25
250J3260Tobramycin 80mg vialPharmacy95.00
250J3262Tocilizumab 200mgPharmacy4,389.00
250J3301Triamcinolone 40mg injectionPharmacy61.75
636J3301TRIAMCINOLONE 40MG INJECTIONPharmacy98.86
636J3357Stelara 45mg/0.5ml SUB-QPharmacy41,005.00
636J3358Stelara 130 mgPharmacy6,590.00
636J3360Diazepam 10mg injectionPharmacy112.75
250J3360Diazepam 5mg injPharmacy55.00
636J3360Diazepam 5 mg / ml MDVPharmacy57.59
250J3370Vancomycin 500mg vialPharmacy95.00
250J3370Vancomycin 1Gm vialPharmacy115.00
636J3380Vedolizumab 300mg vialPharmacy23,360.00
250J3410Hydroxyzine 100mg vialPharmacy145.50
250J3410Hydroxyzine 25mg vialPharmacy83.25
250J3411Thiamine 200mg vialPharmacy61.75
250J3420Vitamin B-12 1000mcg IMPharmacy49.84
636J3420VITAMIN B12 INJ 1000MCG/ML 25 X 1MLPharmacy49.84
250J3430Phytonadione Neonatal 1mg PFSPharmacy49.84
250J3430Phytonadione Adult 10mg ampulePharmacy198.75
636J3430PHYTONADIONE ADULT 10MG AMPULEPharmacy198.75
250J3470Amphadase 150 USP/mlPharmacy82.50
250J3471Hyaluronidase 200 unitsPharmacy294.25
250J3475Magnesium Sulfate 50% 5gm vialPharmacy95.00
250J3475Magnesium Sulfate 1gm/2ml vialPharmacy95.00
250J3480Potassium Chloride 40mEq vialPharmacy95.00
250J3480Potassium Chloride 10mEq/100mlPharmacy58.15
250J3480Potassium Chloride 20mEq vialPharmacy95.00
250J3486Ziprasidone 20mg injectionPharmacy204.50
250J3489Zoledronic Acid 4mg injectionPharmacy1,455.50
250J3489Zoledronic Acid 5mg/100ml IVPharmacy1,440.75
250J3490Amoxicillin 250mg capsulesPharmacy15.21
636J3490Sod Bicarb 4.2% 5mEq Infant AbbojectPharmacy61.75
636J3490Sod Bicarb 8.4% 10mEq Ped. AbbojectPharmacy61.75
636J3490Sod Bicarb 8.4% 50mEq AbbojectPharmacy49.84
250J3490Cephalexin 250mg capsulesPharmacy15.21
250J3490Tetanus Toxoid 0.5mlPharmacy165.75
250J3490Lidocaine ViscousPharmacy1.00
250J3490Ketamine 500mg vialPharmacy57.59
250J3490Methohexital 500mg vialPharmacy272.75
250J3490Remifentanyl (Ultiva) 1mg vialPharmacy267.00
250J3490Sufentanil 50mcg ampulePharmacy57.59
250J3490Actidose (Charcoal) w/ SorbitolPharmacy78.00
250J3490Ephedrine 50mg ampsPharmacy181.25
250J3490Doxapram 400mg/20ml vialPharmacy173.00
250J3490Doxycycline 100mg vialPharmacy155.00
250J3490Enalaprilat 1.25mg IVPharmacy49.84
250J3490Etomidate 20mg vialPharmacy49.84
250J3490Flumazenil 0.5mg/5ml vialPharmacy49.84
250J3490Folic Acid 5mg IVPharmacy95.00
250J3490Glycopyrolate 0.2mg injectionPharmacy61.75
250J3490Labetalol 100mg inj.Pharmacy49.84
250J3490Metoprolol 5mg injectionPharmacy49.84
250J3490Nitroprusside 50mg vialPharmacy3,947.00
250J3490Nitroglycerin 50mg vialPharmacy115.00
250J3490Physostigmine 2mg ampulePharmacy152.75
250J3490Vasopressin 20 units vialPharmacy698.00
250J3490Verapamil 10mg vialPharmacy120.00
250J3490Nitroglycerin 50mg/250ml premixPharmacy43.00
250J3490Procalamine for Peripheral TPNPharmacy213.77
250J3490Isoproterenol 0.2mg/ml 5mlPharmacy199.75
250J3490Multivitamin InjectionPharmacy115.00
250J3490Diltiazem 25mg/5ml vialPharmacy49.84
250J3490Diltiazem 50mg/10ml vialPharmacy49.84
250J3490Tetanus-Diphtheria injectionPharmacy97.57
250J3490PPD (Tubersol) 5 unitsPharmacy49.84
250J3490Acidophilus capPharmacy1.05
250J3490Sod Bicarb 8.4% 50ml vialPharmacy61.75
250J3490TPN Clinimix-1000mlPharmacy213.77
250J3490Acycloivr Ointment 5%Pharmacy665.00
250J3490Labetalol 200mg vialPharmacy49.84
250J3490Acetaminophen/Caffeine 500/65mg tabPharmacy1.05
250J3490Sevoflurane per hourPharmacy237.00
250J3490Rocuronium 50mg vialPharmacy49.84
250J3490Iron Dextran 50mg vialPharmacy77.25
250J3490TPN-Clinimix w/ Electrolytes 5/20%Pharmacy213.77
250J3490Labetalol 20mg PFSPharmacy49.84
250J3490Fat Emulsion (Intralipid) 20% 250mlPharmacy213.77
636J3490Nafcillin 10 gmPharmacy582.75
636J3490Sodium Phosphate 45 mM / 15 mlPharmacy61.75
250J3490Anoro inhaler 62.5-25 mcgPharmacy1.00
636J3490KCENTRA 1000 unit IVPharmacy9,310.00
250J3490Etomidate 40mg vialPharmacy61.75
250J3490MRC/JUVEDERMPharmacy98.86
636J3490RABIES VACCINEPharmacy260.75
636J7042Dextrose Pediatric 25% IMS Prefilled SyrPharmacy44.00
258J7042Dextrose 50% 25Gm PFSPharmacy61.75
258J7042D5 .22 NS 1000ml bagPharmacy45.00
250J7060Dextrose 50% 50ml vialPharmacy49.84
250J7296KYLENA 19.5mg IUDPharmacy1,090.76
250J7298MIRENA IUD INTRUTERINE CONTRACEPTIVE 5YRPharmacy1,090.76
250J7307NEXPLANONPharmacy1,017.48
636J7324MRC/ORTHOVISC 2 MLPharmacy599.00
250J7325Hylan-20 (Synvisc) vialPharmacy1,741.00
250J7325MRC/SYNVISC 2 ML INJECTABLEPharmacy641.69
250J7500Azathioprine 50mg tabPharmacy15.21
250J7506Prednisone 1mg tabsPharmacy15.21
250J7506Prednisone 5mg tabsPharmacy15.21
250J7509Methylprednisolone 4mg tabsPharmacy15.21
250J7509Methylprednisolone Dosepak 4mgPharmacy104.00
250J7510Prednisolone 6.7mg/5ml LiquidPharmacy3.00
250J7510Prednisolone 15mg/5ml LiquidPharmacy15.21
250J7512Prednisone 2.5mg tabsPharmacy15.21
250J7512Prednisone 10mg tabsPharmacy15.21
636J7512Prednisone 20mg tabsPharmacy15.21
250J7512Prednisone tabs in ER All StrengthsPharmacy14.00
250J7604Acetylcystein 20% 30ml vial OralPharmacy87.50
250J7605Arformoterol 15mcg/2ml nebPharmacy32.50
250J7607Levalbuterol 0.63mg udPharmacy23.50
250J7607Levalbuterol 1.25mg udPharmacy0.01
250J7607Levalbuterol HFA MDIPharmacy301.00
250J7609Albuterol HFA 8gmPharmacy108.77
250J7613Albuterol 0.083% 3ml udPharmacy    -
250J7613ALBUTEROL, INHALATION SOL, 1 MG (NEB)Pharmacy10.00
250J7614Levalbuterol 0.31mg udPharmacy23.50
250J7618Albuterol Solution 20mlPharmacy50.00
250J7620Ipratropium/Albuterol InhalerPharmacy1,445.00
250J7620Albuterol/Ipratropium nebPharmacy    -
250J7626Budesonide 0.25/2ml ampPharmacy20.00
250J7626Budesonide 0.5/2ml Inh. SolPharmacy19.50
250J7641Flunisolide Nasal SprayPharmacy267.00
250J7644Ipratropium Nasal SprayPharmacy172.00
250J7644MRC/PRATROPLUM BROMIDE, SOL, 1MG (NEB)Pharmacy45.00
250J8499Ibuprofen 400mg tabletsPharmacy15.21
250J8499Ibuprofen 800mg tabletsPharmacy15.21
250J8499Ranitidine 150mg tabsPharmacy15.21
636J8499CLONIDINE HC1 TABLETS 100/BOTTLE 0.1MGPharmacy98.86
250J8499Ibuprofen 800 mg (clinic)Pharmacy98.86
250J8501Aprepitant 125mg capPharmacy1,354.75
250J8540Dexamethasone 4mg tabletsPharmacy15.21
250J8540Dexamethasone 0.5mg/5ml Oral LiquidPharmacy0.25
250J8540Dexamethasone 1mg/ml Oral SolPharmacy15.21
636J8597ONDANSETRON OD TABS UD 4MGPharmacy98.86
250J8610Methotrexate 2.5mg tabsPharmacy16.75
636J9000Doxorubicin 50mg vialPharmacy99.75
636J9034Bendeka 100mg vialPharmacy9,975.00
636J9035Bevacizumab (Avastin) 100mg/4mlPharmacy3,305.00
636J9035Bevacizumab (Avastin) 400mg/16mlPharmacy12,540.00
636J9041Bortezomid 3.5mg vialPharmacy6,600.00
250J9042Brentuximab 50mg vialPharmacy28,280.00
250J9045Carboplatin 450mg vialPharmacy900.00
250J9055Cetuximab 200mg vialPharmacy4,995.00
636J9070Cyclophosphamide 2gm vialPharmacy6,030.00
636J9145DARATUMUMAB 400MG/20MLPharmacy8,225.00
636J9155Degarelix 80mg vialPharmacy2,010.50
250J9171Docetaxel 160mg vialPharmacy2,340.00
250J9181Etoposide 100mg vialPharmacy61.75
636J91905-FU 500mg vialPharmacy49.84
250J9201Gemcitabine 1gm vialPharmacy2,202.25
636J9206Irinotecan 100mg vialPharmacy153.75
250J9217Lupron 22.5mg Depot injPharmacy17,440.00
250J9260Methotrexate (MTX) 50mg injectionPharmacy95.00
250J9260Methotrexate 250mg vialPharmacy165.00
250J9263Oxaliplatin 100mg vialPharmacy823.25
250J9264Nab-Paclitaxel 100mg vialPharmacy50.00
636J9265*Paclitaxel 30mg J-codePharmacy80.00
250J9267Paclitaxel 100mg vialPharmacy178.25
636J9271Keytruda 100mgPharmacy18,525.00
250J9299Nivolumab 100mg vialPharmacy10,420.00
250J9299Nivolumab 40mg vialPharmacy4,255.00
250J9303Panitumumab 400mg vialPharmacy18,925.00
250J9303Panitumumab 100mg vialPharmacy4,988.00
250J9305Pemetrexed 100mg vialPharmacy2,835.00
250J9305Pemetrexed 500mg vialPharmacy13,440.00
250J9306Pertuzumab 420mg vialPharmacy19,390.00
636J9310Rituximab 100mg vialPharmacy3,720.00
636J9310Rituximab 500mg vialPharmacy18,000.00
250J9330Temsirolimus 25mg vialPharmacy7,135.00
250J9354Ado-Trastuzumab (Kadcyla) 160mg vialPharmacy18,765.00
250J9355Trastuzumab 440mg vialPharmacy17,685.00
636J9370Vincristine 2mg vialPharmacy61.75
250J9390Vinorelbine 10mg vialPharmacy333.75
250J9390Vinorelbine 50mg vialPharmacy370.50
250J9395Fulvestrant 250mg dosePharmacy3,935.00
636Q0138Feraheme 510mgPharmacy3,758.00
250Q0144Azithromycin 200mg/5ml Susp.Pharmacy135.00
250Q0161Chlorpromazine 25mg tabPharmacy30.25
250Q0163Diphenhydramine 25mg capsulesPharmacy1.05
250Q0163Diphenhydramine 12.5mg/5ml Oral LiquidPharmacy0.25
250Q0163Diphenhydramine 12.5mg/5ml oral liqPharmacy0.25
250Q0164Prochlorperazine 5mg tabsPharmacy15.21
250Q0169Promethazine 25mg tabsPharmacy15.21
250Q0177Hydroxyzine 25mg tabletsPharmacy15.21
250Q0180Dolasetron 100mg tabPharmacy382.25
250Q2009Fosphenytoin 500mg vialPharmacy463.50
250Q2009Fosphenytoin 100mg vialPharmacy95.00
631Q2038MEDICAR/FLUVIRUS VACCINE 3YRS & OLDERPharmacy25.00
250Q9968Methylene Blue ampulesPharmacy562.25
250S0020Bupivacaine 0.25% 10mlPharmacy52.05
250S0020Bupivacaine 0.25% mpf 30mlPharmacy49.84
250S0020Bupivacaine 0.5% mpf 30mlPharmacy49.84
250S0020Bupivacaine 0.5% w/Epi mpf 30mlPharmacy49.84
250S0020Bupivacaine Spinal mpfPharmacy52.05
250S0020Bupivacaine 0.5% mdvPharmacy52.05
250S0020Bupivacaine w/Epi InjPharmacy61.75
636S0020BUPIVACAINE 0.5% MPF 30MLPharmacy49.84
250S0020BUPIVACAINE 0.25% MPF 30MLPharmacy49.84
250S0028Famotidine 20mg vialPharmacy95.00
250S0030Metronidazole 500mg IVPharmacy58.15
250S0032Nafcillin 1Gm vialPharmacy115.00
250S0032Nafcillin 2gm vialPharmacy155.00
250S0039Sulfamethoxazole-Trimethoprim IVPharmacy115.00
250S0040Timentin 3.1Gm IVPharmacy61.75
250S0073Aztreonam 1gm vialPharmacy119.50
250S0077Clindamycin 900mg vialPharmacy95.00
250S0077Clindamycin 600mg vialPharmacy95.00
250S0077Clindamycin 300mg vialPharmacy95.00
250S0091Granisetron 1mg vialPharmacy115.00
250S0106Bupropion SR 150mg tabletsPharmacy15.21
250S0109Methadone 5mg tabsPharmacy19.57
250S0109Methadone 10mg tabsPharmacy19.57
250S0119Ondansetron 4mg tabPharmacy87.00
250S0164Pantoprazole 40mg IVPharmacy95.00
250S0171Bumetanide 1mg vialPharmacy49.84
250S0179Megestrol 40mg/mlPharmacy1.50
250S0179Megestrol 625mg/5mlPharmacy31.50
250S0191Misoprostol 100mcg tabsPharmacy15.21
250S0195Pneumococcal-23 VaccinePharmacy389.25
250S0197Prenatal Rx tabPharmacy1.05
250Fluticasone/Salmeterol 100/50 #14Pharmacy650.00
250Fluticasone/Salmeterol 250/50 #14Pharmacy650.00
250Fluticasone/Salmeterol 500/50 #14Pharmacy970.00
250Conjugated Estrogen Vaginal CreamPharmacy621.00
636Fluororuracil 500mg vialPharmacy49.84
250Hydrocod/Ibuprofen 7.5/200mg tabPharmacy19.57
250Apap Suppository in ER All StrengthsPharmacy3.00
250Benztropine 1mg tabPharmacy15.21
250Donepezil 10mg tabPharmacy71.75
250Carbachol (Miostat) Intraocular inj.Pharmacy62.00
250Oxybutynin XL 5mg tabPharmacy16.00
250Propranolol LA 60mg capPharmacy15.21
250Peg 3350 (MIRALAX) LAXATIVEPharmacy15.21
250Cataract Pharmacy KitPharmacy398.00
636Fluphenazine Decanoate 125mgPharmacy161.00
250Lidocaine-UrojetPharmacy33.08
250Verapamil 5mg vialPharmacy119.25
250Tobramycin Ophthalmic DropsPharmacy58.00
250Apap 325mg capletsPharmacy1.05
250Apap ES 500mg capletsPharmacy1.05
250Acyclovir 200mg capPharmacy15.21
250Albuterol 2mg tabletsPharmacy24.50
250Alendronate 70mg tabletsPharmacy72.50
250Allopurinol 100mg tabletsPharmacy15.21
250Amiodarone 200mg tabletsPharmacy16.00
250Amitriptyline 25mg tabletsPharmacy15.21
250Amlodipine 2.5mg tabletsPharmacy15.21
250Amlodipine 5mg tabletsPharmacy15.21
250Amoxicillin 125mg/5ml Susp.Pharmacy52.05
250Amoxicillin 200mg/5ml Susp.Pharmacy52.05
250Amoxicillin 250mg/5ml Susp.Pharmacy52.05
250Amox/Pot.Clav 125mg/5ml Susp.Pharmacy126.00
250Amox/Pot.Clav 200mg/5ml Susp.Pharmacy94.50
250Amox/Pot.Clav. 400mg/5ml Susp.Pharmacy52.05
250Amox/Pot.Clav. 875mg tabletsPharmacy21.75
250Calcium Carbonate 500mg tabletsPharmacy1.05
250Aspirin Chewable 81mg tabletsPharmacy1.05
250Aspirin EC 325mg tabletsPharmacy1.05
250Aspirin EC 81mg tabletsPharmacy1.05
250Muro 128 5% Ophthalmic OintmentPharmacy76.00
250Ciprofloxacin Ophthalmic SolutionPharmacy123.50
250Olopatadine (Patanol) Ophthalmic SolPharmacy1,070.00
250Phenylephrine 2.5% Ophthalmic SolutionPharmacy52.05
250Phenylephrine 10% Ophthalmic SolutionPharmacy71.50
250Aspirin 325mg tabletsPharmacy1.05
250Lidocaine 5% PatchPharmacy43.00
250Miochol-E Intraocular SolutionPharmacy413.00
250Sulfacetamide 10% Ophthalmic SolutionPharmacy230.00
250Tetracaine 0.5% Ophthalmic SolutionPharmacy52.05
250Timolol 0.5% Ophthalmic SolutionPharmacy52.05
250Tears Natural Ophthalmic SolutionPharmacy1.05
250Refresh Plus Lubricant Eye DropsPharmacy3.00
250Calcium Chloride 10% IMS Prefilled SyrPharmacy61.75
250Asa/Dipyridamole 200/25mg capsulesPharmacy39.50
250Atenolol 25mg tabsPharmacy15.21
250Atorvastatin 10mg tabletsPharmacy18.50
250Azithromycin 250mg tabletsPharmacy30.75
250Baclofen 10mg tabletsPharmacy15.21
250Benazepril 5mg tabletsPharmacy14.63
250Benzonatate 100mg capsulesPharmacy15.21
250Bisacodyl 5mg tabletsPharmacy1.05
250Bisoprolol 5mg tabletsPharmacy14.63
250Bumetanide 2mg tabletsPharmacy15.21
250Bupropion XL 150mg tabletsPharmacy22.25
250Buspirone 10mg tabletsPharmacy15.21
250Candesartan 4mg tabletsPharmacy19.25
250Candesartan 8mg tabletsPharmacy19.25
250Candesartan 16mg tabletsPharmacy18.00
250Captopril 12.5mg tabletsPharmacy15.21
250Captopril 25mg tabletsPharmacy15.21
250Carbamazepine 200mg tabletsPharmacy15.21
250Carbidopa/Levodopa 10/100mg tabletsPharmacy15.21
250Carbidopa/Levodopa 25/100mg tabletsPharmacy15.21
250Carbidopa/Levodopa 25/250mg tabletsPharmacy15.21
250Carisoprodol 350mg tabletsPharmacy19.57
250Carvedilol 3.125mg tabletsPharmacy15.21
250Carvedilol 6.25mg tabletsPharmacy15.21
250Carvedilol 12.5mg tabletsPharmacy15.21
250Cefuroxime 250mg tabletsPharmacy19.50
250Cefuroxime 250mg/5ml Susp.Pharmacy970.00
250Celecoxib 100mg capsulesPharmacy15.21
250Celecoxib 200mg capsulesPharmacy52.75
250Cephalexin 125mg/5ml Susp.Pharmacy81.50
250Cephalexin 250mg/5ml Susp.Pharmacy114.00
250Salt TabletsPharmacy1.05
250Cholestyramine 4Gm Powder PacketsPharmacy16.25
250Ciprofloxacin 500mg tabletsPharmacy23.25
250Citalopram 20mg tabletsPharmacy15.21
250Clindamycin 150mg capsulesPharmacy15.21
250Clopidogrel 75mg tabletsPharmacy28.00
250Clotrimazole 10mg TrochePharmacy15.75
250Colchicine 0.6mg tabletsPharmacy24.25
250Conj. Estrogen 0.625mg tabletsPharmacy15.21
250Cyclobenzaprine 5mg tabletsPharmacy15.21
250Cyclobenzaprine 10mg tabletsPharmacy15.21
250Divalproex 125mg tabletsPharmacy14.00
250Divalproex 250mg tabletsPharmacy15.21
250Divalproex 500mg tabletsPharmacy29.00
250Clarinex 5mg tabletsPharmacy34.00
250Dicloxacillin 250mg capsulesPharmacy15.21
250Dicyclomine 10mg capsulesPharmacy15.21
250Digoxin 0.125mg tabletsPharmacy15.21
250Diltiazem 30mg tabletsPharmacy15.21
250Diltiazem CD 120mg capsulesPharmacy15.21
250Diltiazem CD 180mg capsulesPharmacy15.21
250Donepezil 5mg tabletsPharmacy30.75
250Doxazosin 1mg tabletsPharmacy15.21
250Doxazosin 2mg tabletsPharmacy15.21
250Doxycycline 50mg capsulesPharmacy15.21
250Doxycycline 100mg tabPharmacy19.00
250Duloxetine 30mg capsulesPharmacy36.75
250Enalapril 5mg tabletsPharmacy15.21
250Enalapril 10mg tabletsPharmacy15.21
250Erythromycin 250mg tabletsPharmacy15.21
250Escitalopram 10mg tabletsPharmacy19.25
250Etodolac 400mg capsulesPharmacy15.21
250Ezetimibe/Simvastatin 10/40 tabletsPharmacy50.00
250Ferrous Sulfate 325mg tabletsPharmacy1.05
250Ferrous Gluconate 324 tabletsPharmacy1.05
250Fexofenadine 180mg tabletsPharmacy15.21
250Finasteride 5mg tabletsPharmacy15.50
250Flecainide 50mg tabletsPharmacy15.21
250Fluconazole 100mg tabletsPharmacy34.00
250Fluoxetine 10mg tabletsPharmacy15.21
250Fluoxetine 20mg capsulesPharmacy15.21
250Folic Acid 1mg tabletsPharmacy15.21
250Furosemide 20mg tabletsPharmacy15.21
250Furosemide 40mg tabletsPharmacy15.21
250Gabapentin 100mg capsulesPharmacy15.21
250Gabapentin 300mg capsPharmacy15.21
250Gabapentin 800mg tabletsPharmacy15.21
250Glimepiride 2mg tabletsPharmacy15.21
250Glipizide 5mg tabletsPharmacy15.21
250Glipizide 10mg tabletsPharmacy15.21
250Glipizide XL 5mg tabletsPharmacy15.21
250Glipizide XL 10mg tabletsPharmacy15.21
250Clarithromycin 250mg tabletsPharmacy16.07
250Gemfibrozil 600mg tabletsPharmacy15.21
250Rosuvastatin 20mg tabletsPharmacy27.50
250Glyburide 5mg tabletsPharmacy14.63
250Glutose 15Gm Oral GelPharmacy52.05
250Guaifenesin 600mg/PSE 60mg   tabletsPharmacy15.21
250Guaifenesin 600mg/PSE 120mg tabletsPharmacy15.21
250Guaifenesin 600mg tabletsPharmacy15.21
250Haloperidol 1mg tabletsPharmacy15.21
250Haloperidol 5mg tabletsPharmacy15.21
250Hydralazine 25mg tabletsPharmacy15.21
250Hydralazine 50mg tabletsPharmacy15.21
250Hydrochlorothiazide 25mg tabletsPharmacy15.21
250Hydroxychloroquine 200mg tabletsPharmacy15.21
250Ibuprofen 600mg tabletsPharmacy15.21
250Imipramine 10mg tabletsPharmacy14.00
250Imipramine 25mg tabletsPharmacy15.21
250Indomethacin 25mg capsulesPharmacy15.21
250Irbesartan 150mg tabletsPharmacy16.25
250Isosorbide Dinitrate 20mg tabletsPharmacy15.21
250Isosorbide Mononitrate 20mg tabPharmacy15.21
250Isosorbide Mononitrate 30mg tabPharmacy16.25
250Ketorolac 10mg tabletsPharmacy15.21
250Lamotrigine 200mg tabletsPharmacy23.75
250Lamivudine/Zidovudine (Combivir) tabletsPharmacy59.50
250Levofloxacin 500mg tabletsPharmacy68.50
250Levothyroxine 50mcg tabletsPharmacy15.21
250Levothyroxine 75mcg tabletsPharmacy15.21
250Levothyroxine 100mcg tabletsPharmacy15.21
250Levothyroxine 150mcg tabletsPharmacy15.21
250Levothyroxine 175mcg tabletsPharmacy15.21
250Levetiracetam 500mg tabletsPharmacy16.75
250Lisinopril 2.5mg tabletsPharmacy15.21
250Lisinopril 10mg tabletsPharmacy15.21
250Loperamide 2mg capsulesPharmacy15.21
250Loratadine 10mg tabletsPharmacy1.05
250Losartan 25mg tabletsPharmacy15.21
250Losartan 100mg tabletsPharmacy15.25
250Meclizine 25mg tabletsPharmacy15.21
250Meloxicam 7.5mg tabletsPharmacy15.50
250Memantine (Namenda) 10mg tabletsPharmacy34.50
250Metformin ER 500mg tabletsPharmacy15.21
250Mineral Oil SterilePharmacy52.05
250Metformin 500mg tabsPharmacy15.21
250Metformin 850mg tabsPharmacy15.21
250Metformin 1000mg tabsPharmacy15.21
250Methocarbamol 500mg tabsPharmacy15.21
250Metoclopramide 10mg tabsPharmacy15.21
250Metolazone 2.5mg tabsPharmacy15.21
250Metolazone 10mg tabsPharmacy15.21
250Metoprolol 25mg tabsPharmacy15.21
250Metoprolol XL 25mg tabsPharmacy15.21
250Metoprolol XL 50mg tabsPharmacy15.21
250Metoprolol 50mg tabsPharmacy15.21
250Metoprolol 100mg tabsPharmacy15.21
250Metronidazole 250mg tabsPharmacy15.21
250Minoxidil 2.5mg tabsPharmacy15.21
250Mirtazapine 15mg tabsPharmacy15.21
250Moexipril 7.5mg tabsPharmacy15.21
250Naproxen 250mg tabsPharmacy15.21
250Nifedipine 10mg capsPharmacy15.21
250Nifedipine ER 30mg tabsPharmacy15.21
250Nitrofurantoin 50mg capsPharmacy15.21
250Nitrofurantoin 100mg (BID) capsPharmacy16.75
250Nitroglycerin 0.4mg tabsPharmacy143.50
250Nortriptyline 25mg capsPharmacy15.21
250Olanzapine 2.5mg tabsPharmacy42.00
250Olanzapine 5mg tabsPharmacy48.50
250Omeprazole 20mg capsPharmacy19.25
250Oxybutynin 5mg tabsPharmacy15.21
250Pantoprazole 40mg tabsPharmacy15.21
250Paroxetine 20mg tabsPharmacy15.21
250Penicillin VK 250mg tabsPharmacy15.21
250Penicillin VK 250mg/5ml SuspPharmacy21.25
250Olanzapine Zydis 10mg SL tabsPharmacy89.00
250Phenazopyridine 100mg tabPharmacy15.21
250Phenytoin Extended 100mg capsPharmacy15.21
250Pioglitazone 15mg tabsPharmacy28.25
250Potassium Chloride 8meq tabsPharmacy15.21
250Potassium Chloride 10meq tabsPharmacy15.21
250Potassium Chloride 20meq tabsPharmacy15.21
250Potassium Chloride 10meq capsPharmacy9.00
250K-Phos OriginalPharmacy15.21
250Pravastatin 10mg tabsPharmacy15.75
250Neutra-Phos Powder PacketsPharmacy15.21
250Prazosin 1mg capsPharmacy15.21
250Propafenone 225mg tabsPharmacy15.21
250Propranolol 10mg tabsPharmacy15.21
250Pseudoephedrine 30mg tabsPharmacy1.05
250Raloxifene 60mg tabsPharmacy31.25
250Quetiapine 25mg tabsPharmacy18.25
250Quetiapine 100mg tabsPharmacy27.75
250Ramipril 2.5mg capsPharmacy15.21
250Rifampin 150mg capsPharmacy15.75
250Risedronate 35mg tabsPharmacy114.00
250Risperidone 0.25mg tabsPharmacy18.00
250Risperidone 0.5mg tabsPharmacy41.75
250Risperidone 1mg tabsPharmacy20.00
250Rosiglitazone 2mg tabsPharmacy15.50
250Rosiglitazone 4mg tabsPharmacy15.21
250Selegiline 5mg tabsPharmacy15.21
250Sertraline 25mg tabsPharmacy15.21
250Sertraline 50mg tabsPharmacy15.21
250Sertraline 100mg tabsPharmacy15.21
250Simethicone 80mg tabsPharmacy1.05
250Senna/Docusate tabsPharmacy1.00
250Simvastatin 5mg tabsPharmacy15.21
250Simvastatin 10mg tabsPharmacy15.21
250Simvastatin 20mg tabsPharmacy21.25
250Simvastatin 40mg tabsPharmacy21.25
250Warfarin 1mg tabsPharmacy15.21
250Solifenacin 5mg tabsPharmacy50.25
250Spironolactone 25mg tabsPharmacy15.21
250Spironolactone 50mg tabsPharmacy15.21
250Sotalol 80mg tabsPharmacy15.21
250Sulfasalazine 500mg tabsPharmacy15.21
250Tamsulosin 0.4mg capsPharmacy19.00
250Terazosin 2mg capsPharmacy15.21
250Terbutaline 5mg tabsPharmacy27.00
250Thyroid 60mg tabsPharmacy15.21
250Tizanidine 4mg tabsPharmacy15.21
250Tolterodine LA 4mg capsPharmacy53.25
250Torsemide 20mg tabsPharmacy15.21
250Tramadol 50mg tabsPharmacy15.21
250Trazodone 50mg tabsPharmacy15.21
250Trazodone 150mg tabsPharmacy15.21
250Trihexyphenidyl 2mg tabsPharmacy15.21
250Triamterene/HCTZ 75/50mg tabsPharmacy15.21
250Trimethoprim 100mg tabsPharmacy15.21
250Trimethobenzamide 300mg capsPharmacy15.21
250Valsartan 40mg tabsPharmacy29.50
250Valsartan 160mg tabsPharmacy22.25
250Valacyclovir 500mg tabsPharmacy28.50
250Venlafaxine XR 37.5mg capsPharmacy18.75
250Venlafaxine XR 75mg capsPharmacy20.50
250Verapamil SR 240mg tabsPharmacy15.21
250Warfarin 2.5mg tabsPharmacy15.21
250Warfarin 2mg tabsPharmacy15.21
250Warfarin 3mg tabsPharmacy15.21
250Warfarin 5mg tabsPharmacy15.21
250Fluticasone HFA 110mcg 12GmPharmacy955.00
250Ipratropium udPharmacy122.50
250Racemic Epinephrine udPharmacy0.01
250Tiotropium MDIPharmacy63.50
250Apap 120mg SuppositoryPharmacy1.05
250Apap 650mg SuppositoryPharmacy1.05
250Glycerin Suppository (Adult)Pharmacy1.05
250Proctofoam-HCPharmacy425.00
250Hydrocortisone 1% CreamPharmacy52.05
250Proctosol-HC 2.5%Pharmacy316.00
250Hydrocortisone 25mg SuppositoryPharmacy79.75
250Preparation H SuppositoryPharmacy15.21
250Prochlorperazine 25mg SuppositoryPharmacy46.50
250Clotrimazole CreamPharmacy52.05
250Cetacaine SprayPharmacy52.05
250Clotrimazole/Betamethasone CreamPharmacy322.00
250Betamethasone Augmented OintmentPharmacy664.00
250Lidocaine/Prilocaine Cream 5gmPharmacy52.05
250HYDROCERIN CREAMPharmacy52.05
250Mupirocin 2% OintmentPharmacy162.00
250Nitroglycerin OintmentPharmacy33.59
250Nicotine 21mg PatchPharmacy33.59
250Nicotine 14mg PatchPharmacy33.59
250Nicotine 7mg PatchPharmacy31.00
250Nitroglycerin 0.1mg PatchPharmacy33.59
250Nystatin CreamPharmacy108.77
250Nystatin (Nystop) PowderPharmacy205.00
250Scopolamine Topical PatchPharmacy66.50
250Silver Nitrate SticksPharmacy15.21
250SSD 1% Cream 25gmPharmacy52.05
250SSD 1% Cream 85gmPharmacy69.00
250Neomy/Polym/HC Otic Susp.Pharmacy342.00
250Fluticasone Nasal SprayPharmacy314.00
250Mometasone-Nasonex Nasal SprayPharmacy985.00
250Ofloxacin Otic Solution udPharmacy16.00
250Oxymetolazone Nasal SprayPharmacy52.05
250Sodium Chloride Nasal SprayPharmacy27.00
250Cyclopentolate Ophth. Sol.Pharmacy146.50
250Bacitracin OintmentPharmacy52.05
250Erythromycin Ophthalmic OintmentPharmacy52.05
250Eye Wash SolutionPharmacy52.05
250Gentamicin Ophthalmic Sol.Pharmacy80.50
250Nepafenac (Nevanac) Ophth. Susp.Pharmacy1,005.00
250Prednisolone 1% Ophth. Susp.Pharmacy210.00
250Timolol 0.5% (Betimol) Ophth. Sol.Pharmacy126.00
250Vision Blue Ophth. Sol.Pharmacy75.00
250Refresh Plus Ophth. Sol.Pharmacy3.00
250Tiotropium capsPharmacy67.25
250Metamucil PowderPharmacy1.05
250Multivitamin tabsPharmacy1.05
250Calcium w/ Vitamin D tabPharmacy1.05
250Senna 8.6mg tabsPharmacy3.00
250Docusate 100mg capsPharmacy1.05
250Magnesium Oxide 400mg tabsPharmacy1.05
250Vitamin E 400 iu capsPharmacy1.05
250Niacin 500mg capsPharmacy2.00
250Vitamin C 500mg tabsPharmacy1.05
250Vitamin B Complex capsPharmacy1.05
250Vitamin D 400iu capsPharmacy15.21
250Magnesium 250mg tabsPharmacy15.21
250Ocuvite tabsPharmacy1.05
250Apap Extra Stength 500mg/15ml LiquidPharmacy0.25
250Belladonna w/PB ElixirPharmacy20.25
250Cetirizine 1mg/ml LiquidPharmacy1.05
250Docusate 50mg/5ml Oral SolutionPharmacy0.25
250Glycolax (Miralax) Granules 17gmPharmacy14.00
250Guaifenesen 100mg/5ml Cough SyrupPharmacy1.05
250Guaifenesen DM Cough SyrupPharmacy2.11
250Lactulose 10Gm/15ml LiquidPharmacy15.21
250Ibuprofen 100mg/5ml Oral SuspPharmacy1.05
250Ibuprofen DropsPharmacy1.25
250Lidocaine 4% SolutionPharmacy64.50
250Citrate of MagnesiaPharmacy3.12
250Maalox SuspensionPharmacy0.50
250Milk of MagnesiaPharmacy0.10
250Multivitamin LiquidPharmacy1.00
250Nystatin SuspensionPharmacy15.21
250Phenytoin 125mg/5ml SuspensionPharmacy15.21
250SPS 15Gm/60ml SuspensionPharmacy42.25
250Bicitra Oral Liquid per 15mlPharmacy1.00
250Sucralfate 1Gm SuspensionPharmacy38.25
250Simethicone Oral DropsPharmacy52.05
250Alprazolam 0.25mg tabsPharmacy19.57
250Alprazolam 0.5mg tabsPharmacy19.57
250Alprazolam 1mg tabsPharmacy19.57
250Chlordiazepoxide 10mg capsPharmacy19.57
250Chlordiazepoxide 25mg capsPharmacy19.57
250Clonazepam 0.5mg tabsPharmacy19.57
250Clonazepam 1mg tabsPharmacy19.57
253Apap/Codeine #3 tabsPharmacy19.57
250Apap/Codeine ElixirPharmacy4.00
250Guaifenesin/Codeine Cough SyrupPharmacy1.50
250Diazepam 5mg tabsPharmacy19.57
250Diphenoxylate/Atropine (Lomotil) tabsPharmacy19.57
250Hydrocod/Apap 5/500mg tabsPharmacy17.05
250Hydrocod/Apap 7.5/500mg tabsPharmacy17.05
250Hydrocod/Apap 10/325mg tabsPharmacy19.57
250IMN Hydrocod/Apap 10/325mg #6Pharmacy53.28
250Hydrocod/Apap ElixirPharmacy4.00
250Guaifenesin/Hydrocodone Cough SyrupPharmacy1.00
250Ibuprofen/Hydrocod 200/7.5mg tabsPharmacy17.01
250Lorazepam 2mg Oral LiquidPharmacy19.57
250Lorazepam 1mg tabsPharmacy19.57
250Lorazepam 2mg tabsPharmacy19.57
250Phenobarbital 30mg tabsPharmacy19.57
250Pregabalin (Lyrica) 25mg capsPharmacy31.41
250Pregabalin (Lyrica) 75mg capsPharmacy31.41
250Promethazine/Codeine Cough SyrupPharmacy5.00
250Modafinil 100mg tabsPharmacy98.00
250Modafinil 200mg tabsPharmacy147.00
250Temazepam 15mg capsPharmacy19.57
250Temazepam 30mg capsPharmacy19.57
250Zolpidem 5mg tabsPharmacy24.96
250Fentanyl (Actiq) 200mcgPharmacy63.00
250Fentanyl 25mcg PatchPharmacy60.00
250Fentanyl 50mcg PatchPharmacy100.50
250Fentanyl 100mcg PatchPharmacy188.50
250Hydromorphone 2mg tabsPharmacy19.57
250Meperidine 100mg/ml MDV 20mlPharmacy53.00
250Morphine ER 15mg tabPharmacy19.57
250Morphine IR 15mg tabsPharmacy19.57
250Morphine ER 30mg tabsPharmacy24.96
250Morphine 20mg/ml Oral Sol.Pharmacy17.05
250Oxycodone IR 5mg tabPharmacy19.57
250Oxycodone ER 10mg tabsPharmacy24.96
250Oxycodone ER 20mg tabsPharmacy31.41
250Oxycodone ER 40mg tabsPharmacy16.00
250Oxycodone/Apap 5/325mg tabsPharmacy19.57
250Oxycodone/Apap 10/325mg tabsPharmacy24.96
250Oxycodone 20mg/ml Oral Sol.Pharmacy19.57
250Bupivacaine 0.25% w/Epi mpf 30mlPharmacy31.00
250Lidocaine 2% w/EpiPharmacy44.00
250Lidocaine 1% w/EpiPharmacy31.00
250Cefoxitin 1Gm vialPharmacy95.00
250Ceftazidime 1Gm vialPharmacy95.00
250Ciprofloxacin 400mg vialPharmacy53.00
250Sterile Water for InjectionPharmacy49.84
250Sodium Chloride for InjectionPharmacy49.84
250Bacteriostatic Water for InjectionPharmacy44.00
250Calcium Chloride 10% 10ml vialPharmacy95.00
250Levofloxacin 500mg vialPharmacy89.00
250Levofloxacin 750mg vialPharmacy121.00
250Phentolamine 5mg vialPharmacy617.50
250Vitamin B-1 100mg injectionPharmacy27.00
250Avitene Powder 1gmPharmacy755.00
250Lorazepam 0.5mg tabsPharmacy19.57
250Meperidine 50mg tabsPharmacy19.57
250Bisacodyl 10mg SuppositoriesPharmacy0.75
250Fentanyl 12mcg PatchPharmacy80.00
250Cyproheptadine 4mg tabsPharmacy15.21
250Methylergonovine 0.2mg tabPharmacy29.25
250Vitamin D 50,000 units capPharmacy15.21
250Promethazine Supp. 12.5mgPharmacy63.25
250Promethazine Supp. 25mgPharmacy63.25
250Pen G Benz/Procaine LA 1,200,000 unitsPharmacy324.00
250Tisseel 2mlPharmacy691.00
250Rocuronium 10mg dosePharmacy44.00
250Dinoprostone (Prepidil) Gel 0.5mgPharmacy2,075.00
250Carboprost (Hemabate) 250mcgPharmacy1,459.00
250Bacitracin 50,000 unitsPharmacy61.75
250Dinoprostone (Cervidil) 10mg Supp.Pharmacy1,195.00
250Black Widow Antivenin per bottlePharmacy114.25
250Trifluridine 1% Ophth. Sol.Pharmacy637.00
250Calcitonin Nasal SprayPharmacy432.00
250Fluorescein/Benoxinate Ophth. Sol.Pharmacy197.00
250Octreotide 200mcgPharmacy33.08
250MMR VaccinePharmacy290.50
250Citalopram 10mg tabPharmacy15.21
250Pen G Benz/Procaine LA 600,000 unitsPharmacy374.00
250Tolterodine LA 2mg capsPharmacy53.25
250Paroxetine 30mg tabsPharmacy15.21
250Triamcinolone 0.1% CreamPharmacy52.05
250Levothyroxine 88mcg tabsPharmacy15.21
250Nystatin/Triamcinolone CreamPharmacy573.00
250Fleet EnemaPharmacy52.05
250Trazodone 100mg tabsPharmacy15.21
250Hydrocod/Homatropine Cough SyrupPharmacy19.57
250Lacrilube Ophth. OintPharmacy52.05
250Mirtazapine 30mg tabsPharmacy12.00
250Lisinopril 20mg tabsPharmacy15.21
250Diazepam 5mg from MDVPharmacy57.59
250Ropinirole 0.5mg tabPharmacy14.00
250Eszopiclone (Lunesta) 1mg tabPharmacy39.00
250Cataract PreOp MedsPharmacy325.00
250Fluorouracil 1gm vialPharmacy275.00
250Albumin 12.5gm 25% 50mlPharmacy236.50
250Amiloride 5mg tabPharmacy15.21
250Halflytely Bowel Prep KitPharmacy239.00
250Coenzyme Q-10 100mgPharmacy1.05
250Ramipril 10mg capPharmacy15.21
250Antipyrine/Benzocaine OticPharmacy52.05
250Hydralazine 10mg tabPharmacy14.00
250Cetirizine 10mg tabPharmacy3.12
250Charcoal 50gmsPharmacy91.50
250Ketoconazole 200mg tabPharmacy15.50
250Olanzapine Zydis 5mg tabPharmacy62.00
250Olanzapine 7.5mg tabPharmacy64.00
250Ondansetron ODT 4mg tabPharmacy81.25
250Verapamil SR 120mg tabPharmacy15.21
250Sucralfate 1gm tabPharmacy15.21
250Clindamycin 75mg/5ml Ped SolPharmacy209.25
250Vitamin D 1,000 units tabPharmacy1.05
250Warfarin 4mg tabPharmacy15.21
250Losartan 50mg tabPharmacy15.21
250Rosuvastatin 10mg tabPharmacy39.50
250Gabapentin 600mg tabPharmacy15.21
250Fentanyl 75mcg patchPharmacy148.00
250Amitriptyline 10mg tabPharmacy15.21
250Terazosin 1mg capPharmacy15.21
250Propranolol LA 120mg capPharmacy15.21
250Levetiracetam 1000mg tabPharmacy28.25
250Levetiracetam 500mg Oral SolPharmacy15.21
250Oseltamivir 45mg capPharmacy60.25
250Oseltamivir 75mg capPharmacy65.00
250Oseltamivir 30mg capPharmacy60.25
250Ezetimibe-Simvastatin 10/20 tabPharmacy50.00
250Labetalol 100mg tabPharmacy15.21
250Amlodipine 10mg tabPharmacy15.21
250Calcium Carbonate EX 750mgPharmacy1.05
250Betamethasone 0.1% CreamPharmacy216.00
250Lisinopril 5mg tabPharmacy15.21
250Oseltamivir SuspensionPharmacy651.00
250Cilostazol 50mg tabPharmacy15.21
250Potassium Chloride 20mEq/15mlPharmacy15.21
250Lisinopril 40mg tabPharmacy15.21
250Sulfamethox/TMP DS tabPharmacy15.21
250Thyroid 90mg tabPharmacy15.21
250Preparation H OintmentPharmacy5.25
250Apap 160mg/5mlPharmacy1.05
250Vancomycin 125mg capPharmacy108.00
250Ketotifen Ophth SolPharmacy52.05
250Allopurinol 300mg tabPharmacy15.21
250Linezolid 600mg tabPharmacy608.75
250Betamethasone Dipropionate CreamPharmacy388.00
250Miconazole Cream 2%Pharmacy52.05
250Terbinafine CreamPharmacy52.05
250Triamcinolone LotionPharmacy101.00
250Granulex SprayPharmacy77.00
250Carbachol Intraocular (Miostat)Pharmacy154.00
250Moxifloxacin Ophth. Sol.Pharmacy702.00
250Bupropion 100mg tabPharmacy14.00
250Ziprasidone 20mg capPharmacy81.00
250Clonidine 0.3mg tabPharmacy14.00
250Duloxetine 20mg capPharmacy33.25
250Estradiol 1mg tabPharmacy15.21
250Famotidine 20mg tabPharmacy15.21
250Hydrocortisone 5mg tabPharmacy15.21
250Hydrocortisone 20mg tabPharmacy15.21
250Ibandronate 150mg tabPharmacy759.00
250Minoxidil 10mg tabPharmacy10.00
250Phytonadione 5mg tabPharmacy45.75
250Potassium Chloride 20mEq packetsPharmacy14.00
250Probenecid 500mg tabPharmacy17.50
250Tizanidine 2mg tabPharmacy15.21
250Ofloxacin Otic 5mlPharmacy274.00
250Triamterene/HCTZ 37.5-25mg tabPharmacy15.21
250Thrombin 5,000 unitsPharmacy316.00
250Thrombin 20,000 unitsPharmacy1,160.00
250Banana BagPharmacy1.00
253INM GenericPharmacy19.00
253INM Ventolin InhalerPharmacy33.00
250Cefdinir 250mg/5mlPharmacy52.05
250Budesonide/Formoterol 160/4.5 INHALERPharmacy875.00
250Amphetamine Salts 10mg tabPharmacy24.96
250Aripiprazole 20mg tabPharmacy171.00
250Benazepril 20mg tabPharmacy15.21
250Chromium Picolinate 1000mcg capPharmacy1.00
250Dakin's SolutionPharmacy52.05
250Dantrolene 20mg vialPharmacy365.00
250Digoxin 0.25mg tabPharmacy15.21
250Ezetimibe/Simvastatin 10/10 tabsPharmacy50.00
250Felodipine 5mg tabPharmacy15.21
250Fenofibrate 145mg capPharmacy22.00
250Fenofibrate 48mg capPharmacy15.21
250Fish Oil 1000mg capPharmacy1.05
250Hydrocod/Apap 7.5/325mg tabPharmacy19.57
250Hydrocortisone 10mg tabPharmacy15.21
250Irbesartan 75mg tabPharmacy15.21
250Ketoconazole CreamPharmacy690.00
250Lovastatin 10mg tabPharmacy15.21
250Menthol/Benzocaine LozengesPharmacy1.05
250Metoclopramide Syrup 5mg/5mlPharmacy0.25
250Miacalcin Nasal SprayPharmacy222.00
250Midazolam 2mg/ml Oral SolutionPharmacy24.96
250Mometasone-Asmanex Nasal SprayPharmacy325.00
250Montelukast 10mg tabPharmacy23.75
250Heparin Flush 10 units/mlPharmacy44.00
250Oxycodone/Apap 7.5/325mg tabPharmacy24.96
250Bismuth Subsalicylate 30mlPharmacy1.05
250Levonorgestrel 1.5mg tabPharmacy138.75
250Prazosin 2mg capPharmacy15.21
250Pramipexole 0.25mg tabPharmacy16.00
250Famciclovir 500mg tabPharmacy99.00
250Rivastigmine 4.6mg PatchPharmacy99.00
250Ropinirole 2mg tabPharmacy15.21
250Ropinirole 4mg tabPharmacy15.21
250Ropinirole 1mg tabPharmacy15.21
250Saline Nasal SprayPharmacy52.05
250Sitagliptin 100mg tabPharmacy61.75
250Sulfamethox/Trimethoprim Susp.Pharmacy3.00
250Terazosin 5mg capPharmacy15.21
250Tetracaine 2ml Ophth SolPharmacy52.05
250Thiamine 100mg tabPharmacy15.21
250Ursodiol 300mg capPharmacy29.25
250Vitamin B-12 500mcg tabPharmacy1.05
250Norepinephrine 4mg/4ml ampPharmacy49.84
250Miconazole Powder 2%Pharmacy52.05
250Magnesium 64mg tabPharmacy1.05
250Flaxseed Oil 1200mg capPharmacy1.05
250Cherry SyrupPharmacy0.25
250LET Topical SolutionPharmacy2.04
250Local AnesthesiatheticPharmacy44.00
250Zolpidem 10mg tabsPharmacy19.57
250Sitagliptin 25mg tabPharmacy61.75
250Levofloxacin 250mg tabPharmacy60.50
250Atorvastatin 40mg tabPharmacy24.00
250Vancomycin 250mg capPharmacy195.00
250Naproxen 375mg tabPharmacy15.21
250Lotrel 5/20 KitPharmacy16.00
250Docusate 50mg/Senna 8.6mg tabPharmacy1.00
250Vitamin B-6 100mg tabPharmacy1.05
250Quetiapine 200mg tabPharmacy54.75
250Sodium Chloride Neb 7%Pharmacy16.24
250Tobramycin/Dex Ophth SuspPharmacy229.00
250Fluorouracil 46-hour BULBPharmacy390.00
250Hydromorphone PCA 1mg/ml 30mlPharmacy57.59
250Chromium Picolinate 200mcg tabPharmacy1.05
250Calcium Citrate 250mg capPharmacy1.05
250Furosemide 10mg oral solutionPharmacy15.21
250Ropinirole 0.25mg tabPharmacy15.21
250Oxycodone IR 15mg tabPharmacy19.57
250Pseudoephedrine ER 120mg caletPharmacy1.00
250Propafenone 150mg tabPharmacy15.21
250Febuxostat 40mg tabPharmacy47.25
250Chloraseptic SprayPharmacy4.50
250Lorazepam 1mg IV/IM dosePharmacy53.00
250Misoprostol 200mcg tabPharmacy15.21
250Thrombin 5,000 units KitPharmacy337.00
250Moxifloxin 400mg premixPharmacy245.00
250Ibuprofen 200mg tabPharmacy1.00
250Nitroglycerin 0.4mg patchPharmacy33.59
250Moxifloxacin 400mg tabPharmacy125.25
250Mycophenolate 500mg tabPharmacy31.25
250Amox/Clav 500mg tabPharmacy17.50
250Ceftazidime 2gm vialPharmacy115.00
250Carbidopa/Levodopa CR 50/200mg tabPharmacy15.21
250Hyoscyamine 0.125mg tabPharmacy15.21
250Dutasteride 0.5mg capPharmacy30.50
250Alendronate 35mg tabPharmacy72.50
250Verapamil 40mg tabPharmacy15.21
250Hydromorphone 10mg ampPharmacy57.59
250Pseudoephedrine 60mg tabPharmacy15.21
250Oxycodone IR 30mg tabPharmacy24.96
250Propafenone SR 225mg tabPharmacy53.25
250Cefuroxime 500mg tabPharmacy31.50
250Enema of ChoicePharmacy52.05
250Duloxetine 60mg capPharmacy31.00
250Dopamine 200mg vialPharmacy49.84
250Protamine 50mg vialPharmacy41.00
250Magic MouthwashPharmacy0.50
250Cisplatin 100mg vialPharmacy140.00
250Enalapril 20mg tabsPharmacy15.21
250Amlodipine/Atorvastatin 10/20mg tabPharmacy34.75
250Polymyxin B 500,000 unitsPharmacy61.75
250Triamcinolone Dental PastePharmacy578.00
250Pregabalin (Lyrica) 50mg capPharmacy33.00
250Hepatitis A Vaccine AdultPharmacy277.75
250Calcium Citrate 950mg tabPharmacy1.05
250Rivaroxaban 10mg tabPharmacy60.25
250Rivaroxaban 20mg tabPharmacy31.00
250Rivaroxaban 15mg tabPharmacy31.00
250Morphine 10mg PFSPharmacy57.59
250HCTZ 12.5mg capPharmacy15.21
250Ramipril 5mg capPharmacy15.21
250Sumatriptan 100mg tabPharmacy87.75
250Hydrocod/Apap 5/325mg tabPharmacy19.57
250Latanoprost Ophth. Sol.Pharmacy346.00
250Desvenlafaxine 100mg tabPharmacy55.25
250Amantadine 100mg tabPharmacy15.21
250Aripiprazole 10mg tabPharmacy122.50
250Azacitidine 100mg vialPharmacy1,796.00
250Cladribine 10mg vialPharmacy1,453.00
250Morphine Sulfate 10mg/10ml ampPharmacy57.59
250Ivermectin 3mg tabPharmacy23.50
250Permethrin 5% CreamPharmacy52.05
250Nitroglycerin 0.4% PR OintmentPharmacy1,093.00
250Pharmacy Preparation FeePharmacy151.00
250Bisoprolol/HCTZ 5/6.25mg tabPharmacy15.21
250Bisoprolol/HCTZ 10-6.25mg tabPharmacy15.21
250Gelfoam Size 100Pharmacy181.50
250Docusate 100mg/10mlPharmacy1.05
250Insulin Drip per bagPharmacy76.00
250Esmolol 100mg vialPharmacy49.84
250Telmisartan 80mg tabPharmacy22.00
250Telmisartan 40mg tabPharmacy21.00
250Butalbital, APAP, Caffeine tabPharmacy19.57
250Cipro/Dex Otic Susp.Pharmacy860.00
250Ceftriaxone 2gm vialPharmacy73.00
250Thyroid 15mg tabPharmacy15.21
250Topiramate 25mg tabPharmacy15.21
250Estradiol 0.5mg tabPharmacy15.21
250Magnesium Sulfate 10gm vialPharmacy95.00
250Rocuronium 100mg vialPharmacy129.50
250Clarithromycin 500mg tabPharmacy20.00
250Theophylline SR 100mg tabPharmacy15.21
250Nicotine 2mg gumPharmacy1.05
250Lubricant Ophth. DropsPharmacy52.05
250Lubricant Ophth. OintmentPharmacy52.05
250Topotecan 4mg vialPharmacy1,000.00
250Meloxicam 15mg tabPharmacy19.25
250TPN-Advanced Pharmacy Mix 24hrsPharmacy300.00
250Doxorubicin 200mg vialPharmacy275.00
250Ropinirole ER 8mg tabPharmacy32.00
250Ziprasidone 80mg capPharmacy41.00
250Lithium Carbonate 600mg capPharmacy15.21
250Risperidone 4mg tabPharmacy44.50
250Lithium Carbonate 300mg capPharmacy15.21
250Torsemide 100mg tabPharmacy15.21
250Irbesartan/HCTZ 150/12.5mg tabPharmacy15.21
250Detemir FlexpenPharmacy295.00
250Dabigatran 150mg capPharmacy31.50
250Fluticasone/Salmeterol HFA 115/21mcgPharmacy840.00
250Primidone 250mg tabPharmacy15.21
250Paroxetine CR 37.5mg tabPharmacy24.75
250Melatonin 3mg tabPharmacy1.05
250Liothyronine 25mcg tabPharmacy15.21
250Thyroid 30mg tabPharmacy15.21
250Olanzapine 10mg tabPharmacy70.75
250Niacin SR 250mg capPharmacy1.05
250Cefepime 1gm vialPharmacy95.00
250Cefepime 2gm vialPharmacy115.00
250Ferrous Sulfate 220mg/5mlPharmacy1.05
250Acyclovir 400mg tabPharmacy15.21
250Minocycline 100mg capPharmacy16.25
250Nalbupine 5mg dosePharmacy49.84
250Fentanyl 25mcg dosePharmacy57.59
253IMN Hydrocod/Apap 5/325mg #6Pharmacy84.87
253IMN Lorazepam 1mg #6Pharmacy53.28
253IMN Apap/Codeine 300/30mg #6Pharmacy24.87
253IMN ALPRAZolam 0.25mg #6Pharmacy53.28
253IMN Hydrocod/Apap 7.5/325mg #6Pharmacy84.87
253IMN Acyclovir 200mg #5Pharmacy15.00
253IMN Albuterol Inhaler ER To GoPharmacy53.28
253IMN Amoxicillin 500mg #6Pharmacy16.00
253IMN Amoxicillin/Clav. 875mg #3Pharmacy24.87
253IMN Azithromycin 250mg #2Pharmacy24.87
253IMN Benzonatate 100mg #6Pharmacy24.87
253IMN Cefuroxime 250mg #4Pharmacy24.87
253IMN Cephalexin 250mg #10Pharmacy24.87
253IMN Ciprofloxacin 500mg #4Pharmacy24.87
253IMN Clindamycin 150mg #6Pharmacy24.87
253IMN Cyclobenzaprine 10mg #4Pharmacy24.87
253IMN Doxycycline 100mg #6Pharmacy24.87
253IMN Metoprolol 50mg #6Pharmacy24.87
253IMN Levofloxacin 500mg #3Pharmacy24.87
253IMN Metronidazole 500mg #4Pharmacy16.00
253IMN Ondansetron ODT 4mg #4Pharmacy24.87
253IMN Penicillin VK 250mg #6Pharmacy16.00
253IMN Promethazine 25mg #6Pharmacy24.87
253IMN Promethazine Supp 25mg #2Pharmacy24.87
253IMN Prednisone 10mg #10Pharmacy24.87
253IMN Tramadol 50mg #6Pharmacy24.87
253IMN SMX-TMP DS #4Pharmacy24.87
253IMN Oxycodone/Apap 5/325mg #6Pharmacy53.28
250Dextrose Infant PFSPharmacy61.75
250Phenobarbital 65mg vialPharmacy115.00
250Esomeprazole 40mg capPharmacy38.25
250Ipratropium/Albuterol AnesthesiaTHESIAPharmacy43.00
250Sod Bicarb 650mg tabPharmacy1.05
250Oxytocin 10units/ml 10mlPharmacy49.84
250Atropine 0.4mg/ml 20ml vialPharmacy46.25
253IMN Nitrofurantoin (BID) 100mg #2Pharmacy24.87
250Fexofenadine 60mg tabPharmacy15.21
250Fluticasone-Salmeterol 230/21mcgPharmacy1,225.00
250TPN-Clinimix 5/20% 2000mlPharmacy247.20
250Levothyroxine 200mcgPharmacy15.21
250Phenazopyridine 200mg tabPharmacy15.21
250Phenazopyridine 200mg tabPharmacy13.63
250Bupivacaine LiposomePharmacy997.50
250Tranexamic Acid 1000mg vialPharmacy202.00
250RID KitPharmacy17.00
250Diphenhydramine plus Zinc CreamPharmacy1.05
250Poractant Alfa 120mg vialPharmacy1,700.00
250Poractant Alfa 240mg vialPharmacy3,351.75
250Sildenafil 50mg tabPharmacy271.00
250Levothyroxine 125mcg tabPharmacy15.21
250Apap/ASA/CaffeinePharmacy1.05
250Raltegravir 400mg tabPharmacy103.75
250Epsom SaltsPharmacy52.05
250Fluorescein StripsPharmacy52.05
250Mirabegron ER 25mg tabPharmacy51.50
250Olopatadine OphthalmicPharmacy700.00
250Loteprednol OphthalmicPharmacy885.00
250NiCardiopulmonaryipine 25mg vialPharmacy97.57
250Alfentanil 500mcg ampPharmacy57.59
250Zostavax VaccinePharmacy875.50
250Desflurane per hourPharmacy350.00
250Magnesium Sulfate 4gm bagPharmacy49.84
250Levothyroxine 112mcg tabPharmacy15.21
250Sore No MorePharmacy27.00
250Rifaximin 550mg tabPharmacy144.75
250Ferrous Sulfate 15mg Fe/mlPharmacy52.05
250Monsels SolutionPharmacy52.05
250Balanced Salt SolutionPharmacy52.05
250Levothyroxine 137mcgPharmacy15.21
250Nifedipine/Lidocaine Rectal OintmentPharmacy52.05
250Warfarin 7.5mg tabPharmacy17.25
250Meropenem 1gm vialPharmacy120.00
250Dabigatran 75mg capPharmacy19.50
250Aripiprazole 2mgPharmacy65.50
250Lamotrigine 150mgPharmacy22.75
250Buprenorphine 5mg PatchPharmacy281.50
250Lorazepam 40mg vialPharmacy115.00
250Sodium Chloride 1gm tabPharmacy15.21
250Clindamycin 300mg #9Pharmacy24.87
250Biafine Top Emulsion 90gmPharmacy315.00
250Biafine Top Emulsion 45gmPharmacy245.00
250Gabapentin 400mg capPharmacy15.21
250Lacosamide 50mg tabPharmacy38.00
250Loratadine 5mg/Pseudoephedrine 120mg tabPharmacy1.05
250Mercaptopurine 50mgPharmacy32.00
250Omega-3 1gram capPharmacy15.21
250Pneumococcal-13 VaccinePharmacy763.75
250Emtricitabine-Tenofovir 200-300mgPharmacy225.75
250Ondansetron Oral Sol. 4mg/5mlPharmacy84.00
250Rizatriptan 10mg tabPharmacy149.50
250Venlafaxine 50mg tabPharmacy15.21
250Sugammadex 500mg vialPharmacy49.84
250Vitamin B-6 100mg vialPharmacy62.75
250Methimazole 5mgPharmacy15.21
250Pancrelipase 24,000 units (Creon)Pharmacy18.75
250Buspirone 5mg tabPharmacy15.21
250Nateglinide 120mgPharmacy15.21
250Cefdinir 300mg capPharmacy21.00
250Sugammadex 200mg vialPharmacy49.84
250Capsaicin CremePharmacy52.05
250Sildenafil 20 mg tabPharmacy71.75
250Ofloxacin 0.3% ophth dropsPharmacy150.25
250Fluoxetine 20mg/5ml soluPharmacy33.59
250Azelastine 0.1% nasal sprPharmacy52.05
250Linaclotide 145 mcg capPharmacy56.00
250Fosfomycin 3 gm pktPharmacy318.50
250Tadalafil 2.5 mg tabPharmacy50.25
250AZOPharmacy1.05
250Rivaroxaban 15 mg tabPharmacy60.25
250Diclofenac/Misoprostol 75/200mgPharmacy16.25
250Prochlorperazine 10 mg tabPharmacy15.21
250apixaban 2.5 mg tabPharmacy32.75
250buprenorphine 8 mg tab SLPharmacy31.41
250Ceftriaxone 500 mg vialPharmacy49.84
636Oxytocin LR premixPharmacy62.89
250Diclofenac Topical Gel 1%Pharmacy183.50
636Xylocaine 2% 5mlPharmacy49.84
636lidocain 1% 5mlPharmacy49.84
250cilostazol 100mg tabPharmacy15.21
636ceftriaxone 2gm premixPharmacy89.00
250linagliptin 5mg tabPharmacy59.25
636Leucovorin 500mg vialPharmacy49.84
636LITAGLPTIN 5MG TABPharmacy52.00
636Bupivicaine Spinal 0.75%Pharmacy49.84
636Morphine Sulf 5mg/10ml ampPharmacy118.50
636Bupivacaine/epi 0.5% 1:200,000 MDVPharmacy1.00
250Fluconazole 40mg/ml SuspPharmacy17.00
250Fluconazole 10mg/ml SuspPharmacy15.21
636Amiodarone 450/9ml vialPharmacy49.84
250Sodium Chloride 7%Pharmacy16.24
636Dobutamine 500mg PremixPharmacy49.84
636ceftriaxone 2gmPharmacy49.84
250fludrocortisone 0.1mg tabPharmacy15.21
250MIDODRINE HCL 2.5 MGPharmacy15.21
250HALOPERIDOL 2 MG / ML ORAL SOLUTIONPharmacy1.00
250Olopatadine HCL opth 0.1%Pharmacy1.00
250Breo Ellipta 100-25 mcgPharmacy566.00
250Breo Ellipta 200-25 mcgPharmacy291.00
250Arnuity Ellipta 100 mcgPharmacy344.00
250Arnuity Ellipta 200 mcgPharmacy459.00
250SPIRIVA Respimat 2.5mcgPharmacy1,540.00
636INJECTAFER 750mg/15ml injectionPharmacy4,232.50
250Potassium ACETATE 40meqPharmacy95.00
250Fluorecein-Proparacaine 0.25-0.5% OpthalPharmacy167.00
250Naltraxone 50mg tabPharmacy1.00
250Morphine Sulfate ER 100mg tabPharmacy31.41
250Floranex Oral TabletsPharmacy1.05
636Tobramycin 1.2gm IVPharmacy720.50
250Sufentanil 100mcg ampPharmacy57.59
250Phenylephrine 1% Nasal SprayPharmacy52.05
250Meperidine in ER 50mg, 100mgPharmacy53.00
250Hetastarch/NS 6% 500mlPharmacy86.00
250Isoflurane per hourPharmacy125.00
250Golytely Solution 4000mlPharmacy80.75
250Glycerin Supp ChildPharmacy1.05
250Heparin vials in ER All StrengthsPharmacy44.00
250Ibuprofen in ER 400,600,800mg tabPharmacy14.00
250Promethazine SyrupPharmacy5.00
250Promethazine Supp in ER All StrengthsPharmacy16.00
250Rifampin 300mg capPharmacy15.21
250Medroxyprogesterone 2.5mg tabPharmacy15.21
250Pink Bismuth SuspensionPharmacy3.00
250SSD Cream 400gmPharmacy239.00
250GI CocktailPharmacy0.25
636INJECTION, PENCILLN G BENZATHINE 100,000Pharmacy13.00
636GENTAMICIN OPHTHLMC DROPPharmacy34.00
636Bexsero meningicoccal vacinePharmacy617.00
636Trumenba Menigococcal vaccinePharmacy512.75
636MenHibirxPharmacy98.86
636Yellow Fever VaccinePharmacy270.25
636Hepatitis B [adolescent vaccine](clinic)Pharmacy117.50
121ROOM & BOARD SWING BEDSwing Bed729.00
684TRAUMA TEAM ACTIVATION/LEVEL IITrauma3,648.00
684TRAUMA TEAM ACTIVATE/FULL LVL ITrauma7,283.00
This list of charges reflects the standard charges for inpatient and outpatient services provided at Moab Regional Hospital. The hospital’s charges are the same for all patients, but the patient’s financial responsibility for services provided may vary, depending upon payment plans negotiated with individual health insurers as well as reimbursement schedules set forth by public payers such as Medicare and Medicaid. Patients should contact our business office staff for assistance. These charges do not include items or services that may be billed separately for physician services, lab, diagnostic services, etc.
Language indicating that the listed charges do not constitute a contract